HomeMy WebLinkAbout1028 E 3rd St - BuildingApplication Number 07 00000143
Application pin number 705544
Property Address 1028 E 3RD ST
ASSESSOR PARCEL NUMBER 06 30 00 5 4 0215 0000
Tenant nbr name MARGO DEMOTT
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning
Application valuation
JOHNNIE RAYMOND DE MOTT
1028 E 3RD ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
3 00 14 0000
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983624102
Per
BASE FEE
THOU BL -2001 25K
Charged Paid
137 75
00
4 50
142 25
T\Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
RS7 RESDNTL SINGLE FAMILY
4976
Owner Contractor
OWNER
BUILDING PERMIT NO PR FEE
TEAR -OFF SHEET FELT COMP
95075
137 75 Plan Check Fee 00
2/12/07 Valuation 4976
8/11/07
(14 PER K)
STATE SURCHARGE
1
137 75
00
4 50
142 25
Credited
00
00
00
00
Date 2/12/07
Extension
95 75
42 00
4 50
Due
00
00
00
00
El3ifry
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
fora 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 perfprmant of
construction.
Signature of Contractor or Authorized Agent Date
ure of Own
r (if owner is builder)
Date
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
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -1N
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
1 MANUFACTURED HOMES
ELECTRICAL LIGHT DEPT
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4715 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL FUL TO COVER, INSULATE OR CONCEAL ANY WORN BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED
YES NO
FINAL
FINAL
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED
YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 I PW /ENGINEERING
I FIRE 417 -4653 I I FIRE DEPT.
I PLANNING DEPT 417 -4750 I '&r.- al I I PLANNING DEPT
BUILDING 417 -4815 1 A C P r 1J 1 I) I BUILDING
T• \Policies \1102 15 building permit inspection record05.wpd [1/4/2065]
COMMENTS
DATE ACCEPTED BY.
DATE ACCEPTED BY.
TO y�
(MCP n O vYl 1.f,
ADDRESS
a 3 g7 t
ATTENTION c/
QTY
1
a
1 I
WORK ORDERED BY
DATE ORDERED
DATE COMPLETED
A-tiJi ems (�c/
DESCRIPTION
r p A' i‘ 1 L&. r f- a- i
1 ,C. e c Ir. t ►v 5[ t° S N, o- o
4Trrl Ul-w liv► e i
�t1Pv' 1 L I PcC
7'� s+ a-G( t 3 1 b lc c,(3 e
r p
wV 3 0 IC c-o L
ac, h 6-4 e, ct..4 w o o f we,
`fro
CUSTOMER APPROVAL SIGNATURE
AUTHORIZED SIGNATURE
DATE ORDERED ORDER TAKEN BY
PHONE NO CUSTOMER ORDER
JOB LOCATION
JOB PHONE STARTING DATE
TERMS
I
MATERIAL LABOR
goo, dO co .op
70 co
I Ra G
1405 ,00 i 1 Rt(9 af)
TOTAL LABOR 1 e %/0
TOTAL MATERIALS I (4. 360(0
TOTAL MISCELLANEOUS 1
SUBTOTAL I L/ 6 1 6 0
TAX l i J03
GRAND TOTAL 1539 Li 143
ELECTRICAL PERMIT
CITY OF PORT ANGELES
364-417-4735
Application Number . . . . . 18-00001087 Date 7/17/18
Application pin number . . . 786927
Property Address . . . . . . 1028 E 3RD ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -4 -0215 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Panel update
------------------------------------------ — --------------------------------
Owner Contractor
------------------------ ------------------------
ANDREW GINN SIMPSON ELECTRIC
207 NE 120TH ST 243036 W HWY 101
SEATTLE WA 98125 PORT ANGELES WA 98363
(360) 457-9270
------------------ — --------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee .00
Issue Date . . . . 7/17/18 Valuation 0
Expiration Date . . 1/13/19
Qty Unit Charge Per Extension
1.00 120.0000-ECH EL -0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00
j Il'
_ CTION TYPE 'F : DATE: RESULTS:
t.
DITCH ;.
-SERVICE
ROUGH-IN
"FINAL f
COMMENTS: { `
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
REPORT STATE' SALES -TAX
on your excise tax form
to the City of Pott les
(Location tocw2l
INSPECTOR:
1 )a%0
Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: 1028 E 3rd St Port Angeles, WA 98362
Project Description: 200 Amp panel update
n Single -Family Residential ❑ Duplex/ARU Building Square footage:
Name: Gary Heilman Email:
Mailing Address: Phone: 360-477-7290
Name: Simpson Electric LLC
Mailing Address: PO Box 1086 Port Angeles, WA 98362
Email: dlsimpson 51@gmail.com
PROJECT
DETAILS
License: SIMPSEL973RQ
Expiration Date: 12/11/2019
Phone: 360-457-9270
Item
Unit Charae fesi
Iota) (Quantity x Unit Charge)
Service/Feeder 200 Amp.
$120.00 1
$ 120.00
co
�� �•8��`i{{t,�l
t
Service/Feeder 401-600 Amp.
$205.00
$
Service/Feeder 601-1000 Amp.
Name: Gary Heilman Email:
Mailing Address: Phone: 360-477-7290
Name: Simpson Electric LLC
Mailing Address: PO Box 1086 Port Angeles, WA 98362
Email: dlsimpson 51@gmail.com
PROJECT
DETAILS
License: SIMPSEL973RQ
Expiration Date: 12/11/2019
Phone: 360-457-9270
Item
Unit Charae fesi
Iota) (Quantity x Unit Charge)
Service/Feeder 200 Amp.
$120.00 1
$ 120.00
Service/Feeder 201-400 Amp.
$146.00
$
Service/Feeder 401-600 Amp.
$205.00
$
Service/Feeder 601-1000 Amp.
$262.00
$
Service/Feeder over 1000 Amp.
$373.00
$
Branch Circuit W/ Service Feeder
$5.00
$
Branch Circuit W/O Service Feeder
$63.00
$
Each Additional Branch Circuit
$5.00
$
Branch Circuits 1-4
$75.00
$
Temp. Service/Feeder 200 Amp.
$93.00
$
Temp. Service/Feeder 201-400 Amp.
$110.00
$
Temp. Service/Feeder 401-600 Amp.
$149.00
$
Temp. Service/Feeder 601-1000 Amp.
$168.00
$
Portal to Portal Hourly
$96.00
$
Signal Circuit/Limited Energy -1&2 DU.
$64.00
$
Manufactured Home Connection
$120.00
$
Renewable Elec. Energy: 5KVA System or less
$102.00
$
Thermostat (Note: $5 for each additional)
$56.00
$
Rmt 13QQ Squ
$121) i rt
$ « c
U . Aid%ta>w 3 eta
$40 04 `r
Each Outlpoidirilg� h
$74:fl0
Each 5_... stat Tub-
$110.00
$ .01
TOTAL
$ 120.00
Owner as defined by RCW.19.28.261: (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. Permit expires after six months of last inspection.
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 the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
7/13/2018 Andrew P Simpson ,oma.,,
Date Print Name Signature ( Owner V Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
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