HomeMy WebLinkAbout1023 W 5th St - BuildingElectrical Permit
lO23W5thSt
12 -1305
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
10 `l2
2—
1
E l•
COMMENTS:
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
1 circuit for shop office
Owner
OLYMPIC BLUE LLC
1137 W 5TH ST
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
WA 98363
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
63.00
10/05/12
4/03/13
63.00
.00
63.00
Signature of owner or Electrical Contractor X
C: \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
12- 00001305
847445
1023 W 5TH ST
06-30-00-0-1- 0960 -0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
ELECTRICAL ALTER RESIDENTIAL
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Date 10/05/12
JEFF NELSON ELECTRIC
7062 OLD OLYMPIC HWY.
PORT ANGELES WA 98362
(369) 460 -4291
63.00
.00
63.00
Plan Check Fee
Valuation
Qty Unit Charge Per
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED
Paid Credited Due
.00
.00
.00
.00
.00
.00
.00
0
Extension
63.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth S reet P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 17 35 Fax: (360) 417 -4711
Date: S 'Z
Plan Review May Be Required, Please Clete Electrical Plan Review Information Sheet
Job Address: /e,23 c 5%
Building Square Footage:
Description of above
Owner Information
Name:
Ci Mailing y ress:
City: State: Zip:
Phone o Fax:
License Exp.
Item Unit Charge Cly Total (Qty Multiplied by Unit Chargel
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 43
Each Additional Branch Circuit 5.00
Branch Circuits 1 -4 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 SKVA 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
6 1 5— 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 propertfor sale, rent or lease. Permit expires after six months of1ast inspection.
After reading the above statement, I hereb cectify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration i /com a,'r e 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,cvri or electrical administrator: Cash Check
1 2 Single Family Dwelling
Dated:
Contractor Information
Name:
Mailing Address:
City: State: Zip:
Phone: Fax:
License Exp.
Credit Card
&
Building Permit
1023 W 5`"
12 -1280
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Application Number 12- 00001280
Application pin number 467840
Property Address 1023 W 5TH ST
ASSESSOR PARCEL NUMBER: 06 0960 -0000-
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 1500
Application desc
ADD OFFICE SPACE IN GARAGE
Owner
OLYMPIC BLUE LLC
1137 W 5TH ST
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
BASE FEE
10.00 3.0500 HND BL- 501 -2K
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Dtte Print Name
9- /2_ `PC 411
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 98363
Contractor
OWNER
BUILDING PERMIT RESIDENTIAL
NEW OFFICE SPACE IN GARAGE
80.50 Plan Check Fee
10/02/12 Valuation
3/31/13
(3.05 PER C)
STATE SURCHARGE 4.50
Charged Paid Credited
80.50 80.50 .00
52.33 52.33 .00
4.50 4.50 .00
137.33 137.33 .00
Date 10/02/12
Due
.00
.00
.00
.00
52.33
1500
Extension
50.00
30.50
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. T
null and void if work or construction authorized is not commenced within 180 days, if construction or work is s
for a period of 180 days after the work has commenced, or if required inspections have not been reque
last inspection. f hereby certify that I have read and examined this application and know the same t
of laws and ordinances governing this type of work will be complied with whether specified her
not presum to give authority to violate or cancel the provisions of any state or local la
constructi
is permit becomes
ended or abandoned
d within 180 days from the
true and correct. All provisions
not. The granting of a permit does
ng construction or the performance of
Signature of Contractor or Author' d Agent Signature of Owner (if owner is builder)
inspection Type
Date
Accepted By
Comments
FOUNDATION:
Electrical
Footings
Stemwall
PW Engineering
417 -4831
Foundation Drainage Downspouts
Fire
Piers
417 -4653
Planning
Post Holes (Pole Bldgs.)
417 -4750
/e7 /4 1 ,2--
PLUMBING:
Building
Accepted by
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
(Back Flow Water
FINAL Date
FAIR SEAL:
Walls
d'`'" a' i 2
-.1Ltr
(Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
/"O ,-'a- /2—
J`Lv
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
FINAL Date
Accepted by
Stab
Wall Floor Ceiling
40/1. 7 2
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove 1 Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES:
Footing /Slab
Blocking Hold Downs
Skirting
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
SEPA:
ESA:
SHORELINE:
Inspection Type
Date
Accepted By
Electrical
417 -4735
Construction R.W.
PW Engineering
417 -4831
Fire
417 -4653
Planning
417 -4750
/e7 /4 1 ,2--
U�—'
Building
417 -4815
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parking Lighting
Landscaping
BUILDING PERMIT INSPEC:TION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
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.
z
i
Project Address:
/1223 b 0 9 1 A/XF 4 ((fil
Main Contact:
../45
Phone
43 7
Property
r"
Owner
Name
Phone
��U
Address
/�97
Email
f./ ,gee
State
/i <e
Zip
City
Contractor
Name
Phon a 1
Mailing Address
Email
City
State
Zip
Contractor License
Expiration:
Project Value: a j
Zoning:
Tax Parcel
Lot
Type of
Permit
Residential A Commercial Industrial Public
Demolition Fire Repair Reroof (tear off /lay over)
For the following, fill out both pages of permit application:
New Construction Remodel Addition Tenant Improvement
Mechanical Plumbing Other
Existing Fire Sprinkler System?
Yes II No
Maximum height of structure
Proposed Bedrooms
Proposed Bathrooms
Pro ect
l
Description
P; ����il� s -�'i`�
I have read and completed the application and know 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 o in
permits prior to working on projects. I understand the plan review fee is not refundable after r i as
occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the a ),cation before
plan review ha ccurred. I understand that if the permit is not issued within 180 days of ceipt, the
applicat' n w' 1 be considered abandoned, and the fees forfeit.
Dat
Print Name
Signature
W A S H I N G T O N U.S.
321 East 5th Street
Port Angeles, WA 98362
P: 360- 417 -4817 F: 360- 417 -4711
hcatuzo @cityofpa.us
ANGELES
Building Permit Application
For City Use
Permit
Date Received:
Date Approved:
Kid
Residential Structures
Area Description (SQ FT)
Existing
Proposed
Minimum
value
For Office Use
Basement
Appliance Vent
Heater (Suspended, Floor, Recessed wall)
First Floor
Size:
Heating /Cooling appliance
repair /alteration
Pellet Stove /Wood- burning /Gas
Fireplace /Gas Stove /Gas Cook Stove /Misc.
Second Floor
Fuel Gas Piping
of Outlets:
Ventilation Fan, single duct
Covered Deck /Porch /Entry
Size:
Ventilation System
Deck
Garage
Carport
Other (describe)
Area Totals
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler
Size:
Haz /Non -Haz Piping
of Outlets:
Appliance Vent
Heater (Suspended, Floor, Recessed wall)
Boiler /Compressor
Size:
Heating /Cooling appliance
repair /alteration
Pellet Stove /Wood- burning /Gas
Fireplace /Gas Stove /Gas Cook Stove /Misc.
Evaporative Cooler (attached, not
portable)
Fuel Gas Piping
of Outlets:
Ventilation Fan, single duct
Furnace /Heat Pump/
Forced Air Unit
Size:
Ventilation System
Commercial Structures
Area Description (SQ FT)
Existing
Proposed
Minimum
value
For Office Use
Structure (s)
Medical gas piping
of Outlets:
Water Line
Addition
Vent piiping
Sewer Line
Tenant Improvement
Other (describe):
Other (describe)
Area Totals
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps
Fuel gas piping
of Outlets:
Water Heater
Medical gas piping
of Outlets:
Water Line
Vent piiping
Sewer Line
Industrial waste pretreatment
interceptor
Other (describe):
Lot Site Covera e Calculations
Footprint (SQ FT) of all Structures:
Lot Size:
Lot Coverage
SQ FT Site coverage (all impervious
structures)
Site Coverage
s
CITY OF PORT ANGELES Constrtrrtion flrms
The Issuance of this permit based upon these plans, specifi-
cations and other data shz!l not prevent the building official
from thereafter requiring the correcinn of errors in said
plans, specifications and other data, or from preventing
building operations being carried no thereunder when in
violation of ail codes and ordinances of this�.
isdicti
J
Approval Date fl, By CL
E 1
Site Address: /0.23 r `c
El INSPECTION FOR
INSPECTION
Installed By:
Ma
E J.�� L -LC
License Number:
Phone:
Owner /Business:
Phone:
Owner /Business Address:
Sq. Ft.
Site Address: P
GO, 5 t
Permit /Receipt N
Installer:
N
New Meters D
Y I
g RESIDENTIAL
COMMERCIAL
BASEBOARD KW
FURNACE KW
MIA FAN /WALL KW /01
HEAT PUMP KW
SIGN
WS No SERVICE SIZE
CAPACITY:
O.K. NOT O.K.
ACTION REQUIRED: CHANGE TRANSFORMER
INSTALL SERVICE POLE
OLYMPIC PRINTERS INC.
WHITE Ale by address YELLOW file by number
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457 -0411
ELECTRICAL PERMIT
TEMPORARY SERVICE
PERMANENT SERVICE
NEW CONSTRUCTION
REMODEL
ADD /ALTER CIRCUITS
SERVICE UPGRADE /REPAIR
SPECIAL EQUIPMENT
(LIST BELOW)
Details /Description
DATE
Ditch Inspection O K
jr"C] Rough -in /cover O K
O.K. to connect service
/nr$Q Final O K
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
Electrical Inspector
PERMIT NO. 7 7
DATE y/ Z z/n
CeOVERHEAD SERVICE
VOLTAGE. RGfjQJJN E��CE
SINGLE P❑ SINGLE PHA
THREE PHASE
SERVICE SIZE 2 90 AMPS
ENGR
CHANGE SERVICE WIRE
OTHER
0
Permit Fee
PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall