HomeMy WebLinkAbout2220 S Oak St - Building ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MI]qIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLM, IS AT JOB SITE
INSPI~CTION TYPE [DATE I YR~ACCI[PTEDI NO COMMENTS
DITCH
ROUGH-IN / COVER ~/~b
SERVICE -
FrNAL I '",.'}~,~ /~ I ,,4-¢t"d I
GENERAL COMMENTS:
PW-I IO2.15 [4/96]
ELECTRICAL PERMIT APPLICATION
FOR OFFICIAL USE QNL V
Dat~:
Pl!:nJlit#:
Dale Approved:
The Electrical Permit Application must be filled out comoletelv.
Please type or reprint in ink. If you have any questions, please call (360) 417~
4735
Fax number: (360) 417-4711
11 7800
Owner or Bee. Contractor Agent
Phone-
REQUEST INSPECTION 0
Fax: Z/'6) - 79 () S
Property Owner: APT /1 V;\, F"
Address: 2220 50 O/fJ< ,<;T
Electrical Contractor: lIiIl1/t?,R5t:"AI:5 FLFf'rR/C
112.iP W II f1I
Address: -- -- - --
Phone:
41'7-;3.<=777
7;p: 'rf?3 In 2-
Phone: 45''7 - '7fl 03
Zip: /14~(,,:3
City:
PoRT /1A1t:.HI.F5
III!LVOlEI014CL
license #:
Exp: i?;/I,~/t14
City: ,Pt1RT ;4;l1Cn,p;
DOWNER )(ElECTRICAl CONTRACTOR
1I/jI-ViJ!?SFA) <; PI E'CTRI C
W IJ 1;1 City: peRT A/l/h:.[:IE>
INSTALLATION WIRED BY:
Credit Card Holder Name'
Credit Card Number" ' Exp. Date:
"
Zip; 98.3;;3
VISA" v' MC~
Billing Address'
1420
PROJECT ADDRESS'
222.0 SO OAK ST
Check all that apply: p(New
~Alteration/Addition
TYPE OF WORK:
Jl\[ Residential 0 Multi-family
o Commercial 0 Mobile Home Sq. Ft
Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0 Sign
Number of Circuits added or altered: ,"=?
DESCRIPTION OF THE ELECTRICAL PROJECT: /1I;DRO()M /j/)/)I770tI./ / - 4 (!IRed IT'S
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
_KW
_TON
_KW
PERMIT FEE: 4/:',7/J
~l7r P- 751(5"
Service Information
Electrical Heat Load Additions
LRA
o Overhead Service
JZi Temp Service
o Underground Service
Voltage: IZt? /MO
Phase: 0 1 ' 0 3
Service Size:
Feeder Size:
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature: /l;~.v/" .1If ~J!J.r~
Owner or Elec. Cont. Signature:C~-?"'4-<:~ Intt ~p ~
C:lELECTRICALPERMITAPPLlCATION ,
Date: 8,/Z?/tJc
Date: ~/z'? 10 z..
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 8/16/2001 PERMIT NO: 12881
OWNER/APPLICANT PROPERTY LOCATION
2220 OAK S
ARTHUR AYERS
2220 S. OAK Lot: 27, 28
Port Angeles, WA 98362 Block: 18 [] Long Legal
360/457-1076 Subdivision: dolans
T: S: Parcel No:
CONTRACTOR ARCHITECT
PELLET HEAT CO. N/A
230 "C" E. 1ST STREET
Port Angeles, WA 98362 , 98360-0000
360/457-1649 360/000-0000
PROJECT INFO
Project Value: $2,481.00 SFD Units: 0 Commercial: 0
Project Type: FIRPL INSERT LP SFD SQ FT: 0 Industrial: 0 ~J
Occupancy Type: RESIDENTIAL Garage: 0
MFD Units: 0 ,~;
Occupancy
Group:
V
Construction Type: MFD SQ FT: 0
Zoning Use: RS7 '~,/\
PROJECT NOTES
INSTALLATION OF 1 ADDITIONAL FIREPLACE INSERT
PETTIT OIL WILL DO THE PIPING
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: $0.00 AMOUNT PAID: $35.00
Mechanical: $35.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electdcalwork, SEPA, Shoreline, ESA, utilities, pdvate 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 pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days fi.om the lasl
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 no1
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance ol
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BU1LDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO'COVER,
INSULATE OR CONCEAL ANY t4~'ORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I 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 I
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB [
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK ( Engin~ering Division ) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #*s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHOP. ELINE:
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 / ENGINEEPdNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ~,~/~ ~ q C'& ~ BUILDING
FROM : !SPA SHOP-PELLET HEAT CO FAX NO. : 3684528503 A,~.9, 14 2881 88:44RM Pi
Pho~
7
~y ~ ~by ~e B~ ~v. ~ ~p~ w~ c~t f~ sc~e~o, C~ ~ Petit Coo~;n~tor at 417-4815 ~ ~¢~.
:,S~on [ ~A d~o U~om B~ C~, c~t e~fi~). No appll¢~ion ~ he ~nd~ mo~ ~a~ on~.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUES
Date ~ ~'I~-- ~ / Time Received by ~ ~ person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing ~Sewer Excav. Other
INSPECTION NOr.T~ES:
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
. DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 8/02/2002 PERMIT NO: 13604
OWNER/APPLICANT PROPERTY LOCATION
2220 OAK S
ARTHUR AYERS
2220 S. OAK Lot: 27, 28
Pod Angeles, WA 98362 Block: 18 [] Long Legal
360/457-1076 Subdivision: dolans
T: S: Parcel No: 063009521885000
CONTRACTOR ARCHITECT
HELGELSON CONSTRUCTION N/A
264 THOMPSON RD.
Port Angeles, WA 98362 , 98360-0000
206/928-3801 360/000-0000
PROJECT INFO
Project Value: $16,000.00 SFD Units: 0 Commercial: 0
Project Type: ADDITION SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS7
PROJECT NOTES
8X28 ADDITION
RECEIPT#9494
FEES ASSESSMENT
Building Permit: $265.25 Misc Fee 1: $0.00
Plan Check: $106.10 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: $375.85
Plumbing: $0.00 AMOUNT PAID: $375.85
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SE PA, 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 A prov s OhS of
laws and ordinances governing this type of work w II 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
Ic°nstructi~n' j~ ~
I Sign~u~ of Contractor or Authori~:ed Agent Date Signature of Owner (if owner is builder) Date
T:\PLANN lNG\FORMS\ l 102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 I ACCEPTED COMMENTS
YES I NO
WALLS >//.Of_or k~-d
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
~ voar~ I FOR OFFICIAL USE ONLY: I
~.~,o ?~ Date Rec.:
~'~% BUILDING PERMIT- APPLICATION P~it':
Date Approved:
Date Issued:
The Building Permit ~pplication must be filled out completely.
Please ~pe or print in in~ If yon have any questions, please call 4174815
Applic~t or Agent: ~ ~c~ ~ ff~ ~ Phone: ~
O~er: ~ ~C ~ Phone:
Ad,ess: ~ ~[< City: ~ Zip: ~ ~
~chitecffEngineer: ~~ C~ ~ Phone:
Con,actor ~~ &C~' Licen}e~:~F~(~ Exp:~D~ Phone:
Ad,ess: ~~.~ ~. City: 'f~ ~. ~ Zi~: ~ ~.~
PROJECT ~D~SS: ~2F? F~ff~/( ~NING:
LEG~ DESC~PTION: Lot: ' B~ck: ~ t ~bdivision:
CL~L~ CO~TY P~CEL NUMBER: C~edit Card Holder Name:
Billing Address: City:.
Credit Card ~: Exp. Date: ~SA MC
~E OF WO~: ,' SI~N~UATION:
~ Residential ~ New Consff. ~ Re-roof ~ W0'od-sgove SF. ~ $ /SF. =$ '
m Multi-f~ly ~ddifion ~ Move ~ G~ SF. ~ $ /SF. = $.
~ Co~ercial ~ Remodel ~ Demolition ~ D~ SF. ~ $ /SF. = $
D R~aff ~ Si~ ~ ~ TOT~ VALUATION $
BmEF DESCmPTION OF THE PRO~eT: ~* ~ Z ~ ']~ ~~
COMMERCI~SIDEN~: Occup~cy Group: . ~Occupant Load: __ Core,etlon ~e:
No. of Stohes: ~ Lot Sizg: % Lot. Coverage: ·
E~sting Lot Coverage: ~/sq. fl. + Proposed Lot Coverage.*; /sq. ~. = TOTAL LOT COVE~GE: /sq. fl.
PLYING USE ONLY: ~PROV~S:
Notes: ~ BLDG.
DPW
ES~etl~d(s): m Yes m No SEPA Chec~ist requffed? ~ Yes D No Other: OTHER
B~DING PE~IT APPLICATION S~MITT~: Your application and site plan must be fiHed out co~letely to be accepted for
r~iew. ~e Buil&n~ Division c~ provide you ~ more detailed ~omtion on the application ~d pl~ sub~l req~emen~. Your
completed applicatio~ si[e pl~ (for additions) ~d building cons~ction pl~ ~e to ~e mbm~ed to the Building Division.
V~UATION OF CON~UC~ON: In all cases, a valuation amount must be entered b~e applic~t. ~is fig~e ~11 be reviewed
and ~y be revised by ~e Building Division to comply ~ c~ent fee schedules. Contact thc Pe~t Coord~ator at 417-4815 for assistance.
PL~ CHECK ~E: Yo~ plan check fee is due at ~e time ~e building pemt application ~d consmcfion pla~ are subm~ed. All o~er
pe~t fees are due at ~e ~e ofpe~t issu~ce.
E~I~TION OF PL~ ~EW: If no pe~t is issued wi~ 180 days of the ~te of applicatio~ ~is application will expire. The
Buil~g Official can extend the fi~ for action by ~e applicant up to 180 days upon ~en request by ~e applic~t (see Section 107.4 of
· e Unifom Build~g Code, c~ent edition). No application can be extended more ~ once.
I hereby cert~ that I have read and.~amined this application and ~ow the same to be t~e and correct, and I am authorized to apply for
this peril 1 understand it is not the C~'s legal r~po~ibili~ to dete~ine what permits are require& it remains the applicant's
responsibili~todeterminewhatpermitsarerequ~r~dandtoobta~f
T:WO~S~PS~uildin~it ~ ' ~
~ ~ SITE PLAN
DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION
APPLICANT: PHONE:
PROJECT/DEVELOPMENT ADDRESS:
See Page 4 for instructiona on completing the site plan. For more information, ca11417-4815.
~ III
~'jillI
III
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: .
Date _/0 ~_,~L,_~/o ~-~ Time ? ~Z~//~'~ Received by -~~ (phone, person)
~ ~, --
Loe~tion of Work to be inspected .~
Name of person requesting inspection ~JC3~ ~
Address of person requesting inspection~ ~5~
Typ~le Permit No.
appropriate one):
S~e~~/~ming Chimney Plumbing Final Sewer Excav. Other
INS~TI~~S:
Inspected: Date-- ~-- ~ ~ ~' Time By
Remarks:
/
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [-'[Gravel ~-lAsphalt I--rPCC ~]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
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUF. ST: ~
Date~'~ ~'~ '-~) '~ Time Received by (phone, person)
Location of Work to be inspected '~ '~--C L~/~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (cir~priate one): Permit No. //-~~_' ~' · ~
Sewer Foundation (~Frami~_~ Chimney Plumbing Final Sewer Excav. Other /~ '~ ~" ?
INSPECTION NOTES: ~J~
Inspected: Date / ~ · Time By
Remarks:.
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel I~Asphalt []PCC []Other
[~} Repaired by City Work Order #
~-] Repaired by Permittee [] COMPLETE
I--I No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~-18 ~-O"P_~ Time Received by /~ (phone, person)
Location of Work to be inspected .x _
Name of person requesting inspection .-~.~
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Fi~ Sewer Excav.
Other
INSPECTION NOTES:
Inspected: Date i } ' ' ~' 2.
,- ~ / ,~ :' 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
[--I No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)