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733 W 14th St - Building
CITY OF PORT ANGELES m DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 V Application Number 11- 00000890 Date 8/31/11 Application pin number 711930 Property Address 733 W 14TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3 -9350 -0000- REPORT SALES TAX Tenant nbr, name DAVID K SHORTESS on your state excise tax form Application type description RES ADDITION Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning Application valuation 9945 Application desc 117 SF BATHROOM CLOSET ADDITION Owner Contractor DAVID K SHORTESS OWNER 733 W 14TH ST PORT ANGELES WA 983639300 (360) 477 -0550 Structure Information 000 000 117 SF BATHROOM CLOSET Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc 117 SF BATHROOM CLOSET Permit pin number 191247 Permit Fee 207.75 Plan Check Fee 135.04 Issue Date 8/31/11 Valuation 9945 Expiration Date 2/27/12 Qty Unit Charge Per Extension BASE FEE 95.75 8.00 14.0000 THOU BL- 2001 -25K (14 PER K) 112.00 Permit MECHANICAL PERMIT Additional desc Permit pin number 191262 Permit Fee 72.05 Plan Check Fee .00 Issue Date 8/31/11 Valuation 0 Expiration Date 2/27/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 7.25 1.00 14.8000 EA ME- HEATER(SUSP /WALL /FLOOR -MTD) 14.80 Permit PLUMBING PERMIT Additional desc Permit pin number 191270 Ct rn O L 17 Permit Fee 100.00 Plan Check Fee .00 6 Issue Date 8/31/11 Valuation 0 Expiration Date 2/27/12 Qty Unit Charge Per Extension 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. (VV/// '3 A A)06 3 -74,... 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 Stemwatl Foundation Drainage Downspouts 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 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.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 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 Page 2 Application Number 11- 00.000890 Date 8/31/11 Application pin number 711930 REPORT SALES TAX Qty Unit Charge Per Extension on your state excise tax form BASE FEE 4.00 7.0000 EA PL- PLUMBING TRAP 28.00 to the City of Port Angeles 1.00 7.0000 EA PL -WATER LINE 7.00 (Location Code 0502) 1.00 15.0000 EA PL -SEWER LINE 15.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments August 24, 2011 10:52:54 AM sroberds. The proposal will result in a 117 sq.ft. addition to a sfr in the RS -7 for total lot coverage of 14% and site coverage of 21 No land use issues anticipated. August 23, 2011 1:26:59 PM Tim 417 -4706. Electrical permit required. Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 379.80 379.80 .00 .00 Plan Check Total 135.04 135.04 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 519.34. 519.34 .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. 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 INSPECT IONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 0 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 Stemwali Foun a ion rainage Downspouts) q k T� b iers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In s! �Zi✓�" Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date 217,141 7cepted by ,-U/ AIR SEAL: Walls Ceiling FRAMING: F1ah:3e1S`f 9 -15-f TEA- Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling 1" 6 MECHANICAL: GGG Heat Pump Furnace FAU Ducts Rough -in Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts 1 FINAL Date f rf /'accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA:` Landscaping SHORELINE: C e) c t 2 7 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. 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BUILDING PERMIT APPLICA ION Print in ink C ITY OF PORT ANGELES For City Use Only: Fy Attn: Building Permit Technician Received 1'7 -11 321 E. Fifth St., Port Angeles, WA 98362 NaNat (360) 417 -4815 fax (360) 417 -4711 ermit p likate Approved o- Applicant 1�� c Phone "5 6.0 s Property Owner cS_a■rMR Phone Property Owner's Address to `t& Vk” P. t Contractor Phone Contractor's Address License Expires E -mail PROJECT ADDRESS ,7 33 vi 1 H* Parcel Number Lot Zoning s i ii PBP Project Type Brief Description: XResidential Multi- family Commercial Industrial Check all that apply New Construction i f X_13 i of -��oh gL t hYtorn C(0S Addition s 4- Remodel Repair Demolition Re -roof House garage other tear off re -roof lay over one Heat System s Heat pump wood- burning stove gas fireplace pellet stove other Other Q, C. 0. U}trii- hest Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor /?47‘24 I (i 25: 00 A 7 2nd Floor 3rd Floor Garage (pq? Carport Covered Porch Deck Shed C `L Other TOTAL VALUATION 1 _f Li5 Total footprint of structures _A 0 1 sq. ft. T Lot size .Z© C I 1 6 1 sq. ft. Lot coverage 3.,_$ Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage it Q.rVie o s 15- (t 290( 4422 Max. height of proposed structures ft. Occupancy group of bedrooms 3 Will a lawn sprinkler system be installed? ts_)o Occupant load of full baths 2.. Will a fire sprinkler system be installed? AJ 0 Construction type of half baths I have read and completed this application and know it to be true and correct. I am author` to apply for this permit d understand that it is my responsibility to determine what permits are required, and to obtain permits prig k .rking on oj�cts. Date 1 U� .q Pr int Name Vou't;d k' O r ie. ignature P i T:Forms /Building ivision /Building permit application ?oRr PRES.CRIPTIVE APPROACH SIMPLE FORM For the Washington State Energy Code (WSEC) 2009 Edition Climate Zone 1 CITY GOVERNMENT Site Information: Building Department Use Only: Lot: ,n Permit Address: '733 r `l" Notes: City: Va- --ts I A g. State: 03 f Zip: Cre 6 S Contact: OsAl Phone: 0 1 5 S S-0 Phone 2: FAX: WSEC Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR SINGLE FAMILY RESIDENTIAL OR DUPLEX CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glazing Glazing U Factor Door Wall Wall Wall Vaulted I nterior Exterior Slab on Option, Area of U Ceiling Ceilmg' Grade Below Below Floor Concrete Floor Vertical Overhead Factor R -49 III Unlimited 0.30 0.50 0.20 or R 38 R -21 R -21 R -10 R-30 R -10 R -38: int TB U =0.029 2' adv This Project complies with the following: Ai The project is a single family residence or duplex. V The project is a wood frame OR all of the insulation is interior or exterior of the framing. \I All building components meet the requirements listed above. Al The project will meet all other provisions of the WSEC and VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. 602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be installed per unit for ornamental, security, or architectural purposes. Location of the door taking this exception: 1 4,11 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical P glazing U- factor listed above. Location of the door(s) taking exception: Type of Heat Source: .ti.�,� l�►1 ��r, 06; (K) 3- 6�`� `e T:Forms /Building Division /Prescriptive Approach Simple Form (I rii Electrical Information Form (t7 Public Works Utilities Department (360) 417-4700 2 City Electrical Inspector (360) 417-4735 Please complete and return to Public Works Utilities Department Applicatitinformation Permanent service: Name: 1:::) \.(k LI) Name and address of party Street: (A) e jk responsible for permanent City State ZIP: %7T--yt uuk- service billing? Daytime Phone: So .<4.)'7'7 6 Home Phone: /16. earitalahltbriflatiiti (if other than above) Name: Pt Title: Site contact: Daytime Phone: Name: Company: Contractor Daytime Phone: Name: Company: Electrician: Daytime Phone: Excavator: Name: Company: Daytime Phone: Existing El New Single-family residence 0Multi-family residence; of units Commercial O Subdivision; of lots 0 Overhead service General service Ei Underground .service Ether: Piliged Description of work: "V\ sQ.AA3-- (4,6C-A Street address lot number: 71 3 s T S goer (P q Nearest cross street. Desired connection date: Electrical transformerservingproperty is: 'on a pole 0 on the ground Total square footage: ia57 sq. ft. -Main-disconnect size: aCrO amps N120/240 1ph 0120/208 3ph 0277/480 3ph Voltage: E120/2•0 3ph E480 3W 3ph flDther Standard residential loads (Lighting, refrigerator, dishwasher, washer) Check all that apply: E A/C.( ton) ZRange/Oven E Hot Tub XI Clothes Dryer gHeating Pumps Hp) Ei No Load Change WaterHeater DElevator Hp) El Other SupportingDocumentation Please provide a copy of the following: *Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one-line drawing showing the service entrance panel and location. *Connected load data. *Size and locked rotor of all motors ove Applicant's Signature:WM Date: rilisr r( MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360-417-4711 WS WF Information form.xls form Revised 1-15-09 Clallam County Assessor Treasurer Property Details 60131 DAVID K SHORTESS Page 1 of 1 Clallam County Assessor Treasurer A Property Search Results 60131 DAVID K SHORTESS for Year 2011 2012 Property Account Property ID: 60131 Legal Description: LTS 11 -13 BL 393 Geographic ID: 0630000393500000 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: R/ Range: Location Address: 733 W FOURTEENTH ST Mapsco: PORT ANGELES, WA Neighborhood: x ref Cycle 5 Res Map ID: 2 Neighborhood CD: 10955130 Owner Name: DAVID K SHORTESS Owner ID: 52219 Mailing Address: 733 WEST 14TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98363 -9000 Exemptions: I Taxes and Assessment Details Property Tax Information as of 08/17/2011 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 154726 $990.91 $990.85 $0.00 $0.00 $990.91 $990.85 Statement Details 2010 43009 $949.13 $949.13 $0.00 $0.00 $1898.26 $0.00 Values i Taxing Jurisdiction Improvement Building Sketch Property Image 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: 8/17/2011 3:49 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net /propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =60131 8/17/2011 ELECTRICAL PERMIT .j CITY OF PORT ANGELES 360 -417 -4735 Application Number 11- 00001147 Date 10/13/11 Application pin number 346939 Property Address 733 W 14TH ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 9350 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning Application valuation 0 Application desc 3 circuit bath storage addition Owner Contractor DAVID K SHORTESS OWNER 733 W 14TH ST PORT ANGELES WA 983639300 (360) 477 -0550 Permit ELECTRICAL ALTER RESIDENTIAL 1 Additional desc W Permit pin number 194472 Permit:Fee 78.70 Plan Check Fee .00 Issue Date 10/13/11 Valuation 0 TJ Expiration Date 4/10/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 2.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5.20 E./ Fee summary Charged Paid Credited Due Permit Fee Total 78.70 78.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 78.70 78.70 .00 .00 n 1 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN i 1 /l A "t l �1 t FINAL 1 l 1—,g (i AQ 41! COMMENTS: 7 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION filik 0 Signature of owner or Electrical Contractor 'r te Date: 6 (3 j 6 ��ji t'C)RT,1 +.1 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 11501 Port Angeles Washington, 98362 L' Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELtu i nwML Date: 10 1 k"2._ INSPECTIONS X 1 2 Single Family Dwelling Multi-Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: ri 33 W 04 `!L S4 PdLi $.4,co.�3 r W Vlr czy 3 6 Building Square Footage: j t 1 Description of above a:c: -k t I CV''' ft �CA:" i S t ,t- ..t.a2- Owner Contractor Information Name: Oct v i c[' K. S o T SS Name: O Yt.� J Mailing Address: r- 7 ct r(( S4 Mailing Address: City: 'c 1 tansjz[rt- State: OJd4 Zip: 94 se- City: State: Zip: Phone: r -I'Y7- 6b t') Fax: Phone: Fax: License Exp. License Exp. Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 119.90 Seryice /Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 li z 0 Each Additional Branch Circuit 2:60 2 6 3 b G5 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service /Feeder 401 -600 Amp. 148.70 Temp. Service /Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First'1300 •Square Ft. 110.30 Each Additional 500 Square Ft. dr Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 70 76. •0 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 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 contractor or electrical administrator: Cash Check Credit Card c� IN X Dated: t 0 I Z I 0110712010 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 amp service change and feeder to garage Owner Shortess David 733 W 14TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983637531 ELECTRICAL ALTER RESIDENTIAL 154443 193 50 10/02/09 3/31/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00001011 646951 733 W 14TH ST 06 30 00 0 3 9350 0000 ELECTRICAL ONLY 0 Contractor APS ELECTRIC 546 BENSON RD PORT ANGELES PORT ANGELES (360) 452 6753 Plan Check Fee Valuation Qty Unit Charge Per 3 00 2 0000 ECH EL BRANCH CIRCUIT W /FEEDER 2 00 93 7500 ECH EL 0 200 SRV FEEDER Special Notes and Comments October 2 2009 8 50 53 AM Brian 417 4708 OK Fee summary Charged Paid Credited Permit Fee Total 193 50 193 50 00 Plan Check Total 00 00 00 Grand Total 193 50 193 50 00 Date 10/02/09 WA 98363 Due 00 00 00 DATE' RESULTS io /7 lac I AV 4oi 11 '6g I 0 0 0 Extension 6 00 187 50 Signature of owner or Electrical Contractor X Date INSPECTOR. 11W "TAD y f FROM A.P S. ELECTRICAL CONTRACTOR FAX NO. City of Port Angeles Permit Application Building DivistanJElectricai Inspections 321 East Fifth Street –P.O. Box 1150 Port Angeles Washington, 98362 Ph: (380) 417.4735 Farr: (368) 4174711 Date: 9..-30 rRcg7 1 2 Single Family Dwelling Multi Family. or Commercial* Commercial Addition I Alteration Remodel J Repair* Owner Irtormation Name: av ?d -A e35 MailingAddress: 7 3 3 I zi City R A State: ta/. Zip sJ 1 Phone; e177 —0541.-1 License Exp. Signature of owner, electrical contractor or electrical administrator 360 452 6753 RECE OCT 2009 ELECTRICAL INSPECTIONS Plan Review Ma tae Required, Pleas millet ectri 1 Plan Review Information Sheet Job Address' 7 ?,_(,t t 1 Contractor Information Name A 5 6/ e.c- r r Mailing Address: City' State Zip Phone. Fax: License #1 Exp. `C Unit Chag® Q Total 1 uiliolied by Unit Chen*,, 93.75 S_' =.1i:i ServioelFeeder 200 Amp. ter Service/Feeder 201-400 Amp. Service/Feeder 401-500 Amp. Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder 5 57.50 Branch Circuit WIO Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Setvice eerier 201-400 Amp. Temp. Service/Feeder 401 -600 Amp, Temp. ServicelFeeder 601 -10RO Amp. Portal to Portal Hourly SignA)uine Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Famiy Dwelling Signal Circuit/ Limited Energy Multi- Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Fast 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat u�:�LA; Total "V Cash Check 3O 0°1 ,k' Credit Card Sep 30 2009 12 14PM P1 Building Square Footage: ()Map Ron of above C it-At4d4.____ 11_._14A111 4,411 4-04-41, Owner as defined byRCN.19 28251; (1) Owner wgf occupy the *sewn for taro years alter this electrical pen)* fina&herL (2) Owner ls requited to hire an electrical contractor I f above sakf property Is far sale, rent or lease. After reading the above statement, t hereby certify that I an the owner of the above named property or a licensed electrical contractor. tam making the electrical Installation or alteration in compliance with the electrical laws, N.Ec. RCW. Chapter 18.28, WAC. Chapter 296-4513, The City of Port Angeles Municipal Code, and Utliky Specifications. CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 F. AST 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 2/15/2002 PERMIT NO 7546 OWNER/APPLICANT PROPERTY LOCATION DALE CUSHMAN 733 14TH ST W 733 W 14TH STREET Lot: 11-13 Port Angeles, WA 98363 Block: 393 [] Long Legal 360/457-9120 Subdivision: TPA T: S: Parcel No: 063000039350000 CONTRACTOR ARCHITECT COLEMAN ELECTRIC N/A PO BOX 1326 PORT ANGELES, WA 98362 , 98360-0000 360/452-7594 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: Construction Type: HEAT PUMP Occupancy Group: Zoning Use: Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 10 KW [] Overhead Service Voltage: 0 [] Heat Pump 2 KW [] TempService Phase: [] 1 [] [] Fan Wall 0 KW Service Size: 0 Feeder Size: 0 PROJECT NOTES 10 kw 2ton comp. FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $45.50 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $45.50 AMOUNT PAID: $45.50 BALANCE DUE $0.00 ('OMMI:NTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A IvlINIMUM 24 HOUR NOTICE· ITI$ UNLAWFUL rO COLOR, ,Nsu~r~ oR CONC~AL ANY WO~ ~P ~'~T C~ DITCH ROUGH-IN / COVER SERVICE GENERAL COMMENTS: / I / ;- - . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Site Address: Installed By: Owner/Business: Owner/Business Address: o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) '1l&tJ Details/Description: o New Construction o Remodel ~ervice update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) :;'~ jJanJ ..f :J 0 0 /J~ ~P'AI ,~../ #4/AfAu. /tltJ ~, PERMIT NO. /)('S 7 'i-'~/-f"~ DATE o READY FOR INSPECTION License Number: ILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o Overhead o Underground Voltage o 1~ 03.0' Service size o Temporary Amps tP-ntIJ ~ . . W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service fJ, Final O.K. 1et"\ 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: Installer: Permit/Receipt No. /?S New Meters Notify the Department 01 City Light by Street Address and Permit Number when ready lor 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 45~411, EXT. 158 or EXT. 224. ~ NO OCCUF;'ANCY OR USE ESTABLISHED UNDER THIS PERMIT ;fS 3D ~ Jf, ~~r Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng. Bottom: Customer GREEN - Top: Inspector. Bottom: City Hall Feb 14 02 0~:2Ba 8obb~ O. Coleman :160-452-7584 p.l ~z- ~;--i)'; ,; ,';>'P'''.-1;(".' r',' ~nl'l, "I'C;Yl F~ , ~i.,Ool'".I''' , . .r, W ELECTR!C.6.!. PERMIT .A.?9L!CATlON I I ~1C1~_UUOJlll.Y . 1_- DoIl"~' I .......... I --I I The EIectriedI P{lRftft AppIie:et'Wt IftWlt__fbIed out ~DMIaIv. ~rw-orreprintm"'1t. 1f WOtimw.any~ p4eMe CMI(3&O. 411-4T3S Fax numb=r. f36D)411-4711 0..-...-. """""""'...... l2.tt'd"'~ c'fi;",.f;l;/- p""",-,;(- ;:7 rS'y' F=.d. - 7\7 'i p",P""YOWne" \)..... en OP!;..,A-~___ Phot>., 'I.a. 1::).0 Addressc~3-; Ld I~ vl:-- _ Cily; 8.'7'+ A~"Il'""' ZJp- "'j,.f"i't:s EIocIricaf~-U .. 'tD'~ 1'./ lie...."" e.,. Phone, Addntss: ~" '-'J"A-C- ? City. Zip: INSTAUA TION WIRED BV, 0 OWNER ...&ELECTRICAL CONtRACTOR Credlt Card HoItJlN Name: j/ 5 <1 BiUlngA_s: SSL2 LJ I {.. It. PROJECT ADDRESS: 733 tV /~t!1 c -51. TYPE OF WORK: Check l!lllhal apply: 0 New o A1teratiorlAddition jiR-. 0 Mutt;.f-uJy o Commercial 0 _ Home Sq, Fl. o Remote Mete. 0 Detached 9B'_ 0 Hal Tub 0 Swim Pool 0 Septic Pump 0 Low VoItago 0 Telecom, 0 Sign Number of Orcuits added or anemtt ,.... 'J & 0 DI;SCRIPTION OF THE ELECTRICAL I'ROJECT: Ie') k ~<.J +- ,2. -t- c' ,..;- (;J (' .-.v-p EleclJical_ Load Additions Service Inlonnallon o aaseboard o Furnace o Hea. Pump o FlIn-Wall _KW _KW _KW _KW o Overhead SeNice DTempSeMce o Underground Service Voltage: Phase: D 1 D 3 SeNice Size: Feedor SIze: PAMC 14.05.060(8): For industrial, eomme.cial, & msidenllat proiects larger !hall a duplex. a one. tine drawing of the Electrical Service & Feeders, buitling size (sq. ft.), 10m calculations, and the type 8. 01 conductors ancvu raceway is raqutred and snail accompany the Electrical Permi1 appI)cation. I hereby celfify /hat I have read and examined this application and knOw /hat same to be true and correct, and I am aufhorized to apply for this permit. I uncferstand if is /lot the City's 18{J8/ responsibility fo determine what permits are required; it remains the applicants responsibility 10 determine what permits are required and to obtain such. Credit Can:I_r's SIgnature: Dale: /-/.:/"<12 Owner- or Elec~ Cont. Signature;