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HomeMy WebLinkAbout620 Evans Ave - BuildingApplication Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner KEDISH STEWART L PO BOX 507 PORT ANGELES COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 121 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000133 196798 620 EVANS AVE 06 30 01 6 8 0050 0000 ELECTRICAL ONLY WA 983620077 RS7 RESDNTL SINGLE FAMILY 0 Contractor Date 2/25/05 DAVE S HEATING COOLING PO BOX 413 PORT ANGELES WA 98363 (360) 452 0939 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc T STAT Sub Contractor DAVE S HEATING COOLING Permit Fee 36 40 Plan Check Fee Issue Date 2/25/05 Valuation Expiration Date 8/24/05 00 0 Qty Unit Charge Per Extension 1 00 36 4000 ECH EL LVT FIRST THERMOSTAT 36 40 Fee summary Charged Paid Credited Due Permit Fee Total 36 40 36 40 00 00 Plan Check Total 00 00 00 00 Grand Total 36 40 36 40 00 00 FINAL EL:ECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH 1 I I ROUGH -IN COVER 1 I I SERVICE 1 1 I GENERAL COMMENTS: itAita,4400 1 1 1 1 1 1 1 1 1 1 1 1 PW -I 102.151 /96) \. c:J: ~ORT ~ "'~~~<., ~r...~ ...~ ~ ~~ 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 04-00001069 Date .526612 620 EVANS AVE 06-30-01-6-8-0050-0000- RES NEW SFR 12/09/04 RS7 RESDNTL SINGLE FAMILY 124215 Owner Contractor KEDISH STEWART L PO BOX 507 PORT ANGELES OWNER WA 983620077 Structure Information Construction Type Occupancy Type Other struct info 1870SF SFR W/562 SF ATTACHED TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS GARAGE 28.80 V-N 1. 00 1. 00 9000.00 2592.00 2592.00 1. 00 108.60 Plan Check Fee 12/09/04 Valuation 6/08/05 .00 o '(l ~ "-.\Y ~ \\"- I' "'~ ~ b Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 1.00 5.00 1. 00 14.7000 ECH 7.2500 ECH 10.6500 ECH BASE FEE ME- INSTALL 100- FAU ME-VENT FAN ME-GAS PIPE 1 TO 5 Extension 47.00 14.70 36.25 10.65 ~ ~ G, Qty Unit Charge Per Permit PLUMBING PERMIT Additional desc permi t Fee 146.00 Plan Check Fee .00 Issue Date 12/09/04 Valuation 0 Expiration Date 6/08/05 Qty Unit Charge Per Extension BASE FEE 47.00 10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 70.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1. 00 7.0000 ECH PL- EA.WATER HEATER 7.00 zp .-\ Permit BUILDING PERMIT -RESIDENTIAL Additional desc NEW SFR permi t Fee 1157.25 Plan Check Fee 462.90 Issue Date 12/09/04 Valuation 124215 Expiration Date 6/08/05 Qty Unit Charge Per Extension 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 construe' IJ. , . lL/Lkr Signature of Contractor 0 Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11114/2003] 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 I YES NO FOUNDATION: FOOTINGS [i1'J,cj/Ot1 ,5 ~ j," WALLS FOUNDA nON DRAlNAGEIDOWNSPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CIDMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. / PW / CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1I02.15 [11114/2003] c:J: ~ORT ~ & ...~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 04-00001069 Date 12/09/04 pin number .526612 Qty Unit Charge Per Extension BASE FEE 1017.25 25.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 140.00 Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. A residential fire sprinkler system shall be installed per NFPA 13D will be required. 2nd option is to install an out side alarm bell that is eletronicly connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" The proposal will result in the construction of a new single family residence with attached garage for a total of 2592 sq. ft. or 29% lot coverage. Setbacks are good. No land use issues are noted. Public works electrical engineering has no requirements for this plan review. Construct driveway to City Standards. No concrete with exposed aggregate is allowed in the City road right of way. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1411.85 1411.85 .00 .00 Plan Check Total 462.90 462.90 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 3649.25 3649.25 .00 .00 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 [11/1412003] 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 I YES NO FOUNDATION: FOOTINGS i !l.. .II D .... I \ L, WALLS J- H -('J 'r" j, L FOUNDATION DRAINAGEIDOWNSPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN t;; - J. ')- Os 1J1...c(:) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN 1.1 -I)/-O.S- L J.... WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS 13-lh ..0\ .\ l-L I CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING [3 -ff" -;J <' ,j j-t..-- DR YW ALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING 1'1 -0.1. O~ I i 1.J MECHANICAL HEAT PUMP GAS LINE !~-, t -(f)~~ iJ-J..- WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ~- !}.H -oS Ika ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. 1 PWI t)-I};;.J -0 <) -IF CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ~-~5-O~ IJ)..V BUILDING T:\PLANNING\FORMS\ II 02.15 [11114/2003] n o :.: :.: '" Z >-l Ul ~ t:J Z o >-l '" Ul tv t:' '" '" tv t:' H tv t:' W tv )> H :0 tv H N o H o H o H o H o H (J)ot:Owtontontof'J)tt:!rut"'{J)tJj >-lUlC:rtC::':C::':C:>-lC:O)>>-lC: tI:I..........HCH:;dH:;dHc::H I-3C:::H ::E:;rvt'" t"lHt""IHt'" t;"'lLOt1j tot )>"'t:JOOt:JUlt:JUlt:J;>:t:J,< ;>:t:J :u..........HQH H HtI:!H03;tI:lH >-lNZooZ Z Zt:JZ>=Ot:JZ OQ I Q I Q I G)HQ:::1:=t1HQ ~O lJ1 (J) o..ZUJ tI:lL11~t-'H I"Ij :t:o'::r:"'Ij H::r:1"Ij tj H'+::- Z .::::.. ::u tt:>. 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Z i-' 0 ~~:iJ M?: M "'r-'ro "'<-l UlM Ul H o.HI-'H ZZtl <-l Z Z MMH r-' rtUl G) <: <-l0 '0 r-' H M H 3;J'O M MO<-l :u " '1 H r-' ".0 '"" H N Z ""0 " ::l Ort 00> H 0- 0> '1 "- U. H H tl'U ;J>;J> <-lG) MM H "- 0 ", "- 0 en 00 ~:,~"]:T~( . ~ . . '~,.._ 'C".~.,""- . ...' , (~ \~ ----=---- I FOP. OFF1CLAL LISE 01<rL:/: BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in P\'K. Your application and site plan MUST ~ COl\1,PLETE to be accepted for review. If you have any questions, call ~ PERMITS (360) 417-4815 F}\X(360)417-4711 II' D~I~ Approved' Dale lssued. Applicant or Agent S-r-e_uJ AQT KED IS f+ :;leuJ~l -/(B...b{SH Address: Po Box- 5b 7 . City: M M 1e ((? S Architect/Engineer: 13 A ~ tf1 5 50 C ( A- r- (? S Contractor ... 0 uJ fJ E'f?- ~1 M!. t ED 5State License #: /ltIt,tll6C C 1'/ t2 Fe IUT. J:iJ0 ) Address: \ 0 r.J[)~ sa 7 City: '(4-A-t0~e (to :> Zip: '7 ~ 3 b l- (0 J-O E lft4--uJ 5 AVE - PA <183{3 ZONING: f2S 7 LEGAL DESCRIPTION: Lot 5 Block: Subdivision: ~ ecc I"f\.O () AJ..,... [ S TA;-'"7'E 'S CLALLAMCOUNTYPARCELNUMBER: DhgOD Ib606S0 ~ Ovmer: Phone: -:3 0() . c.; 5;'- S' () 0 S- Phone: Jfoo-L(S 7 - S-Oo S-' Zip: 7( 25.3b 2- Phone: '177- 0 I Cr() Exp: Phone: PROJECT ADDr~SS: Credit Card Holder Name: Billing Address: Credit Ca.rd Type VISA MC # TYPE 6F WORK: -€j/Residential ~ New Constr. 0 Re-roof o Multi-family E....Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRll'TION OF THE PROJECT: City: o Stove ''f/J.. Garage b' Deck o Other IJe u.> Exp. Date: SIZE/VALUATION: J!> /8?!1a SF.@$~9 ISF.=$1122COOC 5~2 SF.@$ .S8/SF.=$I~2.6i~OO SF. @ $ ISF. = $ TOTL\l, VALUATION $/~?..42(~ 00 O,<-~dl~) ft~a.1-- ~iA.~IC. I COMMERCIALIRESIDENTIAL: Occupancy Group: ~DOu No. of Stories: ~ Lot Size: 7 $"'" X I)...() Existing Sq. Ft. 0" Totallot coverage '2, 8 :co Occupant Load: Construction Type: frZI}/'}'l. E. & Proposed Sq. Ft.25Cj Z = TOTi>.L Sq. Ft. 25"9 Z. % APPROVALS: I PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checldistrequired? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with infOIDUlti0l1 on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure 'Will be reviewed and nUlY be revised by the Building Division to comply with cun-ent fee schedules. Contact the Pemrit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building pemrit application and construction plans are submitted. All other permit fees are due at the tin1e ofpernrit issuance. EXPIRATION OF PLA.N REVIEW: Ifno permit is issued within 180 days ofthe date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R1 05.3.2 ofthe International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and th t I ust obtai c / ~ tr to work. HRVESS\BLDG-fo=-bmolmreo~OO3-B,ildi"lW'~" wpd Applioout - {/ Dak ~4 Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information Building Department Use Only Lot: ...- S Permit.#: Address: <.a 2,0 t:::. V"l!!)..V\....$ A \t~ City: P A. State: \N Pr Zip: C\~3bL Contact: St-Q..Wo...r:~€.d~ sk Notes: Phone 2: Phone: Fax: Un mute azmg tlon ny Glazing Glazing U-Factor Door9 Wall Wall Wall Slab4 Option Area !O U- Ceiling2 Vaulted Above Int4 Ext4 Floors On % of Floor V erti cal Overhead II factor Ceiling3 Grade Below Below Grade Grade Grade III Unlimited Group R-3 0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-IO R-30 R-IO Occupancy Only Table 6-1 PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY CLIMATE ZONE 1 r . d GI . O. 0 I ) See the code text for footnote references This project complies with the following: ./' The project is a single family residence or duplex. ./' The project is wood frame OR all of the insulation is interior or exterior of the framing. ./' All building components meet the requirements listed in Table 6-1, Option III. ./' The project will meet all other provisions of the WSEC and VIAQ. The project will take advantage of the following exceptions to the prescriptive option: o 602.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed. Location of the door taking this exception o 602.6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option III only. Location of the door(s) taking this exception Copyrighl2002, WSUCEEP02-056 Copied by permission from the Washington State University Extension Energy Program Prescriptive - Simple Form - Climate Zone 1 7/26/2004 /""^ ' ? "'J !. '""'''-1.935 I / ....". ., <"'^J I Feet N This map is not intended to be used as a legal description. ,".iQ. This map/drawing is produced by the City of Port Angeles for its own use and purposes. ,,.; Any other use of this map/drawing shall not be the responsibility of the City. W ~.. 75.001 I I I I I I I I ~I q ~I f!!/ I ((). I % , -.L f\) o o Q 12'-0" I I I I L 52'-0" 11'-0" .,r.. ; I I I 25'-0" B.S.B.L. --I ----- I cq I I I I I I I ''::J \ --V I~ q 10 I~ I I I I F-, I -(?) I I --.1 --- 25'-0" B,S.B.L. #""~ \ '- 'Q) - 75.00' r- .ur.... --.1--- .__ \ \ \ \ ~ ~ EVANS STREET ---~ -r ~ , .'k. I -.L f\) o o Q I o I . I d'O't'~_ $fi~~ Dfi ""-:7,. CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .~21 EAST 5TH STREET. PORT ANGELES. WA 9tB62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001069 Date .526612 620 EVANS AVE 06-30-01-6-8-0050-0000- RES NEW SFR 3/06/05 RS7 RESDNTL SINGLE FAMILY 124215 Owner Contractor KEDISH STEWART L PO BOX 507 PORT ANGELES OWNER WA 983620077 Structure Information Construction Type Occupancy Type Other struct info 1870SF SFR W/562 SF ATTACHED TYPE V NON-RATED SINGLE ?AM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS GARAGE 28.80 V-N 1. 00 1. 00 9000.00 2592.00 2592.00 1. 00 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL EXTRA MILE EXTRA MILE 143.20 3/06/05 9/02/05 NEW RESIDENTIAL / 2432 SQ. FT. SFR. TECH & ELECT., LLC Plan Check Fee Valuation .00 o ~ ~ Qty 1. 00 3.00 Unit Charge Per 73.0000 ECH 23.4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73.00 70.20 ~ ~ V> Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36. 050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. A residential fire sprinkler system shall be installed per NFPA 13D will be required. 2nd option is to install an out side alarm bell that is eletronicly connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as IlFire alarm" The proposal will result in the construction of a new single family residence with attached garage for a total of 2592 sq. ft. or 29% lot coverage. Setbacks are good. No land use issues are noted. . Public works electrical engineering has no requirements for this plan review. Construct driveway to City Standards. No concrete with exposed aggregate is allowed in the City ~ \' COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPE(2T.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 I INSPECTION TYPE DATE ACCEPTED -c- COMMENTS YES NO 11 1 '1"( 'H ROUGH-IN! COVER :S~.K. V lC~ I GENERAL COMMENTS: PW-II02.1S (4196) '~ 'Ioii..;'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .l21 EAST 5TH STREET. PORT ANGELES. WA 98162 Application Number . . . . . 04-00001069 pin number . . .526612 Page Date 2 3/06/05 Special Notes and Comments road right of way. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 143.20 143.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1917.70 1917.70 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEQ'JON RECORD 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 IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DATE COMMENTS NO ---- GENERAL COMMENTS: PW-Il02.1~ (41'96] '(I "'" r..'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 9R.l62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001147 Date .326986 620 EVANS AVE 06-30-01-6-8-0050-0000- ELECTRICAL ONLY 12/13/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor KEDISH STEWART L PO BOX 507 PORT ANGELES WA 983620077 EXTRA MILE TECH & ELECT., LLC 418 N. RACE ST. PORT ANGELES WA 98362 (360) 457-0198 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMP~RARY SERVICE 100A TEMP SERVICE EXTRA MILE TECH & 48.10 12/13/04 6/12/05 ELECT., LLC Plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 48.1000 ECH EL-TEMP SRV - 0-100 SRV FDR Extension 48.10 ~~ ~~ \\ ,,~ ~ )~ ~~ ~ Fee summary 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 COMMENTS! ACTION NEEDED ELECTRICAL PERMIT INSPECf,lON 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 /-Zr71;O 5vC--, GENERAL COMMENTS: PW-II02.1S(4I96) MAR-01-2005 ,~ ~l\ GV;~~\' 08:42 PM E.JANSSEN 360 452 2982 P.81 l!f EJ~etrlc.1 Contractor C A~nUaJ Permit Cl Alarm CJ Cunl"nl Q Commercial ~ Re.identlRI CI Resldentlal ~1aint. 0 Slgnl Q Tbermoltlt 0 Telecom. ~ ~i CI Owner "~~....y ELECTRICAL WORK PERMIT APPLICATION . o Request Inspection J~ wired by "EleeMeor Contractor o Owncr Ingtallation uC9cription Shltc lIP WA C18~" L ~ 5/Nyle 1-i(lIVlE. wi;'l. --.l.L~.tJl ~"'"... J F~M;/*, 4. Uo t\- .$Q.IW I ~. F.leclirical conlmclor nzunl! &T~A, /YI J L.E=' pUffer ~nal'lnlll!ddttRIj /6 N ~1\t,E C'1rA License number E/.ec.-kl. Ie. f.\ I Tc:!l~ hon~ Ilunlher,/ f^X number '-/U? I 33 Prtnllael OWnu'! nllne f --SITEiv' KEDI:Srl AddtltSl or Insp~cUon ~Zj) ~VlI-AJ5 A;,€ t.L e~ 50> ~r, Slg~.ture I own", ",ml..1 '01:3'"'' .dmlnl",.lo, /c17o 5{;2- dl Lf32- Gia- o Credit Card Visn Mastere.~, Discover Card II _ _M"107It:- ~'TIZ;/ _1/ ~~ D __ hpirdlion D.le 1 / 3, ZD of card In.llpee:lion fee: $ o Cash o Check # ! -- I her~by certifY that I 11m dtc: owner of the above nilmed rropcny tlf a Iil::cnscd eleclljiClI contr.1Clor (or the tlrm's aUlhori2ed a~c:nt) :.t.nd am making the det.:LriCIl.I IDstal!ation or IItc=rntil1n in compliDnce: wirh the eledric311aw, Chapkr I'J.28 RCW. x WALLS In!luhl.linll Only / CF.IIJNG Insullllil1r\ Oldy ~ ~- ^1'r,.'~",IH~ ~~ ~/;~/,,?ovcr #t:tO ~/'~I-Suv" ,; [) ~ ^(1llI~,vl:Ill),. ~~ , ,---- ~LlUld Addltlono ond or o"ubt.r~~tions o NO,LOAO CHANGES o eo.JebOard _ KW o Fu,~.co +KW -(0 o H.~ Pump02_LtIon _ LAR o F8.n~Wall KW ^llpro\.cll 11)1 .~<Z / THI:RMOSTAT ,~~5 ~ flITCH "\ ~ ~O " Qte~,. ApJllll"."j [j~ / SERVICE 3jlll>~ /<-0 , Ie ^OPftIved D~ --I FErnER "\ '- O"'l~ AM-v.riAy Service Informotlon o Overhead Serviet:! o Temp Service tJZf Underground ServicE! Vo~.g. Phose 0 1 03 SOMee Size: Feeder Size: Ih&p~C:lian . Dale Arc41. Building or Equipment Inspected ^ C'tlon Ti.lkcn Electrlc"l Inspector _.3J r 8')11 v)/k yq ./!..eIlvJ.1.Ct ~'- 2, >'1 v? A/' ~ );avO 572-.05 .1_~':-!~_ FROM :Dave's Heating & Cooling Srvc FRX NO. :13604520939 !l':.'" .'::. : ~ ':. :,: c.: (.!! i ':r r- roLl^' liel I :.~!. to. Feb. 24 2005 06:51RM P1 , I ~ ({\f)j ~<,~I ., . I s ELECTRICAL PERMIT APPLICATION ,."..CI'I''lC,.....UI8ao.u..r g..to./R.... ..._____.__ 'ftI&." O"'.AfI".""_ CIow.cl.oc..u'. The EISC~C8i P&fmit Applloliltlon _&1&11 hA fl'I_l1cut r:omulilJtslv. Pl.... Ifp..: ..."nnt in Ink. lIto" h....II\' _.tlano, plw... ..11(150) .'7"73~ FOIl numb"': (350) .170<171' s,JDngA~-1.t). kx t.(13 . .' .se.trJl'CQ., ?;;c... 0"",.. or e.... C.ntrllolorAg!ont J?a.Ve.I:;, H.eo.+1",'/) ot-LcOO(' "9 PIltl".: 'f:'5,9~0"l3"7' FIIJI.: Pro~.rtyQoMn.;.' S+ew..<4-- Mo.r-eie.. K..e.6.\~. .pna.., ....r..... P.D. ~. 56, _....___Cl"': fo..,..,.. k.~\..sLs . r', ,.. J)-A1/~5<-(c...,.9 I;;>G / ElodncaJCon~or. ])av-e.'s f{e,,-~~~ \...00'1 "% U.....~:.,. bp: 505 P 1CR..,-%.<l.-. P . A ( Addre..: .0. l!ox <(/3 . CI\Y: o.....i-7lh%' 0.8 INSTALlJ\T1l>>1 WIRED BY: D OWNER o1fLEc,.R~CAl CON-rAAC,-;~ "'" '. '., --. ....... CrwIiH;.rrI Holder N8m.: --3-e.~"'~-T_f O(deA-'< l<-o..";p_..:Da.<I-e..ls' POd A...:yJ..o..s , ..., / "-/6':>-0<73,"1 '-f57-soo5 ~Ip; "l?3&;;'" Phone: '(5:;.0'73'". Zip: "fl?34,;;L. ~ctIY: M-eo...+l:"'~ '+ Co'" I ;"'l wA Zip: <9g3";;;,.. VISA: .,,-/ Me: - - CtedIl C8trJNumbr. /. Exp. D8te:_ ' PROJECT AIlDRI!Se' &, ;;l D (;' Va h 5-'.-A Ve: '" v.. ~ . TYPe O~ WORK' GhBCk aIJlhill apply: ~ 0 A1tOlllfianlMdlliUo' ~oaldentjel D MUlli-fIimily 0 Comm8rclal . 0 ~blle Home SQ. Ft o !l.emole Meler 0 Detached 91l1lllle ~ Hot Tub 1:1 Swim Pool 0 Septlc ,"u,,;p ~w VOl!Bge D Tolecom. . ~.......... D~:.,-dt;- OS:gr Number of Cio;ut. 8ddlllll or .11iIrwd: . DIOSCRlPTIClN OF TICli IiLec;TRlCAl. PRO.JI!CT:.:..._._ \ D "-:;> V b \ -\- "'-"If-- ~""" 0 -"'+ "-- -\- . ------- -_._~~ ~ --.... . _____?:...(:J~\b\C-ro ~~~fGGT~~._.-...__. iJlI~W:.' Hl:lIt LMd Addltlonll""Biia1l1' llubtraetlellll ----- . Servlc.. Informlillnn o BaMbosrd If'l'..l'rnece ~..I ,"ump o 1"1lI\-W8~ '_KIN -1Q. KW ..2/:';o-TON_UlA ~KW 00............."""" oTomp Sen/I.,;, \BWn~argrDUnd SllIVice VDllIIg., /'M/Z</O Ph""", art 0 3 Service SIZe: Fenr SI T hernby certify thai I have T98d and elCflminad this application and know that same to b. we and C()rrsct anti I am aulhoriZJJd to apply for this permit. I fJl'!der$ttm~ II is not /h8 Oi!Y'" " ine what ;,.,rrollS .JAremqufRJd;.Jt.mrnaln&tbao/iJppllceuts.reSPO/1SlhTJ/f;y-.iD-dtltllrmJIl8..wlJ'!41"rmlts.-B'-fi/Uir..rJ.alllil-to-QtJtain..sUGh~.._ . """"""~""'"''''''p~.. ..., "/~/,s 'OwnerorEJ.~.Cont.$lgnature.. , ~ Date: a;{d.3/05 PERMIT FEE: $ 3c...yg. :,iEI.ECTRJC1.U'l!RMITAPPUCATION or- - }jO-~O --H1& f{OO'tG ~ tJ? 5' r f)/- TED f"66 RE'q;u ( 126' I.A. CJJ r 21>>1 B6R?~6 &VlJl?e.. ,IOU ~ ~<I/o~ DEC-0S-2004 07:57 PM E.JANSSEN 360 452 2982 P.0l " 'EI~ctrlc81 Contractor CJ A nual Perlnit CJ Alarm ~ ~ CI Owner ......."'" Q Cornlval Q Commercial ~ Residential ELECTRICAL WORK PERMIT APPLICATION l:I Request Inspection 1:1 Residenlial Mainl. 1:1 Sigll. 1:1 Thermo,tat 1:1 Telecom. wired by -.(Electrlc81 Conlractor i:I Owncr InstllUalion description rE'M P '>G7~.1I1 C ~ Elee rical contractor namc Licensc nunlbcr hi I t...E Slate ZIP Wif fyg" z- FAX n\lmbcr I I heteb)' certify lhat I am the owner of the above I'IQrned property or a Iiccn!Ocd c1cc"ical contr3clor (or the firm's auUmn7.cd lI~cnt) 11nci anl making the clccujc:al in~~ltation or aheration in compliance with thc electriCAl [nw, ChllpfCr 11J.28 HeW. o c..h . Check # if Crecti, Card Visa Mastercard Discover Card II ~. .10... or ow.... .;::t:~t~\:Jtrl,"1 .dml.I,'n'., Expiration Date ore.rd l.1Ja<tJ\ddlllons and Dr Bublractlon!! IJ N LOAO CHANGES IJ B...~c.rd KW D FJ~ea KVV IJ H~" Pump Ton LAR Service Information - - , ,--,~...~ IJ F. -Wall KW o Underground ServIce Feeder Size; IllJpection Arca.. Ouilding or Eqllipmr=nl rn~el'lcd Action Token F.lectriCAI Dotc Inspector , - I ..0.- , ; i I - !!Ift/o 1- - //.4/ "";"~';ti4<:..(} j/7t';/r~ /217 - -, / /~" P' ~--- - '-' o Overnead $vrviC9 C1 Temp Servloo Vollage ___ Phase Cl 1 Cl 3 Service Size' }iflJ /.2/1fti