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126 Fogarty Ave - Building
CITY OF PORT ANGELES �® 1 DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORI'ANGELES, WA 98362 Application Number . . . . . 10-00001036 Date 9/27/10 Application pin number . . . 379860 Property Address . . . . . . 126 FOGARTY AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-09-5-2-2634-0000- Tenant nbr, name . . . . . . RICK SURRATT on your state excise tax form Application type description RES REMODEL to the City of Port Angeles Subdivision Name . . . . . . Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 4000 ---------------------------------------------------------------------------- Application desc REMODEL KITCHEN & MOVE LAUNDRY ROOM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RICK SURRATT OWNER 424 S OAK ST PORT ANGELES WA 98362 (360) 808-2677 --- Structure Information 000 000 REMODEL KITCHEN & MOVE LAUNDRY ROOM --- ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . REMODEL KITCHEN & MOVE LAUNDRY Permit pin number . 173559 Permit Fee . . . . 123.75 Plan Check Fee 80.44 Issue Date . . . . 9/27/10 Valuation . . . . 4000 Expiration Date . . 3/26/11 Qty Unit Charge Per Extension BASE FEE 95.75 2.00 14.0000 THOU BL-2001-25K (14 PER K) 28.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . Permit pin number 173567 Permit Fee . . . . 67.90 Plan Check Fee .00 Issue Date . . . . 9/27/10 Valuation . . . . 0 Expiration Date . . 3/26/11 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 7.25 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 ----------- ------------------------------------------- -----Permit . . . . . . PLUMBING PERMIT Additional desc Permit pin number 173575 Permit Fee . . . . 86.00 Plan Check Fee .00 Issue Date . . . . 9/27/10 Valuation . . . . 0 Expiration Date . . 3/26/11 Qty Unit Charge Per Extension BASE FEE 50.00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permitbecomes 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 regulatin str tion r the performance of construction. 27 ' !0 / 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 FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b 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 Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab 113locking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping ]SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By 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 CITY OF PORT ANGELES ® DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION A 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 10-00001036 Date 5/10/11 Application pin number . . . 379860 Property Address . . . . . . 126 FOGARTY AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-09-5-2-2634-0000- Tenant nbr, name . . . . . . RICK SURRATT on your state excise tax form Application type description RES REMODEL to the City of Port Angeles Subdivision Name . . . . . . Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 4000 ---------------------------------------------------------------------------- Application desc REMODEL KITCHEN & MOVE LAUNDRY ROOM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RICK SURRATT OWNER 424 S OAK ST PORT ANGELES WA 98362 (360) 808-2677 --- Structure Information 000 000 REMODEL KITCHEN & MOVE LAUNDRY ROOM --- ---------------------------------------------------------------------------- Permit . . . . . . MECHANZC&L PERM TT Additional desc . . GAS COOK / 2 LINES / 2 TANKS Permit pin number . 185363 Permit Fee . . . . 31.30 Plan Check Fee .00 A6- Issue Date . . . . 5/10/11 Valuation . . . . 0 Expiration Date . . 11/06/11 Qty Unit Charge Per Extension 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 1.00 10.6500 EA ME-FUEL GAS PIPING,1-5 OUTLETS 10.65 1.00 10.0000 EA ME-SUPPLEMENTAL PERMIT 10.00 ---------------------------------------------------------------------------- Permit PLG Additional desc L GASS WATER HEATER Permit pin number . 185371 Permit Fee . . . . 17.00 Plan Check Fee .00 Issue Date . . . . 5/10/11 Valuation . . . . 0 Expiration Date . . 11/06/11 Qty Unit Charge Per Extension 1.00 10.0000 EA PL-SUPPLEMENTAL PERMIT 10.00 1.00 7.0000 EA PL-WATER HEATER 7.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.30 48.30 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 52.80 52.80 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisio s of any state or local law regulating construction or the performance of construction. 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 Type7 Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water 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 Pum /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. Parkin /Lighting ESA: Landscaping I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By 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 CITY OF PORT ANGELES 1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA'98362 Page 2 Application Number . . . . . 10-00001036 Date 9/27/10 Application pin number . . . 379860 REPORT SALES TAX Qty Unit Charge Per Extension on your state excise tax form 2.00 7.0000 EA PL-PLUMBING TRAP 14.00 to the Cit of Port Angeles 1.00 7.0000 EA PL-WATER LINE 7.00 Y y 1.00 15.0000 EA PL-SEWER LINE 15.00 (Location Code 0502) ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 277.65 277.65 .00 .00 Plan Check Total 80.44 80.44 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 362.59 362.59 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent 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 O IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED, W POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by AIR SEAL: '3— L{-I I Walls N 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 Pum /Furnace/FAU ucts LL,Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit;Vs SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 V\ Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 a Building 417-4815 L T:Forms/Building Division/Building Permit PREPARED 4/03/12, 9:30:01 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/03/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 126 FOGARTY AVE SUBDIV: TENANT, NBR: RICK SURRATT CONTRACTOR : PHONE OWNER RICK SURRATT PHONE (360) 808-2677 PARCEL 06-30-09-5-2-2634-0000- APPL NUMBER: 10-00001036 RES REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------- -----------------' -----------' BAIR 01 3/24/11 JLL BLDG AIR SEAL 3/24/11 AP March 24, 2011 4:31:26 PM jlierly. March 24, 2011 4:31:48 PM jlierly. BL99 01 4/03/12L BLDG FINAL April 3, 2012 9:29:28 AM hcatuzo. �— Rick Surratt 808-2677 ------—------------------ ---------- COMMENTS AND NOTES --------------- PROJECT STATUS UPDATE Permit# �b-' �� , v fbfio r " `/� 61 Date: —� I phoned the: Applicant y ry'l at�0 Property Owner at Contractor at (left a phone message, or discussed).- .r The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. SAnKP, WI Mr. ry, i5 oI' p/eii . 04+0�_ fiwlq -MIS WffZ 6u/t W/11 SG- k& l �Q T:Forms/Buil ding Division/Project Status Update PREPARED 5/16/11, 10:09:12 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/16/11 --- - ------------- — ---- - - ADDRESS . : 126 FOGARTY AVE SUBDIV: TENANT, NBR: RICK SURRATT CONTRACTOR : PHONE OWNER RICK SURRATT PHONE (360) 808-2677 PARCEL 06-30-09-5-2-2634-0000- APPL NUMBER: 10-00001036 RES REMODEL ------------------------------------------------------------------------------------------------ PERMIT: ME 01 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------- -------——----------- -- - -- ------------------ ME6 01 5/16/11 JLL MECHANICAL GAS LINE TIME: 01:00 May 16, 2011 10:08:03 AM 1pangrle. RICK 808-2677 GAS LINE -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 3/24/11, 8:46:16 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/24/11 ------------ --------- --- ------------------------------- ADDRESS . : 126 FOGARTY AVE SUBDIV: TENANT, NBR: RICK SURRATT CONTRACTOR : PHONE OWNER RICK SURRATT PHONE (360) 808-2677 PARCEL 06-30-09-5-2-2634-0000- APPL NUMBER: 10-00001036 RES REMODEL --------------- ----- '- ------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------ ----------------------------------------- / BL3 01 3/24/11 J - AM _ Mach 22, 2011 8:24:322 AM 1pangrle. RICK 808-2677r FRAMING AFTERNOON CALL HIM 10-MINUTES BEFORE YOU GET THERE -------------------------------------- COMMENTS AND NOTES --------------------- ,0'°"R`+'� BUILDING PERMIT APPLICATION Print in ink a' CITY OF PORT ANGELES j. For City Use Only: _� Attn: Building Permit Technician CDate Received cl-- -to 321 E. Fifth St., Port Angeles, WA 98362 t# i (360) 417-4815 fax (360) 417-4711 ApprovedApplicant D�[Gl�CjGc /�/� Pha Property Owner /�iG,� Skk9Rjf Phone Property Owner's Address Jul �,J t,��, -,Q7-Y cif , &-`& ' Contractor fV Phone Contractor's Address License # Expires E-mail PROJECT ADDRESS 12(p ,� �.,¢�� ��� ;,Pj 1& Parcel Number V Lot Zoning Project Type & Brief Description: .PJ Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction CAAw F ❑ Addition n 9;yll 1,T` mov6- (AM-62y *Remodel in�a G e a�v�e ❑ Repair ❑ Demolition ❑ Re-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @ $ per sq. ft. _ $ 15t Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION, $ Total footprint of structures sq. ft. - Lot size sq. ft. = Lot coverage % Site Coverage = the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage % Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? __ -Construction type #of half baths 1 have read and completed this application and know it to be true and correct. /am authorized to ayply forth' permit and understand that it is my/responsibility to determinewhatpermits are required,.and to obtain permits prior to w ,ing gin pr-jects. Date q—/(� `�� Print Name IC bc/jc c�r�Q,� Z7 Signature T:Forms/Building Division/Building permit application c � , j/ . O $ V€ u�,� ,..��� �n .^� �.� �'�-•� i�a� � � *;aea� '"`�" 5��s^`. �w.a'u z�•�;�'ti �W si 4 � a � kr r �v�a r� a # y�rh tvr• � ,r'�.� uta:�'n t�+ sr,�r ? � �� v �i £S:, :£. '+. �' � x...'�+ £fin ' 4`Yr, � � •. �a'£''y '�` �,J+£ � � .� � k� 3�s.+a'h,. na ay* +.� k r re w • } tf✓'db 4 _ { �6r�. to rrryxg a t' 77 Lr L5 ,A •. ��=r bi`.� m�, .. � b? r � w r w 4 r �...�:w+a.. � � �+'�'r .+ .£ a �:.b£� ' 'r�. It � du AYE lK' � .. a ani �+ �� `r �N. r�;.�, •'re � .�.az v �..;. x: � ata� P•� a, �a '� - •. .may kn E - a �.r„r" a M t k a f�a w r•w ,�,+fi �R i� ��k'se � - -; m a' „} �'r ..`" �m£ `^�"�'i �,r a� • .�, � a ,'� rid" _, 6�s �. 5;e Clallam County Assessor& Treasurer - Property Details - 64550 RICK SURRATT for Y... Page 1 of 5 Clallam County Assessor & Treasurer Property Search Results > 64550 RICK SURRATT for Year 2010 - 2011 , Property Account Property ID: 64550 Legal Description: LT 7 EXC E20'& LT 8 EXC W10' BL 26 FOGARTY& DOLAN'S ADDITION Geographic ID: 0630095226340000 Agent Code: Type: Real Tax Area: 0010-PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address. 126 W FOGARTY AVE Mapsco: PORT ANGELES,WA 98362 Neighborhood: Cycle 5 Res Map ID: 3 Neighborhood CD: 10955130 Owner 1" Name: RICK SURRATT Owner ID: 55072 Mailing Address: 424 S OAK ST %Ownership: 100.0000000000% PORT ANGELES,WA 98362 Exemptions: Taxes and Assessment Due Property Tax Information as of 09/17/2010 Amount Due if Paid on ........ __... First Half Second Half; Year!Statement IDA Taxing Jurisdiction 'Base Due Base Due Penalty Interest 1 Base _ _ ....._... _. 2010 46855 ST SCH-STATE SCHOOL $196.89 $196.89 $0.00 $0.00 $1f -----------._----- _. .. _ ..... .,__...... .. _._. ... _. i2010 46855 CC-GEN-COUNTY $104.78 $104.77 $0.00 $0.00 $1C !2010 46855 PORT-PORT $14.72 $14.73 $0.00 $0.00 $1 €2010 46855 PORT ANG-PORT ANGELES $242.59 $242.60 $0.00 $0.00 $24 2010 46855 SD#121 SCHOOL DISTRICT#121 $255.03 $255.02 $0.00 $0.00 $2E 2010 46855 NTH OLY LIB-NORTH OLYMPIC LIBRARY $30.44 $30.45 $0.00 $0.00 $° 2010 46855 HOSP#2-HOSPITAL#2 $42.98 $42.99 $0.00 $0.00 $4 2010 46855 WSMET PK DIST-WILLIAM SHORE MET PARK DIST $13.68 $13.67 $0.00 $0.00 $1 .. ...... ._ .. .......... ........ _ _......... 2010 46855 CITY_STORMWATER-CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $: i 2010 46855 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 9 _...__., 2010-46855 TOTAL: $937.93 $937.93 $0.00 $0.00 $92 2009 645502008 ST SCH -STATE SCHOOL $225.41 $225.41 $0.00 $0.00 $4E ..._. ..__ __ _.. ._,.,,..., ._. .. .... .... _._w.._ _,.._....r.. ......... 2009 645502008 CC-GEN-COUNTY $114.09 $114.06 $0.00 $0.00 $22 12009 645502008 PORT-PORT $16.16 $16.16 $0.00 $0.00 $: - ....... . ................ 2009 645502008 PORT ANG-PORT ANGELES $250.22 $250.22 $0.00 $0.00 $5C 2009 645502008 mm SD#121 -SCHOOL DISTRICT#121 _ �r$278.74 $278.77 $0.00 $0.00 $5E 2009645502008 NTH OLY LIB-NORTH OLYMPIC LIBRARY $33.15 $33.14 $0.00 $0.00 $E http://vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=64... 9/17/2010 IZZ V39 , r-- N -,L--vic-10 , , i - - CITY OF PORT ANGELES—Constcuctiost PIar a The Issuance of-this permit based upon these plans,spa rfi- " — - cations and other data shell W prMt the building official - from thereafter re ui - - -- - — — —- � q rMK the conllClien of error's in said I plans, specifications and other q_fa, er from preventing _ _ -fix, - "-`- building operations beim carriedgphereunder when in -- - violation of ail codes aad.eldhaaoels_of this-jurisdictic — d ��-�� . Q� _ r — Approval Date gy }o(�� w IJ - - - 4--1 wS 7i 3 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION - 321 EAST 5TH STREET, PORT ANGELES, WA 98362 �s Application Number . . . . . 11-00001255 Date 11/07/11 Application pin number . . . 558985 Property Address . . . . . . 126 FOGARTY AVE p of �q ASSESSOR PARCEL NUMBER: 06-30-09-5-2-2634-0000- REPORT SALES TAY, Application type description MECHANICAL APPL. PERMIT Subdivision Name . . . . . . On your State excise tax form Property Use to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 2647 (Location Code 0502) ----------------------------------------------------------------------------- Application desc DUCTLESS HEAT PUMP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RICK SURRATT AIR FLO HEATING CO INC 424 S OAK ST 221 W. CEDAR PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 457 (360) 683-3901 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc DUCTLESS HEAT PUMP Permit Fee 64.80 Plan Check Fee .00 Issue Date . . . . 11/07/11 Valuation . . . . 0 Expiration Date 5/05/12 Qty Unit Charge ' Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 ---------------------------------------------------------------------------- Fee summaryCharged Paid Credited Due Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 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, 7 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit 1 BUILDING PERMIT INSPECTION RECORD � PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECT IONS -- �l Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line (Meter to Bldg) Gas Line Back Flow/Water 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 Rouqh-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 ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR 1-0 OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW /Engineerinq 417-4831 Fire 417-4653 Plannin 417-4750 Building 417-4815 PREPARED 11/30/11, 10:30:59 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/30/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 126 FOGARTY AVE SUBDIV: CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683-3901 OWNER RICK SURRATT PHONE (360) 457 PARCEL 06-30-09-5-2-2634-0000- APPL NUMBER: 11-00001255 MECHANICAL APPL. PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------—-----------—--------------—--------------------------------- ME99 01 11/21/11 PB MECHANICAL FINAL 11/21/11 DA November 18, 2011 12:36:51 PM pbarthol. November 28, 2011 8:30:54 AM pbarthol. no one home recall inspection ME99 02 11/3, /11 J MECHANICAL FINAL November 30, 2011 9:29:38 AM pbarthol. Rick 808-2677 *******please call 1 hr before so he can let you in******** ------------------------------ COMMENTS AND NOTES ----------------------------------- s PREPARED 11/21/11, 11:18:01 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/21/11 ------------------------------------------------------------------------------------------------ ADDRESS 126 FOGARTY AVE SUBDIV: CONTRACTOR : AIR FLO HEATING CO INC PHONE (360) 683-3901 OWNER RICK SURRATT PHONE (360) 457 PARCEL 06-30-09-5-2-2634-0000- APPL NUMBER: 11-00001255 MECHANICAL APPL. PERMIT ------------------------------------------------------------------------------------------------ PERMIT= ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 11/2 /11 JLL MECHANICAL FINAL A ,n November 18, 2011 12:36:51 PM pbarthol. --7Y 7T- ------ COMMENTS AND NOTES ------ - ------------------- -- ---- - BUILDING DIVISION ` CITY OF PORT ANGELES Correction Notice Job Located-at lite A'f Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdictio These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call 17- -'716 /1 for inspection. Date / Inspector for Building Division DO NOT REMOVE THIS TAG f11/04/2011 FRI 9: 20 FAX 360 683 3971 Air Flo Heating Co. . /001/001 i ot.Pour4,�, BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received //'eil- L-7�r�i■I 321 E. Fifth St., Port Angeles,WA 98362 Permit# a, i� r (360)417-4815 fax(360)417-4711 Date Approved Applicant or-Agent AlPhone Ss3 - 3901 Owner LK.- 1�,u P_EAT T Phone g0`6 - 241-1 Owner's Address i a& W. FD 6 kCt T v ST��( f�17hA16 0 LC--5 Wk Contractor/Engineer thdR PLD 4 E t l0G' Phone (p c63– O I Contractor/Engineer's Address SE&Y' A, u * License# L4$c60 ac-i< Expires PROJECT ADDRESS ( `dlO \AJ E6 b&kl I T v :57_t06_'1 Parcel Number Lot Zoning Project Type & Brief Description: o Residential o Commercial o Multi-family o Industrial Check all that apply o New Construction o Addition o Remodel o Repair o Re-roof o Demolition o Sign o wall-mounted ❑ projecting o freestanding o awning o other Total sign area sq. ft. Maximum allowed sign area sq. ft. Heat System ❑ Heat pump o wood-burning stove o gas fireplace o pellet stove Wother WC(Lis o Other ftg-r PoAkLi Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @$ per sq. ft. _$ 1"Floor 2nd Floor 3'd Floor Garage Carport Covered Porch Deck Shed f Other TOTAL VALUATION $ Total footprint of structures sq. ft. _ Lot size sq, ft. = Lot coverage % Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths I have read and completed this application and know it to be true and correct. !am authorized to apply for this permit and understand. that it is my responsibility to determine what permits are required, and obtain ermits prior to working on projects. e , ,�,( 'V`�V ��7 Signature Date t� Print Name �L-�.-�1" ! g T:Forms/Bwldmg Division/Bldg Permit Appl.2006 Code.doc ELECTRICAL PERMIT CITY OF PORT ANGELES ' T 360-417-4735 V`1 ' Application Number 11-00001371 Date 12/02/11 Application pin number . . . 625375 REPORT SALES TAX Property Address . . . . . . 126 FOGARTY AVE ASSESSOR PARCEL NUMBER: 06-30-09-5-2-2634-0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . . . . . Property Use Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Application desc 1 circuit ductless heat pump ---------------------------------------------------------------------------- Owner Contractor RICK SURRATT OWNER 424 S OAK ST PORT ANGELES WA 98362 (360) 457 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL �1 Additional desc v Permit Fee . . . . 73.50 Plan Check Fee 00 Issue Date . . . . 12/02/11 Valuation . . . . 0 Expiration Date . . 5/30/12 \ Qty Unit Charge Per Extension 1.00 73-5000 ECH EL-BRANCH CIRCUIT WO/FEEDER73.50 - Q Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN Z ) FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G°\EXCHANGEIBUILDING OR 20-1�0, 1ACr. `1� f�f ELECTRICAL , �..-. CITY OF PORT ANGELES PERMIT APPLICATION INSPECTIONS Building Division/Electrical Inspections 321 East Fifth Street—P.O. Box 1150 /Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: 0 N,D 1 &2 Single Family Dwelling _Multi-Family or Commercial* _Commercial Addition/Alteration/Remodel /Repair* *Plan Review May Be Required,,Please Complete Elec cal PlanReview Information heet Job Address: 1`L (-r7&�L Building Square Footage Description of above Owner In r atio Contractor Information Name: e � Name: Mailin Address: Ix L✓ � L Mailing Address: City: L State: Zip:���__ City: State: Zip: Phone: -7 Fax: Phone: Fax: License#I Exp. License#I Exp. Item -Unit-Charge Qty Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $119.90 $ Service/Feeder 201-400 Amp. $145.50 $ Service/Feeder 401-600 Amp $204:60 $ Service/Feeder 601-1000 Amp. $262.20 $ Service/Feeder over 1000 Amp. $372.50 $ Branch Circuit W/Service Feeder $ .2.60 $ Branch Circuit W/O Service Feeder $ 73.50 1 $ Each Additional Branch Circuit $ 2.60 $ Temp.Service/Feeder 200 Amp. $ 92.70 $ Temp.Service/Feeder 201-400 Amp. $110.30 $ Temp.Service/Feeder 401-600 Amp. $148.70 $ Temp,Service/Feeder 601-1000 Amp . $167:90 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf Signal Circuit/Limited Energy-1 &2 Family Dwelling. $ 63,90 $ Signal Circuit/Limited Energy-Multi-Family Dwelling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy-5KVA System or Less $102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft. $110.30 Each Additional 500 Square Ft.or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming Pool or Hot Tub $110.30 $ $ 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 49.28,WAC,Chapter 296-46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,ele t-r'rc ontractor or electrical administrator: El Cash El Che ck lCredit Card# X Dated: d ELECTRICAL PERMIT CITY OF PORT ANGELES C7 360-417-4735 V4 Application Number . . . . . 10-00001035 Date 10/13/10 Application pin number . . . 390225 Property Address . . . . . . 126 FOGARTY AVE REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06-30-09-5-2-2634-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 6 circuit kitchen remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RICK SURRATT OWNER 424 S OAK ST PORT ANGELES WA 98362 (360) 457 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit pin number 173542 Permit Fee . . . . 206.40 Plan Check Fee .00 Issue Date . . . .. 9/17/10 Valuation . . . . 0 Expiration Date 3/16/11 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL-BRANCH CIRCUIT WO/FEEDER 73.50 5.00 2.6000 ECH EL-ECH ADDNT BRANCH CIRCUIT 13.00 1.00 119.9000 ECH EL-0-200 SRV FEEDER 119.90 --------------------------------------------------------- Special Notes and Comments O October 11, 2010 9:36:59 AM Brian 417-4708. Install 5' mast to ensure clearance over building. ------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 206.40 206.40 .00 00 ' V Plan Check Total .00 .00 .00 .00 Grand Total 206.40 206.40 .00 .00 rG INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ?, �D ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X � Date: ;° � ELECTRICAL INSPECTION WIRING REPORT KS& 417-4735 DATE: PERMIT# INSPECTOR 3 b- 3 OWN ,1l �- T1 CONTRACTOR ADDRESS 1 (,,AfZ APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ P. . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: AgookD u rn'lrz7m C_ ga�c �s , /v DSL 210 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — ti d. ELECTRICAL PERMIT CITY OF PORT ANGELES . Q 360-417-4735 �1 Application Number . . . . 10-00001035 Date 9/17/10 Application pin number . . . 390225 REPORT STATE SALES TAX Property Address . . . . . . 126 FOGARTY AVE ASSESSOR PARCEL NUMBER: 06-30-09-5-2-2634-0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . . . . . Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL. SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 6 circuit kitchen remodel - ---------------------------------------------------------------------------- Owner Contractor RICK SURRATT OWNER 424 S OAK ST PORT ANGELES WA 98362 (360) 457 ---------------------------------------------------------------------------- Permit ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit pin number 173542 Permit Fee . . 86.50 Plan Check Fee .00 Issue Date 9/17/10 Valuation . . . . 0 Expiration Date 3/16/11 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL-BRANCH CIRCUIT WO/FEEDER 73.50 5.00 2.6000 ECH EL-ECH ADDNT.BRANCH CIRCUIT 13.00 ---------------------------------------------------------------------------- . Fee summary Charged Paid Credited Due ------------------ ---------- ---------- ---------- ---------- Permit Fee Total 86.50 86.50 .00 .00 Plan Check Total .00 00 .00 .00 Grand Total 86.50 86.50 .00 .00 INSPECTION 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 Date: =A �ORT�h e r CITY OF PORT ANGELES PERMIT_APPLICATION Building Division/Electrical Inspections SEP 1 t, 2109 321 East Fifth Street—P.O.,Box 1150/Port Angeles Washing-ton, 98362 " ELECTRICAL. Ph: (360)417-4735 Fax: (360)417-4711 INSPECTIONS Date: — 1 &2 Single Family Dwelling _Multi-Family or Commercial* Commercial AdditigfL/Alteration/Remodel/Repair* *Plan Review May,Be Required, Please Complete lectri I Plan Reiew Infoti7nation Sheet Job Address: I W' ✓v X'S Building Square Footage: Descrip_ti9n of above Alva g &A-1 w.re i w °TD /L&-1 r PQ -w✓J "& C+.+W 1 Owner Informationt�` � � Contractor Information Name: 1Name: Mailing Address: Mailing Address: City: •r!t / State: tv,-- Zip: 9 City: State: Zip: _ Phone:)M-114o-7-7 Fax: Phone: Fax: License#/.Exp. License#/Exp. Item Unit Charge Qty Total(Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp, $119.90 $ Service/Feeder 201-400 Amp. $145.50 $ Service/Feeder 401-600 Amp $204.60 $ Service/Feeder 601-1000 Amp. '$262.20 $ Service/Feeder over 1000 Amp. $372.50 $ Branch Circuit W/Service Feeder $ 2.60 $ Branch Circuit W/O Service Feeder $ 73.50 $ 73I'D Each Additional Branch Circuit $ 2.60 $ >3°D Temp.Service/Feeder 200 Amp. $ 92.70 $ Temp.Service/Feeder 201-400 Amp. $110.30 $ Temp.Service/Feeder 401-600 Amp. $148.70 $ Temp.Service/Feeder 601-1000 Amp. $167.90 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf Signal Circuit/Limited Energy-1 &2 Family.Dwelling $ 63.90 $ Signal Circuit/Limited Energy-Multi-Family Dwelling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy-5KVA System or Less $102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft. $110.30 $ Each Additional 500 Square Ft.or Portion of $ 35.20 - $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming Pool or Hot Tub $110.30 $ 'rTotal 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 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. WSignatureer,ele rical contractor or electrical administrator: ❑ Cash ❑ check ❑ CreditCard# Dated: —` �� / 01/0112010 tt CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 03-00000028 Date 1/23/03 Property Address . . . . . . 126 FOGARTY ST ASSESSOR PARCEL NUMBER: 0630095226340000 Application description . . . RE-ROOF Property Zoning . . . . . . . Application valuation . . 1084 Property owner . . . . . . Owner address . . . . . . . . / Contractor . . . . . . ROOF MANAGEMENT ------ Structure Information TEAR OFF, FELT, COMP ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . SINGLE FAM & CONGREGATES ---------------------------------------------------------------------------- Permit . . . . BUILDING PERMIT - NO PR FEE Additional deac . . Permit Fee . . . . 65.30 Plan Check Fee .00 Issue Date . . . . 1/21/03 Valuation . . . . 1084 Expiration Date . . 7/20/03 Qty Unit Charge Per Extension —. BASE FEE 47.00 .. .6.00 3.0500 HND BL-501-2K (3.05 PER C) 18.30 " Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 65.30 65.30 .00 .00 Plan Check Total .00 .00 .00 .00 lv Other Fee Total 4.50 4.50 .00 .00 / n Grand Total 69.80 69.80 .00 .00 lI. P 4 �l- 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 TAPLANNINGWORMSU 102.15[4/2002) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:N ROUGH4N PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE GAS LME 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 N's: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 4174653 FIRE DEPT. PLANNRJG DEPT. 4174750 PLANNING DEPT. BUILDING 417-4815 7-/-0— p BUILDING T:\PLANNING\FORMS\7102.15[4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: _ Date Time Received by (phone perso 1 Location of Work to be inspected 47� c" Name of person requesting inspection U2 V 114 Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing mal Sewer Excay. Other INSPECTION NOTES: Inspected: Date ' �� © Time By — 4 Remarks: RESTORATION REQUIRED . . . . . . YES NO f SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N° 16436 Port Angeles, Washington-------m-----..._ ---------- / - 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 do electrical work as listed below. i ZW t' � _� Occupancy.;_r._�! Address -------------------------------- e. -- ------------ ! 3An . ...�.•r Owner ------- -----------•------------------------------- Tenant------------.............------- ------------------------------------- WiringContractor.------------_-------------------------------------- -------- By------------ ------------------------------------------------------- Light Outlets........................................ Service, volts ..................._............-..... Type of Wiring: Receptacle Outlets............................... No. wires ....................................... Armored Cable ........................... Dryer, KW.............__------------------------- Size wires................................... Non-Metallic ................................. Range,KW Main fuse ....................................... Knob & Tube---.._.._....................... Rigid Conduit ............................... Water Heater: Enclosure ....................................... Metallic Tubing KW.--_---------------------------_. ----------- Type of wiring: Raceway Heat: KW........ ....._.�..il. 9................-.... Entrance Cable......__....--._....._... Circuits, Light.................................... .-- Motors: size, ..volts �and phase: Rigid Conduit ---------------------......... Utility ............................................. ............. Metallic Tubing .........-................ Heat ....._.................._................... Current transformers: Range No. & Size....................................... Water Heater -------------................. ........................................................... Ser.No............................................... Motor ............... Ser. No.--------------------------------------------- Dryer..................------------._..-------....-_ .................--.............------------------------- Furnace.......................... Ser. No.............................................. TotalLoad............................. Ser. No--------------------------------------------- Total ....................................... Remarks- --- ---------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------•-------------------------------------------------------------------------------- --- Permit Fee Treas. Receipt $---------. ------------------------ No----------------------------- By -------------------------------------------------------------------- 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 so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT No 16436 Address ....................................................................................................................................... Date..._...-.._.._.._.-_......-------...._.------.-------- Owner ..................................._...._--'-------....._------.._....-'------............._......._....---..... Tenant.................................................................... WiringContractor.......................................................................................................................... By....................-.......-......-------------------------.. 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 so that work may be inspected before concealment. , 1M Olympic Printers. Inc.