HomeMy WebLinkAbout236 E 5th St - Building 08/21/2013 14:40 FAX 360 452 9265 Angeles Electric 100001/0001
Q3
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections RECEivED
321 East Fifth Street—P.O.Boa 11501 Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711 AUG 2 2 2013
Date- 683 ELECTRiCAI.
Mulli Family of Commercial' __Commercial Addition IAlteration 1 Rertt?ald*tFj r'
*Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet 2 �;
Jab Address:
Building Square Footage:
Description of above
Owner Inf rmati n Contractor Information
Name: Name: AaffAiss Aw-me
Mailing Address: Mailin Addre s: ' 91 ow-19.q
City: State: Zip: CV. m+x Ste4e: kl& ZIP' _
Phone: Fax: Phone:kO— Fax;
License#1 Exp. License p 1 Exp.,�_ Et�tSiL�,Fa
Item n t Ch ame Total M Ill lied by Uni Char e
Service/Feeder 200 Amp. $132,00 1
Service/Feeder 201400 Amp. $160.00 $
ServicelFeeder 401.600 Amp $225.00 $
Service/Feeder 6411000 Amp. $289.00 $
ServicelFeeder over 1000 Amp. $410.00 $
Branch Circuits 1-4 $ 86.00 $
Branch Circuit Wl Service Feeder $ 5.00 $_
Branch Circuit W10 Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5,04 $
Temp.Service!Feeder 200 Amp. $102.00 . $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp.Service/Feeder 401-600 Amp, $164.00 $
Temp.ServicelFoeder 601-1400 Amp. $185.00 $
Portal to Portal Hourly $ 96.00 $
SiOOutlino Ughting $ 88.00 $
Signal Circuit!Limited Energy—Multi-Family $ 64.00 $
Signal Circuit!Limited Energy/First 1500 sf—Commercial $ 96.00 $ ._
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy•SKVA System or Less $113.00 $
Thermostat $ 56.00 $
$�Total 13 2 V0
Owner as defined by RCW.19.28.261:(1)Owner Wit 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.I am making
the electrical installation or alteration In compliance with the electrical laws,N.E.C.,RCW,Chapter 19.28,WAC,Chapter 296-468,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding ElechiyPe it Applicat ions.
Signature of owner,electrical contractor or electrical administrator: ❑ ❑ c"Ck
ZA-,41TZ1,. �e
n.va; •� 01101012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number 13-00000958 Date 8/23/13
Application pin number , . . 028184 (1
Property Address . . . , . , 236 E 5TH ST REPCRTSALE� TAX v
ASSESSOR PARCEL NUMBER: 06-30 00-0-2-0005-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name , , . , , ,
Property Use to the City of Port Angeles
Property Zoning , . . . , , , COMMUNITY SHOPPING DISTR (Location Code 0502)
Application valuation . , , , 0
Application deco
200 amp service change
Owner Contractor
PORT ANGELES LLC ANGELES ELECTRIC
239 E SIMMONS RD 524 E. 1ST ST, y
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-9264
------------------------------ -____-__----__ _------------------------------
Permit . . . , ELECTRICAL ALTER COMMERCIAL
Additional deac .
Permit Fee 132.00 Plan Check. Fee ,00
Issue Date . . . . 8/23/13 Valuation . , . , 0
Expiration Date 2/19/14
Qty Unit Charge Per Extension
1.00 132,0000 ECH EL-COM 0-200 SRV FEEDER 132,00
Fee summary Charged Paid Credited Due
__________ __________ __________ _____.. .__- _-____..___
Permit Fee Total 132.00 132.00 .00
Plan 00
Check Total , ,00 .00 ,00 00
Grand Total 132.00 132,00 QO 00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE `
ROUGH-IN
FINAL r'
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPEC'T'ION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEWILDING
0710112013 Mon 16:59 Lincoln Wiring-Lincoln Breithaupl 3604178203 ID:M91 Page 2 of 2
RUINED
• W
CITY OF FORT ANGELES PERtVin APPLICATION
Building Division/ElectricalInspections 2013 E`
321 East Fifth Street—P.O.Box 11541 Port Angeles Washington,98362 4
Ply: (360)417-4735 Fax:(360) 417.4711 ELECTRiCAL �
t7ate: •, a ",Multi-Famlly or Commercial*
*Plan Review May Be Regi)ired, Please Contpie e El trieal Pan Review,Information Sheet
Job Address:_; , 1'' 31 _ 6i't -� ---------
Qaiiding Squire Fool �,� " :. -------------------.....
--•--...—.-•----
Desongdon of above Vic_.
Owner formation Contractor Information
Name. s + 1 (!.e^n"w� Name.
Mai "in ddress •;,.:: :- . : w.: irx _ Masiioa Address, c:e..
CEty: �,::a.J: State:L-L -ZW:`1�,; 4_�'} Cliy: Slate-lT;�_ l7ip i� iC.;z,
PhonetG�c t7iS•' :--- r^hor r : _tttfaX: tii; =� �7,r• r r
—T---
Licenae#I Exr Urenw#!Exp.. i.t
Item Unit Charge QtV Total(Qtv Multi Iled by Unit Charge)
ServicelFeeder200Amp. $132.00 —. $ ', CZ C.-
Service✓f eerier 201.400 Amp. $160.00 $
ServicOFeeder 401-600 Amp $225.00 $•----- _—•
ServicelFeeder 601-1000 Amp. $288.00 _. $
ServicelFeeder ever 1000 Amp, $410.00 $
Branch Circuit X11 Service Feeder $ 5,00 $
Branch Circuit W/0 Service Feeder $ 400
Each Additional Branch Circuit $ 5.00
Branch Circuits 1-4 $ 86.00 $ _
Temp,Service(Feeder 200 Amp. $102.00
Temp.Service/Feeder 201-400 Amp $121.00 $_
Temp SenricelFeeder 401-600 Amp, $164.00 $
Temp,SerAceiFeeder 601-7000 Amp, $1$5.00
Portal to Portal ftdy $ 96.00
SignlOulfine Lighting $ 69.00 $
Signal Circuit!Limited Energy-Muhi-Family $ 64,0`v $_
Signal Circult(Limited Fnergy I First 1500 st-Comma dal $ 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-6KVA System or Less $913.00
Thwmaslai $ 56,00
Note:$5.00 for esch additional?-Stat
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, hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making
the eEectrleal installation or abraffon in compliance with the electrical laws,N.E.C.,ROW.Chapter 19.28;WAG,Chapter 296-466,The City of Port
Angeles Municipal Code,and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications.
signature of o nor,electrical contractor or electrical administrator: 0 Cash 0 check
YP dRcard#Dated:
U Coln ring Port Ange es,Street
Wring @8363
July 13, 2013
Trent Peppard:
am requesting a refund for the electrical permit I purchased on July 02,2013 for 236 E 5t'Street. I will
no longer be installing the main breaker and as such, have no need for the permit. The permit
application number is 13-00000714 and the total paid was$132.00. Thank you.
Sincerely,
Lincoln Breithaupt
Lincoln Wiring
(360)808-1757
w
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 13-00000714 Date 7/02/13
Application pin number • . . 047800
Property Address . . . . . . 236 E 5TH ST REPORT SALES TAX
PARCEI, NUMBER,06-30-00-0-2-0005-0000-
AppliCatipn type description ELECTRICAL ONLY on your excise tax form
Property Us Name to the City of Port Angeles
Property Use •
Property Zoning . . . , • . • COMMUNITY SHOPPING DISTR (Location Corte 0502)
Application valuation , . . • 0
Application desc
200 amp panel repair
Owner Contractor
PORT ANGELES LLC LINCOLN WIRING
239 E SIMMONS RD 1619 WEST 7TH STREET
PORT ANGELES WA 96362 PORT ANGELES WA 98363
(360) 808-1757
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 132.00 Plan Checic Fee .00
Isaue Date 7/02/13 Valuation . . . • 0
Expiration Date 12/29/13
Qty Unit Charge Per Extension
1,00 132.0000 ECH EL-COM 0-200 SIRV FEEDER 132.00
m Fee summary Charged Paid Credited Due
Permit Fee Total 132,00 132.00 00 .00
Plan Check Total. 04 .00 .00 .00
Grand Total 132.00 132.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTIa.J - r
Signature of owner or EIectrical Contractor X Date:
GAFXCHANCOBUILDING
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Owner Contractor
PORT ANGELES LLC
239 E SIMMONS RD
PORT ANGELES
WA 98362
04 00000890
737140
236 E 5TH ST
06 30 00 0 2 0005 0000
MECHANICAL APPL PERMIT
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc THERMOSTAT
Permit Fee 36 40 Plan Check Fee 00
Issue Date 9/29/04 Valuation 0
Expiration Date 3/29/05
Qty Unit Charge Per
1 00 36 4000 EC EL LOW VOLTAGE
COMMUNITY SHOPPING DISTR
12008
Date 9/29/04
ALL WEATHER HEATING COOLING
302KEMP ST
PORT ANGELES WA
PORT ANGELES WA 98362
(360) 452 9813
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP
Permit Fee 61 70 Plan Check Fee 00
Issue Date 9/29/04 Valuation 0
Expiration Date 3/29/05
Qty Unit Charge Per Extension
BASE FEE 47 00
1 00 14 7000 ECH ME INSTALL 100- FAU 14 70
Fee summary Charged Paid Credited Due
Permit Fee Total 98 10 98 10 00 00
Plan Check Total 00 00 00 00
Grand Total 98 10 98 10 00 00
Extension
36 40
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 as 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 any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T•\PLANNING\FORMS \1102.15 [11/14/2003]
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH-EN
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIRSEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE PELLET CHIMNEY
HOOD DUCTS
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
I I
I I
I I
I I
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION LW PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
i \PLANNING\FORMS \1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
YES
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
NO
SEPA.
ESA.
SHORELINE:
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
iU--
I
!:: ~,:;~" ~~;:~ '
,CITY OF;-PORT, ANGELES .'
PUBLIC WORKS' '-BUItDINGD1VISION
321' EAST STH'STREET,':iJORT ANGELES, W A 98362
,";}
'\1
CONTRACTOR
, ,,',- "0' '; +,,-;j(..f.~-'~ '-^>",> ,~'~" - ,
OWNER
VARIOUS
Port Angeles, W A 99360
206/000-0000
PROJECT INFO
: project Value: $1,400.00
Project Type: BACKFLOW VALVE.
Occu?a,ncy Type:
Occupancy Group:
ConStruction Type:
Zoning Use: CSO
PROJECT NOTES
'3 BACK FLOW DEVJCES
ovm'ERlApPLICANT" ,
..oRLARRY TEMRES '
236 E.5TH ST
Port Angeles. WA 98362
360/457-1101
'T:.,",
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufaotured Home:
Sign:
Plumbin~:,
Mechanical:
Radon:
s:
MFOOriitS:
MFD $0 FT:
o
0'
$0.00
$0.00
$0;00':
$0.00
$0.00
$0.00
$41.00
$0.00
$0.00
MiscFee 1:
Mise Fee 2:
""Mis-cFee 3:
.'
~L :',., n' ,_-__:> ." .'-__ ',,_ "'_ ','_ _" .' ".:--, _ ,'_, ,_' '_ ,___,." ,
Sepa~ePermJts are required forelectricalwOrk. SEPA, S~O~line;ESA. ~~iitles. priVate a~ publIc improvementS';tfhrs ,ptm.'tbec:ot1\8S
null ~!1~v~Id.lf WC,lr!< or con~tr.u,g~on al.Jthc<l,~~d is not 9o~i'qe~~S,~~!n..1t?~4a~~Jf 9On~~,C\.lcm 9rwo~l. s, "", .. ',9rl~~
for a ~nod of 180 days after the work as:fqmmenCed. or If req~lred m~~~ons have not~een .;equested , " el~
Inspection. I hereby certify that I have read and examined tt)lsappJloationand know the same to be true an correct':, '.' nS'of
laWs ariaordlnances governing this type ofworkwilf be eomplrEKfWlth wtlethersPeCifiecfflii'eiii ornat. The'grai\tfngo}j nnffdoe~ ~ot
presume to give authority to violate or cancel the provisions of any .~tate or local law, regulating construction or the: perfoTrriance' of
'construction. . ' ., .,&, , ., ' '. -".' .. ....,., , ' .. ,'" .. .., h . ,'./."... ',' " '
Siglla,~reof Gonvact~r or Authorized Agent
r
~>
/;~
"f",
BUIDDING PERMIT INSPECTION RECORD
CALL 417-4815 FOIl BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE) ITIS UNLAIJIFlt" ,tQrER.
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED~D ACCEPTED. POST PERMIT IN Ii. CONSPICUOUSL()CAl1ON.
KEEP PERM!1',CARD AND APPROVED PLANS AT JOB SITE
"
INSPECTION TYPE .",) #~t'I\~~TE ) . ACCEPTED CO'MMENTS""'> """""''0:
. .' , ,~'~ 1c,_~, ;:~,)' '\- :--)--:1 ~1(\ ',' ':.~ 'j
YES I ' NO '. .., .' , ., ", .~,..
FOUl'lDATION: , " ..,.....>,..,.~.. ,'" ; "0'-c;'
, .
FoonNGS '.. ?.' '.
'WAU.S , ,.. , .
FOUNDAnON DRAINAGE";;{',~,, ,.,', , ." ". ..' l "
ELECTJiICAL ' "
(LIGHT DJWn ,$EPARATE>P~:,I!, , ,
ROUGH.IN , I ,"kil,', <,.,.....',
. ",
PLUMBING , '"
1
UNDER FLOOR I SLAB
ROUGH.IN , ,', ,)"'.
WATER LINE " ,"rt .,..'
GAS LINE . ,
'!,,,'
BACK FLOW I WATER , , >
AIR SEAL >,' " + ,
WALLS ,,' t
"
.CElLING '" I ". >
FRAMING " '. .,i". ; .'.
'.
JOISTS I GIRDERS
S~ WALL
WALLS I RooFI CEILING"
DRYWALL >.
"
..
T.BAR ,
INSULA nON , ,
,
SLAB ..
WALLI FLOOR I CEILING I ,.'
MECHANICAL' ..' '. ,.',
'.,
HEAT PUMP
WOODSTOVE I PELLET/CHIMNEY/INSERT ",
,
HOODIDUcrs - -....'~, '., ,"
','
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: ", " ;,/ .
WA TERLINEJ METER "'.;,~,
SEWER CONNECTION , "" j'" ,
"
SANITARV ,C ; ..' 'h,", it;, , ., C,(~;i, ;'
.
STORM '7',v:";'", , ,,';"
"",. f.0 ,,', /
PLANjl/INGDEPT. SEPARATE PERMIT #'s '~.' . fW';< " , SEPA:
PARKn~GILIGHTING ESA:
LANDSCAPING SHORELINE: . ... .'
FI~AL INSPECTlQNS REQUIRED PRIORTOOCCUPANCYIpSE .i'," , 'f,i" .......
--. , "J':~+!E;,.
RESIDENTIAL j:;, ;' ;V~IE..oi " YES , NO},'" c:;P1'1MERCIAL . ...... "c:; ,":--, 'l*~;i,'"
.i);.'
" .. " , .' , it ,.i'e' <', , i' ,,,,,"i,,' '.. i"..; ,"it, .... ".,,; 'i, ;ili kKY'. ;,;,.j,,';; ItYES~'~ :'"i>J\/O'"
--
ELECTRicAt~itGm DIWr:" 4t74iH i ..,..-, ,'< " " , " .".t EI.E<::i1Um; " Ii ~;, . "~I; (;"i~.'i, ~f"fC ',;0.;:
,"" ."".. ' , .' ;",;"'.~ , . "..," .. .' ..."', LIGHT PEPT "..: 1'/..:. Ji" . ;. /t~4
CO'NSTRlJc110N It'W. I'PvlI ..' ";( , ''4.'1 "1:' '.' ,co~mucnoN.R:\V. : \rilr.:; ii.,','...... ,;.'.'
ENGINBERlNp "'. """ ,41 ~-4891} . (,1\ I .el~ " ;. ."" id
.' ,.cPW I GINEERING , " "" "1-
FIRE ~)7oj'16S3 f . { .' FIRE DEPT. , ..... " '. ",1' /.
." '.
\>~~PEtr.< .""....4F-47~9 . PLANNING DEPT. "
" '.' ....
BUILDING i ""'" " 417,.4815\ .'., " " " BUILDING" .;. . ,Hi". ' ,", ,\ (Lf.t 'if :. <.
C;\APPL.WPD
d .ORT ~
A~~':<"
~,..~
~ ---
~w;p
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
property Use
Property zoning . . .
Application valuation
04-00000919 Date
.255489
236 E 5TH ST
06-30-00-0-2-0005-0000-
ELECTRICAL ONLY
10/07/04
COMMUNITY SHOPPING DISTR
o
Owner
Contractor
.00
o
\\
{;
'C->
~..sJ
'-'>
o
~
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------------------------
------------------------
PORT ANGELES LLC
239 E SIMMONS RD
PORT ANGELES
WA 98362
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457-5303
WA 98363
----------------------------------------------------------------------------
permi t . . . .
Additional desc
Permit Fee
Issue Date
II Expiration Date
ELECTRICAL ALTER COMMERCIAL
2 FURN & HEAT PUMPS
61.30 Plan Check Fee
10/07/04 Valuation
4/06/05
-Q
Qty Unit Charge Per
1.00 61.3000 ECH EL-COMM ALT <5 CIRCUITS
Extension
61.30
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 61.30 61.30 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 61.30 61.30 .00 .00
----..
(:) V
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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 as 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 any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
\.
Date \
T:\PLANNINGIFORMS\1102.15 [11/1412003]
BillLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # /} -- (~,,-tP~~
ROUGH-IN JI')--7~l'.Ll I( f( d - \/ l.-</I..'1'~ 't-
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARK1NGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
.--' YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 10 - 7-- tJ (I ((jL ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [11/1412003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll-DING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuat~on
04-00000890 Date
.737140
236 E 5TH ST
06-30-00-0-2-0005-0000-
MECHANICAL APPL. PERMIT
9/29/04
COMMUNITY SHOPPING DISTR
12008
eypl r.c-v
~/bIOt7
Owner
Contractor
PORT ANGELES LLC
239 E SIMMONS RD
PORT ANGELES
ALL WEATHER, HEATING & COOLING
302KEMP ST.
PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 452-9813
WA 98362
Permit
Add~tional desc
permi t Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
THERMOSTAT
36.40 Plan Check Fee
9/29/04 Valuat~on
3/29/05
.00
o
Qty Unit Charge Per
1.00 36.4000 EC EL-LOW VOLTAGE
Extension
36.40
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP
Permit Fee 61.70 Plan Check Fee .00
Issue Date 9/29/04 Valuation 0
Exp~ration Date 3/29/05
Qty Unit Charge Per Extension
BASE FEE 47.00
1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 98.10 98.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 98.10 98.10 .00 .00
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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 as 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 pe it does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the pe 0 ance of
con truction.
Date
Signature of Owner (if owner is builder)
T.\PLANNING\FORMS\1102.15 [11/1412003]
S~f-29-2004 01:31 PM ALL WEATHER H/C Inc
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~p PI- tJpe or prlal la lak. Uyou blVI uy quldo..., pllUI caD .1'''.15
AppIicaatarAaeatJ.11 ~ ~~~ Pbouc: S6Ja "ls:~ .'/li1g
awnw;.Ll.lV1\.l ''G,~~ ~"~~~u.,l~~ :\ f 'Jt) Phone: -g/,:{) ~c:; 1- \ to\
Addnu: .p '?'-t' E(J ~1 ~ f.b., rJv-I'c'f City: por J fhJ9.e1e> ,{,,j.A Zip: <3a3~",;l
ArGhi_t/BqU1.-:~ Phone:
CODtrIctot I Liccnao --:.A1./ ~6{.{ Ll~~U Bxp:..Jj II CJ ~. Phone: YS,~ .' 9 15 \ ~
~ ~ tp\A,f S':/.t'{.<'~ City: ~v I 7'I,lj&JeI>, Wf) , Zip:...9~'3t(, .;2
'"WHIt.......; .-J~w '~:"f S -I:b S~ ZONING;.
LKCAl.~DJlCRMJoN. Lot: Block: SubcUvili01l:
ClJ.I.lrAM C01JNTY,AIlCIl. NlJMBIR: Credit Clrd Bolder Name:
8IWII Mal.... t City:
CNdat C.... " Esp. Dlte:
360 452 5177
P.01
BUILDING PERMIT. APPLICATION
t'UM Ul'fll:1AJ., USE ~
0... ....L~- Z. q-
Permltt: <7.- 0
Da..~:
DIIe IIIuod:
VISA
Me
TYPI OI"woaxa SIZIIV ALVA-nON.
Ct .M~~11 Q New CoDatr. Q R.e-lOof C WoodItovo SF. @ S ISP. - S
Q Nulti-fImfly Q Acldidcm a Move c Garase SF..@ S /sP. - S
c eo-n.... Q Remodel Q DemolitiOD C Dock SF.'@U' . ISP. . S
D Repair C Sip Q TOTAL V ALUA nON S-L.;(. ~ S". oD
QIU"UIClIlTlON OJ'TBI PIloacr: F I' 'r(p' ~ ~ C\'" ;~ 01"\. OI.!'S. .~ II \ \rw~' J . \--t,t ; 1'\ ~.\.~\_ \ L
_' , W \ L\,' ~!'. (: "'\.~ ~(' 1$'raJ-
CQ~CLWUSIDIN11AL: OCO\Ipaacy Group: OCCUPlDt Load: CoaatructiOll Type:
No. ofStQrioa: _ Lot Silo: ' % LoI Coveuse: %
BxJatiq Lot eov......: Ilq. ft. + Proposed Lot Covera,e: Ilq, ft. · TOTAL LOT COVERAGB: !.q.ft
'LAN!UNGUIIONLY: APPROVALS; PUN
No.r BLDG.
DPW
I'JRIt
BSAlWet1lDd(.): Q Yea DNo SBPA Cbeckll8trequired? D V!" D No Other: OTHER.
~ BtJlLDlNG' I'IIMIfrAJIPLICA1'ION 8tJBMITTAL: r.", .,..." Mil lito pIM ....IM,/UIIItI....,.".. .. ""W/fI,
MlI-. 1"bo B1Ii1diaa DivillCQl CID provide you with mon detlJ1ed iDformatiOll OD tbe IPPUcaUon IIId plaIl aubmittal n:quiremeatl. Your
completed appUOItlcm. lite plaD (for additfOIll) aad buUdiq coaatruction plaDs In to be submitted to the BuUdiDa DiviaiOD.
V ALVATION-or CONITaUcnO": 'lD aIIca.,'1 ftI..... Ulout mUle be ..tend by the app1icaDt. Tbia fIaun will be I'IWi8wed
aDd 1Il,I1 be raviaed by the BuiJdiq Divilion to comply with cwmat rec Icbedulea. Contact tho Permit Coardiuatar at 417-4815 far uaiataQce.
PLAN, CDCK'I'IlI: Your pia c:beck tee iI due It the time tho buiIdlDa pemUt app1icadoa ad COUaucdoD piau ....1Qmittcd. AU other
PemUt I... are .. It the time of permit ~lDoe.
EXPIRAnoN or PLAN UVlEWI lIDo permit II illued wftbiu 180 dlY' oftbe date ohppliCldon. thfa .IPPllcaUOD,wtU alpin. lbe
BufldiDs Official CaD extend the time for action by tho applicant up to 180 da,. upon writteD request by the applicant (.ee SectioD 107.4 of
tho UDUonn BufldfDa Code. CUl'l'CDt Dditf01l). No applicatioD caD be oxtmdod more thaD ODce.
, 1 It"." ""f& ",,,,1 haw relIII arull:lUUftlll. rlllJ flPplicGrfo" Gild aow the 8a"" to b. trv, G"d correct, Gnd / am Gutltorllltllo apply for
tht, p,malL J IIlld"'ltJlld II I.r rID' ,lae Clty'l le,al rwpon.rlbillOt to d,te""',,e what p,,.,,dts ar, r,qlllred,' II "''''GII&I Ih, IIppllcalll',
rapol&llbtlll)' III d."".t", whal pmPI/a II", requf,.,d IInd to Oblllj"Ch. ._
'T~_~Y""""1 AppUcat:~ \-\......J) 01'01 Q/:2."lf <1L{ .
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGELES. WA 98362
ELECTRICAL PERMIT
Issued: 6/10/97
Permit No:
5952
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
DR.LARRY TEMRES 236 5TH ST E
236 E.5TH ST Lot: N66' LT 1 & N66' LT 2
Port Angeles, WA 98362 Block: 200 Long Legal:
360/457-1101 Sub: TPA
T: S: Parc No: 063000020005000
CONTRACTOR-----------------------------DESIGNER---------------------------------
BOB'S ELECTRIC
1227 DEER PARK RD.
PORT ANGELES, WA 98362
360/457-6887
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: COML.REMODEL prj Value: $0.00
Occ Type: Cnstr Type: ADD CIRCUITS
Occ Grp: Occ Load: Land Use: CSD
jllectrical Heat Service Type
Baseboard KW: 0 Riser Voltage: 120,240
Furnace KW: 0 X Overhead Service Diameter: X-I -3
Heat Pump KW: 0 Underground Service Service Size: 400 AMPS
X Fan/Wall KW: 3 Temp Service Feeder Size: 0 AMPS
PROJECT NOTES-------------------------------------------------------------------
ADDING 3KW FAN HEAT
PROJECT FEES ASSESSMENT---------------------------------------------------------
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $50.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$50.00
$50.00
=================================
TOTAL FEE:
$50.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINJMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCt.'AL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED. '
KEEP PERMlT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS ,
I ,
YES NO
DITCH . , .I_~
lm'lJGIr-IN / COVER tel -I: /Z/'1 -1/t1M.
,
;7 I ,
I
,
,
GENERAL COMMENTS,
PW-I 102.15 (4196]
)
/'
; 360-1 ,i'..i' , I
1'01 l
..... 2,' 2.
10/06/2004 10: 23 FAX 3604523498. _
'-L";'-U'-", C;~O_II.I;,..:" \ :-".J,~r ....NGt:L..E:::.
OLYMPIC ELECTRIC
$,
,-'- - ,-"'-.'
" ~,
04-9/9
ELECTRICAL PERMIT APPLlCA nON
~
FOR Of'f1CIA1. USE W.L Y
~;
.....:
Ilial.~...d,
o..t.ved;
Th. E leclrlcal Permi~ AppHcaf;on must b. filled our comDletelv_
P I.... type or rePlint In Ink. tf)'ou haw. any qu..llona, p...... c.11 ()SO) .17...735
Fax "urn *: (310) .,7-..1,1
o...-.,..Elot.ConIr""""Agont Olympic Electric Co., Inc.
Proporty Own.,: ,d, r Cfl>"~
Addrooo: l ~~ i. !)r.. Clty: fA
EI_eon.oc1Dr. Olympic Electric Co., Inc. Llcono.t: QYMtC28;QIExp: 3/31/03
A-= 4230 Tum.vater CIIy. Port Angeles
Phone: 457-5303
Fax: 452-3498
Phone: '/~ 7-//0/
Zip:
Phone: 457-5303
Zip: 98363
INSTAlUlTrON WIRED BV:
DOWNER
l!j ELECTRICAL CONTRACTOR
Ct'8ditCardHolderName: Charles 1. Burkhardt, Olympic Electric Co., Inc.
BlUing Addreu:
Same
City:
Zip:
VISA: X Me:
Ct'8d1t Card Number.
Exp. De"':
27(p l >rw ?r
PROJECT ADDRESS:
o Residential
o MultI-family
}is' Commercial
pAlterBtlonIAdd~ion
o Mobile Home Sq. Ft
\:
-i
aSia
TYPE OF WORK:
Check ~ \hat apply: 0 New
o Remo18 Meter 0 Detached gerage 0 Hot Tub 0 Swim Pool 0 Septic Pump . . 0 Low VoIlage 0 Telecom.
Number of Cllt:ults added or ellered:
OESCRJPTIOII OF THE ELE~ICAl PROJECT:
IIltv
CI/?VI/-$ .~) ZtJA
( t. "A
)~~I ",oJ,.,,;
~/", : e.e.,
,
....
.....I;
ElllCtrlclll" ^"'d Addltlone and or subtractfons
Service Information
CJ~B88bOlln:l
.Kl.Fumace
~H8B1 Pump
o Fan-Wall
KW
~KW
....t.L TON_ LAR
~KW
o Ovemead Servl""
o Temp SeMce
o Unclerground Servl""
Voltage: ?
PIlose: l!il 0 3
Service Size:
Feeder Slze:
PAMC 14.05.060(B): FIX industrial, commerei8l, & _ldBntie/ projectllllllger than a duplex. a one - IIn8 drawing 01 the El8chical S"rv<:e &
F88d,,",. building size (sq. II.). Ioed calculetlona, end thelll pe & of CDnduclor8 end/or raceway is required and shall accom pany !he
EleClltc:aJ Parmlt appllcallon.
I hereby cerlify that I have reed and examined this application and know Ihat same to be true and corract, and I B/
authorized to apply for this permit. I undemand it is not the City's legal r&sponsibi/ity to deterrnin9 what permits
are requif it remains the BPpllcants responsibIlity to determine what permits are required and to obtain such.
CredM Canl Holder'. Signature:
Dot.:
/O/v/o1
( I
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;:'.'... )
(>/(>')-~" /
,:.2~;/' },./
-_ iV tl)/
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. .
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Owner 0(' I!lec. Cont. Sian.,ure:
PW-9QI917103
PERMIT FEE: $
'f 0.t. Sf!.)
Dale:
L/ g-',O-
I .f