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1003 S Lincoln St - Building
PREPARED 10/15/10 8 18 59 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/15/10 ADDRESS 1003 S LINCOLN ST TENANT NBR ERICK AND ARLENE BLUME CONTRACTOR ANGELES PLUMBING INC OWNER ERICK AND ARLENE BLUME PARCEL 06 30 00 0 3 2935 0000 APPL NUMBER 10 00000984 PLUMBING PERMIT PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV COMMENTS AND NOTES PHONE (360) 452 8525 PHONE (360) 452 4317 PL2 01 9/10/10 JLL PLUMBING ROUGH IN TIME 01 00 9/10/10 AP September 9 2010 1 21 48 PM 1pangrle KEITH CELL 808 3792 OR HOME 477 4590 ROUGH IN PLUMBING AFTERNOON PLEASE CALL KEITH 10- MINUTES BEFORE YOU GET THERE September 10 2010 4 31 10 PM jlierly PL99 01 10/15/10 JLL PLUMBING FINAL TIME 01 00 October 14 2010 4 52 07 PM 1pangrle �J� \v im ERIC 452 4317 PLUMBING FINAL AFTERNOON PLEASE INSPECT BEFORE 4 00 PM rur O '/0 0 g��ov� PREPARED 9/10/10 8 16 32 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 1003 S LINCOLN ST TENANT NBR ERICK AND ARLENE BLUME CONTRACTOR ANGELES PLUMBING INC OWNER ERICK AND ARLENE BLUME PARCEL 06 30 00 0 3 2935 0000 APPL NUMBER 10 00000984 PLUMBING PERMIT PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV COMMENTS AND NOTES PHONE (360) 452 8525 PHONE (360) 452 4317 PL2 01 9/10/10 L, PLUMBING ROUGH IN TIME 01 00 September 9 2010 1 21 48 PM 1pangrle 1k KEITH CELL 808 3792 OR HOME 477 4590 ROUGH IN PLUMBING AFTERNOON PLEASE CALL KEITH 10 MINUTES BEFORE YOU GET THERE Ca) ce PAGE 7 DATE 9/10/10 z c 6t 3 3 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc REPLACE WATER LINES INSIDE THE HOME Owner ERICK AND ARLENE BLUME 1003 S LINCOLN ST PORT ANGELES (360) 452 4317 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Qty Unit Charge Per 1 00 7 0000 EA Fee summary Charged Permit Fee Total 57 00 Plan Check Total 00 Grand Total 57 00 T:Forms /Building Division /Building Permit WA 983627849 10 00000984 Date 9/08/10 053968 1003 S LINCOLN ST 06 30 00 0 3 2935 0000 ERICK AND ARLENE BLUME PLUMBING PERMIT RS7 RESDNTL SINGLE FAMILY 3200 Contractor PLUMBING PERMIT REPLACE INSIDE WATER LINES 172973 57 00 9/08/10 3/07/11 BASE FEE PL -WATER LINE ANGELES PLUMBING INC PO BOX 1151 PORT ANGELES (360) 452 8525 Paid Credited 57 00 00 00 00 57 00 00 WA 98362 Plan Check Fee 00 Valuation 0 Due Extension 50 00 7 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 e7a Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE, Inspection Type Date Accepted By I Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In t o 1 O ''S Cali Water Line (Meter to Bldg) Gas Line Back Flow I Water AIR SEAL. Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date l D Accepted by Z1" FINAL Date Accepted by Date Accepted By Applicant gr G t w /4'1 Property Owner E ,Ltd Property Owner's Address j Doi S'. e_disape)4..) S?' Contractor cL 5 s Contractor's Arr__ License PROJECT ADDRESS Parcel Number Project Time Brief Des Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq ft. T Site Coverage the amount of impervious su ce on and other impervious surfaces (see PAMC 1 Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? criotion. Rep e-e- T Forms /Building Division /Building permit application 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 Expires DO 3_5. 5l Lot Zoning Residential Multi- family Existing (sq. ft.) Posed (sq. ft.) Phone 4S 2- 43 7 Phone Phone E -mail Commercial Industrial Q a, a4 A,1 z�G P G •.in b L 1 #J s-, us r House garage other tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove other Occupancy group ccupant load Co ruction type per sq ft. TOTAL VALUATION 3_ r 2 0 0 t size sa ft. L5,eoverage arcel including structures, saved driv-' ays sltiuwalks, patios 5 for exemptions) Site coverage For City Use Only Date Received 1 10 Permit 1 ?W Date Approved of bedrooms full baths of h- baths I have read and completed this application and know it to be true and correct. I am authorized to apply for is permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to Date 1 Print Name d /G L� Signature Clallam County Assessor Treasurer Property Details 59306 ERICK AND ARLENE Page 1 of 6 Clallam County Assessor Treasurer Property Search Results 59306 ERICK AND ARLENE BLUME for Year 2010 2011 Property Account Property ID' Geographic ID Type Tax Area: Open Space Historic Property' Multi Family Redevelopment: Township Range Location Address. Neighborhood Neighborhood CD Owner Name. Mailing Address: 1003 S LINCOLN ST PORT ANGELES WA Cycle 5 Res 10955130 ERICK AND ARLENE BLUME 1003 S LINCOLN ST PORT ANGELES WA 98362 7849 i Taxes and Assessment Due Property Tax Information as of 09/08/2010 Amount Due if Paid on S. 59306 0630000329350000 Real 0010 PA 121 PORT ST CNTY H2 L N N N Year Statement ID Taxing Jurisdiction 2010 42206 ST SCH STATE SCHOOL 2010 42206 CC -GEN COUNTY 2010 42206 PORT PORT 2010 42206 PORT ANG PORT ANGELES 2010 42206 SD #121 SCHOOL DISTRICT #121 2010 42206 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 42206 HOSP #2 HOSPITAL #2 2010 42206 WSMET PK DIST WILLIAM SHORE MET PARK 2010 42206 CITY_STORMWATER CITY STORMWATER 2010 42206 WEED CONTROL WEED CONTROL 2010 42206 TOTAL. 2009 593062008 ST SCH STATE SCHOOL 2009 593062008 CC -GEN COUNTY 2009 593062008 PORT PORT 2009 593062008 PORT ANG PORT ANGELES 2009 593062008 SD #121 SCHOOL DISTRICT #121 2009 593062008 NTH OLY LIB NORTH OLYMPIC LIBRARY 2009 593062008 HOSP #2 HOSPITAL #2 2009 593062008 CITY_STORMWATER CITY STORMWATER Legal Description: Agent Code Land Use Code DFL Remodel Section Mapsco Map ID Owner ID Ownership Exemptions. 11 N Property' N N2 LOTS 8 &9 BL 329 2 14443 100 0000000000% First Half Second Half Base Due Base Due Penalty Interest Base $186 35 $186 35 $0 00 $99 16 $99 18 $0 00 $13 94 $13 94 $0 00 $229 61 $229 60 $0 00 $241 36 $241 38 $0 00 $28 82 $28.81 $0 00 $40 68 $40 68 $0 00 DIST $12.94 $12 95 $0 00 $36 00 $36 00 $0 00 $0 82 $0 81 $0 00 $889.68 $889.70 $0.00 $213 58 $213 57 $0 00 $108.09 $108 08 $0 00 $1531 $1531 $000 $237 08 $237 09 $0 00 $264 11 $264 12 $0 00 $31 41 $31 40 $0 00 $44 33 $44 33 $0 00 $36 00 $36 00 $0 00 $0 00 $1E $0 00 $000 $1 $0 00 $22 $0 00 $24 $0 00 $2 $0 00 $4 $0 00 $1 $0 00 $0 00 $0.00 $8E $0 00 $42 $0 00 $21 $0 00 $Z $0 00 $47 $0 00 $52 $0 00 $E $0 00 $E $0 00 $7 http. /vpn.clallam. net. 8084 /propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =59306 9/8/2010 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00001024 Application pin number 969344 Property Address 1003 S LINCOLN ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 2935 0000 Tenant nbr name ERIC BLUME Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning Application valuation BLUME ERICK /ARLENE 1003 S LINCOLN ST PORT ANGELES WA 983627849 Sign yciof Contractor or Authorized Agent T• \Policies \1102_15 building pertnitinspection record05.wpd [1/4/2005] RS7 RESDNTL SINGLE FAMILY 7200 Owner Contractor Date 9/18/06 THORNES REFRIGERATION PO BOX 991 PORT ANGELES WA 98362 (360) 461 0158 Permit MECHANICAL PERMIT Additional desc Permit pin number 87155 Permit Fee 64 70 Plan Check Fee 00 Issue Date 9/18/06 Valuation 0 Expiration Date 3/17/07 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 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. l- hereby certify that -i- have -read -and examined this application and know the same to be true and correct. All provisions of laws and ordinan i ovemipg this type of work will be complied with whether specified herein or not. The granting of a permit does not presume is ve aut •ri a ate or cancel the provisions of any state or local law regulating construction or the performance of const Date Signature of Owner (if owner is builder) Date 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 1 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 PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD CONSTRUCTION RW PW/ 417 4807 ENGINEERING FIRE 417 -4653 I PLANNING DEPT 417 -4750 BUILDING 417 -4815 1 L n T• \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] I I 1 I I I I 1 1 1 I I 1 I 1 I 1 1 1 1 I 1 1 1 I 1 I I I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 1 1 1 I I 1 1 1 1 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT FINAL FINAL SEPA. ESA. SHORELINE. CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. 1 1 I 1 I I 1 I I Applicant or Agent: A ktiv �S Owner C B -u Address: /5 -s, 2,,t/c_e L TYPE OF WORK. Residential New Constr Re -roof Multi- family Addition Move Garage n Commercial Remodel Demolition Repair Sign Other BRIEF DESCRIPTION OF TA PROJECT tswi c U tr c L n e_c! 1 4-u COMMERCIAL/RESIDENTIAL. Occupancy Group No. of Stones Total lot coverage PLANNING USE ONLY T•\FORMS\BIdgPermitform.wpd Apple BUILDING PERMIT APPLICATION out COMPLETELY and in INK. I' our application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Lot Size: Existing Sq. Ft. emai l e/S 1iW4 77e —i Phone Phone City cro2 '7 4 6 b2 rs Architect/En gineer• Phone: Contractor /1/7riiit-i'S %,e State License 4 77.4 12 9-57L /I Exp O 7 Address 1 P_A Q-9 7 City -,?i_7 e, 61 6 /S PROJECT ADDRESS /DP 3 S L Ic zi LEGAL DESCRIPTION Lot: Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. Stove Deck ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other ST7.F/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION 7, too Occupant Load. Proposed Sq Ft. -/SZ 4 {3/7 Zip Construction Type: TOTAL Sq Ft. Date: FOR OFFIC 6.///g)10 USE N l Dat„ Rec. Permit ©,f/— o 2 Date Approve SS Date Issued: 06 Phone �G7 D/S Zip g' la ZONING APPROVALS PLAN BLDG DPWU FIRE. OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXTIRATION OF PLAN REVIEW If no permit is issued within 180 days of the 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 R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it i r spon ity to determine what permits are required not the City's, and that I must obtain such permits prior to work. Application Number 04 00000564 Pin number 760712 Property Address 1003 S LINCOLN ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 2935 0000 Application description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1500 Owner Contractor BLUME ERICK /ARLENE 1003 S LINCOLN ST PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge 10 00 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Per 3 0500 HND T \PLANNING \FORMS \1102.15 11/14/2003] WA 983627849 BUILDING PERMIT NO PR FEE TEAR OFF FELT COMP 77 50 Plan Check Fee 6/28/04 Valuation 12/25/04 BASE FEE BL -501 2K (3 05 PER C) Charged Paid 77 50 00 4 50 82 00 Signature of Contractor or Authorized Agent OWNER STATE SURCHARGE 77 50 00 4 50 82 00 Credited 00 00 00 00 Date 6/28/04 Due 4 50 00 00 00 00 00 1500 Extension 47 00 30 .50 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 a 'ng construction or the performance of construction. Date Signature of Owner (if owner is builder) 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. ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. INSPECTION TYPE DATE CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 1 PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 T \PLANNING \FORMS\ 1102.15 [1 I/ 14/2003 'ES 1 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT 1 ROUGH -IN PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING I I ESA. LANDSCAPING I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE 1 ACCEPTED 1 YES 1 NO I 1 1 I, 1 1. 1 kfti 1 )Z /2q/04F 1 ACCEPTED COMMENTS 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING 1 1 1 S "I.oiir~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 32\ EAST 5TH STREET. PORT ANGELES. WA 98J62 Appllcation Number Applicatlon pin number Property Address _ ASSESSOR PARCEL NUMBER Application type description Subdivislon Name Property Use Property Zoning Application valuation 06-00001018 Date 494556 1003 S LINCOLN ST 06-30-00-0-3-2935-0000- ELECTRICAL ONLY 9/26/06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor BLUME ERICK/ARLENE 1003 S LINCOLN ST PORT ANGELES WA 983627849 THORNES REFRIGERATION PO BOX 991 PORT ANGELES WA 98362 (360) 461-0158 Permit Additional desc . Permit pin number Sub Contractor Perml t Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL THORNES/ FURN. HP 87098 THORNES REFRIGERATION 48 1Q Plan Check Fee 9/26/06 Valuation 3/25/07 .00 o " ~ \J \.N Qty Unit Charge Per 1 00 48 1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 48.10 48.10 .00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 48.10 48 10 .00 .00 ~, ~ ~ t' ~ COMMENTSI ACTION NEEDED ELECfRICAL PERMIT INSPECfION 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-II02.15I4'96) I CITY OF PORT ANGELES , LIGHT DEPARTMENT ELECTRICAL PERMIT N'! 17369 Port Angeles, washlngton...mn_nL.=__-2,!.:.mnm.m..__..n_.._, 19..J:V In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trlca! equipment In, on, or about any building or other structure In the City of Port Angeles, per- mission Is hereby granted to do el~~lcal work as listed below. Addr~SS ..~.~Q..3...;_..t--'~"'-<t:.~.mmnnn Occupancy../-Lg~!ft..!..mn..._m.......... Owner ....JLmmm..a~4~~-""'''''''i /> Te~t-..--...mmmm-....n....-n...m.m.m-.......m-......... wlrIJg Contractor '~7~~~"<r....e~. By.........m..m.m...m.....m.n...mnm_.n.....m........ Light I Outlet...................................._.... ServIce, volts .....7<4~i?..r.::.'! Type of Wiring: Recep1tacle Outlets_________............._..__.... No. wires .....3.......................0. Armored Cable .............-.......--.....- Dryer, !KI'W .......................................... SIze Wlres....~... )!;L2...rPk.. Non.Meta1llc ................................. t7 LI Knob & Tubem................__.........._ Range. KW ___u____u_nn____..________.... Main tuse ....__ .. ...-....../..l.......... I ~ RIgid Conduit ............................... Water! Heater: Enclosure n...................._....___._....__. M talll T bl lee u ng ........................... Kif.....................:....................... Heat: H.W.............._........n....................n.... I Motorr size. volts and phase: Type of wiring: Entrance Cable nOon................. Raceway ................._.............___._ Circuits, Llght.___............_.......____..____.... RigId Conduit ......._............___....___. Utllity ............................................. ....I...................................................... ....\...................................................... Metallic Tubing .._____.................... Current transformers: No. & SIze..................__........___...____. Heat ___.___..._................_..........._...... , ...T.................................................... Ser. No............-.--...____.....____.............. Range ............._.....................____..._._ Water Heater .................._............ Motor ____................__..._...___......_.... , ....r..................................................... ...l...............................................- Ser. No. ....__..........._......._____.______...__._. Dryer ....._.....____.........................._..____ Furnace .......................-.._.___......___..... Ser. No. u____u................................__... :"_~~=;~~;~-~c::~~i2:-~~~~_:=;~':-~~~~~ I .:~.=_;f.~~~..~~~..~~~..~~~.~.n...~.m..m.::~.~.~:__~.~.~.~~.~.~_.___..._...--.m.--mm:~..:$~~:1~:z~ 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. I NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION I I ELECTRICAL PERMIT N? 17369 "1m \ I Address I........................................... ........................ ...... ............................................................ Dale..............._................__..................__....... ",---") ,I r"Owner\ t;................................-..........-......-.......t..-........---.....---..--..--...----.---...--....--.----..... Tenant..................._......................_....___....____..__..... Wiringctontractor.....u.......__.....__...._._....._......_.............._............_._..._.._....__.................................By.______..______..____._............_....................._.... I ~ NO~[CE-Current must not be turned on until Certlflcate ot Inspection has been Issued. It work is to be con- cealed d1;le notice must be given the Inspector so that work may be inspected betore concealment. . I . / 1M:1 Olympic Printers, Inc. G- - 30 ELECTRICAL WORK PERMIT APPLICATION i /' Job wired by lectrical Contractor 0 Owner Installation description o Commercial WResidential Electrical contractor name License number Date Expires 771t1tWd5. J?CI'lZIf'iJ7t71ldn 771iJl<HlCk9.Il/H a 7 Purchaser's mailing address Pd. Bo)c 99/ City 1%2-.1- $/fttU:5 . o New o Altered/Addition Telephone number oVO- ~:-().1 J7f State ZI P 51 J" .::16 z.. FAX number . 3~tJ -S/J?- - 9S.l/tf /.gD ~p Q\lL. +tJL ttt'-<r r Premises owner's name 6LLl WI () Address of inspection IOD3 S. LWWL,u City p()1...-f A-r.L1.71S'i~ Phone number to schedule inspeClion:'ls:243/'7 Owner us defined by RCW19.28.261:(J) Owner will occupy the slructure fur two years after this electrical permit is finalized. (2) Owner is required to hire all electrical contractor if above said property is for sale. rent or lease. 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 instal. lation 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 Spccificati Signature ElLIe. o Cash )P"Check # o Credit Card Visa Card # Mastercard Discover ntractor or electrical administrator e..- El rica I ad Additions and or subtractions o NO LOAD CHANGES o Baseboard KW ~Furnace /J::LKW /3,1 )liIkieat Pump .3- Ton _ LAR o Fan-Wall KW Date: !-/S:t1h Expiration Date of card /0 Service Information Voltage ~ZO -- ) Phase,a(1 03 Service Size: Feeder Size: SERVICE Dale Approved By FEEDER Dale Approved By Action Taken Electrical Inspector ~.Id\ ./- o Overhead Service o Temp Service o Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT Dale Approved By Dale Approved By DrrCH Dale Appro~ed By Inspection Date ,,~ Area, Building or Equipment Inspected 9-1"I-oCc 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] Electrical Information Form Public Works & Utilities Department (360) 417-4700 City Electrical Inspector (360) 417-4735 Please complete and return to Public Works & Utilities Department Applicant Information Project Address: Owner: Street Address City / State / Zip: Phone Number:Cell Phone: Contact Information Company Name: Contact Name: Phone Number:Cell Phone: Project Type Existing New Single-family residence Multi-family residence; # of units Commercial Subdivision Overhead service General service Underground service Other: Project Information Main Disconnect Size Select Voltage: 120/240 1ph 120/208 3ph 277/480 3ph Amps:_____________ 120/240 3ph 480 3W 3ph Check all that apply: Standard residential loads (Lighting, refrigerator, dishwasher, washer) A/C ( ___ ton) Range/Oven Hot Tub Clothes Dryer Heating Pumps (____Hp) Water Heater Elevator (____Hp) Other ________________________ Load Increase (kW)________________Load Decrease (kW)_______________ Supporting Documentation Please provide a copy of the following: *Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one-line drawing showing the service entrance panel and location. *Connected load data. *Size and locked rotor amps of all motors over 50hp. Applicant's Signature: Date: MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360-417-4711 WS ____________ WF ____________ new information form.xls Revised 1-09-11 Electrical permit #:_________________Detailed description of work: (Oil to Gas Conversion, Gas to Electric, New Heat Pump, etc.) New Information Form per Trent 1003 South Lincoln Street 1003 South Lincoln Street Port Angeles, WA 98362 360-775-5239 Erick & Arlene Blume All Weather Heating & Cooling Dustin Halverson 360-452-9813 x x Install like for like heat pump system x 2 5/24/22 Application Number . . . . . 22-00000649 Date 5/25/22 Application pin number . . . 778860 Property Address . . . . . . 1003 S LINCOLN ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2935-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump system ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ERICK & ARLENE BLUME ALL WEATHER HTG & COOLING INC 1003 S LINCOLN ST 302 KEMP ST PORT ANGELES WA 983627849 PORT ANGELES WA 98362 (360) 452-4317 (360) 452-9813 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee . . .00 Issue Date . . . . 5/25/22 Valuation . . . . 0 Expiration Date . . 11/21/22 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 Application Number . . . . . 22-00000677 Date 6/03/22 Application pin number . . . 086681 Property Address . . . . . . 1003 S LINCOLN ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2935-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat Pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ERICK & ARLENE BLUME BLACK DIAMOND ELECTRICAL CONTR 1003 S LINCOLN ST 502 BLACK DIAMOND RD PORT ANGELES WA 983627849 PORT ANGELES WA 98363 (360) 452-4317 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 6/03/22 Valuation . . . . 0 Expiration Date . . 11/30/22 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 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 22-677 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 1003 S Lincoln St