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Home My WebLink About3803 Old Mill Rd - Building _._._._......_..........._.-....._..... .._._.._..._..._._..__.. . —--- / ti d„r ,.t irl �i CITY oF PoKlr.ANGlaLES PERma«APPLICATION UAI 8 2014 Building Division/Electrical Inspections � 321 East fifth Street--'P.O.flex 1150 d Port Angeles Washington,98362 Ph:(360)417-47351+ax-(360)4174711 Date:—'00-T"t'-f Zi&2 Single Family Dwelling *Plan Review Niay Be Required,Please.Complete Electric I Plan Review Information Sheet Job Address: 9 rte✓ C'1 i 8)M W, 2 Building Square Footage: Descrlpflon of above Owner information Contractor Information . Warne: .��i c�p�Tc 1J� iv,,/4 f J� j Name: �f�2 1A.0 Mailing Address:_ °aN;.:YI Sys?33 McElingAtltlfess:„ 8 City: k State: ,aJ f-Zip:. ca tt City: I�4 State: Zip: gi 83fe 2- Phone: Fax: Phnna f S 7 5��Fax: _ lieenseiBlExR- _ _ Cleanse#fExp. /r rp item Unit Charge (fit Dotal(Qty Multiplled_by Unit Charge) ServicelFeeder 200 Amp. $120.00 $_ ServicelFeeder 201-400 Amp. $146.00 $ SerOcelFeeder 401-600 Amp $205.00 ServicelFeeder 601-10€10 Amp. $262.00 ServicelFeeder over 1000 Amp. $373.00 $_ Branch Circuit W/Service Feeder $ 5.00 $� touch Circuit WIC Service Feeder $ 53100 $ pch Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 Temp.Service/f=eeder 200 Amp. $ 93.00 -- Temp_ServloelFeeder 201.400 Amp. $110,00 $ Temp.Servica/� odor 401.600 Amp. $149.00 $ Temp.Servivailder 601-1000 Amp. $168.00 $� Portal to Portal Hourly $ 96.00 $ Signal Circuit/Limited Energy-1&2 Family Dwell€ng $ 64,00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56,00 $ Note:$5.00 for each additional T-Star NEW CQNSTRUCT IDN ONLY: First 1300 Square Ft. $120.04 $ Each Additional 500 Square Ft.or Portion of $ 40.00 $_ Each Outbuilding or De tached Garage $ AM $____. Each Swimming Pool or Hot Tub .$110,00 $ $ 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 cerfify 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,M.E.C.,RCW,Chapter 19.28,VVAC.Chapter 296-46B,The City of fart Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Mock ❑ CtedttCardtt _ x _ vata: P�7-14 tlif01fLA12 -o, ELECTRICAL PERMIT CITY OF PORT ANGELES �l 360-417-4735 Application Number . . . . . 14-00000023 Date 1/10/14 Application pin number . . • 920615 Property Address . . . . • 3803 OLD MILL RD REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-15-6-1-0221-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name to the City of Port Angeles Property Use • . . . . . . Property zoning . . • • . • . UNKNOWN (Location Code 0502) Application valuation 0 Owner . Contractor, ------------------------ ------------------------ MCYITT, EVELYN EXTRA MILE TECH & ELECT•, LLC 3803 OLD MILL RD 416 N, RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 f - --__------.(360) 457-5222 W ------ --------- -- ---- --------- - --- -- - -- Permit ELECTRICAL, ALTER RESIDENTIAL Additional desC 3 (^1 Permit Fee 73.00 - Plan Check Fee X00 �„•,J� Issue Date 1/08/7:4 Valuation . . . • 0 Expiration Date 7/09/14 Qty Unit Charge Per Extension BASE FEE 75.00 _ - ^^__- __-- - - --- -- -- - - -- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --__ ---- r Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .'09 Grand Total 75,00 75.00 00 .00 C-" INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL r COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTI4S FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEIBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , . , , , 14-00000023 Date 1/08/14 Application pin number , . • 92061 Property Address B oLD Zy- RD REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-15-3-2-9040-0000- App.lication type description ELECTRIC Ier2Z on your excise fax form Subdivision Name to the City of Pori Angeles Property Use (Location Code 0502) Property Zoning R59 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ EVELYNR MC NITT EXTRA MILE TECH & ELECT. , LLC 3808 OLD MILL RD 418 N, RACE ST. PORT ANGELES WA 96362 PORT ANGELES WA 96362 (360) 457°5222 Permit . . . ELECTRICAL ALTER RESIDENTIAL Additional desc 1-4 CIE. Permit Fee , , . . 75,00 Plan Check Fee .00 Issue Date , , . , 1/08/14 Valuation . . . . 0 Expiration Date 7/07/14 Qty Unit Charge Per Extension BASE FEE 75.00 Fee summary Charged Paid Credited Due Permit Fee Total 75,00 75.00 .00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 75,00 75.00 .00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRY SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING PREPARED 10/20/06 8 38 43 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/20/06 ADDRESS 3803 OLD MILL RD SUBDIV TENANT NBA COLLEEN OZBASAR CONTRACTOR THURMANS SUPPLY PHONE (360) 457 8591 OWNER OZBASAR COLLEEN L PHONE PARCEL 06 30 15 6 1 0221 0000 APPL NUMBER 06 00001048 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 10/18/06 JLL 10/18/06 AP ME99 01 10/20/06 MECHANICAL GAS LINE TIME 13 00 neil 460 3956 10/17/2006 03 56 PM DYASUMUR 10/18/2006 04 38 PM PBARTHOL MECHANICAL FINAL TIME 13 00 COLLEN 457 8355 PLEASE CALL 10 MIN AHEAD TO OPEN HOUSE 10/20/2006 08 06 AM DYASUMUR COMMENTS AND NOTES PREPARED 10/18/06 9 44 52 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/18/06 ADDRESS 3803 OLD MILL RD TENANT NBR COLLEEN OZBASAR CONTRACTOR THURMANS SUPPLY OWNER OZBASAR COLLEEN L PARCEL 06 30 15 6 1 0221 0000 APPL NUMBER 06 00001048 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 457 8591 PHONE ME6 01 10/18 06 JLL MECHANICAL GAS LINE TIME 13 00 �1 420 3956 17/2006 03 56 PM DYASUMUR COMMENTS AND NOTES 4 J Application Number 06 00001048 Application pin number 614896 Property Address 3803 OLD MILL RD ASSESSOR PARCEL NUMBER 06 30 15 6 1 0221 0000 Tenant nbr name COLLEEN OZBASAR Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 2600 Owner OZBASAR COLLEEN L 3803 OLD MILL RD PORT ANGELES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983623733 Permit MECHANICAL PERMIT Additional desc Permit pin number 87569 Permit Fee 60 65 Plan Check Fee 00 Issue Date 9/25/06 Valuation 0 Expiration Date 3/24/07 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 10 65 Fee summary Charged Paid Credited Due Permit Fee Total 60 65 60 65 00 00 Plan Check Total 00 00 00 00 Grand Total 60 65 60 65 00 00 t� t J a Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes A 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 thaN have -read-and examined this application and know the same to be true and correct. All provisions of N laws and ordina es o eming this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to g rity to violate or cancel the provisions of any state or local law regulating construction or the performance of 1 cconstruct j Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date .3- V T• \Policies \1102_15 building permit inspection record05.wpd [1/4/20051 Contractor Date 9/25/06 THURMANS SUPPLY 1807 EAST FRONT STREET PORT ANGELES WA 98362 (360) 457 8591 Pivirito ii°/freA' CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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 FOUNDATION: e FOOTINGS I i I SHEAR WALLS WALLS I I I FOUNDATION DRAINAGE DOWN SPOUTS I I PIERS I I I POST HOLES (POLE BLDGS.) I I I PLUMBING UNDER FLOOR SLAB I I I ROUGH -IN I I I WATER LINE (METER TO BLDG) I GAS LINE I I I BACK FLOW WATER I I I AIR SEAL WALLS I I I CEILING I I I FRAMING JOISTS GIRDERS I I I SHEAR WALL/HOLD DOWNS I I I WALLS ROOF CEILING I I I DRYWALL (INTERIOR BRACED PANEL ONLY) I I I T -BAR I I I INSULATION SLAB I I I WALL FLOOR CEILING I I I MECHANICAL HEAT PUMP FURNACE DUCTS I i I I GAS LINE �l /r�`D I WOOD STOVE PELLET CHIMNEY I COMMERCIAL HOOD DUCTS I MANUFACTURED HOMES FOOTING SLAB I I I BLOCKING HOLD DOWNS I I I SKIRTING I I I I RESIDENTIAL ELECTRICAL LIGHT DEPT PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING I I I LANDSCAPING I I I CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T• \Policies \l 102_15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD ACCEPTED YES I NO FINAL FINAL `W4b DATE SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I I I FIRE DEPT I I I PLANNING DEPT d I V I I BUILDING COMMENTS DATE ACCEPTED BY. I I I I I I I I I ACCEPTED BY. Architect /Enginee r• Contractor l e29 .9-c✓ Address PROJECT ADDRESS 5$D 3 Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or AAient: u.€"73f9, i Owner Lf fresY 4045;4/2 Address /Lc City /e/ LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name: Billing Address: Credit Card Type VISA MC TYPE OF WORK. Residential New Constr Multi family Addition Commercial Remodel Repair BRIEF CRIPTW OF THE PROJECT 4d, /z-A,cir- COMMERCIAL/RESIDENTIAL. Occupancy Group: No. of Stories. ?i Lot Size: Existing Sq. Ft. Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION Re -roof Move Demolition Sign lif State License //4Ifff'5 City 17/a/ City' SIZE/VALUATION Stove Garage Deck QOther //1/461u.— ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone: Phone Subdivision. SF SF SF OCTAL VALU Occupant Load: Proposed Sq Ft. A 7- 8'4'7 S2 9n Zip Zip ,n ZONING FOR OFFI�,i U 1 WLY Date Rec. Permit e/i 0.4 0, F/ Date Approved. Date Issued: /?'O Phone: 9'S�T<4 L!a- Exp Phone: TJ g.51 Exp. Date: /SF /SF /SF I i nif Construction Type: TOTAL Sq. Ft. ac7 APPROVALS PLAN BLDG. DPWU FIRE. OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Buildmg Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to:apply for this permit and understand that it is my resoons lity to determine what permits are required ,not the City's, and that must obtain such permits prior to wor li ies\BLr1102 13. d licant: G�4� 6:62.0 "PpolL 1 p 1 f i esr `s T A 1 et 5 T-7420A-r- 1:2470, IA ft zE CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Nwnber pin nwnber Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000623 Date .043888 3803 S OLD MILL RD 06-30-15-6-1-0221-0000- ELECTRICAL ONLY 7/20/04 o Owner Contractor LUCY M BARNHARDT-HIGGS TTE 3803 OLD MILL RD PORT ANGELES WA 983623733 RW BECKER ELECTRIC 1532 TAYLOR CUTOFF RD SEQUIM WA 98382 (360) 683-5839 -------------------.--------------------------------------------------------- Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Dat:e ELECTRICAL ALTER RESIDENTIAL 1-4 CIRCUITS RW BECKER ELECTRIC 48.10 Plan Check Fee 7/20/04 Valuation 1/17/05 .00 o w dJ fl')O r-. V \ ~ ~., \ , ~'\ l/l Qty Unit: Charge Per 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Fee swmmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 0 0 ? r r tJ \ U' 3 r \ N (P 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 ~loverning 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD 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 YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERlOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 '1-1 it / t7 "f A7tJ ELECTRlCAL LIGHT DEPT -r CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 4]7-4815 BUILDING T:\PLANNING\FORMS\1102.15 [I ]114/2003] ELECTRICAL PERMIT APPLICATION FOB OFFIC!AL USE O~iL y n,,\e/\(Ol ___'_._._~___..____ h"",i~~ __~_______..___.~ D~I"AJlI'"""d _ O.lo ls,uo,J ._~______~___ The Electrical Permit Apprication must be filled out completelv. (;u'\ Please type or reprint in ink. If you have any questions, please call (360) 417..4735 Fax number: (360) 417-4711 tJ'i- 6:23 Owner or Elec. Contractor Agent: 12.1....<1 g~ Property Owner: I-WC-i b,If';;f':4cJ~;;r- Address: 3 (r??"Z, (';)L Y7 /P1?/ L-L ,va City: Electrical Contractor: )'2 <-<J - G, C'L.../CC7L- f7 _ =- r- Address: I" 3 2- 77f'7l-/K ~;~ City: PhoneY] '7 /3~Fax 6t3i':J/ tJY Phone: Imz.rr- ~)r7~ R W ,g a:=6-- Ob -0. G -0. License #: Exp: 0 C- 'r- S Ez2U'/~ Zip 9 r-:5 {, 'Z.- Phone y' 77 ( 5-: ( Zip '7 y3 f- <=--- INSTAllATION WIRED BY: DOWNER ~lECTRICAl CONTRACTOR Credit Card Holder Name: fl-W /, c-c-~ Billing Address: t? dJ )q C--C City: Zip: Credit Card Number: Exp. Date: VISA: Me: PROJECT ADDRESS: "3. J-t; <; Oca JYPE OF WORK: Check ~ that apply: o New JU:; )'CAlterationl Ad d ition h-z/r/ ~esidential 0 Multi-family o Commercial 0 Mobile Home Sq. Ft o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: I J() ~ T)tl-L- I-, /k r /J"v t=iK~S r: /~ ff:,effhG ,.- /~t'.W~.r<';_ / I-VS rN-t-L- r ~ 0 r7 /htA~d: lOt::' vvr o /J~-."n ,?u..r-r~ ~d2.-<5 , pte' 17 A.x/~ 11f7~ - ( ~f Sw,g.~ .<-'Vsr) Electrical Heat Load Additions and or Subtractions Service Information =i Baseboard :J Furnace ::J Heat Pump ::J Fan-Wail ~KW KW TON KW LRA ~<;i o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: , hereby certify that I have read and examined this application and know that same to be true and correct, and I am 3uthorized to apply for this permit. I understand it is not the C'y's legal responsibility to determine what permits 3re required, it remains the applicants responsibility to de ne wh permits are required and to obtain such. 7ft ~ ~ . Credit Card Hoider's Signatur. . Date: 7-/5";.-0 V M --- Owner or Elec. Cant. Signatur~~ Date:7 -("5--0<-( 'I~ ~ ;1_ .Q~1J-W( €t~ uj,,~4.- lAll ./ U I '] PERMIT FEE: $ ;/ElECTRICALPERMITAPPLlCATION IJ "7 ~~ J~ J~ 7/;gib'/ 18,/0 o~ ~.-:~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET, PORT ANGELES, WA 98362 ELECTRICAL PERMIT Issued: 4/28/97 Permit No: 5905 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ LUCY BARNHARDT 3803 OLD MILL RD 3803 OLD MILL RD Lot: 8 Port Angeles, WA 98362 Block: Long Legal: 360/000-0000 Sub: HAWTHORN ADD II T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- R.W. BECKER ELECTRIC 1532 TAYLOR CUTOFF RD. SEQUIM, WA 98382 360/683-1467 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES. MISC. Prj Value: $0.00 Occ Type: Cnstr Type: Occ Grp: Occ Load: Land Use: RS9 Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 0 Furnace KW: 0 Overhead Service Diameter: -1 -3 Heat Pump KW: 0 Underground Service Service Size: 0 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT NOTES------------------------------------------------------------------- PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $40.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $40.00 $40.00 --------------------------------- --------------------------------- TOTAL FEE: $40.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED , , 't', . ,,- " .: 1 "I . , ELECTRICAL PERMIT INSPECTION RECORD , " CALC 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 IT IS INSPECTED AND ACCEPTED, ',i/'1,.1 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE , INS':ECTION TYPE DATF. ACCEPTED COMMF.NTS , r YES T NO , I"'ITTrU Rl -IN / CUVER SERVICE --,- , , . , . ,~ "]';" . ..; IlllII 7: t." ., . GENERAL COMMENTS, . PW-l 102.15 [4196] 'I I I I I CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT .. N9 15401 r: .-, - ), ., Port Angeles, WasWngton.nn.mn.~.:m~n::::nn'~...m.m__m.n..m.nm., 19.nnm ~ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure In the City of Port 'Angeles, per- mission is hereby granted to do electrical work as listed below. Address ...}n![~.e.~~.n.~:?C:~~__..J!0f[&.rf!'nn!.~.{1'~ccuPancY.n./Lk~nmnnn.mnnnn.n J . .,,v.,; ~::I:: ~'%::::;!:~:C~~1L:;;~:::C:!t::.}Y:~:~::::::::::::':'.'.'.:'.'::::::::::::::::::::::::::::::::::::::::::::::::::: " .- ,)0 L:ght Outlets..... ......_.___...______.___..h__..__.. 70 Receptacle Outlets__mnnm___nnnm__..... (, Dryer, K\Vi........hn::'n......__..__hn.nn__... /:';) Rrnge, KW ___n_n_________________ _.nn____n_._' Water Heater: H~,t~:~.:::~i[r:~.:~;~~:{;,~:::.:. Motors: size, volts and phase: / ~c.'" ......_..________.L.=._____.................h.________... !:.n"'tIn..e:':::............n.......m..mn...n Total I..oad.__...........nn__nn__.. Service, volts ./....~o/h=?__r.~_...d.. -" ..,) No. wires un..__..........._______.__...._..___ ~~ t') // .. F .~ SIze WIres.___ __ onmm'''''''''h..h..... Main fuse .....:2:-:?.~!::!.:.._...hd.. ~ Enclosure .....::?.....h......h.........m... Type of wiring;: Entrance Cable ..h......................... RigId Conduit ............................... Metallic Tubing ...................dh.... Current transformers: No. & Size........hm.......................... Ser. No............................................... Ser. NO._....................h........___............ Ser. No. ....._..........._.......................___ Ser. NO................................._.........h. Type of WIring: Armored Cable. Non-Metallic h.................h..........._ Knob & Tube... Rigid Conduit .m.............___........... Metall1c Tubing .....mh....._.......... Ru,ceway .........:......................--....... I'--- CIrcuits, LighL..:h.........h...n...m.......... Utility hn.~n.h.h....mh...mhhhh..... I;) Heat ............................................... -'" Range ...:?'t...................................... '\Vater Heater .~~........h........h...h Motor ..._......................._................ 9- Dryer.......!'::........................................ Furnace .........................._n...... Total 3C, ....................................... Remarks: ...n..nm.n.m..___.n;.'""''-J!.:!.''-d...m.r::-&:J.:___.:~..~.nn..n.n.mhhmn..n.nnnnm.h__...n___.:n.h._____.n.nm hnnh__n_____n____nnuu.__nh___nn_______nn.n_h..hdn.n_n___nnn_n_n.._nh_n__.___n.......hn_dnnn_n__n.n.u.hnn_h_n._n.nn__nnnnn .i.~.~:~ii~n::....::::::...nn--hmi~~.~::.~~.~~~.~~~...:::.n.hnhm...m--:~.:;[2:~::.l:.;~~~~:~:.~~~:.:::::::. ~OTICE__Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due noUce must be given the Inspector so that work may be inspected berore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ::; I; <) A:J / I "'. ,~ c.j'...----:-t::.... . - ,. . ELECTRICAL PERMIT N? 15401 . '/ --1--'-- --? V' - . / '" '" ~ - r:; ) 1'0 h) C ' .,' (:/ , /) ::~:~:~::I;:sl.:::C;i::~~:::::::..::::~:.::::::::::::.::.::.:.:.~:~....::..:.~:::.:::~:::::.:::.:::..::.:::::::.:..:::hm...hh.hmhh...hm.m....mnhm.hnmmh.n.. ,. {It' '~',rl~ ~ {~' {,..,./ . . . ............_......._....n..............._.................. Inspection cOIDPleted.::-,.._.._......I.:___.___ .......h..=:::....::::......h._....._.h. _ .... .... ....h.._n........... ..... ....h._.................__.......h..___....__......._......_ Total Load 1M 3-72 OIYT?Pic Printers, Inc:. ~_. - .~-----_.----:. ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 16- 00000113 Date 1/25/16 Application pin number 110399 Property Address 3803 OLD MILL RD ASSESSOR PARCEL NUMBER; 06-30-15-6-1- 0221 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use Property Zoning . . , . . . . UNKNOWN Application valuation . . . , 0 Application desG Sub Panel Owner Contractor RESULTS: MCNITT, EVELYN DITCH BLACK DIAMOND ELECTRICAL CONTR 3803 OLD MILL RD 502 BLACK DIAMOND RD SERVICE PORT ANGELES WA 98362 PORT ANGELES WA 98363 ROUGH -IN (360) 565 -1035 Permit , . . . . . ELECTRICAL.ALTER RESIDENTIAL Additional dasc . . COMMENTS: Permit Fee 120.00 Plan Check Fee .00 Issue Date 1/25/16 Valuation 0 Expiration Date 7/23/16 Qty Unit Charge Per Extension 1.00 120 0000 ECH 'EL-0 -200 SRV FEEDER 120.00 Fee summary Charged Paid Credited Due Permit Fee Total 120.00 120.00 .00 00 Plan Check Total 00 DO .00 00 Grand Total 120.00 120.00 00 ,00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERNOT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGFN3UILDING RECEIVED CITY OF PORT ANGELES PERMIT APPLICATION JAN � a � �� •� --- Building Division /Electrical Inspections 321 East Fifth Street — P.O. Sox 11501 Port Angeles Washington, 98363 ELEU AL �" NS , Ph: (360) 417 -4735 Fax: (360) 417 -4711 V MIS' Date: (— Z Z ~ f /\1 & 2 Single Family Dwelling * Plan Review May Be Re ulred, Please Complete Electrical Plan Review Information Sheet Job Add resT a icu Building Square Footage: Description of above /J Owner Information Contracto oration Name: Name: L Mailing Address: _ Mailing Address: City: State: Zip: Phone: Fax: City: State: Zip: Phone: F x: License # 1 Exp. License # 1 Exp. Item Unit Charge Total My Multiplied by Unit Charge? Service/ Feeder 200 Amp. $120.00 $ ServicelFeeder 201 -400 Amp. $146.00 $ Service /Feeder 401 -600 Amp $ 205.00 $ Service/Feeder 601 -1000 Amp. $ 262.00 $ Service/Feeder over 1000 Amp. $ 373.00 $ Branch Circuit W1 Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ Temp, Service/ Feeder 200 Amp. $ 93.00 $ Temp, Service/Feeder 201 -400 Amp, $110.00 $ Temp, Service/Feeder 401 -600 Amp. $ 149.00 $ Temp, Service/Feeder 601 -1000 Amp , $ 168.00 $ Portal to Portal Hourly $ 96,00 $ Signal Circuitl Limited Energy - 1 & 2 Family Dwelling $ 64,00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $5,00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $ 120.00 $ Each Additional 500 Square Ft. or Portion of $ 4100 $ Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110.00 $ $ 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 -4613, The City of Port Angeles Municipal de, and Utility Specifications and PAMC 14.05.050 regarding Signature Electrical Permit pplications. o , el rical contractor or electrical administrator: ❑ Cash heck ❑ Credit Card # x Dated: 1— 2 'Z ~' �� 0110112012 � � 2-