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Home My WebLink About509 W 5th St - Building Vv VOR'fAM1�f cJV� CITY OF Polrr ANGI�J%rs Y8,1t11!I.I'T A,PI'LICATION Duilding Mvisiv attlectrical Inspections 32:1 IEjast Fifth Street—P.O. Doi 11501 fart Angelci Wltahirtgtoin,9li362 11h; (360)4.17.4735 Fax.(3611)417.4711 Date.7 3 L I &2 Single Family Dwelling 1111,,,Multi-FamBy or Commerclal` _Commerclal Addition/Alteration I Remodel/Repair A Plan Review May Be Rqui d tale as Complete Electrical Plan Review Information Sheet Job Address. Building square Footage: paracriptlon or aboY® Owner Informal n Contractor Information Name' 4 ,� H Name: G Mslllnd roes MaIIIngAddress:� Oily: stale zip' Clly << State; it Phone: - Fax: PharI Fax, License#!Exp. License N I Oxp, -� t5 ICI Unit Chime 9!Y Total Ift M9II1R1jjd.j2X-Vn!LCharge1 ServlcelFeedar 200 Amp.. $119.90 $ � $arvicalFeodar 201.400 Amp. $145 50 $ $ervicolt=oodar 401-800 Amp $204M $ ServicelFeeder 601-1000 Amp.. $262.20 $� ServlcalFeeder over 1000 Amp, $372,50 $ Branch Circuit Wl,%rvlca Feedar $ 2.00 $ Branch Ciroull W10$ervfoo Fooder $ 73.50 $ Each Additional branch Circuit $ 2100 $ Temp.Servicel Fooder 200 Amp, $ 92.70 Temp.5ervloofFoodor201.400 Amp 51101.30 Tamp.Service/Fooder 401800 Amp. )ao4 =7� $ Tamp.$orvicalFeedor 601.1000 Amp $ Portal to Portal Hourly $ 95,80 SigntOuVIno Lighting $ 86120 ,- Signal Circultl Limited Energy I First 1500 et-Commercial $ 85,90 $� Nota. $5,00 for such additional 1500 of Signal Circuit/Limited Energy,1 &2 Family Dwelling $ 6198 $ Signal Circuit/Limited Energy-Multl-Fomlly(?welling $ 03.90 $� Manufactured Homo Connection $119.80 y Renewable Electrical Energy-0KVA System or Lose 5 10230 5 Thermostat $ 56.00 5 - 1 QUOTRUCTIQAI ONLY First 1300$quero Ft. $110.30 $ Each Additional 500&guar*Ft.or Portion of $ 35.20 r �_ Each Outbuilding or Detached Garage $ 7150 $ Each Swimming Pool or Hot Tub $1101,30 $ $ otal Owner as defined by RCWAU6,261.(1)Owner Y411 occupy tho structure for two years after this electrical perm Is finalized.(2)Owne d to hire an electrical Contractor If above sold properly Is for sale,rent or lease.Permit expime attar six months of last inspection, After reading the above slatemeni,I hereby certlfy 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,KE.C„RCW,Chaplet 19.26,WAG.Chapter 2964B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMO 14.05 050 regarding Electrical Permit Applications. Signature of owner,alectileal contractor or electrical adminietrator. 0 Ce.h C0 check ,-- ^1�� 1',J ;" Credit cow 4 '% oetod _.,, 0Ua1r201s -_ ELECTRICAL PERMIT a CITY OF PORT ANGELES )6 360-417-4735 Application Number . . , , , 13-00000250 Date 3/15/13 Application pin number , , . 988000 Property Address , , . . . . 509 W STx ST ASSESSOR PARCEL NUMBER: REPORT SALES TAX 06-30-00-0-0-8480-0000- Applicativn type description ELECTRICAL ONLY on your excise tax form Property Us Name to the City of Port Angeles Property Use Property Zoning RSV RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 -----------------------------------------------------------------------_-_-- Application desc 1-4 circuits Bathroom remodel Owner Contractor DUANE / RUTH DICKINSON TRUST J.P.E. ( JERRY PETERSON } 509 W 5TH ST 73 EAST LOMA VISTA RD PORT ANGELES WA 983622224 SEQUIM WA 98382 (360) 731-8994 Permit . . . . . , ELECTRICAL ALTER RESIDENTIAL , Additional desc 1-4 CIRCUITS Permit Fee 75.00 Plan Check Fee 00 Issue Date 3/15/13 Valuation . . . , 0 Expiration Date 9/11/13 Qty Unit Charge Per Extension p� SASE FEE 75.00 --------------------___---------------------_- _--__---------------- -- ! Fee summary----------- Total Charged Paid Due --- Credited --- --- Permit Fee 00 DO Plan Check Total 00 100 .00 DO Grand Total 75,00 75.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN d FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEWLLDING Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Replace /Repair sewer lateral Owner DUANE RUTH DICKINSON TRUST 509 W 5TH ST PORT ANGELES Permit RIGHT OF WAY Additional desc REPAIR /REPLACE SEWER LATERAL Permit pin number 153973 Permit Fee 50 00 Issue Date 9/23/09 Valuation Expiration Date 3/22/10 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 154005 Permit Fee 40 00 Plan Check Fee 00 Issue Date 9/23/09 Valuation 0 Expiration Date 3/22/10 Special Notes and Comments Any and all contractor(s) and subcontractor(s) doing work under this permit in the City Right of Way is required to provide written documentation that the City has been named as an additional insured Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Fee summary Permit Fee Total 90 00 90 00 00 Plan Check Total 00 00 00 Grand Total 90 00 90 00 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 clays 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 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 gi authority to violate or cancel the provisions of any state or local law regulating construction or the performance of cons_ ct n. ature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \Policies \1102.15 [10/08] Qty Unit Charge Per 1 00 WA 983622224 Qty Unit Charge Per 09 00000976 063936 509 W 5TH ST 06 30 00 0 0 8480 0000 PUBLIC WORKS UTILITES 50 0000 ECH RIGHT OF WAY PERMIT 1 00 40 0000 EA SAN SEW REPAIR CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 RS7 RESDNTL SINGLE FAMILY 0 Contractor R J SERVICES INC 514 IRVING JACOBS RD PORT ANGELES WA (360) 457 1420 Plan Check Fee Charged Paid Credited Date 9/23/09 Due 98362 00 0 Extension 50 00 Extension 40 00 00 00 00 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 I FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T'\Policies \1102 15 [10/08] RESIDENTIAL PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY 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 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15388 .~ -.. ~,. ~ J Port Angeles, Washingtonnn.m.....n.mmnm.:..mmmmm..hU.mmm. 19m:.... 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 electricai work as listed below. ~ . /" "".. ," Address uum"..:...~u.u__ummnumm.~mnmmumhm.mnu...mmn.nu'. Occupancy.nnm:...:.........mmUhUm.mnn.n Owner ___nn____l._Ln:-":.:~.___~n_hn..~___;~~::~_J..._i~_n_~_nnn Tenant_______nnn.___H_~_UU...U.__.______h___.hn__h_____h_.mUmn Wiring Contractor .m.uuuum'u.'.::.n'__:uu':m...:u'm.(~..mn:~. Byn..m.mnnm.nn__...u.__..........m__..n____nnn.mn.. Light Outlets__......____.._....._m_.......______... Service, volts __.........___________________....._... Receptacle Outlets_..._m__._______m__m_____ Dryer, K\Vjnnu_.________.........__.._______ No. wires _._n.__._...______.________..._..__.__ Size wires_moo. Range, KW.m__.hm____mmm_ Main fuse __n_____um_._________._____m..__. Water Heater: Enclosure ___......_...______________________.... Type of wiring: Entrance Cable m__u_______._..____.....__ KW.h.h.......u.....uu 'J Ii Heat: RW ..____~.::m.;?~__:_. .!.!--~.?... Rigid Conduit m__.__._________.._____.____. Motors: size, volts and phase: Metallic TUbing ..__________________.___m Current transformers: No. & Size____m.._..__..._.._______________.___ Ser. NO.._________._____n____.____.___..........._.. Ser. No.____________________..........._____._______.. Ser. No.__._...._._._....._.._____.__._____._......_. Total Load_____________._____________.. Ser. NO....____.n...____._____________.............__ Type of Wiring: Armored Cable _____.m.... Non-Metallic __m__n____________.___._______ Knob & Tube_ Rigid COOldu!( mummuummuum... Metall1c Tubing '__no__'___'___ Raceway mnn__ Circuits, Light....._.. Utility _._._____n._______________.____n___________ Heat Range ___n.__u__....______.._...._............... Water Heater m.___________m..___________ Motor _____________,___.______.______.___._________ Dryer..________..___....___._______.___________________ Furnace _____....__..__....n.....___.......... Total ________.________.__.__._________._____ Remarks: _n_n:-.nn_n_:n__n__.:.~..!.h.____hn~___n___nnnnunnL~__~_mui..--n-nn.__:~:_._:._..nh.~~,~~::._!_:.:_.___.:.~~_nu_~-(....__n.~L___~:___~_::.l . . _n_u__:n_~_nn__u_nnuu.____'.!..~.._..~:.___~_(..___n._nn____n:h..U....U.:_u__hi-_nn__n_nun.__n___n_nn______n_uh___.._______n_._____u_u__nunnnn Permit Fee Treas. Receipt ,I', $m..mmmmmm...m..uu... NO.m....................__m By ......m..'.:.hnm....'n..:.u..m..:.:..'....m.u:.."........ 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? 15388 Date called for inspection______________.____________._...,,____________.._._____.._.____..___.____.____.......______.___...___._._____._....._________________...__...__.__..____..__........._._.___._.... Inspection completed____..____....___...________.___...____________________________...___ Prelimlnaryinspectlondates.__............_.....________________.______________.____..........____........_________....._._____..__.......________.........________......._________.__...._......... Total Load ______.______.___________._____.___________________.____._..___.____......_.____...___.___ .___ 1M 3-72 Olympic Printers, Inc.