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Home My WebLink About121.5 W. 1st Street Address: 121 %2 W 15t Street PREPARED 5/07/15, 9:04:02 INSPECTION TICKET` PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/07/15 --------------- --------- ADDRESS . : 121 1/2 W 1ST ST SUBDIV: CONTRACTOR H2O PLUMBING CONTRACTORS INC PHONE OWNER DELGUZZI LISA PHONE PARCEL 06-30-00-0-0-1554-0000- APPL NUMBER: 15-00000137 PLUMBING PERMIT ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLDMBING PERMIT REQUESTED INSP DESCRIPTION . TYP/SQ COMPLETED ' RESULT RESULTS/COMMENTS ---------------------- PL99 01 5/07/15 PLUMBING FINAL K, May 7, 2015 8:58:23 AM jlierly. --------------—--------- - -—------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT- BUILDING DIVISION. _ 321 EAST 5TH STREET, PORT ANGELES, WA 98362 N, W Application Number . . . . . 15-00000137 Date 2/13/15 Application pin number . . . 508437 Property Address . . . . . . 121 1/2 W 1sT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1554-0000- Application type description PLUMBING PERMIT on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc add 3 comp sink grease inter ---------------------------------------------------------------------------- Owner Contractor DELGUZZI LISA H2O PLUMBING CONTRACTORS INC 4016 OLD MILL RD 216 CENTER PARKWAY PORT ANGELES WA 983621905 SEQUIM WA 98382 Permit . . . . . . PLUMBING PERMIT Additional desc . . ADD 3 COMP SINK GREASE INTER Permit Fee . . . . 120.00 Plan Check Fee .00 Issue Date . . . . 2/13/15 Valuation . . . . 0 Expiration Date . . 8/12/15 Qty Unit Charge Per Extension BASE FEE 50.00 7.00 7.0000 EA PL-PLUMBING TRAP 49.00 1.00 7.0000 EA PL-WATER LINE 7.00 1.00 7.0000 EA PL-DRAIN VENT PIPING 7.00 1.00 7.0000 EA PL-WATER HEATER 7.00 ---------------------------------------------------------------------------- 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 �. ly `t LA 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 a state or local law regulating construction or the performance of construction. Date Print Name Signature of Con actor �Ahorized Agent Signature of Owner(if owner is builder) T:Forrrs/Building Division/Building Permit 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 INCONSPICUOUS 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 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: 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 T:Forms/Building Division/Building Permit CITY OF 1�1. TELES For City Use j THE Pt Permit# ^ W A S H I N G T o N, U . S. Date Received: a b s / 321 E 51h Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits0cityofpa.us BUILDING PERMIT APPLICATION r Pro'ect.Address: -4- +'5' 5*,PO-7— Phone: s O I ay a 7® Primary Contact: SLO1T- .I IVA.,/ Email: 5co7rS-,//v ks � N me Phone 21 LI 1/009 Property Mailing Address Email Owner City State Zip Name Phone Contractor Address Email Information city State Zip Contractors Licensef# Exp.Date: ' Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) s 7066 Residential ❑ Commercial Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ Classification For the following, fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical E' Plumbing El Other 1:1 Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms Yes ❑ No `lQ Yes ❑ No a Project Description 01^/- 5-�,.�.�1 c2Za S Lj�Q 21 ��t��r.}T• U� od e (ec`fn-c L Is project in a Flood Zone: Yes ❑ NoR Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within i8o days of submittal, the application will be considered abandoned and the fees will be forfeited. Date a I� l j" Print Name 6 �./f!,v Signa ure `` Residential Structures Existing Proposed Construction For Office Use Area Descriptions(SQ.FT) Floor area Floor area $Value new area Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30" or i" floor) Garage Carport Other(describe) Area Totals Commercial Structures Construction For Office Use Area Descriptions(SQ FT) Existing Proposed $Value new Floor area Floor area area Existing Structure(s) Gym proposed Addition O�(J Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Covera a Calculations Lot Size (sq ft) Lot Coverage (sq ft) %Lot Coverage(Total lot cov_lot size) Max Bldg Height Site Coverage (Sq Ft of all impervious) %of Site Coverage (total site cov_lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended, Floor, Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan, single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # 3 Fuel gas piping #of Outlets: Water Heater # Medical gas piping #of Outlets: Water Line # Plumbing Vent piping # �] Sewer Line # Industrial waste pretreatment Gly interce for Grease Tra Size AS-yPM Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4.17-13.docx epre P rP S.N Z y y V dot Pref 'bS l2 � •Pf P� ��4� ref �T S ' G - tl i a �6 Application Number . . . . . 23-00000252 Date 3/14/23 Application pin number . . . 004376 Property Address . . . . . . 121 1/2 W 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1554-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Lighting ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LISA DELGUZZI LV TRUST ANGELES ELECTRIC 4016 OLD MILL RD 524 E. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457-4004 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . . .00 Issue Date . . . . 3/14/23 Valuation . . . . 0 Expiration Date . . 9/10/23 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 ULT MI ELEC T R ICAL PERM T APPLICATION , Pr"rblic Worl<s and lJtilities Department 32,1. E,5th Stlcer, Port Angelcs, WA 98362 '1 60,4 .1 7,47 35 | r.vivrv,cityofu a,us I el eclricnlper m its(gr)ci tyo fira,us u), ftg-*re** !o 3 $ Project Address: Project Descriptionr n Multi-Family Residential Commercial/ lndustrial/ Public Building Square footage: Name Mailing Address:Phone; 7A:b{l--FZI Nam e: Anqeles Electric, lnc Mailing Address:524 E. First Street. Pod An wA 96362 License ANGE l460RS Expiration Date 21112020 Email:ksimpson@olvmpus,net Phone:360.452-9264 Item Service/Feeder 200 Amp. Service/Feeder 20 1 -400 Amp, Service/Feeder 401 -600 AmP, Service/Feeder 601 -1 000 Amp, Service/Feeder over 1000 Amp. Branch Circuit W Service Feeder Bianch Circuit Wo Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp, Service/Feeder 200 AmP, Temp, Service/Feeder 201-400 Amp, Temp. Service/Feeder 401'600 Amp, Temp, Servlce/Feeder 601 -1 000 Amp, Porlal to Portal HourlY Sign / Outline Lighting Signal CircuiVLimited Energy - Multi.Family Signal Clrcuit/Llmited EnergyiFirst 1600 sf - Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec, Energy: SKVA System or less Thermostat (Note: $5 for each additional) Qqantlty Jglgl (Quantlty x Unlt Charge) o Unlt thqrqe $'132,00 $160,00 $225,00 $288,00 $410,00 $5.00 $74,00 $5.00 .$86,00 bt oz,oo $121.00 $ 1 64,00 $195,oo $96,00 $88;00 $88.00 $96ioo $113;00 $56;00 $- $o) owner as defined by RCW,19,2B ,261: (1)owner will occupy the structure for two years after thls electrlcal permit is finalized' (2) owner is required to hire an electrical contractor-if abovo said propuity is for sale, rent or loase. Permit expires after six months of last inspection' Afler reading the above statement, I hereby cerlify that I anr the owner of the above named property or a licensed electrical contractor' I am making the electrical installation or alteiation ru ""rpfiun"" with the electricul l"*t, N.E,i., RcW Cnaptet '19'28' WAC' Chapter 296- 468, The City of port Angeles Municipal code, and Utiliiy specifications and PAMC 14.05'050 regarding Electrical Permit Applications' t TOTAL Ken Sim son Date Print Name Signature (p Electrical Contractor /Administra tor) [Etectrical permit Apptications may be submitted to city Hall or electricalpermits@cityofpa.us or faxed lo 360'417 '47111 PREPARED 3/13/23,14:38:15 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000252 121 1/2 W 1ST ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 86.00 TOTAL DUE 86.00 Please present reciept to the cashier with full payment