HomeMy WebLinkAbout219 S Liberty St - BuildingPREPARED 9/01/10 8 15 40 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/01/10
ADDRESS 219 S LIBERTY ST SUBDIV
TENANT NBR GEORGE R ALLEN LFE EST
CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813
OWNER GEORGE R ALLEN LFE EST PHONE (360) 452 6318
PARCEL 06 30 00 8 0 0250 0000
APPL NUMBER 10 00000895 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 9/01/10
1
JLL
MECHANICAL FINAL TIME 01 00
August 30 2010 9 11 07 AM 1pangrle
DIANE 452 6318 OR 775 8031
MECHANICAL FINAL HEAT PUMP
AFTERNOON
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 RS7 RESDNTL SINGLE FAMILY
Application valuation 9052
Application desc
HEAT PUMP INSTALLATION
Owner Contractor
GEORGE R ALLEN LFE EST
219 S LIBERTY ST
PORT ANGELES
(360) 452 6318
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
sr 454
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
14 8000 EA
Date Print Name
T Forms /Building Division /Building Permit
WA 98362
Per
S pa, Inc
10 00000895 Date 8/20/10
403215
219 S LIBERTY ST
06 30 00 8 0 0250 0000
GEORGE R ALLEN LFE EST
MECHANICAL APPL PERMIT
64 80
00
64 80
Charged
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
MECHANICAL PERMIT
HEAT PUMP INSTALLATION
171835
64 80 Plan Check Fee 00
8/20/10 Valuation 0
2/16/11
BASE FEE
ME FURN /HP /FAU OR 5 TON
ifeOWYN
Paid Credited Due
64 80
00
64 80
00
00
00
Extension
50 00
14 80
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
0,0
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 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
Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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
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
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
T Forms /Building Division /Building Permit
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
C>
09
FINAL Date Accepted by
FINAL Date l Accepted by 1 fi
Date Accepted By
08/20/2010 08 17 13604525177 ALL WEATHER HEATING
of
Contractor's Address
License a LIAUC IS
Date
T ;Forms/Bulldln
Parcel Number
Print Nam
DM5IonBldg Permit.
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 g ‘0(2,,
Property Owner 7('G
Property Owner's Address 2_1
Contractor
PROJECT ADDRESS to
Lot
PrOMet TVPQ Brief Description. )Residential Commercial a Industrial
Check all that apply
o New Construction
a Addition
XRemodel
a Repair
o Demolition
a Re -roof House o garage a other a tear off re -roof o lay over one layer
,(tjieat System Heat pump wood buming stove o gas fireplace o pellet stove o other
Other
Floor Areas Existing (sa, ft.) dosed (sa. ft.)
Basement og per sq. ft.
1 Floor
2" Floor
3"' Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
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
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
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 whet permits ere required, and to obtain permits prior to working on projects.
r‘et CCIOD\1V\0_ Phone
UY*O.J\S1 Phone
I_ C
LI PLF 163 H.D11 DI Phone
U. e--17
Expires O E -mail
o Multi- family
ithon
Signature
For City Use Only
Date Received SS-2-0
Permit 10 e-gc1'
Date Approved
monesalgawan
Zoning
of bedrooms
of full baths
of half baths
TOTAL VALUATION S,,k� "T`►
PAGE 02/04
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
2 5 ton heat pump 10kw furnace
Owner
GEORGE R ALLEN LFE
219 S LIBERTY ST
PORT ANGELES
(360) 482 6818
EST
WA 98362
Permit
Additional desc
Permit pin number 171769
Permit Fee 56 00
Issue Date 8/20/10
Expiration Date 2/16/11
Qty Unit Charge Per
1 00 56 0000 ECH
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
ELECTRICAL HEATPUMP
56 00
00
56 00
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00000889
297939
219 S LIBERTY ST
06 30 00 8 0 0250 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
EL LVT THERMOSTAT
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
56 00
00
56 00
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Plan Check Fee
Valuation
Paid Credited
00
00
00
Date 8/20/10
Due
RESULTS
&2b/1 oW
libbn
00
0
Extension
56 00
00
00
00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date:
4'
1
C7
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
2 5 ton heat pump and 10 kw furnace
Owner
SMITH DIANE
219 SO LIBERTY
PORT ANGELES
36) 452 6218
Permit
Additional desc
Permit pin number 171413
Permit Fee 81 30
Issue Date 8/18/10
Expiration Date 2/14/11
Qty
1 00
3 00
Unit Charge
73 5000
2 6000
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98362
Per
ECH
ECH
81 30
00
81 30
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00000860
692400
219 S LIBERTY ST
06 30 00 8 0 0250 0000
ELECTRICAL ONLY
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
ELECTRICAL ALTER RESIDENTIAL
DATE.
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Plan Check Fee
Valuation
EL BRANCH CIRCUIT WO /FEEDER
EL ECH ADDNT BRANCH CIRCUIT
Paid Credited
81 30 00
00 00
81 30 00
9
7p)to c7
Date 8/18/10
RESULTS
WA 98363
00
0
Extension
73 50
7 80
Due
00
00
00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date:
1
E
l,\1 pn
CITY OP PORT ANGELES PERMIT APPLICATION 6 n
Building Division/Electrieal Inspections (ELECTRICAL
321 East Fifth Street P.O. pox 1150 Port Angeles Waahingtan, 98362 INSPECTIONS
Ph. (360) 417-4735 Lai: (360) 417 -470
Date: g /f
1 2 Single Family Dwelling Multi- Family or Commercial Commercial Addition Alteratir II/ Remodel !Repair*
Plan Review May Be d P ese mpletB Electrical Pien Review Information Sheet
deb Add ress: n2J
Building Square Footage:
Desor10 of shove 0/21
id f
Owner Inforpation
Name: Ureo r
Melling
City;
Phone:
L JGenne #1 em,
'etn, true
Slate; /A
Rom UnN Chamlt
Service/Feeder 200 Amp. 119.90
Servlca/Feeder 201400 Amp. 145.50
Service/Feeder 401 -60D Amp 204.60
ServicelFeeder601 -1000 Amp. 2622)
Service/Feeder over 1000 Amp. 372.60
Branch Circuit W/ Service Feeler 2.80
Branch Circuit W/O Senrire Feeder 73.60
Each Additional Branch Circuit 2,60
Temp. Service Feeder 200 Amp. 9270
Temp, SenricelFeeder 201400 Amp. 110.30
Temp. Service/Feeder 401.600 Amp. 148.70
Temp. Senrim/Feeder 801 -1000 Amp 167.90
Portal to Portal Hourly 95,90
Sign /DulHne lighting 88,20
Signal Circuit/ Limited Energy First 1500 sf-- Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90
Signet Circuit Limited Energy Multi Family Dwelikkg 63.911
Manufaetrmad Home Connection $119.90
Renewable Electrical Energy 5KVA System or Luse 102,3D
Thermostat 56.00
MI SSIMVCTION Mgt
First 1300 Square Ft. 110.30
Each Additional 500 Square Ft_ or Portion of 35.20
Each Outbuilding or Detached Garage 13.50
Each Swimming Pool or Hat Tub 110.30
Contra Intbnn,dlon
Malin
City:
Fborrec
tirwnee 0 t Exp.
Al *ea Cad If On_
._.Ab�!a otrotno+e
Torn( OM tied iw Unit Chat1101
3
Owner as defined by RCW.19.20.261• (1) Owner will occupy the structure for two years after this electrical pem* is Omitted. (2 r'wner is requited
to hire an electrical contractor If above said property is for sale, rent or lease, Permit expires after six months of last Inspection.
Alter reading the above statement, t hereby certify that t am the owner of the above named property or a licensed electrical tronl rat tor. t ern making
the electrical Installation or alteration in compliance with the electrical laws, N.C. RCW. Chapter 19.28, WAC. Chapter 2984E E ,I The City of Port
Angeles Municipal Code, and U Specifications and PAMC 14.05.050 regarding E ectrical Permit Appficatlons.
Si of owner, Machin or elecdrice, aduMntetrator• 0 cub D Chdc
O
6�
08/20/2010 08 17 13604525177
City of Port Angeles Permit Application
Building Division/Electrical Inspections
321 East Flfth Street— P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417.4711
Date: i I9010
N1 2 Single Family Dwelling
Multi- Family or Commercial*
Commercial Addition 1 Alteration Remodel 1 Repair
Plan Review May req d Please Complete Electrical Plan Review Information Sheet
�_u
Unit Charce
93.75
$113.75
$160.00
$205.00
$29t25
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
J ob Address: 2-
Building Square Footage:
Description of above 1 O r1Q
Owner formation
Na me:� Q�f a O► .-N
M ailin Address:
City fircelett. State :VJ ZIP:
Phone. L''Z(a S:
License I Exp.
Signature of owner, electrical contractor or electrical administrator. 0 Cash
ALL WEATHER HEATING
RECED/ED
AUG 2 2009
ELECTRICAL
INSPECTIONS
IV. 11 1
Contractor Information
Name: Mk V 'et
Mail' r Address:
Ci i•: M]l! s State:
Phone.: rir: Ito Fax:
License 1 Exp
M
Total (Otv Multiplied by Unit Chaim).
Service /Feeder 200 Amp.
F. ServicelFeeder 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 WIO Service Feeder
Each,Addltional 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 CircuW Limited Energy Commercial
Signal Circuit/ Limited Energy 18, 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 FL or Pottion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
;15 Total
[I Check
Xr Credit Card 0 OA 4
PAGE 04/04
O &c
!j:5w
IB■ Zi 'el• r_
r
III
Owner as defined byRCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized (2) Ownerts 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 1 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.
0
M d
W
00
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000262 Date
.904942
219 S LIBERTY ST
06-30-00-8-0-0250-0000-
MECHANICAL APPL. PERMIT
3/31/04
Owner
Contractor
f1-NA~
f7!Uz(04 (ZV
RS7 RESDNTL SINGLE FAMILY
2400
SMITH, DIANE
219 SO LIBERTY
PORT ANGELES
(360) 452-6218
WA 98362
EVERWARM
257151 HWY101
I
P0RT ANGELES
(360) 452-3366
WA 98362
permi t
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
FREE STANDING PROPANE STOVE
57.65 Plan Check Fee
3/31/04 Valuation
9/27/04
.00
o
)\J
-.......
~
Qty Unit Charge Per
Extension
47.00
10.65
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
V\,
\:'
)--
\:)"
~
,.
~
(I:
":"-j
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.
oN
FIL6
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:IPLANNINGIFORMSIl 102.l5 [11114/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DR YW ALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE 1).J -!+~...OH I. t,
WOOD STOVE I PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKINGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL
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 PLANNING DEPT.
BUILDING 417-4815 1'1- f},1) '-0),/ {(V BUILDING
T:\PLANNING\FORMS\1102.15 [11/14/20031
FROM :EVERWARM HEARTH HOME
FAX NO. :13604523367
Mar. 30 2004 09:52AM Pi
:3eo41747'~ # II
4":30-03;. 8:'12AM;C:1T\' J'>OI'lT ANGELES
S_d"~'"
Fill uut COMPJ.ETEL Y and in INK. Your appUeatton and site plan MUST BE
COMPLETE to be Rccepted t"or review. If you have any qllestion., call
(360) 417-4815
BUILDING PERMIT. APPLICATION
FOR. OfFICIAL USli ONLY:
DB.\C:Rec.;3'- sU. O'j
Permit #I: 0'-1 - 2 f, 2.-
D..lo Approved:
Dile Issued:
-
Applic~ A~ent: . ~ Ij ~.\Z. -...u .~ R.. )'-'\"
Q\11ner: ~ C.I... t"-L. S ~ ~.+ L-:--
-':"'\ C ~ C^'-...
Address: ..PL I C] d, Li b.D V +~ City:
~~
Architect/Engineer: ,.-- Phone:
~ ~U~ ~,-\
Contractor (> \Jt lie wOo. e >-1 State License #: \,U \ *- o~~to,)\.ExP:2..J II 0~
Address: ^ S,.., t ~ I ~'-' \ ~ { City: \:)0...
PROJECT ADDRESS: d;L I q "'-'5. k'; ~ r *y
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COUNTY PARCEL NUMBER: __ <:l <n '3 ~ 0 ~. CJ~ '2. '"5 0
Phone: ~ L. ~ "S .~ tJ <0
Phone: ys d.. - to ~ I 8
Z.. , C) ~ '3 <0 '?
..Ip, .:3 ,-,
Phone: '-\ 5'2 ~ '3>-~ b~
Zip': C\ ~"3 <0 <"I.-
ZONING:
Subdivision:
Credit Card Holder Name: '-l of": V'f"1
BilItot Addrtll: () ~ .Q
Credit CardType VISA MC #
TYPE OF WORK:
, D Residential [J New COlllltr. 0 Rc-rooC
o Multi-familY 0 Addition C Move
o Commercial CI Remodel 0 Demolitiun
o Repair CI Sign
BRIEF DESCRIPTION OF no: PROJECT:
. II c...(...Cl. V'. ~~e~
City.
SIZKNALUATlON:
SF. @ $ ISF. .. $
SF. @ S ISF. .. $
SF. @S JSF. = $
TOT AL VALUATION $
~ -11 0-E
.,
~o..,.... 1<..
Construction Type:
= TOTAL Sq.Ft.
%
COMMERClAURESIDENTlAL: Occupancy Group; Occupant Load;
No. of Storie!l: _ Lot Size: Exis\ing Sq. Ft. & Proposed Sq. Ft.
Existing lot coverage _ % at Proposed lot coverage _0/0 = Tota11ot coverage
APPUOV ALS:
PLAN:
BLDG:
DPWU:__
FlRE:__
OTHER:_
pLANNING USE ONLY:
BSAlWetland(s): DYes C No SEPA Checklist required? CJ Yes t:J No Other:
BUIIJDING p~RMIT A'PPLICA nON SUBMITTAL: The Building Division call provide you with inionnation on the application and
plan submittal ~uircments if you have questions.
V ALVA nON OF CONSTRUCTION: In all casel, a valuation amount must be enttlred by the applicant. This figure win be reviewed'"
and may be revised by the Building Division to comply with current fee schedules. Contact the Pennit Coordinator at 417 -4815 for assi~tancc.
:PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit applicntion and COllstruction plans lire
submitted. All other pennit fees r.re due at the time of permlt \SSlllUlce. ,
EXPDlATlON OF PLAN. REVIEW: Ifno pem1it is issued within 180 days of the date ofappliclltion. the application will exp1t'~. The
Building DtlicialcaIl.flXteiid. the.fune_fouction...by-the.applicant up.to 18()"day6-upen.writt6n.rcquest'by the'applicant (see Section -t (J7A of
the Uniform Building Code, current edition). No applicatjon can be c:l:tentlcd more than nncc.
I hereby certify that I halle read and eX8ITllned this appliea/ion and know the same to be true and correct. I am authorized to apply far this permit and
undf1rsf8nd that Ills my respansibjJIty to detormlne what permits are required ,not the City's, and that I must obtain such permits pn'or to work,
~~~[)"e: 3!80/fJi!
T:\FORMS\APPS\Buildingpmnil. wpcl
ME6
ME99
01
01
4/28/04
4/28/04
5/26/04
,4-P
JLL
AP
:w-
MECHANICAL GAS LINE
linda 452 - 3366
MECHANICAL FINAL
COMMENTS AND NOTES
PERMIT
TYP/SQ
ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS/COMMENTS
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER
219 S LIBERTY ST
EVERWARM
SMITH, DIANE
06-30-00-8-0-0250-0000-
04-00000262 MECHANICAL
APPL
PERMIT
PREPARED 5/26/04, 13
CITY OF PORT ANGELES
26:41
SUBDIV
PHONE
PHONE
INSPECTION TICKET
INSPECTOR ROGER VESS
360
360
452-3366
452-6218
PAGE
DATE
1
5/26/04
PREPARED 4/28/04, 12:49:36 INSPECTION TICKET PAGE 10
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/28/04
- -- - - - - - - - -- - - - - --- -- -- - --- ------------------- ------
ADDRESS 219 S LIBERTY ST SUBDIV
CONTRACTOR EVERWARM PHONE 360) 452-3366
OWNER SMITH, DIANE PHONE 360 ) 452-6218
PARCEL 06-30-00-8-0-0250-0000
APPL NUMBER: 04-00000262 MECHANICAL APPL. PERMIT
---------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
- - -- -------- - - ----- ---- ------ -- ---------
ME6 01 ~--- MECHANICAL GAS LINE
1inda 452-3366
COMMENTS AND NOTES
$S
.....:::;;.>
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT
OWNER/APPLICANT
MADELlNElANG
219 S. LIBERTY
Port Angeles, WA 98362
360/457-8433
T:
S:
ISSUED: 9/24/2001 PERMIT NO: 12991
PROPERTY LOCATION
219 LIBERTY S
Lot: PSCC 14
Block: 2 D long legal
Subdivision: 12 & wl0' of 11
Pa~eINo: 063000800250000
CONTRACTOR
TOPNOTCH ROOFING
1235 WEST 9TH
Port Angeles, WA 98362
360/457-0066
PROJECT INFO
Project Value: $4,854.00
Project Type: RE-ROOF
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use: RS7
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units: 0
SFD sa FT: 0
MFD Units: 0
MFD sa FT: 0
Commercial:
Industrial:
Garage:
o
o
o
9-)
PROJECT NOTES
TEAR OFF / REFEl T / 3T AB
...D
\j\
\)
FEES ASSESSMENT
Building Permit: $111.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $115.75
Plumbing: $0.00 AMOUNT PAID: $115.75
Mechanical: $0.00 BALANCE DUE: $0.00
Radon: $0.00
I
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(0
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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 aflerthe 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
iaws 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.
7-~~1 ?':J/
Date
Signature of Owner (If owner is builder)
Date
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt?
16763
Port Angeles, washlngtonn........I._::_.~L___m__mm....._n__m_, 19.2/''''
In accordance with the City Ordinance to regulate the installation, extensIon, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
nussion is hereby gr~nte,d d~', el trlca, I w~, as listed below.
, ~ "A7ktJ
Address _nn_h?_ ?:nnn '____~ m m_m_m_.__~n~-mmn-.___-m-. Occupancy_h_LUg:'::~:~_m__h__nm.m_n_
Owner nm_m~a. '.__ m~~~~ ff~ant-n-.h-----mmm--m-mn-nm--h--mn-nn-nm-...m.m
Wiring Contractor __~~mnm-'m-n--mnm--n'4.':-n Byn____m__m_.mm_mmmm__nn.____nhnmnmooo___..._
Light Outletooooomm__oooooooo_______oooo_oo_m__ Service, voilo _/;g_~-!.!:f.3?__ Type at Wiring:
Receptacle Outlets.....______.___.....h......... No. wires .....3..,...z...z......n.... Armored Cable ..............................
SI - --Ji/~) Non-Metallic .................................
Dry",. KWmmoommoo_________________n_______ ze WlreSoom~- __ m_!.Loo____ _ __
(j Knob & Tub.____oooooo__mm_moomm___
Range, KW m..mnnn...mnnn _.mmm.... Main fuse ........ "___~" ... .h.....
ell. Rigid Conduit -000----00000000------00--..000
Water Heater: Enclosure ..m.' ......___m~......... b
Metallic Tn Ing ..................___......
Kw_______)__:H_;__oo_~--;;;/.-~;
He." KW_J~m/1.~_m~)-"
Type of wIring:
Entrance Cable ......___..mm___.__
.. ,
Motors: size, votts.xhase:
==~::::::::::::::y::::::::
Rigid Conduit ..._____:...___.....___........
MetalUc Tubing m.....___......
Current transformers:
Raceway ......................._.._..____
Circuits, Llgbt..................................._..
Utllity ____00____000000__0000_000_______________00
Heat ......................................._.._
Ser. No..............................................
Range .............................................
Water Heater .........______................
Motor ..._.................................._....
No. & Size.....___......___..___......m........
,-
,
Ser. No. .............................................
Dryer .................n...h........................_
Furnace .........................'_...................
Ser. No...............................................
Total ~ad.....___......:........m...
Sec. No.................._..........................
Total.......................................
Remarks: m_m_ooom_mmnm_:ooomn__n.n_m_h_nm__hhm.__._m_mmmmm_nnmnmmmmmmmm_mmnmmmm..........__
..nn.nonono__onuu~:ununn.uhunn.nn...u.h.n..onnnn.n___.n.n.hnu.__.n.n.........n.non.n..nn.h__.__no...n.__...n.nh.dndU__onnn
Permit Fee
$:h_.......__...m__m_oooh.ooo.__'
Treas. Receipt
NO.m......m_.......__.__..
By h____.___.____........__...___.....m__nmmmmmmmm__
NOTICE-Current must not be turned on until Certificate of Inspection bas been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
,
ELECTRICAL PERMIT
N?
16763
Address..................._...................................................................................................................Date..._......_.._h_.._.........._......_......_......._
Owner ..................................._......_.._......_......_.._........................................................... Tenant....................................................................
\,
\
Wiring Contractor ...n..................................................................................................................... By..............................................................
NOTIC~urrent must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due, notice must be given the Inspe~or so that work may be inspected before concealment.
/"/ --
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____ 1M Olympic Printers. Inc.
12/27(20Q~ 09: 44 FAX 36045i4698
STRAITS ELECTRIC
Ig 01
Q 1/0/
~&
"iiiiii...
ELECTRICAL PERMIT APPLICATION
IiOR OFflOAL uSE O~L.."f
D;atelR<<:
Pl:rmrr..
D:l.l(A,ppro~:
~e'loM.IN
The Electrical PelTT1i1 Application must be "lied out eomp!e1elv.
Please typo or reprint In II1k. If you have .nf questions, please coli (360. 417-4735
Fu number: (360) 417-4711
. 79 LjO
o...ner or E111C. ContraclOr Agent strai ts Electric
Propertyo.ner. 41 If j)~d
Address: .;lt9 S. L: ~ d
EJec1ricaJ eontrador: Straits Electric
Address: P.O. Box 2914
PInle'
REQUEST INSPECTION 0
452-9104 For. 457-4698
Phone: '1;)1-- r 'f 33
Zip: 'f '? 31a;:;.
9/03 Phone' 452-91 04
Zip: 98362
City:
Por+ ~II Ul.-
Uconse.: STRAIE*O u,os
Port Angles, WI\.
INSTAlLATION WIRED BY:
DOWNER
City.
~ ELECTRICAl CONTRACTOR
Credit Card Holder Name: straits Electric
8illing Address' P.O. "'ox 291 4
CredftCardNumber
City: Port Angeles, WA
Exp. Date: ;-
ZiP:98362
VISA:2- MC,---
PROJECT ADDRESS:
;;) I Cf ~, 1-; ~ -:f::,
Check all that apply: 0 New Alteration/Addition
TIPE OF WORK:
o Residental 0 MUllrily 0 Commercial 0 Mobile Home Sq. FI.
o Remote Meter M'betaChed garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 Sign
Z-
Number 01 Circuits added Or altered:
I
DESCRIPTION OF THE ELECTRICAL PROJECT: ,..q--~.,t;;2)A ~-,.- -n- 5" .s;:.;-/3""~_ 7Z)
,E"y~(; ~. ~A.S~.:r ,GJ<'/~,s ~ ~.J~ ~ _71/ ~"'~
,v/77-! ~,,1' w/d" . r&'B,-"1'B"rI-- - t7-~~ -,p 7~~
- --11ft; /30
;1tc #-. I trfJ.3L(
Electrical Heat Load Additions
Service Information
o 8aseboard
D Furnace
o Heat Pump
o Fan-Wall
_t<m
_t<m
_t<m
_t<m
o Overhead Service
o Temp Service
o Underground Service
Vollage:
Phase: 0 1 0 3
Sel'lice Si2e:
Feeder Si2e:
PAMe 14.05.060(8): For Industrial, commercial. & residential projects larger than a duple,,- a one . line drawing of the Electrical Service &
Feeders. building slm (sq. ft.), load calculaUons. and the type & of conductors and/or raceway is required and shall accompany the
Electrical Permlt applicalion.
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this perma. I understand if is not the City ity to determine what permits
are req ; if remains the applicants responsibility to determine what permits are required and to obtain such,
11-/~ol A1--o/:: ~ <(-5 lkt~
Credit Card Holder's Signature:
/0<:/02-
Date;
/h?7'-U2--
Dale:
PW-9019
~ c t:2--
Owner or EIec. Cont. Signature:
Application Number . . . . . 22-00001192 Date 11/09/22
Application pin number . . . 218816
Property Address . . . . . . 219 S LIBERTY ST
ASSESSOR PARCEL NUMBER: 06-30-00-8-0-0250-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
NICOLE L WINTERS AND AUSTIN M ALL WEATHER HTG & COOLING INC
219 S LIBERTY ST 302 KEMP ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-9813
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee . . .00
Issue Date . . . . 11/09/22 Valuation . . . . 0
Expiration Date . . 5/08/23
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
PREPARED 9/22/22, 7:50:57 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001192 219 S LIBERTY 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:
Heat pump system
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
1/9/2023 22-1192 TAP
OWNER
CONTRACTOR
All Weather Heating
PROJECT ADDRESS
219 S Liberty St
Application Number . . . . . 22-00001427 Date 11/16/22
Application pin number . . . 704935
Property Address . . . . . . 219 S LIBERTY ST
ASSESSOR PARCEL NUMBER: 06-30-00-8-0-0250-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
NICOLE L WINTERS AND AUSTIN M BLACK DIAMOND ELECTRICAL CONTR
219 S LIBERTY ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 11/16/22 Valuation . . . . 0
Expiration Date . . 5/15/23
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 11/10/22,10:37:00 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001427 219 S LIBERTY 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
11/14/2023 22-1427
TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
219 S Liberty St