HomeMy WebLinkAbout204 W 5th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . 12-00000371 Date 4/02/12
Application pin number . . . 263240
Air Property Address . . . . . . 204 W 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-9200-0000- REPORT SALES TAXI
Application type description RE-ROOF on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Location Code 0502)
K Application valuation 2000
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Application desc
TEAR OFF AND REROOF
0 ----------------------------------------------------------------------------
Owner Contractor
------------------------ -------------------------
ROY L BAKER REVOCABLE TRUST OWNER
204 W 5TH ST
PORT ANGELES WA 983622812
--------------------------------- ------------------------------------------
Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . TEAR OFF AND• REROOF
Permit Fee . . . . 95.75 Plan Check Fee .00
Issue Date . . . . 4/02/12 Valuation . . . . 2000
Expiration Date 9/29/12
Qty Unit Charge Per Extension
BASE FEE 50.00
15.00 3.0500 HND BL-501-2K (3:05 PER C) 45.75
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Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
Permit Fee Total 95.75 95.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 100.25 100.25 .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 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.
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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. (1
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings �(
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
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 Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By mw 1 c
Electrical 417-4735 l
Construction- R.W. PW /Engineering 417-4831
Fire 417-4653 Q
Planning 417-4750 QQ
Building 417-4815 D. 19N
T,Fnrmc/Ritilrlinn niuicinn/Riiilriinn Parmit
PREPARED 4/10/12, 8:46:34 INSPECTION TICKET PAGE 12
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/10/12
--------------- -----------
ADDRESS . : 204 W 5TH ST SUBDIV:
CONTRACTOR PHONE
OWNER ROY L BAKER REVOCABLE TRUST PHONE -
�` PARCEL 06-30-00-0-0-9200-0000-
APPI, NUMBER: 12-00000371 RE-ROOF
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PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------- - -- -----------------------------------------------------------------
BL99 01 4/10ZI2 JL .. BLDG FINAL
t,! April 10, 2012 8:39:00 AM hcatuzo.
602-561-0173
---------------------------- --------
COMMENTS AND NOTES --------------------------------------
BUILDING PERMIT APPLICATION Print in ink
b� CITY OF PORT ANGELES
Attn: Building Permit Technician For City Use Only:
Date Received 12-
321 E. Fifth St., Port Angeles, WA 99302 Permit# (2-
(360) 417-4815 fax (360)417-4711 Data Approved
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Applicant d_ (. ,ter Phone
Property Owner 1 3�,�. Phone Uig
Property Owner's Address �z.
Contractor c? t-1 JA r Phone c '-
Contractor's Address
License # Expires E-mail
PROJECT ADDRESS U ��' �;✓ ��
Parcel Number Lot zoning
Profect Type & Br1ef Description; e4?esidential ❑ Multi-family ❑ Commercial o Industrial
Check all that apply
❑ Nein Construction
❑Addition
❑ Remodel
❑ Repair
a Demolition
❑ Re-roof d ouse ❑ garage o other ear off& re-roof ❑ lay over one layer
❑ Heat System ❑ Heat pump ❑wood-burning stove ❑gas fireplace o pellet stove ❑ other
❑ Other
Floor Areas Existing(sq, ft.) ' Proposed(sq. ft.)
Basement @ 5 per sq. ft. _
1g� Floor
2nd Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION
Total footprint of structures % C% `'J sq. ft. T Lot size w' 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 #of bedrooms
Will a lawn sprinkler system be installed? Occupant load #of full baths
Will a fire sprinkler system be installed? Construction type #of half baths
I have read and completed this application and know it to be true and correct, /am authorized to apply for this permit and understand
that it is my responsibility to datermine what pem�its ar required, and to obtain permits prior to working on r<ec�
' ) r r
Date'Print Name / i A r r S Signature
T:Forms/Building Division/Building permit application
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CITY OF PORT ANGELESV �` 7
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j' FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A A''" I
PERMIT NUMBER
APPLICATION AND ELECTRICAL PERMIT
1 TOTAL FEE ._�B" 0 b r 1��I�tCcC�7 ./f !/•. � / '
- CONT:UC.NO. •TIME TO COMPLETE NO.STORIES LEGALOCCUPANCY
^,,, ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address . !04 '2/
CORRECT A1`�4RESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG AD�DtFESSES ARE CANCELLED `
Owner Dt-L1V111 1�k) C Installation By /•t 1-R r�c.-;Yl�t C:
Owner's Address - IN O-1 r '1 in,go - Installers Address C 7M
Day Phone Ll 51- of`f Q Installers Phone /(S:7- (389
Application is hereby made for Permit to install Electrical Equipment as follows: 6n q4,n o $<<V 1 w
Wiring Method
NUMBER AMP 120V 240V NUMBER AMP 120V 240V _
USE OF CIRCUIT CIRCUITS PER 10 1 00R FEE USE OF CIRCUIT CIRCUITS PER 1 0 1 0OR FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT - 50 VOLTS -
OR LESS
CONVENIENCE MOTOR
CONVENIENCE - - - MOTOR
APPLIANCE MOTOR -
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
® OVEN
WATER HEATER
LAUNDRY
DRYER - REINSTALLATION LIGHT FIXTURE k
FURNACE SUB TOTAL FEE
GAS-OIL
FURNACE ENERGYFEE
ELECTRIC
ELECTRIC HEAT BASIC FEE
TOTALFEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C.UNIT AMP I PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE ��
�QP (CIC L^E, 0 A.W.G. '
SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH 'X. D
I certify that the work to be performed under this permit will be done by the installer and in conformance with the lectrical Code.
Date Application made- M L.V 7,.1 '19 By
By �-
J
CONTRACTOR OR OWNER(OR AUTHORIZED AGEN1j
Permission is hereby given to do the above described work,according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
� M. ek-f�
CITY LIGHT
3 _ Ste, B
Date Permit Issued DfPLANS APPfiOVED I '
Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not
be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone:457-0411 Ext. 158.
WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER—
WHITE-Original CANARY Duplicate PINK-Triplicate WHITE CARD-Inspector's Report
OLYMPIC PRINTERS,INC.
- ' REPORT OF.INSPECTOR 1
DATEOFVISIT MADEBY REMARKS
e se L- A7-1. 1?
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F
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O.K.FOR COVERING
W� �_ I
} O.K.T000NNECT^SERVICE
'FINALO.K.
CITY OF PORT ANGELES N0- 17749
LIGHT DEPARTFII:NNT ELECTRICAL PERMIT
` - ;•..�. r .
Port Angeles,.Washington.------(/`._ _.. . ----------------------
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.
15 "7, J
Address .c^ -C` -
-------- --------- -------------- ...... Occupancy-----"---='- -=--------•-------------------
Owner -------= ar-=*----- Tenant................................- -
f4 J
Wiring Contractor ye _.�e n —----------------- ----- By--------------------------------------------------------•-•---------
Light Outlets........................................ Service, volts
�J--=r�- 1 )..f.. ...... Type of Wiring:
Receptacle Outlets............................... No. wires ------------I.......................... Armored Cable .............................
Dryer, KW................__--.-..--------------- Size wires................................_.. Non-Metallic .................................
t;.'- ' �;.� Knob & Tube.................................
Range, KW............__........._......-_.__.. Main fuse ._____.................._...
-,1 Rigid Conduit ...............................
Water Heater: Enclosure --------------------------------------- Metallic Tubing
KW...------ --------------------- - Type of wiring:
.i ).., Raceway ..............................._....__
cl�X Heat: KW.....!!�L._ ..- !rS....._�.4 . Entrance Cable...................._._._. Circuits, Light.......................................
............
Motors: size, volts and phase: Rigid Conduit ............................... Utility .............................................
........................................................... Metallic Tubing ........................... Heat ..............................................
Current transformers: Range .............................................
No. & Size....................................... Water Heater ...............................
...........................................................
Ser. No.............................................. Motor .............................................
Ser. No.............................................. Dryer ---------......------..."
...................................
Ser. No.....................
......................... Furnace............-...................._...........
TotalLoad............................. Ser. No............................................. Total ....................................
Remarks: C� % e"0—"
----••---------------------------------••---•-•-------------------•-•-•----------------------................------.............
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
---------I------------- ------------------------ -------------------------- -----------------------------------------------"--•------------- ----------------
Permit
--------------Permit Fee Treas. Receipt
y � i '1- A'. LJ
$ No.---------•------------------ B ------- J
----------• ------------- .......
NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
N° 17749
ELECTRICAL PERMIT
Address ................................................................................................_...................................... Date......................................................
Owner .........................................._................_.............................................................. Tenant....................................................................
Wiring-Contractor.......................................................................................................................... By..............................................................
NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
Application Number . . . . . 23-00000466 Date 5/08/23
Application pin number . . . 459768
Property Address . . . . . . 204 W 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-9200-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
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Application desc
Service and circuits
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Owner Contractor
------------------------ ------------------------
JASON NESS AND KIM DAVEY JTWRO JOHNSON ELECTRIC COMPANY
19231 1ST AVE S 3129 S REGENT
BURIEN WA 98148 PORT ANGELES WA 98362
(323) 793-2173 (360) 728-4327
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 150.00 Plan Check Fee . . .00
Issue Date . . . . 5/08/23 Valuation . . . . 0
Expiration Date . . 11/04/23
Qty Unit Charge Per Extension
6.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 30.00
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 150.00 150.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 150.00 150.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool/ Hot Tub $110.00 $
TOTAL $
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
'"'CJ CD
PREPARED 5/05/23, 8:57:05 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
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APPLICATION NUMBER:23-00000466 204 W 5TH ST
FEE DESCRIPTION AMOUNT DUE
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ELECTRICAL ALTER RESIDENTIAL 150.00
TOTAL DUE 150.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/12/2023 23-466 TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
204 W 5th St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
Hot tub cannot be installed within 10 feet horizontally from water edge. NESC
234E1
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/19/2023 23-466 TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
204 W 5th St