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Home My WebLink About618 W 12th St - BuildingPREPARED 1/29/10 8 32 39 I NSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/29/10 ADDRESS 618 W 12TH ST SUBDIV TENANT NBR DAVID JANET STEVENSON CONTRACTOR ALL WEATHER HTG COOLING NC PHONE (360) 452 9813 OWNER DAVID JANET STEVENSON PHONE PARCEL 06 30 00 0 3 7420 0000 APPL NUMBER 09 00001350 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 1/06/10 JLL MECHANICAL FINAL TIME 01 00 1/11/10 DA January 4 2010 5 09 18 PM 1pangrle DAVE 460 0828 MECHANICAL FINAL HEAT PUMP AFTERNOON PLEASE CALL HIM BEFORE YOU GET THERE SO HE CAN MEET YOU THERE January 11 2010 4 15 12 PM lierly ME99 02 1/29/10 JLL MECHANICAL FINAL January 29 2010 8 29 01 AM 1pangrle DAVE 460 0828 MECHANICAL FINAL HEAT PUMP PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES PREPARED 1/06/10 8 00 41 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 618 W 12TH ST TENANT NBR DAVID JANET STEVENSON CONTRACTOR ALL WEATHER HTG COOLING INC OWNER DAVID JANET STEVENSON PARCEL 06 30 00 0 3 7420 0000 APPL NUMBER 09 00001350 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 1/06/10 SUBDIV MECHANICAL FINAL TIME 01 00 January 4 2010 5 09 18 PM 1pangrle DAVE 460 0828 MECHANICAL FINAL HEAT PUMP AFTERNOON PLEASE CALL HIM BEFORE YOU GET THERE SO HE CAN MEET YOU THERE COMMENTS AND NOTES PHONE (360) 452 9813 PHONE PAGE 5 DATE 1/06/10 w 1-6/4A 1 1 1�'T Tl 610 c1,1c,ecks I Low (tuts �P u, Application Number Application pin number 'Property Address ASSESSOR PARCEL NUMBER Application type. descriptiOn Subdivision Name Property Use. Property 'Zoning Application valuation Application desc T stat new 2 5 ton heat pump Owner DAVID JANET STEVENSON PO BOX 2575 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration' Date Qt Y Unit Charge Per 1-00 43 7500 ECH 'EL LVT THERMOSTAT' Fee summary Charged Permit Fee Total Plan Check Total Grand Total -INSPECTION DITCH SERVICE COMMENTS ROUGH IN FINAL WA 98362 09 00001354 439114 618 W 12TH'ST 06 30 00 0 3' 7420 0000 ELECTRICAL ONLY o Contractor ELECTRICAL-ALTER RESIDENTIAL 158790 75 12/29/09 6/2X/10 -4-3 75 _43 75 00 00 43 43 "7: —'Signature ofrowner-or-Electrical-Contractor X ELECTRICAL-PERMIT CITY OF PORT ANGELES 360-417-4735 DATE Date 12/29/09 ALL-WEATHER=HTG7&.:COOLING' INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 Plan Check Fee Valuation Paid Credited 00 00 00 RESULTS *4) -1 /glib Due 00 00 oo 0 Extension 43 75 Date INSPECTOR. Application Numbet Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name proPetty Use PrOPei€17 Application valuation Application desc New Heat pump 2 5 ton Owner DAVID JANET STEVENSON Po BOX 2575 PORT ANGELES WA 98362 Permit .Additional. desc Permit in number Permit Fee Issue Date Expiration Date Qty Unit Charge Per Y 00 57 5 000 ECH 2 00 2 0000 ECH Fee summary Permit Bee---Tot-el- Plan Check Total Grand Total INSPECTION TYPE DATE. DITCH 114 bt) SERVICE' FINAL ROUGH IN -COMMENTS Charged 61 50 00 61 50 158782 61 12.429/09' 6/27/10 09 00001353 365673 618 W 12TH ST 06 30 00 0 3 7420 0000 ELECTRICAL ONLY 0 _ELECTRICAL PERMIT CITY OF PORT ANGELES-- 360-4 Corittactor SIMPSON ELECTRIC 243036 W_IiWY 101 TORT ANGELES (360) 457 9270 ELECTR1CAL RESIDENTIAL Plan Check Fee Valuation EL BRANCH WO/FEEDER EL ECH AUNT BRANCH CIRCUIT Paid Credited 61 50 00 61 50 Signature of owner or Electrical COntractor_X 00 00 _Date 12/29/09 WA 98363 Due RESULTS 00 00 00 00 0 Extension ST 50 4 Date INSPECTOR. City of Port Angeles Permit Application Building DivisionlElectricai Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 95362 Ph: (360) 417.4735 Fax: (350) 4174711 Date: a2 S X 1 2 Single Family Dwelling Multi- Family or Commercial' Commercial Addition I Alteration I Remodel I Repair Owner I rmation Name: rte—' 571/1 S6�Yl Mailing dress: _4/ 7 2 "b City' .e State: 11-.2&— Zip: r 1:/4 Ate0 Phone: 46 b- O R Fax: License 1 Exp. Unit Charm 93.75 '$113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75,00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 REC DEC 2 8 2009 ELECTRICAL INSPECTIONS Plan Review May Be Required, Please Completg Electrical Plan Review Information Sheet Job Address: �D w L-.� C5 'd.. Building Square Footage: Description of above 7-CZ.t? ekt/ Contractor formation Name: r M Qs0 I4 Mailing Address: City' Phone: License I Exp. State:. Zip: Fax: Total (2/ Multiplied by_, lit Charge 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 5 50 Branch Circuit W/O Service Feeder 14 .2 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 Commercial 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 First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat 5_.ti Total urn of owner electrical cr der or electrical administrator Cash Check 74 -12- .A —Date: 42.42 7--c Credit Card �'t (/51141 �xr sl` Owner as defined byRCW.19.28261: (l) Owner will occupy the structure for two years alter this electrical permit is finalized (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration In compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296468, The City of Port Angeles Municipal Code, and Utility Specifications. 12/23/200411_16 13604525177 City of Pori Angeles Permit Application Building DlvisionlElectrlcal Inspections 321 East Fifth Street- P.O. Box 1150 Port Angeles Wallington, 98362 Ph: (360) 417.4735 Fax: (360) 417 -4711 Date: 11,` 2 1 1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition I Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plah Review Information Sheet Job Address: lif) 17 1214 1 'c r t 0 Q Building Square Footage: 4 V Description of above T- 199 .:74 Owner Information Name: �►\p Mailin• Address: r9 h• 15. City 'e C ttla (State: 10 Zip: g2s3zir Jr Phone ax: License I Exp. Unit Charge GItt 93.75 $113,75 $160.00 $205,00 $291.25 2.00 57.50 2.00 72,50 86,25 $116.25 $131.25 75.00 69,00 75.00 50.00 50.00 93,75 80,00 86.25 27.50 57,50 86.25 43.75 1 Total lfjy Multiplied by Unit Char ie) 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 Temp, Service! Feeder 200 Amp, Temp. ServicelFeeder 201 -400 Amp, Temp. Service /Feeder 401 -600 Amp. Temp. Servlce/Feeder 601.1000 Amp. Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Muhl-Family Dwelling Manufactured Home Connection Renewable Electrical Energy SKVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub 4'5 '1D Thermostat LF 0 iTotal Owner as defined by RCW,19.28,261 (1) Owner will occupy the structure for two years after this electrical permit /s finalized. (2) Owner Is required to hire an electrical contractor If above said property Is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical 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. Cash Check Credit Gard 4 Signature of owner, electrical contractor or electrical administrator ALL WEATHER HEATING RECEIVE DEC 2 L' 2009 ELECTRICAL INSPECTIONS Contractor Information Name:At LOPS- H /0'�'� "�d,19 Malik). Address: City' %•21_______6. 't11 I tats: Zi Phone: i: ax: 1'T") License Exp. rn PAGE 0,[/ 04 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 09 00001350 Date 12/23/09 Application pin number 960600 Property Address 618 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 7420 0000 Tenant nbr name DAVID JANET STEVENSON Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning Application valuation 5692 Application desc HEAT PUMP INSTALLATION Owner Contractor DAVID JANET STEVENSON PO BOX 2575 PORT ANGELES WA 98362 Permit MECHANICAL PERMIT Additional desc HEAT PUMP INSTALLATION Permit pin number 158741 Permit Fee 64 80 Plan Check Fee 00 Issue Date 12/23/09 Valuation 0 Expiration Date 6/21/10 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 EA ME FURN /HP /FAU OR 5 TON 14 80 Fee summary Charged Paid Credited Due Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the 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. Date Print Name T:FormsBuilding Division/Building Permit ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 OtAJi✓ (4,�, L" W Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking I Lighting I ESA. Landscaping I SHORELINE. FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 (O LL T.Forms /Building Division /Building Permit 12/23/2009 11 16 13604525177 Applicant i! t Cat) no _T Phone 1- t Property Owner 0 6 p 0t 4-11e n Phone qt Property Owner's Address P'p 2_51 P ,!.I,Pr 163(01. Contractor �i axil Phone >--C137 mil) Contractor's Address '5(-47 q o License 1 to ttLe.inao Expires DQI LOt j D E -mail PROJECT ADDRESS 1. 12_ Parcel Number b\i',�(1 ly r1 C) Lot Zoning Pro ect Type Brief Description. tesidentia/ o Multi family d Commercial a Industrial Check all that apply New Construction Addition o Remodel Repair Demolition o Re -roof o House o garage o other rc 1eat System Heat pump o wood burning stove o gas fireplace o pellet stove .o other o Other Max. height of proposed structures Will a lawn sprinkler system be installed? Willa fire sprinkler system be installed? Date I a- Print Name T:Forms /Ald g Division /Bldg Permit.doc 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 ALL WEATHER HEATING ft Occupancy group Occupant load Construction type PAGE 03/04 For City Us On Date Received 3�t7 Permit O q Date Approved a tear off re -roof o lay over one layer Floor Areas Existina fsq. !t) l posed (sa. ft.) Basement to per sq. ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION \nq Z j.. Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage ok 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 re ponsility to determine whet permits are re uired, end to obtain permits prior to works! g on no" Clallam County Assessor Treasurer Property Details 59901 DAVID JANET STEV Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 59901 DAVID JANET STEVENSON for Year 2009 2010 Property Account Property ID* 59901 Legal LTS 5 -8 BL 374 Geographic ID 0630000374200000 Agent Code Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space. N DFL N Historic Property: N Remodel Property N Multi Family Redevelopment: N Location N Address. 618 W TWELFTH ST Mapsco I PORT ANGELES Neighborhood' Cycle 5 Res Map ID Neighborhood CD 10955130 Owner Name DAVID JANET STEVENSON Owner ID 54323 Mailing Address: P 0 BOX 2575 Ownership. 100 0000000000% PORT ANGELES WA 98362 Exemptions: Taxes and Assessments Due Property Tax Information as of 12/23/2009 Amount Due if Paid on ML, First Second Half Half Statement Base Base Base Amount Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due 2009 599012008 ST SCH STATE SCHOOL $294.84 $294.84 $0 00 $0 00 $589 68 $0 00 2009 599012008 CC -GEN COUNTY $149.22 $149.21 $0 00 $0 00 $298 43 $0 00 2009 599012008 PORT PORT $21 14 $21 13 $0 00 $0 00 $42.27 $0 00 2009 599012008 PORT ANG PORT ANGELES $327.29 $327 30 $0 00 $0 00 $654 59 $0 00 2009 599012008 SD #121 SCHOOL DISTRICT #121 $364 61 $364 64 $0 00 $0 00 $729.25 $0 00 2009 599012008 NTH OLY LIB NORTH OLYMPIC LIBRARY $43 36 $43 35 $0 00 $0 00 '$86 71 $0 00 2009 599012008 HOSP #2 HOSPITAL #2 $61.20 $61 19 $0 00 $0 00 $122.39 $0 00 2009 599012008 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72 00 $0 00 2009 599012008 FIRE_PATROL FIRE PATROL $8 70 $8 70 $0 00 $0 00 $17 40 $0 00 2009 599012008 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63 $0 00 2009 599012008 Admin Administrative Fee $0.25 $0.25 $0 00 $0 00 $0 50 $0 00 2009 599012008 TOTAL. $1307.43 $1307 42 $0.00 $0 00 $2614.85 $0.00 2008 599012007 ST SCH STATE SCHOOL $313 10 $313 10 $0 00 $0 00 $626.20 $0 00 2008 599012007 CC -GEN COUNTY $151 51 $151 48 $0 00 $0 00 $302.99 $0 00 2008 599012007 PORT PORT $22.13 $22.13 $0 00 $0 00 $44.26 $0 00 2008 599012007 PORT ANG PORT ANGELES $326.26 $326.25 $0 00 $0 00 $652.51 $0 00 2008 599012007 SD #121 SCHOOL DISTRICT #121 $365.20 $365 19 $0 00 $0 00 $730 39 $0 00 2008 599012007 NTH OLY LIB NORTH OLYMPIC IBRARY $44 02 $44 02 $0 00 $0 00 $88 04 $0 00 2008 599012007 HOSE #2 HOSPITAL #2 $15 05 $15 04 $0 00 $0 00 $30 u9 $0 00 httn /vnn clalla.m net X0X4 /'ir )ne Ivneeess /Prnnc rtv aqr' ?(1(1QR'nrnn rrl =5 I''''�/7(1(1C) ~ f'ORT ~ cY.J,O~~~ ,.~ ~ -- ~"";""'"~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNlTY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 05-00001034 Date 12/08/05 764322 618 W 12TH ST 06-30-00-0-3-7420-0000- RES REMODEL 1500 OWner Contractor WA 983627504 RICKENBACHER HOME REPAIR 121 E 2ND STREET PORT ANGELES (360) 457-0467 Structure Information 000 000 ---------------------- TYPE II FIRE RESISTIVE BUSINESS:OFF/PRO/MED/REST ~ \ 4 WINDS INVESTMENTS 618 WEST 12TH PORT ANGELES ( 36) 457-0467 INC WA 98362 \~ \} Construction Type . . Occupancy Type -~ Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL L/V T-STAT 66761 36.40 Plan Check Fee 12/08/05 Valuation 6/06/06 z .00 o ('\ ~ " ...--.. ~ Qty Unit Charge Per 1.00 36.4000 EC EL-LOW VOLTAGE Extension 36.40 ~ .+ 1 S'- Permit MECHANICAL PERMIT Additional desc INSTALL FURNACE Permit pin number 66753 Permit Fee 64.70 Plan Check Fee .00 Issue Date 12/08/05 Valuation 0 Expiration Date 6/06/06 Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 Vl. Special Notes and Comments The Fire Department has reviewed the project application and has no comments 10/31/2005 10:35 AM SROBERDS - Interior remodel only. No land use issues identified. $0 Connect Fee. 10/25/2005 07:42 AM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will be at the customer's expense. Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 101.10 101.10 .00 .00 Plan Check Total .00 .00 .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 Owner (if owner is builder) Date u!horized Agent T:\Policies\11 02_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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS I WALLS I FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHJMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\11 02_1 5 building permit mspectlOn record05.wpd [1/4/2005] ~~ORT~ rS.J,O~~~ ,. ~ -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNlTY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Other Fee Total 4.50 Grand Total 105.60 05-00001034 764322 4.50 105.60 Page 2 Date 12/08/05 .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\11 02_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 UNLA WFUL TO COVER, INSULA TE 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 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHJMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LlGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 I PLANNING DEPT. BUILDING 417-4815 \ /1,{) /PW u!A" BUILDING T:\Policies\I 102_15 building permit inspection record05.wpd (1/4/2005] ~ ~ BUILDING PERMIT. APPLICATION POR OFFICIAL USE ONLY: Date Rec.: / :;./ g /6 b Permit#: ci)-It!J,Yf Date Approved:i-' /6 /0 S" Date lUlled: I ;t. / ~ " Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. Uyou bave any questions, calJ PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Owner: To}, J? Address: ~ / 8 Architect/Engineer: Contractor Address: ~%tO;7:;.1~l!1jl1g f tIJj~~:e~~~~r::z?g~7 /AJ.p s f I d 'ttJ stt::.ity; PM ~ II / ~ S Zip: er e> ~'? (j) ;? N I f} Phone: State License #Ik.~W~')~Exp:~ / 0 ~ City: Ptir,.f Ifn~.! .er LJIf ~ Phone: I{f;2 - f tJ 13 Zip: 4a~~ PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: ZONING: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit Card Type VISA mE OF WORK: 'Residential Cl New Const!. [J Re-roof [J Multi-family Cl Addition [J Move [J Commercial Cl Remodel [J Demolition Cl Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: MC City: Exp. Date: # SIZEIV ALUATION: Cl Stove SF. @ $ /SF. = $ t:l Garage SF. @ $ /SF. = $ C Deck SF. @ $ /SF. = $ ~~th~ rnt1~ .. D~~~~~.};~~ON4~ in,f:E~9 ~~a~~ illSffJt( 1iJ/ L !/uXrl/.1 COMMERClALIRESIDENTIAL: Occupancy Group: Occupant Load: Consb:uction Type: No. of Stories: _ Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. - TOTAL Sq. Ft.tp6D Total lot coverage % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s): Cl Yes [J No SEPA Checklistrequired? [J Yes 0 No Other: VALUATION OF CONSTRUCTION: In AU 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 PemUt 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 constl1lction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date ofapplication, the appl1cadon 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 Rl 05 .3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined thIs application and know the same to be troe and correct. I am authorized to apply for thIs permit and understand that il is my responslbllily 10 determIne whel permits ere required ,not the City's, and that I must obtaIn such permits prior 10 work. 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"'''' ...,..., O'U :>-:>- ...,Cl 0101 ..... , '" o , o "'''' c/ ,"ORT ~ ~~~'" ~r.~ ~ -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 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 05-00000152 Date .335656 618 W 12TH ST 06-30-00-0-3-7420-0000- RE-ROOF 3/04/05 11000 Owner Contractor 4 WINDS INVESTMENTS INC 618 WEST 12TH PORT ANGELES WA 983627504 (360) 457-0467 RICKENBACHER HOME REPAIR 121 E 2ND STREET PORT ANGELES WA 98362 (360) 457-0467 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR OFF, SHEET, FELT CaMP 218.75 Plan Check Fee 3/04/05 Valuation 8/31/05 .00 11000 Qty Unit Charge Per Extension 92.75 126.00 BASE FEE 9.00 14.0000 THOU BL-2001-25K (14 PER K) ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 218.75 218.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 223.25 223.25 .00 .00 ~ - ~ F ~ .-- ':-1~' ';t 0/'. ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby cJfrtjfy thaV.hhaaye~1ead and examined this application and know the same to be true and correct. All provisions of laws and ordinances;Q'ferning thi~Ype of work will be complied with whether specified herein or not. The granting of a permit does not presume to give 8.l;ith(1Jrity to violi~'or cancel the provisions of any state or local law regulating construction or the performance of construction.//' / / ' / 7' ,-~/'/i / (/ v,//7()J\ Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date / T:\Policies\I 102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD 6) S - 10 3 If 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 I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALLIHOLD DOWNS WALLS I ROOF I CEILING 1J/-()7-0S ~ j..J.- DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB W ALL I FLOOR I CEILING I I MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHJMNEY COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 / I PLANNING DEPT. /_1... '1105 V~V BUILDING BUILDING 417-4815 "'/" . . . ins e tion record05. d r I 14/2005 T.\PohCles\] 102_]5 bUlldmgpenmt pc wp [ , t>' 0-] 'ti , ~~~8E; n'O , t-< >< ~ I H:U "" '0 I 'O:UZZO 0-]01 , '- I t"'()tr.lt-3:::d ><'0 , <n H I 01:u:u01 :>> , 0 >0 0-] I Zt-< ;J><n o:u , .... .. I ~. n<n ...,01 , I 0-] 0 , tll I tll 0 '0 , ~ 'ti I 01' :U. 0.... n:un I :u :u.... , 001 I 0-]'- , 3:>0 I 0 , '00::0 I OO.J:>.:::Offi ~.::: , t-<010 I In''' H .... , 01<n I I , :E:noo G)o , o-]o-]tll I OWH?:: O1ln 01 Ole:: QoZtr1::E: t-<- , OOH 0 , OZ 01 , b oO(l)tt!f-l <n.... 1" ....0 :>>'" 0 H 0 , Hno-] :u ~ ~~~@~ ln , t-< O1HG"J '" , t-< <nZ wtrj:;d(/) o::<n'ti :u , <n 0-] ln ~"O~ ttj-...J>--3::r: .... , CJ),&::. 3: 0 , "'013: H ::uo2;tIj .., 01 , 0-] 3:ocn::u c,....t>' :Uo I 00 01 0....0:: 0101 t:lOHI"d :I:'-H gj~8 tI10Z:J::; Zot-< t-< nH -..JO t-<:UI :u '- H o-]H "'z <n'O n ","0G) '-0-] 0 "'0 nHn ZZ 3: ....In..., OOH 3: ,;. :u ~z~ <n<n 01 ;J> '0'0 Z "'03: 01 0101 0-] OOOOH Z nn <n '" .. 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()(J) 'Ul'l , >-l 0 , fj. ~ tIJ 0 '" , l'l' :<I. 0 , , ():<IO :-l...... , ...... , 3:0 N , N' ",c::O OO!f:::o~O'\ ~.:: , .,., t"l'lO <Jl'" HH , , l'l(J) , , :>:()lD GlO , 0' >-l>-lal OWH~ l'l<Jl , \01 : tltl S ooZI;Ij~ t"- , OIOZ l'l , ~ OOCf)tJ:Il-' (J)H :i~ 00 pN '" H H' H()>-l ::a@~ N , t" l'lHI<J N , t" (J)Z wtJj~Cf) , C::(J)'" :<I' (J) >-l <Jl , ~~~ tIj....J~~ '" , , "'3:0 , ~r-Jtrj3:: H ooZtI:I ... 0' >-l l-Ijow:;d c..,otIJ :<10' 0 l'l O"'C:: l'll'l OH'U p:......H (J)(J)iZi oZP ZNt" C::()O , ()H .,.0 t":-lH'" NZ (J)'U:<l () oGl ......>-l 0 .,.0 , ()H"l ZZ 3: "'<Jl'U 00l':! 3: H H 3:Zl':! (J)(J) "' , Z 3: "''U Z "'HP l'l l'll'l >-l NHt" Z ()() (J) 00 .. >-l >-l>-l NN (J) OH ~ H :<10 ..., .. Z 0 H ~[jj c..,>-l Z ~8 0 'U"'(J) >-l 88~ l'l;<O l'l OH (J)l'l (J) ><:-.J ZZO >-l "" .. l'll'lH t" (J)O < ~O t" H ~ l'l '" '" :<: .,..,. <Jl<Jl -.J-.J , , 00 .,..,. "'''' -.J-.J O'U PP >-lGl l'll'l '" ...... N .,. ...... 0 <Jl.,. ~ pORT ~ &,4.0~~~ rea ~-- "l.&i:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application p1n number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00001034 Date 11/07/05 764322 618 W 12TH ST 06-30-00-0-3-7420-0000- RES REMODEL 1500 Owner Contractor 4 WINDS INVESTMENTS 618 WEST 12TH PORT ANGELES ( 36) 457-0467 INC Construction Type . . Occupancy Type RICKENBACHER HOME REPAIR 121 E 2ND STREET PORT ANGELES (360) 457-0467 Structure Information 000 000 ---------------------- TYPE II FIRE RESISTIVE BUSINESS:OFF/PRO/MED/REST WA 983627504 WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL OPEN WALL INSTALL BEAM 64758 77.50 Plan Check Fee 11/07/05 Valuation 5/06/06 31. 00 1500 Qty Unit Charge Per Extension 47.00 30.50 BASE FEE 10.00 3.0500 HND BL-501-2K (3.05 PER C) Special Notes and Comments The Fire Department has reviewed the project application and has no comments 10/31/2005 10:35 AM SROBERDS - Interior remodel only. No land use issues identified. $0 Connect Fee. 10/25/2005 07:42 AM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will be at the customer's expense. Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 77.50 77.50 .00 .00 Plan Check Total 31. 00 31.00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 113.00 113.00 .00 .00 Fl~ALW LlZ() /0& ~ ~ --- m ~ --- .,---.. ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate and public improvements. This permit becomes null and void if work or construct' authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a penod of 180 days a e wor commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby ify that I read and examined thiS application and know the same to be true and correct. All provisions of laws and ordlnanc ernlng IS pe of work will be complied with whether specified herein or not. The granting of a permit does not presume to give a rity to 01 e or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (If owner is builder) T IPohclesll102_15 bUlldmgpernllt mspectIOn record05 wpd [114/2005] Date BUILDING PERMIT - APPLICATION FOR OFFICI~~ USE ONLY Date Rec lo/Zt1~~ i Permlt# ~ ~IO~ Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Date Approved ApplIcant or Agent: Owner: 5 Ie.le..... <; 0 r- 10 Address: s-o / .e. I Ji' sr Phone: 5'"0 I E /J1Jr Phone: CIty: IZlf A.Jt'j..J ?J;f- 'Ir2 - /32--' ZIp: 7r:f362 ArchItect/Engmeer: Phone: Contractor R/~kef'lbC1(;'t. tor' ~ /ltfafftate LIcense ##/C/(E/I/Fi72J6Exp: O~6 Phone: '1'1 ~2g-c: Address: I Z / E ~~5 t CIty: I2rf ,4" ei..J tV 11- ZIp: 9.t:J-G ~ - ~ 6' d'" 1"" '/2 I ~ I -=z:: ) PROJECT ADDRESS: . ~ ~ ?i' (j;/v w /2- ZONING:~~;-. es.7 LEGAL DESCRIPTION: Lot5 1> -8 Block: 3 7 ~ Subdivisioo: CLALLAMCOUNTYPARCELNUMBER: 0 f3 qsz o(o!p~<. ofocLJ TYPE OF WORK: o Residennal 0 New Constr. 0 Re-roof o MultI-family 0 AddItIon 0 Move o CommercIal 0 Remodel 0 DemolItion o Reparr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT: o Stove o Garage o Deck J2I Other Ooe/! ""P I SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $t scv rJ wel/ ( //11f..// Spc c 6~-. ~ COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stones: Lot SIZe: Exis1:1ng Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. ConstructIOn Type' = TOTAL Sq Ft. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s)' 0 Yes 0 No SEPA Checkhst requrred? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. This figure wIll be revIewed and may be revIsed by the Building DlVlslOn to comply WIth current fee schedules. Contact the Pennit Coordinator at 417 -4815 for assIstance. PLAN CHECK FEE: IF a plan check fee IS due It must be sublll1tted at the 1:1me the buildmg pennit applicatIOn and constructiOn plans are sublll1tted. All other pennit fees are due at the 1:1me of pennit Issuance. EXPIRATION OF PLAN REVIEW: lfno peIlllit is Issued WIthin 180 days of the date ofapphcatIOn, the application will expire. The BuIlding Official can extend the trme for actlOn by the ap an up to 180 days upon wntten request by the applIcant (see SectIOn Rl 05.3.2 of the InternatiOnal Buildmg/ResIdential Code, 2003 ap Icanon can be extended more than once. understand that it is my responsibility to det nd know the same to be true and correct I am authorized to apply for this permit and are required ,not the City's, and that I must obtam such permits pnor to work. Date: lohu!o)" I I T \Pohcles\BL-1102_13.wpd - .....--- '---"'- ....--. -... ------1 'I .................,.....-...",~_"._>if >-'1-""..... ,,~...._-~~~, .....,.. ~~ ~"--"""-"1 - --- ---:-::--:, r .. ----.,-l=:=:---~i l' . -, 'rJ~' ./ I I j' --;=tV' f'>(lsf,,,'1 : : 1 I I fO C I( e t , ; I J blct>o( i ' \~_._- ~-_. I--~ ; I If '--/-----: 1 / L- f I' 13 0 "..~..--".--rr---'.-. , I ; , i j ( I . --l'r--"~~' "W --. ; i I i i ; ! : i 1 I I f I i : '< " f r"" I I . , r!" M -'''W''" ._-'-~--:"l--' .' ~ , , ~\I',\ -/-,'> e. e.- O y - ..-- \e\ ..... ! ~ I if --r. II /. I I I _-J--r.1 _' _it _..____ . ......J2._..._ "..----.-- -_____......___ } : '\~-- Vi: ~ ! I ' I \ --,-Ll II i i ! ! I ! --~- .....--'--- - ! I I t ; I I ; \ If, I ii I ! l!_~l _. .-. ~:.L~=~-~~-:-===:J i(!) I I J j l i 1 I , I l i ' , ! : ~ 1 '_1______ _____........1.-.-l. f)f/~t/~~ llQ11J '-I PrOjJOJ eJ B e,<Pfn-, ) / .t /1 ' ~. D eC. N7 (7 ,;;' IJ~ <t /f,lch", ce,l,;,r ~ ~ ~~()rlj ! ! I I JlII t I P--- ~_~==-===:=.~.~..__ .~.,f ,- / /' f~,J"eerrJ B~("M as' per AIJ;r1t:'.J r;;/Wd'~. $l'e~I - .. .I / __ _" ... -w.:J 0 :. '1 i"~===::-:--:" ~ - :, - ,_,.~~ ... _]' / 1--:4 '9J ---Av . ..-- ...- ->--.-------...-.. ---.-. -. ~------,- \J')~____t-.-~-..--~ ..",.-----.-,---- -..-..--~ . ,-....---...~."...-....,--.---.- ,-.---" - .. ~~;.. ~r~. 'I"~~ // /,/ I \>r' ~ c-v"" \ flJcJoa< c;.' " w \ 13-" I. 'I. ~o ~ ~ '~"__"_"_ 'H-'~__'_'___' . -------. "---~ -. ~ S Conf;tJUCtion [lll'"e CITY Of pOR~ ~ poll the'$tl plans. S\ll~h- The lssllaoce of tIli$ pen,,\\: vent ttle bUlllilng olltl;lO>! \iCl~;on$ eM <<IlIf ~ ~ :' ret1l0ll ot errors If. ~!iI t""" thereafter req\lil'll\lt >, '" lroli! pll\(Snt\C1i ,um .: "IllS otnel ~",.", p1ailS, speclfta"OIlS .. . ed 011 \heteIJ!ldllr \Iln~ m building operll1lOTlS bellll ~lI'Ial\l:tS cd tH> ~. 'Iiolabon 01'~ ~~9~~i.l za:.'-!:. ~l;l'gM iOi~i~- 'JL~- _ IOZ 0 ~ _ ~ Apj)ftM\ o.te ~ Ot,-J'lcri - sl eiJC..;~f;H" _ R ,et e., bG.:',~ t'; J/(Pl'l~ e HCpQlr - I? Ie k (11/\ q 72 8 G - (;/8 LvI /2 -t} S -;- Pori /I" qe/~~ " - 063DCKJ037tf2.00000 (c;."jT",-.cf f;:f" "'. '. ,9dJrt>:, · fbrcf!/ it "~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION -21 EAST 5TH STREET. PORT ANGELES. W A 9R~62 Application Number Application p~n number Property Address ASSESSOR PARCEL NUMBER Appl~cat~on type descript~on Subdivision Name Property Use Property Zoning Application valuat~on 05-00001034 Date 764322 618 W 12TH ST 06-30-00-0-3-7420-0000- RES REMODEL 1/26/06 1500 Owner Contractor WA 983627504 RICKENBACHER HOME REPAIR 121 E 2ND STREET PORT ANGELES (360) 457-0467 Structure Information 000 000 ---------------------- TYPE II FIRE RESISTIVE BUSINESS OFF/PRO/MED/REST WA 98362 4 WINDS INVESTMENTS 618 WEST 12TH PORT ANGELES ( 36) 457-0467 INC Construction Type . Occupancy Type Permit Additional desc Permit pin number Sub Contractor Perm~t Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL CURRENT/ FURNACE 69153 CURRENT ELECTRICAL 48 10 1/26/06 7/25/06 CNTRG INC. plan Check Fee Valuation .00 o ~ ---. ~ Qty 1 00 Unit Charge Per 48 1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48 10 Special Notes and Comments The F~re Department has reviewed the proJect application and has no comments 10/31/2005 10.35 AM SROBERDS - Interior remodel only. No land use issues identified $0 Connect Fee 10/25/2005 07 42 AM JHEBNER ---------------------------- Any mod~fications to the City's electrical faci1~ties will be at the customer's expense Public Works Utility Engineer~ng has no requirements for th~s plan review t Other Fees STATE SURCHARGE 4 50 "-... I~ I I~ I 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 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO UU\,;t1 IHlIl(yH.:JNl CUVER SERVICE - FINAl I--"O-Oh I A?Ji JI GENERAL COMMENTS: PW-II02 I' (4'96) -r;o.., G. . ELECTRICAL WORK PERMIT APPLICATION ."ORr_4/ .t"~'" 'f1'4 ~=. 1\:=-;~" -.. Job wired by o Electrical Contractor 0 Owner Installation description o Commercial ~sidential Electrical contractor name License number o New Date Expires E IIQI::l~.JJT J::-l :6C.-"T'IUcA.'- Purchaser's mailing address Po &>~ 2'i~'1- C;}0 1-'7""A....Ji.L4'?,) Telephone number 'tS7-I~dl &r-l-r- c.u~Q;oc.%lPl State ZIP wq "I~36.2 FAX number 'trl-fI?73 A~-"'I) remises owner's name ::r~H"'" 12.~'3~ Address of inspection ....:J;eo fP7-r;: - W' !'Z:c'-J CHi?- ;L 04-7 ~"r C-,--5 Phone number to schedule inspection: Owner as defined by RCW19.28.26J:(J) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the e\ectrical insta]- lation or alteration in compliance with the e\cclrical laws, N.E.C., RCW. Chapter ]9.28, WAC. Chapter 296-468, The City of Port Angeles Municipa] Code, and Utility Specifications. Signature 0 trical contractor or electrical administrator o Altered/Addition Jh w4,v~ C..(d.cY( r- J , o Cash 0 Check # o Credit Card Card # Expiration Date of card x Date: Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace 2.Q. KW o Heat Pump Ton LAR o Fan-Wall KW o Overhead Service o Temp Service o Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN Dale /' THERMOSTAT "- Date Approved By /' DITCH "- Dale Approved By Approved By FINAL I ~C' ,pC Date Inspection Date Area, Building or Equipment Inspected 1/9 Db D/L-. Visa Mastercard Discover Voltage Phase 0 1 0 3 Service Size: Feeder Size: SERVICE Dale ApprovcdBy ./ FEEDER Date Approved By./ Action Taken Electrical Inspector