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Home My WebLink About207 W 12th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Security system Owner STEPHEN LINDA HOWARTH 207 W 12TH ST PORT ANGELES (360) 457 6102 Permit Additional desc Permit pin number 162859 Permit Fee 63 90 Issue Date 3/25/10 Expiration Date 9/21/10 Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983627715 63 90 00 63 90 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 10 00000294 089102 207 W 12TH ST 06 30 00 0 3 4592 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 1 00 63 9000 ECH EL SINGLE CIR LIMITED RES Paid Credited 63 90 00 63 90 DATE Plan Check Fee Valuation 00 00 00 3frolr 3130/b Date 3/25/10 GAYLORD INDUSTRIES INC 580 NACHES AVE SW STE 101 RENTON WA 98055 (800) 575 4939 RESULTS 00 0 Extension 63 90 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. 0 03/22/2010 13 21 FAX 425 227 7650 GAYLORD INDUSTRIES CITY OF PORT ANGELES PERMIT APPLICATION Owner Information Name: 5+1 °*e� a LJc Mailing Address: plCSl lx: rat+„ s-t- City: (art- IQn Ales State Iota Zip: Q83coQ. Phone acre- 4 5' 7 -4 rcl;Fax: License Exp. Item Service/Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401 -600 Amp Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service/Feeder 401 -600 Amp. Temp. Service/Feeder 601 -1000 Amp Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit! Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charge $119.90 $145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 $110.30 148.70 $167.90 95.90 88.20 95.90 63.90 63.90 $119.90 $102.30 56.00 $110.30 3520 73.50 $110.30 RECEffin MAR 23 [009 Contractor In Name: C4. to.S S..,Au- ,4rees _17%. r Mailing Address: rRme z9..dC a-e s #(2n C ify I� P..t— State: LA-VA Zip: CT WO.: Phone: 49514/11111 Fax: 49-5" -1 `74 sty License Exp. c 41C L 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 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, ele icai contractor or electrical administrator Cash cheek 8 Credit Card /PaSe X <df' Dated: 3 L ZZ 2c r a Ca l/ eat ocr6E' I?) 002/002 Building Division/Electrical Inspections RICAL 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 9�CTIOIVS Ph. (360) 417 -4735 Fax: (360) 417 -4711 Date 5 1 Lz t 2c Z. ✓1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete e.).-.1- ectrical Pan Review Information Sheet Job Address: T ui a.r� g PIPS 4y 34, Building Square Footage: Description of above X 0 prim-re, 4..; rri? <e'�` A,r� lei v G;` 61/07 Sfic e• /KFe.. -F Polf ,17f iA.dd.€.' --e/ ces's r_ .g2,2.-&-/,/ `s e°f��/. Cu ye le5S Total (Qty Multiplied by Unit Charge] (Q3.'( Total 0110112010 It /,7/ rn f d L 05- )0 9 6 17-7,5- g e K7fo2 PREPARED 11/28/07 10 27 55 INSPECTION TICKET PAGE 17 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/28/07 ADDRESS 207 W 12TH ST SUBDIV TENANT NBR STEPHEN HOWARTH MD CONTRACTOR WESTSOUND CHIMNEY SERVICE PHONE (360) 698 4669 OWNER STEPHEN LINDA HOWARTH PHONE (360) 457 6102 PARCEL 06 30 00 0 3 4592 0000 APPL NUMBER 07 00001199 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 10/25/07 PB MECHANICAL GAS LINE 10/25/07 AP October 25 2007 2 20 34 PM 1pangrle CARMEN 683 0163 OR 477 5786 GAS LINE ME99 01 11/28/07 J L MECHANICAL FINAL TIME 01 00 November 26 2007 3 25 57 PM 1pangrle LINDA 457 6102 MECHANICAL FINAL GAS FIREPLACE WED AFTERNOON COMMENTS. AND NOTES g c5,„ FAX NO. k \ou3c7c.rA A u3`06 scoil S Q C 5 ®K t s4- 1F\rN (I3 J6C- �e bnrD Nov 26 2007 09 36AM P1 -J" c )-eAl bey- 01,3 Co FROM MANUFACTURED HOMES FOOTING /SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERVIT /Pa PARKING/L1(UTING LANDSCAPING RISIDENTIAL ELECTRICAL L1GIIT DEPT CONST)WCTION R.W /PW/ ENGINEERING FIRE PLANNING DEPT 417.473.5 I 4 17 4)7.4653 4) 7 -4750 BUI LDING 417 -481_ Y ,.‘1 144\2 /02 15 btildi tg permit inspection Teemd05.wpd (I FAX NO. BUILDING PERN/ITINsmcnoN RECORD CALL 4 1174815 FOR Bl JILDING INSPECTIONS CALL 4 174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 1.1 OUR NOTICE UNL4H'J /L JO COI. R, INSULATE OR CONCEAL INSPECTED 4ND ACCEPTED. POST PERMIT IN .4 CONSPICUOUS LOCATION'. WORD( l►CFORF KEEP PERMIT CAR.D A ND APPROVED PLANS AT .1OB SITE, INSPECTION TYPE DATI? aC('EJ'Il.p I COMMENTS YE s NO FOUNDATION: FOOTINGS 447 /Q 'I tJ y Atalio S,c 14JL 07 I011 FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER. FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I 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 ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD sTOVP, /PELLET CHIMNEY I 6 1 c SlyA: ESA. SNOKS NE: FINAL INSP1.CTIONS RLQULRED P DR TO OCCUPANCY/WI: DATE YES NO COMMERCIAL CI it- ox, &An. FINAL FINAL uG'HT PW ENGINEERING W FIRE DEPT. PLANNING DEPT BUILDING Nov 26 2007 09 36AM P2 DATE ACCEPTED BY: DATE V'v A per 40 DATE I_ I I r I I I I I I ACCEPTED BY: ACCEPTED YES I NO 7 PREPARED 10/25/07 10 45 49 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/25/07 ADDRESS 207 W 12TH ST SUBDIV TENANT NBA STEPHEN HOWARTH MD CONTRACTOR WESTSOUND CHIMNEY SERVICE PHONE (360) 698 4669 OWNER STEPHEN LINDA HOWARTH PHONE (360) 457 6102 PARCEL 06 30 00 0 3 4592 0000 APPL NUMBER 07 00001199 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 10/25/07 (ti/5 JLL MECHANICAL FINAL October 25 2007 8 55 25 AM 1pangrle CARMEN 683 0163 OR 477 5786 MECHANICAL FINAL LP TANK GAS FIREPLACE COMMENTS AND NOTES 6�y CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00001199 Date 10/24/07 Application pin number 078855 Property Address 207 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 4592 0000 Tenant nbr name STEPHEN HOWARTH MD Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3478 Owner Contractor STEPHEN LINDA HOWARTH WESTSOUND CHIMNEY SERVICE 207 W 12TH ST 8322 BIG BIRD DR PORT ANGELES WA 983627715 SILVERDALE WA 98383 (360) 457 6102 (360) 698 4669 Permit MECHANICAL PERMIT Additional desc GAS FIREPLACE INSERT Permit pin number 113373 Permit Fee 60 65 Plan Check Fee 00 Issue Date 10/24/07 Valuation 0 Expiration Date 4/21/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 ECH ME GAS PIPE 1 TO 5 10 65 Fee summary Charged Paid Credited Due Permit Fee Total 60 65 60 65 00 00 Plan Check Total 00 00 00 00 Grand Total 60 65 60 65 00 00 v\ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel ttt? provi s of any state or local law regulating construction or the performance of I construction. lV 1 i ature of Contractor or uthorized Agent ry. Date Print Name T.Forms /Building Division/Building Permit (10/0 I/07).wpd Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD 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 FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 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 417 -4735 ►o ZS -tn P R YES I NO FINAL FINAL II-28-0 DATE vl/ ACCEPTED BY. SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I PLANNING DEPT BUILDING 417 -4815 I I I I BUILDING T Forms /Building Division /Building Permit (10 /01 /07).wpd DATE ACCEPTED BY. 0 DATE ACCEPTED I YES I NO Jel OCT /1l /20U7 /THU 12 2" PM DEPT OF COMM DEV FAX No 3604174711 Applicant or Agent CAnn..4_AM Ah ALI ,SJbt S. Phone 3W-t 3-O/_&e3 Owner ST n./ i,4vt j-1 f►'t U Phone 3hd-'j(7- Le/0.2- Owner's Address pL07, Gt/, Contractor /Engineer WE= lu• C411 C. Phone Contractor /Engineer's Address D21 /OIL, a14.4 Jr. Sif tc,(4 4S 3t? PROJECT ADDRESS Parcel Number Prolact Tvoe Brief Des Check all that apply New Construction o Addition o Remodel a Repair o Re -roof o Demolition o Sign o Heat System Other Floor Areas Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? P 002 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417-4711 License G✓ESTS'G.S i3MY1 L crintion. `t T► ski ler 4 /3oVE For City Use Only Date Received (0 15- 0 Permit 07- l l q i Date Approved Expires 8 -2. zo or Lot Zoning X Residential o Commercial o Multi- family o Industrial o wall- mounted o projecting o freestanding awning other Total sign area sq. ft. Maximum allowed sign area sq ft. o Heat pump o wood burning stove Xgas fireplace o pellet stove o other /n/5kT LP 1ANK Existing (sq. ft.) Proposed (sq. ft.) Basement per sq ft. 'I Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq. ft. Lot size ft. have read and completed this application and know it to be true and correct l ari authori understand that it is my responsibility to determine what permits are required, an 1 ob projects. Date Print Name ��,r�1 rn Q ✓41 YI I Signature T.Forms /BulldIng Division/Bldg Permit Appl.-2006 Code.doc Occupancy group Occupant load Construction type OCT 11 2007 14 11 3604174711 TOTAL VALUATION 00 sq. ft. Lot coverage of bedrooms of full baths of half baths 'n pc to apply for this permit and its prior to working on Page 2 PREPARED 8/06/07 10 00 24 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/06/07 ADDRESS 207 W 12TH ST TENANT NBR STEVE LINDA HOWARTH CONTRACTOR STIMBERT CONSTRUCTION INC OWNER HOWARTH STEPHEN /LINDA PARCEL 06 30 00 0 3 4592 0000 APPL NUMBER 07 00000367 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/11/07 JLL BLDG FOUNDATION FOOTING TIME 03 00 5/11/07 AP 05/11/2007 08 27 AM LPANGRLE TONY 460 0342 GARAGE FOOTING REQUESTED LATE AFTERNOON INSPECTION 05/11/2007 04 45 PM JLIERLY 05/15/2007 04 34 PM PBARTHOL BLEW 01 5/15/07 PB BLDG FOUND FTG /STEM WALL TIME 09 00 5/15/07 AP 05/14/2007 01 07 PM LPANGRLE TONY 460 0342 GARAGE STEMWALL INSPECTION REQUESTED MORNING INSPECTION WILL POUR IN PM BL3 01 5/31/07 JLL BLDG FRAMING TIME 02 00 6/01/07 AP 05/31/2007 08 09 AM LPANGRLE TONY 460 0342 FRAMING 1 0 3 =1X 2 01 04 11 PM JLIERLY 08/06/2007 08 21 AM LPANGRLE REQUESTED AN AFTERNOON INSPECTION BL99 01 8/06/07 A CLIFFORD 452 7505 BLDG FINAL SUBDIV COMMENTS AND NOTES PHONE (360) 452 7505 PHONE (360) 457 6102 PREPARED 6/29/07 10 04 10 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/29/07 ADDRESS 207 W 12TH ST SUBDIV TENANT NBR STEVE LINDA HOWARTH CONTRACTOR STIMBERT CONSTRUCTION INC PHONE (360) 452 7505 OWNER HOWARTH STEPHEN /LINDA PHONE (360) 457 6102 PARCEL 06 30 00 0 3 4592 0000 APPL NUMBER 07 00000368 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFW 01 4/27/07 PB BLDG FOUND FTG /STEM WALL 4/27/07 AP 04/26/2007 11 24 AM LPANGRLE TONY 460 0342 REQUESTS A MORNING INSPECTION OF THE RETAINING WALL /SUNROOM FOUNDATION THEY WILL POUR IN THE AFTERNOON 04/27/2007 10 56 AM PBARTHOL BLFS 01 5/08/07 PB BLDG MONO SLAB TIME 09 00 5/08/07 DA 05/07/2007 04 00 PM LPANGRLE TONY 460 0342 MONOSLAB MORNING INSP WILL POUR IN THE AFTERNOON 05/08/2007 12 57 PM PBARTHOL THRMO BREAK FOR HEATED SPACE BLFS 02 5/09/07 PB BLDG MONO SLAB 5/09/07 AP 05/08/2007 01 30 PM LPANGRLE TONY 460 0342 MONOSLAB 05/09/2007 04 41 PM PBARTHOL BAIR 01 6/28/07 JLL BLDG AIR SEAL 6/28/07 AP 06/27/2007 08 10 AM LPANGRLE TONY 460 0342 AIRSEAL THURSDAY INSP 06/28/2007 03 38 PM JLIERLY BL3 01 6/28/07 JLL BLDG FRAMING 6/28/07 AP 06/27/2007 08 11 AM LPANGRLE TONY 460 0342 FRAMING THURSDAY INSP 06/28/2007 03 38 PM JLIERLY BLI 01 6/29/07 S BLDG INSULATION 06/29/2007 09 31 AM LPANGRLE TONY 460 0342 INSULATION COMMENTS AND NOTES PREPARED 6/28/07 8 48 09 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/28/07 ADDRESS 207 W 12TH ST SUBDIV TENANT NBR STEVE LINDA HOWARTH CONTRACTOR STIMBERT CONSTRUCTION INC PHONE (360) 452 7505 OWNER HOWARTH STEPHEN /LINDA PHONE (360) 457 6102 PARCEL 06 30 00 0 3 4592 0000 APPL NUMBER 07 00000368 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLEW 01 4/27/07 PB 4/27/07 AP BLFS 01 5/08/07 PB 5/08/07 DA BLFS 02 5/09/07 5/09/07 BAIR 01 6/ /07 BL3 01 6/28/07 JLL BLDG FOUND FTG /STEM WALL 04/26/2007 11 24 AM LPANGRLE TONY 460 0342 REQUESTS A MORNING INSPECTION OF THE RETAINING WALL /SUNROOM FOUNDATION THEY WILL POUR IN THE AFTERNOON 04/27/2007 10 56 AM PBARTHOL BLDG MONO SLAB TIME 09 00 05/07/2007 04 00 PM LPANGRLE TONY 460 0342 MONOSLAB MORNING INSP WILL POUR IN THE AFTERNOON 05/08/2007 12 57 PM PBARTHOL THRMO BREAK FOR HEATED SPACE BLDG MONO SLAB 05/08/2007 01 30 PM LPANGRLE TONY 460 0342 MONOSLAB 05/09/2007 04 41 PM PBARTHOL BLDG AIR SEAL 06/27/2007 08 10 AM LPANGRLE TONY 460 0342 AIRSEAL THURSDAY INSP BLDG FRAMING 06/27/2007 08 11 AM LPANGRLE TONY 460 0342 FRAMING THURSDAY INSP COMMENTS AND NOTES CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000646 Application pin number 312068 Property Address 207 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 4592 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor CHRISTIANSEN JAMES F /TERESAA 207 W 12TH ST PORT ANGELES WA 983627715 COLEMAN ELECTRIC P 0 BOX 1326 PORT ANGELES PORT ANGELES (360) 452 7594 Permit ELECTRICAL NEW RESIDENTIAL Additional desc COLEMAN /100A TO GAR S RM HTB Permit pin number 103754 Sub Contractor COLEMAN ELECTRIC Permit Fee 75 00 Plan Check Fee 00 Issue Date 6/06/07 Valuation 0 Expiration Date 12/03/07 Qty Unit Charge Per 1 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total 75 00 00 75 00 COMMENTS /ACTION NEEDED 75 00 00 75 00 00 00 00 Date 6/06/07 WA 98362 Extension 75 00 00 00 00 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. FINAL INSPECTION TYPE DITCH 16-6=07 I ROUGH -IN COVER 16.-J13-0/ SERVICE I -v7 Z7 GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES I NO COMMENTS aw- ii02.I3I4? PREPARED 5/31/07 8 35 20 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/31/07 ADDRESS 207 W 12TH ST SUBDIV TENANT NBR STEVE LINDA HOWARTH CONTRACTOR STIMBERT CONSTRUCTION INC PHONE (360) 452 7505 OWNER HOWARTH STEPHEN /LINDA PHONE (360) 457 6102 PARCEL 06 30 00 0 3 4592 0000 APPL NUMBER 07 00000367 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/11/07 JLL BLDG FOUNDATION FOOTING TIME 03 00 5/11/07 AP 05/11/2007 08 27 AM LPANGRLE TONY 460 0342 GARAGE FOOTING REQUESTED LATE AFTERNOON INSPECTION 05/11/2007 04 45 PM JLIERLY 05/15/2007 04 34 PM PBARTHOL BLFW 01 5/15/07 PB BLDG FOUND FTG /STEM WALL TIME 09 00 5/15/07 AP 05/14/2007 01 07 PM LPANGRLE TONY 460 0342 GARAGE STEMWALL INSPECTION REQUESTED MORNING INSPECTION WILL POUR IN PM BL3 01 5/31/07 LL BLDG FRAMING TIME 02 00 05/31/2007 08 09 AM LPANGRLE TONY 460 0342 FRAMING REQUESTED AN AFTERNOON INSPECTION COMMENTS AND NOTES PREPARED 5/15/07 8 17 21 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/15/07 ADDRESS 207 W 12TH ST SUBDIV TENANT NBR STEVE LINDA HOWARTH CONTRACTOR STIMBERT CONSTRUCTION INC PHONE (360) 452 7505 OWNER HOWARTH STEPHEN /LINDA PHONE (360) 457 6102 PARCEL 06 30 00 0 3 4592 0000 APPL NUMBER 07 00000367 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/11/07 JLL 5/11/07 AP BLFW 01 5/15/07 JLL BLDG FOUNDATION FOOTING TIME 03 00 05/11/2007 08 27 AM LPANGRLE TONY 460 0342 GARAGE FOOTING REQUESTED LATE AFTERNOON INSPECTION 05/11/2007 04 45 PM JLIERLY BLDG FOUND FTG /STEM WALL TIME 09 00 05/14/2007 01 07 PM LPANGRLE TONY 460 0342 GARAGE STEMWALL INSPECTION REQUESTED MORNING INSPECTION WILL POUR IN PM COMMENTS AND NOTES PREPARED 5/11/07 9 09 05 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/11/07 ADDRESS 207 W 12TH ST SUBDIV TENANT NBR STEVE LINDA HOWARTH CONTRACTOR STIMBERT CONSTRUCTION INC PHONE (360) 452 7505 OWNER HOWARTH STEPHEN /LINDA PHONE (360) 457 6102 PARCEL 06 30 00 0 3 4592 0000 APPL NUMBER 07 00000367 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/11/07 JL BLDG FOUNDATION FOOTING TIME 03 00 05/11/2007 08 27 AM LPANGRLE TONY 460 0342 GARAGE FOOTING REQUESTED LATE AFTERNOON INSPECTION COMMENTS AND NOTES PREPARED 5/09/07 12 14 17 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/09/07 ADDRESS 207 W 12TH ST SUBDIV TENANT NBR STEVE LINDA HOWARTH CONTRACTOR STIMBERT CONSTRUCTION INC PHONE (360) 452 7505 OWNER HOWARTH STEPHEN /LINDA PHONE (360) 457 6102 PARCEL 06 30 00 0 3 4592 0000 APPL NUMBER 07 00000368 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFW 01 4/27/07 PB BLDG FOUND FTG /STEM WALL 4/27/07 AP 04/26/2007 11 24 AM LPANGRLE TONY 460 0342 REQUESTS A MORNING INSPECTION OF THE RETAINING WALL /SUNROOM FOUNDATION THEY WILL POUR IN THE AFTERNOON 04/27/2007 10 56 AM PBARTHOL BLFS 01 5/08/07 PB BLDG MONO SLAB TIME 09 00 5/08/07 DA 05/07/2007 04 00 PM LPANGRLE TONY 460 0342 MONOSLAB MORNING INSP WILL POUR IN THE AFTERNOON 05/08/2007 12 57 PM PBARTHOL THRMO BREAK FOR HEATED SPACE BLFS 02 5/09/07 JLL BLDG MONO SLAB ON 46007 01 30 PM LPANGRLE ..1/ TONY Y 460 0342 MONOSLAB TONY COMMENTS AND'MOTES PREPARED 5/08/07 12 10 52 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/08/07 ADDRESS 207 W 12TH ST SUBDIV TENANT NBR STEVE LINDA HOWARTH CONTRACTOR STIMBERT CONSTRUCTION INC PHONE (360) 452 7505 OWNER HOWARTH STEPHEN /LINDA PHONE (360) 457 6102 PARCEL 06 30 00 0 3 4592 0000 APPL NUMBER 07 00000368 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFW 01 4/27/07 PB BLDG FOUND FTG /STEM WALL 4/27/07 AP 04/26/2007 11 24 AM LPANGRLE TONY 460 0342 REQUESTS A MORNING INSPECTION OF THE RETAINING WALL /SUNROOM FOUNDATION THEY WILL POUR IN THE AFTERNOON 04/27/2007 10 56 AM PBARTHOL BLFS 01 5/08/07 JLL BLDG MONO SLAB TIME 09 00 05/07/2007 04 00 PM LPANGRLE TONY .b� TY 460 0342 MONOSLAB MORNING INSP WILL POUR IN THE AFTERNOON COMMENTS AND NOTES BUILDING DIVISION Job Located at CITY OF PORT ANGELES Correction Notice 26 t /o. Inspection of your work revealed that the following is not in accordance with the governing the work in this jurisdiction Q./ /the /4,e izi) These corrections must be covered until reinspection is have been made, please call for inspection Date Inspector for Building Division DO NOT REMOVE THIS TAG made and are not to be made. When corrections //2- r PREPARED 4/27/07 8 39 52 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/27/07 ADDRESS 207 W 12TH ST TENANT NBR STEVE LINDA HOWARTH CONTRACTOR STIMBERT CONSTRUCTION INC OWNER HOWARTH STEPHEN /LINDA PARCEL 06 30 00 0 3 4592 0000 APPL NUMBER 07 00000368 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV COMMENTS AND NOTES PHONE (360) 452 7505 PHONE (360) 457 6102 BLFW 01 4/27/07 JLL BLDG FOUND FTG /STEM WALL 04/26/2007 11 24 AM LPANGRLE 4/277 TONY 460 0342 REQUESTS A MORNING INSPECTION OF THE RETAINING WALL /SUNROOM FOUNDATION THEY WILL POUR IN THE AFTERNOON Po ANC ^F r qs CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000368 Application pin number 150128 Property Address 207 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 4592 0000 Tenant nbr name STEVE LINDA HOWARTH Application type description RES ADDITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 20000 Owner HOWARTH STEPHEN /LINDA 207 W 12TH ST PORT ANGELES WA 983627715 (360) 457 -6102 Structure Information 000 000 224 SF Other struct info TOTAL Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Contractor CONSTRUCTION TYPE V N HARD SURFACE AREA 0 1 NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 224 SF SUNROOM ADDITION TO SFR 99176 347 75 4/26/07 Valuation 10/23/07 Qty Unit Charge Per BASE FEE 18 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments 04/13/2007 04 16 PM SROBERDS The proposal will result in an addition to a sfr in the RS 7 for total lot coverage of 26% No land use issues anticipated MAINTAIN CLEARANCES FROM SERVICE WIRES Minimum 3 over any structure 04/16/2007 04 15 PM GMCLAIN Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary Permit Fee Total Plan Check Total Charged 347 75 139 10 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 L l 11.0 ,en-'' 4 2/Q-04 T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] STIMBERT CONSTRUCTION INC 4317 EUCLID ST PORT ANGELES (360) 452 7505 SUNROOM ADDITION TO SFR LOT COVERAGE 15 83 Plan Check Fee Date 4/26/07 WA 98362 1 00 884 00 7000 00 224 00 1108 00 1 00 STATE SURCHARGE 4 50 Paid Credited Due 347 75 00 00 139 10 00 00 139 10 20000 Extension 95 75 252 00 Signati a of Contractor or Authorized Agent 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 OE CONCEAL 4NF WORT; BEFORE INSPECTED 4AD _ACCEPTED POST PERMIT IN 4 CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS S HEAP WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CE JJiISTS GIRDERS SHEAR L/ WALLS OF IL G DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL/ FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY OWNS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD YES NO FINAL FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW /ENGINEERING FIRE 417 -4653 I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I I PLANNING DEPT BUILDING 417 -4815 I I I I BUILDING T \Policies\] 102 15 building permit inspection record05.wpd [1/4/2005] DATE ACCEPTED BY. DATE ACCEPTED BY. DATE I ACCEPTED YES I NO I I I I I I I I I I Application Number Application pin number Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 4 50 491 35 07 00000368 150128 4 50 491 35 T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] 00 00 Page 2 Date 4/26/07 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 ELECTRICAL LIGHT DEPT INSPECTION TYPE DATE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS W ALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY BUILDING PERMIT INSPECTION REC ORD CALL 41 7 -481 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 UNL 6 1 FUL TO COVER, INSULATE OR CONCEAL 4NI' WORK BEFORE INSPECTED 4ND 4 CCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT .10B SITE, YES 5 1 3 1 1 0 1 i TL-L. I I ACCEPTED NO MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL �►olno 5(ab 5 (q /o7 r?EJ r bonclaYottiJ 54en, tAnk4i 6412.71e) j p a FINAL FINAL 417 -4735 ELECTRICAL LIGHT DEPT COMMENTS DATE ACCEPTED BY, DATE ACCEPTED BY. DATE ACCEPTED YES I NO 0 -V W 00 W N C 0 O 3 0 5 CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I I q I I PLANNING DEPT I I I I I BUILDING 4]7 4815 v/ (p Un I l ldt I I BUILDING 1 1 1 I c D Py 6f hex- s�`9►�e( per-01 T \Policies \1102 15 building permit inspection record05 wpd [I/4/2605] ,Jr, s c r 71 un 5 -r- '1-- /1 t"Y` y„e4 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 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 HOWARTH STEPHEN /LINDA 207 W 12TH ST PORT ANGELES (360) 457 6102 Structure Information Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] 07 00000367 Date 796304 207 W 12TH ST 06 30 00 0 3 4592 0000 STEVE LINDA HOWARTH RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 30000 Contractor STIMBERT CONSTRUCTION INC 4317 EUCLID ST PORT ANGELES (360) 452 7505 000 000 NEW DETACHED GARAGE 28 X 26 TOTAL LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 983627715 BUILDING PERMIT RESIDENTIAL 728 SF DETACHED GARAGE 99168 468 25 4/26/07 Valuation 10/23/07 BASE FEE 5 00 10 1000 THOU BL -25 001 50K (10 10 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments 04/13/2007 04 17 PM SROBERDS The proposal will result in an addition to a sfr in the RS 7 for total lot coverage of 23% No land use issues anticipated Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Charged 468 25 187 30 4 50 660 05 Paid Credited Due 468 25 187 30 4 50 660 05 Plan Check Fee 00 00 00 00 4/26/07 WA 98362 23 03 V N 0 1 1 00 884 00 7000 00 728 00 1612 00 1 00 Extension 417 75 50 50 STATE SURCHARGE 4 50 187 30 00 00 00 00 30000 R Ogl e d B1/4 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 (P L I,9-�,c4 A ��`�,u 1--x0 Si o f Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -481 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 kk W I-4 INSPECTION TYPE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE i DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING IOIST SHEAR ALL/HOLDOWI! WALLS R DPYWALL '1 I CED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD INSPECTED AND ACCEPTED POST PERMIT IN 4 CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. DATE ACCEPTED YES (0/2•6/64- v/ Jut_ 5/31/0-1. I 1 col-2R/0- NO Fa/rt n9 FINAL FINAL 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 RESIDENTIAL DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I I PLANNING DEPT BUILDING 417 -4815 I 4 I Q' 'ni I SIB- 1 1 BUILDING T \Policies \l 102 15 building permit inspection record05 wpd [1/4/2005] 91-vat walk COMMENTS Felimi a (0/2.9/ 67 DATE ACCEPTED BY. DATE ACCEPTED BY. DATE 5/ (5107 ZIA- ACCEPTED YES 1 NO I I I I I t 1 I -IA I I I I fr Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: C.11 c /d A. Si- trmkw,74- Phone:3_60 "4cSr- 150 Owner 5*e J e_ L-t vkdo k-ko W q v-411 q Phone. 3(00-451- (o)cc Address:o�O1 Wes4 (D. Cit t n )v`1 T Ab1Q.P le s Zip `183(02 v Architect/Engineer• S Rai (k i tn5 17e c, 1CZ V1 p %O v\ v\ v\a Phone: 3100 45 (o 5 3 II n/ t .J1 J Contractor ri ,beri- Con State License #51 Beig41x &Exp'(o 5'0 8 Phone:45a 75OS Address: 4 311 E u 0116 Ad Z Cityper 4 At/NO? I el Zip gps3 (o PROJECT ADDRESS )..O 7 L s4 12 +-b #r► A- 2S W A ZONING ,,2.S --7 LEGAL DESCRIPTION Lot: Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Multi- family Commercial Repair BRIEF DESCRIPTION OF THE PROJECT (4(1.V e a Addition Remodel COMMERCIAL/RESIDENTIAL. Occupancy Group. PLANNING USE ONLY BUILDING PERMIT APPLICATION Re -roof Stove Movek Garage Demolition Deck Sign Other v -I No. of Stories: Lot Size: 5D X I /0 Existing Sq. Ft. Total lot coverage 3 O 9 ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other. SIZF/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION Ul 4:18x a 6,' =s,3/3. 000 3 O:ODO FOR OFFICIAL USE ONLY Date Rec. I Permit 0 Date Approved 'Date Issued: 00 00 Occupant Load. Construction Type: V N Proposed Sq Ft. 728 TOTAL Sq Ft. 1 612- APPROVALS PLAN BLDG DPWU FIRE. OTHER. 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 IF a plan check fee is due it must be submitted 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, the 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 R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 1 hereby certify that I have read and examined this application and know the same 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 not the City's, and that 1 must obtain such permits prior to work. 0 T•�FORMS\B1dgPermitform.wpd Applrcant:O/W �l /�I Date: 4 ID- O'�Do1 Y LEGAL DESCRIPTION Lot: Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 CLALLAM COUNTY PARCEL NUMBER. PLANNING USE ONLY BUILDING PERMIT APPLICATION Block. Subdivision. ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other. T•\FORMS\B1dp,Permitform.wpd Applicant: .lAl'( Date: 4-0 -0 1 FOR OFFICIAL USE ONLY Date Rec. to 0 7 P} taut 07 36fs ate Approved: ate Issued: Applicant or Agent: C lc 4 f i-d 4 cS7 j h F Owner c TP,� ��F-- h tvtJ ��Gw�d ki Address: -F') Le -9 J-71 City R) "4 t a Zip 9 k 6 Architect/Engineer•,S .L R i vi Idiv- o �a poi 1P hone: 3/h0-1-21 S2 6Y 3 Contractor NSA t ri i .ert G ns 7L State License Exp 64 =oY Phone: 6 Address: 1 7 SI, e— d 4-.._ City .4 rI /-0 cam,., Zip a 1'S 36.3 PROJECT ADDRESS 7 Lei-e 7 i 4 APrf 7 ZONING MS- 2 Phone: ?GO -liS v--- 23 Phone. /[7 -/(S 6/ TYPE OF WORK. SIZE/VALUATION br Residential b New Constr Re -roof Stove t a. p Al SF /SF --a' ca Multi family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other 3,,, ro.,„0-2 TOTAJr V UATION 44 cQ a r BRIEF DESCRIPTION OF THE PROJECT 4. oI .Li 7 b-2 ,7,`>) .c'r COM_MERCIAL/RESIDENTIAL. Occupancy Group it) '':i Occupant Load. Construction Type ti No of Stones: Lot Size: 2 tad Existing Sq. Ft. l 6 i Proposed Sq Ft. A 9 A/ TOTAL Sq Ft. I r Total lot coverage_ 94, Self -c on+o,ined hot-Ma No 3 aS li he +o out door f, re p lace APPROVALS PLAN BLDG DPWU FIRE. OTHER. 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 Coordmator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted 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, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon wntten request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that l have read and examined this application and know the same 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 not the City's, and that I must obtain such permits prior to work. PREPARED 10/23/06 8 25 35 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/23/06 ADDRESS 207 W 12TH ST SUBDIV TENANT NBR MICHAEL WRIGHT CONTRACTOR PHONE OWNER WRIGHT MICHAEL /JOYCE PHONE PARCEL 06 30 00 0 3 4592 0000 APPL NUMBER 06 00000129 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 3/14/06 JLL BUILDING FRAMING TIME 13 00 3/14/06 DA 03/13/2006 08 39 AM DYASUMUR mike 460 4699 03/14/2006 04 55 PM JLIERLY plumbing under slab and footing stem wall /ill BLFS 01 3/15/06 JLL BUILDING FOOT /SLAB TIME 13 00 3/16/06 AP 03/14/2006 03 20 PM DYASUMUR MIKE 460 4699 03/16/2006 09 58 AM JLIERLY BAIR 01 4/14/06 JLL BUILDING AIR SEAL TIME 13 00 4/14/06 AP 04/13/2006 10 43 AM DYASUMUR MIKE 460 4696 04/14/2006 04 44 PM PBARTHOL BL3 02 4/14/06 JLL BUILDING FRAMING TIME 13 00 4/14/06 AP 04/13/2006 10 44 AM DYASUMUR MIKE 460 4696 04/14/2006 04 44 PM PBARTHOL BLI 01 4/18/06 JLL BUILDING INSULATION 4/19/06 AP 04/18/2006 08 13 AM PBARTHOL MICHAEL 460 4699 04/19/2006 09 13 AM JLIERLY BL99 01 10/23/06 tL BUILDING FINAL TIME 13 00 MIKE 460 4699 PLEASE INFORM MIKE THAT THIS PERMIT HAS EXPIRED 10/20/2006 01 52 PM DYASUMUR PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 10/23/06 It PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 3/15/06 JLL 3/16/06 AP PL99 01 10/23/06 MECHANICAL FINAL TIME 13 00 10/20/2006 01 53 PM DYASUMUR PLUMBING UNDER SLAB TIME 13 00 03/14/2006 03 20 PM DYASUMUR MIKE 460 4699 03/16/2006 09 58 AM JLIERLY PLUMBING FINAL TIME 13 00 10/20/2006 01 53 PM DYASUMUR COMMENTS AND NOTES PREPARED 4/18/06 13 37 15 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS 207 W 12TH ST TENANT NBR MICHAEL WRIGHT CONTRACTOR OWNER PARCEL APPL NUMBER WRIGHT MICHAEL /JOYCE 06 30 00 0 3 4592 0000 06 00000129 RES REMODEL PERMIT BPR 00 BUILDING PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT BL3 01 3/14/06 JLL 3/14/06 DA BLFS 01 BAIR 01 BL3 02 3/15/06 JLL 3/16/06 AP 4/14/06 JLL 4/14/06 AP 4/14/06 JLL 4/14/06 AP BLI O1 18/06 1 -L r Q U1, V 1� 4 1 RESIDENTIAL DESCRIPTION RESULTS /COMMENTS INSPECTOR JAMES L LIERLY SUBDIV PHONE PHONE BUILDING FRAMING 03/13/2006 08 39 mike 460 4699 03/14/2006 04 55 PM JLIERLY plumbing under slab and footing stem BUILDING FOOT /SLAB TIME 13 00 03/14/2006 03 20 PM DYASUMUR MIKE 460 4699 03/16/2006 09 58 BUILDING AIR SEAL 04/13/2006 10 43 MIKE 460 4696 04/14/2006 04 44 BUILDING FRAMING 04/13/2006 10 44 MIKE 460 4696 04/14/2006 04 44 PM BUILDING INSULATION 04/18/2006 08 13 AM MICHAEL 460 4699 COMMENTS AND NOTES TIME 13 00 AM DYASUMUR AM JLIERLY TIME 13 00 AM DYASUMUR PM PBARTHOL TIME 13 00 AM DYASUMUR PBARTHOL PBARTHOL wall/j11 PAGE 9 DATE 4/18/06 PREPARED 4/14/06 14 34 57 CITY OF PORT ANGELES ADDRESS 207 W 12TH ST TENANT NBR MICHAEL WRIGHT CONTRACTOR OWNER PARCEL APPL NUMBER WRIGHT MICHAEL /JOYCE 06 30 00 0 3 4592 0000 06 00000129 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 3/14/06 JLL BUILDING FRAMING 3/14/06 DA 03/13/2006 08 39 mike 460 4699 03/14/2006 04 55 plumbing under slab BLFS 01 3/15/06 JLL BUILDING FOOT /SLAB 3/16/06 AP 03/14/2006 03 20 MIKE 460 4699 03/16/2006 09 58 BAIR 01 4/ 4/0 JLL BUILDING AIR SEAL -�OC� 04/13/2006 10 43 666 MIKE 460 4696 BL3 02 4/14/06 JL 0UI1DING 6RA1ING 04/13/2006 10 44 MIKE 460 4696 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 3/15/06 JLL 3/16/06 AP INSPECTION TICKET INSPECTOR JAMES L LIERLY SUBDIV PHONE PHONE TIME 13 00 AM DYASUMUR PM JLIERLY and footing stem wall /jll TIME 13 00 PM DYASUMUR AM JLIERLY TIME 13 00 AM DYASUMUR TIME 13 00 AM DYASUMUR PLUMBING UNDER SLAB TIME 13 00 03/14/2006 03 20 PM DYASUMUR MIKE 460 -4699 03/16/2006 09 58 AM JLIERLY COMMENTS AND NOTES PAGE 3 DATE 4/14/06 PREPARED 3/15/06 13 27 26 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES ADDRESS 207 W 12TH ST SUBDIV TENANT NBR MICHAEL WRIGHT CONTRACTOR PHONE OWNER WRIGHT MICHAEL /JOYCE PHONE PARCEL 06 30 00 0 3 4592 0000 APPL NUMBER 06 00000129 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 3/14/06 JLL BUILDING FRAMING TIME 13 00 3/14/06 DA 03/13/2006 08 39 AM DYASUMUR mike 460 4699 03/14/2006 04 55 PM JLIERLY plumbing under slab and footing stem wall/j11 BLFS 01 3 15/.6 JLL n BUILDING FOOT /SLAB TIME 13 00 03/14/2006 03 20 PM DYASUMUR MIKE 460 4699 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 3/15 JLL INSPECTOR JAMES L LIERLY DATE 3/15/06 PLUMBING UNDER SLAB TIME 13 00 03/14/2006 03 20 PM DYASUMUR MIKE 460 4699 COMMENTS AND NOTES PREPARED 3/14/06 13 12 37 INSPECTION TICKET PAGE 18 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/14/06 ADDRESS 207 W 12TH ST TENANT NBR MICHAEL WRIGHT CONTRACTOR OWNER WRIGHT MICHAEL /JOYCE PARCEL 06 30 00 0 3 4592 0000 APPL NUMBER 06 00000129 RES REMODEL SUBDIV PHONE PHONE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 3 14/06, JLL �TTiD7 F MTNG- --MIME 13 00 lI�1I 03/13/2006 08 39 AM DYASUMUR mike 460 4699 COMMENTS AND NOTES 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 WRIGHT MICHAEL /JOYCE 325 EVERGREEN VIEW PKWY PORT ANGELES WA 98363 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 70763 Permit Fee 137 75 Plan Check Fee 55 10 Issue Date 2/08/06 Valuation 5000 Expiration Date 8/07/06 Qty Unit Charge Per CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 BASE FEE 3 00 14 0000 THOU BL -2001 25K (14 PER K) Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per MECHANICAL PERMIT BASE FEE 2 00 7 2500 ECH ME VENT FAN Fee summary Charged Paid Credited Due T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] 06 00000129 868387 207 W 12TH ST 06 30 00 0 3 4592 0000 MICHAEL WRIGHT RES REMODEL RS7 RESDNTL SINGLE FAMILY 5000 Contractor OWNER Date 2/08/06 70755 64 50 Plan Check Fee 00 2/08/06 Valuation 0 8/07/06 Permit Fee Total 273 25 273 25 00 00 Plan Check Total 55 10 55 10 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 332 85 332 85 00 00 lNnEp 0/? Extension 95 75 42 00 Extension 50 00 14 50 Permit PLUMBING PERMIT Additional desc Permit pin number 70748 Permit Fee 71 00 Plan Check Fee 00 Issue Date 2/08/06 Valuation 0 Expiration Date 8/07/06 Qty Unit Charge Per Extension BASE FEE 50 00 3 00 7 0000 ECH PL EA FIXTURE ON ONE TRAP 21 00 Other Fees STATE SURCHARGE 4 50 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 lopal law regulating construction or the performance of construction. o ✓`1 02 x 6 Signature of Contractor or Authorized Agent Date ig ature of Owne (if owner is L iilder) 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 FOUNDATION: FOOTINGS 1 S 1A-10 F 3Lf5`OG I 1 I WALLS h. FOUNDATION DRAINAGE DOWN SPOUTS I I PIERS I I I POST HOLES (POLE BLDGS.) 1 I JLUMBING —ry UNDER FLOOR SLAB 1 (S I 0 I V I ROUGH -IN I WATER LINE (METER TO BLDG) I GAS LINE I I I BACK FLOW WATER I AIR SEAL WALLS I q /Pi /196 I -J 14 I CEILING I I FRAMING JOISTS GIRDERS I SHEAR WALL/HOLD DOWNS I WALLS ROOF CEILING I /N J to I DRYWALL (INTERIOR BRACED PANEL ONLY) I T -BAR 1 I INSULATION SLAB I v I I :WALL /FLOOR /CEILING 11-1 A /h L, 1 i L L/ M (ECHANICAL 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 BUILDING PERMIT INSPECTION RECORD YES I NO FINAL DATE g ACCEPTED BY. SEPA. ESA. SHORELINE: 417 -4735 ELECTRICAL LIGHT DEPT ATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION RW PW/ CONSTRUCTION RW ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT I 1 I PLANNING DEPT 417 -4750 I I I I 1 PLANNING DEPT I 1 I BUILDING 417 -4815 IC' '1 D& /U� IV lfl/ 1 1 BUILDING I 1 T•\Policies \1102_15 building permit inspection record05.wpd [174/200] Applicant or Agent: l /iA /C t._ OA Lv Ai Owner Address e2) Lt) I, Archrtect/Engineer• Contractor Address. PROJECT ADDRESS LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. EL Residential Multi- family Commercial New Constr Addition EL Remodel Ng Repair BRIEF DESCRIPTION OF THE PROJECT QFzl,n C A i f�- /FAT c Tir)k k2- (A 1 NT G17--t VVc E- 4 COMMERCIAL/RESIDENTIAL. Occupancy Group Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review If you have any questions. call PERMITS (360) 417 -4815 FAX(360)417 -4711 Re -roof Move Demohtion Sign City _4_ 1 City' l `i i State License Stove Garage Deck Other R& inn DEt% .1I n, J 0.. 4 ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone 1 /6o q6 9 Phone g 4 1 4 4 Zip Phone Exp Phone Zip ZONING Subdivision. Occupant Load. Construction Type: R OFFIC ate Rec. �Y Permit ate Approved. Date issued. SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION F6_ LAJ (rJ L-Lc ,014-1. 41 /2. 0c4 WtNboct. No of Stories: Lot Size: Existing Sq Ft. MO' Proposed Sq Ft. Pr TOTAL Sq Ft. /g APPROVALS PLAN BLDG DPWU FIRE OTHER. 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 IF a plan check fee is due it must be submitted 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 apphcation, the 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 RI 05.3.2 of the International Buildmg/Residential Code, 2003) No application can be extended more than once. 1 hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determin rha per are r quiked ,n t the City's, and that I must obtain such permits prior to work. I 1102 13 d Applicant: Date: T•�t�hc�es�iL 1102_13 wr rr t 4 215 r 215 30 Feet Vert/ al Datum NA VD 88 Horizontal Datum NAD 83/ 9I 4t, 209 207 .3‘ 212 Area Map .1/ 4 A 4 A f 1108 7 if 203 C; A 7 This map is not intended to be used as a legal description. This map/drawing is produced be the City of Port Angeles for its own use and purposes. Al othe use of thi map/dr ig shall ot be the responsibility of the City. 4 Eft r j C LP,M 14-rzb-r 1CI A FILE CITY OF PORT ANGELES Co istruction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall nut prevent the building official from thereafter requiring the correctio 1 of errors in said plans, specifications and other data, r from preventing building operations being carried on :hereunder when in violation of all codes and ordinances of this jurisdiction. 2,00.3 1 Approval Date z fl ob By �C Yoko Q T CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000047 Application pin number 918381 Property Address 207 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 4592 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner CHRISTIANSEN JAMES F /TERESAA 207 W 12TH ST PORT ANGELES WA 983627715 Contractor JEDI ELECTRIC 331 FORS RD PORT ANGELES (360) 460 0556 Date 2/01/06 WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc JEDI/ 200A PNL CHANGE Permit pin number 68924 Sub Contractor JEDI ELECTRIC Permit Fee 66 90 Plan Check Fee 00 Issue Date 2/01/06 Valuation 0 Expiration Date 7/31/06 Qty Unit Charge Per Extension 1 00 66 9000 ECH EL R OR RM 0 200 ALT SRV FDR 66 90 Fee summary Charged Paid Credited Due Permit Fee Total 66 90 66 90 00 00 Plan Check Total 00 00 00 00 Grand Total 66 90 66 90 00 00 COMMENTS /ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE mu INSPECTED AND ACCEPTED. Dl i'CH ROUGH-IN COVER SERVICE FINAL GENERAL COMMENTS: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO COMMENTS Pw -I 102.1314"961 NAME OF PREMISES SERVICE ADDRESS LOCATION OF DEVICE. 4 Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY? YES NO IS ASSEMBLY INSTALLED CORRECTLY YES 1:1 NO ASSEMBLY DATE OF INSTALLATION UNKNOWN REDUCED PRESSURE PRINCIPLE ASSEMBLY DOUBLE CHECK VALVE ASSEMBLY Initial Test Repairs Details Final Test COMMENTS Backflow Assembly Test Report City of Port Angeles CHECK VALVE #1 Leaked Held at psi Cleaned Replaced 5 »(W1Ja eH i �aa� I t i; if G Held at r psi AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO Public Works and Utilities Department Water/Wastewater Collection Division CHECK VALVE #2 Leaked Closed Tight Held at r2m )psi Closed Tight Held at b''a 3 psi Date/Time Tester Signature Initial it )�C X Test 'r/ x L Repairs Final f j. ific/� ee r t 1 c py Cleaned Cleaned Replaced Replaced /5 PECre, T e f'r 61) V J SZ RELIEF VALVE -4 Did Not Open Opened at psi 3 psi Buffer YES NO Opened at psi Cert. Line Pressure psi Held Backpressure #2 Shutoff Held WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Official Use Only Assem.# 2 Received RP RPDA DC DC DA PVB Air Gap SVB AVB AIR INLET Did Not Open Opened at psi CHECK VALVE Leaked Held at psi REPAIRS Cleaned Replaced PVB /SVB AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES TYPE OF HAZARD 1. A YES NO YES NO Relief Valve Exercised YES NO Test Kit Passed Failed Y G i f wz fJ' a, T.Forms /Building Division/Building Permit (I0 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00000189 Application pin number 072559 Property Address 207 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 4592 0000 Tenant nbr name STEVE HOWARTH Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 600 Application desc DOUBLE CHECK BACKFLOW FOR IRRIGATION SYSTEM Owner Contractor Qty Unit Charge Per BASE FEE 1 00 7 0000 ECH PL- EA LAWN BACKFLOW Fee summary Charged Paid Credited Date 2/15/08 STEPHEN LINDA HOWARTH DOWN TO EARTH LANDSCAPING 55 NUNES RD 306 S VALLEY WATSONVILLE CA 95076 PORT ANGELES WA 98362 (360) 457 8556 Permit PLUMBING PERMIT Additional desc IRR DOUBLE CHECK BACKFLOW Permit pin number 120998 Permit Fee 57 00 Plan Check Fee 00 Issue Date 2/15/08 Valuation 600 Expiration Date 8/13/08 Due Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 00 00 Extension 50 00 7 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction 2- 1S -DR' 10kv‘ CUt sU 4. Date Print Name SignOure of C'}Itractor or Authorized Agent Signature of Owner (if owner is builder) FOUNDATION- FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER I AIR SEAL WALLS CEILING I 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 BUILDING PERMIT INSPECTION RECORD 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 ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T Forms /Building Division /Building Permit (10 /01 /07).wpd YES NO FINAL FINAL PLANNING DEPT SEPARATE PERMIT N's SEPA. PARKING /LIGHTING ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. O 0 9 DATE ACCEPTED I n'`) YES 1 NO I eel fi Parcel Number Project Type Brief Des Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Sign Heat System AOther Floor Areas Basement 1St Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent ___,I ,N t,• E+ Likia1441 uAo -r Property Owner ,P, Property Owner's Address 2,0 7 t j y L Contractor/Engineer 6 Contractor /Engineer's Address License Dow In i a t_c, 3-t .Z PROJECT ADDRESS 2.-07 L I Z c5 cription. Residential Commercial wall- mounted projecting freestanding awning other Total sign area sa ft. Maximum allowed sign area so ft. Heat pump wood burning stove gas fireplace pellet stove other v'lah h ..yAi 9/9u3nle C.-tn.(' ,...16. tied r.V Existing (sq. ft.) Proposed (sq. ft.) Total footprint of structures sq ft: T Lot size ft. projects. Date 2 -1S -O Print Namea C-4 cab T Forms /Building Division /Bldg Permit Appl. 2006 Code.doc Occupancy group Occupant load Construction type hone (467. 8556. P o 733 1 -0 I. Phone Expires Lot Multi- family Zoning per sq. ft. For City Use Only Date Received 2 -1 -O5 Permit (9 1 S` Date Approved TOTAL VALUATION 600 sq. ft. Lot coverage of bedrooms of full baths of half baths I have read and completed this 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 Signature U V 83 Z.o t<v Industrial CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning . . . Application valuation 06-00000086 Date 847086 207 W 12TH ST 06-30-00-0-3-4592-0000- MICHAEL WRIGHT MECHANICAL APPL. PERMIT 1/27/06 RS7 RESDNTL SINGLE FAMILY 3695 Owner Contractor ~ 'Z/'7'/Ob lk-/ WRIGHT MICHAEL / JOYCE 325 EVERGREEN VIEW PKWY PORT ANGELES WA 983627715 DAVE'S HEATING & COOLING PO BOX 413 PORT ANGELES WA 98363 (360) 452-0939 permi t ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 70003 Permit Fee 36.40 Plan Check Fee Issue Date 1/27/06 Valuation Expiration Date 7/26/06 .00 o ~ ~ ~: N ~ Qty 1. 00 Unit Charge Per 36.4000 ECH EL-LVT-FIRST THERMOSTAT Extension 36.40 Permit MECHANICAL PERMIT Additional desc Permit pin number 69997 Permit Fee 64.70 Plan Check Fee .00 Issue Date 1/27/06 Valuation 0 Expiration Date 7/26/06 Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 ~ Fee summary Charged Paid Credited Due --~-------------- ---------- ---------- ---------- ---------- Permit Fee Total 101.10 101.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 101.10 101.10 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes nu II 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 Owner (if owner is builder) Date T:\Policies\ 1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD 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. I INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR I CEILING I I MECHANICAL HEAT PUMP 1 FURNACE I DUCTS N&1 Z/7~c. GAS LINE :nC- WOOD STOVE I PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 4] 7-4653 FIRE DEPT. PLANNING DEPT. 4] 7-4750 J PLANNING DEPT. BU]LDING 4]7-48]5 ~"1t{)~ ,"fVu BUILDING T:\Policiesll102_15 building permit inspectIOn record05.wpd [1/4/2005] , 3: >-l '0 ~:;;~8t;jE; (1'0 , t<l >< ~ H;o , "l '0 '0;0 ZZt:J >-It<l , '- O<Q~;J~~ ><'0 , (f) H ;t> , 0 0 >-l Zo< ;t>>-l{f) 0;0 , H ~. 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U1 N , t ~ 0 \0 W \0 :4 t:J'O , , ;t>;t> , , >-lG"l , , t<lt<l , , , , , , , , , , N , , '- , 0 , .., '- , 0 , "'''' Jan 26 06 1240p DAVE'S HEATING & COOLING BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have :my questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: J)C\. \Ie. IS He~ +,' "'~ Owner: M i Gh a. -e. , W "....... \' Q l--- t- Address: 3;l5 C;ve..v-?rV'e.e" Vi. ~ f\'"~'fity: Architect/Engineer: Contractor Pa.ve (05 f-1.e~+" V\.'t Address: (J. C). ..5ox ~/3 ~O/ Phone: Phone: .p~1'"'.t- ~U-s ~5.;J-oq3q t(C:,O-'ffoCfcr ('1;;). ~-2' \ I . Zip: q 8' 3(.3 Phone: J)AV~S HC"'1cr I k c..... 1Dl '-' _/ State License #: .nAV~S+'ic..crrExp: 5;0-' City: (JOf'""..f- A-t~::s W~ oS + I ~ -tb Sh--e.-e..:+ Phone: t..(S~-Oq.3Cj Zip: ~?3f,;?- PROJECT ADDRESS: LEGAL DESCRIPTION: Lot:' CLA.LLAM COUNTY P..c\RCEL NUMBER: ZO~"ING: Block: Subdivision: Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC # Exp. Date: TyYE OF WORK: SIZEN ALUATION: gResidential 0 New Constr, 0 Re-roof 0 Stove SF. @ $ /SF. = $ o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign 0 Other TOTAL VALUATION $ .~ b Cj 5 ~ BRIEF DESCRIPTION OF THE PROJECT: -::r n s+-. II ....... -h. 0 Y'"\ o..f a. n -e.. {-ec;...,+y"-,. c... -fU. v-'" 0.... <:::.JL ~ /11. Au. Co-+- wo r f<.. I 0 ~ V 0 (+C1or- ~.,...., os. +~ Lvi. v--e~ COMMERCIALIRESIDENTIAL: Occupancy Group: Occupan1 Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft. Total lot coverage % APPROV ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAfWetland(s): 0 Yes ONo SEPA Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuatioD 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 Pennit Coordinator at 41 7-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPJRATION OF PLAN REVIEW: lfno pennit is issued within 180 days of the date of application, the 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 RI05 .3.2 of the International BuildinglR.esidential Code, 2003). No application can be extended more than once. I hereby cert,'fy that' have read and examined this application and knoVl the same 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 ,not the City's, and that I must obtain such permits prior to work. TIRVESSIBWG-fonm-bro<h.-"OO4-B...._""'.wpd Applio..t, r ~a,"' I / ~'I 0 (",. Street Lookup Parcel Number 0630000345920000 Site Address: 207 W TWELFTH ST PA Taxpayer: WRIGHT MICHAEL/JOYCE 325 EVERGREEN VIEW PKWY PORT ANGELES, WA 98363 Title Owner: WRIGHT MICHAEL/JOYCE 325 EVERGREEN VIEW PKWY PORT ANGELES, WA 98363 Oescri ption: E 47' LOT 19 BL 345 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs (except Commercial Forestland properties). Land Value: 29,250 Improvements Value: 93,160 Total Assessed Value: 122,410 Property Characteristics: Note: Use Code is for Assessor's purposes only. Contact the appropriate planning or building departments for Zoning and allowable usage of property.. Use Code: 1113 THREE BEDRM Land Size (acreage): .00 Note: Acreage is not listed for all properties in the Assessor's records. More information about land size. Tax Status: Taxable Tax Code Area:: 0010 Zoning Code: P _RS7 Note: Zoning and zoning codes change constantly. Verify all zoning with the appropriate planning or building department. Building Characteristics: (Click on Bidg. # for more details.) JL Bldg. Type Bldg. Style Total S.F. BO BA 01 House One Story 920 3 2 Tax History Sales History Other parcels at this address: http://65.161.10.164/website/sitis s.pgm.?address=207 &street=TWELFTH ST Page 1 of 1 &pur... 1/26/06 Jun 04 07 Ol:46p 2DOiiA?R/24/TUE 01.3'1 PM i i i I I l \ I i OO~(g. Bobb~ O. Coleman CITY OF PA BLOC DEPT FAX 360-452-7594 lld60 41! 4/11 p. 1 . l.v~ . ELECTRICAL WORKPERMlT APPLICATION D OWDor 11ntaU.liol\ Mlcriplion ~ o COllUDcrdal ~id._tlal o ,AJ.leredlAddltloll. ~ J;'...... Jf{;." E...., [J N... /JA A A5L . /.0</ I'1d',L? iI 5i/uI f.(O/JI?"'- Af...-I 7/) /, . PreJDital aWDlr', Damlt $ Addrft' or ID'5pec:tio. A-f ~ "7 A.J / Gi'-t;:/r Co" /~ ~.-L d P..... ..mb., t. .....ul. ,. "b..,. Ownu as tI.fi-tl by RCw..19.1lJ.26J:(l) 0-'1' will occuPy tllc .I,rwcrun for IWQ )1m'" IIftw ~s clrctriml purU1 is fin.zl1.t4 (1) Ow.,. u rPlI{Dind fa lirI! tvI .1.a"i~1 COII"'ltdar if.~ $ai4 JM1IMrt)I is for $Dlt. ,eR' or lm.PJ. Afttr rcad.na11hc above SLaltIDalt, 1 htn:b)' cutlf)' thltl am lhe o..ncr of ~ above nunW ~ or a lacu.KlS d<<.a'ic.tt eontrlttor. J lID. J'lllXinl !he deemc,' ilU'Ull- luiDn or aluntiD1ll ill CClII1Pli.au ...ith the c.lc:cmc:al t.~ 'N.:E.C., RC,w. ChsptU 1928. WA.~. qalplcf.296..46B, Tbe City of Pon Anlcles M.UlI.icipal Code, 104 .Ublny .SpecifiahoDS. .' ad r or .Ielroc:.' ,dllliai'tu,or a Casb a Cbeck ~ [) Cmlil Cud VISa ClIl'dN "Mastercard Discover - - ---------------- ExpiIatlonlJate of card Date~ -$-/'7 Se E'ec blr . Voltage p"...O'03 $GNU Size:_ Faede'SIZ9:________ o OoIerl'\8iad SeNIC8 o Tamil 50""'" ~ underGround SeNk:8 . sAME DAY INSPECTION. CAJ.,L BEFORE 7:00 AM 360-417.4735 GIl-IN I jl 11IEllMOSTAT '\ 7~ DU. """""'_.,. SEIlVlCE D.lt ^~Br FIlUlER DI;I. ll.~cdilr Actiol'i Taken ElecttiUI Inspector JUN 0 4 2007 I IA\oIT DEPT. ,00 ~ )!l Electrical Contractor o Annual Permit 0 Alarm e ".~. DOwner 'Itii;;;..." o Carnival 0 Commercial." Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. . ELECTRICAL WORK PERMIT APPLICATION o Request Inspection Job wired by o Electrical Contractor 0 Owner Installation description Electrical contractor name "SSS)I E\u'frtc... Purchaser's mailing address PO.eo" 3r;~ License numb~ \SD\ p-S 15)C2 ?-Oo c.tN\ (> . . {)CI-Vje( C h",~ e-- . ,St~te ZIP L>>lA ql ~1::t FAX number (.... -.i..' ~ -:;- /..2-& sr ) :-- '-/(;; 0 - t.1~1q o Cash 'f1 Check # o Credit Card Visa Mastercard Discover I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the fIrm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. Card # Signature of owner, I trical contractor or electrical administrator -- Expiration Date of card D x /' WALLS Insulation Only '3'~W-d ,C:- Oale Approved By Cover Dale Approved By \. /' CEIUNG Insulation Only 3-30-e;& T~ Dale Approved By Cover Date Approve<.l By TIIERMOSTAT Dale Approvc<.lBy DITCH "- Dale Approved By SERVICE '\ 3/Zo,4j /()fJ, A;~P FEEDER Date Approve<.lBy ./ I' Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW Service Information o Overhead Service o Temp Service o Underground Service Voltage Phase 0 1 0 3 Service Size: Feeder Size: Inspection Date Area. Building or Equipment Inspected Action Taken Electrical Inspector fLt - b~ 1.h47L-e-C> f'!tq/ I-~ It ~"(, rJ - OAq j OWi,;do!Y~A~OR Y IU:J $' ElECTRICAllNSPEpTION WIRING REPORT 417-4735 ADDRESS :;'07 PERMIT # Of-" ~ L~ w IZ.~ APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . .. . . . . . . . . . . . 0 D. . . . .. . . . . . . . . .. . . . . SERVICE. . . . . . .. . . . . . . . . . . . 0 'f{../:?,L:",n:J""v'b ;:Z.' FINAL.................... 0 CORRECTIONS NEEDED: ~ .?rnO~~ .12~ /L-L 6.,z;.o~..s ...? H/f'bL. Tb 81!te2~s NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1~;t . Application Number . . . . . 23-00000437 Date 5/02/23 Application pin number . . . 120811 Property Address . . . . . . 207 W 12TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4592-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T-stat ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ELAINE M BAILEY DAVE'S HTG & COOLING SRVC INC 207 W 12TH ST PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 320-1599 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee . . .00 Issue Date . . . . 5/02/23 Valuation . . . . 0 Expiration Date . . 10/29/23 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 1 - 2 SIN G LE-FAM ILY ELECTR ICAL .PER M IT APE LIC ATIO N. Public Works and Utilities Department 321 E. 5th Street. Pon Angeles. W"A 9RJ62 360.417.4715 I www.cityufpu.us I electricalpernutsrq.cityofpa.us 207 West 12th Street ProjectAddress: -------------------------------------- . • • Low voltage thermostat wire for thermostat as part of ducted heat pump installation Project Description:------------------------------------- 0 Single-Family Residential D Duplex/ ARU Building Square footage: 1160 _ . ---· .. , ... . - - .. -~- - - - . - , . . --. , ... ciwNER il'it=6RMATION· ; . · · · · ·.-; ·,,t::,; ·".t Name: Elaine Bailey Mailing Address: 207 West 12th Street, Port Angeles, WA 98362 Email: _ Phone: 360-320-1599 Name: Dave's Heating & Cooling Services, Inc. Mailing Address: PO Box 413, Port Angeles, WA 98362 Email: davesheatinq@wavecable.com License: DAVESHC9912C Expiration Date: _0_5/_2_0_2_5 _ Phone: 3604520939 Item Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Signal CircuiULimited Energy - 1 &2 DU. Manufactured Home Connection Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) First 1300 Square Feet Each Additional 500 square feet" Each Outbuilding / Detached Garage Each Swimming Pool/ Hot Tub Unit Cbacge. ~D.titJL $120.00 $146.00 $205.00 $262.00 $373.00 $5.00 $63.00 $5.00 $75.00 $93.00 $110.00 $149.00 $168.00 $96.00 $64.00 $120.00 $102.00 $56.00 1 $120.00 $40.00 $74.00 $110.00 TOTAL I21D.l (Quantity x Unit Charge) $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ 56.00 $ _ $ _ $ _ $ _ $ _ 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 ow r of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with th electric aw , N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Spec· 1c tio and P 1 .05.050-reg arding Electrical Permit Applications. 04/28/2023 Laci Williams Date Print Name ntractor I Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] Electrical Information Form Public Works & Utilities Department (360) 417-4700 City Electrical Inspector (360) 417-4735 Please complete and return to Public Works & Utilities Department Applicant Information Project Address: 207 West 12th Street Owner: Elaine Bailey Street Address 207 West 12th Street City I State I Zip: Port An eles WA 98362 Phone Number: Cell Phone: 360-320-1559 Contact Information Company Name: Dave's Heating & Cooling Service, Inc. Contact Name: Dave Oldenkamp Phone Number: 360-452-0939 Project Type Cell Phone: □New D Multi-family residence; # of units D Subdivision D General service □Other: Project Information xisting ug Single-family residence D Commercial D Overhead service D Underground service Detailed description of work: (Oil to Gas Conversion, Gas to Electric, New Heat Pump, etc.) Low voltage thermostat wire for thermostat as part of a ducted heat pump installation. Main Disconnect Size Amps: 40 Select Voltage: (]120/240 1 ph D120/240 3ph 0120/208 3ph D48o 3W 3ph D277 /480 3ph Check all that apply: Supporting Standard residential loads (Lighting, refrigerator, dishwasher, washer) D A/C (_ton) D Range/Oven D Hot Tub D Clothes Dryer [x] Heating D Pumps ( __ Hp) D Water Heater. D Elevator (_Hp) D Other _ Load Increase (kW) 14.6 Load Decrease (kW) Please provide a copy of the following: *Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one-line drawing showing the service entrance panel and location. *Connected load data. *Size and locked ro Date: MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360-417-4711 ws _ WF _ Revised 1-09-11 PREPARED 5/01/23, 7:37:51 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000437 207 W 12TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 56.00 TOTAL DUE 56.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 5/9/2023 23-437 TAP OWNER CONTRACTOR Dave’s Heating PROJECT ADDRESS 207 W 12th St Application Number . . . . . 23-00000470 Date 5/09/23 Application pin number . . . 497230 Property Address . . . . . . 207 W 12TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4592-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ELAINE M BAILEY EXTRA MILE TECH & ELECT., LLC 207 W 12TH ST 418 N. RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 320-1599 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 5/09/23 Valuation . . . . 0 Expiration Date . . 11/05/23 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x 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 $ 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. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ 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 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 5/08/23, 8:21:53 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000470 207 W 12TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 63.00 TOTAL DUE 63.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 5/9/2023 23-470 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 207 W 12th St