HomeMy WebLinkAbout132 W 14th St - BuildingPREPARED 2/08/11 9 17 20
INSPECTION TICKET
PAGE 13
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/08/11
ADDRESS 132 W 14TH ST SUBDIV
TENANT NBR MICHAEL R CHAPMAN
CONTRACTOR EARTH TECH CONSTRUCTION PHONE (360) 670 8811
OWNER MICHAEL C AND ROBERTA CHAPMAN PHONE (360) 417 5101
PARCEL 06 30 00 0 4 255 0000
APPL NUMBER 11 00000060 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR PEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RE LT RESULTS /COMMENTS
BL99 01 2/08/11 LJ BLDG FINAL
February 8 2011 8 47 40 AM pbarthol
MIKE 417 510
COMMENTS AND NOTES
1
Date
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
RE ROOF THE HOUSE LAY OVER ONE LAYER
Owner
MICHAEL C AND ROBERTA
PO BOX 28
PORT ANGELES
(360) 417 5101
Structure Information
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
BASE FEE
1 00 14 0000 THOU BL -2001 25K (14 PER K)
Other Fees
Fee summary Charged Paid Credited
Permit Fee Total 109 75 109 75 00
Plan Check Total 00 00 00
Other Fee Total 4 50 4 50 00
Grand Total 114 25 114 25 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 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
7. Li h 1 CI t( t1
T Forms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983620004
BUILDING PERMIT NO
RE ROOF THE HOUSE
180521
109 75
1 /18 /11
7/17/11
11 00000060
587740
132 W 14TH ST
06 30 00 0 4 2255 0000
MICHAEL R CHAPMAN
RE ROOF
RS7 RESDNTL SINGLE FAMILY
2962
Contractor
PR FEE
Print Name Signature of Contractor or Authorized Agent
Date 1/24/11
CHAPMAN EARTH TECH CONSTRUCTION
505 FRESHWATER BAY RD
PORT ANGELES WA 98363
(360) 670 8811
000 000 RE ROOF THE HOUSE
Plan Check Fee 00
Valuation 2906
Due
Extension
95 75
14 00
STATE SURCHARGE 4 50
00
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
r4/9-vik
Signature of Owner (if owner is builder)
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
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
T Forms /Building Division /Building Permit
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
FINAL Date Accepted by
(FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
Applicant
Property
Property
Contractor
Contractor's
License
PROJECT ADDRESS 13�
Parcel Number
Proiect Tvpe Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
Floor Areas Existing (sq. ft.) Proposed (sa. ft.)
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Site Coverage the amount of impervio
and other impervious surfaces (see PA
Max. height of proposed structures
Will a lawn sprinkler system be in ailed?
Will a fire sprinkler system be i tailed?
Date 1% tl
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
AlICHAEL
Owner UN(
Owner's Address
t3�
EL\tLik 1 ctt
Address
SC- 2
T Forms /Building Division /Building permit application
W 1 L j
ColVa1110CTI
Expires
14 si
X Residential
Occupancy group
Occupant load
Construction ty.e
Multi family
sq. T Lot size
ce on a parcel including structure
17 94 135 for exemptions)
Print Name N1C1.1/ L CIA i Signature
�!d
Phone
Phone
Phone 00 7(g 1)
E -mail
Lot Zoning x5-7
House garage other tear off re -roof lk lay over one layer
Heat pump wood burning stove gas fireplace pellet stove other
per sq ft.
Mai-ex Mai-eri al S
or
TOTALVALUAT,ON �c;1("
SL' rc.
Commercial Industrial
of bedrooms
of full baths
0 half baths
For City Use Onlyy
Date Received
Permit#
Date Approved
1 -117 t 13? c
L11 1 o 1 1-1
tS
D
driveways sidewalks patios
Site coverage
I have read and completed th application and know it to be true and correct. 1 am authorized to apply for this permit and understand
that it is my to determine what permits are required, and to obtain permits prior to working qn projects.
1
i $6 1�
I 10 CK
Clallam County Assessor Treasurer Property Details 60406 MICHAEL C AND RO Page 1 of 4
Clallam County Assessor Treasurer
Property Search Results 60406 MICHAEL C AND ROBERTA J CHAPMAN for Year 2011 2012
Property
Account
Property ID' 60406
Geographic ID' 0630000422550000
Type: Real
Tax Area: 0010
Open Space: N
Historic Property' N
Multi Family Redevelopment: N
Township:
Range:
Location
Address: 132 W FOURTEENTH ST
PORT ANGELES, WA 98363
Neighborhood:
Neighborhood CD'
Owner
Name:
Mailing Address:
Taxes and Assessment Details
Values
Cycle 5 Res
10955130
Property Tax Information as of 01/18/2011
Amount Due if Paid on.
Improvement Homesite Value:
Improvement Non Homesite Value:
Land Homesite Value:
Land Non Homesite Value:
Curr Use (HS):
Curr Use (NHS):
Market Value:
Productivity Loss:
PA 121 PORT ST CNTY H2 L WMP Land Use Code
DFL
Remodel Property'
MICHAEL C AND ROBERTA J CHAPMAN Owner ID'
PO BOX 28 Ownership:
PORT ANGELES, WA 98362 -0004
NOTE. If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Section:
Mapsco:
Map ID'
Exemptions:
Ag Timber Use Value
N/A
N/A
Legal Description: LT8 BL 422 TPA
Agent Code:
First Second
Half Half
Base Base
11
N
N
2
17766
100.0000000000%
Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest
2010 43277 ST SCH STATE SCHOOL $173.42 $173.42 $0.00 $0.00
2010 43277 CC -GEN COUNTY CLALLAM $92.30 $92.28 $0.00 $0.00
2010 43277 PORT PORT OF PORT ANGELES $12.97 $12.97 $0.00 $0.00
2010 43277 PORT ANG CITY OF PORT ANGELES $213.68 $213.68 $0.00 $0.00
2010 43277 SD #121 SCHOOL DISTRICT #121 $224 63 $224.63 $0.00 $0.00
2010 43277 NTH OLY LIB NORTH OLYMPIC LIBRARY 526.82 $26.81 $0.00 $0.00
2010 43277 HOSP #2 HOSPITAL #2 $37.86 $37.86 $0.00 $0.00
2010 43277 WSMET PK DIST WILLIAM SHORE MET PARK DIST $12.04 $12.05 $0.00 $0.00
2010 43277 CITYSTORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00
2010 43277 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00
2010 43277 TOTAL. $830.54 $830.51 $0.00 $0.00
2009 604062008 ST SCH STATE SCHOOL $198.49 $198 49 $0.00 $0.00
2009 604062008 CC -GEN COUNTY CLALLAM 5100.45 $10046 $0.00 $0.00
2009 604062008 PORT PORT OF PORT ANGELES 514.23 $14 23 $0 00 $0.00
2009 604062008 PORTANG CITY OF PORT ANGELES $220.33 $220.35 $0.00 $0.00
2009 604062008 SD #121 SCHOOL DISTRICT #121 $245.46 $245.46 $0.00 $0.00
2009 604062008 NTH OLY LIB NORTH OLYMPIC LIBRARY $29.19 $29 19 $0.00 $0.00
2009 604062008 HOSP #2 HOSPITAL #2 541.20 $41 19 $0.00 50 00
2009 604062008 CITY STORMWATER CITY STORMWATER 536.00 $36.00 $0.00 $0.00
W
2009 604062008 EED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00
2009 604062008 TOTAL. $886.17 $886.18 $0.00 $0.00
Base Paid Amount Due
$346.84 $0.00
$184.58 $0.00
$25.94 $0.00
5427.36 $0.00
5449.26 $0.00
$53.63 $0.00
$75.72 50.00
524.09 $0.00
$72.00 $0.00
$1.63 $0.00
$1661.05 $0.00
$396.98 $0.00
$200.91 50.00
$28 46 50.00
$440.68 $0.00
$490.92 $0.00
$58.38 $0.00
$82.39 $0.00
$72.00 $0 00
$1.63 $0.00
$1772.35 $0.00
http. /websrv8 clallam. net propertyaccess /Property.aspx ?cid =0 &year 2011 &prop_id =60406 1/18/2011
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION
321 EAST 5TH STREET, PORT ANGEi_,ES, WA 98362
,o*,~l~-IDItV~ tT'~-J~llllll ISSUED: 10/1'1/2002 PERMIT NO: 13771
OWNER/APPLICANT PROPERTY LOCATION
132 14TH ST W
MICHAEL CHAPMAN
132 W. 14TH STREET Lot: 8
Port Angeles, WA 98362 Block: 422 [~ Long Legal
360/417-5101 Subdivision: TPA
T: S: Parcel No: 06300004225500
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO _
Project Value: $1,250.00 SFD Units: 0 Commercial: 0
Project Type: INT. REMODEL SFD SQ FT: 0 Industrial: 0 {',
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
ADD NEW MASTER BED ROOM BATH, PLUMBING, MECH.
RECEIPTCf9808
FEES ASSESSMENT
Building Permit: $47.90 Misc Fee 1: $0.00
Plan Check: $0.00 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: $124.15
Plumbing: $41.00 AMOUNT PAID: $124.15
Mechanical: $30.75
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits am required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within ~ 80 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions 6f
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owne- ' r is builder) Date
T :\P L ANN [N G\FOP.3tlS\ 1102.15 [4/20cJ21
BUILDING PERMIT INSPECTION RECORD
CALL 417-48 15 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN Il--
WATER LINE
GAS LINE
BACK FLOW ! WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS/ROOF/CEILING i] ~$ ?--~Z ]-~
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD/ DUCTS
PWUTILITIES/ SITEWORK (EngineeringDivlsion) SEPARATEPEKMIT#'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4174735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W,
ENG IN E EPdVNG 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
t;OaT FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION P it :
Please t~pe or print in ink. If you have ~ny questions, please ~all 41%4815
Applicant
or
Agent:
Address: ID'Z ~, Iq~ City: g & elio Zip:.
~chitecffEngineer: ~ Phone:
Contractor License ~: Exp: Phone:
Ad&ess: City:. Zip:
PRO~CT~D~SS: I~'Z ~'¢ I~ . PDF~ M~cJe~ ZONING:
LEGAL DESC~PTION: Lot: ~ Bl[ck: ~ Subdivision:
CL~L~ COUNTY P~CEL N~BER: ~ p~2~ fC~fl Credit Card Holder Name:
Billing Address: City:
Credit Card g: Exp. Date: ~SA MC
T~E OF WO~: SI~UATION:
~ Residential ~ New Corm ~ Re-roof ~ Wood-stove ~ SF. ~ $. ~-O. /SF. =$ ' /~
D Multi-famly D Addition ~ Move ~ Garage SF. ~ $. /SF. = $
~ Comcrcial ~ Remodel ~ Demolition ~ Deck SF. ~ $. /SF. = $
~ Repair ~ Sign m TOTAL VALUATION $.
COMMERCIalS!DENTISt Occupancy Group: Occupant Load: Co~ction T~e:
~o. of Stories: I ~t S~e: % Lot Coverage: % ~ g~' / ~
Existing Lot Coverage: /sq. fi. + Proposed Lot Coverage: /sq. ~. = TOTAL LOT COVE~GE: /sq. fi.
PLANING USE ONLY: ~PROV~S: PL~
Notes: BLDG.
DPW
ES~etland(s): ~ Yes ~ No SEPA Checklist required? ~ Yes ~ No O~er: OTHER
B~LDING PE~IT APPLICATION S~MITT~: Your application and site plan must be filled out completely to be accepted for
review. The Building Division c~ provide you wi~ more detailed Mfomtion on the applicahon and plan sub~l requkements. Your
co~leted application, site plan (for additions) and buildMg cons~ction plans are to be sub,Red to the Building Division.
V~UATION OF CONSTRUCTION: In all eases, a valuation amount must be entered by ~e applic~t. This fig~e will be reviewed
and my be revised by the Buil~g Division to co~ly with cuaent fee schedules. Contact ~e Pe~t Coor~tor at 417-4815 fo~ assistance.
PL~ CHECK FEE: Yo~ plan check fee is due at ~e t~e the buildMg pe~t application and com~cfion plans ~e sub,Red. All o~er
pe~t fees are due at ~e time of pe~t issuance.
EXPIATION OF PL~ ~VIEW: If no pe~t is issued within 180 days of~e date of application, ~is application will expire. ~e
BuildMg Official can extend the time for action by ~e applicant up to 180 days upon ~i~en request by ~e applicant (see Section 107.4 of
the Unifom Building Code, c~ent edition). No application can be extended more than once.
I hereby cert~ that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for
this pemit. 1 understand it is not the Ci~'s legal responsibility to determine what permits are required; it remains the applicant's
responsibili~ to determine what permits are required and to obtain such.
CITY '"" Con~n~ction Plen~
1'he )ss~a~ce of fhis I ~po~ the~e ~s, spec~
cldirm$ and other data shall notdficial
fram thereafter g the ~r~'s in ~i¢
plans, specifieaUofls data, m' from p~evefl~og
,.,, buildi~e operoli~ns beige d off thereunder wheA Jn
violation of all codes and juriidic'gon.
(SECTION 303(c} - I~
Approval Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date /t//~-/O~~'-- ,/7/~'/t~ 1~'~7 ~,~_'~(J~- ~h--~n~, arson)
Time , ~ Received by
location of Work to be inspected ,J ~ ~ ~ /~ ~ ~
Name of person requesting inspection /~r~J ~ ~/~
Address of person requesting inspection '~L~--~-- / Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation ~~Chimney(~lUm~'~~-~- Final Sewer Excav. Other
~ ~-,~
INSPECTION NOT~S: ~ ~ ' ' -- ~
Inspected: Date I j t~. ..... 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 ! - ~ ~'~ t~? ~ Time Received by · (phone, person)
Location of Work to be inspected l ~' ~ ~J~'~' /
Name of person requesting inspection
Address of person requesting inspection Phone No. J'//
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 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
PUBLIC WORKS - ELECTRICAL DIVISION
221 EAST 5TIt STREET. PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 11/18/2002 PERMIT NO 7907
OWNER/APPLICANT PROPERTY LOCATION
MICHAEL CHAPMAN 132 14TH ST W
132 W. 14TH STREET Lot: 8
Port Angeles, WA 98362 Block: 422 ~ Long Legal
360/417-5101 Subdivision: TPA
T: S: Parcel No: 06300004225500
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
±
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: ALTER CIRCUITS
Occupancy Group: Zoning Use:
Electrical Heat:
~ Baseboard 0 KW Riser ' Underground Service
~ Furnace 0 KW , Overhead Service Voltage: 0
! Heat Pump 0 KW I i TempService Phase: ., I V~ 3
2 i Fan Wall 0 KW Service Size: 0
Feeder Size: 0
PROJECT NOTES
MOVE EXISTING ELECTRICAL FOR THE NEW BATHROOM.
RECEIPT # 9917
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $46.70
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $46.70
AMOUNT PAID: $46.70
BALANCE DUE $0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 41%4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UN. LA IVFUL TO COt/ER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
DITCH
ROUOH-IN / COVER //a,/~..* ~
SERVICE /
FICHU I /e~ I/'~l
GENERAL COMMENTS:
pw- 11o2.15
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt! 16181
'< -I>
Port Angeles, Washlngtonoom__~oomm__~._m_oooooooooo._._____.ooo_:_ooo_ooo,
. ,--
/1"
19______n
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles. per-
mission is hereby granted to do electrical, work as listed below.
Address .__./.3....2:oooo_oo/.."',E.-:__.!...t'7f!:..oomoonn_noo__oooom____oo. Occupancy.oo.m(L._'?.,,_<'!.....-..__.nn_ooom_ooo_._
1 '-~. I,'" .
Owner m._0z..__"-=:!~~~.l.__~u_~l!:..~~~__!::n;:"?~:::!m___~._____ Tenant_____....m__.....___....__m___mn__~__h_____..____m.___nn_u
Wiring G:ntractof./.."I:::!,.~"-::~!.0::h.,,-_._nn__oooooo.oooo.m.m.oo Byoo.ooooooooo._oooooo..m_ooo_ooo.nm.ooom.__.oooom.ooo.__m.oo
/ "0/";:'1-111
Service, volts _.......~...;._...__:_..:_.....,....
. r?
JS:o. wires ....;::::._......................._..._.
:7&"" :/
Size wires.....::._~...:.:....:................_..
Main Ins. __:.~1.CJ.__.(1.__4____...
..s '
Enclosure m..m_.._..__.. .........m_.......
Light Outlets...._m___.u..._............._..__....
Receptacle Outlets..._.._..m.__................
Dryer, KW unn._.........__.______._____._________
Rangt;. KW..__....____......___..._____
Water Heater:
KW._.n..__._.._......._..l;.__.~.!... 00 .__.. _____.
He." KW__.__'b..;t:~.!i.0r!.$Q
Motors: size. volts and phase:
Tota.l Load.m....m_..__.............
Type of wiring:
Entrance Cable 00.........
Rigid Conduit "mnnmmn
:Metalllc TUbing _......._.__.....
Current transformers:
No. & Size.......................................
Ser. NO....nun_......n_n...._._n_.n_.....n....
Ser. No............--.............-.-................
Ser. NO....._............................_..........n
Ser. No. ...00..................._.......0000.......__
<""
Type of Wiring:
Armored Cable ...__.......u..._m.........
Non.Metallic ........00.___00......._..._.....
Knob & Tuben~............................._
RIgid Condnlt .............._.m.._______...
Metallic Tubing .mm_.___n.............
Raceway ..............................._......_
Circuits, Light........................._........_....
Utillty....____m____._______________............__
Heat .........-...-...--..-...-...-......-..-......
Range ._........................._...._.___.___.___
Water Heater ............._...00..00..___...
Motor ..._..................._n_..n_.._.........
Dryer _..___.__.__.__..___.....__...................__
Furnace .........................'_......_.._....._.
Total........................n..__._._.....
Remarks: ~n.n___n.nnu.n-;_d__L__-.:1._~_::A:6--::::!_dR.___.__.._u..UU_U.~h__._h__._h__nn..u.h_~..d__.___..n..n.__.n~n..__.n~.~..u..___n
_;~~;~_;~~_.________._____ooo_.._______;~~~~.__~~~~;~~.____...__oo___m----------..----.::}/':P---.~l(.J;---1---oooooooo-7!
$___.___...._...._______._000_________. - No.._____oooooo.._.___...._..__ By __..zt______..f.::.J:___._..c('I?::.~i':::!.:.__::1...a-<".-:?_"'!1?~- ~ .-
,:Y ...J - ,,---
NOTICE-Current must not be turned on until Certificate of Insvectlon' 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'!
16181
Address....._......._....._........................................._...................._..............................................__....Date..._...._.__.__._.____.__._...___...._._.__________...
O'\\.ner ..........n......n.__...n......._......_.._.._..._......_.._.._........................._.n...........n.......u.. Tenant..._..............n....__......_........._.........................
Wiring Contractor......u......._...........___n................._.._...._._.......n_._........_......n__.n......_..._..._........_... By............n..............................................__
NOTICE-Current must not be turned on until Cert1!tcate ot 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.
)
'u , Olympic Printers, Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16119
I-i? pr'
Port Angeles, Washlngtonn___"_________,___L...___..___nh........___..___..___..n, 19 ___0000
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' e~ICal work as listed below.
Address ...1,J...:2.---n~r..tf.;.t1:.---..nn;nn...---------nnn--.--n Occupancy..-/.....e~.n---mn--...---n...--.n
Owner .nm}(L~._'!..d!f.___m..n'n.'2'.L,_2:LL.,;z../..n___n___ TenanL___.n__......n..._...nn____.nn___.n__n......m______.......n
X-"" iJ ~.
Wiring Co~tractor'n..m&.!.::~,_dn.nnn...nnn__.,n.__.n. Byn..n.n___..___n___.___..........m..n___n._.___..__.nnnnn
Light Outlets.......................................... Servlce. volt, ...l.2.P../f!Yi'Q.. Type ot WIring: .'
. . ."7 /
"0 wIres _-=>> Armored Cable ..................----........
.". " . .......~"j~;,;..=.i'.T.....
SIze wires.......l?:':tZ._'::':':".f:':....._.. Non-Metallic .................................
f;( t.!J t:J /f' Knob & Tube................................_
Main tuse ...tr....:........,.!:':f............
S Rigid Conduit .n............................
Enclosure... ............................. M till T bl
e a c u ng ..................__..__...
Receptacle Outlets..............__............... .
Dryer, KW....................____....__..__.__.....
Range, KW.......................
Water Heater:
KW.n...........n......n......nn..n
Type of wiring:
Entrance Cable .............................
Ser. No..........................__..................
Raceway ..............................._......_
CIrcuits, Light.......................................
UtilIty.............................................
H cat ...............................................
Range .............................................
Water Heater ...............................
Motor .............................................
Heat: KW.....................................__....
Motors: size, volts and phase:
Rigid Conduit ................
Metall1c Tubing .............
Current transtormers:
No. & Size..............................
Ser. No. .............................................
Dryer .....................................:;:...........
Furnace .........................._...................
Ser. No. .............................................
Total Load.........__.................. Ser. No. ................._.........._.............. Total.......................................
Remarks: n___.!:!~!?~6.~"-.p..!?n.n__nn:::.!!..'~n".~:...{>,__.L.____.m"__"__..n__n"___..._____..__........__.........___.....00__"___.
r ....- ..--
nu.._U._Un..._....__.....n._n_nnnn_n__n_nn_n_nn.__nn....nnnnun_nnnn..unnnnnnn.__n__n____...nu..u..u.u..__u._._O__.nU.dO..n..n
,/'
mnp-.___mm....___.______.___nm.mm.____.______..."____.mm__.___..____n______....____._.........mV.~.---.---------...---n"..---"":::...
::~.:.~~.-~~~..........n......n. ::~.~.~:..:~.~.~~~.~n.___" By %.-.....__A;..~d~,g:.~.".,/
NOTICE-Current must not be turned on until Certiflcate of Inspection has been issued. It work Is to be con.
cealed due notice 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?
16119
Address................................................__......................................................................................Date..._......_.._.._.._.........._......_......_......._
Owner ..................................._.........._......_......_.._........................................................... Tenant.....................................~.................._......__..
'.
Wiring Contractor .......................................................................................................................... By..............................................................
NOTICE-Current must not be turned on untU Cert1f1cate ot Inspection has been issued. It work Is to be COD-
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
. _.'_'..~ T__
,
<-{O
ELECTRICAL PERMIT APPLICATION
FOR OFFICIAL USE ONLY
OatdRcc:
Permit II:
Dale Approvcd:
Date Issued;
The Electrical Permit Application must be filled out comDletelv.
Please type or reprint In Ink. If you have any questions, please call (360) 417-4735
Fax number: (360) 417-4711
.p 79'en
Owner or Elec. Contractor Agent: t,J1'1 (iI!,t\C( q ~DVc1
Properly Owner: '.,UcMtt (;i f! jbd:lbi Ch:tt'lVltt,n
Address: I :? '2 w, \4 fi, City:
REQUEST INSPECTION 0
CA''l.Il~41 Phone: -'1/1-510/ Fax: "\11 - 2634
Phone: 3~O-.417-GI DJ
Zip: Q'3 3(J' .,...
fH't Avt~e.;
Electrical Contractor:
License #:
Exp:
Phone:
Address;
INSTALLATION WIRED BY:
jJ(OWNER
City:
o ELECTRICAL CONTRACTOR
Zip:
Credit Card Holder Name:
Billing Address:
City:
Zip:
Credit Card Number:
Exp. Date:
VISA: MC:
PROJECT ADDRESS: \ '3 2.
I!\J, 14~
~ Alteration/Addition
TYPE OF WORK: Check all that apply: 0 New
'p Residental 0 Multi-family 0 Commercial
o Mobile Home
Sq, Ft 2<3
Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
Number of Circuits added or altered: -1
DESCRIPTION OF THE ELECTRICAL PROJECT: YV1 ~ -ext j t/.evIY/ u..L- -fr;y Ylf.-/)) 2!".J b~n crm '
o Low Voltage 0 Telecom, 0 Si!
Electrical Heat Load Additions
PERMIT FEE/ 1~ . 70
12te# 11/?
Service Information
o Baseboard
o Furnace
o Heal Pump
o Fan-Wall
KW
KW
_TON_LRA
KW
o Overhead Service
o Temp Service
o Underground Service
VOltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
PAMC 14,05,060(B): For industrial, commercial, & residential projects larger than a duplex, a one -line drawing of the Electrical Service &
Feeders, building size (sq. ft,), load calculations, and the type & of conductors andlor raceway is required and shall accompany the Electrica
Permit application.
I hereby certify that I have read and examined this application and know that same to be true and correct, and I an
authorized to apply for: this permit. I understand it is not the City's legal responsibility to determine what permits ar
required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature:
Owner or Elec. Cant. Signature:,Lj /
~ C:/ELECTRICALPERMITAPPLlCATION
~<{I C r::L 1/-/'I-t72-. N'
/!trvt~
Date:
Date: II. ILl_ li'l
Jew
C>C.
lo~w '?
JJ
,.
.
VJAu-. I"ict<
L-lbHT Fj)(iUl"'e
HNEOl/
-mw~-i-'VL-I!'tTB?
~&HTI f"?".N J VT-o-
{~& LA eM"- I..O'A-r I vN
-5V'< rrwlN& ~oN
MO'vl:%7 )
o ~IAc..AL.Li-J&rMlN0 PI..,AN
4.""-1'-0" _.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Numher , . . . .
16- 00000084
Data 2/01/16
Application pin number . , ,
37.3188
-
Property Address , . . . . .
132 W 14TH ST
ASSESSOR PARCEL NUMBER;
06-30-00-0-4- 2255 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name , . , , , .
2-1-116
Property Use . . . . .
FINAL
Property Zoning . . , , , . .
R87 RESDNTL SINGLE FAMILY
Application valuation
0
COMMENTS,
Application desc
Service / Panel
owner
Contractor
MICHAEL C AND ROBERTA CHAPMAN
APS ELECTRIC
PO BO.X 28
546 BENSON RD,
FORT ANGELES WA 983620004
PORT ANGELES
WA 98363
(360) 417 -5101
(360) 452 -6753
Permit . . , . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . ,
Hermit Fee 145.00
Plan Check Fee
,00
Issue Date 1/21/16
Valuation . .
. , 0
Expiration Late .. 7/27/16
Qty Unit Charge Per
Extension
5.00 5.0000 ECH EL-
BRANCH CIRCUIT N /FEEDER
25.00
1.00 120..0000 ECH EL-
0- 200 SRV FEEDER
120.00
Fee summary Charged
Paid 'Credited
Due
Permit Fee Tatal 145.00
145,00 .00
.00
Plan Chec]c Total 00
.00 00
.00
Grand Total 7.45,00
145100 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
d
ROUGH -IN
2-1-116
FINAL
3
COMMENTS,
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGE1BUTLDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number 16-
00000084 Date
1 /21/16
Application .pin number , . . 313188
INSPECTOR:
DITCH
Property Address . , , 1 132
W 14TH ST
ASSESSOR PARCEL NUMBED: 06-30-00-0-4-
2255 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . , , . .
ROUGH -IN
Property Use
Property Zoning RS7
RESDNTL SINGLE FAMILY
Application valuation , . . .
0
COMMENTS;
Application desc
Service / Panel
owner
Con.t.ra.ctor
MICHAEL C AND ROBFRTA CHAPMAN
APS ELECTRIC
Po BOX 26
546 BENSON RD,
PORT ANGELES WA 983620004
PORT ANGELA'S
WA 98363
(369) 417 -5101
(360) 452-6753
Permit , , , , ELECTRICAL ALTER RESIDENTIAL
Additional desc , ,
Permit. Fee 120,00
Plan Check Fee
DO
Issue Pate 1/21/16
Valuation
0
Expiration Date 7/19/16
Qty Unit Charge Per
Extension
1.00 120,0000 ECH -EL -0 -200 SRV FEEDER
120,00
- -- -- - -^ --
Fee summary Charged
Paid Credited
Dud
Permit Fee Total 120.00
120.00 .0D
.00
Plana Check Total ,DO
00 .00
.00
Grand Total 120.00
120.00 DO
.00
ET'
REPORT SALES TALC
on your excise tax form
to the City of Port Angeles
"Location Code 0502)
� v 9 <-:�- �r4c,-W5
S5
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE,
ROUGH -IN
FINAL
COMMENTS;
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
S ignature of owner or Electrical Contra_ ctor X Date.
G:IEXCHANGEWILDING
01/20/2016 12:59PM 3604526753 A.P.S. ELECTRICAL PAGE 01101
�o
�r6 x ,.
A
T1'Y OF PORT MCELES PLR W ,0PLICATZON 0, 4y,
B>Q>iljdbg DivfsiWElech7ica](Taspections 11�`��
321 East F t91 Street P.Q. BOX 1150 ! Port Aatgeles Washing oo, 99362
rli4
Pb: (360) 411-4735 Fax, (360) 417.4711 �
[67 aC 1 & 2 Single Fafnily Dwelling
Plan'Review May Be Rewired, fate a Campleta 1~le+strical plan Review Information Sheet
Job Address:
Building Square Footage;
.aaswptan of above
4wmor I forrnrte'
N on CQmlr:tOr (lif4 anon
&W. o Name:
M2ilir� Address; r ,R w -
City. �^ c ailing Address:
dip
Ptrone ?L6o -'1?4 7 F PlhoW
txerlse #! Exp, Lkerrse #1 Exp.
A Un--- 0 Foul Q MnE lied b ntt C e
servlc�JFewur200Amp• $120.00
5eMM/Feeder 201404 Atnp. $146.00 $_
$ervlcelFeWar 401 -60€1 Arnp .$205.00
Sorvk;e/Feeder 604-1000 Amp- $ 262.00 $ ��
SeMQ011:00V over 1000 Amp. $ 373.00
Branch Circuit Wf Service Feeder $ 5.00
8milgh Ci(cuit W10 Sanrioe Feeder $ gg,00
Each Additional Branch Circuit $ 5.00 $�
Branch Gfrcults 1.4 $ 75.00 $
Temp. Service! Feeder 200 Amp. $ 93.00 $
Temp - SeMoelFeeder209 -4N Amp. $110.00 $
Temp, Setvlq* Feeder 401-600 Amp, •$149.00 g
Temp- SQrdiceFeeder 604 -1000 Amp, $168.00
Portal to Portal HOUdy $ 96.00 $
Signal Circuit/ tJri bd Energy -1 &2 Famlly Nell" $ 64.00 $
Manufactured Morn Canne*n .$120 -00 $
Renewablo Electrical Energy - 51NA System or less $102.00 $
Thermostat $ 59 -00 $
Note_ $5.00 for each addit wl TStat
NEW C U9j ONLY:
First 1300 Square Ft $120.00
Each Additional 590 Square Ft or Portion of $ 40.00
Each OultwiOng cr Detached Garage 5 74A0 $
Each Sw coming Fool or Hot Tub $110.00 � $
+
otal G-S
Owner as defined by RCW,19.2$,261: (1) Q"0 41 occupy the structure for two ysm ofterthis elettrical permit i fin ized. (2) Owner is required
to hire an elecb•icaf cortraclar if above said property is far sale, rent or lease. Permit explres after six months of last inspectiob. i
After reading tl�e above statement, I hereby certify that I am the owner of the above named property or a UCensed electrical cork wor. I am making
the electrical installabon or alteration in compliance with the elerrti wl loft, N.E.C„ RCW: Chapter 19 -28, WAC. Chapter 296 -46B, The City of Port
Angeles Municipal Coda, and Util}ty Specifications and PAMC 14.05.050 regarding Electrical Permit Applkmdona.
SignatUM of owner, elecbiCal Contractor or stad4 al ddministiator: ca.n cti
J� 9AZIC— ) �Cf%& Card Y �. l ^
��� ombed: I '�0 r !rj