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HomeMy WebLinkAbout201 W 4th St - Building ELECTRICAL PERMIT CITY OF PORT ANGELES r; 360- 417 -4735 Application Number 11- 00001005 Date 9/14/11 Application pin number 544095 REPORT SALES TAX O Property Address 201 W 4TH ST our excise tax form ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -0- 7180 -0000- on y A U\ pplication type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc ANGELES EL/ WIRING REPAIRS Owner Contractor n KANARR JULIE A ANGELES ELECTRIC P 0 BOX 327 524 E. 1ST ST. WILSALL MT 59086 PORT ANGELES WA 98362 (360) 452 -9264 •sz c 2. 6S cam. Permit ELECTRICAL ALTER RESIDENTIAL Additional desc ANGELES EL./ REPAIRS Permit pin number 192583 Permit Fee 81.30 Plan Check Fee .00 Issue Date 9/14/11 Valuation 0 Expiration Date 3/12/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 3.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 7.80 Fee summary Charged Paid Credited Due A Permit Fee Total 81.30 81.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 81.30 81.30 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 43 ,7 /4Q FINAL 5131 (2-- ,i. COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 09/13/2011 10:12 FAX 360 452 9265 Angeles Electric I j0001 /0001 r" l ..City: otPortAnpaIu Pilmtt Application d` 4.•<.. BuMldGpnlile iValOitedbalpiaware ea Pprli00eleaW4$5000,p902 Plr(0)i1T0)i11�if11 r_-. Date: 9 rl 8 SIngIe Fmk DweAing _L MuI(�Fe ➢y a Coacnardaf Corrugerdat -Ad cn /Altentlon Remodel Roper Jod •Atld�sse:' Curr_ Qle to Elp Pelion Sheet BuPdl Sgirara.Foo>epe y 4/10 DeecdptIon.oi.above t r ,Name: li l� 4 M ml! Add 52. A T ,Mai ntt:� City; !.i Stets Zip: .11:07-: ar ei�A4t� State: wrr- Dp: fta6� Phone i at Phone:. -fzzyyY Fero S. 2—IZ lken9elYY_ Lloenae /EJ, .9A s viz Aes 1 7 1 5 Z. 9 7-65 :.::Unit'O 911 Total (Otv Multlolled by Upft Chamett. :19:90': Service/Feeder200Anip ':4'14540' WeelFeeder201400Amp. ••Y204.60 SenMoelFeeda401400Mp: 126220 1 SeMcaFeeder8014000 MO. .::1372:50 i SenbdFeeder over 1000 Aep. 200 Branch C6adtW(Si*, Feeder i !hand 9406110 8iMoe Feeder .a ';2a0 7 Each AddlemelWarattOro* 82.70 Temp. Sent* FM/ MODO t. 4110.30. i Temp. 8endodF.eder201400,:Mp. :1148.70 1_ Tome. lessiowyeeder401100Arre. ".S107403 Temp. .001- 1000 5:90 1 Pored to PormLHoiay 1 O10 8 UDhfnp 1500 iti 00 x530 8gnal C mitt Lilted tire�pr— CQnrrrondel. Add�el _;;63.80 8 WOO Witttitled EnIOy -1 i2 Fe* Dean 2' w53.00 8 Rind Ctwp LIWled•EMigy M�Fmily DAMS 11!.90 McMeob md.elorno Cceinedim 1 102.30 8 Rakes EieebkdG ip y'- SKVASpafemartess Fist 1300 ts `$:110:30'. 8. queie FQ 6. 3520 Eadr AedAbnel I00.8pare Ft per Poraon of i .73:50 Eadi Out tldUq or breed Gape 4'r,. M i Swlnn*PO6larlfotTub 8 Total ''OY r aid e fteedby' RCK1L2 L2I1: p )tlwnenral occupy tlnatreohee fbrw e$v sefM( hla. elecblalpumlthMcOn dfpOwne►leng toabe.aaelnebtalconbeetor0 aboveuWpnpri itinsab,: entorbep. nnsNo.:phis ally abrnrarthse tlippee0bn, Affer'iiadlnp the pbMiteisEmwd; I hereby certify that I am the Omar of the above fund property ore Ilaneed eledrkal contractor. tarn Making the elect dralirrbefetlon or e1aifiddi •btsemp05ru'eWNh'tlre sNcf NEC, RCW. Cha 19Za,WAC. Ch 29b1I9 The Clty of PORAnpela Munk pai Code d UPI .:40 0, 1>! 4ir1: 4 VOW sleeltledcentreetororeleobiW administrator Cheek q De .A0.-- aorta OYOed t4: CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001149 Date 10/12/11 Application pin number 558047 Property Address 201 W 4TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -0- 7180 -0000- REPORT SALES TAX Tenant nbr, name ALLEN S STURDEVANT Application type description MECHANICAL APPL. PERMIT On your state excise tax form Subdivision Name to the City of Port Angeles Property Use Property Zoning RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation 3675 Application desc MINI -SPLIT HEAT PUMP SYSTEM Owner Contractor ALLEN AND SARAH STURDEVANT PENINSULA HEAT INC P 0 BOX 1617 782 KITCHEN -DICK RD PORT ANGELES WA 983620196 SEQUIM WA 98382 (360) 452 -5648 (360) 681 -3333 Permit MECHANICAL PERMIT Additional desc MINI -SPLIT HEAT PUMP.SYSTEM Permit pin number 194506 Permit Fee 64.80 Plan Check Fee .00 Issue Date 10/12/11 Valuation 0 Expiration Date 4/09/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Fee summary Charged Paid Credited Due Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 n vial 1 3 I 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 st a or local law regulating construction or the performance of construction, //Z l C ta 4 5 6✓1 3 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 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 Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -ln Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Stab Wall Floor Ceiling v MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date ti'' I la' Accepted by Jt4 MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.VV. PW Engineering 417 -4831 Fire 417 -4653 3 Planning 417 -4750 Building 417 -4815 C N 1 H 1 N 1 H I W W 1 u H a s a Q r m w 1 a Lo Lo m r v N H N 10 m 0 O H O O N io 1 W 10 o w F H a H w W w o Z Ea: m W m 1 40 0 o a o w 10 10 1 40 40 w F U E m a s 40 G] 0 H a l N W z F 1 m Q Z N 2 O O i H H H 4 1 N 10 U u i 10 Z Z N 0 H w W i [0 w H H z a a i W w o W mm a z Na E Z z O o a Qa E H H H U a F\ U o U U F a a m H H a 00 wOa m V1 U a H a00 EQa E�m z j o H H U F z z m O w H m U H W HF 8 En 1. N t m mxm 01 Hw a i ror C O d H a x m Q m H z O H S1 .7 a O O m o Q Q M (1)10 I [41-1[400 i. H H H H U' i H a z a I m w o a W a LO H a N a a a O H 000 \E. W O 'r ,r x 10 a rxu °a cc, o w w Q F GI c/1 440 E 0 o wF AZZZz Xd a m al-1,04403,4 U F E PROJECT STATUS UPDATE Permit l H U 1 21 W 4- Date: 1 4 6 t 2- 1 phoned the: Applicants I n9u1a 4 at 1408 I333 3 Property Owner at Contractor at I (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. Co rcu1 T:Forms /Building Division/Project Status Update Oct 12 11 02:07p PENINSULA HEAT 3606812086 p.2 BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received 10 Z— (1 Permit# �Iy� City of Port Angeles Piease print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5` St., Port Angeles, WA 98362 360- 417 -4815 fax: 360-417-4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mort-Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person 1 Phone: ✓!e rr /t i> 3 Property owner 4� �er1 r� h Svr�P l e-r,� j 7 Phone: '5 yg Property owners mailing address: Contractor's business name: Perj Phone:. (or property owners name if he/she is doing /overseeing the work) 4:% 33 Contractor's mailing ad res d l r h1 `i-7 Contractor's &l license number: Expiration date /6 I /VIZ- 9 Project Address: Project Type: arl(esidential Cornmerciai o industrial c Multi family Project Business Name: (for commercial, incustrial, or multi family projects) The following permits are usually issued cver- the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re -roof: o house o garage o other to tear off re -roof Q lay over one !aver Licensed contractor: Submit a copy of your re -roof bid. Project Valuation S (labor materials, not including sales tax) Re -side: c house o garage o othe Project Valuation (labor materials, not including sales tax) ,Repair: (explain the protect) Project Valuation *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, b reflect the value the repair adds to your property. Cost of materials x 2 Prcject Valuation T :Forrns/Building Division /Building /Plumbing /Mechanical Permit Applicaton— Short Forrn (Revised 2011) Page 1 of 2 Oct 12 11 02:07p PENINSULA HEAT 3606812086 p.3 Swimming Poo! or Spa 24" deep): For prefabricated swimming pool or spa projects that do not require plan review: Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation S Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? a house o garage other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. a yes no Will the debris be going to the Regional Transfer Station ir: Port Angeles? c yes o No If yes, will a licensed contractor be taking it there? (1) If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: (explain the protect) Project Valuation Mechanical Permit: (explain the protect) Project Valuation 7< have read and completed this application and know it to be true and correct. l am authorized to apply for this permit and understand that it is my responsibiiit o determine what ermits are required, and to obtain permits prior to wonting on projects. Date /6//24// Signature 6/1 Print Name ec_ y��� Page Clallam County Assessor Treasurer Property Details 56150 ALLEN AND SARAH Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 56150 ALLEN AND SARAH STURDEVANT for Year 2011 2012 Account Property ID: 56150 Legal Description: LOT 20 BL 71 TPA Geographic ID: 0630000071800000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location v sys. Address: 201 W FOURTH ST Mapsco: PORT ANGELES, WA 98362 Neighborhood: PA East Res Map ID: 2 Neighborhood CD: 5001000 Owner Name: ALLEN AND SARAH STURDEVANT Owner ID: 54838 Mailing Address: PO BOX 1617 Ownership: 100.0000000000% PORT ANGELES, WA 98362 -0196 Exemptions: Taxes and Assessment Details Property Tax Information as of 10/12/2011 Amount Due if Paid on: E. NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year s Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2011 150903 $880.37 $880.30 $0.00 $0.00 $1760.67 $0.00 Statement Details 2010 39204 $843.44 $843.40 $0.00 $0.00 $1686.84 $0.00 Values Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 10/12/2011 3:47 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =56... 10/12/2011 ELECTRICAL PERMIT t CITY OF PORT ANGELES 360- 417 -4735 Application Number 11- 00001116 Date 10/07/11 Application pin number 885988 REPORT SALES TAX Property Address 201 W 4TH ST our excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-0-0-7180-0000- on y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use •(Location Code 0502) Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc Ductless heat pump Owner Contractor Name: ALLEN AND SARAH STURDEV OLYMPIC ELECTRIC CO INC P 0 BOX 1617 4230 TUMWATER 201 W FOURTH ST PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 457 -5303 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 194118 Permit Fee 73.50 Plan Check Fee .00 Issue Date 10/07/11 Valuation 0 Expiration Date 4/04/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN ..7-8 1 1 0 O FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 10/06/2011 09:51 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT Z 003/003 RECEN 1 OF pORr4 OCT 6 1.1 11 c e CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections ELECTRICAL L 321 East Firth Street P.O. Box 1150 Port Angeles Washington, 96362 INSPECTIONS Ph: (360) 417 -4735 Fax: (360) 417 -4711 Deb3: //1 _,1 _,1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: ..,,,,t/ y Cf S/T Building Square Footage: Description of stove eit-?"..: f 4'r �',rrr� 7%Cs r 7 Owner In 0 on Contractor Information Name: 1 i Name: OLYMPIC ELECTRIC Meiling Address: ,6-74 /3.0 /6/7 MaingAddreaa: 42 TUenWATER City oifj9. •Gf Stele 4.1-7 B f 51:7 (;itt PORT ANaELB Slate: WA Tip: 9 8363 Phone: 4 /1.7.2. 4 ","d Y," Fa[: phone: 457 -53 03 Fax: 452_3 i,913 Ucenee Exp. License 0/ Exp. OLYMPE B5D1 !tam Unit Charge guy Total (Qty Multiplied by Unit Charm) ServicelFeeder 200 Amp. 5119.90 Service/Feeder 201.400 Amp. 145.50 Service/Feeder 401.600 Amp 204.60 SendcelFeeder 601 1000 Amp. 26220 Sainte/Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Say ice Feeder 73.50 _L 77. r Each Additional Branch Circuit 260 Temp. Sendai Feeder 200 Amp. 92.70 Temp. ServioelFeeder 201.400 Amp. 110.30 Temp. Service/Feeder 401600 Amp. 148.70 Temp. ServicelFeeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign/Outline Lighting 8820 5 Signal CircuiU Limited Energy First 1500 st-. Commercial 95.90 Note: 55.00 for each additional 1500 al Signal CIrculU Limited Er& -1 2 Fan* Dretling 63.90 Signal CirauiV Limited Energy Multi-Family Duelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Emir/ 510/A Spsiem or Less $102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square FL $110.30 Each Additional 500 Square or Por6on of 35.20 Each Outbuilding or Detached Garage 7150 Each Swimming Pod or Hot Tub 5110.30 73. M Total Owner as defined by RCW.19.28.261: (1) Owner will =spy 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 elecbtcal Installation or alteration it compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Minioipal Code, and Utifty Specific:ations and PAMC 14.05.050 regarding Electrical Permit Applications. Signature af owner, electrical m��eder or elecbkai adminlstrator 0 Cash Check �y7 ®Cr Card M Dare: /a/6/// 011012010 ,o,, CITY OF PORT ANGELES  PUBLIC WORKS - BUILDING DIVISION 321EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 1/28/2002 PERMIT NO: 13202 OWNER/APPLICANT PROPERTY LOCATION 201 4TH ST W JULIE KANARR 201 W 4TH STREET Lot: 20 Port An§eles, WA 98363 Block: 71 [] Long Legal 360/000-0000 Subdivision: TPA T: S: Parcel No: 063000007180000 CONTRACTOR ARCHITECT LARRY'S ROOFING N/A 352 AVIS ST Port Angeles, WA 98362 , 98360-0000 360/452-2215 360/000-0000 PROJECT INFO Project Value: $5,000.00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 ~'~ Zoning Use: PROJECT NOTES TEAR OFF, SHEET, FELT, COMP. RECEIPT# 8731 FEES ASSESSMENT Building Permit: $111.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $115.75 Plumbing: $0.00 AMOUNT PAID: $115.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 I Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 Eom the lest inspection. I hereby certify that I have reari and examined this application and know the same to be true and correct. All provisions of laws and ordinance,,s.~oveming this type of work will be cemplied with whether specified herein or not. The granting of a permit does not presurr~e, to give aJOt.,bbdt~ to violate or cancel the provisions of any state or local law regulating construction or the performance of Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNL/IWFUL TO COVER, INSULATE OR CONCEA£ ANY WORK BEFORE INSPECTED AND /4CCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE '~ i '~ ~ ~ INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL CEILING FRAMING JOISTS / GIKDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB [ WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PER341T #'s SEPA: PARKING/LIGHTI NG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 ,/,/~ ~,~ PLANNING DEPT. BUILDING 417-4815 [ ~ BUILDING C:L~,PPL.WPD CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15216 /1-/' . )' Port Angeles. Washingtonm___n_m_____n___n_____________________________n_n____, 19______:_ 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 elect~ical work as listed below. -'" / I </L_/ Address ----i:.--:m--mn-m-;G:z.:::.:---~-"'-------------------.nnn-----------..--- Occupancynn/.1n__:_L____nu__.____________m_nn__ Owner m_"n.___:k:tJ.._______L_C_n{-""-:!:_~_:'_'::::______u________ TenanL__mm__nmm_n_mn_m__________m__m_________________m___ Wiring C:ntractor __n-'_::{?_n_1.~__'_'_':n"'~_~n_"_~_______n_m____n By________-'-'_n_-'___nm_nm_____m____n____n____m_n____-'__ Light OutletB......................_................... Service, volts _J.n~:n~n)~e_(_5......... No. wires nn___~__._________...___...n___nn :11:1: ;:::B:::tJ;:~~i::::::.-:: Enclosure -----5------------000.------------- Type of wiring: Entrance Cable ___..______..___000______..00 Receptacle Outlets...._______.____________....... Dryer, KWj........________....___..___ Range, KW _mnnn_______m__ Water Heater: KW..______....___..n.........___..___ Heat' RW.......I./...l3.B..................... Rigid Conduit ___________._ Motors: size, volts and phase: Metallic TUbing ___.h__..n.___h._.____h Current transformers: No. & Size__nn__nn_nnn_nnn_._n_____n. Ser. NO.nnn.n_.nnnnnn_nn______.nn_.n.. Ser. No.._.___________.______.._______......_......_.. Type of Wiring: Armored Cable. Non-Metallic ..._.00..00_....00____00.__000000 Knob & Tube_._____.n___._________..___..__. Rigid Conduit __m__m_______.m.______... Metallic Tubing ________.___.__n______nn Race"\vay .n__...n_.__.__nn.._._.__n.______.... Circuits, LighL.......h.....____...._......._______ Utility nn..n__n._..n___.........__n_______nn Heat ___nn__nnn...nn_____nn_.nh........._ Range _______..__........._...._._.....____________ Water Heater n_m________________________. Motor ________.___.._...____.._....___..._....___.. Dryer..___n___________n______nn___._______.__n____ 0000-00--000000-----00000000-00--00-----0000-0000---.00.... Ser. NO..__nn_...nnn_____nnnnn__n_nn__._. Furnace ...._..nn_n............____n..__.. Total Load..........................__. Se,. No__. . I Total .........._............................ ::=:~:~:m:-::::::::::::::::~:::::::::::~:~:::'=:::::::~::::::::::~=/:~-:=..~:..::~~::::~:~~::::~::::::::::::::::::::::::::::::::::::::::: Permit Fee Treas. Receipt ~/ y ~ . -/ I .' $_______.___________________._________. No.____________________________ By ___-:::L_:-,J___,_:_v.:.(_,_____-:.fL':cJ.~_c!:_L:__',"~____..____ NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION / //;<.; E!j ,). (Y 0 ,-1 ELECTRICAL PERMIT N? 15216 Datecalle(f;loj.:ispectfori___~__.,t;0i.----.---.-----...----------.----------..-------.------.---..---------------..---..!/._____:/.o..__..=____?__~____~_______ .ny'/ ett!ll'n .,I~. (.(JA) '--- ~::;~:::::~::leted_:;2t~~~.:::~~;:::::::~~::~:::.::::::::;::~:::.:::-:::::::.:::.::-:::::::::.::.::::::::::::::::::::::::::~~::::::::::::::::::~::::::::::~:::::::~ Total Load ._......_....______._______._____._____.._______.__.___________..______.____.____________ ._.__. 1M 3-72 Olympic Printers, Inc. ELECTRICAL PERMIT CITY OF PORT ANGELES_ - 360-417-4735 Application Number 16-00001632 Date 11/01/16 Application pin number . . . 728448 Property Address . . . . . . 201 W 4TH ST ASSESSOR PARCEL NUKBEk: 06 -30 -0¢ -0 -0 -7180 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning RESIDENTIAL HIGH,DENSITY Application valuation . . . . 0 -------------------------------------------------------- ------------ Application desc Heater circuits and clean up ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------- ---------- ALLEN AND SARAH STURDEVANT APS ELECTRIC P O BOX 1617 546 BENSON RD. PORT ANGELES WA 98.3620196 PORT ANGELES WA 98363 (360) 452-5648 (360) 452-6753 -------------.-.----------------- Permit . . . . ELECTRICAL -ALTER RESIDENTIAL Additional desc 1-4 CIRCUITS Permit Fee 75.00 Plan Check Fee .00 - Issue Date 11/01/16 valuation . . . . 0 Expiration Date 4/30/17 Qty Unit Charge Per Extension — BASE FEE 75..0,0 ------------I--------------------------------------------------------------- Fee summary Charged Paid Credited" Due ------------------ ----- -------- Permit Fee"Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 REPoar s.AtE ! TAx on your exc#se tax form to the City of Port Angeles (Location Cade 0$02 i i INSPECTION TYPE DATE: RESULTS: INSPECTOR DUCH SERVICE ROUGH -IN FINAL COMMENTS: 1 FEMMIT WILL EXPME SIX (6}MOMHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date'. G.IEXCHAN"UILDNG 10/31/2016 03:21PM 3604526753 A.P.S. ELECTRICAL PAGE 03/03 I CITYOF PORT ANG,ELF.S PERMTT APPLICATION ftikUng DivisioRMeetrical Usk 321 East Fid Street _ P.O. Sax 1150 t Port Angeks Washington, 98362 Ph: (360) 4174735 Fax: (360) 417-4711 tom: )a> -3f -)L 1 & 2 Single !=*;Wily Dm ing �ta��; 1 Regia-0fined, Ple ompiete Ele�'icat Plan Review Infortr►ation Sheet of s6ovFt�,� -Arht is 1 'n'l_i- � : . Owner info fi �a 16}-dr� r +! of s6ovFt�,� -Arht is ,� � � �2 e� n ct � 'n'l_i- � : . Owner info fi �a 16}-dr� r +! " le.G�` rl� �p Aho r Hama '� 1 Nft Address Ni - Adtew, e% ne. � Cr7yr 181Fe:_ —ZIF CiV Z11).� Phew f -50--5CYb—Farc NOW Fac Um= % Exp. i.;oense i# /Exp. Wn V$ �� 9!Y- T21d& ► UuMAW by Una! Cltjg gj S eedeE 200 Amp 5ervoJFeeder 201-400 Amp. $198.00 $ Servtce<Feeder 401-M Art3p $ 205-00 $ ServlcalFeeft 601-1000 Amp. $ 28200 $ SavioalFeeder over 1000 Amp. $ 373-00 $ BranCh Cired W/ Service Feeder $ 5.00 S Branch CirrruitW/0 Service Feeder $ 63.00 Each Addi fond Branch Ci=A $ 5.00 • S Branch OrW41-4 $ 75-00 Temp- SerYroef Feeder 40 Amp- $ 93.00 $ Temp, SwApelFeeder 2031400 Arrrp- $110.00 $ Tenn- Servimfeeder 401-6W Amp. $ !49.00 $ Temp. Svyic4eeder601-1000 Amp $168.00 $ Porti to Portal Hot* $ 96.00 $ - Signei CkmiY #ruffed EneW -1 & 2 Fa* DweFurg $ 64.00 $ Mmjhx ured Home Connectim $120.00 S Renewable E*hfcal Eroergy - 5KVA System or Less $10200 $ - TherYno A $ 56-00 S Nola $5-410 for each additonal T -SW NEW Ci;iRtlCifOH QNLY: Fust 1300 Square Ft $120.00 t=act Addi rW 500 Square Ft or Portion of $ 40.00 $ Earh Ouftffmg or Detidied Garage $ 74.00 $ Each Sr m *g Pool or Not Tub $110.00 - — $ '� `� .Total Owner as defined by RCW.19.28261: (1) Owner vA ocawy the sbvctWre for two yeas ager this eiecWW.. permit is finalized. (4 0WW is mq ired to hire an ekt ical contractor if above said property is for We, teat or lease. POMA 6*% of bet suc months of W. inspecoon. After read% tie above sWorw% I hereby ce;* that I am ft owner of the above named property or a licensed Weetribi ooriiractor. i an mafdng the electrical instaii8tion or alteration. in complanee with the electrical taws. KE -C-, RCW. Chapfr'.r 19.28, WAC, QWW 20646B, The Cttr of Port Angetrs Municipal Code, and Utft Spedftations and PAMC 14-0&050 regarding eersrical, Permit Appircaflons. Signatvry of *%ww, electrical contractor or electrical adningotrMarr B CM& 13 Chock 1r �cnxncxd# 61-1 A.i1� X ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 16-00001632 Date 11/01/16 Application pin number . . . 728448 Property Address . . . . . . 201 W 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -7180 -0000 - Application type description ELECTRICAL' ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . , . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heater circuits and clean up ---------------------------------------------------------------------------- Owner Contractor ALLEN AND SARAH STURDEVANT APS ELECTRIC P O BOX 1617 546 BENSON RD. PORT ANGELES WA 983620196 PORT ANGELES WA 98363 (360) 452-5648 (360) 452-6753 -------------;------------- Permit . . . - - - . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 11/01/16 valuation . . . . 0 Expiration Date . . 4/30/17 Qty Unit Charge Per Extension -BASE FEE 75.00 -------------------------------------- Fee summary Charged - Paid Credited ---------- ---------- Due ----------------- Permit Fee Total ---------- ---------- 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 INSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN FINAL CONdVIENTS : PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X GAEXCHANGEWILDING RESULTS: REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR: Date: •