HomeMy WebLinkAbout317 W 12th St - Building
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BUILDING PERMIT
OWNER/APPLICANT
STAN GARLIC'
317W.12TH STREET
Port Angeles, W A 98362
360/452-2446
T'.'
CONTRACTOR
FRESHWATER BAY BUILDERS
2393 PLACE RD
Port Angeles, W A 98362
360/457-4332
PROJECT INFO
Project Value: $46,000.00
Project Type: CARPORT
Occupancy Type: RE~IDENTIAL
Occupancy Group:
Construction Type:
Zoning Use: RS7
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PUBUCWOIUCS'.I,UJlliJ:jINGDMSION
321 EAST ~mSTREET~~!~9~.WA98362<,
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ISSLJED? f1i07J~060 PERMIT NO: 12257
...,,.pRQ,P~RTYLOCATION
, 317 12k~LSTW
Lot: 15 &16"
Block: 346 ,,0 .Long Legal.
Subdivision: TPA .
Parcel No:
ARCHITECT
N/A
, 98360-0000,
360/000-0000
SFD Units:
SF=b sa FT:'
o
o
Commercial:
Ind'Ustrial:
Garage:
o
g,:,
o
w
--..
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MFD Units:
MFD sa FT:
o
o
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PROJECT NOTES . ., . . .' . .... ,
DEMO EXISTING CARPORT,RECONSTRUCTNEW DETACHED CARPORT, 'REMODEL
EXISTING SHOP, NEW DRIVEWAY TO CITY STANDARDS, ZONING LOT COVENANT
-
N
-+
F
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$603.85
$241.54
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
'~"L;::+~:"
Misc Fee 1:
~"Misc Fee 2:
MiscFee 3:
$0.00
$0.00
$0.00
TOTAL PEE:
AMOUNT PAID:
BALANCE DUE:
$849.89
$849.89
$0.00
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RW SANITARY WATER DWY STORM DRAOTHER
, Separate Permits are requirec(torelectricalwork, utiities,private anctpUbIic irfIpr~,ems. ThispennltlMlco~n~~ct,~;~~or
c:onstJudlon~ecj is not commencef:t within.1,8Q ctays; ~(;g~c:tiq!;l;)rwQ[ls i8.'s~spend8cl or abandoneafot;~~~,:f~O~~ys aftei'
1he ~ .'cornmericiJd, or if recIuired ~havenot been requested \Whir,1~,89 days.fromthe last inspectio~;tlh8re"~ I hive
~anct~ed~ ,~"~ know,~S!M1eto be~8Jltt,~. AI~~o!18or!,ws and or~ance1"~~f@iJg~~Ofworlc
W1"bec;ompll~d with Wl)ether Specified'herelnor not The',granting.of aperri1itdoesnot presume to gIVe authoritYto.Viofati'ur cancel the
'" ~ of any - or local \II" regCc.<>~ z::.1he~ce'l!"l'""'r"clion.
Date
Date
...."\1~~t)lNG.P~INSPJcnON RECOlU) f," '}'!c;'l~;;~;'i
',I?IVf(1 rel.n'." '.' ." .......!$;lLI\ . . ,!!.;.t~
CALL 417-481S FORBUJIi>JN9-~ONS.. ~.PJ{OvinEAMINlMuM24 HOURNOTICE~lT ISUNl,AJY!'!lLWVER.
INSULATE OR CON~.!1!''!'!!lj!!!~J':!9..!':~/!l!.!!~~AND1~.,~ P~JN 4.9l~~.~:nON.
KEEP ~CARD ANQAPPROVED PLANS AT lOB SITE. $ c
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INSPICTION TYPE . l,'~lr,';:~JB.. ':~;I~':, 'AfXEI"TJ:D C!~".~i: ""'1:
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...I~>" , J YES I NO
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I'OUNDATION: i'. '.".\ " '., "
FOOTINGS '. . ""rO,~~4
WALLS " UT
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FOUNDATION DRAINAGE - ..
"i...{LIGHTDBPT) -.r, ~ =
ELICTIUCAL<
ROtJGH.IN I .. ...~".I".'.l". .: ." . .....,.
PLUMBING
UNDER FLOOJlI SLAB .
ROUGH-IN ".
i.
WATBRLINE ". '.1 .', ',. [{} ; ~
BACK FLow I\VATBR. '. ", ..... .. '. .'
.. 7' T
AIR SEAL
WALLS .... ...{' ... I
CBILING ",'. I ) T I : ~
r. (;,\- .
,. " .p .' "7
FRAMING '. '.t:...
JOISTS I GIRDERS ...0 .. . .' s
.': "
SHEAR WAll. "
WALLS I R~{.,CBJLING ......
DRYWAll.
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T-BAR . i\ . .
. . .' '. .' . .. ". .. / : ..,,-
INSUlATION
SLAB, '., ~ Y'. ," . " . '. "
".
WAll. I FLOOR I CBILING I I
MECHANICAL
CHIMNEY . .. .' . "
WOODSTOVB/PBLl.ET
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DUCTS
PW~/srn: w()RJC!~bivision} ." . ,I '. ..,.. , :
WATERLINB/MHTBR. c;; '. ,
'. sBWBR CONNECTION . ,c",,_ l~':' .
SANITARY . .' . Of"
.' . . ,,' ~
STORM
;.'
8m DRAINAGE I EROSION CONTROL
.,
PARKING ..
0'JlIER '. i
. '. .'
.'. nNALINSPECTlONSRJ:QUIRJID .PRIOR TO OCCUPANCYIUSE
RESIDEN11AL DATE YES NO COMMERCIAL DATE .....t\CCEPTED
YES NO
ELE~C~ .~GHTDEPT. {,i;, 4174746 Ir,) ,l .... ELECTRICAL 'r,- I:, "J, "t.
. UGHT~;,; . .....
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CONSTRUCT,ION R:W.I PYlI .. :,,,.;~.;. '.' cO-NsTRUcnON%.liW:'3/, "';'~ t"Ji ....,
ENG~P'i~ '.' .... "P;1807 .'l, ,; '" . , ;' " P\Y:!EJoll,llNEERlNG,'; r,"'"'_ :'\ }. >.!i;,. '., ,.'..... ';. ".
FIRE (MUL;rtWAM. ONJ;3) '"""", I;:~""', :~nBPT,.!J;:";' , ..""!'tijio:, I~:.""''''''; H
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GENERAL COMMENTS:
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Va~ianc'e Application - VAR 00-01
.BUILDING PERMIT - PREAPPLICATION.
The Building Permit - Preapplicatlon mlUt II. Jilktl DIll completely.
Ple~ type or prlat iD IDk. If you bave any questJons, please call 417-4815
FORO~USBONLY:
Dale Rec.: - z.. 7 -di)
Permit II: 12..? Sf '
Pre-Ap Campldo7
Date Approved:
Applicant and/or Agent: winborn Arch] tects .
Phone: 452-7895
Owner: StaR~ly S. Sally ~arlic Phone: 452-2446
Address: 317 West 12th st. City: Port Angeles, WA Zip: 98362
ArchitectlEngineer: Mary Ellen Winborn Phone: .452-7895
Contractor FreShw<3.tor 'RrlV License#:freshbb1314~ 5/01 Phone:457-4332
Address: 2393 Place Rd. City: Port AnoAls'" T^TA Zip: qR::l63
PROJEcr ADDRESS: 317 West. 12th S"t:., Port Anqeles, WA ZONING
LEGAL DESCRIPlION: Lot: 1 5 & 1 6 Block: 346 Subdivision: T P A
TYPE OFWORK: SIZEIVALUATION:
2--U? '7 ~ 0 QO
~ Residential & New CODStr. 0 Reroof 0 Woodstove ~:2- Q.. SF. @ S~" /SF. = S - I
o Multi-family 0 Addition 0 Move 0 -Garage "~SF.@s '~?"" ISF.=S/ III '2-00 ,.
o Commercial Ijt Remodel 0 Demolition 0 Declc ~() ,.~ -sF. @ S 10 au /SF. = S ~ I 0 Q 0 ,.
o Repair 0 Sign 0 TOTAL VALUATION . S #~'1('() "
BRIEF DESCRIPTION OI'TIlEPROJEcr: Demo. existing carport & reconstruc ew dt:Lacl.ed
carport & new entry. Remodel existing shop.
. COMMERCIAlJRESmEN'I'IAL: Occupancy Group: R S - 7
No.' ofStOrles: --1.- Lot Size: 14 , 000 s q ftJir. Lot Coverage:
Existing LQt Coverage:, . 22 Isq. ft. + Proposed Lot Coverage:
Occupant Load:
CoosIruction Type: VN
%
. 06 1~_!l,;:::TOTALLOTCOVERAGE:
28%
JsqJ\
PLANNING USE ONLY:
NOtes:. - :
APPROVALS:
PLAN
BLDG'
DPW
FIRE
O11IER
I
,
ESAlWetland(s): 0 Yes 0 No SEPA Checklist, required? 0 Yes 0 No _ Other:
PREAPPUCATlONSUBMlITAL: Yourfl/1Plkaliorr antI_".. 1IIIISlhji1Jt!doul~ to be acceptedfor I'nIiem The Building
Division can provide you with more detailed infonnation OIl the application and plan submittal requirements. -
BUILDING PERMIT APPUCATION S1JBMI1TAL: Your completed application. site plan (for additions) and building construction
plans are to be submitted to the Building Division.
VALUATION OF CONSTRUcnON: In aU cases. a valuation 8DlO1D1t must be enten:d by the applicant. This figure will be reviewed and
may be revised by the Building Div. to comply with cum:ot fee schedules. Contact the Permit CoordinatQr at 417-481 S 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 arc due at the time of permit issuance.
EXPIRATION OF PLAN REViBw: If no permit is issued within 180 days of the date of application. this application will expire by
limitations. The Building Official can extend the time for action by the applicant up to 180 days. OIl written request by the applicant (see Sc:ction
304(d) of the Uniform Building Code, CUIreIlt edition). No application can be extended more than once.
1 heRby certi.IY that 1 have read and examined this application and know the same ta be true and correct. and 1 am authorized to apply for
thl& permit. I understand ills not the City's legal responsibility to determine what permil8 are required: it remairu the applicant',
re&ponslbility 10 determine what permil8 are required and to obtain luch., -t-:J I ( 1\ \ ~ ,.
Applicant: ~~V~Date: <l',~ '00
PW-II02_13lrcv.2J96) I
MEMO
PUBLIC WORKS
& UTILITIES
DEPARTMENT
Glenn A. Culler
Director (4801)
Phyllis Rasler
Administrative Assistant
(4800)
Cate Rinehart
Administrative Assistant
(4700)
Ken Ridout
Deputy Director (4802)
Gary Kenworthy
Deputy Director
and
City Engineer (4803)
Jim Harper
Electrical Engineer (4702)
Lou Haehnlen
Building OIIiclal (4816)
Tom Spertine
Sr. Electrical Inspector (4735)
SeaU Mclain
Power Manager (4703)
Doyle McGinley
Interim
Water, Wastewater Collection
Superintendent [4855]
Pete BurreU
Equipment Services
Superintendent [4835]
Mark Shamp
Light Operations Manager (4731)
Gary Holbrook
Interim
Treat. Plant Supervisor (4845)
Tom McCabe
SW Collection Supervisor (4876)
Steve Evans
Landfill Supervisor (4873)
Dave Wilcox
Street Maintenance Supervisor
(4825)
'*
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~ORTANGELES
"
WAS H I N G TON, U.s. A.
DATE:
):\
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January 6, 2000
TO:
Sue Roberds, Planning Specialist
Lou Haehnlen, Building Official /II
FROM:
RE:
Variance Application - V AR 00-01
GARLICK - 317 W. 12th Street
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Applicant needs to apply for a building permit and if the design of the carport is other than
conventional an engineers design will be required. t
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FORTANGELES
(,
..
WAS H I N G TON, U. s. A.
PLANNING DEPARTMENT
Date: January 4, 2000
To:
Public Works Dept. (1)
Light Dept.(2)
Fire Dept.(3)
~ng Div. (4)
From:
Sue Roberds, Planning Specialist
Subject:
Variance Application - V AROO-Ol
GARLICK - 317 W. 12th Street
The applicant has applied for a variance to allow the reduction of the minimum 20' . front yard
setback to 10' and from the minimU111 z:.. side yard to' 5' in the RS-7, Residential Single Family zone._.j--O
.~~.fiL .~'--?--
.~ ' , ..,
Please review the attached materials and retum"iyour department comments either by:!B..,Mail;,or",
memorandum to the Planning Departmentn<;> later than January 14, 2000. If the requestre~ultsim~
a'reduction in the provision of miniriluinL0S standards, please note those commertts'andany,:i;""
conditions that need to be addressed.
Your response can be placed on the "g" drive for {he Planning Department by, using the
"g:\exchange\planning\deptrsp\" file. The file number followed by your departmental extension will
be constants in the network mailbox. The network method can be used if you prefer. and particularly
if your response tends to be detailed. That way we will just copy your response word for word
without rekeying to include in Planning Commission reports.
Example: g:lexchangelplanningldeptrspl[file #] (Public Works response)
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FILING FEE: S 175.00
CITY OF PORT ANGELES
Variance ~ppIication Form
1[0) rn & rn 0 Wi m @ 1
lJl], DEe , 4 f999 U r
1
PLEAS& READ THE VARIANCE APPLICATION INSTRUCTIONS BEFORE
APPLICANT Stanley Garlick
Address 317 W. 12th ; Port
PROPERTY OWNER Stanley Garlick
317 W. 12th, Port
DAYTIME PHONE
Angeles, WA 98362
PHONE 452-2446
Address
AUTHORIZED REPRESENTATIVE/SPOKESPERSON Mary Ellen Winborn
332 E 5th Street, Suite 110, Port Angeles, WA
Address DAYTIME
Lots 15& 16cBlk, 346 TPA
Angeles, WA 98362
4!52 18~:;
PHONE
LEGAL DESCRIPTION OF PROPERTY
STREET .ADDRESS (or location) 31 7 W. 12 th
PROPERTY ZONING RS-7
STATE THE SPECIFIC NUMBER OR DIMENSION YOU ARE REQUESTING IN THE APPROPRIATE SPACE(S)
(e.g" lS-foot front yard setback) i
1 n ft. front yard setbac~ X lot coverage
ft. back yard setb~~k ft. height
5 ft. side yard setback Other (Explain)
lea) State the specific dimension and type of Code requirement that you are
9foot wide off-street parking
requesting be varied; e. g.. 25-foot front yard
setback: 7 foot sideyard reduction to5 foot sideyard setback
20 foot front yard reduction to 10 f09t front yard setback
.1(b) Please cheCK the unusual characteristic(s) that eX1.st on your property and
briefly explain:
Size
Shape
Topography; e. g. , slope. bluff. ravine. other Ravine borders west
side of property reducing rear yard 30%.
Secondly, East side of front yard has a30" level change
Locl2it~ retaining stone wall.
Located at the end of 12th street.
Surroundings
. \. I
.
l(c) Explain how the Code requirement(s) [lea)] and the unusual characteristic(s)
[l(b)] t02ether prevent you from constructing your building ~n a location or
manner or using your property in a way that is permitted The code in
RS-7 specifies a 7 ft setback in the front 2/3 on the lot. Because of
the ravine limitirtg th~ r~ar yard for parkirig, The front yard seems
the practical,location'for pa~king. The 30" level change complicates
the location of carport., limiting it to one side of retaining wall
or the other. Keeping the carport to the west .of retaining wall,:
causes carport to crowd entry and a tUll SIze ven1c.Le wIll uuL f':' L. ,
Moving the carport to the east of retaining wall is limited by setbac~:
2. Would granting your request allow you to do or build something your neighbors
cannot? No, there are other parking structures that encroach
.
ov.er the 7ft setback. (see photos). Some encroach 3~ and another
appears to be on the property line. Almost all of the residences,
that dead end into the ravine have made some type of pa~,king
concession. See Water Line.Map"for Example 1 and: 3 for front yard
explanation.
3.. Explain why your request,'. if JapproireCl , would not hurt your nt!ighbori:or the
community. The new carport will remove parking off of .l?thst::r;'~e.t,.
The carport will also have less:,yi'sual impact, by placing it to the."
East. of the 30 II retaInIng wall. It~.ill be below the g~ade ,Of the
residence and the roof will be supported by columns, not walls, as
(Supplemental pag~s may be attached)
a conventional garage. See example land 3 Water Line Map.
I CERTIFY that I have read the instructions, including the
criteria, and that the above statements are true to the best
of. my knowledge; and I acknowledge that wilfui
misrepresentation of information will terminate this
application.
FILE NO. VAP\ D!J -01
DATE REC'O ,0<I//~/9 9
TREAS. REC' PT
SIGNATURE
DATE Iz .
HEARING
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST: ..U
Date / Z - )" - tJ-eJ Time 9 tPtlJ Received by ~ (phone, person)
Location of Work to be inspected :3 / 7 tcJ / 2 ~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Ins . n (circle appropriate one): Permit No. 17- 2S-)
Sewer F ndation aming Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:.
Inspected: Date /2 -FC>eJ
Remarks:
Time~ "S.9-
~
By
&.1(
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
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)
STREET SUPERINTENDENT
(DATE)
CITY OF (PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date 1/ - 7 - 2~ Time / ./26~ Received by Rv (phone, person)
l '2 -1-//1
~/7 ,W
CAr-; ~
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer ~nda~ Framing Chimney Plumbing
-';0.+11:4')
INSPECTION NOTES:
Inspected: Date I / - f, tJ.o
Remarks:
Phone No. ~-"2g~
Permit No. l2257
Final Sewer Excav. Other
Time
~/~
~
By
CD.e
RESTORATION REQUIRED . . . . . . YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
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)
STREET SUPERINTENDENT
(DATE)
r)
AGENDA
BUILDING APPLICATION REVIEW MEETING
DATE: OCTOBER 4, 2QOO
LOCATION: PUBLIC WORKS CONFERENCE ROOM
-.-13
ITEMS TO BE REVIEWED: .~1:/ D
w~~f'& r4 l'
/1J~ cJr'1'[O
1. REVIEW A NEW 320 SQ/FT STORAGE BUILDING FOR LARRY HANIFY LfJ
TO BE LOCATED AT 3404 MT. ANGELES RD. n D CO^,,\"Y\eJ>--\--
2. "REVIEW A 220 SQ/FT BOAT STORAGE, 280 SQ/FT CARPORT FOR STAN
GARLlCTO BE LOCATED AT 317 WEST 12TH STREET. . ~
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SUBMIT COMMENTS- IN WRlTING- PRIOR TO MEETING '
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FEE A~tT tMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A c!f d-t,
P AMfT NUMBER
..
;;uJ ,00 0._
TOTAL FEE t7 LP.7
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Own Installation By
Installe"rs Address
Day Phone Installers Phone
Applicati~n is hereby made for Permit to install EJectrical Equipment as follows:
~~4 ~_A7/A41~ .
ut
Wiring Me!hod
.
NUMBER AMP 240V NUMBER AMP 120V 240V -
USE OF CIRCUIT PER 120V 100R FEE USE OF CIRCUIT PER 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR lESS
CONVENIENCE ']"- "MOTOR
CONVENIENCE MOTOR
APPLIANCE . . - MOTOR
DISHWASHER ,/ FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE ,/ MISC.
OVEN V
WATER HEATER
LAUNDRY --
"REINSTALLATION LIGHT FIXTURE # -c-
DRYER
FURNACE SUB TOTAL FEE
GAS - Oil
FURNACE ENERGY FEE
ELECTRIC -
BASIC FEE
ELECTRIC H~AT - TOTAL FEE .- .;;20, 00
ELECTRIC HEAT . SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
.- . -- - -
A.C. UNIT AMP PHASE.
- -
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE .
AW.G.
I SUB-TOTAL .'-
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
.
r certify that the wor .to be perf2Znder this permit will be done _bY the Installer and in conformance
Date Application mad . ,1~(: B~
- CON ACTOR OR OWNER (OR AUTHORIZED AGENT)
~ermission is y given to do the 8:bove described work, according to the conditions he eon and according to the approved,plans and
specifications pertaining thereto, subject to compliance with the Ordinances of.the City of Port Angeles.... , . I .
- '-, DIRECTOR OF Cn'y LIGHT -.. , , " .
BY'~ ~~~) dp.
Date Permit Issued PLANS APPROVED .1
- .
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
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
'.-~-" -
REPORT OF INSPECTOR
,
'.
~
'- " ...
, \
DATE OF VISIT i MADE BY REMARKS
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\\ 'l.m\ ~ .. O.K. FOR COVERINCl
" O.K. TO CONNECT SERVtCE
. , ; ,FINAL O.K. , "
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.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N':'
17012
Port Angeles. washlngton.......y..=......L,,1.mmm.m........._..... 19.>.7
In accordance with the City Ordinance to regulate the Installation. extension. or repair of elec-
trical equipment In. on. or about any building or other structure In the City of Port Angeles. per-
::::: ..3L2.~~L~'tZ:..~:.~:~"_,~-----
Owner ~.-4.L' /. .... ~m.(VTenant..--....__.---.............--__-----m.--m-m___..m.m.--.mm..
Wiring ~.~:~a~~r...T~-:?.m..~_____.___.. By___..m__mmm____mm.m.m_m.__________m____m__....__
Light Outlet"---________________________________.___. Service, volts __.L.:b.y.f)_f:t?_ Type of Wiring:
Receptacle Outlets............................... No. Wires~-~-1"'~;i""'~''''''''''.' Armored Cable ............................-
SI I V Non.Metallic ................................-
Dryer, KW __.nn.n..n............................ ze w res.. . .................. . ._..
(,(11 CJ Knob & Tube______________________________.__
Range, KW...................................... Main fuse ......E.~~....... ... ........
,.., ..,--, RIgid Conduit _______________________________
Water Heater: Enclosure ......~/...~............ I b
Meta lic Tu Ing ...........................
Heat~:~:2l..~-z..~_::::_:::___--
Motors: size, vols and phase:
Type of wiring:
Entrance Cable ............
Ser. No...............................................
Raceway ..............................._._..._
Circuits, Llght.______________________________________
Utility.............................................
II eat ........................u............._....._
Range .............................u..............
Water Heater ...............................
Motor ..._........................................
Rigid Conduit _______________________________
Metallic Tubing ...........................
Current transformers:
No. & Size........~............n................
Ser. No. .............................h..............
Dryer................................................_
Furnace ..........._............._......_.._. ......
Ser. No...............................................
Total I..oad....u....................... Ser. No. ................._.......................... Total.......................................
Remarks: ---------c:>~~~__----_.LY?:;r,a:t..&._!?...g.._Q..mm_.mmm_____m_m...mmm...000.....
I ".
---......-.--------.---..--..--.------------------.-.-.----------.----.-----....--------.-------------.------..-..-------------------....-----.--------------.-..-...........--.
___.m_.m...m_m_m_m._m____m__.mm__m__.____.....m.__._.______m________mmm------.----mmzm.m~---..-mm-mm..-....m---m.m--m
Permit Fee .' Treas. Receipt (')/. ~
$..__000000____...000000.000________... NO.m.__..m...mmmm.. By -;;t.!':....I1...m-- . __m..m__....__m.___.m._m.~~___......'
NOTICE-Cnrrent 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?
170U
(
Address................................................................................................................._............._........Date..._......_.._.._.._.........._......__....._..._..._
Owner ..................................__.........._......_......_.__........................................................... Tenant....................................................................
r
\ .f
\
WiringContractor..................................._......................_.............................................................By......................_.......................................
NOTICE-Current must not be turned on until Certiflcate 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. .
1M Olympic Printers, Inc.
FOR OFFICIAL USE ONLY:
Date Rcc.:
Permit#': 7/.;1...3
Date Approved:
Date Issued:
-'-0
ELECTRICAL PERMIT APPLICATION
The Electrical Permit Application must be fined out completely.
Please type or print in ink. Uyou have any questions, please call (360) 417-4735
Fax number: (360) 417-4711
Applicant and/or Agent: :Boi:J's 2-kc/,eic...JI/C, Phone: ~.s7-{,gJ'7 Fax# iI.sz~ 9'1."J
Property Owner:
Address:
Contractor..c.iA~ i5 "3~ (7
Address: .- _____
-
Phone:
City:
License #:
City:
Zip:
Exp: Phone:
Zip:
Credit Card Holder Name: c.f'I-'R. oL Gud g L /
BillingAddress: ..2~9.~ D~~j( PM k.. Rd'. CiIY.BtiI~E~~ Zip:'1rf'.S'&i:..
CreditCardNumber ~O~S-- ~710 - 0707 - 03 6{' Exp.Date: 00/"01 VISALMC_
. / S'tJ
Permit Fee: " -
Biock:
( ~/ick)
Subdivision:
ZONING
. PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
.317 w, Iz.-M
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
o Residential 0 Multi-family 0 CODlDlercial 0 Mobile Home
Electrical Permit fees are based on WAC 296-46-910
BRIEF DESCRIPTION OF THE PROJECT:
(.t,Aj~'?lil((.,I'1j SU!.t//Cf' - RU"10k
I
;11 E-hx. .
Electrical Heat Load Additions
Service Information
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
KW
KW
KW
KW
o Riser
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 I 0 3
Service Size:_
Feeder Size:
Comments:
I hereby certify that [ have read and examined this application and know Ihe same 10 be lrue and co"ecl, and I am aulhorized 10 apply
for this pennit. [understand it is not the City's legal responsibility to determine what permits are required; il remains Ihe applicants
responsibility to determine what permits are required and to obtain such.
rW.1l0Z_D [_3/..00)
cz.!il Cd HDIder'. Si&ulur..L2{c~..... -~ ~I/ c*= .s;127/ ~
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
A!J:lectrical Contractor 0 Owner
Installation description
o Commercial pesidential
Electrical contractor na~
77!uJtNffS ~,.c
Purchaser's mailing address /
/',#, 99
City /~
Telephone number
~5- ZJ'Z-
License number
7Jldj('P~fJ'?s7 (/+
Date Expires
O,r-
DNew
pltered/Addition
Premises owner's name
Address ~;'=t:~
a/7 ?J.
City /..tfL
State ZIP
ILIff 9J"3~z-
FAX number
SCJ2-- 7S-Vd
6#KlU../i-
/z..77f
1l~~--f-
ML~
Phone number to schedule inspection:
Owner as defined by RCW./9.28.26/:(/) 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.
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 instal-
lation 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 Specifica' s.
Signatur
o Cash
o Check #
o Credit Card
Card #
Visa
Mastercard
Discover
ect ,cal contractor or electrical administrator
Expiration Date
of card
Date: d- 9-d'(,
Electric~oad Additions and or subtractions
D NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton
D Fan-Wall KW
x
Service Information
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phase D 1 D 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
THERMOSTAT
SERVICE
Dale
Approved By
Date
Appruvcd By
Date
Approvcd By
FINAL
DITCH
FEEDER
Date
Approved By
Dale
Approved B)'
Dale
Approved By
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
.ti)
.~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.121 EAST 5TH STREET. PORT ANGELES. WA 9R~62
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER;
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
06-00000443 Date
618529
317 W 12TH ST
06-30-00-0-3-4670-0000-
ELECTRICAL ONLY
5/12/06
o
Owner
Contractor
GARLICK STANLEY A
317 W 12TH ST
PORT ANGELES
WA 983627606
THORNES REFRIGERATION
PO BOX 991
PORT ANGELES WA 98362
(360) 461-0158 ~
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
THORNES/ T-STAT WT',HTR.
76802
THORNES REFRIGERATION
48.10 . Plan Check Fee
5/11/06 Valuation
11/07/06
.00
o
Qty
1. 00
Unit Charge Per
48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
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
COMMENTS/ACTION NEEDED