HomeMy WebLinkAbout430 W 5th St - BuildingPREPARED 2/14/11 10 06 44 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/14/11
ADDRESS 430 W 5TH ST SUBDIV
TENANT NBR ROBERT &KRISTINA LAWRENCE
CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813
OWNER ROBERT W /KRISTINA M LAWRENCE PHONE (360) 477 1123
PARCEL 06 30 00 0 0 9416 0000
APPL NUMBER 10 00001453 MECHANICAL APPL PERMIT
PERMIT
TYP /SQ
ME99 01
ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS /COMMENTS
2/14/11
MECHANICAL FINAL
February 14 2011 9 52 47 AM pbarthol
Christina 477 1123
*BEFORE 2 30
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
2 ton HP 10 kw furnace
Owner
ROBERT W /KRISTINA M LAWRENCE
430 W 5TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty
1 00
3 00
Unit Charge
73 5000
2 6000
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 983622223
ELECTRICAL HEATPUMP
179952
61 30
1/05/11
7/04/11
Per
ECH
ECH
81 30
00
81 30
Signature of owner or Electrical Contractor X
G \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
11 00000017 Date 1/05/11
268370
430 W 5TH ST REPORT SALES TAX
06 30 00 0 0 9 416 0000 on your excise tax form
to the City of Port Angeles
(Location Code 0502)
ELECTRICAL ONLY
EL BRANCH CIRCUIT WO /FEEDER
EL ECH ADDNT BRANCH CIRCUIT
Paid
0
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
81 30
00
81 30
Plan Check Fee
Valuation
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Credited
00
00
00
RESULTS
WA 98363
00
0
Extension
73 50
7 80
Due
00
00
00
INSPECTOR.
Date-
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P.O. Box 1.150 Port Angeles Washington, 98362 ELECTRICAL
Ph: (360) 417 -4735 Fax: (360) 417-4711 INSPECTIONS
Date:
1 2 Single Family Dwelling
Plan Review May Be Required, Please CompI to Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above 7 0_414 n
Owner Info
Name:
Mailing
City
License 9/ Exp.
lion
L� ate
sigirr zip: 783 b,.3
Fax:
Item
Service/Feeder 200 Amp,
Servico /Feeder 201.400 Amp.
Service/Feeder 401 -600 Amp
Service /Feeder 601 -1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201.400 Amp.
Temp, ServicelFeeder 401 -600 Amp,
Temp. Service/Feeder 601.1000 Amp
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit! Limited Energy Muitl- Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY:
First 1300 Square F1.
Each Additional 500 Square Ft, or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Multi Family or Commercial' Commercial Addition Alteration Remodel Repair*
Unit Charge
119.90
145.50
204.60
262,20
372.50
2.60
73.50
2.60
92.70
110.30
148.70
167,90
95,90
86.20
95.90
63.90
63.90
119.90
102.30
56,00
110.30
35.20
73,50
110,30
Contras Information
Name: Infor I G L i L e--
Mailing Addres
City: 7J State Zip:
Phone. Exp. O Fa 1 g
License
ECE VE
JAN 4 2011
pir �f Credit card
7
Dated:
Foar,t
ttp
r IWO
Total Q I Multi 9lied by Unit Chase.)
SEEM t Total
Owner as defined by RCW 19.28,261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. 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 con rector I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296 -4e iB, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signs re owner electrical con tor or electrical administrator 0 cast, Check
0110112010
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
2 ton heat pump
Owner
ROBERT W /KRISTINA M LAWRENCE
430 W 5TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
WA 983622223
178939
56 00
12/14/10
6/12/11
Qty Unit Charge Per
1 00 56 0000 ECH EL LVT THERMOSTAT
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
10 00001457
153110
430 W 5TH ST
06 30 00 0 0 9416 0000
ELECTRICAL ONLY
0
Contractor
ALL WEATHER HTG
302 KEMP ST
PORT ANGELES
(360) 452 9813
ELECTRICAL ALTER RESIDENTIAL
1)tn
than
Plan Check Fee
Valuation
Charged Paid Credited
56 00 56 00 00
00 00 00
56 00 56 00 00
Date 12/14/10
COOLING INC
WA 98362
452- 5_t"fl
Due
RESULTS
00
0
Extension
56 00
00
00
00
INSPECTOR.
wAcP
Date
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
City of Port Angeles Permit Application
Building DlvisionlElectricai Inspections
321 East Fifth Streat— P.O. Box 1150
Port Angeles Washington, 98362
Ph: 050) 417-4735 Fax: (360) 4174711
Date: V2-1 1�b
1 2 Single Family Dwelling
Multi- Family or Commercial*
Commercial Addition Alteration Remodel Repair'
Plan Review Be Required, leaom e Electri al Plan Review Information Sheet
Job Address:
B
Building Square Footage:
Qescription of above
Ownerlgf•
Name:
C•
Mail' Add s
City a ►1
Phoneag-f14 3
License Exp.
Unit Charae
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
8625
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93,75
80.00
86.25
27.50
57.50
86.25
43.75
AnkJIAAG;#tcxA
rnation t
Staten
Fax:
Owner as defined by RCW.18.28.261: (1) Owner will occupy the structure for two years after fhls electrical permit is finalized. (2) Owner Is required to hire an
electrical contractor If above said property is for sale, rent or loase.
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 Taws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
x Date:
90/90 39Cd
Pulv;
Total.(( ttv Multiplied by Unit Charnel
1 -13 Thermostat
Total
RECiVED
DEC 14 2010
Contractor IIn r ppo
Name: l [1 c1�
Ma, Address: A7 2 1(Qvv%.
City i State:
Phone: ?tIOWZi4b Fax:
License Exp
Service /Feeder 200 Amp.
Service/Feeder 2014110 Amp.
ServicefFeeder401 -600 Amp,
Service /Feeder 601 1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201 -400 Amp.
Temp. Service/Feeder 401 -600 Amp.
Temp. Service/Feeder 601 -1000 Amp.
Portal to Portal Hourly
Slgn /Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1& 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Cash
Check
Credit Card
ELECTRICAL
INSPECTIONS
c
9NI1G'3H d3H1G3M 11v LLTSZ5b09EI 6S 80 0T0Z /ET /ZT
r
Site contact:
Contractor
Electrician:
Excavator
90/S0 39Vd
Please complete and return to Pubffinag4101thliities Department
Applicant Information
Permanent service:
Name and address of party
responsible for permanent
service billing?
Contact Information
Project Type
r1
Single family residence
Commercial
Overhead service
Underground service
Project Information
Street address lot number
I (-et 1
Desired connection date: 1 14 I I
Electrical transformer serving pr is: on a pole
Nearest cross street
Electrical Load
Total square footage:
Voltage
Check all that apply
RECEIVE
DEC 14 2010
ELECTRICAL
xisting
Description of work:
Supporting Documentation
No Load Change
Information form.xls
NAPWKS \LIGi I'r1ENGR1#Originals\information form
Electrical Information Form
ONew
LiMulti family residence; of units
Subdivision, of lots
❑General service
:Other
Public Works Utilities Department (360) 417.4700
City Electrical Inspector (360) 417-4735
Name: t IAA tit
Street:
City 1 State I ZIP' e t glirtt�'
Daytime Phone: I+ a g VA Home Phone:
(If other han above) y
Name: r.�11 1 i i tthnc O oreim
Daytime Phone: LA: 11 r ia3
Name: it V1N [11(x17U.� tire) 'tom w C
Daytime Phone:,
IName: 1.1! r't Ed Q thtlift'&W'
!Daytime Phone:
Name: Company'
Daytime Phone;
on the ground
sq. ft. Main disconnect size: amps
0120/240 1ph 0120//208 3ph 0277/480 3ph
0120/240 3ph 0480 3W 3ph Other
Standard residential loads (Lighting refrigerator dishwasher washer)
A/C a ton) Range/Oven Hot Tub
Clothes Dryer Heating Pumps Hp)
Water Heater Elevator Hp) Other
Please provide a copy of the following.
'Detailed plot plan (dwg or .dxf format mandatory for subdivisions).
`Electrical one -line drawing showing the service entrance panel and location.
'Connected load data.
"Size and locked rotor amge,of all motors over 50hp.
Applicant's Signatures 1 Date. 14 1311D
MAIL OR DELIVER COMPLETED FORM TO 321 E 5TH STREET PORT ANGELES, WA 98362
FAX TO' 360 -417 -4711
WS
WF
Revised 1 -16 -09
9NIlt13H 213H1t13M 11V LLTSZSt'09ET 6S 80 0T0Z /ET /Zt
lU UUUU143
Application pin number 789089
Property Address 430 W 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 0 9416 0000
Tenant nbr name ROBERT &KRISTINA LAWRENCE
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning
Application valuation 9684
sVUttWC1
Application desc
CARRIER HEAT PUMP
Owner
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
ROBERT W /KRISTINA M LAWRENCE
430 W 5TH ST
PORT ANGELES
(360) 477 1123
WA 983622223
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP
Permit pin number 178871
Permit Fee 64 80
Issue Date 12/13/10
Expiration Date 6/11/11
Qty Unit Charge Per
1 00
Fee summary
14 8000 EA
Charged
Permit Fee Total 64 80
Plan Check Total 00
Grand Total 64 80
Contractor
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
Plan Check Fee 00
Valuation 0
BASE FEE
ME FURN /HP /FAU OR 5 TON
Paid Credited Due
64 80
00
64 80
00
00
00
Late 12 /13/10
Extension
50 00
14 80
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
s6\()()'''>'
o
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 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
Z j y
/6 5 Mk° vvn >`ZG� 7'�c
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
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
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
AIR SEAL.
Walls
Ceiling
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
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T Forms /Building Division /Building Permit
Date
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I I ESA.
Landscaping 1 1 SHORELINE.
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Accepted By Comments
FINAL Date Accepted by
FINAL Date 02- I L I Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
7L�
Date Accepted By
Applicant
Property Owner
Property Owner's Address
Contractor A1■
Contractor's Address
license
Parcel Number
F(emodel
o Repair
o Demolition
o Re-roof
Heat System
o Other
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Ker
Pro ect Tt ge Brief Description). )(Residential
Check ad that apply \1
New Construction ''c
.0 Addition
Ccotw
Y1'Gl
010 'd1
5h ;i •A`
P VIZ,
ICei'Yl.lo
kiC- tb.)(&k. Expires T 11
PROJECT ADDRESS 4--
o House o garage other tear off re -roof a lay over one layer
X-leat pump a wood burning stove a gas fireplace a pellet stove c other
Floor Areas Existing (sq, ft,) proposed (sq. ft.)
Basement
1" Floor
2n Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION I MN' .cP1
Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be Installed? Occupant load
Will afire sprinkler system be installed? Construction type
90/b0 39Vd 9NILV3H 213H1d3M 77V
For City Use Only'
Date Received 1211h —IO
Permit 1,0 t`t
Date Approved u.
Phone _l
Phone t2(r3 71- 11aa
Phone 5 On q
E W Ol10. Uii I 1
Lot Zoning
a Multi- family a Commercial Industrial
per sq. ft.
of bedrooms
of full baths
of half baths
I have read and completed this application and know if to be true and correct. I am authorized to apply for this permit and understand
that it Is responsibility to determine hat permits required, and to obtain permits prior to uyptcing on p %pcts.
Date�o' 1 Print Name hU 41-- Signature
7:Forms/Budding Division /Bldg Parmlt.doc J
LLTSZSb096T 6S 80 0T0Z /6T /ZT
PREPARED 6/15/09 8 50 52 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/15/09
ADDRESS 430 W 5TH ST SUBDIV
TENANT NBA KRISTINA LAWRENCE
CONTRACTOR PHONE
OWNER ROBERT W /KRISTINA M LAWRENCE PHONE (360) 457 8479
PARCEL 06 30 00 0 0 9416 0000
APPL NUMBER 08 00001122 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 6/15/09 JLLL BLDG FINAL
A LV June 15 2009 8 34 12 AM 1pangrle
KRISTINA 457 8479
BLDG FINAL RE ROOF
COMMENTS AND NOTES
�7 Imo' rx-t&
A)z-
AJoY
gf
60 gv7y
‘RECE
IAR 18 200
o F �NGEUES
G► B UILDING DIVISION
.)P./ retpv
C'e _1/40
-*\<ok'
Application Number 08 00001122
Application pin number 350348
Property Address 430 W 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 0 9416 0000
Tenant nbr name KRISTINA LAWRENCE
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning
Application valuation 8500
Application desc
TEAR OFF RE ROOF
Owner Contractor
ROBERT W /KRISTINA M LAWRENCE OWNER
430 W 5TH ST
PORT ANGELES WA 983622223
(360) 457 8479
Structure Information 000 000 TEAR OFF RE ROOF
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF
Permit pin number 133892
Permit Fee 193 75 Plan Check Fee 00
Issue Date 9/08/08 Valuation 8500
Expiration Date 3/07/09
Qty Unit Charge Per Extension
BASE FEE 95 75
7 00 14 0000 THOU BL -2001 25K (14 PER K) 98 00
Other Fees
Fee summary
leVA
Print Name
T.Forms /Building Division /Building Permit (05 /13 /08).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
STATE SURCHARGE 4 50
Charged Paid Credited
Permit Fee Total 193 75 193 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 198 25 198 25 00 00
Date 9/08/08
Due
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 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
constrycti n
Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
FOUNDATION•
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /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
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE.
INSPECTION TYPE DATE ACCEPTED
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
ELECTRICAL LIGHT DEPT 417 -4735
BUILDING PERMIT INSPECTION RECORD
YES 1 NO
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
I FIRE 417 -4653 I I I
1 PLANNING DEPT 417-4750 I I I
I BUILDING 417 -4815 1 GO i rj (1�� I I 7I.,VI
T I: c/P 11,1i nvi nir; Ir P mii (05/13/08).wnd
FINAL
FINAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
PLANNING DEPT
1 BUILDING
COMMENTS
DATE ACCEPTED BY.
DATE ACCEPTED BY.
I PLANNING DEPT SEPARATE PERMIT !Ps SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
Applicant or Agent
Property Owner rU E 2
Property Owner's Address .4L34 Gc) (3f—
Contractor/Engineer C )4 �2
Contractor /Engineer's Address
License
PROJECT ADDRESS
Parcel Number
Proiect Type Brief Description. Residential
Check all that apply
New Construction
Addition
Remodel
Repair
(Re -roof
Heat System
Other
Floor Areas Existing (sg. ft.)
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
BUILDING PERMIT
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 41 -4711
ZA AM _C- x.tf
Proposed (sq. ft.)
sq ft. Lot size
add- Rao
Heat pump wood burning stove gas fireplace
ft. Occupancy group
Occupant load
Construction type
APPLICATION Print in ink
Commercial Multi- family Industrial
For City Use 0 ly
Date Received 9 -R -Q8
Permit (')a— 11 22
Date Approved
Phone
Phone 57 Y77
Phone
Expires
Lot Zoning
pellet stove other
per sq ft.
of bedrooms
of full baths
of half baths
112_5"
rq 5
sq ft. Lot coverage
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 to determine what permits are required, and to obtain permits pri r to working on
projects
Date 778/06 Print Name
T Forms n Division /Bid Perm
Building g it Appl. 2006 Code doc
77N4- Z1--aOE',i..z- Signatur
CITY OF PORT ANGELES
· PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT Issued: 3/15/99 Permit No: 11027
Conditions:
OWNER/APPLICANT ........................ PROPERTY LOCATION ........................
BOB LAWRENCE 430 5TH ST W
430 W 5TH ST Lot: 5,6,7,& 8
Port Angeles, WA 98362 Block: 94 Long Legal:
360/000-0000 Sub: TPA
T: S: Parc No:
CONTRACTOR ............................. DESIGNER .................................
OWNER
VARIOUS
Port Angeles, WA 99360 ,
206/000-0000 000/000-0000
PROJECT INFO ....................................................................
Prj Value: $6,868.00 SFD UNITS: 0 MFD UNITS: 0
Prj Type: SFR ADD/REMODEL SFD SQ FT: 0 MFD SQ FT: 0
Occ Type:
Occ Group: Occ Load: COMMERCIAL: 0
Cnstr Type: INDUSTRIAL: 0 GARAGE: 0
Land Use: RS7
PROJECT NOTES ...................................................................
add 7 feet to westside, remodel kitchen, bathroom, add wood stove
convert garage to habitable
PROJECT FEES ASSESSMENT ........................................................ '-~
BUILDING PERMIT $124.75 .............. $0.00 .............. $0.00
PLAN CHECK $0.00 .............. $0.00 ......... RADON $0.00~
STATE SURCHARGE $4.50 .............. $0.00 wood stove $75.00 '
HOUSE MOVING $0.00 .............. $0.00 $0.00t
MANUFAC HOME $0.00 .............. $0.00 $0.00~
SIGN $0.00 .............. $0.00
PLUMBING $0.00 .............. $0.00 TOTAL FEE: $204.25
MECHANICAL $0.00 .............. $0.00 AMT PAID: $204.25
............... $0.00 .............. $0.00
............... $0.00 .............. $0.00 BAL DUE: $0.00
THIS PERMIT DOES NOT REQUIRE A SEPA, SHORELINE OR ESA PERMIT
Applicant Staff Date
RW SANITARY WATER DWY STORM DRA OTHER
Separate Permi~ are required ~r ele~dcal work, util~, pdvate and public improvement. Th~ perm~ becom~ null and void ff work or
~nstru~on autho~ is nd commenced within 180 da~, E con~ru~on or work is suspended or abandoned ~r a pedod of 180 da~ aEer
he wo~ ~ ~mmenc~, or ~ r~uir~ inspections h~e nd been r~uest~ within 180 da~ ~om the lam inspe~on. I here~ certify hat I have
m~ and examin~ hb ap~ic~on and know he ~me ~ ~ ~e and coffect. ~1 provisions ~ laws and o~inances governing this ~pe of work
will be complied with whether specified herein or not. The granting of a ~rmit do~ not pr~ume to gNe author~ to violate or cancel the
)rovisions of any s~te or local law regulating construction or the pedorma, nee, of ~oDstrucflon. ~ ,/~
Si0n~ure of Contra~or or Author~ed A~ent D~e Si~n~ure of Owner (~ owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDINO INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COt/ER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
INSPECTION TYPE I DATE [ YEsACC~°TED[ NO COMMENTS
· O~A~O~: ~ {~t~'C ~
FOLrNDATION
::~ I I I
GENERAL COMMENTS:
PW-1102.15 [4/96l
SITE PLAN
DEPARTMENTOF pUBLIC WORKS, BUILDING DIVISION
II
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
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 Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date ~: ~ ~ '.: Time. ' By
Remarks:
~E~TO~ATION ~EQUI~ED ...... YES
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQU,EST~ ~.~ ~ ~: ~, ,~ .....
Date ~ ~' ~ '! ~; Time / .... '~
Received by (phone, person)
Name of person requesting inspection
Address of person requesting inspection Phone No.
Permit No. //J,:~ ~' ~
Type of Inspection (circle appropriate one):
Sewer ~~ Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOT :/ ,~'L~ ~
Inspected: Date ~ ~ ~ ' " Time By ~
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel r-]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
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date Y-/ ~ -- ~ ~ 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~~le appropriate one): Permit No.
Sewe~/ Foundation ~raming Chimney Plumbing Final Sewer Excav. Other
INSPECTION NO~, . ...~
Inspected:
Date
/
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC [~Other
[] Repaired by City Work Order #
[--] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: · ~ ~ ~.:~ '
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~Plbmbin~q~ Final Sewer Excav. Other
INSPECTION NOTES: .~ ~h~
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
~lNo Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: ~-~ -~O
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 Foundatio~ Framin~~ Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES: ~ ~
Inspected: Date ~ Time
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel ~-]Asphalt [~PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:,_~ . . ~ ~__ ~_. _~...~:~., ·-
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 (c~opriate one): Permit No.
Sewer Foundation ~ Chimney Plumbing Final 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
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
· ' 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[,~umbin~g~g) Final Sewer Excav. Other
INSPECTION NOTES: r~-~
Inspected: Date,/~' ~'~::' '~'~ Time /~ By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved L~Gravel []Asphalt ~]PCC [::]Other _
[] Repaired by City Work Order #
~] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt?
16927
;;/
19umm
7-;;23 -
Port Angeles, WashlngtoIL_mumu_umu_.._...m.m....m.mnmmm.m,
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 electrz;fork as listed below.
Address um.t!..:lqm_m.~um.f:.r?f__u.._mu..m.....uum Occupancy.../0.~..._:.muuuu..u..mmuu
~::~~~:~~~-p~~~=.u~~:~~~;~..-.:::::..::.::..::.~::::::::::=:::::::::::::::::::::::::::::::::::::::
)
Light Outlets..............................._n__n..
Receptacle Outlets...._....h_.........___.......
Service, volts ......__000000__..........00__.........
No. wires ..00.................._.........._.._..
Dryer, KW...n......n...............____..__.__._.
Size wires........__n............nnn....._..
Range, KW hh._uu____...h_..__.___
MaIn fuse 00__...........00_........__..00.
Water Heater: ";'
."
~ "
Enclosure ._.._..___....__.....00........__
KW.__...__...._...~.-.-..~--...u--.-..!----. Type of wIring:
He." KW.....I/?.:.tr..~~mnt:.P:l.' ~~~ Cable ......nn..n.n....mnn
"'Y ".
Motors: size, volts and pMse: Rigid Conduit ....00......---.....---....00..
Metallic Tubing ..00...___.00..............
Current transformers:
No. & Size..n_........_.._.nn_.........._.n_.
Ser. NO.....n.......nn...............n_n.........
Ser. No. .........n_..............h..........n__...
Ser. No. .h....nn..............n.n...............
Type of Wiring:
Armored Cable ..00........................_
Non.Metalllc ........_n....nm..........'"
Knob & Tuben...mn.......n.n..n.......
RIgid Conduit nn................._n..._..
Metallic Tubing .___........00.............
Raceway ....._____.....................__..._
Circuits, Light.........____._.........._.............
Utlllty n..._...mnn.....m.........___...n....
Heat .._.000000............._.............._......
Range ._........._............___..._...._.........
Water Heater .........00....................
Motor ..._..........._00.00..................___..
Dryer ...____._.....____..._....__.__........__....__
Furnace ..---......_............._......._____......
Total Loadmn.;:;lnn.:.:~~ .gp'~~~:Y'.'''''''~2 ';~~~....mnn.......nnnnn...m
Remarks: uunm.uu.m.m.....mu..mm.._...__uum_m_....u...m..mmmnu.u...mu.~ummm.umum.____umn.....m
/
.....________........._..____._._......._._____..._.__......_...._.___....._.._.._._.n..._____..........""...._.._n......_...._nn.__.._.._.....__n.......______....._._____
',) .~~:;~.;~~m..m-mmum....uu.;~~~~:-~~~~;~~........m....m.mmmm....u..~0Jm-..mz.m..m2im..m.
$:m......._......mm.......u.m NOhu__.___.....__m..___.... By ....l,.!./.:.J...?I(?!!lf!p::'!:.~~!:'f:~~...L
....... ...- y
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It 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
;
N?
16927
:.1
Address...nn............_.............._h................._....hn_.................._..__n..............._......hn....................Da{e..._......_.__.._.._.........._......_......_n_n....
Owner 00...00_..0000_......00............_.........._......_......_.._.................000000....._............_.........._00.... Tenant....n...._ ...._....00__....___........00_.00..................0000
- J-\... .
rirlngContractor...._____..._._.............._._.._......__....._......._._.._.........._....._.....____..............__._....___.....By........___.._......................-..........-....-....-
NOTICE-Current must not. ~ turDed on until CertifJcate ot Inspection bas been issued. If work ~ to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
\
1M
Olympic Printers, Inc.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417.4735
Application Number 16 00000671 Date 5/11/:1.6
Application pian number 77:1.379
Property Address 430 W 5TH ,ST
ASSESSOR PARCEL NUMAEIk: 06.30-00 0 0-9416-0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning .
Application valuation . 0
Application desc
PV system
Owner
Contractor
RESULTS:
1R.OBERY.1. W/KR STLNA
M I.,AWRIENCE
SMART ENERGY TODAY,
INC
430 W TF11 .-T
21.20 ,STATE AVE NE ,STE :1.03
PORT FNGE .,QtS
PORT
WA 98362222:3
OLYMPIA
WA 98506
ROUGH -IN fv i lcV
(888) 405-86,89
�Q
Permit
&LECTR:I:CA:C, ALTER RESIDENTIAL
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Additional desc
.
Pe:rmit Fee
1.02.00
Plan Cheek Fee
0
Issue Date
5/11/16
Valuation
Expiration Date
11/07/16
Qty U it Charge Per
Extens..i.on
1.00 102.0000 ECH EL -RENEWABLE 5 -RVA OR. LESS
102.00
Fee summaicy
chax.c8ed
Paid CY`C,d.i..t.ed
Due
PorMit Fee Tota!
102.00
1.02.00 00
00
Plan Cl ick. 'rota.l..
.00
.00 00
.00
Grand Tota.1
102.00
102.00 00
'00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN fv i lcV
FINAL
�Q
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X---,- Date: -
GAEXCHANGE�BUILDING .._ ..._
1
CITY OF PORT ANGELES P��MI3APPLICATION
BuildingDivision/Electrical Dm
321 East Fifth Street —I".O. Box 115W/Port Angeles Washington, 98362
Date: 4/14/16
�to�`` �J
* Plan Review Mg Be Required, Please COMRIete Electrical Plan Review Information Sheet
Job Address: 430 5th St Port Angeles, W 98362
Building Square Footage:
Description of above
Owner Information
Contractor Information
Name: Robert and Kristina Larence-Markarian
Name: Smart Energy Today
62
City: Port Anneles state: —zip: 98362"
2 __3
License #1 Exp.
uomm^w/
Item
Unit Charge
City
Service/Feeder 2O0Amp.
&120,00
Service/Feeder 2O14OOAmp.
$148.00
Service/Feeder 4O1'8OOAmp
%205.00
Sorviue/Fvodo,6O14UO0Amp
&262.00
8om|oe/Poodo,over 1OOOAmp.
$373V0
Branch Circuit N0Service Feeder
$ 8.00
Branch Circuit W/O Service Feeder
S 68.00
Each Additional Branch Circuit
8 5.00
Branch Circuits 1'4
& 78.00
Temp. Service/ Feeder 2O0Amp.
& 98.00
8 ------
Temp. Service/Feeder 2O14OVAmp.
&110,00
Temp. Service/Feeder 401'80OAmp.
&14AOO
_______—
Temp. 8omioo/FoodorO01'1000Amp .
&1M8.0O
$_________.
Pvrto|mPortn|Hourly
& 98�00
5___________
8|Vno|C|mu8/L|m|tvdEnorgy'1&2Fom||yDwmUinp
S%0O
________ $_________
Manufactured Home ConnooUvn
G120.00
-��^-__
Renewable E|:�r|on|Eno«m'5KVASy�omorLess
G1O2.nO
"�&]{2,00_.
Thermostat
& 88.00
Note: 85,OOfor each additional T-Stat
NEW CONSTRUCTION ONLY;
First 18OOSquare Ft.
G1201O
Each Additional OOOSquare Ft, orPortion of
& 40�00
-------
_____Euoh0uthuUd|n
Each OutbuildinDetached Garage
& 7400
Each Swimming Pool nrHot Tub
811000
Tmtm|
Owner oodefined byRCW19,28261: (1) Owner will
occupy the structure for two years after this electrical permit is finalized. (2)Owner 1orequired
to hire an @1 ectrical contractor if above said property
is for sale, rent or lease, Permit
expires after six months oYlast inspection.
After reading the above statement, I hereby c@ftify 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.,
RCK Chapter 19.28.WAC. Chapter 2$$'46B.The City ofPort
Angeles Municipal Code, and Utility Spwo|fiomUonoand PAMC14.05,050regarding Bwotrioal Permit Applications.
Signature uYowner, electrical contractor mrelectrical administrator:
O c°"o O nx°":
o,°ouo"rdw
�
4/14/1G
0110112012
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
APF:11ROVED No r APPROVIE.ED
11 NITCH 0
ROUGH N/COVER
0 ........ ....... ...SIEERVICE. . .... .......
0.. --., —. .— — Fl NAL. . ...... ..... . , ro o �, , (.3
CORRECTIONS NEEDED:
N" "NF" IIIDSPECTOR WHE'llY CORIlEariONS
A1111:1 `OMPI ETED WTHIN 15 DAYS