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W b :;: Ul W b o Z o ~ Ul b Z W :;: :.: o U ~.<~~ \~=~ , '="""-'" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00001486 Date 12/01/08 103352 127 W 6TH ST 06-30-00-0-0-9150-0000- JOHN & KELLI HAMMOND MECHANICAL APPL. PERMIT RESIDENTIAL HIGH DENSITY 2200 Application desc INSTALL ZERO CLEARANCE GAS FIREPLACE Owner Contractor JOHN & KELLI HAMMOND 127 W. 6TH ST. PORT ANGELES WA 98362 (360) 457-5252 OWNER Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT INSTALL GAS FIREPLACE 138446 121.30 Plan Check Fee 12/01/08 Valuation 5/30/09 .00 2200 Qty Unit Charge Per BASE FEE 1. 00 10.6500 ECH ME-OTHER APPL. N/R 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 1. 00 50.0000 HR ME-INSPECTION OTHER Extension 50.00 10.65 10.65 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 121. 30 121. 30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 121. 30 121.30 .00 .00 ~qjp -' I~- ~ 10 -O<f Separate Permits are required for electrical work, SEP A, 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 of180 days after the work has commenced, or ifrequired 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 typeA3f' rk will be complied with whether specified herein or not. The granting ofa permit does not presume to give authority to viol e or cancel the fSvision of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent 2--{ -0'2; Si T:FonnslBuilding Division/Building Pennit BUILDING PERMIT INSPECTION RECORD - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS - Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCA TlON. KEEP PERMIT AND APPROVED PLANS A T JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footinqs Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab Rouqh-ln Water Line (Meter to Bldq) Gas Line Back Flow / Water FINAL Date Accepted by AIR SEAL: Walls I I Ceiling I I FRAMING: Joists I Girders I Under Floor Shear Wall I Hold Downs Walls I Roof I Ceilinq Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab I Wall I Floor I Ceiling I MECHANICAL: Heat Pump I Furnace / FAU I Ducts Rouqh-In Gas Line I? ~ ~-I')3 -riL- Wood Stove I Pellet I Chimney Date \2.--JO-08AccePted by J O-~ Commercial Hood I Ducts FINAL MANUFACTURED HOMES: Footinq I Slab BlockinCJ & Hold Downs Skirting PLANNING DEPT. Separate Permit #5 SEPA: Parking I Lighting I I ESA: Landscaping I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY I USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW I Enqineerinq 417-4831 Fire 417-4653 Planninq 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit ~ o Cf - ~ 00 6" :j L o ~ ~ C) ~ If) J1 ..., ~ f '- BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Att ' B "Id' P 't T h" b For City Use Only: n, ld Ing erml ec nlclan -z,~ Date ReceivedR: 1-0 g 321 E. Fifth St., Port Angeles, WA 98362 ~< ,:'tf i::f. Permit # O~ =-!.:f:>i {() (360) 417-4815 fax (360) 417-4711 7 7 0", ~ ~c.; Date Approved ~\~~\:\ . ~~6 vn~QI~"~~ ~~ Applicant or Agent j~ '(\ ~7\V-\-M j\-k7(\C( () C,o o~ <...~rphone 3hf:::) e-L57- S'-.F5~, Property Owner ii, Phone Property Owner's Address )~( l~l ~~'5~,- l=>oA ~etQ~ )lUr+,c.r? b~ Contractor/Engineer ) ~ Y\ ~M.l'""\.OY\ c\ ~ Phone /JA--\ P Contractor/Engineer's Address 5A~M e_ License # Expires E-mail \ L.J ~ 0 i1\ '6~'- Parcel Number PROJECT ADDRESS Lot Zonin Proiect Tvpe & Brief Description: Check all that apply o New Construction o Addition o Remodel o Repair oRe-roof o Demolition o Heat System o Other esidential o Commercial o Multi-family o Indqstrial , as fireplace 0 pellet stove 0 other Floor Areas Existin(1 (S(1. ft.) Proposed (S(1. ft.) Basement @$ per sq. ft. = $ 1 sl Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUA TION $ :A,AOO~ Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ' Total footprint of structures sq. ft, -+ Lot size % sq, ft. = Lot coverage ft. Occupancy group Occupant load Construction type # of bedrooms # of full baths # of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and tain ermits prior to WOfi' on projects. Date 12.-\~o'6 Print Name~~V\ ~0MDV\.O\ Signature It I F~ R~2uMBER \- CI,TY OF PORT ANGELES ,-' DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A Ilf) PERMIT NUMBER . . .- I{{i. TOTAL FEE . /b 0::- - CO NT. Lie. NO. TIMETOCOMPlETE NO. STORIES LEGAL OCCUPANCY --- .- -- Site Address -/:J-,7-W CORREel ADDRESS IS RESP9NSIBIUTY OF APPLlCANT -;>;R MOtgsotV - . ELECTRICAL PERMIT ONLY 071-1 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Owner's Address Installation By "-1 nstallers"Address PERMITS WITH WRONG ADDRESSES ARE CANCELLED o &...I Ai 'C.. IC... . -------- -- Owner Day Phone 1- 5"7 - 1, 1- ~. 3 . Installers Phone Application isJlereby made foryermit toin5taJI_Ele~trical Equipment as. follqws: I.TN~( 2 ~ l \ :n. T M-D 'Thv'L -+-0 fL TU 1', E~ST tdtiJ Wiring Me!ho~ . NUMBER AMP 120V 240V NUMBER AMP -120V 24QV USE OF CIRCUIT' CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100A FEE CIR 30 CIR 30 LIGHT SIGN . LIGHT - 50 VOLTS OR LESS CONVENIENCE . .. . MOTOR -- CONVENIENCE _. .. - MOTOR .. APPLIANCE - . _..- ,MOTOR q'.S':"I.WA.SH~R .-- . 0- FIRE ALARMS .. DISPOSAL BURGLAR ALARM RANGE MISC. , OVEN , - WATER HEATER LAUNDRY -- DRYER . REINSTALLATION LIGHT FIXTURE # - - FURNACE ... , - -- SUB .TOT AL FEE , GAS-OIL' FURNACE ENERGY FEE ELECTRIC - - . -- BASIC FEE , ELECTRIC HEAT . 0- -- -. . TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT " AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS .. SERVICE AW.G. .. I SUB:TOTAL- - SIZE OF GROUND SIZE OF ENTRANCE SWITCH I"certify that the work to be performed under this' permit will be done by the installer and in,conformance with the N.E.C. Electrical Code. Date Application made ,19 By . CONTRACTOR OR OWNER (OR'AUTHORIZED AGENT) .Permission is hereqy given to do the above described work, at;:q.ording to thec.onditions hereon and according to the approved plans and: specifications pertaining thereto, jblectlto complianc.e with tQe C?~dinances f he CitY'Ofl=r~- Date Permit Issued 0/Zl;. f 1 ~CAN APPRO . . . . . Notify Department of City Light by Street Address and Permit Number when ready 1or~in ection. Work must not be covered or current turned on before inspection and O.K. for coyering or service tias been given by InspectSJr in Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158. ,. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WARNING WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report REPORT OF INSPECTOR ~ DATE OF VISIT MADE BY REMARKS . I " t,,{J.t.//i'1 7~ O.K. FOR COVERING fJ~ U J.QV f' O.K. TO CONNECT SERVICE . . FINAL O.K. ~(3c) If? - fA . z Cl a: <I: :::E !!1 J: I- Z W I- ~. l- e z e c . FROM FAX NO. Dec. 15 2889 8:46PM P1 S. I s1: �ti VV CITY OF PORT ANGELES PERMIT APPLICATION BAR 24 20%, � Building I)Msion/Electrical Inspections LEC3I�i�� 321 East Fifth Street —P.O. Box 1150 / Fort Angeles Washington, 98362 Ph: (360) 4174735 Fax: (360) 417 -4711 INSPECTIONS 2� 2 Single Family Dwelling Date: ,� __ " Plan Review May Be� Required, Please Complete Electrical Plan Review.lnfom�tion Sheet Job Address; $ullding Squm Footage: Degai Wn of above Owner lnformatlon �'�� r�-r ssc � 1'r4r Conrtrador i Na►r,9; o Name: C 4, �E Mon ate] t � Stal® � 6'L Gq, n r rl O a Q sm zip: 3 C. I Ptlotle:`'f arts' az __ -- Phon' Lice =#) Ex C,ICerSSe �! bop - L, A'sq % % I,% -z- Item Lino Clya» j[ Tot81 tCKV MMOMAUnit mampl Servicelfeeder 200 Amp- $ 120.00 ServicelFeeder 201400 Amp. $146.00 $ Sere wReeder 401 -60D Amp $ 205.00 $. 5ervtwfteder 601.1000 Amp. $ 262.00 Ser oafeeder over 1000 A". $ 373.00 emnch Cirarit W/ Service feeder $ 5.00 Branch Circuit W10 Service Feeder $ 63.0D - Each Additwrral Branch Circuit $ 5.00 $ Branch Citw'u 14 $ 75.00 $ Temp. ServW Feeder 200 Amp. $ 93.0 $_ Temp. SeWft Feeder201-400 AnT. $110.00 _ _ -- $ Temp. ServicelFeeder401600�mp. $149.00 $ Temp.ServtcelFesder601.1 Amp. $168.00 S� Portal to Pord Hourly $ 96.00 Signal C4xW UrnkW Energy -1 & 2 Fw* Dwding $ 64.00 Manulhcnrred.Home Cormedm $120.00 $ Renewable Electrical E&'W - 60A System or less $102.00 $ Tharmom $ 56.00 $ Noce $5.00 for each additional T-M NEW CMURUUION QN Y_ First 1300 flare Ft $120.0 S EKh Addil ml SW Square Ft or Portbn of S 40.00 $ Each Qrrtetrllding or Detached Garage $ 74.00 $ Each Sxt wNng Pool or Hat Tub $110.00 5...._ .a .._ Total Owner as defined by RCW.19.2$.261: (1) (honer YA any the structure for two years after (iris ele pem* is finalized. (2) Owner is required to hive an electrica! contractor if above said property its for sale, rent or lease. Penmt expires after six months of W inspecxiort. After reading the above stMement, t hereby certify that I am the o nsr of the above named property or a lkensred el al contractor. I am making the efecfrfcal installation or Aeration in CormplWV0 with titre electrical lauds, NEC., RCW. Chapter 19.28, WAG. Chapter 296A66, The City of Port Angeles MunldpM Code, and Utility Spetdhcations and PAMC 14.05.050 regarding Electrical Permit Appiir�s. Signature of own , et 1 corrbastoror etoctrlcal adminidndor D Gd 13 C*a . �1 0 Croat Cara 0 .. �"` �• _�,_ Q1A1Pl412 ELECTRICAL INSPECTION Ir law WIRING REPORT 417-4735 DATE INSPECTOR CONTRACTOR 75L -Pfd. -r- L ADDRESS APPROVED NOT APPROVED 0 .... ...... ... DITCH ... ............... . Cl 0 ................ ROUGH IN/COVER ....... ....... 11 0 ........ .......... SERVICE ........ .......... 11 0. . .......... - FINAL .... OORRECTIONS NEEDED' A-14 V L--r xl &4r1h ', i NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . . . . , 14- 00000359 Date 4/09/14 Application pin number , . . B57B67 DITCH1 Property Address , . , , 127 W 6TH ST ASSESSOR PARCEL NUMBER: 06- 30'04 -0 -0- 9150 0000 - Application type description ELECTRICAL, ONLY ,Subdivision Name . . , . . , Property Use FINAL Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc 200 amp service change Owner Contractor SECRETARY OF HOUSING AND URBAN ELECTRIC SERVICE 34 CIVIC CENTER PL2 RM 7015 82 DRAPER RD SANTA ANA CA 32702 PORT ANGELES WA 99362 (360) 452 -6424 Permit , . . , . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee 7.50,00 Plan Check Fee 00 Issue Date 3/25/14 Valuation . . . , 0 Expiration .Date 10/05/14 Qty Unit Charge Per Extension 6,00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 30.04 1,00 120.0000 ECH EL -0 -200 SRV FEEDER 120,00 ------- ---- -- --- ----- -- - --- - -- Fee summary Charged Paid Credited Due Permit Fee. Total 150100 150.00 .00 .00 Plan Check Total 00 .00 DO 00 Grand Total 150.00 150..00 DO 04 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH1 SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPEUTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING S