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Home My WebLink About221 W Forest Ave - Building Building Permit 221 Forest Ave 12- 1536 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT-.BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00001536 Date 11/26/12 Application pin number . . . 086016 Property Address . . . . . . 221 FOREST AVE ASSESSOR PARCEL NUMBER:. 06-30-09-5-8-0012-0000- REPORT SALES TAX Application type description MECHANICAL ADPL. PERMIT on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . 4235 ----- ------- Application desc fau elec furnice ---------------------------------------------------------------------------- Owner Contractor ----------`------------- ------------------------ JONES ROBERT SCOTT DAVE'S ,HTG & COOLING SRVC INC 221 FORREST AVE PO BOX 413 PORT ANGELES WA 983622517 PORT ANGELES WA 98362 (360) 452-0939 ------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date 11/26/12 Valuation . . . . 0 Expiration Date 5/25/13 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 ofPnystate or local la regulating construction or the performance of construction, a Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS ti 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. 'U POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments V ; 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 FINAL Date Accepted b 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 Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINALINSPECTIONS,REQVIRED PR/QR TO OCCUPANCY/USE In'spection-TypeDate Accepted By Electrical 417-4735 Construction-R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit 11/20/2012 5:09PM FAX 190001/0001 POU44., BUILDING G PERMIT APPLICATION Print in ink � y CITY OF PORT ANGELES ..'MC=Z_W Attn: Building Permlt Technician - For City Use Only: 321 E. Firth St., Port Angeles,WA 98362 Date Recelved - f S (360)417-4815 fax(360)417-4711 Pate Approved 1 a Applicant �a V 2,(5 i 1 It V\ ktin Gr`��o q 3 Property Owner _ -�--{- , , X r� o Ph n paw Property Owner's Address Contractor Phone _p Contracto'r's Address f.p. BOk 1 a License# t k-C— Expires 57/j'12E-mail �� PROJECT ADDRESS Parcel Number Lot Zoning Pro(ect Type&Brief Description: �,Residentlal ❑Multi-family ❑ Commercial o trdustrlat Cheek all that apply o New Construction. o Addition o Remodel - o Repair in Demolition o Re-roof oHouse n garage ❑other o tear off,re-roof ❑lay over one layer Heat System ❑ Heat pump o wood-burning stove o gas fireplace o pellet stoveV other 4e- G p Other Floor Areas Exlstin (ga. ft. 'Proposed'(sa. ft.) Basement @ 5 per sq. ft. =$ 1 Floor 2nd Floor Yu f=loor -- Garage Carport Covered Porch Deck Shed _ Other "-`—'- TOTAL VALUATION 5 �6 0if �.3 � Total footprint of structures sq, ft. Lot size sq. ft. = Lot coverage,_% 'Site Coverage=the amount of impervious s;trface on a parcel, including structures, paved driveways,sidewalksi patios, and other Impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed?' Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half ba`hs 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 reaao sibllity to determine what perm/its(are required, and to obtain permifs prior to wo !n n ro'ects. Date 1 � 1p Print Name � tJ rCke-t'1 kCGt � _ stn Signature T:Forms/B ildinp divislonJi3ijilding pormll application PREPARED 4/01/13, 10:07:43 INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF PORT ANGELES ----------- —---—------------------------------ APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR ------------------------------------------------------------------------------------------------------------------------------------ 12 00001536 221 FOREST AVE 06-30-09-5-8-0012-0000- 063009580012 000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 1/29/13 APPROVED JLL REQ COMM: January 29, 2013 9:27:33 AM pbarthol. REQ COMM: Scott 461-0233 REQ COMM: ************* Call 1St to let you in ************** RES COMM: January 29, 20i3 4:51:34 PM jlierly. ELECTRICAL PERMIT 221 FOREST AVE 12- 1532 ELECTRICAL PERMIT n �' CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00001532 Date 11/26/12 Application pin number . . . 862836 Property Address . . . 221 FOREST AVE REPORT SALES TAX N ASSESSOR PARCEL NUMBER: 06-30-09-5-8-0012-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T-stat 10 kw furnace ---------------------------------------------------------------------------- Owner Contractor JONES ROBERT SCOTT DAVE'S HTG & COOLING SRVC INC 221 FORREST AVE PO BOX 413 PORT ANGELES WA 983622517 PORT ANGELES WA 98362 (360) 452-0939 - - --------------- ------------------------------------------- ------------ 1 �+ Permit ELECTRICAL ALTER RESIDENTIAL Additional desc . . ^1 Permit Fee . . . . 56.00 Plan Check Fee .00 v Issue Date . . . . . 11/26/12 Valuation . . . . 0 Expiration Date 5/25/13 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 --------------------'------------------------------------------------------- Fee --------------- ---------- ---------------- 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 S INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X_ Date: G:\EXCHANGE\BUILDING 11/20/2012 5: 10PM FAX 190001/0002 ...: putt r. , Building D'Nts onlEof Port aea AngelesPermit padin r; -'' 1,p ``ti17,' >. .. 1 321 East Fft Street—P.O.Box 1150 \,, Port Angeles Washington,98362 Ph:(360)417-Y35 Fax: 0)417.4711 Date: ' 4&2 Single Family Dwelling Multi-Family or Commercial' _Commercial Addition/Alteration I Remodel./Repair' 'Plan Review May Be Required,Please Complete metrical Plan Revd-ew Inf mation Sheet Job Address: _ �,�I y T Building Square Footage: ( �' Description of above f V1 t? esti V-0as 4✓fi �1 ct ��t.,.,off..,L1.��o� Owner Info ppation �b�� Co ctor Information Name: •S�p Name: iS -4z Mallin ddres Mailing Ad-drags: City: tate: C.[J Zip: City: p: Phone. .O ax:�, Phone ax: License#I Exp. License#I Exp. S �aG Unit Charge Ply Total(qtv Mulllplled by Unit Charge) $119.90 S: Service/Feeder 200 Amp, $14550 $ Service/Feeder 201.400 Amp. $204.50 $ Service/Feeder 401-600 Amp. $262.20 $ ServicelFeeder 601.1000 Amp. $372.50 _ $ Service/Feederover 1000 Amp. $ 2.60 $ Branch Circuit W/Service Feeder $ 73.50 $ Branch Circuit W/0 Service Feeder $ 2.60 $ Each Additional Branch Circuit $ 9270 $_.__ Twp.Service/Feeder 200 Amp. $110.30 $ Temp.Service/Feeder 201000 Amp. $148.70 �` $ Temp.Servrce/Feeder 401-600 Amp. $167.90 $ Temp.SeMre/Feeder 601-1000 Amp, $ 95.90 $ Portal to Ponal Hourly $ $8.20 $ SigNOuUine Lighting $ 95.90 $ Signal Circuill Limited Energy—Commercial.Additional 1500$5.00 $ 63.90 $ Signal ClocuW Limited Energy-1&2 Family Dwelling $ 63.90 $ Signal Cirmil/Limited Energy-Muld-Family,Dwelling $119.90 3 Manufactured Home Connection $102.30 $ Renewable Electrical Energy-51(VA System or less $110.30 $ First 1300 Square Ft. $ 35.20 $ Each Additional 500 Square Fl or Portion of $ 73.50 _ $ Each Outbuilding or Detached Garage $110.30 $ Each Swimming Pool or Hot Tub $ 56.00 t g�Thermostat $ To6il Owneras dellned by RCW-10.28.261:(1)Owner will occupy the structure for two years after this electrical permit is fine ted.(2)Owner/s required to hire an electrical contractor M above said property is lbtsa/e,rent orlease.Permit expires eRerslxmonths of last Inspection. 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 298.488.The City of Port Angeles Municipal Code,and Utility Specifications. Signature of owner,electrical contractor or electrical administrator O Cash eck XkjA6hzo� Date: /,-to Credit Card 4 ELECTRICAL PERMIT 221 FOREST AVE 12- 1546 ELECTRICAL PERMIT = CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00001546 Date 11/28/12 N Application pin number . . . 018492 Property Address . . . . . . 221 FOREST AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-09-5-8-0012-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . to the City of Port Angeles Property Use (Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor JONES ROBERT SCOTT ANGELES ELECTRIC 221 FORREST AVE 524 E. 1ST ST. PORT ANGELES WA 983622517 PORT ANGELES WA 98362 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee . . . . 120.00 Plan Check Fee 00 VIV Issue Date . . . . 11/28/12 Valuation . . . . 0 Expiration Date 5/27/13 Qty Unit Charge Per Extension r — 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 120.00 120.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 120.00 120.00 .00 .00 7 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN —�- FINAL C COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X. Date: G:\EXCHANGE\BUILDING 11/25/2012 15:16 FAX 360 452 9265 Angeles Electric 1100001/0001 QR CITY OF PORT ANGELES PERMIT APPLICATION _ Building Division/Electrical Inspections 321 East Fifth Street—P.O.Boz 1150/Port Angeles Washington,98362 ~ Ph: (360)417-4735 Fax:(360)4174711 Date: 2 8 2 Sfngle Family Dwelling 'Plan Review May Be.Required,Please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above .� u Owner Information Contract Information `ctmiC _ Name: n N Name: v Mailing Address: Mailing M& -{ S'v City: Stale: kZ&Zip: Ci r. oto" e: Zip: Phone: Fax: Phone: — Fax: S license /Exp. License#/Exp. Item Unit Charae Qty Total(OW Multialled by Unit Charge) Servioe/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 Circuits 1-4 $ 75.00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Temp.Service/Feeder 200 Amp. $ 93.00 $ Temp.Service/Feeder 201400 Amp. $1.10.00 $ Temp.Service/Feeder 401-600 Amp. $149.00 $ Temp.Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/Limited Energy-1&2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft $120.00 $ Each Additional 500 Square Ft.or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pod or Hol Tub $110.00 $ s 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.1 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. Signature of owner,electrical contractor or electrical administrator: 0, Cash 0 chwA Q-Crodh Gid A Dated:�7�ZT/�— otrotnoto °V� CITY OF PORT ANGELES ®i/' PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 ELECTRICAL PERMIT ISSUED: 4/23/2002 PERMIT NO 7621 OWNER/APPLICANT PROPERTY LOCATION ROBERT S. JONES 221 FOREST 221 FOREST Lot: 7 Port Angeles, WA 98362 Block: ❑ Long Legal 360/452-5696 Subdivision: SOUTHWOOD T: S: Parcel No: Oc�t Z OcsC-) CONTRACTOR ARCHITECT ANGELES ELECTRIC N/A 524 E. 1 ST ST. PORT ANGELES, WA 98362-0000 98360-0000 360/452-9264 360/000-0000 PROJECTINFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: Construction Type: SERVICE CHANGE f J Occupancy Group: Zoning Use: RS7 Electrical Heat: 'i ❑ Baseboard 0 KW ❑ Riser Ll Underground Service O / ❑ Furnace 0 KW ® Overhead Service Voltage: 120,240 ❑ Heat Pump 0 KW ❑ Temp Service Phase: ® 1 ❑ 3 ❑ Fan Wall 0 KW Service Size: 200 f Feeder Size: 0 PROJECT NOTES 100 a. to 200 a. service upgrtade (�4 S? FEES ASSESSMENT Service: $63.20 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $63.20 AMOUNT PAID: $63.20 BALANCE DUE $0.00 CONI Ml--NJ NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMR.NTS YES NO DITCH SERVICE L at FINAL2 v GENERAL COMMENTS: PW-1102.I5[u ]