HomeMy WebLinkAbout602 E 10th St - BuildingPREPARED 3/25/11 8 07 27 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/25/11
ADDRESS 602 E 10TH ST SUBDIV
TENANT NBR DONALD SYBIL TITUS
CONTRACTOR EVERWARM INC PHONE (360) 452 3366
OWNER DONALD G SYBIL A TITUS PHONE (360) 417 3873
PARCEL 06 30 00 0 3 3335 0 00
APPL NUMBER 11 00000186 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 3/08/11 JLL MECHANICAL GAS LINE
3/08/11 AP March 11 2011 10.23 02 AM 1pangrle
GAS LINE
March 11 2011 10 23 27 AM 1pangrle
MECHANICAL TANK SET
04/18/2005 09 16 AM RVESS
March 8 2011 9 29 15 AM pbarthol
Donald 417 3873
March 8 2011 4 27 17 PM jlierly
ME99 01 3/25/11 J L MECHANICAL FINAL
March 25 2011 7 5 15 AM 1pangrle
SYBILL
MECHANICAL FINAL INSTALLED A F/S GAS FIREPLACE TANK SET/
GAS LINE
MTS 01 3/08/11 JLL
3/08/11 AP
COMMENTS AND NOTES
PREPARED 3/08/11 10 30 12 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/08/11
ADDRESS 602 E 10TH ST SUBDIV
TENANT NBA DONALD SYBIL TITUS
CONTRACTOR EVERWARM INC PHONE (360) 452 3366
OWNER DONALD G SYBIL A TITUS PHONE (360) 417 3873
PARCEL 06 30 00 0 3 3335 0000
APPL NUMBER 11 00000186 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
MTS 01 3/08/11
MECHANICAL TANK SET
04/18/2005 09 16 AM RVESS
March 8 2011 9 29 15 AM pbarthol
Donald 417 3873
COMMENTS AND NOTES
7 .40
trial
Application Number 11 00000186
Application pin number 562788
Property Address 602 E 10TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 3335 0000
Tenant nbr name DONALD SYBIL TITUS
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 3755
Application desc
INSTALL A F/S GAS FIREPLACE TANK SET/ GAS LINE
Owner
DONALD G SYBIL A
602 E TENTH ST
PORT ANGELES
(360) 417 3873
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
TITUS
WA 98362
Permit MECHANICAL PERMIT
Additional desc GAS FIREPLACE
Permit pin number 182022
Permit Fee 121 30 Plan Check Fee 00
Issue Date 3/02/11 Valuation 0
Expiration Date 8/29/11
Qty Unit Charge Per
1 00
1 00
1 00
Permit Fee Total
Plan Check Total
Grand Total
10 6500 EA
10 6500 EA
50 0000 HR
Fee summary Charged
T Forms /Building Division /Building Permit
121 30
00
121 30
Contractor
EVERWARM INC
257151 HWY101
PORT ANGELES
(360) 452 3366
BASE FEE
ME STOVE /FIREPLACE /MISC APP
ME FUEL GAS PIPING 1 5 OUTLETS
ME INSPECTION MIN 1 HR
Paid Credited
121 30 00
00 00
121 30 00
Date 3/02/11
WA 98362
Due
Extension
50 00
10 65
10 65
50 00
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required 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
63 b21r,7d1rsNri 1) ,u5 Th lam
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
FOUNDATION
Footings
Stemwall
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 Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING.
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line I
Back Flow 1 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
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line �T�yt/� SQL- 3���� --;LI �I
Wood Stove Pellet Chimney T
Commercial Hood Ducts FINAL Date 3 iZ Accepted by V
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
Inspection Type
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T Forms /Building Division /Building Permit
Date Accepted By
k
F
N
Applicant or Phone
Owner \13 Phone 3 6 0- y l 2- 377
Owner's Address 1 \t ��c V\ 9 -3c. 2
Phone 30 y5 3 G,
Y`Contractor /Engineer's Address z S7/5) J J IDi Ar+ AK, Ies CL.) ,e.3 6. a.
License GU I 7 .DP610 Expltes f --ac)
vN e PM'�,, esl,J
Contractor /Engineer IC U e r
PROJECT ADDRESS 0 2 CL5
Parcel Number
Project Type Brief Des
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
o Re -roof
o Demolition
o Sign
7 eat System
o Other
Floor Areas
Basement
1 Floor
2 Floor
3r Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
BUILDING PERMIT
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
cription. o Residential
PrO PcLII•er
o wall mounted projecting
Total sign area sq. ft.
Heat pump o wood burning stove
Existing (sq. ft.) Proposed (sq. ft.)
Total footprint of structures sq ft. Lot size
ft.
Occupancy group
Occupant load*
Construction type
APPLICATION Print in ink
For City Use Only
Date Received t
Permit #J1 1`
Date Approved
Lot Zoning
o Commercial o Multi- family o Industrial
freestanding o awning other
Maximum allowed sign area sq ft.
ryas fireplace pellet stove o other
SP,i -a.s (t iae
per sq ft.
TOTAL VALUATION A ,<C r0
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
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 eermits prior to working on
Date, r
Date, t� n
c d Print Name (lor� Ljr i U S Signature i
T Forms /Building Division/Bldg Permit Appl. 2006 Code.docv r
Clallam County Assessor Treasurer Property Details 59379 DONALD G /SYBIL A Page 1 of 4
Clallam County Assessor Treasurer
Property Search Results 59379 DONALD G /SYBIL A TITUS for Year 2011 2012
Property
Account
Property ID: 59379 Legal Description: N2 LOTS 8 &9 BL 333
Geographic ID 0630000333350000 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' 602 E TENTH ST Mapsco:
PORT ANGELES, WA 98362
Neighborhood Cycle 5 Res Map ID: 2
Neighborhood CD' 10955130
Owner
Name: DONALD G /SYBIL A TITUS Owner ID: 56357
Mailing Address: 602 E TENTH ST Ownership. 100 0000000000%
PORT ANGELES, WA 98362
Taxes and Assessment Details
Property Tax Information as of 03/02/2011
Exemptions:
Amount Due if Paid on: M. 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.
First Second
Half Half
Base Base
I Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty interest Base Paid Amount Due
2011 153990 ST SCH STATE SCHOOL $163 05 5163.05 $0.00 $0.00 50.00 $_326.10
2011 153990 CC -GEN COUNTY CLALLAM 590 02 $90.00 $0 00 $0.00 $0.00 $180.02
2011 153990 SD #121 SCHOOL DISTRICT #121 5213.13 5213 13 $0.00 50.00 50.00 $426 26
2011 153990 CITY PORT ANG CITY OF PORT ANGELES 5207.80 5207 79 50.00 $0.00 50.00 5415 59
2011 153990 PORT PORT OF PORT ANGELES $12.67 512.67 $0.00 $0 00 $0 00 $25.34
2011 153990 NTH OLY LIB NORTH OLYMPIC LIBRARY 537 75 $37 75 50.00 50.00 50.00 $75.50
2011 153990 HOSP #2 HOSPITAL #2 $36.95 $36.95 $0 00 $0 00 $0.00 573.90
2011 153990 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11.23 511 23 $0.00 50.00 $0.00 522.46
2011 153990 CITY_STORMWATER CITY STORMWATER 536.00 $36.00 $0.00 50.00 $0.00 $72 00
2011 153990 WEED_CONTROL WEED CONTROL $0 82 50.81 $0 00 $0.00 50.00 $1.63
2011 153990 TOTAL. 5809.42 $809.38 $0.00 $0.00 $0.00 51618.80
2010 42275 ST SCH STATE SCHOOL $161 42 $161 42 $0.00 $0 00 $322.84 $0.00
2010 42275 CC -GEN COUNTY CLALLAM $85.90 $85 90 50.00 50.00 5171.80 $0.00
2010 42275 SD #121 SCHOOL DISTRICT #121 $209 08 $209 08 $0.00 $0 00 $418 16 $0 00
2010 42275 CITY PORT ANG CITY OF PORT ANGELES $198.89 $198.89 $0 00 $0.00 $397 78 $0.00
2010 42275 PORT PORT OF PORT ANGELES $12.08 $12.07 $0.00 $0.00 $24 15 50.00
2010 42275 NTH OLY LIB NORTH OLYMPIC LIBRARY 524 96 524 96 $0 00 50 "00 549.92 50.00
2010 42275 HOSP #2 HOSPITAL #2 $35.24 535.24 $0 00 $0 00 $70.48 $0 00
2010 42275 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11.22 511.21 50.00 $0.00 $22 43 50.00
2010 42275 CITY STORMWATER CITY STORMWATER $36 00 536.00 $0.00 50.00 572.00 $0 00
2010 42275 WEED_CONTROL WEED CONTROL 50.82 $0 81 $0.00 50.00 $1 63 $0.00
2010 42275 TOTAL. 5775.61 $775.58 $0.00 $0.00 51551.19 50.00
Values
Improvement Homesite Value: N/A
Improvement Non Homesite Value: N/A
Land Homesite Value: N/A
Land Non Homesite Value: N/A Ag Timber Use Value
Curr Use (HS): N/A N/A
Curr Use (NHS): N/A N/A
Market Value: N/A
Productivity Loss' N/A
Subtotal: N/A
Senior Appraised Value: N/A
Non Senior Appraised Value' N/A
Total Appraised Value N/A
Senior Exemption Loss' N/A
http. /websrv8 clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =59379 3/2/2011
PREPARED 11/12/09 9 10 38 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/12/09
ADDRESS 602 E 10TH ST SUBDIV
TENANT NBA DONALD SYBIL TITUS
CONTRACTOR R N BUILDERS PHONE (360) 460 0979
OWNER DONALD G /SYBIL TITUS PHONE (360) 417 3873
PARCEL 06 30 00 0 3 3335 0000
APPL NUMBER 08 00000510 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 9/25/08 JLL BLDG FRAMING TIME 04 00
9/26/08 DA September 22 2008 9 07 31 AM 1pangrle
DONALD 417 3873
STAIRS WINDOWS
REQUESTED A 4 00 PM INSPECTION
September 26 2008 8 32 28 AM jlierly
provide header at windows and secure chimney at top to
structure /jll
BL3 02 10/28/08 JLL BLDG FRAMING TIME 01 00
10/28/08 AP October 24 2008 9 01 19 AM 1pangrle
DONALD 417 3873
FRAMING SUPPORT AROUND THE CHIMNEY AND HEADERS ABOVE TWO
WINDOWS
AFTERNOON
October 28 2008 3 36 51 PM jlierly
BLI 01 9/10/09 JLL BLDG INSULATION
9/10/09 AP September 10 2009 8 35 39 AM 1pangrle
DONALD 417 3873
ATTIC INSULATION
September 10 2009 4 09 32 PM jlierly
BL99 01 10/30/09 JLL BLDG FINAL TIME 01 00
10/30/09 DA October 29 2009 2 11 17 PM 1pangrle
SYBIL 417 3873
BLDG FINAL
AFTERNOON
October 30 2009 4 46 39 PM jlierly
install hand rail per code and recall jll
BL99 02 11/12/09 JLL BLDG FINAL TIME 01 00
November 10 2009 8 25 48 AM 1pangrle
DONALD 417 3873
BLDG FINAL UPSTAIRS REMODEL
AFTERNOON
COMMENTS AND NOTES
PREPARED 10/30/09 8 31 21 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/30/09
ADDRESS 602 E 10TH ST SUBDIV
TENANT NBR DONALD SYBIL TITUS
CONTRACTOR R N BUILDERS PHONE (360) 460 0979
OWNER DONALD G /SYBIL TITUS PHONE (360) 417 3873
PARCEL 06 30 00 0 3 3335 0000
APPL NUMBER 08 00000510 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 9/25/08 JLL BLDG FRAMING TIME 04 00
9/26/08 DA September 22 2008 9 07 31 AM 1pangrle
DONALD 417 3873
STAIRS WINDOWS
REQUESTED A 4 00 PM INSPECTION
September 26 2008 8 32 28 AM jlierly
provide header at windows and secure chimney at top to
structure /j11
BL3 02 10/28/08 JLL BLDG FRAMING TIME 01 00
10/28/08 AP October 24 2008 9 01 19 AM 1pangrle
DONALD 417 3873
FRAMING SUPPORT AROUND THE CHIMNEY AND HEADERS ABOVE TWO
WINDOWS
AFTERNOON
October 28 2008 3 36 51 PM jlierly
BLI 01 9/10/09 JLL BLDG INSULATION
9/10/09 AP September 10 2009 8 35 39 AM 1pangrle
DONALD 417 3873
ATTIC INSULATION
September 10 2009 4 09 32 PM jlierly
BL99 01 10/30/09 BLDG FINAL TIME 01 00
October 29 2009 2 11 17 PM 1pangrle 1
SYBIL 417 3873 v--64
BLDG FINAL
AFTERNOON n
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 10/30/09
MECHANICAL FINAL TIME 01 00
October 29 2009 2 12 23 PM 1pangrle
SYBIL 417 3873
MECHANICAL FINAL
AFTERNOON
COMMENTS AND NOTES
ELECTRICAL INSPEQTION
WIRING REPORT
�RKS 3 v 417 -4735
DATE
Mi /09
PER, A M 13 16 INSPEC
OWNER/CON'FRACTOR (O (QJ
�r�D 1 7y LPL i t G Lit
ADDRESS
642 ,s /6
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
0. SERVICE
FINAL x
CORRECTIONS NEEDED: FCC r 1 I4 bI Lc9D O2. k 11JI
1 r /6
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
PREPARED 9/10/09 8 51 26 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/10/09
ADDRESS 602 E 10TH ST
TENANT NBR DONALD SYBIL TITUS
CONTRACTOR R N BUILDERS
OWNER DONALD G /SYBIL TITUS
PARCEL 06 30 00 0 3 3335 0000
APPL NUMBER 08 00000510 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 9/25/08 JLL BLDG FRAMING TIME 04 00
9/26/08 DA September 22 2008 9 07 31 AM 1pangrle
DONALD 417 3873
STAIRS WINDOWS
REQUESTED A 4 00 PM INSPECTION
September 26 2008 8 32 28 AM jlierly
provide header at windows and secure chimney at top to
structure /j11
BL3 02 10/28/08 JLL BLDG FRAMING TIME 01 00
10/28/08 AP October 24 2008 9 01 19 AM 1pangrle
DONALD 417 3873
FRAMING SUPPORT AROUND THE CHIMNEY AND HEADERS ABOVE TWO
WINDOWS
AFTERNOON
October 28 2008 3 36 51 PM jlierly
BLI 01 9/10/09 L BLDG INSULATION
t am. September 10 2009 8 35 39 AM 1pangrle
DONALD 417 3873
ATTIC INSULATION
SUBDIV
COMMENTS AND NOTES
PHONE (360) 460 0979
PHONE (360) 417 3873
City of Port Angeles
Dept. of Community Building Division
321 E. 5 St.
Port Angeles, WA 98362
To whom it may concern,
This is in regards to the building permit at 602 E. 10th St. application 08- 00000510. The repairs have
been delayed this winter due to my husband's health problems.
Multiple trips to the VA hospital in Seattle and his work has caused additional delays in the completion
of the upstairs project.
Now his brother is also ill and causing him to go to the east coast for a week. Because of these reasons
it is being delayed We plan to complete this pro)ect this summer We would appreciate your
consideration in an extension in this permit. -c-or S S X 0
Thank you
Sybil and Donald Titus
360 -417 3873
EC7 "FED
APR 2 7 2009
CITY OF FCITTI ANGELES
DI ,DIVISM
ke)
V
\0
S��
PREPARED 10/28/08 11 14 25 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/28/08
ADDRESS 602 E 10TH ST SUBDIV
TENANT NBR DONALD SYBIL TITUS
CONTRACTOR R N BUILDERS PHONE (360) 460 0979
OWNER DONALD G /SYBIL TITUS PHONE (360) 417 3873
PARCEL 06 30 00 0 3 3335 0000
APPL NUMBER 08 00000510 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 9/25/08 JLL BLDG FRAMING TIME 04 00
9/26/08 DA September 22 2008 9 07 31 AM 1pangrle
DONALD 417 3873
STAIRS WINDOWS
REQUESTED A 4 00 PM INSPECTION
September 26 2008 8 32 28 AM jlierly
provide header at windows and secure chimney at top to
structure /j11
BL3 02 10/28/08 JL BLDG FRAMING TIME 01 00
October 24 2008 9 01 19 AM 1pangrle
DONALD 417 3873
FRAMING SUPPORT AROUND THE CHIMNEY AND HEADERS ABOVE TWO
WINDOWS
AFTERNOON
COMMENTS AND NOTES
Application Number 08 00001318
Application pin number 973790
Property Address 602 E 10TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 3335 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
200 amp service 400 sqft remodel
Owner Contractor
TITUS DONALD G /SYBILA JEDI ELECTRIC
626 E TENTH ST 331 FORS RD
PORT ANGELES WA 98362 PORT ANGELES WA 98362 n\
(360) 460 0556
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 136432
Permit Fee 75 00 Plan Check Fee 00
Issue Date 10/17/08 Valuation 0
Expiration Date 4/15/09
Qty Unit Charge Per
1 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER
Fee summary
Charged Paid Credited
Date 10/17/08
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
Extension
75 00
4
c„Lk
ELECTRICAL
TYPE DATE
INSPECTIO TS INSPECTOR
RESULTS
DITCH
SERVICE
ROUGH IN
FINAL
pg te
Electrical contractor name
E T Flecrrlc.-
chaser's mailing address
O ox 35P
City
?orT A ny,le.(
Telephone number
Premises owner's name
O 011a3CX ru s
Address of inspection
Easr I
City
Inspection
Date
/O Z/ c
N Dale Approved By
u,
Job wired by 21 Electrical Contractor
License number Date Expires
SED E s7 G
Slate ZIP
OA 6 1ff 34,P
FAX number
1 1 117 Ig07
o rb r naeleS
Phone number to schedule inspection
Owner as defined by RCW 19 28.261 (1) Owner will occupy the structure for two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor if above said property is for sale, rent or lease.
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.
rSignature owner, electrical contractor or electrical administrator Expiration Date
X �4 Date:°GT Is (,g
Electrical Load Additions and or subtractions
O NO LOAD CHANGES
O Baseboard KW
O Furnace KW Overhead Service
Heat Pump Ton LAR 0 Temp Service
0 Fan -Wall KW 0 Underground Service
SAME DAY INSPECTION._ CALL. AE F�R,F,�•00 AM 360 417 47
ROUGH-IN THERMOSTAT 1
d BLITS9S09E
RECEIVED
o DEF Installation description
Commercial 0 Residential
Dato
Del,
DITCH
Area, Building or Equipment Inspected
New 01 Altered/Addition
D Cash Check
0 Credit Card Visa
Card
Approved By J
Approved By
r
SERVICE
/003
Data Appaaved By
Date
Xd3 13r213S1:11 dH
Voltage
Phase 0103
Service Size:
Feeder Size:
FEEDER
Approved By
Action Taken
ReVi El-
OCT 2oo EL ECTRICAL WORK PERMIT APPLICATION
0.11 tine To D is cr~s
&oo c, panel GI,anc e.
1 4 0 0 S .,1 remock
Mastercard Discover
Inspection CO
SoulaminkmodWn
Electrical
Inspector
Wd2I L 8002 ST 400
PREPARED 9/25/08 9 47 53 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/25/08
ADDRESS 602 E 10TH ST SUBDIV
TENANT NBR DONALD SYBIL TITUS
CONTRACTOR R N BUILDERS PHONE (360) 460 0979
OWNER DONALD G /SYBIL TITUS PHONE (360) 417 3873
PARCEL 06 30 00 0 3 3335 0000
APPL NUMBER 08 00000510 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 9/25/08
BLDG FRAMING TIME 04 00
September 22 2008 9 07 31 AM 1pangrle
DONALD 417 3873
STAIRS WINDOWS
REQUESTED A 4 00 PM INSPECTION
COMMENTS AND NOTES
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
ADD A STAIRWAY TO ATTIC CONVERT
Owner
DONALD G /SYBIL TITUS
626 E TENTH ST
PORT ANGELES WA 98362
(360) 417 3873
Structure Information 000 000
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
BASE FEE
3 00 14 0000 THOU BL -2001 25K (14 PER K)
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
2 00 14 8000 ECH ME INSTALL FLOOR /WALL FURNACE
Other Fees
Fee summary Charged
Permit Fee Total 217 35
Plan Check Total 55 10
Other Fee Total 4 50
Grand Total 276 95
T.Forms /Building Division/Building Permit (I0 /01 /07).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00000510
662560
602 E 10TH ST
06 30 00 0 3 3335 0000
DONALD SYBIL TITUS
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
4500
ATTIC TO BEDROOM
Contractor
R N BUILDERS
171 CEDAR GLEN
PORT ANGELES
(360) 460 0979
ADD STAIRWAY CONVERT ATTIC TO BDRM
BUILDING PERMIT RESIDENTIAL
ADD STAIRWAY ATTIC BDRM
125690
137 75
5/08/08 Valuation
11/04/08
MECHANICAL PERMIT
TWO BASEBOARD HEATERS
125708
79 60 Plan Check Fee
5/08/08 Valuation
11/04/08
BASE FEE
Plan Check Fee
Date 5/08/08
WA 98362
Extension
95 75
42 00
Extension
50 00
29 60
STATE SURCHARGE 4 50
Paid Credited Due
217 35
55 10
4 50
276 95
00
00
00
00
00
00
00
00
55 10
4500
00
0
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.
/812008Th N/
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES O
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE ,_Q
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. cJI
YES NO Q
INSPECTION TYPE DATE I ACCEPTED
FOUNDATION
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
I AIR SEAL
WALLS
CEILING
I FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE /PELLET /CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT N's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
FIRE 417 -4653 I
PLANNING DEPT ,4.L7 -4750 I
BUILDING 417 -4815
T Forms /Building Division /Building Permit (10 /O1/07).wpd
i O ZT -6 I' LL
t- tz- oOPI
FINAL
S EPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
COMMENTS
DATE ACCEPTED BY.
FINAL 10-304A DATE ACCEPTED BY.
DATE YES NO COMMERCIAL DATE ACCEPTED
YES
I
NO
I I 17D
I
9-
Applicant or Agent��/ R f 5/8/2. L s Phone 34,d -41-1. 38q.3
Property Owner 5A)' rE ps la BeYE Phone
Property Owner's Address L b 4 E )64J, R4- RN GEL&skAm 9&34 K_
Contractor/Engineers-k= N 13, rtS Phone ;�b ,�D 049•W? Contractor /Engineer's Address is /7/ C,E,DAR C )EeN -Ps? Lop 9836 a
License Expires
PROJECT ADDRESS /DO?. E to 3 1-- i 9 A�� 2
Parcel Number Lot Zoning
Project Type Brief Description.
Check all that apply
New Construction
Addition
emodel
Re -roof
Demolition
Heat System
Other
Floor Areas
Basement
1 Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
T Forms /Building Division /Bldg Permit Appl. -2006 Code doc
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
Residential Commercial Multi family Industrial
Qa.d w eN- Z•1•0 112 s ro t 1.1 %J.1 t s R )t25 ARep
t Fla 6 r i v C F N At:4q ARIA fc 2
j KI2NEL c i n i s JV C s I W G SIZE 6 L) S
F.sF T C6.Lte E CoN i-m t of Srg7Ws bR'o,S 1412
,t•1.g Ri 7 S io nap clooae tta %ois+5 .s ;#'d hs o
Heat pump wood burning stove gas fireplace pellet stove other
Lo A J 13ER 1.)% LJ MLL4 AL 12E43H. 71C1,),
Existing (sq. ft.) Proposed (sq. ft.)
\-13;11 Pigs? +rh& J42L<u
w k 1at, _L c L Ect c .'Z'ER
en4L o ;jaw-r jes
Max height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
For City Use Only
C i Date Received 4- 36 08
Permit 5
pate Approved �ra e
per sq ft.
TOTAL VALUATION i 60 0
sq ft. Lot size sq ft. Lot coverage
of bedrooms
of full baths
of half baths
OA
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 4- 41 Print Nam 1 r St5 I L tdid Signature J J� c∎ <l q_
Th, ap or ntended n he ed legal de rpt
Thr map /drawing prod, ed by the City of Port Angele fo ,ts nd purpo
Any oche of thr ap /draw ng sha!l or be the spo ,hility of the City.
Map Legend
Vert al Datum NAVD 8!
Ile ntal Datum NAD 83'
25
Feet
/'
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15688
. hi .".-" :$ 19/'> C'
Port Angeles. Was ngton.....m.,dumm"...m..mmu....um.m....m..... m.."'~
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 Angeies, per-
mission is hereby granted to d6 electrical work as listed below.
Address m~Q..__~uue./r:2.<<um...-..n.u.m..m...mm.n.... Occupancyu.._~4.u.m.m..uuumu...
Owner ..n.rl.d"'",..-?~....:r1t.~"dfh.~___umuum...u Tenant..uummmu.m_..m~u_umm...mmm.mm......uu..
Wiring g;tra~tor m~~J.',~.r..~4~,.uum..n...mu.uuummm By_.........u.u.m.u.mmmm..n.mmm_.....mm.....m
if
Light Outlets......._.__....m.................____., Service, volts ..............................__......_ Type of Wiring:
Armored Cable ................h...h....._
Receptacle Outlets..........__________...........
No. wires nn.n._n............_..............
Dryer, KW un..........u............____.__.______
Size wlres.............nnn.__n..........._..
Range, K\V m.___.....'n..__.______
Main fuse h..........__.__......._..nn........
Water Heater:
Enclosure _____d...................____..____...
KW.m....mnu.uun:mmu_mn_u_um
Heat' Kw.uu;?,f?..&~4.u.,<________
Mo-tors: size. vo's and phase:
Type of wiring:
Entrance Cable ......___..
Rigid Conduit ___...._0...............____...
MetalUc Tubing ..hh_......h............
Current transformers:
No. & Size.n..n_.._.........__..........._.....
Ser. No................____..........___.........._...
Scr. N 0........._......_.._0.._....................0..
Ser. NO.........._.._...........__........_...._n...
Non-Metallic ......................._..._.....
Knob & Tube......._._..__.................._
RIgid Conduit .mm..u_U......u.........
MetalUc Tubing u._........._mmm....
Raceway ______............n..........._....__
Circuits, Llght.........____._........................
Utility uu__mm.......UU_....__m._._._...u
Heat .__._______............................_......
Range ........._............__..__..__.............
Water Heater ..0.______................._...
Motor ..._n.................._......h._.._......
Dryer...nn.....___....................__.............
Furnace ...............__n.......~__...._._.._......
Total Load............................. Ser. No. ........n................._.._....._.....__. Total ........___.........h................_
~~=~~:~~...::::::::::::::::::::::::~=~::::t::~:~::::::~:::~~:==:~::::::::::.:::::::::::::::::::::::::::::::::::::::::::::::::::::::
$.....m...mmmmm............
NO..m........................
By nnS!:~~~....l:~~~~~.d~...~ .
/-If.m!... ~... __~ ____
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.
Permit Fee
Treas. Receipt
NOTIFY TH,E INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15688
Address...._____...._.._..__..._....._..__._.._......._......._......_.___.._____...........__.........__.....................................Date..._._._____._.__.._.........._......_......__.........
Owner ....0....__._........__..._..._...._.0.._....._..0..._......_.._..........0....................0._......................... Tenant_h.....h..h._...........h..................._....h..h.........
Wiring Contractorh..h............................._n_____......._..h..._..............__....._.....__..__..__._........._.._....n_.. By......_............_.._..._.........._......_.....hh..h..h
NOTteE-Current must not be turned on untl1 Certificate ot Inspection has been issued. It work Is to be con-
cealed d,\e not~ce.n:iust be given the Inspector so that work may be Inspected before concealment.
1M Olympic Printers, Inc.
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 9 116 11�01
1 & 2 Single Family Dwelling
` Plan Review May Be Required, Please Comple Ele tr al Plan Review Information eet�
Job Address: fi ' o r
Building Square Footage:
Description of above TITS ;37 4 f � _ e2 EL�
Own aL formation-- ---- --,---
Contractor information
Name:: 0 M A 2Zb G,5
Name:
Maillr�Addr y / 'M.
Mailing Address:
City, - State: '�&) }a Zip:
City: State: Zip:
Phon '
Phone Fax:
License # 1 Exp.
License #! Exp.
Item
Unit Charge
Total (Cty Multiplied by Unit Charge)
ServicelFeeder.200 Amp.
$120,00
$
Service /Feeder 201 -400 Amp.
$146.00
$
Service /Feeder 401 -600 Amp
$ 205.00
$
ServicelFeeder 601.1000 Amp.
$ 262.00
$
Service /Feeder over 1000 Amp.
$ 373.00
$
Branch Circuit WI Service Feeder
$ 5.00
$
Branch Circuit W10 Service Feeder
$ 63.KL
_ $ r
Each Additional Branch Circuit
$ 5,00
$
Branch Circuits 1-4
$ 75,00
$
Temp. Service! Feeder 200 Amp.
$ 93,00
$
Temp, ServicelFeeder 201.400 Amp,
$110-00
$
Temp. Service /Feeder 401 -600 Amp.
$149.00
$
Temp. Service/Feeder 6fll- 1000Amp ,
.$168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuit! Limited Energy -1 & 2 Family Dwelling
$ 64,00
$
Manufactured Home Connection
$120.00
$
Renewable Electrical Energy -5KVA System or Less
$102.00
$
Thermostat
$ 56.00
$
Note: $5 .00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$120.00
$
Each Additional 500 Square Ft. or Portion of
$ 40,00
$
Each Outbuilding or Detached Garage
$ 74.00
$
Each Swimming Pool or Hot Tub
$ 110.00
$�_
$ Total
Owner as defined by ROW. 19.28,261. (1) Owner 011 occupy the structure for two years after this electrical permit is finalized, (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit
expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making
the electrical installation or alleration in compliance
with the electrical laws, MEG,
ROW. Chapter 19.28, WAC, Chapter 296.468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding
Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check
/u,34 El Credit Card 9
Datad: ! � � 4, 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735 .
Application Number . . , , .
14- 00001111 Date
9/16/14
Application pin number . . ,
048472
DITCH
Property Address . , , ,
502 E 10TH ST
ASSESSOR PARCEL NUMBER:
06-30-00-0-3-3335 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Uae
FINAL
Property Zoning . , . . , , ,
R97 RESDNTL SINGLE FAMILY
Application valuation . , , ,
0
Application desc
Bathroom addition top floor
Owner
Contractor
DONALD G / SYBIL A TITUS
------------------------
OWNER.
602 $ TENTH ST
PORT ANGF,LES ?7A 96362
(360) 417 -3873
Permit . . , , . , ELECTRICAL
ALTER RESIDENTIAL
Additional desa , .
Permit Fee 63.o0
Plan Check Fee
00
Iesue Date . . . 9/16/24
Valuation , . . .
0
Expiration Date 3/15/15
Qty Unit Charge Per
Extension
1.00 63.0000 ECH EL -R-
BRANCH CTR WC/ SER FEED
63.00
Fee summary Charged
Paid 'Credited Due
-- --- ----- - - - - -- ---- ------
Permit Fee Total 63.00
--- - -- - - -- ---- --- - -- ---- -
63.00 .00
- - - --
.00
Plan Check Total 00
.00 .00
.00
Grand Total 63,00
63.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the city of Port Angeles
(Location Code 0502)
INSPECI°ION TYPE.
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAIEXCHANGEIBUILDING
Date: