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HomeMy WebLinkAbout1810 E 4th St - Building N? 16177 3._./j/ :>~ Port Angeles. Washlngton...................._.~_.<................................... 19........ ! ~ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT 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 ../....r/.rJ.....l!i!...t!..?.?f:................................. Occupancy...-"'t....g",-::?'........................... ~:~:~~.~~~~~~:::i~~~::::::::::::::....~~:~~~;=:::::::::::...:.....~::::::::::=::::::::::::::::::::::::::::::::::::::: C/ Light Outlets....__...............hh......_.._..... Service, volts ............___........................ T;ype of Wiring: Receptacle Outletsu___m....................... No. wires ........._..._.__...................... Dryer, KW.....n.............____...._.__.__.______ Size wlresm.......__nmn.m....u......_n Range, KWm.mmmmuuuu_h.UUU.. :l\lain fuse .............................._........ Water Heater: Enclosure ____mnmmnnun.__ HeaIK:~..::::;::.T?(;;;;::;l;;;. ; ! Motors: size, volts and phase: Type of Wiring: Entrance Cable noon..... Rigid Conduit ____mm_....__ MetalUc Tubing .mm.......n.m....... Current trans!ormers: No. & Size....................................... Ser. No............................_.................. Ser. No. .................._.......................... " Ser. No.............................................. Armored Cable mm..........m......._... Non-Metallic ___..._.......................... Knob & Tube...................._............. RIgid Conduit ............................... MetalUc Tubing ....m......m........... Raceway ..............................._._..._ Circuits, Light............_.......................... Utility .................._...._.....n............. I-J eat _......................_.............._...... Range ............................................. Water Heater ............................... Motor ......_...................................... Dryer ....................................__.........__ Furnace ..........................~................... Total Load................_............ Ser. NO.........n............n..................... Total....................................... ~~::~:~:...::::::::::~~~~=~=~~::::~:~::~=~::~~=~~::::::::::::::::::::::::::::::::::::::::::: Permit Fee Treas. Receipt No............................. By .1:z~;~~!1~0.~~~. f.........................m......... NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT .------------ -.--- N? 16177 -- Address.................................................._......................................__.............................................Date..._......_.._.._.._.........._......_......_......... Owner ..........................n....._.___.......__.............__.._.......................n........n........................ Tenant.............n...........n........................................ Wiring Contractor.....n...................................................._.............................................................. By............................................_................. NOTICE-Current must not be turned on until CertifIcate at Inspection has been issued. It work Is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. ' 1M ~ Olvmoic PrInters, Inc. ~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date I(~/~-Ob Time II;;; 0 iJWL Received by JJe>1..-1. ,'s E. (phone. person) Location of Work to be inspected (~ (0 C . Name of person requesting inspection AI/LVI. /f> Address of person requesting inspection c.. v () Type of Inspection (circle appropriate one): I Sewer Foundation Framing Chimney Plumbing 'f~ S~ C. 'Ie... rj2 17'!f-B. Phone No. <I (7 -'f'i?<l:'T Permit No Final Sewer Excav, Ot~ W<L+e2:; INSPECTION NOTES: Inspected: Date II ~ ('"3 .-ex;, '1) j &-_ 5/ (, Remarks: K e f4.~ reo. ~ r'f ~ ( De c p . Time r; '50 I'M. ~'--,.'l'c-e I e.....k By f).e.v\-tA,'S C, 2- I ~r ~........ IM.<<--+e.r hll)( RESTORATION REQUiRED...... YES NO X S!,D >\ ~ ~ :l \5 ~ -- o \!j ~~.!:;., E, l{* $+ fr," Ac... SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel D,Repaired by City o Repaired by Permittee o No Damage Found o Asphalt 0 PCC 0 Other Work Order # 3D'3 'f' - {<fa o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT IDATEI INSPECTION TYPE DATE: RESULTS: INSPECTOR::. I DITCH SERVICE ELECTRICAL PERMIT ROUGH-IN%� I IFINAL CITY" OF PORT ANGELES b -. 360.4I7-4735 ' 4 " Application Number . . . . . 17 009-Cl$76 Date 11/30/17 Application pin number k l j Property Address 4TH ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06,10-11-5-3-0115-0000- 630-11-5-3-0115-0000- Application Application type description ELECTRICAL ONLY on yow-,&Xqse tax form Subdivision Name . . . . to the City 4ftrt"Angeles Property Use Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY (Location Oodo-OW2) Application valuation 0 ---------------------------------------------------------------------------- Application desc Heat pump and air handler Owner Contractor ------------------------ HANSEN KEVIW R ------------------------ AIR FLO HEATING_ CO INC 1810 E 4TH ST 221 W CEDAR ST PORT ANGELES WA 983624916 SEQUIM WA 98382 (360) 681-3901 ---------------------------------------------------------------------------- Permit . . . . , . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee .00 Issue Date . . . . 11/30/17 valuation . . . . 0 Expiration Date 5/29/18 Qty Unit Charge Per Extension 1.00 56.0000 BCH EL-LVT-THERMOSTAT 56.00 ---------------------------------------------------------------------------- Fee summary Charged ----------------- --- Paid Credited Due ------ Permit Fee Total 56.00 ---------- ---------- ---------- 56.00 .00 .00 Plan Check Total .00 DO .00 .00 Grand Total 56.00 56.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR::. I DITCH SERVICE ROUGH-IN%� I IFINAL b -. COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: 11/13/2017 MON 8:10 FAX 360 683 3971 Airflo Heating copier CITY OF PORT ANGELES PERMIT APPLICATION Building Divisiou/Electrical.Iuspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: 4-1 t ' —— 1 & 2 Single Family Dwelling *Plan Review M y B R aired P m sect' P Ivie intimation -Sheet Job Address: iYSi� 7 g r Ir W , p2w Building Square Footage:�'i? Description of above z Y i't . l[ me rull- j-)jM!? CL_CX P (I 1C" � Ylrrtvfff Owner formatio ],l. Mail' cess: fi_iC? E �� City. Sbte:Wlip: VIh W7 Phone:` ax - license #! Exp Rem Service/Feeder 200 Amp. Senrioe/Feeder 201-400 Amp. ServicelFeeder 401-600 Amp Service/Feecler 601-1000 Amp. ServicelFeedw over 1000 Amp. Branch Circuit Wl Servioe Feeder Branch Circuit W10 Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service! Feeder 200 Amp. Temp. ServicelFeeder 201400 Amp. Temp. Servic&T*eder 401-6W Amp. Temp. Service/Feeder 601-1000 Amp. Porta6to Portal Hourly Signal Circuit! limited Energy -1 & 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy - 5KVA System or less Thermostat Note: $5.00 for each additional T-Stat NEW CONSTRUVION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft or Portion of Each Outbuilding or Detached Garage Each Swimming. Pool or Hot Tub Unit Chame $120.00 $146.00 $ 205.00 $ 262.00 $ 373.00 $ 5.00 $ 63.00 $ 5.00 $ 75.00 $ 93.00 $110.00 $149.00 $168.00 $ 96.00 $ 64.00 $120.00 $102.00 $ 56.00 0002/003 NNaamne: o� q nit ;o h�C n,� Mani AddressF•-' t" 71* City f(Y Shote: Zip:[f�s : r Phone: Fax. license #! Exp. fit Total Qtv Multiplied by Unit Charael $ $ $ $ uL� $120.00 $ $ 40.00 $ $ 74.00 $ $110.00 $ $ "-rot:at Owner as defined by RCW.19.2&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, M.E.C., RCK Chapter 19.28, WAC. Chapter 296-466, The City of Part Angeles Municipal Code, and My Specifications and PAMC 14.05.050 regarding Electrical Permit Applicatiori5. Signature of owner, electrical contractor or electrical administrator: ❑ cash yp check - 0 CWKCurl# x Vl(t .1 sated: �. lul 01(0112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 17-00001716 Date 11/27/17 Application pin number . . . 289428 Property Address . . . . . . 1810 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -11 -5 -3 -0115 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor HANSEN KEVIN R CASCADE ELECTRIC & VAC INC 1810 E 4TH ST PO BOX 369 PORT ANGELES WA 983624916 PORT HADLOCK WA 98339 (360) 379-5347 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . HEAT PUMP 1-4 CIR Permit Fee . _ . . 75.00 Plan Check Fee .00 Issue Date . . . . 11/22/17 Valuation . . . . 0 Expiration Date . . 5/21/18 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 DITCH SERVICE ROUGH -IN FINAL COMMENTS: DATE: RESULTS: REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0542) INSPECTOR: Date: 1 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Boz 1150 I Port Angeles Washington, 98362 , Ph: (360) 417-4735 Fax: (360) 4174711 Date: 1 _ 1 & 2 Single Family Dwelling * Plan Review May Be Re� ir/ed, Pleise_Compigo Electrical Plan Review Information Sheet Job Address: ! iiSS y1rh 5+ - Building Square Footage: Description of above {^f't 7Fl �Y G `l flli f` l$�f'�t" L l l{� l 1 k r, �l� / 30 ✓ `/ Owner Info r�tio J TV1 h 17 q mem Contractor Information Name: Name: Mailing Address: /gib k— 1/ 44.1 5 Mailing Address: City: State: Zip: City: State: Tip: Phone: Fax: Phone: Fax: License # I Exp. License # I Exp. Item Unit Charge 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 Feeder $ 5.00 $ Branch Circuit W/0 Service Feeder $ 63.00 $ Each Additional Branch Circuit Branch Circuits 1-4 $ 5.00 $ 75.00 $ $ 7 S- G 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 $ $ µ7S = 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 29646B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. )r electrical administrator: ❑ cash tK check ❑ Credit cam t t � ,6li 7 01101012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 17-00001670 Date 11/30/17 Application pin number . . . 040480 Property Address . . . . . . 1810 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -11 -5 -3 -0115 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump and air handler ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HANSEN KEVIN R AIR FLO HEATING CO INC 1810 E 4TH ST 221 W CEDAR ST PORT ANGELES WA 983624916 SEQUIM WA 98382 (360) 681-3901 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee .00 Issue Date . . . . 11/30/17 Valuation . . . . 0 Expiration Date . . 5/29/18 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---7 ------ ---------- Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 INSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION RESULTS: REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) d INSPECTOR: Signature of owner or Electrical Contractor X Date: