HomeMy WebLinkAbout723 Elizabeth Pl - BuildingPREPARED 4/27/11 8 12 45 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/27/11
ADDRESS 723 ELIZABETH PL SUBDIV
TENANT NBR R R GRINSTAD
CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813
OWNER RICHARD AND ROXANNE C GRINSTAD PHONE (360) 452 6334
PARCEL 06 30 14 5 9 0250 0000
APPL NUMBER 11 00000327 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 4/21/11 JLL MECHANICAL FINAL TIME 12 00
4/21/11 DA April 20 2011 8 17 16 AM 1pangrle
JENNY (ALL WEATHER 452 9813)
MECHANICAL FINAL HEAT PUMP
PLEASE INSPECT BETWEEN 12 0 O 2 00 PM SHE WILL GONE
2 30 PM
April 21 2011 4 31 52 PM jlierly
arrived at 1 45pm no answer left message and card on
door /j11
ME99 02 4/27/11 LL MECHANICAL FINAL TIME 01 15
April 25 2011 8 42 06 AM 1pangrle
ROXEANNE 391 9171
MECHANICAL FINAL HEAT PUMP
INSPECT AFTER 1 00 PM
PLEASE CALL HER 10- MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
PREPARED 4/21/11 8 04 08 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/21/11
ADDRESS 723 ELIZABETH PL
TENANT NBA R R GRINSTAD
CONTRACTOR ALL WEATHER HTG COOLING INC
OWNER RICHARD AND ROXANNE C GRINSTAD
PARCEL 06 30 14 5 9 0250 0000
APPL NUMBER 11 00000327 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 4/21/11
JLL
SUBDIV
PHONE (360) 452 9813
PHONE (360) 452 6334
MECHANICAL FINAL TIME 12 00
April 20 2011 8 17 16 AM 1pangrle
JENNY (ALL WEATHER 452 9813)
MECHANICAL FINAL HEAT PUMP
PLEASE INSPECT BETWEEN 12 -00 2 PM- SHE WILL- BE_GONE_AT
2 30 PM
COMMENTS AND NOTES
)-v‘&2
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
INSTALL A HEAT PUMP
Owner
RICHARD AND ROXANNE C GRINSTAD
723 ELIZABETH PL
PORT ANGELES WA 98362
(360) 452 6334
Permi t
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
description
14 8000 EA
T:Forms /Building Division /Building Permit
MECHANICAL PERMIT
INSTALL A HEAT PUMP
183772
64 80
4/14/11
10 /11 /11
Charged
Per
64 80
00
64 80
11 00000327
111897
723 ELIZABETH PL
06 30 14 5 9 0250 0000
R R GRINSTAD
MECHANICAL APPL PERMIT
8106
Contractor
Valuation
BASE FEE
ME FURN /HP /FAU OR 5 TON
Paid Credited
64 80 00
00 00
64 80 00
liql11 6Atel, IY)ctirown tleki 44/%49-rA
Date 4/14/11
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
Plan Check Fee 00
Due
00
00
00
0
Extension
50 00
14 80
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
A ;0/\\
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
Inspection Type
Date Accepted By
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
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.
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
Comments
FINAL Date Accepted by
FINAL Date Acceoted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
4- 2 -11 1 5�
Application Number
Application pin number 1
1
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Adding Heat Pump
Owner
I
C GRINSTAD
RICHARD AND ROXANNE
723 ELIZABETH PL
SEQUIM WA 98382
Permit ELECTRICAL
Additional desc
Permit pin number 183764
Permit Fee 56 00
Issue Date 4/14/11
Expiration Date 10 /11 /11
Qty Unit Charge Per
1 00 56 0000 ECH
Chaged
Fee summar'
Permit Fee Total
Plan Check Total
Grand Total
DH gltq it i
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
56 00
00
56 00
Signature of owner or Electrical Contractor X
G \EXCHANGE\BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
11 00000326
359224
723 ELIZABETH PL
06 30 14 5 9 0250
ELECTRICAL ONLY
0
Contractor
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
16Z 5)fl
ALTER RESIDENTIAL
EL LVT THERMOSTAT
Paid Credited Due
56 00
00
56 00
Plan Check Fee
Valuation
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
00
00
00
q)24 )t1
t i1211t/
Date 4/14/11
REPORT SALES TAX
0000 on your excise tax form
to the City of Port Angeles
(Location Code 0502)
DATE. RESULTS
Extension
56 00
00
00
00
00
0
INSPECTOR.
Date.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
10 KW furnace 2 5 ton HP
Owner
RICHARD AND ROXANNE C GRINSTAD
723 ELIZABETH PL
SEQUIM WA 98382
Permit
Additional
Permit pin
Permit Fee
Issue Date
Expiration
Qty
1 00
2 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
�H "I/19(11
INSPECTION TYPE
desc
number 183673
78 70
4/13/11
Date 10 /10 /11
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
ELECTRICAL
Signature of owner or Electrical Contractor X
G \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
11 00000318
865166
723 ELIZABETH PL
06 30 14 5 9 0250
ELECTRICAL ONLY
0
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
ALTER RESIDENTIAL
Plan Check Fee
Valuation
Unit Charge Per
73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT
Charged Paid Credited
78 70 78 70 00
00 00 00
78 70 78 70 00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Date 4/13/11
REPORT SALES TAX
0000 on your excise tax form
to the City of Port Angeles
(Location Code 0502)
DATE. RESULTS
WA 98363
0
0
Extension
73 50
5 20
Due
00
00
00
INSPECTOR.
Date:
City of Port Angeles Permit Application
Building Division/Electrical Inspections RECEIVED
321 East Fifth Street— P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 4174711
Date: L k\ 141)
APR 13 2011
R
ELECT ICAL
1 2 Single Family Dwelling INSPECTIONS
Multi Family or Commercial'
Commercial Addition Alteratior Remodel Repair
Plan Review a B Requi el e riCal ass comp' t Ele Plan Review Information Sheet
Job Address:
Building Square Footage: (''t(T
Owner .•fo ation
Name: J 1 1. 1 I L. r `ir. !r
Mail'. Addre [%d �i/
ss: z =i
City :��IGrailt.. Liar State:D�'i Zip: i`!
Phon Fax:
License #1 Exp.
Unit Charon
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86,25
$116.25
$131.25
75.00
69,00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
57,50
86.25
43.75
PO/P0 39Vd
Signature of owner, electrical contractor or electrical administrator
g ato:A 13it
Contra o, f V fy
Name. I Ilia A A Ikka
Mail' Address: d l'atTi l� t.
City Cit State' In I.F%Il�
Phon.+i. r io nit 1ti Fax R `i :Sti1
License #I Exp !!I Z:k�aettW
Total (Qtv Multiplied by Unit Charge)
Service /Feeder 200 Amp.
Service /Feeder 201-400 Amp.
Service /Feeder 401 -600 Amp.
Service /Feeder 601 1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/0 Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service/Feeder 401 -600 Amp.
Temp. Service /Feeder 601.1000 Amp.
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
$146 Total
9NIJ.V3H 2I3HIC3M 11C
Cash
Check
Credit Card d
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 him 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 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 296460, The City of Port Angeles Municipal Code, and
Utility Specifications.
LLISZSP09ET Sty 60 ITOZ /ET /t'0
Applicant
Property Owner
Property Owner's
Contractor
Contractor's Address
License
PROJECT ADDRESS I on elQabotth filar.
Parcel Number
Proiect Tvoe Brief Description. Residential
Check all that apply
a New Construction n k. i IN\ O
u Addition
a Remodel
o Repair
u Demolition
o Re -roof
)(Heat System
a Other
Floor Areas
Basement
1 Floor
2 Floor
3' Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417.4815 fax (360) 417.4711
dress
VI
4144111 1Pri'LA'
Expires' 11 111
o [House a garage a other
4cHeat pump a wood- burning stove
k
Ezistinq (sq. ft-)
u
Multifamily
Urnan
Proposed (sq. ft.)
Phone
Phone
Lot
For City Us Onl
Date Received
Permit 11 -3 2.'1
Date Approved
Phone c ai cdii3V-S
E -mail CCA1
Zoning
Commercial a Industrial
a tear off re -roof a lay over one layer
a gas fireplace a pellet stove a other
per sq. ft.
TOTAL VALUATION 'S el W. 1c
Total footprint of structures sq. ft, Lot size sq. ft. Lot coverage
Site Coverage the amount o1 impervious surface on a parcel, including structures paved driveways, sidewalks patios,
and other impervious surfaces, (see PAMC 17 94,135 for exemptions) Site coverage a/
C�1'YI
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system bet installed? Occupant load
Will a fire sprinkler system be installed? Construction type
I have read and completed this application and know it to be true and correct. am authorized to apply for this permit and understand
that It is my responsibility to determin what permits are required, and to obtain permits prior tq,wp{king on projects,
Dateg,1 Print Name 1 Signature
T;Forms/Bullding DivisloniDldg Permlt.doc
t00/Z0 39Cd
ONI1V3H ?I3H.C3M 71C
of bedrooms
of full baths
of half baths
1
LLC9Z61209Et 5t, 60 ttWZ /Et /170
Clallam County Assessor &+Treasurer Property Details 67404 RICHARD AND ROX Page 1 of 2
Clallam County Assessor Treasurer
Property Search Results 67404 RICHARD AND ROXANNE C GRINSTAD for Year 2011 2012
Property
Account
Property ID• 6740 Legal Description. UPLANDS THE
DIVISION II LT25
Geographic ID 0630145902500000 Agent Code.
Type. Rea t
Tax Area: 0011 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. 723 ELIZABETH PL Mapsco
PORT ANGELES WA
Neighborhood. Cycle 5 Res Map ID 2
Neighborhood CD• 10955130
Owner
4 \1\Q-
Name: RICHARD AND ROXANNE C GRINSTAD Owner ID 27923
Mailing Address. 723 ELIZABETH PLACE Ownership: 100 0000000000%
PORT ANGELES, WA 98362
Taxes and Assessment Details
Property Tax Information as of 04/14/2011
Amount Due if Paid on
Exemptions.
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
First Second
Half Half
Base Base
Year Statement ID Taxing Jurisdiction Amt. Amt. I Penalty Interest Base Paid Amount Due
2011 160967 ST SCH STATE SCHOOL $278.80 $278.80 $0.00 $0.00 $0.00 $557.60
2011 160967 CC -GEN COUNTY CLALLAM $153.92 $153.89 $0.00 $0.00 $0 00 $307.81
2011 160967 SD #121 SCHOOL DISTRICT #121 $364 44 $364 43 $0.00 $0.00 $0.00 $728.87
2011 160967 CITY PORT ANG CITY OF PORT ANGELES $355.31 $355.30 $0.00 $0 00 $0.00 $710.61
2011 160967 PORT PORT OF PORT ANGELES $21.66 $21.66 $0 00 $0.00 $0.00 $43.32
2011 160967 NTH OLY LIB NORTH OLYMPIC LIBRARY $64.55 $64.54 $0.00 $0.00 $0.00 $129.09
2011 160967 HOSP #2 HOSPITAL #2 $63.18 $63.18 $0.00 $0.00 $0.00 $126.36
2011 160967 WSMET PK DIST WILLIAM SHORE MET PARK DIST $19.21 $19.20 $0 00 $0.00 $0.00 $38 41
2011 160967 CITY _STO CITY STORMWATER $36.00 $36.00 $0 00 $0.00 $0 00 $72 00
2011 160967 WEED CONTROL WEED CONTROL $0.82 $0.81 $0 00 $0.00 $0 00 $1.63
2011 160967 TOTAL. $1357.89 $1357.81 $0.00 $0.00 $0.00 $2715.70
2010 49258 ST SCH STATE SCHOOL $276.01 $276.01 $0.00 $0.00 $552.02 $0.00
2010 49258 CC -GEN COUNTY CLALLAM $146.88 $146.88 $0.00 $0.00 $293 76 $0 00
2010 49258 SD #121 SCHOOL DISTRICT #121 $357 51 $357.50 $0.00 $0 00 $715 01 $0.00
2010 49258 CITY PORT ANG CITY OF PORT ANGELES $340.08 $340 08 $0.00 $0.00 $680 16_ $0.00
2010 49258 PORT PORT OF PORT ANGELES $20.64 $20.65 $0.00 $0.00 $41.29 $0 00
2010 49258 NTH OLYILIB NORTH OLYMPIC LIBRARY $42.68 $42.68 $0 00 $0 00 $85.36 $0 00
2010 49258 HOSP #2 HOSPITAL #2 $60.26 $60.25 $0 00 $0.00 $120.51 $0 00
2010 49258 WSMET PK DIST WILLIAM SHORE MET PARK DIST $19 18 $19 17 $0 00 $0.00 $38.35 $0.00
2010 49258 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0 00 $0.00 $72.00 $0 00
I
2010 49258 WEED_ CONTROL WEED CONTROL $0.82 $0.81 $0 00 $0 00 $1.63 $0 00
2010 49258 TOTAL. $1300.06 $1300.03 $0.00 $0.00 $2600.09 $0.00
http. /websrv8 clallam nit /propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =67404 4/14/2011
!CE/YE c f
APR 12 2011 or
8
ELECTRICAL
INSPECTIONS
CITY OF PORT.ANGELES PERMIT APPLICATION
Building Division/Electrical inspections
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 95362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 4 r
_y 1 2 Single Family Dwelling Multi-Family or Commercial' Commercial Addition Alteration I Remodel I Repair*
Plan Review May Be Required Please Completelectrical Plan Review Information Sheet
Job Address: _-7 2' Required, a tia_ h /!t
Building Square Footage: I 1 etc)
Description of above .ClDS+k I &IV a Tan H r cJ /rw
f-ani- 4 4
Owner Information e II Contractor Information yc{�
Name: G a n L/2 h� M. TQ� Name: 1 �e G b
City: S LLC
Mailing A dre 7 ti Mailing A re Z
e: Zip: 3 b City: t t1 Stale• L, A Zip:.. (off
Phone:!a��2- 63.3 Fax: I Phone:... .5.2.. ZOFaX:
License 1 Exp, I License I Exp. 0.171 S&L tt, CJ
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 401 -600 Amp
Service/Feeder 601.1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp,
Temp, ServicelFeeder 201.400 Amp.
Temp, Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 -1000 Amp
Portal to Portal Hourly
Sign /Outline Lighting
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
NEIN CONSTRUCTION ONLY:
First 1300 Square Ft. 110.30
Each Additional 500 Square Ft. or Portion sr 35,20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub $110.30
Unit Charae 9N Total fgttr Multll filed by Unit Chan: e1
$119.40
145.50
204.60
262.20
372.50
2.60 P.
73.50
2.60 C v .0
92.70
$110.30
$146.70
$167.90
95.90
66.20
Dated: 4,2—///
pr Credit Card II
B•r
0110112010
7W.3f1.Total
Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. 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 ht, eby certify that I am the owner of the above named property or a licensed electrical co ttractor I am making
the electrical Installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296 -i 6B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC14,05,050 regarding Electrical Permit Applications.
'Sig e of owner, electrical contr r or electrical administrator O Cash Check
Application Number 08 00001056
Application pin number h 311744
Property Address 723 ELIZABETH PL
ASSESSOR PARCEL NUMBER 06 30 14 5 9 0250 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning
Application valuation 0
Application desc
1 4 cir pond pump
Owner Contractor
NORMAN E /OLIVE L BROOKS
723 ELIZABETH PL +I
SEQUIM WA '98382
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452 6424
Date 8/26/08
WA 98362
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 133J25
Permit Fee 46 00 Plan Check Fee 00
Issue Date 8/26/08 Valuation 0
Expiration Date 2/22/09
Qty Unit Charge Fer
1 00 46 0000 ECH EL -R OR RM 1 4 ALT CIRCUITS
Charged Paid Credited
46 00 46 00 00
00 00 00
46 00 46 00 00
Due
Extension
46 00
00
00
00
SPECTION
TYPE DATE
DITCH
SERVICE
ROUGH Ili
FINAL
ELECTRICAL
RESULTS INSPECTOR
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
1 4 cir pond pump
Application desc
08 00001056
311744
723 ELIZABETH PL
06 30 14 5 9 0250 0000
ELECTRICAL ONLY
0
Owner Contractor
NORMAN E /OLIVE L BROOKS ELECTRIC SERVICE
723 ELIZABETH PL 82 DRAPER RD
SEQUIM WA 98382 PORT ANGELES
(360) 452 6424
Date 8/26/08
WA 98362
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 133173
Permit Fee 64 00 Plan Check Fee 00
Issue Date 8/26/08 Valuation 0
Expiration Date 2/22/09
Qty Unit Charge Per Extension
1 00 64 0000 BCH EL R OR RM 0 200 ALT SRV FDR 64 00
Fee summary Charged Paid Credited Due
I
Permit Fee Total 1 64 00 64 00 00 00
Plan Check Total 00 00 00 00
Grand Total J 64 00 64 00 00 00
IN SPECTIOIN
TYPE
DITCH
SERVICE
ROUGH IN
FED
AL
COMMENTS:
ELECTRICAL
DATE RESULTS INSPECTOR
CITY OF PORT ANGELES
!LlGHT DEPARTMENT
\,
\
ELECTRICAL PERMIT
N? 16085
. ,
J:;'; -jo //
Port Angeles. Washlngton...m._,....mm...._m...............m.m.....m.... 19.m.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 d6 electrical work as listed below.
Address ..__;2.:2:...3-m{2;!~...,..-.,~.!.~"'yj{--::!'.:/2-.. Occupancy.__~~...~~..O';.dm.O'..__m..m..__.
~:::~:~~~~?~~~:::::::~~~=:!~~;,Q~~~;:::..::::::::..::.:...~::::::::::=:::::::::::::::::::::::::::::::::::::::
c1 () rJ /'~'" /:J ;JJ
Light Outlets....____....__..__............._.._..... Service, volts ._.__~,:__.__....._..................
Co . ':!II
Receptacle Outlets....!?...........__........... ~o. wires ......._........................';.~..
. G ;t.,f; Q ~I
Drrer, KW....uunn...__......................... Size wires.....____....h....!..__............_..
: ,;A ,)' ././"""':" A
::::~ K:.~~~~~/.~:;:m--mm____ ::::::: :.:;.::~~~~.~:'.:::;.:::.::
,
KW____m.m'-tim:>.O'.__mO'.m__ __O'
"', ,..
Heat: KW......0..:..:'.~"/tt.!.--i..;".t..,....---ft..~~.~,
Motors: size. volts and phase:
I /". dj,
--,mm__:______.______/__hm.__hm.__hmmm
/ .-// ,-
T.mc.m~m_mmmm.mmm.--mhm--h.
Type of wiring:
Entrance Cable __.........
Rigid Conduit .................
Metalllc Tubing __.m.__
Current transtormers:
No. & Size........__...........__................
Ser. No..............____.______....__..____..........
Ser. No. ...........__............____.........__.....
Ser. No............................__............__...
Type of Wiring:
Armored Cable .............__...__.....____
Non-Metallic .0000............__...__...__..._
Knob & Tube.__.................__.._.........
RIgid Conduit __..h__hh________.m__m__
Metallic TUb~........................
R ,.
aceway ..... .~....nu...-.-.n_
Circuits, Light...~...------.......--........
Utllity h__.mLym.m______.____hh____.m.
=::ge ..:~i::::::::::::::::::::::::::::::::::
<="
Water Heater f!!..............___..........
Motor .............................................
Dryer .....;;1;...................................._
Furnace .........................._..............__...
Total Load....___.______..___..______.. Ser. NO.....______.___n._m___.................... Total ...;.1..(........___..___.......
Reillarks : __..u.~____________.!:__~.~.__.r'::=:.~h..u...J:.__&-__:.lun:6...n_:____.nnn.n__n...n_n__un.n______.__________...n..__h...___.__....uu
_....__.____.__.__.__.______....______.....__n_....__._......_..._..___.___._.___.._._.._.n_.__._.._....._~..__.__..______.__.___.____.....__..._________..____.___...____.___./
..__U..U..nn..__nn.._nn'nhn'_'..___nnnnnnn..n..nnnnn__._....n..hu...n...._nn.n___..nnn....._n_.nnnunn..__......n____.__.h....nnnn
r .' ," I
perm~ F~e Treas. Receipt /Z !If I . . -'J . ,/ ' /. ,,-
$__.~.J..L?};"'___..m.mm. No............................. By "'.:'_.:~.L._..L.m.::!..m..!.:.!m___(..:..'..:..:u.u.:.::....' "'_'
f~ /.v ~, v
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
Address
N?
16085
Owner ........__.......n.__._..........._.........._....n_......_.._.........nn.....n...................__.........__....... T enant................hn................................................
Date..._.........__.._.._.........._......_......___.......
Wiring Contractor........................................ ............__......_...........................................__................By............................................_.................
NOTICE-Current must not. be turned on untU Cert1flcate ot Inspection has been issued. It work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
d6-/o'7~
Job wired by
-
~
.~
R E C E IJUiC&cAL WORK PERMIT APPLICATION
AUG 2 5 2008
Cil
lale ZIP
\..Jv-. q y:;'<o
ectrical Contractor 0 Owner
~ ticcnSl: number oYQl;IfP
g......1I~ 'iL~r$lI~
61
FAX number '
S~
Owner as de filled by RCW. /9.28.261:(1) Owner will occupy the structure for tWQ
year:i ajier this electrical permit isfinalizeJ. (2) Owner ':f required 10 hjr~ all ~/r:ctrjcu'
co"traclor if above said property is for .sale. rent or /ccue.
AOer reading the above slotemenl, 1 hereby certify th;:"l I .!1m the owner of lhe above
named property or a Iieens!;u ch::cu-ical contractor. I ,anI nlaking tbe electrical instal-
lation or aUcrnlion in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28. WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications.
~.n'IW'
~'!.ncr'5 name ~ "
'uc.. """~
Address of Inspcc:t1on 6 {
'7'7-":~ Z. { 1"2...... D~
City e ~
Phone number to 5che\lul-= hllpccllon:
p(
contractor or electrical administrator
Date:
Electrical Load Additions and or subtracllons
a NO LOAD CHANGES
a Baseboard KW
CJ Fumace KW
tJ Heat Pump Ton
a Fan-Wall KW
Installation description. ~
a Commercial c:a,...<<esidential
PT.
a New a Allered/Additlon
~
\
SO-A.~
,-....
~
o Cash 0 Check #
~ar~r:ditCard ;:~_~:sco:~_
Expiration Dale
of card
Inspection fee
$
Service Information
IJ
a
IJ
CALL BEFORE 7'00 AM 360-417-4735
Voltage
Phase CJ 1 CJ 3
Service Size: _
Feeder Size:
LAA
SAME DAY INSPECTION
1/I"d
lILI>L1I>:Ol
Overhead Service
Temp Service
Underground Service
1>21>92SI>
3)Ind3S )Id1)3l3:WOd~ ~21>:01 1>002-1>1-1)0
,
~/y~UCH-IN THERMOSTAT / SERVICE
,,4/2};R e"
'OalO A~ " Dall: A""roved Uy
~FINAL"fAP DITCH fEEDER
Oalg ApptOyc"'By./ "- OIIC Approved 8y ./ Oat" Appl'Oyed By
Inspection Area, Building ot Equipment Inspected Action Taken Electrical
Dale Inspector
Application Number . . . . . 22-00001374 Date 11/01/22
Application pin number . . . 857444
Property Address . . . . . . 723 ELIZABETH PL
ASSESSOR PARCEL NUMBER: 06-30-14-5-9-0250-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RICHARD AND ROXANNE C GRINSTAD ALL WEATHER HTG & COOLING INC
723 ELIZABETH PL 302 KEMP ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-6334 (360) 452-9813
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee . . .00
Issue Date . . . . 11/01/22 Valuation . . . . 0
Expiration Date . . 4/30/23
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charge Quantity Total (Quantity x 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 $
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 DU.$64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional)$56.00 $
First 1300 Square Feet $120.00 $
Each Additional 500 square feet``$40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool / 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.
Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
PREPARED 10/31/22,12:59:29 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001374 723 ELIZABETH PL
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 56.00
TOTAL DUE 56.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Heat pump system
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
1/18/2023 22-1374 TAP
OWNER
CONTRACTOR
All Weather Heating
PROJECT ADDRESS
723 Elizabeth Pl
Application Number . . . . . 22-00001587 Date 1/04/23
Application pin number . . . 785072
Property Address . . . . . . 723 ELIZABETH PL
ASSESSOR PARCEL NUMBER: 06-30-14-5-9-0250-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RICHARD AND ROXANNE C GRINSTAD BLACK DIAMOND ELECTRICAL CONTR
723 ELIZABETH PL 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 452-6334 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 1/04/23 Valuation . . . . 0
Expiration Date . . 7/03/23
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x 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 $
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 CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool/ 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-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
'"'CJ CD
PREPARED 12/28/22,11:29:39 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001587 723 ELIZABETH PL
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 63.00
TOTAL DUE 63.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/16/2023 22-1587
TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
723 Elizabeth Ave