HomeMy WebLinkAbout1105 W 15th St - Building
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Ap lication Number
p ~ca ~on p~n number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
CITY OF PORT ANGE~ES
PUBLIC WORKS - ELECTRICAL DIVISION
:l21 EMiT 5TH STREET. PORT ANGELES. WA 9R:l(12
I
I
386253
nos W 15TH ST
06-30-00-0-4-1280-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
HALVORSON ERLING
nos W 15TH ST
PORT ANGELES
WA 983637037
AIRFLOW HEATING
221 W. CEDAR
"SEQUIM
SEQUIM
(360) 683-3901
WA 98382
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
AIR FLO/ T-STAT
48496
AIRFLOW HEATING
36.40 plan Check Fee
5/11/05 Valuation
n/07/05
.00
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Qty Unit Charge Per
1.00 36.4000 ECH EL-LVT-FIRST THERMOSTAT
Extension
36.40
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 36.40 36.40 .00 .00 ,t
Plan Check Total .00 .00 .00 .00
Grand Total 36.40 36.40 .00 .00
........
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COMMENTS/ACTION NEEDED
I
ELECTRICAL 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.II02.U [4'96)
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Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
CITY OF PORT ANGE",ES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98~()2
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.LIClI,...'l;;;:
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386253
1105 W 15TH ST
06-30-00-0-4-1280-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
HALVORSON ERLING
1105 W 15TH ST
PORT ANGELES
WA 983637037
AIRFLOW HEATING
.221 W. CEDAR
SEQUIM
SEQUIM
(360) 683-3901
WA 98382
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
OLYMPIC/ 10KW FURNACE
48637
OLYMPIC ELECTRIC
48.10 Plan Check Fee
5/11/05 Valuation
11/07/05
.00
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~
Qty Unit Charge Per
1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48.10 48.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 48.10 48.10 .00 .00
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COMMENTS! ACTION NEEDED
l
ELECfRICAL PERMIT INSPEOJON RECORD
CALL 4174735 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
6 / ;/USL)
GENERAL COMMENTS:
PW.I 102.1' 14'961
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CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East yh Street, Port Angeles, WA 98362
Application Number
Appl~cation pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Applicat~on valuation
~
05-00000504 Date
994728
1105 W 15TH ST
06-30-00-0-4-1280-0000-
FIRE ABANDON TANK INSPECTION
6/21/05
RS7 RESDNTL SINGLE FAMILY
500
Owner
Contractor
HALVORSON ERLING
1105 W 15TH ST
PORT ANGELES
OWNER
WA 983637037
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
UNDERGROUND TANK RES
SLURRY FILLED IN PLACE
52449
15.00 plan Check Fee
6/21/05 Valuation
12/18/05
.00
500
Qty Unit Charge Per
Extension
15.00
BASE FEE
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 15.00 15.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 15.00 15.00 .00 .00
....-
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This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested wIth
180 days from the last inspection. I hereby certify that I have read and examintrl this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordmances governing this type of work will be com led
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or ca cel
the provisions of any state or local law regulating the work specified in the permit.
~ )~OJ./U- b-2/-oS
Signature of Contractor or Authorized Agent
Signature of Owner (if Owner is builder)
Date
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
'.-
ELECTRICAL PERMIT
PERMIT NO. {13:2 't
DATE 9/11/ !?9'
Site Address:
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
OwnerfBusiness:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential 0 New Construction
Heat KW 0 Remodel
o Baseboard 0 Furnace/Boiler ,5?service update/alter/repair
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 A f.lAl..et4/ ls o.,u 1 Ai .filA ~ .L>
'g'Overhead
o Underground
Voltage
010 03,0
Service size ~ 0 <:>
o Temporary
Amps
Detai I s/Descri ption:
11~
Dl2/Y7" J
,
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
t;((rg"" O.K. to connect service
~ Final 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
Installer: __
i::::"r
Permit/Receipt No.
Site Address:
'd3
oJ
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.
~ / NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT -po.........., tJ
I .J A :i3P <...X/ , ()
inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC P"INTERS. INC.
05/04/2005 15:15
3504523498
OLYMPIC ELECTRIC
PAGE 01
o Electrital Contrattor
s
o Owner ~",-...l'"
ELECTRICAL WORK PERMIT APPLICATION
I
o Request Inspection
o Annual Permit a Alum 1:1 Carnh..al [J Commtrt.ia.l 0 Rtsidt:fttial D Ref:;ldentSnl Malot. 0 Signs 0 Thermostat CJ Telecom.
Job wired by
o Electrital Contractor 0 Owner
Jflstilllation <1escription
&r/7 ::1/: r-:-
~Icctrical contrDclOT name License number
a"q;V,1,c/ E!.-c-*'& t?q/JP~2t)O/
~scr'mallms addrcR!;
"'t-J.1{? :1j/I1u/,47b(1
CHyO .J- LJ / SC'te ZIP
&zC.LJ1/JldrJ M;J. 75".J'6"3
-'
Telephone number FAX number
r-::.-, ,..5{f"~s-
/'_ /,<\\ \V( I ,,_~ ,- "
rY-=-'l:!6d:~':; I r~
'. ,-tLS 'I )
--1._.:::..
p~~ OWUtr's Oil ~
/1 ~ '7, '/?r;sr-/7
Addrl!u nf. . ptc:bon . _ '7"h
/~.7 w /5 ~
City
<::>
;;.
75;l- t?'/.L/tY
o ea.,h 0 Check #
la"6edit Cord "'sa
Card # ,
'.
I hereby certify that J am the owner of tbe above nlllTled propcrt)' Of a licensed
electrical contractor (or the: firm'!" authori7.cd agent) and am making the electrical
installation or ~1tCT<ltion in c(lmplianee wilh the electrical law. Chapter 19.2R RCW.
_Mastercard
Discover
Sianature or owner. eledrlul I::fJntndDr Gr electrical ndmlnl,tP'lltOT
Expirat.ion Date
of card
WALlS
ITI$\llation Only
D~lc ^rprnved 9y
Cover
Dale ^~"e-4f1y
'--
,,- CElUNG
Tnsul:l.tiCln Only
Dnt~ ^rrra~l:Iy
Cover
DAle AD-llt('lIedBv
"-
THERMOSTAT
Date ^'CIPrvved Dy
DITCH
!Jnle ^P\1fVVd9y
,,- SERVICE
D~le .....wro..eo:llJy.
/' FEEDER
"- Dale ^ClIf'(1V~ By
Electrtc~ad Additions and or subJ.tacj!,oJlli ()
IJ NO LOAD CHANGES , IS,
o Baseboard K!N L () ) (vv
At Furnace lC2. K!N t,.-JO r~ 0 Overhead Service
o HeB1 Pump _ Ton _ LAR ""'" Pz a Temp Service
CJ F'an.Wall _ KW Cl Underground Service
Service Information
Voltage
PhaseD 1 03
Service SIze: _
Feeder Size:
'n~pcl:tion Area. B\lilding or EquiJ'tTlent )n~pf:cted Action Token Electric~'
Date: Inspector
- /
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.:_it,t,
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735
PERMIT II
~-~
~A?t:. c.
fA.) /5' </t S r-
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . .. . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D.. . . . . . . . . .. . . .' . . .. . FINAL. .. . . . . .. . . . . . . . . ...)it!
0).
CORRECTIONS NEEDED: F~'l24V?Jr~
f-:::rK~.;tf!r~
.
L-ya-S'/O~ '
J&j2i
/I."-:l"",'J~V
D,N ,A./U,LJ-f. 7t1 ~
,-0 ~n-,pV~
::r:- tfh.k5
~~ .rM7r;~/l/b rrt:bn?
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
05/03/05 TUE 14:44 FAX 360 683 39il
,-,:",-,:- ',. -:." ~I.I: I r. ~"'",_.T ""I'J:-EI_E;'
AIR FLO HEATING
I4J 001
';4 I :- -'le I I
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f8'~'."'Q
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ELECTRICAL PERMIT APPLICATION
"
The Elec:tlical Perm~ Application must b. filled aut comDletelv.
fOllomOALUSEONLY
0...-,
I'_i.,"
Oue"'fFnov_:
Please type or reprint in Ink. .'you have an)' questions. please can (360) .17-
4735
Fa. number: (360) .17....711
REQUEST INSPECTION 0
Phone' ~::z,.t5JD L Faic~
Phone: 4<;;+ - S( l,J. t.J,~
lip: qgz,[...,2..
Owne' 0' Elec. Contrac:to, Agent A I ~ F I ,0 W.e:B:..,+i rll-;>
Property Owne, a:w """<0 q AY' /1/'.%1 ~ ij cd AlOY '6D(\
Add'ess n OS tV ' b -&1 ~.j City _POt' ~~....9...
Electrical Contractor: A:- \ tL r-:- I f) License .:
Exp:
----Phone"
Address;
City:
~LECTRICAL CONTRACTOR
-tl~+i v1~ ,
City: ~ LJ I vvl
Zip:
INSTALLA nON WIRED BY: 0 OWNER
Credit Card Holder Name' A \ Ie- F LD
Billing Address' Z"Z..j II\J. (i p d Jr)(
Credit Card Number ON r--7 Le:..
z/P;CJ l? 6~2
Exp. Date:
VISA.)It MC:...
PROJECT AOORESS:-lJ'D SIN, I ~t'V1 ~~
TYPE OF WORK:
Check all thaI apply: 0 New
~ AllerationlAddilion
o Residential 0 Multi-family
o Commercial 0 Mobile Home
Sq, FI
Remote Meler
o Detached garage
I
o Hot Tub 0 Swim Pool
o Septic Pump
fl(Low Voltage 0 Telecom. 0 S,
Number of Circuits added 01 altered:
OESCR/.PTION OF THE ELECTRICAL PROJECT~YYVlf)~A:-I- {''In' ~
Electrical Heat Load Additions
PERMIT FEE:J3h. 4- 0
Service Information
o Baseboard (- _ KW
}!I Fumace -.lQ. KVJ'
o Heal Pump _ TON
o Fan-Wall _KW
LRA D
b~
I hereby certify that I have read and examined this application and know that same to be true and correct, and I a
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
o Ovemea(i Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1
Service Size:
Feeder Size:
03
Credit Card Holder's Signat
,~
Dale: S-0()~
Owner or Elec, Cant, Signature:
C:IELECTRICALPERMITAPPLlCATlON '
Dale:
,
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5(6/~
Aft./}
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