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HomeMy WebLinkAbout830 W 15th St - Building ~ pORT A,~ /,O~~~ ". L~ ---- "l,;;,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 ~ -J Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000340 Date 735180 830 W 15TH ST 06-30-00-0-4-2835-0000- BEVERLY BROWN MECHANICAL APPL. PERMIT 4/02/07 J -6 RS7 RESDNTL SINGLE FAMILY 9832 Owner Contractor BROWN BEVERLY 830 W 15TH ST PORT ANGELES WA 983637228 ALL WEATHER HTG & COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452-9813 Permit MECHANICAL PERMIT Additional desc INSTALL HEAT PUMP Permit pin number 98665 Permit Fee 64.70 Plan Check Fee .00 Issue Date 4/02/07 Valuation 9832 Expiration Date 9/29/07 Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.70 64.70 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 64.70 64.70 .00 .00 ~ ~ ~ t \r' ( ~ 0:: "'/9' ;C ;7l~ ~ '0 lfl 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 t pe of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violat or cancel t e provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date '-.. T:\Polieies\ II 02_15 building pennil inspection rccord05. wpd 11/412005) BUILDING PERMIT INSPECTION RECORD CALL 417-48] 5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL AIVJ' WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT I]\; A CONSPICUOUS LOCA TJON. KEEP PERMIT CARD AND APPROVED PLANS AT .JOB SITE. INSI'ECTION TYPE DATE ACCEPTED COMMENTS YES NO FOllNDA nON: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS I PIERS I I POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDGl GASLlNE FINAL DATE ACCEPTED BY; BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL ROUGH-IN I HEATPUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET / CmMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: 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 ELECTRJCAL 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. BUTLDING 417-4815 ('1-2- n <6 P8 BUTLDING T:IPoliciesl] 102 15 building penn it mspection record05.wpd [1/4/2005] N<Xl o , N o , '" r>lr>l t9b ..:..: 0.0 "1 .... <Xl '" , N '" .,. :>< ~ I>: r>l H ..:1 b r>lUl :<:r>l ~;Ji b., Z 00 01>: HO bb UU r>lr>l 0.0. UlUl ~~ , , , , , , , 00 ,> , H '0 :~ 'Ul , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , U ~ o '" "1 r>lr>l ZZ 00 0:0: 0.0. 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I ~ W Nr- :;: H I.flH :E ":H.,.":Z 0 UOJ UO U H~~HO I ~~~~~ : ~ WQ)WW~ I ::E(I)IIl:E.ct: I , ~> :~ ~ k , , , , , $ o Ul , 0. :>< b .-< o en en r>l :;: 03/30/2007 03:07 13604525177 ALL WEATHER HEATING PAGE 01/02 f5~I'ORJ"~~~ rR ~1r - BUILDING PERMIT.. APPLICATION FOR OFfICIAL USE ONLY; Datc Rocc.: (!') '?, h~ 0 h 'I I r Pcnnit #: C!:) 7 -5 H D Date Approved: Dille Jssued: Fill out COMPLETELY and in INK. Your application and site pllln MUST nE COMPLETE to be accepted for review. !fyou have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agcnt:.eA-\ \ \.0P~'f'-r,UPlX-hLA.tL.~hone:'~LDD-l.15c9-9 X J .~ owner.~-"'~ '.A~ (">,.., (.L:>lA ;S . . Phone: i3laD - L/<s,;2 - QOlDS Address: '.. ~ _ '. ~ . ~ City: ~ D M- AtA"j' Ie", Zip: q '€; ?, ~ ;:>, ArchitectlEngineer: .li.\ 'P( Phone: -Contractor AU IL~~ '~'A'~ fno~ State License#:AtlkOEi-ICJ~UExP:g- I -D=t-p~one~Y'5d -'1<3 J :3 Address:rD a 'be ""'~ ~~ ~ ~vA::L\,t. n;f ).",,,, Z1p:q ~ ?, ~ ;;l PROJECT AnDRESS: ~ '6 C") IA'J \15 ZONrnG: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card E:older Name: Billing AddresN: Credit Card Type VISA MC # TYPE OF WORK: ~Residential 0 New Constr. 0 Re-roof dJ 'Multi~family D AdditioD. C Move o Commercial Cl Remodel Cl Demolition [J Repair .0 Sign BRIEF DESCRIPTION OF TBE PROJECT: City: Exp. Date: SIZEN AJ1UATION: SF. @$ ISF. =$ SF. @ $ ISF. '" $ SF. @ $ IfJF. = $ TOTAL VALUATION $.9~DJ ~ ~J~~ ~~~ o~j;' Cons1rnction Type: & Proposed Sq. Ft ;;: TOTAL Sq. Ft. o Stove o Garage D Deck o Other COMMERCIALIRESlDENTIAL: Occupancy Group: No. of Stories: _ Lot Size: Existing Sq. Ft Total lot coverage % ~ PLANNlNG USE ONLY: APPROVALS: PLAN: BLDG: DFWU: FIRE: OTHER:_ ESAlWetland(s): Cl Yes 0 No SEPA Checldistroquired? 0 Yes 0 ~o Other: V ALU.ATION OF CONSTRUCTION: In all cases, a vAluation amount must be entered by the applicant. 11lis figure will be reviewed and may be revised by the Building Division to eottlply with curccntfe.e schedules. Contact the Permit Coordinator at 417.4815 for assistance. PLAN CHECK FEE: IF a plan cb.eck fee is due it l11USt be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of peIDJit issuance. EXPXRA.TION OF PLAN REVIEW: If no permit is issued within 180 days of the date ofapplication, the application wUl expire. The Building Official can. extend tb.e time for action by the applicant up to 180 days upon written request by tho applicant (see Section Rl 05.3.2 ofthc International BuildinglResidcntial Code, 2003). No application can be extended more than once. I hereby certIfy that / have read and examined thIs application and know ~he same to be true and correct. I am authorized to apply (or this permit and und'''bmd Ibat U Is my I9sponsibltlly to determine wIlat penna, .m required ,nO/ the city~, end;;;:r obtain svth ;rmn' prior'o .",,*. T'IRVIlS~_O"""'''n''''''''''''d A.pp~tt-UIf~~ U nate: <~~J ~("':l"'l- c/."ORT& l~ rGli ~-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 04-00001107 Date .735015 830 W 15TH ST 06-30-00-0-4-2835-0000- RE-ROOF 3/01/05 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation RS7 RESDNTL SINGLE FAMILY 24880 Owner Contractor BROWN BEVERLY 830 W 15TH ST PORT ANGELES WA 983637228 INTERLOCK INDUSTRIES, INC 7505 HARDESON ROAD SUITE 400 EVERETT WA 98206. (425) 438-8585 Permit BUILDING PERMIT - NO PR FEE Additional desc Permit Fee 414.75 Plan Check Fee .00 Issue Date 3/01/05 Valuation 24880 Expiration Date 8/28/05 Qty Unit Charge Per Extension BASE FEE 92.75 23.00 14.0000 THOU BL-2001-25K (14 PER K) 322.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 414.75 414.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 419.25 419.25 .00 .00 EXPIRED @/2~ /CJ~ <:k ~ \J c ........ Ct l lh. .'t 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 ,5;> /J4(". " " Date Signature of Owner (if owner is builder) T:\Policies\1102_15 building permit inspection record05.wpd [r/4/2005] Date 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 YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAJNAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I I MECHANICAL HEAT PUNWI FURNACE 1 DUCTS GAS LINE WooDSTOVE/PELLET/C~Y COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKlNGILIGHTlNG 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. 1 PW 1 CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building penmt inspection record05.wpd [1/4/2005] 12/01/2004 10: 15 FAX 425 438 8577 INTERLOCK INDUSTRIES ~001/002 gl"m~ INTERLOCK INDUSTRIES, INC. Suite 400, 7505 Hardeson Road Everett. W A 98203 ~@ Tel: (425) 438-8585 Fax: (425) 438-8577 FAX COVER LETTER DAm:~. TO: ~%~(~QO-q) (NllDle DC Com y) cJ;u >>r' ~ AlTENTION: (Name of IncIividual) FAX NO: doc y rr - 'i ::rLL FROM: &t~ WE ARE TRANSMIlTING c2.,. PAGES (INCLUDlNG TInS COVER PAGE) MESSAGE: ~r~ . '.~~~~ e~Jf:X~ ~/J:rif~~~~4;~11~tfJ ~k6J ~ ~ J1QPf(I.~ . Q- THE INFORMATION IN TInS FACSIMILE IS D'ITENDED FOR THE NAMED RECIPIENTS ONLY, no MAY CONTAIN PRlVlLEGED AND CONFIDENTIAL INFORMATION. If you have received this facsimile in error, please notify us immediately by a collect telephone call to (425) 438-8$85 and return the original to the sender by mail. We will reimburse you for postage. Do not dhclose the contents to anyone. Thank you. Fonn 091 12/01/2004 10:15 FAX 425 438 8577 INTERLOCK INDUSTRIES L.UU"J:/ -'1.1/1.1.1 Ul\! lU,,,o,;) .run vll! ur tM .D1..U,-> lJ.t(! rJl.A !'jO.jbU 4l'1 4'111 ~ 002/002 P. JOl . ... _.. f/ . -- . -". .. -. .-- POR. OFFICIAl. USD ONL"Y: \ 1>a~ n..r..:1 } - J - 01-/ Pennitil: 0J..f- " 0 ? \ ~~: DatI ImIed: --- . .--.. -- -.... _. (I BUILDING PERMIT.. APPLICATION Fill out COMPLETELY and in:JNK. Your appUoatioD. md site plan :~{(JST BE COMPI..ETE 111 be accepted for review. Jl you have any,questiO!3S, call . (360) 411-4815 .Applicant OT Agent OWner. ~('l)I'" ')0- Adrlrcs5;p?;D W ItSit' &:r~City~Y+ Ail5V-"'" ~ec:r: N IA Phone: ContnI.c:tor I n-teJLioc.k. I~du..6:tJci.cu,-,--li84e Lioemse #: IWTERIt020 u:Exp:-L' 17/05 Phone: 1425 L 438-8515 Addr~~ 7505 HtVLde.6o!!:..,Rd. SuLte 400 City~ EvVte.t.:t. WA Zip:__ 98203 ,aoJEct ADD:R:ESS~ ~3o ~ ~t:.YP~t- Th~p \.e~ '1 g;:::iP~~NlNG: LEGAL DESCRIP'OON: Lot Blook: Subdivision: ..-- CLALLAM coUNI'YPARCEL NUMBER: 1 ntVLtod. I ndlU:tJr...i.e.6 lIne. Phone: 1425) 438~8S85 Phoue: .&eLl 'f6j- e'J.C~ _Zip:~l{)~ Credit C~ Holder Name: BWlDg Addrus: Credit CardType ~C - # Tn'EOJ'WOnx: II :R.csiill'!Q1:jal C New CoD!tt. ! h.l'Oof ti Mu1ti.~:IimIi1y t:I Addition C Move [J o.~ C Remodel 0 D~ [J :Repair 0 Si&D >>JUESDESCIUPll0N OF:IS PROJECT: Su.pply 'dnd ..L~.ta.U a1.urn..i.n.um I!.O 0 (yi.ng . co~CXAI.JRESmENTIAL~ OCCUPm1l:f Gxmlp: Oc:copmt Load: __ CcmstnlC1iOl1 Type:BtYTlDt- No.ofStoUe$:_ LotSize: . ~S'l.Pt. &ProposedS'l'Pt -TO'I'ALSq..Ft.. ~ lot ~e _ % & PmposodlotcoVtnlge _% cToGllot eo'VemgC_ ~ CIty: kp..1>..te: _ o Stove 'C~e C Deak C Othl: SlZI'JV ALUAnON: . SF. @$. .,.JSF." S SF.@S_ /SF.-S.. SF.@S_ ISF.-S TOTAL V.AI:UA110N $=~ ~€XJ.c:!l W/I~x. A!'!'1l0V ALS: f'I.J..N: BLI)G: D~t FIRE! OTJIER:_ PLANNING USE ONLY: ESAlWetl:mdCs):.[J Y-es.CNo SBPAC'hccJdi&tteqaaeo.? C Yes [J ND O~; BUlLDIl\{G l'EIiMrr APPLICATION StJBMlTTAL: The BuildiDg DMsion CtnproWle :ytlU wi1h iJlfoIDJa1icm 011 ibc applica1iou and plmsubmiUal ~ if you lJave quc:&1io~. ' V ALt1A'l'ION OF CONS'lRUcnON: In a1l cases, . T8luaHoll :\lmoU!lt naust be entered llyihe app1:lcanr. 'I'h:Is figure win be reviewed andmay 'be teVised by1hc BWldiDg Division to" eomplywitb cmrtutfee schedules. Conract1he PeDDit ComdmuoX' at417 -4815 fot assistance. PLAN CBJtClC.}'U: IP II. PWl ehealc fele is due itmllSt be Ilubmitted atthc time tbe building :;JemM ~1icm. m4 coDStr1K:tlonp1ans are ~ All otberpemUt fees are dac a.t'tbb time ofpenxnt jssU1lDCO. EXPmA1:10N OF l'LAN BEVDtw: rino pem:dt is u;SI1Cd within 180 days of1hc ,da.te of:pplica.ticm, 1be appJica1ion will e:r;pire. 'Ib Buildiag O~cial C'/IIl extend 1he tUDb for action by the applicant up 10 180 days upon written Il:qucst by fhe appIkant (see Section 107.4 of the UmfoIm Building Code, c:mrt:I1t edition): No applicaUDD. can"= ~"~%DOfe than once. I hereby certify that I have raad snd examined thIs eppliGaffon and know the li8/T1e 6:l bEl tnJe end c;oJrea. J 8m authorilBd to apply for thIs permit and undsn:tand fhst It Is my 19spanslbruty to detel7T1in~ what permits are required ,not the Clty's, that I must obtain such pennlts prforw work. 1':\11QP.MS\APPS'Buildia~t,wp4 Applicmt I Daft: ~ Appl~cation Number Application pin number _ Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Applicat~on type description Subdiv~s~on Name Property Use Property Zon~ng Application valuation 07-00000340 Date 735180 830 W 15TH ST 06-30-00-0-4-2835-0000- BEVERLY BROWN MECHANICAL APPL PERMIT 4/15/07 :3 ~ ~ .....h.. o \ D o '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 98,62 '" RS7 RESDNTL SINGLE FAMILY 9832 Owner Contractor BROWN BEVERLY 830 W 15TH ST PORT ANGELES WA 983637228 ALL WEATHER HTG & COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452-9813 Perm~t Addit~onal desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL ALL WEATHER / T-STAT 98962 ALL WEATHER 35.00 4/15/07 10/12/07 HTG & COOLING INC Plan Check Fee Valuation .00 o m w Q Qty Unit Charge Per 1 00 35 0000 EC EL-LOW VOLTAGE Extension 35.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- [ Permit Fee Total 35.00 35 00 .00 .00 Plan Check Total 00 00 .00 .00 Grand Total 35 00 35 00 00 .00 ~ fA ,-\ COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECTION 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 If GENERAL COMMENTS: PW-Il02.lS [4'96) 't; ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Appl~cation pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . Application valuation 07-00000340 Date 735180 830 W 15TH ST 06-30-00-0-4-2835-0000- BEVERLY BROWN MECHANICAL APPL PERMIT 4/20/07 RS7 RESDNTL SINGLE FAMILY 9832 Owner Contractor BROWN BEVERLY 830 W 15TH ST PORT ANGELES WA 983637228 ALL WEATHER HTG & COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452-9813 Permit Add~tional desc Permit pin number Sub Contractor Permit Fee Issue Date Exp~ration Date ELECTRICAL ALTER SIMPSON ELEC /HP 99069 SIMPSON ELECTRIC 46 00 4/20/07 10/17/07 REqDENTIAL CIR plan Check Fee Valuation 00 o Qty 1 00 Unit Charge Per 46 0000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46 00 'I CO vJ o Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.00 46 00 .00 00 Plan Check Total 00 00 00 .00 Grand Total 46 00 46 00 00 00 l -. I 1.I\ \} ~ " COMMENTS/ ACTION NEEDED ELECfRlCAL PERMIT INSPECfION RECORD CALL 4 t 7-4735 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 ACCEPTED COMMENTS r YES I NO III "( 'H AJ'AA '-"AA Illlll(TH_lN I CUV-hK SER V ICE FINAL I./-~ -0. I L...J:1 GENERAL COMMENTS: PW.lI02 IS (4'961 Port Angeles, Washlngtonu...u!/)m::....L./2.m.......u__......u..., 19....7 , \ 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. .,.,/ R Address ...5.(.u3.()...!A)mm.L~-=..!.~>muoooo.~u.oou-:!mmm. occupancyum,m1d'c.'=m.u.uu.uumm.... -- r . Owner u.__L.!/.'.~uu.mu.<!""...uumummmu.__u__m TenanLm....uu...oomu.moo.oo._oo...mmum___..__.mumm... Wiring Contractor .mu!d...<.~;;;;.,~nQ..mm__.__uum By...mm...__..____.__umum.m.mumu.ummnm.muu /~ - Light Outlets.......::2.....J.........__.._..... Service, volts ..l,:J__9._~~.-:t...Q....... I . ::;:.::~....~~t:.e.~;;;::.:.:~::::.:~:::......:::. ::.:nw:::.::l1s~.::~:: CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Water Heater: Enclosure .....__.__._____m______.______....... -- KW..oo...moo!:,Lm~Lm..nmoomm Heat: Kw....Ls...tfn'..,)nn.~~J},nn... Motors: size, volts and phase: n 'A } ".../- "1.------.---..-------......................--........ lJ_:1!_..-f:..~!_?.--,._-.___.__._-__-_.__..._.-...... Type of wiring: Entrance Cable ......_........._.._......... Rigid Conduit ___.__um_mm............. MetalUc Tubing ....h..h................. Current transformers: No. & Size....................................... Ser. No............................................__ Ser. No.............................................. Ser. NO.....h.....................__............__... N? 15527 ')- Type of Wiring: . Armored Cable ................hd........_ Non~MetalUc ................._.............. Knob & Tube................................_ Rigid Conduit ......~...................... Metallic Tubing h............._mh..... Raceway ......................._....._..__ 'f Circuits, Light................_..................... Utllity .................'-../..(2............00000 :L Heat ..................1....._............._.._. Range ............................................. Water Heater ............................... Motor ................h........................... Dryer .................................................. Furnace h........................_................... J) -::=; Total Load....hh........h..h....... Ser. No. ...h.....................__................. Total .......:::=...,.::.._."".h......... Remarks: ..moooo.__...m__.../~lL:oo,.).oo___:,...,..oo".....oo..t...m.......m......mmm....m..n.__.................m..m......u..m... Permit Fee Treas. Receipt I fn.2.....1....!2m............ NO..........m................ By ....u....:..,:(j,.".~....m..;..:."._JC,.L.L~j;,"....!._. ""- NOTlCE-Current must not be turned on until Certificate of lnspection has been issued. It work is to be con. cealed due noUce must be given the lnspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION (I.A./~,j _;...:~ IS K. vJ .0. (.9 ELECTRICAL PERMIT N? 15527 :::::..=:f:t::::..=::::~:~:!::~::::~:::~::::::::~:~:::::::::::::::::::::::::::::::::::::n.~:~~~.a.t~:.:~':::~~:~:~::~:::(~:::~::::::~::~::~~.::::~ /" ~ '" WiringContractor.......~.~......~!.L-::'.~.~:-d::L~.d~.~...........................................................By.................~..~..J.......-::..'--=-...__.................. NOTlCE-Current must not be turned on until Certificate of lnspection haa been issued. It work Is to be con. cealed due notice must be given the lnspector so that work may be inspected before concealment. . 1M Olympic Printers, Inc. 04/01/2007 21:13 4579270 SIMPSON ELECTRIC PAGE 01 fi'M'" :~~~' -~~ '.. ...!' ~"- ELECTRICAL WORK PERMIT APPLICATION . In.'lulbtinn dC.'lcription [J Commercial )4. Residential D New vi Allercd/AddiHon Ad d , r; Y<-l' u ,'-I- ~ IJu.:f /es Lull cs~~c~c 'astian: OWfIl!/' a.~ deJiMI!rf hy nc:;w 19,18.2r;l:(f) Owner will ocwp)' Iht: SIJ'r.t('t~r(' lor (wo yenr.~ fljlt';I' 'his dleclricol PCl'fII;! is jinulizcd. (2) OWller ;s required f" hire an elecfrical con/rac!",. ~r OM""''' ,~lJjd "rnpf!rly ,:f for sale, fen! or 1~'(1S('. A ftet rc~din.lJ the ar.ovc stntement, I hereby certi ry thill I 11m the owner of the above named pTOnCrty or \l licensed electric;!l contractor. I 3m n1"king the clct,;lricaJ in:;ul. IBtion or alteration in cnmpli:ltlcc wi!" !he electric.,l laws. N.E.C.. RCW, Cll:lpr,cr 19.2R. WAC, Ch:tptCf 1.96-46'8. The City of Porl Ang:clc~ Municipnl Code. nnd Utility SpccilicatioT1!l. Sil!nAlU . 0 owner. dccfrica nfrscfnr nr cll!:cnlc:ll ~dmlnl'll'r:unr Date: -;2-07 Q Cash Q Check # o CreditCar~ Mastercard Oiscnver Card # A-v.-_...L ~J- - --~~T~-------- Expiration Date ofeard :;J..o 10 Eleclrici.U.&<Ilt~d.dlll.cms and or D NO LOAD CHANGES o Baseboard KW o Furnace KW (Y"Ho.t Pump ;:L Ton _ LAR Cl Fan-Wall _. ... KW tractions Service Information CJ OVQrn~ed $E!I'Vice a Temp Service o Underground Service Voltage PhoseD 1 D 3 Service Size: ~__ Feeder Sill;!; SAME DAY INSPECTION. CALL BEFORE 7;00 AM 360-417-4735 ~- ROUGH-IN 1lI1ffiMOS1:AT /' SERVlCF. " O~'c ^l"r,.,...,rd f.I) Aprrovc<J Dy 0~1t" - - ^/IT''Ovcd By O',le; / FINAL I -,--r DITCH FEFDER 1f/~;;'7 ~ V I]'r.tt: ^PProvcdB,:,~' l)~lC ~.t'.WI:I'A,!..../ U~tc ^ppttlVcd Hy........... In::;pcclion Area, Building or Equipment rnspcctcd Action T:tke:n 1!lcclricn! Dnte TnspCC:l0' ~ECIE IVIED .-- , n'l\ U ~UUI . "'-'1 . ,.... u . 03/30/2007 03:07 13504525177 ALL WEATHER HEATING PAGE 02/02 ~ ?~R ELECTRICAL WORK PERMIT APPLICATION Job wired by Electric~1 Conlr~ctor 0 Owncrq -, . 61- Date Eltpir(ls ~ltJ7J:lcI.,OKU lnstnll<1tioll dCSleri~tion o Commercial K Residential l!1eetriclll contractor m.~mc (' 'Na." iJ New iJ Altered! Addition Purchaser's mailing address 3;27 ~0 ';:.1- A!.ty fI \-tICt" ~LW Tclcrhonc Tlumber ( LV,-S+D-+ 1>~C9 OWtlDrl~ name '.u ~LM Addrl!:4!i M inspectlD~ <R3o u..J PUv~ \<Y\~.-tD Phone n mbcr to !lche ,lc Inspection: S Stote Zll> VJA '1636').. FAX Immbcr 1....\'5 (6(U\.1J0 \61:1, Owner as de.finl!d by RCW. /9.28.26J:(J) OW,It!,. will occupy the St1'llt:lIIJ"e for 11'1'0 yeal'S after this clcctrko/ pcl7llit is flnolt~(!d. (2) CMmer Is required to lIin.' em elee/rir-hi contractor if Q/.Jov~ .~nid pmperfy is for sale. nmf or lease.. Aftc:f" rC3ding the above st..1tcmcn'. 1 hereby certify d'1ll.l I urn (he owner of the abov~ n~mccl propcrtv or II liccnsC<l electrical contrne\or. I 11m makinc: Ihe elcetriclll iMbll- lation or altcr~tion in compliance with the c\cctricn\ Inws~ N.E.C.. RCW. Chaptct' 19.Z8. WAC. Chapter 296-468. The City of Port An8c1c!l Municipal Code. ('lnd Utility SpecinClllions. Sign ure o( nwdcr~ electrical c o Ca.~h 0 Check # <<. Credit Card Vi,. C~rd # Ma.~tcrcard DiscQver Date: l:.'lLko dditl n nd ~rJ;_ub!rM:tions iJ N 1.0AD CHANGES o Baseboard KW iJ Furnace I<W Cl Heal Pump _ Ton _ LAA o Fan-Wall KW Expiration Pate of card $nspce~ ~ c0 C> Service Information a OVGlrheed Service Q Temp Service Cl Underground Service Voltage Ph~se iJ , iJ 3 Service Size: Feeder Si%e: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN TIlERMOSTAl' /' SERVICE OnlC III'f1r(t~~tI By Dnl: ^"pro~c<1 13)' "- D"te ^I'IflOVUtl0)' ./, .FINAL A DITCH /' FEEDER ../, /-7 ~ D,,(~ DMe " Ol' ^i'pr"vcl."Y/ ApprovulT:ly '- """"mvc,1 Hy In~peclion Area, Building 01' Equipment Inspected Aclion -faken F..lcelrieal Dotc Inspector " ~:e::~ ~IR\ .= MAR 3 o 200~ UGHTDEP1i'. Application Number . . . . . 22-00000839 Date 7/08/22 Application pin number . . . 016568 Property Address . . . . . . 830 W 15TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-2835-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Het pump system ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BROWN BEVERLY ALL WEATHER HTG & COOLING INC 830 W 15TH ST 302 KEMP ST PORT ANGELES WA 983637228 PORT ANGELES WA 98362 (360) 452-9813 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee . . .00 Issue Date . . . . 7/08/22 Valuation . . . . 0 Expiration Date . . 1/04/23 Qty Unit Charge Per Extension 1.00 56.0000 ECH 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 56.00 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us EL1-2 SF 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp.$120.00 $ Service/Feeder 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 W/ Service Feeder $5.00 $ Branch Circuit W/O 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 Circuit/Limited Energy - 1&2 DU.$64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional)$56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square feet``$40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool / 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- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: New Construction Only [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] PREPARED 7/06/22,14:59:25 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00000839 830 W 15TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 56.00 TOTAL DUE 56.00 Please present reciept to the cashier with full payment Application Number . . . . . 22-00001056 Date 8/24/22 Application pin number . . . 469216 Property Address . . . . . . 830 W 15TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-2835-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat Pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BROWN BEVERLY BLACK DIAMOND ELECTRICAL CONTR 830 W 15TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 983637228 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 8/24/22 Valuation . . . . 0 Expiration Date . . 2/20/23 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:--------------------------------------­ Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 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 W/ Service Feeder $5.00 $ Branch Circuit W/O 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 CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ 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- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 8/22/22,11:02:25 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001056 830 W 15TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 63.00 TOTAL DUE 63.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/7/2023 22-1056 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 830 W 15th St