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Home My WebLink About1924 S Pine St - Building ELECTRICAL PERMIT CITY OF PORT ANGELES Ok 360- 417 -4735 Application Number 12- 00000758 Date 6/13/12 Application pin number 589446 Property Address 1914 S PINE ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 09 -5 -3- 9020 -0000- Qn our excise tax form Application type description ELECTRICAL ONLY y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 0 Application desc Camera system Owner Contractor NAHA HILLTOP ASSOC LP, WA LP HI TECH SECURITY INC 2000 CROW CANYON PL 130 723 E FRONT ST SAN RAMON CA 945831367 PORT ANGELES WA 98362 (360) 452 -2727 U ~bb T✓ SJ7 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 96.00 Plan Check Fee .00 1 Issue Date 6/13/12 Valuation 0 Expiration Date 12/10/12 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL- LIMITED 1ST 1500 SQ FT 96.00 Fee summary Charged Paid Credited Due Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 1 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN z Z._ 4: FINAL 7/7412 ►0 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING RECEIVED 'JUN 13 20'12 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections ELECTRICAL._ 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 INSPECTIONS Ph: (360) 417 -4735 Fax: (360) 417 -4711 r CO Date: 612.12 Q Multi Family or Commercial' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 191 e rn Pty. Building Square Footage Description of above motel ■^+yam •ewe Owner Information Contractor Information Name: Flbp Ridge Apo manes Name H r.a, s.aAr. tic Mailing Address: 1914 sc.', PR. Mailing Address: 221 emt P rat St City: PrrArveke State: WA Zip: 96362 City: vm1A.pmie. State: WA Zp. 98262 Phone: 3eo4A-ss22 Fax: Phone: W4524727 Fax: 35"22 license Exp. License 1x 1 QTECT"i 9576 g Item Unit Charge Total (Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. 132.00 Service/Feeder 201-400 Amp. 160.00 Service/Feeder 4014300 Arrp 225.00 ServicelFeeder 601 -1000 Amp. 288.00 ServicelFeeder over 1000 Amp. 410.00 Branch Cirttit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 74.00 Each Additional Branch Circuit 5.00 Branch Circuits 1.4 86.00 Temp. Service/ Feeder 200 Amp. 102.00 Temp. Service/Feeder 201 -400 Amp. 121.00 Temp. Service/Feeder 401-600 Amp. 164.00 5 Temp. Service/Feeder 601 -1000 Amp $185.00 Portal to Portal Hourly 96.00 Sigr/Outtine Lighting 88.00 Signal CircuB/ Limited Energy Multi- Family 64.00 Signal Circuit/ Limited Energy First 1500 st Commercial 96.00 1 a6.m Note: 55.00 for each additional 1500 sf Renewable Electrical Energy 5KVA System or Less 5 113.00 Thermostat 56.00 Note: $5.00 for each adationai T-Stat s sew Total Ovmer 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, WAG. 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 check Crain Card an P,. x Mike Shirley Gary Politika Dated: F I l Zi 17 01101/2012 CITY OF PORT ANGELES %Mel. DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001199 Date 10/24/11 Application pin number 260355 Property Address 1924 S PINE ST q TAX PARCEL NUMBER: 06- 30- 09 -5 -2- 0378 -0000- REPORT SALES TAY Tenant nbr, name RICHARD F MACLEERY Application type description MECHANICAL APPL. PERMIT on your state excise tax ax form Subdivision Name to the City of Port Angeles Property Use Property Zoning RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation 1000 Application desc GAS RANGE /GAS LINE /TANK SET HOT WATER HEATER Owner Contractor RICHARD FRANCISCA MACLEERY SUNSHINE PROPANE 1924 S PINE ST 10853 RHODY DR. PORT ANGELES WA 98362 PORT HADLOCK WA 98339 (360) 797 -1600 (360) 385 -5797 Permit MECHANICAL PERMIT Additional desc GAS RANGE /GAS LINE /TANK SET Permit pin number 195172 Permit Fee 121.30 Plan Check Fee 00 Issue Date 10/24/11 Valuation 0 Expiration Date 4/21/12 Qty Unit Charge Per. Extension BASE FEE 50.00 1.00 10.6500 EA ME -STOVE /FIREPLACE /MISC. APP. 10.65 1.00 10.6500 EA ME -FUEL GAS PIPING,1 -5 OUTLETS 10.65 1.00 50.0000 HR ME- INSPECTION, MIN 1 HR 50.00 Permit PLUMBING PERMIT Additional desc WATER HEATER Permit pin number 195180 Permit Fee 57.00 Plan Check Fee .00 Issue Date 10/24/11 Valuation 0 Expiration Date 4/21/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL- WATER'HEATER 7.00 Fee summary Charged Paid Credited Due Permit Fee Total 178.30 178.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 178.30 178.30 .00 .00 bip tj. -k. II Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 clays 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 the provisions of any state or local law regulating construction or the performance of construction, Date Print Name Signature of Contractor o horized •ent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit 1 BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls (�Q Ceiling t v FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts A Rough -In V Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED •PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By m Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 r' Building 417 -4815 401W' CITY OF p F OET At NGE WASHINGTON, U. S. A COMMUNITY ECONOMIC DEVELOPMENT April 24, 2012 Richard Macleery 1924 S. Pine STreet Port Angeles, WA 98362 RE: Building Permit #11-1199 Dear Mr. Macleery: This letter is to notify you of the status of the above permit. The permit expired on April 21, 2012. You are welcome to reapply for a permit if you wish to do work in the future, understanding there will be full permit fees. If you have any questions, please let us know. Sincerely, Heather Catuzo Building Permit Technician 321 E 5 Street Port Angeles, WA 98362 hcatuzo@cityofpa.us cityofpa.us 360 417 -4817 PROJECT STATUS UPDATE Permit# 1 1 1q2 5. Pi lie 5-f Date: `f• 5 I phoned the: Applicant Chard Mac /eery at ?11-" /6260 Property Owner at Contractor at I (left a phone message, or discussed The permit (has expired, o' will expire soo► What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. W 1 Ei(p) ralion dam T:Forms /Building Division/Project Status Update BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received (0 -2.1{ Permit# 0-111q City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5' St., Port Angeles, WA 98362 360- 417 -4815 fax: 360 -417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person1 ck4-4 Phone: �A-ede 3foC� 7�' 7 16 Property owner �CA Ui Il`�AC y I IP2� Phone: 7T? I coo Property owner's mailing ddress: 19,24 ,2 i P i, e 10 A e_1e5 J 4- Contractor's business name: Phon (or property owner's name if he s is doing /overse ing the work) 3C,0- ,S S 7 Contractor's mailing address: (G S3 0 Dr- ?k i3c\- 0 3 Contractor's L &I license numb r Expiration date: 5Q,nS0- V* 0 C Project Address: n 1(2- s, 'T vt e SA-- Pore\-- p c `e O,- scc, Project Type: S~ Residential o Commercial o Industrial a Multi- family Project Business Name: (for commercial, industrial, or multi family projects) The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re -roof: house garage other tear off re -roof lay over one layer Licensed contractor: Submit a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Re -side: in house garage o other Project Valuation (labor materials, not including sales tax) Repair: (explain the project) Project Valuation *Homeowner:. If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011) Page 1 of 2 Swimming Pool or Spa (2 24" deep): For prefabricated swimming pool or spa projects that do not require plan review: Obtain the'City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? house garage other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. yes no Will the debris be going to the Regional Transfer Station in Port Angeles? yes No If yes, will a licensed contractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later.if asbestos testing is needed). Plumbin Permit• (explain the pro ect 1 t r-- \NE.€ Po c.J?c�-ec �\ec-)- Li\ L AAvikle5s cJA t-\'e� r Project Valuation 6 Mechanical Perm' (explain the project) e� ledr ,a S I' i&hc°� cal Project Valuation 600.00 I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility •etermine what permits are required, and to obtain permits prior to working on projects. Date 1' /i Signature /4 Print Name PcitA_ed A' Page 2 of 2 Clallam County Assessor Treasurer Property Details 64378 RICHARD AND FRAN... Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 64378 RICHARD AND FRANCISCA MACLEERY for Year 2011 2012 Property Account Property ID: 64378 Legal Description: S 75 LOTS 24 -28 BL 3 FOGARTY DOLAN'S ADDITION N2 LEES ST ABTG Geographic ID: 0630095203780000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N i Multi Family Redevelopment: N Township: Section: Range: 1 Location I Address: 1924 S PINE ST Mapsco: PORT ANGELES, WA 98362 Neighborhood: PA West Res Map ID: 2 Neighborhood CD 5151000 Owner fj `y Name: RICHARD AND FRANCISCA MACLEERY Owner ID 208274 Mailing Address: 1924 S PINE ST Ownershi p 100.0000000000% 11 PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details rP` Property Tax Information as of 10/24/2011 1•\:).16.--- Amount Due if Paid on: °1. NOTE: If you plan to submit payment on a future date, make sure you enter the date an click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half I Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due 0. Statement Details 2011 158405 $655.44 $655.36 $0.00 $0.00 9655.44 9655.36 l' Statement Details 2010 46701 $343.97 $567.09 50.00 $0.00 $911.06 $0.00 Values Improvement Homesite Value: N/A Improvement Non Homesite Value: N/A Land Homesite Value: N/A Land Non Homesite Value: N/A Ag Timber Use Value Curr Use (HS): N/A N/A Curr Use (NHS): N/A N/A Market Value: N/A Productivity Loss: N/A Subtotal: N/A (0) Senior Appraised Value: N/A Non Senior Appraised Value: N/A Total Appraised Value: N/A Senior Exemption Loss: N/A Exemption Loss: N/A Taxable Value: N/A Taxing Jurisdiction Owner: RICHARD AND FRANCISCA MACLEERY Ownership: 100.0000000000% Total Value: N/A Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Levy Code Description Levy Rate Appraised Value Taxable Value Estimated Tax STATE SCH STATE SCHOOL N/A N/A N/A N/A CC GENERAL CLALLAM COUNTY N/A N/A N/A N/A GENERAL DEVDISIBLT DEVELOPMENT N/A N/A N/A N/A DISABILITIES COUNTY LND ASSMT LAND N/A N/A N/A N/A ASSESSMENT COUNTY TAX REFUND TAX REFUND N/A N/A N/A N/A FUND COUNTY VET RELIEF VETERAN'S N/A N/A N/A N/A RELIEF COUNTY http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =64... 10/24/2011 ~ ta"OR . ~O ~ ~ \ , ~~.... ELECTRICAL PERMIT APPLICATION FOR OFFICIAL USE ONLY DfIlC'Ra:: Permit .: Dak: Approval; Datclssucd: The Electrical Permit Applicat!on must be filled out comaletelv. Please type or reprint In Ink. If you have any questions, pl.a.. call (360) 417-4735 Fax numbar: (360) 417-4711 _~.. _:-i'9l~ot~; ~it,l 0 ProperlyOwner Clir I") D-R.I --D~~C{ h Addre..: /9/21/- <s jJ:/LtJ Sf City: P7>fr: !/I--j/}~ ( ,a~ REQUEST INSPECTION 0 Phone: Lf- {q - '( / r; 0 Fax: Phone: LJ17-cr r17D 9';;r; ~0 :;l.. Zip: Electrical Contractor: license #: Exp: Phone: Address: City: INSTALLATION WIRED BY: ~WNER 0 ELECTRICAL CONTRACTOR Credit Card Holder Name: BIlling Address: 1I1.f[) f' R, ~tJ Sf, - City: Wi ~ tiPS Credit Card Number: Exp. Date: - Zip: 04 Zip: / 'l: C!0 ;). VlSA:.lL.- MC:. PROJECT ADDRESsj9b _ '5 ~A' 11 0 -:'iT TYPE OF WORK: Check;ill that apply: 0 New 9lReSidental 0 Multi-family 0 Commercial ,fJ{~ Xl Alteration/Addition o Mobile Home Sq. Ft Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 S Number of Circurts added or altered: --!.-- . DESCRIPTION OFTHE ELECTRICAL PROJECT: [OJ AQ. 5P /' Nld fItJ! u ~ R Ho ~..(2..e. i Y7 ~ lUVfO Electrical Heat Load Additions '\ PERMITFEJ'I". 70 (2;u.t=C;5;.3 j _ Service Infonnatlon o 8aseboard o Furnace o Heat Pump o Fan-Wall KW KW TON -KW lRA o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: PAMC 14.05.060(8): For industrial, commercial, & residential projects larger than a duplex, a one -line drawing of the Electrical Service & Feeders, building size (sq. fl.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the Electric Permrt application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I a authorized to apply for this permit. / understand it is not the City's lega responsibility to determine what permits 6 required; it remains the applicants responsibility to dete~ . e what rmits re required and to obtain such. Credit Card Holder's Signature: Date: '?/;) hc2. Owner or Elec. Cont. Signature: C:/ELECTRICALPERMIT APPLICATION Date: CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION t21 EAST 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 8/12/2002 PERMIT NO 7776 OWNER/APPLICANT PROPERTY LOCATION CHRIS DE PAOLO 1924 PINE S 1924 S. PINE STREET Lot: 24-28 N 50' Port Angeles, WA 98362 Block: 3 .~ Long Legal 360/457-6531 Subdivision: FOGARTY & DOLAN T: S: Parcel No: 06300952039500 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: Construction Type: Occupancy Group: Zoning Use: /' Electrical Heat: ! I Baseboard 0 KW I Riser Underground Service ii I Furnace 0 KW Iii Overhead Service Voltage: 0 [ I Heat Pump 0 KW L . TempService Phase: 1 [, 3 i ~ Fan Wall 0 KW Service Size: 0 Feeder Size: 0 --~ PROJECT NOTES HOOK UP HOT WATER TANK. REC # 9513 FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $46.70 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $46.70 AMOUNT PAID: $46.70 BALANCE DUE $0.00 COMMi:.NTS/ACT]ON NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL zlI 7~1735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITI$ UNLA W'FUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DITCH ROUGH-IN / COVER SERVICE / GENERAL COMMENTS: CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 I~UILUIN(:i I"I:I~MI[ ISSUED: 3/21/2002 PERMIT NO: 13296 OWNER/APPLICANT PROPERTY LOCATION CHRIS DE PAOLO 1924 PINE S 1924 S. PINE STREET Lot: 24-28 N 50' Port Angeles, WA 98362 Block: 3 [] Long Legal 360/457-6531 Subdivision: FOGARTY& DOLAN T: S: Parcel No: 06300952039500 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 2061000-0000 3601000-0000 PROJECT INFO Project Value: $700.00 SFD Units: 0 Commercial: 0 Project Type: PLUMBING SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES INSTALL HOT WATER TANK IN GARAGE, EXTEND SEWER LINE ON PROPERTY RECEIPT~8881 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: $34.00 Plumbing: $34.00 AMOUNT PAID: $34.00 Mechanical: $0.00 BALANCE DUE: $0,00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes' null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the s, am~o be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified h~ein orbit. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or I/o~'~aw r~gulating c~nstruction or the performance of construction. /' ] \ I ~ Signature of Contractor or Authorized Agent Date S~gnatureC~of Owner (~ owner ~s budder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BU1LDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITI$ UNLA~FFUL TO COVER, INSUI~fTE OR CONCE~IL ~INY ~VORK BEFORE INSPECTED ~tND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTI~ICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK ( Engilt ¢¢rlng Division) SEPARATE PERMIT #'s: SEWER CO ECT,UN q" '07 SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'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. 4174735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING lIRE 417-4653 FIRE DEPT. BUILDING Oh BUILDING C:'xAPPL.WPD &a'°~ v oR r ,t,~o~,' FOR OFFICIAL USE ONLY: &~ Date Rec.: :'- BUILDING PERMIT - APPLICATION Permit.: Date Approved: Date Issued: ~ The Building Permit application must be filled out completely. Please type or print in ink. If you have any questions, please call 41%4815 Applic~t or Agent: ~Jq~[~ ~ ~/~/ ~¢ ~o[~ Phone: ~ ~ Owner: ~{'~ '~J '~AJ' ~'~d./O Phone: ~ ~ Address: /~[ ~ ~ ,~ (~ City: ~Dt~-~ ~c~.J~ Zip:. MchitecffEngineer: ~/~ Phone: Contractor A)./~ License ~: Exp: Phone: Address: City: Zip: LEG~ DESC~PTION: Lot: ~ -~ Block: :~ Subdivision: C0~ f ~ ~ ,~0/~ CL~L~ CO~ P~CEL N~BER: ,~ .... a .... ~e Credit Card Holder Name. Billin~ Address: ...... ~ - Credit Card ~: Exp. Date: ~SA MC TYPE OF WO~: SI~UATION: D Residential D New Curtsy. D Re-roof D Wood-stove SF. ~ $ /SF. = $ D M~fi-fa~ly D Addition D Move D Garage SF. ~ $ /SF. = $ ~ Co~ercial D Remodel D Demolition ~ Deck SF, ~ $ /SF. = $ D Repair D Sign ~ ~/ TOTAL VALUATION $ ~06 '~ COMMERCI~SIDENTI~: Occup~cy Group: Occupant Load: Com~c6on T~e: No. of Stories: __ Lot Size: % Lot Coverage: % Exis~g Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. = TOTAL LOT COVE~GE: jsq. PLYING USE ONLY: ~PROV~S: PL~ Notes: BLDG. DPW ESter]and(s): D Yes D No SEPA ChecEist requ~ed? D Yes D So O~er: OTBgR B~LDING PE~IT APPLICATION SUBMITT~: Four application and site plan must be filled out completely to be accepted for review. The Building Division can provide you ~ more de~iled ~fo~tion on ~e application and plan sub~al requ~e~nts. Your co~leted application, site plan (for additions) and building com~ction plans are to be subdued to the Building Division. V~UATION OF CONSTRUCTION: In all cas~i, ~ valuation amount must be entered by ~e applicant. ~s fig~e will be reviewed and ~y be revised b y the Building Division to comply with cu~ent fee schedules. Contact the Pe~t Coord~ator at 41 ?-48 l 5 for assistance. PL~ C~ECK FEE: Your plan check f~e is due at ~e time ~e building pe~t application and cons~cdon plato are subdued. AIl other pe~t fees are due at &e time ofpe~t issu~ce, EXPIATION OF PL~ ~VIEW: If no pe~t is issued within 180 days of~e date of application, this~pplicafion ~ill ~xpire. The Building O~cial can extend the t~e for action by the applicant up to 180 days upon ~i~e~ request by ~e applicant (see Section 107,4 of · e Unifo~ Building Code, c~ent edition). No application can be extended more than once. I hereby cert~ that [ have read and examined lhis application and know the same t~ ~ue and correct, and I am authorized to apply for this permit. [ understand it is not the Ci~'s legal responsibili~ to dete~ine ~at~ermits are ~ired; it remains,the applicant's responsibili~ to determine what permits are required and to obtain such. ~ tX 5 ~ i Applicant: ¢ X. t'~ ~ /~} ~ .~ Date: ~ / [ T:SFO~ S~PPS~uildin~emit - ~ b " [ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-~- ~''- O "~--~Time Received by ~ V (phone, person) Location of Work to be inspected /92/--// -?~ Pr C'c ~ Name of person requesting inspection .~t~'.f ~g~--~ /~:~ Address of person requesting inspection Phone No. ~ ~7~ (~/70 Type of Inspection (circle appropriate one): Permit No. ~k~' ~-~--~ Sewer Foundation Framing Chimney Plumbing ~Sewer Excav. Other INSPECTION NOTES: 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 F} No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... Date ~ - Time Received by {phone, 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 FinaJ' "s~-~er Excav. Other INSPECTION NOTES: Inspected: Date / Time By Remarks: RESTORATION REQUIRED ...... YES_ NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel F~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) City of Port Angeles Applicant Project Review Sheet IApplicant:(~J/~/~/~ ~)/~)(4&I~) Property Address: ~e['~t ~, ~)if~D-I -O~ Owner: (1~', ~ ~j~]; ~b/6 Proposed Use: Zoning: Is the proposed use listed as a "permitted use" or an "accessory use" in this zone? ~ yes: ok [] no: requires PD review Is this the only use (business, residence, etc.) on this site? ~'/yes: ok [] no: requires PD review ~[~ Has there ever been a subdivision, shortplat, or PRD'approved for this site, or has one [] yes: requires PD [] no: ok been submitted and is pending approval? review Does the proposed use require a new buisiness license? [] yes: requires CC ~no: ok review Does the project extend into any required setbacks or cross any lot lines (interior or [] yes: requtres PD ~ no: ok exterior)? review Does the project exceed the permitted height allowance or cause the property to exceed [] yes: requires PD "~o: ok the allowed lot coverage in this zone? revlew Does the project require any additional parking or special design/landscape improvements [] yes: reqmres PD c[~,~o: ok in this zone? review Does the project eliminate any existing parking spaces? [] yes: requtres PD [~o: ok review Is the project located within 200' of the shoreline? [] yes: requires PD ok review Are there any environmentally sensitive areas on or within 200' of the property, including: · wetlands or areas of standing water (year round or seasonal); ~.yes: reqmres PD [] no: ok · streams (year round or seasonal); review · areas with a slope of 40% or greater; or · areas that have evidence of past ground movement or erosion? the required submittals been provided by the applicant? Have/all I;~l~Site Plan 1~ Construction Drawings ~-X yes: ok [] no: mark required [] Parking/Drainage Plan [] Civil Drawings item(s) [] Energy Calc [] Supporting Engr. Calc [] Landscape/Lighting Plan [] Other If Planning Department review is required, the processing time may be extended, lf it is determined a separate Planning Department permit(s) is needed, the Planning Department permit(s) must be approved prior to the issuance of any other permit. The information provided above is true to the best of my knowledge, I understand that in the event that any of this information is determined by the City to be inco~ef~s project will be stopped until such time the City determines the correct information is provided and any subse, queftly reqaFr~view a"nd. qp~avat~are completed and grante4 I Applicant ~ Date Permit Category # (see reverse side) Building Permit # Master Tracking # Route to: FIBD []CC []FD []LD []PD []PW []File []Other Staff Initials Date Completion of this form is required for all category lb, 2 & 3 permits. Completion is not required for category la permits unless they result in a potential change of use or occupancy. .~.~ .=- ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98J62 ELECTRIC~L PERMIT Issued: 6/09/98 Permit No: 6334 OWNER/AP LICANT------------------------PROPERTY LOCATION------------------------ CHRIS E PAOLO 1924 PINE S 1924 S. PINE STREET Lot: 24-28 N 50' Port A geles, WA 98362 Block: 3 Long Legal: 360/457-6531 Sub: FOGARTY & DOLAN T: S: Parc No: 06300952039500 CONTRACT)R-----------------------------DESIGNER--------------------------------- AHEARN ELECTRIC CO. PO BOX 4058WESTHILLS STATION BREMER rON, WA 98312 360/00)-0000 , 000/000-0000 PROJECT [NFO-------------------------------------------------------------------- prj T pe: RES.REMODEL prj Value: $0.00 Occ T pe: Cnstr Type: SERVICE CHANGE Occ ';rp: Occ Load: Land Use: Electrical Heat Ba;eboard KW: Fu.nace KW: Heit Pump KW: Fa:l/Wall KW: o o o o Service Type X Riser Overhead Service X Underground Service Temp Service 120,240 X-I -3 200 AMPS o AMPS PROJECT OTES------------------------------------------------------------------- WIRE N:~W ATTATCHED GARAGE, INSTALL 200 AMP SERVICE, CHANGE SERVICE DROP Ti) UNDERGROUND RISER Voltage: Diameter: Service Size: Feeder Size: PROJECT >'EES ASSESSMENT---------------------~----------------------_____________ ServiCe: $57.00 Adllitional Feeders: . $0.00 I Circuit Wiring: $0.00 Temp Service: $0.00 Misc : $0.00 ---- ---------------------------- ---- ---------------------------- TOTAL FEE: $57.00 TOTAL FEE: Amount Paid: Balance Due: COMME: ITS/ACTION NEEDED $57.00 $57.00 $0.00 ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO UnCti . RUUliti-IN I COVER "7 (0 9. ~ ~I-iHVI('F '.,.-, r FrO 'q , r l'lNAL '/qj( I I . GENERAL COMMENTS: PW-II02.UI4I'96J S ~"....? CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ELECTRIC L PERMIT Issued: 11/20/97 Permit No: 6120 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ 1924 A PINE S Lot: WA 98360 Block: Long Legal: Sub: S: Parc No: R-----------------------------DESIGNER--------------------------------- ELECTRIC 524 E, FIRST ST. PORT ANGELES, WA 98362 360/452-9264 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj T pe: TEMPORARY SVC. prj Value: $0.00 Occ T pe: Cnstr Type: Occ ~rp: Occ Load: Land Use: , Electr ical Heat Baseboard KW: Fur-nace KW: He3.t Pump KW: Fan/Wall KW: o o o o Service Type Riser X Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: 120,240 X-I -3 100 AMPS o AMPS PROJECT NOTES------------------------------------------------------------------- TEMP SERVICE IN YARD FOR JOB SHACK USED TO REBUILD BLACK DIAMOND BRIDGE PROJECT EES ASSESSMENT--------------------------------------------------------- Service: $0.00 Ad itional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $41.00 TOTAL FEE: $41.00 Misc $0.00 Amount Paid: $41.00 ---------------------------- ---------------------------- TOTAL FEE: $41. 00 Balance Due: $0.00 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, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE lNSPECTION TYPE: DATt ACCEPTED COMMF..NTS YES I NO DITCH KUULrtt-lN I' 'll:" 1I f201<r7 1:'1NAL I I I GENERAL COMMENTS: PW-II02.15[4t'96]