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Home My WebLink About1138 W 8th St - BuildingElectrical Permit 1138 W 8th St 12-453 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000453 Date 5/03/12 Application pin number . . . 545556 0 Property Address . . . . . . 1138 W 8TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -2 -5745 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 24 circuits house remodel ---------------------------------------------------------------------------- Owner Contractor HOMEWARD BOUND APS ELECTRIC 905 W 9TH ST 546 BENSON RD. 134B PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452-6753 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 178.00 Plan Check Fee .00 Issue Date . . . . 4/23/12 Valuation . . . . 0 Expiration Date . . 10/24/12 Qty Unit Charge Per Extension 23.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 115.00 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 178.00 178.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 178.00 178.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN P, FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION - Signature of owner- or Electrical Contractor X Date: G:\EXCHANGE\BUILDING ` ' 0FpoAra"`'m ELECTRICAL INSPECTION y WIRING REPORT 417-4735 w�RKS 6� DATE: I PERMIT # (� 2 INSPECTOR OWNE 1 CO TRACTOR ADDRESS APPROVED (:NIOA�PP�ROVED ❑ ....................DITCH.................... ❑ ❑................ ROUGH IN/COVER ............... ❑ ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ CORRECTIONS NEEDED: i Sr -1 i� LIQ b - i. `J)) H 1 t.! x/9'11 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - oFpoRT%�� ELECTRICAL IN PE TI N WIRING REPORT °wo®,s�"� 417-4735 DATE: PERMIT# _ Irl �INSPECTOR , OWNER CONTRACTOR ADDRESS a APPROVED NOT APPROVED ....... DITCH .................... 0 ROUGH IN/COVER ............... ❑ ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ CORRECTIONS NEEDED: k r2yl��T NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS °FP°R'A"�F ELECTRICAL INSPECTION WIRING REPORT KS & 417-4735 DATE:PERMIT # INSPECTOR l� Iz-a'� OWNER —�ar�1y_ �JR� �►-1� CONTRACTOR ADDRESS _ 4 l ✓6 .) p G-1) APPROVED NOT APPROVED ❑ ....................DITCH.................... ❑ ROUGH IN/COVER ............... ❑ ❑ ....................SERVICE................... ❑ r ❑ .....................FINAL.................... ❑ `,ORRECTIONS NEEDED: (5lam. 16 C,01) Cz-iZ I bP lq-DUQ ��U 2ti00d" LS A rl Q LLU l tIl L �pC7t-t- �( 1-7-7h NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS @ a•, FROM A.P.S. ELECTRICAL CONTRACTOR FAX NO. 360 452 6753 Apr. 19 2012 09:49PM P1 EEc'' v1A 8 E, - 0Q, CITY OF PORT ANGEI,FS PERMIT APPLICATION APR 2 0 Building, Division/Electrical 1nSp'ccti0nS ELECTRICAL 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 INSPECTIONS 1 & 2 Single Family Dwelling Plan Review Mg Be Required Pleas ft Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above o +1e, t -'O. W, —ev- y"I Owner Information Contractor Information Name: Name: C ot Mailing Address: Mailing Address: (*)► C-. , City: State: Zip-, City: State: _../ Phone: Fax: Phone: Fax: License # I Exp, License # I Exp, Item Unit Charge gty Total (QN Multiplied by Unit Charge) Service/Feeder 200 Amp, $120.00 $ Service/Feeder 201400 Amp. $146.00 $ ServicelFeeder 401-600 Amp $205.00 $ Service/Feeder 601.1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373-00 Branch Circuits 1-4 11 75,00 Branch Circuit W1 Service Feeder $ 5.00 $ Branch Circuit VVIO Service Feeder $ 63.00 $ 0'j Each Additional Branch Circuit $ 5.00 ?3 $ It 6 no Temp. Service/ Feeder 200 Amp, S 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 Family Dwelling ; 64-00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102,00 $ Thermostat 56.00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120,00 $ Each Additional 500 Square. Ft. or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74,00 $ Each Swimming Pool or Hot Tub $110.00 $ $ 11-27, 013 Total Owner as defined by RCW- 19.28.261 -. (i) 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 296-468, The City of Port Angeles Municipal Code, and Utility Specifications and PAIVIC 14.05,050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: [3 Cash 0 Check CM,Credit Card # X Dated: 119 011011=2 11-14V Building Permit 1138 W 8th St 12-1049 Prepared 12/04/12,15:54:01 Application Inquiry-(BPN200I001) Page 1 Program HTDFTAL Screen detail for Program: BP BPN200I, Inspection history User ID PBARTHOL Application 12-00001049 ------------------------------------------------------------------------------------------------------------------------------------ Property Information Address: 1138 W 8TH ST PORT ANGELES, WA 98362 Location ID: 93986 Owner name: HOMEWARD BOUND ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -2 -5745 -0000 - ALTERNATE ID: 063000025745 Zoning: RS7 RS7 RESDNTL SINGLE FAMILY Subdivision: Application Information Application desc: RESIDENTIAL REPAIR TO REAR PORCH Application status: PERMIT ISSUED Status Date: 8/10/2012 Application type: RES REPAIR Application date: 8/10/2012 valuation: 600 Square footage: 0 Public building: NO Reviewed by: HKC HEATHER CATUZO Pin number: 956042 Entered by: PERMITS Contractor Information Contractor Name: * OWNER Contractor Number: Type: Status: Contractor Requirements Doc Number Exp Date STATE LICENSE BOND LIABILITY INSURANCE Outstanding Inspections Insp Schedule Confirmation Permit Pmt Type ID Date Number Description Seq Min Max --------------- ------ ---------- ------------ --------------- --- ----- ----- No outstanding inspections exist Work Description Code Description Quantity ------ ------------------------- -------- CO Information CO Issue Str/seq Date Status Description ------- ---------- ------ -------------------- Str/Seq Permit/Seq Inspection type Insp Seq Inspector Schedule date Results Results date Confirmation Nbr 000 000 BPR 00 BLDG FRAMING 0001 JLL 8/30/2012 AP 8/30/2012 377184 000 000 BPR 00 BLDG SHEARWALL 0001 JLL 8/20/2012 DA 8/20/2012 375287 Prepared 12/04/12,15:54:01 Application Inquiry-(13PN200I001) Page 2 Program HTDFTAL Screen detail for Program: BP BPN200I, Inspection history User ID PBARTHOL ------------------------------------------------------------------------------------------------------------------------------------ Application 12-00001049 Str/Seq Permit/Seq Inspection type Insp Seq Inspector Schedule date Results Results date Confirmation Nbr (Continued) 000 000 BPR 00 BLDG FINAL 0001 JLL 10/17/2012 DA 10/17/2012 382796 000 000 BPR 00 BLDG FINAL 0002 JLL 11/29/2012 DA 11/29/2012 387563 000 000 BPR 00 BLDG FINAL 0003 PB 12/04/2012 AP 12/04/2012 388090 BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: J �� rn 4 A iii e "J- These fi These corrections must be male and are not to be covered until reinspection ism lde. Whe corrections. ifihave been made, please call ;7 for inspection. ( /-//7- Z/M ' Irl - ' Date pact I r for Building Division DO NOT REMOVE THIS TAG CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00001049 Date 8/10/12 Application pin number . . . 956042 Property Address . . . . . . 1138 W 8TH ST SALES Tfiii /��/ ASSESSOR PARCEL NUMBER: 06-30-00-0-2-5745-0000- REPORT STY Application type description RES REPAIR Subdivision Name . . . . . . on your state excise tax form Property Use Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles ----- PP A lication valuation 600 (Location Code 0502) ----------------------------------------- ------------------------------ Application desc RESIDENTIAL REPAIR TO REAR PORCH ---------------------------------------------------------------------------- Owner HOMEWARD BOUND 905 W 9TH ST 134B PORT ANGELES WA 98362 Contractor ------------------------ OWNER ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . PORCH REPAIR Permit Fee . . . . 53.05 Plan Check Fee 34.48 Issue Date . . . . 8/10/12 Valuation . . . . 600 Expiration Date . . 2/06/13 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 3.0500 ----------------------------------------------------------------------------- HND BL -501-2K (3.05 PER C) 3.05 Other Fees . . . . . ---------------------------------------------------------------------------- . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 53.05 53.05 .00 .00 Plan Check Total 34.48 34.48 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 92.03 92.03 .00 .00' 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, / t Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builde T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Bullding 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date I Accepted By I Comments FOUNDATION: I Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab I lRouch-In I I Water Line (Meter to Bldg) Gas Line I Back Flow / Water I (FINAL Date Accepted by AIR SEAL: lWalls Ceiling (FRAMING: lJoists / Girders ! Under Floor I!Shear Wall / Hold Downs Walls / Roof / Ceiling cTL-t, Drywall (Interior Braced Panel Only) jT-Bar INSULATION: Slab Wall / Floor! Ceiling MECHANICAL: tt Heat Pump / Furnace / FAU / Ducts I Rough -in Gas Line Wood Stove / Pellet / Chimney I Commercial Hood / Ducts I FINAL Date Accepted by MANUFACTURED HOMES: lFooting / Slab (Blocking & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEP& Parking / Lighting ESA: Landscaping I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE IInspection Type Date I Accepted By Electrical 417-4735 Construction - R.W. PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 CITY OF NGELES r.. WASH I N G T O N, U.S. 321 East 5th Street Port Angeles, WA 98362 P: 360-417-4817 F: 360-417-4711 hcatuzo@cityofpa.us . Building Permit Application Project Address: (\, Main Contact: For City Use Permit # 1 ;)'' 1 DW) Date Received: S I IU 1 (0 - Date Approved: (� l 10 11 Property Name M_ _ _ e �v�J afa �� I Owner Mailing dress city r PW` V v lV Contractor I Name �✓•� — Mailing Address City Contractor License # ,(J Phone # t460 SS3� Phone 4— S(�p San (OZ Email State Zip I Phone Email State I Zip Expiration: Project Value: 0 a0� Zo�pin Tax Par�cel�#� QO aS �] Lot # Z Type of Residential'o, Commercial ❑ Industrial ❑ Public ❑ Permit I Demolition ❑ Fire ❑ Repair Reroof (tear off/lay over) ❑ For the following, fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Yes Existing❑ Fie Sprinkler System? Maximum height of structure Prop!Bedrooms I Pro ed Bathrooms Project Description — 11 1 I have read and completed the 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 understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned, and the fees forfeit. Dn �� Print Na a Signatu e co c m o 2°� ~ M rnz o N �:rn Zr m Phone # t460 SS3� Phone 4— S(�p San (OZ Email State Zip I Phone Email State I Zip Expiration: Project Value: 0 a0� Zo�pin Tax Par�cel�#� QO aS �] Lot # Z Type of Residential'o, Commercial ❑ Industrial ❑ Public ❑ Permit I Demolition ❑ Fire ❑ Repair Reroof (tear off/lay over) ❑ For the following, fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Yes Existing❑ Fie Sprinkler System? Maximum height of structure Prop!Bedrooms I Pro ed Bathrooms Project Description — 11 1 I have read and completed the 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 understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned, and the fees forfeit. Dn �� Print Na a Signatu e Area Description (SQ FT) Basement First Floor Second Floor Covered Deck/Porch/Entry Deck Garage Carport Other (describe) Area Totals Area Description (SQ FT) Structure (s) Addition Tenant Improvement Other (describe) I Area Totals Footprint (SQ FT) of all Structures: SQ FT Site coverage (all impervious + structures) Residential Structures Existing Proposed I Minimum $ value Commercial Structures Existing Proposed Minimum $ value For Office Use For Office Use Lot/Site Coverage Calculations Lot Size: % Lot Coverage % Site Coverage Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Dion-Haz Piping Appliance Vent # Heater (Suspended, Floor, Recessed wall) Boiler/Compressor Size: # Heating/Cooling appliance repair/alteration Evaporative Cooler (attached, not # Pellet Stove/Wood-burning/Gas portable) . Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping # of Outlets: ' Ventilation Fan, single duct Furnace/Heat Pump/ I Size: # Ventilation System Forced Air Unit l # of Outlets: # # of Outlets: # of Outlets: Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping Water Heater # Medical gas piping Water Line # Vent piping Sewer Line # Industrial waste pretreatment interceptor Other (describe): l # of Outlets: # # of Outlets: # of Outlets: Building Permit 1138 W 8th St 12-1102 Prepared 12/04/12,15:56:41 Application Inquiry-(BPN200I001) Page 1 Program HTDFTAL Screen detail for Program: BP BPN200I, Inspection history User ID PBARTHOL Application 12-00001102 ------------------------------------------------------------------------------------------------------------------------------------ Property Information Address: 1138 W 8TH ST PORT ANGELES, WA 98362 Location ID: 93986 Owner name: HOMEWARD BOUND ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -2 -5745 -0000 - ALTERNATE ID: 063000025745 Zoning: RS7 RS7 RESDNTL SINGLE FAMILY Subdivision: Application Information Application desc: DUCTLESS HEAT PUMP Application status: COMPLETE Status Date: 12/03/2012 Application type: MECHANICAL APPL. PERMIT Application date: 8/24/2012 Valuation: 4115 Square footage: 0 Public building: NO Reviewed by: HKC HEATHER CATUZO Pin number: 309194 Entered by: HCATUZO Contractor Information Contractor Name: DAVE'S HTG & COOLING SRVC INC Contractor Number: 47 Type: SPECIALTY Status: ACTIVE Contractor Requirements Doc Number Exp Date -------------- -- ---------- STATE LICENSE DAVESHC991KC 5/01/2013 BOND 5/01/2013 LIABILITY INSURANCE 5/01/2013 Outstanding Inspections Insp Schedule Confirmation Permit Pmt Type ID Date Number Description Seq Min Max --------------- ---------------- ------------ --------------- --- ----- ----- No outstanding inspections exist Work Description Code Description Quantity ------ ------------------------- -------- CO Information CO Issue Str/seq Date Status Description ------- ---------- ------ -------------------- Str/Seq Permit/Seq Inspection type Insp Seq Inspector Schedule date Results Results date Confirmation Nbr 000 000 ME 00 MECHANICAL FINAL 0001 JLL 10/17/2012 DA 10/17/2012 382788 000 000 ME 00 MECHANICAL FINAL 0002 JLL 11/02/2012 AP 11/02/2012 384859 Owner HOMEWARD BOUND 905 W 9TH ST 134B -PORT ANGELES WA 98362 Contractor DAVE'S HTG & COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT CITY OF PORT ANGELES •_.-`�1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION . DUCTLESS HEAT PUMP `" 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Permit Fee . . . . 64.80 Plan Check Application Number . . . . . 12-00001102 Date 8/24/12 Issue Date . . . Application pin number . . . 309194 . . . Property Address . . . . . . 1138 W 8TH ST 2/20/13 ASSESSOR PARCEL NUMBER: /� 06-30-00-0-2-5745-0000- REPORT SALES TIq.1/��/ Application type description MECHANICAL.APPL. PERMIT . J Subdivision Name . . . . . . on your state excise tax form Property Use to the City of Fort Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY EA ME-FURN/HP/FAU Application valuation . . . . 4115 (Location Code 0502) r.1 ---------------------------------------------------------------------------- Charged Paid Credited Application desc Due • DUCTLESS HEAT PUMP ---------------------------------------------------------------------------- ---------- Owner HOMEWARD BOUND 905 W 9TH ST 134B -PORT ANGELES WA 98362 Contractor DAVE'S HTG & COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . DUCTLESS HEAT PUMP Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 8/24/12 Valuation . . . . 0 Expiration Date 2/20/13 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 ---------------------------------------------------------------------------- EA ME-FURN/HP/FAU < OR = 5 TON 14.80 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total -------------------- 64.80 64.80 ---------- ---------- .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 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.petiod 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 c.:,'bf law's.and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does t 'not p'gfume to give authority to violate or cancel the provisions of any to or local law regulating construction or the performance of consttgction. 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type IIFOUNDATION: IFootmgs Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: I Under Floor / Slab Rough -In Water Line (Meter to Bldg) I Gas Line Back Flow / Water AIR SEAL: (Walls Ceiling FRAMING: Joists / Girders / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling IDrywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall / Floor / Ceiling MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts (MANUFACTURED HOMES; (Footing / Slab JBlockmg & Hold Downs Skirting (PLANNING DEPT. Separate Permit#s IlParking / Lighting 11-andscaping Date Accepted By I I I I I' I I I I (FINAL Date I I I � I I I I I I I I I I I I I I FINAL Date I � I I � I SEPA: I ESA: SHORELINE: Comments Accepted by Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date I Accepted By Electrical Construction - R.W. PW /Engineering Fire Planning I Building 417-4735 417-4831 417-4653 417-4750 417-4815 08/24/2012 9:07AM FAX ♦�0V roRr.4t U0001/0001 BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98352 (360) 417-4815 fax (360) 417-4711 Applicant J)AV 6 (-5 Property Owner upQWQ ,�o>�n d Property Owner's Address Contractor -DA ve, (-,. - For City Use Only: Date Received 1 Permit # (late Approved AWJ Phone�,�.,q.W Phone ao �g _ Phone 4,<� 093 9 Contracto'r's Address 0_ AE�,I A(3 License # J)4V65NC,6(GII KGE�pires 5 E-mail PROJECT ADDRESS Parcel Number Project TVpe & Brief Descrlotlon. Check all that apply ❑ New Construction ❑ Addition o Remodel o Repair d Demolition a Re -roof -Heat System a Other Floor Areas Basement 151 Floor 2nd Floor ani Floor Garage Carport Covered Porch Deck . Shed Other Lot Zoning #esidential ❑ Multl-family o Commercial o Industrial ciHouse o garage o other ❑ tear off & re -roof t3 lay over one layer Heat pump o wood -burning stove ❑ gas fireplace o pellet stove o other AU -r,+(-&66 . , Existing (sq. ft.1 ' Proloosed (sq. ft.) C' .. .I AUG 2 A Z8 i CITY OF PORT ANGELES n, m nnin n9\/IC If1i�l per sq, ft. = $ dCi TOTAL VALUATION $ l l ` Total footprint of structures sq. ft. _ Lot size sq, ft. = Lot coverage % Site Coverage = the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site 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 1 have road and completed this application and know it to be true and correct. I am authorized to apply for this pemill and understand that it Is m' respo sibility to determine what permits are raquirad, and to obtain permits prior t orking on projects. 'e Date 'Print Name 0(dar►.� Signature T:Forns Building Oivlsion/t3ullding permit application *.,00 CITY OF`PO11T ANGMS DEPARTMENT OF CO IUNITY DEVELOPMENT - WILDING DIVISION 311 ixAST 5 H STREET, Pt7t�'f' ANGELES, WA 98362 ISSUED'- 7(112002 OWNERtAPPLICANT PROPERTY LOCATION FLORENCE BILLINGSLEY 1138 STH ST W 11 W1l 8TTH STRM' T" rt 11-6t: 10 _ P - Port Angeles, WA 98362 Mock: 257. ❑ Long Legal 360/452-6642 Subdivision: TPA,,, T: S: Parcel No: 063000025745000 CONTRACTOR ARCHITECT MER N/A VARIOUS 'Port Angeles, WA 99360 201 000-0000 PROJECT INFO Project Value: $1,641.00 Project Type: R -ROOF 0couparr-Y Type: Occupancy Group: Construction Type: Zoning Use: PROJECTNOTES TEAR OFF, SHEET, FELT, COMP 98360000 360/000.0000 SFb Units: 0 SFO SO 'FT: 0 MFC) Units: 0 MFD SO FT: 0 CEI T 01-v"", Industrial: Ftp A►$SES'SMENT Garage: 0 Building Permit: $60.10 Mise Fee 1:, Plan Check: $0.00 Misct"Fee 2: State Surcharge: $4.50 Mlsc Fee 3: House Moving.: $0.00 Manufactured Florae; $0.00 Sign: $0.00 TQT'AI- FEE: Plumbing: $0.00 AM01UNT PAID: Mechanical: $0,00 I3AI,AI+I E:i?UE: Radon: $0.00 Commercial: 01-v"", Industrial: 0 Garage: 0 $0.00 $O:o(1 $0:00 $64.60 $64.60 .: ,$0.00-. Separate Peornits are requiredforelectricalwork, S'EPA, Shoreline ' SA, utilities, private and public ImproveMents. This g r it it earns a nuil and void Y work wr constr n -authorized Is not comrnanc sd vdthin 1 tf0 dsyr , If oonstruclion or work Is s hded* aiitAr�¢onetl for a period of.190 days after the work as commenced, or if required Inspections have not been requested within 180 daysfroet the last Inspection. I hereby certify that I have read and examined this application and know the same to be true and correct.'.1#ii proions of laws and ordinances goveming this type of work will be compiled with wheth Wherein or not. g of a perdilt.does not presurne to give authority to violate or cane/ the provisions of any star or kx law regulating 'n the per%irntnce of construction, Signature of Contractor or Authorized Agent pate x.. rd'of n: her is builder,)/ pate 'ri1M¢ANWOW &I 102.15 [4/2002] BUILDING PERIVTT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CDPEIe, INSULATE OR CONCEAL ANY {FORE BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE WSPECTION TYPE I' DATE 4 ACCEPTEDCOMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT- # ROUGH -IN PLUMBING UNDER FLOOR/ SLAB ROUE T FI -IN WATERLINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I I FRAMING IOISTS / GIRDERS SHEAR WALL WALLS / ROOF I CEILING DRYWALL i T -BAR INSULATION SLAB I I WALL / FLOOR J CEILING J1 MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY .. , STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARICING/LIGHTING ESA: LANDSCAPING I SHORELINE: i+I1NAL INSPECTIONS RZQUIRED PRI01t TO OCCUPANCY/USE' RESI'D'ENTIAL DATE YES NO COMMERCIAL DATE .ACCEPTED t t i YES NO ELECTRICAL - LIGHT DEPT. 417.4733 ELECTRICAW LIGHT CONSTRUCTION R.W. / PW/ CONSTRLfCTION - R.W. ENGINEERING 417-4807- PW / ENGINEERING FIRE 417.4653 FIRE DEPT. PLANNING DEPT. .4750 y I � PLANNWG DEPT. - " BUILDING417-481 5 S' I'C!� V - BUILDING T:IPLANNjNGiF0RMS11102.15 [4/2002)