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Home My WebLink About515 W 4th St - BuildingBUILDING PERMIT OWNER/APPLICANT IRENE SMITH FORKS, WA 98360 360/374 -9846 T: PROJECT INFO Project Value: $3,500.00 Project Type: REROOF Occupancy Type: Occupancy Group: Construction Type: Zoning Use: PROJECT NOTES TEAROFF,FELT,COMP FEES ASSESSMENT Building Permit: $97.25 Plan Check: $0.00 State Surcharge: $4.50 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 Plumbing: $0.00 Mechanical: $0.00 Radon: $0.00 laws and ordinances o presume (<p give aut o construct' Signature of Contractor or Authorized Agent Date CITY OF PORT ANGELES PUBLIC WORKS BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 S: CONTRACTOR ARCHITECT LARRY'S ROOFING N/A 352 AVIS ST Port Angeles, WA 98362 98360 -0000 360/452 -2215 360/000 -0000 ISSUED: 8/10/2001 PROPERTY LOCATION 515 4TH ST W E1/2 LT16 ALL17 SFD Units: 0 Commercial: 0 SFD SQ FT: 0 Industrial: 0 Garage: 0 MFD Units: 0 MFD SQ FT: 0 Misc Fee 1: Misc Fee 2: Misc Fee 3: Lot: Block: 74 I Long Legal Subdivision: TOWNSITE Parcel No: 063000526584000 TOTAL FEE: AMOUNT PAID: BALANCE DUE: PERMIT NO: 12858 $0.00 $0.00 $0.00 $101.75 $101.75 $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 ming this type of work will be complied with whether specified herein or not. The granting of a permit does not to violate or cancel the provisions of any state or local law regulating construction or the performance of Signature of Owner (if owner is builder) Date INSPECTION TYPE BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING 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 DATE I ACCEPTED I YES I NO I FOUNDATION: I FOOTINGS I I I I WALLS I I I I I FOUNDATION DRAINAGE I I I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: 4 ROUGH -IN I I PLUMBING I UNDERFLOOR /SLAB I I ROUGH -IN I I WATER LINE I I 1 GAS LINE I I BACK FLOW WATER I I AIR SEAL I WALLS I I CEILING I I I I FRAMING JOISTS/ GIRDERS I I SHEAR WALL I I WALLS ROOF CEILING I I DRYWALL I I I T -BAR I I INSULATION SLAB WALL FLOOR CEILING I I MECHANICAL HEAT PUMP I I WOODSTOVE PELLET/CHIMNEY INSERT I I HOOD /DUCTS I I PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT 4's: WATERLINE METER I I SEWER CONNECTION I I SANITARY i I STORM I I PLANNING DEPT. SEPARATE PERMIT II s PARKING /LIGHTING LANDSCAPING C:\APPLWPD SEPA: ESA: SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE COMMENTS RESIDENTIAL I DATE I YES NO I COMMERCIAL I DATE I ACCEPTED NO ELECTRICAL LIGHT DEPT 417 -4735 I I I ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. PW/ I I I CON CONSTRUCTION W ENGINEERING 417 -4807 FIRE 417 -4653 I I I FIRE DEPT. I I I PLANNING DEPT 417 -4750 X 4, Y4,_ d_ I ,r�� I PLANNING DEPT I I I BUILDING 417 -4815 K 9T I L/ I BUILDING I I I 7 FEE RECEIPT NUMBER TOTAL FEE CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT ,-Ic /P /s2 c L. I CONT.LIC. NO. I TIME TO COMPLETE ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address r/ fit/ -7- T4 CORRECT ADDRESS IS R PONSIBILITY OF APPLICANT Owner e n c. Y -S rs1 7-71 Owner's Address ACC S Lc 4" Day Phone- 5e..r2 7/ 9 .S` Application is hereby made for Permit to install Electrical Equipment as follows: .ZOO JaMO bra ,r.l'�.✓ ✓4w�. /cJ. e /...r Wiring Method USE OF CIRCUIT LIGHT LIGHT I CONVENIENCE CONVENIENCE I APPLIANCE I DISHWASHER I DISPOSAL I RANGE I OVEN I WATER HEATER I LAUNDRY I DRYER FURNACE GAS OIL FURNACE ELECTRIC ELECTRIC HEAT ELECTRIC HEAT A.C. UNIT FEEDER SERVICE Date Permit Issued I WARNING OLYMPIC PRINTERS. INC. 'AMP NUMBER PER CIRCUITS CIR; SUB -TOTAL 1 240V 120V 1 0 OR FEE 10 30 PERMITS WITH WRONG ADDRESSES/RE CANCELLED Installation By l e J r i ti A AS s Be c Installers Address Er i-✓ y Installers Phone t- LS Q 9 NUMBER A USE OF CIRCUIT AMP CIRCUITS CIR SIGN 50 VOLTS OR LESS MOTOR MOTOR MOTOR FIRE ALARMS BURGLAR ALARM REINSTALLATION LIGHT FIXTURE It SUB TOTAL FEE ENERGY FEE BASIC FEE TOTAL FEE By PLANS APPRbVEd- WHITE Original CANARY Duplicate PINK. Triplicate WHITE CARD Inspector's Report PERMIT NUMBER NO. STORIES I LEGAL OCCUPANCY 120V 10 "ex 240V 1 0 OR FEE 3 SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER —24O AMP /0 PHASE SIZE OF SERVICE ENTRANCE C NDUCTORS A.W.G. SIZE OF GROUND 'V SIZE OF ENTRANCE SWITCH 2 o 1 I certify that the work to be performed under this permit will be done by the installer and in rmance with the N,E.C.,Efectrical Code. Date Application mada /VfAS' Si- 107 By_ CONTRACTOR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City, of Port Angeles. IRE CJf CITY, LIGHT Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. Permits Phone: 457 -0411 Ext. 156. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK SEE OVER DATE OF VISIT 0116 MADE BY u REPORT OF INSPECTOR ro 211/4) t1/4-C L ri7 At t (r '7'o of fT A 4134n T N s lYrI L Mc_ O.K. TO CONNECT SERVICE REMARKS I10T I a s At 50 A-7' 'l}I I S tvo'ft SkiAtA.M ThW A-1 CD I o� ML L+ LP' -M S CITY OF PORT ANGELES PERMIT APPLICATION Building DivisionMectrical Inspections 321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 95362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: I - gs-7 -i 1 & 2 Single Family Dwelling �L SP 2 6620 * Plan Review May Be Required, Ple Be Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above Owner Information Name: 111 eve -5 6,a Mailing Address: Maiiing Address: _ W City: City: State: Zip: Phone: Phone: X15- `IS-gS Fax: t-icense # 1 Exp. License # 1 Exp, C3yt Item Unit Charge Service/Feeder 200 Amp, $120,00 ServicelFeeder201 -400 Amp. $ 146,00 ServicelFeeder 401 -600 Amp $ 205.00 ServicelFeeder 601 -1000 Amp, $ 262.00 Service /Feeder over 1000 Amp, $ 373.00 Branch Circuit W! Service Feeder $ 5.00 Branch Circuit W10 Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ . 75,00 Temp, Service/ Feeder 200 Amp. $ 93.00 Temp. ServicelFeeder201 -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 Family Dwelling $ 64,00 Manufactured Home Connection $ 120.00 Renewable Electrical Energy - 5KVA System or Less $ 102,00 Thermostat $ 56.00 Note: $5.00 for each additional T -Scat 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 Mot Tub $110.00 ELECTRICAL MSPECTIONS Contractor Name: Mailing Address: City: State: Zip: Phone: F x t-icense # 1 Exp. C3yt Total (Qty Multiplied by Unit Charge) $ $ $ $ $ $ $ $ $ $ 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 alterati in compliance with the electrical laws, IV,E,C , RCW. Chapter 19,28, WAC, Chapter 296.468, The City of Port Angeles Muni 'p~Code and U ' Specifications and PAMC 14.05,050 regarding Electrical Permit Applications,�� Signature Winer,�e ectri c ntractor or electrical administrator: ❑ Cash ack Credit Card # X Dated: �-2 0110112012 S p f 5'62 sub fy t r � I- rS. I ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 . Application Number . . . , , 14- 00001149 Date 9/25/14 Application pin number , . . 793162 INSPECTOR: Property Address , , . . 515 W 4TH ST ASSESSOR PARCEL NUMBER; 06-30-00-0-0- 747E -D000- SERVICE Application type description ELECTRICAL ONLY Subdivision Name . . . , , , ROUGH -IN Property Use . , . . . , , . Property Zoning , . , . , , . R97 RESDNTL .SINGLE FAMILY Application valuation . , . . 0 COMMENTS: Application desc Ductless heat pump Owner Contractor SMITH IRENE S BLACK DIAMOND ELECTRICAL CONTR PO BOX 944 502 SLACK DIAMOND RD FORKS WA 983310944 FORT ANGELES WA 98363 (360) 565 -1035 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee 63.00 Plan Chec]s Fee 00 Issue Date 9/26/14 Valuation 0 Expiration Date 3/25/15 Qty Unit Charge Per Extension 1.D0 63.0000 ECH EL -R- BRANCH CI WO/ SER VEEP 63.00 Fee summary Charged Paid Credited 1)ue Permit Fee Total 63,00 63.00 .00 .00 Dian Check Total 00 ,00 .00 .00 Grand Total 63.00 63,00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT' WILL EXPM SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAIEXCHANGMBUILDING Y