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Home My WebLink About1218 W 11th St - BuildingPREPARED 6/05/09 8 59 21 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/05/09 ADDRESS 1218 W 11TH ST SUBDIV TENANT NBR PEGGY MICHAEL WESTERN CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452 5381 OWNER MICHAEL PEGGY WESTERN PHONE PARCEL 06 30 00 0 3 5520 0000 APPL NUMBER 08 00001474 RES REPAIR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BAIR 01 6/02/09 JLL BLDG AIR SEAL TIME 04 00 6/03/09 AP June 2 2009 8 10 54 AM 1pangrle KYLE 461 0043 AIRSEAL LATER AFTERNOON INSPECTION June 3 2009 8 31 28 AM jlierly BL3 01 6/02/09 JLL BLDG FRAMING TIME 04 00 6/03/09 AP June 2 2009 8 10 25 AM 1pangrle KYLE 461 0043 FRAMING LATER AFTERNOON INSPECTION June 3 2009 8 31 28 AM jlierly BLDG INSULATION June 5 2009 8 48 49 AM 1pangrle MARK 477 5409 INSULATION BLI 01 6 /US� 11 7 COMMENTS AND NOTES PREPARED 6/02/09 9 36 07 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/02/09 ADDRESS 1218 W 11TH ST SUBDIV TENANT NBR PEGGY MICHAEL WESTERN CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452 5381 OWNER MICHAEL PEGGY WESTERN PHONE PARCEL 06 30 00 0 3 5520 0000 APPL NUMBER 08 00001474 RES REPAIR PL2 01 6/02/09 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PLUMBING ROUGH IN TIME 04 00 OVERRIDE TAKEN BY LPANGRLE DATE 06/02/09 TIME 09 35 54 June 2 2009 9 34 55 AM 1pangrle KYLE 461 0043 ROUGH IN PLUMBING LATER AFTERNOON INSPECTION COMMENTS AND NOTES PREPARED 6/02/09 8 12 57 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/02/09 ADDRESS 1218 W 11TH ST SUBDIV TENANT NBR PEGGY MICHAEL WESTERN CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452 5381 OWNER MICHAEL PEGGY WESTERN PHONE PARCEL 06 30 00 0 3 5520 0000 APPL NUMBER 08 00001474 RES REPAIR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BAIR 01 6/02/09 BL3 01 6/02/09 BLDG AIR SEAL TIME 04 00 June 2 2009 8 10 54 AM 1pangrle KYLE 461 0043 AIRSEAL LATER AFTERNOON INSPECTION BLDG FRAMING TIME 04 00 June 2 2009 8 10 25 AM 1pangrle KYLE 461 0043 FRAMING LATER AFTERNOON INSPECTION COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc REPAIR FIRE LOSS BACK TO ORIGINAL CONSTRUCTION Owner MICHAEL PEGGY WESTERN 1218 W 11TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 4 00 4 00 1 00 5 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 8 00 1 00 1 00 1 00 Other Fees Fee summary Permit Fee Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 7 2500 EA 10 6500 EA 10 6500 EA 14 8000 EA 7 0000 EA 7 0000 EA 15 0000 EA 7 0000 EA T:Forms/Building Division/Building Permit WA 983637002 MECHANICAL PERMIT Per PLUMBING PERMIT Charged 08 00001474 Date 099574 1218 W 11TH ST 06 30 00 0 3 5520 0000 PEGGY MICHAEL WESTERN RES REPAIR RS7 RESDNTL SINGLE FAMILY 88000 Contractor BASE FEE PL PLUMBING TRAP PL -WATER LINE PL -SEWER LINE PL -WATER HEATER 6/02/09 HOCH CONSTRUCTION 4201TUMWATER TRUCK TRAIL PORT ANGELES WA 98363 (360) 452 5381 147348 206 25 Plan Check Fee 6/02/09 Valuation 11/29/09 BASE FEE ME VENT FAN (SINGLE DUCT) ME STOVE /FIREPLACE /MISC APP ME FUEL GAS PIPING 1 5 OUTLETS ME HEATER(SUSP /WALL /FLOOR MTD) 147355 135 00 Plan Check Fee 6/02/09 Valuation 11/29/09 Extension 50 00 29 00 42 60 10 65 74 00 STATE SURCHARGE 4 50 Paid Credited Due 341 25 341 25 00 00 00 0 00 0 Extension 50 00 56 00 7 00 15 00 7 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. Th anting 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 per ance of constructio dry' e-1 4--- gibt.t..v ate Print Name Lgnature of C tractor or Authorized Agent Signature of Owner (if owner is builder) IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar 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 Date INSULATION. Slab I Wall Floor Ceiling MECHANICAL. Heat Pump Fumace FAU /Ducts I Rough -In Gas Line I Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T:Forms /Building Division /Building Permit FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Accepted By Comments FINAL Date Accepted by FINAL Date Accepted by Date Accepted By CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 08 00001474 Application pin number 099574 Plan Check Total 00 00 00 Other Fee Total 4 50 4 50 00 Grand Total 345 75 345 75 00 Page 2 Date 6/02/09 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 has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding DivisionBuilding Permit T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 IFINAL Date Accepted by FINAL Date Accepted by Date Accepted By Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc New home 1800 sqft Owner MICHAEL PEGGY WESTERN 1218 W 11TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983637002 ELECTRICAL 146498 113 75 5/20/09 11/16/09 Qty Unit Charge Per 1 00 86 2500 ECH EL 1 00 27 5000 ECH EL Charged 113 75 00 113 75 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000472 422216 1218 W 11TH ST 06 30 00 0 3 5520 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 NEW RESIDENTIAL R SQFT FIRST 1300 R SQFT ADDITIONAL 500 Paid Credited 113 75 00 113 75 DATE Contractor Plan Check Fee Valuation 5 twf NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477 1764 00 00 00 Date 5/20/09 RESULTS 00 0 Extension 86 25 27 50 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. 1-6) 2009 -05 -20 07.21 3604574535 City of Port Angeles Permit Application Building M isledBech tel Inspections 321 East Fhlh Sheet-M.o. Bee 1130 Port Angeles Washington, 98362 Plc (300)41T-473S Fax: (360) 417.4711 Date: 0C 1 2 Single Family Dwelling Multl- Family or Commercial' Commercial Addition I Alteration Remodel Repair' Plan Review May Be equired, Please Complete Electrical Plan Review Information Sheet Job Address: r" Building Square Footage: 4� •C Description of above c- LX C Y.Th Owner Intonation Name: C 3r\ Mailing d e 1. T,•\ City Slate: \sJ\ Lp: Phrlrk41 k fax L 1r I- License E. finis Charq_e 93.75 $113.75 $160.00 $205.00 $291.25 1 2.00 57.50 2.00 1 72.50 86.25 $11625 $131.25 75.00 89.00 75.00 50.00 $50.00 93.75 $80.00 8625 27.50 57.50 86.25 43.75 Cheer as defined by RCW.19.2d.2e1: (1) Owner will occupy the structure for has yaws after this electric a1permit is Neared (2) Owner is required to hire en electrlalconesctor Malone mid property is for silk rant orlaass, After reading the above statement, I hereby minify that I am the owner of the shove named property or a licensed electrical contractor. I em making the electrical Installation or a leraeon in compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296469, The City of Port Angeles Municipal Code, end Utility Specifications. Signature of owner, electrical contractor or *Weal administrator 4 9IGX RT 1 750 360457 E IMEPii ti 2- HT D dA Total (CV Multiplied b i it Chattel 5 r 1 Service/Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit WIO Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. SeMcelFeeder.201-400 Amp. Temp. Service/Feeder 401.600 Amp. Temp, Service/Feeder 601.1000 Amp, Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Canted Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi -Family Dwelling Manufactured Home Connection Renewable Electrical Energy SKVA System or Less First 1300 Square FL .27 Ci Each Additional 500 Square FL or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Themrostat Total O Cash Check idle: 10 -C. rsen card r r) PORT 4 ice w r N P 1/1 Contractor Information Name: C\l _)r 1 7\ f e .y -0. S ._.\\.,-'1. Se._�c -.0 5 C.r.- Mailing dress:. -t.. A 1, R 1 v C' c City. f 1A State: Zip: .3 Phone!-V1 Fax: 1 --4 I 1 N k- License EV -N. r ...-A- 71. 1 2-- Application Number 09 00000126 Date 2/05/09 Application pin number 515200 Property Address 1218 W 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 5520 0000 Tenant nbr name MICHAEL PEGGY WESTERN Application type description FIRE ABANDON TANK INSPECTION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1000 Application desc SLURRY FILL 500 GAL UNDERGROUND TANK Owner Contractor PEGGY WESTERN 1218 W 11TH ST PORT ANGELES WA 983637002 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5m Street, Port Angeles, WA 98362 PETTIT OIL CO 638 MARINE DRIVE PORT ANGELES (360) 457 9404 WA 98362 Permit UNDERGROUND TANK RES Additional desc SLURRY FILL 500 GAL TANK Permit pin number 141390 Permit Fee 15 00 Plan Check Fee 00 Issue Date 2/05/09 Valuation 1000 Expiration Date 8/04/09 Qty Unit Charge Per Extension BASE FEE 15 00 Fee summary Charged Paid Credited Due Permit Fee Total 15 00 15 00 00 00 Plan Check Total 00 00 00 00 Grand Total 15 00 15 00 00 00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 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 recognized standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the rovisions ofpany state or loca w regulating the work specified in the permit. -0b/r9 Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date Call 360 -417 -4655 for fire inspections. Please provide a minimum 24 -hour notice It is unlawful to cover insulate �l or conceal any work before inspected and accepted. Post permit in a conspicuous location. G"'" FIRE PERMIT INSPECTION RECORD Inspection Type I Date Passed FIRE SPRINKLER Underground piping hydrostatically tested I Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP -GAS Underground piping inspection /pressure test Above ground piping inspection/pressure test Tank (container) inspection Appliance inspection LP -gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT GENERAL COMMENTS KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final -11 -09 Kim Test #1 Piping pressure test Time initiated Test #2 Piping pressure test Time initiated Comments Completed by Contractor 2/15/00 psi psi c 5 g t PORT ANGELES FIRE DEPARTMENT Abandonment of Residential Fuel Storage Tank 1,100 Gallons or Less Application for Permit 2 6 60 0 Please call the Fire Marshal's Office at 417 -4653 for assistance with the processing this permit. Site Address '2 g (A) Name of Applicant: Address. 63$ /'1M/N Site Owner. t u I e_STLQN Permits are issued at the City of Port Angeles Permits Counter located at City Hall, 321 E 5 Port Angeles, WA. Permit fee $15 00 paid to the City of Port Angeles Fire Depai tment. Date paid. Date Issued. Date Issued. Issued by Additional Comments I have read and understand the requirements of this application. Applicant's Signature Date. Telephone: j"b I 4:6/ CO 96 Telephone. g5 6 fQ�r FP 25 A (Revised 12/9/04) Page 1 of 3 Section I Required Information Applicant is required to furnish the following information on the space provided on the next page 1 A site plan showing the number, size, and location of the underground storage tank with reference to the existing home 2 Specify the type of liquid which was stored in the tank. f U Oz/Y E 1A T/ y 0 L- Section II Requirements and Limitations Issuance of a permit is subject to compliance with the listed requirements and approval by a field inspection of the Port Angeles Fire Department. Residential underground storage tanks may be abandon in place or removed. 1 There shall be no welding, cutting, or other sources of ignition in the area while abandoning operations are in progress. Welding or cutting on tanks require a separate permit from the Port Angeles Fire Department. 2 Removal of all flammable and combustible liquids from the tank and all connecting lines shall be pumped out. Please use a hand pump or other means to remove remaining flammable or combustible liquids as far as practical. 3 If the tank is removed and stored on site temporarily, the tank shall be placed in a secure location and blocked to prevent movement. The tank would be required to be inerted pnor to being transported. The hole created by removing the tank shall be filled with a suitable matenal (earth, sand, etc 4 There are three options for the abandonment of residential fuel storage tanks All three options require that the tank is first completely pumped out. Option #1 The tank and all associated fill and vent piping can be removed completely This is generally the best method, however it is also the most expensive. Option #2 The tank fill and vent pipes are removed, then the tank is filled completely with an in mixture such as a sand slurry If Option #1 (complete removal) is not chosen, then this method is REQUIRED if the tank is within 5 feet of a property line, dnveway, sidewalk, swimming pool, deck or building foundation. Option #3 The tank fill and vent pipes are removed below grade and capped. The tank is left in place. If using this method, the applicant must read, understand and sign the following statement "In using this method, I understand that the void created by the tank may cause a collapse of the adjacent ground if the tank rusts out over time. t Applicant Signature Pehtt ,.V ate FP 25 A (Revised 12/9/04) Page 2 of 3 1 C 5fi Site Diagram To be completed by Fire Department Method of abandonment: Tank removed Tank filled with inert mixture Tank vent and fill lines capped below grade FP 25 A (Revised 12/9/04) Page 3 of 3 t 101 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc REPAIR FIRE LOSS BACK TO ORIGINAL CONSTRUCTION Owner MICHAEL PEGGY WESTERN 1218 W 11TH ST PORT ANGELES Permit Additional Permit pin Permit Fee Issue Date Expiration desc number Date Permit Fee Total Plan Check Total Other Fee Total Grand Total T:Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983637002 BUILDING PERMIT REPAIR EXT FIRE 138313 936 25 11/25/08 5/24/09 08 00001474 099574 1218 W 11TH ST 06 30 00 0 3 5520 0000 PEGGY MICHAEL WESTERN RES REPAIR RS7 RESDNTL SINGLE FAMILY 88000 Contractor Date 11/25/08 HOCH CONSTRUCTION 4201TUMWATER TRUCK TRAIL PORT ANGELES WA 98363 (360) 452 5381 RESIDENTIAL LOSS BASE FEE 7 0000 THOU BL -50 001 100K (7 00 PER K) 936 25 936 25 00 00 00 00 4 50 4 50 00 940 75 940 75 00 Plan Check Fee 00 Valuation 88000 Qty Unit Charge Per Extension 670 25 38 00 266 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due 00 00 00 00 vk\ k cr v°' 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 fora period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the perfo nc of construction. /7/3 e Date Print N�rne Sigfature of ontractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall I Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Comments FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417-4711 a` t' Or""\ Applicant or Agent: Hoc k N_ jilA I Phone '1 a k Owner C L ITh r h c`2J k x )45,4 -P .r r Phone l A 2" 13905 Address: 1 L 1 1 `E` City Qcmrd.- Zip Cf k3(-, Architect/Engineer Phone State License µoc.t4e I r E x u r 2 U Phone Contractor 4r-Ir O+��L- r p Address: '4 D t j rt j 1.. (U. PROJECT ADDRESS ILL (i' 1 4-- ne 4- ZONING LEGAL DESCRIPTION Lot: Block: ASS Subdivision. L V t t.( P35 CLALLAM COUNTY PARCEL NUMBER. 01 U C' CO 3 5 S r-) c r '-U Credit Card Holder Name: Billing Address: Credit Card Type VISA MC TYPE OF WORK. Residential New Constr Multi- family Addition Commercial 0 Remodel Repair Sign BRIEF DESCRIPTION OF THE PROJECT City T•\RVESS\BLDG- forms- brochures\2004- Buildingpermit.wpd Applicant: City Pc r'1 A n! FOR OFFICIAL US LY Date Rec. Z 1 IJ Permit It r) ate Approved Date Issued. Zip G'tc ?1(0 Exp. Date: STZF/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION )SC \Cy s Re -roof Stove Move Garage Demolition Deck Other Q( Y b t r 4 2 1 r C)NC \cL Onn.c, -kru r UM COMNfERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type' No. of Stories: ,Q Lot Size: Existing Sq Ft.19a(o Proposed Sq Ft. TOTAL Total lot coverage L• j br-AW M.o..wL p Joq phone CAA Wi We-K 1-toth C .dt a- p lu rube J HS•E ONLY 4 nle chana`ceLt pex-rr, i 3 Vents gall -mou t o VI c,e-i 1' .2 ?rn(.kit -irep Ox prorone. Wei ei Airi 0 AirafS, a -1 I teas kkro ear- ►n+r J ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other ()_C5ri Sq Ft. ICI oD(.) APPROVALS PLAN BLDG DPWU FIRE OTHER. 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 If no 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 Building/Residential 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 requ ,not the City's, and that must obtain such permits prior to work. 1L Date: /Q.y41- x U w I— .S ,LZ .9 ,6 Approval Date J I .9 AZ 'VP 4 Ll ,0 FILE 1 1 L-epctc_ .6 ,L CITY OF PORT ANGELES Constcuctinn Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall t prevent the building official from thereafter requiring th correction of errors in said plaits, specifications and of r data, or from preventing building operations being c ied on thereunder when in violation of all codes and ordinances of this ju 2 aoCv Dif` B J LL_ WESTERN PEGGY MICHAEL Lower Level 28' 4' 9' 10' 1 1 ir i I UtIllta(22m i 1 zsi I I attli22a1 State Farm Insurance Companies 'Basement 14'2" 13' 6' 42' 10 Co I 10' 2' 14' 6' 13' 10' liarmua Li Lower Level 7-M182 966R Page: 31 OCT 2 2008 22 38 FROM PRECISI( 8 45" (S69, BURW C) 7 „rd [x-1 H 80Jf 1 hE But c "rd 2x4 HF 80Df s of Webs 2x4 HF Stud Il L EU OF STRUCTURAL PANEL5 OR RIG1D CE:LIRG USE 9JR1115 CHORL SPAC,IiG(IA OC) START(FT) E11D(FT) D' 0 27 21 73 Deflection meet_ L/240 ive and L/180 total load NOTE Truss installed as two seperate trusses sharing one bearing D 11 CLT TIP Wave Pacisco Truss 360- 452 -33115 61 Lake Faun Rd, 1 Angelis WA ms' 1314[416 CorapoamU Group, lac Sarranxan, CA 95425 1'VA COA K1931 11 10 8 DD rFr Bind 5 OD ft near.. tgt ASCE 7 OS CLOSED bldg Located zns•I+ here in roof LAI II Ex? C w1'' T CL -4 2 psf wind BC C =6 0 psf Wired reactions based on MFRS ress- res go tom chord ecked for 10 03 psf ncn _:,ncurrer coticm chord live iced applied oer IRC -06 section 301 Truss desicne3 for unbalan ed load using 0 00 /1 OD windward /leeward fac =ors 4X4 3X5III 3X5 111 .)X5(A1) I- I- 1 1_ R -115 U -42 W =3 5 RL -138/ 138 5 7 12 7411 1 s) :4� 11 10 3 _I- 10 108 MARRII6•• PATES RE: FE K.'FEHE CARE 10 :Kt c0•r1:NEN 04 ROI 1r( 11. 141 IS. ALE 4.101 IK 61 r61 Sir H I31 11414.11ED W: U.. 041E PIDIEP 011.E1LY 10:IE0 II01 0E1(416. r1 Cr, 3X5= 3X5 I 3X5— 1 r 2 12 I�O4_I 441 21 9 0 Over 3 SUppor s R=41r U =111 W =1 75 Design Crit IRC2006 Cp /3T =1 00(1 25)/10(0) 7 40 CO 1001 R =502 U =114 k =1 75' PO4 1710 NML1R6. 116- (CU 110 1141. IIroUn((oN 0005 IT n IUSS rl41C 11651 4/0 Of 1400 57,11 Co41c El rr1R 310 1 T 110 rflrz11r.I li T.X1 516 ISLETS (HID 1LC11144 041C$ 110M• IC IMPORTAVT--ru [14, Cur. CI mom 1t 40 100T61RUR n UI 17011 115071 4 1-41L 01 lR UOSP)ISIILC OM ZE /1A 1 13 HIS DES1A AV 11.1.1E HO IC TD CH TS E1/011001( IS Cl11001( IR1 SIDt 10 1011. 4 1101417 T NSF D LSI6 *110'7113 410711 004.11 100 or 0Hll aEi(G1 10(1 ST US 410 PI. K10,ELTt TES NOSE to III LW 14 SS, 01 04LY 10. 511 C0_ 01.4 0 LL CC 14 157 110. 010(1 IC lr 1 1E0 Tr DIS101, >1 T501 IR 11110 ID n 14150 6T 1 SDIALL II PCI 4p[T 141 401 Sir 110 16010 TI CEP or PIOFFUIWL KEE Ilt _IPDAI Tr SOME 114E LIE MR SHJ4I 114E SUIT IlL .10 III V 1140"511 1R 011 IU I11 IS '0 441/1116 0(54[1( PEr OHS: /:P SEC Al IN 4E4 105 1SS III,1. STO 111 ITT of .112 4 6 4 4 6 4 Ts-1_ OI.S REPAP.iD rP•:ii COYPU CR hlPUT T'_D0.55 6 D1ME1ISICh3) S_ "VTTIE: as TP.'SS P.FR woo., 04130 1'00010 3X n u 1 5K4 111 I0 10 10 8 OTY 1 UAl /1/ TC LL TC DL BC DL BC LL TOT LO OUR FAC SPACING 56 560 _I 3X5 (n1) D =429 U='0 W -3 5 0-4 11 5 9 -15 1 0 0 /F/ Scale 375 /F 25 D PSF I REF R7117 43097 7 0 PSF I DATE 11/18/08 ID D PSF DEW caosR 11 7 063Z30U1 0 D PSF CA ENS PdC /GWH 42 D PSF SEON 278.50 15 I FROM RL 24 0 JEEF 1TM0711720_ R_e692 BURN B 1 ?1:PA.IR 'ROCEDUFE 1 .11 re r• r- ''•re to pre loaded ccndl on do }-e p ed truss se Liar s) as spe f ed Rerave sho rg ;S)TRUSS 5" TIC4 t ch tr.,ss `AUSR 1 7 OB323601 to one face with L d _25 X3 Da nails at 6 o c with a ninicum of 2 nails in all overlappin members NDT_ Re`er to abov drawing f r utter p ates and bra,irg Note All Plates Are 1 3 L1 TYP Nave I— L.P1PlE 11W B ail ding Compcumts Gump, int. Sacraicrado, CA9.5923 WA COA 01931 l E2 0 0awl R =515 U =42 44 =3 5 i I v1 LL. .al •LL• al GPi1 :1fD 11 :5 fi7/ Q i 11 00 5X4 Except its Shown Design Crit 1RC2006 Ci!RT =1 00(1 25)/10(0) 7 40 00 1001 1 22 0 0 Over 2 Supports R -502 U =114 W=1 75 R=417 0 =111 N -1 75 s 1E11 .MI -Fr.cr 11 1 at IS •n LE '.'I Klass In (1 LO :SS is., try IW. 3P .1x Li LU ..Sets catucFMS •el ,PLIC.SLC L,r• Pis OWL IRSJIM SPE BY 1P1 l6 CA CE 111 BADE .1/ 1S• /SS, •I51 ,10 c( t% .111 Gl ELL Y'11. !EC LLCM •Ct 00015 •a0 URESS 0T1b.PLSl 130 510 MS 1 3SIT" PEP 51 +II 611 111T I WEE 01. :t_Vnn1 1 VA.!. 1E PEP .1001 •1 -01 51 Sill 1411 /tM 1. I G1Es 0(0 •M:( fF Of.SS1J4l EMSL1(il` -ICI :1C1 IL S1511.1 PCB TA 455 05S•CMIM WS 1,11 111C1 'IF SU 11110 /,IC USE 9f 071101(1 410 B.11 'IR THE Ili. )1 ill' 51 '.I IL'lUtsI QCSlafl PCP 1511111 311 1. 0=15 OS'r PREPARE•? frim cC00'JTt; TY =L'l ;LOAM b 01R1YS1OYSj suSHr1TED BY TEJ>S Yr' I l i t 1 o ANS /AFBPA NHS 2005 (ROTE See drawing CA' :R7117 08290072 f 'r lumber cata no s .o.•ITI ere 11.IY1:1r B+r alvaw TRUSS CAUSR7117 38323001 1100 for f s ners Il be E :uod nd mee req,0irreerts j6 plates TId a :her :CiE of er r.r el on of repairs ru _.e ^.tst t irs,erted by the tr. manufacturer or local biilding deFar ..mess to assu0e rompliar•Ice with alpine resigns and specif aiions R -429 11=20 U -3 5 +500 QTY 1 WA/ 11/ /R/ Scale 3125 t TC L 25 0 PS' REF 87117 43193 TC ]L 7 0 PS DOTE lit a /DS BC DL 0 0 PSF DZw CA.JSR7 17 02323003 BC LL 0 0 PSF I CA LNG PBC /Gild TOT LD 42 0 PSF I SEDN 26177 DUB FAC 1 15 I FROM RL SPACING 24 0 12REt _?'1071 7202 '&; ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION UI EAST 5TH STREET. PORT ANGELES. WA 911~62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER' Appl~cat~on type descr~pt~on Subdivision Name Property Use Property Zoning Appl~cat~on valuat~on 05-00001225 Date 12/15/05 737150 1218 W 11TH ST 06-30-00-0-3-5520-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Owner Contractor MICHAEL / PEGGY WESTERN 1218 W 11TH ST PORT ANGELES WA 983637002 RW BECKER ELECTRIC 1532 TAYLOR CUTOFF RD SEQUIM WA 98382 (360) 683-5839 Permit Addit~onal desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL RW BECKER/ PANEL UPGRADE 67173 RW BECKER ELECTRIC 66 90 Plan Check Fee 12/15/05 Valuation 6/13/06 00 o ~ """- ~ Qty Unit Charge Per 1 00 66 9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66 90 c . Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 66 90 66 90 .00 00 Plan Check Total 00 00 .00 .00 Grand Total 66 90 66.90 .00 00 ......... I -..... :\:k lI\ ':'\ I I COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02JS (4'96] /, Dee 12 05 07:25a R.W. and F.L. Becker 360-683-6104 p.1 " /I' 1{t ~ L'\ )lElectrical Contractor, ..a.Owner (J ," 1f.:' ., 0 Aonual Permit 0 Alarm 0 Carnival 0 Commercial 'Ii ' ,(\>,. , ELECTRICAL WORK PERMIT APPLICATION . o Request Inspection I/V / c.~ G.-A-c-e- ~sidential 0 ResidentiaJ Maiol. 0 Signs Cl Thermostat 1:1 Telecom. Job ",ired by ~lectrical Contractor lnstallntion description a Owner o IlL re-x~ /2c-M~IA,T /~-L k~c.~ I:, ,e:.6:7t-r~ <s-cr~ / c-6 if:;c IS r Eif(p,a~ ~~.iiljr name ,,~.~ C-c/L.C1.t..--- Purchaser '5 mailing ad~Jess /:s-3-z::. -h'ry~ c~ U/~ Tete hone number L- ~ License number , 'w15C-c.6 +e C3 ~TZlyq:: rz-.:J Slale ZIP 'but~ ., J>f'7. lf2- FAX number n/-G 6" Y- ", .' kU /. r-rr' ~;.J .. ~ b j'J~ ~i'l>CS owner's name \ B-1; h 0/ ~/' C,,,z-,,-v Address or id'Spectlon /;;.,/t' w, DfLr H~ fh,.J I-, C"z-e 5/ 0' ~~11- ,;"(,,, CclO Cit, o Cash a Check # I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the finn's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. Credit Card _~lSa Mastercard Discover Card# _~LLLPLt.AG-~___-____ x Expiration Date of card 'l.!:?.- WALLS Insulation Only Olle Appm...dB)' Cover D:ole Appro1ll:d 5y CEILING Insulation Only D:Ole Approvc<l By CoveT Dale: Approve:d By THERMOSTAT Dale: Apl'ro~txl By Drrrn D:lle ApJ)TOved By SERVICE 'b 4dJ Ie Appro\'cd 5y FEEDER 0:11(' APP'O\'ed By Electrical Load Additions and or subtractions o NO LOAD CHANGES [J Baseboard KW o Furnace KW o Heal Pump Ton LAR o Fan-Wall KW Service Information .>i:(Overhead Service CI Temp Service D Underground Service Voltage I '2-0/ 'Z- f-O Phas...o t 0 3 ' SeNice Size: ;;J,-4'V 1/ Feeder Size: Inspection Area. Building or Equipmenllnspected Action Taken Electrical Date 1nspector I '/..1 (z.-/ OS- /J P PiZi)()" v1 e;;. -0 /' C.<-<- I-j(- a? ~(I'i~ H I/V~ #0 /;J.-/;;.. -o~ ELECTRICAL PERMIT 360-417-4735 RS7 RESDNTL SINGLE FAMILY 0 Owner T7 JI.L AV Contractor HENRY D MERIDETH AW- SIMPSON ELECTRIC PO BOX 1633 243036 W HWY 101 INSPECTION PORT ANGELES WA 98362 PORT ANGELES WA 9FK363 (360) 457-9270 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc GARAGE Permit Fee 120.00 Plan Check Fee .00 Issue Date 3/18/16 Valuation . . . 0 Expiration Date 9/14/16 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120A00 Fee summary Charged Paid Credited Due, Permit Fee Total 120.00 120.00 00 00 Plan Check Total .00 00 Grand Total 120.00 120.00 ,00 REPORT S TA TE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) RESULTS- INSPECTOR. INSPECTION TYPE I DITCH T7 JI.L AV SERVICE ROUGH-IN AW- FINAL COMMENTS: . ........... PERMIT WILL EXPIPLE SIX (6) MONTHS FROM LAST INSPECTION JZ7 C- ?()R r z CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box I ISO / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: .3., P7— I & 2 Single Family Dwelling Plan Review May Be Rjuired, Pleas ornplete Electrical Plan Review Information Sheet e Job Address: J.& / Building Square Footage:_,_ . . . .. .. . ........... . . . . ....... — --- — ------ -- .... .. . ...... . . .... .......... Description of above ..... ... ... ............ Owner mInfoa!ion Contractor Information Name: C4 L L e, . .......... Mallard 0 Matting /Wdmsv. Civ. State: Zip: 'W14 011_ 7ip-, I-7ZF raX Phone-, License # / Exp. license #/ExnUe-3. Item Service/Feeder 200 Amp. Service(Feeder 2014*0 Amp. Service/F' r 401-M Amp Service/Feeder 601-1000 Amp. ServicelFeeder over 1000 Amp. Branch Circuit W1 Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-00 Amp. Temp. ServioWoeder 601 -1000 Amp Portal to Portal Hourly Signal Circuit/ Limited Energy - I & 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy - 5KVA System or Less Thermostat Ynigh9w $120.00 $146.00 $205.00 $262.00 $373.00 $ 5.00 $ 63.00 $ 5.00 $ 75.00 $ 93.00 $110.00 $149.00 $168.00 $ 96.00 $ 64.00 $120.00 $102-00 $ 56.00 Note: $5.00 for each additional T-Stat NEW CO!LST_R!LC11ON 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 Pool or Hot Tub $110.00 0&-o" Owner as defined by RCW. 19.28.26 1: (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 296A68, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit, pplications, Sign of owner, eleCtr%crtI ontractor or electrical administrator: ❑ Cash ❑ Che& WCredli Card # 41— DaWd: ELECTRICAL INSPECT1101N 'all WIRING REPORT 417 4'735 mCOIRRECTIONS NEEDED: _..Alo Ale --- --------- NOTIF,:::!Y INSF:Tc rOR WHI-.:::,N CORREc"noia ARE COMPLETED W111 HN 15 DAYS .................. DO Nall REMOVE