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HomeMy WebLinkAbout120 Hancock Ave - BuildingApplication Number 06 00000828 Date 8/07/06 Application pin number 740560 Property Address 120 HANCOCK AVE ASSESSOR PARCEL NUMBER 06 30 09 5 2 2525 0000 Tenant nbr name JIM SULLIVAN Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 8655 Owner SULLIVAN JAMES M 120 W HANCOCK PORT ANGELES WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc OLYMPIC/ HP FURNACE Permit pin number 84202 Sub Contractor OLYMPIC ELECTRIC Permit Fee 48 10 Plan Check Fee 00 Issue Date 8/07/06 Valuation 0 Expiration Date 2/03/07 Qty Unit Charge Per 1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS Fee summary Charged Paid Credited Due Permit Fee Total 48 10 48 10 00 00 Plan Check Total 00 00 00 00 Grand Total 48 10 48 10 00 00 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST STH STREET PORT ANGELES, WA 98362 Contractor PENINSULA HEAT 782 KITCHEN DICK RD SEQUIM WA 98382 (360) 681 3333 Extension 48 10 I, CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO ELECTRICAL PERMIT INSPECTION RECORD DITCH I ROUGH -IN COVEk I SERVICE I FINAL I t?- tai -o6. I A GENERAL COMMENTS: I I I I I I I I PW- I102.1$ W961 Application Number 06 00000828 Date 8/07/06 Application pin number 740560 Property Address 120 HANCOCK AVE ASSESSOR PARCEL NUMBER 06 30 09 5 2 2525 0000 Tenant nbr name JIM SULLIVAN Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 8655 Owner Contractor SULLIVAN JAMES M 120 W HANCOCK PORT ANGELES Permit ELECTRICAL ALTER RESIDENTIAL Additional desc PENINSULA HEAT/ T STAT Permit pin number 83675 Sub Contractor PENINSULA HEAT Permit Fee 36 40 Plan Check Fee 00 Issue Date 7/31/06 Valuation 0 Expiration Date 1/27/07 Qty Unit Charge Per 1 00 36 4000 ECH EL LVT FIRST THERMOSTAT Fee summary WA 98362 Permit Fee Total 36 40 36 40 00 00 Plan Check Total 00 00 00 00 Grand Total 36 40 36 40 00 00 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 PENINSULA HEAT 782 KITCHEN DICK RD SEQUIM (360) 681 3333 Charged Paid Credited WA 98382 Due Extension 36 40 r ELECTRICAL PERMIT INSPECTION RECORD C?,L 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FINAL I o -iti -oC I Arail I I I I I I I I I DI's I I ROUGH -IN COVEk I I SERVIC1 I I GENERAL COMMENTS: INSPECTION TYPE DATE ACCEPTED YES I NO COMMENTS PV/-1102.13 14196] Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner SULLIVAN JAMES M 120 W HANCOCK PORT ANGELES WA 98362 Permit Additional desc Permit pin number 83675 Permit Fee 36 40 Issue Date 7/31/06 Expiration Date 1/27/07 Permit Additional desc Permit pin number 83667 Permit Fee 64 70 Issue Date 7/31/06 Expiration Date 1/27/07 Qty Unit Charge Per 1 00 Fee summary Charged Permit Fee Total 101 10 Plan Check Total 00 Grand Total 101 10 Signature of Contractor or Authorized Agent CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000828 740560 120 HANCOCK AVE 06 30 09 5 2 2525 0000 JIM SULLIVAN MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 8655 Contractor ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 1 00 36 4000 ECH EL -LVT FIRST MECHANICAL PERMIT BASE FEE 14 7000 ECH ME INSTALL 100- FAU T•\Policies \1102_15 building permit inspection record05 wpd [1/4/20051 PENINSULA HEAT 782 KITCHEN DICK RD SEQUIM WA 98382 (360) 681 3333 Plan Check Fee Valuation THERMOSTAT Plan Check Fee Valuation Paid Credited 101 10 00 101 10 00 00 00 Date 7/31/06 00 0 Extension 36 40 00 0 Extension 50 00 14 70 Due 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 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 con ction. Date Signature of Owner (if owner is builder) Date INSPECTION TYPE 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 CALL 417 -4815 FOR BUTLDING 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. DATE ACCEPTED YES 1 NO 1 1 1 1 1 1 1 1 I FINAL FINAL SEPA. ESA. SHORELINE. 417-473. ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -480 PW ENGINEERING FIRE 417-465: I I 1 1 FIRE DEPT PLANNING DEPT 417 -475(1 i �j (I A, PLANNING DEPT BUILDING 417 -48 L U BUILDING T• \Policies \I 102_15 building permit inspection record05 wpd 1/4/2005] COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO Owner Credit Card Holder Name: Billing Address: �redit CardType VISA M CYI'E OF+WORK: Residential Now Constr. 7 Multifamily Addition 7 i.OoinmerciaL Remodel P. Rgpair 3RIEF DESCRkPTION'OF THE BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions; call (360) 417 -4815 Applicant or Agent: Phone: C �1 W J iA 1 1 \f O V1 Phone: Address: pf) l�(� 1' a Y�! n L City: (jf 1,4 9 Architect/Engineer Phone: 0 License #•_U R t Rd City s r Contractor Address: PROJECT ADDRESS :J O W 1 l A Ire_ LEGAL DESCRIPTION: Lot; Block: CLAL-LAM COUNTY PARCEL NUMBER. C .r� Re -roof Salve Move o Garage O: Demolition D'e'ck ,Sit;P�, r. Cltlier PROJECT. .1 nv i ;OMMERCIAIJRESIDENTIAL: Occupancy Group: City. Subdivision. 'SIZE/VALUATION S SF Q$ TO Occupant Load: 1o. of Stories: Lot Size: Existing Sq. Ft. Proposed Sq. Ft. ?xisting lot coverage Proposed lot coverage Total lot coverage PLANNING USE ONLY ESA/Wetland(s): Cl Yes No SEPA Checklist required? Yes No Other: UILDING PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with information on the application and tan submittal requirements if you have questions. ALUATION OF CONSTRUCTION. In all cases, a valuation amount must be exacted by the applicant. This figure will be reviewed id maybe revised by the Building Division-to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. LAN CHECKFEE: IF a plan check fee is due it must be submitted at the time the building.permit application and construction plans are tbmitted. All other permit fees are due at the time of permit issuance. XPIRATION OFPLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The gilding Official can.extend'the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107 4 of e Uniform Building Code, current edition). No application can be extended more than once. iereby certify that I have read and examined this application and know the sa e fo be true a correct. am authorized to apply for this permit and derstand that ills my responsibility to determine what permits are requir d,n r the City's an t 1 ust o in such permits p 'or to work. FORMSWPPSIguildingpermitwpd Applicant ,v/ ate: 7 g',116 eV-3333 Zip: Phone: 6V-3333 Zip: Exp. Date: /SF LTATIO io tf f L.S Construction Type:. TOTAL Sq.Ft. V -q• FOR OFFICIAL Date Rec.. 7 Permit t#: Date Approved: X Date Issued: 7/3/ /Qc SE APPROVALS PLAN BLDG. DPWU:. F1RE: OTHr;R. Application Number 06 00000737 Date 7/11/06 Application pin number 253051 Property Address 120 HANCOCK AVE ASSESSOR PARCEL NUMBER 06 30 09 5 2 2525 0000 Tenant nbr name JAMES SULLIVAN Application type description FIRE ABANDON TANK INSPECTION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor SULLIVAN JAMES M 120 W HANCOCK PORT ANGELES WA 98362 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5' Street, Port Angeles, WA 98362 PETTIT OIL CO 638 MARINE DRIVE PORT ANGELES (360) 457 9404 WA 98362 Permit UNDERGROUND TANK RES Additional desc Permit pin number 82172 Permit Fee 15 00 Plan Check Fee 00 Issue Date 7/11/06 Valuation 0 Expiration Date 1/07/07 Qty Unit Charge Per Extension BASE FEE 15 00 Fee summary Charged Paid Credited Due Permit Fee Total 15 00 15 00 00 00 Plan Check Total 00 00 00 00 Grand Total 15 00 15 00 00 00 .q(Yv('' ,60 ONO This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 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 recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the p visions o any state or local law egulating the work specified in the permit. A' /7 Signature of Contractor or ,authorized Agent Date Signature of Owner (►f Owner is builder) Date GENERAL COMMENTS FIRE PERMIT INSPECTION RECORD Call 360 -417 -4655 for fire inspections. Please provide a minimum 24 -hour notice It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Type FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP -GAS Underground piping inspection /pressure test Above ground piping inspection/pressure test Tank (container) inspection Appliance inspection LP -gas final Date Passed I Comments UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final 2 -O( bb Completed by Contractor Test #1 Piping pressure test Time initiated Test #2 Piping pressure test Time initiated 2/15/00 psi psi Applicant or Anent. P7 biZ- Owner Address. Archttect/En ameer Contractor Address: Fill our CO_MPLETELI and in INK. I our application and site plan MUST BE COMPLETE to be accepted for review If you have an3 questions. call PERMITS (360) 417 -4815 FAX(360)417-4711 State License PROJECT ADDRESS /2 Gt) LEGAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WO Residential Multi- family Commercial Repair RK. New Constr Re -roof Stove Addition Move Garage Remodel Demolition Deck Sign Other BRIEF DESCRIPTION OF TAF PROJECT GLbu-Y,olorn -erv,t COMMERCIAL/RESIDENTIAL. Occupancy Group: BUILDING PERMIT APPLICATION No. of Stones: Lot Size: Existing Sq Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other City City irri CD C4 4 Ph on e. Phone. Subdivision. Phone: Exp ST7F/VALUATION SF /SF SF /SF SF C /SF TOTAL VALUATION Zip Phone: Zip ZONING 0,0. Occupant Load. Construction Type Proposed Sq Ft. TOTAL Sq Ft. FOR OFFICIAL U,,E O LZ Date Res ///,M Permit r. 1 3. Date Appro ad: V/(/ Date Issued: "7 /if /d4 APPROVALS PLAN BLDG DPWU FIRE. OTHER VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. 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. EXPIRATION 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 RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that 1 have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I must obtain such permits prior to work. T•1FORMS)B)dgPermitform.wpd Applicant: /A%P Date: 7-7/ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES, WA 98362 ELECTRICAL PERMIT ISSUED: 4/25/2002 PERMIT NO 7624 OWNER/APPLICANT PROPERTY LOCATION MATILDA SULLIVAN 120 HANCOCK 120 W. HANCOCK Lot: 5 Port Angeles, WA 98362 Block: 25 [] Long Legal 360/452-2770 Subdivision: FOGARTY & DOLAN T: S: Parcel No: CONTRACTOR ARCHITECT JARMUTH ELECTRIC N/A P.O. BOX 635 SEQUIM, WA 98382 , 98360-0000 360/683-4104 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: Construction Type: SERVICE CHANGE I~J Occupancy Group: Zoning Use: RS7 (~ Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 120,240 ~ [] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3 [] Fan Wall 0 KW Service Size: 200 "~ Feeder Size: 0 0 PROJECT NOTES ~ upgrade to 200 a. service ~ /- FEES ASSESSMENT Service: $63.20 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $63.20 AMOUNT PAID: $63.20 BALANCE DUE $0.00 ('OMMENTS/ACT1ON NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4 ] 7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVEI~ INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DITCH ROUGH-IN / COVER SERVICE FINAL ] GENERAL COMMENTS: 07/31/2005 15:05 3504523498 OLYMPIC ELECTRIC PAGE 01 s ELECTRICAL WORK PERMIT APPLICATIQN . , Job If.j,.ed by ~trjcal Contractor CJ Owner Installation deseri"tion o Commercial riesidcndDI Elcctricel contt3ct(lT name License number Date E.xpires t?LYA'pO:~ l!?~fA/?CC-~/ Pl7'~I(l.SCT'!l mBiling "ddrcs~ -f~JC? TV-"tY/Jr6l? Cib State ZIP /t?rr /ft?P' kf Wi! '7 no Telephone number FAX number ~ew I:J Altered/Addldon ~/?7 dCC t-H? . . - Prc:mises owner'li name ,pm 5dl/q;-.U7 Address or In,pc:ttion L:J. 1M /h1/JC&Y~ qUI"': CIj6r7- ~, ..h;.f Pbone number to llchcdule lns:pedion: ;'/P_ Owner as defined hy RCW.19.21L26J:(/) O"",l'w' will arCUpy the :uruclJirc/"r 'WI? YC(Jl'.t olter lnis cJcc,,.it:al prrmit is p,.iJli::ed. (2) Owner j,t reqr/;red ,,, /li.'C an C'irc:tnca[ contractor if above _raid property i., for ~ale, ren.' rlr lease. After reading the above statement, r hereby certify that I am the owner of the abnve named rr(tp~ or A I;cen~cd e1eetricnl C('lntnlctor. f am making lhe elcc1Tieal inst.o.l. lation or alteration in complionce with the electTieallaw5. N,E.C.. RCW. Ch:lJltcr 19.28. WAC. Chapter 296-4~B, The City of Porl Angclcli Municipil' Code, and UtiliTY Specificlltions. Sicnarure nr n~ntr. eledrical eontrllctflr or electrlc::!.1 admlnlstratnr 'U'~ Date: , I ct oad Additions and or subtractlot;J.s. I:J NO LOAD CHANGES I:J Basobosrd t<NV !B"1=urnace g KW ~oal pump ~Ton _ LAR I:J Fsn-WolI KW o Cash 0 Check # o Credit Card Visa Card If Msstereard Discover ---------------- Expiration Date of card [J OVerhead Service o Temp Service CJ Underground Service Service InformatlQl1 Voltaga ,;z r t? Phaselll'l D 3 Servlca Size: ~ Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH.IN THERMOSTAT SERVICE 0." ^ililf'OWC(I Hy Call; ~~Ry Dill'" Mrtl'rlYrd By DITCH FEEDl!R / , [lall; ApPl'C'YefI ay tl~lC Appl'tl~By Inspection Date Area. Building or Equipment Inspecred Action Tnken Electi'iclll Inspe.ctor 8 PtJven U,ci U<. i)A- A-c:62 r ~M'+'" 0" -~~e, ~, Job wired by S. l\<to ;s-/ -... ~rical Contractor 0 Owner ELECTRICAL WORK PERMIT APPLICATION .~ ~ Installation descriptio~ 1:1 Commercial /'oJ Residential Purchaser's mailing addresj j) J /J J 7?5a KtI,,/1/JJ- -1&~ l2tlL Citys State ZIP /)C'nc. e4VlrYl W/f- 7" .:.JCJd... Tele o~'l:mber ~ FA num/.:.-~,1;?, QNew Q Altered/Addition Lt1w V~ /.J-ar ..f!urm(}5 Owner as defined by RCW19.28.261:(l) 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. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. [ am making the electrical instal- lation or alteration in compliance with the electrical Jaws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility S i ations. Sign u o Cash B'theck # q 4 ~ --; o Credit Card Card # Visa Mastercard Discover Date: 7. Expiration Date of card lnsr~"'f;""" f_ - . $ . 3,,~ Service Information Lr.L Py x Electrical Load Additions and or subtractions 0: NO LOAD CHANGES o Baseboard' KW ~nace ~ KW P1'1Gat Pump ~on -J3LAR Q Fan-Wall KW o Overhead Service o Temp Service o Underground Service Voltage PhaseQ 1 Q 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 / / SERVICE ROUGH-IN THERMOSTAT DaIC Approved By-/ Dale Approved By "- Date Approved By / FINAL DITCH FEEDER "- Dale Approved By/ "- Date Approved By ./ " Date Approved By Inspection' Area, Building or Equipment Inspected Action Taken Electrical Date Inspector FROM : A.P.S. ELECTRICAL CONTRACTOR FAX NO. 360 452 6753 Jul. 28 2015 10:50AM P3 CITY OF Poke AN(YF-r,ES P.ERMIT APPLICATION Rui1(ling Division /Electrical lrispections , ,��ifA�� 321 East Fifth Street — Y.O. Sox 1.) 501 Port Angeles Washington, 98362 I MIONS Ph. (360) 417 -4735 Fax: (360) 417-4711 Date:'"N?9- 1-5 Plan Revie : May Be Job Address: � Building Square Footage: _ Description of above „(!5,L Owner Information X 1 & 2 Single Family Dwelling Name: _ = M t it _ Ntafiing Address: 1 (a (►S,,i,., G J @� State; Zip:` phone: Fax: License A I Exp, Item Wit _Charge ServicelFeeder 200 Amp. $ 120.00 ServicslFeeder, 201 -400 Amp, $146.00 Servlm)Feeder 401.600 Amp $ 205.00 ServicelFeeder 601 -1000 Amp. $ 262.00 Service/Feeder over 1000 Amp. $ 373.00 Branch Circuit W1 Service Feeder $ 5.00 Branch Circuit W10 Service Feeder $ 83.00 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. ServicelFeedor 401 -600 Amp. $149,00 Temp. Service /Feede( 601 1000 Amp . $168.00 Portal to Portal Hourly $ 96.00 Signal Cireuit) Limited Energy -1 & 2 Family Dwelling $ 64.00 Manufactured Home Connection $120,00 Renewable Electrical Energy - 5KVA Systom or Less $102.00 Thermostat $6.00 Nate: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120,00 Each Additional 500 Square Ft. or Portion of $ 40.00 Each Outbuilding or (Detached Garage $ 74.00 Each Swimming pool or Hot Tub $110,00 Plan Review Information Sheet Contractor information Name: — A P- Mailing Address, City State: D Phone:_ I;ax., License # 18xp, ON Total (Qty Multiplied by Unit Charge) S $ 5�� 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 19.2$, WAG. Chapter 296 -46B, The City of port Angeles Municipal Code, and Utility Specifications and PANIC 14.05 -050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: © cash ❑ Check ^Z credit Ca,, # , X /�• Dated; —t ' ';tL7 0110112012 �pppI Contractor information Name: — A P- Mailing Address, City State: D Phone:_ I;ax., License # 18xp, ON Total (Qty Multiplied by Unit Charge) S $ 5�� 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 19.2$, WAG. Chapter 296 -46B, The City of port Angeles Municipal Code, and Utility Specifications and PANIC 14.05 -050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: © cash ❑ Check ^Z credit Ca,, # , X /�• Dated; —t ' ';tL7 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 15- 00000934 Date 7/29/15 Application pin number , , . 631970 Property Address . . . . . . 120 HANCOCK AVE ASSESSOR PARCEL NUMBER: 06-30-09-5-2- 2525 -0000- Application type description ELE'CTRiCAL ONLY Subdivision Name . . . . . . Property Use Property Zoning . , . RS7 RESDNTL SINGLE FAMILY Application valuation . , . . 0 Application desc On demand water heater Owner Contractor RESULTS: SULLTVAN JAMES M DITCH APS ELECTRIC 120 W HANCOCK 546 BENSON RD. PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 452 -6753 Permit , , , . . . ELECTRICAL ALTFR RESIDENTIAL Additional desc , . 1 -4 CIRCUITS Permit Fee , . . . 74100 Plan Check Fee 00 Issue Date 7/29/15 Valuation . . , , 0 Expiration pate 1/25/16 Qty Unit Charge Per Extenslon BASE FEE 74.00 Fee summary Charged Paid Credited Due Permit Fee Total 74.00 74,00 DO 00 Plan Check Total ,00 .00 ,00 .00 Grand Total 74.00 74.00 00 .00 •1J.. t� REPORT SALES TAX on your excise fax form to the City of Pori Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -INN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:IEXCHANGEWUILDING Date: