HomeMy WebLinkAbout220 W 14th St - BuildingPREPARED 9/10/09 8 51 26 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/10/09
ADDRESS 220 W 14TH ST SUBDIV
TENANT NBR RHION H /TRINA L NEVARIL
CONTRACTOR PHONE
OWNER RHION H /TRINA L NEVARIL PHONE (206) 498 2270
PARCEL 06 30 00 0 4 2125 0000
APPL NUMBER 09- 00000815 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 9/�A/09 BLDG mINAL
September 10 2009 8 47 01 AM 1pangrle
TRINA 452 8149
BLDG FINAL RE ROOF
COMMENTS AND NOTES
r
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
TEAR' OFF RE ROOF HOUSE
Owner Contractor
09 00000815 Date 8/12/09
975935
220 W 14TH ST
06 30 00 0 4 2125 0000
RHION H /TRINA L NEVARIL
RE ROOF
RS7 RESDNTL SINGLE FAMILY
3560
RHION H /TRINA L NEVARIL OWNER
220 W 14TH ST
PORT ANGELES WA 98362
(206) 498 2270
Structure Information 000 000 TEAR OFF RE ROOF HOUSE
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF HOUSE
Permit pin number 151621
Permit Fee 123 75 Plan Check Fee 00
Issue Date 8/12/09 Valuation 3560
Expiration Date 2/08/10
Qty Unit Charge Per Extension
BASE FEE 95 75
2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 123 75 123 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 128 25 128 25 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work 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.
Date Print Name Signature of Contractor or Authorized Agent
T:ForsnsBuilding Division/Building Permit
9
Signature of Owner (if owner is buiter)
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
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
T /Building Division /Building Permit
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
Floor Areas
Applicant 1 0 el Neva,,,,
Property Owner sex, a ctlyi
Property Owner's Address 221.) w 1(04
Contractor eh Lon f‘fa
Contractor's Address
License
PROJECT ADDRESS
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
1 Re -roof
Heat System
Other
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
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) 4174711
Residential Multi- family
)(House garage other
tear off re -roof lay over one layer
Heat pump wood burning stove gas fireplace pellet stove other
Existing (sq. ft.)
Total footprint of structures
Site Coverage the amount -of impervio u
and other impervious surfaces. (see PAMC
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Expires
Pn
Proposed (sq. ft.)
sq ft. Lo Ize
rface on a arcel including. structures
94. 5 for exemptions)
Occupancy group
Occupant load
Construction type
Phone
Phone
e.Ge, Wft.
Phone
E -mail
Lot
For City Use Only
Date Received d
,Permit# 09—
Date Approved
Commercial
TOTAL VALUATION
sq ft.
ved
2.00 1 498 2-2.7o
Zoning
per sq ft.
of coverage_
veways sidewalks patios
Site coverage
f bedrooms
o II baths
of ha 'aths
I have read and completed this applic nand know it to be true and correct. I am authorized to apply for this permit and erstand
that it is my responsibility to determin what permits are required, and to chtain permits prior to working on projeg
Date 0t2 /0? Print Name Signatu
T Forms /Building Division /Bldg Permit.doc
b Industrial
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
NEVARIL RHION H /TRINA L
316 W 10TH ST
PORT ANGELES WA 983627604
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 36 4000 EC EL -LOW VOLTAGE
T•\PLANNING \FORMS \1102.15 11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
04 00001026
300710
220 W 14TH ST
06 30 00 0 -4 2125 0000
MECHANICAL APPL PERMIT
RS7 RESDNTL SINGLE FAMILY
9000
Owner Contractor
Date 11/05/04
PENINSULA HEAT
502 W 8TH ST
PORT ANGELES WA 98362
(360) 457 2775
ELECTRICAL ALTER RESIDENTIAL
THERMOSTAT
36 40 Plan Check Fee 00
11/05/04 Valuation 0
5 /05 /05
Permit Fee Total 97 10 97 10 00 00
Plan Check Total 00 00 00 00
Grand Total 97 10 97 10 00 00
Extension
36 40
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP
Permit Fee 60 70 Plan Check Fee 00
Issue Date 11/05/04 Valuation 0
Expiration Date 5/05/05
Qty Unit Charge Per Extension
BASE FEE 47 00
00 14 7000 ECH ME INSTALL 100- FAU 00
1 00 13 7000 ECH ME REPAIR /ALTER /ADD APPL 13 70
Fee summary Charged Paid Credited Due
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
G
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T \1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS I I I
WALLS I I I
FOUNDATION DRAINAGE/DOWN SPOUTS I I I
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN I I I
PLUMBING
UNDERFLOOR /SLAB I I I
ROUGH -IN I II I
WATER LINE (METER TO BLDG) I 1 I
GAS LINE I
BACK FLOW WATER I I I
AIR SEAL
WALLS I I I
CEILING I I I
FRAMING
JOISTS GIRDERS I I I
SHEAR WALL/HOLD DOWNS I I I
WALLS ROOF CEILING I I I
DRYWALL (INTERIOR BRACED PANEL ONLY) I I I
T -BAR I I I
INSULATION
SLAB I I I
WALL FLOOR CEILING I I I
MECHANICAL
HEAT PUMP I I I
GAS LINE I I I
WOOD STOVE PELLET CHIMNEY I I I
HOOD DUCTS I
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER I I I
SEWER CONNECTION I I I
SANITARY I I I
STORM I I I
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING I I ESA.
LANDSCAPING I I I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ,(C
ELECTRICAL
LIGHT DEPT
CONSTRUCTION LW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I I I
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
NEVARIL RHION H /TRINA L
316 W 10TH ST
PORT ANGELES WA 983627604
Fee summary
T•\PLANNING\FORMS \1102.15 11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
04 00000929
839296
220 W 14TH ST
06 30 00 0 4 2125 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
Qty Unit Charge Per
1 00 66 9000 ECH EL -R OR RM 0 200 ALT SRV FDR
Charged Paid Credited
Date 10/12/04
WA 98363
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc ALT SVC HEAT P
Permit Fee 66 90 Plan Check Fee 00
Issue Date 10/12/04 Valuation 0
Expiration Date 4/11/05
Due
Permit Fee Total 66 90 66 90 00 00
Plan Check Total 00 00 00 00
Grand Total 66 90 66 90 00 00
Extension
66 90
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS I I
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN 2 /7i /b4 I /4 I
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
BACK FLOW WATER
AIR SEAL
WALLS I
CEILING
FRAMING
JOISTS GIRDERS I
SHEAR WALL /HOLD DOWNS I�
WALLS ROOF CEILING I
DRYWALL (INTERIOR BRACED PANEL ONLY) I
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE PELLET CHIMNEY
HOOD DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING I I ESA.
LANDSCAPING I I I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
WATER LINE (METER TO BLDG)
GAS LINE
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T•\PLANNING\FORMS \1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
9-9 .09'
5114 z/ zet
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I I I
CITY OF PORT ANGELES
PUBLIC WORKS ~ BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 8/29/2001 PERMIT NO: 12912
OWNER/APPLICANT PROPERTY LOCATION
RHION NEVARIAL 220 14TH ST W
220 W 14 TH STREET Lot: 5
Port Angeles, WA 98362 Block: 421 [] Long Legal
360/452-8149 Subdivision: TPA
T: S: Parcel No: 063000042125000
CONTRACTOR ARCHITECT
PELLET HEAT CO. N/A
230 "C" E. 1ST STREET
Port Angeles, WA 98362 , 98360-0000
360/457-1649 360/000-0000
PROJECT INFO
Project Value: $2,650.00 SFD Units: 0 Commercial: 0
Project Type: PELLET STOVE SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0 ~j
Construction Type: MFD SQ FT: 0 ('d
Zoning Use: ~
INSTALL A FIREPLACE PELLET STOVE INS,ERT ~ v~. . ~ V~' ~.
FEES ASSESSMENT ~/~
Building Permit: $0.00 Misc Fee 1: $0.00 ~/
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $50.00
Plumbing: $0.00 AMOUNT PAID: $50.00
Mechanical: $50.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
;
CALL 417-4815 FOR BU1LDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNL~4 WFUL TO COVER,
INSUL,4TE OR CONCE/iL /iNY WORK BEFORE INSPECTED AND /ICCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DP~klNAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK (Engineenng Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPAKATE PERIVBTg's SEPA:
PARKING/LIGHTiNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417"~735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 41 ?-4807 PW / ENGINEERING
FROM SPA SHOP-PELLET HEAT CO FAX NO. : 560452050~ Aug, 29 2001 12: llPM
~~: ..... P~:.,
co~ ~//~ ~ · ~F°~~
CO~~~: O~ ~up: OCc~ L~ ~ C~mc~ ~,,, ,. ,
~SE ~Y: ' ~OV~:
~G P~ ~CA~O~ ~: Yo~ ~mpl=~d a~[kafi~, ai~ p~ (for ~io~)
~ ~ B~ ~ ~ ~ ~e ~c f~ a~ by ~e a~lic~t up ta 18~ da~ es ~ ~u~ ~ ~ ~p~ (See
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 F. AST 5TI] STREET. PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 10/14/2002 PERMIT NO 7856
OWNER/APPLICANT PROPERTY LOCATION
RHION NEVARIAL 220 14TH ST W
220 W 14 TH STREET Lot: 5
Port Angeles, WA 98362 Block: 421 Long Legal
360/452-8149 Subdivision: TPA
T: S: Parcel No: 063000042125000
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:
Occupancy Group: Zoning Use:
Electrical Heat: O
~ Baseboard 0 KW I i Riser Underground Service
· Furnace 0 KW ~ Overhead Service Voltage: 240,120
~ Heat Pump 0 KW Phase: ~ 1 ~_ 3
C
~ Temp Service
· Fan Wall 0 KW Service Size: 200
Feeder Size: 0
PROJECT NOTES
DITCH INSPECTION
RECEIPT # 9770
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: I TRIP $35.30
TOTAL FEE: $35.30
AMOUNT PAID: $35.30
BALANCE DUE $0.00
('OMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA I'FFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
DITCH ,//~I/,5,/p ~ ~
ROUGH-IN / coVER
SERVICE
GENERAL COMMENTS:
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
t21 EAST 5TH STREET. PORT ANGEl. ES, WA 98362
ELECTRICAL PERMIT ISSUED: 8/21/2002 PERMIT NO 7787
OWNER/APPLICANT PROPERTY LOCATION
RHION NEVARIAL 220 14TH ST VV
220 W 14 TH STREET Lot: 5
Port Angeles, WA 98362 Block: 421 I Long Legal
360/452-8149 Subdivision: TPA
T: S: Parcel No: 063000042125000
CONTRACTOR ARCHITECT
ANGELES ELECTRIC N/A
524 E. 1ST ST.
PORT ANGELES, WA 98362-0000 , 98360-0000
360/452-9264 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: SERVICE REPAIR
Occupancy Group: Zoning Use:
Electrical Heat:
Baseboard 0 KW i Riser I Underground Service
Furnace 0 KW ; Overhead Service Voltage: 240,120
Heat Pump 0 KW Temp Service Phase: i
Fan Wall 0 KW Service Size: 200
Feeder Size: 0
PROJECT NOTES
REPAIR METERBASE AND SERVICE DROP, THAT WAS PULLED DOWN FROM
HOUSE.
RECEIPT #9518
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: REPAIR MAST $70.40
TOTAL FEE: $70.40
AMOUNT PAID: $70.40
BALANCE DUE $0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL I~SPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA JVFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED,
DITCH
ROUGH-IN / COVER.
SERVICE
GENERAL COMMENTS:
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION
321 EASTSTH STREET, PORTANGELES, WA 98362
Application Nund~er ..... 03-00000128 Date 3/03/03
Property Address ...... 220 W 14T~ ST
ASSESSOR PARCEL NU}~BER: 0630000421250000
Application descriptio~ . . , MEC~2%NICAL ~PL. PF~LMIT
Property Zoning .......
Application valuation .... 2700
Owner Contractor
NEVARIL RHION R/TRINA L PELLET HEAT CO.
316 W 10T~ ST 230"C" E. 1ST
PORT ANGELES WA 983627604 PORT ANGELES WA 98362
(360) 457-4460
Permit ...... MECF=~NICAL PERMIT
Additional desc , , PROPANE FIREPLACE INSERT
Permit Fee .... 57.65 Plan Check Fee . . .00
Issue Date .... 3/03/03 Valuation .... 0
E~piration Date . . 8/30/03
Qty Unit Charge Per Extension
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certif7 that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLA]NNING\FORMS\ ] 102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROV1DE A MINIMUM 24 HOUR NOTICE, ITIS UNLAWFUL TO COVER,
INIULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCAT/ON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE [ DATE [YEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DIL~INAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PWUTILITIES/ SITEWORK (EngineeringDivlsion) SEPARATE PERMIT g's:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STOILM
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
ELECTKICAL ~ LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002]
FROM : SPA SHOP-PELLET HEAT CO FAX MO. : 360452850~ Fedo. 87 2003 86:01PM P1
BUILDING PERMIT- APPLICATION
Pt~se ~e ~ p~nt ~ ~ If you h~ve any q~o~, pl~e ~J ~l ~1 ~
Applier ~gor Agent: ~./~ ~, ~ ~ ' Ph~: ~ 7~.~
~FZ OF ~ ~UA~ON:
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V~UA~ON OF ~N~U~ON: ~ ~ ~ ~ ~n mo~t mu=t ~ ~d ~ ~e ~t ~ ~ ~1 b~ r~v~ and
~ ~ ~ by th~ B~g Div. ~ ~p~ ~ ~t f~ ~. ~ ~ P~ ~1~ ~ 417~ ~ 15 fat
pe~t fees ~ ~e n ~c ~e of p~it ~c~.
E~ ON P~ R~W: ffno ~I ts $~ w~ lEO da~ cftc ~ of ~li~, ~ appRcat[~ ~ e~
Se~OR I O7A ~f ~e U~o~ B~ C~, ~ e~on). No applie~ion ~ ~ e~ m~ ~ ~c~.
I ~ ~ ~ 1 ~e ~ ~d ~d tha ~pli~on ~ ~ the ~g la be ~ ~ c~t, ~ [ om author~ to app~ for
t~a p~it. I u~t~ ~ a not t~ C~2 leal r~p~lbth'~ te ~ ~ ~ ~ ~u~d' a remal~ t~ ~llcont'y
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS j
........... INSPECTION REPORT ...........
REQUEST: ~ ~//
Date ~_ - I ~- (-'.'.'.~ Time Received by (phone, person)
Location of Work to be inspected ~ ~ ~ ~.L.~ i L~ ~[
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. t ~-~ ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~4(:~ J;vl.~-P_.~
INSPECTION NOTES:
Inspected: Date ~- ~ /c~ "' ~)~ Time By ~ L/'/
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel I-~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)
~ ,O~T ~
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ha
... -=--
~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
11/05/04
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicat10n description
Subdivis10n Name
Property Use
Property Zon1ng . . .
Application valuation
04-00001026 Date
.300710
220 W 14TH ST
06-30-00-0-4-2125-0000-
MECHANICAL APPL. PERMIT
RS7 RESDNTL SINGLE FAMILY
9000
Owner
Contractor
NEVARIL RHION H/TRINA L
316 W 10TH ST
PORT ANGELES WA 983627604
FiNAi.tD
\-Z/"2-~/O~
~
PENINSULA HEAT
502 W. 8TH ST.
PORT ANGELES
(360) 457-2775
WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
THERMOSTAT
36.40 Plan Check Fee
11/05/04 Valuation
5/05/05
.00
o
Qty Unit Charge Per
1.00 36.4000 EC EL-LOW VOLTAGE
Extension
36.40
.
-----------------
Permit
Additional desc
Permit Fee
Issue Date
Expirat10n Date
MECHANICAL PERMIT
HEAT PUMP
60.70 Plan Check Fee
11/05/04 Valuation
5/05/05
.00
o
Qty Unit Charge Per
Extension
47.00
.00
13.70
BASE FEE
.00 14.7000 ECH ME- INSTALL 100- FAU
1.00 13.7000 ECH ME-REPAIR/ALTER/ADD APPL.
Fee summary Charged Paid Cred1ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 97.10 97.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 97.10 97.10 .00 .00
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:it
~
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the perform . ce of
construction.
ON ~ I Lc
.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T.\PLANNINGIFORMSIl102 15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
.J
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WI'TER LINE (METER TO BLOG)
dl\s LINE
BACK FLOW 1 WATER
AIRlsEAL
WALLS
CEILING T I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP b/';/64 (?J..({
GAS LINE
WOOD STOVE 1 PELLET 1 ClllMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engmeenng DIVISion) SEPARATE PERMIT #'s.
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT
BUILDING 417-4815 1 n. ~ 1.1)..-(1) H J, h- BUILDING
T:\PLANNING\FORMS\1102.15 [11/14/2003]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
Date Rec.: II~ i.../ - O<j
Permit #: 04!-/62 b
Date Approved:
Date Issued:
Fill out COMPLETELY and in INK. Your application and site.plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
Applicant or Agent: (lit tl ylo fie And~
Owner: J<h:trrJ ~t/ar/I
Address: ~ ~ () tV. / Lft!t. 5 f . City:
Phone:
V57~A 77~-
4?5a -'9:)1-1'9
Zip: f<?:S 6 :J.....
ArchitectJEngineer: Phone:
Contractor fPf1tl1-5ula lJt'a;f- State License #Jf7vJAJ#1'~
Address: 56,d:l k.J g-:ilz City: ~r/~f".5
PROJECT ADDRESS: a:/) 6 W / L/ f11 SJ-.
Phone:
4rf/lnJf?//5
Phone: l./S7'i4 ,/75-
Zip: 7Y3e5.::2
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o . Commercial 0 Remodel 0 Demolition
o Rq>air . 0 Sign
TION OF THE PROJECT:
City:
~ ~
Exp. Date:
'SIZEN ALUATION:
SF.@$
. SF.@$
'SF.@$
TOTALSALUATlO
J1'$ '& '
SIDENTIAL: Occupancy Group: Occupant Load:
No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft.
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage
Construction Type:
I
APPROVALS: I
PLAN:
BLDG: I
DPWU: I
FIRE:
OTHER: I
-I
BUILDING PERMIT APPLICATION SUBMITTAL: The Building DiVIsion can provide you with information on the apphcatIon anh
plan submittal requirements if you have questions. I
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewea
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistancJ.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans arb
submitted. All other permit fees are due at the time of permit issuance. I
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the apphcant up to 180 days upon written request by the applicant (see Section 107.4 df
the Uniform Building Co~e, current edition). No application can be extended more than once. I
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are reqUi~t the Gitts, a har;;:)btain such permits prior to work.
T:\FORMS\APPS\Buildingpermit.wpd Applicant:~' fd6 Date: /I/;z...~y
,
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
PREPARED 12/22/04, 14-03,26
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
12/22/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
220 W 14TH ST
PENINSULA HEAT
NEVARIL RHION H/TRINA L
06-30-00-0-4-2125-0000-
04-00001026 MECHANICAL APPL
SUBDIV
PHONE
PHONE
(360) 457-2775
PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~:::_::__~__~___~:~~~I:::M::::LAND NOTES ______________________________________
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15369
Y-';;;":l)j-
Port Angeles, Washington__________u__u_u___________________________________uu____, 1900__-'___
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_
8 OJ (> Co- / ycl.!
~::::s__::::::T.::_P..::~~:~~:;;;rJ!::::::::::::----~~:~:~:::___~::~:~~:~::::::::::::::::::::::::::::::::::::::::::::::::
Wiring Contractor u___;:picu~,!,:x~~~~_____n__________________ Byn___________u_____nn___________u_______n_u_n__________________
JPC> /~'1u
Service, volts .. ..............L...~......m....
No. wires ....J.........~..........Thn...
Size wlres_m_~-e-~h:hh-mm
Main fuse _hhhr:7?_"'--/L_hhh_m_
Enclosure .....:?.........m...................
Light Outlets..........................................
Receptacle Outlets...............................
Dryer, K\'(1nm.n......nu........uu............
Range, KW.__.......
Water Heater:
KW.____h______u___hmmm h_____mh hU_
Heat RW_mJ?hQm_~:_
Type of wiring:
Entrance Cable mm"',""""""."""
Motors: sIze, volts and phase:
Rigid Conduit m..u........................
Metallic Tubing _..........................
Current transformers:
No. & Size.......................................
Ser. NO...............................n.............
Ser. No....__.............................__..........
Ser. No......_......._...._..........._......._......
Type of WIring:
Armored Cable ..............................
Non-Metallic .................................
Knob & Tube
Rigid Conduit hhhh_hm__mh_______m
Metall1c Tubing .
Race\\'ay ........hh.............................
CIrcuits, Ltght...............................m.....
Utility ........................_....................
Heat
Range ..............................00_......._....
"Vater Heater h....................h.......
Motor .............................................
Dryer_..............................................._
Furnace .........................._.........._
Total Load................_..._........ Ser. NO............h.................___............ Total.......................................
Remarks: ____un____n_____nn__AL<!---!.~------<'!:u!!d2nnn--u-L~~~~----nn------_________n______u____________n_m__
~~-~-~~--~~~-------------------- ~~~_~_~:__~_~_~_~~_~_~_mu_ By ----1frL.'1t!..&=~L~~~_!;_~__
NOTICE-Current must not be turned on until Certificate 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 before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15369
Date called for inspection.._....__....................................................._...................n......h.............hh......................._.........u.......___nu.........nn..
Preliminaryinspectiondates.__............................................._........._................_._..........................._............00._._............._._......___..................._
Total Load hu....................u..........n_..n.....u......un..n........nn.
Inspectioncompleted..._.._.._.........._.__..........._..d..............d...._._...................................................h_......._........._.._..................___.h_...._......._
.
1M 3-72 Olympic Printers, Inc.
............ ...h....u...n..................u.........n..............n................__..nnn__.......n._.n..._
10/10/2004 10:19 4579270
SIMPSON ELECTRIC
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