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HomeMy WebLinkAbout1303 W 5th St - Building N CITY OF PORT ANGELES a DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001272 Date 11/09/11 Application pin number 574832 Property Address 1303 W 5TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1- 1995 -0000- REPORT SALES TAY Tenant nbr, name KARI SHIELDS Application type description RE -ROOF on your state excise tax form Subdivision Name to the City of Port Angeles Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 6840 Application desc TEAR OFF RE -ROOF THE HOUSE Owner Contractor KARI SHIELDS /DAVID H PIGORS LARRY'S ROOFING C/O 598 HERRICK ROAD 352 AVIS ST. PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452 -9999 (360) 452 -2215 Structure Information 000 000 RE -ROOF THE HOUSE Permit BUILDING PERMIT NO. PR FEE Additional desc RE -ROOF THE HOUSE Permit Fee 165.75 Plan Check Fee .00 Issue Date 11/09/11 Valuation 6840 Expiration Date 5/07/12 Qty Unit Charge Per Extension BASE FEE 95.75 5.00 14.0000 THOU BL- 2001 -25K (14 PER K) 70.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 165.75 165.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 170.25 170.25 .00 .00 final U 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 in sections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this applic. on and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with w er specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provision- of -ny st. local law regulating construction or the performance of construction. 1,4\ 11-01-11 E-1 N 0 .0. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION 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. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts 1 Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling 0 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 FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R. \N. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 11 /7 /7 W H 1 H 1 1 H I H 1 W W U EH 0 a Q I LO GT, 0 H O\ 1 N O N O\ N N 1 .0 d' d' 11 ro 0 0 1 A rn r) I w �d H W W N H 0 0 1 r1 m x W 0 x x H U X CO a s H 0 H g 40 E h o 0 40 Z 0. 0 0 0 H o 1 0) i H F F 1 E o U) U U z I N 0 E WW WI H z a s 40 1 N W 0 Zi 1 w o o 1 s H 1 H H 0 H U <1 N 0 U) 1 E n 1 Z O 4040 cn 1 H 044 O a H H I w 1 I I r O U O 1 40 N Z a o I (0(0 I Q 0 WW o x o 1 1 Q fk Q Z o w 1 Q I O I F H N 0 1 M c.) g 4 H H `T Q H W I 40 a s H 1i H H 1 a 1 W Z 0 tl]0 1 Z Cn 1 a io .0 0 Q 1 N 1 U' H W 1 M xa 0ao riz a E W 04 W 1 N 1 N q q O (0 (0 0 (0x 0 0 .7 W O) -(0 I o 1 H Q Q r 0 0 1 ,'O W W H H W rn H a' H 40 0 1 40 F 0 H H (0 040 0i 0 1 1 (0 G7 Z z rn o 1 0 W a 4- 4-11 00.04000 1 0 7 a H �H 0 0 0 0 40 w Z a u 0 a Z O w I w H ••0 1 W w U) i H 0 0 0 F F C 4 Z o< o 00 O a m a H q 0 0 0 1 1 0 1 0 >4 a a U Q 11 0 0 0 0 11 1 0 H 01 BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received t\ A. Permit# 1 City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5 St., Port Angeles, WA 98362 360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person: m Phone: i1 z^ 731010)-° kY rJ 11.E Property owner: ,k�[ 1 Phone: 5� I c:: Property owner's mailing legs: (�-I_! fff Contractor's business name: s doirfig o �6 Phone: 21 4 (or property owner's name if he /she isverseen thv ork) T C mailing address: D i s r Contractor's L &I license number: 1 Expiry ion date: rnik CO t%.1_11 t 3 may► Project Address: -}-1 Z() CO Project Type: XResidential D Commercial D Industrial Multi- family Project Business Name: (for commercial, industrial, or multi family projects) The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re -roof: 4 house garage other tear off re -roof lay over one layer Licensed contractor: SA it a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Re -side: ❑house garage other Project Valuation (labor materials, not including sales tax) Repair: (explain the project) Project Valuation *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011) Page 1 of 2 Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa projects that do not require plan review: Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? house garage other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. yes no Will the debris be going to the Regional Transfer Station in Port Angeles? yes No If yes, will a licensed contractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: (explain the project) Project Valuation Mechanical Permit: (explain the project) Project Valuation I have read completed this application and know be true and correct. I am authorized to apply for this permit and understand that it is my responsibilit ,to dete what, permits are required, and to obtain permits prior to working on projects. Date 111` (l Signature rp, Print Name 4 Y'`1 n 6 Page 2 of 2 ,3, 4 7 7 ,.-....,..;;;;A---;,-431;-,-.T -.':'''''&-4331.'0.1"•*-44 3. _3.3.... •:Tc..., ,...e..4_1..iv-=:`,.::.:7-4:414.;;,:ji,,:..,2;c7;qt:''''-!'ff'''...Vt.tr-;'''-''?,-,--*,q1";;0 :104'; %,--;13t0i*V. --2.4:, ,„,4,-Ii...,tm,' .i-*.4,•....W.,4-.-,-..'.:4'``::0, 4t;;;W:t..t. tvt..-4-...„ „..;7! :'•I h.,..- A :1 ...;7: fi x .1„,.... If "4, .4 t,,,V1 ...:;-,ft'' 41*Oke:-.7-.' 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Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 56727 SHIELDS KARI /DAVID H PIGORS for Year 2012 2013 Property Account Property ID: 56727 Legal Description: LOT 20 BL 119 1/2 INT Geographic ID: 0630000119950000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi- Family Redevelopment: N Township: Section: Range: Location i I Address: 1303 W FIFTH ST Mapsco: PORT ANGELES, WA 98363 e Neighborhood: PA West Res Map ID: 3 Neighborhood CD: 5151000 Owner Name: SHIELDS KARI /DAVID H PIGORS Owner ID: 52112 Mailing Address: CIO 598 HERRICK ROAD Ownership: 100.0000000000% PORT ANGELES, WA 98363 Exemptions: Taxes and Assessment Details Property Tax Information as of 11/09/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due I• Statement Details 2011 151464 $856.47 $856.39 $0.00 $0.00 $1712.86 $0.00 1 Statement Details 2010 39759 $820.57 $820.55 $0.00 $0.00 $1641.12 $0.00 Values Taxing Jurisdiction Improvement Building Sketch Property Image i Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 11/9/2011 3:45 AM ©2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2012 &prop_id =56727 11/9/2011 CITY OF PORT ANGELES f DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001123 Date 10 /10 /11 Application pin number 419227 Property Address 1303 W 5TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1- 1995 -0000 REPORT SALES TAX Application type description MECHANICAL APPL. PERMIT on your state excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 3185 Application desc ELECTRIC FURNACE Owner Contractor SHIELDS KARI /DAVID H PIGORS DAVE'S HTG COOLING SRVC INC C/0 598 HERRICK ROAD PO BOX 413 1303 W FIFTH ST PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 452 -0939 Permit MECHANICAL PERMIT Additional desc ELECTRIC FURNACE Permit pin number 194191 Permit Fee 64.80 Plan Check Fee .00 Issue Date 10 /10 /11 Valuation 0 Expiration Date 4/07/12 Qty Unit Charge Per Extension BASE FEE 50.00 ei)\ 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Fee summary Charged Paid Credited Due (1\ Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .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 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 regulating construction or the performance of construction. /4 12)04. c Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION 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. Inspection Type Date Accepted By Comments FOUNDATION: Footings (j\ Stemwall 'I Foundation Drainage Downspouts Piers f Post Holes (Pole Bldgs.) S/ PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by 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 16- Commercial Hood Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping _SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 �I Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit M∎< m, ro ro O 00 Hro o I ro f ro z z d H M z 1 rntH Kro O 00 HI i z r ro D,o ox$ H 1 1 nm M t7 H 0 1 w o ro 1 M w O H H n xl I x7 m. 0 1 0 M 1 H, 1 310 y N r t 1 n o i H m W y w z I M m I I 1 HO O H H 1 H H 3 o w M M w M H H I M M on I oor r- 000 cn .0 x w N H H H 4 1 M H I N O b 0 x N O. 1 M H w w N mz HH It m Cm 3 H v1 y ro ro i n 0 o xv.00o 'D In H r Z OH H HO z H A H 'OH H 3 4 0 3 X C7 y O O Z O xar 3x xMMn M 1 M PI 0 MH M Hnbr'n m m rorom M 1 K mxzo x 1 cn I 1 H,ro moo O >z o r M b Mc •W z H£ H z H (D 1 y. f ro on U1 x z m H M 1'1 H m ro I ro .ro n U1 n ›m n n I H 1 r m H o b H X b b H b 1 O H z H H HZ r 0 d H r' 00 x1 I O- H b n z z 1 3 z I ro m m M H m n m m C M 1 3 1 M ro ro z 3 b z H M N H I M I ro M M H HH £:n -3Z-0Z I Z 1 3 nn m z z x H b b m H b I H 1 H 3.-3 CC m M M r r H r I m H OH �-3 ro z• x 1 z0 M M G 1 H H z M m n H M z 0 H Z W II0 HV.1=.AH 4 I H O Mb Z Mln•• 3 1 roro 3n H O H H M n N w M 1 .1. x x 0 M x M M m H I H•• 1 00W m M m M H H X 0 1 Z Z 0 H N H m H W M O M M H r K- r n w 3 H 1 C H ow r H io I M C o x X— 0 1 I X W b �C7 H o I 1 M 3 M H z N m K H• H K b o co n w H H M C M 4 X x .ro H A MM CI ro m ro z z I N M H m M z ro 1 0 C m M W M ro n w O b M H W m n 1 mm H-3 1 x .s I M n z M 1 b 0 z 1 n r M 1 n O H I HO 3 b I M M M X H I M H N s H M 1 to 1 H K b O 1 O O H I C 1 H 1 N I HI-. 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L 0 1 0 0 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 2 circuits furnace Owner SHIELDS KARI /DAVID H PIGORS C/O 598 HERRICK ROAD 1303 W FIFTH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total WA 98363 ELECTRICAL ALTER RESIDENTIAL 194217 76 10 10 /11 /11 4/08/12 11 00001125 900000 1303 W 5TH ST 06 30 00 0 1 1995 0000 ELECTRICAL ONLY Contractor Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT Charged Paid Credited 76 10 76 10 00 00 00 00 76 10 76 10 00 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES WA 98362 (360) 457 0198 Plan Check Fee Valuation Date 10/12/11 Due RESULTS fit' cae 00 00 00 00 0 Extension 73 50 2 60 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date. OCT -10 -2011 10 36 AM E JANSSEN CITY OF PORT ANGELES .f'ER.MIT APPLI( ATION Building Division /Electrical Inspections 321 East Fifth Street- P.O. Bo'• 11. Port Angeles Washington, 98362 Ph' (360) 417 -4735 Fax: (360) 417 4711 Da .±Y it 1 2 Single Family Dwelling Plan Review May Be Required, Pease ,lob Address: Building Square Gootage: Description of Stave t,Jg Owner Infcmaition Name: ,j 1-4 I e] t:3 Mailing Address IA z.,1 f :y City Stale: Zip ..w Phone: s 14y Fax: License 1/ l Exp I�trn Service /Feeder 200 Amp Service /Feeder 201 -400 Amp Service/Feeder 401 -600 Amp Sen4ce&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 201) Amp. Tamp. Sendoe /Feeder 201 .400 Amp. Temp. Service /Feeder 401.600 Amp. Temp. Service/Feeder 601 1000 Amp Portal to Portal Hourly Sign/Oulline Lighting Signal Circuit/ Limited Energy I First 1500 ,I Commercial Note: $5.00 for each additional 1500 31 Signal Circuit/ Limited Energy 1 2 Fatuity Dwelling Signal Circuit/ Limited Energy Multi•Family Dwelling Manufactured Home Connection Renewable Electrical Energy SKVA Syron tI Lciss Thermostat tiONSQVIUR UCT1oN ONL First 1300 Square Ft. Each Additional 500 Square Ft. or Portlor r4 Each Outbuilding or Detached Garage Each Swimming Pool or Not Tub 10,30 35.20 73.50 10.30 i 10_Total Owner as defined by RCW.19.28.26 I (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.0 RCW Chapter 19 28. WAC Chapter 296.468, The City o! Pnr1 Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Apolir'atioris. Signature of owner electrical contractor or electrical administrator. 0 Cash :r• .7 4 '1 Multi- Family or Commercial* Commercial 4 ri lirion Alteration I Remodel Repair' dompletc Electrical Plan Review Information Shec 5.�. .C_�.. �.,rst�•s: ts. ;Ldp:? Unit Charge 119.90 145,50 204.60 S 262.20 37 50 S 7,60 73 50 �_7_ x r 7 611 92./0 110.30 148 /0 167 90 Si 9590 88.20 9.5 90 S 63.00 f>3 q0 1 119 90 102.30 56.00 u /L; t 360 452 2982 RECEIVED OCT 1 0 2011 ELECTRICAL INSPECTIONS Contractor Information Name- C'X'yi /1 X)1 e_ g• L T2rc�fL, Mailing Address: H AL.:tt, 11/ s r City 2A.2.4 Slate: uJ ik Zip: (1V A Phone:1 /1 7 Fat: le 6c c License t /Fxp._= A 71 r (7 7 '3I city credit Card TotEIN ALOpl!ed. (ynO Chem) 01/0112010 P 01 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 T stat Furnace Owner SHIELDS KARI /DAVID H PIGORS C/O 598 HERRICK ROAD 1303 W FIFTH ST PORT ANGELES WA 98363 Permit Additional desc Permit pin number 194159 Permit Fee 56 00 Issue Date 10 /10 /11 Expiration Date 4/07/12 Fee summary Permit Fee Total Plan Check Total Grand Total 11 00001119 168170 1303 W 5TH ST 06 30 00 0 1 1995 0000 ELECTRICAL ONLY Contractor ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 1 00 56 0000 ECH EL LVT THERMOSTAT Charged Paid Credited 56 00 56 00 00 00 00 00 56 00 56 00 00 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Date 10 /10 /11 DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 Plan Check Fee Valuation Due RESULTS /bAzi izs;)? 00 00 00 0 0 0 Extension 56 00 J REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date. Oct 07 11 10 31a Dave s Heating Cooling City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (3601417-4735 Fax: (360) 4174711 Date: 6 \-1 c t‘ 1& 2 Single Family Dwelling Multi- Family or Commercial Commercial Addition Alteration Remodel Repair` Plan Review May Be Required, Please Complete Electrical Plan Review l formation Sheet Job Address: 1 3 0 3 W e S t S 5Fre� f Building Square Footage: Description of above t'N.P-LPP 0 v o Ak sticky., —S L,.1 t r k 1 S' KU.: e_ 1_ Owner Informatign Name: G c-k K o-1r- t 5 k% e_t 5 Mailin Address: S9 KQ�.vrrc..k IKc4eL City fd r 9 z4•a, clz.s State: G4-JA Z`ip: QS865' P h o n e `e r1 Fax: License /Exp Unit Charm S 119.90 S 145.50 204.60 S 262.20 372.50 5 2.60 73.50 2.60 S 92.70 110.30 $148.70 167.90 95.90 86.20 S 95.90 63.90 63.90 $119.90 S 102.30 S 110.30 35.20 73.50 10.30 56.00 Qtv Check 1 X Date: (��1(1 I 3604520939 ECEfl/E© OCT 7 2011 ELECTRICAL INSPECTIONS w TL.rvtc C1L Contractor Inform atiion Name: 1.). (S K'°-'1.1 ti Maili dress: -P. o f O City tale zip: Z 3�� Phone 1? gctf ax: 4`5 -.e, 9 License Exp. 2)A V <n S .H G q I G Total fOty Multiplied by Unit Charoe) Service!Feeder 200 Amp. ServicelFeeder 201.400 Amp. 5 Service /Feeder401.600 Amp. Service /Feeder 601 -1000 Amp. Service/Feederover 1000 Amp. S Branch Circuit W/ Service Feeder 5 Branch Circuit W,MO Service Feeder 5 Each Additional Branch Circuit 5 Temp. Service( Feeder 200 Amp. 5 Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401 -600 Amp. Temp. Service(Feeder 601 -100C Amp. Portal to Portal Hourly SignlOufine Ligiing S Signal Circuit/ United Energy Commercial. Additional 1500 55.00 Signal Circuit/ Limited Energy 1 2 :artily Dwelling Signal Circuit/Limited Energy Multi-Family Dwelling 5 Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square FL S Each Additional 500 Square Ft or Portion of S Cash Outbuilding or Garage S Each Swimming Pool or Hot Tub 5 _50..O o Thermostat S_Sfo Total Signature of owner, electrical contractor or electrical administrator Cash Credit Card p1 Owner as defined byRCW19.28.261: (1) Owner will occupy the structure for Iwo years after this electrical permit is finalized. (2) Owner's required to hire an elect Ica) 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! am the owner of the above named property or a licensed electrical contractor. lam making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications. . . ~ CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. /.5'"12- .:3 //7 /n , ELECTRICAL PERMIT DATE ;cREADY FOR INSPECTION license Number: o WI LL CALL FOR INSPECTION Phone: Site Address: Installed By: Owner/Business: Phone: ~5 Sq. Ft. OwnerfBusiness Address: o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/lndustriai load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage o 10 030 Service size o Temporary Amps o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Detai I slDescri ption: ~!Iwf~4 Ilk M qm W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. c/J. O.K. to connect service --t~inal O.K. Size Comments Date Hold .for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for Installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: ~ o Permit/Receipt No. /S12. /:30 New Meters , Notify the Department 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_ I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 3D r;?!Z Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall