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HomeMy WebLinkAbout2103 Driftwood Pl - Building `R CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000016 Date 1/10/12 Application pin number 830960 Property Address 2103 DRIFTWOOD PL REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-01-6-0- 1600 -0000- Application type description MECHANICAL APPL. PERMIT on your state excise tax form Subdivision Name to the City of Port Angeles Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 8768 Application desc HEAT PUMP Owner Contractor OVERVOLD 0 DARREL ALL WEATHER HTG COOLING INC 2103 DRIFTWOOD CIR 302 KEMP ST PORT ANGELES WA 983635117 PORT ANGELES WA 98362 (360) 452 -9813 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit Fee 64.80 Plan Check Fee .00 Issue Date 1/10/12 Valuation 0 Expiration Date 7/08/12 'rl 1 I t/,/► U9 2 fr I� Qty Unit Charge Per Extension l O 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 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 1 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 l Di i d, c ren M litw o f G Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit NJ 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 r 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 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 (9z3' la bal/ MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Perrnit #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 c Building 417 -4815 T:Forms /Building Division /Building Permit N H W F KC KC z m N N C O o N r M H i O H F F a azz m x w 2 2 a H H V CL W rl 0 F h H 2 O 4 N H O I F En 4 FF H F KC w CO U U i z 2 rn F W W fX W H N O z a s W W H N W 0 07 1 W Z£ o 1 g 2 z I U 0 0 W N N 2 H H I 2 H U F lfl O H F\ U w U R 2 V7 H t� 0 CO w H UO x a, a o a w w U 0 o o u F oa (9 U O H H z 2 x WWW a o O x F Z 5 O I! 2 En W 0 g 2 0 0 0 H 022 N a2 F W O 0 0 2 R X U o ro Q H W O ul U a F a o ar a w Z m a H g O 3 4 a W >4 W W U FC 0 0 W RC W F E. PROJECT STATUS UPDATE Permit IP 03 1 d PL Date: U •')-L 1' phoned the: Applicant at Property Owner Ilan 41 I'" at Contractor at 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. 1A21 T:Forms /Building Division/Project Status Update ';01/09/2012 11:20 13604525177 ALL WEATHER HEATING PAGE 04105 BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FQRMVI (7'o be used for protects that do not rnqulre plan review,) Date Received City of Port Angeles Permit Attn; Building Permit Technician Please print In ink. Date Approved /-1-7-2._ 321 E, S St., Port Angeles, WA J8362 Approved b y l 360 -417 -4815 fax: 360417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no Americ Ok ress I fours; Mon through Fri 8 5 pm Cash chocks are accepted Mon -Thurs 8 :30 -4 pm Fri 8;30 -12:30 pm Contact person: w Property o l U' �k l a- Coat( Phone; Cj ner; n M Vtt q- 4.4- v1/4-0QCf‘lOt Phone, 111 `703'2a Property owner's mailing address; ark Contractor's business name:A11 weather, Heating Cool.l,ng Phone: or .roperty owner's name If he /she is doing/overseeing the work) 1 452 Contractor's mailing address; 302 Kemp Street Contractor's L &I license number; ALLwEHC150tCU Expiration date: /01/12 Project Address: [ct■0 Pcw— ProjectTyp: Residential .0 Commercial ID Industrial Multi- tat�lily Project Business Name: (for commercial, commercial, industrial, or multl- family projects) The following permits are usually Issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project, I�e�roa e house garage other tear off re -roof o lay over one layer Licensed contract9r; Submit a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Re -side: ca house garage n other Project Valuation labbor materials, not including sales tax) Repair:, (explain the project) Project Valuation *Homeowner If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the yglue the repair adds to your property, Cost of materials x 2 Project Valuation T :Forms/Buliding Division /Building /PlumbingiMechanicel Permit Application Short Form (Revised 2011) Page 1 of 2 .01!09/2012 11:20 13604525177 ALL WEATHER HEATING PAGE 05105 Swimlmin Pool or Spa ((24" deep) P'or rat's ric ed s rnm o o ors o j cts at do Rot r ire clan, rm Obtain the City of PA handout entitled 'Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished, What will be demolished? house rr garage n other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. V) Agree to ensure that ail utilities are /will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency ORCAA) Demolition Permit Application, Contact ORCAA at 360 4171456 to discuss whether or not an ORCAA Demolition Permit will also be needed, tz yes cl no Will the debris be going to the Regional Transfer Station in Port Angeles? Q yes n No if yes, will a licensed contractor be taking It there? if yes, obtain (from the City of PA) a copy of the Waste Disposal Application, Complete and submit the waste disposal application to the Building Permit Technician, now (or later If asbestos testing Is needed). Plumbing Permit: (expia n the rofect1 ~w Project Valuation Mechanical Permit: jexolaln the_proiect) Installation of Heat Pump Project Valuation' w► I have reed and completed this application and know It to be true And correct. l em authorized to apply tor this permit and understand that it Is my responsibility to determine what permits ere required, and to obtain permits prior to working on projects, Date_ IA Signature Print Name Karen McKeown Page 2 of 2 CITY OF PORT ANGELES i D EPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION car 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001037 Date 9/20/11 Application pin number 655946 Property Address 2115 DRIFTWOOD PL REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-01-6-0- 1200 -0000- Tenant nbr, name DIANE L CHARRON on your state excise tax form Application type description MECHANICAL APPL. PERMIT to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 5450 Application desc INSTALL A MINI -SPLIT HEAT PUMP Owner Contractor DIANE L CHARRON PENINSULA HEAT INC 2115 DRIFTWOOD CIR 782 KITCHEN -DICK RD PORT ANGELES WA 98363 SEQUIM WA 98382 (360) 477 -9637 (360) 681 -3333 Permit MECHANICAL PERMIT Additional desc MINI -SPLIT HEAT PUMP Permit pin number 192955 Permit Fee 64.80 Plan Check Fee .00 Issue Date 9/20/11 .Valuation 0 Expiration Date 3/18/12 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 pci\ Plan Check Total 00 .00 .00 Grand Total 64.80 64.80 .00 .00 1 Of 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 cified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisi of an state o oc. la egulating construction or the performance of const uctio OP/ 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 p LP PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS J 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 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 1 Wood Stove Pellet Chimney o 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 —p Fire 417 -4653 Planning 417 -4750 —77) Building 417 -4815 T:Forms /Building Division /Building Permit 74") NH (721 O O H w w OH ci4 Zic..... m r M M M l0 M Ol H r m r t.0 w m 0 o to MM M 4 M a IX H H NE H m a a H w w O H Q zz ao o w u z m a xa E H ,=4 41 z H10 H w x w q cX I w FC o ff H H FC H FC M MW a w HO H U Z al al 41 MW 14 V7 V] a z x wN C a a z zz H H H O U FC d' M FC z 0 a H\ U I U H 0 a 0(. H S-I HH W HE 4 as x 0� o a Mm u i z u w o u F 0 a Z O o E a OH H U a z o X Z H U ZNU a H 0 o a,s a x g [X.1 `1 .4. 3�x��r Hw a 1: a. Hx xmm H a wua o CO o a a 7 a o o O o a Z 4 O o w r''' Z H H w H \0 H 0 w a sr ,r 4 000000 I 0 0 0 DE H W O 0 o x x a a U H H0 ZO a 0 a o 0 H a a z F a o 2 wZ xw H 0 IX cr, a0 aH0O a 0 Sep 20 11 08:30a PENINSULA HEAT 3606812086 p.1 BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received Permit 11— lb City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5th St., Port Angeles, WA 98362 360- 417 -4815 fax: 350 -417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30-4 pm Fri 8:30 -12:30 pm Contact person Phone: C l 1 -to 7 -4761-erSel v -3333 Property owner: 1 L.41 rrG-Yl Phone: 1- 07 q'c, 7 Property owner's mailing a dress: ,9-1/ 5 ,00 t /aad j"/& Contractor's business name: pen, 7 s L Z Ct., Phone: (or property owner's name if he/she is doing/overseeing the work) &S 3 33 -2 Contractor's mailing address: 7i ie n e.-k_ /2c/ StVie art 179 i s Contractor'h L &I license numbe Expiration date: �l.`'/i 4- t l JO/ gi/ Z Project Address: Project Type: esidential to Commercial o industrial o Multi family Project Business Name: (for commercial, industrial, or multi -family projects) The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re- roof:. o house garage a other o tear off re -roof in lay over one layer (1) Licensed contractor: Submit a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Re -side: o house o garage o other Project Valuation (labor materials, not including sales tax) Repair: )explain the project) Project Valuation *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T;Forms /Building Division /Building /Plumbing/Mechanical Permit Application Short Form (Revised 2011) Page 1 of 2 746144 yffvz y Sep 20 11 08:30a PENINSULA HEAT 3606812086 p.2 Swimming Pool or Spa (a 24" deep): For prefabricated swimming pool or spa projects that do not require plan review: Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation 6 Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? o house o garage o other Note: some demolition, permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. 1 Agree to ensure that alt utilities are /will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency ORCAA) Demolition Permit Application. Contact ORCAA at 360 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. yes no Will the debris be going to the Regional Transfer Station in Port Angeles? o yes No If yes, will a licensed contractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: jexplain the project Project Valuation Mechanical Permit: (explain the project) 1-fl si 2 e p Project Valuation 5 S%) I 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 my responsibi t. determine w• p: rmits are required, and to obtain permits prior to working on projects. 4j Date 9/2e, Signature Print Name (`I6cy4) Page2of 2 ELECTRICAL PERMIT f CITY OF PORT ANGELES C9 360-417-4735 J ,4) Application Number 11- 00000985 Date 9/12/11 Application pin number 676200 REPORT SALES TAX Property Address 2115 DRIFTWOOD PL on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-01-6-0- 1200 -0000 Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 1 circuit ductless heat pump Owner Contractor DIANE L CHARRON OWNER 2115 DRIFTWOOD CIR v PORT ANGELES WA 98363 (360) 461 -9843 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc DUCTLESS HEAT \1 Permit pin number 192369 Permit Fee 73.50 Plan Check Fee .00 Issue Date 9/12/11 Valuation 0 Expiration Date 3/10/12 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 P 9 zO) t) vH q 1 2L INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN uffilaimmo FINAL f() T COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:AEXCHANGE \BUILDING RECEIVED tii c� 4 CITY OF PORT ANGELES PERMIT APPLICATION s�D '"s° Building Division/Electrical Inspections 0 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS dQ _..ii (K Date: 2 Single .mily Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Bejtequired, Please Complete Electrical Plan Review lqformapon Sheet Job Address: 5 f i 1 W oJ•`J l° 1 r t r s Building Square Footage: 7 S Description of a ov 1 S n i r c 4 mo -e- V� Cr-) .•f-t f't° s 5' C'' 1) v� I v— fiL .psi Owner I fo rmation Contractor Information Name: .t4.L J l i.g v t e. -94 Name: Mailing ,Addr ss 1 -5 OP( Wo-d PL_ Mailing Address: City: Va r f 4-, s ...L. s State: LJ 4 Zip: Ec3 C 3 City: State: Zip: Phone: Tf v _6, f-?£ fax: Phone: Fax: License Exp. License Exp. Item .Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 119.90 Service /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 Each Additional Branch Circuit 2.60 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. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 ,3 ,7 Total Owner as defined byRCW.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 readin• above statement, I hereby certify that I am the owner of the above named property.or a licensed electrical contractor. I am making the electric ;I in-tallation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles •unici.al Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signatu e o: ner, electrical contractor or electrical administrator: Cash Check -...011V/It allaj•dit Card 41�� x Ar Dated: u 01101/2010 ELECTRICAL PERMIT CITY OF PORT ANGELES 0 360 417 -4735 Application Number 12- 00000017 Date 1/10/12 ^V Application pin number 388033 Property Address 2103 DRIFTWOOD PL REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 01 -6 -0- 1600 -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 RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc T -stat Owner Contractor OVERVOLD 0 DARREL ALL WEATHER HTG COOLING INC 2103 DRIFTWOOD CIR 302 KEMP ST PORT ANGELES WA 983635117 PORT ANGELES WA 98362 1 (360) 452 -9813 v Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 56.00 Plan Check Fee .00 Issue Date 1/10/12 Valuation 0 Expiration Date 7/08/12 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00 Special Notes and Comments January 9, 2012 4:16:18 PM banders. OK Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 .00 1 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 0 ti INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN kii 7- 47 FINAL 2 1 i ii �15�7 '"°V n COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING I. 01/09/2012 11:20 13604525177 ALL WEATHER HEATINGnE PAGE 03!05 10 1 1 /ED I. 9 401 rs��r�� CTRyc ",�'tG' tit;',' CITY 8 I CITY OF PORT ANGELES PERMIT APPLICATION E Building Division/Electrical Inspections Gr/O 321 East Fifth Street P.Q. Box 1150 Port Angeles Washington, 98362 i :Z._:y,,., J Ph: (360) 417 -4735 Fax: (360) 417-4711 Date: 119 f l a. '1 2 Single Family Dwelling Mufti Family or Commercial* Commercial Addition Alteration Remodel Repair" Plan Review (v1a Be "eq red, Please Electrical Plan Review Information Sheet Jab Address: A 10 v. Building Square Footage: '1 Description of above i 1 I 111 A. u 4 Owner Inform tion Contractor information Name; II t •1 I i b 11 O• Man Add ss; alb p f p Name; GI Gt)D )R. City. State: xi Malllm Addrea: Phone; a Fax; a,� t0 City; slate}g Zip: os Phone; License /Exp. sl x: a License Exp, L >L le l4 L� {S t n Usl 119.9 a Total Nib/ Multiplied bli Unit Chars Service/Feeder 200 Amp. Service /Feeder 201100 Amp. $145.50 Service/Feeder 401 -600 Amp 204 60 Service /Feeder 801.1000 Amp- 262.20 Service /Feeder over 1000 Amp. 372,50 Branch Circuit W/ Service Feeder 2,60 Branch Circuit W/0 Service Feeder 73.50 Each Additional Branch Circuit 2 Temp, Service/ Feeder 200 Amp. 92.70 Temp. Service/Feeder 201.400 Amp. $110.30 Temp. Service /Feeder 401.800 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 ar Less $102.30 Thermostat f!t CONSTRUCTION QNJ.S 56,00 �Iaw DO First 1300 Square Ft. $110.30 Each Additional 500 Square Ft. or Portion of 35,20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub $110.30 6(0100 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 -465, 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 1 S r ,�F (/v I, 1 1 ID credEt Card p L oated: l Ql 0110112010 N ELECTRICAL PERMIT CITY OF PORT ANGELES C 360 417 -4735 Application Number 12- 00000103 Date 1/31/12 Application pin number 272960 Property Address 2103 DRIFTWOOD PL REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-01-6-0-1600-0000- on your excise tax form Application type description ELECTRICAL ONLY y Subdivision Name to the City of Port Angeles Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 0 Application desc 1 circuit furnace Owner Contractor OVERVOLD 0 DARREL BLACK DIAMOND ELECTRICAL CONTR 2103 DRIFTWOOD CIR 502 BLACK DIAMOND RD PORT ANGELES WA 983635117 PORT ANGELES WA 98363 l (360) 565 -1035 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc 1 -4 CIRCUITS Permit Fee 75.00 Plan Check Fee .00 V� Issue Date 1/31/12 Valuation 0 Expiration Date 7/29/12 Qty Unit Charge Per Extension 1/1 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 51111 .0 FINAL 311 44iF °),19p COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING /•S r e c!T? y ``...k.0 cakr.l,�Cy. u r CITY OF PORT ANGELES PERMIT APPLICATION 0 Building Division /Electrical Inspections i I 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 0 Ph: (360) 417 -4735 Fax: (360) 417 -4711 JAN 1 20 y O Date: I P' )l (3 rt z- t1 2 Single Family Dwelling ELECTRICAL INSPECTIONS Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 2 1 03 D OAF TwooD Building Square Footage: Description of above 2 ir- 1+2:0 Lt-- F /L-NPcc-E -f- 44 Owner Information Contracto� nf Inforrmation Name: OV C/L 1/011/01--r• O1- Name: E. Mailing Address: 2 I o 3 1) W P'u000 Mailing Address: $bl- ToNc.i< <D e N^^° City: State: Zip: City: 1' State: t--/A- Zip:'3 ?4 Phone: 45 ffo 6r Fax: Phone; Y6/-39s'7 Fax: License Exp. License Exp. 1 P\ct_c...0 SW D'L 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 Service /Feeder 601 -1000 Amp. 262.00 Service /Feeder over 1000 Amp. 373.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 63.00 Each Additional Branch Circuit 5.00 Branch Circuits 1-4 75.00 I 7 5 Temp. Service/ Feeder 200 Amp. 93.00 Temp. Service /Feeder 201 -400 Amp. 110.00 Temp. Service /Feeder 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 CONSTRUCTION ONLY: 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 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, el +r I contractor or electrical administrator: Cash check 1 Credit Card X Dated: 1 2 1 Z 01/0112012 40 . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 Sile Address: {)3 d.36' / ELECTRICAL PERMIT PERMIT NO. 1IS// (, /p<-~ /93 . I DATE In' tailed By: READY FOR INSPECfION License Number: D WILL CALL FOR INSPECfION Phone: o ner/Business: Phone: o ner/Business Address: Sq. Ft. ~ flESIDENTIAL D COMMERCIAL D BASEBOARD KW _ ~FURNACE KW ~ D FAN/WALL KW ---i7- ~ rEAT PUMP KW--'F-- D SIGN DetlilslDescriPtion: I Kt:..o'.",U9 V;: D TEMPORARY SERVICE D PERMANENT SERVICE D NEW CONSTRUCTION D REMODEL ;g ADD/ALTER CIRCUITS D SERVICE UPGRADE/REPAIR D SPECIAL EQUIPMENT (LIST BELOW) D OVERHEAD SERVICE D UNDERGROU~ERVl5E \{QLTAGE: /-<0. Q~ ,2f SINGLE PHASE D THREE PHASE SERVICE SIZE C:;1&.O AMPS ~O'&u k.e.uACt: . ~ W.S. No. SERVICE SIZE I CAF?ACITY: D O.K. NOT O.K. A ION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D CHANGE SERVICE WIRE D OTHER D itch Inspection O.K. D,:F ough-in/cover O.K. D .K. to connect service .-iPa,rp... inal O.K. . Ins lIer: G New Meters Date: ~ E- ~ .-- I~ I J Noti~ Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered bef9re inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or 0 the Building Permit. PHONE 457-0411, EXT. 224. ,6;;. ~ .~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PEAMIT $ po ;;;? {) ~- Electrical Inspector Permit Fee WHITE - File by address OLYMPO~ PR,"m, ,"c YElLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall t: CITY OF PORT ANGELES LIG,\-r DEPARTMENT ELECTRICAL PERMIT N I! I 3-) 171~8o I Port Angeles, Washlngton.m.n'-".nm......._..._mn.__m_m_mmnm__._.' 19m_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 e~ectrical work as ~d below. Address _<f::y/!.m__?mm,J2-:l.c!.L:..~d_t!j__L_m_n OccupancYmn,."L.e.d:t:.~_________mmmn__ Owner ,,?/ . '#r ~_:.!.?~ne-_~d:"'__m__., Tenant_mnnm__mmn__.mn_____nn..____nm_nmmn_m....n Wiring ~-~:~~:~~~.::::::::~::t:,,~~~r.~l:J!:k:<&X._n By_nnm____n_.m_n___n_______mnmn_m____._____m_m__. Llglit OutletB---.$r?......:...:_______. Service, volts .n,/~:'?/..P.::X~ Type of Wiring: y () -'? /. ::::~;:~...~~~~.~:::-:::::::-::::---:::-::..::.- ~I:'e w~:::s::::::Y2?!;;E!::~:: ~:-:::al~:bl.~n::::::::::::::::::::::::::::: /;) ~d A- Range, KW ____.1:._____________________ Main fuse .-----...-5...-----~.......h-.... Wa~er Heater:./ Enclosure ._.......___...____.....mm.__ KW__.__n._~~-);nnmnn_nnn Heat: KW-...ii...nt-1t'-."""..~. Motbrs: size, volts and phase: ,....l.&~nmn..mmmn___n , ,...--- ...d(,,_~mm_..._..._____..._.....n. .. , Knob & Tube................................_ RIgid Conduit .._.._......_........nm" Metallic TubIng .............___m_____... Type of wIring; Entrance Cable ............__m__........_. Metallic Tubing _____mun___________n.. Raceway ......................._.....___._ C CirCUits, LlghL.....hnh...........n......_.... C UtiUty ....._......n......m................_..... ~/ Heat ................................._....___ .;I_ Range ..........d................................. ~ Water Heater .n..........nn.............. Rigid Conduit nmmmnmnm_mnm. CUrrent transformers: No. & Size...........m......mn.............. Ser. NO............nn....nn.....nn....n.....n, Motor _._............................_....._.... Dryer .n........,d.........n......_.......h..__ Ser. No. n_nnn.n..n..nn....nn_....n. Ser. NO..n....nn...nn...nn...n._.n..n. Furnace ...............n........._......_.._....... #.;:2.. Total Loadnn_.nn....nn....__.n.. Ser. No. .........00......_.........._.............. Total ....................h...nn.....n... Re.,"llarks: .n.m_.4c..e~..._..C~~~__L....mum..m_mu...m____uuu..._____um___.mnu..mn.........m u.n~.__n.n__..__n_n_nn_n_n_nn___n___nnn..__n.______u..u.n..._..nn...nnnnnnnnn.nnn____n_n.nn_n__..n.......n...nnnn.nnnn.n_nn -;~.~~:~n_~-_..._-.-_..~-_~-_-n_-n--un::~_~_~:_-_~.~.~.~~~.~...:.~~.--...---------m:~.::W5'::::f;~~=~:::i~::-_ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If 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? 17188 Ad4ress \. Date..._..:....i.._.._.._.........._......_......_...__.... ............_.__................~:...:=...-.....................................h............_..............................._ ,\, O~er ................u..n.._n........_._.u....._.~~.~:::~.~.:.._.._............n...nn..n.................................. Tenant.....n._n......\-...;,.:.{...........nn....n...nn..nnn._... WlringContractor................__.................____._._::~..........._............................h.._............................By.............................................................. , , " NOTICE-Current must not be turned on 'untn Cert1f1cate ot Inspection has been issued. If work 1s to be con. c~led due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc.