HomeMy WebLinkAbout633 Whidby Ave - BuildingELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360- 417 -4735
Application Number 07 00001012
Application pin number 688520
Property Address 633 WHIDBY AVE
ASSESSOR PARCEL NUMBER 06 30 10 5 2 1600 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 0
Owner Contractor
VAN DEUSEN GEORGE C
633 WHIDBY ST
PORT ANGELES
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 983626771
HI TECH SECURITY INC
723 E FRONT ST
PORT ANGELES
(360) 452 2727
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc HI TECH/ SECURITY SYSTEMS
Permit pin number 110130
Sub Contractor HI TECH SECURITY INC
Permit Fee 40 00 Plan Check Fee
Issue Date 10/23/07 Valuation
Expiration Date 4/20/08
Qty Unit Charge Per
1 00 40 0000 EL LOW VOLT SYS =2500 SQFT
Charged Paid Credited
40 00 40 00 00
00 00 00
40 00 40 00 00
Date 10/23/07
WA 98362
Due
00
00
00
00
0
Extension
40 00
INSPECTION ELECTRICAL
TYPE DATE RESULTS INSPECTOR
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
/54 At
0 Electrical Contractor
Annual Permit 0 Alarm
f
Job wired by
v
0 Owner '4Oi��`
0 Carnival 0 Commercial, .Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom.
0 Electrical Contractor 0 Owner
Electrical contractor name License number
S� c.ak.v 1'
Purchaser's nailing address
423 5 r R.et.3 T ST
C;xy A�c2:l ss. mot- ZIP 49a/)
Telephone number FAX number
"45'2 3C40 4,S 85 0
'Premises owner's name
Address of inspection
Clt
I hereby certify that 1 am the owner of the above named property or a licensed 0 Credit Card
electrical contractor (or the firm's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW C
/signature of owner. eliect Teal contractor or electrical administrator
N.
xsy"
WALLS
Varc
Baseboard
O Furnace
0 Heat Pump
Fan -Wall
Inspection
Date
Insulation Only
KW
KW
Ton LAR
KW
102,5h, femmy,
auG 2 8 007
UGHT DEPT
Id WdZZ 20 L00Z bZ
Da.
Date Approved By
Cover Cover
Approved By Date
gleotrical Load Additjp ..s_and or subtractions
O NO LOAD CHANGES
CEILING
Insulation Only
Approved Ely
Approved Poy
Date
Overhead Service
Temp Service
O Underground Service.
Area. Building or Equipment Inspected
0958 ESP 092
ELECTRICALWORK PERMIT APPLICATION
0 Request Inspection
1
C3
/Installation description
0 Cash 0 Check
Expiration Date
of card
DIrCII
L
Visa Mastercard Discover
4 7,
C Inspection fcc
1 TRERMOSTAT SERVICE
Appr ved By Date Apptovod B
FEEDER
Date Approved By Date
Service Information
Voltage
Phase 0 1 0 3
Service Siie:
Feeder Size:
Action Taken
ADDtovvd BY
Electrical
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00000345 Date
919505
633 WHIDBY AVE
06-30-10-5-2-1600-0000-
ELECTRICAL ONLY
3/19/08
UNKNOWN
o
Owner
Contractor
VAN DEUSEN GEORGE C
633 WHIDBY ST
PORT ANGELES WA 983626771
EXTRA MILE TECH & ELECT., LLC
418 N. RACE ST.
PORT ANGELES WA 98362
(360) 457-0198
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 123216
Permit Fee 46.00 Plan Check Fee
Issue Date 3/19/08 Valuation
Expiration Date 9/15/08
.00
o
\S"
\}J
0'J
Qty
1. 00
Unit Charge Per
46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permi t Fee Total 46.00 46.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 46.00 46.00 .00 .00
G
l
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a
,-__ n
SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUGH - IN
FINAL
OMMENTS:
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00000335 Date
668080
633 WHIDBY AVE
06-30-10-5-2-1600-0000-
MERRY K. VAN DEUS EN
MECHANICAL APPL. PERMIT
3/12/08
UNKNOWN
4130
Application desc
SET A 120 GAL. LPG TANK, INSTALL GAS FIREPLACE
Owner
Contractor
MERRY K VAN DEUSEN
633 WHIDBY ST
PORT ANGELES WA 983626771
(360) 452 - 95 94
SPA SHOP
230 E. 1ST ST., STE. C
PORT ANGELES WA 98362
(360) 457-4406
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
GAS FIREPLACE INSERT
122937
60.65 Plan Check Fee
3/12/08 Valuation
9/08/08
.00
4130
Qty Unit Charge Per
Extension
50.00
10.65
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60.65 60.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.65 60.65 .00 .00
y?;-
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Separate Permits are required for electrical work, SEP A, 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.
~ /1';;"/ () ~
Date I
MWClK.tJ..,,1fl.!S(" ~-t: (j~~h_
Print Name Signature of Contr ctor or AuthOrized Agent Signature of Owner (if owner is builder)
T:Forms/Building OivisionIBuilding Permit (IO/01/07).wpd
MAR-1T-2608 01:02 PM E.JANSSEN 360 452 2982 P.01
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�of '�'o FOR OFFICIAL USE ONLY
ELECTRICAL PERMIT APPLICATION
ou� wovn��:
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The Electrical Permit Applicatlon must be titled out comaletelv.
�f
Please type or reprint in ink It you have any questtons, please call (360. 417-4735 8 y()
Fax number: (360) 417-4711
Owner or Elec. Contractor Agent: Phone: ?"s�-9.S$��' F�:
�ro�erty Owner. L•-r�iZ« `f� ��S Phone: �,�����T'
A�� ress: �N-1DSc c� �or2� I'�16��.5 z.ip: �3�Z—
lectrical Contractor: license Exp: Phone:
i�:�.0
Ac�dress: Ci�Y� Z P'
P,� �,i
,�S�ALLATIONWIREDBY: OOWNER F.5IELECTRICALCONTRACTOR
�re�ii Card Ho/der Name:
��„�ng Address: City: Z�P=
G �edii Card Number. Exp. Date: V/SA: MC:—
l..•1 �L' 61 1
��OJECTADDRESS: b��
TYPE oF WORK: Check all that apply: New �Alteration/Addition
�tesidental O Multi-family O Commercial, O Mobile Home $q. Ft.
R�iemote Meter Detach+ed garage O Hot Tub Swim Pool Septic Pump: 0 Low Voltage O Telecom. Sig�
�umber of Circuits added oraltered:
1 �Cu,t�
R�SCRIPTION OF THE E�ECTRICAL PROJECT:
_(/VST7�'I.L o(�I l�( �t L ���4
�lectrical Heat Load Additions Service Info�mation
n
zseboard KW g Voltage:
urnace —KW Overhead Service Phase: O 1 3
eat Pump KW O Temp Service Service Size:
R an-Wall KW Underground Service Feeder Size.
,A�C 14.05.060(B): For industrial, commercial, 8 residential projects larger than a duplex, a one line drawing of the Electrical Service
ee�lers, building size (sq. ft.), load calculations, and the type 8 of conductors and/or raceway fs requlred and shall accompany the
,ec�rical PeRnit application.
1�ereby �ertify ihat 1 have read and examined this application and know that same to be true and correct, and l an
a��horized to apply for this permit. I understand it is not the Ciry's legal responsibility to determine what permits
are required; ii remains the applicants nesponsibility to determine whai permits are required and to obtain such.
�_:i r� p
G���
Credit Card Holder's Signature: Date:
Ow�er or Elec. Cont. Signature: ate: a��-
Pw-so, s
,.K- ��Cl v--�� �Q/3 a/a 2,
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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.
o
rfY
I
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INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIJ-IOLD DOWNS
WALLS / ROOF I CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA T10N
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEA T PUMP / FURNACE / DUCTS
GAS LINE 3-Z7-()'6 -:\l-L- '-{ - Lf ~Of6
WOOD STOVE / PELLET / CHIMNEY FINAL DATE 0' {..L-ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT "'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED I'RIOR TO OCCUI'ANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEI'TED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 4 I 7-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 4 I 7-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
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T: Forms/Building Division/Building Permit (I % I /07). wpd
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BUILDING PERMIT APPLICA TION 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
For City Use Only:
Date Received 3 - It.- - Q 3
Permit # 03 - 3> 35"
Date Approved
Applicant or Agent
Property Owner
Property Owner's Address
Contractor/Engineer
Contractor/Engineer's Address
License #
I"Y\ e y- fl.) k, \Ju.. \J\. 'tJ e. Cl S e V\
lo33 ~, Wk,dblj
Phone
Phone 4-c::: ~ - q ~-q L.J
Phone
Expires
PROJECT ADDRESS
. iOk~db -
Parcel Number
Lot
Zoning
lSI Residential
-'
o Commercial
o Multi-family
o Industrial
wood
Ij. Heat System
o Other
o wall-mounted 0 projecting 0 freestanding 0 awning 0 other
Total si n area s . ft. Maximum allowed si n area s . ft.
o Heat pump 0 wood-burning stove I"J. gas fireplace 0 pellet stove 0 other
Floor Areas Existinq (Sq. ft.) Proposed (Sq. ft.)
Basement @$ per sq. ft. = $
1 sl Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
4/30 bO ctppry....
TOTAL VALVA TlON $
Total footprint of structures
sq. ft.
Lot size
sq. ft. = Lot coverage
# of bedrooms
# of full baths
# of half baths
%
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
ft.
Occupancy group
Occupant load
Construction type
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 responsibility to determine what permits are required, and to obtain permits prior to working on
projects. \ I ./( (j ~
Date3jld.. /0'8' printNamelY1erV'"~ K. Vttl-\. DutseV\ SignatureY'h-U\A.-l(. Ci.-u
T:Fonms/Building Division/Bldg Permit Appl.-2006 Code.doc
t=H~
Chimacum
(360) 732-4585
CHSlnc. 11
p.o. Box 248
9315 Rhody Drive . .
Chimacum, WA 98325
CT~i~
Propane Sales
Email: terry.taylor@chsinc.com
Website: www.chs-propane.com
Toll Free Fax
1-877-552-6097 (360) 732-4892
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
1111 Final O.K.
s Ie Address~ 3:S
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. ~-3D
_'~ /;/<71/
, /
DATE
ELECTRICAL PERMIT
Sit Address:
Phone:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
In lied By:
~.33
-PS
<
;:/
o oiler/Business:
o nerfBusiness Address:
Sq. Ft.
EL CTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WALL KW _
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
019\ 039\
SERVICE SIZE
FEEDER SIZE
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
l!'1 ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
AMPS
AMPS
De ailslDescription:
'-/~ IJS.
~ 'F .#fCft#
w. . No. SERVICE SIZE
CIACITY:
o O.K. 0 NOT O.K.
A . ION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
I ~taller:
New Meters
Permit/Receipt No.
~s- .5 0
.f.: tu4./~
E/e- .;tl;:
~
,
,
N 'ily Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
berre inspection and O. K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or n the Building Permit. PHONE 457-0411, EXT. 224. W
.----r- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~o ____
, /afl~' $ oL
I Eiectricallnspector Permit Fee
w1ITE - Fite by add'e" PINK - Top: Eng. Bottom, Costome' GREEN - Top: Mete, Dept.. Bottom: City Hall
OLYtc "INTERS INC
16669
port Angeles, W8J3bJngton.._______.f!:.___..."d:::_C..._n._____.________. 19_2r
I n accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trica: equipment in. on, or about any building or other structure In the City of Port Angeles, per-
:::;.~~~=':=~::~-~:~,==~::=:::=
Wirl'lg Contractor n.-O?~~.---- .._ ._______ By...____________________n._____.__..______________mn_n_hnn__n
Llgbl OutleIB.........._______..__.._____..._..______ Service, volts ./::!...l)/~~ TYPB of Wiring:
3
No. wlreB ..nni,j7tfiij:/n..
SIze WlreS..~~._...........m-..
;pc tf A
Main fuse ...............__..__.____..______.....
S'
Enclosure n_....................................
CITY 01' PORT ANGELES
LIGHi' DEPARTMENT
ELECTRICAL PERMIT
Rec€'/tacle Outlets.........................___...
Dryelf. KW n_n_n...n....._.______._______________
Rangl', KW hnu......._......._
Wat, ~r Heater:
:e::~~~~.~~::rl~~.:......
Type of wiring:
Entrance Cable ___m.......................
Rigid Condull .__.n:.__n____...__n...____.
Metallic Tubing _____'___00
Current transformers:
No. & Size.......................................
Ser. NO..n..........._.....................__.....n.
Ser. No. ........--..............................--...
Ser. No.......__.....................................
Nt.-'
Armored Cable ............................_
Non-Metallic ................................_
Knob & Tub..................................
Rigid Condull _........__.___................
Melslllc TubIng .........................._
Raceway ......................._.....___._
Clrculls, LlgbL.__..............................___
Ulillly ...............__...._................_...
Iieat .......................................___
Range ..................................__.........
Water Heater .........................._....
Motor ..._........_..._...........................
Dryer ....................._.............__........__
Furnace .........................._...................
Re!Uark:~I.:n:~~_.,=;~~.:~9LZ~_.nm_________m___n~~~~:n~::..:::_:::..::._:::.:::.:::~_:~:_
.--.......-.--------.-.-------...--------.-.-------.-.-.--.......---.....-.-.......-....-......---.---.------------.------------------------------------------.------------------
._.+___m._m______mn.nnnh_____.____.____________._____.nh..h__n___n___h___..__.nnm..---n---nn---z---n--- _...nn____.mm____.___.___n.mm._
Permit Fee Treas. Receipt I?/ :;{c/
$.___m.n___________mm.____n._.. NO.._...___n__...._....____... By n____~-...l-m.----------_nm---------n-----n--.-..------
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
ce~Jed 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?
16669
A!ldress..__........__....._..............................__....................................._......._.....................................Date..._......_.._......_.........._......_......__........
0: sner ..................................._.........._......_......_............................................................... Tenant........................................................___.._.....
"'Iring Contractor ..................................._.._._._......_...._................................................................. By..............................................................
NOTIC~urrent must not be turned on until Certificate of Inspection has been issued. If work is to be con-
c;:aled due noUce must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.