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Home My WebLink About1111 E Park Ave - BuildingApplication Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation Owner VALADEZ STEVEN C 1111 E PARK AVE PORT ANGELES Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total T•\PLANNING\FORMS \1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983622740 Charged 46 70 00 46 70 03 00000852 1111 E PARK AVE 06 30 11 5 1 0650 0000 MECHANICAL PERMIT 6575 Contractor PENINSULA HEAT 502 W 8TH ST PORT ANGELES (360) 457 2775 ELECTRICAL ALTER RESIDENTIAL HEAT PUMP /FURNACE OLYMPIC ELECTRIC 46 70 Plan Check Fee 00 10/01/03 Valuation 0 3/30/04 Qty Unit Charge Per Extension 1 00 46 7000 ECH EL -R OR RM 1 4 ALT CIRCUITS 46 70 Paid Credited 46 70 00 46 70 00 00 00 Date 10/01/03 WA 98362 Due 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 CA LL 417 -4815 FOR BUILDING 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT 8 ROUGH -IN PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY FLOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT N's SEPA. 66/°/ `e.- z PARKING /LIGHTING ESA. O LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING I FIRE PLANNING DEPT BUILDING T• \PLANNING \FORMS \1 102.15 [4/20021 BUILDING PERMIT INSPECTION RECORD 417 -4735 ELECTRICAL LIGHT DEPT 417 -4807 417 -4653 417 -4750 417 -4815 YES NO I I I I I I I I I CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING --........- FROM BOB'S Electric FAX NO. : 1 350 452 9943 Oct. 28 2004 08:45AM Pi ELECTRICAL PERMIT APPLICATION '01. OI'T'lOAL I~$t: rl"l " 1'..~4...':_..~-,......._ The Eleclncal Permit AppJicalion must be filled cui completely. Please type or rcprlnlln Ink. If you have any qUftsllons, pll!Bsa call (360. 417-S7:iS Fax number: (360) 417-471 1 h_f: D3tfA"",,"I''': I'.tl~; :~~r::~lrad~!:#~ ~ii4/ Addr...: / J / i r -Av1.~ Clly: Eloclrical Cotllractor: i3~l, ~~ Urr .J;Yc.. L1l?nt6f;~Z.~xp: Adm..., ,.Q;tfS 19JII iJ,.".< Cily: ../hi- J4lJcr /., <: &)0 INSTALLATION WIRED ey: 0 OWNER ~ElECTRICAl CONTRACTOR Credit Card Holder Name: tJ db"'./ ~/....~, If Billing Address: ,2Zf. ~ '/;:>ge-.e ~.< City: ART 14tUcr"' &, <: Credit Card Number: '-/ Exp. Dale' ~~~, Phono~-"Y'<7-t:.w7F.X: S&.o .4r:;::J.C;<1<;/3 Phone: Zip: Phone: 457. &,Rt;; Zip: <; E: ~" L Zip: IrJe" Cj~ VISA:LMC:_ PROJECT ADDRESS: 11// , TYPE OF WORK: Check all thai apply: aNew a Alteration/Addition ~ a Hot Tub a Swim Pool " o Septic Pump a Low Vollage a Telecom. c .J; \ o SiN ~eSldenlal 0 Mulli.ramily a Remote Meier a Detached garage a Commercial a Mobile Home Sq.Ft. Number or Clrculls added or ellered: ~ 7P~p "" 4 ek~t'hJ?A'v ~ ~f t9 DESCRIPTION OF THE ELECTRICAL PROJECT: Electrical Heat Load Addlllons Service Information o Basaboard o Furnaca o Heal Pump o Fan-Wan _KW _KW _KW _KW o Overhead Service i:I Temp Service o Underground Service Vollage: Phase: 0' 0 3 Service Size: Feeder Size: PAMC 14.05.060(6): For Induslrial, commercial, & resldenlial projecls larger than a duplex. a one -line drawing or tha Eleclrical Service & Foeders. building size (sq. 11.). load calcvlaUons, and Ihe type & of conductors and/or raceway is required and shan accompany Ihe Eleclric.' Permll appllcallon_ I hereby certify thaI I have read and examined this appticalion and know Ihat same 10 be true and correcl. and I a, authorized 10 apply (or this permit. I understand it is not the City's legal responsibility to determine whal permits are required; II remains Ihe applicanfs responsibility to determine what permits are required and to obtain such. PW-9019 Credit Card Holder's Signature: 0""." 17 . ~A~ It! Owner or El r/ ~~r ( t ~ Date: 1h1tJ~ Date~Oa~ r J ~ ti~tJ ~0V ELECTRICAL PERMIT APPLICATION IOOIt Ol'JlCLU. USE OJooLY """''''' ~..;---...- hl.1~~~<:d' ~ bhlf>.!.. _,'_._ . "__. .__ -~-, Tha E lec,r'l.;al Pen"'rl A~phC~lll::n ~~~.!!l!!.!.!st.2YJ l;om ~etc(v. ',\0 P IUIae type or reP.f1n! In il1k. If )'ou tli!l"'~ any quest~. pfeaBr t=:.1I (360) 417....135 F"Jf num bar: (3t1il'J) "17";711 Jff1i- #- !?5Z- r 1 O'wnerc:r E:lec. Contrae1:or AgClfll: Olympic Electric CD., P"'9.<tyO"""" SllV( I/i-Ivl,,?- /1/ I f /v/t: E'_C""',,,,,,,, Olyrnpi.c Electric Co., Inc. 4230 Tumlvater Inc:. Pho",,: (L'l7-53U3 Filll: 452-3498 Z-/Z-7o Phone: Addrau: City. Z;1p: v CI/)': Licon.. #; Q'il"FEC28;DlE.p. 3/31/03 Port Angeles INSiALLAtro.\l WIRED BY; Pnon.: 457-5303 ZIp: 98363 AadreS6: G OWNER ~ ",L",CTRICAL CONTRACTOR Credn C/Jr<I Holder Name: ChClrles T. Burkhardt, 01 Ylllpic El8ctric Co. 1 I nc. Billing Addff!s,,: Same Crud/t Car<l Number. City; Exp. Datil; ZIp: V1SA: X Me: PROJECT ADDRESS: //1/ ,[, /h( TYPE OF WORI(: Check aU that apPlY: .0 NeW IJ Allerall<mlAddilion ~esldentlal [J Multi-family 0 Commercial r J Mobile Home SQ. Ft. ,] Remole Meter 0 Dalached g8rage 0 Hot Tub 0 Swim Pool 0 Septic Pump 1.1 Low Voltage [] Telecom. - r (/ill 11/" t7 / o Sig Number of Circuits added or alterEl<1; Z-- 11M -Ij!"V, ~/~{lCt DESCRIPTION OF THE ELECTRICAL PROJECT: D ~p'~t{#1; &.\.Ir aaetloan1 KW VOI~e; . Fumaea Jf. KroW U Overhead Service Phas@:C:'C3 4eBl ~un1P !..AFI ! .' Te.mp SeI'\Ilce Service SIZ8~ . Fan-Wall K Ll Underground Service F:eeoer Slze:_ __ __~_ SC-,..05 ): For industnal, ccmmQf'Ciat, & ,_idenli,,} projects ''''llerlhan a duplex. a ooe. IIn. dr.<wing artha Electrical Sanr"", & FlI<lCiers, building sIZe 1"1. n.l. ""'" c8Iculall"".. end the IYpe & ofconduClOrs aMID, raeBWOr is reQuired an(! ahal! accompany lhe Elecl11cai Permit epplleaMn, In ""btTllctJons Service Information I hereby certffy that I halle read and examined this appllcstion and know thst same 10 be we ana correct, and 18/ authorized to apply for this permit. I understand it Is not the City's legal responsibility 10 determine what permits are required; II /'Bmains the appl;l:anls responsibility Co determine what permits are requIred and to obtain such, ~ cdftuc..-r--- 0111 'I /z3/ 03 ( / ~/2,1 ~ Credtt C.rd Holder's SJgr'li:lture~ Ownttr t!K Elec. ee"l. Signalu(~: -- Dat.; >7W-9019f7103 IV, ~t=+- PERMIT FEE: $ UYrCI ''r( Lj~,70 ~ () k- A-s >'S ~JL 10~ ~IijL~313 ~IdNX10 86tC6St09C XYd 86:60 C006/C6/60 T,ansmission Repolt Date/Time LoeB I 10 Loca I Name company Logo 10- 1-03; 10:27AM 3604174711 ?O~T At'IGELESr CITY Th document was (I-educed samp I Document Size ~ ~ Is be low) e Lette,-S conf and Imed deta i s eHV OF PORT ANGELIoS DEPARTMENT OFC0\1MlINITY DEVELOl'MENT . BUILDING DrVTS10N nlJ;"ST5THST!lliliT,PORTAN<:;ELES,Wl\OI)(,; "WHo"",,,,, IIUIII>~~ P"'P""tylddr".. AllSMoo..n"'L.......... ~~~~i: :"=11>""'" 1>>OportY"""-,"'J.... AppU.,.Um.."I",ti<>n, 01-0000.'..., """" lO/611.' un E PAHAVl< D'-'O-H.'_'.'~"_OOOO_ lGCl<"'''CM..''''''''T ,"7' """'<r.cw. VAUll'" .oTEVn ~ HUSPARlA"" .""1'.......,""$ W.....,.3".. l'SlfllISlIlAUll.T ~O. ". UK sr. POIT"-",,s 1>'01<'7_"" 0...\, A4<tltionaldaoc !lubCcmtr""'''r PUDic ..... I.."""",. ~l<.,i<>n",,<.. 'L"O'CnlCALIlIr.BI<USIDHItTI1.L ""T"'lNP(~ CLY>I?JOKLI'-"I'llW ".J" Pl'-'lChocl<F.. l~/01/.' val",Uon '/;0/0' ., o ~ty Ul\.It Cbuqe per 1.00 H.'oo"..,S U-PO.... l-. ""t'CI1lCIJITS ...'....ion ".70 .....-..ary ""....."" .., 0...<11.0.... >@""it "".""tal '6,70 ".7. .00 .l...,Ch.<:Jo:""tal 00 ., .00 ~ram T<>t<L\ '''.10 '"," .00 00 .0> m StparatePermlt$ are ""4ui",dforelectricolwork, SEOPA, Sl1orelM, ESA, ~lltl'''', pri~ate arod 1,ci1lic imp"'..."""".. fhi.permit b.c~moo null"'dvoldI1"",rI<orcon.I'uo1ionaullY>'i,edl.noIDOmmenc",,""h'n180da...o!co!lSt,,"c',o"orw<>r';'~uspend.d""'I>aI><l<>"<<l fo< a ro'iud of 180 o.YS aft9r th~ W(>rk as C1)mm..nClld, 0' it requi",d 'nspedlono /\a.e not beM ,eQue,tN ""Ihln 1 80 ~ays lrum "." t~$1 in"p.cNan. I ~e""by certitYIh" I K""" reM a~d """"'ined lhis appllcat"'" "n~ Imuw Ihe """~to "" lru<l aod C?rreCI. :~I p";",i.,o",, ot law; ~nQ Onllnenc"" ~o...,mlng llll. type Or'WIJf' v.tll t>ll CflmpllOO wlh WhelMr 5pec~led he'eln 0' ,,,I. Tho grant,ng 01 .. p..,mlt doeo not pmsu",", to gl"~ ~u""n"ty 10 ,,;ol~lfO or CMc~1 the pro~I~lons of any .tale dr 10,,"1 I.1lw "'9-J'.t'~Q Cfln'II\I''I"",o 0' 'h& pertmmo"ce of C<>rl.Huo1ion !;;gnalure atContrllclOror Autho~",d Agent Dille S",natu"'ofOwner(jto.."e,i.~uild~') 00' "........""""'."......."0>."1..."""'1 Tota I Pages Scanned l' Tota I Pages Con-f i t'"med , ' No. Doc Remote Stat Ion Stat'"t Time Dut'"atlon Pages Mode Comments ReSUlts , 215 94523498 '0- 1 -03; 10 :26AM 39" 1/ 1 EC CP 9600 u N01:es ~: * EC: Et'"t'"ot'" Correct RE: Resend PO: Pol led by Remote MB: Receive to Ma i Ibox BC: Br-oadcest Send MP: MUlti-Poi I PG: Pol I Ing a Remote PI Power Interruption CP: COmple1:ed RM; Receive to Memory DR: Document Removed TM; Terminated by user LS; Locai Scan LP: Local Print FO: Forced Output WT: Waiting Tiansfer ~ ,ORT "-\: ~~O~"" (J~1Il if 'EiII L~ --=- ~<:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000761 Date .551206 1111 E PARK AVE 06-30-11-5-1-0650-0000- RES ADDITION 9/13/04 RESIDENTIAL MEDIUM DENSTY 15000 Owner Contractor VALADEZ STEVEN C 1111 E PARK AVE PORT ANGELES L P HANNA CONSTRUCTION INC. 332 GROUSE DR. PORT ANGELES (360) 452-1572 198 SF ADDNT TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS WA 983622740 WA 98362 Structure Information Construction Type Occupancy Type Other struct info 26.10 V-N 1. 00 1841.50 7050.00 1841.50 1. 00 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc Permi t Fee 54.25 Plan Check Fee .00 Issue Date 9/13/04 Valuation 0 Expiration Date 3/13/05 Qty Unit Charge Per Extension BASE FEE 47.00 1. 00 7.2500 ECH ME-VENT FAN 7.25 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc permi t Fee 68.00 Plan Check Fee .00 Issue Date 9/13/04 Valuation 0 Expiration Date 3/13/05 Qty Unit Charge Per Extension BASE FEE 47.00 3.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 21.00 ---------------------------------------------------------------------------- Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 274.75 plan Check Fee 109.90 Issue Date 9/13/04 Valuation 15000 Expiration Date 3/13/05 Qty Unit Charge Per Extension BASE FEE 92.75 13.00 14.0000 THOU BL-2001-25K (14 PER K) 182.00 --------------------------------------------------------------------------- Special Notes and Comments When roof gutters are installed, drains will located in dry - \\ \.\: 1 ., '" q:> ~ \~ ~ ~ " -- C\'-> ?-- ") 0"' :p. '- ~ 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) Si T:\PLANNING\FORMS\II02.15 [11/14120031 Date 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 UNLA WFUL 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TlON DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPD SEPARATE PERMIT: # ROUGH-IN I I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING 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 GAS LINE WOOD STOVE 1 PELLET 1 CHJMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM 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:\PLANNING\FORMS\1102.15 [11/14/2003] at ,OR l~ r.. L~ --=- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00000761 pin number . . .551206 Page 2 Date 9/13/04 ---------------------------------------------------------------------------- special Notes and Comments wells or piped to approved storm drain locations. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permi t Fee Total 397.00 397.00 .00 .00 Plan Check Total 109.90 109.90 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 511.40 511.40 .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 Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\I 102.15 [11/14/20031 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 UNLA WFUL 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: O'(]-v.'.{.ll /J - }-<7-C.{ J,j., FOOTINGS ,/J-..S~.~'I J,j..., WALLS FOUNDATION DRAJNAGEIDOVfNSPOUTS j ,J -')-iJ . 0'-1 RJ/. ELECTRICAL (LIGHT DEPn SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN 111- f,( -OJ-J J.L WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS 111- y-o'-{ J / CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING I rJ _ 'i ./01./ .),), DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I tI- q. 0-4 IJ L I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHJMNEY 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: PARKINGILIGHTING 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 RW.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. 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If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Date Iss ued: Applicant or A;~::' 1/ ~ n 11~ G yzS Irt..-c- ,l-~n Owner: S' I II l. II rI..7,1O}?,\ I i ~ A / J ~ S Address: / /1/ E" jJ.4 r ~ &:t I.-L City: f? ~. J;:'nc_ Phone: 7'5 2-/5"7 .< Phone: 4S2_-/2 9~ Zip: Architect/Engineer: &- ContractorL P UA )1/J,8 C~hS / Address: :3J L C rt,1 1/$ ~ lJ I' '~ PROJECT ADDRESS:!I) I E tP AI r), Phone: t.. ~ /fA n c "J:: '18/ .t-~ State License #: Exp: '1/4 ~ City: jJ ,KJ . tv",. . i!J ?-I' . P A- Phone: itS 2 -)5"/ <, Zip: 9g)"6 "2 ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: CJ ~ :5 () I I 8 /0 ~ SO Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: SIZENALUATION: o Residential 0 New Constr. 0 Re-roof 0 Stove /9 ff SF. @ $ /SF. = $ IS' oao eO o Multi-family '}it Addition 0 Move 0 Garage SF. @ $ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF, @ $ /SF. = $ o Repair 0 Sign 0 C>><19 ,'TOTAL V ~UMfI01'f $ BRIEF DESCRIPTION OF THE PROJECT: ,..~ v{ ) 2 I )t-I fP ; .5 ' .# ~ K ~ {)[:..- ~I ;., .Qf- is-l,, 'Jj JIoJn ~J refX>-;(' .)0.6+ ;(~ ~'c:,f-:~ ) ,reVf\cde.l R~tk COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: "'7 x/56 .' __ No. of Stories: _ Lot Size: 7056 Existing Sq. Ft. 19'-1' "j & Proposed Sq. Ft. Total lot coverage % City: Exp. Date: )~ cx::o =CJ o = TOTAL Sq. Ft. t e 41. 5" I APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 pemlit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no pemlit 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 107.4 of the Uniform Building Code, current edition). 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 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, T:\FORMS\APPS\Buildingpermit.wpd Applicant: ~d-?- Date: 8" /2f A 9 ~ 471 } O ~1, (..1 rfd4'I'n;- p v/ds W"'~f"5 v /1/1 13',. f,'A,A t:A",~~ P /J tv'!. 1 1.$ l rill' ~ j cp /' '7 C\-;,'1 \ L ~ J1lrt:'lc'le,.-. !/-"fJ/1A (#f1S'/' :7/1C, LfS"2 - /57 '"2 I I, 22 .s .~ - .\' " ,'? ,. ;.; "" ~gY ~ / ~ .. .~ II OOV ?p , \A~'I~ i:l..r .~.,., jl '1P i ,T /3--f;5 /; ~ Ci'I'~t' 13.5~ ~ I I ~ \I 8.-t /50 1,1 ~ ~ y.6"'l ., ~ L t .;~ lJJ I ~~) ~ 5 a ,""n' c. F~~ t~ (., ....., J II I SOiL I ~/' L, f '7tJsao ./)yoS I. ~ ffi ~ ( CJ! /..s .P+i.f~;";I {)~e'i. j t lJ5.~ j~ IS I'(j C~'l""~ 1/ 4$9.0 ~rAY~ ,~y (~s- 15-1 is I. ")- 1 ro,< ()r: 1../ IV( fAr/... ~u. f VORT ~ $.J.O~~~ r.. L~ ~ ~<:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000993 Date .753641 1111 E PARK AVE 06-30-10-5-0-0548-0000- ELECTRICAL ONLY 10/28/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor MILLER CHARLES J 111 E PARK AVE PORT ANGELES WA 983626930 BOB'S ELECTRIC INC 2293 DEER PARK RD. PORT ANGELES WA 98362 (360) 457-6887 Permit Additional Permit Fee Issue Date ,I Expiration I ELECTRICAL ALTER RESIDENTIAL desc RES ADDITION 48.10 Plan Check Fee 10/28/04 Valuation Date 4/27/05 .00 o '~ ~ ",,"-- ~~ ~ ~\~ ~ 0, ~ Qty 1. 00 Unit Charge Per 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 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:IPLANNING\FORMSII 102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TlON DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # () ~-.1 ~. 0/<... ROUGH-IN V 11 ~ '_.(n; Jf ,( 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 DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHJMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANIT AR Y STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 JY/l.k9' ,*0 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:\PLANNING\FORMS\1102.15 [11/14/2003] -. CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO c...~: 7 9 ~ DATE 0/0: 9 :L... In:stalled By: o READY FOR INSPECTION License Number: ILL CALL FOR INSPECTION Phone: Site Address: DINner/Business: Phone: Ql.vner/Business Address: Sq. Ft. R( RESIDENTIAL '0 COMMERCIAL o BASEBOARD KW ~ o FURNACE KW ~ o FAN/WALL KW o HEAT PUMP KW ~ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION ~ REMODEL ?sf ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) ( o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS . ~L/HL-Ld~lbffL-~~e./ j)u/ }//ii~ w.s. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER /111....0 Ditch Inspection O.K. e [}I""~'rB. Rough-in/cover O.K. ~1J.O.K. to connect service j1.P--1 Final OX Site Address: E~ Permit/Receipt No. Installer: New Meters ,....- ate: -1S;9 ,;)- . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or qn the Buildin P.ermit. PHONE 457-0411, EXT. 224. , : ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ :;w. eo Permit Fee Iii '.i .- '" WHITE - File by a.ddress ,.\ Ii OLYMPIC PRINTERS INC. YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meier Dept., Bottom: City Hall CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16338 . ~-, ~~ Port Angeles, WasWngton__mm__m_:m____....__.____._.________m___m__m_..., 19__000__" 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- misSion Is hereby granted to do electrical work as listed below. Address ___niil'/!.l:Z_L_"d,~__ooo/P..."'!._':_f?___n___ooo__ooo__oooooo___ooo OCCUpanCynn/J_p~ooo_____n_n_ooo___ooo_____ Owner -m----'-~}:!.!!~,~!k.v--:--;i!fl-:'!-,,"-,,'!.-~,--:1:fjJ--:- (J,enanL_____n____m_____m..__ooo_oooooo__n_______ooo___oooooo...____ooo Wiring Contractor __m_,:/,_?::"!!J.=_f:~:.",~ooo:~~":'i..__:f_,,,::________ By._____oooooo_ooo__ooo..ooom____ooo______ooo___m_ooo____n_________ .f .' Light Outlets____.____u.........._....__...__.___... Receptacle Outlets____.................._...___.. Service, volts ........._......._.___........_....... No. wires ......................._.....__..._____ Dryer, KW........_.__.___._....__..Uh........____ Range, KW........h...__.._..____.. Water Heater: Size wlresn__..............................._.. Main fuse ..__.h.............................._. Enclosure ._._____m.______no__.....__...__.... Hent~:;.~~:~.'.'.2~:""f~.'.d;~;~~,~::;':.~:'. ., TYp~::r:~;:n~~ble _______.___m...._.......... . r Motors: size, volts and phase: RigId Conduit __m_________....__........... Meta11lc TUbing ________m___m Current transformers: No. & Size..___.__.__.___...m___.._ Ser. NO_n.............._....__.._____.......h_..... Ser. No........___...___....__........._____.....__.. Ser. No. ........__.__........._..._.................. Total Load.....______m..._____....... Type of Wiring: Armored Cable ._m_..____.................. Non.Metallic .....0._.............._.....__0.. Knob & Tubeh............n....___...__..... RIgid Conduit ......__...._...............___ Metalllc Tubing h.........____......______ Raceway .........._...._._........._..._.__.__ Circuits, LighL.............__mm.____.___....... Utilit;r .__..__..._.........._......__..___......____ Heat _____..___......................nn..._...... Range ....._________............._....__....____.__ Water Heater ....._...0........____...__..__ Motor ........_.........____..___...__............. Dryer _....._0._................._.___..._________...._ Furnace ________0.__.............'_.........._........ Total .........................__.._.__._.___ Ser. No. ......__......____...___..___________........ ..... Remarks : _.u.__....nnnn__nnn.:;.~__."f?::!..~_.~~!':.n..:n_~!!____._nhn..n__.n~hn_U....n._.n.nU._...u___._nnnnn.nn_n.______nnn__u Permit Fee Treas. Receipt _hot-..U___nn~.n_n.___.n..__.__.nn._nn.nn__.n.n_.n.nn.nn__nn.n_n..n_U__nh_........n...__n.____..._.nn..n_n.nn._nnn_nunnnnnn_h.... By ___9:..f:r(!..~~{.e.~~~df,_~~_. $------------------------------------_. NOh___________________...__.._ NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. If work Is to be con. cealed due notice must be gIven the Inspector so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16338 Address___.._.__....__...._.................................................___....__...._.__..___.....__..___....._._.._____...........:.....Date..._......_.._......_.........._......_......__::....__ Owner ....nn....n...n....n...n....___..._______n.n_......_.._.....~.h____.......0._._......________..__.___............ Tenant..._n...n................_____.....______________u___._____..._.. WIring . Contractor..................................._.__.__._._....___....__.......................................................__.... By ____..._____..__________.____............_..____....___.._____ NQTICE-Current must not be turned on until Certltlcate of Inspection has been Issued. If work Is to be con. \ qealed due notice must be given the Inspector so that work may be Inspected before concealment. 1M Olympic Printers, Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16335 /'" __ ...':) .A.} /' Port Angeles, Washlngtoll._______..:.:':......__...:.:::.___.________...__.____..__n____, 19_0:.___. 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- mission is hereby granted to do electrical work as listed below. Address ___.__/./!L__C.._!.:.a.::-lL________._____________n.....__.________n__ Occupancy_______,.:__.~_n~__L_..nn____..nn____ /P' -II . Owner m.uu:-"~;_{.t~~_~~_::~um~m.::..u:_~._,_"!:..;::U!!}d__rl":!:__n__. Tenantuum___uu..u...m..__..____um_nunmm.umuu.__nmm \I ,,for .".':/ t-: /:. ("d Wiring Contractor uu.~~__.._:::.__:!...f..::L~_.::!...:.:u~l.~_:n!n:n..nnnu__ BY...__nm__'..mumum_uu_u.__umn__hu.uu_h_'m_____ . Light Outlets____.._____.._____.._..__._....__._..... Service, volts ..............__..._.._....____.__.___ No. wires ___._______.._______.._................ Receptacle Outlets..__m_..._..........__....... Dryer, KW n.......u_......_.___....._.__.___...._. SIze wIres.._.m.m_.m___._...____m...._.. Range, KW _.h_._hm_u___mmu MaIn fuse ___.____..________.._._.____._........._ Water Heater: Enclosure ___..._.__..._...............___. KW.h_hm__m_mhh.mmm.....m._mm. Type of wiring: Heat: KW.._m!.:?.m!r:.:._~.._._tf..L:.L~f.~!l' "Z'-t2-. Entrance Cable .......-........-...... I Motors: size, volts and phase: Rigid Conduit ........--...... Meta1l1c Tubing .______ Current transformers: No. & Size________.__._._._..._....._._.......... Ser. No...___..._...___...._._..........._......_._u. Ser. No._...________________._________............._. Ser. No..__.______.____.._..._._.........__.....__.___ Type of Wlrtog: Armored Cable ..._............__............ Non-Metallic .......m__m.._u...m_..m. Knob & Tube.................._............._ Rigid Conduit .__..............__.__.._...... Metallic Tubing __m____...m__....m._. Raceway _...._.__...._..............._._......_ Circuits, Light..............__.....m....._n....... Utility _......._.....n......._............_....... I-Ieat ...__.__..__.._..........._............_...._. Range ....._._..__..........._.._._..._..._........ Water Heater ..n.__..._.................... Motor _u_.u._h__..______.______.._._....__..___. Dryer __._______..._________....________.__...__.._..._ Furnace ___..........n..........__._._.___..__..___.. Remark:~ta:__::~___~2;~:~_:~:::.~:~_:":,;~;::.:~.:;~:~_:~::_.:__.:___~.:~:::-.____.________________~:~::__~::._.:::~::~:::.::__~_:~:_:.._:_ . V Pern:it Fee Treas. Receipt ..' / -~ . $.______._______.___________________... No._______.........___________ By ___~L:_,_:_~____t~~____________..n_______________n___._______ NOTICE-Current must not be turned on until Certificate of Inspection ha.s been Jssued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16335 Addrecs._________........._.........__...._................................._....._........___..__._........._............._...___..._........Date..._......_..____.___.........__......_....______....._ Owner ..._....h...___.___nn..n.......___n......_......_......_.._.................__...__.....____.._.__...._..........__... Tenant.....__.___________....._h._n_..______n__u........._._________.. WJringContractor..____......_.__.______...............__..._........_....._...._......_..__.._.________..............__._.__.._.........By___.......____.._.___..........._.........__._._....__......_. NOTICFr-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M OlvrntliC' Prinl",r,,_ TnC'.