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HomeMy WebLinkAbout3921 Fairmount Ave - Building CITY OF PORT ANGELES PERMIT APPLICATION• Building Division/Electrical Inspections �� s 321 Past Fifth Street—P.O.Boar 1150/Port Angeles Washington,9W62 Ph:(360)417-4735 Fax:(360)4174711 ELECTRICAL Date: ,&2 Single Family Dwelling *Plan Review May Be Requimd,Please Complete Electrical Pla Review Information Sheet Jab Address:.. _? 1 { Building Square Foote e; Description of above�• X,7e Owner Information€ @ Contractor Information Name: �e0cft.1 van r 5 r Name; AEA-14,1- 01-be Mailing Address:_,._,W..�i.i� a—c«.cam �.+�.a• _�. MalingAddress: VL9 City: stag zap city V, 4 :;eater . ;p: 83G z� Phone: r _ Fax: Pt€one: _ Fax: License /Ext c _ .. ..�.._ License#I Exp. E�T/rZ,I�•�Z7�.g{a _.. Item tinIt Charade Total(Qtv Multiplied by Unit ChaCgel -ServicelFeeder200Amp. $12U.06 Service/Fwder204.400Amp. $146.00 ServiceJFeeder 401aO Amp $205.00 Servtceireeder 601-1000 Amp. $26100 ServicelFeeder over IOW Amp. $373.00 $ Branch Circuit W!Service Feeder $ 5.00 $ Fanch Circuit W/O Service Feeder $ 53.00 $ ch Additional Branch Circuit $ 5.00 ranch Circuits 1-4 $ 75.00 $ "7 Temp.Service/Feeder 200 Amp. $ 93.00 $ Temp.Service}Feeder 201-400 Amp. $110.00 $_ Temp.Seivice/Feeder 401-600 Amp. $149.£10 $ Temp.Service)Feeder 601-1000 Amp. $168,00 $ Portal to Portal Hourly $ 95.90 $� Signal Circuit/Limited Energy-1&2 Family gelling $ 64,00 g Manufactured Nome Connection $120.00 $_ — Renewable Electrical Energy•5KVA System or Less $102.00 $. Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stet NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft.or Portion of $ 40.00 $ Each Oulbuilding or Oetached Garage $ 74.00 g Each Swimming Pool or Hot Tub $110.00 $ $.._.... Total Owner as defined by RCW.19.28.261:(1)Owner Will occupy the struduure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for safe,rent or lease.Permit expires after six months of last inspection. After reading the above statement,l 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.,ROW.Chapter 19.28,VIVAC.Chapter 29646B,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. 0 Cas€, 11 Chu* L� Cmdit Cam# _ ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , , . , . 13-00001478 Date 12/30/13 CP Application pin number , , . 431002 Property Address , . . , . , 3921 FAIRMOUNT AVE REPORT SALES TAX ASSESSOR PAIICEL NUMBER. 06-30-D8-5-8-4514-4000 F Application type deecription ELECTRICAL ONLY on your excise tax form Subdivision Name . , . , . . to the City of Port Angeles Property Use . . . , . , Property zoning , , . . . . , R97 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation , , . 0 Application desc Living room and garage circuits Owner Contractor KENNETH DEAN ANDERSON EXTRA MILE TECH & ELECT. , LLC `jam 3921 FAIRMONT AVE 416 N. RACE ST, PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 457-5222 '^ --Permit .W ---, ELECTRICAL ALTER RESSEENTIAL Additional dear 1-4 CIRCUITS Permit Fee 75,00 Plan Check Fee 00 Issue Date 12/30/13 Valuation 0 Expiration Date 6/28/14 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.OD .00 00 r INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL !&2 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEIBUILDING . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: I Installed By: , I Owner/Busine I O.wner/Business Address: I PERMIT NO. ~ 7.3' Il DATE 7-:=?/- 9:J- o READY FOR INSPECTION License Number: M'WILL CALL FOR INSPECTION Phone: , )I[ RESIDENTIAL o COMMERCIAL J51 BASEBOARD KW -Z- o FURNACE KW _ o FAN/WALL KW o HEAT PUMP KW o TEMPORARY SERVICE o PERMANENT SERVICE rg" NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SIGN o SPECIAL EQUIPMENT (LIST BELOW) /JP.<J Av/.J.L..- /_g~ AI d . , DetailslDescription: Phone: Sq. Ft. ~ OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: ~ SINGLE PHASE tI THREE PHASE SERVICE SIZE ';;1190 AMPS . WS. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. ~.A. J1 Rough-in/cover O.K. l/fT-;l8fO.K. to connect service ~fJ Final O.K. Installer: Site Address: New Meters . Notify Port A gel City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permi!. PHONE 457-0411, EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT YELLOW - file by number PINK - Top: Eng, Bottom, Customer WHITE OLYMPIC PRINTERS INC. $ .ytJ,t)O Permit Fee GREEN - Top: Meter Dept., Bottom: City Hall o Ditch Inspection O.K. o Rough-in/cover O.K. Jgr-1~o.K. to connect service /Vv 0 Final O.K. . . ~- CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. ..30/ 7' if DATE /r // -7' :;--- ELECTRICAL PERMIT o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: OwnEr/Busines . Phone: Owner/Business Address: Sq. Ft. )( RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN 1><('TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS DetailslDescription: o SPECIAL EQUIPMENT (LIST BELO~ {MV k ~'9 V~ / W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER Site Address: Permit/Receipt No. Installer: Notify Port A ele City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspe tion and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ d tJ, 0 a Electrical Inspector Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OlYMPIC PAINTERS INC. <. '0.1' 'I "1111U 1 ","~'1,I.)li{f' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000210 Date .739870 3921 FAIRMOUNT AVE 06-30-08-5-8-0514-0000- RES REMODEL 3/15/04 RS7 RESDNTL SINGLE FAMILY 600 Owner Contractor KENNETH DEAN ANDERSON 3921 FAIRMONT AVE PORT ANGELES WA 98363 OWNER Permit . . . . Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT CONVERT GARAGE, 50.05 3/15/04 9/11/04 -RESIDENTIAL UNHEATED ROOM Plan Check Valuation Fee .00 600 W ..D }J - 71 ~ ~ <I! " ~ ~ ~ 3 "" 0 f ~ ,f- '1> ~ (Q Qty Unit Charge Per Extension 47.00 3.05 BASE FEE 1.00 3.0500 HND BL-501-2K (3.05 PER C) ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.05 50.05 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 54.55 54.55 .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 000'''"01;00 ~ /I/f~M- ;li~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) , Date T:IPLANNINGIFORMSI] ] 02.] 5 [I J 114/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUND A IION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING I:? -~.a.-o 1-/ __\ ,T. DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING 1,':::-10 .(;;.J L)... I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANIT AR Y STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKINGILlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 &,_ 11-0...1 \. " BUILDING T:IPLANNINGIFORMSII 102.15 [11/14/2003] tJ:1 tJ:1 tJ:1 tJ:1 >-3 '0 :;;~~8E; n'O t' t' t' t' >< ~ H:<I \D \D H W '" "';UZZtJ >-301 \D \D '- ~()tI:I~::u ><'" [fJ H t>1;U"'t>1 :<0 0 0 0 0 0 >-l Zt' :<O[fJ O;U tv H H H ~. n[fJ OJ", >-3 tJ ttI ttI 0 '" t '0 01, ;U. 0 n;Ui<j ;U ;U'" 0'1 0'\V1\J1 WW 001 >-3'- .......................................................... :;::0 H aOI-'I-'t0t0 "'GO OO~ W ~C:::. -J...JOOt0!\J t't>1o "''''01 \D ................................................................. t>1(fJ ~~e tv Glo 000000 >-3>-3tt1 H 01'" ,s:::..,s:::..,s:::..,s:::..,s:::..,t::. t>1t>1e:: 0001 t" tJtJH 0' >-3 OJ 01 8 00:I: ~ (fJH 000 W {J H tv , tJ '" nc..:t>c..:<oc.. ;U iZi Hlnt>1 :;:: 0 ;l::>t-t'l:lL''l:lL' t>1HGl oc:o~ 0 tv t' t' t' [fJZ ~ G[fJ'O :<I , In ~"d~ ~~~ >-3 W HtJ :<0 H :<1"'01 < >-l 01 , ;U 01 :;::0[fJ tvtJtJ:1:EtJto~totJto ;utJ, 000 Zt>1GHt>1Gt>1e::t>1G 0101 tJoZ tj~~f:~~z~~~ [fJ[fJi<j 010 Gnt>l t' , :<OtJ tJtJtJ t':<IC/l >-3 Hn H H"'H >-3HH >-3 , Z:<O Z ZHZ [fJ"'tl n 01 Glt' Gl , Gl-JGl '->-3~ 0 :;:: t' , nH H :;:: ''''''OJ '''OJ HooOj 00 HZ :;:: !-:3t-'Ht"'t-'H ZH;U :;::ZH Z(fJ 01 ...JZ)::>-JZ (fJH:<O ~ ~ (fJ'" Z :<0' :<0>-3 , )::o,s:::..C::W3; "'01 >-3 !-:300L'ttjOOL'I-'L' Z Z t>1n (fJ H :<IH -J:<O >-3 n>-3 :<OH H , >-3 Gl (fJ >-3H ~ W OjW ooH 00 OJ 0 HO ;UZ tJ Z ;U HZ w c..>-3 Z :<0 OJ ~;::; 0 t' Z "''''(fJ >-3 :I::I:G t>1~ 01 :<0 OOto (fJt>1 (fJ t' ZZtJ >-3 t>1t>1H t' :E < :I: t' 01 H Z 01 ;U :E t' 0 >< :<I ~ H (fJ n 0 :;:: '" t' 01 >-3 01 tJ'" :<0:<0 >-3Gl 0101 '" '- H H '- o "'''' , . :tww I ................................ . "'''' I ON!\.) I ............................. I 000 ~~ :11:><'-< I t"1'Ut;-1 . t-' t-' . . . , . , . , , , () o 3: 3: OJ Z .., Ul ~toOto OJC:OJC: Z~~~ o 0 H~H Zf-'Z Gl-.JGl ~ o Z o .., OJ Ul HOO", Zf-':d Ulf-':>< .t>C::W3: f-'t-' H -.J:>< Z ,.., Gl OOH f-'O f-'Z W to to t-' t-' H W .., '0' ~ ! i Ul ...., o ...' .. , o f-' o f-' to '0 ():d", OOJ 3:0 'OC:O t-'OJO OJUl ..,..,to OJOJC:: OOH e; .... :d z: OJHQ UlZ C:Ul'O ~'U; H ... :dO, OJ OJ UlUl", C:()t>:I t-':dtll ..,H.... Ul'Ot;j '..,~ ()H 00 ~Z"" OJ ~ Z .., Ul ::;;;~8E; 'O:dZZO t-'()OJ..,:d trj:;d:=Otrj Zt-' :><Ul c:: ()Ul :;:. .., to 0 OJ. :d. :d OO~ ~"'OJ ~~~ oOOJ 0' .., 00;I1 000 '" 0 f-'UlOJ O~~ ;0' ~~~ f-'O :d~OJ OJ':d :;:OUl 000 OOZ OJo t-" w '" '" f-' ()'O H:d ..,OJ ><'0 :>< O:d "'OJ o '0 o :dUl .." ~~ Glo OJ~ t-'" OJ Ulf-' '" "' 1': :d 3: o @ .., :>< < OJ w Ul o o 'O'OUl gJgJg ZZO OJOJH < H HZ ZUl Ul'O '0 OJ OJ() ().., ..,H 00 :dZ ,-<.., ~~ OJ~ UlOJ .., t-' t-' H OJ :d t-' >< 0'0 :><:>< ..,Gl OJ OJ Ul , f-' o , o ~~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec. ~- I L:;~ (J c..J Permit #: 04 - Z I () Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Date Approved: Date Issued: Applicant or Agent: Owner: t:.. . /!< Oe~ ~~ OEM !t/V'>>E~>~ f(}(~Vv\IJf.{Nrr /JvcF City: PplLsT Phone: Phone: flVl j.e f.R !' Phone: >&,0 - c-fr;~6(\3 560-'117- 'g-J/3 Zip: q b >(., 3 Address: 1~ ;;r Architect/Engineer: Contractor State License #: Exp: Phone: Address: PROJECT ADDRESS: 5~ :t\ City: f If( {L~'(A4 ~ Zip: fA- wit- '1'Z76JZONING: LEGAL DESCRlPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: D Residential D New Constr. D Re-roof 0 Stove o Multi-family 0 Addition 0 Move 0 Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other B~~ DESCRlPT}ON ~r THE PROJECT: c.~ ......,'Q.,,~ <:sc.JJ-o..~~ f.l:::.k'J 1,- ra.xsz t:r- 2 ~ q~w . ..Ll~~c:;..u.~ City: Exp. Date: MC # SIZEN ALUATION: SF. @ $ /SF. = $ SF.@$ /SF.=$ SF. @ $ /SF. = $ TOTAL VALUATION $ ~(jDb~ '+c:. u-""'^~~~A~ O~(,~>/lUo,kOlA.h'CbM COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage Construction Type: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due atthe time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and cor . I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not~, and at ust obtain such permits p ior to ark. T:\FORMS\APPS\Buildingpermit.wpd Apphcant--\ /; .~n; J~~~~ " .' .. . , . l~ il ~ ~~,= tj~ ~ 7c::.~ 81 <;. 7SX1..L_~ ') rt; /tI "'~ I'f "\1 ~._ go; I W o ~ ~ -< ~ ..> ~ 'l. · fi. "':> ~t. ~ ""/-. fi" . 0 S n . I} ~ f ~ ~ ({ ~ . 'J.t ft> (1\ - 4'. V, <::- t ~ ~ - " . ,~ :0 ..... e'" - -/D./~ \7 6 t &$ ~ I V\~ E -- 8~ f1\ t ~ ~ t;, ::tf- i7 ;r [,oJ ~ ~ 0 I ~~ - 13'- :{. <- G'J ]0' 1\~ Z~ 11 6 ~ "i -/ ~ QJ y ~ ~ ), r J~ t/ \' ~ rJ "t:.- ~I ~ Z. v, ~, 'j v . \ ~ ,. t-. ~ ::J C> L.. 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