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Home My WebLink About104 W 12th St - BuildingApplication Number 05 00001120 Date 12/08/05 Application pin number 911520 Property Address 104 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 7900 0000 Tenant nbr name TERRY MCCARTNEY Application type description MECHANICAL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 6350 Owner Contractor VIRGINIA R MCCARTNEY ETAL 104 W 12TH ST PORT ANGELES WA 983627714 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc ANGELES/ HP FURNACE Permit pin number 66811 Sub Contractor ANGELES ELECTRIC Permit Fee 48 10 Plan Check Fee 00 Issue Date 12/08/05 Valuation 0 Expiration Date 6/06/06 Qty Unit Charge Per Extension 1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS 48 10 Fee summary Charged Paid Credited Due Permit Fee Total 48 10 48 10 00 00 Plan Check Total 00 00 00 00 Grand Total 48 10 48 10 00 00 EXPIRED 5 -lG -aH COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 PENINSULA HEAT 502 W 8TH ST PORT ANGELES (360) 457 2775 WA 98362 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. INSPECTION TYPE DITCH ROUGH IN COVEYS SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES NO PW -I 102.15 14'96) COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner VIRGINIA R MCCARTNEY ETAL 104 W 12TH ST PORT ANGELES Permit Additional Permit pin Permit Fee Issue Date Expiration Date Qty 1 00 Permit Additional Permit pin Permit Fee Issue Date Expiration desc number 65284 36 40 11/16/05 5/15/06 Unit Charge Per 36 4000 EC MECHANICAL PERMIT desc number 65276 61 70 Plan Check Fee 00 11/16/05 Valuation 0 Date 5/15/06 Qty Unit Charge Per 1 00 Fee summary Charged Permit Fee Total 98 10 Plan Check Total 00 Grand Total 98 10 Signature of Contractor or Authorized Agent CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00001120 911520 104 W 12TH ST 06 30 00 0 3 7900 0000 TERRY MCCARTNEY MECHANICAL PERMIT RS7 RESDNTL SINGLE FAMILY 6350 PENINSULA HEAT 502 W 8TH ST WA 983627714 PORT ANGELES (360) 457 2775 ELECTRICAL ALTER RESIDENTIAL EL -LOW VOLTAGE BASE FEE 14 7000 ECH ME INSTALL T \1102_15 building permit inspection record05.wpd 11/4/20051 Contractor Paid Credited Due 98 10 00 98 10 Plan Check Fee Valuation 100- FAU 00 00 00 Date 11/16/05 WA 98362 00 00 00 00 0 Extension 36 40 Extension 47 00 14 70 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 constr 11 1(o D DAte Signature of Owner (if owner is builder) Date 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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /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 HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 1 PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 1 T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 FINAL FINAL SEPA. ESA. SHORELINE. DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW ENGINEERING 1 FIRE DEPT 1 PLANNING DEPT 1 BUILDING 1 1 1 1 1 1 1 1 1 Applicant or Agent: i„l1 irkli e4 Sf1 Phone: 6V rr Ow= ,e Phdne: 4 /32 `3 Address: •6 Lii /2 city: A r'//S Zip: 9 X3' 62. Architect/Engineer: Phone: Contractor PeN1.1 1 A 1t *Stet License Addcess• City: PROJECT i4DDRESS: 4.. 1a I. Z a LEGAL DFS ON: Lot: Block: CLALLAMCOUNTY PARCEL NUMBER. 11/11/05 08 15 FAX 3606812085 Peninsula Heat BUILDING PERMIT APPLICATION FM 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 edit Card Holder Nance: g Address: edit CardType VISA MC 0 rwoRK. `f evidential 0 NewConst< 0 Re -roof o Sc$yF Multi- faluily� 0 Addition 0 Move O Garage t <ommex4aL o. b�R.erlu al la Demolition t �lc 1 P D DESCRflON OF THE P,RIYJECT M1YniRcL LIAESIDENTIAL: Occupancy Group: I of Stories: Lot Size: Existing Sq. Pt. ring lot coverage Proposed lot coverage #LANNING USE ONLY RMSIAPPSTundingpsnnikwpd Applicant City: Subdivision: 7EE/VALUAT1ON SF. SF @S LIATIO Occupant Load: Proposed Sq. Ft Total lot coverage TIMM/etland(s): 0 Yes 0 No SPA Checklist required? D Yea o No Other. FOR OPFI Data Bsc.. Remit O Date Approved: Date trod: 0102 U ONLY• I 1 D,5 11 o Phone:. 0%-3333 Zip: tg ZONING- Zip, Date: 1 Y 1SF isrr Construction Type_ as TOTAL Sq.Pt. F .Y. L ,g..: 1 APPROVALS. PLAN BLDG' DPy_ Ir# FERE: OTHER. ING PERMIT APPLICATION SUBMITTAL; The Building Division can provide you with information on the application and l submitta] req ke:aeats if you have questions. U ATTON OF CONSTRUCTION: In all cases, a valuation amount must bePnteted by the applicant. This figure will be reviewed i m aybe revised bytheBu tru neDivisiontocomplywithctmentfee Contact the Permit Coordinatora 1417 -4815 for assistance. =MFRS: IF a plan check fee is due it must be submitted at the time the building permit uppliea on and construction plans are L 't ted. All otherpermit fees are due at the ld L time ofpermitissuance. IR ATION OAN REYIEWs If no permit is issued within 180 days of the date of application, the application. will expire. The d ing Official catiextendThe time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of Uni form Building Code, =rent edition). No application can be extended more than once. 1 by certify (hat 1 have read end examined this application end know the sa' a (o be We a correct 1 am authorized to apply for this permit and f rstand that d Is my responsibility to determine what permits are req d ,,n the Otys Y t 1 ust In such permits prior to work 2'6. 4oZit�� etc: ate ,,ppl1CdLiOn Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation Owner VIRGINIA R MCCARTNEY ETAL 104 W 12TH ST PORT ANGELES Structure Information Construction Type Occupancy Type Other struct info Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total T• \PLANNING FORMS \1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98 10000619 104 W 12TH ST 06 30 00 0 3 7900 0000 RES ADDITION 13000 Contractor ANGELES ELECTRIC 524 E 1ST ST 3627714 PORT ANGELES (360) 452 9264 228 SF ADDNT TYPE V NON RATED SINGLE FAM CONGREGATES NUMBER OF UNITS ELECTRICAL ALTER RESIDENTIAL KITCHEN REMODEL ANGELES ELECTRIC 57 10 8/29/03 Valuation 2/26/04 Plan Check Fee Qty Unit Charge Per 1 00 46 7000 ECH EL -R OR RM 1 -4 ALT CIRCUITS 2 00 5 2000 ECH EL -R OR RM ALT ADDNT CIRCUITS Charged Paid Credited 57 10 57 10 00 00 00 00 57 10 57 10 00 Date 8/29/03 WA 98362 Due 1 00 Extension 46 70 10 40 00 00 00 00 0 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 RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I BUILDING PERMIT INSPECTION RECORD 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 YES NO FOUNDATION: FOOTINGS I WALLS FOUNDATION DRAINAGE I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT II ROUGH -IN 1 I PLUMBING UNDER FLOOR SLAB I ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER 1 AIR SEAL WALLS I I CEILING FRAMING JOISTS GIRDERS SHEAR WALL I I WALLS ROOF CEILING I DRYWALL T -BAR 1 INSULATION SLAB I I WALL FLOOR CEILING 1 MECHANICAL HEAT PUMP I WOOD STOVE PELLET CHIMNEY I I HOOD DUCTS I PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT N's: WATERLINE METER I SEWER CONNECTION I I SANITARY I I STORM I I I PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING 1 I LANDSCAPING J FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO f -/7 -63 42 SEPA. AK.ZOW 'AN ESA. I SHORELINE. 4' 9-.17- 0 3 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING 64.90. 6/25/03 12/22/03 Plan' CJ:i.eck Fee Valuation .00 o CrrYOFPORT ANGELES. .' . DEPARTMENT OF coMMUNITY DEVELOPMENT - BUILDINGDMSION 321 EAST5TfISTREET. PORT ANGELES; W A 98362 ., AI>PliCa.ticmNumb~r prop~;r;~Y,M~~ess ... ... MSESSOJt PARCEL NUMBER: AI>Plication description ..SUbdivision Name Property Zoning . . . Application valuation 03-00000619 Date 6/25/03 104 W12TH ST 06-'30:'00":():'3-79()0-0000": . RES ADDITION . 13000 OWner Contractor ------------------------ -----------------------~ VIRG~ R MCCARTNEY ETAL 104W 12THST . PORT ANGELES WA 983627714 OWNER ---..,-- Structure Information 228 SF ADDNT" . ConstrUction Type . . . .. TYPE V NON-RA';l'EI> .... Occupancy Type . . . . . . SINGLE FJU( &. CoNGREGATES Other struct info . . . . . NUMB.ER OF uNITS' 1,00 ---------------------------------------------------~------------------------ Permit . . . . Additional desc Permit Fee Issue Date EXPiration Date BUILDING PERMIT -RESIDENTIAL 246.75 6/25/03 12/22/03 Plan' Check Fee Valuation 98.70 13000 Qty unit'Charge Per Extension . 92:75 154.00 , , ' . . ,,- -. ," .',' -------~-~--~---------------------~----~------~--~----------------~--_._-----~- BASE FEE 11.00 14.0000 THOU BL-2001-25K (14 PER K) Permit . . . . Mditional desc permit" Fee Issue Date. Exj;Iirat1on Date MECHANICAL PERrUT Qty unit Charge Per Extension 47.00 7.25 10.65 oA H. BASE FEE 1.00 7.2500 ECH ME..,VENT FAN 1.00 10.6500 ECH ME-GAS PIPE lTO 5 Permit AdditiOnal desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 54.00 6/25/03 12/22/03 Plan Check Fee valuation .00 o Qty Unit Charge Per Extension 47.00 7.00 BASE FEE 1.00 7.0000 ECH PL- EA.PIXTURE ON ONE TRAP Fee summary Charged Paid Credited Due ----------------- - - -.- - --- -- ---------- ---------- ---------- PerMit Fee Total 365.65 365.65 .00 .00 Plan Check Total 98.70 98.70 .00 .00 Grand Total 464.35 464.35 .00 .00 Sepa,r~te Pel11llts are required for electrical work, SEP A, Shoreline, E,~~,. utiHtie~.private and eublic impr;>vements.ll1iS perri\Jfbecomes ~un~ndvoldif work or construction authorized is not Commenc~dwithin 18.0 days, if construction or work is suspe'1d,ed9rabandoned for a period of1.80 days after the work as comm~nced, or if required inspections have not been requested Ylithin180daystromthe last Inspection..1 hereby certify that! havereadand.Elxamiriedthis application and know the sameto be true and correct. AU provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a PElrmit does not . presume to give authority to violate or cancel th~ provisiolls of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [412002] BUlLDINGPERMI'J);INSPECTION RECORD ,~ '>1, ." ' . . " " I .' - . . '-' ,- - ~ CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIA~AMINIMUM24~OURNOTICE. IT IS UNLAWFUL TO COJ/.~R, INSULATE: OR CONClJAL A/VY WORK:!lEFQ!JEINSPECTED Al'{!/..'y4.CCEPTED. POST PERMIT IN A'CONSPICUOUSLOCATION. '-'... a, '''e'' ;"';'.:':';;'-- . . . \lI-,":"'T- ......,......,.. KEEP PERMIT CARD AND A.P.~ROVED PLANSA:r JOB SITE INSPECTION TYPE DATE . ..,'f.!;-' ." A,ec;EPTED ...""" '" I VESt NO .' ,'. ;:,~ J4 ..' , ; _} J. ...... " '. ,,:.....;,. COMMENTS ..... "".> . '. - FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ~.. . It' -I}-O"'" . r p ,9 -0'3 " . : ELECTRICAL . (LIGHT DEPn SEPARATE PERMIT:./I ROUGH-IN PLUMBING UNDER FLOOR I SLAB " " i.:,:;" , . - . -:- . ROUGH-IN , ,.".-. WATER LINE . ,#,. ..:L GAS LINE BACK FLOW I WATER AIR SEAL. WALLS . " ~:.:\ . .::,,,,#' tElLING .. FRAMING 0, . . . , " ,;" ' '. :,. .' .. " ," '. , ' ,J., . , " . Jr' ,- d~r ' . . . .. 1- ',' l<t...a.:f.;.t) i JOISTS I GIRDERS . _. SHEAR WALL '.....;' , WALLS I ROOF I CEILING b ~ DRYWALL T-BAR . f'~. INSULATION t---~ SLAB WALL I FLOOR I CEILING MECHANICAL HEAT PUMP WOOD STOVE I PELLET I CHIMNEY HOOD I.DUCTS (/ .... OS' -<' ? ,J.L" ., , . .. . .... . '" '.' .. . , " , . " d . -,;I,,," ,>,.. ' PW UTILITIES I SITE WORK. (Engineering Division) SEPARATE PERMIT /I's: ., " .' -c- W ATE~tNE/ METER SEWER CONNECTION SANITARY, STORM PLANNING DEPT~ , SEPARATE PERMIT /I's PARKINGILIGHTING '. ::, - " . ". d'.", . LANDSqI:ING,c ni,; ',',0., ,-. "REsIDENTlAL ., SEPA: ESA: SHORELINE: FINALINSPECTIO~S REQUIRED ~RIOR TO OC<:UPANCYIUSE~:'. .', ',I i DATE' I, YES' NO COMMERClAL ': .c." -c- ,ELECTRICAL , LIGHT DEPT " C()NSTRUCTION : R. W. PW I ENGINEERING "',, ,', .. , DAT~. ",";~~F~P.rEr?,~ , ;~v' :~ YES,' ;-;,NO,_ " ,';,', r.. " , , ; ,:;, , . '.' , , , " \. ". 417-4735 I,". 417-4807, . ",.' _ ,!17j6~ f 'j j/ /. . - .A: 417-4750 . 417-4815, J. 71J.J I f),~ 1(1/ , r ELECTRICAL - LIGHT PEPT. ,,',' Y', , CONSTRUCTION R. W.I PWI ENGINEERING' FIRE' .) FIRE DEPT. .' PLANNING DEPT. BUILDING ... ,."C, PLANNING DEPT" BUILDING , - T:\PLANNING\FORMS\1102.15 [412002] r" ..._~.-=*- BUILDING PERMIT - APPLICATION ,- I - - .~ FOR OFFICIAL USE ONLY: Date Rec": - 0 Permit #: Date Approved: Date Issued: ~~ The Building Perm.it - Pre-application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 .-\~ (V)C-C.-AtC\NEY Owner: ~'ME.. Address:~ W, 12b &- city:l0ftt At-JGElES ArchitectJEngineer:_PAUL ~YB.. \\oNE. OWN E:1Z... Applicant or Agent: Phone: ~57- ~ Phone: Contractor License #: Exp: Zip: q~G2 Phone:~lC3~-~~Il) Phone:_L452 -<1%0 Zip: WNING: Address:__.... PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Billing Address: Credit Card #: 1 0'-\ City: W. 12.~ ~I' Block: VISA MC TYPE OF WORK: o Residential D,New Constr. o Multi-family rrI Addition o Commercial 0 Remodel o Repair S~~~ AL~~~:Sq ~/SF. = $_)j.OOO, OD SF. @ $ /SF. = $ . SF. @ $ /SF. = $ , TOTAL VALUATION $---1~. 000.00 . " ; MlJtO ((roM NJ(JI:U.{)J~ ORe-roof o Move o Demolition o Sign o W oodstove o Garage o Deck o BRIEF DESCRIPTION OF THE PROJECT: _K:t.\CJ-\EN - COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: ~ Lot Size: \.~D X) 4CL % Lot Coverage: Existing Lot Coverage: 17~ /sq. ft. + Proposed Lot Coverage: ?2'K PLANNING USE ONLY: Notes: Construction Type: /sq. ft. = ;;TAL LOT COVERAGE: 2. 007 .. APPROVALS: PLAN BLDG. DPW_ FIRE OTHER /sq.ft ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required'? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must bejilled out completely to be acceptedfor review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. 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 the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE : Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. , EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this ,application. will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that J have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility 10 determine whal permits ;~e required and to obl~. . APPlicant~~~Date' (QiI\IQ~ T:\FORMS\APPS\Buildingpermit r--u- I r'?:'f"> ~~rh:/,::.L"'~:': ;,"'~"'J ,,-.;" .>,-~.,.' " . ,"<':~'!,:':2t:?1i:j:))[';::,;..F', ,.- .,~, ,~o0;:<~.'<__: -"c;.." CITY OF POQ:T ANGELES DEPARTMENT ctpt'PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 8-25-03 Time Received by /2V (phone, person) Inspected: Date Remarks: /0,-/ w T e.v-I"y /2.'1-"'- , " G krJS Phone No. Permit No. Plumbing Final Sewer Excav. Other ~bS-7~9o <0. /. 9 Sewer Foundati INSPECTION NO -::;:- L..--- By ,__ RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other o Repaired by City D Repaired by Permittee o No Damage Found Work Order # o COMPLETE D. INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) PREPARED 8/29/03. 9:50:55 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 104 W 12TH ST ANGELES ELECTRIC VIRGINIA R MCCARTNEY ETAL 06-30-00-0-3-7900-0000- 03-00000619 RES ADDITION INSPECTION TICKET INSPECTOR JAMES L LIERLY PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL9 8/25/03 8/25/03 8/29/03 BUILDING SHEARWALL BUILDING AIR SEAL 01 JLL iiL ---------------------~--------- BAIR 01 SUBDIV: PHONE PHONE : TIME: 17:00 loH (360) 452-9264 w PAGE DATE { rt- t11 2 8/29/03 COMMENTS AND NOTES -------------------------------------- 8h ----- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date /-q-()~ Time Received by f2lJ (phone, person) Location of Work to be inspected 10 0/ W I L'!- "L Name of person requesting inspection - tc::S.M CI\. Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer ~~ Framing Chimney Plumbing Rnal Sewer Excav,Other Phone No. o/w-- 2'=. 7~ Permit No. ~ /9 INSPECTION NOTES: Inspected: Date I~O? Remark~ : Time----fl!L-- By -VL L ------ ~ RESTORATION REQUIRED . . . . .. YES NO I : 00 f M SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) .Sl'REETSUPERll'ITE.NPE~J\;..~", . (DATE) CITY Q.F.PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 7 -7- 03: Time Received by Rv (phone. person) Location of Work to be inspected I b l.f u...J Name of person requesting inspection-Tc::1S0V\. Address of person requesting inspection Type of Insp circle appropriate one): Sewer oundation Framing Chimney Plumbing Final Sewer Excav. Other t=ac:>i- ~~ /2 'f-I/t Phone No.~60-26 73 Permit No. " /9 INSPECT NO~~S:~,^ \. . Inspected: Date --I---J\-I-\-~~ Remarks: Time~BY/" ,~ RESTORATION REQUIRED . . . . .. YES NO AM-q:OOAM SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE O. INCOMPLETE (Continue on reverse side if necessary) $JREET SUPERIN;1]=NQI;NI,' . (DATE) I '", w. l'2..i1l '!"T, o ~ Ib'2." :" 5'(&}' Cf l'. f~/ ~' ~ tl In ~ ~ ],~ Mlc.A-~rN'" 104 w. IZ-H-t. sr. t ~"O' l' h.' VJ Ij "'>ol ::s '<( oJ \u < 3 '>- ~ "'- J 4. 0' ~o . Fy~y f;pJ1 e' - M<!" (IC'WP/", 6/ H. II, : "?tJ rIA ('/ I tJ::s / '1 ~\ t1 vth1-e r' ; reo (' ". 'I ~ -1''/ I'J H Y ~4 C CeL-r 7" f1'-€ ';/ ~'1 W, I~~ '---- I'd"t A"9"1f'~, .u~ '1.13i 2 f I' J J -e c 7;; f fA/I h' r 11 <t! tit W1 10 y -e / (e( ~ e t.U , / / 1# ~ --e ,,- 0 d ". /, 7/1 Vev~d/ Ha 'Url,1A ~ / /J.e ~ , '9 # ; Ef ~.>t-er-n e IJ ) t:/ f' jJ e~,? 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KITCHEN VN'OllIAAliElt",6,INf V2",,", 1>21lNStlLAIIQt<j 216 "U05.)6-0' 7118"0!IeWArlolWG WEI,fHf:( tf80frrt: el,lt;If:( . 0f'T101.IA!. ClOAt~~1"IO w ~T iii;t ~~ ~t:. 1 I I """"""M I ACCI&nO~ I I I I I I I I I : ~,;;: <EQJl<I!D I I I I I I I ,L CROSS SECTION 21.'" WC$J. WI 112 X IOAHOOt I!lOlt WI tI215ne5aOAt[WASttEl: _.'OC &'NIlN l2"OFfACHENDoP' tN:H'IECl Of' IoIUDSll.l tzlC6COMCllrt.FOOTIlIG WI(2)M&Al:CONf FOUNDATION / SUBFLOOR 1/4" = l' /;l .. ROOF DECK SVU 10 112 GlUlAt.l81At.l FAMILY ROOM 1/4" = l' DATE: 5-25-03 REV.: I ~ t J u ..s ~ If) ~ .r: ., .E ~ J ~ ~ ~ til til :Z w w 0 ~ a ~ ...J 5 g lQ ...J Z 0 ~ ~ tf) ~ W ~ D ~ ~ Z D -1 :::::) ~ In w ~: z ,.: 3: o Ill. \- zH) tf) ~~ W ~~ >- Ill.... W ~~ PAGE / 2 // OF //3 / Q.\ ~ ~ 0--- / ~ :10 ~ 3:JVd ------ J = IIv/~ NVld ~OOld NIVI^l O/llJ"''''i_WI'()O(J'lClHlOH.l tJ/IlIO.tPll. 'VOIlr/l(a} 01l1..afJOOJ.e.,. 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WA 98~62 ELECTRICAL PERMIT Issued: 9/17/98 Permit No: 6431 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ TERRY MC CARTNEY 104 12TH ST W 104 W. 12TH ST Lot: 1 Port Angeles, WA 98362 Block: 379 Long Legal: 360/457-0606 Sub: TPA T: S: Parc No: 063000037900' CONTRACTOR-----------------------~-----DESIGNER-----------------------~--------- APS ELECTRIC 546 BENSON RD. PORT ANGELES, WA 98362 360/452-6753 , 000/000-0000 PROJECT INFO----------------------------------------------------~--------------- prj Type: RES.REMODEL prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: RS7 Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser X Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: 120,240 X-1 -3 200 AMPS o AMPS PROJECT NOTES------------------------------------------------------------------- WIRE REMODEL PROJECT FEES ASSESSMENT---------~-----------_----------------------------------- Service:' $0.00 Additional Feeders: $0.00 Circuit Wiring: $42.50 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $42.50 $42.50 --------------------------------- ------------~-------------------- TOTAL FEE: $42.50 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPItCTION TYPE DATE ACCItPTEll YES NO COMMllNTS GENERAL COMMENTS; PW-II01.UI4'96l y 0<i57r FEE RECEIPT NUMBER CITY OF PORT ANGELES. DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 00040;'~ PERMIT NUMBER .:' TOTAL FEE- - 3f)"; ,,,'~, '_ t _.: r , h . t , \ TIME TO COMPLETE .r- NO.~TORIES -.. ,'" " J r ~ 0('~ LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDEA THIS PERMIT, 1/\ Li W,' - 11~ CORRE~1ss IS RESPONSIBILITY OF APPL:IGANT PERM!TS WITH WRONG ADDR~ES ARE CANCE~LED ~ Own~r ~"'VY/' Me. 0"..-1.,-,)< Installation By l-::.1...,-tnL ~~Y"\(-<. L\.e. Owner's Address . . I D Y W . 1'1 .'" Installers Address 1\ f.., Q Mr P\-ea~ <in/- 'RJ Day Phone ..., 5 J.. ~Ii 4nb Installers Phone l-t S '2-{,4-'1. \j Application is hereby made...,for P.ermit to install Electrical Equipm~nt as'follows: ~O a.~ p Se'('" V\t-e .p.,... O"n\. 100 It e '-e..d-V\'L, L <> 1--) n-f' W Q cf d., tlllh . .. Site Address Wiring Method .~ -. NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PEA 10 100A FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE CIA 30 CIA 30 LIGHT SIGN LIGHT 50 VOLTS OA LESS CONVENIENCE MOTOR CONVENIENCE - MOTOR APPLIANCE _. MOTOR DISHWASHER FIAE ALAAMS . DISPOSAL BURGLAR ALARM - RANGE MISC. OVEN WATER HEATER LAUN'DRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT 2- '10 'tK"'- -K - .- TOTAL FEE ~O, a'" ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER .. A.C. UNIT '200 AMP \ PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE / ;:;'0 (J t/ [JO,"O ifIll AW.G. -. . I SUB-TOTAL - . ~o.Oo ?-OQ SIZE OF GROUND 'f SIZE OF ENTRANCE SWITCH .. ". I certify that the work to be performed under this permit will be done by the installer and in co ~ S~ -p-t By Date Application made '3 ,19 RS' \ '~ \1 , CONTRACTOR OR 0 NER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. @-'. , DIREC~ OF CITY LIGHT Date Permit Issued By ~~ U~ -- PLANS APPR VEa 1~ 7 - 0"'5 ..-- .J D. Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in I Writing on Permit Placard. A. - Permits Phone: 457-0411 Ex!. 158. WARNING. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ ) ./...:YMPIC PRINTERS, INC. WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report , , REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS 1-1~8"',) /)f/'--P /V1 t/5 T !3t>,Vtl 1'1 e T<:. .e. t3.-9s-e 7.-0 ~ /}/<..C(Ti\. A L 13 << Sf (/.( F/?iy-eL '7 - ).. 0'1' .;- ~g '-r1'5 /S d;{ 8ur "r- <' e 0 ST4J"~e oS S., a r,( (IF Ff/e1<lc/.. J) p.,j( J Ip./IJ N'/} .'L- s7'/f/JP.s OJ.Ai IV t1/ (!.,/1..N'oe t9~ /focM , I\.. oJ , \ \ \ \ \ \ \ \ \ \ \ \ \ \ / I 0/- :f-.{"' - 'tEi /JI }-.;j O.K. FOR COVERING ~ee /1t3DI'.e.... J '1-;).)"- ~!) 1//.'2 O.K. TO CONNECT SERVICE FINAL O.K. ,. z CI a: <l: ~ ~ :z: I- z W l- . l- e z e c ~ 8-28-203 7, 33A~1 FRON ANGELES ELECTRIC INC 360 452 9265 P_ 1 ~ =" ;~~: .'~".,- ~.'" ~V ELECTRICAL PERMIT APPLICATION fOR On:lrlAI. t!SP QI\'l Y Ih'~'R(\': !'trllli,' I>m^flrrll"'t~: C)'I(l~'IIrd:~___._. . "rtw FfcClfica! Pp.rrnll ^ppliC:lllt;f) m!:!~~!J~W~.<! out completl:!!lv. Ple;1se 1yp~ or reprint III Ink. If you htlvt> any questIons" please call (360. 417-4735 Fax numher: (360) 417-4711 f/TlL & ir REQUEST INSPECTION 0 Owner or Ele" Conl,actOI Agenl' _--.ll.N.GELES_.El.ECJ::lULlJIlC_ P~one:A52 _ 9 7 64 P,openy OV"1OI Jiet:.J- tJ1 {I (;fcr),/ttj , It; '/ M / Z7L ~Cily--fjKr ~) EIWncal Conll.clar: ANGELES ELgCTHIC INe. l;".!);~c('fI>P.14 60RS Exp: Fax: 4'i?-lJ76'i Phone '1.57- ~tb Zip y'p5',tZ Address Add,.,,: 524 EAST FIHST Phone: 4'i7_Q7/;4 _ Cily-Rg,RT ANGELES. WA Zip: 98362 INST I...LLAlIGN WIRED t3y: I.IOWNER xlELECTRIC~L CONlAACTOR Credit Card Holder Name: 1>p.~1 ....s.i.rnps.o.f\ Billi"g Address: Credit Card Number: S~II 96""10 1>30,/ 1'111 City: Exp, Dat!!:~b ZIp: VISA:_MC:1 PROJECT ADDRESS: /6,/ Jt). /2 -d- Sraq- TYPE OF WORK: ~denlal Check all that apply: r.1 New 11r:l\fIeration/ Addition o Multi-family rJ Commercial . 0 Mobile Home Sq, Ft [J Remole Meier Number of Circuits added or altered: o Detached garage n Hol Tub 0 Swim POOl ~- o Septic Pump o Low Voltage 0 T e'eeom_ 0 Sign DESCRIPTION OF THE ELECTRICAL PROJECT: ,)";7&1W ReJno~ aDom~ , 1'IeetrlcaJ Heat Load Addition!; 'Service Information , -l, (l1~ 11ft.. 7P 1S= 1 S-z" $ 57.1.12- o Baseboard :J Furnace .J Heat Pump ~I Fan-Wall _KW KW _KW _KW . CJ Overhead Service o Temp Service LJ Underground Service Vollage: /rt2.tJ/zrP Phase:, 0 3 Service Size: ~ Feeder Size:~ . )AMC.14.05.060(B): F~r industrial, commercial, & residenlial projects larger than a duplex, a. one -line drawing of the Electrical Servlcs & :eeders, building size (sq. ft.), load calc'Jlations, and Ihe lype & of conduclors and/or raceway is required and shall accompany Ihe :leclrical Permit application, hereby cer1ify that I have read and examined Ihis application and know Ihat same to be true and correct,' and I am IUlhorized to apply lor this permit, /;mdersland it is "at the City's legal responsibility to delermine what permits Ire required; it remains the applicanls responsibilily to determine what permits are required and to obtain such zr\V ~ J /~,\ 7'\ \01 W-9019 __ '(; ~C~ c,.,'"c,,, ",,,,,', S;'"""'.,~~+o"" ~~ Owner or EIIlC, ConI. Signature: . _ _ _ _ .~~Date: ~()L ~ 57. to 8-26-03 ~~ s' ....... ELECTRICAL WORK PERMIT APPLICATIpN Job wired by lectdcal Contractor 0 Owner In!;tallation dc!\criptiCln tJ Commercial ~deDtial J}/t Lum (.. U"n,c num~eUJ"~UJ~ .e ;::;.esr dJ4~'P / 0~ l oz-/~ me f4A/rAJo/ -zi W. /2 Sr 71'362- 6.0 - SD'i o New a Altered/AdditiOD pureJlaset"s5aizgqdrcss City j) k ..141:]"1) flM'r flt( JS1jJ ~i) -- ;-UJW~ u~ t./~ IdJ j;f a ~w.\~d SetvlC8 - LA ~ tXP\ f(;W~~~ Serv,c. SAME DAY INSPECTION. CALL nhoRE 7:00 AM 360-417-4735 Pbone n~ll}bewo scbedule iJupcction: ~Sj - t;l 0 Owner tL1 defined by RCW.J9.28.1(;/:{I} OWl/er will ocwpy (he structure' for two year.r after thif f'!l,~(:lri":aJ pc,.mil i~ fimJlizt'd. (2) Owna is required to hire an elcc:l'ical. cOn/raCIal' if abl)vc said (/NJpel'ry is Jo,. ,Hllt~, rent Qr Icas~. After reading the above statemenl. I hereby certify lhat I am the owner of the above named propcny or 3. licensed electrical cOlltraclOt. r am makinl: the: electrical instal4 l;\1ion or alteration in compliance with thc electrical laws, N.F"C., neW. Ch:lpter 19.28, WAC. Chuptcr 296-46R, The City of POri Atlgeles Municipal Code. and. Utility Specifications. S;~natorc ~:;;z.iC" cnntneto, ., elect.lcal ,dm'o''',,'.r x./l. Date: JI 21 .E.I.~cJrlcal Load Additions and or subtractions o NO LOAD CIiANGES IJ Baseboard KW o Furnace KW o Heat Pump Ton IJ Fan.Wall KW o Ca<h 0 Check # ~tCard Visa Mastercard Discover Card # . C" J. c/~ ______ J_V__~_'''4______ Expiration Dare of card ~~ ~. vortage~_(?~O/~ V Phase 1 D 3 Service Size: ~L.. Feeder Size: ~ ()' N ~ G ROUGH-IN j THERMOSTAT SERVICE " <:::J i D~tc - ^Illlr>!v<;tl L'y / D~l~ ^I'll'"oYcd My D~le ^llpflIY~d. ~y J n"AL ~ITCH FEEDER f),le Arl'l'OycdBy./ A~\'ll(lvOO My Oll.tc AflpMV~ 101)' In!>pcction Area, Building or Equipment Inspected Action Taken Elcctric:::!.1 D' f Inspector ~i-,-_. ()\L --..~.~~ -We ,~MY _..\{V ED c....F _.. -. - _. .... - ~/~? /. ~ // J.....<'" --,-v / /. l'd SSG6 GSV 0SS IN! Jld~J313 S313~N~ NOd3 N~VG'0l S0G-0S-ll