HomeMy WebLinkAbout1023 W 11th St - BuildingPREPARED 10/04/06 8 43 39 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/04/06
ADDRESS 1023 W 11TH ST SUBDIV
TENANT NBR TOM NASH
CONTRACTOR PHONE
OWNER NASH TOM PHONE 36) 452 2091
PARCEL 06 30 00 0 3 1860 0000
APPL NUMBER 06 00000114 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/29/06 JLL BUILDING FOUNDATION FOOTING
3/29/06 DA 03/28/2006 04 36 PM JLIERLY
ROB 808 6871
MORNING A M
03/29/2006 04 13 PM PBARTHOL
RECALL WHEN VERTICAL BARS TIED IN PLACE
BL1 02 3/31/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
3/31/06 AP 03/30/2006 08 22 AM DYASUMUR
TOM 808 1322
03/31/2006 03 27 PM JLIERLY
BL2 01 4/05/06 JLL BUILDING FOUNDATION WALL TIME 13 00
4/05/06 AP 04/04/2006 01 32 PM DYASUMUR
RON 808 0871
04/05/2006 04 18 PM JLIERLY
BL3 01 5/11/06 JLL BUILDING FRAMING TIME 13 00
5/12/06 DA TOM 775 0720 05/10/2006 01 29 PM DYASUMUR
05/12/2006 08 59 AM DYASUMUR
complete and recall not ready
BL3 02 6/02/06 JLL BUILDING FRAMING TIME 13 00
6/02/06 AP 06/01/2006 10 26 AM DYASUMUR
TOM 775 0720 CALL SO HE CAN MEET YOU THERE
06/02/2006 03 22 PM JLIERLY
air seal is approved on this date also/j11
BLI 01 6/05/06 JLL BUILDING INSULATION TIME 13 00
6/05/06 AP TOM 775 0720
06/05/2006 07 57 AM DYASUMUR
06/05/2006 04 18 PM PBARTHOL
BL99 01 9/20/06 JLL BUILDING FINAL TIME 13 00
9/20/06 DA TOM 775 0720 CALL FIRST TO OPEN BUILDING
09/20/2006 07 57 AM DYASUMUR
09/20/2006 03 06 PM JLIERLY
pan under w/h hand rail on stairs /vent kit fan to
exterior/j11
BL99 02 10/02/06 JLL BUILDING FINAL TIME 13 00
10/02/06 DA TOM 775 0720
10/02/2006 08 00 AM DYASUMUR
10/02/2006 04 35 PM JLIERLY
handrail reqd for final/j11
BL99 03 10/04/06 JLL/ BUILDING FINAL TIME 13 00
TOM 775 7720
10/04/2006 08 12 AM DYASUMUR
PERMIT ME 00 MECHANI PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 9/20/06 JLL MECHANICAL FINAL TIME 13 00
9/20/06 DA 09/20/2006 07 58 AM DYASUMUR
09/20/2006 03 06 PM JLIERLY
CONTINUED ONTO NEXT PAGE
PREPARED 10/02/06 9 18 59 INSPECTION TICKET
CITY OF PORT ANGELES
ADDRESS 1023 W 11TH ST
TENANT NBR TOM NASH
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 5/25/06 JLL
5/25/06 AP
PL99 01 9/20/06 JLL
9/20/06 DA
PL99 02 10/02/06
IA
INSPECTOR JAMES L LIERLY
PLUMBING ROUGH IN
05/26/2006 09 14 AM
05/26/2006 09 14 AM
PLUMBING FINAL TIME
09/20/2006 07 58 AM
09/20/2006 03 06 PM
pan under w/h hand rail
exterior /j11
PLUMBING FINAL TIME
10/02/2006 08 01 AM
SUBDIV
PHONE
NASH TOM PHONE
06 30 00 0 3 1860 0000
06 00000114 RES REMODEL
COMMENTS AND NOTES
36) 452 2091
JLIERLY
JLIERLY
13 00
DYASUMUR
JLIERLY
on stairs /vent kit fan to
13 00
DYASUMUR
PAGE 4
DATE 10/02/06
PREPARED 10/02/06 9 18 59 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/02/06
ADDRESS 1023 W 11TH ST SUBDIV
TENANT NBR TOM NASH
CONTRACTOR PHONE
OWNER NASH TOM PHONE 36) 452 2091
PARCEL 06 30 00 0 3 1860 0000
APPL NUMBER 06 00000114 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/29/06 JLL BUILDING FOUNDATION FOOTING
3/29/06 DA 03/28/2006 04 36 PM JLIERLY
ROB a 808 6871
MORNING A M
03/29/2006 04 13 PM PBARTHOL
RECALL WHEN VERTICAL BARS TIED IN PLACE
BL1 02 3/31/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
3/31/06 AP 03/30/2006 08 22 AM DYASUMUR
TOM 808 1322
03/31/2006 03 27 PM JLIERLY
BL2 01 4/05/06 JLL BUILDING FOUNDATION WALL TIME 13 00
4/05/06 AP 04/04/2006 01 32 PM DYASUMUR
RON 808 0871
04/05/2006 04 18 PM JLIERLY
BL3 01 5/11/06 JLL BUILDING FRAMING TIME 13 00
5/12/06 DA TOM 775 0720 05/10/2006 01 29 PM DYASUMUR
05/12/2006 08 59 AM DYASUMUR
complete and recall not ready
BL3 02 6/02/06 JLL BUILDING FRAMING TIME 13 00
6/02/06 AP 06/01/2006 10 26 AM DYASUMUR
TOM 775 0720 CALL SO HE CAN MEET YOU THERE
06/02/2006 03 22 PM JLIERLY
air seal is approved on this date also /j11
BLI 01 6/05/06 JLL BUILDING INSULATION TIME 13 00
6/05/06 AP TOM 775 0720
06/05/2006 07 57 AM DYASUMUR
06/05/2006 04 18 PM PBARTHOL
BL99 01 9/20/06 JLL BUILDING FINAL TIME 13 00
9/20/06 DA TOM 775 0720 CALL FIRST TO OPEN BUILDING
09/20/2006 07 57 AM DYASUMUR
09/20/2006 03 06 PM JLIERLY
pan under w/h hand rail on stairs /vent kit fan to
exterior/ill
BL99 02 10/02/06 BUILDING FINAL TIME 13 00
TOM 775 0720
a 10/02/2006 08 00 AM DYASUMUR
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 9/20/06 JLL
9/20/06 DA
ME99 02 10/02/06
IL\ f
PERMIT Pb 00 PLUMBING IT
REQUESTED INSP DESCRIPTION
MECHANICAL FINAL TIME 13 00
09/20/2006 07 58 AM DYASUMUR
09/20/2006 03 06 PM JLIERLY
pan under w/h hand rail on stairs /vent kit fan to
exterior/111
MECHANICAL FINAL TIME 13 00
10/02/2006 08 00 AM DYASUMUR
PREPARED 9/20/06 10 27 22 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/20/06
ADDRESS 1023 W 11TH ST SUBDIV
TENANT NBR TOM NASH
CONTRACTOR PHONE
OWNER NASH TOM PHONE 36) 452 2091
PARCEL 06 30 00 0 3 1860 0000
APPL NUMBER 06 00000114 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/29/06 JLL BUILDING FOUNDATION FOOTING
3/29/06 DA 03/28/2006 04 36 PM JLIERLY
ROB 808 6871
MORNING A M
03/29/2006 04 13 PM PBARTHOL
RECALL WHEN VERTICAL BARS TIED IN PLACE
BL1 02 3/31/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
3/31/06 AP 03/30/2006 08 22 AM DYASUMUR
TOM 808 1322
03/31/2006 03 27 PM JLIERLY
BL2 01 4/05/06 JLL BUILDING FOUNDATION WALL TIME 13 00
4/05/06 AP 04/04/2006 01 32 PM DYASUMUR
RON 808 0871
04/05/2006 04 18 PM JLIERLY
BL3 01 5/11/06 JLL BUILDING FRAMING TIME 13 00
5/12/06 DA TOM 775 0720 05/10/2006 01 29 PM DYASUMUR
05/12/2006 08 59 AM DYASUMUR
complete and recall not ready
BL3 02 6/02/06 JLL BUILDING FRAMING TIME 13 00
6/02/06 AP 06/01/2006 10 26 AM DYASUMUR
TOM 775 0720 CALL SO HE CAN MEET YOU THERE
06/02/2006 03 22 PM JLIERLY
air seal is approved on this date also/j11
BLI 01 6/05/06 JLL BUILDING INSULATION TIME 13 00
6/05/06 AP TOM 775 0720
06/05/2006 07 57 AM DYASUMUR
06/05/2006 04 18 PM PBARTHOL
BL99 01 9/Z Q/ /06 ,..ZLIy� BUILDING FINAL TIME 13 00
TOM 775 0720 CALL FIRST TO OPEN BUILDING
09/20/2006 07 57 AM DYASUMUR
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 9/210/06 J L MECHANICAL FINAL TIME 13 00
1 �4 09/20/2006 07 58 AM DYASUMUR
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 5/25/06 JLL PLUMBING ROUGH IN
5/25/06 AP 05/26/2006 09 14 AM JLIERLY
05/26/2006 09 14 AM JLIERLY
PL99 01 9/ 0/06 LL PLUMBING FINAL TIME 13 00
09/20/2006 07 58 AM DYASUMUR
COMMENTS AND NOTES
t),ilvv)
b/r, Uri M ‘1e ��'Jxi
eAa
vvome wAl
PREPARED 6/05/06 11 22 22 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/05/06
ADDRESS 1023 W 11TH ST SUBDIV
TENANT NBR TOM NASH
CONTRACTOR PHONE
OWNER NASH TOM PHONE 36) 452 2091
PARCEL 06 30 00 0 3 1860 0000
APPL NUMBER 06 00000114 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/29/06 JLL BUILDING FOUNDATION FOOTING
3/29/06 DA 03/28/2006 04 36 PM JLIERLY
ROB 8 808 6871
MORNING A M
03/29/2006 04 13 PM PBARTHOL
RECALL WHEN VERTICAL BARS TIED IN PLACE
BL1 02 3/31/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
3/31/06 AP 03/30/2006 08 22 AM DYASUMUR
TOM 808 1322
03/31/2006 03 27 PM JLIERLY
BL2 01 4/05/06 JLL BUILDING FOUNDATION WALL TIME 13 00
4/05/06 AP 04/04/2006 01 32 PM DYASUMUR
RON 808 0871
04/05/2006 04 18 PM JLIERLY
BL3 01 5/11/06 JLL BUILDING FRAMING TIME 13 00
5/12/06 DA TOM 775 0720 05/10/2006 01 29 PM DYASUMUR
05/12/2006 08 59 AM DYASUMUR
complete and recall not ready
BL3 02 6/02/06 JLL BUILDING FRAMING TIME 13 00
6/02/06 AP 06/01/2006 10 26 AM DYASUMUR
TOM 775 0720 CALL SO HE CAN MEET YOU THERE
06/02/2006 03 22 PM JLIERLY
air seal is approved on this date also/j11
BLI 01 6/ 5/0 0 JLL BUILDING INSULATION TIME 13 00
TOM 775 0720
J L•� 06/05/2006 07 57 AM DYASUMUR
COMMENTS AND NOTES
PREPARED 6/02/06 9 54 28 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/02/06
ADDRESS 1023 W 11TH ST SUBDIV
TENANT NBR TOM NASH
CONTRACTOR PHONE
OWNER NASH TOM PHONE 36) 452 2091
PARCEL 06 30 00 0 3 1860 0000
APPL NUMBER 06 00000114 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/29/06 JLL BUILDING FOUNDATION FOOTING
3/29/06 DA 03/28/2006 04 36 PM JLIERLY
ROB a 808 6871
MORNING A M
03/29/2006 04 13 PM PBARTHOL
RECALL WHEN VERTICAL BARS TIED IN PLACE
BL1 02 3/31/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
3/31/06 AP 03/30/2006 08 22 AM DYASUMUR
TOM 808 1322
03/31/2006 03 27 PM JLIERLY
BL2 01 4/05/06 JLL BUILDING FOUNDATION WALL TIME 13 00
4/05/06 AP 04/04/2006 01 32 PM DYASUMUR
RON 808 0871
04/05/2006 04 18 PM JLIERLY
BL3 01 5/11/06 JLL BUILDING FRAMING TIME 13 00
5/12/06 DA TOM 775 0720 05/10/2006 01 29 PM DYASUMUR
05/12/2006 08 59 AM DYASUMUR
complete and recall not ready
BL3 02 6/02/06 JLL./') BUILDING FRAMING TIME 13 00
06/01/2006 10 26 AM DYASUMUR
TOM 775 0720 CALL SO HE CAN MEET YOU THERE
COMMENTS AND NOTES
Cm)
e 40--W
PREPARED 5/25/06 10 59 56 INSPECTION TICKET PAGE 16
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/25/06
ADDRESS 1023 W 11TH ST SUBDIV
TENANT NBR TOM NASH
CONTRACTOR PHONE
OWNER NASH TOM PHONE 36) 452 2091
PARCEL 06 30 00 0 3 1860 0000
APPL NUMBER 06 00000114 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/29/06 JLL BUILDING FOUNDATION FOOTING
3/29/06 DA 03/28/2006 04 36 PM JLIERLY
ROB 808 6871
MORNING A M
03/29/2006 04 13 PM PBARTHOL
RECALL WHEN VERTICAL BARS TIED IN PLACE
BL1 02 3/31/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
3/31/06 AP 03/30/2006 08 22 AM DYASUMUR
TOM 808 1322
03/31/2006 03 27 PM JLIERLY
BL2 01 4/05/06 JLL BUILDING FOUNDATION WALL TIME 13 00
4/05/06 AP 04/04/2006 01 32 PM DYASUMUR
RON 808 0871
04/05/2006 04 18 PM JLIERLY
BL3 01 5/11/06 JLL BUILDING FRAMING TIME 13 00
5/12/06 DA TOM 775 0720 05/10/2006 01 29 PM DYASUMUR
c
oplete0a 08 59 AM DYASUMUR t V Yry 6
complete and recall not ready„
BL3 02 5 X5/06 JIB, TOM 7 0MT 13 00
TOM 775 70202 05/25/2006 05/25/20/20 06 08 06 AM DYASUMUR
COMMENTS AND NOTES
ko ft 4
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner Contractor
NASH TOM
P 0 BOX 273
PORT ANGELES
36) 452 2091
Other Fees
WA 98362
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc OWNER /KIT ADD REMODEL
Permit pin number 76224
Permit Fee 48 10 Plan Check Fee 00
Issue Date 5/23/06 Valuation 0
Expiration Date 11/19/06
Qty Unit Charge Per
1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
Electrical load calculations and elctrical permits are
required
Public Works Utility Engineering has no requirements for
this plan review
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
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
06 00000114
362136
1023 W 11TH ST
06 30 00 0 3 1860 0000
TOM NASH
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
4725
OWNER
Date 5/24/06
Extension
48 10
STATE SURCHARGE 4 50
FINAL L +T
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
DITCH I I
ROUGH -IN COVEk 15 0 6 k I
SERVICE I I
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
I I
I I
I I
I I
4V/41021314/96]
PREPARED 5/11/06 13 27 58 INSPECTION TICKET PAGE 11
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/11/06
ADDRESS 1023 W 11TH ST SUBDIV
TENANT NBR TOM NASH
CONTRACTOR PHONE
OWNER NASH TOM PHONE 36) 452 2091
PARCEL 06 30 00 0 3 1860 0000
APPL NUMBER 06 00000114 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/29/06 JLL BUILDING FOUNDATION FOOTING
3/29/06 DA 03/28/2006 04 36 PM JLIERLY
ROB CO 808 6871
MORNING A M
03/29/2006 04 13 PM PBARTHOL
RECALL WHEN VERTICAL BARS TIED IN PLACE
BL1 02 3/31/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
3/31/06 AP 03/30/2006 08 22 AM DYASUMUR
TOM 808 1322
03/31/2006 03 27 PM JLIERLY
BL2 01 4/05/06 JLL BUILDING FOUNDATION WALL TIME 13 00
4/05/06 AP 04/04/2006 01 32 PM DYASUMUR
RON 808 0871
04/05/2006 04 18 PM JLIERLY
BL3 01 5 1 06 ('J BUILDING FRAMING TIME 13 00
`i TOM 775 0720 05/10/2006 01 29 PM DYASUMUR
COMMENTS AND NOTES
PREPARED 4/05/06 14 34 26 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/05/06
ADDRESS 1023 W 11TH ST SUBDIV
TENANT NBR TOM NASH
CONTRACTOR PHONE
OWNER NASH TOM PHONE 36) 452 2091
PARCEL 06 30 00 0 3 1860 0000
APPL NUMBER 06 00000114 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/29/06 JLL BUILDING FOUNDATION FOOTING
3/29/06 DA 03/28/2006 04 36 PM JLIERLY
ROB B 808 6871
MORNING A M
03/29/2006 04 13 PM PBARTHOL
RECALL WHEN VERTICAL BARS TIED IN PLACE
BL1 02 3/31/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
3/31/06 AP 03/30/2006 08 22 AM DYASUMUR
TOM 808 1322
03/31/2006 03 27 PM JLIERLY
BL2 01 /05/06 JLL p 0UI04ING 6OUN1ATION WALL TIME 13 00
04/04/2006 01 32 PM DYASUMUR
RON 808 0871
COMMENTS AND NOTES
PREPARED 3/31/06 13 12 55 INSPECTION TICKET PAGE 11
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/31/06
ADDRESS 1023 W 11TH ST SUBDIV
TENANT NBR TOM NASH
CONTRACTOR PHONE
OWNER NASH TOM PHONE 36) 452 2091
PARCEL 06 30 00 0 3 1860 0000
APPL NUMBER 06 00000114 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/29/06 JLL BUILDING FOUNDATION FOOTING
3/29/06 DA 03/28/2006 04 36 PM JLIERLY
ROB B 808 6871
MORNING A M
03/29/2006 04 13 PM PBARTHOL
RECALL WHEN VERTICAL BARS TIED IN PLACE
BL1 02 /31 06 LL BUILDING FOUNDATION FOOTING TIME 13 00
03/30/2006 08 22 AM DYASUMUR
TOM 808 1322
COMMENTS AND NOTES
PREPARED 3/29/06 12 30 28
CITY OF PORT ANGELES
ADDRESS 1023 W 11TH ST
TENANT NBR TOM NASH
CONTRACTOR
OWNER NASH TOM
PARCEL 06 30 00 0 3 1860 0000
APPL NUMBER 06 00000114 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
INSPECTION TICKET
j iiiSPECTOR JAMES L LIERLY
SUBDIV
BL1 01 3/ 9/0 JL BUILDING FOUNDATION FOOTING
V
03/28/2006 04 36 PM JLIERLY
ROB 2 808 6871
MORNING A M
COMMENTS AND NOTES
PHONE
PHONE 36) 452 2091
4 21 1 604-- 44-5 A jo- f e14-c.A
PAGE 23
DATE 3/29/06
(PV pi/ft
drh(4
BUILDING DIVISION
CITY OF PORT ANGELES
Correction .Notice
Job Located at. l(1 111/
Date 'f9
DO NOT REMOVE THIS TAG
Inspection of your work revealed that the following is
not. in accordance with the codes governing the work in
this jurisdiction
\irP AOC drrN tr)
171 rr 1. a a r Z 4 I IP
"°rtit S
These corrections must be made and are not to be.
covered until reinspection is made When corrections
have been made, please call `4 2—dA/
for inspection
f inspeQiorTor Building Division
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DMSION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00000114 Date 2/28/06
Application pin number 362136
Property Address 1023 W 11TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 1860 0000
Tenant for name TOM NASH
Application type description RES REMODEL i J
Subdivision Name
Property Use 0 1
Property Zoning RS7 RESDNTL SINGLE FAMILY G
Application valuation 4725
Owner Contractor
NASH TOM
P O BOX 273
PORT ANGELES
36) 452 2091
WA 98362
OWNER
Permit BUILDING PERMIT RESIDENTIAL
Additional desc REMOVE AND REBUILD KITCHEN ADD
Permit pin number 71969
Permit Fee 137 75 Plan Check Fee 55 10
Issue Date 2/28/06 Valuation 4725
Expiration Date 8/27/06
Qty Unit Charge Per Extension
BASE FEE 95 75
3 00 14 0000 THOU BL 2001 25K (14 PER K) 42 00
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 71985
Permit Fee 64 50 Plan Check Fee 00
Issue Date 2/28/06 Valuation 0
Expiration Date 8/27/06
Qty Unit Charge Per Extension
BASE FEE 50 00
2 00 7 2500 ECH ME VENT FAN 14 50
Permit PLUMBING PERMIT
Additional desc
Permit pin number 71977
Permit Fee 71 00 Plan Check Fee 00
Issue Date 2/28/06 Valuation 0
Expiration Date 8/27/06
Qty Unit Charge Per Extension
BASE FEE 50 00
2 00 7 0000 ECH PL EA FIXTURE ON ONE TRAP 14 00
1 00 7 0000 ECH PL- EA WATER HEATER 7 00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
Electrical load calculations and elctrical permits are
required
Public Works Utility Engineering has no requirements for
this plan review
T•\Policies \1102_15 building permit inspection record05.wpd 1/4/2005]
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. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
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 NO
FOUNDATION:
i FOOTINGS i‘ I
r WALLS
FOUNDATION DRAINAGE DOWN SPOUTS I
PIERS I I I
r
POST HOLES (POLE BLDGS.) I
PLUMBING
UNDER FLOOR SLAB I I I
ROUGH -IN I I I
WATER LINE (METER TO BLDG) I I I
GAS LINE I I I FINAL DATE ACCEPTED BY.
BACK FLOW WATER I I
AIR SEAL
WALLS I I I
CEILING I I I
FRAMING
JOISTS GIRDERS I I I
SHEAR WALLJHOLD DOWNS I I I
WALLS ROOF CEILING I I I
DRYWALL (INTERIOR BRACED PANEL ONLY) II I I I
T -BAR I I
INSULATION
SLAB I I I
d I
WALL FLOOR CEILING I I
1IVIECHANICAL
HEAT PUMP FURNACE DUCTS I I I
GAS LINE I I I
WOOD STOVE PELLET CHIMNEY I I I FINAL DATE ACCEPTED BY.
4 COMMERCIAL HOOD DUCTS I
MANUFACTURED HOMES
4 FOOTING SLAB I I I
f `BLOCKING HOLD DOWNS I I I
SKIRTING I I I
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
BUILDING PERMIT INSPECTION RECORD
I I I
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW PW/ CONSTRUCTION RW
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT I I I
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT. I I I
BUILDING 417 -4815 I I I I BUILDING I I I
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
Application Number
Application pin number
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 273 25 273 25 00 00
Plan Check Total 55 10 55 10 00 00
Other Fee Total 4 50 4 50 00 .00
Grand Total 332 85 332 85 00 00
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000114
362136
Page 2
Date 2/28/06
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
T•1Policies11102_I5 building permit inspection record05.wpd 1/4/2005]
FOUNDATION:
FOOTINGS
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
AIR SEAL
WALLS
CEILING
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
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 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
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I r'
T•\Policies \I 102_15 building permit inspection record05.wpd (1/4/2005]
BUILDING PERMIT INSPECTION RECORD
I -/31 /bc, I I
I4: /bc, I 71-(- I
I I
I I I
I I I
1 1e,61 1
I 11 1
I I 1
I I I
I I
If I I
I V /0/ I I
Ii I I
I I I
FINAL 6 AAATE
FINAL
SEPA.
ESA.
SHORELINE:
417 -4735 ELECTRICAL
LIGHT DEPT
pti
ACCEPTED BY.
ATE T ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I 1 I
Applicant or Agent: k 5I-N
Owner 1 k5 L
P0 3p)/ 77
Address
Arclutect/Engineer
Contractor )rL.,F
Address
PROJECT ADDRESS I 0.23 W
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER. 3 o c,
TYPE OF WORK.
Residential New Constr
Multi family 1$ Addition
Commercial Remodel
Repair
STZE/VALUATION
Re roof Stove 315 SF 1 /SF 1 47-25
Move Garage SF /SF
?<Demolition Deck SF /SF
Sign (1 Other TO AL V UATIO 4 7 2. S
BRIEF DESCRIPTION OF THE PROJEC Ke✓�B J, .e)( f CA
A A a Is K 4 c -I 0,-% 0 b c> /v 4 s t, i
e><l5 l ,114.4y, 1l be_ ,I ,)0. „Di- -6 14 l
COMMERCL4 RESIDENTIAL Occupa Group
Occupant Load. Construction Type.
No of Stories. I' Lot Size. 70 00 f Existing Sq Ft. 7 1-11 1 Proposed Sq Ft. 3 u TOTAL Sq Ft. II I Z
Total lot coverage
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to he accepted fur i eview If you have an j questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
City Pork A'���
State License
Block.
City
t
Sf,
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
Phone
Exp
Phone
Phone.
Subdivision.
O 3
he 6ZY
LIs2 -.2oc 1 4.G'
775"--07.2o eel
`ig362
Zip
Phone
Zip
ZONING
FOR OFFICIAL USE ONLY
Date Rec
Permit n
f'
Date Approved.
,ue -/2
d 2v e
Tlvc"'t
APPROVALS
PLAN
BLDG
DPWU
FIRE
OTHER.
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 as 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 REVTFW If no 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 apphcation 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 responsibility to determine what permits are re uire ,not the City's, and that I must obtain such permits prior to work.
T•\PolicieslBL I 102_13.wpd Applicant:
Date.
2-62-06
PP,c*cy2-a MAIrl)
r iRucs ki 2,1
B
CZ.P■()
7/27:05 Ap+
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cx) 3 41
inv3r)
61;fAck-
D 25 \.J,
40 6) .ties
MA 11 -N
cecoiv)
D
CITY OF PORT ANGELES Construction Plans
The Issuance of this permit based upon these plans, specifi-
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors in said
plans, specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction.
e.) jS
Approval Date Zit;
17'
t
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PREPARED 1/06/05 12 03 53 INSPECTION TICKET PAGE 11
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/06/05
ADDRESS 1023 W 11TH ST SUBDIV
CONTRACTOR PHONE
OWNER NASH TOM PHONE (360) 452 2091
PARCEL 06 30 00 0 3 1860 0000
APPL NUMBER 04 00000994 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 1'06 /05./
MECHANICAL GAS LINE TIME 17 00
TOM 775 0720
COMMENTS AND NOTES
Application Number 04 00000994 Date 10/28/04
Pin number 457256
Property Address 1023 W 11TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 1860 0000
Application description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 1400
Owner Contractor
NASH TOM
P 0 BOX 273
PORT ANGELES
(360) 452 2091
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Signature of Contractor or Authorized Agent
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
WA 98362
OWNER
MECHANICAL PERMIT
FREE STANDING PROPANE STOVE
57 65 Plan Check Fee 00
10/28/04 Valuation 0
4/27/05
Qty Unit Charge Per Extension
BASE FEE 47 00
1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 10 65
Fee summary Charged Paid Credited Due
Permit Fee Total 57 65 57 65 00 00
Plan Check Total 00 00 00 00
Grand Total 57 65 57 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 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.
�C /a
Date Signature of Owner (if owner is builder)
Date
BUILDING PERMIT INSPECTION RECORD
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
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
GAS LINE
WOOD STOVE PELLET CHIMNEY I
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
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 NO
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
RESIDENTIAL
ELECTRICAL LIGHT DEPT
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT
BUILDING 417 -4815 I I I I BUILDING
T•\PLANNING\FORMS \1102.15 [11/14/2003]
. ".; ~ .
-...
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
\ ) .N~ _16777
>Z Port Angeles, wasbJngtoL______~__=lt.::___.._....___..,....._______, 19:??
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 d6 elec#:,ork as listed below.
Address .....i.t!..;?,._!!.____.?L:.t!....l!...Lf...._..._______.___.._....... Occupancy._..__.4__&..~q~:::....__.._....___...
Owner .tb.,,~.g!~~.t'.,'!'l.---!Jj}.~,;:t;g..d?tfZ-' TenanL___....__._m____._______._______.......____.....__.._____........___
Wiring Contrac't~r _....___~~_______..____....___. By.........___..___.______________........________m_____..___..._.....
Light Outlets_'___,,_.._.._.._....._........_.._..__. Se,:Ice. volts ......!.?-:-!~:?..e.0 I, Type of WIring:
Receptacle Outlets..._......................_...'.~. No. wires ......._3;::?;......_......;'''? Armored Cable .....................-........
Dryer, KW..n...................................... Size wires.......~....d@:~ Non-Metallic ............-.-..................
Main fuse ...%~~.lfl....
(' f
Enclosure ...~.........................
Knob & Tube................................_
Range, KW.........................
Rigid Conduit ......__.......................
Water Heater:
Metallic Tubing ...........................
HealK:~::::z#.;:'f..::1IlL..:.:.
Type of wIring:
Entrance Cable .............................
Raceway ...............................__..._
Circuits, Llghl.........._..............._.......__..
Utlllty..............._......_.........__.........
Motors: size, volts and phase:
Rigid Conduit ...............................
Metallic Tubing ...._...
Current transformers:
lIeat ....................................-..-..--
Range .............................................
Water Heater ...............................
Motor ._.._........................................
No. & Size.......................................
Ser. No......................t......................
~.,... '"
Ser. N o. ......n..:~:.....................n.........
Dryer ..............................................__
Furnace .........................'_...................
~)
.'
Ser. No..._.....;...~................................
..1
')
Remark:~ta:..:~~~~~.::~~~~~.:::;._~~~~1-.Q......___.~:~::..:::...:..:.::.::.::.':.:::.::.:::
(/ ,/
-::~.=.~~--~::~-..~----~~--.~.~~..~---------::~.~.~:--5~:~.~.~~.....~~..~.....---........--::.--fi:"'i{Z--~~~;.:~;:::.<-
,
NOTICE-Current must not be turned. on until Certificate of Inspection has been Issued. If work is to be con.
cealed due notice must be given the Inspector ~oithat work may be inspected before concealment.
; .
NOTIFY THE INSPECTOR BY .~ERMIT NUMBER WHEN READY FOR INSPECTION
J'
ELECTRICAL PERMIT
N?
16777
"'------'-----.
Address..................._._.....................................................................................................l..........Date..._......_.._.._.._.........._......_......_......._
Owner......................__..........._......_.._......_......_.._.........................._................................Tenant............................__......................................
WiringContractor.........................._........_......................_.............................................................By............................................__...._...........
NOTICE-Current must not be turned on until Cert1fJcate of Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so'that work may be inspected before concealment.
-.- ~
\
\
.......
. -'-~-....
'"
Olympic Printers, Inc.
ELECTRICAL WORK PERMIT APPLICATWN
t"......-
Job wired by
o Electrical Contractor ~wner
Installation description
o Commercial )('Residential
Electrical contractor name
License number
Date Expires
o New
Jl(Alteredl Addition
purChas.er'spoing It; :l73
City fo',t ~ek., ~~ ZIP 1~ 3 b 1-
Telephone nUmber) FAX number
(%0 45"2--.2.0'1\
kd,J~'\
c0J/{t'J." fte~Je.1
,
~" '
.
6
:P<-( B
~( 2-0
~f.3 {)
10
,
Address of inspection I , 1t-
10.2'3> W'
City fort An e\e')
~,
vA-
CZ'l36 '2...
775'-07:2..0
Phone number to sche
inspection: ( 3t.D
Owner as defined by RCW.J9.28.261:(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 1 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.
Slgnatu;; of own~ electric~actl1 or electrical administrator
X I~ '/~ Date: ()-(-o6
,
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
Expiration Date
of card
()
Electrical Load Additions and or subtractions
'Jlf NO LOAD CHANGES
D Baseboard KW
D Furnace KW
D Heat Pump Ton LAR
D Fan-Wall KW
Service Information
(J Overhead Service
o Temp Service
D Underground Service
Voltage
Phase D 1 D 3
Service Size:
Feeder Size:
!
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN / THERMOSTAT SERVICE
~~~~-kC. .Jk)
Dale Appro'\led I3'r "- Date Approved By Dale Approved By
h FINAL / DITOI FEEDER
Jl '3/ /;c. L-;..:f
. / Datf- Approved By/ Dale Approved By ../ Date Approvetl By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
I
,. "
k~./ ~ ~lnh -,
/ ,
DATE
ELECTRICAL I NSPECyrOl'l
WIRING REPORl
417-4735
Oc.-J /V ""-
ADDRESS
INSPECTOR
~
/
,
/
:>-.2.~ D ~
OWNER/CONTRACTOR
,
10.23' W€.SL /I.,-{ J1 /
APPROV~~ W~ rv /;-'~~APPROVED
o ...........,J b. . . . . Dlfc(l . /. . . . . . . . . . . . . . . . . . 0
K P,vI9JJ.'. . . . . ROUGH ~SOVER . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . SERVI.CE . . . . . . . . . . . . . . . . . . . 0
/
D..................... Flf)/AL.................... 0
/
~i
!
CORRECTIONS NEEDED:
~~,,- #~,,#
_e'~
~~~
?
.s~~~~,,^,
C4-/.5
C9 ~/~/
~':^1t
I
-U~L./)' _~ &A/~ rnNOur~' '"
t Z-'-!O V '" <:5-/" /'d //3 - ~1> ~)
(<rJ .
" ' / NOTIFY INSPECTOR WHEN CORRECTIONS
'~ ARE COMPLETED WITHIN 15 DAYS
/F=) _ DO NOT REMOVE -
\::/ OVl:- M~ :::r- fft;:>;K .HoT' t..J~ m,.<.
C'lOLY~'N1~~~13~..s/ dLJ€. A;<=~ -SNr' ~k
\f!;l/ /fu... .r /.Sox.~S ;fl; ,cr~ ~:>.;8UE-_
..-c.J~
73
rOL...L-tI'::/CoI.J
d""C.,; L I"?,""t!..
//'7-r"~ ,
~-
t:..J~ /?lEe &. 1--.",'"4;.:;
CITY OF PORT ANGELES
LIGHT DIVISION
FAX TRANSMISSION COVER SHEET
Date:
To:
Fax:
Re:
Sender:
8/30/06
Labor & Industries
417-2733
Inspections
Kathy Trainor
Phone: 417-4724
Fax: 417-4729
YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET.
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360) 417-4724.
Please inspect for:
Tom Nash - Homeowner
775-0720
Q023 W. 1 ftli?Finallnspection - Addition
00 _. I \ t..\
If inspection is on Thursday (his day off), please give customer 20 minutes notice
and he can meet you there.
If inspection is Friday (he'll be at work), please call customer when you know
what time you'll be there, and he'll go unlock the door for you.
Thank you,
Kathy
3604172733
5T OF WA L&I
07:39:52 a.m 09-01-2006
1/1
08/30/2006 12:~3 360~17~729
PAGE 01
(i
PORT ANGELES CITY L T
CITY OF PORT ANGELES
LIGHT DIVISION
FAX TRANSMISSION COVER SHEET
Date:
To:
Fax:
Re:
Sender:
8/30/06
Labor & Industries
417-2733
Inspections
Kathy Trainor
Phone: 417-4724
Fax: 417-4729
YOU SHOULD RECEIVE 1 PAGE. INCLUDING THIS COVER SHEET.
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CAlL (360)417-4724.
Please inspect for:
Tom Nash - Homeowner
775-0720
t023W. 11th - Finellnspectlon - Addition
If inspection Is on Thursday (his day off), please gIve customer 20 minutes notice
and he can meet you there.
If inspection is Friday (he'll be at work), please call customer when you know
what time you'll be there, and he'll go unlock the door for you.
Than~ you,
Kathy
~/31 Or.. ~;"o... \
'3..S.
~~
C'
1UC ~/v~
0.90 I;)
"'0 ~"'r <'0,.,
'1/7''1' 0",< fiB
'ltO-s off
~&
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number, . . . . . 17-00001865 Date 12/21/17
Application pin number . . . 635920
Property Address . . . . . . 1023 W 11TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -1860 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . RS7 RESDN'TL SINGLE FAMILY
Application valuation 0
-----------------------------------------7----------------------------------
Application desc
Ductless heat pump
----------------------------------------------------------------------------
Owner Contractor"
STEVEN FRADKIN AND KIMBERLY SA EXTRA MILE TECH & ELECT., LLC
511 a 11th 418 N. RACE ST.
PORT ANGELES WA 98362 PORT ANG"S- WA 98362
Permat ELECTRICAL -- t--- -- 322
{360) 477--3221
. . . TER RESIDENTT -
Additional desc .
Permit Fee . . . . 63.00 Plan Check Fee". .00
Issue Date . . . . 12/21/17 valuation 0
Expiration Date . . 6/19/18
Qty Unit Charge Per Extension
1.00 63.0000 BCH EL -R- BRANCH CIR WO/ -SER FEED 63..00
--------------------------------------------------- ;
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 STATE SALES -TAX
on your exeise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
j
IDS.
Date:
CITY OF PORT ANGELES PERmrT APPLICATION
BuMag i)wividon/Eechicai hopedions
321 East Fiiih Sava -- P.O Box IM / Pori Ames Win, 98362
Ph: (360) 417-4735 FaxC (360) 417-4711
Date: /.Z -If - 17 �i B 2 S'h& Fiinh► Dwdit
* Plan Review
A May Be Required, Please Crr E�t�hiwl Ptan Review', t (L n Sliest
Job
&ftQSqWM_
DesctWM Gta6are
rMT,ti 1�
lUg Adder i n 3 w �- t /f'-
S
A 8. enc 'S [ Zq
qr �'A sum Y g s L-3
ter. SAO v ditm
F
�1+rLI
lieense#1Exp.
L ense#1Exp �� Cnq&jh y.
Item
Unkchant
(k Tadei ft MalloWby Unit C(wanael
SerdoelFeeder2D0Arwir.
$120.00
$
Servk%li3eder2Dl 400AMp.
$146.00
$
Sery wfteder401-100 Anp
$ 2D5.00
$
Servics Feeder601a0M Amp.
$ 262DD
$
servbditder mrer1000Amp.
$ 373.00
$
Bah Cinxit VW Service Feeder
$ 5.00
$
Branch Chrx4 W O See rimer
$ 63.00
_. _ $
Eadr Ad46on ei ll I Ckd
$ 5.00
$
Branch Ckaft 1.4
$ 75.00
$
Torp. Service! Feeder 200 Amp.
$ 93M
$
Temp. Ser*WFeeder20l 400AT*
$110.00
$
Temp. S Feeds x401 -M Aon.
$149.00
$
Temp. Serukaffiesderf1 i000Amp .
$16&00
$
Pb" to Pbdal Hm*
$ 96.00
$
SVW C6wW tindted EneW-1 &2 Family Dweft
$ 64.00
$
tMutadrxed Home Cauuiecdion
$120.00
$
Rhe Ela trlcal Energy-5WA Sydwn or Low
$102.
$
Thermostat
$ MOD
$
l $5-00io<eachmordT-Stat
WW;0NSTRUM=CWY:
F58t 1300 Square F#.
$12D.00
$
Each AdMaral 500 Square Ft or Poidon of
$ 40.00
$
Each OubAd ing or DeWdned Garage
$ 74.00
$
Each Swkm ft Pbol orHotTub
$110.00
$
$ t+ f
Owner as defined by RCW.192&261: (1) Ownwer w8 occupy the s kuc5me $uta years aterthis ebdtd pernift is &armed. (2) Owner is required
to here an slechir 0.i contraclor if above said poperty is for sae, raw( or tease. Pmn its0as a0ersa moans of Last kqeclon.
After rea ft the above slslemoK t bereby aer* that i am the owrwer of the above named property or a licensed deddW contriickr. l am maw
the etendrd kslallsliori or alsisfion in eanplance
w1h the N.E.C., RCW. Chapter 19.28, WAC. Char2M46B, The Cly of Pat
Angeles Mwawgxd Code, and tmlity SpecMcdons and PAMC 14 05.050 nrgMdewg Bei P Appilcatkm
Sureofowrwer, dedricd eoubactoror mor:
❑ cob ❑tamer
ti sa�t�as o N r L.�
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not
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o
Application Number . . . . . 22-00000529 Date 5/04/22
Application pin number . . . 632311
Property Address . . . . . . 1023 W 10TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-0176-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
service tree damage
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SUSAN J STEELE ANGELES ELECTRIC
1023 W 10TH ST 524 E. 1ST ST.
PORT ANGELES WA 983635731 PORT ANGELES WA 98362
(360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee . . .00
Issue Date . . . . 5/04/22 Valuation . . . . 0
Expiration Date . . 10/31/22
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool/ Hot Tub $110.00 $
TOTAL $
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. 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 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 and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
'"'CJ CD
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Service repair from tree damage.
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/4/2022 22-529 TAP
OWNER
CONTRACTOR
Angeles Electric
PROJECT ADDRESS
1023 w 11TH
X
ELECTRICAL INSPECTION WIRING REPORT