HomeMy WebLinkAbout114 W 9th St - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES 0
360- 417 -4735 U
Application Number 12- 00000375 Date 4/03/12 (n
Application pin number 429125
Property Address 114 W 9TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 9215 -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 RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Ductless heat pump
Owner Contractor
ROBERT S COATES CASCADE ELECTRIC VAC INC
114 W 9TH ST PO BOX 369
PORT ANGELES WA 98362 PORT HADLOCK WA 98339
(360) 461 -5528 (360) 379 -5347
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Check Fee
.00
Issue Date 4/03/12 Valuation 0
Expiration Date 9/30/12 l /J�
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL r/ it y J r Li 5
COMMENTS: d'(J l D
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
2012 -04 -02 14:08 CASCADE ELECTRIC 3603799043» 360 417 4711 P 1/2
CITY OF PORT ANGELES PERMIT APPLICATION IF r i i h M ii�-
Build Division /Electrical inspections ii LIU' L t? U t_,, 1`�
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711 APR 3 t I
Date: 2.. 1 2 Single Family Dwelling ELECTRICAL
INSPECTIONS
Plan Review May Ba Required, Plea Complete Electrical Plan Review Information Sheet
Job Address: s
it q 7 s
Building Square Footage;
Description of above i7 h G f L 05s hr1'4 f' '11 w+
Owner Info ation Contra S or Information
Name: /3 D L d q PC S Name: t c F 1 'q r.. A. Vh c
Mailing dress: lei/ W 4 IC t Mailing A dres SS
City; State: £A Zip: City: t S late: A/R Zip: t
Phone; E0 Phone id I' ax: 36 6 Z 7
License t 1 Exp. License 1 Exp. A
Item Unit Charge (qty Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 120.00
Service /Feeder 201.400 Amp. 146.00
Service/Feeder 401-600 Amp 205.00
ServicelFeeder 601 -1000 Amp. 262.00
Service /Feeder over 1000 Amp. 373.00
Branch Circuit W/ Service Feeder 5,00
Branch Circuit W/0 Service Feeder 63.00
Each Additional Branch Circuit 5.00
Branch Circuits 1.4 75.00 1 "S. do
Temp. Service/ Feeder 200 Amp. 93.00
Temp. Service /Feeder 201.400 Amp, 110,00
Temp, ServicelFeeder 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 5KVA System or Less 102.00
Thermostat 56.00
Note: $5,00 for each additional T•Stat
NEW CONETSJCTION ONLr,
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
75. col" 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 0
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735 P
(I�
Application Number 12- 00000036 Date 1/12/12
Application pin number 905956
Property Address 114 W 9TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 9215 -0000- your excise tax form
Application type description ELECTRICAL ONLY on y
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
1 circuit addition, Double fee work without permit
Owner Contractor
PHILLIP B WHITEFEATHER ELECTRIC SERVICE
114 W 9TH ST 82 DRAPER RD
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452 -6424
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc DOUBLE FEE WORK WITH NO PERMIT
Permit Fee 126.00 Plan Check Fee .00
Issue Date 1/12/12 Valuation 0
Expiration Date 7/10/12
Qty Unit Charge Per Extension
BASE FEE 63.00
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 126.00 126.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 126.00 126.00 .00 .00.
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN i /�i Z `42 4
FINAL 21� -466
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
JAN -11 -2012 10:01A FROM:ELECTRIC SERVICE 4526424 TO:4174711 P. 1/1
E7 i4;1
L7
11'1
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections 6 ELECTRICAL
F 321 East Fifth Street P.O. Box 1150 Port Angeles Washingt 1 1913362 INSPECTIONS
I
Ph: (360) 417-4735 Fax: (360) 417 -4711 V
Date: k 1l J 1-2.— 1 2 Single Fami ailing
Plan Review May Be Required, Please C r plete Electrical Plan Review rmation Sheet
Job Address: 4 W e t
Building Square Footage: \tl col Ck 4--
Description of above G-4-C7._ b iL66- cAA___ j
Owner Infornagon ontractor Info ation
Name: 0 r r (�L 1 flame: Zy (.2-4‘2--d-r..-
Mailing Add L•..► a -4- vtailing ddr 2.12- TJ." "tom L)
1Y
City: State: Zip: 6 ;fly State' zip: 47 11 le. 1---
Phone: Fax: Thone: -A r)--Le`1 Fax:
License Exp. Jcense# Exp. Q C't s' t 1 J 1.
kein Unit Charge C)ty Total (Qtv Multiplied by Unft Charoel
Service/Feeder 200 Amp. 120.00
Service/Feeder 201 -400 Amp. 146.00
ServiceJFeeder 401.600 Amp 205.00
Service/Feeder 601 -1000 Amp. 262.00
Service/Feeder over 1000 Amp. 373,00
Branch Circuit WI Service Feeder 5.00
Branch Circuit W/O Service Feeder 63.00 I L.' CJ
Each Additional Branch Circuit 5.00
Branch Circuits 1-4 75.00
Temp. Service/ Feeder 200 Amp. 93.00
Temp. Service/Feeder 201-400 Am.., 110.00
Temp. Service/Feeder 401.600 Am..' 149.00
Temp. Service/Feeder 601-1000 A p 168.00
Portal to Portal Hourly 96.00
Signal Circuit/ Limited Energy -1 Family Dwelling 64.00
Manufactured Home Connection 120.00
Renewable Electical Energy 5KV System or Less 102.00
Thermostat 56.00 �00
Note: $5.00 for each additiona T Stat
NEW CONSTRUCTION ONLY:
First 1300 Square FL 120.00
Each Additional 500 Square Ft. or �-f
'on of 40.00 K LO I I4i lJ
Each Outbuilding or Detached Ga r e 74.00
Each Swimming Pool or Hot Tub 110.00
S V
6 4 Total t't, l
Owner as defined by RCW.19.2;. 261: (1) Owner will occupy the structure for two p •rs after this electrical permst is finalized. (2) Owner is required
to hire an electrical contractor if bove said property is for sale, rent or lease. Pe expires after six months of last inspection. 0
After reading the above stateme t, I hereby certify that I am the owner of the abo named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.0 CW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Municipal Code, and U' fifty Specifications and PAMC 14.05.050 regardin t E (ectricat Permit Applications.
Signature of owner,.electrlcal ntractor or electrical administrator: 0 cash 0 check c. r rY J 0 crate •a r 0 l��
f P at� Dated: 1 1 2—,' 01/0112012
I
1
WF014278' 001 City of Port Angeles PAGE 1.
REQ. DATE: 01/09/12 01/09/12 15:28:59
SCHED START: 01/09/12 SCHED COMPLETION:
CREW: Electric Service ESVC
LOCATION: 114 W 9TH ST LOC ID: 94918
SUBDIVISION: LOC. ZIP: 98362
GEN. LOC.: CITY OF PURT ANGELES COMP DA'Z'E: 01/10/12
REQ DEPT: PW- Electric PRIORITY: Medium
REQUESTOR: ktrainor ORIGIN: Telephone
REQ USER: KTRAINOR AUTH USER:KTRAINOR WRK TYPE:Routine
114 W 9th Advise customer on point of attached at house for service wire
PRIMARY CONTACT INFORMATION
Bob Coates (360)461 -5528
114 W 9TH ST
PORT ANGELES, WA 98362
DETAIL DESCRIPTION
Trent Tuesday, l /10 ,`at 1pin.
114 W 9th Advise customer on point of attached at house for service wire
CATEGORY: CITIZEN CONC ELECTRIC CTEL
TASK: Investigate INVS READY
DEPT: PW- Electric PWEL
SCHED START: 01 /10/12 SCHED COMPLETION: 01/10/12
FACILITY SEG FACILITY DESCRIPTION FACILITY ADDRESS ACT
ELEC;TRIC.' Electric utility system city M
PARENT ID:
FACILITY TYPE: M Miscellaneous
SUBTYPE: SYS System
START TIME: COMPLETION TIME:
START DATE: COMPLETION DATE:
UNIT OF PRODUCTION: QUANTITY:
LABOR EQUIPMENT MATERIAL
DATE EMPLOYEE HRS OT NUMBER HRS ITEM QTY COST
001/Z-- 1 oN
5-r6A .o. r,pv1e*
p q_ i N SYFyc`�a
k u3iLLIIt os
9 fo t 1 6?
CITY OF PORT ANGELES
r DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000094 Date 1/27/12
Application pin number 634088
Property Address 114 W 9TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 9215 -0000-
Application type description RE -ROOF On your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning
valuation S
nig RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application desc
TEAR OFF RE -ROOF
Owner Contractor
ROBERT S COATES HOME DEPOT AT -HOME SRVCS, THE
114 W 9TH ST 2690 CUMBERLAND PKWY, STE 300
PORT ANGELES WA 98362 ATLANTA GA 30339
(360) 461 -5528 (770) 779 -1300
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE -ROOF
Permit Fee 193.75 .Plan Check Fee .00
Issue Date 1/27/12 Valuation 8500
Expiration Date 7/25/12
Qty Unit Charge Per Extension
BASE FEE 95.75
7.00 14.0000 THOU BL- 2001 -25K (14 PER K) 98.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 193.75 193.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 198.25 198.25 .00 .00
fiRflit ?N 17
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 clays after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that l 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.
3 4
h tesz/
r t
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 Backflovv 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
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 f 1
Ceiling f L
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 Stab
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 21 j 9— Building 417 -4815 1
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c BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
For City Use Only:
Attn: Building Permit Technician
Date Received I -2S I�
321 E. Fifth St., Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711 Permit
Date Approved ZF„v -1
Applicant The Home Depot At Home Services Phone 800 381 -5699
Property Owner Bob Coates Phone 360.461.5528
Property Owner's Address 114 W 9th St
Contractor The Home Depot At Home Services Phone
Contractor's Address 140 County Line Rd., #140, Pacific WA 98047
License HOMED *972RQ Expires 2/1/2013 E -mail NAIDA@NWPERMIT.COM
PROJECT ADDRESS 114 W 9th St
Parcel Number 58808 Lot Zoning
Project Type Brief Description: Residential Multi- family Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
el Re -roof 6 House garage other In tear off re -roof lay over one layer
Heat System Heat pump wood burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION 8500.00
Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage
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
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects.
NameNAIDA KHAN Digitally signed by Naida
Date
Print Name Signature N a d a L Khan
pi DN: cn =Naida Khan,
T:Forms /Building Division /Bldg Permit.doc o= Northwest Permit Inc., ou,
Khan email= naidaC� nwpermit com,
Date: 2012.01.25 19:22:29
O 08'00'
Clallam County Assessor Treasurer Property Details 58808 ROBERT S COATES f... Page 1 of 1
Clallam County Assessor Treasurer
Property Search Results 58808 ROBERT S COATES for Year 2011 2012
Property
Account
Property ID: 58808 Legal Description: LOT 4 BL 292 TPA
MAP L5
Geographic ID: 0630000292150000 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
Address: 114 W NINTH ST Mapsco:
PORT ANGELES, WA 98362
Neighborhood: PA East Res Map ID: 2
Neighborhood CD: 5001000
Owner
Name: ROBERT S COATES Owner ID: 211205
Mailing Address: 114 W 9TH ST Ownership: 100.0000000000%
PORT ANGELES, WA 98362
Exemptions:
Taxes and Assessment Details
Values
Taxing Jurisdiction
i Improvement Building
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Payout Agreement
Website version: 9.0.32.2200 Database last updated on: 1/26/2012 3:52 2012 True Automation, Inc. All Rights
AM Reserved. Privacy Notice
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =58808 1/26/2012
'"mss CITY OF PORT ANGELES
's�'�
L. DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000243 Date 3/05/12
Application pin number 750458
Property Address 114 W 9TH ST REPORT SALES TAX
Ott ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 9215 -0000-
Application type description MECHANICAL APPL. PERMIT On your state excise tax form
Subdivision Name to the City of Port Angeles'
Property Use s .r e
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 3197
4 Application desc
DUCTLESS HEAT PUMP
Owner Contractor
ROBERT S COATES AIR FLO HEATING CO INC
1 1441
114 W 9TH ST 221 W. CEDAR
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 461-5528 (360) 683 -3901
Work Description Information
MECHANICAL 1
Permit MECHANICAL PERMIT
Additional desc'. DUCTLESS HEAT PUMP
Permit Fee 64.80 Plan Check Fee .00
Issue Date 3/05/12 Valuation 0
Expiration Date 9/01/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80
Fee summary Charged Paid Credited Due
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00
i 1' 1 Ig l 12
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
it and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
te f o a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
�bf a ws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
n -t presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
4 0 nstruction. ,r-z e, tilcv;c; t .;11 2-7,--
4„,/,/,)_ li tlate 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
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.
4 j am
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings Y
Stemwall
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 1 Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney 1
Commercial Hood Ducts FINAL Date 4,1/ s l 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
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oC r91-"44,c, BUILDING PERMIT APPLICATION Print in ink
C I
N CITY OF PORT ANGELES
For City Use Only:
Attn: Building Permit Technician Date Received 3/*/ I? 321 E. Fifth St., Port Angeles, WA 98362 Permit# /2
(360) 4174815 fax (360) 417 4711 Date Approved 3 (Z._
Applicant or Agent Ptk F' a kk /v Phone V$3- 3901
Owner S Phone 441_ SS WI'
Owner's Address IN 9 '1 Err 'DtT A.N eE1.es, %o f %56
Contractor /Engineer MR I1.0 E kl Ill Cr Phone 4 0 1 -5SzA
Contractor /Engineer's A dress t 1J e t #r sr $EAu k A& I WA a 3 2
License I Ft— t o(Q b&- Expires Li 1
PROJECT ADDRESS 11 IS 5 f zer
Parcel Number Lot Zoning
Project Type Brief Description: A Residential o Commercial Multi- family o Industrial
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
o Re -roof
o Demolition
o Sign o wall- mounted projecting o freestanding o awning other
Total sign area sq. ft. Maximum allowed sign area sq. ft.
Heat System o Heat pump o wood buming stove o gas fireplace o pellet stove Bother
o Other D IESS I4EAkt Paid S '(6TE
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1'' Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION 31
Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a fawn sprinkler system be installed? Occupant Toad of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this application and know it to be true and correct. I am thorized to apply for this permit and
understand that it is my responsibility to de ermine what permits are required, an •i' obtain -rmits prior to workin,r on
project 1 c I
Date Print Name e ��.5 S nature &k' a j
T:Forms/Building Division /Bldg Permit Appl. -2006 Code.doc
1 d 1 L6E EB9 09E 01A 21 I d WdSZ I 2102 So Jew
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. .;:? 59;
DATE ~/f-
ELECTRICAL PERMIT
Installed By:
o READY FOR
INSPECTION
license Number:
WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
M RESIDENTIAL
/[j COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
'5( ADD/ALTER CIRCUITS
tJ SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
Details/Description:
CUI 'a-
~;9~
.
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~rfiJROUgh-in/cover O.K.
o O.K. to connect service
~ 'f Final O.K.
Site Address:
Installer:
~
Permit/Receipt No.
:3.)' r r
New Meters \\
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen 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. &0 '
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ /0 ___
Eleclricallnspector
Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC