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Home My WebLink About2121 S Oak St - Building ELECTRICAL PERMIT 0 CITY OF PORT ANGELES 360 -417 -4735 0 Application Number 10- 00000988 Date 8 /11 /11 Application pin number 842652 REPORT SALES TAX (2 Property Address 2121 S OAK ST your excise tax form ASSESSOR PARCEL NUMBER: 06- 30- 09 -5 -2- 1656 -0000- on y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Revise expired permit 04/474 K4cnli 4. 3(g 3 Owner Contractor SPOCK, SUSANNAH `'lt3 369 4g$S' OLYMPIC ELECTRIC CO INC 136 E 8TH STREET 4230 TUMWATER PORT ANGELES WA 98362 PORT ANGELES WA 98363 N 36) 417 -9771 (360) 457 -5303 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc 1 Ji Permit pin number 173021 Permit Fee 73.50 Plan Check Fee .00 Issue Date 9/09/10 Valuation 0 Expiration Date 3/09/11 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: 3Z �1 V7 a� °9(� PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION rI Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number 10- 00000988 Date 8/11/11 Application pin number 842652 REPORT SALES TAX Property Address 2121 S OAK ST our excise tax form ASSESSOR PARCEL NUMBER: 06- 30- 09 -5 -2- 1656 -0000- on y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Revise expired permit 04/474 Owner Contractor SPOCK, SUSANNAH OLYMPIC ELECTRIC CO INC 136 E 8TH STREET 4230 TUMWATER PORT ANGELES WA 98362 PORT ANGELES WA 98363 36) 417 -9771 (360) 457 -5303 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 173021 Permit Fee 73.50 Plan Check Fee .00 Issue Date 9/09/10 Valuation 0 Expiration Date 3/09/11 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G` \EXCHANGE \BUILDING ELECTRICAL PERMIT a CITY OF PORT ANGELES 360- 417 -4735 Application Number 10- 00000988 Date 9/09/10 Application pin number 842652 Property Address 2121 S OAK ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 09 -5 -2- 1656 -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 Revise expired permit 04/474 Owner Contractor SPOOK, SUSANNAH OLYMPIC ELECTRIC CO INC 136 E 8TH STREET 4230 TUMWATER PORT ANGELES WA 98362 PORT ANGELES WA 98363 36) 417 -9771. (360) 457 -5303 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 173021 Permit Fee 73.50 Plan Check Fee .00 Issue Date 9/09/10 Valuation 0 Expiration Date 3/08/11 IIa_J Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 '\i Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 e n 0 rjf5CL' P 3 JZo J/I INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: /i9C rp 7J( 1 1 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: 44 ELECTROCAL [INSPECTON kmAta WOMINO REPORT r-r- ICZA:x7 4 riikaStP" C‘111511KS 1056' 417-4735 DATE PERMIT U INSPECTOR 1 OWNER/CONTRACTOR .44-% 6 p 5r 1, I Ly•-Nt, £LEC 749A ADDRESS 24r1-1 SOAK ST APPROVED NOT APPROVED O DITCH 0 O ROUGH IN/COVER 0 O SERVICE o FINAL QORRECTIONS NEEDED: 0b" E rxiti....A r t t-r og. iRs5c x/E.4_, 11 1 NI S'Fc7ri,t1 cr. s vgs- 0 rc_ NI tEsQ tr cf_:Sp o wove. 1vt344.9 t$-_.. 21 (t) NOTOFY ONSPECTOR WHEN CONFIECTOONS FIE COMPLETED WOTHOR9 *05 0 0)0 NOT REMOVE voRr„, ELECTRICAL ONSPECT4 4v4e. .0 WRING REPORT %RIM Or 4174735 DAT PERMIT INSPECTOR Wg)/ /0-076e 9347 OWNER/CONTRACTOR 50sA4kf A a 517'ock ()Lyra?' c CLE_ ADDRESS Z) 1 k APPROVED NOT APPROVED O DITCH 0 O ROUGH IN/COVER 0 O SERVICE 0 FINAL CORRECTIONS NEEDED: Fo. Vizerc c_c="c 1< rro-t 0-1-1 12. %L KL Cc_ 2 tb IN 4 LoSTET LI 6 H75 To L r.1 S 414 1 -1, 1 9 10 1-6 u L O9JES OPg14 /*I C.b omit- Vt.)crTIF.-S '&1.-#4)1/41 K 5- /Nig-C. iio.i qgcsi A LL, 15 .1)-T s 7 43E- 2 20 -8 NOTIFY INSPECTOR WHEN COR ECM' .S ARE COMPLETED WITHIN 15 DAYS DO NOT RE' .OVE (9/8/2010) Trent Peppard IMG.pdf IQ „j'C7 'r Page 1 $EP 7 2009 ELECTRICAL INSPECTIONS 0 pcmr t C. t`� 1fr O CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections ....J. 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 OW Date: re 7l 0 ),Z 2 I ngle Family Dwelling Multi- Family or Commercial' Commercial Addition Alteration Remodel Repair* Plan Review May Be R .uired, Please Complete Electrical PI n Review Information Sheet Job Address: ee Building Square Footage: Description of above '�i1!�!!1�� I�� A�.�!�•7 S, a. ir,r,� L_� (d i� o c).us. zykYvvac Owner In fo Contractor Information Name: u. Se. nrktkL S C. Name: 0 I` t M rC__ cc, rAc Mali Address: C G rZ3 Mailing I- T� u mnw t nC __(-_c. .�k- W City: i. State: t Lp: s G7 city: 'Pock Pow t...g state:/$_ Lp: q is Phone:'3f r q r srs it /7/4 Phone: 54o 4S';!-'",Fax: '34 0 *4 License l Exp. P o c ■.c Sc._ 3 A GZ `t license Exp. Item Unit Charge Qbt Total (Qtv Multiplied by Unit Charge) ServkxlFeeder 200 Amp. 119.90 Service/Feeder 201-400 Amp. 145.50 Service/Feeder 401.600 Amp 204.60 Service/Feeder 601-1000 Amp. 262.20 f.,.,� 1 f Service/Feeder over 1000 Amp. 372.50 +U” 1 Branch Circuit W/ Service Feeder 2.60 V9 0 I 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 8 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: 85.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multifamily Dwelling 63.90 Manufactured Home Connection $119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 8 NEW CONSTRUCTION ONLY: First 1300 Square Ft 8110.30 Each Additional 500 Square or Portion of 35.20 Each Outbuilding or Detached 73.50 Each Swimming Pool or Hot Tyb $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 -468, 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 l /rx 1 Credit Card I x pared: 9/ C (7 ry ovoliano c'k 1.( (o. „in f-N C_\r■sLC_Ak. Co-c- c C 6 0 )2_ C_ C 0.A CR Q____Nc �T •V CZ)( °\4"" S R %c(— COA `6/\-s1-- S CA,. 0 (4/(. (cfn\r\ Cit-A\ k 3 7 osXv(x__ y 6 'Su66,-ovv6,1 SVoc-tc_ \SC, °PA 7)3 7__3 R 00— (JI)t °1 3(c)2__ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 04 00000603 Date 7/23/04 Pin number 945666 Property Address 2121 S OAK ST ASSESSOR PARCEL NUMBER 06 30 09 5 2 1656 0000 Application description RES ADDITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 7000 Owner Contractor SPOCK SUSANNAH ECO LOGIC DESIGN CONST 136 E 8TH STREET P 0 BOX 197 PORT ANGELES WA 98362 JOYCE WA 98343 36) 417 9771 (360) 928 9451 Structure Information 72 SF ADDNT Construction Type TYPE V NON RATED Occupancy Type SINGLE FAM CONGREGATES Other struct info TOTAL LOT COVERAGE 13 68 CONSTRUCTION TYPE V N HARD SURFACE AREA NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 1808 00 LOT SIZE 13742 00 PROPOSED LOT COVERAGE 72 00 TOTAL LOT COVERAGE 1880 00 NUMBER OF UNITS 1 00 Permit MECHANICAL PERMIT Additional desc Permit Fee 54 25 Plan Check Fee 00 Issue Date 7/23/04 Valuation 0 Expiration Date 1/20/05 Qty Unit Charge Per Extension BASE FEE 47 00 1 00 7 2500 ECH ME VENT FAN 7 25 Permit PLUMBING PERMIT Additional desc Permit Fee 54 00 Plan Check Fee 00 Issue Date 7/23/04 Valuation 0 Expiration Date 1/20/05 0 4 Qty Unit Charge Per Extension BASE FEE 47 00 1 00 7 0000 ECH PL- EA_FIXTURE ON ONE TRAP 7 00 \y am Permit BUILDING PERMIT RESIDENTIAL VV Additional desc r ��Z Permit Fee 162 75 Plan Check Fee 65 10 Issue Date 7/23/04 Valuation 7000 Expiration Date 1/20/05 Qty Unit Charge Per Extension BASE FEE 92 75 5 00 14 0000 THOU BL -2001 25K (14 PER K) 70 00 Special Notes and Comments Separ 0eRft NerK/reffffira*taork, 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. /rc9�2 3 6 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder g 9 9 builder) Date T' \PL AWNING FORMS \1 102.15 [11/14/2003] B JILDIDTG PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL 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. INSPECTION TYPE DATE ACCEPTED FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDER. FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL YES NO SEPA. ESA. SHORELINE. ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I 1 1 FIRE DEPT PLANNING DEPT 417 -4750 I 1 I PLANNING DEPT BUILDING 417 -4815 1 1 1 1 BUILDING T• \PLANNING \FORMS \1102.15 [11/14/2003] COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I Other Fees Fee summary T• \PLANNING \FORMS \1102.15 11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 04 00000603 Pin number 945666 Special Notes and Comments wells or piped to approved storm drain locations Proposal is a remodel in the RS 7 Setbacks and lot coverage are good No land use issues are noted Electrical load calculations and elctrical permits are required STATE SURCHARGE 4 50 Charged Paid Credited Page 2 Date 7/23/04 Due Permit Fee Total 271 00 271 00 00 00 Plan Check Total 65 10 65 10 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 340 60 340 60 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 Signature of Owner (if owner is builder) Date 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE /DOWN SPOUTS 1 I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN 1 PLUMBING UNDER FLOOR SLAB 1 L 1 1 ROUGH IN 1 A I' WATER LINE (METER TO BLDG) 1 1 GAS LINE 1 BACK FLOW WATER 1 1 AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING FT- e L DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T•\PLANNING \FORMS \1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. DATE ACCEPTED e 1 L YES NO 417 -4735 ELECTRICAL LIGHT DEPT I I I I n I I 1 �xUl rat 10 CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT 1 BUILDING COMMENTS I I I I I I 1 1 1 1 1 PREPARED 12/08/04 13 42 15 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS 2121 S OAK ST SUBDIV CONTRACTOR ECO LOGIC DESIGN CONST PHONE (360) 928 9451 OWNER SPOCK SUSANNAH PHONE 36) 417 9771 PARCEL 06 30 09 5 2 1656 0000 APPL NUMBER 04 00000603 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 9/16/04 9/16/04 BAIR 01 12/08/04 BLI 01 JLL AP G LL BUILDING FRAMING James 461 5154 BUILDING AIR SEAL JAMES 461 5154 BUILDING INSULATION JAMES 461 5154 COMMENTS AND NOTES PAGE 1 DATE 12/08/04 PREPARED 9/16/04 12 48 22 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/16/04 ADDRESS 2121 S OAK ST SUBDIV CONTRACTOR ECO LOGIC DESIGN CONST PHONE (360) 928 9451 OWNER SPOCK SUSANNAH PHONE 36) 417 9771 PARCEL 06 30 09 5 2 1656 0000 APPL NUMBER 04 00000603 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 9/16/04 JLL BUILDING FRAMING James 461 5154 COMMENTS AND NOTES Applicant or Agent: q_,,, Y1 4/1 CL 0 a L Phone y 1 9 Owner C. 6. MtiP Phone Address c_(. e IA, S 2 City• 7A Architect/Engineer 9,`c b s r 5A `tr CeivSt Alone Contractor s o S keirA 1arSdY\ State License COLO LIA Address. (.c-i r/ l \Z City 0N1 /PA Zip PROJECT ADDRESS "73 Z t S 1 0 oJ ZONING LEGAL DESCRIPTION Lot: 7 i 77 Z 3 Block: r( Subdivision. rrj C CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name: Billing Address: Credit CardType VISA MC TYPE OF WORK. IX Residential New Constr. Re roof Multi family Addition Move Commercial le Remodel Demolition Repair Sign BRIEF DESCRIPTION OF THE PROJECT PLANNING USE ONLY 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 City SIZE/VALUATION Stove SF /SF Garage SF /SF Deck -s SF /SF Other TOTAL V p VALUATIQN -,mil 6 1 v�.kck t -15-1. COMMERCIAL/RESIDENTIAL. Occupancy Group. T2-- Occupant Load. No of Stories Lot Size: 3 Existmg Sq Ft s(a Proposed Sq Ft Total lot coverage `m ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Zip C r 3 C2_ Type 7O =TOTAL FOR OFFICIAL USE ONLY Date Rec. 7 19-01 Permit y Date Approved. 7 -16 Date Issued. Phone 4 /2-S u 313 Exp. Date: Q t Sq Ft_ s APPROVALS PLAN BLDG DPWU FIRE OTHER BUILDING PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 Coordmator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the buildmg permit application and construction plans are submitted. All other pernut fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no pemut 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 107 4 of the Uniform Building Code, current edition) No application can be extended more than once I hereby certify that t 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 1 must obtain such permits prior to work. \FORMS\APPS\Buildingpermit.wpd Applicant: CA O___.� Date L /36 /OL) (Z1 S C)0<.\-e_. S8622 20 'E [ALAN AVENUE CA TED) JECT PARCEL ECT PARCEL WAY IT "IC CAP 30 .139 559 83' FOUND 3;4 DIA. BRASS CAP STAMPED CITY OF PORT ANGELES. WA. AT CENTERLINE INTERSECTION OF LAUREL STREET AND DOLAN AVE (ALLEY) S8622 21'E 109 95 co a' 42 8 t 11Q2 �L- �W�KIXC 432 r7 N 20 4 15 4 21 254 0 rD cv N) N I 1 S 8622 20" E N 22 206 0 109 96 DOLAN AVENUE HOUSE LOCATION DETAIL- A l C 1 z n 6/ WA co AS cv. A N -4- AN RE 30 23 f 1 co N co 0 (/1 DID CO DI_ Pf TH UT E( TO D? JU St TH OF RE RE DF Flt A w FL 1111+ red E_Vcc _2'c. tajfaz-4a1J pro (2.) WiLr x 1C7 AD N 'N 1827 I FRALL:PF4 fM..1111a-1 LeTAit_s: 42DDOHANS 11 i( L _4_ f M A 01 SrCar 11- 11 4 lit eomLws ri4 (0 FI2Srl "RAD CelE1 WALL tit WIP" illEaarPIXIUAL FiSHEL 8- FrG 12-tOUI P-Er) 1.42 alt4 cvi2 siu_ 4 Douta. TopLIRATE- FLJU reXn Flt Rrcut aec> b9.4 4IALL_ LA a fa 132ZE r4) kdo G FILE N sal ?copo.Q.d plAQUI -toil 11' 'P r 1 1 II 1+ 31 to" 11 II SUN 1 M1o0M t ^tw 1 s/ r CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi cations and other data shall not prevent the be•'.ding officio from thereafter requiring the correction of errors in sai plans, specifications and other data, or from preventin building operations being carried on thereunder when it violation of all codes and ordinances of this jurisdiction (SECTION 303(c) Ur form 3uildi g Code.) Approval Date By fiLE t 5 ±N I 1 4 Per I Re Jjz1 Co( s Spoc.k 2121 Ock Pori-AN9ele$.w4 E'L o Srloo f F l ovA As oc rna1 2004 =PCd p O seJ t) 04a.11-1 0 A's Cs' See ma- Az. v. 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(.Jq\l 1 1?-Q- 2 2,7ak DC 1 9_2_1 l ✓S� 2 e 11t6' x 5 41dekl 5 2,e-r+O &Q\ 2� 21 P A tt.deS vJ L ro6s s iOf`i O� Roo del t 1 �,1'to N 1 p\p pORT N Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Owner Contractor SPOCK SUSANNAH 136 E 8TH STREET PORT ANGELES 36) 417 9771 WA 98362 04 00000474 923974 2121 S OAK ST 06 30 09 5 2 1656 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457 5303 Permit ELECTRICAL NEW RESIDENTIAL Additional desc 200A SERVICE RE WIRE Sub Contractor OLYMPIC ELECTRIC Permit Fee 76 30 Plan Check Fee 00 Issue Date 6/06/04 Valuation 0 Expiration Date 12/03/04 Qty Unit Charge Per 1 00 76 3000 ECH EL -RM 0 200 1ST SRV FEEDER Fee summary Charged Paid Credited Due Date 6/06/04 WA 98363 Permit Fee Total 76 30 76 30 00 00 Plan Check Total 00 00 00 00 Grand Total 76 30 76 30 00 00 Extension 76 30 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•\PLANNING\FORMS \1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL 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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO FOUNDATION: FOOTINGS WALLS y 1 FOUNDATION DRAINAGE/DOWN SPOUTS 1 ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN y `j}- J Q"' PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS 1 WALLS ROOF CEILING 1 DRYWALL (INTERIOR BRACED PANEL ONLY) Y T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY 1 HOOD /DUCTS 1 PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM E, P i O 0 PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING I ESA. LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 1 PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 1 T \PLANNING\ FORMS \1102.15 [11/14/2003] .n, 417 -4735 ELECTRICAL LIGHT DEPT 4/ /2 o 0 /Lcb-oei'1"P' -e cLA 8L L Dk ,vc (1,5 /U,N.S JY,E. e.D (I .8&' Fo A4042 CONSTRUCTION R.W PW ENGINEERING 1 FIRE DEPT 1 PLANNING DEPT 1 BUILDING I I I 1 I I 1 1 06/01/2004 12:19 FAX 3604523498 '-~~-~~i d:6d.M;CITt PORT ANGELES _."'~ .---~-'- OLYMPIC ELECTRIC ; 3!'iO... I 74, 1 I IaI 01 .. 2..' : .. 8~~ " . ;'" , ELECTRICAL PERMIT APPLICATION POJl Of'FICIAL UN ONL ........ .......; l'1odcA,ppn.*, -- Th. E Jec1rfcel Perml' Applicstian must be filled our com Dfe&l,v, P ..._ type or ...print In Ink. tf you have eny Clue.tloM. piau. .;.11 (3M) ..17....735 Fax number; (310) 41''-'11 O'f-~71 OwnotorElec.COnh."""Ag...t Olympic Electric ::~;~Jr;~/J~r~/(' E~COn~~ Olympic Electric Co., Inc. ~ 4230 Tumwater Co., Inc. Phone: 457-5303 Fax: 452-3498 4/7 -97.7/ Zlp tF~2 Phone: 457-5303 ZIp: 98363 Phone: OIly: ,tb.....,..... ~4O:'/~ Llc:en8e" D-'lMtC285ClExp: 3/31/03 ClIy. Pod Angeles INSTALLATION WIRED BY: o OWNER ~ ELECTRICAL CONTRACTOR Credit C.rdHold., Na",.: Charles T. Burkhardt, Olympic Electric Co., Inc. 81111"11 Add/v..: Same CntdIf C.rd Number. City: Exp. Da,.: Zip; VISA: X Me: - PROJECT ~I: 2/2/ , 5 OTJ/( TYPE OF WORK: ~en1181 Check jJ! that apply: 0 New ~18r8\lonlAddltlon o Multi-family o CommerCial o Mobne Home Sq.F~ . ~ o Low Voltage [} Telecom. 0 Slg \ o Remote Meter 0 Del8clled garage 0 Hol Tub 0 Swim Pool 0 Septic Pump Number of Clrculla added or elle<ed: DESCRIPTION OF THE ELECTRiCAl PROJEiCT: I/t-v ~y ~r/7//r___ + f?t"-.~ rc 1h~r-""5 ~ E/ect-.. _d Addition. and or .ubtnlCtlon. Service Information ---- ?? ~llaBeboenl 'I'rr KW '\, / :If'/" "1 (? 1-- Voltage: 21{ tJ o Fumece /"""'- KW VOvemeBd Service Ph..e: i2"l 0 3 D HIllII Pump ~ TOI/L LAR 0 Temp SoMee Service Slzo: ~d'HtL7 o~ 0 Urdu,ground SeIVI"" Feeder Slzo:___ /-. PAMC 14.05.060(8): FOf' Industrial, commercl8l. & no&IllBndal projectB larger then e duplex, 8 one . line drawing of tile Eleebical SerlJce & FB8d8nl. bui1<fllg size (Sf!. ft,),1oed caleuletlona. and the /ype & DfcanduclDnl end/or _ay is requited 8rd shall accompany the EleelrlCBl Permit appllcaflon. J I he""'y certify thaI I have f8t1d end examined this application and know that same to be true and cormel, and , al authorized to apply for this permit. I unckNstsnd it is not the CJty'$ lega/ responsibility to detennine what permits are required; it f8msi e applicants fflsponsIblllty to delermine wflat permits are required and to obtain such. C<edlt Coni Holde". S .....\In: ^ . , Ow....... Elee. COftL S...eN": lllot.: hI; / CJo/ _0/ PERMIT FEE: $ - 476,30 AI- - 1-( I)iJ-L 6..r; fr;2'~T2- ~'E]~ lJ ((?,'6 (!ft)1,,<,fE5 'P-1f\1"'{ ~ol6 -+c.) -(-l<<:; 11) En'" ); ~~ () . PW.901911/M #eeJ .' .---'" \-.~. -~ j~'\ ')", \.- ~~--\ ~/ joy / -40. .. IElLlECT~~CAIL ~INlSPECr~ON W~~~NG IRllE/PlOIRlT 417-4735 ~/.?- / -5 APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN/COVER.. ... .. .. .. ... 0 o .................. SERVICE .................. 0 o ...........Q.... FINAL.. .. . .. . .. . . . . . .. . .. 0 CORRECTIONS NEEDED: ( ~..K" '5' /3/1i""/ /./V vr.IAzL-- ~/./ A/',P-tD ,~r' C..r?r/<?~""'IS (f./ $77C ,4p~~~ 7D //I/.>u~ -" " NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 .......... - ., IEllEtClrlRl~CAl ~N1S~ECT~ON W~lRliNG RlIE~OlRll 417-4735 U0(, APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN/COVER...... ..... ... 0 o .................. SERVICE .................. 0 o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0 CORRECTIO';!7 NEEDED: . :/t-f..,v~ t-v. ~ i~::: ~rd,,~;:;'"~~~ ,60Th ~-( ~iYtY. ~..e..-<.-J" V"'..<1 ;_; i/-~ " -Ix. i<.L ~eurJ e ,rA'/\ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452.1381 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUiLDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application NLu~ber ..... 03-00000779 Date 9/09/03 Property Address ...... 2121 $ OAK ST ASSESSOR PARCEL N-0MBER: 06-30-09-5-2-1656-0000- Application description . . . RES FOUNDATION REPAIR Subdivision Name ...... Property Zoning ....... Application valuation .... 28000 Owner Contractor PORT ANGELES WA 98362 (360) 417-9771 Expiration Date . , 3/08/04 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes null and void if work or construct[on 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 o~Owner (if owner is b(ailS'er) '' [~ate- T:kPLANNINGkFORMS\1102.15 [4/2002] FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION Oa,e.ec.: Fill out COMPLETELY and in INK. Your application and site,plan MUST BE Date Approved: COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Date Issued: Applicant or Agent: 0~&~riO~ AdC-,rSrdrv~ Phone: MchiteogE~ineer: Phone: Con=actor ~e~tvx~,t~ ~ State License ~1~~ Ad&ess:~OZW ~ Ci*: 0~~5 Zip: LEG~ DESC~TION: Lot: Block: Subdivision: CL~L~ CO~Y P~CEL ~BER: Credit Card Holder Name: Billing Address: City: Credit CardType VISA __MC __ # Exp. Date: TYPE OF WORK: 5 SIZE/VALUATION: [] Residential [] New Constx. D Re-roof D Stove SF. ~ $. /SF. = $. t3 Multi-family ~3 Addition ~3 Move [] Garage SF. ~ $. /SF. = $. D Commercial D Remodel I3 Demolition I3 Deck SF. ~ $. /SF. = $. D Repair D Sig~ , t{~C-Othe, TOTAL y24~,TIO~, $ ~ COMMERCDkL/RESIDENTIAL. Occupancy Group: Occup~t Load: Cons~cfion T~e: No. of Stories: Lot Size: Exis~g Sq. Ft. & Proposed Sq. Ft = TOTAL Sq. Ft. E~st~g lot coverage . % & Proposed lot coverage % = Total lo~ coverage~ ~PROV~S: PLUG USE ONLY: PL~: ~ BLDG: DPWU: F~: ES~etland(s): ~ Yes ~ No SEPA ~ec~ist requNed? ~ Yes D No Other: O~gR: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with tifforro~tion on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all eases, a ~,aluation 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 die 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 ~pplication, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon wri~en request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know. ttte same to be true.om~ correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are reqjd'rJd /~ot th~/ C~E/s,. a. Igd ¢at Ijnust ot~tain such permits prior to work. FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved: COMPLETE to be accepted for review. If you have any questions, call Date Issued: (360) 417-4815 Applicant or Agent: q ~.k ~,~ o._~ '60c~, ~o c~c~ Owner: ~tx~evxo ~ ~ ~o~ Phone: Ad~ess:~¢ ~ ~ ,~4. ~[Z~ Ci*: T~ ~tl~ Zip: ~chitecffEngineer: ~ ~[~ O Phone: Con,actor ~/~ State License ~: Exp: Phone: Ad&ess: CiW: / ~ Zip: LEG~ DESC~TION: Lot:~~ Block: /(~ Subdivision: ~mga r~l Billing Address. ['~')~.,.~ ~ ~K-~t.., ~Jc- t=k-IZ.~.~ City: '-~,.--3'C-P- ~n CreditCardType~S~ MC g ~2& ~O '2q~q ~'~ Exp. Ddt~: T~E OF WO~: SI~UA~ON: ~ Residential E NewCons~. ~ Re-roof ~ Stove ]1 ~t SF.~$ Z~,~ /SF.=$~ ~ Multi-h~ly Q Ad~ttion ~ Move ~ Garage SF. ~ $. /SF. ~ Co~ercial ~ Remodel ~ Demolition ~ Deck SF. ~ $. /SF.-$ ~ Repair D Sign ~ Other ~t~ TOTAL VALUATION $ BRIEF DESC~PTION OF THE PRO~CT: ~~ ~ ~ c, COMMERCI~IBENT1AI.: Occuvancy Grou~:l~ ~a~ccupant Load: 3 No. at,tones: / co~=e:~xisting Sq. Ft. [1~ ~ & Proposed Sq. F,.~ Exis~g lot coverage [~ % & Proposed lot coverage / ~ % = Total lot coverage ~PRO~ PLYING USE ONLY: BLDG~ DPWU:~ FI~: '1 ES~etland(s): ~ Yes ~ No SEPA Checklist required? ~ Yes ~ No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all eases, 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 perrmt 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 107.4 of the Uniform Building Code, current edition). 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 T:~FORMSL&PPS~Buildingpermit.wpd Applicant: ,d~,. ~ ~3./ Date: ~jt/7 Zd/e9'~