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HomeMy WebLinkAbout3618 Galaxy Pl - Building V fy CITY of PORT A.NCEL ES.PERMIT APPLICATION OCT r r `— 3 Building Division/Electrical Inspections 321 East Fifft Street—P.O.Box 11501 Port Angeles Washiagton,98362 'dd d A �i Ph.(360)417-4735 Fax.(360)4174711 !ll l"� l"Tdi��l Ir► Date: 9Z. / 90/ +r f&2 Single Farnlly Dwelling Plan Review May Be Requlrerd,Please Complete EleAtrical Plan Review Information Shoat Jat�Address: t � A Building Square Footage: Dess;riptinnofairnva_.,1��� � q, _� Owner Information s Contractor E formation p Name: _.�F try r{t s rr; r Name: P, t 4 E ( MailingAddrass: rat r.(c�c r Pfd mailing Address:- Y 8 City:,, Th State:•jALY-Z._'p: ..,.,_43r City:k Mate: Phone:-72°f_d,7LL...Fax: phone: It—M unit Change Ttrtaf$I Mu ftlied by iJnfif Chit 1ph Char e ServlcelFaeder 200 Amp, $120.00 Service/Feeder 201- 00.Amp, $146.00 $ Service/Feeder40"00`Amp $205,00 $ _ ServicelFeeder 604.1000 Amp. $262.00 $ SerricalFeeder over 1000 Amp. $373.00 _ $ Branch Circuit W/Service Feeder $ 5.00 #Nneh Cireult W10 Service Feeder $ 63.{70 tch Additional Bramh Circuit $ 5.00 ranch Circuits 1-4 $ 75,00 _� $ Temp,Service/Feeder 200 Amp. $ 93.00 _ Temp.ServicelFeeder 201-400 Amp. $110.00 $ Temp.Sarvice/Feeder 401-600 Amp. $149.00 $ Temp.ServloslFeeder 601-1000 Amp. $168,00 Portal to Portal Hourly $ 96.00 $� Signal CirculY Limited Energy-1&2 Famiiy Dwelling $ 64.00 � $ Manufactured Home Connection $120.04 Renewable Electrical Energy-SKVA System or Leas $102.00 $_ Thermostat $ 55.00 $ Note:$6.00 for each addilionat T-Slat Np paNSTRkIC�LYY:, First 1300 Square Ft. $120.00 $ Each Additional 600 Square Ft.or P6�nn of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 � 6 Each Swimming Pool or Hot Tub $110,00 � $ tom?.•:Total Owner as defined by RCVsl.19,2S.2s1:(1)Owner will omupy the structure for two years after this electrical permit is finalized,(2)Owner is required to hire an electrical contractor if above said property 1.9 for sale,rent or lease.Permit expires after six months of lest inspr�iIa11 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 ft electrical taws,N.E.C.,RCW.Chapter 19.26,yt1AC.Chapter 296-4613,The City of Fort Angeles municipal Code,and Utility Speci€icafians and PAMC 105.050 regarding Elertricai Permit Applications. Signature of ov�sraer,electrical cosdractororr electrical adrninisbrabor. 0 cash 0 ratty C7 Crea��ard� _ lo- /q-1; arsa� ga ELECTRICAL PERMIT CITY OF PORT ANGELES 360417-4735 Application Number , . . . 13-00001192 Date 10/15/13 Application pin number . , , 878.960 Property Address . . . . 3518 GALAXY PL ASSESSOR PARCEL, NUM3'ERc 06-30-15-7-5-0480-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Property Name . . . . . . to the City Of Port Angeles Pro ert Use Property Zoning , , . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 0 Application desc Ductless heat pump Owner Contractor WILLIAMS JEFFREY L EXTRA MILE TECH & ELECT. , LLC 3616 GALAXY PLACE 416 N. RACE ST. PORT ANGELES VA 98362 PORT ANGELES WA 98362 (360) 457-0196 ---------------------------------------------------------------------------- Permit . , . ELECTRICAL ALTER RESTDENTIAT, Additional desc . Permit Fee 63.00 Plan Check Fee 0❑ Issue Date ].0/].5/13 Valuation , . . . 0 Expiration Date 4/13/14 v " Qty Unit Charge Per Extension - 1^00 6310000 ECH EL-R- BRANCH-CIR WC/ SER FEED 6.3.00 ------------------------ Fee summary Total Charged Paid Credited Due - 00 63,00 .00 .00 Plan Check Total 04 .00 00 00 Grand Total 63,00 63.00 .00 .00 V • J INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL b I COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G.TXCIiANGEIBUILDING \ " \ \ Port Angeles, washlngton..m.,L~.......c.:'f.....m_......mmm.......m., 19!'::t:!. \ In aceordance 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 gran~dO electrical w~s listed below. Address ..?..~.C.L.!...:.~~.~.~:::::~........... OccupancymA-.L<'5Ld...m..................... / Owner ......m..m.......r:;jm.......m......m.m...........7V'J. 'F)~nt........mm......._.....m.._.............m........m.....m.... Wiring Contractor ~~rT"J?..R..~..m By.....:.m..m...........mmm.__........___..............m.... Light outlets..........~..c.::Ci......-..-..... Service, volts .4.J./..;f..~O".... Type of Wiring: Receptacle outlets......t::..........___....... No. wires .....~........."".......... Armored Cable ...---....................... Dryer KW .........___.~........______........... Size wlres...........;??~......._.. Non.Metalllc ................................. . /~ ~O >1 Rangt', KW....n_____..........__...__________ Main fuse ....._.._nnn........................ S Enclosure ._.__00__.................____......... <:/ , . ..,~::~... .~;::;:!...~.l.............-..-- ----'---"'.-- Furnace . .........................-.....--..... ...... _/ Ser. No....................................___....... :;; 6"' Remark:o:tal..::.~.:..~:;~~..~~.....___Cf.:::;:~~r:~::.:::::::::.:::::::.....mmm........:~:::..:.:..:::~::::::.::::.:~.:~.:::: _&.. of PORT ANGELES LIGHT DEPA.RTMENT ELECTRICAL PERMIT Water Heater: , KW........mt!....5..................... HeaL Kw..:.Af../f./l.................... Type of wiring: Entrance Cable ......___..m_h............ Mot~.~:../:t.;;..~..:~~:..:........ ......Z..d!r...?:::'........................ , Rigid Conduit ..__.___m.................... MetalUc Tubing ..............n........... Current transtormers: No. & Size....................................... Ser. No.............................................. , Scr. No.............................................. ':( Nl! 17435 Knob & Tube................................_ RIgid Condult ............................... Metalllc Tubing ........................... Raceway ...............................___._ Circuits, Llght....6m......................._.. Utlllty .....t;;:___.................................. Heat ./.0.................................... :2- Range ........:-.................................... Water Heater :2......................... Motor ..._........................................ Dryer....~....................................- _______________.._.~_.._........_____________________n~_.__.....~.u____.________....__.~~...._____._____._~.._....----------------..--.~~.-.-------------..----..--..--......- m.m........m......___....m.mm..m.m...........m..m..m...............m...m.......................?...m.~....... .............m..........m_...... Permit Fee Treas. Receipt ?i... ~ . d // '3"Y.' I , ~~ $.__..m..m......................... NO................m....._... By.... .......mm.... ............m.m.m..................m.. 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 betore concealment NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION \t.. ~.....~ l (" ELECTRICAL PERMIT .,' N? 17435 Address..................._...................................................................................................................Date..._......_.._......_.........._.._..-.......:.......--- ........... " Owner..............._.................._......_.._......_......_.._...........................................................Tenant.................................................................... \ WiringContractor.................:................._......................_.............................................................By.............................................................. NOTICE-Current mu~t 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. 1..-./ 1M Olympic Printers, Inc. CITY OF PORT ANGELES  DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST STH STREET, PORT ANGELES, WA 98362 ~';L~'~-~-~ t",-~wl I ISSUED: 11/07/2002 PERMIT NO: 13841 OWNER/APPLICANT PROPERTY LOCATION JEFF & COLLEEN WILLIAMS 3618 GALAXY PL 3618 GALAXY PLACE Lot: 8 Port Angeles, WA 98362 Block: [] Long Legal 360/452-3952 Subdivision: GALAXY ESTATES T: S: Parcel No: 063015750080000 CONTRACTOR ARCHITECT PELLET HEAT CO. N/A 230 "C" E. 1ST STREET Port Angeles, WA 98362 , 98360-0000 360/457-1649 360/000-0000 PROJECT INFO Project Value: $3,000.00 SFD Units: 0 Commercial: 0 Project Type: PROPANE INSERT SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES PROPANE INSERT, LINES, TANK /,)~ RECEIPT~9902 .~ FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $35.00 Plumbing: $35.00 AMOUNT PAID: $35.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned [or a pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. o,t,/ B-l/__ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date ~:\PLANNrNG~FORMS\I 102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITI$ UNLAWFUL 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PEP-MIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE O^SLINE i i. LSl-- BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engin~rlng Division) SEPARATE PERMIT #'s: WATEI~LINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING 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 E-W. / PW/ CONSTRUCTION - R.W. ENGINEEKING 417-4807 PW / ENGINEERING FIKE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. T:\PLANNING\FOKMS\1102.15 [412002] FROM ; SPA SHOP-PELLET HEAT CO FAF( NO. : 3604520503 Now. 06 2002 0:1.:32PM Pl ~ BUILDI~ PE~IT - APPLICATION ~.~ I ~ ~: V ~ ~ ( ~~ , ~: ,. ~ O~ ~ ~UA~ON: ~ ~=~ o N~. o ~f o W~ ., , .~F.~$ /~_~$ No. o~8~ ....... ~ %~ ...... ' % ~ ~'O~Y: , "' ~OV~: B~ ~ ~ION ~: Y~ ~ ~ s~ p~ (~ =~) ~d bu~ ~ llm~ ~ B~~ ~ ~ ~ ~.~ ~ ~e ~ ~ 1~ ~ ~ ~ ~u~ ~c ~ (~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date / / --/~-----~)~--~ Time Received by /~'~/ (phone, person) - Location of Work to be inspected ~_~1~ C'-~4~-I~/ "~L, Name of person requesting inspection /~k -- - Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one/~~ ,~ Permit No. /~_ ~/ / Sewer Foundation Framing Chimn~/~ .~bi~ina, '~SewerExcav. Other_.. Inspected: Date ' ;i ' ~? - ~ By ' Remarks:. RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel I-]Asphalt [~PCC ~]Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)