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Home My WebLink About217 E 9th St - Building ,.~ ~ pORT ~ ~40~<<... ~rca~ "- -=..or ~ ~C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 11/09/04 04-00000417 Date .958753 217 E 9TH ST 06-30-00-0-2-6960-0000- RES REMODEL RS7 RESDNTL SINGLE FAMILY 10000 Owner Contractor HAMBURGER BERNARD/TANYA A 315 S ENNIS ST PORT ANGELES WA 983624715 OWNER Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL ALTERED CIRCUTS ELECTRIC SERVICE 48.10 Plan Check Fee 11/09/04 Valuation 5/09/05 .00 o Qty Unit Charge Per 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 52.60 52.60 .00 .00 ~ -(:' - "'-.J 3\ ~ ) ~ , D ('" --.J .............. --... -....j '"' \ '-0 r'v\ \ ~ --SJ ~ ~ r- ~ 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 a ndoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days fro the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provi 'ons of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit do not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performanc of construction. Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date T:\PLANNINGIFORMSlI102.15 [11114/2003] Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICALINSPECTIONS. 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPD SEPARATE PERMIT: # 11 .~ .il a. !l j 1')..1 ROUGH-IN If -9-.t..# ror I J lQ:cIAA- PLUMBING UNDER FLOOR / SLAB . . " ROUGH-IN '...... '1J W f>. TER LINE (METER TO BLDG) dAS LINE BACK FLOW / WATER AIRlsEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHJMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED - YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 11-7' -oC-r f(1( ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNINGIFORMSI1102.15 [11114/2003] ~ VORT ~ t4.0~((~ na "- -=->f ~ "loIi:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 '\ Application Number pin numberl . . . . Property A~dress . . . ASSESSOR pARCEL NUMBER: Applicatio~ description Subdl.vision Name Property Use Property zoning . . . Application valuation 04-00000417 Date .958753 217 E 9TH ST 06-30-00-0-2-6960-0000- RES REMODEL 5/19/04 RS7 RESDNTL SINGLE FAMILY 10000 R~Alto r/r!?! Ob Owner Contractor HAMBURGER BERNARD/TANYA A 315 S ENNIS ST PORT ANGELES WA 983624715 OWNER . Perml.t Addl.tl.onal desc Permit Fee Issue Date Expl.ration Date MECHANICAL PERMIT 54.25 Plan Check Fee 5/19/04 Valuation 11/15/04 .00 o Qty Unl.t Charge Per Extension 47.00 7.25 '}.:/ -J BASE FEE 1.00 7.2500 ECH ME-VENT FAN Permit Additl.onal desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 68.00 5/19/04 11/15/04 plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 47.00 21. 00 \t\ BASE FEE 3.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP .....Q ;t Perml.t BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 204.75 Plan Check Fee .00 Issue Date 5/19/04 Valuation 10000 Expl.ration Date 11/15/04 Qty Unit Charge Per Extension BASE FEE 92.75 8.00 14.0000 THOU BL-2001-25K (14 PER K) 112.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 327.00 327.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 331.50 331. 50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, rivate and public improvements. This permit becomes null and void if work or constructIon authorized is not commenced wlthm 180 day . if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or If required inspe ti have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this apphcatlqn now the same to be true and correct. All provisions of laws and ordinances governing thiS type of work Will be complied with wheth p clfled herem or not. The granting of a permit does not presume to give authOrity to violate or cancel the provIsions of any stat al law regulating construction or he pe ormance of construction. f (q O~ Signature of Contractor or Authorized Agent Date Date T \PLANNING\FORMS\1102 15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LI{iHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB II_I/' -tNI 1.1 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 j i- 1l. --f) }.J I . 1... DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL rnRC)arlfCtJ.! R{J~h -I V) I J-I b ()~ /J(J I HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'5 SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W. / PW/ CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 / I " --.. / PLANNING DEPT BUILDING 417-4815 \/r~l(n. \jVV BUILDING T \PLANNING\FORMS\1102 15 [11/14/2003] I , BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY Date Rec <:"-1 () -Ot.j Pemllt # ot../ -- '-117 Date Appl Dved Date Issued Fill out COMPLETELY and in INK. Your applIcation and site plan MUST BE COl\1PLETE to be accepted for revie"v. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 ApplIcant or Agent. I5E R A(/-tf? () Owner: OtJtWl.l!- II A fi!/!,IA t1 tr E 1'<.. Phone ~ho "-f JL- O'-f-O J- /0'()3-J!/~r / ;:' q r fr Phone. CItY' rOll; AAJ(rcl.Ef Address 11 f ZIp: fJJ67.. Archltect/Engmeer: Contractor Phone: State LIcense #: Exp: Phone' ZIp ZONING: (2 C ~ 1- Address: PROJECT ADDRESS' Z ( ? LEGAL DESCRIPTION. Lot. c CIty: 0; ,11. ,rr Block. SubdIVIsIon. CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: ~ Resldent1al 0 New Constr. 0 Re-TOof o Multi-family 1& Add1tlOn 0 Move o Commercml ~ Remodel 0 DemolitlOn o Reparr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT: City: EAll' Date: o Stove o Garage o Deck o Other A Of) AA-rf1 Ie OtJ /7 SIZEN ALUATION: SF. @ $ ISF. = $ SF @ $ ISF. = $ SF. @ $ ISF. = $ TOTAL VALUATION $ I tJ ) c;-o-O TO ;J/tf.EnE/\/r (/A/TeR...;O~ ) / COMMERCIALJRESIDENTIAL: Occupancy Group' Occupant Load: No ofStones.L LotSlZe' fol?Oif.ExIStrngSq Ft. UtJo & Proposed Sq. Ft. Totallcrt coverage '[.1 % ConstmctlOn Type. = TOTAL Sq. Ft APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESA/W etland(s). 0 Yes 0 No SEP A Chec1dlst requrred? 0 Yes 0 No Other BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DlV1slOn can prOVIde you WIth infonnatlOll all the apphcatlOn and plan subllllttal requirements If you have questlOns. VALUATION OF CONSTRUCTION In all cases, a valuation amount mllst be entered by the apphcant. Tills figme WIll be revIewed and may be 1 eVlsed by the Bmldmg DlVlslOn to comply WIth cunent fee schedules Contact the Pennit Coordmator at 417 -4815 for aSSIstance PLAN CHECK FEE. IF a plan check fee IS due 1t must be sublllltted at the tm1e the bllllding pelTlllt apphcatlOn and construction plans are sublllltted All other pemnt fees are due at. the trrne of pemnt Issuance EXPIRATION OF PL'AN REVIEW: Ifno pemnt IS Issued WIthin 180 days ofthe date ofapphcatlOn, the application will expire. The Buildmg OffiCIal can extend the tm1e for actlOn by the apphcant up to 180 days upon wntten request by the apphcant (see SectlOn I 074 of the Umform BUlldmg Code, cunent edltlOn). No apphcatlOn can be extended mOle than once. T \FORMS\APPS\BUlldmgpenmt wpd Date I hereby certify that I have read and exammed this applicatIOn and k understand that it is my responsibility to determme what permits are 0 /i.t 'iJ iI .' , ~ l;: "'1 '^ , I:> n. ~ .. ~ v, ~ ~ o ~d((.,/ hool.<l.ff _ CITY OF PORT ANGELES - ConStruction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the bUlldmg official from thereafter requiring the correction of errors in said plans, specificatIOns and other data, or from preventmg buildmg operatIOns being carried on thereunder when m violatIOn of all codes and ordmances of thiS jurisdicbOn. (SECTION 303(c) . Uniform Building Code.) r:::, \ / Approval ,Date !l-I?-dI By /'- V . :;. '6" (3 ~'B \': + ~\ ?-- FILE OLI:> CH'11Iv'~7 ~ -:1'~' C' ~ ~'"C (\. / , / ,/ /, / " / < i s e+w /'I ~ Bathroom addition Address: 217 East 9th Street Port Angeles, W A 98362 360-452-0405 Plan Add a bathroom to the basement at 217 east 9th Street. Location East Side of the unfinished part of the basement Hardware to be installed . Shower Receptor . Toilet . Lavatory (pedestal) . Fan . Laundry Hookups (north wall to unfinished part of basement) . Sewage ejector to tie waste line in to 5" sewage line on west side of the house) Maximum Floor Dimensions , 14' 11" x 7' 5" with a max. ceiling height of 7' 1 " CITy /]f: bn:t:.' r~ ,~~ lJ. . S/19/84 84 Typ~: t! **, ~SC':Jpt.J R~C~iPt /)ril"~r. ~t184 01; 1;0.. 1 lIP 1JUII..!JINs 4~11;tity . 46481 lrillJs P[/fftJITS lJ'OlJlJt HIJ/tJJJus[~IJ'b~r: 1. Be l~lJd~r CI( (:H[!.!filil 10fill t '-I! Totill ~lJd~"ed oJ"'4S1 Pt3}1'~1;t I.... r,..s d.t . dJ/ Se **iI e. S/19/84 . 1.331.5:: THIJNJr J1 lJ 'e . fOR l 'OU fOR y~ . 12:82:.16 N/){;IRlts PI ~^_ 'fr PlJY/tftNr . '-CJ./S[ en. **i- 'f.t.. J68'4S'1 'iJ411 1';41. Sa IlSS61 PREPARED 11/09/04, 13 20.46 CITY OF PORT-ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 11/09/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER 217 E 9TH ST SUBDIV PHONE PHONE . HAMBURGER BERNARD/TANYA A 06-30-00-0-2-6960-0000- 04-00000417 RES REMODEL PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 11/02/04 11/02/04 JLL DA BUILDING FINAL Bernard 452-0405 J1m, 1nspect10ns no eletr1cal perm1t, Dry Creek const no 1nspect10ns where called 1n Job was completed w1thout any 1nspect10ns/Jll BUILDING FINAL J1m 461-2474 J1m L. call contractor before you go he wants to meet you there. 'L"" ~ ~ ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 11/09/04~_13.20.~6 CITY OF PORT-ANGELES I~SPECTION TICKET. INSPECTOR JAMES L LIERLY PAGE DATE 4 11/09/04 ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER 217 E 9TH ST SUBDIV PHONE PHONE HAMBURGER BERNARD/TANYA A 06-30-00-0-2-6960-0000- 04-00000417 RES REMODEL PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL99 01 11/02/04 JLL PLUMBING FINAL TIME: 17 00 11/02/04 DA Job was completed w1thout any 1nspect1ons/Jll PL99 02 ~ ~ PLUMBING FINAL TIME 17 00 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 11/09/04, 13 20.46 CITY.OF PORT-ANGELES INSPECTION _TICKET. INSPECTOR JAMES L LIERLY PAGE DATE 3 11/09/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 217 E 9TH ST SUBDIV PHONE PHONE HAMBURGER BERNARD/TANYA A 06-30-00-0-2-6960-0000- 04-00000417 RES REMODEL PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 11/02/04 JLL MECHANICAL FINAL 11/02/04 DA Job was completed w1thout any 1nspect1ons/Jll ~~~~_~~___~\\;~~~___~~____~~~H::::::u::N::TO NEXT PAGE ___________________________________ INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE PREPARED 11/02/04, 13.23.09 ..,CITY OF PORT-'ANGELES- 3 11/02/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 217 E 9TH ST SUBDIV PHONE PHONE HAMBURGER BERNARD/TANYA A 06-30-00-0-2-6960-0000- 04-00000417 RES REMODEL PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL99 01 \\fv,;'-\ ~ PLUMBING FINAL TIME 17.00 ...----------.--..--......-...-..----- COMMENTS AND NOTES -------------------------------------- PREPARED 11/02/04, 13 23 09 CI~Y OF-PORT-ANGEDES INSPECTION TICKET INSPECTOR JAMES -L LIERLY PAGE- DATE - 2 11/02/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 217 E 9TH ST SUBDIV PHONE PHONE , HAMBURGER BERNARD/TANYA A 06-30-00-0-2-6960-0000- 04-00000417 RES REMODEL PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 ,1;/IO~/f':"" JLL ~l~ ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- MECHANICAL FINAL PREPARED 11/02/04, 13 23 09 CI-TY- OF PORT ANGELES- INSPECTION TICKET INSPECTOR JAMES L LIERLY -PAGE DATE 1 11/02/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 217 E 9TH ST SUBDIV. PHONE PHONE HAMBURGER BERNARD/TANYA A 06-30-00-0-2-6960-0000- 04-00000417 RES REMODEL PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 ~ ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- JLL D~ BUILDING FINAL Bernard 452-0405 J1m, 1nspect1ons no eletr1cal perm1t, Dry Creek const ?\'1D)~~ U.e~ QpMlpl e ~~JJ -.:LUs~. L;ed'~ IN / O..J J[( 14UY PREPARED 11/16/04, 13 03 27 - CITY OF-PORT ANGELES- - - - ~SPECTION TICKET INSPECTOR JAMES L LIERLY PAGE- DATE - 3 11/16/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 217 E 9TH ST SUBDIV: PHONE PHONE HAMBURGER BERNARD/TANYA A 06-30-00-0-2-6960-0000- 04-00000417 RES REMODEL PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL99 01 11/02/04 JLL PLUMBING FINAL TIME 17 00 11/02/04 DA Job was completed wlthout any lnspectlons/Jll PL99 02 11/09/04 JLL PLUMBING FINAL TIME 17 00 11/09/04 DA no lnspectlon made ltems covered /strap requlred on w/hJll PL1 01 ~1 16/.04 ~LL PLUMBING UNDER SLAB TIME 17:00 . JIM461-2474 ------------ ---- ------- ----------- COMMENTS AND NOTES -------------------------------------- PREPARED 11/16/04, 13 03 27 CITY OF PORT ANGELES INSPECTION TICKET - -~-- INSPECTOR JAMES L LIERLY PAGE DATE 1 11/16/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 217 E 9TH ST SUBDIV PHONE PHONE HAMBURGER BERNARD/TANYA A 06-30-00-0-2-6960-0000- 04-00000417 RES REMODEL PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 11/02/04 11/02/04 JLL DA BUILDING FINAL Bernard 452-0405 J1m, 1nspect10ns no eletr1cal perm1t, Dry Creek const no 1nspect10ns where called 1n Job was completed w1thout any 1nspect10ns/]11 BUILDING FINAL J1m 461-2474 J1m L to meet you there. no lnspectlon made ltems covered and owner 15 e-malllng photos of work/]ll BUILDING FRAMING call contractor before you go he wants BL99 02 11/09/04 11/09/04 JLL DA BL3 01 ~ JLL ---------------------~------ TIME 17 00 CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 11/16/04, 13 03.2-7--- CITY OF PORT ANGELES --- INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2-- 11/16/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER' 217 E 9TH ST SUBDIV PHONE PHONE . HAMBURGER BERNARD/TANYA A 06-30-00-0-2-6960-0000- 04-00000417 RES REMODEL PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 11/02/04 JLL MECHANICAL FINAL 11/02/04 DA Job was completed wlthout any lnspectlons/J11 ME99 02 11/09/04 JLL MECHANICAL FINAL 11/09/04 DA no lnspectlon made ltems covered/J11 M"..O'..~..~...M'C-::::::u::~:,:N"':'::G"'.OO............ .....___._________. / . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. ..3(;, 7 D (,130/'72- / ' DATE Site Address: ,;;(1 E. ~ /J1C/~ 'Bl9b ~$,S READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: OwnerfBusiness Address: Sq. Ft. y-, RESIDENTIAL b- COMMERCIAL D BASEBOARD KW _ D FURNACE KW _ D FAN/WALL KW _ D HEAT PUMP KW_ D SIGN D TEMPORARY SERVICE D PERMANENT SERVICE D NEW CONSTRUCTION ~ REMODEL D ADD/ALTER CIRCUITS D SERVICE UPGRADE/REPAIR D SPECIAL EQUIPMENT (LIST BELOW) D OVERHEAD SERVICE D UNDERGROUND SERVICE VOLTAGE: D SINGLE PHASE D THREE PHASE SERVICE SIZE AMPS Details/Description: B:~d[1 I- ~-'1 c~ /&tPM . W.S. No. SERVICE SIZE CAPACITY: D O.K. NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. 1~ROUgh-in/c,$lVer O.K. D O.K. to connect service #,F' Final O.K. Site Address: Permit/Receipt No. ;;;(; 70 Installer: Pr - L New Meters . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Buildi ermit. PHONE 457-0411, EXT. 224. f)-O NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~ D __ Electrical Inspector Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC. . . ., FROM : F>lX NO. Nov. 08 2004 12:01PM Pl (i.D~~~~,,*,,, . '" ..., ELECTRICAL PERMIT APPLICATION 9,.... ;> FOA. OFI"ICI1\.L. USf. ON1.Y Oludi.ec::_____..~..._ Po;n'li~ll _ D.!~AppIllVlld: Dlt.\~ 1:i.t~1fd TM Electrical Permit Application must be fiUad out comaletelv. Please type or te.,rint in ink. tf you have any questions, please call (360)417-4735 Fax number, (360) 417-4711 INSTAl-LATION WIRED BY; DOWNER o ELECTRICAL CONTRACTOR 6~ ~ Cmdll Card Holder Name: Credit C8rdNumoer: Exp. Oat..: Zip: V1SA.~ Me: Billing Address: .;};/fn E, Ef.u.... Check all that apply: C New ~ PROJECT ADDRESS: TYPE OF WORK: ------ ~esidential o Alteration/Addition o Multi-family Q Commercial o Mobile Home SQ. Ft ~ - o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump -- o Low Voltage 0 Telecom. 0 Sign Number of Circuil$ added or altered: 2- ~ ('<.,. \A.v\\ DESCRIPTION OF THE ELECTRICAL PROJECT: Electrical Heat Load Additions and or Subtractions Service Information c:; Baseboard o Furnace lJ Heal Pump ~ Fan-Wall KW KW TON LRA _KW --- o OV'erhead Sel"Jice D Temp Service o Undergruund Service Voltage: It..6/ J.- Phase: ~ 0 3 Service Siz.:;>"'~'r... Feeder Size: I hereby certify that I have read and examined this application and know that 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 applicants responsibility to determine what permits are required and to obtain such. . e..., e.~ _M"'.""'"re,~....r;I Do.., i"(in Owner or Elec. Cant. Signature: Date: If (~ ::JELECTRICAlPERMI1'APPlICA 1'1 ON PERMIT FEE: $ CITY OF PORT ANGELES PE1t NIIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 Pia: (360) 417 -4735 Fax- (360) 417 -4711 Date: -10 w 9,12- Plan Review May �?I °� Job Address: -- -.. �._. .-.1 Building Square Footage: Description of above _ Owner Information Name Be Req 2 Single Family Dwelling Please Complete Electrical Plan Review Information Sheet Mall' Address; .A I ', e `1 ' -t City: U- State ., __ Zip, 9 1a 2 Phone: 460 - . -1a i Fax: License #! Exp. �F, Unit Ch_a_rge Qty Service/Feeder 200 Amp. N Service/Feeder 2C1 -400 Amp. $146.00 Service/Feeder 401 -600 Amp $ 205.00 Service/Feeder 601 -1000 Amp $ 262.00 Service/Feeder over 1000 Amp. Contractor Information Name: Malting Address: City: Slate: Phone: Fax: License # 1 Exp. Item Unit Ch_a_rge Qty Service/Feeder 200 Amp. $120.00 Service/Feeder 2C1 -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 WI Service Feeder $ 5.00 Branch Circuit WIO Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1 -4 $ 75,00 Temp Service! Feeder 200 Amp, $ 93,00 Temp. Service/Feeder 201 -400 Amp. $110,00 Temp Service/Feeder 401 -600 Amp. $ 149,00 Temp, Service/Feeder 601 -1000 Amp . $ 16800 Portal to Portal Hourly $ 96.06 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 CNLY: 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 Zip: Total (Qty Multiplied by Unit Chame $ $ $ $ $ $ $ $ �,5.O �TotaI 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 electricai 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 , ROW, Chapter 19.28, WAC. Chapter 295 -463, The City of Port Angeles Municipal Cade, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications Signature of owner, electrical contractor or electrical administrator: ❑ cash )< Check ❑ Credit Card# X r °° s. Dated: 1 r 14(L —x965— 011CV2a12 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . , , . . 12- 00001357 Date 10/15/12 Application pin number , . . 217164 Property Address . , , . . . 217 E 91`H ST ASSESSOR PARCEL NUMBER: 06--30-00-0-2- 6960 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . , , Property Use Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . , . 0 Application desc 1 -4 circuits to replace Knob and Tube Owner Contractor JEREMY AND JENNIFER PETTY OWNER 1765 DEER PARK ?CRT ANGELES WA 98362 Permit . , . , . . ELECTRICAL ALTER RESIDENTIAL Additional desc 1 -4 CIRCUITS Permit Fee 75.00 Plan Check Fee 00 Issue Date 10/15/12 Valuation 0 Expiration Date 4/13/13 QtyUsiit Charge Per Extension BASE FEE 75,00 Fee summar Charged Paid Credited Due Permit Fee Total 75,00 75.00 .00 .00 Plan Check Total ,00 .00 p0 .00 Grand Total 75.00 75.00 .00 .00 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN Cam" FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X _� Date: G:INXCHANGF\B UIL.DING Cry N J