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Home My WebLink About1525 W 5th St - BuildingOF POR p et 'UM 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 PETE WILLIAMS 1525 W 5TH STREET PORT ANGELES Qty Unit Charge Per 8 00 14 0000 THOU Other Fees Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98363 207 75 83 10 4 50 295 35 T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] 07 00000239 524507 1525 W 5TH ST 06 30 00 0 1 2645 0000 PETE WILLIAMS RES FOUNDATION REPAIR RS7 RESDNTL SINGLE FAMILY 9800 207 75 83 10 4 50 295 35 Contractor KATHOL CONSTRUCTION 312 BIGLOW RD PORT ANGELES PORT ANGELES (360) 417 5594 Permit BUILDING PERMIT RESIDENTIAL Additional desc FOUNDATION SAFE UP Permit pin number 96834 Permit Fee 207 75 Issue Date 3/14/07 Valuation Expiration Date 9/10/07 BASE FEE BL -2001 25K (14 PER K) STATE SURCHARGE Plan Check Fee Paid Credited 00 00 00 00 Date 3/14/07 WA 98362 00 00 00 00 83 10 9800 Extension 95 75 112 00 4 50 Due Z;\- Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. S ignature of Contractor or Authorized Agent ate Signature of Owner (if owner is builder) Date 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 COYER, 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 YES 1 NO FOUNDATION: FOOTINGS 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 PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD s.,- -A 1 r» 1 c t„ ;kn.. Hermit inspection record05.wpd 1/4/2005] 1 1 1 1 I I 1 1 I I 1 1 I 1 I I I 1 1 I 1 1 I 1 1 I I 1 1 1 1 1 1 1 1 FINAL DATE ACCEPTED BY. 1 1 1 1 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT 1 1 1 I 1 1 I expirpr I 7-7,40-40 3 1 FINAL SEPA. ESA. SHORELINE: CONSTRUCTION ILW PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED BY. 1 1 1 1 1 1 1 1 1 TYKE OF WORK. Residential New Constr Re -roof Stove Multi- family Addition Move Garage Co II .s ercial Remodel Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT 1' c .r P q COMMERCIAL/RESIDENTIAL. Occupancy Group No. of Stones: Zi Lot Size: Existing Sq. Ft. Total lot coverage PLANNING USE ONLY r T•\FORNIs\BldgPermitform.wpd Applican BUILDING PERMIT APPLICATION 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 PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant o Agent: 4 71-4, l Ca n 5 Owner P _*47. hi% a Address: ,L 5 !/l/. -f"N City P A Architect/Engineer Contractor I 7 n State License Address: 3 1 2i R 4P t/o a J !C6/ City PROJECT ADDRESS h5?-s .5 LEGAL DESCRIPTION Lot: Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. a 30 OCACP %}-1 ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone: Phone. Zip 7-. x"94' p0o 11 Phone: Tl7 /Gk Exp PhoneSil— �ff'it e. 5 Zip 9 r A i 2_ ZONING SIZF/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION 9Sj0 0 i.L p st.PLeW! 7, ci Gr t t✓ Date: FOR OFFICIAL USE ONLY ate Rec. 03 02? 07 Permit 7 Date Approved Date Issued: Occupant Load. Construction Type: Proposed Sq Ft. TOTAL Sq Ft./2.00 APPROVALS PLAN BLDG DPWU FIRE. OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 1 hereby certify that 1 have read and examined this application and know the same 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 not the City's, and that I must obtain such permits prior to work. d t ---F:1 C C• 1 CITY OF PORT ANGELES Construction Plani: The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevint the building official thereafter requiring the correction of errors in said specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. -16E-6140N-aeftil Approval Date cph °4 depttovibt/'' ±o CA P uv fr 6 pL. -0 PREPARED 3/22/06 12 44 21 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/22/06 ADDRESS 1525 W 5TH ST SUBDIV TENANT NBR PETER WILLLIAMS CONTRACTOR PHONE OWNER ROBERT HALLENBECK /R STEINMAN PHONE PARCEL 06 30 00 0 1 2645 0000 APPL NUMBER 06 00000234 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 �'/22/a6 BUILDING FINAL TIME 13 00 03/21/2006 09 37 AM DYASUMUR PETE 452 4254 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 Contractor ROBERT HALLENBECK /R STEINMAN 11414 TROMBLEY RD SNOHOMISH WA 982906312 Permit BUILDING PERMIT NO PR FEE Additional desc Permit pin number 72744 Permit Fee 109 75 Plan Check Fee 00 Issue Date 3/14/06 Valuation 2200 Expiration Date 9/10/06 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL -2001 25K (14 PER K) 14 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 109 75 109 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 114 25 114 25 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent T:\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000234 452872 1525 W 5TH ST 06 30 00 0 1 2645 0000 PETER WILLLIAMS RE ROOF RS7 RESDNTL SINGLE FAMILY 2200 OWNER Date 3/14/06 Date Signature of Owner (if owner is builder) ‘,7 3 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 YES I NO FOUNDATION: FOOTINGS 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 PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I FINAL FINAL SEPA. ESA. SHORELINE: FINAL. INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION LW ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT. I PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I BUILDING 417 -4815 12z Q A/1 11 LL- I I BUILDING I (.\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] DATE ACCEPTED BY. DATE ACCEPTED BY. fe:atherwise Service CITY/STATE/ZIP A B D G Building Impro ements Rebate Application. 2006 Page 1 P.O. Box 1150, Port Angeles, WA. 98362 -0217 Bus. (360) 417 -4713 Fax (360) 417 -4709 Your Energy Efficiency Experts Please Print. All information is required unless otherwise stated: OWNER(S) NAME 4 A) DDRESS: 304 HANSEN RD PORT ANGELES, WA 98363 Owner Acceptance N: \P W KS\LIGHT\CONS\ FORMS \REBATEAPPLICATION010105.DOC PETE WILLIAMS 304 HANSEN RD PORT ANGELES, WA 98343 HOME PHONE. PORT ANGELES SERVICE ADDRESS: >t S 25 w 5' S- f- oR'1 X4.16 -a s wlst UTILITY ACCOUNT NUMBER (if known): WORK PHONE. Please check the box of the energy conservation measures that you are interested in: Residential customers only Commercial customers only Heat pump Air Sealing I Replacement windows Heat pump Lighting :Replacement windows Insulation Solar Water Heater Solar RD &D Insulation (attic. wall. floor) Please check the box that most closely represents the primary heating system you currently have: Zonal electric (baseboard, ceiling cable, etc.) Fuel oil, propane or natural gas Electric forced air with w/o air conditioning Wood stove or fireplace insert Electric heat pump Please check the box that most closely represents the year your home /business was built: n Before 1980 From 1980 to 1992.0 After 1992 to present Please check the box that describes the type of measures you are interested in: *Improving an existing building Remodel (Addition) Remodel (Change of Occupancy) E Please provide the following information about your building in the spaces below Does your building have a. S crawlspace full basement partial basement none Approximate square footage: °\od Number of occupants: 0 N2 0 3 0 4 0 5 0 6 F To the best of your knowledge: 1 Is your building listed in the National Register of Historic Places or the Washington Heritage Register 2. Yes Ile No Not Applicable (see Historical Preservation Notice, page 2) 3. Does your buildina have `knob and tube' electrical wirina n Yes n No .Not Aonlicable (Residential customers only) Please check the box that most closely represents your home %Site-built home Manufactured home Multi- family home H (Business customers only) Please check the box that most closely represents your business Retail Office Restaurant Health Care Grocery Warehouse School Hospitality (Business customers only) Please provide your business tax identification in the space below Business Tax Identification Number Rebates are available for qualifying improvements installed after January 1 2006 and completed and pass inspection by August 31 2006 by a City Authorized Contractor in conformance with all City requirements. Only improvements that have been approved in writing by a Weatherwise Service representative qualify for a rebate. The Owner(s) read, understood and agree to the Service Requirements The Owner(s) certifies the information provided in the application is complete, true, and correct. 3 -o C Date Owner Acceptance Date (if more than One Owner) Windows Rebate Eligibility Requirements. The City of Port Angeles offers rebates for specific energy efficiency improvements in existing residences and small retail and office buildings Your home /business must currently be served electricity by the City of Port Angeles and have any type of electric heating equipment capable of heating your building. To qualify the building must have a certificate of occupancy issued prior to January 2004 A building with any type of electric heating equipment with a fireplace, fireplace insert or wood stove qualifies. A building with a- non electric heating system (oil, propane, etc) and any type of electrical heating equipment qualifies. However, removal of the non electric heating systems is required Retail office building less than 5,000 square feet (building footprint) qualify In order for qualifying improvements to be eligible for a rebate, the existing condition of each building component must comply with the'below requirements: Building Component 1 Existing Condition I Qualifying Improvements' 1 Availabili Heating /Cooling Any type of electric heat Heat Pump Installation SF MH, SO, System SR Attic Insulation or Exterior Roof Insulation Floor Insulation or Interior /Exterior Perimeter Insulation Wall Cavity Insulation Lighting Ductwork Sealing Building Improvements Rebate Application 2006 Page 2 If single pane, single pane with storm, insulated aluminum frame If less than R -19 If less than R -10 Wall cavities 31/2 inches or greater with no insulation Incandescent and fluorescent Leaky ductwork located in attics and crawlspaces Class 35 Replacement Windows Ceiling Insulation Increase to a minimum of R -38 Floor Insulation Increase to a minimum of R -30 Wall Insulation Increase to a minimum of R -11 Energy Efficient Replacement Lamps and Fixtures 'Duct Sealing Pressure Treated Comfort Systems certified Whole House Air Air leakage exceeds minimum Whole House Air sealing and Sealing c recommendations mechanical ventilation Domestic Hot Water I Electric Water Heater I Solar Water Heating System "SF= Single Family MH= Manufactured Home, MF= Multi Family SO =Small Office under 5,000 sq.ft. 5,000 sq.ft. B A controlled mechanical ventilation system is required in manufactured homes. c A controlled mechanical ventilation system may be required in single family homes. SF MH, MF SO SR SF MH, MF SO SR SF MH, MF SO SR SF, MF, SO, SR All Business SF MH SF MH I SF, MF, MH SR =Small Retail under Rebates are available for qualifying improvements installed after January 1, 2006 and completed by August 31, 2006 by a City Authorized Contractor in conformance with all City requirements. Only improvements that have been approved in writing by a Weatherwise Service representative qualify for a rebate City Authorized Contractors The Weatherwise service is not available to customers that want to purchase and install improvements themselves The City has established a list of independent contractors that participate in the Weatherwise service These contractors have a Contractor's license and have signed an agreement with the City Contractors have agreed to meet all codes, City material and installation specifications, and City requirements. Contractors are only allowed to install materials approved in advance by the City The Contractor shall not bid on improvements that are not eligible The Contractors also warrant all work performed for a minimum of two years after City acceptance City Material andlnstallation Specifications All qualifying improvements shall be installed by a City Authorized Contractor in compliance with the City's material and installation specifications and THE-BRIGHT WAY TO HEAT WATERTM requirements. Building Improvements Rebate Application 2006 Page 3 Window Notice All NFRC Performance stickers must remain on newly installed windows until the time of inspection by a Weatherwise Service Representative It's the Owner's responsibility to remove and reinstall window coverings. It is the Owner's responsibility to contact and be aware of City Building Safety Inspection Division and Uniform Building Code requirements for light, ventilation, egress, etc The cost of, including but not limited to sheetrock, new window sills, inside and outside trim, painting, and optional features such as muntin bars, .grids, solar films, or tinting does not qualify for the rebate Basements heated by an electric heating system and by no other non electric space heating equipment may qualify for window treatments. Basements that are not electrically heated do not qualify for window treatment. The cost of, including but not limited to, enlarging windows to meet ventilation or egress code requirements, electrical, plumbing, and sheetrock does not qualify for a rebate Floor Insulation Notice The construction of your building must allow for the installation of code required underfloor ventilation to qualify The Owner understands that minimum ventilation may cause structural defects and lead to increased moisture and radon gas levels. The Owner also understands that a minimum clearance of eighteen (18) inches must exist between the lowest structural floor member and the floor of the crawlspace to allow for floor insulation If floors over unheated garages areinsulated, sheetrock and tape may be required The cost of, including but not limited to, providing adequate clearance, removing existing combustible insulation materials located in the crawlspace, condensate pipe (and pump installation if required), repairing floor dry rot, does not qualify for a rebate Insect or pest damage and water pipe leaks must be repaired prior to the installation of affected weatherization measures Correction of defects does not qualify for the rebate Attic /Roof Insulation Notice If exterior roof insulation is installed, the cost of installing a new roof membrane and flashing are expenses that do not qualify for the rebate Defects such as roof leaks must be repaired prior to the installation of affected weatherization measures. Correction of defects do not qualify for the rebate Only the costs of materials and installation of the insulation and associated furring costs qualify for the rebate If interior roof insulation is installed, the cost of, including but not limited to, 5/8 inch sheet rock, painting, texturizing, taping and painting and its installation do not qualify for the rebate The construction of your building must allow for the installation of code required attic ventilation to qualify The Owner understands that minimum ventilation may cause structural defects and lead to increased moisture levels. The Owner also understands that a minimum clearance distance of thirty (30) inches must exist between the top of the bottom truss or ceiling joist to the underside of the sheathing at the roof ridge Wall Insulation Notice If insulation is blown into exterior walls, the Contractor will either drill directly through or remove and replace siding Alternatively the Contractor can drill directly through the interior wall finish If exterior wall insulation is installed, siding shall be installed prior to City, acceptance and be weather tight. The cost of, including but not limited to, siding, sheetrock and tape, texturizing, painting, electrical modifications, plumbing, light and ventilation per code, and egress windows does not qualify for the rebate Historical Preservation Notice The Owner is required to comply with the Washington State Historic Preservation Code Buildings that are at least 45 years old may be eligible for listing on the National Register of Historic Places and the Washington Heritage Register To receive nomination forms and instructions, please contact the Washington State Office of Archaeology at (360) 407 -6101 or visit their website at http. /www.ocd.wa.aov /info /lad /oahp/ Business Site -Based Rebates. The City can consider rebates for other improvements. Site -based rebates are based on the energy savings Income Tax Notice You should consult your accountant or the Internal Revenue Service regarding the taxation of the rebate To the best of the City's knowledge there are no solar water heating tax credits :1PWKS LIGHPCONS \REBATEAPPLICATION0106.DOC Building Improvements Rebate Application 2006 Page 4 Privacy Act Notice It is necessary for the Owner to provide some information to the City of Port Angeles which will help us operate the Weatherwise service successfully The information to be collected includes the names and addresses of residential owners participating in the program and technical data about the energy use and efficiency of each home The City needs this information to determine whether each home is eligible to participate in the service Beyond this the information collected will be used to evaluate and audit the Weatherwise service Your home may be randomly selected to participate and we would need your cooperation This and other data will be used to help the City improve the Weatherwise service and develop new services as well as assess energy savings. The information collected by the City is required to be maintained for a minimum of three years. The City will only release information to the public and other interested parties in anonymous statistical form or under court order Radon and Carbon Monoxide Notices Studies have revealed that there is no direct correlation between air sealing and radon levels. Several booklets are available from the EPA about radon by calling 1- 800 -323- 9727 The booklet titles are Citizen's Guide to Radon, Home Buyer's and Seller's Guide to Radon, Consumer's Guide to Radon Reduction, and Radon A Physicians Guide Carbon monoxide (CO) is a poisonous gas that has no smell, taste, or color Carbon monoxide is produced by any fuel burning appliance (e g. kerosene, natural gas, propane, or wood) CO poisoning is serious and can kill you if fuel burning appliances are not operated properly Make sure fuel burning appliances are properly installed, are functioning properly, and are used properly for their intended purpose A CO detector, similar to a smoke detector, can be purchased for added safety For more information a brochure is available from the Consumer Product Safety Commission (CPSC) titled "The Senseless Killer" by calling 301 504 -0580 A list of CO detectors that currently meet UL standard 2034 can be heard by calling the CPSC information number 1- 800- 638 -2772. Asbestos Notice The Owner shall make available to any contractor submitting a bid a written statement of the reasonable certainty of nondisturbance of asbestos or the assumption of the presence of asbestos. The owner understands that all asbestos abatement must comply with the law For more information about asbestos abatement, permits, and disposal requirements, contact the EPA at 1- 800 424 -4372 A Question Answer brochure about Asbestos is available on request. The cost of, including but not limited to, asbestos abatement does not qualify for a rebate Trademark Under copyright and trademark laws, the Bonneville Power Administration owns exclusive right, title and interest in THE BRIGHT WAY TO HEAT WATERTM solar water heating program Fuel Mix The City of Port Angeles is a full service customer of the Bonneville Power Administration The chart at right illustrates the Fuel Mix used to generate the electricity distributed by the City of Port Angeles Acknowledgement: Weatherwise Service is an Energy Conservation Program offered by the City of Port Angeles in cooperation with the Bonneville Power Administration and the Conservation and Renewables Discount Program For more information contact us at: Weatherwise Service P O Box 1150 Port Angeles, WA. 98362 Message Line 417 -4713 FAX 417 -4709 or visit: Conservation Programs on the City's website at: www.citvofpa.us City of Port Angeles Electric Utility Fuel Mix Nuclear 9% BUILDING PERMIT APPLICATION 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 PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: 1 L.7 .N.s....\Nv■S Phone: 1 k5 2 y 1_5 t Owner. S Phone: Address. 5 '1-5 5 -cam --t City 042.- 1 IN) G Zip c 195 S 6:3 Architect/Engineer Phone: Contractor State License Exp Phone: Address: City Zip PROJECT ADDRESS \5 W es t_ S i ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. SIZE/VALUATION Residential New Constr Re -roof Stove SF /SF Multi- family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION .5-.1-0c)- orJ BRIEF DESCRIPTION OF THE PROJECT -cn \\twS'a. COMMERCIAL SIDE TIAL. Occupancy Group No of Stones: Lot Size. Existing Sq. Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Occupant Load. Construction Type Proposed Sq Ft. TOTAL Sq. Ft. FOR OFFICIAL US ONLY Date Rec. I t O ld Permit #:t Date Approved: 7 /t Date Issued: 14 `at• APPROVALS. PLAN BLDG. DPWU FIRE. OTHER VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordmator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2 of the International Building/Residential Code, 2003) 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 this permit and understand that it is my responsibility to determine what permits are required not the City's, and that l must obtain such permits prior to rk. T WORMSVBId ermitform.wpd Applicant: \i. i 1 Date: 3---\0 06 WHEN RECORDED RETURN T0 PETER WILLIAMS 304 HANSEN ROAD PORT ANGELES, WA 98363 Recorded at the reauest of: CLALLAM TITLE COMPANY 96701 DATED FE RUARY 27 2 Zr/ T liALLENBECK Roe RANDY STEI.N%IAN STATE OF WASHINGTON COUNTY OF CLA..it 0.4.0 Notary Publisigand for the State of Washington, Residing at LI VO My commission expires g 11 c..?Fa 2006 1175811 ti."; STATUTORY WARRANTY DEED Assessors Tax Parcel ID# 063000 012645 THE GRANTOR, ROBERT HALLENBECK as his separate estate, as to an undivided 1/2 interest and RANDY STEINMAN as his separate estate, as to an undivided 1/2 interest for and in consideration of TEN DOLLARS AND OTHER VALUABLE CONSIDERATION in hand paid, convey and warrant to PETER WILLIAMS a single man the following described real estate, situated in the County of Clallam, State of Washington. LOT 14 BLOCK 126 OF THE GOVERNMENT TOWNSITE OF PORT ANGELES, CLALLAM COUNTY WASHINGTON. ss 1 1 1 at) '25524 ALLAVI COUNTY liANSACTION EXCISE TAX 4 s 1 E ,JD PlAR 9 2006 MOUNT-0/ 060 c/(2- wUNTY REASURERL oaLte WA S /%111 /111i11 110 "ILED-FOR RECOku A iHE Ecsucs 9r CLALLAM TITI F CO Tir.:77 2006 HR I PM If 04 On this day personally appeared before me Robert Hallenbeck and Randy Steinman to me known to be the individuals described in and who executed the within and foregoing instrument and acknowledged that they signed the same as their free and voluntary act and deed, for the uses and purposes therein mentioned. GIVEN under my hand and official seal this P2day of P4 •vuta,VC.1 20/C:p 011111110/N 1 BA/ke 4 4 4 sw oen 1 Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. /7 3, -=? ~/;s/rrr DATE Site Address: o READV FOR WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: OwnerfBusiness Address: Sq. Ft. o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground Voltage 01003.0 Service size o Temporary o Residential Heat 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 o Remodel -<<'Service update/alter/repair Amps DetailslDeh;;;~ ~ I- &-~ ~ ~A'-r-- '/--44/, fih...../, , ' ';lLlb~ . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-In/cover O.K. g O.K. to connect service ~ Final O.K. ~'" Size Comments 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 approved/pending Installer; eo- PermitfReceipt No. Site Address: 733 , New Meters . Notify the Department of City Light by Street Address and Permit Number when ready for inS clion. 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. . /J 0 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT J L "-..JLd , / W. 00 1r;;JI>~e~t<;;,r 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? 15923 f' ~ /c: ')~ Port Angeles, Wasblngton.___.___....m.___._...::......._...._____...._________...... 19__:__.2 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 f'~d to dO electr~ork as listed below. . ~::::s__::<~~h:fi;.::~:~~::::::::::::::::::---.;~:~:~::_.~::~~~~~~:::.~~::~____:::::::::::::::::::::::::::: Wiring Contracto{ ..n----qtf..c:.'r-=.<L~~.~-.m:-- By___.._n____m_____._________._____..'.__n______.__m.___h____m Light Outlets.......................................... Service. volts ..../..:i.:Q-/-?:8..(i. Type or WIring: Receptacle Outlets....__........._..._.._.____... No. wires .---....~-..~........r7.. Armored Cable ...-....-..---................ SI I ~ ~ Non-MetalUc ............-...------------.--.. Dryer, KW..n......_........_....____.___...__ ze w res..7L~---~-'.-----..._.. (~4r .4 Knob & Tube.........__...._.................. Main fuse .~...~~?!....___~....__..._m. .~ S Enclosure ........___.............._..__......... Range, KW h..__._h....__....__... Rigid Conduit .............................._ Water Heater: Metallic Tubing .................___....... KW.....n........................................ He." Kw.......o.:.;...f..lJ..J?........ Motors: size, volts and phase: Type of wiring: Entrance Cable ........... Raceway _.....__....__...__............_......_ Circuits, Lighl...._....._.....________.....__........ Utlllty.........................................._.. Rigid Conduit m__..____.__ Metalllc Tubing ....... Current transformers: No. & Size..___..____._____.______..._ Heat __..___..___..........................._.._... Ser. No......_____.......................__........... Range ...................................___..___.. Water Heater ..__....___._.................. Motor ..._..........._.........__.__...__......... Ser. No. ........--.-.--.............................. Dryer__.....__....__.._.___...._....................... Furnace _........................_~_.................. Ser. No. .................................__....__.... Remark:~t.:n~.O:~___~::.~/.~:~~:~:~~i~___~~:~fZ.:::.Z~~.:.____________~::::__~.:.:.::.:::~.:~.::~::~:::~::~:: ::~.=.i.~__~~.~..__............____ ::~~.~:__:~.~:~.~.~__..____ B~Z!..jh..<;Ik~Li~,,~. NOTICE--Current must not. be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due notice must be given the Inspector so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15923 Address....._............._............................__........................_............_____....___.___._._.___...___..................Date.___._...__._.._._.._......___._._...._......____.__... Owner ...._._........nn................_..nn_.__......_n....__._.._.........................____..___...............__..___ Tenant................nn__nuu..._.....nn..._._n_......__.....__n Wiring Contractor __.__n_..nn....n_._.........nu..............n....................................................__.....__...._____ By.........................................nnn....nnn.__.. NO~ICE-Current must not be turned on until CertifIcate of Inspection has been issued. If work 1s to be COD- cealed due notice must be given the Inspector so that work may be inspected before concealment. '. 1"'\1..__;~ 1),.;..1..,.,,_ Tn",_ Application Number . . . . . 22-00000838 Date 7/15/22 Application pin number . . . 883056 Property Address . . . . . . 1525 W 5TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2645-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REBECCA L TURNER KIRSCH ELECTRIC INC. 413 BEAR CREEK ESTATES RD P. O. BOX 3396 PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 460-4860 (360) 683-6819 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 115.00 Plan Check Fee . . .00 Issue Date . . . . 7/15/22 Valuation . . . . 0 Expiration Date . . 1/11/23 Qty Unit Charge Per Extension BASE FEE 75.00 8.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 40.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 115.00 115.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 115.00 115.00 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us EL1-2 SF 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charge Quantity Total (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 Circuit/Limited Energy - 1&2 DU.$64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional)$56.00 $ First 1300 Square 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- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: New Construction Only [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] PREPARED 7/06/22,14:01:17 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00000838 1525 W 5TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 115.00 TOTAL DUE 115.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Remodel Replace cooper wire tie breaker, Tamper resistant outlets required, outside GFCI reverse polarity , and add staples on loose wires. NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 7/22/2022 22-838 TAP OWNER CONTRACTOR Kirsch Electric PROJECT ADDRESS 1525 W 5th St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Remodel NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 7/27/2022 22-838 TAP OWNER CONTRACTOR Kirsch Electric PROJECT ADDRESS 1525 W 5th ST