HomeMy WebLinkAbout605 E 9th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00001167 Date 11/29/05
862547
605 E 9TH ST
06-30-00-0-2-7350-0000-
MECHANICAL APPL. PERMIT
RS7 RESDNTL SINGLE FAMILY
3500
Owner
Contractor
CASSAL, JONNA M.
506 E. 11TH ST
PORT ANGELES
(360)
WA 98362
PELLET HEAT CO.
230 EAST 1ST SUITE C
PORT ANGELES WA 98362
(360) 457-4406
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
FREESTANDING PELLET STOVE
65938
50.00 Plan Check Fee
11/29/05 Valuation
5/28/06
.00
o
Qty Unit Charge Per
1.00 50.0000 ECH ME-WOOD BURNING APPL.
Extension
50.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .00 .00
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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
constructi nJ
/~
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/20051
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 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 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL(INTEIDORBRACEDPANELONL~
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTIDCAL ' LIGHT DEPT. 417-4735 ELECTIDCAL
LIGHT DEPT
CONSTRUCTION R.W. IPWI CONSTRUCTION - R.W.
ENGINEEIDNG 417-4807 PW 1 ENGINEEIDNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 J J-~-O,{ ~I 1- L- BUILDING
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
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Fill out COMI'Lj1;'fJ1iJ,.,Y an[J In ~.~...... ..v... ..i"...........v.. ~,.- _u. ,...-- ..-...
COMPLETE to be accllpted for l'e"\lew, If you hD~e any questions, call
(360) 417-4815
360 452 0503;# 1
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AppilCUl\1 or Agent:J:\;I.,~ U~ ~
owner:~loJI.JA r A~.;;-L
. ."'b
Addf~SS:J. .50to..._.~.,J...\;t:..
Phone: ~bl:), ~~\o
Phone:
City', POllt.T A.J6~
Zip: q~lo~_,_.__
ArchitectfEneinccr: Phone:
Contral.:IOr~ Ci"\ State License #*Ll.....~~Jf~: 4.11.07 Phone: 167-4401e_
Addrc~s: 2,1'i'(~A l sr Cjty;~U L\""b~ zip:.9&iSb2
PROJECT AJ)DRltSS:~ (,A....~'" ZONl~G:
LEGAL DESCRIPTION: Let; I I Block: 273 SubdiVIsion: ----..,
CLALLA-\!! COI..r:-ITY PARCEL NUM}lER ~~ 27~'5OOCY)O
Credit Card Hokler Name:
BiIlulI' Adl1r~:
Credll CardType VISA_Me N
TYPE OF WORK:
X Re~i'.1cnlilil 0 New C:OIUIT ~ Re-roof
:J \.-blti-family 0 Addltion a Jo.'love
..., CommerciAl 0 Rl;tllodel 0 DeLrlCllitillD
o Repair ':l SIgn
BRlH DESCRJP1'ION OF THE PROJECT.
elly:
Eq>. Date:
I~ Sto""
5 O&rlge
o Deck.
o Other
ItJS~u
SIZIIV ALUA nON:
SF, @ S /SF, '" $_____
SF.@S__/SF.--S __.__
SF.@$ (SF. '"' $
;'L . _TOTAl VALUATIO'N $ :Jf;:l:j.~,A
~ 'STb"~ I....., l. Q . ______
------..-.....-.-.....----
CowlI:mctlon T'lPe: .___.
'" TOTAL Sqfl._
COMMERCJAI..IRESIDENTIAl.: O<:CUpl1\cy Oruup; Occupant Load:
N (,l of' Stori~s: _ Lot Sizo: _ Exi~tlna S4. Fe __ & Proposed Sq. PI.
E.'<iitl.ng 101 coverage _ % It. Proposed lot co'.'eragc ___ % - Toto.llot covctaic
'Yo
APPRO V ..us:
.PLA.'1: .____ I
BLOC:
DPWU:
to' IRE:_-=-=-
OTRB.R:~
PLAN"llNG USE ONLY:
. -
E:': AtW!:llann(s) 0 Yes C No SEl'A Chtddi~t requlftJd? 0 Ye! 1:1 No Other:
R I In .nTNG f'ElTh11T APFLlC A nON SUBMlTT AL: The Buildin~ Division CUI provid-: yl.lu .....iI.l, infQr.nalion l)n the applkutlCln :u1J
rlnr. s~btn.ittal requirement! if you hil.ve qlltlSnolU.
VAl.UA1l0N OF CONSTRUCTION: In a.1I uses. II valulIllnn amount mUlt be .ntered by the applicant. This fl~e wlll be renewed
"Jd !1uy be revIsed bythc Bulldins pivilill)1\ tl,) comply \/.lith currerit feo lIcnedules. Cu\ltacllht: P~m1it CClordixlAtor at 41 j.4o 15 for assislar.ct,
rLA..' CHECK FEE: IF.. p:an check fee 1S du.: It l1ll.ll5t be aubnurted at ille time the buildiDll pemUt apl'lic:1tiollwd \:uOlilrlll".tinn pla.n> lUll
~llbmitt~d. ^U othe1" ?tlrm1t feo! are due .1 the time of pennit i~l\\Il\nce,
EXPIRA'nON Of PLAN REVlJ:;W; lfno permll III iuucd within 180 diY' orlb.~ tl~{e nrlll'phCRtion, the applicaUoQ will expire, Th~
Eb~lcli:1.& Ufficial clln elltend lhl! tlmt for action !;I1I1he applillwt up to 180 day. upon wnttcn reque3t by the appJiI.:am (~c,e SecTion 107,4 JI
\h<:l 'v'niform Buildl.I1~ Code, current edition). Nt] application eRn be extended more than once.
, hereby certify th811 hfJ\Ie ~ad !r:d ullmlned tl1/S appllclltlon ,nd know the same to De IflJ~ end correct I am authorized to apply for (hiS ;.ie/mil and
'..mdersitmc! tlial ~ I~ my r'e3porrsibl/lry to d~t(1miiIi8 w/l;]/ permit!> are reqlJlr&d ,not the Clty'.!, a at J t obtain such permits prior fo work
r\F(,)Rlw1~\A~I",I;\~\lII~ln~I\"'?d AppIlcnnt: '-Dille: /, - z.. -z... ~Or
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00001063 Date 11/02/05
619749
605 E 9TH ST
06-30-00-0-2-7350-0000-
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
6250
Owner
Contractor
EASH JOSHUA A
938 N 79TH ST
SEATTLE
OWNER
WA 981034714
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
REPLACE INTERIOR STAIRS
64444
162.75 Plan Check Fee
11/02/05 Valuation
5/01/06
65.10
6250
Qty Unit Charge Per
Extension
92.75
70.00
BASE FEE
5.00 14.0000 THOU BL-2001-25K (14 PER K)
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
MAINTAIN CLEARANCES FROM SERVICE WIRES
Electrical permits are required.
11/01/2005 09:17 AM JHEBNER ----------------------------
$0 Connect Fee.
11/01/2005 09:17 AM JHEBNER ----------------------------
Any modifications to the City'S electrical facilities will
be at the customer's expense.
Other Fees
STATE SURCHARGE
4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 162.75 162.75 .00 .00
Plan Check Total 65.10 65.10 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 232.35 232.35 .00 .00
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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 p visions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permi oes not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the perform nee of
construction.
l:
ignature of Contractor or Authorized Agent
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Date
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Signature of Owner (if owner is builder)
Date
T:\Policies\ll 02_15 building permit inspection record05. wpd [1/4/2005]
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BillLDING 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 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 DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING I-IH-n,<;' ~ \ )-i-
DRYWALL (INTEIDOR BRACED PANEL ONL ~
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTIDCAL ' LIGHT DEPT. 417-4735 ELECTIDCAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PW 1 CONSTRUCTION - R.W.
ENGINEEIDNG 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 1/-1 <,( ~rJ 5 J LL BUILDING
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
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BUILDING PERMIT - APPLICATION
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
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: g 1\; l'\ 6 u I 0.. Pr I'd ~
Owner ~a r;'" rY\ r '\ W }
Address: 40s e. q '~h.
en t\ ~ fr C.A (if " ^ l'\
Phone:
,A/i~t .)?>
L $1/ ~2'yC;~
417-Lo<t q 0
417-77;1.8
Zip: G\g 3LD 2
Phone:
City:~ ~8< (~S
Archi teet/Engineer: Phone:
Contractor P Pc..W'! o..r<:u5 () &clo <.0 State License #: Pen InPC q('hOtkp: Phone:
Address: q D T \...,.0 '" f S ^ I\. f d City:_P A Zip: q ~ 3 Lrt <-
PROJECT ADDRESS: (gO S- E , q + '" ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Commercial r:t Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: ru,..( 1 r- n a..k oi
('~ f~ A 3~+- ~ ~~ .
'""~ L D (Lt .A:::t ^ 1..' ^^ '
COMMERCIAL~SIDEN_~~cCUpancy Group:
No. of Stories: ~ ~: Existing Sq. Ft.
Total lot coverage %
SIZENALUATION:
SF. @ $ ISF. = $
SF. @ $ ISF. = $
SF. @ $ /SF. = $
T~ATI~.t4 $ ~'~.f;'~O
o ~ ~ Lr t.~ ...J IA~ fa
I ~
Occupant Load:
Construction Type:
& Proposed Sq. Ft.
= TOTAL Sq. Ft.
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee -is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
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 applicant up to 180 days upon written request by the applicant (see Section R105.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
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 responSibili~y to determine what permits "req ired ,not the City's, and that I must obtain such permits prior to work.
T:\Policies\BL-l102_13.wpd ApplIcant: -yyJo.AitJ.jJ) 6fO..J Date: I 6 .- 2 ...., - O~
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Area Map
This map is not intended to be used as a legal description,;:~.;
This map/drawing is produced by the City of Port Angeles/or its own use and purposes. '~'I
Any other use of/his map/drawing shall not be the responsibility of the City. \W'''
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CITY Of PORT ANGELES
PUBLIC WORKS . ELECTRICAL DIVISION
nl EAST STH STREET. PORT ANGEL-ES. WA 983(12
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Appl1cation type descript10n
Subdivision Name
Property Use
Property Zoning
Application valuation
05-00001063 Date 11/15/05
619749
605 E 9TH ST
06-30-00-0-2-7350-0000-
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
6250
Owner
Contractor
EASH JOSHUA A
938 N 79TH ST
SEATTLE
OWNER
WA 981034714
Perm1t
Additional desc
Permit p1n number
Sub Contractor
Perm1t Fee
Issue Date
Expiration Date .
ELECTRICAL ALTER RESIDENTIAL
JAYBIRD/ 1-4 CIRCUITS STAIRS
64873
JAYBIRD ELECTRIC
48 10
11/15/05
5/14/06
Plan Check Fee
Valuation
00
o
~
\)
~
Qty Unit Charge Per
1 00 48 1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48 10
Special Notes and Comments
The F1re Department has reviewed the project application and
has no comments
MAINTAIN CLEARANCES
Electr1cal permits
11/01/2005 09 17
$'0' Connect' Fee.
11/01/2005 09 17 AM JHEBNER ----------------------------
Any mod1ficat1ons to the C1ty'S electrical facilities will
be at the customer's expense
.~
FROM SERVICE WIRES
are required
AM JHEBNER ----------------------------
~
Other Fees
STATE SURCHARGE
4.50
~
"
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48.10 48 10 .00 .00
Plan Check Total 00 00 00 .00
Other Fee Total 4 50 4 50 .00 00
Grand Total 52 60 52 60 .00 00
COMMENTS/ACTION NEEDED
ELECfRlCAL PERMIT INSPECfION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. no IS UNLAWFlIL TO COJ'ER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATI ACCIPTID COMMENTS
I YIS I NO
11111 -H
Ilnllnu_IN I ( :IIV...K 111"d'/.)5 I,k,{)
"'''' '......'
SHK VICE
&'-11\.1 .Ill 11/-'.!l9-os' I ~A) I
GENERAL COMMENTS:
PW-\I02.lS f4IN)
, ,~' I' \ ,,,.
< ~... ~
\
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Property Zoning
Application valuation
Owner
EASH JOSHUA A
938 N 79TH ST
SEATTLE
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
T• \PLANNING \FORMS \1102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 981034714
03 00000478
605 E 9TH ST
0630000273500000
ELECTRICAL ONLY
0
Contractor
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452 9264
ELECTRICAL ALTER RESIDENTIAL
ANGELES ELECTRIC
64 90 Plan Check Fee
Date 5/20/03
WA 98362
Fee summary Charged Paid Credited Due
Permit Fee Total 64 90 64 90 00 00
Plan Check Total 00 00 00 00
Grand Total 64 90 64 90 00 00
00
5/20/03 Valuation 0
11/16/03
Qty Unit Charge Per Extension
1 00 64 9000 ECH EL -R OR RM 0 -200 ALT SRV FDR 64 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
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL
WALLS ROOF CEILING
DRYWALL
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP
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
PARKING /LIGHTING
LANDSCAPING
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING 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
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T\PLANNING \FORMS \l 102.15 [4/2002]
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
I I I
I I I
I I I
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
COMMENTS
DATE ACCEPTED
YES I NO
e
""o:::~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL orvrsloN
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT
Issued: 5/22/97
Permit No:
5934
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
JOSH EASH 605 9TH ST E
605 E.9TH ST Lot: 12
Port Angeles, WA 98362 Block: 273 Long Legal:
360/452-8553 Sub: TPA
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
ELECTRIC SERVICE
924 DRAPER RD.
PORT ANGELES, WA 98362
360/452-6424
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES. MISC. prj Value: $0.00
Occ Type: Cnstr Type: ADD CIRCUITS
Occ Grp: Occ Load: Land Use: RS7
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
X Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
200 AMPS
DAMPS
PROJECT NOTES---------------------------------------------------------~---------
ADD SMOKE DETECTORS, GFCI'S, CLEAN UP WIRING PER PA HOUSING REHAB
PROJECT FEES ASSESSMENT---------------------------------------------------------
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $40.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$40.00
$40.00
---------------------------------
---------------------------------
TOTAL FEE:
$40.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
UlTCH
KIll JUH-IN I LVV~K
)'ii'.KVII.F
FINAL I 17-1 'II q I I
GENERAL COMMENTS:
PW_I]02.l~{4I96]
",,-
ELECTRICAL WORK PERMIT APPLICATION i
,/'
Job wired by
o Electrical Contractor 0 Owner
Installation description. /'
o Commercial crResidential
Electrical contractor name
;JA yeO'? h ~i.l/.i!oTJ/ I <-
Purchaser's mailing address
p, C, l',n_ VI l..
City
Jf YeA_
License number Date Expires
.111'1611{ ,!!'lIfH OG,
o New
i1'Aiteredl Addition
/- 'i
C.t/{C-iJI7""$
'\
State ZIP
u/AGU;
q"if}<I'S
s /40<.
3-'.MY'
So...c.
" .~
Telephone number
C',2 - -:,'1-,c.
FAX number
~ises owner's name
N/{ P4 i p<-:
'ddress of lDspectlOn
c,tJ.< I&-
Ci~
-;.9/?r
-s
,-i}i',hl;.. j s
I
.:? - 4/1"5
/_~';C$~ j-
C4'fff>-i)
q7t1
/fd(PA -t ~
1,/ .4s/l-
Phone number to schedule inspection:
Owner as defined by RCW19.28.26/:(I) 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.
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 instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
Date:
c 'rica I Load Additions and or subtractions
o LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
D Fan-Wall KW
Expiration Date
of card
InspectioA..,fee
$ "I1r%
Service Information
D Overhead Service
D Temp Service
D Underground Service
Voltage
PhaseD 1 D 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT SERVICE
1/ - ILI- (?S'" Ac-O
Dale Approved By Date Approved By Datc Approvcd By
FINAL /' DITCH FEEDER
I (~2- ~ - 05 $rO
Datc Approved By "- Date Approved By Dale Approved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
,
d/'A) 14 / 8 /~<"
t , -
~
5-16-203 8 01AM
FROM ANGELES ELECTRIC INC 360 d52 9265
P.
~=
~~~
~~ :t""
"">,",,
(/'10
ELECTRICAL PERMIT APPLICATION
f.C)i'I o~J:'lti..,1. tl~r:. ONL '(
D~lt/R....::
fTl",\t': _,
1)"lr,/l.j\f''''''nl: _
ti~I' h~",oJ:
The Elp.chic<'!l PQlfnit AJ)Plici1Iirll) must ~.!~.!!J!eq out eompletelv.
<
Plea~C' type or reprinllll Ink. "you have any Qll('stlons, pl~3se call (360. 417-4735
f:ax number: (360) 417-4711
/,.)0(;(. 17; Rtf.. f!IJ~oN "T/4&t S/.to
TNc....___Pnone:452-'1764
"It' ~7B
REQUEST INSPECTION CI
a
Own., N Elec. ContraClOI Agent---..ANGELE:L..E.LECJ.:JllC
Pfopertlf"owner:.~ ~:2tJ __
:S~ Mu.-ceen-/)e.
Fa.:4'iJ-QJ6'i
Address:
City:
P~lone: "'7 ~
PA '$'512-
, -
l\NGRUU460RS
l.;<:ensc #: _ Exp:
Zip:
7/'1 3'12.1 .....t
'tS7-~ -....J
~
Elcc\ric3'r C0l1lf8ctor:
l\NGELF.S ELJ~CTln C Uif.=-
Phone: ,4()?_Q7E;,.4
Add,ess: 524 El\ST FlnS'J.:"-'
City: PORT ANGELES. !ill
xX::LECTRIC^L CONTRACTOR
Zip: 98362
INSTALLATION WIRED BY'
[I OWNER
Credit Card Holder Name:
'T'P-fLSj-IDp..s.o.rJ,
Billing Address:
Credit Card Number:
Date:
Cz/Js: f2. _9-ti ~,-
-
Check a/I that apply: LI New l~ralianlAddition
TYPE OF WORK:
~sidental 0 Multi-family
fJ Commercial
. 0 Mobile Home
Sq. Ft.
o Remote Meier 0 Detached garage [:l Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 Sign
Number of Circuits added or allere-d: ."___"_k
DESCRIPTION OF THE ELECTIlICAL PROJECT:_
~ee et1~ (~~1) ~/c9
[j Baseboard
o Fvmace
o Heat Pump
o Fan-Wall
_KW
KW
_KW
_KW
ILd Service
o Temp SQrvice
U Underground Service
Service Information ,
Voltage: ~ 1;1)
Phase: J
Service Size: ~
Feeder Size.__
$~'P
Electrical Heat Load AddiIions
PAMC 14.05.060(8): F~r industrial. commercial, & residential projecls larger than a duplex, a one -line drawing of the Eleclrical ServIce &
Feeders, building size (sq. ft.), toad calc'Jlations, and the lYPQ & of conductors and/or raceway is required and shall accompany the
Electrical Permil applicalion.
I hereby certify thai I have read and examined this application and know that same to be true and correct, and I am
3uthorized to apply for this permit. I undelstand it is not the City's legal responsibility to determine what permits
3re reqwrer:fj-J, rem,,!s the aPIJ/icants resp
ee2s -Iv k ~p$prtlfM-~ ~(.u""s) f~ r.ieJS.
.. be ;r.~-4~~-r4~d<L.. ~
Credit Card Holder's s~gnature: -: ' ': J , _ Date: :.PI
Owner or EI',c_ Cont. SIgnature: Date: 57
'W-9019
{lAc
o~ 5'/rz/oS