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Home My WebLink About1009 S Laurel St - Building CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East S'h Street, Port Angeles, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00001051 Date 420926 1009 S LAUREL ST 06-30-00-0-3-2840-0000- PAULA OBRESIH FIRE ABANDON TANK INSPECTION 9/25/06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor OBREBSKI STEVEN / PAULA 1009 S LAUREL PORT ANGELES WA 98362 PETTIT OIL CO. 638 MARINE DRIVE PORT ANGELES (360) 457-9404 WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date UNDERGROUND TANK RES 87593 15.00 9/25/06 3/24/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE Extension 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 ~. 0,90/' S"- a b This pennit 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 examine:! 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 th/yovisions of any state or local law regulating the work specified in the permit. ?dIrI1A.l, r-:li~f Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FIRE SPRINKLER Underground piping hydrostatically tested 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 Completed by Contractor: Underground piping inspection/pressure test Test #1 Above ground piping inspection/pressure test Piping pressure test pSI Tank (container) inspection Time initiated Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT - Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final 10-5"-0(., iL hI) PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments ~ \ ~ ~ 2/15/00 ~, ?:~ ~~ ~~ ~~~ ~t' ~~ "'N ~ ~ '- GENERAL COMMENTS: !);~f}:r ~~\ I~. .aw.:::::::;' ':iWJ \'.- .-.--.- ';f \~' .~<>" /' "\~)" BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for re,'iew. If you have any questions, caU PERMITS (360) 417-4S15 FAX(360)417-4711 Appli'canl or Agen( Owner: l?AlAlA IPrbR&oI?/ Phone: Phone: Address: City: iuchitect/Engineer: Contractor.&n--r O~ Zip: Phone: State License #: Exp: Phone: Zip: ZONING: Address: City: PRO.mCT ADDRESS: l?Jo:1 ~ , IA1Uf2:et-- ~ LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLIVvr COUNTY PARCEL NUMBER: Of;/D/J'~O ~J-~; ~ecWJ TYPE OF WORK: o Residential, 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 Move 0 Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: SIZE/V ALUATlON: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION, ; $ ~O~NA/l~ [.fIN IL No. of Stories: Lot Size: Total lot coverage Construction Type: = TOT.U Sq. Ft. COMMERCLU/RESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft. Existing Sq, Ft. % ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DP,VU: FillE: 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. . EXPlRATION 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 ofllie 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 itis my responsibility to determine what permits are required ,not the City's, and that I must-obtain such permits pri~rt~w!f'.u' / . \ "A () T:\FORMS\BldgPermitform,wpd APplic'iir.../ffp!i1 0;1 r ~~ , . Date: {-:2-5"' - G 'Qi \IJ! CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 9lB62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdiv~sion Name Property Use Property Zoning . Application valuation 06-00001025 Date 009325 1009 S LAUREL ST 06-30-00-0-3-2840-0000- ELECTRICAL ONLY 9/26/06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor OBREBESKI, STEVE & PAULA 1009 S LAUREL PORT ANGELES WA 98362 (360) 457-3551 OLYMPIC ELECTRIC 4230 TUMWATER " PORT ANGELES (360) 457-5303 '- '. ",.' .,\ . WA 98363 Permit Additional desc Perm~t pin number Sub Contractor Permit Fee Issue Date Expirat~on Date ELECTRICAL NEW RESIDENTIAL OLY. EL./ 200A SVC 87163 OLYMPIC ELECTRIC 78.70 Plan Check Fee 9/26/06 Valuation 3/25/07 00 o ~ -..a. Qty Unit Charge Per 1 00 78 7000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 78 70 C) Q --0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 78 70 78.70 .00 .00 Plan Check Total 00 .00 00 .00 Grand Total 78 70 78.70 00 .00 lP " ~ ~. ~ \' 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 ~NERAL COMMENTS: PW.II02 I' (4'961 "'.'.... PREPARED 9/28/06, 9 31 26 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 8 9/28/06 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 1009 S LAUREL ST OBREBSKI STEVEN/PAULA AIRFLOW HEATING OBREBSKI STEVEN/PAULA 06-30-00-0-3-2840-0000- 06-00000884 MECHANICAL APPL SUBDIV PHONE PHONE (360) 683-3901 (457) 3551 PERMIT PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 Ff- -------------------------------------- COMMENTS AND NOTES -------------------------------------- 9/28/06 1I MECHANICAL FINAL SANDY 683-3901 09/27/2006 02 46 TIME 13 00 PM DYASUMUR '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGEL~. WA 98J62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zonlng . Application valuation 06-00000884 Date 681892 1009 S LAUREL ST 06-30-00-0-3-2840-0000- OBREBSKI STEVEN/PAULA MECHANICAL APPL PERMIT 8/18/06 RS7 RESDNTL SINGLE FAMILY 8500 Owner Contractor OBREBSKI STEVEN/PAULA 1009 S LAUREL PORT ANGELES WA 98362 (457) 3551 AIRFLOW HEATING 221 W. CEDAR SEQUIM SEQUIM (360) 683-3901 WA 98382 Permit Additional desc Permit pln number Sub Contractor Permlt Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL AIR FLO/ T-STAT 84889 AIRFLOW HEATING 36.40 Plan Check Fee 8/18/06 Valuation 2/14/07 .00 o "- ~ ~ Qty Unit Charge Per 1 00 36 4000 ECH EL-LVT-FIRST THERMOSTAT Extension 36.40 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 36.40 36.40 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 36.40 36.40 .00 .00 tA -I I rf',/ l~l-- '" COMMENTS/ ACTION NEEDED ELECfRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCItPTI'.D COMMENTS YES 1 NO DITCH "UOT 1(;~-1N I COVbK ''''KVII-''' I ~..~...bt;1 ..Ir'J )1 GENERAL COMMENTS: PW.II02.1S 14'96) r/ .oRr & rY-!.~ r\lIii "-~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zonlng . Application valuatlon 06-00000884 Date 681892 1009 S LAUREL ST 06-30-00-0-3-2840-0000- OBREBSKI STEVEN/PAULA MECHANICAL APPL. PERMIT 8/11/06 Owner Contractor pN/lL&o C;PC?/67b' ~ \ ~ ~ ~ RS7 RESDNTL SINGLE FAMILY 8500 OBREBSKI STEVEN/PAULA 1009 S LAUREL PORT ANGELES WA 98362 (457) 3551 AIRFLOW HEATING 221 W. CEDAR SEQUIM SEQUIM (360) 683-3901 WA 98382 Permit MECHANICAL PERMIT Additional desc Permlt pln number 84657 Permit Fee 64.70 Plan Check Fee .00 Issue Date 8/11/06 Valuatlon 0 Expiration Date 2/07/07 Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 Fee summary Charged Paid Credlted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.70 64.70 .00 00 Plan Check Total .00 .00 .00 .00 Grand Total 64.70 64.70 .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-l nave-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. ArM S;~ ~/rrjr;u Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T.\Pohcles\1102_15 bUlldmg pemut mspeclton record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4 735 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 I YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) 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 W ALLlHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING I I I MECHANICAL HEAT PUNW 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 ARKING/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 I ENGINEERING RRE 417-4653 I RRE DEPT PLANNING DEPT 417-4750 r} L...1", I-h PLANNING DEPT. BUILDING 417-4815 'l / .LA /F J/) VK/ BUILDING T \Pohcles\1102 15 bUlldmlZ Denml msoectlOn record05 wod [1/4120051 08/09/06 WED 08:40 FAX 360 683 3971 AIR FLO HEATING 200.1/ATJG/_il.'I/Ft:'I 1_;'.') J IlK ('IT' 'F F fLD "t r, Ul:. r 1.1 'A ~ G DEF'T FAX N,',. ':d~1) 41"" 4""11 ~001 F'. 1./1) 1/1)(1 j -- Date ISsued. . ..--. ^pplieiiIItOTAgent;_AHf.:;;.be~~-- .P.L.onc:__.~D"'~=L..-,=~-. -- Owller:---Btu.la. .a2. ~ ~~\b. ( . Phone. 4 ~ - ~s S I - -Add;~s;jOOlr-7i.- [L[i-'-ytl--~'~ Cjti.fbf+--~ilt~---"""-'- "Zip:'~~'f~.tp-r-;r'- .--- /U-cwtect/Engincer: Phone; Cuntractor State L1cense. /r'I!f-Ultttfl)~xp: Phone: Address:. Z,ZI '.V ~d~ City: 1q;,o U , ~ . ZIp: PROJECT AJ>DRESS:---1VOa 6, Lavye1 ~. A-Art'bY~ONING; ~EGAL DESCRlPTI.ON: Lot: Block: SuhdivislOU: CLALLAM COUNTY r AR(;EL NUMBER: Credit Cud Holder Name: :Billinr; Address: Credit Card T)rpe ''lSA. MC #_ mE OYWO.RE.: SlZEfVALUA TTON: p Resideutial 0 New Cn:ustr 0 Rc--roL.f 0 Stove SF. @ $ ISF. = $ Cl Multi-t:mrily 0 Addiri"ll P Mm'C' 0 <'.3lagc SF. @ $ ISF = $ o COItllUercw ail Romodel 0 neTl)(lhuQn 0 Deck SF. @ $ I~F -= $ ~(? .. ....-..-....-.----O-Rcpair-. .-- -/3.-$lgll-'-' -- -lJ-Other-- .--------------- IOT.A..L.YALUATTnN... .$ ~OC/- BRIEFDESClW'TIONOllT.ETEPRO,TECT: IM-i--n Iv Uet.t+ P'JMP ILI/ld.. a.(~.Ll'1dlt.Y ~~ttwl Wi il'ttfWlOS,.kL COM1\1ERCIALfRESIDENT!AL: O~C:UplUlC)' Group; 'No_ uf Stotics. Lot SIZe: Existing S/}. Ft TOTal let coverage "T"_; f u_ (() ,,-I ~'" Cit)': 'Exp. Date: Ot~C\lp&llt TJoad: _ &. 'Prop(l~ed Sq, Pt % Construction Type" = TOTAL Sel. Pt. ESA/Wr:tl~d(r,)' 0 Yes 0 No SEJlA C."hecJdistrequired? 0 YeG 0 Nu Q'ther: .A.I'PROV ALS: l'LAN: BLDG: I)r'Wu: FIRE: O'T.1:mR:_ pLANNING USE ONT,Y: BUILDING PKR1VIIT APPLICAll()N SlJlSMlrr AL; Tlle Building Division r;.an ptuvide you Wlth mformation On the- 8pplit~oD.lmd plan Stlhl'(li~l requiremc:nTs If you havr: qw::stie.D.s. V AJJUATION OF CONSnnlC'TION: 111 alll:ases, .a valuation amOllnT must be entered by the: appLic.aa.t. This figure VI.'ill be Te:vicWed Ill\t:huay 'berevisc-.d l>y 'I'll C Buildlllg Dil'lSipll tn eomply with C'urreutfee sr.b.",nule$. Conlacfth~ PerIlJll Co (lrdUlator at 417-481 5 fOT assistance- rLAN:CBEC:K FEE.: Jr 2l plan (.be'c;k tee- is tiue it m\St'be ~ubmined 111 the rim= the: building (lemrit applkl1u'Jn aud c:ollstLuctirm pJalJS are _s.\fll).nitted. All other pr.:I.lmt fc:e..'l art:. due allhe T1.11't of pemlit bsua/Jcr:::. EXrIJ<A TION OF PLAN REVfEW; If D.U PCD:I.1It l.:l lO:m;;ld Wl'ffiin;-Rtlu~';h'l;-rJa:tl'"-of';lFpiieJl.tioll:..thC";"ppli1:.:rtioll-\'Vin"'1!1.].lire:--1'he-- Building Official Call txtc.ud th~ time f(" acnoIL by-rbe apl'lic,wt up to 180 days U1'N,J. '~!ntt('tll"c'1I1esr by the al'l'liclmt lSc.c. Sc.chuuRI05.3.1 of1D.e JAteruatinDaJ I~w1ilingiJ(esideD[ial Code, 2(03). No applica.tion can be C"-1:l':llded morc: tba11 ClLlee. I hereby celtify thalllJE/Ve read Bnd eramlnr:d tlJis application and K/IOW the 58"'~ tu bf:l true Bnd corrac/. J tJtrJ iful},t)riz~rJ to apply for this permit alld understand that ff is my responslbiliry 10 determine wh;"t pp.rmits are requlled .f/ottfle City' JUst obtain ~LIl; s pr;orro work. T:\1<..vESSlBLOG-fc""11.~-br00;.blJJ'O"..s\2D03.l::llildi1, ~'crm rt ",.<\ APl'li · .**°~'°"'~-~. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 I~UILUIIVG PI::I~MII ISSUED: 9/24/2002 PERMIT NO: 13737 OWNER/APPLICANT PROPERTY LOCATION 1009 LAUREL S GERALD MORRIS 1009 SO. LAUREL STREET Lot: S 1/2 LT 8 & 9 Port Angeles, WA 98362 Block: 328 [] Long Legal 360/417-9403 Subdivision: TPA T: S: Parcel No: 063000032840000 CONTRACTOR ARCHITECT TOPNOTCH ROOFING N/A 1235 WEST 9TH Port Angeles, WA 98362 , 98360-0000 360/457-0066 360/000-0000 PROJECT INFO -- Project Value: $1,679.00 SFD Units: 0 Commercial: 0 ~., Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: ,., PROJECT NOTES TEAR OFF, FELT COMP WEST SIDE ONLY RECEIPT~¢9680 FEES ASSESSMENT Building Permit: $60.10 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $64.60 Plumbing: $0.00 AMOUNT PAID: $64.60 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANN]FNG\FORMS\ ] 102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNL~4WFUL TO COVER, INSUL4TE OR CONCEAL ANY WORK BEFORE INSPECTED ~4ND /ICCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE [ DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STOKM PLANNING DEPT. SEPARATE PEIUvIIT #'s SEPA: PARKING/LIGHTING 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 / ENG1NEEIGNG FIP~E 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. T:\PLANNINGLgORMS/I 102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-7 ~,-~:>'-~ Time Received by ~ (phone, person) Location of Work to be inspected / ~_~C~ ~ ~ ~--~:~L~'~-~ [ Name of person requesting inspection ~--~' ~--.~'(~.(~ ~'/~O¢'t~' ~ Address of person requesting inspection Phone No../~/i~ Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Fi~na-~ Sewer Excav. Other Inspected: Date /' ~- (' ~ ~, Time By Remarks: ~ RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # r-I Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 08/11/06 FRI Oi:45 FAX 360 683 39i1 AIR FLO HEATING I4i 001 ,_,"_'-'...: -;"':.',1: ,T',' 1":"1 ~.1"";'~1..6:-:; : :'.:: ')6 I -",- I I .' .?fly L'/ G; - .~ "CI ~... ~ ~ ~.... ELECTRICAL PERMIT APPLICATION FOIl OFFICIAL USE 0...... y - Po:n.i"; t)all!''''~''cd': The Eledrical Pennlt Application must be filled out comoleletv. Ple3!1;Il!l type gr n.print in Ink. If you h~. :t."y qu~ial'ls:.. pl.1tSO call (36G) 417- 473.S Fa. n\lmber. (360) 417....111 Owner or E~c_ Contrador AgentJI,~ 'Vi 11 ~ r'l.(12 P",p.rty Own",,-.Bw..! 01 V""yr? -€>I -0 I( .i Address: lOOq I-, wuvPl ~- Eilecltlcal Contr.oe'ar. A-h?,I'-I-t? U-U)k1 n~ Address: ..z.1A 1.111 . {' -t .rl (J If . REQUEST INSPECTION 0 .Phon.' 1.?R?,.:::3Q(] I F.... /,,~;;S-oq,..1 COy: .r?O r +-. ~ f.k...c" Licens. ",At't'FI,1ll' tjl'f~: Clly ~lJ tVVl Phone: "iP~ Phone- ZIP:.Bl?3R 7' INSTALI.A nON WIRED !lY: 0 OWNeR 0 elECTRICAL CONTRACTOR Credit Card Holder NameJ Iii- f fA) Billing Address' C;ity; Zip: Credit Card N"mber' o rV fi./.v /t)o 9 ..:5 ~ Exp. D..te: VISA' MCo.. PRo.JECT ADDRESS- TYPE OF WORK: Check all thai apply: 0 New 'ftJ Alteration/Addition '9l Residential 0 Multi.Family Remole Meter 0 Derached garage o Commercial 0 Mobile Home Sq. FI o Hot Tub 0 Swim Pool 0 Septic Pump ~ow Voltage 0 Telecom. os' Number of Circuits added or altered: OESGR~PTlON OFllfE ELECTRICAL PROJECT~ YrYYlO~4tt:t- tvllrj /Il~ EIl.ctrical Heat Load Additions PERMIT FEE:~ Service Informiltion o Baseboard o Fumac~ o Heal Pump o Fan-Wall _KW -:fL ~N If?f lRA _KW o Overtleatl Service o Temp Service o UndergroLlnd Service Voltage: /' Phase: ~1 0 3 Service Size: Feed~r Size: 'hereby certify that I have read and examined this application and know that same to be true and c;orrecl, and I a. authorized to apply for this pennit. I understand it is not the City's legal responsibility to determine what pennits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. C_"C"'H'".'.'._&~~ Owner or Elec. Cont. Signature: C:IELECTRICALPERMIT APPLICATION . Date:9:' ,r-f M (tJ Date: o{::.- - ~~---{J 8 - 1/1-0 /lC-C ~~~ 9o/J-~-'()rP ~VNA-f_ _/ 09/18/2005 07:23 3504523498 OLYMPIC ELECTRIC PAGE 01 &-z,"1 fir ELECTRICAL WORKPERMI'f APPLICATION Job wired by ~lectrlcRJ Contractor 0 Owner TMtallat;Qn description /" o Commereial VResidelltiRl pate E.lI.pirc!i pi o No.. o ^ltorod/^ddlti.. C' ~//~1L'/7"/ Telc hone n.umb State ZIP u/,.7. "7/?./.2 FAX number J/rtrl .Mb?~'l f/n/I/;C Prc:mhes C'Ivtner''Am~ a h . ~-f;,p~ ~ ~;.; d r(:; /,,1/('/ -Address of' in~pecttnrt / ~/77 5 bur/:" ~rr 4;vlrf Ptlonc number to schedule iRli'Pcctlnllq ~"IC" t1..~ df:fiTJe.d Fly RCW/9.28.261:(J) Ow",!r will occupy thf? stn/.ctllre fnr htJet yean after lhi.v €l~/,.jca1 permit L'l' .{rnalJ:cd. (2) Oll.frler ;$ required 10 hire an dccr,.;cal c.onrracrQl' if above said property is for .m1e. rcrt' or l~as(!. A ftcr (e~dinJ:l; the 3bovc ~ta\emcnt, r hCTl:hy coni fy thlll l 30'1 rhe owner of the ltOOVC n:iUT1ed propct'tY or a licensed c1ectrica1 contractQr. 1 !'1m makiflg the clectriC<lI instal- lation or alfe1"a.tion in compliance with thE: electrical laws. N.E.C.. RCW. Chilptc:r 19.28, WAC. Chapter 296-46B. The City or Purl Angeles Municipal Code, and Utility SpeciflcBtions. Si~n"tul'"t: of owner, electrical contractor ftr electric.al ndminiSlrlltnl'" o Cash 0 Check # ~editCard Visa Card # M""tcrc.rd Discover ---------------- Date: ~ Expiration Date of card ~ leal d Ad,dltlons and or subtractlo.m. CI NO LOAD CHANGES CI Baseboard KW .0 Furnaco JaKW o Heat Pump Z. Ton _ LAA CI Fan-Wall _ KW SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417-4735 CI Overhead Service CI Tamp Service (J Underground Service- ~lce InloUllillim. VoI1.ge :2l/ tJ phasoU 1 CI 3 Sgrvice Slze;~ feeder Size: . I ROUGH-IN '1 / THERMOSTAT '" f SERVICE 1 I .'- bAIt Aflflfll'''ed By .J DAle AtJI'Il'llved By Dnte ^lll'l'(wed 8y '\ / FEEDER. . " ~/,q I~ F1NA~ DITCH hI, _ Al'l'l"lve" Dy DAle ^1Ilf(l"ed By e J'I'TlnMUI3y "- Dnte Inspection Area. Building or Equipment Inspected I Actiol'l Takefl E1ect11ci.\1 D3tc: InspectoT 9-/9 -OG, ;.JEFD T'-' /l1/1;JrfTA I ~ CLCA"-A,.)C.t: ~~ b"-,/,-L.:,,,'" AiPJb>Ve4 ;U;:'- 'J (},,J/J,,,c7b,c fo1 2' Mw~- TV tNl",DoV'1 @ -3'. i .5b72I/ICE f'~r>""'" 1.4;;1 CI'lJ/orJ.r. . 9// ~ft~ ~ 1210Z/2006 .!JL21. FAX 3604574698 STRAITS ELECTRIC 14101 /installation description Job wired by iii Electrical Contractor CJ OWller D Commercial ~esideDtial . Elc~cal contractor name License number Date &pacs CI New ~AIteredlAdditioD Straits Electric STRAIE*011OS 9/07 Purchaser's m~ilins adUre~'s P.O. Box 2914 City State: ZIP ~fr0(6 f~ . Port Angeles WA 98362 Telephone numbet FAX number 2-9104 7-4698 -\-ha;t- 1~Kf'lodLdll PhfiHe.'" ';"Pmn L; (\~I'\. ~rmr~,p.~. ~ ~ :~!?~~ 10 ~~~I:n: Owner (J~ dc-fined by RCWJ9.:!8.:!61:(J) Owner."...U/ OC~P)' the 5trucllm.:for tWO years afirr ,his e1emical permit U' fi"al~d. (2) Owner is rt~ired tfJ llire an e1rctrical conlractor if aixNe said property is for .sale. n7l' or lease. CJ Ca,h o Check # A.fter~in me above Statement I hereby c!:rtify thi:lt I alii the o,.,.cr of the above named pIl erty Of " licenseu electrical contraCtOr. I ilD1. m~lcing the electrical iIlstal~ jf1 Credit Card VISa Mastercard Discover la~r he-ration in compliance with the e1~ctrical laws, N.E.C., RCW, ChapteT 19; 28, ~-~. Chapter Z96-46B. The City of Port Angeles Municipal Code. ilnd Card # -~U~-~---~---- U "lit)' 'eel ficarions. ie-na ~own.r, :d.81 conlmtor or d~l:i:~ .,:;]~71;rlp Expiration Date ~ of card (~O'P~o6!'" 90 al Load A '....ndorsu t , Service Information ta """... ELECTRICAL WORK PERMIT APPLICATION o NO LOAD CHANGES CI Baseboard t(!N o Fumace _ KW o Heal Pump _ Ton _ LAR CI Flll1-Wall t(!N Q Overhead Service o Temp Service o Underground Service Voltage Phase 0 1 CI 3 Service Size: Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 /' ROUGH-IN THERMOSI:AT /' SERVICE "- Dlle AlIrrnved 1::1)' I)lle A,.,....ov,,01 tly D.u ArptvvcdBr / ANAL DITOI " FEEDER " n/1Z ;:", .JzD~. "I Apr''''''e4l::1y D.u Apf'!'Ov!lQ II)' D= AM'tvvedlly./ Inspeclion A~a. 'Building or Equipmr::nlln.c;pected Action Taken Electrical DOlle: Inspector / - A1V /A-8-00 FROM A.P.S. ELECTRICAL CONTRACTOR FRX NO. : 360 452 6753 Sep. 11 2014 01:50PN P2 RECEIVED SEP I j 2014 CITY Or, Poin ANGELES PERMIT APPLI.CATION Building Divisifm1flectrical In,41)ections EUCTRICAL 321 East Fifth Street — P.O. Box 1150 /.Port Angele� Washington, 98362 MPECTIONS . MW Ph-, (360) 417-4735 IF= (360) 41.7-4711 I & 2 Single Family Dwelling Plan Review May Be RN" i grVd ,Plleape Complete, Ele&loel Plan Review information Sheet Job Address: Qul[dirg square Fcolagq ve Desoriptlon of a 1 1 3 Owner In rmatian Contractor in arroation Nam: 8 11rd Mdl�nokdms: 10�� q Maillm, N- Addiess7__ " Sit City. V State; Zip. t' JIP! ��Fax: --- Phone, License# I Item Total Mu l' by Unit Ch 1 0 ServicalFoeder 200 Amp. $120,00 ServlcelFeeder 201-400 Amp. $146.00 Servicetl`eeder 401.800 Amp $ 2050 gervlwReoderM-1000 Amp. S252100 Sufviao*eeder over 1000 Amp, $373.00 Branch Circuit, W1 Service Feeder 5,00 Branch Circuit W10 Servioo Feeder S 63,00 Each Additional Branch Circuit S 5,00 Branch 0ifc0s 1-4 76,00 Temp. Service! Foader 200 Amp, 93.00 Temp, 8ervlce/Fadar 201-400 Amp. $110,00 Temp. qervicefFeeder 401 -fi00 Amp. $140.00 Tamp, Sorvloo(F&WO 601-1000 Amp $ 158.00 Portal to Portal Hourly $ 96.00 Signal QrruiV Limited Energy • 1 & 2 Family Dwallin $ U00 Manufactured Home Connection $ IP0,130 Rerievveb[e ee*cal Energy - SKVA System or Less $102,00 Thermostat 5 56-00 Note., $5,00 for each additional T-Scat NEW C0NS7&QTiQN ONLY: First 1300 -Square R, $120140 Each Additional 5003)qvara Ft. or Portion of $ 40,00 Each OuthWdlno or Detached Garege $ 74.00 Each Swimming Pool or Hat Tub $110100 $-75-, Total Owner as defined by RM 19,28.261 ; (1) Owner YAR =upy the s1ructire for hvo years aftr this el&ctricel ip,&rm+ is finalized, (2) Owni9r is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of lest inspection, After f eading the above statervent, I hereby certify that I am the oymv of the above names! property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the eefta) laws, N, EC., RM Chapter 19,28, WAC. Chapter 296-466, The City of Part Angeles Municipal Cade, and Utility Specifications and PAMC 14,05,05D regarding Eled6cal Permit Applications. Slgnatu re of owner, electrical contractor or electrical administrator: Q Ca�h 0 check Q( -� �_ �._._..__. LC of , I I , t 4 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 -� Application Number , , . . . 14- 00001091 Date 9/12/14 Application pin number . . . 642401 Property Address 1009 S LAUREL ST ASSESSOR PARCEL NUMBER; 06-30-00-0-3- 2840 -0000- Applicatien type description ELECTRICAL ONLY Subdivision Name . . . Property Use Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor RESULTS: STEVEN AND PAULA DBRESKI APS ELECTRIC 1009 S LAUREL 546 BENSON RD. PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 457 -3551 (36p) 452 -6753 Permit . . . ELECTRICAL ALTER RESIDENTIAL Additional desc 1 -4 CIR. Permit See 75.00 Plan Cheek Pee 00 Issue Date 9/12/14 Valuation 0 Expiration Date 3/11/15 Qty Unit Charge Per Extension BASE FEE 75.00 Pee summary, Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total 00 00 00 00 - Grand Total. 75.00 7E.00 00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE M (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCI-TANGMIJILOING