HomeMy WebLinkAbout1214 W 16th St - Building ELECTRICAL PERMIT O
CITY OF PORT ANGELES 4
360- 417 -4735
Application Number 11- 00000149 Date 2/15/11
Application pin number 699568
Property Address 1214 W 16TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -4- 3910 -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
320 amp service 10 circuit to garage
Owner Contractor
DEBRA N. MARK L. JAGGER OWNER
1214 W 16TH ST
PORT ANGELES WA 983637008
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 181545
Permit Fee 171.50 Plan Check Fee .00
Issue Date 2/15/11 Valuation 0
Expiration Date 8/14/11
Qty Unit Charge Per Extension
10.00 2.6000 ECH EL- BRANCH CIRCUIT W /FEEDER 26.00 -7L��
1.00 145.5000 ECH EL -201 -400 SRV FEEDER 145.50
Fee summary Charged Paid Credited Due
Permit Fee Total 171.50 171.50 .00 .00 F--;
Plan Check Total .00 .00 .00 .00
Grand Total 171.50 171.50 .00 .00
S
E 1 r
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE 5 1 1A0
ROUGH -IN 6 (2.3 l i
FINAL
COMMENTS: 3I74 1rZ-- ,7 1
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X A k." 1 ,,di IA Date: 1f5
•0 II
°FP °RrN, ELECTRICAL INSPECTION
U N
WIRING REPORT
e 417 -4735
°RKS 6
DATE: PERMIT INSPECTOR
OWNER
YAna,12. Ibr -r frNbt i
CONTRACTOR
ADDRESS
12 L 1 1.0 a
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: 6 PE 2 V 1 L Go ►y,p U C.y{ a iL o To
Si 0 5-j7 tjs r ■44 1j,& -c- 3 L O. 1c$
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
/A g -Try —b( 77 P''.ECE1 Eit
_ft__
(..:,4„, o„-, e___ 417- 2_2_ ei a, FEB _IL am 00 1
o
CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL
Building Division/Electrical Inspections INSPECTIONS
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 "y
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: e41 L {II
1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review Ma Re ,P lease Complete Electrical Plan Review Infor ation Sheet
Job Address: i 1 W (p`4 For+ iciThr,�G,s rill A 1 73(,3
Building Square Footage: 3.2 X 3 7
q
Description of above aea-m e. 5ko p b?0V i/7 /V %F /L i m ti5".:: T2:
ii)/y/(/7 32c' ,40/ 6 *w ex py a,Jie;,: 0
Ownerfnformatjon Contractor Information
Name: mare( e( 1' ,eb l e sTag/er Name:
Mailine. Address: rat (AI L 44 Mailing Address:
City: a u State: 1. Zip: RE43_ 4 City: State: Zip:
Phone: rip jai ,air. 11. 5 to 11 1 Phone: Fax:
License Exp. License Exp.
Item Unit Charge Qty Total (Qty Multiplied by Unit Charge]
Service /Feeder 200 Amp. 119.90
Service /Feeder 201 -400 Amp. 145.50 ('5" J)
Service /Feeder 401 -600 Amp 204.60
Service /Feeder 601 -1000 Amp. 262.20
Service /Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60 1 1,6 ob
Branch Circuit W/O Service Feeder 73.50
Each Additional Branch Circuit 2.60
Temp. Service/ Feeder 200 Amp. 92.70
Temp. Service /Feeder 201 -400 Amp. 110.30
Temp. Service /Feeder 401 -600 Amp. 148.70
Temp. Service /Feeder 601 -1000 Amp $167.90
Portal to Portal Hourly 95.90
Sign /Outline 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
Signal Circuit/ Limited Energy Multi- Family Dwelling 63.90
Manufactured Home Connection 119.90
Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. 110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
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 -46B, 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: Cash Check
Credit Card
X 72/G-G(1 c ,1-- Dated: 2/0 0110112010
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
DEBRA N MARK L JAGGER
1214 W 16TH ST
PORT ANGELES
Qty
2 00
1 00
Fee summary
Unit Charge
23 4000
97 8000
Permit Fee Total
Plan Check Total
Grand Total
WA 983637008
Per
ECH
ECH
Charged
144 60
00
144 60
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
06 00001225
828525
1214 W 16TH ST
06 30-4 0 4 3910 0000
ELECRICAL. ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
Permit ELECTRICAL NEW. RESIDENTIAL,
Additional desc OWNER/ 320 SVC 2 200A FEEDERS
Permit pin number 90480
Permit Fee 144 60
Issue Date 11/14/06 Valuation
Expiration Date 5/13/07
Plan Check Fee
EL RM 0 200 ADD SRV FEEDER
EL RM 201 400 1ST SRV FEEDER
Paid Credited
144 60 00 n r
00 00
144 60 00
'F' .JF
Date 11/14/06
Due
Extension
46 80
97 80
00
00
00
0 0
0
PALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
INSPECTION TYPE
DITCI4
ROUGH -IN COVER
SERVICE
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DATE
FINAL 1.1.0-/ vt I I
ACCEPTED
YES I NO
I I
I I
I I
I I
COMMENTS
PW- 1102.15I4 61
Job wired by
Electrical contractor name
Purchaser's mailing address
City
Telephone number
'Premises owner's name
MARK L TAC ER
Address of inspection
!21y w 1e ?H ST-
Inspection
Date
/d
Date
Electrical Contractor N Owner
City
P r AA/cot[.E ANA. 9`5,3 7 006
Phone number to schedule inspection
360- 4. e- 7799
Owner as defined by RCW 19 28.261 (I) Owner will occupy the structure for two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor if above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter
19.28, WAC. Chapter 296 -46B The City of Port Angeles Municipal Code, and
Utility Specifications.
"Signature of owner electrical contractor or electrical administrator
N lAaA4 Date
Electrical Load Additi s or subtractions
NO LOAD CHANGES
Baseboard KW
Furnace KW
Heat Pump Ton LAR
Fan -Wall KW
SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360- 417 -4735
r
ROUGH-IN 7 THERMOSTAT
Appr ed By
FINAL
�ffjj
Appr ved B
State ZIP
FAX number
License number Date Expires
Overhead Service
Temp Service
di Underground Service
Date Appr ed By
DITCH
at Approve
Area, Building or Equipment Inspected
ELECTRICAL WORK PERMIT APPLICATfON
(Installation description
Commercial Residential
i New
—220 4
A
Zoo A-
Cash
Credit Card
Card
Expiration Date
of card
Check
Date
Altered /Addition
defrAirf(
douse
SERVICE
\f
7-
Visa Mastercard Discover
(Inspection fee
Service Information
Voltage
Phase 0 1 3
Service Size:
Feeder Size:
FEEDER
Action Taken
Approved By J
Approved By
Electrical
Inspector
4
>t
Owner Contractor
DEBRA N MARK L JAGGER
1214 W 16TH ST
PORT ANGELES WA 983637008
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00000034
Application pin number 495854
Property Address 1214 16TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 3910 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 PESDNTL SINGLE FAMILY
Application valuation 0
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc OWNER/ 200 SVC- FEEDER
Permit pin number 68635
Permit Fee 102 10 Plan Check Fee 00
Issue Date 1/12/06 Valuation 0
Expiration Date 7/11/06
Qty Unit Charge Per Extension
1 00 78 7000 ECH EL RM 0 200 1ST SRV FEEDER 78 70
1 00 23 4000 ECH EL RM 0 200 ADD SRV FEEDER 23 40
Fee summary Charged Paid Credited Due
Permit Fee Total 102 10 102 10 00 00
Plan Check Total 00 00 00 00
Grand Total 102 10 102" 10 00 00
RE: xi° k E.
OWNER
Date 1/12/06
Kt
t
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
DITCH
ROUGH IN COVER
SERVICE
FINAL
GENERAL COMMENTS:
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES NO
COMMENTS
Pw- 1102.I5 )4/96)
4'
Job wired by
Electrical contractor name
Purchaser's mailing address
City
Telephone number
'Premises owner's me
in 6,r sclaea.or
Addie of inspection i t
City
P h
Utility Specifications.
Inspection
Date
frt /66
l
N. Date
Electrical Contractor Owner
GIB IN
State ZIP
FAX number
e Appr ed By
FINAL
License number
1.4_5
Phone number to schedule inspection I
Owner as defined by RCW19.28.261 (1 will occupy the structure for two"
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor if above said property is for sale, rent or lease
After reading the above statement, I hereby certify that I am the owner of the hove
named property or a licensed electrical contractor. I am making the electrica t stal-
lation or alteration in compliance with the electrical laws, N.E.C. RCW C
19.28, WAC. Chapter 296 -46B The City of Port Angeles Municipal Code,
/Signature of own ele contractor or electrical admire trato\
X '7),4 /4�t
Electrical Load Ad&t(ons arid or subtractions
NO LOAD CHANGES
Baseboard KW
Furnace KW
Heat Pump Ton LAR
Fan -Wall KW
Date
SAME DAY INSPECTION, CALL BEFOR
Date
Appr By t..446,N s. Date
Date Expires
Ai New
ELECTRICAL WORK PERMIT APPLICATION
A-
f
W
/Installation description
Commercial ,Residential
Overhead Service
Temp Service
Underground Service
AM 360- 417 -4735
THERMOSTAT
.d cf-/
..o A silt
A /t/)AF 77) hiaa s/
C
\v
Credit Card
Cash
Card
Expiration Date
of card
Appr ved By
DITCH
Appr ed By
Check
Area, Building or Equipment Inspected
Ti f s (.t)t L i fA Kif= 0,2�
h1 066•e-A o QE08 24')
Visa Mastercard
Date
Date
Altered/Addition
o_
SERVICE
FEEDER
Action Taken
Voltage
Phase 1 3
Service Size:
Feeder Size:
Appr ed By
Approved By
Discover
Z, /n
Inspection fee
I 4 o,
Service Information
Electrical
InspectSr-
-f /J
~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
~
tJ\
,
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000887 Date
613700
1214 W 16TH ST
06-30-00-0-4-3910-0000-
JAGGER RES.
RES DETACHED GARAGE
6/30/06
~
~
.....j
RS7 RESDNTL SINGLE FAMILY
10000
Owner
Contractor
hXlAtG~
7/7 lOb I~
DEBRA N. & MARK L. JAGGER
1214 W 16TH ST
PORT ANGELES WA 983637008
OWNER
Other struct info .
TOTAL % LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
17 .30
1. 00
1440.00
15000.00
1152.00
2592.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
LAST PERMIT EXTENSION
61259
204.75 Plan Check Fee
9/29/05 Valuation
4/30/06
81. 90
10000
Qty Unit Charge Per
Extension
92.75
112.00
BASE FEE
8.00 14.0000 THOU BL-2001-25K (14 PER K)
Special Notes and Comments
PERMIT EXTENDED, LETTER ON FILE.
06/30/2006 08:38 AM DYASUMUR -------
09/21/2005 10:46 AM SROBERDS -- The proposal will result
in a 1152 sq. ft. detached access structure in the RS-9 zone
for total lot coverage of 17%. No land use issues are
anticipated.
MAINTAIN CLEARANCES FROM SERVICE WIREs. Convert o/h to u/g
or reroute service wires to maintain 3.5 ft vertical & 5 ft
horizontal clearance.
09/19/2005 02:08 PM GMCLAIN ----------------------------
Electrical load calculations and elctrical permits are
required.
Public Works Utility Engineering has no requirements for
this plan review.
-
~
-
-2:.
~
~
~
):
Other Fees
STATE SURCHARGE
4.50
WI
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 204.75 204.75 .00 .00
Plan Check Total 81.90 81.90 .00 .00
Other Fee Total 4.50 4.50 .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
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS I WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR WALLlHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING
MECHANICAL
HEAT PUMP I FURNACE I DUCTS
GAS LINE
WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKlNG/LlGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
Application pin number
Grand Total 291.15
05-00000887
613 700
291. 15
Page
Date
2
6/30/06
.00
.00
.
, '
'r'
, 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.
Date
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:IPoliciesIII02_15 building pennit inspection record05.wpd (1/412005]
I
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLOG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEP ARA TE PERMIT #'s SEPA:
P ARKJNG/LlGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
- -- - n.. ---- - - - n _ - -".-.- -- _ h . - - ----
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PW 1 CONSTRUCTION - R. W.
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 I I PLANNING DEPT.
BUILDING 417-4815 7//7IfJb PI.8 BUILDING
T:\Policies\1102_15 building pennit inspection record05.wpd [11"/4/2005] I
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CITY OF PORT ANGELES
DEP AR TMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000887 Date
613700
1214 W 16TH ST
06-30-00-0-4-3910-0000-
RES DETACHED GARAGE
9/29/05 t~n3--~roBo #o;0~
RS7 RESDNTL SINGLE FAMILY
10000
Owner
Contractor
DEBRA N. & MARK L. JAGGER
1214 W 16TH ST
PORT ANGELES WA 983637008
OWNER
Other struct info .
TOTAL % LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
17.30
1. 00
1440.00
15000.00
1152.00
2592.00
1. 00
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit pin number 61259
Permit Fee 204.75 Plan Check Fee 81.90
Issue Date 9/29/05 Valuation 10000
Expiration Date 3/28/06
Qty Unit Charge Per Extension
BASE FEE 92.75
8.00 14.0000 THOU BL-2001-25K (14 PER K) 112.00
or reroute
horizontal
09/19/2005
Electrical
required.
Public Works Utility Engineering
this plan review.
SERVICE WIREs. Convert o/h to u/g
to maintain 3.5 ft vertical & 5 ft
q-a
----
~
~
Special Notes and Comments
09/21/2005 10:46 AM SROBERDS -- The proposal will result
in a 1152 sq. ft. detached access structure in the RS-9 zone
for total lot coverage of 17%. No land use issues are
anticipated.
MAINTAIN CLEARANCES FROM
service wires
clearance.
02:08 PM GMCLAIN ----------------------------
load calculations and elctrical permits are
~
Other Fees
STATE SURCHARGE
4.50
--
~r
If\
-\
has no requirements for
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 204.75 204.75 .00 .00
Plan Check Total 81. 90 81.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 291.15 291.15 .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
9 <9-0 oS-
Date
T:\Policies\ 1102_15 building permit inspection record05. wpd [114/2005]
BUILDING PERMIT INSPECTION RECORD ()s-e87
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS 1/0- 'P-t. - 05. ,\ LL
WALLS 1(-1- n'i _\ LL
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS / ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR _.,.~~:. ~
INSULATION "~:, ,'.-1$ >C.~
SLAB ; '.;
1 .~i
WALL 1 FLOOR 1 CEILING t:
MECHANICAL
HEAT PUNW 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 4 I 7-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policiesl II 02_15 building permit inspection record05. wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . .
REQUEST: ~
Date "I 7 ~ 6 Time Received by I:1i.L
I~~
Location of Work to be inspected / ~/. z;/ . /,t(
Name of person requesting inspection 'J;>~~
Address of person requesting inspection
Type of Inspection (circle appropriate one):
(phone, person)
Phone No. -It 7 . ?-Z--Z35'--
Permit No. 0'- 3tf7
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
By
RESTORATION REQUIRED. . . . .. YES NO
hili ~
INSY
(YJ;
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
. 0 Repaired by City
o Repaired by Permittee
o No Damage Found
o Other
Work Order #
o COMPLETE
o INCOMPLETE
~ I ~, _ _ _ _ _ on . \
I_A-rr-\
BUILDING DIVISION
CITY OF PORT ANGELES
* *
Job Located at
Correction Notice
1~'1
l~l4
c,J
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
~y~J oW
~~IL-S ~
CftD 5
These corrections must be made and are not to be
covered until reinspection is made When correct" s
have been made, please call I f
for inspection.
Date 1/1(( Iv p
Inspector for Building Division
DO NOT REMOVE THIS TAG
N'"
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06/29/06 TEll 10:42 FAX 360 41i 2403
DISTRICT "COURT '-~'_-
~ OOF:;~:~ ..
-;t:t: oS- ee"1
June 29,2006
City of Port Angeles
Building Department
I am requesting an extension on our building permit.
There was an increase in the costs of materials so money was short in
fmishing. The gutters are on. We are in the process of having the porch
built and the structure painted.
Thank-you in advance for this extension.
De~~
1214 W. 16th 8t.
Port Angeles, W A 98363
452-7792 - home
417-2285 - work
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Return To:
First Federal Savings &
Loan Assoc
105 W 8th StlPO Box 351
Port Angeles, WA
98362-0055
Assessor's Parcel or Account Number: 063000-043910
Abbreviated Legal Description: LTS 3 && 4 BLK 439 TPA
[Include lot, block and plat or section, township and range] Full legal description located on page 3
Trustee: Olympic Peninsula Title Company
Attn: KS
[Space Above This Line For Recording Datal
DEED OF TRUST
DEFINITIONS
Words used in multiple sections of this document are defined below and other words are defined in
Sections 3, 11, 13; 18, 20 and 21. Certain rules regarding the usage of words used in this document are
also provided in Section 16.
(A) "SECurity Instrument"means this document, which is datedAugust 4th, 2005
together with all Riders to this document.
(B) "Borrower" is DEBRA N. JAGGER, WHO ACQUIRED TITLE AS DEBRA N. DUGDALE,
WHOSE HUSBAND IS MARK L. JAGGER, AS HER SEPARATE ESTATE
Borrower is the trustor under this Security Instrument.
(C) "Lender" is First Federal Savings & Loan Assoc of Port Angeles
146177976
WASHINGTON-Single Family-Fannie Mae/Freddie Mac UNIFORM INSTRUMENT
Fonn 3048 1/ 01
. -6(WA) (0012). 02
@
Page 1 of 15
VMP MORTGAGE FORMS - (800)521-7291
r-
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review. Hyou have any questions, ca
PERMITS (360) 417-4815 FAX(360)417-4711
~~- .
APPlicantorAgent~~tJ ~*~ Phone:~1-(fr7({73
owner:~&-p~~ ~ Phone:~l 7/Ct2,
Address: \ ~ City: V AN~:s Zip:Gt<z -:>b ~
ArchitectJEngineer.
Contracto~ 0! llA7~~ Stale License tb1A-'I"~
. Q0lu
Address: CIty:
PROJECT ADDRESS:~ \"~l \W(-rr
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAMCOuNrYPARCELNUMBER: t/~ 3t; t/OC? 489 /CJt:/~
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
N~\V (/?PctlA06
City:
MC
#
Exp. Date:
o Stove
. Garage
o Deck
o Other
SIZEN ALUATION: .
SF.@$ /SF.=$
SF. @ $ /SF. = $
\~z., SF.@$ /SF.=$
TOTAL VALUATION $ - rc;>, pp ()
.
COMMERCIAURESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: 1- Lot Size: \~ Existing Sq. Ft ~ & Proposed Sq. Ft.Jj~ 2- = TOTAL Sq. Ft 2~ z"
Total lot coverage %
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
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 permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit 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 R105.3.2
of the International BuildinglResidential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be 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.
~:=~UI~'l-I~:"," A:nl;":~~-&..&Iw c;j~fA.
~tp"'-----'
~
q IJf.p {os-
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 8/14/2002 PERMIT NO: 13625
OWNER/APPLICANT PROPERTY LOCATION
1214 16TH STW
DEBBIE DOUGDALE
1214 W. 16TH ST Lot: 3,4
Port Angeles, WA 98362 Block: 439 [] Long Legal
360/000-0000 Subdivision: TPA
T: S: Parcel No: 063000043910000
CONTRACTOR ARCHITECT
ALL WEATHER HEATING & COOLING N/A
302 KEMP STREET
PORT ANGELES, WA 00009-8362 , 98360-0000
360/452-9813 360/000-0000
PROJECT INFO
Project Value: $2,515.00 SFD Units: 0 Commercial: 0
Project Type: PROPANE INSERT SFD SQ FT: 0 Industriah 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0 r"J
Construction Type: MFD SQ FT: 0 ~
Zoning Use: RS7
PROJECT NOTES ~
INSTALL PROPANE INSERT GAS LINE & TANK
RECEIPT#9557
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $35.00
Plumbing: $35.00 AMOUNT PAID: $35.00
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required fore ectr ca 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 ol
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 Auth')rind Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAVt/FUL TO COVER,
INSULATE OR CONCEAL ANY }'FORK 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
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: g
PLUMBING
UNDER FLOOR/SLAB
ROUGH-1N
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
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT g's:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGIclTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION ~ R.W.
ENGINEERING 417 4807 PW / ENGINEERING
FIRE 417 4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ~'~ '~ l~O'~ ~~'t/'~' BUILDING
T:\PLANNING~FORMS\ I 102.15 [4/2002]
FROM : ¢~LL LIERTHER HEIqTING & COOLING FRX NO. : 360 452 5177 Rug. 12 2882 10:28RM P1
BUILDING PERMIT - APPLICATION
Phon : . , ,
~ ~ ~ ~ Cr~t C~ ~
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Hms
No, ~: . ~t ~: % ~t ~v~ase: %
E~ ~t ~c: .... /~. ~ + ~a~ Lot ~v~age: /sq. ~ ~ ~AL LOT ~GE: /~,fi
~G ~ O~Y: ~OV~:
D~
~a): = Y~ n No S~A ~t ~? = Y~ ~ No ~: O~~
~. ~ ~ai.~ ~v~n ~ ~vi~ you ~ mo~ ~ed mfo.~on on ~e applk~on ~ p~ m~ ~em~. y~
. VAJ. UATION OF CONIFI~D~tlON: In ali en~n, a vnluallon _-_ __mtmnt must be entered by lh~ applicant. Tim ~ will b~ ~
and ma), b~ ~ by g~ B~ildi~ Div/sion ~ comply wdh ~ f~c schedules. Contact tim Pe~it C_ _~4. !.,,to~ at 41 ?-4815 for
Your plan clgr..k [~ i~ du~ a[ rig ~ ~ bsild!n~ ~t ~l~ ~ ~ p~ ~ ~ A~ o~
~ ~ of~t ~ce.
~ ~W: If no pe~it is i~d wi~ 180 dn~ of ~e ~ Of l~ca~ ~ ,a~O~.~ ~ ~
~ ~ fi~ for ~6on by ~e a~t up ~ 150 days upon ~n ~est by ~e a~lk~ (~ Sec6~ 107.4 of
C~, ~1 ~o~)- No a~licafion can ~ cx~cd m~ ~ once.
l h~ ~'~ l ~ ~ ~ ~ th~ ~l~a~n ~ ~ the ~e to b~ ~6 a~ co~ct, and l ~ ~ ~ ~r
u~ tt ~ ~t the Ci~s legal r~po~tll~ ~ dete~ine what pemi~ are required; It ~emal~ the ~plleant~s
de~ine w~t ~i~ are ~qui~d a~ ~ obtain such.
T:~O~S~P~ui~t
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~'- ] ~"- (~) ~ Time Received by ~ (phone, person)
Location of Work to be inspected / 'Z/~"~ ~) /~'~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbin ~F'~SewerExcav. Other~'~~-~
INSPECTION NOTES: ',
Inspected: Date /' __Time By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [-]Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
~] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST SYH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT ISSUED: 4/11/2002 PERMIT NO 7607
OWNER/APPLICANT PROPERTY LOCATION
northland cable 1214 16TH ST W
1214 W. 16TH ST Lot: 3,4
Port Angeles, WA 98362 Block: 439 [] Long Legal
360/000-0000 Subdivision: TPA
T: S: Parcel No:
CONTRACTOR ARCHITECT
OLYMPIC ELECTRIC N/A
4230 TUMWATER
PORT ANGELES, WA 98362 , 98360-0000
360/457-5303 360/000-0000
PROJECT INFO
Project Type: COME MISC. Project Value: $0.00
Occupancy Type: Construction Type: SERVICE INSTALL
Occupancy Group: Zoning Use: RS7
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 0 KW [] Overhead Service Voltage: 0
[] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3
[] Fan Wall 0 KW Service Size: 0
Feeder Size: 0
PROJECT NOTES
pole mounted power supply
FEES ASSESSMENT Service: $57.80
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $57.80
AMOUNT PAID: $57.80
BALANCE DUE $0.00
('OMMI~NTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 7b ~)7
IN~iPECTION TYPI~ { DATE { Yg.$ACC ~,PTEDi NO COMMENTS
DITCH
ROUGH-IN / COVER
SERVICE 57/~ t/o ~
FINAL I ~///,~ ~ I 2~-- I
GENERAL COMMENTS: