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HomeMy WebLinkAbout1236 W 18th St - Building ELECTRICAL PERMIT CITY OF PORT ANGELES Q 360-417-4735 O� 09 Cgo Application Number 11- 00000888 Date 8/18/11 Application pin number 230576 REPORT SALES TAX Property Address 1236 W 18TH ST our excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-0-4-5340-0000- on y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property y Use (Location Code 055' 02) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Demand heater 1 circuit Owner Contractor V GEORGE ROZETTA GEDELMAN ALL WEATHER HTG COOLING INC PO BOX 186 302 KEMP ST SEKIU WA 98381 PORT ANGELES WA 98362 (360) 565 -0431 (360) 452 -9813 Permit ELECTRICAL ALTER RESIDENTIAL VA Additional desc Permit pin number 191221 Permit Fee 73.50 Plan Check Fee .00 Issue Date 8/18/11 Valuation 0 Expiration Date 2/14/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 X6 1 -1{ Iy INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: R i 1 '"L PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION y l Signature of owner or Electrical Contractor X Date: G: \EXCHANGEIBUILDING 08/17/2011 07:57 13604525177 ALL WEATHER HEATING PAGE 03/03 9917 1' City of Port Angeles Permit Application 5 �Building Division/Electrical Inspections d 321 East Fifth Street P.O. Box 1150 Ol Port Angeles Washington, 98362 A t 7 2 a Ph: (360) 417.4735 Fax: (360) 417.4711 fi 1 00 Date: $J 17/ 11 ELECTRICAL. INSPECTIONS $.1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repay" Plan Review May Be Required, Please Co 1 m ate Electrical Plan Review Information Sheet Job Address: 123 t.. V Building Square Footage: Descriptio of above an A 40 6 kr a er Owner Intla:;1, on Contracto I fm Ion jj,, Name: e -c YY1C►� Name: MI or WE gam' \L Mailing Address: n f- -1 Mailing Address: Cit �Sc-V- State: P AWL_ I City A State: Zip: 9 0 3 06 y' J F ax: Phone: L. g ,6 •u.$1 o5d ,1 77 License Exp. Phone: 3 -a License Exp. .1$15_1a..._22:43...- W 1.1: W I t c{ KU Unit Chortle qty Total (Qty Multiplied by Unit Charnel 93.75 ServicelFeeder 200 Amp. $113.75 ServlcelFeeder 201-400 Amp, $160.00 ServlcelFeeder401 -600 Amp. $205.00 Service /Feeder 60.1 -1000 Amp. $291.25 ServicelFeeder over 1000 Amp. 2.00 Branch Circuit WI Service Feeder �3� 57.50 Branch Circuit W/O Service Feeder 2.00 Each Additional Branch Circuit 72.50 Temp. Service/ Feeder 200 Amp, 86.25 Temp. Service/Feeder 201 -400 Amp, $116.25 Temp. Service /Feeder 401 -600 Amp. $131.25 Temp. Service/Feeder 601 -1000 Amp. 75.00 Portal to Portal Hourly 69.00 Sign /Outline Lighting 75.00 Signal Circuit/ Limited Energy Commerclel 50.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling 50.00 Signal Circuill Limited Energy Multi- Family Dwelling 93.75 Manufactured Home Connection 80,00 Renewable Electrical Energy 5KVA System or Less 66.25 First 1300 Square Ft. 5 27.50 Each Additional 500 Square Ft. or Portion of 57,50 Each Outbuilding or Detached Garage 86.25 Each Swimming Pool or Hot Tub 43,75 Thermostat OD ar 12_ Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two year 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. After reading the above statement, I hereby certify that I am the owner of the abovo named property or a licensed electrical contractor. I am making tho electrical Installation or alteration in compliance with the electrical laws, N.E.C., RCW, Chapter 19.28, WAC. Chapter 296.465, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator I] Cash Check X Date: Credit Card CITY OF PORT ANGELES 1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000739 Date 7/20/11 Application pin number 125587 Property Address 1236 W 18TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -4- 5340 -0000- REPORT SALES TAX Tenant nbr, name GEORGE ROZETTA GEDELMAN on your state excise tax form Application type description MECHANICAL APPL. PERMIT Subdivision Name to the City of Port Angeles Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 1800 Application desc STEFFES HEATER Owner Contractor V GEORGE ROZETTA GEDELMAN ALL WEATHER HTG COOLING INC PO BOX 186 302 KEMP ST SEKIU WA 98381 PORT ANGELES WA 98362 (360) 565 -0431 (360) 452 -9813 Permit MECHANICAL PERMIT Additional desc STEFFES HEATER Permit pin number 189357 Permit Fee 64.80 Plan Check Fee .00 Issue Date 7/20/11 Valuation 0 Expiration Date 1/16/12 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 fi V1M 3 1 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] 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. .1/ 0 \i/11 l� i cxS n muuieown 4 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 t 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 Piers Post Holes (Pole Bidgs.) 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 i4.3 la br5w MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: -4 1 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 ,1 Planning 417 -4750 .r.� Building 417 -4815 T:Forms /Building Division /Building Permit N N H 0 0 0 W W C.) E. 0 0 a 0 M 0 H 0 00 m 0 rn N 0 H L V) ED LEI m O 0 ra 0 0 N if) S-1 0 V) V) c}' v N 71 M fn AJ 0.1 a Ed Ha .0 a u ro W C 0 H N a H WW H 0 0w 00 G N a F U2 0 a, a• Na 0 H 1y tit 3 N Z F h 0 a H 0 m NH 0 Z oq v z oa H s-, 0 a 0 0 Z z N N 0 H 0 0 a W H H 0 H N 0. Z a,a w 0 W o o.00. HO w H H z a Z O U C N W N b o 0 l9 0 H 1 P. H 0a.alo NU •"n U a X0) NH i 0 3 1--1N z a a 0 z d.ca.ccaHC H W 1 U 'J .T. U N U rd Z H N 00000 N U) U fa la la U fa N WOwoQ 41 47 W mrortOwnlro 000700 000 £0)0)0) 00)0//0 0 0 0 ff H U w 0/ H W r U G F H F F F N o W a 0 0 O w N x a0 F a a O M F a' W 0 O rn H H a' F7 0 (0 c i 0. 0) 0 m H uS F W 0 0 V) 000 W 4 1 0 1 4 0 0 0 •a C73 000 W W N N N NH lo0 Wino ZE HH H H 0 00a 0 V1w z N W .7 VJ H 0 0/) a Ln k.0 M V o ./04 j 0 .a 00 a HH 0 0 00 W O w 0 .4.X a' a 0 U 0 0. 00 w 00 0F OZ F 0 0 o OH A Z ZZZZw w a, 0/ 00 aFU a H X Z 0 N H H i 4:2). 0 W 0 0 F 4 4 07) D. 0 0 H 0 0 CO cr C71 0 0 0 0 0 0 10 0 Cr. LIl 01 O 0 0 0 N LIl V) L0 0 d' ,1+ 0 0 11 a 21 a u 0 W F i H 0' N a H w w 0 w cf) 0 O O 4 C 0 x w 0 00 0 H U 01 0aa 0 0 0 H Ln 3 2 Hh 0 m al 0 z o A Z 0a 4 H O H 1/) a 0 C u u 2 2 0 00 0 C.1 s 0 X w 0 S w z z u a o o a N 0 E 0H 2 0 4 •4+ 0 H H u< Ft 0 a 0 VI H H CD 0 0 H z 4 H W u 4 0 x U N a a 00a mm u t+ 00 C oU E0a EXx 0 0 ow Z H 0 .bFo4 H C7 W rl U 0.■ 0 1 000000 as 0 (/l w x o ,Z C00 ii5\ S.0 x 0 a a 0 H w 0 4r Haw1lorn H a h CO u7 01) 4 0 00 10 W LD 0 0 0 0'1 0 Fi H F 0 HC7 r00.007 (!1w --..Z (00,1) l0 H 000 Ln 0 4 HC74 >00 0.7a H H 0 0 H w 0 11 rn a a a au 0 Oi 2 0 w ww (n 0 0 H S a o W2 a0W 2 H 0 0 m 0 0 0 01 0 U 0 o au 4FUOa4 a 0 0 PROJECT STATUS UPDATE Permit t Date: 1 phoned the: Applicant at Property Owner at Contractor AU vv teurke,r at 145 I (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. To 4 Jeri f cyp red Por-rta.e Oced n5p& filiPd, 115112 T:Fonns/Building Division/Project Status Update 0 VOX r BUILDING PERMIT' APPLICATION Print in ink a ✓40 r w ar -0- CITY OF PORT ANGELES g l s�tc For City US Attn: Building Permit Technician Date Received t'ZO'([ 321 E. Fifth St., Port Angeles, WA 98362 Permit 11-a'I ?ici (360) 417 -4615 fax (360) 417 -4711 Date Approved Applicant El 'i' A InCi Phone lasumins Property Owner 11. W= Mii,a t Phone 1�i's Propert Owner's Address 04 1.,, .w1°"ki►�1it• G Contractor t 3 k rala r :o j 6 ti Phone -�I 3 Contractor's Address !�I'�,�' �a j� �V,�, License #-110 CeSCA t A Expires t, V‘v E -mail $\I VA r\ PROJECT ADDRESS O ,0425A- IM. S s� Parcel Number Lot Zoning Project Type 8, Brief Description: )(Residential o Multi family Commercial o Industrial Chock all that apply o New Construction ,o Addition a Remodel a Repair o Demolition a Re -roof o House a garage o other o tear off re -roof o lay over one layer Heat System Heat pump o ■ood -bur ing stov; o gas fireplace pellet stove other Other n rliellitigittc %s 10 ITZi i a Floor Areas Existing (sq. ft) Proposed (sg, ft) Basement per sq. ft. 1 cl Floor 2 Floor 3 Floor Garage o Carport \k W' Covered Porch cP- beck hn0Q Shed Other 7Cir 1 n 44,SOO. TOTAL VALUATION an -i 0 A C,`l i Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage 7 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 1 have read and completed this application and know It to be true and correct. I am authorized to apply for this permit and understand that it is y responslbillty to determine wet permits are required, .and to obtain permits prior to ng on proje ts. 1 �L i. Date �i I 1 Print Name Signature 7:Forms/Building Division /Bldg Permit.doc P0/30 39Cd 9NIi H d3H1C3M 11C LLt9i;Sb096T 6C :80 TTOi; /Oi; /L0 Clallam County Assessor Treasurer Property Details 60739 V GEORGE AND ROZ... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 60739 V GEORGE AND ROZETTA GEDELMAN for Year 2011 2012 Property Account Property ID: 60739 Legal Description: LT9 10 BL 453 Geographic ID: 0630000453400000 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: 1236 W EIGHTEENTH ST Mapsco: r PORT ANGELES, WA 98363 V Neighborhood: Cycle 5 Res Map ID: 3 Neighborhood CD: 10955130 Mailing GEORGE AND ROZETTA Address: PO BOX GEDELMAN O ner ID: A 206613 g hip: 100.0000000000% SEKIU, WA 98381 Exemptions: Taxes and Assessment Details Property Tax Information as of 07/20/2011 Amount Due if Paid on: 3. 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 7 Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due R Statement Details ..r... ...�.__..M......._.. 2011 155302 $1203.40 $1203.35 $0.00 $0.00 $2406.75 $0.00 Statement Details 2010 43583 $1152.31 $1152.31 $0.00 $0.00 $2304.62 $0.00 Values Taxing Jurisdiction Improvement Building Sketch Property Image Land I 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: 7/20/2011 3:50 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year 2011 &prop id =60739 7/20/2011 PREPARED 9/14/07 9 41 12 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 1236 W 18TH ST SUBDIV CONTRACTOR SEKIU CHIMNEY SWEEPS PHONE (360) 963 2864 OWNER THOMAS RICHARD A PHONE PARCEL 06 30 00 0 4 5340 0000 APPL NUMBER 07 00000947 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 9/14/07 MECHANICAL GAS LINE r 09/14/2007 08 20 AM LPANGRLE BOB 460 2213 GAS LINE COMMENTS AND NOTES PAGE 6 DATE 9/14/07 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000947 Application pin number 316881 Property Address 1236 W 18TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 5340 0000 Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owne Contractor THOMAS RICHARD A 1236 W 18TH ST PORT ANGELES Qty Unit Charge Per Fee summary Charged WA 983637014 Permit MECHANICAL PERMIT Additional desc LPG FIRE PLACE INSERT Permit pin number 109025 Permit Fee 50 00 Plan Check Fee 00 Issue Date 8/15/07 Valuation 0 Expiration Date 2/11/08 BASE FEE Paid Credited Permit Fee Total 50 00 50 00 00 00 Plan Check Total 00 00 00 00 Grand Total 50 00 50 00 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 as 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. aFe..1 Ua�o& s. SEKIU CHIMNEY SWEEPS P 0 BOX 573 CLALLAM BAY (360) 963 2864 Date 8/15/07 WA 98326 Due Extension 50 00 °3- N-oe Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T' \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK DEFORE FOUNDATION: FOOTINGS SHEAR WALLS WALLS ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W I PW/ ENGINEERING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE 417 -4807 YES NO I I I I ACCEPTED FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE FINAL BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE I 14 -(y LL I FINAL WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #t's SEPA. PARKING /LIGHTING ESA. LANDSCAPING I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I I R 1 1 I I I BUILDING 417 -4815 I g XI 1 1 g1&I ,j 1(,J 1 PIA T \Policies\l 102 15 building permit inspection record05 wpd [I/4/2005] ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED BY. DATE DATE ACCEPTED BY. I 0 ACCEPTED I YES I NO 1 Q I IR' Applicant or Agent 4014/l Owner l ,vl. l i, it �P Cc S Owner's Address 6-2 1., L k Existing Structure(s) basement 1St floor 2' floor 3` floor Accessory Structures Existing Structure(s) TOTAL LOT COVERAGE Lot size Sq Ft. Existing Structure(s) Sq. Ft. Footprint Proposed Structure(s) Sq. Ft. Footprint TOTAL Structure(s) Sq. Ft. Footprint Total Lot Coverage Date 1 t)? BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans, specs, and a 8 x 11" site plan MUST BE COMPLETE to be accepted for review (360) 417 -4815 FAX (360) 417 -4711 T\FORMS\BUILDING DIVISION \BldgPermitAppl: 2006 CODE backup.wpd 4 Residential projects: submit two sets of plans Commercial projects: submit three sets of plans Applicant Phone Phone Contractor/Engineer■%ek'W &I—AA vi 07 .Sk le State License i'Ki i /(Sc'R$ 'iD Expires Z.6. Contractor/Engineer's Address Ian a z 7- ,r47 A Li/A- Phone.-- 9�.'� ?f f l PROJECT ADDRESS 3( t )Jg `t ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPEOF WORK SIZE/VALUATION x Residential New Constr Re -roof Stove SF /SF o Multi family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other nlaro TOTAL VALUATION BRIEF DESCRIPTION OF THE PROJECT' t l fi pG, Iita I tea, N 1' if ue I 4-ovii ,C.c a COMMEReIAL/RESIDENTIAL. Occupancy Group: c.. o a Occupant Load. Construction Type: Sq. Ft. Proposed Structure(s) basement Sq. Ft. 1" floor Sq. Ft. 2n floor Sq. Ft. 3' floor Sq. Ft. Accessory Structures Sq. Ft. Proposed Structure(s) TOTAL TOTAL of existing proposed structures Maximum Height of Proposed Structure(s) Are you planning to install a lawn sprinkler system? (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) 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. The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2) I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and that I must obtain such perm/ prior to work. FOR OFFICIAL SE LY Date Rec. 0 Permit 6 g r_f7 Date Approved: Date Issued: Sq. Ft. Sq. Ft. Sq. Ft. Sq. Ft. Sq. Ft. Sq. Ft. Sq Ft. Ft. . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15299 / ~ '. Port Angeles, Washlngtonn____________________n__:___nm__mmm____________nn, 19_::::2_ In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. ~....I ~::::sn::~1~~;:.::i22::::::::::::::::::::::nn;~=~:~:::_n~~~~:~_~:_~:::~:::~::::::::::::::::::::::::::::::::::: Wiring Contracror _.':?lI'2n_,ff~"'-~~_~g,.,n(J;]_~C[:__ Bynn_____nn___n_nnnn_n_n_________________n__n_nn_______n Light Outlets...._mm____m__..........._____..__. - /70/..../ ( ServIce, volts _m.-...U__...mhn_mn._nmn No. wires .....1.__..............__..__..__... 9' Size wires~.._____..u.._....._.h_...__h. /r) cJ ,d Main fuse mn.......___m......._.._........... s: Enclosure m........mnnmnm_______._.... Receptacle Outlets.....__________.............._. Dryer, K\V] ._.__h.____.___nn..__nn_____n.__._._ Range, KW.h.UU___..__.__._______ Water Heater: KW.______nn____nnn_n Type of wiring: Entrance Cable h_.._m....n.._...._.___.. Heat: RW._n.....___h.......___uum.nnm.... Rigid Conduit ___m.___......_____.______... Metallic Tubing hnmmmmh_________ Current transformers: No. & Size.__...m.....__.....__...__........... Motors: sIze, volts and phase: Ser. No..._......_..........____._..........._....... Ser. NO..._......n________._____n____.___._______... Ser. NO.._...._.__nn____.._________..______.___.._ Total wad............................. Ser. NO.__n__.__..___..________..__._______..___... Type or Wiring: Armored Cable ..mm..mm.........____ Non.Metallic .__m......................___._ Knob & Tube Rigid Conduit _on__...m.....___.m.___m Metallic Tubing m.m.m__.............. Raceway ...m......................________...... Circuits, LtghLm....____..............--.......... Utillty __n.__nn______.___n__________.n__nn_n Heat Range _____.....__.................._...._..n_____ \-Vater Heater .........._...mm...m___.. l\lotor ____.___..._._........................_____.. Dryer.._.._____.............................._......... Furnace __..._n...____________._'_....__....__n.. Total ._..___nn..__......__.....______.._.. Remarks: _________m_CL.!!__""_":_~_____:__!~~_~m_m_(!I_:-!.__:_4._m__n___n_m__nmnn___n_n_______________________________m_nmn i~_~~~_~~~~-_~-_~-_~~-_-_~-__~-_-_-_n--------ni~~_~_~;___~~_~:~i~______~_-_-_--------n---n---:~-~;2~:~::::;t:~~~-:2:::::~~:z::::::::~~ NOTICE-Current must not be turned on until Certificate or Inspection has been issued. If work is to be COD- cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15299 Date called for inspection....__..._..................__......n.........._.._n..__..___.--.--.......__________......_..............______n_......___.__......................n_......__..____._.... Prelimlnaryinspectlondates.__......................_..___.___..__.__.._____._.___._....................___....___._......._..._______.........._......_________........._...__.....o._......_ Total Load n_..___................._n..__________n..____.__._..__..__.............____.......o.._ .__...______.____............... InspectioncO'Illpleted.o.__....._.._.......____..__.._...._.........................---.-._....._..........__._____...___.._.___.....................___.___...._..........._......_........__________.. 1M 3.72 Olympic Printers, Inc. r CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16467 Port Angeles, WashlngtOn__m.,/~..=..(..~.oooooo.ooo__.......ooo.ooo., 19.~:'~~ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do elec~l,*l work as listed below. / ;;. J ~ ..I ,) / f [l( /t-eA? -- Address ._____n.__m_______mm~__________m__ooo.__ooo.ooom.______.__.____oooooo.____ooo Occupancy_m___.n_________.mm____..._n________.__ ,.. // 71/ ~::~~.:~~~::~~;~:~~::;:::::::::::::::::::nn~~:~~~;:::::::::::::...:.....~::::::::::=::::::::::::::::=::::::::::::::::::::: Light Out1ets.....___~___h...........-..-..... Service. volts ....................................... Type ot Wiring: Receptacle Outlets. .../(2..........._____. No. wires .._n_..___.. ._mnn m_...... un Armored Cable ..._...._.._.___h...__...... , Dryer, KW..........__.__.....................__.... Size wires....__.__.....__.....__...hh....._.. Range, KW........._nh......_...__......__.. Main fuse ....._..._......__.__.______.._____.... Water Heater: Enclosure __.___mOoh.n..mn......__........ KW.---.-----....-..~-.-7.......--.--.- Heat: KWm..r:e.r...::!.md.?.U_::.8..!l Type of wiring: Entrance Cable ........m.....n........... Motors: size, volts and phase: Rigid Conduit m..nmnmn Metallic Tubing .....m.._..m........... Current transtormers: No. & Size....................................... Ser. No.............................................. Ser. No. ............................................. Set. NO.............d............................... Total Load..____m___mmnm..___. Set. No. ............................._............. Remarks: __nnmnnmoooooonnm____..______.__.__.__hn'n___.hn_n__.noooooo..__n__.nnooo__mooo__nnnm______m__ooonnnoooooomnnmooom Total....................................... Non-Metallic ................................. Knob & Tube........n......................_ Rlgld Conduit _________n_mn___..mn____ Metalllc Tubing .___n_.___n_nnn___m. Raceway ..............................._.._._ Circuits, Light..................................__... Utility...mn_n_____n____nnn___.n__n_____n J-Ieat ..........................................._.. Range ............................................. Water Heater .....d........................ Motor ............................................. Dryer ................................................_ Furnace .....................d..'~n................. -;::;~.;~:______________..__..m_ooo__;~:~:.n~:~:;~~nn___.ooo_mooonooo.___h---n]li?ld.:.""d.m.----2m--..hn....-- $.n__ooo______________...__.ooo.ooo... NO..mooo______.__m__m____ By .!!.:_~Lm-'-.:__(_:::m!_~~.r.:?:f__'~~?.':yooo.n__ NOTICE-Current must not be turned on untn Certificate ot Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector so that work may be Inspected berore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16467 Address........................................................................................................................................Date..._......_.........._..................................... Owner ..................................._.........._.............._.._........................................................... Tenant.................................................................... Wiring Contractor....................................................................................d.................................... By..............................................d.............. NOTICE-Current must not be turned on until Cert1rtcate ot Inspection has been issued. It work Is to be con- cealed due notice must be given the Inspector so that work may be inspected betore concealment. ,",l"_~'n 'Cri.,f"'rR. Inc. CITY OF PORT ANGELES UGHT DEPARTMENT ELECTRICAL PERMIT N? 15290 .: '? . ">y Port Angeles, Washlngtonh..h.,..chh"h.....,h.........m.....___..n.....n_m, 19...m.. {/ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. ~:::s n::::~:?~~__d~i.:~:~;.~~ii::::::::::::::::::::nn;~=:=~::___~::~:~.~:.~::::~::~~::::~::)~:~~~::~~~::: Wiring Contractor ___?!<!.m~~"""~.,,..,---!:..(;!4.,:l:. By.nn___nn.n.___n.n..n___n.h.n....mh..___.__nh........__ LIght Outlets____.______.........______.___.____....... j- / ;/ Service, volts .~--.;:".--!~;.!.---::-.-....;'......... ~ No. wires ___.-:!..._________._____.m............ ~ Size Wires.,1'02-.....-.........---------- Main fuse h.._...__.......______.___._______.___ Receptacle Outlets......________.____...__....... Dryer, K\VI__._._h___...______n____n_____________. Range, KW ___mh__m____mmum_ Water Heater: Enclosure __________,__________.______________m KW...________________ Type of wIring: Entrance Cable _.___________._____________n Heat: RW.._..__n___n_________.._________.____.__________. Rigid Conduit __..........__m._...__.....__ MetalUc Tubing __________...___._._....._. Current transformers: No. & Size.__...n_...n______................... Motors: sIze, volts and phase: y~'---A-l:!..~-~::!~~{?::-r.--...;i..-----... l!(c,--,----L,-----""'.7,'-o-L--g,!.":;!~t. Ser. NO...____.___._._________d__.___..u______n... Ser. No...___________________._____.___.___.____._.... Ser. NO.._____.________________.____n..____..___..... Type of Wiring: Armored Cable u__n___.______________...._. Non.Metallic ..____..__...._.__._.___________. Knob & Tube___ RIgid Conduit ____________________________h_ Metallic Tubing um__nu_______md.... Raceway _.___n..________,__n________d...__m... Circuits, LlghL___...______m.m______....d...... Utility ...__u____________u__...__................_ Heat Range .._________.._________..___.____.....__....._ Water Heater ________...______m_______.___ Motor ____d_......d..........._.....__._.____... Dryer__n..___________._____________....____........... F urnaee ......................... _______m Total Load........___..._.............. Ser. No..__...____.__.___.._.._..___..............._. Total .___....____..__.00______._________..__ Remarks: .___...&.~;:k~~(!.~....~:......::.-:...~.~.~:..~/...-~~..............__....__.____..________._____............................._.............._ (J Permit Fee $..._m...____...._____..h.m_m_ Treas. Receipt NO..m...mm.mm...__.. By .n....~.::m.>.:m.jL::~_./.:.:..f:,QL;,",.,..,_ NOTICE-Current must not be turned on until Certificate of Inspection has been "'issued. It work Is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15290 Date called for inspection.........._._________________..____._______..____...________._..............._____._____........._____.._..__....._____........____:.___,~--:--...---..-............___.__... Preliminarylnspectlondates.__.........._.......................___....._...._......._._..____........._...____.__.._........_.....___._.......____...__..._.........__..._.__.__.____..._.. Total Load .........__.....___.______n______n_____________...____.._____________u.__nu______u_ ...._._____ lnspectioncompleted..._..____..___...._............_._........................._.._..._....._..._....__________..___......_...___..___.._........_._..______..__.......___......._..__...._....__... '< 1M 3-72 Olympic Printers, In~. " RECEiVL-'--'D CITY OF PORT.A►.NGELES PERMIT APPLICATION 'C Building DivisionlElectrical Inspections 321 East Fifth Street —P,O. Boy 11501 fort Angeles Washington, 98362 ELECTRICAL Ph: (360) 417-4735 Far: (360) 4X7-4711 INSPECTIONS Date: A 2 Single Family Dwelling Plan lew May � Required, P[eas Complete Elwtkal Plan Review jnfoml�tion Shgk Sulldl �z ng Square F Oewoon iA ahov 1 Owner Information Name ar fa - 0'i htia. cOnttylCtOr l- Meilinq Address; lz. Name: City P -2,21 a c LtcerW # ! Exp Rem Ser WFeeder 290 Amp. -' $120.90 �4L ervi l SoelFeeder 20144 Amp. $ $146.00 SOWMder 401 -600 Amp ervi $ 205.00 Serwcefeedor601 -1000 Amp. SeMce/Feederover 9000 Amp. $ 262.00 $---- sranch cir�vit wi Service Feeder $ $ 5 5.00 00 1 �— -. Branch Cirwit W!0 Service Feerter s ----�— Each Add'rtPonal Swch Circdt $ &3.00 Circuits 1 ---- S-1 $ 5.00 ranctr $ ._ $ 75.00 Temp• Service) Feeder 200 Amp. $ U00 `�`" $ 6 TAP• Seeder 2014M Amp. $119.00 $ Temp, SOVhFoeder4011-0hmp. Temp. SwvicelFeeder 801 -1 Amp . $168,90 = $ Pnrlal to Poifal Houtty $98.00 $- - Sigria! Circa* Limited Energy -1 &2 Fampy Dwding $ 64.00 $— --- ManuNcturr d Houle Co M6W $120.90 Renewable iffiecbical Ye y - 5WA System or Less $102.00 $---- Tharmoslat 1 $ 56.00 - $ N*- $5.00 for each addltid W TOM OM MUCTM ML First 13W Square FL $120.00 $ Each Addltlona6500 Square Ft orAoft of $ 40.00 $ Each Oulbruldirg or DetsdW Garage $ 74.00 Each Swimming Pcd or Hot Tub $110.00 $ i -- -- $-2—'560 real Owner as defined by ftCW,19.28261: (1) Qwner wi11 o0cupy the s�trctuna for t% years after lh eiedrW pemit is finalized. (2) Owner % n®gaired to hire an ebdrical contractor 9 above said property is fin swe, mnt or lease. Permit Wires &ter six rnorlwt>s of last inert. Aiier reading the above statement~ I hereby certify Out I an the owner of the above named property or a ii ed deohical contractor. I an making the elecblcal InSULWon or alteradon In compifanoe writ, the ete*W Wk w.E•C., may. Chapter 19,28, WAC• Chapter2g6 46B, The City of Port Angeles Municipal Code, and tnldty Spee ficalions and PANIC 14.05.050 regarding Fiectrical Permit Appllca$ons, 5ignatows ol`own , el i eofttnctor or a meWcal adminlsh2tor: nacre: l7 coo ❑ ❑ ovdt cast a — - -- 04lg11= 5 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number , . . . , 14- 00001520 Date 12/19/14 Application pin number 406640 Property Address 1236 W 18TH ST ASSESSOR PARCEL NUMBER; 06-30-00-0-4- 5340 0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Application desc Ductless heat pump ------------------------------------------------------------ --- .__.__.__.___ Owner Contractor David V and Me.cedes J Gedelman ELECTRIC SERVICE 1236 W, 78th 82 DRAPER RD PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452 -6424 Permit , . . . . , ELECTRICAL ALTER RESIDENTIAL Additional desc 1 -4 CIRCUITS Permit Fee 75.00 Plan Check Fee 00 Issue Date 12/19/14 valuation . , . , 0 Expiration Date 6/17/15 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 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 .� t FINAL i COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEIBUILDING