HomeMy WebLinkAbout1821 W 4th St - Building CITY GP PORT ANGELES PERMIT APPLICATION
BnitdingAivisionlEteetirirat Inspections ECE
321 East Fifth Street-P.O.Boa 1150 d Port An eltes Washington,98362 :.' . t,aw"...,.,-°::`:,
Ph:(350)417-4735 Fax;4360)417-4711 � � i DEC 3 0 2013
I)ate: 220 0-P-47. ,&2 Single Family Dwelling
INSPECTIONS
*Plan review May 8e Required,Please Comylete Electrical Plan Review Information Sheet
,rob Address: 4 g I t .h .
Building Square Foolage;
Cescription of zhave •R i a�• _r a/ ;L ? 0-.'!!
y
CBwner info anon Contractor formation
Name- � 7 A sl Name: ZA MA -e i 04%-t i-lc pct
Mailing Address: / xJ Maittngflddress: W$ ll�F
city: state, `ta . Stafe:.."..Zip:_-1830-
Phune: GL-27f,& Fax Phone:*�- 1922,—T-ax:
Llcense#lExp. — License 41Exp FXTA.+ 1 4
Item Unit Cttaroe t Total M Multiplied by Unit Charge)
ServicefFeeder 200 Amp. $120.00 $
j
Service/Feeder 201.40GAmp, $146.00 $
ServicelFeeder401-6170 Amp $205.00 $
8orvicelFoeder641-1600 Amp. $262.00 T $
ServlcelFaedrrover 1000 Amp. $073.00 $
Branch Circuit Wl Service Feeder $ 5,00 $
anch Circuit W10 Service Feeder $ 63.00 i $�
pch Additional Branch Circuit $ 6,00
Branch Circuits 1-4 $ 75.00
Temp.Service/Feeder 200 Amp. $ 93.00
Temp,ServicetFeeder 201 #00 Amp. $410.00
Temp,ServicelFoeder401-600 Amp, $449.00 $
Temp,ServiceIFeeder601-1000 Amp, $168.00 $
Portal to Portal Houdy $ 96.00 _ $�
Signal Circulll Limited Energy-1&2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Rsnaurable Eleartcal Energy-6KVA System or Less $102.00 $
Thermostat $ 66.00 — $�
Mete:$5.00 for each additional T-Stat
NEW CONSTRUCTION QNLY-
First 1300 Square Ft, $120.00 _ $
Each Additional 500 Square Ft.or portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74,00 � $�
Each Swimming Pool or Hot Tub $110,00 � $
$ Total
Owner as defined by RCVt JR28.261,(1)Owner will occupy the structure for two years after this electrical permit is 0nalized.(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.I am making
the electrical installation or alteration in compliance with the electrical taws,hl.E.C.,ROW.Chapter 19,25,WAC.Chapter 296468,The Gity of Port
Angeles Munioipai Grade,and Utility Specifications and PAMC 14.05.450 regarding Electrical Permit Applications.
Signature of owner,electrical contractor oreieotrical administrator; ❑ ca-3b ❑ cbu*
❑ c��atca;a�T_
ELECTRICAL PERMIT ti
CITY OF PORT ANGELES ..,.
360-417-4735
Application Number 13-00001479 Pate 12/30/13
Application pin number 513161 ^``s)
Property Address 1821 W 4TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-4555-0000-
Application type description ELECTRICAL ONLY on your excise tax,form
Subdivision Name , . , . . . to the City of Port Angeles
Property Use
Property Zoning , . . . , . . RS7 RESONTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . , 0
Application desc
living roam
Owner Contractor
BETTY MARTIN BOOHER EXTRA MILE TECH & ELECT, , LLC
1821 W 4TH STREET 418 N, RACE ST,
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 457-5222
------------------------------------.--_- CO—
Permit , . . , . , ELECTRICAL ALTER RESIDENTIAL
Additional desc , ,
Permit Fee . , . . 63,00 Plan Check Fee .00
issue Date 12/30/13 Valuation . , . ,
Expiration Date 6/28/14 r
Qty Unit Charge Per Extension
1.00 63.0000 ECH E -R BRANCH CIR W01 SER FERD 63.00
----------°°____------------------ --------------------------_---------------
Fee Summary Charged- Paid , Credited I7ue
Permit Fee Total 63.00 63.00 .00 .00
Plan Cheek Total .00 .00 .00' .00
Grand Total 63.00 63.00 .00 .00
a
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
I
ROUGH-IN
FINAL )�j it I
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G;IEXCHANGEIBUILDING
e cnY OF PORT ANGEI,ES
hili................ DEPARTMENT OF COMMUNITY DEVELOPMENT - B'UILt>ING DIVISION
~ ." 32) EAST5THSTREET, PORTANGELES,WA9&362
~~ .
'. . . Application Number
rLuper~y AOaress
ASSESSOR PARCEL NUMBER:
Tenant nbr I name .
Application description
Subdivision Name
Property Zoning ; . .
Application valuation
03-00000~R1
1821 W 4THST
. 06-30-00-0-1-4555-0000-
WINDEMERE
ELECTRICAL ONL'Y
nSlll~a
Q 1r<t1 In.."
o
OWner
Contractor
WASHINGTON . MUTUAL
NORTHRrDGE CA91324
OLYMPIC ELECTRIC
4230 TOMwATER
PORT ANGELES
(360) 457-5303
WA 98363
., -- -., ;~~~ - - - - -- - - - - - - "'.- - ~~~ -~;;; - ;;;~~~ -- - - - - - - - -- - - - - - - - - - --
Additional desc
Permit.Fee
Issue Date
Expiration Date
64.90
8/21/03
2/18/04
Plan Check Fee
Valuation
.00
o
'7...... - -,- -.~ - -,- - ,- - - - - - -'- - - - - - - - - - - - - -'- - - - - - --- - - -..- - -.- - - -'- - -'- - - - - - - - -.- - - -- - -- --.;.. - ~
Permit . . . .
Additional desc
SUb Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESmENTIAL
0-200 AMP $76.30, ADD $22.70
OLYMPIC ELECTRIC
34.10 Plan Check Fee
6/20/03 Valuation
12/17/03
.00
o
..~
~
.'.
. Qty Unit charge Per
Extension
.00
. 64.90
BASE FEE
1.00 64.9000 ECH EL-R OR RM 0-200 ALT SRV FDR
BASE FEE
.00 76.3000ECH EL-RM-0-200 1ST SRV.FEEDER
.00 22.7000 ECH EL-RM-0-200 ADD SRV FEEDER
Extension
34.10
.00
. .00
'%
~.
.~..~..
..~.
.~ VI.'
.j\t '\
....
Qty Unit Charge Per
Fee SUIIIIlIary . Charged Paid Credited Due
---~------------- -...-------- ---------- - -'- - - - - - - - ----------
Permit Fee Total 99.00 99.'00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 99.00 99.00 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA,utiJities, private and public improvements. This pell1lltbecornes
null and void ifwork 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 as commenced, orif 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 wheth~r specified herein or not. The granting of ape(lTl~<:foes not
presume to give authority to violate or cancel the provisions of any state :or' locallavtregulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\I J02.IS (412002)
, ~
Bu;ILDING'PERMITINSPECTION RECORD
" ~ ~-:
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEAS}:PROVIDE:A MINIMUM 24 HOlJR NOTICE. IT IS UNLAWFUL TO COVER,
, , .' .."_' . '" "'_',.' ""S"''''.,--:,
INSULATEOR'CONCEAL ANY WORK/JE:fORE I'i~PfcCTEl!ANJ) ACCEPTED. P()STPERMIT INA CONSPICUOU,~U:~CATIQN.
..,.,,' , "",,' ~.
KEEP PERMIT CARD AND APPROVED PLANS'ATijb)3SITE
"")' r
i"
,. ", " ,:.
INSPECTION TYPE DATE I ACCEPTED " ;',' COMMENTS'
YES I NO
FOUNDA TIONI
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAt. ',' (LIGHT DEPT) SEPARATE PERMIT:' . , ,',
ROUGH-IN I , "
PLUMBING , .. "
,
UNDER FLOOR / SLAB '"
ROUGH.IN
WATER LINE
GAS LINE
, BACKFLOW/WATER -c;
AIR SEAL ,
WALLS I
CEILING T
FRAMING ',T' c
JOISTS / GIRDERS
SHEAR WALt. ,< , ,
" i
WALLS / ROOF / CEILING
DRYWALL
T-BAIl ..'
INSULATION
1SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS ,
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT /I'J: ,
WATERLINE / METER
SEWER CONNECTION
SANITAIlY
STORM
PLANNING DEPT. SEPARATE PERMlT/I', SEPA:
P ARKINGILIGHTlNG ESA:
LANDSCAPING " SHORELINE:
,., .e; ,'." ~ ,l"
, '" ..' :; " FINAL I~SPECTIONS REQUIRED PRIOR,TO,OCCllP:!<NC;Y{llSE ' " =
,
RESIDENTIAL, " '
DATE YES NO 'COMMERCIAL J)ATE A(:c:EI7Ep
" .,/ '0" " , I 'YES NO
417-4735 "P,bliP3 1', , ,. "", .:"f~
ELECTRICAL - LIGHT D~. ~ ELECTRJ~AL
'd ' LIGHT D PT ',', ,"
CONSTRUCTION R. W./ PW/ I' ~ CONSTRUCTION - R. W. c.,'
ENGINEERING 417-4807 PW / ENGINEERING '!
FIRE 417-4653 " FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 , BUILDING ,
;~iyt;'~
'" - "'-'" -...: 4. ; '~i. . "'_,.-... ,. I I, ,.l,j~, I ...1.C,;;l:::...... <:..::.
~ .: OU..l I ,-.... / I 1
tit
ELECTRICAL PERMIT APPLICATION
ThlI ~~ ~.~nnn AppUc.adon mu.t be flUMI out ~~taJv.
Ptau. ~ or rept'trl(ln.ITl"- II ytJtJ P'uIvIll ~y qUlMtlone. plM" ~II (380_ 117...47'35
F.. nu_" (3llO) ~1T~711
O""rcrEiIlC.ConI"'C1OI'Ag.m: Olympic Electric Co" Inc. Phone: 457-5303
P~Ownor: {"tDtem... /4/71/:. /~>.,_',). .$/v bm" rrJ-rb c..oteP
__: /13 21 V '11H City
E1odt1e81~ Olympic Electric Co., Inc.
~"' 4230 Tumwater
Phano:
City:
UC9nse': OL YMPEC28~: 3/31/03
Port Angeles, WA
INSTAl.U.TION WIRED BY:
i2l ELECTRICAl. CONTRACTOR
DOWNER
CredltC.rdHoIderNB~: Charles 1. Burkhardt, Olympic Electric Co., Inc.
8lI111l9 Addten:
Same
city:
EJrp. Date:
Cr8dlt C8rd NumDe.-:
PROJECT AllDFIE5S;
182.1
t.I c; r/i
4 "
I'OIt.~US;E.oe.-cLT
Du..nl~..:
~..., T-t-.
t:>ol..~.....lI:
--
HTf. .;t:-58 I
Fax:
452-3498
6BS-M3~7
Zip:
1'ta1e: 457-5303
ZIg: 98363
ZIp:
VISA:~MC:_
TYPE OF WORK: Check W! that apPlY: D.New D A~erationlAdd"rrlon
~Resldenlal 0 Mulll-famlly 0 Commercial n Mabile Home SQ. Ft.
o Remote Meter 0 Detech&d garage C! Ho1 Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage D Telecom. 0 Slgr
Number 01 CircuitS lidded or 1lIl9flld:
D~AIPT101'1 OF 'njl!. ELECTRICAL PAOJEc:T:
C-1/1-'1C 0'-' I-
-'
200.4
/'1 1A/Y1 #Q?r...1
,
S0?rnsco)
.../
EIecbIc6\ HeatLOIId Addition.. r! (/1. 90 4''7t:.,SO"'' .f7-~s81.f1ce l~tlo~O
'<it O~'-':-L~7lJ .0
O_board _KW 'f/ 3 .J ~ Voltage: /ZCl,zrfP
o Furn&ClO - KW 0 OYer!l<1ll<l Service Phase: Z1 ' 0 J
o l-leal Pump _KW ~'? crO DT.mpServtc<> ServlCoSiz9: ?P!>A
o Fan-Wall _KW '/. 0 Urderground Service F_r Sin:
PAMC 1..05.060(8): FOt Induotr1aJ, cornm_l, 80 ,....Idontlal projacm 1arg91' lhan a duplex, 8 OM . 11M drawln9 01 tt'te Electrical Setvtee 80
F~, bulldlng .In (sq. n.), 1D8d calClJIBUona, era:llT>e lype &. 01 conductorS enellor raceway I. reqUired and oI1all ..ccompan~ lI1e
Electrical P"",,~ epplO;auon. . "
I hsraby csrtify that I have /'Sad and examined this application and know thltt same 10 be true and COfTBc:t, and I an .
aUfhortzed to appty for this permit. / understand it ot the City's /eg8I responsltJilJTy to determine W1'llI t p8rT7l1tS
are rr1quimd; it remains me applicants responsibility to determine what permits are rsquired and to obttJln such,
PW-9019
CrlldH C.rd Holder's Signature:
Owner or Elite. Coni. SllIn,"ul1I:
r:U.- c a-.. tit 41/03
~ 101r1
W
~\
JIMlJ~l~ JldK110
S6HZSt09C
Da~'#
Dlrl8:
COOZ/OT/90