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HomeMy WebLinkAbout1416 E 3rd St - Building Fire Permit , 1416 E 3 rd St 12 -018 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5" Street, Port Angeles, WA 98362 Application Number . . . . . 12-00000018 Date 1/09/12 Application pin number . . . 883520 Property Address . . . . . . 1416 E 3RD ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-6-0039-0000- On your State excise tax form type description FIRE ABANDON TANK INSPECTION Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 665 ---------------------------------------------------------------------------- Application desc abandon tank in place ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KONO TTE IRENE S COZI HOMES CONSTRUCTION INC KONO FAMILY TRUST 324 E 9TH ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-9906 ---------------------------------------------------------------------------- Permit . . . . . . UNDERGROUND TANK RES Additional desc . . RESIDENTIAL TANL ABANDON Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . 1/09/12 Valuation . . . . 665 Expiration Date 7/07/12 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 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 provisions of any state or local law regulating the work specified in the permit. Signature of Contractor or,//Authorized Agent Date Signature of Owner(if Owner is builder) Date 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 Ohl Inspection Type Date Passed Comments , FIRE SPRINKLER �V a 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 Completed by Contractor: Underground piping inspection/pressure test Test#I Above ground piping inspection/pressure test Piping pressure test psi Tank(container) inspection Time initiatedTest#2 Appliance inspection Piping pressure test psi Time initiated LP-gas final UNDERGROUND STORAGE TANK(UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER(specify) permit final 1 GENERAL COMMENTS: 2/15/00 Abandonment or Removal of a Residential Fuel L� Storage Tank (1.100 Gallons or Less) Permit Application CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician [Date Received t n /2_ 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 Building Division Permit# / Z (360) 417-4711 Fax Phone L-( Applicant or Agent ,� ',. Property Owner t" `j � � Property Owner's Address t�( Cc� . Contractor C Phone C.? 0 0_aC Contractor Address n - License # t ` Expires PROJECT ADDRESS Type of liquid stored in the tank �� Tank size (in gallons) > r tr 1 Total project valuation Requirements & Limitations: • Issuance of a permit is subject to compliance with the listed requirements and field inspection approval by the Port Angeles Fire Department 360-417-4653. • All tanks must be completely pumped out. Remove all flammable and combustible liquid from the tank(s) and connecting lines. Use a hand pump where practical. • Residential underground storage tanks may be abandoned in place or removed. • There shall be no welding, cutting, or other source of ignition in the area while abandoning operations are in progress. • Welding or cutting tanks requires a separate permit from the Port Angeles Fire Department 360-417-4653. • If the tank is removed and stored temporarily on-site, it shall be placed in a secure location and be blocked to prevent movement. The tank shall be made inert prior to transporting. The hole. created by removing the tank shall be filled with suitable material. (earth, sand, etc.). Check which option will be used to abandon the tank: 1) k fill, vent piping., and tank completely removed. 2) Tank fill & vent piping removed:. Tank filled completely with an.inert mixture such as sand slurry. Page 1 of 2 Site ©ia_iram: Show the number, size, and location of the underground storage tank(s) with reference to the existing home and nearby street(s). 1 have read and understand the requirements of this application. Date Print Name "tJ 5 Applicant's Signature. To be completed by the!Fire.Department Method of abandonment: O Tank removed �n Tank filled with inert mixture T:Forms/Building Division/Abandonment or Removal of Residential Fuel Storage Tank Permit Application.doc Page 2 of 2 PREPARED 4/03/13, 15:56:50 INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF PORT ANGELES ------------------------------------------------------------------------------------------------------------------------------------ APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR ------------------------------------------------------------------------------------------------------------------------------------ 12 00000018 1416 E 3RD ST 06-30-00-5-6-0039-0000- 063000560039 000 000 RTNK 00 UNDERGROUND TANK RES FRUT 0001 FIRE UNDERGROUND ABANDON 10/29/12 APPROVED JP REQ COMM: October 29, 2012 10:50:19 AM jpatters. RES COMM: October 29, 2012 10:50:37 AM jpatters. RES COMM: April 2, 2013 4:14:02 PM pbarthol. ELECTRICAL PERMIT CITY OF PORT ANGELES N 360-417-4735 Application Number . . . . . 11-00001279 Date 11/14/11- Application 1/14/11Application pin number . . . 788107 REPORT SALES TAX Property Address . . . . . 1416 E 3RD ST our excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-5-6-0039-0000- ony Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . . . . . Property Use (Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor KONO TTE'IRENE S ANGELES ELECTRIC . KONG FAMILY TRUST 524 E. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-9264 ------------------- ----------------------- ------------------------ Permit . . . . ELECTRICAL ALTER RESIDENTIAL �o Additional desc . . REPLACE MAIN BREAKER Permit Fee . . . . 119.90 Plan Check Fee .00 Issue Date . . . . 11/14/11 Valuation . . . . 0 �- Expiration Date . . 5/12/12 Qty Unit Charge Per Extension v 1.00 119.9000 ECH EL-0-200 SRV FEEDER 119.90 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ^ Permit Fee Total 119.90 119.90 .00 .00 \� Plan Check Total .00 .00• .00 .00 Grand Total 119.90 119.90 .00 .00 V V V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 3 7� FINAL Z COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTI-IS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGE\BUILDING 11/09/2011 17:43 FAX 360 452 9265 Angeles Electric Z0001/0001 • Gam'. ..C1ty;of.Aork•An�ol�:PirmltAppllOatton ����u�� I 1 " 6uIIdlnQGiylt(odhllpbiallkulplWbnt Un ��111�iaE�l��ei�`��+:�,;O:�got 1150 •� �-� pgrl'IGi0l NiilMbldblj; m � Ph6011? 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WPI aitaiorltiipampii�6itellh •�0!�bwolo�nu,N�btalawfndororiNdrkaiadminfatrator 0 Ca2A _ • CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 09 00000999 Date 9/28/09 Application pin number 343562 Property Address 1416 E 3RD ST ASSESSOR PARCEL NUMBER 06 30 00 5 6 0039 0000 Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 6200 Application desc re roof Owner Contractor KONO TTE IRENE S WOOD CONSTRUCTION CO KONO FAMILY TRUST 334 SUTTER RD PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 460 0453 Structure Information 000 000 REROOF Permit BUILDING PERMIT NO PR FEE Additional desc TEAROFF COMP Permit pin number 154310 Permit Fee 165 75 Plan Check Fee 00 Issue Date 9/28/09 Valuation 6200 Expiration Date 3/27/10 Qty Unit Charge Per Extension BASE FEE 95 75 5 00 14 0000 THOU BL-2001 25K (14 PER K) 70 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 165 75 165 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 170 25 170 25 00 00 f h e� 44 7-09 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 p2S!" I/..z�' DI Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit C BUILDING PERMIT INSPECTION RECORD - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS-- —0 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 INCONSPICUOUS 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-In Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. Walls Ceiling FRAMING. Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling (� Drywall(Interior Braced Panel Only) 1 , , T-Bar INSULATION- Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 1 Construction R.W PW /Engineering 417-4831 Fire 417-4653 Q Planning 417-4750 q Building 417-4815 L� T Forms/Building Division/Building Permit PREPARED 10/07/09 8 42 04 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/07/09 ADDRESS 1416 E 3RD ST SUBDIV CONTRACTOR WOOD CONSTRUCTION CO PHONE (360) 460 0453 OWNER KONO TIE IRENE S PHONE PARCEL 06 30 00 5 6 0039 0000 APPL NUMBER 09 00000999 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 10/07/09 J W BLDG FINAL � October 7 2009 8 25 04 AM 1pangrle DARYL 460 0453 BLDG FINAL RE ROOF THE PERMIT IS INSIDE THE SCREENED DOOR ON THE FRONT PORCH COMMENTS AND NOTES °Nr'j�rr E IL®ING PERMIT APPLICATION Print in Ink CITY OF PORT ANGELES � For City Use Only.,• .. Attn Building Permit Technician Date Received 5/.191 D"'I f 321 E. Fifth St. Port Angeles WA 98362 Permit# -- (360) 417-4815 fax (360)417-4711 Date Approved �l Applicant p Phone 7 -6665-- Property , pProperty Ownel d Phone Property Own is Address wA -Contractor 00,1S Phone Contractor's Address License # Expires E-mail PROJECT ADDRESS Parcel Number Lot Zoning Prosect Type & Brief Description. YResidential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction ❑Addition ❑ Remodel ❑ Repair ❑ Demolition G(Re-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer ❑ Heat System ❑'Heat pump ❑wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @ $ per sq ft. _ $ Vt Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other _ r TOTAL VALUATIO �( Total footprint of structures sq ft. - Lot size sq ft. = Lot coverage % Site Coverage= the amount of impervious surface on a parcel including structures paved driveways sidewalks .patios, and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage % Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be.installed? Construction type #of half baths /have read,and completed this application and.know it to be'true and correct. /am authorized to apply for this permit and understand that it is my reesp nsibility'to determines what permits are OiCCL4 ured, and to obtain permits prior t ing on p'ects. Date '`® Print Name lel G(O 1�1 Signature T Forms/Build/ng Division/Bldg Permit.doc eVORT4CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206)457-0411 3 PERMIT NO. 7S S ELECTRICAL PERMIT DATE el/�/�Z Site Address: y--tt t 11 READY FOR El WILL CALL FOR Installed By: INSPECTION INSPECTION / License Number: Phone: Owner/Business: Owner/Business Address: Phone: So. Ft. `LT RESIDENTIAL EJ TEMPORARY SERVICE ❑ COMMERCIAL OVERHEAD SERVICE ❑ BASEBOARD KW ❑ PERMANENT SERVICE ❑ UNDERGROLLp�D E ICE ❑ FURNACE KW 1-1 NEW CONSTRUCTION VOLTAGE: /Z� 3 ❑ FAN/WALL KW e'f-'A —SINGLE PHAS EJ HEAT PUMP KW HADD/ALTER CIRCUITS ❑ THREE PHASE 1:1 SERVICE UPGRADE/REPAIR SERVICE SIZE ZOO ❑ SIGN AMPS ❑ SPECIAL EQUIPMENT (LIST BELOW) Details/Description: W.S. No. SERVICE SIZE CAPACITY: DATE ENGR. _ ❑ O.K. NOT O.K. ACTION REQUIRED: ❑ CHANGE TRANSFORMER Ll INSTALL SERVICE POLE 11 CHANGE SERVICE WIRE ❑ OTHER ❑ Ditch Inspection O.K. Rough-in/cover O.K. ❑ O.K, to connect service #,,,, Final O.K. Site Address: I& Permit/Receipt No. Installer- �7�� 7.'5—,5� New Meters Date: Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection.Work must not be covered ® before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT O I�Q Elect/riiccaal inspector WHITE—File by address YELLOW— Permit Fee file by number PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PgINTER5INC. CITY OF PORT ANGnES LIGHT DEPARTMM ELECTRICAL PERMIT N° 17343 rye � Port Angeles, Washington.....-L--..--r� ................................ 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 electrical work as listed below. Address .... -�/ ------------IR"ei' ------------------------------------ Occupancy---�ne.a-_--------•--------__---- Owner /�� 44 uY' - Tenant----•-----------------•---------------•---------------------------- ......--'------- ----/---�----------------------------------- Wiring Contractor._7•a v� Qn� ---- _ cam -------- By---------------------------------------------------------------------- ............. Outlets..._..............._,........_.._..... Service, volts /- ' - Type of Wiring: Receptacle Outlets................._........_.. No. wires ....... (�_.......f............_� Armored Cable ............'............'_- Dryer,KW.......................................... Size wires // 4 . .. Non-Metallic ..............-.................. x Knob & Tube................................ Range,KW------------------------------------- Main fuse ../c'.-�'.c�./T .......... Water Heater: Enclosure ...._.5 ..... Rigid Conduit ............................... ................... Metallic Tubing ........................... KW................ ...................... Type of wiring: Raceway ......................._..... ____ rSr Entrance Cable............................. Heat: KW............... ........._�-�r:�:� Circuits. Light..................................._.. Motors: size, vo is and phase: Rigid Conduit ............................... Utility ......................_.................... MetallicTubing ........................... Heat ..........._............................._... Current transformers: Range ............................................. .......................................................... No. & Size....................................... Water Heater ............................... ........................................................... Ser. No..................._......................... Motor ............................................. ..............................._.......................... . Ser. No.............................................. --------------------.-----------------------------------— Furnace..........................-. Ser. No.............................................. TotalLoad............................. Ser. No...................-/...............v/. . s Total ....................................... Remarks: 7 ------ -- •-------•-'------------------------------------------------------------------•--•-----•'---------------------------------------------------•-----.-..._....•----------------- ,1 �4 _ ------------------- Permit Fee Tress. Receipt $--------------------------------------- No---------------------------- By•---------- NOTICE—Current --: --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 ELECTRICAL PERMIT N° 17343 Address ................__.-..........................--............................................._...................................... Date................................ ... Owner ..................................._........................_.._.......................................................... Tenant.................................................................... WiringContractor..................................._..................................................................................... By.............................................................. 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. 5 IM Olympic Printers, Inc. CITY OF POST ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT G Nu 16530 Port Angeles,'Washington--------- ------------------- 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 electrical work as listed below. Address / ] - t� - ---- Occupancy----- --------------•------- Owner =V:P e l n.. (Ge-+�.- .......- 7. ._ Rant...........................------------------------------------------- WirinContractor----------------------------------------------------------------- B Light Outlets........................................ Service, volts -��,/.--.: .0......... Type of Wiring: Receptacle Outlets.............................. No. wires ......,.�..�'............_.1:........ Armored Cable Dryer. KW....................................... Size ; . Non-Metallic ............_.................. Knob & Tube....................._........- Range, KW------------------------------------------ Main fuse ...................................... Rigid Conduit ............................... Water Heater: Enclosure --------------------------------------- Metallic Tubing KW----------------------------------------------- Type of wiring: Raceway ....................... Heat: KW................................................... Entrance Cable.._...._.................. Circuits. Light..............................._.-... Motors: size, volts and phase: Rigid Conduit ............................... Utility ......................._.................... ........................................................... Metallic Tubing ........................... Heat .......-_------_....._..............__.. Current transformers: Range ............................................. No. & Size....................................... Water Heater ............................... ........................................................... Ser. No............................................... Motor ..._........................................ . Ser. No.............................................. Dryer----------------------------------------------_- ................................................... Furnace............. .................. Ser. No.............................................. c TotalLoad............................. Ser. No.............................................. Total ....................................... Remarks: --------4-`t'-tt'----------C '----Cf ' � V -----•---•-------------------------------•-------------------------------------------------------------------..-.-...----•---------------------------•--....----•----•--•-•--- -----•------- --------------------------------------------------- ------------------ --------------------------•--------------------------------------------•----_-..--------. Permit Fee Tress. Receipt IF-------------------------------------- No............................. By .--/ NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. Il work Is to be con- cealed due notice most be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N° 16530 Address ..................._.................................................._......................._...................................... Date__................................................ Owner ..................................._......_..................._........................................................... Tenant......................._........................................... WiringContractor..........................................-............................................................................ By.............................................................. NOTICE—Current must not be turnedVn until Certificate of Inspection has been Issued. If work Is to be con- ccaled-due notice must be given the InspeCLpr so that work may be 1paDected before concealment. 1M Olympic Printers, Inc. ! (\\ ELECTRICAL PERMrr CITY OF PORT ANGELES CJ 360-417-4735 Application Number . . . . 16-00000701 Date 5/17/16 Application pin number 451857 Property Address . . 1416 E 3RD ST ASSESSOR PARCEL NUMBER.: 06-30-00-S-6-0039-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name Property Use to the City of Pott Angeles Property Zoning RS7 RESDNTL SINGLE! FAMILY (Location Code 0502) Application valuation 0 Application desc Ductless heat pump Owner Contractor AARON AND ABIGAIL BACON EXTRA MILE 'TECH & ELECT_ LLC 1416 E 3RD ST 418 N. RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 460-4715 (360) 457-5222 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 66.00 Plan Check Fee 00 Issue Date 5/17/16 Valuation Expiration Date 11/13/16 Qty Ait Charge Per Extension 1.00 5.0000 ECH -EL-ECH ADDNT BRANCH CIRCUIT 5.00 1.00 63,0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63,00 Fee summary Charged Paid Credited Di.ie Permit Fee Total 68.00 68.00 '00 .00 Plan Check Total .00 .00 00 00 Grand Total 68,00 68.00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDfNG Cr—rV OF FORT ANGELES PERMir APPLICATION Building,Uivislon/Elechical 3li PeefiO s h 321 East Fiifth&reet—P_O Bog 11,50 A PortAngdes'k Washington,98362 Ph:(360)417-4735 Fay(360)417-4711 Date: .. ` 1&2 Single Fandly Dwelling Plan Review lea Be R u" ,Please Co Tele e iPlan Review Infomration Sheet Job Address., Building Square Footage* Description of abm Owner In, afion �_� Con rt 60 Name: gyp. Hifi Addr 1p ra " - rai'e NnMe Cid' �� W p.,�phone �1 �� - i i��larp� �. � Ucense#/Exp. - Joe- 16errr U$14600 a j`ata$ a61 Iied kYnitCh e Seivr l`f'eeder200Amp. SenriceiFeeder201400 Amp. $ eaviceireeder401-600 Amp $205.00 $ SenilawFeeder601 1000 Amp. $2W-OD S"ery ceireeder over 1000 Amp. $373.00 $ Branch Circuit W1 Sendce Feeder $ 5.00 $ Branch Cirodit WI0 Service Feeder $ 63.00 Each Additional Branch Cha $ 5.00 c —5— Branch Circuits 111 $ 75.00 Temp.Service/Feeder 2M Amp. $ 93.00 $ Temp.Se'iviwFeerler=460 Amp. $110.00 Temp.Servi x401-600 Amp. $149.00 Temp.ServioalFeeder 6011000 Amp_ $168.00 $ Portal to Portal Hourly $ 96.OD S Signal CbuM Limited Energy-18 2 Family Dwelling $ 64.00 $� Manufactured Home Connection $120.00 Renewable Eiaticat Eames-5KVA System or Less $10200 $ Thermostat $ 56.00 Nate:$5.00 foreach additional T•-Shat JNM MM first 1300 Square Ft. N IJCT $120.00 $ hoh Addllional 50D Square Ft.or Poilion of $ 40.00 $ Each OubAding or Defachad Garage $ 74.00 Each SgmmfngPool orHotTrb $110.00 _. ® Owner as defined by RCW 1 211,261:(1)Owner will occupy the,sWcture for Iwo years after this electrical pe ri t is finalized.(2),Owner is required to hire an ele&cai cotttractorif above said pmpwty is forsalr,rentor lease.Permitogonesaftersa manths of last inspection. After reading the above statement,I hereby " that I am the owner of the above named property or a licensed electrical contractor,I am making the electrical installation or afteraffon in Compliance with the electrical laws,N.F-C.,RCllll.Chapter 19.211,WAC.Chapter 29646B,The City of Port Angeles Munfcfpal Code,and Utifrty-SPedlicallons and PAMC 14.05.050 mganfirtg Electrical Permit Applications. Signature of owner,el gal cotiftactor orelectrical administrator. ❑ Call ❑ Cruex x rated- ot�nolz � 1 ELECTRICAL CITY OF PORT ANGELES � - 360-417-4735 Application Number . . . . 15-00001247 Date 10/02/15 Application pin number . . 587068 Property Address . . . . 1416 E 3RD ST ASSESSOR PARCEL NUMBER: 06-30-00-5-6-0039-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form SubProperty Name to the City of Port Angeles Prd ert use Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 0 Application desc Lighting installation Owner Contractor AARON A14D ABI:GAI:f..a BACON OWNER 1.416 E 3RD ST PORT ANGELES WA 98362 (360) 460 4715 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 63.00 Plan Check Fee 00 Issue Date 7.0/02/15 Valuation . . . 0 Expiration Date . 3/.30/1.6 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 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signator of owner or Electrical Contractor X _ � mu�.... -�Date. 14 tre� ar t'` CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street—P.O. Box 1150/Port Angeles Washington,983621 Ph: (360)417-4735 Fax: (360)417-4711 i is sit `- Date: _1 &2 Single Family Dwelling l Plan Review May Be Refft fired, PleaseC mple V EEl t ieall Plan Review Information Sheet Job Address: t� w _– Building Square Footage. Description of above , I I I _,, -__-__............... Owner In arctationContractor Information m. Name: r °? Name: Mail in drc ss: ' Mailing Address: ........ .... City: City: State: Zip: PhonP Fax:—. ..... Phone:----Fax: License#I Exp. License#I Exp. Item Unit Charge (qty Total(Q!y Multiplied by Unit Char a 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 201400 Amp. $110.00 $ Temp.Service/Feeder401-600 Amp. $149.00 $- Temp.Service/Feeder 601-1000 Amp. $168.00 $ mm___mm_.............. 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-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 $ m_ .e 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. Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Check Credit Card q, "w Dated; ..1'..,�,,� _F-+��-�`a 0110112012 q` ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-435 Application Number 16-00001205 Date 8/12/16 Application pin number 634830 Property Address . 1416 E-3RD ST REPMT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-6-0039-0000- Application type description ELECTRICAL ONLY on your eXdse tax form Subdivision Name . td the CItY of Port AngeleS Property Use . . f: Property Zoning . . • • RS7 RESDNTL SINGLE FAM / ILY {Looatfon Code 0502 Application valuation . 0 -----Application desc Basement remodel Owner Contractor ------------------------ ------------------------ AARON _----- - AARON AND ABIGAIL BACON OWNER 1416 E 3RD ST PORT ANGELES WA 98362 (360) 460-4715 - y-.---------------- -- Permit . . . . ELECTRICAL ALTER RESIDENTIAL -Additional desc . . 1-4 CIRCUITS Permit Fee 75.00 Plan Check Fee .00 Issue Date 8/12/16 Valuation . . 0 Expiration Dane 2/08/17 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- RESULTS: INSPECTOR DITCH, SERVICE ROUGH-IN b FINAL COMMENTS: PERMrF WILL EXPIRE SYC(6)MON IS FROM LAST INSPWrION Signativa of owner or E10MrB1 Contractor X G:IEXCHANGE�3IJCLDING '�' 0%?0R7 t,. f CITY OF PORT ANGELES PERMIT APPLICATION - Buildin Division/Electrical Inspections 1 321 East Fifth Street— Port Angeles Washington,98362 ; Ph: (360)417-4735 Fax: (360)417-4711 Date: cV i &2 Single Family Dwelling *Plan Review May Be Required Pleas Complete Eloctncal Plan Review Information Sheet Job Address: Building Square Footage: Description of above ' ✓ r Owner Iormation Contractor Information Name: Name: Mailing Address: C Mailing Address: City: Ca State: L&/A Zip: City: State: Zip: Phon U 0 1 'Fax: Phone: Fax: License#7 Exp. License#1 Exp. Item Unit Charge QtV Total(Qtv Multiplied by 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 Feed $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 Only $ 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 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-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 $ $ 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. Signature of owner,electrical contractor or electrical administrator: ❑ sh ElCheck ��,// �/ �[ �y credit Card# �1 l-1 3 / �yU� Dated: �� 0210612012