HomeMy WebLinkAbout315 W Park Ave - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
ERIC WILLIAM /CHRISTINE M BROWN
315 W PARK
PORT ANGELES WA 98362
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
110 30
6/02/10
11/29/10
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00000547
591776
315 W PARK AVE
06 30 09 5 2 3887 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
OLYMPIC ELECTRIC CO INC
4230 TUMWATER
PORT ANGELES
(360) 457 5303
ELECTRICAL ALTER RESIDENTIAL
OLY EL HOT TUB CIRCUIT
166777
OLYMPIC ELECTRIC CO INC
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 110 3000 ECH EL SWIMMING POOL /HOT TUB
Charged Paid Credited
110 30 110 30 00
00 00 00
110 30 110 30 00
DATE
Contractor
►,t l i(?)
Date 6/02/10
Due
RESULTS
41-P
WA 98363
0 0
0
Extension
110 30
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
06/01/2010 08 04 FAX 360 452 3498
x
City of Port Angeles Permit Application
building DIvlslonlElectrical Inspections
321 Ent Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph; (360) 4174735 Far (360)417.4711
Date: 6
4/1
e
1 2 Single Family Dwelling
Mul&Famlly or Commercial'
Commercial Addition Alteration Remodel /Repair"
Plan Review May Be Required, Please Complete Electric 1l Plan
Job Address; S'" W Pane A NP
Building Square Footage: 2./o
Description of above /lo# /tt ti took u�
Owner information
Name: E.rl a ei ehns1'nP,- $+t7 W ti
Mailing Ad$�(ess; 9/s W Park Ave
City' PA Slate: WA Zip' 1 18 -1 316 2,
Phone; y s2 24 7b Fax:
License Exp,
2111(C,(taroe
$119.90
145,50
204.60
262.20
372.50
5 2.60
73.50
5 2.60
5 62,70
110.30
148,70
6167.90
95.90
88.20
5 95.90
63.90
63.90
119.90
S 102.30
5110.30
5 35.20
73.50
S 110.30
S 58.00
gly
Check
Date!
Olympic Electric Co PA CITY INSPECT 51001/001
Review Information Sheet
RECEIVED
JUN 0 2 2009
ELECTRICAL
INSPECTIONS
n back ya PR I o,
Contractor Informal
rim
Name:
Malllni'd'
Cllyti' 9 /C, Stale, Zip: -f� eLy
Phone:; r— mss r Fax:
License I Exp. C.O kr•re y e157/
Total (Qtv Mulliolled by Unit Charoe)
Service /Feeder 200 Amp
S I SeNlce /Feeder 201.400 Amp,
5 I Service /Feeder 401 -600 Amp.
I Service/Feeder 601-1000 Amp.
I Service /Feeder over 1000 Amp.
I Branch Clrcult WI Service Feeder
Branch Circuit W/0 Service Feeder
Each Additional Branch Circuit
T Temp Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. ServicelFeeder 401.600 Amp.
S Temp, Service /Feeder 601.1000 Amp.
Portal to Portal Hourly
S. Sign /OUtline Llghling
Signal Circuit/ Limited Energy Commercial. Additional 1500 55.00
5 Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal ClrcuPV Limited Energy Multi- Family Dwelling
5 Manufactured Horne Connection
S Renewable Electrical Energy SKVA System or Less
First 1300 Square Ft.
Each Additional 500 Square FL or Portion of
S Each Outbuilding or Detached Garage
$_(ta,. `3' Each Swimming Pool or Hot Tub
5 Thermostat
52= Total
ysZ- 3 g /4,4/r
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 in electrical contrector if
above said property le for SOIL rent or lease, permit expires eeraix months or wet lnapecilon,
Aker rending the above statement, I hereby certify the! I am the owner of the ebovo named proporty or a licensed electrical contractor. t em making the electrical installation or
eiteration In compliance with the electrical laws, N.EC. RCW, Chapter 19.25, WAC. Chapter 296-4518, The City of Port Angeles Municipal Code, and Utility Specifications.
Signature or owner, eleetrleel contractor or electrical administrator Cash
credit Card
PREPARED 4/30/04 13 32 45 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/30/04
ADDRESS 315 W PARK AVE SUBDIV
CONTRACTOR PHONE
OWNER ERIC WILLIAM /CHRISTINE M BROWN PHONE
PARCEL 06 30 09 5 2 3887 0000
APPL NUMBER 04 00000005 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLI 01 4/16/04 JLL BUILDING INSULATION
4/16/04 DA finish outlet j box sealant and recall/j11
BAIR 01 4/27/04 JLL BUILDING AIR SEAL
4/27/04 AP before 1 30 or after 3pm christine 417 6724
BL3 01 4/27/04 JLL BUILDING FRAMING
4/27/04 AP
BLWS 01 x %30/04 I BUILDING INSULATION WALL /FLOOR
ERIC 417 6724
COMMENTS AND NOTES
PREPARED 4/27/04 12 35 23 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/27/04
ADDRESS 315 W PARK AVE SUBDIV
CONTRACTOR PHONE
OWNER ERIC WILLIAM /CHRISTINE M BROWN PHONE
PARCEL 06 30 09 5 2 3887 0000
APPL NUMBER 04 00000005 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLI 01 4/16/04 JLL BUILDING INSULATION
4/16/04 DA finish outlet j box sealant and recall/j11
BAIR 01 4 7/04 JLL BUILDING AIR SEAL
(e before 1 30 or after 3pm christine 417 6724
BL3 O1 JL BUILDING FRAMING
COMMENTS AND NOTES
PREPARED 4/16/04 12 39 33 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/16/04
ADDRESS 315 W PARK AVE SUBDIV
CONTRACTOR PHONE
OWNER ERIC WILLIAM /CHRISTINE M BROWN PHONE
PARCEL 06 30 09 5 2 3887 0000
APPL NUMBER 04 00000005 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLI 01 4/16/04
BUILDING INSULATION
VI
COMMENTS AND NOTES
PREPARED 3/26/04 12 57 23 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/26/04
ADDRESS 315 W PARK AVE SUBDIV
CONTRACTOR PHONE
OWNER ERIC WILLIAM /CHRISTINE M BROWN PHONE
PARCEL 06 30 09 5 2 3887 0000
APPL NUMBER 04 00000005 RES REMODEL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL1 01 1/06/04 JLL PLUMBING UNDER SLAB TIME 17 00
1/06/04 AP OVERRIDE TAKEN BY RVESS DATE 01/06/04 TIME 08 33 12
call ahead Cristine at work 457 5303 or 417 6724
PL2 01 /26/04 JLL PLUMBING ROUGH IN TIME 17 00
ERIC 417 6727
COMMENTS AND NOTES
PREPARED 1/06/04 12 27 36 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/06/04
ADDRESS 315 W PARK AVE SUBDIV
CONTRACTOR PHONE
OWNER ERIC WILLIAM /CHRISTINE M BROWN PHONE
PARCEL 06 30 09 5 2 3887 0000
APPL NUMBER 04 00000005 RES REMODEL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL1 01 1/06/04 LL PLUMBING UNDER SLAB TIME 17 00
OVERRIDE TAKEN BY RVESS DATE 01/06/04 TIME 08 33 12
d\ V call ahead Cristine at work 457 5303 or 417 6724
COMMENTS AND NOTES
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner 1 Contractor
ERIC WILLIAM /CHRISTINE M BROWN OWNER
315 W PARK
PORT ANGELES WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
Qty Unit Charge Per
BASE FEE
2 00 7 2500 ECH ME-VENT FAN
Permit PLUMBING PERMIT
Additional desc
Permit Fee 75 00
Issue Date 1/06/04
Expiration Date 7/04/04
Qty Unit Charge Per
BASE FEE
4 00 7 0000 ECH PL- EA.FIXTURE ON ONE TRAP
Permit. BUILDING PERMIT RESIDENTIAL
Additional desc CONV BEDROOM BATH LAUNDRY
Permit Fee 120 75 Plan Check Fee
Issue Date 1/06/04 Valuation
Expiration Date 7/04/04
Qty Unit Charge Per
BASE FEE
2 00 14 0000 THOU BL-2001 25K (14 PER K)
Other Fees STATE SURCHARGE
Fee summary Charged Paid Credited
Permit Fee Total 257 25 257 25 00
Plan Check Total 48 30 1 48 30 00
Other Fee Total 4 50 14 50 00
Grand Total 310 05 310 05 00
Signature of Contractor or Authorized Agent
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
04 001000005
315 W PARK AVE
06 30H09 5 2 3887 0000
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
3500
61 50 Plan Check Fee 00
1/06/04 Valuation 0
7/04/04
Valuation
Date
Date 1/06/04
Due
Extension
47 00
14 50
Plan Check Fee 00
Extension
47 00
28 00
4 50
00
00
00
00
W
0
48 30
3500
Extension
92 75
28 00
Signature of Owner (if owner is builder)
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 I 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
presurrlecto =give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construCtioti
/-4 `c
Date
FOUNDATION:
FOOTINGS
WALLS
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
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
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
PLUMBING
UNDER FLOOR SLAB
ROUGH-IN I
WATER LINE (METER TO BLDG) t
GAS LINE 1 1 1
BACK FLOW WATER 1 I
AIR SEAL
WALLS Q �J
CEILING 1H 9' �'I ,1
FRAMING
JOISTS GIRDERS 1 1
SHEAR WALL/HOLD DOWNS
1 1 I
WALLS ROOF CEILING 7 L 1 L I
DRYWALL (INTERIOR BRACED PANEL ONLY) I
T -BAR I I I
INSULATION
SLAB I r I f l
WALL FLOOR CEILING Ii-1-10 -Q'T L 1•-I, I
MECHANICAL
HEAT PUMP I 1
GAS LINE I 1
WOOD STOVE PELLET CHIMNEY
HOOD DUCTS 1 1
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
RESIDENTIAL
YES I NO
I
I I
I
IJLL- 1
1 1
1 1
1 I
1 1
I 1
I 1
SEPA.
ESA.
SHORELINE.
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW PW/ CONSTRUCTION RW
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 1 1 1 FIRE DEPT
PLANNING DEPT 417 -4750 'l 1 PLANNING DEPT
BUILDING 417 -4815 1 O °z7 -0 t f IN BUILDING
T•\PLANNIYG\FORMS \1102.15 [11/14/2003]
r
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
Address
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be a ccepted for review If you have any questions, call
(360) 417 -4815
Applicant or Agent: art t_ Rqb
Owner En, `rte w
Address i S (..J. P 4.,.i,
Architect/Engineer Ow v
Contractor 0--' 'ei
3(c w P,&-r4
State License Exp
City Pbr{ Avver
PROJECT ADDRESS 3 I L1 1 P tvk e
LEGAL DESCRIPTION Lot: Block: Subdivision.
CLALLAM COUNTY PARCEL NUMBER.
City PbA ele
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC Exp. Date:
TYPE OF WORK. SIZE/VALUATION
Residential New Constr Re -roo£ Stove SF /SF
Multi family Addition Move Garage SF /SF
Commercial g Remodel Demolition ❑Deck SF /SF
❑Repair ❑Sign Other TOTAL VALUATION 3 C60
BRIEF DESCRIPTION OF THE PROJECT 0..451A.U42..f- Y e. BEc� roaiv.
f
City-
Phone rk 57
Phone 346 1 1/ 7-- g 72 y
zip 9 %36`.-
Phone
Phone
Zip %RAz
ZONING
J
COMMERCIAL/RESIDENTIAL. Occupancy I I Group- Occupant Load. Construction Type.
No of Stories: Lot Size- Existing Sq. Ft. Proposed Sq Ft. TOTAL Sq.Ft.
Existing lot coverage Proposed lot c Total lot coverage
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
FOR OFFICIAL USE ONLY
Date Rec. 2.. 3 -cD
Permit
Date Approves
Date Issued
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 ca a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Buildmg Division to com 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 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 appl and know the same to be true and correct. 1 am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work.
T \FORMS\APPS \Buildingpermit.wpd Applicant: Date It -3 v 3
/5 0
FAMILY
Roo
ACM OVC
EXIS ivb
FIRE Pot4ce 11
i
cn
N
12 1 0
BED ROOM
1 xy r',
(4)- 6pe Lire
BATH
f
I- -I
LI EX /ST /N
REMOVE
EXIST/A/6
FIRE &Act I
OR
i
WOOD
SHED
12X12
r
I STORAGE SHE 1
8x16 1 1
L J
EX ✓ST /NG 9"
DR Al N j.L
1
IS
r 4
L
BROW(T RESIDENCE
315 WEST PARK AVE
PORT ANGELES WA 9836
r
4
WEST PARK AVE
.4
2 9x 35
W A T ER
NORTH
sirE PLAN
/VEW 51'
r DRA/N
Vv/CLEAN
OUT
4
4.
4
L
t
n
Jf
190
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 2500
Contractor
OWNER
Owner
ERIC WILLIAM /CHRISTINE M BROWN
315 W PARK
PORT ANGELES WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 64 9000 ECH EL -R OR RM 0 200 ALT SRV FDR
Other Fees
Charged
Permit Fee Total 64 90
Plan-Check Total 00
Other Fee Total 4 50
Grand Total 69 40
Fee summary
Signature of Contractor or Authorized Agent
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
03 00000056
315 W PARK AVE
06 30 09 -5 2 3887 0000
RES REMODEL
ELECTRICAL ALTER RESIDENTIAL
GARAGE+ 7 CIRCUITS
64 90 Plan Check Fee
7/31/03 Valuation
1/28/04
64 90
00
4 50
69 40
Paid Credited
00
00
00
00
Date 1/06/04
Extension
64 90
STATE SURCHARGE 4 50
Due
00
00
00
00
00
0
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Signature of Owner (if owner is builder)
Date
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
1 YES I NO
FOUNDATION.
FOOTINGS I I
WALLS 1 I
FOUNDATION DRAINAGE/DOWN SPOUTS I 1 I
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN I 1 I
PLUMBING
UNDER FLOOR SLAB I p I I
ROUGH -IN I L 0 1 I 2 �Q I
WATER LINE (METER TO BLDG) I 1 I
GAS LINE I 1 I
BACK FLOW WATER 1 1
AIR SEAL
WALLS I 1
CEILING 1 I 1
FRAMING
JOISTS GIRDERS I I
SHEAR WALL/HOLD DOWNS I I I
WALLS ROOF CEILING I I I
DRYWALL (INTERIOR BRACED PANEL ONLY) I I I
T -BAR 1 1 I
INSULATION
SLAB I I I
WALL FLOOR CEILING I I I
MECHANICAL
HEAT PUMP I I
GAS LINE I I I
WOOD STOVE PELLET CHIMNEY I 1
HOOD/ DUCTS I I I
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTIONRW PW/
ENGINEERING 417 -4807
FIRE 417 -4653 1
PLANNING DEPT 417 -4750 1
BUILDING 417 -4815 I
T•\PLANNING\FORMS \1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
7'30- 0 i
SEPA.
ESA.
SHORELINE:
ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW
PW ENGINEERING
1 FIRE DEPT
1 PLANNING DEPT
I BUILDING
1 1 1
1 1 1
I 1 1
.1'"
ELECTRICAL PERMIT APPLICATION
FOR O!'F!C1AL USE ONLY
Dale/Rec'
Permit II:
Oak Apllroved
Datelssu..d
The Electrical Permit Application must be filled out completelY,
0~1
Please type or reprint in ink. If you have any questions, please call (360) 417-4735
Fax number: {360} 417-4711
03.5&
o'{_ S'
03-5b -02..
Owner or Elec. Contractor Agent:
Eft: (lro--
Phone: S(p- '-II Tb 1'd-u, Fax:
~ , j')
Property Owner: ['J'll,. P/')....--v-
Phone:
Address:
~l<;
Vv.P l't<4 .A-Je_
.
City {\",I- i>M1.oJc~
iA/.fi-
Zip: 9~S(;'(
Electrical Contractor:
,O..........v-e.../"
License #:
Exp:
Phone:
Address:
City:
Zip:
INSTAllATION WIRED BY:
fl'OWNER
o ELECTRICAL CONTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Exp. Date:
VISA: MC:
Credit Card Number:
PROJECT ADDRESS:
31'S l'.tJ,
l~
{TV f- '
TYPE OF WORK:
Check all that apply:
DNew
o Alteration/Addition
Il'l'Residential 0 Multi-family
o Commercial
o Mobile Home
Sq. Ft
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
Number of Circuits added or altered: 0'
I
o Low Voltage 0 Telecom. 0 Sign
J,- ~c))), "'"' p
~~ "Ar<:. \\
f(~ik~ <-<::0 ~f'
~~\.
1->"",,, ~\-.', ~l<\"- \
>
DESCRIPTION OF THE ELECTRICAL PROJECT:
w,,\-,,,,,
Electrical Heat Load Additions and or Subtractions
}Jo t.cot-O C<>Mfi1o L
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
KW
TON_ LRA
KW
I hereby certify that / have read and examined this application and know that same to be true and correct, and / am
authorized to apply for this permit. / 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.
)'f:) J Credit Card Holder's Signature:
D 1\ U. VJ\.",AO I OwO""' ,,~. 0"0' ';,o"',re
Date:
Date:
PERMIT FEE: $
tA,'1o
C :/ElECTRICAlPERMIT APPLICATION
"w ~~~
,
ELECTRICAL PERMIT APPLICATION
The Electrical Permit Appjication must be filled out comDletelv.
l/'rt.:W6~
Please type Dr reprint in ink. "you have any questions, please call (360. 417-4735
Fax number: (360) 417-4711
Owner or Elec. Contractor Agent:
E:f'~... -&ro"""'.......
Phone: 1..j I 'l b'1 ")..li
Fax:
Property Owner: E','... 1 C""....I~tl/ 6,,0<.-V'
Address: <. \ '\ w PAri. ./'tv(
Phone:
'-lIT bT'-i./
Zip: '7 t:.3(, L
City:
.jJ,v1
.t)"'-';j~It'~
<<-vA-
Electrical Contractor:
Ucense #:
Exp:
Phone:
INSTALLATION WIRED BY:
\ll!OWNER
City:
o ELECTRICAL CONTRACTOR
Zip:_,
Address:
Credit Card Holder Name:
Exp. Date:
Zip:
VISA:
Billing Address:
City:
Credit Card Number:
MC:_
PROJECT ADDRESS:
'5.1')
w ~Jv<<- Ave
.Jlw-+ AvOS"/ e \
l1!l..AlterationlAddltion
/..vA-
TYPE OF WORK:
Check all that apply: 0 New
o Residental 0 Multi-family
o Commercial 0 Mobile Home . Sq. Ft. .
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 SepticP,ump 0 low Voltage 0 Telecom. 0 Sil/ll
Number of Circuits added or altered: i " -=t
DESCRIPTION OF THE ELECTRICAL PROJECT:
A .\\\~ "=I C \,,-~,;-k ~
( Ar p.,.~
<\u }...
A 1 ~..\ ('^"uor,,"~ ~
~t~'-"'U1~\'~' '-''^- \.C,ul
Ev'Y~.....
11:>0 It--./i
.
(M,..,~l~
Electrical Heat Load Additions
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
_KW
_KW
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PAMC 14.05.060(6): For industrial. commercial, & residential projects larger than a duplex. a one -line drawing of the Electrical Service &
Feeders. building size (sq. ft.), load calculations. and the type & 01 conductors andlor raceway is required and shall accompany the
Electrical Permit application.
J hereby certify that J have read and examined this application and know that same to be true and correct, and I an
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 resgpnsibility to determine what permits are required and to obtain such.
XPrV} f2-. 0, (::.y - /; o-J "7 ("/.;( (O?
Credit Card Holder's Signature: Date:
Owner or Elec. Cant.. Signature:
c:----12-
Date: '7 -'1-0.3
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ELECTRICAL PERMIT APPLICATION
The Electrical Permit Application must be filled out completely.
~v/
Please type or reprint in ink. If you have any questions, please call (360) 417-4735
Fax number: (360) 417-4711
Owner or Elec. Contractor Agent: En~( B rov~.I""
Property Owner: ~C\~ (3(O~V"
Phone:
Fax:
Address: 'S I '5
IN . P l'NL.- tw't.
CiIY:_~,,,\- Aylts
Phone: 31, 0 - 4/::r -(, 'I 'ltl
Zip: ~:>'(,L
Electrical Contractor:
License #:
Exp:
Phone:
Address:
City:
Zip:
INSTALLATION WIRED BY:
JIl,.{)WNER
o ELECTRICAL CONTRACTOR
Credit Card Halder Name:
Billing Address:
City: ,
Zip:
Credit Card Number:
Exp. Date:
VISA: MC:
PROJECT ADDRESS:
,-7>
TYPE OF WORK:
315" w.
p~
/lz/L.
Check all that apply:
ONew
ti'llAlteration/Addition
DQResidential 0 Multi-family
o Commercial 0 Mobile Home
Sq. Ft
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
Number of Circuits added or altered: 4
o Low Voltage 0 Telecom. 0 Sign
DESCRIPTION OF THE ELECTRICAL PROJECT: A\~'if E";,,I-':-j Li...\- .:...')
m ~f\-~<bO~ ~. f2.ci"rA-+':"j LAMJ.y tfl..oo._
f' N .JJ-;"", C;,,,,,,',-\-s..
Electrical Heat Load Additions and or Subtractions
Service Information
~8aseboard
OFurnace
o Heat Pump
o Fan-Wall
~U~W "'-' ~
KW
TON_ LRA
KW
/-i-i<~0 f"1!/J
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l>i Overhead Service
o Temp Service
o Underground Service
Voltage: Z. '{ () / I '-0
Phase: 1jit1 ; 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 J am
authorized to apply for this permit. J 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.
~ .
,^ 0 (\ ~ 0 ~(tIcredit Card Holder's Signature: Date:
. '\J 1j)R\ -t~ ... ~ P
1'1 'P(j) 91 Owner or Elec. Cant. SIgnature:.y "jW K,.~
'~Q~V tp-J} ~ \\6\0"\
C:/E LE CTR ICALPERMIT APPLICATION
Date: j'l-5J -03
PERMIT FEE: $~fo .70
/k{) 1/1./03
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~"OfIr~ CITY OF PORT ANGELES
S DEPARTMENT OF COMMUNITY DEVELOPMENT. BUILDING DIVISION
.... -- 321 EAST 5TH STREET, PORT ANGELES, W A 98362
.....~
- -
Application Number 03~00000056 Date 1/23/03
Property Address 315 W PARK AVE
ASSESSOR PARCEL NUMBER: 0630095238870000
Application description RES REMODEL
Property Zoning .
Application valuation 2500
Property owner ERIC WILLIAM/CHRISTINE M BROWN
Owner address . 315 W PARK
PORT ANGELES WA 98362
( I
Contractor OWNER
------------------------------------------------------------~---------------
pennit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 106.75 Plan Check Fee .00
Issue Date 1/23/03 Valuation 2500
Expiration Date 7/22/03
Qty Uni t Charge Per Extension QY
BASE FEE 92.75
1. 00 14.0000 THOU BL~2001-25K (14 PER K) 14.00 ........
-------------------------------~------------------------------~~------------ ~
Other Fees STATE SURCHARGE 4.50
Fee surrunary Charged Paid Credited Due
----------------- ---~------ ---------- ---------- ----------
Pennit Fee Total 106.75 106.75 .00 .00 t
plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total Ill. 25 111. 25 .00 .00
No Fl ~
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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 wili 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 locai law regulating construction or the performance of
construction. c'/;:' l---/ P[
/-7..<:03
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
J
T:\PLANNING\FORMS\II02.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Oat.. &7,10 ~ /0_<.. Time q;O;)- Received by A -p ~ (Ph~ person)
,
Location of Work to be inspecterl ?, IS W. {:;2AA-- Ie
Name of person requesting inspection >-1.--1 '"",
Address of person requesting inspection Phone No. 1...kc:;rJ -6"303
,
Type of Inspection (circle appropriate one): Permit No. 6~
Sewer Foundation €ami~V Chimney Plumbing Final Sewer Excav. Other
p /~5-e- C~ II h~<fecTl ':J
INSPECTION NOTES:~ pM
Inspected: Date .~ Time
. "" '--' -
Remarks:
\>> \ n ( ~lt~
1'~'-'1 ~ .
RESTORATION REQUiRED...... VES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other
[] Repaired by City Work Order #
[] Repaired by Permittee o COMPLETE
[] No Damage Found o INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
I:' ffi'O=~' W'O~l
Date Rec., I-I'> -03
cj' ~ BUILDING PERMIT - APPLICATION Pennit #.
,. Date Approved:../.....W--o~
~-~ Date Issued-
~ The Building Permit Application must befilled out completely. ' ,
Please type or print in ink. If you have any questions, please ca11417-4815
Applicant or Agent: Phone:
. ~r().......,~ 5'o-L.II~ (,"1 Z-L/
Owner: t: rt( Phone:
Address: ':<, t '\ LV . htvL.. A-".... City: P()r~ A",<.l0.1 e> t.vfi Zip: '15 3{' -z.
ArchitectlEngineer: Phone:
Contractor ") ( lJ V\ e..- License #: Exp: Phone:
Address: City: Zip:
PROJECT ADDRESS: WNING:
LEGAL DESCRIPTION: Lot: ) f~ /7/ /<;J, ~lock: :3' 6 Subdivision: Fc:x:.:'" rt-; "6- j)..Jau.s:.
CLALLAM COUNTY PARCEL UMBER:LX~{\o<J5"L 5g:;<7~dit Card Holder Name:
Billing Address: City:
Credit Card #: Exp. Date: VISA MC
TYPE OF WORK: SIZEN ALUATION:
o Residential o New Constr. ORe-roof o Wood-stove SF.@$ (SF. =.$
o Multi.family o Addition o Move o Garage SF.@$ (SF. = $
o Commercial o Remodel o Demolition o Deck SF.@$ (SF. =$
o Repair o Sign 0 TOTAL VALUATION $-2 <;C\r\ uc5
BRIEF DESCRIPTION OF THE PROJECT: E-"'j{u~/~", ,4..., Ey,~t':"'u C .'I-r ,fl,,f- (
. G, A.y.,\d.. IZ....~L:...... <<we..
(~^""''i'''3 -\--I.... -\-., .A- t-I\~
COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: Lot Size: 21000 % Lot Coverage: %
Existing Lot Coverage: (sq. ft. + Proposed Lot Coverage: (sq. ft. = TOTAL LOT COVERAGE: (sq. ft.
PLANNING USE ONLY: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
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: Your plan check fee is due 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, this 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, 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 applicant's
responsibility to determine what permits are required and to obtain such.
Applicant: C:'LJ~ Date: j-;)-UC
T:\FORMS\APPS\Buildingpermit
CITY OF PORT ANGELES ~ V--
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 100/')-'1 /0 ~ Time Ij.' ?;;{) Received by # A.J-.12-...- f{;h~~perSon)
( .
Location of Work to be inspected ~ J,C;- fA) Pc< rk AI/I?
,,:? V?"o--f.~ vl -
Name of person requesting inspection <;;'" '" ,-,0
Address of person requesting inspection Phone No/..JbO - / <9ClG
Type of Inspection (circle ap ropriate one): Permit No. -< <;-t:
Sow", Foond,,'on "min. Chlmn" P'Cl; ~'",' Sow", Ex".. O~h", -
VJet!J jifClI) J T'VS5 t11 0 J/:;;eo....!-( ov) /hSf.ec/to 0
INSPECTION N~ \ ) -
Inspected: Date S" t\~ Time-fM By I: \ l --
Remarks: .--.
-L
D~ c:>
RESTORATION REQUiRED...... YE!:/X~ NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel o Asphalt DpCC o Other
o Repaired by City Work Order #
o Repaired by Permittee o COMPLETE
o No Damage Found o INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
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CITY OF PORT ANGELES
LIGHT DEPARTMENT ELECTRICAL PERMIT N? 17232
-sL - ""? Cl ):"'-/".
Port Angeles, Washington...r..............-'._..............................__...., 19n:L"
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure In the City of Port Angeles, per-
mission is hereby granted to dO electrical work as listed below.
Address .___.}/...r.:.......~.t:'!::.:"Y'l_______n.......n................ Occupancy.._~g::::'..___......n____.............
owner.?p.,(."<?J!,n!?"".;~?;j?gn...~k.:~~......1?a~n................-.nn.....-...nn..........n....n..._.......n
Wiring Contractor _.':J?l!~.'{2~~~.~...________~,!~ .By..nn.........n.............._.....__.........._.....__._._....nn
Light OuUets..................___.........._.._..... Service, volts --..-1/;!9L.~.... Type ot Wiring:
Receptacle Outletsm_____................._____. No. wires ..n...~...........h..U......... Armored Cable ..._.......___nh.........._
SI I y/d Non.Metalllc .................--..--......----
Dryer, KW __n.n.............____._....__._________ ze w reB.....,.~;;._......-.......n--...n.-n
-,9(0 () /4 Knob & Tub...............____.___.........._
Range, KW..__________.m.__.____.__ m_____ ----. Main fuse -----m.c-1;....:m--..... Rigid Conduit ................_._m.........
Water Heater: Enclosure m.___m_...........f.q......... M tall' T bi
e Ie u ng ..........._____h....._..
KW.______m_____.~_...._h--.q;--r_'m-, Type of wiring: Raceway __m_.__n_m.. ____
Heat: KW.h/?.~.-!.__.Ii__....._--..--.t;;-:I.'6 Entrance Cable _______nmmnm......... CIrcuits, LIghL..............____.._.._________....
Motors: size, volts and phase: Rigid Conduit ..................u.u........ Utility ............._......_____._..___.............
h___ ..___.._____________.._____._________.._______..__... Metallic Tubing _________...___..___n...__ Heat ------------...................-.......-.....-
Current transformers: Range .__m.........................______________
--.-....-.....--...............................-...-.-.....
No. & Size_....................__......._........ Water Heater ............._..________.......
..__>n_..__._______.___.n________________________.____.n Ser. No.._.___.___..___________..._________.....___... Motor ..._.............___.__.__...__........_.....
.----.....-------.-.------..--...........-................. Ser. No. ......._________.........__.__...._____...... Dryer n_______....................._....__.________....
---------.--------..--------.--.....-.---................- Furnace .._..............._.._._.._._._________.._..
Ser. No...........______.__.._._.___.__.........___...
Remar~:~ta:..::~;:;:~.;.;..;;;::-...---.k~:".:~~~;;:.;.:~~:.;::=:.;::if:l~::...i:~:~:::;.:~:::.:::.:.:.::.~::~::
-.------.---...----..----.-...----.----.-.--------.--.-.-.---......----.-..------....--.-..----.............----..-.--.------...---.---.--.----..---.--...........--..-.....-.--
-;~~;~-;~~...........----...........---;~~:~~.~~~~;~~--..._..........---......-----;;;:":p~.;:.........fi'~.i";.---7~nJf;.n...::.""...........L......"..~f..
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$.........___......._.....______..___.. No.._................._....... By~C.......:t;___r.......L~.__~,_:':':!:._:!:~~..~~:!':~"..,__i
'" . .
NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT Nl? 17232
Address_______n________.......__................._....h__....____....._....__________.___.___.__.._n......._......................_......___Date_.___.....____...._._......._.._._...._._..__________..
Owner _____................................................_.____..._.._..........................._________________n___....__.... Tenant.........____n.._______n...__..____n______.__....___.____.__..__.
WiringContractor___.____.______.___............ .____.__________..__..__...___.._..__...___................................By____._____..._._..___...._.......__...........................
NQTICE-Current must not be turned on until CertIficate ot Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
.
1M Olympic Printers, Inc.
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