HomeMy WebLinkAbout1633 W 12th St - BuildingPREPARED 7/08/09 8 33 59 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/08/09
ADDRESS 1633 W 12TH ST SUBDIV
TENANT NBR JOEL /JESSICA J PANKEY
CONTRACTOR PENINSULA HEAT INC PHONE (360) 681 3333
OWNER JOEL /JESSICA J PANKEY PHONE
PARCEL 06 30 00 0 3 5932 0000
APPL NUMBER 09 00000573 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /5Q COMPLETED RESULT RESULTS /COMMENTS
ME99 01 7/08/09 gL\n MECHANICAL FINAL TIME 01 00
June 30 2009 8 30 12 AM 1pangrle
JESSICA 477 4443
MECHANICAL FINAL HEAT PUMP
AFTERNOON
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
9KW furnace 2 ton HP
Owner
Pankey Joel
1633 W 12TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
tN 21f/O9
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98363
09 00000591
001020
1633 W 12TH ST
06 30 00 0 3 5932 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457 5303
ELECTRICAL ALTER RESIDENTIAL
148643
59 50
6/18/09
12/15/09
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT
Special Notes and Comments
June 17 2009 8 38 33 AM Brian 417 4708 OK
Fee summary Charged Paid Credited
Permit Fee Total 59 50 59 50 00
Plan Check Total 00 00 00
Grand Total 59 50 59 50 00
Date 6/18/09
WA 98363
'!5'Z "4g$
Due
DATE RESULTS
7 10 6 9
7 /469
00
0
Extension
57 50
2 00
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
06/17/2009 06 39 FAX 360 452 3498
City of Port Angeles Permit Application
Buildhp DMslon1Electdcal Inspections
921 East Fifth Sheet-P.O. Box 1150
Pert Angela Warrington, 51312
Ph: (360) 4174735 Fat (300) 417.4711
Date: ‘67 /Z
2 Single Family Dwelling
Multi-Family or Commen:ier
Commercial Addition Alteration Remodel I Repair'
Plan Review
Job Address: Be Required, P Complete Electrical Plan Review Information Sheet
1.../
Building Square Footage: 4
Description of above ifell �ir/1r7��►
Sae/
Owner Information Contractor Information
Name: Name: /PJ�,y! e f Ge�
Ma& Address: a Me n Ad
City: State: /../..1 Zp: J,6 V Cily: Stets: 4 4.77 Zip: �P' 7' Phone:y 7 44'r� Fez Phone:y� T Fax: 9 1 rove"
License 0/ Exp. License Exp. /'OY.o9es s02
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$11525
$131.25
75.00
69.00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
$57.50
86.25
43.75
Owner as della by RC W 19.21ZG7: (7) Owner will occupy UN sfrucnne for two years aftertMs eboMcal pema7is Roared (2) aver Is mulled to hhe an
electrical contractor ffabove said property Is for sale tent or lease.
After reading the show alinement, I hereby certify that 1 en the owner of the above named property or licensed electrical contractor. I am reciting the electrical
Installation or alteration In compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.458, The City of Port Angeles Municipal Code, and
Utility BpeeIlIoatione.
Stature of owner, aMeeicel contractor or electrical administrator
Qy
Hate /07 /vr
RECEIVED
JUN 1 7 2009
LIGHT DEPT
'attar r Mullioned by Unit COuggl
ServloelFeeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401 -600 Amp.
'5 Sov ceReeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
$_57 ,s Branch Circuit WIO Service Feeder
Each Additional Branch Clroull
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201.400 Amp.
Temp. Service/Feeder 401 -600 Amp.
Temp. Servlcafeeder 601 -1000 Amp.
Portal to Portal Hourly
Sign/Outline Lighting
5 Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi-Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 51(VA System or Less
First 1300 Square Ft
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
47-1- Total
Cash
Check
TYCredlt cord
PA CITY INSPECT Ili 001/U01
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
T stat for 9 kw furnace
Owner
Pnakey Joel
1633 W 12TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
WA 98363
Qty Unit Charge Per
1 00 43 7500 ECH
14 718109
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
ELECTRICAL HEATPUMP
148262
43 75
6/15/09
12/12/09
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00000574
313786
1633 W 12TH ST
06 30 00 0 3 5932 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
EL LVT THERMOSTAT
Plan Check Fee
Valuation
Special Notes and Comments
June 12 2009 9 18 58 AM Brian 417 4708 OK
Fee summary Charged Paid Credited
Permit Fee Total 43 75 43 75 00
Plan Check Total 00 00 00
Grand Total 43 75 43 75 00
DATE.
7 /ele9
Date 6/15/09
ALL WEATHER HEATING COOLING
302 KEMP RD
PORT ANGELES WA 98362
(360) 452 9813
Due
RESULTS
0 0
0
Extension
43 75
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
06/11/09 13 18 FAX 3606812086
City of Port Angeles Permit Application
Building DMzionlElectricai Inspections
321 East nth Street P.O. Box 1150
PortAngeles Washington, 90362
Ph: (360) 4417 Fax: (360) 417 -4711
Date: G 2-
2 Single Family Dwelling
Multi- Family or Commercial'
Commercial Addition /.Alteration Remodel Repair
Plan Review May Be Required, Please Complete Electrical Plan Revtiew Information Sheet
Job Address; A 3 3 GJ a: X}2 t
Building Square Footage:
Description of above Z17 5 1 /6 LE/ L7o l 4Gi e �>r m DS f�•f tea
/1 /d 4 :14'4e...4'Y) y—
Owner Infg wafiopp
Name; ,toe. a resew, Am e
Mailing .dre 37_0 I
City: State: iJi 4= Zip:
Phone' yT! Fax
License Exp.
Unit Charm
5 93.75
$113.75
$160.00
$205.00
$29125
$too
57.50
2.00
$72.50
8625
$11625
$13125
S 75.00
69.00
5 75.00
550.00
550.00
93.75
80.00
S 8625
27.50
57.50
86.25
43.75
Sign* o of armor, electrical tractor or electrical administrator
RECEIVED
JUN 1 2 2009
LIGHT DEPT
Peninsula Heat x'0
Contractor InWation
Name: PriT A r7 51,c /e2 a.7 i ?e
wing Ao d raw: '7 r►—
City; 3 ecru vier State: Z1p: ei
Phone; 6 r 3 Fax 5{/ D k
License 1 Expel^ /t/i A) /4/. Serf.) 1 .14 /I W_
Qty Total (Oty MufNoIjgglygnaShargel
Service/Feeder 200 Amp,
S Service/Feeder 201-400 Amp.
S santo/Feeder401-600 Amp.
Servic&Feeder 601 1000 Amp.
S ServioalFeaderover 1000 Amp.
Brandt Circuit W/ Sente Feeder
5 Brandy Circuit W/o Servloe Feeder
Each Additional Branch Clm ult
S Temp, Serviral Feeder 200 Amp.
S Temp. ServicalFeeder 201 Amp.
S Temp. SeMoelFeeder401 Amp.
S Temp. Service/Feeder 601 1000 Amp.
I Pod b Portal Hourly
Slgn/Oultine lighting
Signal Ciar$/ Oinked Energy. Commercial
5 Slgnat ircumW Limbed Enemyy -18 2 randy Dwelling.
Signal Circuit/ Limited Energy= Mud-Family Dwelling
Ma vis:ha d Home Connection
Renewable Etedrtcal Energy SINA System or Lase
S .First 1300 Square Ft.
Eac h AddEoihal 500 Square FL or Portion of
Each Outbulding or Detached Garage
S Bach Swimming Pohl or Hot Tub
u X .'7 S Tthemu>stat
Total
Owner as defined by RCW.19.21.261: (1) Owner will occupy the structure for hope= alter Mis ekcblealpermit Is finalized (2) Ownvls required to hire an
electikei contractor above said properly 1s for sale, rent or loam
AIter reading the above statement, I hereby certify that t am the merit the above named property or a licensed electrical cant actor. i'am making the electrical
Installation or alteration In compliance with the electrical laws, N.EC., RCW. Chapter 19.20„ WAC. Chapter 296-46B. The City of Port Angeles Municipal Code, and
Utlilty Specifications.
D� Cash
b Checdr
�credit Card 1
F/LE
i
NNW
0
.J
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 09 00000573 Date 6/11/09
Application pin number 367146
Property Address 1633 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 5932 0000
Tenant nbr name JOEL /JESSICA J PANKEY
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 7400
Application desc
INSTALL HEAT PUMP
Owner Contractor
JOEL /JESSICA J PANKEY PENINSULA HEAT INC
1633 W 12TH ST 782 KITCHEN DICK RD
PORT ANGELES WA 98363 SEQUIN WA 98382
(360) 681 3333
Permit MECHANICAL PERMIT
Additional desc INSTALL HEAT PUMP
Permit pin number 148254
Permit Fee 64 80 Plan Check Fee 00
Issue Date 6/11/09 Valuation 0
Expiration Date 12/08/09
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 14 8000 EA ME FURN /HP /FAU OR 5 TON 14 80
Fee summary Charged Paid Credited Due
Permit Fee Total 64 80 64 80 00 00
Plan Check Total 00 00 00 00
Grand Total 64 80 64 80 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 fora 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 presu to give authority to violate or cancel the provisions of any
state or local law regulating construction or t e performance of ns r ction.
0/4 Date Print Name Signature ontractor or Authorized Agent Signature of Owner (if owner is builder)
T.FormsBuilding Division/Building Permit
eigh
6
09
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T /Building Division /Building Permit
Inspection Type
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
T"
3
06/11/09 13 18 FAX 3606812086
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles. WA 98362
(360) 417-4815 fax (360) 417 -4711
Applicant AW /116 cc e
Property Owner :lee/ 1;01,4/
Property Owner's Address /4 3 3 t /Z Y S
Contractor Je il n Ll s /4 j-fra t: Phone
Contractor's Address 7S k G k__ /C J/ m i,r 83 F
License* ()EN//l.J/ ires /b /1K 110 e �e i b ea*� i en
PROJECT ADDRESS T tit) Ja Sf
Parcel Number
er ect Tyne 6 Brief Description: ri4 sklentIal a Multi- fimlly
Check all that apply
o New Construction
o Addtion
o Remodel
a Repair
o Demordion
a Rif
h'f eat System
a Other
v Hguse o garage a other a tear off rarvof o lay over one layer
ir f leat pump a wood-burning stove o gas fireplace o pellet stove a other
Floor Areas Exlstlna (sa. ft Per posed (so. R)
Basement
1 Floor
2" Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Peninsula Heat ra 02
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
I have read and completed this application and know it to be true end correct I am euth
that Vs responsibility to determine what permits we required. and to obtain permits p
0 /A Date 9 Print Named fr- 47' 4th -1 7 Signatu
T:FonnslBtdldi g Division aldg Pennildoc
For City Use Onyx
Date Received in -11-09
Permit 513
Date Approved
Phone C 3 3 2
Phone
i
Lot Zoning
o Commercial o Industrial
per sq. ft.
TOTAL VALUATION 7 1,40 t
Total footprint of structures sq. ft. 4 Lot size sq. f Lot coverage 96
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 96
or bedrooms
of full baths
*of half baths
a pply kw is it and understand
frig
.... CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
1:31.11LI~II~II,~ I"~'I"¢MI I ISSUED: 7/09/2002 PERMIT NO: 1351
OWNER/APPLICANT PROPERTY LOCATION
1633 12TH ST W
ROGER SOVDE Lot: 12
364 W. WASHINGTON
SEQUIM, WA 98382 Block: 359 [] Long Legal
3601683-5532 Subdivision: SURVEYV24 P2
T: S: Parcel No: 063000035932000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
2061000-0000 360/000-0000
PROJECT INFO
Project Value: $125,096.00 SFD Units: 0 Commercial: 0
Project Type: NEW SFD SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFS) Uhits: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
NEW 1448 S.F. RESIDENCE WITH 864 S.F. GARAGE GAS LINES, FURNACE,
PLUMBING, MECH
FEES ASSESSMENT
Building Permit: $1,139.35 Misc Fee 1: $0.00
Plan Check: $455.74 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $1,793.14
Plumbing: $96.00 AMOUNT PAID: $1,793.14
Mechanical: $97.55 BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within f 80 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances govern ng this type of work will be complied with whether specifled~erein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local Ja~w/regulating construction or the performance
construction.
Signature of Contractor or Authorized Agent Dat~ Signaf~of Owner (if ow~e~ is builder) ~ Da e
T:\PLANNINGkFORMS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MIN/MUM 24 HOUR NOTICE. ITI$ 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 I DATE [ YEsACCEPTEDI NO COM MENTE
m0T~NGS Z- 7' cZ. /-~/1
WALLS/ROOF/CEILING
WOOD STOVE / PELLET / CHI~EY
BUILDING 417-4815 ~ -'~ - 0,'~ g7 BUILD~G
O~~'~nr '~' FOR OFFICIAL USF. ONLY:
BUILDING PERMIT - APPLICATION
~ ~e Bui/ding ~e~it - Pre-application must befl~ed out compl~ely.
P}ease ~ or print in in~ If you have any qu~fiom, ple~e =all 417~815
~chitec~n~ne~r: Phone:
Con~acto~ License g: Exp: Phone:
Ad.ess:
PRO.CT
LEG~ DESC~PTION: Lot; t ~ Block:~ Subdiv~sion:~U~ ~ '~
CL~L~ CO~ P~CEL ~ER: ~ Q~ - ~{ Card Holder Name:
Billing Addr~s: CiW:
Credit Card ~: Exp. Date: ~ ~SA MC.
~E OF WO~: S~EN~UA~ON:
~ R~idenaal ~ NewCom~. = Re.roof ~ Woo&love I~q% SF.~$ ~ /,SF.=$
~ Mul~-fa~ly ~ Addition ~ Move g Garage '~4 SF.~$ ~ /SF.=$
~ Co~ercial ~ Remodel ~ Demolition ~ Deck 1~5~ . SF.~$~/SF.=$
~ R~a~ ~ Sign ~ TOTAL VALUATION $
CO~ERCIM.~SIDENTI~: Occupancy Group: ~-~ Occupant Load: ~ Cons~ction ~ype:
No. of Stories: ~ Lol S~e: ~o' x 16~' % Lo~ Coverage: ~ I %
Exis~g Lot Coverage: ~ /sq. ff. * Proposed Lot Coverage: I ;& % ~ /sq ~. = TOTAL LOF COVE~GE: I ~ ~ Z /sq.~
PL~G USE O~Y: APPROVES: PL~
Notes: BLDG.
DPW
ESA~etland(s): ~ Yea ~ No SEPA ~ecklist required? D Yes E No O~er: OT~ER
B~D~G PE~T ~PLICATION S~: Your ~plicaton and gte p~n must be filled out completely to ~e accepted for
review. ~e Buildup Division c~ provide you wi~ more de~fled mfo~a~on on ~e application and plan submi~l requJremen~ Yom
completed applica~on, site pl~ (for add~tions) ~d bu~d~g cons~c~ion plus ~e to be sub.ced to ~e Building Division.
V~UATION OF CONS~UC~ON: In all ~s~, a v~uafion amount must ~ enter~ by ~e applicant. ~ figure ~ill be reviewed
and ~y be revmd by ~e Bu~d~g Div~ion to co~ly ~ c~ent fee schedules, Contact ~e Pe~t C~rd~tor at 4174815 for assismce
PL~ C~CK ~E: Your pl~ check fee is due at ~e ~e ~e building ~ a~lica~on and cons~c~on plans ~ submi~ed. All o~er
pe~t fees are due at ~e t~ne ofpe~it ~ssuance.
E~TION OF PL~ ~W: If no pel~it is ~ssued wi~ 180 days of~e date of application,
Build~g O~cial c~ extend ~e ~e for action by ~e applicant up to 180 days u~n ~Uen request by
the Unifo~ Bulldog Code, c~ent edition). No application can be extended more tMn once.
I hereby cert~ that I have read and examined this applica~on and ~ow the same to be t~e and correct, and 1 am authorized to apply for
this pe~it I understand it is not the Ct~'s legal respon$ibili~ to dete~ine what pe~its are required: it remains the applicant's
respons~bih~ ~o ~ete~ine what perm~t~ are required and to obtain such.
) CATALOG NUMBERS OF
;-TIE COMPANY. EQUIVALENT DEVICES
!D ICBO APPROVAL FOR EQUAL LOAD
ALLEY
7'-0" SEBACK K ~ ~'~ 7I-0j' SETBACK
I 'SFD
I' ~ !
I
,~.~ '
I I
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: /
Date ~ --*~'~ '--~'~-~ Time Received by ~,, ~ (phone, person)
Location of Work to be inspected /~-'._'~ _-'> ~_~_l t ~ ~
Name of person requesting inspection
Address of person requesting inspection Phone No. ~'/~/~'~' ~
Type of Inspection (circle appropriate one): Permit No.
Sewer ~ Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date ?. ~ Time By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved {-IGravel r~Asphalt I~PCC I~Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~/,~/,/~---- Time ~-~'¥~- Received by ,~-/~--'--- (phone, person)
Location of Work to be inspected / ~'~'~ (.4.~/~ ~*/~ $ ~
Name of person requesting inspection ??'"' cJ ~ ~': ,s c~
Address of person requesting inspection Phone No.
Permit No. /,~ O'-/~
Type of Inspection (circle appropriate one):
·
Sewer raining Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date e--7- (3-7' Time By ~'~/"
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~,_/L/~c_.__ Time Received by~/'~ L~'~ (phone, person)
Location of Work to be inspected /'~"~ ~ ~J'
Name of person requesting inspection
Address of person requesting inspection Phone No~_~
Type of Inspection (circle appropriate one): Permit No.
Foundation Framing Chimney~umbin~? Final Sewer Excav. Other
Sewer
¥ -
INSPECTION NOTES: '~ ,~.~-
Inspected: Date '" ~-~" '2'. ~ Time By
Remarks: ,-,~
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel ~]Asphalt I-~PCC [~Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: ~?
Date '/~'P') ' ~; ~/ ' ~ '~
· :-~' '- Time Received by ~ (phone, person)
Location of Work to be inspected ~
Name of person requesting inspection
Address of person requesting inspection Phone
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimne~ Pl~bin~ Final Sewer Excav. Other
INSPECTION NOTES:~ ., ~
Inspected: Date /i~ ~L~ ~ Time By '~:' ~
Remarks:
RESTORATION REQUIRED ...... YES NO
~URFACE RESTORATION:
SURFACE TYPE: [] Unimproved ~JGravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date IS '~l(c)~)~>-~ Time Received by ~[~ V (phone, person)
Location of Work to be inspected i ~ L~ j ~ '~ ~'
Name of person requesting inspection ~)~*~_ ~'~.D
Address of person requesting inspection Phone No. ~;-~/~
Type of Inspection (circle appropriate one}: Permit No.
Sewer Foundation ~Chimney Plumbing Final Sewer Excav. Other ~/~/~
INSPECTION NOTES: ,~~
Inspected: Date / '~ '~/~- ~)~-~' Time_ By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved {~Gravel [~]Asphalt [~]PCC [~Other
[] Repaired by City Work Order #
~} Repaired by Permittee [] COMPLETE
I--] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date Time Received by / (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other '
INSPECTION NOTES:
Inspected: Date Time By
Remarks:
RESTORATION REQUIRED ...... YES NO.
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel ~-~Asphalt /--~PCC ~}Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[~1 No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES v.
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date / -- ~'-~- d_~-~ Time Received by '"~ ~// (phone, person)
Location of Work to be inspected / ~--, ~ ~ / ~ ~
Name of person requesting inspection ~ ~
Address of person requesting inspection Phone No. ~ ~-,~
Type of Inspection {circle appropriate one): ~,~ Permit No. /2~ ~ ~
Sewer Foundation Framing Chimney PlumbingS:Sewer Excav.
Other
INSPECTION NOTES: /
Inspected: Date : Time By ~
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt [PCC [~)Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: /
Date ~//~>. Time Received by (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing ~wer Excav. Other
Inspected: Date
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~]Gravel {~Asphalt []PCC ~lOther
[-J Repaired by City Work Order #
[] Repaired by Permittee L-~ COMPLETE
~-} No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
BUILDING DIVISION
CITY OF PORT ANGELES
Correction Notice
Job Located
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call ~z~-///7 -~-//~/%--
for inspection.
Date
Inspector for E~uflcling Division
DO NOT REMOV~ THI~S~T~(~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date .:~'~ ~ r-- ~ Time Received by /~ ~ (phone, person)
Location of Work to be inspected '/~-~ ~>~' ~/~ /~-
Name of person requesting inspection ~1~ ~O~_
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing ~Sewer Excav. Other
INSPECTION NOTES:
Inspected: .D~tff ~ ~' { ~ '~. Time. By ~ )/
Remarks: ~S~ ~ ~/~
RESTORATION REQUIRED ...... YES ~O
;URFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~]Gravel [~Asphalt [~PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [~ INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TIt STREET. PORT ANGELES. WA 08362
ELECTRICAL PERMIT ISSUED: 7/3012002 PERMIT NO 7761
OWNER/APPLICANT PROPERTY LOCATION
ROGER SOVDE 1633 12TH ST W
364 W. WASHINGTON Lot: 12
SEQUIM, WA 98382 Block: 359 ~ Long Legal
360/683-5532 Subdivision: SURVEYV24 P2
T: S: Parcel No: 063000035932000
CONTRACTOR ARCHITECT
COLEMAN ELECTRIC N/A
PO BOX 1326
PORT ANGELES, WA 98362 , 98360-0000
360/452-7594 360/000-0000
PROJECT INFO
Project Type: TEMPORARY SVC. Project Value: $0.00
Occupancy Type: Construction Type: SERVICE TEMP.
Occupancy Group: Zoning Use:
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[~ Furnace 0 KW [] Overhead Service Voltage: 0 ~,,~
[] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3
[] Fan Wall 0 KW Service Size: 0
Feeder Size: 0
PROJECT NOTES
TEMP. POWER FOR SFD.
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Tamp Service: $39.80
Misc Fee: $0.00
TOTAL FEE: $39.80
AMOUNT PAID: $39.80
BALANCE DUE $0.00
COMMJ:NTS/A~CTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417~,735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ~4NY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PIAdqS AT JOB SITE
DITCH
ROUGH-IN / COVER
SERVICE
FINAL I ~//~/f'~ I~r-~g[
GENERAL COMMENTS:
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL
DIVISION
321 F. AST 5TH STREET, PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 12/13/2002 PERMIT NO 7934
OWNER/APPLICANT PROPERTY LOCATION
ROGER SOVDE 1633 12TH ST W
364 W. WASHINGTON Lot: 12
Block: 359 Long Legal
SEQUIM, WA 98382
360/683-5532 Subdivision: SURVEYV24 P2
Parcel No: 063000035932000
T: S:
CONTRACTOR ARCHITECT
COLEMAN ELECTRIC N/A
PO BOX 1326
PORT ANGELES, WA 98362 , 98360-0000
360/452-7594 360/000-0000
PROJECT INFO
Project Type: RES.NEW Project Value: $0.00
Occupancy Type: Construction Type: NEW S.F.R.
Occupancy Group: Zoning Use:
Electrical Heat:
Baseboard 0 KW LJ Riser ~5~ Underground Service
~ Furnace 10 KW Overhead Service Voltage: 120,240
~ Heat Pump 5 KW Temp Service Phase:
~ Fan Wall 0 KW Service Size: 200
Feeder Size: 0 ~'-
..OJEC .O ES
RECEIPT # 9952
FEES ASSESSMENT Service: $138.90
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $138.90
AMOUNT PAID: $138.90
=~ALANcE DUE .....
COMMI:NTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL I~SPECTiONS. PLEASE PROVIDE A ~ 24 HOUR NOTICE. ITIS UNL,4 WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE [ yI~ACCgPTED{ NO COMMENTS
DITCH
ROUGH-IN / COVER
SERVICE
GENERAL COMMENTS:
PW-1102.15 [4D6]
Jul 30 02 08:1 a
8obb~ O. Coleman
360-452-7594
p.l
ti'O:'O='~~ .
~ ,'....
. lJ
~""
rQllOffICIAt. USE o~"
DIII&I'bc-:...~_.__.
,..,..,;,,,. -----
Ib.I"App_-______..
ELECTRICAL PERMIT APPUCA nON
The Electrical Permit Application must bP- fillQd oul comDletelv_
'if ?'l t./
Please type or reprint in ink. It you have any que$lloos. please call (360) 411 ~
4735
Fax number: (J6D) 417-4111
Owner or Erec. Co."actor~t .' ~ f' JY1~
Property Ow." ~ /-:K -s.C: ff'
Addr.,,, / c- g -'"> CJ I,;L '--' 7' City:
ElectricalContraclOr: CJ/~_ F~...c'"~
REQUEST INSPECTION 0
Phone' 2 .- 7r5-'Y Fax: 2-.- 7~ ...~/ ,~-
Phone:
lip:
license II:
op:
P'honc'
Address:
City:
Zip:
INSTALLATION WIRED BY: LJ OWNER _ ~ECTRICAL CONTRACTOR
CredllCardHolderName: c?c,Jc~~. k-16C~, c
BjJJiog Address.
Credit Cant Number-'17Cr J -.~'I.:JD -307'1 -4'17 I
City:
tfo~
Zip:
VISA1 Me,--
Exp. Dale:
PROJECT AD!JRESS'
/({,53
1<:/ / .z.~y
TYPE OF WCIRK:
Check all thaI apply: 0 New
o AllerationlAddilion
~esidential' 0 Multi-family
Remote Meier 0 Detached garage
o Commercial 0 Mobile Home
Sq. Ft
o Hot Tub 0 Swim Pool 0 Septic Pump
o Low Vol1age 0 Telecom.
DSign
Number of Ci/t:uils added or altered:
DESCRIPTIOI. OF THE ElECTRICAL PROJECT:
"7;i/n /.?
t
:...J Baseboard
o Furnace
o Heat Pump
::J Fan-Wall
_KW
_KW
_ TON_LRA
_KW
PERMIT FEtEf.:lq PiC;
Rtc;lt' tJ'I8s
ServicQ Information
Electrical Heat Load Additions
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
FeederSize:_
I hereby certify that I have read and examined this application and know Ihat same to be true and correct, and I am
autltUlizt:d to "pply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required: it remains the applicants responsibility 10 determine what permits are required and to obtain such.
Credit Card Holder's Signature:
~c?A~
Date: ?:;2 '7 . t!J .::....
Owner or Elec:. Cont. Signature:
C:lELECTRIGALPERMITAPPLICA TION
Dale:
_ Bobb~ O. Coleman
360-452-7594
p.l
&'31
ELECTRICAL PERMIT APPLICATION
FOJl;OFFICl....L USEONl.Y
Do.IoilI.= ...._____
Ptnni._.___..____
O...Aflf"o1<nl.__._..__..
The Electrical Permit Application must b~ 'i.lad out comDlelelll_
Property Ownef:
Plea$e type or reprint ill 'ok. If you have any qUlilliitions. please call (360) 417-
4735
FiiJ( number: (360) 417-4711
REQUEST INSPECTION )l't
Phone'~ - ?57'y' Faxc
(7V 6 Phooe 663 ~ ~~.sz..
City 7/ /J-
,
#-79'Y1
Address:
lip:
Electrical Contractor
Address:
5:}7
LU / G, /-/\.
City"
Licen~e fl.:
/.::/ /J.
.
Ex~:
P hotH~.
Zip:
INSTALLATION WIRED BY:
DOWNER
a
~LECTRICAl CONTRACTOR .
)~~~~ ~-~;C/~i~
Credit C"n:! Holder Name-
Billing A<<Jdress.
Credit Carn:! Number-
PROJECT"ODRE~~ S
(- . --
TYPE OF WORK:_ Check;ill that appIY,:,-,~w- 0 AlleralionlAddition
~Sidefltial [] Multi-family [] Commercial [] Mobile Home
.--
CiIy:
E~
/d~
Zip:
VISA'----. MC,---
w
Sq. Fl
jtl'T~ SQ -h- ~~:> .;231.:z.
Hv,..-,t. - / ~'E.5Q f-r
o Low Voltage 0 Telecom. 0 SIgn I
Remote Meter IJ Detached garage 0 Hot Tub [] Swim Pool 0 Seplic Pump
Number ot" Cirt:uils added or altered: ~.5
dIU
~
-
OESCRIPllION OF THE ELECTRICAL PROJECT:
Electrical Heat Load Ad.dj~jgM
U Baseboallj
J(F umace
:>CHeat Pump
CJ Fan-Wall
_KW
~KW
;z.Vo.TON_lRA
_KW
PERMIT FEEf'/ .'5 p, .9-0
/Pee-# 995.).
Servke Information
o Overhead Service
o Temp Service
'!><Ynderyround Service
Vollage: 1"2.0/2.- 'iD
Phase: ~1 #03
Service Size: "'7~
Feeder Size:
I hereby certify that I have read and examined this application and know that same 10 be true and correct. and I am
authotized Co apply /or Ihis permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to defermine what permits are required and 10 obtain such.
Credit Card Holder's Signature:
~5Iw~
Dale:
Owner or Ele(;. Cont. Signature:
C:lELECTRICALPERM IT APPLlCA liON
Dale:
o-r:-.
~
1'(4 l-I ISE: 6{-re i:>';>IDkJ
PA(fJ c{..... a.:rvvttle-r60
8!r'3/t)'Z-
W5 14&3
~c~
/.2.ftzloz-
~J