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HomeMy WebLinkAbout204 S Lincoln St - Building ELECTRICAL PERMIT 1J CITY OF PORT ANGELES i 360- 417 -4735 0 ti _L Application Number 12- 00000014 Date 1/10/12 Application pin number 143086 REPORT SALES TAX Property Address 204 S LINCOLN ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -0 -5400 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc Security system Owner Contractor Ni..., LAM TITLE COMPANY HI TECH SECURITY INC 1 PO BOX 248 723 E FRONT ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-2727 g6 s t.0 ,_,L_. Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 96.00 Plan Check Fee .00 Issue Date 1/10/12 Valuation 0 Expiration Date 7/08/12 U P Qty Unit Charge Per Extension 1.00 96.0000 ECH EL- LIMITED 1ST 1500 SQ FT 96.00 Fee summary Charged Paid Credited Due Permit Fee Total 96.00 96.00 .00 .00 1- Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 ei C A INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN J i J 1�2- A) -5,1-„W' FINAL I t7, iz COMMENTS: 6 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING FROM HI-TECH ELECTRON I CS FAX NO. 360 452 S560 Jan. 06 2012 06: 02PM P1 1 I 0 01 PO LZI A...NC:I:LES I'L kNt.11' A t' Pl...I.C:.•V t'l 0 IV '7,:;'. 0 buii•diti•A Di visii)alEicci sical kilStiCC (IOW; JA^1 9 2011 -:,...L...,d —E9.. 32 I EaSt fifill Si reel P.O. tio 1150 L')t Aligeicl; NV ushil I:41 tat. '../1":31■2 4-1G4-azy. T i'n: u) 41 7-473:5 Fax: (161)) 41 7 i ELECTRICAL INSPECTIONS Single Famiiy Dwelling y., Multi- Feuiily or Commei __Commercial Addition I Alteration Remodel Repair' iReview May Bi:: Requirat. Plea Complete Eleetricai Plan Review Informa:iori ..,:Lii,,.:i.,;) ...)i F.:::::, T.6.11:11 1_ S te.,,,E!•■Fitil Ow nal Info:I-nation Contractor information ;‘,.sine r.. lc 0. rt_r_t ....r- N Ili Tech Security '...•:,:ir„,,s A.:Cr EiS 24? '4 ,55.._ 2. 1 0 C et 1..) m ,i ing .4. 3E Front St. Port _Angeles s iqi; 7 C■ty. p..c:T. :J 5 27 27 2") 'f 4 52: 6 5 60 ;...Z.CAUC 6 i F. Xi*/ u cc tie g i E 7 1"2 dt'S 9 5 5BS I-em -t...- Unit Charge all Totalicav Multiplied bv Unit Charge 200 Amp. $11a.60 5 Servic&f:boctor 201-400 Amp. 5 145.50 5 Servicar1=68der 401-600 Amp Si 204.00 5._ Sarviee. 001 Amp, 5262.20 ti.ans.c.eiFeetier vier 1000 A. 5 372.0 5 Brerich Circuit WI Serliee Feeder 5 2.60 BrorIci; Circuit •lift) Service Feeder 73,50 Each AdditiOtil Branch Circuit 2.60 1 Service, Feeder 200 Amp. 5 92.70 Temp, Service/F 201-400 Amp. 11030 5 Tom:). SaiviceiFeeder 461 Amp. 1:10.70 'ramp. StrvicWFaaJGr 651-1000 Amp 167,00 Portal to Portal I-lowly 5 65.30 r,./Outline Lighting 00.20 Sigriel Clieu:t.) Limited Energy First 1500 sf -Commerciol 5 05.00 I 4 Nail: 55.00 for each ainitional 1500 st Limited Energy 1 4 2 F2rnity Dwelling 5 63.1) Bigtiai Citeuit/ Limited Energy Mufti-Family Dwellin9 65,00 I_ Menoia:td Hume Connection 5 11?-90 5- Rer,:mehls 'Electrical ins* Si(A System or t..c.-us 5 102.50 5 'Thermostat 55.00 NEW CONSTRUCTION ONLY7 First 1300 Square Ft. 5110.30 Each Adbitionalt3N5duart FL Of POtOrl of I 3S.20 S -2ac'n Outouilding or Detached Garage 73.50 7,6ch raming Pod or ii07 'nab 5 110.30 5 e t 7Y 43 Total Owner as defined by Ftk:.;VV.1@.28.261: (1) OWIIHI Will occupy the stnicture ior two years alter this electrical permit is finalized, p.) Owner is required Lc trire an electrical contractor if above said property is fa sale, rent or lease. Permit expires after six months or last inspection. AfteT readifig tne arove statement, I hereby certify that I am the owner of the, above named properly or a licensed electrical contraciOr. I am making tr..e eleciricai in:Tails/ion or alleraliQn in compliartce with the elecnic4liaws.. ;..E,C,. ROW. Chapter 10.2, '21/AC. Chapter 296-468, The City of Port Ang es Municipal Co. and Utility Specifications anti PAIAC 14.05.050 regarding Electrical Pennit Applicaons. Signature of owner. electrical contractor or electrical administrator: D c,,A, n ch.', p 14 4 L2:0 I 2_ 1 z0 .... CITY OF PORT ANGELES ' DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 10/31/2002 PERMIT NO: 13826 OWNER/APPLICANT PROPERTY LOCATION 204 LINCOLN S THOMAS SANDOR 204 LINCOLN Lot: 1 -3 Port Angeles, WA 98362 Block: 54 [] Long Legal 360/000-0000 Subdivision: TPA T: S: Parcel No: 063000054000000 CONTRACTOR ARCHITECT OSTERBERG LANDSCAPING N/A 706 S. H ST Port Angeles, WA 98362 , 98360-0000 360/452-9511 360/000-0000 PROJECT INFO Project Value: $500.00 SFD Units: 0 Commercial: 0 Project Type: BACKFLOW VALVE SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES INSTALL BACKFLOW VALVE RECEIPT#9878 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $27.00 Plumbing: $27.00 AMOUNT PAID: $27.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 Signature of Contractor or Authorized Agefit Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [412002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST:/~ ~ '~ ~'~L'T-/-- Date ~- Time Received by (phone, person) Location of Work to be inspected ~'~ -~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. / Sewer Foundation ~'~,~Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES~. ~ ~ ...... Inspected: Date //"~ *~, ~- ~) ~ Time By ~ ~' ~' Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC ~]Other 1~] Repaired by City Work Order # ~)Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) Backflow Assembly Test Repo~ R~x'civcd ~ City of Pon Angeles ~ %~o ~ Public Works and Utilities Department Water~astewater Collection Division NAME OF PREMISES: ~'~ '~ ~'~ ,' ~ ASSE~LY: ~ '~ ~' ' ~ ~ Manufacturer Model Size Serial No. IS THIS AN ~PROVED ASSEMBLY'? YES ~O ~ IS ASSEMBLY ~STALLED CORRECTLY'? YES ~NO DATE OF INSTALLATION r ~ . . ~KNOWN~ REDUCED PRESSURE PRINCIPLE ASSEMBLY RP ~ RPDA DC ~-' DCDA DOUBLE CHECKVALVE ASSEMBLY sw ~ AVB CHECK VALVE ~1 CHECK VALVE ~2 RELIEF VALVE PVB/SVB Initial Leaked ~ L~aked ~ Did Nol Open ~ AIR INLET Repairs Cleaned ~ Cleaned ~ Cleaned ~ CHECK VALVE REPAIRS Cleaned Final Closed Tight ~ AIR INLET Opened AIR GAP INSPECTION: REQUIRED MINIMUM SEPA~IION: YES ~ NO ~ TYPE OF HAZARD J Line Pressure_' :, ~, psi COMMENTS DateTime Tc~ter Si~mture Cen ~ Test Kit Pass~ Failed WHITE - CUSTOMER COPY YELLOW PURVEYOR COPY PINK - TESTER COPY CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 10/28/2002 PERMIT NO: 13808 OWNER/APPLICANT PROPERTY LOCATION 204 LINCOLN S THOMAS SANDOR 204 LINCOLN Lot: 1 -3 Port Angeles, WA 98362 Block: 54 [] Long Legal 360/000-0000 Subdivision: TPA T:CLALLAM TITLE RM 201-202 S: Parcel No: 063000054000000 CONTRACTOR ARCHITECT REI HIT COMPANY N/A Port Angeles, WA 98360 , 98360-0000 360/417-6774 360/000-0000 PROJECT INFO Project Value: $2,200.00 SFD Units: 0 Commercial: 0 Project Type: COMM/REMOD SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: --L PROJECT NOTES REMOVE INTERIOR PARTITIONS ADD NEW DOORWAYS AND WINDOWS RECEIPT#9849 ~..~ FEES ASSESSMENT Building Permit: $83 $0.00 Plan Check: $0 $0.00 State Surcharge: $4 ..... $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $87.75 Plumbing: $0.00 AMOUNT PAID: $87.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 t 80 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. Sign~ure of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\ l 102. I 5 [4/2002] eORr FOR OFFICIAL USE ONLY: o~~ Date Rec.: BUILDING PERMIT - APPLICATION Da~: Approved: Dat~ Issued: The Building Permit Applica~on must be filled out completely. Please type or print in ink. If you have any questions, please call 4174815 Applic~t orAgent: ~ ~ ~, ~ Phone: 0~: ~/~'/~ ~ ~ ~ Phone: Address: j~0 ~ f,' ~r~/~ City:. ~ Zip:. ~chitect/Engineer: Phone: Contractor~ ~:~ ~, ~ License O: ~e/~tT~Exp: ~ Phone: ~/7-~P '7~ / Ad.ess: ~Zo ~' ~ Ci~: ~ Zip: LEGAL DESC~PTION: Lot: Block: Subdivision: CL~L~ CO~TY P~CEL N~BER: Credit Card Holder Name: Billing Address: Ci~:. Credit C~rd ~: Exp. Date: ~SA MC ~E OF WO~: SI~UATION: ~ Resid~fial U New Cons~. D Re-roof ~ Wood-stove SF. ~ $ /SF. =~. ~ Multi-fa~ly ~ Ad~on E Move ~ Garage SF. ~ $ /SF. = $ ~o~ercial ~emodel ~ D~olition ~ Deck SF. ~ $ /SF. = ~ ~ Repa~ ~ Sign u TOTAL VALUA~ON $ B~F DESCmPTION OF T~ PROJECT: ~ff~t ~F_ ~ ~ ~ COM~RCI~S~EN~: Occup~cy ~oup:. Occup~t Load: ' Com~c~on T~: No. of Sto~es: Lot Size: % Lot CoVerage: Ex~t~g Lot Coverage: /sq. fl. + Proposed Lot eo~emge:' /sq. fl. = TOTAL LOT CO~GE: ./sq. PLYING USE O~Y: ~PROV~S: PL~ Notes: BLDG. DPW ES~etl~d(s): ~ Ye~ ~ No SEPA Checker requ~ed? ~ Y~ ~ No O~er: O~R B~LD~G PE~T ~PLICA~ON S~: Four a~plie~ion and site ~ian ~ be~lled o~t completel~ r~ie~. ~e Build~g Di~sion c~ provide you wi~ more detailed ~o~tion on ~e application ~d pl~ sub~l req~e~nts. Yo~ co~leted applica~on, site plan (for additions) and b~lding com~ction plans are to be subdued to ~e Bulldog Division. V~UATION OF CONSTRUCTION: In ~11 cases, a v~iuntion ~mount must be enter~ by ~e a~licant. ~s fig~e ~11 be reviewed and ~y be revised by ~e Bulldog Division to co~ly ~ c~ent fee sched~es. Contact the P~t Coord~tor at 417-4815 for assistance. PL~ C~CK ~E: Your plan check fee is due at ~e time ~e building pe~t application and com~ction pl~ are subdued. All other pe~t fees ~e due at ~e time ofpe~t issu~ce. EXP~TION OF PL~ ~EW: If no pe~t is issued wi~ 180 days of~e date of application, t~s application will expire. Bulldog O~cial can extend ~e ~e for ac~on by ~e applicant up to 180 days upon ~i~en request by ~e applicant (see Section 107.4 of · e Unifo~ Building Code, cu~ent effition). No application c~ be extended more ~ once. [ hereby cert~ that 1 have read and examined th~ application and ~ow the same to be ~e and correct, and [ am authorized to apply~or thix pe~it. I understand it is not the Ciq~ legal respo~ibiliq to determine what pe~i~ are required; it remains the applicant's respo~ibili~ to determine what pe~its are required and to obtain xuch. T:~O~S~PS~uildin~e~t 11/18/2002 13:41 FAX 3604574698 STRAITS ELECTRIC 1$1] 01 Qo {~(.~/Y' ~"" \::::! ELECTRICAL PERMIT APPLICATION RlR OFFICIAl USE ONt. Y DlIId1ta:: Pcrmi!1t: !::b1~"PJlOU~: ~Icl~ The EI@CtricaI Permit Application muSt be Oiled our comDletl!lv. Please type or reprint In Ink. If you have ony questions- pi..... call (360. 4'74735 Fax number. (360) 4174711 79n Owm.rorEIec, ContJac1orAgent Straits Electric Properly OYmec tk.uli'LW\ 0 Hf'./ REQUEST INSPECTION r- 452-9104 Fax: 457-4698 Phone. Phone: Address: Clly: INSTALlATION WIRED BY: DOWNER Clly: ~ ELECllllCAL CONTRACTOR Electric license.: STRAIE*Ot,4,OS Port Angles, W/I. 9/03 Zip: p"""",4S2-9104 Z;p: 98362 Electrical Contractor; Straits Electric Address; P.O. Box 2914 Credit Card Holder Name: Strai ts BlI/lngAddress' P.O. "ox 2914 CredllCardNumbeF' Exp. Dale' Zip,98362 VISA:~MC,- PRCl.IECT ADDRESS: GLw{Urn Tr-H-e.- ;<O'-f S GiY\. UJl V) TYPE OF WORK: Check 2!! that applY' 0 New o AnerationlAddition o Residental 0 Multi-family ~ Commercial 0 Mobile Home Sq, Ft. o Remote Meier 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 Sigr Number of Circuils added or altered; DESCRIPTION OF THE ELECTRICAl PROJECT: ,'fi/tJ.c..e'. b~tVLJ (]ev'f?u I r /~trO wM;r< h~ Al Orren Eleetrical Heal Load Additions <I 3s-.~o l2i.eAI= 9 'f').. 7 Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall _I<Y'OJ I<Y'oJ _tWJ _I<Y'OJ o Overhead Service o Temp Service o Underground Service Voltage: Phase; 0 1 0 3 Service Size: Feeder Size: PAMC 14.0S.D60(B}; For Industrial. commercial. & residential projects larger than a duplex, a one. line drawing of Ihe Electrical Service & Feeders, building size (sq. ft.). load calculations. and the type & of conductors andIor raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and ex.amined this application and know that same to be true and correct, and I arr; f ~authOrize:t to apply f~r this penn~. I undefStan~ ~ is no the. legal responsibility to ,detennine what pennits If 1ft oare reqUired; It rem:ms the_apPlicants responsibility ~ del: nnm hat pennlts are reqUired and to d Holder's Christie Tucker Date: \ it'\(Jd OwnEll' or Elec. ConI. Signatv ~w(/~ Dale: //-/8-~'Z-