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HomeMy WebLinkAbout1137 W 5th St - BuildingApplication Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 121 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000250 333000 1137 W 5TH ST 06 30 00 0 1 1235 0000 PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY 0 Owner Contractor Permit ELECTRICAL ALTER RESIDENTIAL Additional desc 320 ALTER SVC /NELSON ELEC Permit Fee 97 80 Plan Check Fee Issue Date 4/08/05 Valuation Expiration Date 10/05/05 Date 4/08/05 CAVANAUGH PATRICK /SUSAN DAN BLOOD S CREATIVE LNDSP INC 1702 DOE RUN P 0 BOX 3475 SEQUIM WA 983829526 SEQUIM WA 98382 (360) 683 5007 00 0 Qty Unit Charge Per Extension 1 00 97 8000 ECH EL R OR RM 201 600 ALT SRV FDR 97 80 Fee summary Charged Paid Credited Due Permit Fee Total 97 80 97 80 00 00 Plan Check Total 00 00 00 00 Grand Total 97 80 97 80 00 00 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE DITCH ROUGH -IN/ COVER 1 SERVICE 1 /1/4_5'1 �1 FINAL WIRM1.{ 1 1 I 1 1 1 1 1 1 1 I I ACCEPTED YES I NO COMMENTS Pw41102.13 41961 '~ "-' r;"" CITY OF PORT ANGEI,.ES PUBLIC WORKS - ELECTRICAL DIVISION .l2\ EAST 5TH STREET. PORT ANGELES. W^ 9R~62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000258 Date .190612 1137 W 5TH ST 06-30-00-0-1-1235-0000- ELECTRICAL ONLY 4/12/05 RS7 RESDNTL SINGLE FAMILY o Owner Contractor BLOOD, DAN 1137 W 5TH ST PORT ANGELES (360) 683-5007 .OWNER WA 98363 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL PENINSULA HEAT/ LV STAT PENINSULA HEAT 36.40 Plan Check Fee 4/12/05 valuation 10/09/05 .00 o Qty Unit Charge Per 1.00 36.4000 EC EL-LOW VOLTAGE Extension' 36.40 ""-. ~ ~ Fee summary Charged Paid Credi,ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 36.40 36.40 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 36.40 36.40 .00 .00 t ~ \A. :'i COMMENTS/ACT10N NEEDED ELECfRICAL PERMIT INSPEQ'.ION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE . COMMENTS NO GENERAL COMMENTS: PW-lI02.U (4196) . 7' t(~!'I CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. _':S (:;1 ~ t DATE 3 - ::l q - q I o READY FOR ~ILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. Detai IslDescription: o Residential/O Heat KW _ o Baseboard ~ Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load 0 Add/alter circuits Total Connected load 0 Auxiliary power (attach breakdown) (list below) Total Motor load 0 Special equipment (attach breakdown) (list below) _~~J tll:1'A-d~ - ~ ~ .;1..~~ A~/ ~ _c.-(' ~I --~.;' o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 010' 03.0' Service size /,00 . o Temporary Amps ~ . / (~ 911, ~I /~~~d/ . ~ W.S. No. 7't/lfS Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough.in/cover O.K. o O.K. to connect service ~ ~ Final O.K. Size Comments . Date /J. Hold for: 0 Easement CIA*",,,p .i~) ~ ,~ o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending o Letter Installer: New Meters Permit/Receipt No. 30~ Date: --.)'1-9 - Site Address: ~ . Notify the Dep ment of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. ~ / it:" NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT -#> .3 CJ, 00 Inspe or Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall ~ OLYMPIC PRINTERS. INC. .. ....- , ~ ,,- ~ r=.:r... "_f DOwner 't''I\:iOi;i.....;t> CJ Carnival 0 Commercial ELECTRICAL WORK PERMIT APPLICATION o Request Inspection l.)<JD I TGr/ o Residential 0 Residential Maiot. 0 Signs 0 Thermostat 0 Telecom. ?lectrical Contractor CJ Annual Permit 0 Alarm Job wired by ~ Electrical Contractor 0 Owner Electncal contractor name License number .4i'9'~uu~, --JEFFA/lJ Qt412..P ~~2~ng;;~ ffiClr- Cny, dlfr ZI~nS-L l~h~ '/, 9/ Premises owner's name RtUM'i ~7h ~/r I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the clectricallaw, Chapter 19.28 RCW. Signature of owner, electrical contractor or electrical administrator X ~ / WALLS "\ Insulation Only Dat!: Approved By Cover Datc Approvcd By '- ".- CEILING Insulation Only Dale Approved By Cover Dale Approvcd By Electrical Load Additions and or subtractions D NO LOAD CHANGES o Baseboard KW D Furnace I tJ KW D Heat Pump ,L Ton _ LAR D Fan-Wall KW Installation description 32() -A M!3 2f}()A- a~)O/Iid ~~ ~h A-- ;::-adu, [;~ <?c.J.1.\/~v-t O~..... h.~C>..d t-o 0- ~.Q... -t- :j .r-o L.l. '^-A o Ul o Cash 0 Check # N U1 \J o Credit Card Card #. Discover Visa Mastercard Expiration Date of card Inspection fee $ TIfERMOSTAT SERVICE Datc Approved By .y,; ~ ps' " ~ Approvcd By DITCH FEEDER AU) Approved By Date Approved By .,.., Service Information Voltage .z. '1 P Phase).Q'1 D 3 Service Size: f'2t1 A-- Feeder Size: 'I~ <~ % , , , o Overhead Service o Temp Service .~ Underground Service Inspection Datc Area, Building or Equipment Inspected ..... .~ dOl) A ,<'/U L ~ +- Action Taken Electrical Inspector ;:74;--LJ,);> V' .-H' If" ~o(/,- . A-'<- ".,,,"'- FOR OFFICIAL USE &lL Y: Date Rec.: 4 - 11- C:lt.5L Permit #: Date Approved: Date Issued: BUILDING PERMIT. APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. Uyou have any questions, call (360) 417-4815 Applicant Or Agent: " Owner: Ul1n. B (Of) d Address: 1137 'vI!. 5B:1. .s6Yl Phone: Lff) 7-d. 77S:- t ?f 3-L)nt? 7 Zip: Ci <63 6 ?'> s+ Phone: City: ?O(.~ Anj.f' Ip 5- Phone: State License a:tu J JVH-t lJliS1~p: City: ?tJf.i-k 3&lPs- .Sf. Phone:4S7-~7)S Zip: q~2- ZONING: ArchitectJE~ineer: Contractor Ve VI. L.Vl SU/La.. t-ka1- Address:50Z iA) "&-!:!:L PROJECT ADDRESSJ \"37 W . 6--Hl LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit CardType VISA 'TYPE OF WORK: ~idential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair. ,.0 .Sign BRIEF DESCRIPTION OF THE PROJECT: -1fx h~{)I'~_~bkvn COMMER~IDENTIAL: Occupancy Group: City: Exp. Date: MC # " SIZENALUATION: o : Stove SF. @$ /SF. ~ $ 0, Garage SF. @$ /SF. = $ O'Deck . . . SF. @$ /SF. = $" . L6~U;r__vctf;tJP ~~~~ I ~~~'1 Occupant Load: & Proposed Sq. Ft. % = Total lot coverage No. of Stories: _ Lot Size: Existing Sq. Ft. Existing lot coverage % & Proposed lot coverage Construction Type: = TOTAL Sq.Ft. % - - APPROVALS: PLANNING USE ONLY: PLAN: BLDG: DPWU: I SEP A Checklist required? 0 Yes 0 No Other: I FIRE: ESAlWetland(s): 0 Yes 0 No OTHER: - BUILDING PERMIT APPLICA nON SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you lia ve questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules, Contact the Permit Coordinator at 417-4815 for assistance, PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other peimit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno perynit is issued within 180 days of the date of application, the application will expire. The Building'Official can extend the time for action'by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that f have read and examined this application and know the same to be true and correct. f am authorized to apply for this permit and understand that ft is my responsibility to determine what permfts are rey'jre ,not the Cfty's, frJ t at f must obtain such permits prior to work. T:IFORMS\APPSlBuildingpermit.wpd Apphc t/, Date: ~/ g' h s-- / CITE' car, PORT ANGELES I'f. =.Rmix A Pi'1.aiCATION fit►llding Division /Mectrlcal Tnspectiown 321 East Fifth Street —110. Box 1150 / Vorl Angeles Washington, 98362 Ph: (360) 417 - 4733 Fax; (360) 417 -4711 t meU 2/24/1014 — I & 2 Single Family Dwelling RECEIVED,. FEB 2 ELECT RI CA r�,�,utj " Plan Review May Be Required, Pipase Complete Elactrical Dien Review Information Sheat Ad�kaSS; 1157 w 5TH sT BItMing Squam t=Rbwe 1191 .. u tlesaripltats of above r. Ovinor Information Nam a, aanielm Blood Maft Addiess: 1337 W 5TH ST ?sjV. PUTANGELES T'f'itrlii; 346p6B35007�,�{�g item 1(r31tt� rvimfeedor 2,01 AaV, rvf�eester 201.400 Amp, UMWFeeder 401-OW Amp S2 9 rviWF%dor £01 -1000 Amp, S 262M Sir :1ceJF dertwul100 $373.01 Bantu Crrcuil, W1 Ste Feedar 5.00 aranctr Cucuit VW Service Feeder SS, Emb Addillond f rW CIrcW[ 10D aratch Ckmslts 14 75M °temp, &ryicel Fa oder 200 Amp, 93.00 Tomp, Service/Foeder 201-00 Amp. £ 110,00 Tarots, ServiWRd eder 401.600 Amp, $ 149,00 Temps S rvicalFeeder601,10 Amp, $168,00 podal to Portal !`tardy $ WOO Sig atC l talztitedEnr rcdy -.f 2Family inch S 64.98 Kinufaclured i4r ma Conne(,A ion $120,00 Rea rat Cfec*al Energy • SKVA yreiein ar Ls`-sa $ 1020 Timoslal $ 50,00 i fcfe. $5.00 W each ads51bm T-Mal CONSTRUCT1 19 Y: Fiat 1309 Square Ft. $ 120,00 Each Adrktional.500 Sqvwe Ft. u Portion of 5 40 Each t itasr tt f taalrcdCame 3 M E80 SyAmmlng ill ot Hot Tula 311 00 Contractor information 14<rfl(,_ .Protect-Your Hpme Ms1 " Address., 3750 Priority Way South Gr CRY, Indiana olis 8(att3, IN S: 46240 ftnr3- 866 - 502 -35 X59 ra(,. 317 -554 -2547 r- erne 01 C#p, PROTEYH934Rs ex 112/10/2013 Total Itl Il d rti Cb r e S� S 54.00 Total Owner as dellned by RCW,19,28.261: (1) Owner urrll occupy the sttttctute for two years after this electrloat permit is finalized. (2) Owes Is rewired to hire are eleotdCal coolractor if above said property Is for Sale, rent or rasa. Permit expirei ,alter Aix nionttss of last iras ection. After reading the above slateme, I hereby cerilty that I am the ovrner of the above. named property or a licensed electrical wntractor, I wo making the elects al In0aflation or altemltrsn In oompilanco with the ejecirkW lea , KEG., RCS. a apter 19.78, VVAC. Uapter 206468, The City of Port Arles Munidpal Code, wd iltdity Specifications and PAP C 14.05.050 regarding 8edrkal PenrR Application s. Signature of owner, electrical contractor or electrical administrator: 0 task 0 check � �rtt�aas8�' Oda '4 &h nr 2/24/2014 LL 1IT74ZQ1 U ELECTRICAL PERMIT CITY OF PORT ANGELES . 360- 417 -4735 Application Number , , , , , 14- 00000206 Date 2/25/14 Application pin number . . . 771902 INSPECTOR: Property Address . . . . 1137 W 5TH ST ASSESSOR PARCEL NUMBER: 06 3p- 00 -0 -1- 1235 SERVICE Application type type description ELECTRICAL ONLY Subdivision Name . . . . , . ROUGH -IN Property Use Property Zoning , . . , , . , R97 RESDNTL SINGLE FAMILY Application valuation , , , . 0 COMMENTS: Application desc Security system Owner Contractor BLOOD, DANIEL, M PROTECT YOUR HOME 1137 W 5TH ST 3750 PRIORITY WAY SOUTH DRIVE PORT ANGELES WA 98363 #200 INDINAPOLIS IN 46240 (317) 810 -4720 ------------------------------------------------------------------------------ Permit , , , . . . ELECTRICAL ALTER RESIDENTIAL Additional desc , Permit Fee . , , . 64.00 Plan Checic Fee 00 Issue Date 2/25/14 Valuation , , . , 0 Expiration Date 8/24/1.4 Qty Unit Charge Per Extension 1,00 64,0000 ECH EL- SINGLE CIR LIMITED RES 64,00 Fee summary Charged Paid Credited Due Permit Fee Total 64 ,0.0 64100 .00 ,00 Plan Checl� Total 00 00 .00 .00 Grand Total 64.00 64,00 .00 00 REPORT SALES TAX .on your excise tax form to the City of Port Angeles (Location Code 0502) 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: GAIEXCHANGEWILDING L J d W.