HomeMy WebLinkAbout210 S Francis St - Building r
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number 11- 00001057 Date 9/26/11
Application pin number 305653 REPORT SALES TAX
Property Address 210 S FRANCIS ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -7 -7 -0205 -0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
2 circuits BB to Pickawatt
Owner Contractor
VICKIE LEE BREWER ANGELES ELECTRIC
PO BOX 3246 524 E. 1ST ST.
210 S FRANCIS ST PORT ANGELES WA 98362
PORT ANGELES WA 98362 (360) 452 -9264
Permit ELECTRICAL ALTER RESIDENTIAL
C:1
Additional desc
Permit pin number 193250
Permit Fee 76.10 Plan Check Fee .00
Issue Date 9/26/11 Valuation 0 C n
Expiration Date 3/24/12 V
Qty Unit Charge Per Extension
1.00 73.5000 ECH ,EL- BRANCH CIRCUIT WO /FEEDER 73.50
1.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 2.60
Fee summary Charged Paid Credited Due
Permit Fee Total 76.10 76.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 76.10 76.10 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN /D 1 6 9
FINAL
/6/1' 1
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGEBUILDING
09/23/2011 08:05 FAX 360 452 9265 Angeles Electric 0 0001 /0001
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p0ifM j0000Bt$$$3; $3� INSPECTIONS
phi38o .41T )4 174711 Date:
1 2 $brple Famltyt)ar
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•'Name:; tom Ate"" Name .ka� Q;vd. M itinpi M Address:. .S r .T.,-- •Clty: 1 Stets: _(sit_ Zip: City: ,f Stele: 404- ,Zip: 1 Bat
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:Llcertse License A t xp. �4 J t. (X le4o 0-5
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•;:Unit.CharOe AIX
Total ION Multiplied by Unit Charnel
r'- `•8:119.90` 8 Sentoelfeeder.200Anip..' i
314550" 8 Senlo&Feeder201.400 Amp.
*201:60 Stoke/Fee*4.01�600Amp.
8262.20 8 SendcefFeeder001.1000hap.
:::537210 8arrtce/Feederortr 1030 Amp.
8 ,2.00 8 Branch Cli m%%1 Service Feeder t
8 :.73.50 8 3 r11 Brart;h tNIO Serrlaa Feeder
2.50 �/AI Each Addllaul WOO grain
i 0Z70 Teaq►. Centel Feeder 200Am).
..;'8.110.10. Temp. Sendo /Feeder 201.400 A& .:x.148.70 i Temp. 9. MlFaedm401 400Arep.
t6T,t0;, T 8 Ttmp. SeMd PredV•ti0.1.1000My.
:.t 9$:90 Portal t o Porbll.Mtiert
;8820. 8 Slawoutlhe Whim
95:90 BOW CYwlYlfilmd Envy Cpnmxdm:Addleone11800=600
...$•::(13.11.0 8 Sipntl graAlt nftid Energy 112 Fancy Deviling
:113.00 ChaiM UnIDe1I 6rorDy ft#rt$4 emry Dweorp
t it9a0 f
l
$1.0230 8 Rerilrable Otglleel Energy A stem or less
410.0 8 First 19008quew Ft
.8 :,..95.20 Each AOdNorWl600 Sque• Ft or Paton at
8 :73.50
Ea P l Detached Gunge
a1b1:d0. 8 Tttatrttttad
8 Total
ON mna $U.fdnd by RCt (taw m occupy eft sem:6n rtyoy earsefter ph ebealatomit* Emili W Owner angrr61d10 !stun ebetrtealcre :tee
1,0ue ldptiOit ilritsi ►AntefNae.A.ermft l res alter abrmorraraoflutkapeetbe.
:-MateIdlna Ms a nt; I busby artily that 1 am the oamer et pre than nand property ore lamed electrical contractor. I am m the electrical Methadon or
a tiftod
liiseiinptUliit frA(rilte atatrti;blJnot. N.E.C, RCW. Cbs ti.Z4 WAC• CwP�: TM Clb of Pon Angela Munklpat +d UtIlly
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S gnat :oi Owner; *Olaf contractor or Cochlea! adminbitr te►
has taltcerd PA/ 'ice I
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CITY OF PORT ANGELES
I DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
C. V
'IMP! 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001122 Date 10 /11 /11
Application pin number 313778
Property Address 210 S FRANCIS ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -7 -7- 0205 -0000- REPORT SALES TAX
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 3200
Application desc
FREE STANDING GAS STOVE
Owner Contractor
VICKIE LEE BREWER PELLET HEAT CO.
PO BOX 3246 230C EAST 1ST ST
210 S FRANCIS ST PORT ANGELES WA 98362
PORT ANGELES WA 98362 (360) 457 -4406
Permit MECHANICAL PERMIT
Additional desc FREE STANDING GAS STOVE
Permit pin number 194183
Permit Fee 121.30 Plan Check Fee .00
Issue Date 10 /11 /11 Valuation 0
Expiration Date 4/08/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65
1.00 10.6500 EA ME -FUEL GAS PIPING,1 -5 OUTLETS 10.65
1.00 50.0000 HR ME- REINSPECTION FEE 50.00
Fee summary Charged Paid Credited Due
Permit Fee Total 121.30 121.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 121.30 121.30 .00 .00
final F
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.
/0 `l/ k kDoa o.cri e 1
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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
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 Date Accepted By Comments
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 FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling r
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line 10— 11-11 k/1'
Wood Stove Pellet Chimney L Q
Commercial Hood Ducts FINAL Date 'K -4. 1 UAccepted by 31
MANUFACTURED HOMES:
Footing Slab
Blocking H
g 8 Hold Downs T
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
Inspection Type Date Accepted By
Electrical 417 -4735 G
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
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PROJECT STATUS UPDATE
Permit t t2 2 I O 5 franos
Date: 14• 1p I Pi
1 phoned the: Applicant V r at (91-0"544-60
Property Owner V t 01 fr(� at
Contractor at
I (left a phone message, or discussed):
The permit (has expired, or will expire soon). What is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
MOIMA) Af V 1 p
T:Forms /Building Division/Project Status Update
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Oct. 7. 2011 4:41PM Spa Shop No. 9539 P. 1
C BUIL.DING, .PERMIT APPLICATION Print in ink
CITYOF.PORT ANGELES
For Cty Use Only:
Attn: Building Permit Technician Date Received O- /0
321 E. Fifth St, Port Angeles, WA 98362 Permit I j Z'2-
(360) 417 -4815 fax (360) 417 -4711 Date Approved/v
Applicant or Agent PeJ l �,F J/ j Phone 361, 95 we el
Owner i f f R E w K Phone 10 L 70
Owner's Address z /o So F2n04c, s S 7"
Contractor /Engineer p.ijG+ #-/e."4- 1 Phone W4, -4.5 _94.4,4
Contractor /Engineer's Address ,2 3 4,G E,,_5 r frps•f sf_
License P E 1 Ml c_ o R o m d Expires o -J 7
PROJECT ADDRESS 2 0 S rRn Nc s T'-
Parcel Number 04 7.7 d 2_ c+ sro o4, Lot 2 Zoning
Pro/act Type Brief Description: Residential Commercial Multi -family Industrial
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
a Re -roof
o Demolition
o Sign o wall- mounted o projecting o freestanding o awning o other
Total sign area sq. ft. Maximum allowed sign area sq. ft.
o Heat System o Heat pump o wood burning stove o gas fireplace pellet stove tr other F/ 6: A$ a A
o Other L p TAN K a.../ LeArai 8>• 14- ProPAfre_
Floor Areas Existing (sq. ft.) Proposed (sq. ft)
Basement per sq. ft.
1st Floor
2" Floor
;ra Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION j, 2 my Cho
Total footprint of structures sq. ft. -Lot size sq. ft. Lot coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler'system be installed? Construction type of half baths.
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 p r to working, on
projects. nn
Date l o -II Print Name rn !/zt t am Co� Signature
T:Forms /Building Division /Bldg Permit Appl —2006 Code.doc
FOR OFFICIAL USE ONLY:
DaleRec.:
Permit #: "70'7' 7'
Date Approved: (,
Date I"uod: '1 /1 ~'l 0
. .
ELECTRICAL PERMIT APPLICATION
The Electrical Permit Applicatian must be filled out completely.
Please type or print in ink. If you bave any questions, please call (360) 417-4735
Fax number: (360) 417-4711
Applicant and/or Agent: It fJ 5 c=-kcWc(~/
Property Owner:
Phone: ~/.r2.Ar;,7S3 Fax #
Phone:
Address:
Contractor
City:
License #:
City:
Exp:
Zip:
Phone:
Zip:
Address:
Credit Card Holder Name: .:s~ ER-i I ~,
Billing Address: <-'?'<I b &.-U.:.;{) IV fi2I.
Credit Card Number -
Permit Fee: 1/ L}I'I fS'
c94c-1
City /lJd-Ilrl.fC#c. Zip: '9-1'36 '"5
Exp.Date: 0"1/0/ VISA_MCX-
.
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
2/0 StY. '~c-i:S'
ZONING
Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
o ResidenIial 0 Multi-family 0 Commercial 0 Mobile Home
Electrical Permit rees are based on WAC 296-46-910
BRIEF DESCRIPTION OF THE PROJECT: U// icr S~~
.
2{kJ)~ ..fZ.t~<-<-
Electrical Heat Load Additions
Service Information
o Baseboard
o Furnace
o Heat Pump
~Fan-Wall
KW
KW
KW
-4-KW
o Riser
~Overhead Service
o Temp Service
o Underground Service
Voltage: 11o/z-fD
Phase: 01' 03
Service Size: 7&0
Feeder Size:
Comments:
I hereby certifY that I have read and examined this application and know the same to be true and correct. and [ am authorized to apply
for fhis permif. I understand It is not the Citys legal responsibility to determine what permits are required; it remains the applicants
responsibility to determine what permits are required and to obtain su~OP J ,J
PW-II02.23 [rev3f.OO] Credit CardHolder's Signature: ~ R ~.l' Date: S-;<3-OZ00Q