HomeMy WebLinkAbout314 Lopez Ave - Building ELECTRICAL PERMIT a X
CITY OF PORT ANGELES
360- 417 -4735
Application Number 11- 00001424 Date 4/23/12 --C—
Application pin number 297424
Property Address 314 LOPEZ AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 10 -5 -0- 1324 -0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
2 circuits demand heater
Owner Contractor l
CIARLO JOSEPH P OLYMPIC ELECTRIC CO INC v
314 LOPEZ AVE 4230 TUMWATER
PORT ANGELES WA 983626530 PORT ANGELES WA 98363
(360) 457 -5303
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 76.10 Plan Check Fee .00
Issue Date 12/22/11 Valuation 0
Expiration Date 6/19/12
Qty Unit Charge Per Extension yy
1.00 73.5000 ECH EL -COMM BRANCH CIR WO/ S/F 73.50 11�
1.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 2.60
Fee summary Charged Paid Credited Due Iv
Permit Fee Total 76.10 76.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 76.10 76.10 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN L//2
FINAL
„,,,1
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections ELE a� r
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 IN ECTIO�� `a liianenSat
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 42/..2////
2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 3/y
Building Square Footage:
Description of above ?7„2/24,2
Owner Information Contractor Information
Name: 2 —y;J (f,7/-/_7 Name: OLYMPIC ELECTRIC
Mailing Address: y'23 S. 5.� Mailing Address: 4230 TUMWATER
City: !f State: Zip: 7, City: PORT ANGELES State: WA Zip: 98363
Phone:4'77 c ,5r Fax: Phone: 457 -5303 Fax: 452 -3498
License Exp. License Exp. OLYMPEC2 a 5D1
Item Unit Charge (3ty Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 119.90
Service /Feeder 201 -400 Amp. 145.50
Service/Feeder 401 -600 Amp 204.60
Service /Feeder 601 -1000 Amp. 262.20
Service /Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60
Branch Circuit W/0 Service Feeder 73.50 7 3- s_
Each Additional Branch Circuit 2.60 ___L_ Z 69
Temp. Service/ Feeder 200 Amp, 92.70
Temp. Service/Feeder 201-400 Amp. 110.30
Temp. Service/Feeder 401 -600 Amp. 148.70
Temp. Service/Feeder 601 -1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign /Outline Lighting 88.20
Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi- Family Dwelling 63.90
Manufactured Home Connection 119.90
Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. 110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
7, L Total
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. I 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
Credit Card
X A0 4 ""Dated: /L /Z /A 01/01/2010
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001381 Date 12/06/11
Application pin number 894850
Property Address 314 LOPEZ AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-10-5-0- 1324 -0000-
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 2000
Application desc
STEFFES HEATER
Owner Contractor
CIARLO JOSEPH P PENINSULA HEAT INC
314 LOPEZ AVE 782 KITCHEN -DICK RD
PORT ANGELES WA 983626530 SEQUIM WA 98382
(360) 681 -3333
Permit MECHANICAL PERMIT
Additional desc STEFFES HEATER
Permit Fee 64.80 Plan Check Fee .00
Issue Date 12/06/11 Valuation 0
Expiration Date 6/03/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME- HEATER(SUSP /WALL /FLOOR -MTD) 14.80
Fee summary Charged Paid Credited Due
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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 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 any state or local law r- ating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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 48.B6
F
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.
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Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
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:
Heat Pump Furnace FAU Ducts
Rough -ln
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Stab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
Inspection Type Date Accepted By
Electrical 417 -4735 t
Construction R.W. PW Engineering 417 -4831 W
Fire 417 -4653 y
Planning 417 -4750
Building 417 -4815 S (A91
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70:4174711 P.2
DEC -6 -2011 02:28P FROM:PENINSULA HEAT COMPA 3606812086
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)
Date Recelved
Permit* /30/
City of Port Angeles Please print in Ink. Date Approved <t N
Attn: Building Permit Technician Approved by�
321 E. 5 St., Port Angeles, WA 98362
380- 417 -4815 fax: 380 417.4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm
Contact perron 4 1 Phone:
Property owner: h r J� r �U-9/4 379 �7
C� Ph n
Property owner's mailing ddress: L opez_ _4 y _I e,(74,-,w3
6Z
Contractor's business name: P fr n h S 4./et f. /`7' ho
(or property owners name if he/she Is doing /overseeing h work) J
Contractor mailing d
.a f_. r) L2 J_ 2e) J ii /4/4
Contractor's 41 nurrlber; t_xplrati to /7
Project Address:
3/frt La eZ. n
Project Type: tt sidential Commercial o Industrial o Multi family
Project Business Name:
(for commercial, industrial, or multi family projects)
The following permits are usually Issued over the counter Immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Re o house garage other
O tear off re -roof lay over one layer
Licensed contractor; Submit a copy of your re roof bid.
Project Valuation (labor materials, not Including sales tax)
Reside: house o garage O other
Project Valuation 5 (labor materials, not including sales tax)
Repair: jexplatn the prgject)
Project Valuation
'Hpmeowwner, If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
Cost of materials x 2 Project Valuation
T ;Form• /Building DIvIslon /Building /Plumbing/Mechanical Permit Application Short Form (Revised 2011)
Page 1 of 2
DEC -6 -2011 02:28P FRDM:PENINSULA HEAT CDMPA 3606812086 T0:4174711 P.3
Swimming Pool or Spa (k 24" deep): For prefabricated swimming pool or son projects that
do not mouim plan review:
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
pemolltlon_ A demolition permit Is needed when an entire building gets demolished.
What will be demolished? house in garage o other
Note: some demolition permit applications need to be reviewed by various City departments, end may take
approximately two weeks to obtain.
Agree to ensure that all utilities are/wlil be properly turned off (and capped off If needed)
prior to demolition.
Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
(1) Obtain (from the City of PA) a copy of the Olympic Region Clean Alr Agency ORCAA)
Demolition Permit Appllcatlon.
Contact ORCAA at 380 417 1468 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
yes to no Will the debris be going to the Regional Transfer Station in Port Angeles?
o yea o No If yes, will a licensed contractor be taking It there?
tf yea, obtain (from the City of PA) a copy of the Waste Disposal Application,
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing is needed).
Plumbing Permit: Iexplaln the protect)
Protect Valuation
Mechanical Permit: (explain the prolect) q
1-rl� S7'� ,�S kl c
Project Valuation 2 I
4 Q
I have read and completed this application and know It to be true and correct. I em authorized to apply for thls permit
and understand that it Is my responslbillt 0 determine what :mite are required, and to obtain permits prior to
working on projects.
Date /Z�b Signature weej
Print Name CX it-fr d 71-11 ersa-z—
Page 2 of 2
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CITY OF PORT ANGELES
DEPARTMENT 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
04-00000515 Date
.360210
314 LOPEZ ST
06-30-10-5-0-1324-0000-
MECHANICAL APPL. PERMIT
6/09/04
RS7 RESDNTL SINGLE FAMILY
2400
Owner
Contractor
CIARLO JOSEPH P
314 LOPEZ AVE
PORT ANGELES
WA 983626530
EVERWARM
257151 HWY101
PORT ANGELES
(360) 452-3366
WA 98362
----------------------------------------------------------------------------
Permit MECHANICAL PERMIT
Additional desc PROPANE INSERT, LINES, TANK
Permit Fee 57.65 Plan Check Fee .00
Issue Date 6/09/04 Valuation 0
Expiration Date 12/06/04
Qty Unit Charge Per Extension
BASE FEE 47.00
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .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 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. ~ ~I
Date
9J~.rJO
Signature of Contractor or Authorized Agent
ilder)
Date
T:\PLANNING\FORMS\1102.15 [11/14/2003]
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, INSULA TE 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 NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
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 W ALUHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE ~-II-tJJ-/ J ' 1-,
WOOD STOVE 1 fELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANIT AR Y
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LlGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 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 If ;C}.j - f) il .J,/-J BUILDING
T:\PLANNING\FORMS\1102.15 [11/14/2003]
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otnerlBUSiness: .:r 0 (" C( '~I( /0
Owner/Business Address:
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. .;;1~Of
DATE tX/;'I/Pl:..
ELECTRICAL PERMIT
~ RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
~ FAN/WALL KW ~
o HEAT PUMP KW_
o SIGN
DelailslDescription:
.
-+
-+
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
";8( SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~ OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
)!f SINGLE PHASE
o THREE PHASE
SERVICE SIZE 3.;2.0 AMPS
Wf>. No. SERVICE SIZE
C~PACITY:
o O.K. NOT O.K.
AOTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ '13 ,Rough-in/cover O.K.
1u1' 'f/J O.K. to connect service
o Final O.K.
Site Address:
,
In~taJJer:
Permit/Receipt No.
3S03
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
belore inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
--rBWI
Electrical Inspector
WHlTE - File by address
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
~ E/D f$!
Permit Fee
YELLOW - file by number
GREEN - Top: Meier Dept., Bottom: City Hall
\
OLYl~?IC PRINTERS INC_
PINK - Top: Eng, Bottom, Customer