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Home My WebLink About3425 Mill Creek Ct - Building Oct 21 03 07:37a R. W. and F. L. Becker 360-683-6104 p.1 "' ELECTRICAL PERMIT APPLICATION R1B. D..9'lC1.-.r. tr.iE otlLY """"= P9.a,= -- eo.- , T1le Electrical Permit Application must be filled out compJetetv. Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number. (360)417-4711 }-ir~#'TJo7 :Jwner- 0.- Bec. Conlrnctor Agent ~ (. ///7-;/,;0 h~-z.-~:( L 'rnpeny OwneoK 1 C 1+ >4-Vh' (~. /l- '( I+=-"=-. \ddress: :3: U '.2....... ~. !/11C--_L.. CIL-..'L CT City: 4/1, FIN", LL-~ I ~':SL.~'::> '7 - l )" ~ .".-:/1 .r- .PIIL ~~'i? . 'Iedri=I Contrador. K G-v r.=- ...-k-<-->"~ <:-Z-c--c:.~ Ucense#"....~""~ I--~~' n'-"~ ,"/ ~-,- /.I~ S~'-""'I-"'" ltki"ess; ) ;. L . /r-Y(." "''----' ~f: F" c-.-;-;--' /~./ Oty:, 2'~ "'f ,;,. . __ Phone: {. n 5,-g--3~ FaJc {,SSS (./ C/"-/ Phone: ~STALLATION WIREO BY: 0 OWNER ~ECTRICAL CONTRACTOR :redit Card Holder Name: (<- <..u ,-; C--::-C:"",':-~(.....- Zip:L; "<('36 Z- Phone: (g3 j;,--; (; Zip: ? ,f-3' d- ~ Iflling Address: /s, L- 17;.-,;/.:>,,-- (4'/TTf1.:: City: c:: r:-o. N I 'c~ . , Exp. Date: /) .; fPE OF WORK: ~O.JECTADDRESS: '5 '--/2- ~ II/IL. C c. aL~r....:=--;e: CO Y7 e--z.. Zip: / '/ J 'J VISA: ~c: Check all that apply: J81J'Jew C7-: o Alleration/Addition Residential ~ Multi.family o Commercial 0 Mobile Home Sq. Ft Remote Meter ){oetached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump Imber of Circuits added or altered: ( o Low Voltage 0 Telecom. 0 Sign :SCRlPTION OF THE ELECTRICAL PROJECT: WIC-L /7 bE M--r,.1~-'I"7 I ~ /' /Ln ./~' . 1.'1) / /':-C. /7 ff/L.-d/J t:.- F;':')C //0'S yO ;r'6S/.J4'r - 10- z.. . U"":> /- -::, 4- P7Z7l_ /'0 /l-ffc<--;, !ctrica' Heat Load Additions and or Subtractions _ f'0IV f'0IV TON _KW LJ ~ 7-fc.- Service Information laseboard umace leal Pump 'an-WaII LRA o Overhead Sesvice o Temp Sesvice o Underground Service Voltage: Phase: 0 1 0 3 Sesvice Size: Feeder Size: ~reby certify that I have read and examined this application and know that same to be true and correct. and I am horized to app,y for this permit I understand__it IS nol the City's legal responsibility to determine what permits r'eqU;red1.it~rymains the applicants responsibility to dete ine what rd Holder's nature:'!." --;q; ~'-- . Date:/o _ Z-u.-c';;; Owner or Elec. Cont. S'gnature:__4'::,(,,>;?'~ Date:/c::)'-;cc'", c.':> Cw-P(.'C-+ v.jllt..{~c:r rJ-.h' ('1- _ o!<- XJS /s '-II -- PERMIT FEE: $ ECTRICAlPERMITAPPL/CATION l ~ rlo "'/(; 70 .' , ..:.--- &c~ /o/":t/~ 3 . ELECTRICAL PERMIT APPLlCA TfON FOR OFFIC1.....L USE ONLY' DaldRec' [ Pennit#: f Datl:Approved Datebsucd: The Electrical Permit Application must be filled out completelv. I+~ Please type or reprint in ink. If you have any questions, please call (360) 4174735 Fax number: (360) 417-4711 ~ T}Ol Owner or Elee. Contractor Agent: Property Owner: n I a'ttrd f71 CLnoLt" Address: '71.\-2'5 /\.Ai l-l Creek ~ City: Electrical Contractor: ~ ~~ Vt"i-L~--'-:J P LL""-f'S Address: Po 0b><. Lv to City: Phone: Fax: C.~I- 0513 Phone: -ft ~e-{e'S \ License#:5Eq~j vf005~: CCl(/.s~YO-r') Zip: Cf 8~toz. Phone: IrR::>;'4l?) Zip: 4' 8. '=> 2~ INSTALLATION WIRED BY: DOWNER .lIJ ELECTRICAL CONTRACTOR ~ ANN Billing Address: ~ tSo>c t/O City: c&.t.:5t3o,Gb Exp. Date: Credit Card Holder Name: ~ "'i!Jh:>ru;O wA. Zip: 9PJ3z..{- VISA:X- MC: _ . PROJECT ADDRESS: ~Ll-:?S ~i\A Cri?ek ~New C. I. TYPE OF WORK: Check all that apply: o Alteration/Addition i1f Residential 0 Multi-family o Remote Meter 0 Detached garage Number of Circuits added or alteredlz ') o Commercial 0 Mobile Home Sq. Ft o Hot Tub 0 Swim Pool );;i Septic Pump . 0 Low Voltage 0 Telecom. DSigl 115\J ::2-0 O-<~F DESCRIPTION OF THE ELECTRICAL PROJECT:--fff I ~ rl.~ tCl"Cl ct.1 ax f"\. to Ix i V\~lL"d tv -ptLr".p tv -h'-f' G t:::J ~ Electrical Heat Load Additions and or Subtractions Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall _KW KW TON KW LRA o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: I hereby certify that I have read and examined this application and know that same to be true and correct, and I arT authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Owner or Elec. Cont. Signature0'\A!(..(.~ CU'lvt Date: C:/ELECTRI CALPERMIT APPLICATION ~-L-iu--f Date: ID / g I D '7 PERMIT FEE: $.['1& ,7tJ Oti. L, D-- /0/9 )h~ ~pORT'41v A......O~~~ ~t. fI1"i11.~~ ~~-~t7 ~-----:~ ~SA"':;<' ELECTRICAL PERMIT APPLICATION FOR OFFICI..o\L USE ONLY DatdRrc Permit#: Date Approved: DateI.I'Sued The Electrical Permit Application must be filled out completelv. Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 ;fnZ:- +t '70 '7 Owner or Elec. Contractor Agent: 12. w g C-c. tLC7L- Property Owner: fL, C-, -I pf?LO ,e; tiZ-J4--JV r- Phone: en R I _),-llfax: /" x- ~ c:, / cJ 'jL Phone: Address: 3 <I L ~ UNL( Electrical Contractor: i2.-~ Address: (')3 z... T7'7ux c:...~fC br-r- ..K c-n ~~ IV) c rCity: Peht.-r J/bJh ~,6-c- tr<, Zip <3 cf-~ 65 L ...r.:5 C. ) Q"':> License #~~CX:c ,(.<.Ellp: /c;./n'>; Phone: 6 u ~.5~S SGc? ~/"-7 Zip: 9-i?":? !S-C- City: INSTALLATION WIREO BY: 0 OWNER Credit Card Holder Name: /),(/ ~ECTRICAL CONTRACTOR rt (.-<5 Zip: VlSA:L MC:_ TYPE OF WORK: Check all that apply: r-1e,eEr;c' >etJJew c....T- o Alteration/Addition ~esidential 0 Multi-family 0 Commercial ~ Mobile Home Sq. Ft I &OU o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 Sign _ Number of Circuits added or altered: , " \ \ Electrical Heat Load Additions and or Subtractions Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall _KW KW TON KW LRA o Overhead SelVice o Temp SelVice o Underground SelVice Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: I hereby certify that I have read and examined this application and know that same to be true and correct, and ( am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to de mine what permits are required and to obtain such. Date: t}-/Cl--O -y; Date: 7~-;U-- 03 CJ ~ l_-fO> (, Owner or Elec. Cont. Signature. ~ (- I, ~.{(.::'-f ~ {,~d ()f,'/,~ - 0 k '(k..,c -!liL Credit Card Holder's Signature: ..-\--;. ,~ - J.: PERMIT FEE: $"f 710 ,,3,~ // C:/ELECTRICALPERMIT APPLICATION &c~ 9hln~ ELECTRICAL WORK PERMIT APPLICATION ,. Job wired by ~Iectrical Contractor 0 Owner Installation description o Commercial ~Residential Electrical contractor name . 71IoK/V&"5 /t'o;::: Purch~r's mailing address (-'.-0. 99/ City LJ r:4- License number 77tGMfIf!:C9S7 UI Date Expires 0'; o New ,ti Altered/Addition .' Telephone number S6- s- - / 2-1 "Z- Stale ZIP W,(f-- 91"3(,,2- FAX nllt2rz. -7rrfiJ 7JIt;7c t#R )'/tI--r W~Tlf1'L- I/tr,.;-n<-- '. ,1 premiSi/;;;;;;~ name I4fcLC ~/J I Address of inspection '3<(?-') UtI u.... CIUc,{ City // r/fl- C.r Phone number to schedule inspection: 'f~7 -I.:,Z/b Owner as defined by RCW19.28.261:(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. After reading the above statement, I hereby certify that J am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation 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. Signature of o Cash o Check # o Credit Card Card # Visa Mastercard Discover ractor or electrical administrator x Date: S:-9~t?Jc Expiration Date of card Insp}c~n felj'l1 $ r?- Service Information Elec . al L d Additions and or subtractions o NO LOAD CHANGES o Baseboard KW D Furnace KW I:] Heat Pump Ton o Fan-Wall KW LAR o Overhead Service I:] Temp Service o Underground Service Voltage Phase 0 1 0 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN / THERMOSTAT SERVICE Dale Approved By "- Date Approved By Dale Approved By FINAL / DITrn FEEDER Date Approved By Date Approved By Dale Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector ~",1J>o. ....~af'" I/) t" tI>. "I4.U LJ.;crJ S; ~.~L: / /- .~'~ .~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .'2\ EAST 5TH STREET. PORT ANGELES. WA 98~62 .. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning Application valuation 06-00000444 Date 698932 3425 MILL CREEK CT 06-30-15-7-7-0080-0000- ELECTRICAL ONLY 5/12/06 RS9 RESDNTL SINGLE FAMILY o Owner Contractor BRANDT, LAVON/ RICHARD 3424 MILCREEK COURT PORT ANGELES WA 98362 (360) 457-9480 THORNES REFRIGERATION PO BOX 991 PORT ANGELES WA 98362 (360) 461-0158 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL THRONES! T-STAT WTR. HT. 76810 THORNES REFRIGERATIO~ 48.10 Plan Check Fee 5/11/06 Valuation 11/07/06 .00 o Qty 1. 00 Unit Charge Per 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Permit Fee Total plan Check Total Grand Total Charged Paid Credited Due ---------- ---------- ---------- ---------- 48.10 48.10 .00 .00 .00 .00 .00 .00 48.10 48.10 .00 .00 Fee summary COMMENTS/ACTION NEEDED s ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation 03-00000707 Date 7/24/03 3425 MILLCREEK CT 06-30-15-7-7-0080-0000- RES MANUFACTURED HOME HOOOO Owner Contractor BRANI!'l', LAVON/ RICHARD 3424 :MILCREEX COURT PORT ANGELES (360) 457-9480 WA 98362 VALLEY PROPERTIES 164HEUHSLE~ RD PORT ANGELES, WA PORT ANGELES (360) 457-5518 NEW 1600 SF MANF HOME KARSTEN KMCK-60862----- TYPE V NbN-RATED SINGLE FAM & CONGREGATES NUMBER OF UNITS WA 98362 Structure Information Construction Type Occupancy Type Other struct info 1 00 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date BL MANUFACTURED HOME KARSTEN BAY CREST, KMCX-60862 230 00 Plan Check Fee 7/24/03 Valuation 1/21/04 00 HOOOO Qty Unit Charge Per BASE FEE ~tension 230 00 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 644 SF ATTACHED GARAGE 260 75 Plan Check 7/24/03 Valuation 1/21/.04 Fee 104 30 13768 t> -l 6 Qty Unit Charge Per 12 00 BASEFBE 14 0000 THOU BL-2001-25X (14 PER X) ~tep.sion 92 75 168 00 ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745 00 4 50 1025 00 ... ..... "- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 490 75 490 75 00 00 Plan Check Total 104 30 104 30 00 00 Other Fee Total 1774 50 1774 50 00 00 Grand Total 2369 55 2369 55 00 00 (i .... (~ (t 'r ( ...... , Separate Permits are required for electrical work, SEPA, Shoreline. ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ~~d~ 7-;2I.{.-b3 - Date Signature of Owner (if owner is builder) Date T.IPLANNJNGIFORMSI] 102.15 [4/2002)