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Home My WebLink About1934 W 4th St - BuildingNAME OF PREMISES SERVICE ADDRESS LOCATION OF DEVICE. ASSEMBLY z! K /.r1,,/ r Initial Test Repairs Details Final Test AIR GA'P INSPECTION REQUIRED MINIMUM SEPARATION YES CI COMMENTS l A/ i 7) 1 /2 Initial Test 7 ;I• U f, J /t� l` e Repairs Final Test iVEfit/ PORT DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #1 Leaked Held at psi Cleaned Cleaned Replaced Replaced Held at psi Date'Time Tester 7 J1 WHITE CUSTOMER COPY Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division H A/ Fie L. 44/% 147 *4 Manufacturer Model Size IS THIS AN APPROVED ASSEMBLY? YES 13 NO IS ASSEMBLY INSTALLED CORRECTLY' DATE OF INSTALLATION .7h C S UNKNOWN 0 REDUCED PRESSURE PRINCIPLE ASSEMBLY CHECK VALVE #2 Leaked Closed Tight Held at /psi Closed Tight Held at /2; /psi Opened at psi NO TYPE OF HAZARD /1/4/ X Cleaned Replaced Signature Cert. i,. A/ t'A /Nk 97 RELIEF VALVE Did Not Open Opened at psi 3 psi Buffer YES NO RP RPDA DC It]/ DCDA PVB Air Gap SVB AVB PVB /SVB Line Pressure psi Held Backpressure YES O.--NO #2 Shutoff Held YESP NO Relief Valve Exercised YES NO Test Kit Serial No. YES f]'NO AIR INLET Did Not Open Opened at psi CHECK VALVE Leaked Held at REPAIRS Cleaned Replaced AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES 177 !2C g/e 0 V A /I 2 wCi i 421 YELLOW PURVEYOR COPY PINK TESTER COPY Official Use Only Assem.# 6 Received A /f Passed Failed psi _C P 1 -0 Date Application Number 08 00000856 Date 7/17/08 Application pin number 382144 Property Address 1934 W 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 9 0 0130 0000 Tenant nbr name JEFF SHARON FREELAND Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1000 Application desc IRRIGATION BACKFLOW PREVENTION Owner Contractor JEFFREY S FREELAND 1934 W 4TH ST PORT ANGELES (360) 457 1193 Fee summary CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98363 Permit PLUMBING PERMIT Additional desc IRRIGATION BACKFLOW PREVENTION Permit pin number 130260 Permit Fee 57 00 Plan Check Fee 00 Issue Date 7/17/08 Valuation 1000 Expiration Date 1/13/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 ECH PL- EA LAWN BACKFLOW 7 00 Charged Paid Credited Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 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 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 regulating construction or the performance of construction. 17 tnzei 56wervcelaf Print Name Signature of Contracto T Forms /Building Division/Building Permit (10 /O1 /07).wpd SCHOENFELDT LAND SERVICES 242514 W HWY 101 PORT ANGELES WA 98363 (360) 417 5159 Due Authorized Agen Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS 09 CALL 417 -4807 FOR PUBLIC WORKS UTILITIES I PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE c, INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE I ACCEPTED YES I NO FOUNDATION. FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) 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 (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING Rb FINAL COMMENTS DATE ACCEPTED BY. FINAL DATE ACCEPTED BY. c PLANNING DEPT SEPARATE PERMIT N's SEPA. PARKING /LIGHTING ESA. I LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED I YES I NO I "'n ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL C� LIGHT DEPT a CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING -lb FIRE 417 -4653 I I I I FIRE DEPT I I I I PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I I I I I BUILDING 417 -4815 I I I I BUILDING I I I T Forms /Building Division /Building Permit (10 /0l /07).wpd 0+ 3 Applicant or Agent S 6.,n A L-64 3.q^v■62_5 Property Owner (5 ha F lea Property Owner's Address 19 3 4 t;Contract° Engineer 4cM Lcvf\ SP'v►cpS ngineer's Address 2_.‘425-)4 k t ,,.0 0 St. License# 3cH 0 ELSE X14e P PROJECT ADDRESS j q3/1 r Parcel Number Q(o3000 con hit- n c0Dt� Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Heat System Other Floor Areas BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Bad -Pb'1 Pvwinir Residential Commercial 10,1 ta,J IBS 6.v\-'6 al Heat pump wood- burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) Basement per sq ft. 1 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq ft. T Lot size Max height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Date 7 -a Print Name Thyvall J c T Forms /Building Division /Bldg Permit Appi. 2006 Cude doc 1. l by 490211 `47 )l�3 cw/+ 6361 Phone 2 PA (AA 91].3413 Expires j/2..6 l D q w 3o' Lre, v- 40' 1.7 9 r3L f Lot Zoning TOTAL VALUATION J, coo .O7 I have read and completed this application and know it 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, and to obtain permits prior to working on projects. Phone Phone For City Use Only Date Received 7-1 Permit ng Date Approved Multi- family Industrial sq ft. Lot coverage of bedrooms of full baths of half baths Signature . Off 'PORT ~ ~~~.... Cha~ ~ -- ~~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUU,DING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr. name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00001278 Date 12/27/05 212330 1934 W 4TH ST 06-30-00-9-0-0130-0000- JEFF FREELAND MECHANICAL PERMIT RS7 RESDNTL SINGLE FAMILY 2900 ~~ ?/UJ/oC; ~ Owner Contractor JEFF FREELAND 1934 W 4TH ST PORT ANGELES WA 983631602 EVERWARM 257151 HWY101 PORT ANGELES (360) 452-3366 WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 67850 50.00 Plan Check Fee 12/27/05 Valuation 6/25/06 .00 o SJ \)\ 3:~ 8~ :t:.., ~ 1ft- Qty Unit Charge Per 1.00 50.0000 ECH ME-WOOD BURNING APPL. Extension 50.00 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 Separate Permits are required for electrical work, SEP A, 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. ~s- Signature of Owner (if owner IS builder) Date T:\Pohcles\1102_15 bUlldmg perout mspectlOn record05 wpd [1/4/20051 BUILDING PERMIT INSPECTION RECORD " " 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 ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY' COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEP A- PARKING/LIGHTING 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. 1 PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT. 'l. I,... 1_' JW BUILDING 417-4815 BUILDING T:\Policles\1102 15 bUlldm ermit ms ectlon record05. d rl/4/2005 gp p wp[ 4-30-03; 8:1ZAM;CITY PORT ANGELES ~ vo.u ~ ';;:/lP, .(5 .. BUILDING PERMIT. APPLICATION ~ FlU out COM)'LETEL Y and In INK. You, applicaUon and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, caU (360) 417-4815 :3604174711 '" 1 / Date Issued. - Applicant or Agent: L V r: R LV R r< M O~er: ..J.e p..{' r~ee IO;--7d Address: / 9..5 'I LA. j , .Lj 7A... City:' P CL- ArchitectJEngineer: ..------ Phone: Contractor.JC JI.ftewnRM State License #: ~Yf' ~$61LExp: !S-/7,.(){, Address~S7J.5/ ~)y 101 City: />a~ PROJECf ADDRESS: /;r3~ ?J../-/Yi.- .;>q LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Phone: .J.f52 -33b~ Phone: 3{..40 L/S"""..l: - 8' q l./9 Zip: qg3~3 Phone;tfS2 r.331::b ZIp: 9 g33<2 ZONING: Block: Subdivision: [') ~ "3 <::) e-,t). 0; OD /.:5 00 CJ {""'} 0 Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp. Date: TYPE OF WORK: SlZEN ALUATION: o Residential 0 New ConstI'. 0 Re-roof 0 Stove SF. @ $ /SF. "" $ o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. "" $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign 0 Other , TOTAL V ALUA nON $ ~ 9" C> O. (;) CD BRIEF DESCRIPTION OF TIlE PROJECT: Fe .pPJ::;-I-a "tX,;,.-, j L-#)~ C!2.h .5 -:r Cl~J €. ~ COMMERC SIDEN~ ccupancy Group: Occupant Load: Construction Type: No. of Stories: _ Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq Ft. Existmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ " PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist reqUlred? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the applical10n 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 reVlewej _ and may be revised by the Building Division to comply with current fee schedules. Contact the Pemiit Coordinator at 417 -4815 for aSSistance. PL.A1~' 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 iss.uance. . .' ' EXPIRATION OF PLAN REVIEW: lfno permit is issued within 180 days of the date of application, the application will expire. The Buil.d.mgD.fficiaLcauXtcrid theJime..fouctio.n...hy_the.applicant up to 180-da-Y6-upen.written request by the-applicant (see SectIOn 107.4 0 f the Uniform Building Code, current edition). 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 authorize.d to apply for thiS perrmt anrj und9rstand that it Is my responsibility to determine what permits are ra uire ot the City's, and that I must obtain such permits prior to work. e) Appli Date: /..2 ..;:?.3 . 2J::r T \FORMS\APPSIBuildingpermil.wpd PREPARED 3/20/06, 12 49 31 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 11 3/20/06 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . APPL NUMBER 1934 W 4TH ST JEFF FREELAND EVER WARM JEFF FREELAND 06-30-00-9-0-0130-0000- 05-00001278 MECHANICAL PERMIT SUBDIV PHONE PHONE (360) 452-3366 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 3/16{7- ~ ME~IM;H~Au "vuc,tl Ll" ~ ~ 03/20/2006 08 39 AM JEFF 452-8949 ME4 01 ,J12);~r6........, JL~ MJ;;ru'''I9'1. '''''''n "'rOVE/PELLET _ TIME: 13 00 ~~ ~i'~0~;~~~94~8 41 AM DYASUMUR --t---:~J---------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- MEl 01 J..La If! :" J --..0.0 DYASUMUR --------------------------- .~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98162 ELECTRICAL PERMIT Issued: 4/02/98 Permit No: 6275 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ PAUL KILPATRICK 1934 4TH ST W 1934 W. 4TH ST Lot: 8-W30' & E40' OF LOT9 Port Angeles, WA 98362 Block: 1 Long Legal: . 360/452-1080 Sub: ALDWELL ADD T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- OLYMPIC ELECTRIC 1805 TUMWATER PORT ANGELES, WA 98362 360/457-5303 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES. MISC. prj Value: $0.00 Occ Type: Cnstr Type: ADD HEAT Occ Grp: Occ Load: Land Use: RS7 Electrical Heat Service Type Baseboard Klv: 0 Riser voltage: 120,240 Furnace KW: 0 Overhead Service Diameter: X-I -3 X Heat Pump KW: 5 Underground Service Service Size: 200 MiPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT NOTES------------------------------------------------------------------- ADD HEAT PUl1P PROJECT FEES ASSESSMENT--------------------------------------------------------- service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $41.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $41. 00 $41. 00 --------------------------------- --------------------------------- TOTAL FEE: $41. 00 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION 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 INSPECrION TYPE DATE ACCEI'TIW COMMENTS YES NO GENERAL COMMENTS: pW-II02.ISI4'96l CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17728 /./.- / <"- ,1-",,) 7' / .. 9 ~ ~"" Port Angeles, Washlngtonm..u_..~u...""""".moom.m..mmm.,.m.m" 1 .mh.. 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 ../.,z.u.-;;'m'f(..'h.?cr.moo~~'.Z(oohhuumh_______.umm Occupancy____:,:__,!..;oo~mm.moo,._moommu ~:7:~~~~~:::::~~;~f:~~;:.::C:~~::.;~;;i:~.~i.~~~~;~:::::::::::'.:':.'.~::::::::::=::::::::::::::::::::::::::::::::::::::: t/ J"" .'oj"". , -';'Vr !.' Light Outlets............nn.n__........__.._..... Service, volts .n_.._.n.L......................... ~~. -~ Receptacle Out1ets..X.~..................... No. wires ....--1...___............_.._......... Dryer, KW.........___......_.____.........__.__.... Size wlres..........................nn..._._.. 5'0 Main fuse ..j...m..~.m.n........._.._........ Range, KW.n_._n________....____...____. Water Heater: Enclosure ._...................n__.nn..n._... KW.........................................,..... /-- ~/' ~ Heat: KW........!.......!.:..?--::.:.::-:...;;..::'!E..:_:O:'. J Motors: size, volts and phase: Type of Wiring: Entrance Cable ............m___n.n RigId ConduIt ............................... MetalUc Tubing _____....................__ Current transformers: No. & Size......n___n_____..................... Ser. NO.............................___.__.n__...... Ser. NO._.nn.....nn.._........................... Ser. NO..n_nnn_n_...................__....._n... Type 01 WIring: Armored Cable ..m_.......______........... Non.MetalUc ................................. Knob & Tube......._........._.............._ RIgid Conduit ............................... Metallle TubIng ........................... Raceway ..............................._._..._ Circuits, Light.._..___.___.._..___.....___........... UtIlity......................._.................... I-Ieat n..n__....................................... Range ..............................__......._..._. Water Heater ..........m___.............__ Motor .............__.............................. Dryer n.._n___nnn._.............n..............._ Furnace .........................'_................... Total Load........._....__nnn....... Ser. No. .................__._......n.._............ Total ......nn_nn........................ ........t' _,,1 'J r) Remarks: h.m.hu:z::~.:L6'.ood::'!?:.~~u..U.h~hhh.__J...<...~~i:~,"'-"'!!-:::~:.fmmoo':.':~~::.~:!i<..~.L...oo___.m.moom if:/ / V .n..n.____.____~n...__.________________..n_.n..._______.u_...nn__._________n___h..n.nnOuduu_.......___n__n__u_.___n__...oun..hnn.....uu__U"...nn ..Un.U.nnn___nnnnnn.__Uh...nnnn.Uh.hO..Un..n.nnU....U.U....-.....n_..__.n_._....n...uh.__...nnn..nnnnU..nuuhuU.__..nn_..nun Permit Fee $::......oommoom.m..__m___oo. Treas. Receipt No................._______._ By ...;i.~.j~.f;)(~:.;.~:.L:.:.:~:!::.::oo~. NOTICE-Current must not be turned on until Certificate of Inspection haa been issued. If work Is to be con- cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 77 2 8 Address...____________........................_____.___..................__..._.__..__..................__.._.....---................_._.......Date..._.....__..__.__._.................._.._..__._....... Owner ........nn_n___................._.........._...._.__....._.._.................n....__......._____.___._..n............ Tenant....nn_..........nn___.n...................n____.nu......... Wiring Contractor ....h_.........n................................................................n_.__._................n.............. By._......._..n___n._......................_................._ \ NOTICE---Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con. cealed" due notice must be given the Inspector so that work may be inspected before concealment. . 1M Olympic Printers, Inc. 10/07/2014 7:35AM M 160001/0002 CITY OF FORT ANGELES PERMIT APPLICATIOT RECEI VE J." ter► -J Building Dh,Won /Elect —Acal Inspections ; : -,•... 321 East VIR11 Street— P.O. Box 11 .50 / Port Angeles Washington, 98362 'M (360) 4174735 Fax: (360) 417 -471I Dale ., �_ +6 ..- _ 1 & 2 Single Family Dwelling Plan Review May Be Required, Please Complete Elect 'c I Plan Review Information Sheet dob Address: 5-( Building SquareFaotage ..eacription of above I �.•..•,�•�Yr,O ,S�v,.� ,—_._,. �..,.,..,,.,.... �.,. �...... ,.,�..,,..,�•,...�,..._�._..__� Owner Infor lon Contractor formatio , Narne. Q Name. Niailin0 d ss city __ Slale:l�' 7,ip• crty Sltilr4. Lip Phone r Phone. a� ,. License 1 Pxp. l Item Un t Charge rat Total (4ty Mraltiolled bv,Unit Chara 5urwceil=eeder 700 Amp $120.00 S _ SorviceiFeeder 201 -400 Amp. $146.00 S SeMcerFeeder 401.600 Amp $ 205.00 �� $ SorvrcelFoodor 601.1000 Amp $ 262 t)0 ServicelFeeder over 1000 Amp. $ 373.00 �. 5 Branch Circuit W1 Service Feeder S 500 $ Branch Circuit W;O Service l=eader S 6300 Each Additional Branch Circuit S 5.00 $ Branch Circuits 1-4 S 75.00 S _ Temp Service! Feeder 200 Amp $ 9300 Temp, Service)Feeder 201400 Amp. S110.00 Tnrrmp SeruicelFeodar401- 600Amp. S111900 Temp, ServrcelFeeder G01.10000 Amp $168.00 5 __ Portal to Portal Hourly $ 96.00 $ Signal Circurll Lrm4od knrrgy - 1 8 ? Hanlily hwellrug S 6400 � 5 ...... - _,..,--- _.M.._ Manufoolurcd dome Conneclion $120.00 S Renewable Fleclncal Energy - SKVA System or less $102.00 =� S Thermostat S 56.00 $� Note $5.00 for each addititmal I -Slal NEW CONSTRUCTION ONLY, First 1304 Square Fl. .512000 5..... __— .._..... Each Additional 500 Square Ft. or Portion of $ 40.00 S Each Outbuilding or Detached Garage S 74.00 Each 5vnmming Pool or Hol Tub 5110.00 $_ 5 rU Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for Iwo years after this electrical permit is finalized. (2) Owner i5 required ID hire an electrical contractor if above saki property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above•. slatertlent, I hereby ramify that I am the owner of the above named property or a licensed electrical ooritraclor. I am makrnq IhP cler.Irical inylallation or alleration in cdrrrplianim with the elecirimil laws. N.E.C., RGW. Chapter 19.28, WAG. Chapter 706-4813, The City of Pod Angeles Municipal Code, and Wilily Specificalions and PANIC 14.05.050 regarding Electrical Permit Applicaliums Signature of owner, aleetrioal contractor or electrical administrator: 0 cash [J Check / R ?)/ CrW Ca ! rd X 6eted: + T a91D112012 ... -...8o s ldtS�vr, Gcr+Jptia- �i7ts`. In After reading the above•. slatertlent, I hereby ramify that I am the owner of the above named property or a licensed electrical ooritraclor. I am makrnq IhP cler.Irical inylallation or alleration in cdrrrplianim with the elecirimil laws. N.E.C., RGW. Chapter 19.28, WAG. Chapter 706-4813, The City of Pod Angeles Municipal Code, and Wilily Specificalions and PANIC 14.05.050 regarding Electrical Permit Applicaliums Signature of owner, aleetrioal contractor or electrical administrator: 0 cash [J Check / R ?)/ CrW Ca ! rd X 6eted: + T a91D112012 ... -...8o s ldtS�vr, Gcr+Jptia- �i7ts`. In ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . . 14- 00001215 Date 10/08/24 Application pin number 423505 DITCH Property Address 1934 W 4TH ST ASSESSOR PARCEL NUMBER; 06-30-00-9-0- 0130 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . 4 P L4 Property use . . . . . . . . FINAL Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Application desc Replace heat pump furnace ---------------------------------.___-_------------------------------------- Owner Contractor FREELAND, JEFFREY S DAVE'S HTG & COOLING SRVC INC 1934 W 4TH ST PO 30X 413 PORT ANGELES WA 96363 PORT ANGELES WA 98362 --------------------------------------------------------- (360) 452 -0939 4 q�3-7e� Permit . . . I ELECTRICAL ALTER RESIDENTIAL ,Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee 00 Issue Date 7.0/08/24 Valuation . . . . 0 Expiration Date 4/06/1.5 Qty Unit Charge Per Extension 1.00 56.0000 ECM EL- LVT- THERMOSTAT 56.00 Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 00 Grand Total 56.00 5.61 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 4 P L4 4V FINAL T n M IN COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTI-IS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGBIBUILDING d.. C� �1