HomeMy WebLinkAbout306 E Front St - BuildingPREPARED 5/26/06 12 08 27 INSPECTION TICKET PAGE 15
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/26/06
ADDRESS 306 E FRONT ST SUBDIV
TENANT NBR JACK FAIRSHTER
CONTRACTOR PA SWIMMING HOLE FIREPLACE S PHONE (360) 565 1163
OWNER FAIRSHTER MD TRJACOB J PHONE
PARCEL 06 30 01 6 1 1800 3010
APPL NUMBER 06 00000492 FIREPLACE /INSERTS /FREESTANDING
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 5/17/06 JLL
5/18/06 AP
ME99 01 5/26/06
MECHANICAL GAS LINE TIME 13 00
LINDSAY 565 1163 05/16/2006 08 51 AM DYASUMUR
05/18/2006 08 39 AM PBARTHOL
MECHANICAL FINAL TIME 13 00
vince 565 1163 05/25/2006 01 24 PM DYASUMUR
COMMENTS AND NOTES
v A's s cti ttN_
PREPARED 5/17/06 13 37 44 INSPECTION TICKET PAGE 12
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/17/06
ADDRESS 306 E FRONT ST SUBDIV
TENANT NBR JACK FAIRSHTER
CONTRACTOR PA SWIMMING HOLE FIREPLACE S PHONE (360) 565 1163
OWNER FAIRSHTER MD TRJACOB J PHONE
PARCEL 06 30 01 6 1 1800 3010
APPL NUMBER 06 00000492 FIREPLACE /INSERTS /FREESTANDING
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 5/17/06
JLL
MECHANICAL GAS LINE TIME 13 00
LINDSAY 565 1163 05/16/2006 08 51 AM DYASUMUR
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
FAIRSHTER MD TRJACOB J
225 S LAKE AVE
PASADENA
Permit
Additional desc
Permit pin number 77321
Permit Fee 60 65
Issue Date
Expiration Date 11/11/06
Qty Unit Charge
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Per
10 6500 ECH
CA 911013005
MECHANICAL PERMIT
Charged
60 65
00
60 65
06 00000492 Date 5/15/06
088632
306 E FRONT ST
06 30 01 6 1 1800 3010
JACK FAIRSHTER
FIREPLACE /INSERTS /FREESTANDING
UNKNOWN
4000
BASE FEE
ME -GAS PIPE 1 TO 5
Paid Credited
60 65 00
00 00
60 65 00
T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
Contractor
PA SWIMMING HOLE FIREPLACE S
518 W 8TH ST
PORT ANGELES WA 98362
(360) 565 1163
Plan Check Fee
Valuation
Due
Extension
50 00
10 65
00
00
00
00
0
Separate Permits are required forelectrical 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
fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authoriz d ent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
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:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
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
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815 1
T• \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
I.
YES NO
FINAL
FINAL
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 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
1 BUILDING
DATE ACCEPTED BY.
DATE ACCEPTED BY.
05/11/2006 07 41 FAX
'‘ppliL tint 01 ".gtfrir Pi _Pat t T1 Y Vac i'ho ,(312
R.1340
1111 0 NIPLE'l tar and in INK, 1 our application and site plan Nil S 1' BF
0 1 F 11' to tic accepted for review It vnu Iii.e am questions, call
(360) 417
Owner
Atkin. t7 3010 bYtti
iaLfatect,
t on IrsotorTil WL1MJII fikti eft:20-4
Vickccs 1 W 0J:t1 e trge4.
PROJE( T ADDRI•
1.1,G AI 1 10N I or IL
1 1 A.1 1 AM 1. OLIN 1 1 1R( 11 N1 \MLR
redil 41 and Holder N nu!
Billing Address,
redit CarclIvpe INI(
TYPE OF WORK
J RuSUlollsal LI 1 wmt R, 1001
I. C N1L)%
1 .3 ornmer,o1 u I. 1)(1tioltlom
Is: cpail 1.1
1 xiiuni2 lot
1 P1 ANINING ()NI X
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14)4
R.1;
1 xp Dale
S1/.1 &L(. 41.1 ION
0 SorLr, `)1 (a S "1
f1 1 Garap...- SF
S.1. 1/4
1.) 1) c1c. n
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X OihcitP ireplia.101 AL VALI. 1110 4 i a
BRIEF DESCRIPTION 01 TlIF !Italia( *I
11113+4 11 1 1 1 (A fAS 11.1 T,
61.4 1.0_5(i _Itrk,_ark, _NH (iti n5 fiLttel,
ommt.10 1 %.1m.} sim N'l 1 xl 4.; l. (.0 )4 14k apanc i 1;11 on m[641(1411 \.;)L
N of Stoi les 1. 1 thlirn Sti Fr iposod 11)1 1
1.'SAMictland4s) 1 1 1 NI J 1 i 1 I CL Il
71k-)c4
BUILDING PERMIT APPLICATION
Phu _95 3 I__
1)1 SA 7_ I p h o m (3 v,s-//‘
4-2-41N# J.11) 9_6341-
ry
/ONINC•
ti VISIOn
■L 1 J un(14,6 1 111)1 c)iv4.1a1.tt. I Tali )1%. overage.
11
d 1 1;1 1
Wit /0G
GP4..- 442
(/04
Z 0 0 1 0 0 1
DIN(. PER)11 i 1,1 P1 I( V1 kov B,\111 l'A 11), buildin: 11 i 11 an pro% Ilk )uo t alt inl)1irual 40 41111 .a:k
.111 atm rcLpurLaIL at.
11.1)1,11()N 01 Slit( 111)N In :III cases a valuation amount YIJUtit kit curl by att. appli 11. 111 ILII, b t.
11, Lt.
I rid 'nay he rr\ iscd b ilk I (111,1in 1)1‘1,inn k. 1(1)1)1y will' col rent re,. ,L-114.LILI IL 1 onlact 11‘1_ Penult otoLitchtuir II 41 -1'.1 1 )1 .4, sk5iL111.
1 f 111- h. 1 1 o du 11 mos( ,ohnotr'd ii rtit ItilIL 11% huilding permit uppiicatwn and 1 1 IP 1 1 0 1 1 1 1 0 .41(
U1)10100(1 Pl..n1)11 Jr AUL 1 II MTh (4 1)t. 411:1
kl OF 1'1 I41' N11 VI If in I1l111t 4 Lir .1 ition 1 SO ilat of :in 1.11c nl'apidh oil 111' ..tiplIca ,11 1 Ill expiri.'
Official can L \t -ralth
c mrh..1o1;h,114,..m11) OIL _I up 14 ISO days 4,111 1" 1111. 1 r luL hpp1i .11 1 1011 10 4 1,
Uniform curr •irt;nti No ppit,..ttLon L a n b n if wit k.
her* certify (hati have read and examined thiL dppliCation and know 'he vine in be true and correct. I am authOnzed rc nppy kr this pennir ai
:ndvrstand that it Is my respuri.:ibility If; determine wh,A permits are reqiirecr not The City a.,d rl must nb such pyrrri pnor fr vork
1 10 _kit,
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUPLDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000893 Date 10/24/03
306 E FRONT ST # 2
06-30-01-6-1-1800-3020-
ELECTRICAL ONLY
o
Owner
Contractor
MARY E ROBISON REV LIV TRUST
306 E FRONT ST APT 2
PORT ANGELES WA 983623127
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457-5303
WA 98363
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc FURNACE
Sub Contractor OLYMPIC ELECTRIC
Permit Fee . . .00 Plan Check Fee. . .00 ~
Issue Date 10/24/03 Valuation 0 /) _ n/!r7#
Expiration Date .. 3/14/04 ,,~-
Qty Unit Charge Per Extension ~
1.00 59.4000 ECH EL-COMM ALT <5 CIRCUITS 59.40
----------------------------------------------------------------------------
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee
Issue Date
Expiration Date
w
\)
~
46.70
10/08/03
4/06/04
Plan Check Fee
Valuation
.00
o
l\
Qty Unit Charge Per
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.70
~
L
'1
V\
't~
~
,
"
~
f'\
Fee swnmary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 46.70 46.70 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate and public Improvements, This permit becomes
null and void if work or construction authonzed is not commenced within 180 days, If construction orwork is suspended or abandoned
for a penod 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 certrfy 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 authonty to Violate or cancel the prOVIsions of any state or local law regulating construction or the performance of
construction,
Signature of Contractor or Authorized Agent
Date
Signature of Owner (If owner IS bUilder)
Date
T\PLANNINGIFORMS\1102 15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION
FOOTINGS
WALLS
FOUNDA TION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS 1 ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR / CEILING
MECHANICAL
lIE A T PUMP
WOOD STOVE / PELLET / CHlMNEY
HOOD / DUCTS
PW UTILITIES I SITE WORK (Engmeenng D1VI51On) SEPARATE PERMIT #"5
W A I ERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARA TE PERM] r #'5 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 417-4735 'JJ(,~~ Jto ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W / PW/ I /' CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T \PLANNING\FORMS\1102 15 [4/20021
~'ORT~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000893 Date 10/08/03
306 E FRONT ST # 2
06-30-01-6-1-1800-3020-
ELECTRICAL ONLY
o
Owner
Contractor
MARY E ROBISON REV LIV TRUST
306 E FRONT ST APT 2
PORT ANGELES WA 983623127
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457-5303
WA 98363
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
46.70
10/08/03
4/06/04
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.70
tAl
o
~
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00
Plan Check Total .00.- .00 .00 .00
Grand To.tal 46.70 46.70 .00 .00
;:
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~ ~
~
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:It-
~
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 atter the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether speCified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. '
Signature of Contractor or Authorized Agent,
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102,I5 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING 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
I NO -
YES
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPD SEPARATE PERMIT II -
ROUGH-IN I I
PLUMBING
-
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL -
WALLS / ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION -
SLAB
WALL 1 FLOOR / CEILING I I
MECHANICAL - .
HEA T PUMP
WOOD STOVE 1 PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES 1 SITE WORK (Engmeenng DIvISion) SEPARATE PERMIT II's
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARA TE PERMIT II'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 417-4735 1/J,~.3 //-eo ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W / PW/ CONSTRUCTION - R W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT,
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T \PLANNING\FORMS\ II 02 15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000883 Date 9/11/03
306 E FRONT ST # 2
06-30-01-6-1-1800-3020-
MARY ELIZABETH ROBISON
ELECTRICAL ONLY
o
Owner
Contractor
MARY E ROBISON REV LIV TRUST
306 E FRONT ST APT 2
PORT ANGELES WA 983623127
PENINSULA HEAT
502 W. 8TH ST.
PORT ANGELES
(360) 457-2775
WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
35.30
9/11/03
3/10/04
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1.00 35.3000 EC EL-LOW VOLTAGE
Extension
35.30
~
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35.30- 35.30 .00 .00
Plan Ch,eck Total .00 .00 .00 .00
Grand Total 35.30 35.30 .00 .00
~~
~
~~
~
tI\
~
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or constFW(!ion 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.
~
'\
'\
{'J
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
-
UNDER FLOOR f SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW f WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS f GIRDERS
SHEAR WALL
WALLS f ROOF f CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR f CEILING
MECHANICAL - .
HEAT PUMP
WOOD STOVE f PELLET f CHIMNEY
HOOD f DUCTS
PW UTlLtTlES 1 SITE WORK (Engmeenng DIvIsIOn) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM J!;Y/~
PLANNING DEPT SEPARATE PERMIT #'s SEPA:
PARKING/LlGHTlNG ESA-
LANDSCAPING SHORELINE'
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 9/;,,/03 de{} ELECTRICAL
LIGHT DEPT
CONSTRUCTION R,W, f PWf 1/ , CONSTRUCTION - R,W.
ENGINEERING 417-4807 PW f ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T,\PLANNING\FORMS\l102.15 [4/2002]
x ~ORr ""Y.
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000348 Date
,067416
306 E FRONT ST # 1
06-30-01-6-1-1800-3010-
RE-ROOF CONDOMINIUM
RE-ROOF
4/29/04
exp\2eO
tip 1 ( Ceo
RESIDENTIAL HIGH DENSITY
20825
Owner
Contractor
FAIRSHTER,MD,TRJACOB J
225 S LAKE AVE
PASADENA CA 911013005
SCHMITTS ROOFING
3310 EDGEWOOD DRIVE
PORT ANGELES WA 98362
(360) 457-6419
permi t . . . ,
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT
TEAR OFF & INST
313.00
4/29/04
10/26/04
- NO PR FEE
HYPALON MEMBRA
Plan Check Fee
Valuation
.00
20825
Other Fees
STATE SURCHARGE
4.50
w
~
~
Qty Unit Charge Per
Extension
47,00
266.00
BASE FEE
19.00 14.0000 THOU BL-2001-25K (14 PER K)
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 313,00 313.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4,50 .00 .00
Grand Total 317.50 317,50 .00 .00
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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 orwork 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 ive authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
constru . n) '/)
/
_ ['
or or Authorized Agent
LJ ?
7-- ...:;,D-D
Date
Signature of Owner (if owner is builder)
Date
T:IPLANNINGIFORMSII102,15 [11114/2003]
BillLDING 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 LOCA nON,
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE,
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF / CEILING
DRYW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD 1 DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT, SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT, 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R,W. / PW/ CONSTRUCTION - R.W,
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT,
PLANNING DEPT. 417-4750 PLANNING DEPT,
BUILDING 417-4815 BUILDING
T:IPLANNINGIFORMSII102.15 [11/14/2003]
04/29/2004 09:25 FAX 360 452 2675
SCHMITTS ROOFING
1410011<
6-1'-0';1' :34AM;CITY ~ORT ANGELES
,36041747'1
.
~;;iifI'
"" 1/
BUILDING PERMIT - APPLlCAnON
POa oma.u.. USE ONL'I.
r..:;' '-I-ZCt-c;f
.....,. c. y - ? 'f
r..Apfnwed=-
DlllIInIit
306 EAST FRONT STREET
City: PORT ANGELES
WA
~= Consultant: Leroy Archuleta Phoae:
Contractor SCHMITT'S ROOFING. INC. Liccme #;SCHM1/HllOJE Exp:' 05/03/0,/
Address: 3310 Edgewood Dri'ITe City: Port Angeles WA
PJI.ODCT ADDltESS: 306 EAST FRONT
I&GAL'DUClUPI'JON: Lot: Block:
CJ...., ~ ...... COtJNTY PAIlC.'&L NDMBBR:
BIIIIiIIAddrI.: 3310 Edgewood D:~!!
CndIt~ '=_
Zip: 98362
Zip:
ZONING:
~.
CredIt Card BoId.."__ Mark R. Schmitt
CIV: Port Angeles WA 98363
:Exp." - VISA XX Me
Pbone:360-457-6419
98363
TYPE 011' WORK:
1:1 JI~ D NewCoulr. Xii RHaof
lDMuId-&mIy D ~ltdftfClll C MOWl
a C--dd D a.odel D D.DoliIion
D ...... D Sip
BRID' D&8CRIPTION Oil' '1m PRODCT:
DW~
Do-.
D Deck
D
1'1 \ / r:J ~' I D ;1 c=-..
I /
SlZlUVALUA110N:
2.380 ,8P.@$ 8.75 ISP.-S 20.825
SF..S ISP. - S
SF.@S ISP.-S
~ALY"V~~ON S.
COMMEROALIIlESIDENTIAL:, Qecupa.cy Group: ~LolId:
No. crt SIadaa: 3 Lot Size:' "Lot Cownce: -
BxiItia& Lat Covenp: I~. it. + Prvposecl Lot Cownp:
CclmIzactiob'I)pe: Existing
,%
liq. ft. - TOTAL LOT COVBRAOB:
laq.ft
PUNNlNGUD: ONLY: APPROVALS: PLAN
Nen.: JILDG__
DPW
I'IRE
BSAIW~): D Yea D No SEPA ~RqIdred? D Y. D No 0Ibcr. (Jp..:..
BUlLDINGAPPLICAnONSUBMl'1T..u.: J''''~''.'''-'-j8el''lIlIJl/k rrr a ",'--c.",.,,,,,....... Tbe
' BuUdiag DiviIiaD em 1JI'OYide;yoa with IDOI'e deIallDd iafonDIdion 0Il1bo IlJIPIiadaa IIIId pJ.. .......1fW ~
BUILDING PDMrr APPUCATJON SUBM;l'lTAL: Your COIIIpIlllDd IlppIicItioa.Iito plm (fat .....M.-.) ad buDdiaa CClIIIInIcIioIl
pbmt 8I'D to bI-'-~ 10 1l1li Ba.IldIag DIYfIfaa. '
V ALVATJOft 011' CONS'I1t.UCDON: ID aD CIIIeS" a VIIhl8licm IIIdOuDt DIUIt be aIIInd by 1ho appllca. 1bia fipre 1ri1I he rmo-od III1d '
J:DB)' be ~ by tile BuJ1dia& Diy. to CCIIDpIy with camat fee lICboduleI. ~ tbo Pamit CoclrdIutar lit 41704115 for ..~~
PLAN ~ JI'EB: Yawpl8n c:beck foe it_ lit the time Ibo baildina permit Ipplbtl,., ad ClODIIbucIiaa pIIns In ol1lbmitted. AU OCher
permit fee. ... due lit ibe limo ofpermit l---n.
EXPIRATION 0. PLAN RBVUW: If_ pe:nnit is iaued within 1. UYI of the dale of lppIicatioa,; Ibis appIIcatlOll will apIn by
IInd__. no RaqLU.W OfIkial CIIIlIIXIaId 1ho time for action by the IppIiCIIlt 'Ip to 180 cia,.. 011 wrtaea nqu&lIt by tho 1pp1bat <_
SectioD 107.4 Dfdle Ualf'orm Bal1diug Code. c:ummt edition). No IIppUCoIIiaD em be exIaJdccl lOOn than GDCO.
I ""'-by cwtifJ that I have r<<Id and IlXDIIrin6d thb applicatttm (I1ft/ IrIlM rIM MIllIe to 1M ".,. and CClr'NC(. aIfIi 1 ClJII tIIIIJJorlud 10 apply for
W, pumlt. 1 WlldtrTM4nJ It '" IfDI the CI(y'.r kgrM. 1'GJK>>WbUilJllo """"'m. 1WICIt J1a?Z1tz arc . II ,..,.,. 'M GppIbftt'"
ruptJlsrlbiJlty 10 ~ what pe7IIibI Q1W I'efJIIftd IIItd to obltzbt ftICh. ~ / ./
pw.II"_"~lI ~// M/I.ci. Dalo: 7'-.;;1 ?- (71"
r.1~O"T~
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~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property Zoning . . .
Application valuation .
03-00000015
306 -6 E FRONT ST
0630016118003060
ELECTRICAL ONLY
Date
3/21/03
o
Owner
Contractor
MAHANEY, TTE LOIS M
306 E FRONT ST APT 6
PORT ANGELES WA 983623128
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457-5303
WA 98363
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 46.70 plan Check Fee
Issue Date 3/21/03 Valuation
Expiration Date 9/17/03
,00
o
w
o
~
Qty Unit Charge Per
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.70
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 ,00 .00
Plan Check Total ,00 ,00 ,00 .00
Grand Total 46.70 46.70 .00 ,00
"
i~
~~
l:Ji
t
......1
~
~
Separate Permits are required for electrical work. SEPA, Shoreline, ESA, ulililies, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, jf construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLAl\'NfNG\FORM$\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECT10l"S. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I:\SPECTlON TYPE DATE I ACCEPTED COMMENTS
r YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I T T
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I T T
CEILING I I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T~BAR
INSULATION
SLAB I I I
WALL I FLOOR I CEILING I i T
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
_~ HOOD I DUCTS
PW LTILlTIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CO:--''NECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL Il\SPECTlONS REQl;IRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE VES NO COMMERCIAL DATE ACCEPTED
VES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 1/;{;!tJ :3 .4uJ ELECTRlCAL
LlGlIT DEPT
CONSTRUCTION R.W.I PWI , CONSTRUCTION - R.W.
EI'G1NEERING I 417-4807 PW 1 ENGINEERING
FJRE 417-4653 F1RE DEPT.
PLANNING DEPT. 417-4750 PLANI']NG DEPT.
BUILDING 417-4815 BUILDING
T:\PLA!\'NING\FORM$\1102.15 [4/2002]
S
"""r...~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l2t EAST 5TB STREET. PORT ANGELES. WA 9Rl62
ELECTRICAL PERMIT
PERMIT NO 7390
ISSUED: 9/10/2001
OWNER/APPLICANT
HARBORVIEW CONDOMINIUMS
Port Angeles, WA 98360
360/457-5231
T: S:
#3
ARCHITECT
NIA
CONTRACTOR
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES, WA 98362-0000
360/452-9264
PROJECT INFO
Project Type:
Occupancy Type:
Occupancy Group:
Electrical Heat:
o Baseboard
o Furnace
o Heat Pump
o Fan Wall
PROPERTY LOCATION
306 FRONT E
Lot: 8
Block: 18 ~ Long Legal
Subdivision: NRS
Parcel No: 06300161811-818
, 98360-0000
360/000-0000
Project Value: $0.00
Construction Type: ADD CIRCUITS
Zoning Use: CA
MULTI-FAMILY
\J.
~
6'
o KW
o KW
o KW
o KW
o Riser 0
o Overhead Service
o Temp Service
f'J'"1
""
\J'
...,.
Underground Service
Voltage: 0
Phase: 0 1 0 3
Service Size: 0
Feeder Size: 0
PROJECT NOTES
add circuit for stair lift in unit #3.
$0.00
$0.00
$45.50
$0.00
$0.00
$45.50
$45,50
$0.00
f
"
C#
:s
-+
L,
4
"
~
-+
FEES ASSESSMENT
Service:
Additional Feeders:
Circuit Wiring:
Temp Service:
Misc Fee:
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE
CQ1I1Ml:NTS/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,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES NO
-IN /I.;UVJ;.K
~J;.KVll.;J;.
I Cl//O/A' I .,.4- I
GENERAL COMMENTS:
PW-Il02.1S!4t96]
"
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o~
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
'21 EAST 5TH STREET, PORT ANGELES. WA nJ62
ELECTRICAL PERMIT
PERMIT NO 7391
ISSUED: 9/10/2001
OWNER/APPLICANT
HARBORVIEW CONDOMINIUMS
Port Angeles, WA 98360
360/457-5231
T: S:
#4
ARCHITECT
NIA
CONTRACTOR
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES, WA 98362-0000
360/452-9264
PROPERTY LOCATION
306 FRONT E
Lot: 8
Block: 18 C8J Long Legal
Subdivision: NRS
Parcel No: 06300161811-818
, 98360-0000
360/000-0000
PROJECT INFO
Project Type:
Occupancy Type:
Occupancy Group:
Electrical Heat:
o Baseboard
o Furnace
o Heat Pump
o Fan Wall
Project Value: $0.00
Construction Type: ADD CIRCUITS
Zoning Use: CA
MULTI-FAMILY
o KW
o KW
o KW
o KW
o Riser 0
o Overhead Service
o Temp Service
Underground Service
Voltage: 0
Phase: 0 1 0 3
Service Size: 0
Feeder Size: 0
VJ
D
f,O
~
Ii'
-+
PROJECT NOTES
add circuit for stair lift in unit #4
$0.00
$0.00
$45.50
$0.00
$0.00
$45.50
$45,50
$0,00
~
CI
5
+
V.
"'
"\
1"\
f'\
+
FEES ASSESSMENT
Service:
Additional Feeders:
Circuit Wiring:
Temp Service:
Misc Fee:
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE
CQ/l1MJ;NTS/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,
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
VULt!
R. -IN I COVER
SERViCE
I Cf/ / I I -:1/4-- I
GENERAL COMMENTS,
PW-I 102.15 (41961
.(1
~.....,..,.
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l21 EAST 5TH STREET. PORT ANGELES. WA 9R.l62
ELECTRICAL PERMIT
PERMIT NO 7389
ISSUED: 9/10/2001
OWNER/APPLICANT
HARBORVIEW CONDOMINIUMS
Port Angeles, WA 98360
360/457-5231
T: S:
PROPERTY LOCATION
306 FRONT E
Lot: 8
Block: 18 C8J Long Legal
Subdivision: NRS
Parcel No: 06300161811-818
Project Value: $0.00
Construction Type: ADD CIRCUITS
Zoning Use: CA
CONTRACTOR
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES, WA 98362-0000
360/452-9264
PROJECT INFO
Project Type:
Occupancy Type:
Occupancy Group:
Electrical Heat:
D Baseboard
D Furnace
D Heat Pump
D Fan Wall
MULTI-FAMILY
ARCHITECT
NIA
, 98360-0000
360/000-0000
o KW
o KW
o KW
o KW
D Riser D
D Overhead Service
D Temp Service
Underground Service
Voltage: 0
Phase: D 1 D 3
Service Size: 0
Feeder Size: 0
\J
o
b
rt
~
~
"'t
""1
~
CJ
~
PROJECT NOTES
add circuit for stair lift inunit #6.
V.
4
.
FEES ASSESSMENT
Service:
Additional Feeders:
Circuit Wiring:
Temp Service:
Misc Fee:
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE
CQMMJ:NTS/ACTJON NEEDED
$0.00
$0.00
$45.50
$0.00
$0.00
$45,50
$45.50
$0.00
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
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I VES I NO
UUL;t1
-iN I
~AL I 9//1:'/<>/ ,~,L I
GENERAL COMMENTS:
PW.II02.U(4I96]
'.
f)
~;;:?
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
~~~~~4~~UU ~umDer
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000800 Date
306 E FRONT ST # 8
06-30-01-6-1-1800-3080-
MECHANICAL PERMIT
B/1B/03
6295
Owner
Contractor
LANDVIK'NORMAN/VIVIAN A
PO BOX 2604
PORT ANGELES WA 983620330
PENINSULA HEAT
502 W. 8TH ST.
PORT ANGELES
(360) 457-2775
WA 98362
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP ONLY
Permit Fee 61. 70 Plan Check Fee ,00
Issue Date B/1B/03 Valuation 0
Expiration Date 2/15/00
Qty Uni t Charge Per Extension
BASE FEE 47.00
1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 61. 70 61. 70 ,00 ,00
Plan Check Total ,00 .00 ,00 ,00
Grand Total 61. 70 61. 70 ,00 ,00
<W
\)
G'\
Pt,
,
j1
i
2f
Q;1
4
~
~
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 reguiating construction or the performance of
construction.
.-
oN F I L t:
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNJNG\FORMS\ 11 02.15 1412002]
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BUILDING PERMIT - APPLICATION
FOR mF[C[,\L USE ONLY
Date RCc,,_a-/S--03
P~rnl:\'" ~_
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review, If you have any questions, call
(360) 417-4815
Dalt.: "j"Jluv,:...!:__
Date bS'.a:d'
Applicant or Agent: t! lid,. ~ f Ie ~ ~jer5/7Y7
Owner: W55e /..fre-h f-.L / r'-fzz.-
Address: ~Ii?/ pc- < h7JYI i' Sf -# g City:
Phone:
4'57 - :1 775--
y:.;;- d -I,/,;;{ 9
Zip: '753',,{;2,
Architect/Engineer:
Contractor Fe /1.((/ sid vi /-fat-
Address: 5tJ;;( W ;30
PROJECT ADDRESS: 96 be..
Phone:
hrr,.4n4r"lEs
J
Phone:
State License iltlV I IV ifIMSllY!!xp:
City: 1~/:fA14/1t-5
:fi7r,..i Sf ,# s J
Phone:</),7-" ;;'775-
Zip: 9B6.d..
ZONING:
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COUNTY PARCEL NUMBER:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA
TYPE OF WORK:
ill Residential 0 New Constr, 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Conunercial 0 Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: ~,,.; /J i / WL-f1
. I' Yf I I
II) W V V tl1Z.e -/ /IlhY vYI () 4 frd IAI/..-u
COMMERCIAL/RE IDENTIAL: Occupancy Group: Occupant Load:
City:
Exp. D,Hc: .
MC
#
SIZENALUATION:
SF. @ $ ISF. ~ $
SF. @ $ ISF = $
SF. @ $ ISF. ~ $_ _,__ '"
, TOTAL VALUATION , $ "),~ qS- ~
In -;/7? //':l:h~ ;' "1 '7117 J .e)L ie, h rI-J------
Construction Type:
= TOTAL Sq.Ft.__
%
No, of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft.
Existing lot coverage _ % & Proposed lot coverage _% ~ Total lot coverage
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESAlWelland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
~
BUILDING PERMIT APPLICATION SUBMITTAL: Thc Building Division can provide you will] infortllatiou ,.
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This ti).ti", ,.iil ile' ,
and may be revised by the Building Division to comply with current fee schedules. Contact the Permi t Courdinator at41'/ ,
PLAN CHECK FEE; IF a plan check fee is due it must be submitted at the time the bUIlding permit application and Cu"., "" 1'"
submitted, All other pennit fees are due at the time of pennit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the applicatic.. ". " 'I''','. I L
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (s,'
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for r/i,S
understand that it is my responsibility to determine what permits are requ~/not :he ~itY;~ and that I mllS btain such permits prior to We, i,
T:IFORMSIAPPSlBuildingpennit.wpd Applicant:~~. / Date: pr/!:J
/
? /7{)
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DPv'ISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000894 Date 10/24/03
306 E FRONT ST # 8
06-30-01-6-1-1800-3080-
ELECTRICAL ONLY
o
Owner
Contractor
ARCHULETA, JESSE
306 E. FRONT ST
PORT ANGELES
WA 983620330
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457-5303
WA 98363
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
FURNACE / HEAT PUMP
OLYMPIC ELECTRIC
.00 Plan Check Fee
10/24/03 Valuation
3/14/04
.00
o
(N
<0
~
Qty Unit Charge Per
1.00 59.4000 ECH EL-COMM ALT <5 CIRCUITS
Extension
59.40
46.70
10/08/03
4/06/04
Plan Check Fee
Valuation
.00
o
f'\
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
Qty Unit Charge Per
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.70
~~
(.
~\
.....
~,
~"\
~
(J-\
Fee swnmary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 46.70 46.70 .00 .00
Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, pnvate and public Improvements. ThiS permit becomes
null and void If work or construction authonzed is not commenced within 180 days, If construction or work is suspended or abandoned
for a penod 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 authonty to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction
Signature of Contractor or Authonzed Agent
Date
Signature of Owner (If owner IS bUilder)
Date
T \PLANNING\FORMS\l102 15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION
FOOTINGS
WALLS
FOUNDA T10N DRAINAGE
ELECTRtCAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR / CEILING I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHJMNEY
HOOD / DUCTS
PW UTILITIES 1 SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s
WATERLINE 1 METER
SEWER CONNECTION
SANlTARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
P ARKINGILlGHTlNG ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 7/;/; /P3 Ifto ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W / PWI I , CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T \PLANNING\FORMS\1102 15 [4/2002J
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000894 Date 10/08/03
306 E FRONT ST # 8
06-30-01-6-1-1800-3080-
ELECTRICAL ONLY
o
Owner
Contractor
ARCHULETA, JESSE
306 E. FRONT ST
PORT ANGELES
WA 983620330
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457-5303
WA 98363
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
46.70
10/08/03
4/06/04
Plan Check Fee
valuation
.00
o
Qty Unit Charge Per
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.70
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00
Plan Check Total _00 . - .00 .00 .00
Grand Total 46.70 46.70 .00 .00
~
~lf'
~~
r~
t~
,
1t-
Co
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 ~ 80 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 spec'ified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. -
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T \PLANNING\FORMS\1102.15 [4/2002]
BillLDING PERMIT INSPECTION RECORD
CALL4I7-48I5 FOR BUILDING 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
I YES NO -
FOUNDATION: -
FOOTINGS
WALLS
FOUNDA TION DRAINAGE
-
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT' fI -
ROUGH-IN I -
PLUMBING
-
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL -
WALLS 1 ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION -
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL - .
HEAT PUMP
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering DIVISIOn) SEPARATE PERMIT fl"s
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARA TE PERMIT fI's SEPA,
PARKING/LIGHTlNG ESA-
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 9/;6~3 ,.fc.o ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W 1 PWI , , CONSTRUCTION - R W
ENGINEERING 4 I 7-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
-
BUILDING 4 I 7-4815 BUILDING
!J
/
T \PLANNING\FORMS\] 10215 [4/2002]
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
/1/1 !J
jlz,-hl
I
.
ELECTRICAL PERMIT
DATE
Site Address:
--" t. ........
~(..(),~ I
I=l='
D READY FOR D WI LL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
(.(tl..IC-
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
't/... Residential
1:.F1ea+-KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
~Remodel
o Service update/alter/repair
'~dd/aiter circuits
/0 Auxiliary power
(list below)
o Special equipment
(list below)
JJ'i-vJ COP--\)
\ 0 Overhead
"fl Underground
itage
10 03.0'
Ser ice size
o T porary
Amps
Details/Description:
/00
I<dc ic <;A/' r:-'L~ d (" I
.
fp.,t..> N'i.vJ Cirl. '\-
cite t ttJfp;.-./
n F Cl u' 01"1 r.v .-r'
1 f -I-
(q t..I ,4/'1 f tVr / 'f
T ,
tv.' Ci..
II ~"J.;v .17~,,v
fx' ( rn",,?
({[. (i)L-Arz<.O .
,
W,S. No, Service Size
Capacity: 0 O.K, 0 Not O,K, Comments
o Ditch inspection O.K,
-1(f'M'lj:J. Rough-in/cover O,K,
o O,K, to connect service
i' Final O,K.
..--1Yl
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approvedlpending
Site Address:
-ZaG, (
(;teN r
Permit/Receipt No.
/789
Installer:
~,<. \.v tOoI::!.U
New Meters
. .-i!!f-
.
./
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O,K, for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N';'
17056
/0 -/-J !;,;7
Port Angeles, Washlngtonnm_r__nnmm_______n__m__m____m_m_m_____., 19n'nm
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 m'.j./?,._f,____,uE?j~.-n/!!:c;-./.;'~-->t.~'n----n'-'--------- ocCUPanCY.._,m(/_m.:.2n'-.-.-:~_,mfi .
Owner --(P-,dr~p.;-.ev.-c' - \ Iki~!.,-.k_1L.,; Te!!.~n~mn(if:70.........-n-n-uu--m-mm--m-..------....m----
~' Wiring Contractor --Jl...,L." e_'-_..,...41._'..."'n:_.-Q...6.Tf:ffyr:crm_~_m___m___mmnn__n___..'nm_mu____....
~ . Light outlets...,___!.__:~__:.._.......,_.._,:,_ Service, volts /;J...i?-/",~_,f.:.()..., Type of Wiring:
o Receptacle outle~,...~~.........._... No, wire:;X:'~:;;:::'~~'c":'i"'I;;~ . Armored Cable .....,..........--.......-...
C- L- . ~ J/Si 1 " '^'/ l 1'"'( "'" Ie. lJ Non-Metalllc ...,....................,...,-,-,
D /l D'ye" KW m...n_"'::;:_......____________________ / r ze w res__(_~~.:;;..::-;-..:;;...;~_.. ,PI.
/ ""-j YJ;..9' "'# v; "'" ..., Knob & Tube.........__......._..._n......._
"'" '"', Range, KW ---.?--""""---------, Main fuoe '~'S..,..,......-.....,-c.....,
tf /f Rigid Conduit ,....,--......,..............,-
Water Heater: Enclosure ............nm______....m.......__ Iii bi
<L Meta c Tu ng ..-....,........---..--..-,
7" Y KW............"':n__.............u... Raceway ..............................._....._
Heat: Kwlf{...J3.P-h---, " ~ircuits. Light___~,_..______.......,......,
Motors: olze, vo;>> and phase: Rigid Conduit -----------,-----------........ ~ Utility ,__,_____.5...._..,..................__,_
01..A' 1tJ.-..t.:~:r~Z_ _,_, __.._..., Metalllc Tubing ..---------------..-- r Heat -----'~-----..,....-...........,-_..,..
.;})( Cl6.,p_,,<_C'PL....d...Y..CJ.__V__e~ Current transformer", 8"">- Range .................;;;;,'---..-..-............'
{I No. & Size....................................... Y; Water Heater ...~;--....................
-----..----V..-....'....------------------.......'..... Y'
, Y /?.1.,t.g___~.....,.....,..-.. Se" No..._______,__,________,___________________ 1):;)( ::::~__.._::~_a;:.::.::::::::::::::::::::::::.,~~
~ y /:!.~......tf1..y?!---Y..-(en.'!:.. Se,. No.,..........,............,_...,..........._, -'T!:LfJ(t<fl""'f'o..,'....Y...l.f..~m..
~ Ser. NO........................__m______........... ~';" .
W ~~~~~;~=_~L~~=:.~~"~;~;
, :~'l~~~;-.-.-:-:-::.---.,-'-'::~.~,~:--~-~-~-~~-~-~..-:'----~--------...---.-'-:~":lf;Z:~2~::.~=~~---
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
'. __.J:LEC'I'!lICAL PERMIT
N?
17056
Address..............,...................................._.....................................__......_.............._.......................Date..._......_.._.._.._.........._......_......_.........
Owner _____.............__________.____..___........_.............._...........__....._.__..........______.....________........... Tenant.______.....................____h..____n________..................
WiringContractor........................_._._..._.__....h_....__._...._.._................._................................_...........By......................................................_......_
NOTIC~urrent 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.
1M Olympic Printers, Inc.
. Installation description
Job w.'red by ~Electrical Contractor DOwner o Commereial ~ Residential
"
Ekctricul .:ontral.:tDr name License nurnb~r Date: Expires 0: Altered/Addition
Ail \.Ui;I:A'v\!t l-labIiro-\ (ooIi~ f<UIU;,l,,-'i-l"i-:WHu '1'-1-0"1 o ~ew
Purchaser s m3iling address. .)
3Cbl LL~fJ '5+ W ~S~. u Avi,
City State Zlr
pCf'-\- \lw~~S r .Lfl- "'I 03lJ;.~
Telephone numbcl" FAX llumbt:r
4<:)0\-- "11(313 Ll-5d-- 51 T=1
P~~j;I~C~i~tU
Address ~f jmpcction
30(0 to. -I-Vont "St MY
City R-VltIws
+bv'+
p~nc nt:mbcr 10 schedule- inspcctiQIl:
,::y:;. - 4'100
.
OW/7er a.l- ,defined hy ReI-V 1925.26!:(J} OWl'ler Hill OCl~Upy au.! .nructure far tlva
years ulier ,iri.\" de,.-tl"iem' permit is/in~lized. (2) O.vner i.s requiloed to birr! 011 electrical
l'OOllructr)1 !,- (Ihm,lo! .w.id l~"flp(.!r(l- ;.~ .lor ,\'~l(.!. Ten; or leU,H:, o Cas), :J Check #
Aller read ng lhc above statement. I hereby ccrtit). that I am the owner of the atJove
named pJl:j:JCrLy or a lic:.:n:-;ed electrical tonlractm. I am making the: dcctric<11 inSlal- "'" Credit Card VISa Mastercard Discover
lation or ,:lt~ralioll in ~ompliGn..::.: with the clc..:tricOlI lav,,'s, N,E.C., Re\\'. Chaplcr _ClL:f\1-L__.____.____
19.'21\. W"C. Chaplcr 296-4tlB, The City of Pon Angeles Municipa: Code, <1nd Card #
Utility Sp ;dfi;.:ations.
,
Sil!:nO'ltu 'I: of owner, elcdrical €:onlrllctor or eledricd ~dminbtnlltor ExpIration Date
X ('1~ Date:II/;;J.b/r::IM of card ( ~n'3'3 rOO
'- ./
Nov 20 08 W:59a
()8 .,-1 L{ b {
,,~.!.'.~..
~
{:~~:J~
,,_!
""<;;;;;........~
Eleclr;cO.Load AddItions and.oI.&ubtractio.ru;
:J NO LCAD CHANGES
:l Baseb:'')ard KW
:J Fumac '8 tON
o Heat Ppmp _ T(ln _lAR
D Fan,Wjll _'oW'!
fFJ~[;~ll~~fD)
NOV 2 4 200R
ELECTRICAL WORK PERMIT APPLICATION
p.1
!UI:llHT DEPT.
o
~
(
+
()
----....s:
S.erviceJnformalio.n
o Overhead Service
D Temp Service
a Underground Service
Voltage
Phase OlD 3
Service Size:
Feeder Size:
SAME.:OAY..lliM)ECTION~.CALL..B.EJ?O.RJL1:..0~LAM...l6ll=..4.t1=-4ll5
ROUGH-IN
/7-/t,f.r:o ~ lly
(I fINAL "
"IEJ !1.~ ~I\' /
Jnsplo:l:tiur.
D,h.:
I'
I
\
;
I
\.
~I
'\flfl""'cd3~ <
DITCH I
,\ppr",'wRy /
/'
THERMOSTAT
SERVICE
Ome
On~c
'\.
/'
....rl'''l\"~''d I\~'
FEEDER
"
I)nl"
I)~\C
"PI"U\'L'1l ll~..../
Area. Building or Equipment Inspected
Aclion Taken
Electrical
Inspector
0'0 - N73
11/24)b00B
03'47
4579270
SIMPSON ELECTRIC
PAGE 01
ce -I { Lff~
0:
ELECTRICAL WORKPERMlT APPLICATION
Job wirJ" by Jill Electrical Contractor 0 Owner
1
L~Tc.' c' n"B7i r:e:"-k. tc LL(' ~~;~'~~EL q 70; ci;C$
Purcha.f~'s ~ lailing addrcs~ I
~l{-10-=3b b!!.</j,j./or u..J
c"p AI U sW~ 9 F3 b..3
Tclcpho~e... ~I mbor FAX number
L(_.: 7-7;;J.....7o .~ *
l',.emi12j atr'A ,.R1mt h~
Addrt:!iI11l or'l nlpltctloD _ , c:::.: I
3 (/ fa r;.,. f-rYJ It.:f .Jt'
City PI,4
Phone numt er/l.,J.c.Ae~'et!/'q;/~n:
Owlle,' as de lned by RCW.19.28.26/:(J) Owner "'1"/1 DCcupy ,lie struCtUn! Jop' two
yea~ aft~r zh$ electrical JX'..f'nril '.f jlhalized. (1) Owner ('I f"ef/lrired to hi", an @Iec&;cal
cnnlruclDr ~f hove .ftbd property is 101' stile. rent or It!Qse...
Aftef 1'eII.dini rhe above statement. I hereby certify fhAt I am the owner of me o.bovc
nl\med prope y or a licensed electrical cOntt:lctor. I am nmkiJ18 the electrical ifl!tal_
lati(ln or alte tltion in compliance with the elcctrienl Jaws. N.R.C.. kCW. Chapter
19.28. WAC. Chapter 296-46B, ihc City of Port Angclc!\ Municipal Code, Qnd
Ulility Speci. carious. /"I
SlgoatuN! : V O,ltU, eleetrlul eoa~ttor or electric.' admhdstnltor
X / ~ ~. - Jnate: IJ-el.Lf-oC
Electrical' 'I' an" 0
[J NO LOAD CHANGES
[J Base boar I KW
[J Furnace I = KW ,;z..~ [J Overhoad Service
)fJ. He.t Purn '~_ LAR tJ remp Service
a Fan-wall;1 - KW [J Underground Service
SAME D, Y INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH.,IN ". THERMOSTAT
t2/~
( FlNAL 1
I~U~ ~B>::;-
~ InstallAtion dCli:cription
[J Commercial JIi' lltsldeotlal
aNew
,li.AJtered/Additloa
o
00
\
-
,....C
--.J
vJ
df'"
;~ C:fZ7fj
~ nf'.~ .~~-'
h~ nmj ~ ;Jr~
t/f'0{lefl ~ ~ ~
rut;:( t:J.tl :P-.J Lt- *.I;~CO
o Cash 0 Cheek #
~redjtCard ~ Mastercard Discover
Card# -____.ft1'.~-__-_-__.
Expiration Date
of card
($B~Ct;~ ~
~Ic:e Infarm8tlan
Voltage
Pha... [J 1 [J 3
Service SIze:
Feeder Size:
".
SERVICE
W
Aflr~Yed Dy
D,"
A~Ry J
D~.
DITCH
/'
J!EEI>ER.
ApyImvt;(1 Dy
"
Ontll
"'~81/
D~u:
-..,
lnspcctio:
Date
Area. Building or Equipment Inspected
Action Taken
Elccuical
Inspcctor
11/~i/oZ
,
()I<-
Af
BYA
~ -/4/-,Q
ICash Adjus.tment
A I' t' il#
pp Ica Ion
!
Receipt # I C>o 7 000 Z-
Fee Type I p ~
Amount pa~ed .:f~1 , .t.ftJ
II
Adjustmen:ll
Josted Fee
7:i ~q /10
III
V7/7 ~
Signatur& % r 6 ....L-.-
I
,I
I
t3 '1'3
2;i: D bINtJ, r
1fsjo3
New Fee
f 7'6 70
"
,
\
ec
'\
,
7 -, ~- D '"
6)
g:5F"A:V.;(':IT." 1'-:-Jr"T ,..fIGEL~.~.
; 3190..1 1 ,.J.T , I
</ ;C.
'i;~
c/tP
ELECTRICAL PERMIT APPLICATION
Km.~L41.USl:ON1..:T
CIIIw1l.a.; "
.......~
DIl..~:
- '"-'-
The E: lecl'rtcal PeflTlI' Application plU5l b. f1thtd QUI c.om ~IV.
P I.... type or ",print In Ink. Ify"" h..O'ny qU"'Ian$. pl_. c.1I (3SO) ~17.04n~
far numt;lreri ,3GO} 4111..711
)Irl. #!J(}3
ewnororffConlr.cIo,Agont Olympic Electric Co., Inc. Ph."": 457-5303
f'rI>pOHty olor. /'1<<; JI I'ob, ,s0/l
__: II 70[, ~' h,,,r ;P';!.-
flllr:1lDl~~""",C Olympic Electric Co., Inc,
AddnIe&: II 4230 Tum~later
II
INSTAl.LATlIi)NWIREO BY: 0 OWNER
II
CtedH Car' Holder Name:
8l1li,. AJdJ1t$s: Same
II
CredIt ear Number. Exp, Da"':
PRO.ECTt-es: )0& t hMrIfFrJ~)
TYPt! OF WORK: Check ill! thaI aPPlY: 0 New 0 A1lerallon(Addltlon
o RllSld+ 0 Multi-family pi' Commercial 0 Mobile Home Sq. Ft
o Remote "ler 0 Det.aehe<l garage 0 Hot Tub 0 Swim Pool 0 Septic Pump , . 0 Low VoIIBge 0 T919COl'll,
Fax:
452-3498
Phone:
CIty.
Zln:
Clly.
_I"""...., 0. YMB::285)lE "1';
Port Angeles
3/31(03
PIlone:
457-5303
98363
Z19:
~ ELECTRICAL CONTRACTOR
Charles T. Burkhardt, Olympic Electric Co., Inc.
City:
Zip:
VISA:
x
Me:
h/f IIt,f
DSlg
Number 01 Ircutls lidded or eltered:
I
DESCRIPT ON OF THE elECTRICAl. PROJECT:
I
II
h'/I~,t
E1.ctrifo.ol ~ ~ Addition. end or subtractlon.
II
~bDard KW Voltlge: Z. 'fO
~ ,~~ I 7!r.- KW 0 o.-ertlaad Servlca ""....: 0 I 1:1 3
t:I Heel Pump _ TO"I_ LAI'l 0 Temp 5ervtce S<nVioe SJ2,,:
1:1 FlII\'"WiIl11 _ KW 0 Underground Service Feeder Size: .
PAMC 14,~,fXKl(B): fll" indusb1al, comm..""III. & resldenllel pr~ lalllerlhan B dupleX. Bone - 11M dmwlng 0111111 EIedl1eaI Service &
Feed8nl, ~g size ("'l, ft.), Io9d calculatlona. end1l1e type & olc:::Jnduclono and/or racBWay Is mquired and .hall accompany lIle
ElecIIIc8J Permit 8ppllca~on,
{ hereby k fhElt { have read and eXamine" this application and know thBt same to tffl true amf com1Ct, and I SI
8IJ1'horlze~ to apply for this permit I undemsnc1 it Is not the 's legal responsibility to determine what permits
ara lBCl'1I~; It remains the applicants responsibility to determine what permits Bra r&Qulred and to obtBln slJCh,
841rvlc8 Infonmltlon
CrodR C.rd Hola(. 8l1lnalure:
0...,
'1/rO/o5
I I
"" I, Ow_ '" E).c. Coot SIgn.'u",:
./II?-m~
A 1- ;-1. Gr..'+(,G,+ e.J / Ule
00..:
PERMIT FEE: $ '%<z:O -1"59'.</0.,
1177<4,1" - O/c:. A,s IS '-
9)'),3 '
JIHLJ31a JldNX10
I~~L..
S6~tZS~09t XVd OO:LI tOOZ/OI/60
'I
0\\'0 14~t:
()<'-~~J'
~
:L,..~-E
'-- -.'"
~
I
APPlic~l\orAgent: (':....hClrID-H-e- 4.olers6YI
Owner: IIt-1uJ EI'?uh,.,+h Rob'5ioYl
Address:11 ?'t> b E Frvn... t # 2- City: p~ rr Ar.{t" 1/ 5
ArChitecfEngineer: Phone:
Contractor Pel1.1 nO:; IA./a -i-lt-a....-+ State License #:ftiv,IU/-fIllE/}'E;xp:
Address:11502 W 9,tb City: fbyt;-,4nCr"'& ~
PROJEJT ADDRESS: '360 E fYzrrvJ- 1=F- 2-
LEGAL ~ESCRIPTION: Lot: Block:
CLALL~COUNTYPARCELNUMBER: ~
II
Credit Car~ Holder Name:
Billing Add~ess:
Credit Car~Type VISA MC
TYPY: OF liVORK:
arResident!al 0 New Constr. 0 Re-roof
o MUlti_fallllilY 0 Addition 0 Move .
o Cammer ial 0 Remodel . 0 Dem. olition
o Repair . ,0 Sign
. BRIEF DE. CRIPTION OF THE PROJECT:
. I . .
COMMER~:IAL/RESIDENTIAL: Occupancy Group:
No. ofStori~s: _ Lot SIze: EXlstmg Sq. Ft.
Existing lot ~overage % & Proposed lot coverage
BUILDING PERMIT. APPLICATION
FOR OFFICIAL USE ONI, 'L,
Date Rec.: 9-10--0.5
Pennit #: 883
Fill out COMPLETELY and in INK. Your application and site.plan MUST BE
COMPLETE to be accepted for review, If you have any questions, call
(360) 417-4815
Date Approved:
Date Issued:
Phone:
L-f.c) -7 - d-. 77 5
Lt52-?:,lb,/-
Zip: q 'B6 ;;;l....
Phone:
Phone: 4--.57-,;}, 77)
Zip: q 936 ::2-
ZONING:
Subdivision:
City:
#
Exp. Date:
o Stove
o Garage'
.0 Deck.
o Other
1"'1\/ VLl ItaJPJ
SIZENALUATION:
SF. @ $ ISF. = $
SF,@$ ISF. = $
. SF, @$ ISF. = $
TOTAL VALUATION $
3, g z;s
~v
Occupant Load:
Construction Type:
& Proposed Sq. Ft.
% = Total lot coverage
- -
I PLANNIWG USE ONLY: I APPROVALS:
PLAN:
BLDG:
II DPWU:
FIRE:
ESAlWetlahd(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER:
II -
BUlLDINGI~ERMIT APPLrCATION SUBMITTAL: The Building Division can provide you with infonnation on the application and
plan submittal requirements if you have questions.
"
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be r~rised by the Building Division to cornply with current fee schedules. Contact the Pennit Coordinator at 417-4815 for assistance.
PLAN CHEq:K FEE: IF a plan check fee is due it must be submitted at the time the building pennit application aud construc,tion plans are
submitted. A!u other pennit fees are due at the time of permit issuance. , . ' .
II ._ _
EXPIRATlqN OF PLAN REVIEW: Ifno pennit is issued within 180 daysc5fthe date of application, the application will expire, The
Building Off\~ial 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 CaltiJ that I have read and examined this application and know the same to be troe and correct. I am authorized to apply for this permit and
understand tht it is my responsibility to determine what permits are requ'7J;~ that I must obtain such permits prior to work.
nFORMS\APP~IBUildingpennit"1'd Apphcant:[$, ~ Date: :4/~
ICash Adjustment I
Application # fie;;I
~.
Receipt #
~o70r900
Fee Type
jJ~
.$::>'1 ,LJO
SLDb/N&T
C C f9)~.3
Amount payed
Adjustment
josted Fee
-/>59,L/O
;eWFee
~h_70
Signature ,t;k C ~
"-'j -"",
R;~I'$"r~;:::IT.. ;~" r:,- ':"II.S~I.E':;:.
: ,3-1'30~ 1 -..";" I I
.2. ," 2.
~
b'1P
.,.
ELECTRICAL PERMIT APPLfCA TION
':',,,'
ThIS E 1ec1l'1r:a1 Pe.rmit AppllC6fitln must De flllad OUI com Dfeterv.
It-BftI
Co, , Inc. Pl'!one: 457-5303 F..: 452-3498
Pnone~
City: ZIp:
lI<:&nsoll: CL ~;'01E.p: 3131/03 Pilon.: 457-5303
CII)'; Port Angeles ZIp: 98363
!(J e:Le:CTRICAL CQNTIVICTOR
Charles T. Burkhardt, Olympic Electric Co,. Inc.
City:
88:
[
Exp. DSffI,.
h'Af~~PDI)
Zip:
VISA: X Me:
PRO.lECT
~00
/;/1 )for
II '\I,
o Resldentlal 0 Multi-family f'i, Commarcial u Mobil" Home SQ. Ft
o Remola~1 el9r 0 Detach..d garage 0 Hot Tub 0 SWim Pool 0 Septic Pump
Number of IrcullB added or 0'''''00' -V
De:SCRIPTlr OF THE ELECTRICAL PROJE:CT' ~/.m'( ( . II-a 1- /1 v";,?
/ 'I
II
II
I
CI Ba&ell0$
~=p
o fan-Wall
Check i!1I that apply:
aNew
o Alterallon/Additlon
. [l Low Voltage a Tel9COfTl.
QSIg
Service Information
KW
IOKW
Z- TON_LAR
KW
o O\farheBd Servlca
u Temp S"""ce
o Undsrground 6_01100
Vol1aQe: ?- '(0
Phase: 0 1 O:!
S_rvlce Size:
Feeder Size:
PAMC 14.05.060(5): For Indusll1aJ, commercial. & """d9nll&l pmI<tCtS '9I\lor lI\an a dlll>lex. a Dn@ -line III':!lWIng Of lI\e EI<lclr1ca1 Selvice &
FeedenI, ~"1ld1nQ slZo (sq, fl.), loa(! calculallona. end the type & 01 CO~dUClO'" andlor me_ay Is required an<l Sh8ll &<:com pony file
Eleclr1cel porlt eppllcatlon.
I hereby , ' thet { have read end examinea this application ana know that same to be tnse and evrrect. and 18/
authorize to apply for this permit, I understand it is not the City's legal responsibilffy to determine what permIts
are requ' I .. it remains the applicants rsspons/blfity to aetermine what penn!ts are required and to obtain SlX:h,
CrodR Co'" Holda~o SlllnolUl'1l:
Dlff:a;
q ;/0/0 j
I I
9 ~ '-/03 Own.r IJII'" ~(ec. Cant. Signa lure:
~_9Q19f7trJ3. Ir (- N( Uv...,f tc. .f.- <J/ (Ltcr-
II q 0---- 1/L/o3
110 lEi I JIllLJ:'I1l1 JldNX10
Oahl:
~59 pO
PERMIT FEE: $
U77UTy _
~
at ~? fe;.,
-rL.,c-J,L
S6tC;:St09C xv.:!
00:L1 COO;:/01/60
,r -'-'-, ~:H..~L!::.=.,
,-=C\,J"'I'''''
ELECTRICAL PERMIT APPLICATION
FOR~ALUJt.(:r.o;.L\'
D;ilfl1ll.n'-
,.."..",~.'
~""","""'rll:
r--'_,
Tt. EI8l:D'ic8i ~liiIrmill-PPlicmim mu.t be ""lid out comDle.rv.
Plau8 rype Of" rIlIptlnlln Ink. If you have In)' qLlllatfO...a. pia.. c.rl/ (3eO_ .17-4735
Faz number: (380) 417-4711
--:
Elo<1lical Olnl"""",,c 01 ympic Elect!' ic
_.s, I 4230 Tumwater
II
INSTAlLATION WIRED ey, 0 OWNER
II
CredIt!1:llrTI Holder /'if/me: Charles T,
SilIlng ~ddrva: Same
II
Cf'/!/d/f ClIrT1 Numt>et':
I
PRo.n;
Co. , Inc, PhCfle: 457-5303 Fa>< ,,52-3498
pnone:
City: ,",p'
Co. , Inc, \JOe""" _ OL YMPEC25~: 3/31/03 Pln"l<I: 457-5303
(;fTr; Port Angeles, WA Zip: 98363
~ ELECTRICAL CONTRACTOR
Burkhardt, Olympic Electric Co., Inc.
Exp. Date:
ZIp:
V1SA:~MC:_
city:
3()/P
~ h~"f"
ff~
Checl< jJllhat apply: 0 New
o Meratlon/AddlTion
(] Mutll-Iamlly
D Commercial n Mobile Horne Sq. Ft
o Detached garage
r Cl"",its added or IJilersd: /
D Hot Tub 0 S....,m Pool
Ilrp ( jJvl'/)
,
o Septic Pump 0 Low Voltage 0 Telecom.
(/f II Alt'''/~)
D Slgr
DESCR
I
I
EleeJal Heat Load Addition.. 41t, 7!! Servk:e Infonnatlon
OBaaeLrd _KW ,.- VoI18ge:JZOv
QJ'urnabo _ KW 0 Ov8fhead Service PhMe: iJ 1 0 J
J'!l t-lea~mp - KW Z 5' A n T8mp Serv1cs ServIC& Size:
o Fan-II all - KW 0 Urdergrour>d Service F_r S;z.:
PAMe ,l os 060(8)' F<>r induatrial, commercial, & _ldanOal profoctlllartle, Ill...., a duplex, a ana. line drawing of !he IOl9ClrlcaJ SeMee &
F-....!l>u1l<llng 01"" (oq, ft.), loed calculallona, ar<Ill'le Iype & of conduclOl'$ and/or ...ceway I. requl.-cl ArlO .".,11 DCCQlnpany IN!
EI8C1ri P"",," epplicatlon,
I hB,J certify mall have read and examIned thIs application and know that same 10 be true and correct, and I an
a to appty for Itr/s permit. I understand It is not me City's /egal rsSporI8lbiHry to detf1rmlne wtJar permITs
are re<lUired; 11 remains Itls sppfiCan/sl'9Sponsiblllry to derermlne what permits sr~ mquir&allnd to oorsin such.
1("(0:' (_ 6/:. If, is ~y.J.L
. Cr1Idl1 Card Holder'. Slgn8fU,..: k Da1W: 1/:3 /0 2-
/ ,
ON OF THE ELECTRICAl. PROJECT:
,,7~C'i: ,/ /
PW.9019
Owner or Elec, Cont. Slgnlltut1l:
Date:
~ cc:L-
/-3- 03_
-1:=-13117 /ltJ w
10 lEi
~Ial~313 ~IdWX10
COCSLSt09C XVd Ct:60 c006/CO/10
FROM
FAX NO. : 4526424
Ma~. 15 2002 07:44AM Pi
, ,'II ! " : 1", I ;\1. I .;~. ::,.
I).MIMI
ELECTRICAL PERMiT APPLlCA T\ON
l'm~I' ~
')~"~ ~'W \\t\\
[),,:t I.",.~,' .....
5-/6- 0'';:-
;tr70ti.,7
_ REQUEST INSPECTION :..-.:
I Elec.ConlraelorAgont ~~ ,In,_ \"....,f,~,. 1:........ ?Mne:'"I'>':l-c.,',,/)'-j Fax 'Y'?1-Go4)<j
P'Op.rtypwner: \h-v.\r;" C.,,-f Lt ,.,..... _ Pncn" 4~ 7- 5'-1IG
Address 3.0 (" E t:'_.,,,,..t Pf+ < City: Prw-l A"i&ot,,;,. Zip, 983(;,2
EiecMe .conl,acto'. t:/" l .f.... '''I~ \nr~1 'rop r 1.J.y _ Licen.. #: e:;~fr{ Exp, 9/1'-/0'& Phana!j,"i7-1,,'-f'.
Addre..1 .,~''1.. 01"""'1"'-" \}e,llL( QA CityP"r'~ Pt~.lfl" Zip 9k~t..2..
INSTAL ION WIRED BY: :; OWNER )iELECTRICAL CONT~ACTOR
CredltCardHolderName~ 1\04,),.., ~ (?"J
I
8/111n Addre99~ _ . Clty~
I .
Oate:
ThC' Electrical P,:rmit ',PPi\C3\:O.". mus! he lined Out comoletel'J.
Please type or reprint In ink. it you have any ~ue9tion<. pie... c.!! (360. 417-4735
Fax number: (350) 417-4711
Zip~
VJSA:_ MC:)<
PROJE T AOORESS:
3 D Co E f'..o....i
~'S
YPE F WORK:
I
t:(Aes dental 0 Multi-family
I
:i Re,ote Meter !J Detached garage = Hot Tub c:' Swim Pool
Numb r of Circuits added or altered:
OESC IPTION OF THE i:LEC;TRICAL PROJECT:
vU V () l+r.. (.-
I
Elect I cal He t Load Additions
Check all that apply:
:JNaw
CJ Alleration/Addition
c: Commercial
C Motile Home
Sq, Ft.
lli L.."'1.. L- It- )C..f40..~"5,-b~ I~ Ot::-.
! '7' 7 . fl.! Service Information. ..0"" U /c.. S y(..
Ccr~~ "~N&Ul/ -t~ LJ{?qrrl; r,.t;;:. 7"J
CSas board _'r<N'J 7 d5""~O Voltage: "20(2'-/0 \~k.
CFur ace .is...KW1:2. w.6t6me~~~,-- Phase: jJl L.;:3 .->
'J Hea Pump _'t<!.N _ L a A :; Temp Service Service Size: 2.66_
[J Fan~W.1I _'r<N'J CJ Underground Servic" Feeder Size'_.._
I ;t STol/f.
PAMC 14.05,080(8): For industria!, commercial. & residemiai projects larger than a duplex, a one -line drawing of lhe Electrical Service.
Feed~rs, building siza (sq. It.), load calculalions, and t he
Electrital Permit application.
I her~bY certify that I have read and examined this application and know that same to be true and correct, and I /
authbrized to apply for this permit, I understand i ot the City's legal responsibility to determine what permits
are ,Jbqulred; if remains the applicants responsibility to determine what permils are required and to obtain such.
D Septic Pump
,~ ieiecom.
CJ Si
Owner orElae. Cont. Slgnatura:
(1, 2,Q
(1.. t-&
Data,
.,!,:s-!t
I
~if r /6
.
"'r_'. _...-.., ~._..__~'... .'-;tr->_._r..
Date:
PW.019