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Home My WebLink About1614 W 15th St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION -1.---y 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000089 Date 1/25/12 Application pin number 408813 Property Address 1614 W 15TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-4- 3603 -0000- Application type description MECHANICAL APPL. PERMIT on your state excise tax form Subdivision Name to the City of Port Angeles Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 500 Application desc FREE STANDING PELLET STOVE Owner Contractor E 9 AARON R SCHOENFELDT OWNER 1614 W 15TH ST PORT ANGELES WA 983636845 T id 460 -9623 Permit MECHANICAL PERMIT Additional desc FREE STANDING PELLET STOVE Permit Fee 60.65 Plan Check Fee .00 Issue Date 1/25/12 Valuation 0 Expiration Date 7/23/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65 Fee summary Charged Paid Credited Due Permit Fee Total 60.65 60.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.65 60.65 .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 clays 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. 172 AIA, a 4t ac.zl e ter( Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit 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 (../1 FOUNDATION: 1 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 FINAL Date Accepted by 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 I Wall Floor Ceiling 1 MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting I ESA. Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date F Accepted By Tw_ Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 f1 Planning 417 -4750 Building 417 -4815 T C.,rmc /P, iilriinn rlivisinn /Ruildina Permit CITY OF ORT NGELES W A S H I N G T O N U. S. A v.. COMMUNITY ECONOMIC DEVELOPMENT July 16, 2012 Aaron Schoenfeldt 1614 W 15 Street Port Angeles, WA 98363 RE: Building Permit #12-089 Dear Mr. Schoenfeldt: I am writing this letter as a courtesy to remind you of the status of the above permit. The permit will expire on July 23, 2012. If the work is completed, please call to schedule the inspection. If the work is not complete and you plan to do the project, you will need to reapply for the permit and pay the associated fees. If you have any questions, please do not hesitate to contact us. Sincerely, Heather Catuzo Building Permit Technician 321 E 5 Street Port Angeles, WA 98362 hcatuzo@cityofpa.us 360 417 -4817 PROJECT STATUS UPDATE Permit 1"2 1 (0I1 W I" Date: lv I a' I phoned the: Applicant A 01 ro h soh oe✓ -ce t 4(oC 123 Property Owner at Contractor at I (I.. t a phone message, or discussed): The permit (has expired, oEill expire soon). What is the status of this project? Please call and schedule a final inspection. 'X� Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. T:Forms /Building Division/Project Status Update BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received Permit /0- -0: c/ City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5 St., Port Angeles, WA 98362 360 -417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no A i er can Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm &'Fri 8:30 -12:30 pm Contact person: Phone: h(>6).116 )c� b Property owner: Phone: Property owner's mailing address: I-7 16 GI w�c +►1 Sfi l5/tS Contractor's business name: Phone: (or property owner's name if he /she is doing /overseeing the work) Contractor's mailing address: Contractor's L &I license number: Expiration date: Project Address: 161 W j<' fin S} 64- (-i -elm Project Type: Residential o Commercial a Industrial u, Multi- family Project Business`Name: (for commercial, industrial, or multi family projects) The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re -roof: house garage other tear off re -roof ❑lay over one layer Licensed contractor: Submit a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Re -side: house garage other Project Valuation (labor materials, not including sales tax) Repair: (explain the project) Project Valuation *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011) Pagel of Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa projects that do not require plan review: Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? house garage other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. (1) Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition. (1) Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic. Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. yes no Will the debris be going to the Regional Transfer Station in Port Angeles? yes No If yes, will a licensed contractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: (explain the project) Project Valuation Mechanical Permit: (explain the project) 7 AS Jl Project Valuation 5OC• I have read and completed this application and know it to be true and correct. I am authorized'to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date l;, Signature Print Name neuron xaen.l=e t- Page 2 of 2 Clallam County Assessor Treasurer Property Details 60586 AARON R SCHOENFE... Page 1 of 1 ClaHam County Assessor Treasurer Property Search Results 60586 AARON R SCHOENFELDT for Year 2011 2012 Property Account Property ID: 60586 Legal Description: LOT 4 BL 436 SURVEY V22 P25 Geographic ID: 0630000436030000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location Address: 1614 W FIFTEENTH ST Mapsco: PORT ANGELES, WA Neighborhood: PA West Res Map ID: 3 Neighborhood CD: 5151000 Owner Name: AARON R SCHOENFELDT Owner ID: 50933 Mailing Address: 1614 WEST 15TH STREET Ownership: 100.0000000000% PORT ANGELES, WA 98363 Exemptions: I Taxes and Assessment Details Values Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History Layout Agreement Website version: 9.0.32.2200 Database last updated on: 1/25/2012 3:50 2012 True Automation, Inc. All Rights AM Reserved. Privacy Notice http: /websrv8.clallam. net/ propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =60586 1/25/2012 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Property Zoning Application valuation Owner Contractor SCHOENFELDT CHERILYN R 1614 W 15TH ST PORT ANGELES WA 983636845 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 03 00000248 1614 W 15TH ST 0630000436030000 ELECTRICAL ONLY 0 APS ELECTRIC 546 BENSON RD PORT ANGELES PORT ANGELES (360) 452 6753 Date 3/16/03 WA 98363 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Sub Contractor APS ELECTRIC Permit Fee 64 90 Plan Check Fee 00 Issue Date 3/16/03 Valuation 0 Expiration Date 9/12/03 Qty Unit Charge Per Extension 1 00 64 9000 ECH EL -R OR RM 0 200 ALT SRV FDR 64 90 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 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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. 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 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS 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 RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T- \PLANNING \FORMS \1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT SEPA. Ey p I kE ESA. SHORELINE. CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I I FROM R P S. ELECTRICRL CONTRRCTOR FR? NO. 360 452 6753 Mar 06 2003 07 56RM P1 Owner or Elec. Contractor Agent Property Owner I er f 0.G'" 6 A Address: I `r 1..40470 4.00e- 0 Baseboard KW El Furnace KW 0 Heat Pump _TON LRA Fan -Wall KW The Electric: i1 rtju `1.14.0 C j �L Electrical Contractor A P 5 e Cam! Pf 1 Addre: 5 4 6 f5en ft Zombi C ss. INSTALLATION WIRED BY o OWNER ELECTRICAL CONTRACTOR Credit Card Holder Name: A 61€ CAI' 1 Get( (-o A ,t a f�- d o r Billing Address: 5qb Se66o Poo n City 4r4 n Q J&s /PROJECT ADDRESS: I CO I W. I S Lk- C t 1* 't P A --lyPE OF O Check gal that apply kNew 'AIteration/Addition "Residental 0 Multi family, Remote Meter IDetached garage Hot Tub 0 Swim Pool Septic Pump Number of Circuits added or altered: DESCRIPTION OF TIF EI CTRICAL PROJECT' CS U c? Electrical Heat Load Additions PERAIT FEEb f e 9t) 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 and /or 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; ft remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Owner or Elec.. Cont. Signature. C_ /ELECTRICAL P ERMITAPPLICATION ELECTRICAL PERMIT APPLICATION I Permit Application must be filled out completely, Please type or repri .t In ink if you have any questions, please call (360) 4174735 Fax number (360) 4174711 City. REQUEST INSPECTION Phone: T a 17 7 53 Fax: �Q ryi p Phone: 5 49 l 1, _pc, F A w ct83K3 Ap 1-c-. 9g 1� J nti license Exp: X51- O Phone:: Lj5a -1:) City- tte C` I i n Zip: 9n 36,3 0 Commercial Mobile Home Sq. Ft XOverhead Service Temp Service Underground Service Service I,pformatio,i enr9t w4t,t_ POR OFFICIAL USE ONLY DateiRee: Perms u Oatc Approved: Date Issued:._. Zip: 72 363 trAQ,+er Voltage: �d Phase: )It1 3 Service Size: Feeder Size: VISA. MC X Low Voltage Telecom_ Sig Date.3 5 c'� Date 6 a' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DWISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 8/12/2002 PERMIT NO: 13611 OWNER/APPLICANT PROPERTY LOCATION 1614 15TH STW AARON SCHOENFELDT 1615 W 15TH STREET Lot: 4 Port Angeles, WA 98363 Block: 436 [] Long Legal 360/465-3596 Subdivision: TPA T: S: Parcel No: 063000043603000 CONTRACTOR ARCHITECT SCHOENFELDT CONSTRUCTION N/A 682 BUCHANAN DR. Port Angeles, WA 98362 , 98360-0000 206/457-1695 360/000-0000 PROJECT INFO Project Value: $15,500.00 SFD Units: 0 Commercial: 0 Project Type: GARAGE NEW 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 CONSTRUCT 30' X 26' DETACHED GARAGE RECEIPT#9530 FEES ASSESSMENT Building Permit: $265.25 Misc Fee 1: $0.00 Plan Check: $106.10 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: $375.85 Plumbing: $0.00 AMOUNT PAID: $375.85 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions ol Jaws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature o~ Owner (if owner is builder) D~te T:\PLANNFNG\FORMS\ 1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BU1LDiNG INSPECTIONS. PLEASE PROVIDE A M1NIMUM 24 HOUR NOTICE. 1TIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: EOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPAE.A. TE PERM1T: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT, SEPARATE PERMIT #'$ SEPA: PARKING/LIGHTING BSA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - 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] ,~ eom-~ I FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION P it : /I Da~ Approved: Da~ Issued: The Building Pe~it Application must be~lled out completely. Please ~pe or print in in~ If you have any questions, please call 41%4815 Applic~t or Agent: ~'[~ ~~'~ Phone: ~'~d~ Owner: ~¢~ ~oen~exdk~ Phone: ~-~(]~ ~chitecffEngineer: Phone: Contractor ~.,~g~e4 ~r~.~:~ License ~:~60~ ~xp:, Phone: L/KC .~% ~ Ad.ess: City: ~ ~t~ %~ Zip: ~ ~X~ LEG~ DESC~PTION: Lot: Block: ~ Subdivision: CL~L~ CO~TY P~CEL ~BER: Credit Card ~older Name: Billing Address: City: Credit Card $: Exp. Date: VISA MC T~E OF WO~: SI~UATION: m Residential ~NewCons~. n Re-roof u Wood-stove ~ SF.~$. /SF.=$ ']~.5-~) ~ Mffiti-f~ly ~ Ad~fion ~ Move ~ G~age SF. ~ $. /SF. = $ ~ Comrcial o Remodel ~ Demolition ~ Deck SF. ~ $. /SF. = g ~ Repair ~ Sign ~ TOTAL VALUATION $ B~EF DESC~PTION OF THE PRO.CT: ~c,~ F_ ~it~ ~'rm~ l' rmq4rtJzM,','*q , ~0~ ~ee~e.d COMMERC~S~ENTI~: Occup~cy Group:. Occupant Load: Cons~cfion T~e:. No. of Stories: I ~t Size: ~0 ~ ( ~ % Lot Coverage: ~ ~ % Exis~g Lot Coverage: /sq. fi. + Proposed Lot Coverage: /sq. fi. = TOTAL LOT CO~GE: /sq. fi. PLYING USE ONLY: ~PROV~S: PL~ Notes: BLDG. DPW ES~etl~d(s): ~ Yes ~ No SEPA ~ecklist requked? ~ Yes ~ No O~er: OTHER B~LD~G PE~IT APPLICATION S~MITT~: Your application and site plan must be filled out completely to be accepted for review. ~e Build~g Division c~ provide you ~ more de~iled ~o~tion on ~e application and pl~ sub~l requirements. Yo~ completed applicatio~ site pl~ (for ad~tions) and building cons~ction pl~ are to be sub,Red to ~e Building Division. V~UA~ON OF CONSTRUCTION: In all eases, a valuation amount must be entered by ~e apphc~t. This fi~e will be reviewed and ~y be revised by ~e Buil~g Division to comply M~ c~ent fee schedules. Contact ~e Pe~t Coord~ator at 4174815 for assismce. PL~ C~CK ~E: Yom plan check fee is due at ~e ~ the buil~g pe~t application ~d cons~ction plans ~e subm~ed. All o~er pe~t fees are due at ~e t~e ofpe~t issu~ce. E~I~TION OF PL~ ~W: If no pe~t is issued wi~ 180 days of~e date of application, ~is application will expire. ~e Build~g Official can extend ~e time for action by ~e applic~t up to 180 days upon ~iuen request by ~e applicant (see Section 107.4 of · e U~fom Building Code, cu~ent edition). No application can be extended more t~n once. 1 hereby cert~ that I have read and ~amined this application and know the same to be ~e and comect, and 1 am authorized to apply for this permit. I understand it ~ not the Ci~'s legal responsibili~ to determine what permits are required; it remains the applicant's responsibili~ to determine what permits are required and to obtain such. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date (Q~'~'/~-~/O~ Time /~'[~*'~ Received by _~:~--<-,---- (phone, person) Location of Work to be inspected V -J~/d~L Name of person requesting inspection . Address of person requesting inspection Phone No. ~,//_~O - Type of Inspection (circle appropriate one): Permit No. / Sewer Foundation Framing Chimney Plumbing~Fin~)sewer Excav. Other INSPECTION N OTE~.~ Inspected:Date h~-?~ ~_~/~ ~~') Time ~"~/~ By ~ Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel I--IAsphalt I~PCC []Other [] Repaired by City Work Order # E} 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 .. Date ~-~--~--- Time Received b phone, person) Location of Work to be inspected /~ /~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of In~rcle appropriate one): Sewer ~u~]Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOT.ES: r Inspected: Date ,, - Time By Remarks:. RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel []Asphalt r-IPCC ~]Other [] Repaired by City Work Order # r-} Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. .:s YS-? DATE //1/7'.:2 Site Address; o READY FOR ~WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. /,0 ff'Residential # ljeat KW ~aseboard D Furnace/Boiler D Heatpump D Other D Commercial/Industrial ioad Total Connected load (attach breakdown) Total Motor load (attach breakdown) ~w Construction D Remodel D Service update/alter/repair ~head D Undergroun~J Voltage ~.;2V't? ~0 D 3.0 Service size ~~ Amps D Temporary D Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) DetailslDescription: A/V..IJ ~ . . W.S. No. Service Capacity; D O.K. D Not O.K. D Ditch inspection O.K. ~~ Rough-in/cover O.K. ~ O.K. to connect service Ff' Final O.K. ~ Size Comments Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending Site Address: Permit/Receipt No. . Notily the Department 01 City Light by Street Address and Permit Number when ready lor inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. ..:--;- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ t9d. I~ ~- Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . , , , , 16- COQCQD62 Date 2119116 Application pin number . . . 55606D Property Address . . . 1611 W 15TH ST ASSESSOR PARCEL NUMBER. 06-30-99-0-4- 0750 -000D Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Application deac Ductless heat pump Owner Contractor -- ---------- -- ---- - - - - -- ---------------- -- - - - - -- KAREN S SIMPSON SIMPSON ELECTRIC 1406 W 12TH ST 243036 W HWY 1Q1 PORT ANGELES WA 96.362 PORT ANGELES WA 98363 (360) 457 -9270 ._._-_..-------------------------------------------------------------------- Permit . . . . , , ELECTRICAL ALTER RESIDENTIAL Additional dasc 1 -4 CT.RCUITS Permit Fee 75.00 Plan Check Fee 00 Issue Date 1/19/16 valuation D Expiration Date 7117116 Qty Unit Charge Per Extension 'BASE FEE 75.00 Fee summary Charged Paid Credited Due Permit Fee Total 75,00 75,00 .'00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75,00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0542) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (b) MONTHS FROM LAST INSPEC'T'ION Signature of owner or Electrical Contractor X Date: GAIEXCI-TANGMBUILDING L CITY OF ]PORT ANGELES PERWT APPLICATION Building %Asion/Electrical Inspections 321 East Fifth Street — P.O.Box ;1.1501 Port Angeles Washington, 98362 Ph: (360) 41.7 -4735 Tax: (360) 417-471.1 Date: 7 & 2 Single Family Dwelling ` J * Plan Review May Be Required, Please Coyplete EMle r' al Pla Review Information Sheet Job Address, ..- - �, fig /� °��( 1,- -- /��j� �� J � - - _ Building Squan3l°oofAge; 0@90ptbr Of abovo Owner In Ion v Name; � Mailing dd s: r city: � Ststa; Z(p: Phone, ff�eFnK, ..� License / Exp, Item ServicelFeeder 200 Amp, SeruleelFeeder 201 -400 Amp, ServicslFeader 401.600 Amp ServlcelFeedar 601 -1000 Amp. ServicelFeeder over 1000 Amp, Branch Clmuit W! Service Feeder Branch Circuit W14 Service Feeder Each Additional Branch Circuit Branch Circuits 14 Temp, Service) Feeder 200 Amp. Tamp, ServicelFeeder 201 -400 Amp_ Temp. ServicelFeeder 401.600 Amp. Temp. Service/Feeder 601.1000 Amp. Portal to Portal Hourly Signal Clrcuitl Limited Energy - I S 2 Family Dwelling Manufactured Home Connection Renewable Electdcal Energy - 5KVA System or Less Thermostat Note, $5.00 for each additional T Stat DIEW Co IS'N'fdU PION nj I V First 1300 Square Ft, Each Additional 500 Square Ft. or portion of Each Oulbuilding or 0ef$ched Garage Each Swimming Pool or Hot Tub Unit ChaMe! $120.00 $146,00 $ 205,00 $ 262,00 $ 373.00 $ 5.00 $ 63,00 $ 5.00 $ 75.00 $ 93,00 $190.00 $149.00 $168.00 $ 96.00 $ 64.00 $120.00 $102.00 $ 56.00 Contracto Info tion Mailing Ad1�� City. _%� Slate: ((� Zip Phone; Llc®naQ l Exp. 76 9u+*.11 Total iQW Mult plied by klnit. Chargte) $ $120.00 -- - $ $ 40,00 $_ $ 74.00 $110,00 - S ?—Total Owner as defined by RCW.19,28,261; (1) Owner will occupy the structure for two years after this electrical permit is finalized, ( p) Owner is required to hire an electrioal contractor if above sold property is for sale, rent or lease. Permit expires after six Months of last Inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical cor Tractor, i am making the electrical installation or alteration in compliance with the electrical laws, KEC., RCW, Chapter 99.28, WAC. Chapter 296 -4.18, The City of port Angeles Municipal Code, and Utility Specification and PAMC 14,05.050 regarding Electrical Permit Applications. Signe roof owner, electrical contras or or electrical adminlstrator: ca�t� ❑ CNeckvl," ., (� CredltCardp��_e.r Dated_ J 1ro1�tr1,2 f J