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HomeMy WebLinkAbout1313 E 4th St - BuildingELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 3 circuits demand heater water heater Owner DALE V HOLIDAY 1313 E 4TH ST PORT ANGELES (360) 457 1331 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98362 183434 78 70 4/11/11 10/08/11 Signature of owner or Electrical Contractor X G \EXCHANGE',BUILDING 11 00000300 362700 1313 E 4TH ST 06 30 00 9 1 01 0 0000 ELECTRICAL ONLY Contractor ELECTRICAL ALTER RESIDENTIAL OLYMPIC ELECTRIC CO INC 4230 TUMWATER PORT ANGELES (360) 457 5303 Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT Charged Paid Credited 78 70 78 70 00 00 00 00 78 70 78 70 00 DATE. PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Date 6/06/11 RESULTS WA 98363 Plan Check Fee 00 Valuation 0 Extension 73 50 5 20 Due 00 00 00 INSPECTOR. Date REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) PREPARED 6/03/11 9 44 24 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/03/11 ADDRESS 1313 E 4TH ST SUBDIV TENANT NBR DALE V HOLIDAY CONTRACTOR PENINSULA HEAT INC PHONE (360) 681 3333 OWNER DALE V HOLIDAY PHONE (360) 457 1331 PARCEL 06 30 00 9 1 0130 0000 APPL NUMBER 11 00000472 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 6/03/11 JLL MECHANICAL FINAL June 2 2011 10 25 11 AM pbarthol Dale /Max 457 1331 afternoon 1 4 pm COMMENTS AND NOTES C Permit 1 1■ Date 5-2= 7Y I phoned the Applicant Property Owner Dex,l,e, R6 T Forms /Building Division/Project Status Update PROJECT STATUS UPDATE Contractor at at a i m 4.51— (33 l I (left a phone message, r discussed) The permit (has expired or will expire soon) What is the status of this project? Please call and schedule a final inspection Submit a "permit extension request" letter Or Let me know if the project is abandoned 5 --2 5 l\ j PJY S i j-c ,A2 �,,4 Q_Q 44-1 Av\z2-l'71 .Pry 5-2 K am, p�-w U 5 2:7-fI r 4 Application Number 11 00000472 Application pin number 772704 Property Address 1313 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 9 1 0130 0000 Tenant nbr name DALE V HOLIDAY Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning Application valuation Application desc STEFFES HEATER Owner DALE V HOLIDAY 1313 E 4TH ST PORT ANGELES (360) 457 1331 Permit MECHANICAL PERMIT Additional desc STEFFES HEATER Permit pin number 185793 Permit Fee 64 80 Issue Date 5/25/11 Expiration Date 11/21/11 Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total 14 8000 EA T Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98362 Per Charged 64 80 00 64 80 RS7 RESDNTL SINGLE FAMILY 2566 Contractor PENINSULA HEAT INC 782 KITCHEN DICK RD SEQUIM (360) 681 3333 BASE FEE ME HEATER(SUSP /WALL /FLOOR MTD) Paid Credited 64 80 00 64 80 00 00 00 Date 5/25/11 WA 98382 Plan Check Fee 00 Valuation 0 Extension 50 00 14 80 Due 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) rioa led -3 1I 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 resting construction or the performance of construction Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type 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 AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS 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. Date Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Comments FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date J Accepted by Date Accepted By May 12 11 12 24p PENINSULA HEAT v Q(3.1e V Roll J-6-)J BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St, Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 3606812086 Applicant '/4 a-v/ 6 He _A rs DYt Phone Property Owner?, g a,-7 Phone Property O er's Address i 3/ 3 4-/-b S ,o t Co ntractor -Pn'r14‘,, i�P'a 2 Phone Contractor's Address `7 S�.�Z j ,L C her; ,9 ,fie/ ,5-6 t License JJ /v/ c/j Imo' ires E-mail PROJECT ADDRESS /3/3 47 i ,5S, Parcel Number Lot Floor Areas Existing (sa. ft.) P_o losed (sq. fLi Basement al 5 per sq. ft. l Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft Occupancy group Occupant load Construction type I have read and completed this application and know in be true and correct. I am authorized to that it is my. responsibility to determine whaatpermits are requiredd. nd to obtain permits prior to Date •5//U 1/ Print Name �I Gt t'/67`k lhiSr1Y$ignature T:Forms4BuUdkr6 DivLsioNBidc Permitdoc p For City Use Only Date Received S-\(0-1 1 Permit It [1 412 .Date Approved 4 L15 3 3 14."'n ),4., A e 74?.? Olv4eky Zoning Protect Tvoe Brief Description. pRTdentlal o Multi- tamily o Commercial o Industrial Check all that apply o New C onstruction o Addition o Remodel o Repair a Demolition o Re -roof a House a garage o other o tear off re -roof o lay over one layer bae-Heat System o Heat pump o wood burning stove a gas fireplace o pellet stoveAsither )'Other S 7 c 7f I- 5 M.Pd (s TOTAL VALUATION Z' 5 3z Total footprint of structures sq. ft T Lot size sq. ft. Lot coverage a/, 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 it of bedrooms of full baths of half baths pply for this permit and understand gco p_ml4 1 04/07 /.2011 07 14 :FAX 360 452 3498 City of Port Angeles Permit Application Building DlvielonlEieclricel Inspections 321 Emit Fifth Street— P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417.4735 Fax: (380) 4174711 Date' 2 Single Family Dwelling Muhl-Family or Commercial* Commercial Addition 1 Alteration Remodel I Repair" Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: /34,/ Jf St Building Square Footage; Description of above /.n Owner information 4 l r 'd Name: /TO/4. /y Mailing Address: /1/ f --Pa 1,6 City' ..4—fi4 ,.fir State: Zip. Phone: Yr 7 ,'i Fax: License 0/ Exp. :Signature of owner; elecMcel contractor or electrical adminiutrator :0 :Check nat 4//7�// credit card u r Olympic 'Electric Co PA CITY 'INSPECT nn a 001 /002 RECEIVED APR 2011 pOR1' .1 ELECTRICAL INSPECTIONS Contractor Informs r} Name: .(.dr 4fl /G� /7/� Malling Ad s: Clty:4•77A4,%-• 4r State: r' Zip: 7t)' a Phone: a, fix Fax: Yet License Exp. P,,,g,.//a'.< Unit Chergg gy Total (ON Multiplied by Unit Choral $119.90 S Service/Feeder 200 Amp. 145.50 5 Service /Feeder 201.400 Amp. 204.60 S Service/Feeder 401 -600 Amp. Si 262,20 Service/Feeder 601 -1000 Amp. 372.50 S Service/Feeder over 1000 Amp S 2.60 S Branch Circuit W/ Service Feeder 5 73.50 --1..,_ 5 7J. r,° Branch Clrcult WIO Service Feeder 2.60 Z. S. --.e' Each Addllonal Branch Circuit 5 92.70 Temp. Service/ Feeder 200 Amp. $110.90 Temp. Service /Feeder 201.400 Amp. 148.70 S Temp. Service/Feeder 401 -600 Amp. S 167.90 S Temp. Service/Feeder 601.1000 Amp. 3 95.90 S Portal to Portal Hourly 88.20 Slgn/Oudlne Lighting S 95.90 Signal Clrcult/ Limited Energy— Commercial. Additional 1500 $5.00 S 63.90 S Signal Clrcult/ Limited Energy 1 2 Family Dwelling 83.90 Signal Clrcult/ Limited Energy Multi- Family Dwelling $119.90 '5 Manufactured Home Connection $102.30. Renewable Electrical Energy 5KVA System or Less $110.30 S First 1300 Square Ft. S 35.20 Each Additional 500 Square FL or Portion of 9 73:50 Each Outbuilding or Detached Geroge 110.30 Each Swimming Pool or Hot Tub 5 56.00 .3 Thermostat 7•. Total IMO Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for two years after thie electrical permit is finalized. (2) Owner is required to hire en electrical contractor if above said property le /or sale, rent or loess. Permit expire, after six months of lean Impaction. After reading the above statement, I hereby certify that I am the owner of the above named properly or a Ilceneed electrical contractor. I em making the electrical inetalletion or alteration In compliance with the electrical laws, N.E.C. RCW. Chaplet 19.29, WAC, Chapter 296.46B, The City of Part Angeles Municipal Code, and Utility Specllleatlona. :o cash Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Vent fan attic Owner DALE V HOLIDAY 1313 E 4TH ST PORT ANGELES (360) 457 1331 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total t-. 248/ IC) INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98362 160218 73 50 2/01/10 7/31/10 v�1 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000097 343773 1313 E 4TH ST 06 30 00 9 1 0130 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 ELECTRICAL ALTER RESIDENTIAL /1 1h 1 81 DATE. Plan Check Fee Valuation Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER Charged Paid Credited 73 50 73 50 00 00 00 00 73 50 73 50 00 Date 2/01/10 WA 98363 Due RESULTS 00 0 Extension 73 50 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. FEB 1 2009 CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL Building Division/Electrical Inspections INSPECTIONS 321. East Fifth Street P.O. Rox 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: c2 X_ 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review Ma Be Required, Pie se Complete Electrical Plan Review Information Sheet Job Address: L- Building Square Footage: Description of above {d E 4-n -y- 1 by .t4-14 tC Uea 11s'`�+'c �Q �t Owner Information Name: finale f Q .At,, Mailing Address' city' rr- 1 State:L 9& ZIP: 91 h.:C Phone: 45'7-133 Fax: Ucense Exp. Item Service/Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service/Feeder 401.600 Amp. Temp. Service/Feeder 601.1000 Amp Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi-Family Dwelling Manufactured Home Connection Renewable Electrical Energy SKVA System or Less Thermostat NEW CONSTRUCTION ONI,i First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charge $119.90 $145.50 204.80 262.20 372.50 2.60 73.50 2.60 92.70 $110.30 $148.70 $167.90 95.90 88.20 95.90 63.90 63.90 $119.90 $102,30 56.00 $110.30 35.20 73.50 $110.30 SIgna re of owner electricontractor or electrical administrator Doted .2-1-lb b RECEIV.E0 Cosh Chock p Credit Cord a tl^ 0110112010 Contractor Information Name; 5'r rrr r' t ciart L L r✓ Mailing Address: City: _ES State: Zip: Phone: 7 -17 o Fax License 't 7 5 k' C.J 9t/ Total f�l Multiplied by Unit Charnel 15.50 13So 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. cor- '-<0 ..... .-< N ..... N .-< ~~ (!)f-o ..:..: 0.0 "'.-< '-<M COM "'.-< , , Nr- ltlltl <t<t >< ..:I I>: ~ H ..:I f-o ~Ul ~'" ~~ f-o'":l Z .. 01>: HO f-of-o UU ~~ 0.0. UlUl ZZ H H 00 "'''' M M > H o gJ Ul ~~ ZZ 00 :Z::Z: 0.0. U Z H (!) ~ ..:I o o U M '" M <t '" , 0..:1 0": oU OH '" ~:i! "':z: (!) .-<U f-l)-loOO f-l ::r:..t I :E (f)~ Q..-4 ..t P::: H I ll1 :Z:O~..:I"'N E-t H:X: 0 I "d' 'O;J'~f-l:X:OM 0,::( 00 W::r:W:> 10 3: 00 I""'lli:l WMO M...:! ~ H I I MlC(...:!IC:(I.Dr-- I'""'fQ,c:(QOO Ul ~ -..:I r-~ O{!) ::<:i! N .....f-o NI>: .-<0 0. o ~~ 1>:0 ..: 0.>< ~f-o I>:H o.U I>: I>: ,tIll>: ,~ ZO tIl ~ f-o-~ ..:I ~ ~:i!f-o~~..:I OZZZl>:o. ~~8~~~ f-o H :>: I>: '" 0. Ul f-o Z ~ :>: Z:>: 00 HU f-o..... o.Ul Hf-o 55 UlUl ~'" !-oOI>: i 0. f-o 0...:1 1jUl::> ZUl H~ ~o: pq~~ lI:f-of-o Ul~ O~..:I 0::>0. 0:>: ~o I>:U ~ ..:I 0. 0. ..: !-o i 0. Q) M ... 01 <: '" 0- M o o I "::E: .-<0. o CO .. <t '" .. :>:0 H 0 f-o .. M r- ..:10 ..:I ":0 ..: ZN Z H .-< H ~ 'OM ~ OM ...:IN"""...:! ..: '..: Z U~r--UO HQJlt'lHO ~~:~~ DU.:JUf-l "'Q)":~~ :>:00:>:": ~~ ~t o Ul ..... 0. >< f-o .-< o '" '" ~ :>: ~ U ..: Z !3 ~ U H I>: f-o U '" ..:I ~ Ul ~ f-o o Z o ~ Ul f-o Z ~ :>: :>: o U ~ t_ s: ~.~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001426 Date 12/05/07 059172 1313 E 4TH ST 06-30-00-9-1-0130-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Owner Contractor JOHANNES KAREN REBECCA 1313 E 4TH ST PORT ANGELES WA 983624705 ALL WEATHER HEATING & COOLING 302 KEMP RD PORT ANGELES WA 98362 (360) 9813 Pe rmi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 116962 35.00 12/05/07 6/02/08 Plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 35.0000 EC EL-LOW VOLTAGE Extension 35.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 .--- ~ - oJ m -4: S ~ 1- I . INSPECTION ELECTRlCAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE R-OUGH - IN 0..1 ~I c"1 A~ ~ FINAL COMMENTS: CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001425 Date 12/05/07 721750 1313 E 4TH ST 06-30-00-9-1-0130-0000- DALE HOLIDAY MECHANICAL APPL. PERMIT RS7 RESDNTL SINGLE FAMILY 4372 Owner Contractor DALE V HOLIDAY 1313 E 4TH ST PORT ANGELES (360) 457-1331 WA 983624705 ALL WEATHER HTG & COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452-9813 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT ELECTRIC FURNACE 116954 64.80 Plan Check Fee 12/05/07 Valuation 6/02/08 .00 4372 Qty Unit Charge Per Extension 50.00 14.80 BASE FEE 1.00 14.8000 ECH ME- INSTALL 100- FAU Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 64.80 64.80 .00 Plan Check Total .00 .00 .00 Grand Total 64.80 64.80 .00 Due .00 .00 .00 ~qi, e eel -Z 1'0; 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 orwork 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 performance of construction. Signature of Owner (if owner is builder) T:Forms/Building DivisionIBuilding Permit (1O/01/07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. o ~ \ -!: \" \Jl INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO 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 FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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. 4 I 7-4750 PLANNING DEPT. BUILDING 417-4815 \(.-2.1-01 ~H BUILDING - oJ - vJ (\) -C S ~ ~ T: Forms/Building Division/Building Permit (1010 I /07). wpd n; - (1) ~. r r ~ ~ ~ C\ (t) ~ Dee 04 07 03:27p p.1 BUILDING PERMIT APPLICA TJON Print in ink CITY OF PORT ANGELES Altn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 For City Use Only: Date Received \) ..-l-\....u 1 Permit # 0,- 1/4 v? Date Approved Phone Phone '-tf7)7~1 ~'2,1 LfS-Z - Q8/'3 ~- , - dg Phone Expires PROJECT ADDRESS . 11'1 Parcel Number Lot Zoning Pro;ect Tvpe & Brief Description: p<!?esidential 0 Commercial Check all thaI apply o New Construction o Addition o Remodel c Repair oRe-roof c Demolition o Sign .:J waJl-mounted 0 projecting o MuU;~famiJy o Industrial .,(Heat System o Other o Heat pump o other Floor Areas ExistinQ (sq. ft.) Proposed (Sq. ft.) Basement @$ per sq. ft. = $ 111 Floor 2nd Floor 3td Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ LI. Z, 7 7 co Total footprint of structures sq. ft. . Lot size Max. height of proposed structures Will a lawn sprinkler system be ;nstalled? Will a fjre sprinkler system be installed? ft. Occupancy group Occupant load Construction type sq. ft. = Lot coverage # of bedrooms # of full baths # of half baths % I have read and completed t.''Jis application and knoVl it 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, and to obtain permits rior to working on projects.. '. _ DateJ 1.- Y - u1 Print Name CUm en () e Booid-e () Signature T:FormsfBuilding Division/Slcg Permit Appl.-2D06 Code.doc I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . . Application valuation 07-00001416 Date 12/03/07 059512 1313 E 4TH ST 06-30-00-9-1-0130-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Owner Contractor JOHANNES KAREN REBECCA 1313 E 4TH ST PORT ANGELES WA 983624705 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457-9270 WA 98363 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 116830 46.00 12/03/07 5/31/08 Plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.00 46.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 46.00 46.00 .00 .00 -' vJ Q fT) j VJ -\- INSPECTION ELECTRlCAL TYPE DA TE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH - IN 12/5/07- A-? . ~. FINAL COMMENTS: CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt! 16086 /1 -pr.. ;" Port Angeles, Washlngton.m._-.::m..m.:-_::__.....__m...m...mn___.... 19moom 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 d6 electrical work as listed below. ....... . ... Address .m.!1?,i "3....:.:::...}~~:;{;.C....__oooooo......oommm.moo.m. Occupancyoo::.m:.m.~...hmm......._moo__..oooo ~::~~~<:~~~~~:~.:~:if~~:::~~:~:;:::~~m~~...::::::::::.~~~.~~:::::::::=::::=::::::::::::=::::::::::::::::::: I /."'f')/.,u Light Outlets.........._............_...._n_.._..... Service, volts .....~.~.._~~~;.:..:::.-...?:..._.....d -( , .. I ' ~ l~O. W res ..m>@....;~.._?)..._.. Size wires...._..._:;_=_..____.............._.. . I Il Main tuse _.n.....-r::c:-.:::...:..:...n.m... ;Z Enclosure n__......_-:.............._m__ Receptacle Outlets.____.._.___.............._... Type of Wiring: Armored Cable ..........._.................. Dryer, KW....._______..___....._......___...._...._ Non-Metallic ................__............._ Knob & Tuben...............__....nn....._ Range, KW _n.mm_m___________m__ Water Heater: RIgid Condult ............_........00...._.. Metalllc Tubing .................___....... KW.______....___....______....______n.___.n___ Type of wiring: Entrance Cable _.......... Motors: size, volts and phase: Rigid Conduit ..____...._.muo__m........ Raceway ............._.................__...._ CIrcuits, Llght....n...............__.._...n........ Utillty ......n.....oo__...._............oo...... Heat; KW.._..............n_.n...._n__..nn_.__n Metalllc Tubing ....... Current transformers: Heat ____.__.............._.....~...........-...... Ser. No._......___.....__._.......................... Range __.................._................___.____ Water Heater ............___................ Motor _._....00__...0000......................... Dryer _._._........____...____......._......_________ Furnace __.._.__.................'_........_._........ ; No. & Size..n..._.n_.__n.n_.................. Ser. NO......._n.nnn_..._.__..................... Ser. NO........n........_......n_.__.._.....nn___ Total wad........................._... Ser. No. ................._.......00__._.00...00__. Total ...................-.---............... Remarks: oo..<!..!?oo:(:.f?-?...S;.!!___oo.oo__m..,:::C__:,__::.h.~__,:{).__Q....,..__....~~L.___..._____....m.__m...__....__ ______.___..___._____:___.___..:-I.mm.___mm_________....oo.____...._________..m___..mmm.m.mm.m___.......mool/..___..mm___.________.mm......__.. $:m.....___....___....__oo____....... Treas. Receipt No....__............_____...... By .qst!.A{:.:.l~~.:,;f,lL,.,.,------ v .. -- . Permit Fee 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? 16086 Address..................._.__......_...._._......____......_.n........................__........._.._......................................Date..._......_.._.._.._........___...._._......_......... Owner n__nn_.nn_.nn__n._n......._......_.._......_......____............_._.................00.....__00.......0000.... Tenant..___n......n._..._n_u.......h.n__.n......................... Wiring Contractor ..................................._.....................__._........................................................... By.................................__........_._......__...___._ NOTICE-Current must not be turned on until Cert1Clcate 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. ' .' _nA. f'll.....nl... PrlnlAtB. Inc. Dee 04 07 03:28p p.2 if 07 - r..tzro (i.~. $,".:.J,- ,; v.___;.; _... ELECTRICAL WORK PERMIT APPLICATION Job wired b.v ,( Electrical Contractor 0 Owoer Electrical contractor name License number Installation description D Commercial )( Residential t DNew D Altered/Addifion Purchaser's mailing address ~ 7 (f.ff'Ylp CJt. ~y (lIlt- AvlOj e \ {'~ ele hone number State ZIP IAJA qf7~(nL FAX number ., o 'I LV T-<st(At ~ Pt:riSCS. ow-here Harre d cu f 1Cli CH4 Addn~ss of inspection ~f. L-j TI'l j}QV\- A1/l C1-=d -f' 'i Phone nurpb to schedule inspectiou: Owner as defined by RCW J9.28.161:(1) Owner ....i/l occupy the structure for two year.~ after Ihi.f electrical pami! iJ finalized. (2) Owner is required 10 hire em electrical contractor if above soid property is for ~'a'e, rent or lease. After reading the above stalement. I hereby ccrti~v that r .am the owner of the above named property or a licensed eleclrical contractor. J urn milking the el~ctricaJ inSlaI_ lation or all~ration in compliance with the ~lecHicnl laws, N.E.C., RCW. Chapter 19.28, WAC Chapter 296.468, The Cit~ of Part Angeles Municipal Code, and Utility Spccifications. Sign.ature of owner, clectric:aJ contractor or electrical administrator o Cash 0 Check # ~redit Card Card # VISa Mastercard Discover ---------------- x /, Date: IZ -L{. 01 Expiration Date of card Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace 15. KW o Hea! Pump _ Ton _ LAR o Fan-Wall KW Service Information o Overhead Service o Temp Service o Underground Service Voltage Phase 0 1 :J 3 Service Size: Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN ~OSTAT ,,- SERVICE J O"le "';lPn:-~ed By / '- D~IC App;ovdlly D~IC Appl"D"'~By / ~~~f{ ~L /' /' FErnER " DITat "p;>ro~-cd By ) '-- [)-.:.11: API'.o\Cd By.../ Dale A.pp~ved.I:Jy.../ Inspection Area. Building or Equipment Inspected Action Taken Electrical Dale Insp~ctor F'ORIANGELES W A 5 H I N G TON, U. 5. A. FAX TRANSMITTAL Departme'!'lt of Public Works/Utilities 321 East Fifth Street, Port Angeles, Washington Phone: (360) 417-4735 FAX: (360) 417-4711 TO: COMPANY: ALL WEM1 FAX#: 2. - '5"1 77 NUMBER OF PAGES INCLUDING COVER: 2- FROM: EORTANGELES WAS H I N G TON, U S. A Public Works & Utilities Department Trent Peppard Senior Electrical Inspector I Traffic Signal Technician Phone: 360-417-4735 Email: tpeppard@cityofpa.us Website: www.cityotpa.us j '321 East Fifth Street- P.O. Box 1150 L~"__. Fax; 360-417-4711 Port Angeles, WA 98362-0217 12/02/2007 07:38 .-..-..'-- 4579270 . Job ..wd bp )if ElectrtCIIl COIlerodor a o..;'VII /.2~ ~.,lcel contractat' ..me Lk:eme number 0a!Il expires ;)jrnf}fzcn ;;Je.d?v.~ SIInPSki 9711<..9- .....hu.h mlU!."tI odd~1 .. I .:l'f~a3 (p I-JWli.' f)) t-<..J Cily.l? _ 1 V1 ._ SIal< ZIP rOfl..;r tifl.Cjf! ~ Wit 983(03- Telephone "ul1Ihflr PAX numba' ~ -1':2.. 70 dE:- 1'I'ellnlel!II fJ"nrf1a ~1P;'IIlf _ \' _I Da....f' ~ \ U\..~ 1...d Addr... .,Ioop__d..,- ./-;1 J ~ ( l~j.3 c;.. <f~~-t--. CUy .PO~+- ~-e..J-e.B ,.ioap, ........er ta '~71~la~inn: """'tel' fl.' d~..e" hy RCfJ'.19.18,26J:(,J OwfN!r ",m OCC'lpy ,,,~ ''''',~lllm/o'' l'W() )'fJtJTI ~ flUs .trlc:al pemtlJ iA ftM112tL (2) Owrm- IJ M!!t/1Ib'ed to hlrr! arI chc~ MflltyJ~,. if dove 1iI1J fHV'PtfI1y Is for' .rtlle, nm or- leo!/!. After teIlding Ihc Dve ~~ I heteb1 certify Oil'" 1 am the awncr or the abo'Y~ "&mild PJOIX!"Y or n IICtNCd fllOl;ll'ia.l conmar.lDl'. , 1m mulnll the cteetntal IhltRI~ I_,DC' or alterat'OtI in (lC'lmpliMce with the clec:ttle.llllllWt, N.E-C.. RCW. ChApter 19.28. WAC. Chapter 29~(jD. nac . of PON Anplea MUbicir-' Code, ftnd. Utility Sped 'on.. 5tt..a'a . of r.ctDr ar IIlar:trlc.1 ....tftl.tr.t.,. Dute: /,,2 '03-tJ7 F;ItlctrIcAIJJlll o NO LOAD CHANGES [J BO..boOm KW Q'Fum&lGtl 1.5.. I'm o Heal Pump _ Ton _ LAA [J Fon-Won _ KW SIMPSON ELECTRIC PAGE 02, , . ELECTlUCALWORKPERMlT APPLICATION 3 \ - -L. h1l1110nlltioe dacriptiOft o COlllIlI1:t'dol 'RallJeDdaI lJ l'I.... ~~IldIAddllloo / - If- C irLe..L II"-Is I S 1< t.0 G.o '~d-tu'c.. . '" Fu...,.no..c-e...../~ iP- 6' I:J Cosh a Check # Credit Card 6J ~",",otd Diocover Card# ___iY1=l_~____-__.__ El<pinIIion Datz: of CHrd '''"':,,''' f~ $ -rfc"-- SelVlcelnlorm&Ulln a OItO""'od S...Io. o romp Service o Under1lround Servtco Voll8ge _Ola3 SorvlC<l Size: _ Fe8de1' Slze: SAME DAY INSPECTION, CAU. BEFORE 7:00 AM 360-417-4735 r-' ~AT [)Jol~ -" Affl"lvod fly MroJ_"~) ( _ RO~~bJ ~J1NAJ~) D.I~ Im'lpection Dllte AreIl. Building or llqllipmcnl Insp....d , SERVICE '- .- ^PP-.I G,Y , JtEUlU( '- ..~ . . Actlolt Thkcl'l elClCl"'ioAl Inapl:I:IOr .