HomeMy WebLinkAbout1021 W 14th St - BuldingElectrical Permit
1021 W 14 St
13 -421
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
y J a
FINAL
1
6 bg
COMMENTS:
Application Number 13- 00000421 Date 4/23/13
Application pin number 072326
Property Address 1021 W 14TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 9672 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
2 circuits Ductless heat pump
Owner
CHAMBERLIN FRANK D
1021 W 14TH ST
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty
1.00
1.00
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
Unit Charge Per
5.0000 ECH
63.0000 ECH
WA 983637226
Contractor
ELECTRICAL ALTER RESIDENTIAL
68.00
4/23/13
10/20/13
68.00
.00
68.00
Signature of owner or Electrical Contractor X
G:\EXCHANGE\BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Paid
EXTRA MILE TECH ELECT., LLC
418 N. RACE ST.
PORT ANGELES WA 98362
(360) 457 -0198
68.00
.00
68.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Plan Check Fee
Valuation
EL -ECH ADDNT BRANCH CIRCUIT
EL -R- BRANCH CIR WO/ SER FEED
Credited
.00
.00
.00
Due
.0
0
Extension
5.00
63.00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Date:
CITY OF PORT ANGELES PERMIT APPLICATIION
Building Division/Electrical Inspections APR 2 3 2013
321 East Fifth Street —P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL
INSPECTfONS
Date: 7 3
Owner Information
Name: :z M iC 4— fjavN. Em. t
-e& j ai Yl
Mailing Address: /oar (.3 9 J /e,/F' S F
City: 1 1 State: t.,./ Zip: C t� rr, 3
Phone: 95 v 7 Fax:
License Exp.
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 -600 Amp
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201 -400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1000 Amp
Portal to Portal Hourly
Signal Circuit/ Limited Energy -1 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
Note: $5.00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
X
/1 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: /ri-Z1 Us 4 5 ,4
Building Square Footage:
Description of above
Unit Charge Total (Qty Multiplied by Unit Charge)
$120.00
$146.00
205.00
262.00
373.00
5.00
63.00 1 Co 3
5.00
75.00
93.00
$110.00
149.00
$168.00
96.00
64.00
120.00
$102.00
56.00
120.00
40.00
74.00
$110.00
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. 1 am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Cash Check
RECEVE
0110112012
(47 Total
Gedit nds
y
Contractor t¢fornatio�
Name: Cx #2a ins II 1 Etk. Ef2t#atcoL
Mailing Address: '/19 N. R4CP syxeer
City: 't 4 State: N/A Zp: g 836Z-
Phone: ¥7-5,2.) Z Fax: t.t A
License Exp. E "(TX Om 7" 7 3 t2 4
Building Permit
1021 W 14 St
13 -390
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
DUCTLESS HEAT PUMP
Owner
CHAMBERLIN FRANK D
1021 W 14TH ST
PORT ANGELES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
WA 983637226
Permit MECHANICAL PERMIT
Additional desc DUCTLESS HEAT PUMP
Permit Fee 64.80 Plan Check Fee
Issue Date 4/19/13 Valuation
Expiration Date 10/16/13
Qty Unit Charge Per
BASE FEE
1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON
Special Notes and Comments
Per Washington State Code 51 -51 -315,
installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
in place prior to the final inspection
of this permit. They are required to be
place directly outside of each sleeping
area and at least one on each floor of
the house.
Fee summary
T:Forms /Building Division /Building Permit
13- 00000390
013010
1021 W 14TH ST
06-30-00-0-3- 9672 -0000-
RES MECHANICAL PERMIT
RS7 RESDNTL SINGLE FAMILY
3775
Contractor
Charged Paid Credited
Date 4/19/13
DAVE'S HTG COOLING SRVC INC
PO BOX 413
PORT ANGELES WA 98362
(360) 452 -0939
Permit Fee Total 64.80 64.80 .00
Plan Check Total .00 .00 .00
Grand Total 64.80 64.80 .00
Due
.00
0
Extension
50.00
14.80
.00
.00
.00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of ate or local law regulating construction or the performance of
construction.
t�l
L
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Electrical
Footings
Stemwall
PW Engineering
417 -4831
Foundation Drainage Downspouts
Fire
Piers
417 4653
Planning
Post Holes (Pole Bldgs.)
417 -4750
PLUMBING:
Building
Accepted b
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
FINAL Date
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Accepted by
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimne
Commercial Hood Ducts
FINAL Date
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
SEPA:
ESA:
SHORELINE:
Inspection Type
Date
Accepted By
Electrical
417 -4735
Construction R.W.
PW Engineering
417 -4831
Fire
417 4653
Planning
417 -4750
Building
417 -4815
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parking Lighting
Landscaping
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
T: Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
04/15/2013 12:49PM FAX
NISSINY
/3 -3`?J
BUILDING PERMIT APPLICA T1ON Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98302
(360) 417 -4815 fax (360) 417 -4711
Applicant rI
Property Owner -Fr-o� h l (t- 1U r,t,r4 G6, a
Property Owner's Address 1 L21 100. 1 `f
Contractor 1bG -e-'s
Contractor's Address bk c4(
License DAVeS I Get q KC...
Phone 4 7(.5 ..0 9
TA, Phone 4 f5 7 �a
by+ A Q
Phon`- Y,- -o q'3 9
xpires
(3 E -mail
Id] 0002 /0003
For City Use O,tly:
Date Received 'r (7
Permit# l3 0
Data Approved f'S=i3
PROJECT ADDRESS J oat -1 `F h -�e-�-
Parcel. Number
Lot
Zoning
Prot ect Type Br lof Descr iption:
Cheek all that apply
New Construction
a Addition
o Remodel
o Repair
o Demolition
o Re -roof
%Heat System
a Other
Residential o Multi family
d Commercial o Industrial
tear off re roof o lay over one layer
o House o garage o other
Heat pump a wood burning stove gas fireplace o pellet stove other
cA tom S
Floor Areas
Basement
1" Floor
2nd Floor
3' Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Existing (sq. ft.) Proposed (sq.'LI
per sq. ft.
Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage °a
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed Occupant load
Will a fire sprinkler system be installed? Construction type
TOTAL VALUATION
of bedrooms
of full baths
of half baths
have road and completed this application and know it to be two and correct. 1 am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects.
0/12 -Pik Signature i
Dare 4 7 i5 .3 Print Name as-..
r :Forms/6uilaing Division /Building permit application
PREPARED 4/26/13, 11:48:15
PROGRAM BP521L
CITY OF PORT ANGELES
APPLICATION PROPERTY ADDRESS
STRUCTR PERMIT
INSPECTION HISTORY REPORT
0/00/00 THRU 0/00/00
ASSESSOR PARCEL NUMBER ALTERNATE ID
INSPECTION
13 00000390 1021 W 14TH ST 06- 30- 00 -0 -3- 9672 -0000- 063000039672
000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 4/24/13 APPROVED
REQ COMM: April 24, 2013 8:26:24 AM pbarthol.
REQ COMM: Jeanne 452 -0939
RES COMM: April 24, 2013 4:18:36 PM jlierly.
PAGE 1
RESULT DATE /STATUS INSPECTOR
JLL