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Home My WebLink About3804 Old Mill Rd - Building 01/25/2005 13: 58 3504523498 OLYMPIC ELECTRIC PAGE 01 w &,'.91 ~ DOwner W ELECTRICAL WORK PERMIT APPLICATION ~tric:al Contrar:t(lT [J Annual Permit 0 Alarm 0 CRrDinl 0 Commercial 6:sldentlal 0 Re.~dentIDI Maint. 0 Sign,; ~rmostat [J Telecom. o Request Inspection Job wired by ni"ectrical Contractor a Owner 1n,,,II,,,on description ;?;;. 1Irc7/- ..&.mA d- r/7d~t":; r I_if t:-Ir~tJ EI cctn.clll contractor name UCc:TlRC l1umbcr ~~~.-;. F=//4"'76 I'?/Ytl1P~2d:.'ifJ/ Pu,,! ,ec's "iling .dd.." 6; Jf~Jt!? (P./.7J..J:0-.7 ~ c~ .f St.,. ZIP ~ ,?t1'....,-, 1I/r,7- ? .rItf f Telephone number 'FAX number ~ U,l/;'?re -d/";/7JdS;f;;7/- ,/ - /?/ a Cash 0 Cheek # I hereby certi.fy that r am the owner of the above: named property or a licensed ----L'" ItrCrcdit Card Visa electriclll C(lntractot (or the :finn's authorized agent) and 3m making the electrical installation or altrraticm 'io compliance with tbe clectric..111aw. Cha'J.'ter ] 9.28 RCW. CaTd # Mastercard Discover Signature of owner, eled.-ical cnntnctor or eleetrieal administrator ExpiratiOtl Date of card WALLS Insulation Only CElLlNG Tn!lulat;nn Only THERMOSTAT SERVICE DMC Appra.-:d Dy Dale Al"l"mvel1 Hy Oftle ^rpmVl!d Ely OM!' ^WO"lld fir DITCH FF.E>ER Cover Cover Dnl!' AwlclVedSy nM~ A~Hy Dill!' ^PI"l1lved By /Jllle "J'lf'"lVefl By EIActrical Load Additions and or s.!!".!~ac.lJ.o.D.s. o NO LOAD CHANGES CJ Baseboard KW ~(imaoe J.2.Kw 8"Heat Pump J.. Ton _ LAR CJ Fan-Wall _ KW ~oo.lte-'nlormatlon CJ Overhead Service [J Temp Service [J Underground ServIce Voltage PhaseD' 03 Service Si%e: _ Feeder Size: ( Tftsp~ction A~a~ Bui1dit:Jg or F..qIJlpment Jnspected Action Takcn ElcctriC.!LJ D<ltc , lnE>pcctnr i/3t/()S Ole- ~l'4J/fs. , ,) :.-' , - , , {/~~ -~& y(\ ~\ f'\ \1 r--c 1.. 'PC? )1.// ~, f:b \Jl .1 l1 .. 01/21/2005 15:59 0,lv1 3505830859 KIRSCH ELECTRIC INC PAGE B1 , '- iE1eetrieal Contractor C AlInuoll'.rrnlt C Alarm (I i:I Owner ~"",~:r" ELECTRICAL WORKPERMJT APPLICATION ~equest Inspection t' Telephone numb Job wired by ;t Electrical Contractor i:I Owner 1::1 elrical contrsclor Tlllmi::: I ...L...~ License nun,bcr \ lSCVi V -eOn IC- . I. ~ , Purehaser', t'~.,,~~ ..s3~ Co City 36QL-{ I tv) SWf1 q~3~:? b number Io~ O~ o Carlliva' tJ Commercial ~Restdentla.1 Q Resldenthtl Maint. Q Signs D Thermostat D TeJeeom. Installation description w PremllJes owner'!! name ~ Addr~'6 old V\ '\ ,\ gd City ~ fOr s. , hereby certify tbal J am the owner of the above named property or a licensed electrical contractor (or the fum's aulhorized agcnt) and am milking tile electrical installation Of alteration in compliance with the electrical law. Chapter 19.28 RCW. i:I Cash Cl Check # )( Credit Card VISa ~[.terc';;> x Expiration Date of card :. WALLS In~lllntion Only CEILING Insularion Only 1'HI;;RMOSTAT Cover API"'OVed By Dnle. ^fllll'Oved l!Iy SER"lCE ?<I'~ Aen e .\pproved By Dille Dnte COver AlIproved 6)' DITCH FEEDER Dnl!: ^""l'Oved By Dille ^~ellB)' ElectrIcal load Additions and or subtractions o NO !.OAD CHANGES o eeseboe'" KW [J Furnace KW D Heal Pump _ Ton _ LAR C Feo-Wall t(W Dele Afll"l'OvdR.V DDte ^Pl'''llvolI' By $ervlcA!nfDrmatlon )( Overhead Service l( Temp SBrvr~e C Underground Service VOltage Phe.eD1C3 Service Site: _ ~eed9r Size: Jnspeetion Date Area. Building or Equipment Inspected h t.-, 0.A-. Electrical ctOr , Tit. 6--r '1.l:~p ~ tJ IL. Fr. 1.:>4 Action Taken "r@.r" ,AC-(1;) #to 01/05" i , I , , I, I i I I " I I , I i ' . ).' 1. I , I '~ORTANGELES w t~~1f WAS H I N G TON, U. S. A. PUBLIC WORKS & UTILITIES DEPARTMENT January 21, 2005 Fred Grinnell C/o E.G. Enterprises, Inc. 1324 Jamestown Rd Sequim, WA. 98382 Subject: 3808 Old Mill Road Job# 9892 Dear Fred: . The estimated cost of labor and materials supplied by the City to provide electrical service for your property is $ 527.89. This estimate was based on the data you provided and is subject to review. This quote is good for 180 days. .' The City will be responsible for the following: I. , 1) 2) 3) 4) Providing and installing the power pole. Upgrading the transformer. Providing and installing the service wire across the road. Providing and installing the 120/240v meter. The owner/contractor will be responsible for the following: 1) 2) 3) 4) Providing, installing and future maintenance of the service riser on the pole. (Ref: Underground Service-Secondary Riser CR 5 01) Providing, installing and future maintenance of the underground service wires in conduit from the power pole to the house and/or meter base. (Ref: Trenching Specifications UM 001cS) AIIRequired Permits. (Building, electrical, etc.) Payment of $ 527.89. 321 EAST FIFTH STREET. P. O. BOX 1150. PORT ANGELES, WA 98362-0217 PHONE, 360-417-4805' FAX, 360-417-4542' TTY, 360-417-4645 E-MAIL, publicworks@cityofpa.us .(.. /1"'" . ~ .. ., ~ ,'" 'I , J ".\ ~<.., . ( \0>. ,,' ^'; ,__ :. }'! 1 . \ J : :. '. ' I.f I , ~ I ".."/ ,.... , M J,. '._ "=<..., If the actual cost of construction exceeds the estimated amount, there will be no . further billing. If the actual cost is less than the estimate, the difference will be refunded to you. Payment of the estimated amount will authorize the City to schedule the work. If you have any questions or concems, feel free. to contact me. Sincerely, John G. Hebner Electrical Engineering Specialist ihebner@citvofoa.us 360.417.4706 Cc: James Harper I Electrical Engineering Manager AI Oman, Electrlcallnspeclor Roger Vess. Permit Tech Attachments: 3 Ret. WF31216101 " \,OR-'\,.o. 0' __.,....Q J)/O>-~~. - ~-t, f?f~....'..'., lJ....~7. ~~ ~'K';i:7, ~/.,.'r LtG'" El.ECT~WCAL ~~JSiPlECTy'Dj\JJ WJ~J~G ~LEPORT 417-4735 I OME H - -- - - . TI PE.RM'''' -rNSPE,cro~ ",-.. ___ ~ I I 4 (. - ," n-r~ ~ ~::";"~::';:, 0' ~ ; .:: c:~. _ . ~ ~ _ . _ ADDRESS- --- --- ~ --- --- -~- ?-~ ~"::":i. . ""'" ." ",..., l~' I -~-' I.~ --'"__ _~_:!:""-'~_ --!!._ ~_ .....~__J~.. _J APPROVED ,"' '1 ' ~' --. NOT APPROVED ..... 0 ...........0 [J o ..,.. ...... -.. '"",,' /t 1 I ~ /;-;r; /: CORRECTIONS NEEDED: . .~..J'''' 1-;_ .1"""::';-<' ............. U o ...... ..... ~i~..it. <.. ~ ''-"' :'-. ",.,~; !~;'.-:---; ,../""....- ;':.- ".:-..~';'.'.---'_..,) r3 .D'..L :f:::.---) I <::;;<~," ._::'r~f-; ;" j "J"', ~-- , .., .~_~,.,. € '':-'--1' /":..'--~~-J I ('. .-,..'>} , . /:...! ._~"" I" .~. ,'i"f",-;',', / ',.' -, ';- ,.~. -~_.- ..,.........-.-.- _.' .ol:.~:. ....,.. '.1.- , ", .. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHiN 15 DAYS - DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452-1381 v 02/21/2005 10:38 3606830869 KIRSCH ELECTRIC INC PAGE 01 . '~,. I:l ~'I Contractor ~ Wif o Owner ~~.....;t'''' ELECTRICAL WORK PERMIT APPLICATION ~ ~Re!lldCntlnl 0 Rl!_lOidcntlnl M,inl. 0 SI2DS D Tbcl"mostat 0 Telecom. -' a Annual Permit 0 Alarm 0 Carni'V'2l 0 Commercial Inslt1l1atioll de!lcription Job ..ired by Electrical Contractor i:I Owner (~-3~v-J ~ I~ ~ ~ \'scm /855) ~r}2- .' (:P'l\0H J-jDl0~) City 9VLD Q Cash 0 Check # I hereby certify that I am the owner of the above named propeny or a licensed [J ~ eleetrical contractor (or the finn's authorized agent) and am malcing the electrical Credit Car sa M installation or alterlltion in compliance with the clectrical1llw, ChDpter 19.28 RCW. Card # _ _ _ _ _ _ _ III administrator Expiration Dale of card --- (TD <:xJ ~ '" """ ~ "" D.u~ ^f1provd Rr x .~ WALlS InsullUiol'l Only CEILING Insulation Only TIlERMOSTAT \. DftlC Approved e~ /' DITCH zJ f-1-!o., /feD .. 011(11 Ajll1<"t'W'l'1 By Dlle 1-lf-,o S Cover [l.,t OftlC ~ '-4-6S0V.~ f UIle i\ppl'O\'ItllBy Electrical Loed Additions and or subtrectlons D NO LOAD CHANGES D Baseboard KW o Furnace KW CJ Heat Pump Ton LAR o Fan-Wall _ KW Service InfQllI1l1Ilm o OVerhead Service o Temp Service CJ Underground Service VOltage Phase GJ , 0 3 Service Size: _ Feeder Size: '~ ~p Inspection Are~. Building or Equipmenl inspected Elcccriclll Date I Action Taken Inspector 2./ '& 31n 'i'" of<=- -!Jf7 (~ G"'.vC.<-f ~<-e fI..o"f(; ~ i (~+-"87Z- vlF '3{ z ( '(,./0 ( ) ~) =--"" ~A!J ~S r/N-n. ~ 4:f~ r Zli-z.-/or /~ ~- Fyr: ~ ----- ~ CONNECTION FEE PAYMENT 0'1 - /OhB . . , (c~fY~ '" CQ Customer: E.G Enterprises, Inc - Fred Grinnell Contractor: Kirsch Electr. (Fee paid for by Fred Grinnell) Project Addre~i11 R~ Connection fee due: $ 713.00 Date Paid: 2/11/05 CASHIER: 1. Please post check to: Capital Contributions / Construction Contributions LT 401-7180-343.30-24 In "additional comments"; WF 31216/01 or 31496/01 WS 9892 or 9703 2. Send a receipt of payment upstairs to: John G. Hebner Public Works & Utilities Dept 417-4706 GRINNELL CONSTRUCTION INC (360) 452-11370 756 ORAPER RO PORr ANGELES, WA 98362 FRONTIER BANK . 901 W WASHINGTON . SEQUIM, WA 98382 98-762/1251 4003 ~/oq/Cif $ 7/3 ~ PAY TO THE ORDER OF 1Zd- JiilSe<.oJrityfealures W~Onbed<- MEMOJd,6,# 9703 tv ~ <3/'19(/01 \._~~ 4- M' 11'001,00 :JIl' I: ~ 2 5 ~O 7(; 2(;1: 7 ~ 7 7"'00 ~:J 2 :JIl' Paymenllnqulry Operator 10: Post da~: Tender: Check number; SEOGINGT 2/11105 CHECK D~.: 2111105 Number: 22 Receipt number: 15476 4003 713.00 LT 2/11/05 13:58:21 ~ GPINNEL CQHSTPUCTIOH , Total payment Total tender: 71300 71300 d'04Il'~_ .sti~~ D!J ~~,... CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98~62 Application Nunilier pin nunilier Property Address ASSESSOR PARCEl, NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000068 Date .891204 3804 OLD MILL RD 06-30-15-3-2-9060-0000- MECHANICAL PERMIT 1/31/05 RS9 RESDNTL SINGLE FAMILY 10800 Owner Contractor LESLIE JUDITH SPOTKOV 3804 OLD MILL RD PORT ANGELES WA 983623734 PENINSULA HEAT 502 W. 8TH ST. PORT ANGELES (360) 457-2775 WA 98362 ---------~------------------------------------------------------------------ Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 1-4 CIR+ LV STAT OLYMPIC ELECTRIC 84.50 Plan Check Fee 1/31/05 Valuation 7/30/05 .00 o Qty 1. 00 1. 00 Unit Charge Per 48.1000 ECH 36.4000 ECH EL-R OR RM 1-4 ALT CIRCUITS EL-LVT-FIRST THERMOSTA! Extension 48.10 36.40 0J (',() o r' '"'" Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 84.50 84.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 84.50 84.50 .00 .00 \) {' lJ J " ~ ~ COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEc:",ION RECORD 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 IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02.l~ (4196]