HomeMy WebLinkAbout905 W 11th St - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number 12- 00001109 Date 8/27/12
Application pin number 073151
Property Address 905 W 11TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 1990 -0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
LEE LELAND L BLACK DIAMOND ELECTRICAL CONTR
905 W 11TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983637206 PORT ANGELES WA 98363
(360) 565 -1035
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc BDE/ FURN HP
Permit Fee 73.00 Plan Check Fee .00
Issue Date 8/27/12 Valuation 0
Expiration Date 2/23/13 h
Qty Unit Charge Per Extension v
2.00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 10.00
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 73.00 73.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 73.00 73.00 .00 .00
I
V a
I
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH IN /4 L•
FINAL ii 0 Z
4i app
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
J S. I
CITY OF PORT ANGELES PERMIT APPLICATION mr 9 t rim �r
B Division/Electrical Inspections .--,06,j 'e h
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL
a 32 71 2
Ph: (360) 417 4735 Fax: (360) 417 4711 INSPECTIONS
Date: 6 2 3- i Z 2 S Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: q0A We i l
Building Square Footage:
Description of above A Du) -.j V,A .4-- 4 P C c-, i TS
Owner Information Contractor Informatio
Name: I— V 6.11--L-C. Laie. Name: gb.G
Mailing Address: 48S to i 1 114 Mailing Address: Z ?-Ac Dt dt= x+.0
City: State: Zip: City: f State: Zip:
Phone: 110 457- 1031- -Fax: Phone: 36o //'Jyr7 Fax:
License Exp. License Exp. 73 Lxtck.4S'9'/d 2,
Item Unit Charge Qty Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 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 6 3
Each Additional Branch Circuit 5.00 2.- f o
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 Family Dwelling 64.00
Manufactured Home Connection 120.00
Renewable Electrical Energy 5KVA System or Less 102.00
Thermostat 56.00
Note: $5.00 for each additional T -Stat
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
73 Total
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 s -46B, The City of a:
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical applications. Signature of ow Ie '1cal contractor or electrical administrator: Cash Check 52 4 q G f 2_
x Dated: Y-' 23--12 0110112012
,A7.4 CITY OF PORT ANGELES
7 d DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
ma J 321 EAST 5TH STREET, PORT ANGELES, WA 98362
1
Application Number 12- 00000992 Date 8/13/12
Application pin number 112928
Property Address 905 W 11TH ST SALES TAX"
Application type description I 0 I
iption MECHANICAL APPL. REPORT SAAX
Subdivision Name on your state excise tax form
Property Use L, Port .r Property Zoning RS7 RESDNTL SINGLE FAMILY to the City of Pol Angeles
R, Ap plication valuation 10699
(Location Code 0502)
A Application desc
,t INSTALL HEAT PUMP SYSTEM
Owner Contractor
LEE LELAND L ALL WEATHER HTG COOLING INC
905 W 11TH ST 302 KEMP ST
PORT ANGELES WA 983637206 PORT ANGELES WA 98362
(360) 452 -9813
Permit MECHANICAL PERMIT 'Fo via LW I g. 12
Additional desc HEAT PUMP 3 1/2 TON 1 Y
Permit Fee 64.80 Plan Check Fee .00
Issue Date 8/13/12 Valuation 0.
Expiration Date 2/09/13
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 period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
Fast inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
L- '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 wce ff e,Du) r\ AlJ
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Bullding 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.
V1
Inspection Type Date Accepted By Comments 4"..\
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
Drywall (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 FINAL Date t2Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
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
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
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08/02/2012 11:43 13604525177 ALL WEATHER HEATING PAGE 04/05
CITY OF
For Cit Use k co
:k Permit 12' i 1 v G 0
W A S H 1 N G T O N, L! S. c Z i m
p
Date Received: R4�
321 East 5�h Street En y o
Port Angel WA 98362 Date Approved: v 1V Z m m
P: 360 -417 -4817 l~: 360 417 -4711 WO
hcatuzo @cityofpa.us
Building Permit Application
Project Address:
905 went llth Street
Main Contact: Phone
All weather Heating Coeli.ng 452 -9813
Property Name Lucile Lee Phone 457 -1032
Owner Mailing Address Email
905 Weet llth Street
City Port Angeles SG7tc WA Zip 98363
Contractor Name All Weather Heating Cooling Milne 452-9813
Mailing Address Email
302 Kemp Street awhceolypen.nom
City State Zip
Port Angelee WA 98362
Contractor License Expiration:
7.1LLWEHC15 0 KU 9/i2
Project Value: Zoning: Tax Parcel Lot
10,699.08
Type of Residential Commercial Industrial Public
Permit 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
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes No
Project
In3ta17. 3 1/2 ton Heat Pump System
Description
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. l understand that 1 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.
Date Print Name Signa
8/2/12 Karon McKeown
08/02/2012 11:43 13604525177 ALL WEATHER HEATING PAGE 05/05
Residential Structures
Area Description (SQ FT) Existing Proposed Minimum For Office Use
value
Basement (unfinished) 5238
First Floor 1236
Second Floor 446
Covered Deck /Porch /Entry
Deck
Garage (Detached) 576
Carport
Other (describe)
Area Totals
Commercial Structures
Area Description (SQ FT) Existing Proposed Minimum For Office Use
value
Structure (s)
Addition
Tenant Improvement
Other (describe)
Area Totals
Lot /Site Coverage Calculations
Footprint (SQ FT) of all Structures: Lot Size: Lot Coverage
SQ FT Site coverage (all impervious Site Coverage
structures)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: Haz /Non -Haz Piping of Outlets:
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/ Size: 3 1/2 ton 5 Ventilation System
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps Fuel gas piping of Outlets:
Water Heater Medical gas piping of Outlets:
Water Line Vent piping
Sewer Line Industrial waste pretreatment
interceptor
Other (describe):
OF PORT kv
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Zoning
Application valuation
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
03 00000819
905 W 11TH ST
06 30 00 0 3 1990 0000
RES DETACHED GARAGE
12500
Owner Contractor
LEE LELAND L SUMS CONSTRUCTION
905 W 11TH ST 422 EAST FRONT
PORT ANGELES WA 983637206 PORTANGELES WA
PORT ANGELES
(360) 452 2268
Structure Information NEW 576 SF DETACHED GARAGE
Construction Type TYPE V NON RATED
Occupancy Type GARAGES CARPORTS SHEDS
Other struct info NUMBER OF UNITS
Date 10/23/03
WA 98362
1 00
Permit ELE CTRICAL NEW RESIDENTIAL
Additional desc 1CIR TO DETACHED GARAGE
Sub Contractor ELECTRIC SERVICE
Permit Fee 46 70 Plan Check Fee 00
Issue Date 10/23/03 Valuation 0
Expiration Date 4/21/04
Qty Unit Charge Per Extension
1 00 46 7000 ECH EL- R -OUTBD /DTCH GAR SEP 46 70
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 46 70 46 70 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 51 20 51 20 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 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.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T• \PLANNING \FORMS \1102.15 [4/2002]
ELECTRICAL LIGHT DEPT 417 -4735
CALL 417 -4815 FOR BUILDING INSPECTIONS. 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
INSPECTION TYPE DATE ACCEPTED COMMENTS
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T\PLANNING \FORMS\ 1102.15 [4/20021
BUILDING PERMIT INSPECTION RECORD
YES
NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL
WALLS ROOF CEILING
DRYWALL
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
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.
PARKING /LIGHTING I I I ESA.
LANDSCAPING I I I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
/o /a. },Act
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I I I
.I;.~.~.
-Q1
~~
CTIY OF PORT ANGELES
DEPARTMENT OFCOMMUNITY DEVELOPMENT - BUlLDING DNISION
321 EAST 5TH STREET, PORT ANGELES,WA98362 .
I=rl!~~~!__ ~~~_
Property Address
ASSESSOR PARc::BL NUMBER:
Application description
Subdivision Name "
Property zoning .". .
Application valuation
u~-uuuuu~~~ Date 8/27/03
905 W 11TH ST
06-30-00-0-3-1990-0000-
RES DETAcIDm GARAGE"
12500
OWner
Contractor
LEE LELAND L
905W 11THST
PORT ANGELES
WA 983637206
SUMS CONSTRUCTION
422' BAST FRONT
PORTANGELES,WA
PORT ANGELES
(360) 452-2268
NEW 576 SF DETACHED GARAGE
." TYPE V NON-RATED
GARAGES, CARPORTS, SHEDS
NUMBER OF UNITS
WA 98362
Structure Information
Construction Type . . . .
Occupancy Type . . . . .
Other struct info . . . .
1.00
, . . - . . .
-----~-----~----------------------------_._~------~----------------------~---
" .
Permit . . . .
Additional desc
perrilit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
NEW 576 SF DETACHED GARAGE
246.75 Plan Check Fee
8/27/03 Valuation"
2/24/04
98.70
12500
Qty Unit Charge Per
Extension
92.75.
154.00
"~"
.~
BASE FEE
11.00 14.0000 THOU BL-2001-25K (14 PERK)
--:---:-,- - -'---..-: - - --..,. - - - - - - - - - - - - -- -- - - - - - - - - - - - - - -- ~- - - - - - - - -.- - - - - - - - - - - -- - - --
Other Fees . . . .. STATE' SURCHARGE " 4.50
Fee SUllUllary Charged Paid Credited Due
---~------------- ---------- ---------- ---------- ----------
Permit Fee Total 246.75 246.75 .00 .00
Plan Check Total 98.70 98.70 .00. .00
Other Fee Total 4.50 4.50 .00 :00
Grand Total 349.95 349.95 .00 .00
B
.
~
.........
~
SA
Separate Permits are requiredforelectrical work, SEPA, Shoreline. ESA, utilities, private and public improvements. Tfilspermltbecomes
null and void if work or construction authorized is not commenced within 180 days, if construction orwork Issu~pe,nded or abandoned
for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 180 daysfromthe la.st
Inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All prpvlsionsof
laws .and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a pE!rmit dqes not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
?iil-tf(.~ ..... r/21/d3
Signature of Contractor or Authorized Agent Date
\J
Date
T:\PLANNING\FORMS\1102.IS [412oo2J
f . , . ....'.;....
. " .' ". h.. ". " 'f.
CALL 417-4815 FOR BUILDING INSPECTIONS.PLEASEPRO)lJP.~~)dINJMUM 24 HOUR NOTICE. IT IS UNLAWFl!LT()Cl.f~.R,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTEDoPO'ST PERMIT IN A CONSPlCUOUSLOCATI~o
.-,-,..,..;,~ .... .. '-' ...- _'''>,'''',: ..:,~:",..,,_ . .. ..' .,. .....:0:"'.. ',..
." ~"~"''i'' v'r.,.,
KEEP PERMIT CARD AND APPROVED PLANS ATJO'B SITE
. i
BUILDING PERMIT INSJ?.ECTION RECORD
~ ."
.. "'-. 'j.j.. .. '. , ,
DATE "<, H' , .... 7 .. ,
INSPECTION TYPE . ACCEPTED '" COMMEN'J'S.
.. I . YES I NO ifl, IW , .'"
'FOUNDA TIONI SIC/I> 1~t>.~DJ ~r,;,J.L
FOOTINGS "
WALLS ,
FOUNDATION DRAINAGE c,.. i,. .
.... ~". .'" ,.,
ELECTRICAL (LIGHTDEPT) SEPARATE PERMIT:' ". ,. "
ROUGH.IN .' "
.. d" :....
PLUMBING .' ,
UNDER FLOOR I SLAB ".
ROUGH-IN "
. WATERuNI . :'-';
.' GAS LINI ..... --:c- , '-,> . ,
" .' '.' ".
. BACKFLOW/WATER ,',; -:-
.' " ..
;.AIR SEAL
. WALLS . ;,(.: '. I
CEILING I . .L "
" , ,
'. , .,
FRAMING .
JOISTS I GIRDERS
SHEAR WALL '" >c,', I
i
WALLS I ROOF I CEILING · ~ ..... ":n"'2. LL-
DRYWALL )
. ,n
T-BAR '1 ,. . ....
-c:- .
INSULATION
SLAB ,.
WALL I FLOOR I CEILING . T
MECHANICAL .,
.
HEAT PUMP
WOOD STOVE I PELLET I CmMNEY. "
HOOD I DUerS; '. .'
.
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT "os: '.
WATERLINE I METER
SEWER CONNECTlON
SANITARY ".
STORM ....
PLANNING DEPT. SEPARATE PERMIT "'. SEPAl
',".
PARKINGILIGHTiNG ESA:
LANDSCAPIJI!G "",. ,..... .'". ."., '" SHORELINE: .
-
'?:;.:--.;;:.~ .." '} - ..';,'..F~NAL It!SJ'~~}QNS REQUIRED PRIOR TO OCCUPANqtpsry,\,' '''.' ..,....."..,,"".
RESJJ)ENTiAL ...... :, ' ,." , : :'JD'A'Rii . YES NO COMMERCiAL '. DATE . ",'i,A~C~nm
: 1:+ . ,'.,.... ; . ',H__,>>;" \, > .....
; . ,Ci,Ci., ".." . , ,,,,NE;S: , <\,N.O
,,' \'''!,.~
. .' . '..,,,' ELEcTRiCAL
ELECTRICAL. UGHT DEPT. _/tJH1~,. ,-;'.1 I' .'~ :-. f,<"
i , ..., :;", .' "'f>;' '." . LIGHltDEPT ' '.\, '. ,'" ,"C' , ;.;;
CONSTRUcTION R. W.I PWI , ,~r," ",. ....
CONSTRUCTION. R.W.
ENGINEERING 417-4807 PW I ENGINEERING
, "', '<
FIRE ...., ,.. ,,' 417-4653 FIRE DEPT. .; .j
"'...
~,fJ&4I, , ""'. ", C:", '.
PLANNING DEPT. 417-4750: PLANNING DEPT. . "',.
BUILDING" 4 t7-4815 ;~lll'fl, I#JK' KV BUILDING ""', ',.' ..
.
,
'. ".
PREPARED 10/31/03, 12:15:28
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
10/31/03
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
905 W 11TH ST
SUMS CONSTRUCTION
LEE LELAND L
06-30-00-0-3-1990-0000-
03-00000819 RES DETACHED GARAGE
SUBDIV:
PHONE
PHONE :
(360) 452-2268
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLM
01
9/05/03
9/05/03
JLL
AP
BL3
BUILDING FOUNDATION MONO SLAB
Best to show-up after 2:00 P.M.
460-7317
_____________________~---i:~;':~::~~~;..:;::,::"-b'-OU'-O'_'O.._::"_w;"_"..,_______
01
10/31/03
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: (91: - /I'r-e;r~
Permit #: 8/9.
Date Approved: ~~().:s
Date Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
Applicant or Agent: m \" K L S,M UtJ:>
Owner: \'-\A t\LL0 (l~z..
Address:~O S Lt) ~S,.. [ ll'l
Phone:
Phone:
City: ~~-r ,A-q~J LU~.
46'2... Z21/f
% J.--lt7501
Zip: q~ ~, 7.-
Architect/Engineer: Phone:
Contractor ~LtO\S r01J~ftu..\C..~ State License #: su~~'tJ."4 Exp: ~13-O "{
5"0)' WtSr- 8~ sr. City: p~ fhJ,Je-~ (~0 ~
PROJECT ADDRESS: qOJr Lt) ~sr t (~
LEGAL DESCRIPTION: Lot: '19\ Block: <3 L Cf
Address:
Pho~e: f/-6SZr-ZZ12
Zip:-.1~~~2-
I
CLALLAM COUNTY PARCEL NUMBER:
J
1
Subdiyision:
ZONING:
Tff/+
Credit Card Holder Name:
Billing Address:
Credit CardType VIsA
TYPE OF WORK: I,
l1t"'Residential 0 New Constr. 0 Re~roof
o Multi-family 0 Ad~ition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTIO~ OF THE PROJECT:
N e:w n. \.{, { ~ 24 ( "0 l.-11\-C.ttU)
City:
Exp. Date: !
MC
#
o Sjg1ie
~arage
o Deck
o Other
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. i= $
SF. @ $ /SF. ~ $
TOTAL VALUATION ;1 $
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'r__"'._.""""".______.
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COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:i
No. of Stories: -1- Lotl~ize: 5"'D'l'L40 Existing Sq. Ft. (280 & Proposed Sq. Ft. 5110 = TOTAL Sq.Ft.-,-lg~
Existing lot coverage ~ % & Proposed lot coverage, 'l % = Total lot coverage~ ; /( ,-
l2.?O ~'
APPRO~:
PLAN :
PLANNING :USE ONLY: BLDG:
DPWU:
FIRE:
OTHER:_
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on'the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by thelBuilding Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -1815 for assistance.
PLAN CHECK FEE: lit a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other perinit fees are due at the time of permifissuance.
EXPIRATION OF PL..{N REVIEW: If no permit is issued within 180 days of the date of application, the applicathin will expire. The
Building Official can extend the time for action by the applicant up to-ISO days upon written request by the applicant (s~e Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once. i .
I hereby certify that I have ~~ad anJ examined this application and know the same to be true and correct. I am auttrized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain subh permits prior to work.
T:\FORMS\APPS\BuiJdingpermil.wpd " Applicant: -.1b r ~ R.~Lv-- " Date: Z -l '1: - 2009
DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION
APPLICANT: --1llikt &n~ hUfr\S {btJ~rOtJ
PROJECTIDEVELOPMENT ADDR~SS: Q05 LV, I (--t.:
. th .
PHONE:
4S2rzZf3
See Page 4!3f mstructlons on completmg e site plan. For more information, call417-4815.
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PREPARED 9/05/03, 13:11:19
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
905 W 11TH ST
SUMS CONSTRUCTION
LEE LELAND L
06-30-00-0-3-1990-0000-
03-00000819 RES DETACHED GARAGE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~
-------------------------------------- COMMENTS
BLM
01
I
L-_
9/05/03
SUBDIV:
PHONE
PHONE :
(360) 452-2268
BUILDING FOUNDATION MONO SLAB
Best to show-up after 2:00 P.M.
460-7317
AND NOTES --------------------------------------
PAGE
DATE
---I
2
9/05/03
CITY or PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17806
Y-;/o F;;::z
Port Angeles, Washlngton.........m..................m.........mmm...mm... 19.nm..
In accordance with the City Ordinance to regulate the Installation. extension. or repair ot elec-
trical equipment In. on, or about any building or other structure In the City ot Port Angeles, per-
mission Is hereby granted to do electrical work as listed below.
7'0,"- ur-/ /t7? .e..
Address ....m.._"'.._...........m.m...~.mmmm.........m....m............m..m Occupancy.....~.....n~.~.m..m..n..m..........
O~~er ....!~~'.~~T7:. Tenant..m......mm.m_.....~..._..mm...mm.m....m........m
Wmng Contractor .~.....m'2t.'m..~~.....~.....m....... By............m..m....mm..m......nm.......m..m..n.....
Light Outlets..............................._.._..... Service, volts /:?..c;/.-?.Y..O'....... Type at Wiring:
. 3
No. wIres m..n..m_m......n.n..n..~.n. Armored Cable ...mn......n............_
Si 1 # # ~ Non.Metall1c .................................
M:~n :::s.::1e/qd::.:=~:: Knob & Tube.................................
"s
Enclosure .......................................
Receptacle Outlets..n......................._...
Dryer, KW __UU..h__........................__....
Range, KW.....n.h__...___..____.
Water Heater:
KW..m..m...m....mmmm...............
Type of wiring:
Entrance Cable ............__...............
Heat: KW..........................................n....n.
Motors: size, volts and phase:
RigId Conduit ..m___._....._____...........
Metallic TubIng _____......0000__..00
Current transformers:
No. & Size....m......m.....m..._
Ser. NO........___.n..._..____...____....._
Ser. No......................................__.......
Ser. No........___.._..............__.................
Rigid Condnit ...............................
Metal1lc Tnblng ...........................
Raceway ....._._......................._....._
Circuits, Light........................._........_....
Utility.............................................
I-Ieat ........._........_......_.....................
Range .........................._...______..__.__..
Water Heater .....__.....000000__...........
Motor ..._.....___.....__.___......_........._....
Dryer .......__....._...........___._______...__._.___
Furnace n........h............._~....n...n.......'
Remark:~ta:,.:~~~;~~_~..~.::~..~::.m.:.~~.::::.......:::::(~.L::...~~:1;.LZ;~~
.;:.;.~.:~::......:..........::::::.....:....m.::~.~.~:...~~.~:~~::..:~:...m.mm...m..::..;;fl)l~~Z~:..:~...::
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed 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~ 1 780 6
Address....__..._.____.........__........__........___.......__.....___......_._.__......._........._..........__......__............_......._.Date..._....._...._.__.._.........._......_......_....___..
Owner.___.__..__._._.____..._____.......__.____....__....._.__..._.._........_____.......___....._._..__..._..__._..__..........Tenant...___......___......................._.......__.....__________.___.
Wiring Contractorn..............hn..............._......................_.............n__...._...00__...........................0000. By._........n........_n...................._..n..........__..
NOTICE-Current must not be turned on until Certlflcate of Inspection bas been issued. If work Is to be COD-
\ cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
FROM : Electric~S
FRX NO.
4525424
"
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.
Zip; '11"'1".,-
Cffldlt Card fi/ wilber:
Zlp:
&1'. Dlle:
VISA:_ Me
PROJECT\OOPU8: I () '5' \ I' J. i I -/ h
~ ChllCk III thai apply: ~ New 0 Alteration/Addition
~R8sldental 0 Multi-family 0 Commercial D Mobilti Heme SQ. Ft
Remota MeIer ~ Detacned garage 0 He! Tub 0 Swirr Pool ::; Septic Pump 0 Low Vortage 0 Telecom. Q ,
Number Q/ CirculI. added or .r.,: I
oeSCRIPTlON OFTH~ I!L~CTRICAI. PRQJICT:--L:...c..li C i ; 1 i- to h '" vv'
d/;tC.l C'h~Y S'a,,,--r; -,If} -'
Eltctrlcel Hut load AdditIon,
PERMIT FEtA .7tJ
SIlVIe. Informatlol]
C 9aseoosrd
o FumaC<l
:; Heal Pump
c: Fsn-Wall
'/WI
='/WI
iON
=KW
LAA
o O"smead Sel'\lle.
:l TlI'"l1 SeMee
:J Underground Service
Voltcge:
Phasll: 0' 0 3
Sel'\llce Size;
FlI<lder S/~.:
PAMe 14.05.080(6): Fer IndUIlTISI, eommarCial, & residential prOjsc:'.8 larger ti1an 8 duplex, eons . line drawing of the Electrical Service
Feedell, building size (sq. ft,), lead Qlculatlona, ana the t1'P8 & of conduclQrla~dlO{ raceway I'required and snaU acco",PlI~Y the ElllCtr
Permit 8ppIlCll~on;
I hSffiby Certify thet ( have reBd and examined tills appllc:etJon end knew that 158me to b!l true and correct, Bnd / .
authorlZfJd to apply (or this permit. lunderstemd It Is net thE/ City's leGs( f9&POf1$/blllty to determine whet permits
required; It remains the applicants responsibility to determine what permit$llf9 required and to obtain such.
e~dI' 00", "did,,', ...,...~,-~1 t!Jjh V? J.,~, "/2) fD]
OWner or Ele~. Cont. 8111nlltur.: . U.::t<- Oete: (0/" ')1 t3
C :/ElECTRICAlPERM IT APPl leA TIOIII
DP-
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