HomeMy WebLinkAbout1628 W 7th St - BuildingPREPARED 1/07/11 8 13 13 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/07/11
ADDRESS 1628 W 7TH ST SUBDIV
TENANT NBR CAROL L BROWN
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683 3901
OWNER CAROL L BROWN PHONE (360) 452 4137
PARCEL 06 30 00 0 2 4724 0000
APPL NUMBER 10 00001398 MECHANICAL APPL PERMIT
PERMIT
TYP /SQ
ME99 01
ME99 02
ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS /COMMENTS
1/05/11 PB MECHANICAL FINAL TIME 01 00
1/05/11 DA January 4 2011 1 35 41 PM 1pangrle
BOB 452 4137
MECHANICAL FINAL HEAT PUMP
AFTERNOON
January 5 2011 4 42 58 PM pbarthol
Secure outside unit to the concrete
MECHANICAL FINAL TIME 01 00
January 6 2011 2 11 27 PM 1pangrle
BOB 452 4137
1W MECHANICAL FINAL HEAT PUMP
AFTERNOON
1/07/11 JLL
COMMENTS AND NOTES
PREPARED 1/05/11 8 54 56 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/05/11
ADDRESS 1628 W 7TH ST SUBDIV
TENANT NBR CAROL L BROWN
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683 3901
OWNER CAROL L BROWN PHONE (360) 452 4137
PARCEL 06 30 00 0 2 4724 0000
APPL NUMBER 10 00001398 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 1/05/11
t 7
JLL
MECHANICAL FINAL TIME 01 00
January 4 2011 1 35 41 PM 1pangrle
BOB 452 4137
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
DUCTLESS HEAT PUMP
Owner
CAROL L BROWN
1628 W 7TH ST
PORT ANGELES
(360) 452 4137
Qty
1 00
2 00
Permit Fee Total
Plan Check Total
Grand Total
WA 98363
Permit
Additional desc
Permit pin number 179028
Permit Fee 78 70
Issue Date 12/17/10
Expiration Date 6/15/11
Unit Charge Per
73 5000 ECH
2 6000 ECH
Fee summary Charged
78 70
00
78 70
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
10 00001462
651446
1628 W 7TH ST
06 30 00 0 2 4724
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
ELECTRICAL ALTER RESIDENTIAL
EL BRANCH CIRCUIT WO /FEEDER
EL ECH ADDNT BRANCH CIRCUIT
Paid Credited
78 70 00
00 00
78 70 00
INSPECTION TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Plan Check Fee
Valuation
Date 12/17/10
REPORT STATE SALES TAX
0000 on your excise tax form
to the City of Port Angeles
(Location Code 0502)
RESULTS
1412r /rn 44
WA 98363
0 0
0
Extension
73 50
5 20
Due
00
00
00
INSPECTOR.
Y
Date
RECEIVED ice
or 110110
CITY OF PORT ANGELES PERMIT APPLICATION Division /Electrical Inspections DEC 16 2010 IL 11
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 u
Ph. (360) 417 -4735 Fax: (360) 417 -4711. ELECTRICAL
INSPECTIONS
Date: 1, 7 /Q
L 1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration I Remodel I Repair*
Plan Review May B Required, Please Complete Electrical Plan Review Information Sheet
Job Address: /�o S4--
Building Square Footage:
Description of above ).1de;kl_?* S 11 P G_re
Owner In rmation
Name: f5�1 /J�< h
Mailing m /C
Ad ss '7- M Add f
City State: 111 p 4 Slate: 171; Zip: Zip: 9 S4 3 City' 6-2
Phone: Fax: Phone:!-( .7- 9.,2.7A Fax: "L IL.• it-
License 111 Exp. License #1 Exp. 1 7Yt.P..5'� ct_n as...4)
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
,I1 Credit Card
19 torn Yti;c
Contractor Information
Name: s. Ser. VAE.r -1 C LLC.,
Total Igti Multi/ died by Unit Chantal
Item Unit Charge 9.W
Service /Feeder 200 Amp. 119.90
Service/Feeder 201 -400 Amp. 145.50
Service/Feeder 401 -600 Amp 204.60
Service/Feeder 601.1000 Amp. 262.20
ServicelFeeder over 1000 Amp, 372,50
Branch Circuit W/ Service Feeder 2.60
Branch Circuit W/O Service Feeder 73.50 I $__7i• E
Each Additional Branch Circuit 2.60 S: a
Temp, Service/ Feeder 200 Amp. 92.70
Temp, Service/Feeder 201-400 Amp. 110,30
Temp, Service/Feeder 401.600 Amp. $148.70
Temp. Service/Feeder 601.1000 Amp $167.90
Portal to Portal Hourly 95.90
Sign/Outline Lighting 88.20
Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi Family Dwelling 63.90
Manufactured Home Connection $119.90
Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $110.30
Each Additional 500 Square Ft, or Portion of 35.20
/eY 7( Total
Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. i 2) Owner is required
to hire an electrical contractor if above said properly 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 co *actor I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296- '6B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signatu •f owner, electrical contr to or electrical administrator Ci Cash Check
Dated: M
0110112010
or—
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
DUCTLESS HEAT PUMP INSTALLATION
Owner
CAROL L BROWN
1628 W 7TH ST
PORT ANGELES
(360) 452 4137
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
14 8000 EA
T Forms /Building Division /Building Permit
WA 98363
Per
Charged
10 00001398
540508
1628 W 7TH ST
06 30 00 0 2 4724 0000
CAROL L BROWN
MECHANICAL APPL PERMIT
RS7 RESDNTL SINGLE FAMILY
3821
Contractor
BASE FEE
ME FURN /HP /FAU OR 5 TON
Paid Credited
64 80 64 80 00
00 00 00
64 80 64 80 00
AIR FLO HEATING
221 W CEDAR
SEQUIM
(360) 683 3901
Date 12/02/10
CO INC
WA 98382
MECHANICAL PERMIT
DUCTLESS HEAT PUMP
178210
64 80 Plan Check Fee 00
12/02/10 Valuation 0
5/31/11
Due
Extension
50 00
14 80
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required forelectrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
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
f7136J PITT le-
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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
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 V)
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
Inspection Type
Date Accepted By
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
FINAL Date
Comments
FINAL Date Accepted by
I Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
(5,
oo
Pis V)
3
12/01/2010 WED 13 38 FAx 360 683 3971 Air Flo Heating Co.
Applicant or Agent Q� 9.j) I-k E 1't4t- Phone gyp (�g3 3901
Owner kob Eta M D L U UOvi f( Phone 36,0 t45 L4 3 `7
Owner's Address «a;.eg v4i 1 tLE1 foRr kN6 &1,E5 1nik q t36
Contractor /Engineer Alt pto Heim N6- Phone _30 (A3 3101
Contractor /Engineer's Address ,1 Ng Cebi i se av f M W evrn
License Expires
PROJECT ADDRESS I W 1 6 kkE1
Parcel Number Lot Zoning
Project Type Brief Des
Check all that apply
o New Construction
Addition
Remodel
Repair
Re -roof
o Demolition
o Sign
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
criotion. Residential o Commercial o Multi family Industrial
wall- mounted o projecting o freestanding o awning other
Total sign area so. ft. Maximum allowed sign area so ft.
Heat pump wood burning stove o gas fireplace o pellet stove y,other
Existina (sq. ft.) Posed (sq. ft.)
Total footprint of structures sq ft. Lot size
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
APPLICATION Print in ink
per sq. ft.
of bedrooms
of full baths
of half baths
0001/001
For City Use Only
Date Received 17-- 1- D
Permit# 10 —IS
Date Approved
TOTAL VALUATION 3�
sq. ft. Lot coverage
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, an o obtai permits prior to working on
projects.
Date' �O Print Name f 1--Le ►"■e v. as Signature
T:Forms /Buil ;in Division /Bldg Permit Appl -2006 Code.doc
Clallam County Assessor& Treasurer Property Details 58232 CAROL L BROWN for Page 1 of 5
Clallam County Assessor Treasurer
Property Search Results 58232 CAROL L BROWN for Year 2011 2012
I Property
Account
Property ID'
Geographic ID
Type
Tax Area.
Open Space:
Historic Property'
Multi Family Redevelopment:
Township'
Range
Location
Address. 1628 W SEVENTH ST
PORT ANGELES WA 98363
Neighborhood: Cycle 5 Res
Neighborhood CD 10955130
Owner
Name CAROL L BROWN
Mailing Address: 1628 W 7TH STREET
Taxes and Assessment Details
Property Tax Information as of 12/02/2010
Amount Due if Paid on. E. NOTE If you plan to submit payment on a future date make sure you enter the
click RECALCULATE to obtain the correct total amount due
i
[Year 1 Statement ID Taxing Jurisdiction
2010 41188 ST SCH STATE SCHOOL
2010 41188 CC -GEN COUNTY CL_ALLAM
2010 41188 PORT PORT OF PORT ANGELES
12010
2010
2010
2010
2010
2010
2010
41188
41188
41188
41188
41188
41188
41188
58232
0630000247240000
Real
0010
N
N
N
PA 121 PORT ST CNTY H2 L WMP Land Use Code
DFL
Remodel Property'
PORT ANGELES WA 98363
PORT ANG _CITY OF PORT ANGELES
SD #121 SCHOOL DISTRICT #121
NTH OLY LIB NORTH OLYMPIC LIBRARY
HOSP #2 HOSPITAL #2
WSMET PK DIST WILLIAM SHORE MET PARK DIST
CITY_STORMWATER CITY STORMWATER
WEED CONTROL WEED CONTROL
2010 41188 TOTAL.
12009 58232200$ SCH STATE SCHOOL
2009 582322008 CC -GEN COUNTY CLALL M
200_9 582322008 PORT PORT OF PORT ANGELES
9
1 200 582322008 PORT ANG CITY OF PORT ANGELES
i 2009 582322008 SD #121 SCHOOL DISTRICT #121
2009 582322008 NTH OLY LIB NORTH
Legal Description. LOTS 7 8 BL 247
Agent Code.
Section.
Mapsco
Map ID
Owner ID
Ownership
Exemptions:
First
Half
Base
Amt.
11
N
N
3 1 5 7
15642
100 0000000000%
Second
Half
I, Base
!Amt.
Penalty Interest 1 Base Paid
$263 64 $263 64 $0 00 $0 00 $527.28
$140.29 $140 31 $0 00 $0 00 $280 60
$19 72 $19 72 $0 00 $0 00 $39 44
$324 84 $324 84 $0 00 $0 00 $649 68
$341 48 $341 49 $0 00 $0 00 $682.97
$40 77 $40 77 $0 00 $0 00 $81 54
$57 56 $57 55 $0 00 $0 00 $115 11
$18 32 $18 31 $0 00 $0 00 $36 63
$36 0 $36 00 $0 $0 00 $72.00
$0 82 $0 81 $0 00 $0 00 $1 63
$1243.44 $1243.44 $0.00 $0.00 $2486.88
$299 53 $299 54 $0 00 $0 00 $599 07
$151 59 $151 59 $0 00 $0 00 $303 18
$21 47 $21 48 $0 00 $0 00 $42.95
$332.50 $332.50 $0 00 $0 00 $665 00
$370 42 $370 43 $0 00 $0 00 $740 85
$44 05 $44 04 $0 00 $0 00 $88.09
http. /vpn.clallam.net:8084 /propertyaccess /Property aspx ?cid =0 &year= 2011 &prop_id =58 12/2/2010
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Ethernet Fiber update
Owner
SCHOOL DISTRICT #121
216 E 4TH ST
PORT ANGELES
Qty Unit Charge Per
1 00 95 9000 ECH
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983623200
160 90
00
160 90
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
10 00000579
548327
1822 W 7TH ST
06 30 00 0 2 4950 0000
ELECTRICAL ONLY
PUBLIC BUILDINGS PARKS
0
Contractor
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc EACH ADDITIONAL1500 SQFT $5
Permit pin number 167189
Permit Fee 160 90
Issue Date 6/08/10
Expiration Date 12/05/10
SYSTEM TECH INC
9514 EAST MONTGOMERY
SPOKANE
(509) 590 1137
00
Plan Check Fee
Valuation
I! Jio tA)
Date 6/08/10
Paid Credited Due
00
0
#22
WA 99206
Zb 36 2 `43 b)
Extension
BASE FEE 65 00
EL LIMITED 1ST 1500 SQ FT 95 90
160 90 00 00
00 00 00
160 90 00 00
DATE RESULTS
Signature of owner or Electrical Contractor X Date
INSPECTOR.
clAP
x
d
Owner Informs 'o
Name: are'
Mailin Ad T ess: y 22- 7- 4 A nd-
City: State: Zip:
Phone: WI: 411119 Fax:
License 141 Exp.
I T£b 29E -902
Dated:
bAha
MEND
JUN o 7 2009
CITY OF PORT ANGELES PERMIT .APPLICATION E LECTRICAL
Building Division/Electrical Inspections INSPECTIONS
321 East Fifth Street P O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 77i D
1 Sing Family Dwelling Multi- Family or Commercial' Commercial Addition Alteration I Remodel I Repair*
Plan Review Be Required Please Completelectrical Plan Review Information Sheet
Job Address: _�1 f 5 C /e..e P
Building Square Footage: 11-1=t
Description of above y1 -s.1-0,..; f 4" 0 .-4-L l s f �Ear-v 4*" Q
Contractor Information
Name: hrif 9 ti
Mailing Address: ,2t C t tzt
City: Sr) t h Stale Ara__ Zip: 3
Phone' Fax:
License #1 Exp.
Item Unit Charge qty Total (Obi Multiplied by Unit Chargel
Service /Feeder 200 Amp, 119.90
Service/Feeder 201 -400 Amp. 145.50
Service/Feeder 401 -600 Amp 204.60
Service/Feeder 601 1000 Amp. 262.20
Service/Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60
Branch Circuit WO Service Feeder 73.50
Each Additional Branch Circuit 2.60
Temp. Service/ Feeder 200 Amp. 92.70
Temp. Service/Feeder 201-400 Amp. 110.30
Temp. Service/Feeder 401 -600 Amp. 148.70
Temp. Service/Feeder 601 1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign/Dunne Lighting 88.20 n 4v
Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 2l M r
Note: $5.00 for each additional 1500 sf
Signal Circuit! Limited Energy 1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi Family Dwelling 63.90
Manufactured Home Connection $119.90
Renewable Electrical Energy SKVA System or Less 102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Fl. $110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
Vita- VsTotal
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 -460, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14 05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or cal administrator Cash 0 Check
/Credit Card It
3WI H331 W31SAS Wd6S IT 0102 LO ufC
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
BROWN CAROLL
1628 W 7TH ST
PORT ANGELES
T Forms /Building Division/Building Permit (10 /01 /07).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
07 00001428
825584
1628 W 7TH ST
06 30 00 0 2 4724 0000
RE ROOF
RS7 RESDNTL SINGLE FAMILY
2890
Owner Contractor
WA 98363
Date 12/05/07
DIAMOND RFNG ENTERPRISES INC
P 0 BOX 2963
PORT ANGELES WA 98362
(360) 452 9518
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF /INSTL MTL 1/2 ROOF
Permit pin number 116970
Permit Fee 109 75 Plan Check Fee 00
Issue Date 12/05/07 Valuation 2890
Expiration Date 6/02/08
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
Du re i
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
2J 7 r)
Dati ,t Print Name Signature of Contractor or Authorized Agent Signature of Owner Of owner is builder)
INSPECTION TYPE
FOUNDATION•
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE /PELLET /CHIMNEY
COMMERCIAL HOOD DUCTS
I MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
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.
DATE ACCEPTED
YES NO
FINAL
COMMENTS
DATE ACCEPTED BY.
FINAL DATE ACCEPTED BY.
PLANNING DEPT SEPARATE PERMIT N's SEPA.
I PARKING /LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED I
YES NO I
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT I I I 1 R
PLANNING DEPT 417 -4750 I I j�/� h it I I I PLANNING DEPT I I I I 1
I
BUILDING 417 -4815 I I n i �-(1 I L.. I,r I BUILDING I I I I
T Forms /Building Division/Building Permit (10 /01 /07).wpd I
Applicant or gent 1) \o t c c 'CY t\ .1-t<
Owner C rO( t J
Owner's Ad ress A 2$' 1h
Contractor /Engineer Thce,v,A, f\c_
Contractor /Engineer's Address O �zlex `'�cj(O3 R A
License
PROJECT ADDRESS zS J 7
Parcel Number
Project Type Brief Desc
Check all that apply
New Construction
Addition
Remodel
Repair
'e -roof
Demolition
Sign
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures sq ft. Lot size
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
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
ription. Residential
t e.k Q..) C' r2 r bo
Ss-
A.D /C3
wall- mounted projecting freestanding awning other
Total sign area sq ft. Maximum allowed sign area sa ft.
Heat pump wood burning stove gas fireplace pellet stove. other
Existing (sq. ft.) Proposed (sq. ft.)
ft.
projects. CA f` f r
Date 2_ Print Name
T.Forms /Buil Division /Bldg Permit Appl. -2006 Code.doc
Commercial
Occupancy group
Occupant load
Construction type
Phone
Expires
Signature
4
For City Use Only
Date Received /2 s
Permit Q-7- l'{2 -0
Date Approved
Phone
Phone
Lot Zoning
Multi family
X 1- ou
per sq ft.
TOTAL VALUATION r. A go
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
Industrial
V-oo hr
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 to obtain permits prior to working on
/10
FEE RECEIPT NUMBER
CITY.OF. PORT. Af)lGELES
, DEPARTMENT OF LIGHT
APPLICATION AND. ELECTRICAL PERMIT
A
lObO
f PERMIT NUMBER
. .
.
TOTAL FEE
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CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site Address
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Owner
Owner's Address'
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By 0 (. 'I . f ( f C 'frt-I C
Installers Address
Day Phone . Installers Phone
A~plication is hereby m.ade for Permit to instal~ Electrical Equipm~.nt as follows:
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Wiring Method
.
AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT NUMBER PER 120V - 100A FEE USE OF CIRCUIT PER 10QR FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT ,. - 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE . MOTOR .
APPLIANCE MOTOR
DISHWASHEF3 .. - FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY. -
DRYER .. . - R~INSTALLATlON LIGHT FIXTURE Ii
FURNACE - SUB TOTAL. FEE -. ,
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUtT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
- . .
SERVICE A.W.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.
\
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.
Date Application made
. 19
By
Date Permit Issued
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby giyen to do the above ~~scrjbed work, according to the conditions hereon and accor ing the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances e City of Port Angeles.
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3/Z1 /17 . ~C.NS_APPROVED : "", . !.', <- .
Zti:V Department of City light by Street Address and Permit Number when ready for inspectIOn. Work' must not
be covered or current tu.rned on before. inspectIon and O.K. for covering or service has been given by Inspector in
Writing on PermjfPlacard. A.. Permits Phone: 457.0411 Ext. 158.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE.Origi!1ar CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
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__OL YMPIC..f'RINIERS,.~
REPORT OF INSPECTOR
DATE OF VISIT , MADE BY REMARKS
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O.K. FOR COVERING
, O.K. TO CONNEC~ SERVICE
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FINAl. O.K.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17553
Port Angeles. washlngton........~;r.:-..__.:C~t6.__.....n..........__...... 19nP
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.
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Address .";7\" ...."n7/'''7........n~~77'''0I7..n...................... Occupancy....^.~.m.................n
Owner ..:.;;/~~;.;.~..tP::t~~61.~:........ TenanL.................._n........_....n.......nn................n....
Wiring Contractor ...~~:....................m...... By..nnn.............n..n....................nn...n...m....n..
>-
Light OuUets......................................_..
Receptacle Outletsu./t2...................
Service, volts .......................................
No. wires ....__nn.............................
Dryer, KW....h._.......n__.____....____._________
Range, KW mnm__.__u____.__...m.au
Water Heater:
SIze wires..................................._..
Main fuse ....__n_.__.........__................
Enclosure ._..__nn_...........,.__.............
KW..m________.........___....._________
Type of wiring:
Entrance Cable .................h..........
Heat: KW.......__..h.....n.........n..............mn.
Motors: size, volts and phase:
Rigid Conduit .........n...........mmn.
Metallic Tubing ...................nn....
Current transformers:
No. & Size.............nnn.nn...........n_.
Ser. NO.n.................n..nn_n................
Ser. NO...........__n.......................
Ser. NO.....................n.........n....n
Type of Wiring:
Armored Cable ............................_
Non-Metallic _................................
Knob & Tube.................................:.
RIgid ConduIt .___......h...................
Metallic Tubing h_..............____......
Raceway ............._.........._......_......_
Circuits, Light.......................................
UtlUty.._.h_......................................
Ifeat ...............................................
Range ................................_.._.._._....
Water Heater .._m.nnnm...............
Motor __._........__...n.........._..............
Dryer ...........n.n.........._.....__.n_.n..n.....
Furnace .........................'_.un._.nn...n.
~~:~~~:~:.a~~;~~=~~~~::::::~~~:~:~~~~~h~~~:::::~~l:=~..h._:::_::.~.:._:.~~.:~::~:.
.;~.=.~~~~~~~.n~.......n....~....~~..~.......n::~.~.~:..:~.~.~~.~.~~.~....~~..................::~~lZz:1~2~.~~~
NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con-
cealed due noUce must be given the Inspector so that work may be Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
N~ 1 7553
ELECTRICAL PERMIT
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:::::s ..:~:n;:::;l?.ZJi:;_::.d..:2f..:::::::::~:::::::::::.::::::..::::::.:..~~:.a:.a.t~:::~::::::~::~::~::~:::.:::::~~;:::~::::::~:::::.:.
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Wiring Contractor....~...._._.n..........._............................................._._............. By.......__.....................................................
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NOTICE-Current must not. be turned on until Cert1flcate of Inspection has been issued. If work Is to be con-
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
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CITY O~PORT ANGELES"'"
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LIGHT DEPARTNENT
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ELECTRICAL PERMIT
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N'!
17447
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Port Angeles. Washington.........m....uo..___......uomuo..__.uom...uo..m. 19uo...._
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 electdcat work as listed below.
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Address .J__f__f?.._..______~_uo.J..uo~...--.......--.--uo----uo Occupancy__A~&t....m___________....__uo.____
Owner __,.;;l.!~~.~:,:!...r,!;;J:~.gL~t!:____uo:__.______. Tenantuo______.m.m_____...n__uo___uo____uouon__.mm__n..uo__..
Wiring C'~ntractor n!~~~~.uo.__....uon____uom____.__n_m. By__nnuo.__uo..uon____uo.uo....__n_________.n__.__.uom..__
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Light Outletsn____________________m__________.__..
if-
Receptacle OuUets....____..........._.___.......
Service, volts .........._............................
No. wires .....00__00............_.00__..........
Dryer, KW.n..__..n__.......____n__.....n_______
Size wires........______.._.._...______....._..
Range, KW n__....____.__n______.n_____n______n.
Main fuse .00......000000.00.......___.._...00...
Water Heater:
Enclosure __.....________._____.......__...nnd
KW.______mmnnn________mm__
Type of wiring:
Entrance Cable __________..n______n
Heat: KW.._....___..____.............n__.nn_.__n_
Motors: size, volts and phase:
Rigid Conduit ________m.m____._____
Metallic Tubing ________mh..._______.___
Current transformers:
No. & Size..nn..........._n_n_.n.n_........
Ser. NO..._h......nn._...n......_.......n_._....
Ser. NO.._..........__nn.__.............n._nn_._.
Ser. NQ..nnnn..._........_.n.....................
Total Load_____.__._..............___..
Ser. NO..._.......nnn__nn..............__._____
, ,
Type of Wiring:
Armored Cable ........._..................., ,
Non-Metallic ........._____:.':'...:......._.....
Knob & Tubeh__________h________h.________
Rigid Ccmdult ____________00______00_00____00
Metalltc Tubing ..._...____....._n..m...
Raceway .............__........_....._._n._
Circuits. Light._........__..__........._______....._.
Utillty hh____mh:__,h____________________h____
Heat ........__...........:~_.............._......
Range ___._............___......._..._.............
Water Heater ....._.____........___.........
Motor .___............______........_.n_....._....
Dryer....n____......._...___"_.........__."j........_
Furnace ......n...............n._..';:m.n........
Total __...............00___...........00....
Remarks: .uon~;\,.g,'.___m'~.~'!::nmm:--.--..muo--uo--:--uouououo.----------uomn--.---uo...uo.m____.uom._____
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-;~.=.~~..~~.~n.__~__.___~..~....~_..~.mn.n.::~~.~:...:~.~:~~:.___~~.~.m.--nnm--.::.:1ZE~LL2~~~:~::
NOTICE-Current must not be turned on until CertifIcate at Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
_____ I
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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ELECTRICAL PERMIT
Address
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N?'
17447
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Date______________________._._______________________________
Owner___.____._..___.________.._........_.........._......_......_..___..........................__.___.............._....._....Tenant.....................____.______.._..................._.________._..
~_, r
WiringContractor____._.........~......._:o...._..____...........__.___._............_____.__...___.d...._................____.__________.By._...._.................._....._......................._._._..
r. I
NOTICE-Current must nor',be turned on until CertifJcate 01 Inspection has been issued. It work is to be con.
cealed due notice must. be given the Inspector so that work may be inspected before concealment.
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Olympic Printers, Inc.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? L5738
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Port Angeles, Wash!ngton.__.m.m__._______m__.mmm.m.m.m.m.m_____, 19m__::?
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment In, on, or about any building or other structure In the City of Port Angeles, per-
mission is hereby granted to dO electrical work as listed below.
Address .n./__f:___2__rm~/:=_.'2_t:t!'.__n__________mm_m_______ Occupancy_m,A..e_,::L___m_______mm__._______
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Owner ,t ' ...0 . CL. c..e-- ___ m ____ 'J'eg,antm_m__m__m_______.nm______m.______m_m__mm...____.___
Wiring ~~:~~~o~-::~~~.~;::m:C4~~-- By.__________________m_m__________n__m__m___m__...._m.____
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Service, volts ....__m..n........___.__..._n._.n
7'
No. wires ......:-?...................,..........
Size wlres.m.WR.(!1i~...h._..
1'/ A-
Main fuse nnm."'':2.~nm.mmn.n
-[
Enclosure n_m..n..:;;nnmunnn..mm_
Light Outletsn._mn_mnmmmm.m__.__.n.
Receptacle OutletSU..m_h__hn...............
Dryer, KW...n...._..._....._.____...____._________
Range, KW h__..hmm.hmmn__
Water Heater:
KW..n...n.h._nnhhnmnmnmn..nm.
Type of wiring:
Entrance Cable .n._m_
Heat: K\V......n.........___..........._.......hu..n..__
Motors: sIze, volts and phase:
Rigid Conduit nn.nnmmnnnnmnn.
Metallic Tubing __un.........
Current transformers:
No. & Size...n........._n__........._........_.
Ser. No.........._.__..._....__............_.........
Ser. No. 00__00.00_00.00...0000_..__...._00_____......
Scr. NO..n____nn....nn..n.n__.._..._....___....
Type of Wiring:
Armored Cable ..._..........00..00_......._
Non-Metallic .................___n__.n....._
Knob & Tube.__....____...._h.............._
Rigid Conduit nm.nmnn_nnnm......
Metallic Tubing _._mmmm.m.nn...
Raceway ..._._..._..._._..............._......_
Circuits, Light........._......______._....____.......
Utility _.....n....m.n_..n._n.n..nnnnnm
I-I eat ..__.............._......._......_...._.._..
Range ......___.._.__...__..___....__...._........
Water Heater ................._....n..._h.
Motor ___..h.....h..........._..........._...n..
Dryer ..__0000.._.............................._......_
Furnace .........................._.............._....
Total :Load.nn_nnn_nn._......_... Ser. NO.n__...n...h...___..hn..__nnn__u..._ Total .....n...._.._..._.........n..._.....
~~=_~.~~~~m::::::::~~~:::::::::~~~~~=qt::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
.hh.__h..nnn.unnuu.uuu_h.__._nnnn.u.u_Uh__.nn_.__._u_.u_n_nhunnnuu__uu.U.h..nn..nnuuunnunu.hd.n.n.__..nnu......nn..
;~.=_~~__~~~m_____m_m_____ ::~_~_~:__~_~_~_~~~_~m..._ By -0t.t:tJ~~~ci?<",,-~
,/
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con.
cealed due Dotice must be given the Inspector so that work may be inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15738
Address................._____..........___..._....___.............................................................____..___._.................Date...__...._______....._.........._......_......__........
Owner ....................h....nU....._...h....._...n___._..._.._.......__........._....n__........hh.n....h..n....... Tenant....n..nnnnn..._n........._......................_....U..h
Wiring ContractornnhUhn.._.n_..._...................._..hn........_n.................nh.......___............................ Byhn....._......n_._._._.._.....n_........................h
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
ceale4_due nptIce must be given the Inspector so that work may be inspected before concealment. .-
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