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Home My WebLink About1112 Grant Ave - Building ELECTRICAL PERMIT r s N CITY OF PORT ANGELES CJ 360 417 -4735 Application Number 12- 00000362 Date 3/30/12 Application pin number 553062 Property Address 1112 GRANT AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 14 -5 -6- 9110 -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 RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 1 circuit car port Owner Contractor JEROME JAMES J THE ELECTRIC COMPANY 1112 GRANT ST PO BOX 1471 1 PORT ANGELES WA 983622729 PORT ANGELES WA 98362 v (360) 457 -7120 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 63.00 Plan Check Fee .00 Issue Date 3/30/12 Valuation 0 Expiration Date 9/26/12 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due I Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH 4' z 1 Z .:n SERVICE ROUGH -IN 1 /1-; '1t/ FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X r Date: G: \EXCHANGE \BUILDING 4 ..(4, 14 ELECTRICAL INSPECTION N WIRING REPORT `'c �s 417 -4735 DATE: PERMIT INSPECTOR 6111 OWNER CONTRACTOR ADDRESS 1 11 7 G¢A rr M� APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL 1 ?ORRECTIONS NEEDED: )4 CM- n-vwi 1 Sl GE C_ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE s h r ;1:+,.r. CITY OF PORT ANGELES PERMIT APPLICATION RECL'i'T i j J L_. a 'Rg Building Division/Electrical Inspections v i d 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 MAR. v 0 ')j Ph: (360) 417 -4735 Fax: (360) 417 -4711 V" ELECTRICAL Date: 0 Z- J 1 2 Single Family Dwelling INSPECTIONS N Plan Review Ma Be Required, Plea Co Electrical Plan Review Information Sheet i y Job Address: G �O_ i�i� 7 Building Squa e Footage: Description of above C,./44- .g) p Owner Information Contractor I o L m a f 1 .4,_,I: Name: �lAr ts 4 01�.� Name: Alr .r� Mailing Address: it/ 2_ 4 L, z ,vr -A-19, Mailing Addres r Mi City: State: Zip: City. /1Y. .te: ip: 7 Phone: Fax: Pho e: i1�' t License Exp. License Exp. IW Item Unit Charge Qty Total (Qty Multiplied by 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 Circuit/ Limited Energy -1 2 Family Dwelling 64.00 Manufactured Home Connection 120.00 Renewable Electrical Energy 5KVA System or Less 102.00 Thermostat 56.00 Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. 120.00 Each Additional 500 Square Ft. or Portion of 40.00 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 Total Owner as defined by 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. Signature of •wner, electrical contractor or electrical administrator: Cash Check z Credit Card S r i ,.rd _!)./e Dated: ey_ 01/01/2012 ill CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC. DEVELOPMENT BUILDING DIVISION 321 EAST 5T1-1 STREET, PORT ANGELES, WA 98362 GmuAD dA9 ¢ry Application Number 12- 00000274 Date 3/12/12 Application pin number 270746 Property Address 1112 GRANT AVE ASSESSOR PARCEL NUMBER: 06- 30- 14 -5 -6- 9110 0000 REPORT SALES TAX Application type description RES REPAIR form r Subdivision Name on your state excise tax (01 Property Use to the City of Port Angeles Property Zoning RS9 RESDNTL SINGLE FAMILY kY Application valuation 5000 (Location Code 0502) Application desc DECK REPLACEMENT -12' X 16' Owner Contractor JEROME JAMES J OWNER 1112 GRANT ST PORT ANGELES WA 983622729 Permit BUILDING PERMIT RESIDENTIAL Additional desc DECK REPLACEMENT- 12' X 16' Permit Fee 137.75 Plan Check Fee 89.54 Issue Date 3/12/12 Valuation 5000 Expiration Date 9/08/12 Qty Unit Charge Per Extension BASE FEE 95.75 3.00 14.0000 THOU BL- 2001 -25K (14 PER K) 42.00 Fee summary Charged Paid Credited Due Permit Fee Total 137.75 137.75 .00 .00 Plan Check Total 89.54 89.54 .00 .00 Grand Total 227.29 227.29 .00 .00 eparate 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 st inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions ,,,pf 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 onstruction. 0 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit MEW wMO BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 11 4% 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 43: Post Holes (Pole Bldgs.) PLUMBING: 4.1k Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling V 1 FRAMING: 1 O J 4 f 41 f ry� m Joists Girders /Under Floor I I shear Wall old Downs -14 11[1111 0 MINIWIW I 1101 Ii Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts 1 Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit. #s SEPA: Parking Lighting 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 (4 d3 I T:Forms /Building Division /Building Permit r 0 C ti 10> 0 nro OG 0 w S o o O O U H [*J 0 ti S t O ti j z 1 z K 0 0 0 b y Z C' 0 O I c n (o '*J 0 1 3 H 0 W I LO 0 ro ro M Xi 0 n z z4 1 4P 4A O M 1 H (3 3 p N N ro O 1 N O 0 H W (17') F O r M O 1 N 0 H H 0 W 1 H F' H H GJ 1 O W O N M N N M N M M 1 0 0 3 C' C7O 0 H 1 0 1 M 0 M 1 O F- Cn O C p v4 0 H z H o eZ 4I' ro r H G1 i a i M w H 0 H i m to H 7�J 1 m r H 0 I zJ o H M 1 ro o W H to 9' In 111 zl d O H 7 C'(( H' to( 0 0 n 1 7,1 o n U11 011 10 1 o C 0 1- �t CH ro tC"HH 7J cn 8.". C 3 'T) yU tl HHH J''_4 i G7 0 M w v �;U� nH HH (n N z N 1d N 'Z 3 ro to H H H 3 t 1 ro ro z O M M H M M M M 0 N N N O H H s W w h an d o CO N n rP 'Z d �o Hod 1 io.. H.. O ti H O w NZ roro 3 L H rn xC M 0 s X z zd �y U M M H C o C H O .'Y K N r l0 n z W P. lft N r rt N N rt 'C G n o G N N O O li 1 H 0 M M a N W N N 0 O d7 0 H 0 T H O n> 0 0 C C C K 0 0 y 0 o 0 H 0 w 0 7 3 t t 0 0TJ 3 0 K ro 0 0 o 0 H 3 C� 0 0) 0 0 H r r C 0 0) 0 0 0 H 0 0 0 0 h7 R7 0 0 0 ,a a ,a a a 0 x7 +7 XI R7 n 3 0 N N N N H H h7 0 0 0 04 r ,P W ,P W 00 00 0 N 0A [n r AH b7 m x7 r 0r H rr Hi.... H Hb] 0030 N p'7N N N N N N [T7 [s7 0 0 3 C 0 7 t H t++ 0 DI a 10 0) 0 a 4 Y 0) AO 1 C C m z m cn Y r WHti DI o H [n H r H x1 0 H 1.1 1 ro o Yb7yt0YNY[nYb7 x70 1 yo HI C 'd H T1 O t H N P7 H HI C 10 0) H o H 0 F! C H 0 FS H d 0 0 01 H H r x1 0 P. 0 H C P c) o- t r ,n nttl rC r Cx1 1 1 3 1 1 07 H 03 N N[n N rU)r U)ro 0 ,0,z,,,..4,,, oHoy �H 3 t 0 H y H 0 0 0 z z 3 N 10 0) 10 Z 3 z H (f)U) 01 0 0 000 0 0 3 g ro ro Z 03 N0 n NJZN z CI) t" 0n U3 CO U) 0 H H H 0) 0> 1 0) ,P H m C U) 0 H n, r CO L., n> n a d Z 0 N o'.a- a H00 (a H z a r o 0cos y 0 a yy 0303 Nz oo vu 3 n DI umi 3 3 3 0 .A 0 00 0 cn n 01 CT) DJ 0 C O H ,7 01 H U. 0 H VD a7 V- P. P1 F'• U1 N C N (D n a) In f* K H 'i G H 0 H r N H N K K O K 0 0 0 Y H 0 DI DI a 03 N W N H 0 r K ro M ro Y 8 o d nro MI 0 3 C n m ,ro C k 0 0 0 H Z Cr] 9+ CCn O H C M 33 H 0 m 0 0 ro 0 M z O n 0 0 0 h P 4 0 M H 3 0 H H 0 C 000 H y 0 o r M O 1 0 0 1 L 1 H Z M cn 0 H I Q H H H H 0 0 0 0 M K N M M[ 0 0 O O H o M Q M o H U c n o a c z y CO H O x1 Z 0 0 3 H MHO C Q Z o cn b 000 IMP ro i o M 3 H y d o M o n o M� Q c n ci C H r Z H H crl H H H H �J cn 'V C O 0 o O O 0 0 z 3 o oz 3 z cn cn M o 0 3 0 L.1 CI H z 0 0 z ttt"' n n cn cn 0 H H 000 U) 0H z 0 zz O Hot? H•• O 4 Z 0 0 o z roro n n H cn 000 M0 000 0 M M H 0 C H M 0 n 10 10 P1 C N 0 K o N 0 HQ M M H i o i N 1p ?oRr ,I.I, BUILDING PERMIT APPLICATION Print in ink A' CITY OF PORT ANGELES gi 1� For City Use Only: Attn: Building Permit Technician Date Received r j l2-I2 E+ 321 E. Fifth St., Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Permit r2 224 Date Approved 3-12 -17 J Applicant`, \P____ v Phone SU(?)'3acc Property Owner ":,�r\ _1 c,x0w1 Q.. Phone l-15( )(Don Property Owner's Address 1 Q C-� M- A \je_ Contractor v., +ft ,A Phone 0- 3 4199 Contractors Address ?o c ,Z l0O3 R <3 C f-)r R Wo, License aikuuncac r 'E-mail PROJECT ADDRESS ma G o Ave Parcel Number E630/4 51P// Lot Zoning Project Type R Brief Description; _2esidential Multi family Commercial Industrial Check all that apply a New Construction C V (e.._c-0\Ckt_e_ ,Q,\ o Addition II P I X t I Remodel o Repair Demolition Re -roof House garage other o tear off re -roof lay over one layer Heat System o Heat pump o wood- burning stove o gas fireplace o pellet stove o other Other Floor Areas Existing (sq, ft.) Proposed (sq. ft.) Basement per sc ft. 91 1 Floor RECE! *w 2nd Floor 3` Floor i Garage MAR 1 2 ZU12 Carport i Covered Porch CITY OF PORT ANGELE B imigOr Shed Other 4- LC(otio) .3I 12-112- TOTAL VALUATION 5, 000 Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage oh 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 I have read and completed this application and know if to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to deter The what permits are requirod, and to obtain per v 0 king on projects. Date Print Nam; 1 NC �_G Signature l\:�LAILIi, T:Forms /Building Division /Building permit application I i H i I I -1 l 1 I I I 1 1 1 1._ l I I I I I I I -V 1 t I I 1 1 1 I i r 1 I I i I f- I i I I T I 1r t I T I I I l l I I; I I 1 I, f I I I I I I 1 T f 1 1 N 1 I I 1 I 1 1 1 i_ ---1 X. i 1 11 ?1-:.) 1 1 I I- I. 1 111 -r 1 o T i 1 __fr _4-____ i ,i)_ 106 I:1 I -L. 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I lik I li It. 1 I I mpl m L lm 1 m 1 1 Ah. 1 marromp r 1 rill A.A.. ii. ..m e44111. 11111111111111111111FAIREIMIOMMEIMILVAMMIII11 1 Ill ImMEMASEMimmAMEMEM=11! ME I I III 1111 1111111111111111111111111111 11 I H milm_ mill milimmilimm immisimbipmdmilmillalmammilm 0 m I lls 1011111WWIMMIONMMIIMMLNIMMEIftim MUMEMME MOM 1 11111=11PIMPIrarellffilifill Rim 117111,1911 R E 1 m M mili m I 11 II m rdillifillillillilliiiiiimmAm a ME aMMMEMMOINIMNIMMMIIMMNIMMERIMMEM .1 111 Il i NM M -MITIMEMmw=r1221= EMI r MOM mommommlimmillIMMINImm Immo 1 mom nummtwommummmemnonummismw. ammow- 1 1 1 mimmormommummommo mimmillmv 1 1 Immok__ Amoniummoutownwm imum...im mommommummommommommomm ,I mommimmommummommumummummomm immw_mm, li LimallilemiliiiiII l MI I i l 11111111.111.11.1111 Nam% ...II ..111111111-00 "1", lame III. 61,1111111111 "Imm II 11....1 pill 1.....111.1111•!=m li iiim i 1 i- mp Air i Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner JEROME JAMES J 1112 GRANT ST PORT ANGELES Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983622729 46 00 00 46 00 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 08 00000604 Date 7/01/09 464804 1112 GRANT AVE 06 30 14 5 6 9110 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc EL SVC 1 4 CIR Permit pin number 126979 Permit Fee 46 00 Issue Date 5/20/08 Valuation Expiration Date 11/16/08 46 00 00 46 00 Plan Check Fee Qty Unit Charge Per 1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS Paid Credited 6l zol 08 211log 047 Signature of owner or Electrical Contractor X iC 00 00 00 DATE RESULTS WA 98362 00 0 Extension 46 00 Due 00 00 00 Date INSPECTOR. Application Number 08 00000604 Application pin number 464804 Property Address 1112 GRANT AVE ASSESSOR PARCEL NUMBER 06 30 14 5 6 9110 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor JEROME JAMES J 1112 GRANT ST PORT ANGELES WA 983622729 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 Date 5/20/08 WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc EL SVC 1 4 CIR Permit pin number 126979 Permit Fee 46 00 Plan Check Fee 00 Issue Date 5/20/08 Valuation 0 Expiration Date 11/16/08 Qty Unit Charge Per Extension 1 00 46 0000 ECH EL -R OR RM 1 4 ALT CIRCUITS 46 00 Fee summary Charged Paid Credited Due Permit Fee Total 46 00 46 00 00 00 Plan Check Total 00 00 00 00 Grand Total 46 00 46 00 00 00 II�TSPECTIO1N TYPE DATE RESULTS DITCH SERVICE ROUGH IN FINAL 'COMMEN TS ,4-1 TAP 3191d9 F( a*A7 'crwip ELECTRICAL INSPECTOR Job wired by ctrical Contractor Owner Elect rjg contractor name^ License number Date Expires Purchaser's mailm ddress U r Cit Telephone n 4 y City 'Premises owner:s name 1Are` Addreq pf; inspection a 2— State ZIP W q3,1 frt. FAX number Phone number to schedule Inspection. Owner as defined by RCW 19,18.261 •(1) Owner will occupy the structure for two years after this electrical permit is finalize!. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Attcr reading the above statement, 1 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 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signatur o owner ele tr cal tractor or electrical administrator X Date: '),,n Electricaltaad Additions And or subtraction§ O NO LOAD CHANGES O Baseboard KW O Fumace KW Heat Pump Ton_ LAR O Fan -Wall KW Expiration Date of card Overhead Service O Temp Service O Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 -417 -4735 ROUGH-IN THERMOSTAT 1 D ole Approved liy J FINAL DITCH Inspection Date Dote Approved By ii d IizbLib 01 Dow Dare Approval By Area, Building or Equipment Inspected b2b92Sb ELECTRICAL WORK PERMIT APPLICATION /installation description Commercial Residential 0 New Altered/Additon O Cash 0 Check# Credit Card V Card V Approved By Dote Dale SERVICE card Voltage Phase 1 3 Service Size: Feeder Size: Approval By FEEDER Action Taken Approved By r Discover C Inspection fcc Service Information Electrical Inspector l 3DI(213S DI610313 WObd d21' 80 b002 -8 -1ff r<00 o "- r- o "- r< r< WW {.'JE-< <(<( P<O \Or< \OLf) M'" M'" , , Nr- Lf)Lf) "'''' >< ..:1 0: w H ..:1 E-< W[J) ~W 8~ E-<I-J Z 00: HO E-<E-< UU WW P<P< [J)[J) ZZ H H 00 \0 \0 MM > H o ~ [J) WW ZZ 00 ~~ P<P< r- '" , 0..:1 0<( oU !~ r<~ r<U ~~ [IJCtI!:il :>::E ::E I ::E <(0 0\0 p:; r::r: I co f-4W !:ill1)lf) ~I-J::EI-J~~ O::WO::l-Jr-iO {.'J ~ <( '0 3Uloo N P::WMO ,.; U) W::E I I rl~>~l,JJCO rlCl)Wt"JOO \0 N '" [J) W -..:1 OOW 0" ;:-~ o "-E-< r<0: r<0 P< o Wr.. 0:0 <( P<>< wE-< O:H P<U 0: . 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CIl ~ f-< o Z Q ~ ~ \.~ 1- CIl E-< Z ~ ~ o U ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name . Property Use Property Zoning . . . Application valuation 08-00000558 Date 839014 1112 GRANT AVE 06-30-14-5-6-9110-0000- SUSANNE JEROME MECHANICAL APPL. PERMIT 5/08/08 RS9 RESDNTL SINGLE FAMILY 5400 Application desc GAS FIREPLACE, TANK SET & FRAMING Owner Contractor JAMES J JEROME 1112 GRANT ST PORT ANGELES (360) 457-4451 WA 983622729 EVERWARM 257151 HWY101 PORT ANGELES (360) 452-3366 WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT GAS FIREPLACE, TANKSET 126292 121.30 Plan Check Fee 5/08/08 Valuation 11/04/08 .00 5400 Qty Unit Charge Per BASE FEE 1. 00 10.6500 ECH ME-OTHER APPL. N/R 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 1. 00 50.0000 HR ME-INSPECTION OTHER Extension 50.00 10.65 10.65 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 121. 30 121. 30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 121. 30 121. 30 .00 .00 ~ / CCL 1,/ ~ "'- o~ 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. .'-- ~ .01 Date /14 0/ () LVa -If Print Name u:wJ- Signature of Owner (if owner is builder) T:Forms/Building DivisionlBuilding Permit (10/01/07).wpd BUILDING PERMIT INSPECTION RECORD o CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. 00 CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE , INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. <Jl KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. V1 OQ INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIH SEAL WALLS CEILING FRAMING 5-2-\-[:g 'TLJ-.. JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEA T PUMP / FURNACE / DUCTS GAS LINE 5"-2-1-0 g ;TLl..--- WOOD STOVE / PELLET / CHIMNEY FINAL \ \-'1-08 DATE JL..L, ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING I'LANNING DEPT. SEPARATE PERMIT II's SEPA: PARKING/L1GIITING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DAT.E ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. / PW/ CONSTRUCTION - R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT:" 417-4750 .,..... I<.y.., P.LANNING QI?~T - '. BUILDING 417-4815 BUILDING - ~ o g -t- ~ G) p ~ T:Forms/Building Division/Building Permit (I % 1/07).wpd :r .t ~ ~<.--. BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360)417-4815 fax (360)417-4711 For City Use Only: Date Received 5 - 8' -0 g Permit # oS -5 is g Date Approved Applicant or f.\gent rvC fCWA R..JJ.. H .fLD-PL+IL Qj- 9IoN.E- Owner 6.LL$~,",~~ ~e..ror-"'-'L Owner's Address 1// -<.... 6 ro....rL + Q v-Q... . Contractor/Engineer r v e.. fZ u) CL R.. ~ Contractor/Engineer's Address ;;ZS-7 I ~I ffu,J Y 10 ( License # ;;:=. (EJz u.J I ~ (') <?? g r0 L Phone 3<00 tfS2 -3 30') Phone ~{,.,O t.tS7 - Y 45"1 Phone S c-~ {> Q . (j)Q Cf '8 3 6 <- Expires "'8 - l"( - c:>8, PROJECT ADDRESS 1/ /oZ. bra /'L-{ Q V'-^-- Parcel Number 00 30/ '-I~6q, I 6 e>Cl oc) Lot Project Tvpe & Brief Description: 0 Residential 0 Commercial Check all that apply o New Construction o Addition o Remodel o Repair oRe-roof o Demolition o Sign 0 wall-mounted 0 projecting o Heat System o Other Zoning o Multi-family o Industrial o other s . ft. o other Floor Areas ExistinQ (SQ. ft.J. Proposed (SQ. ft:) Basement @$ per sq. ft. = $ . 1 sl Floor 2nd Floor 3rd Floor ~~~r }I Garage Carport Covered Porch Deck Shed Other TOTAL VALVA nON $ S-/foo~ Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? sq. ft. ft. Lot size % sq. ft. = Lot coverage # of bedrooms # of full baths # of half baths Occupancy group Occupant load Construction type I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and t tain permits PLJior. 0 working on projectsj / . L . / '\ I J . _ J / ---' Date6 P /0; Print Name I/lda (L.JO If Signat ~--c;;c- , T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc ci pORT ~Q ,,~~~.., ~~~ ~-- 't,i[c~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 05-00001002 Date 10/12/05 439310 1112 GRANT ST 06-30-14-5-6-9110-0000- RE-ROOF RS9 RESDNTL SINGLE FAMILY 3749 Owner Contractor JEROME JAMES J 1112 GRANT ST PORT ANGELES WESCO ENTERPRISES PO BOX 1527 PORT ANGELES (360) 452-1430 WA 983622729 WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR-OFF, FELT, COMP 62299 120.75 Plan Check Fee 10/12/05 Valuation 4/10/06 .00 3749 Qty Unit Charge Per Extension 92.75 28.00 BASE FEE 2.00 14.0000 THOU BL-2001-25K (14 PER K) ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 120.75 120.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 125.25 125.25 .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 :7t~on> / .- {'(~ ~~ Ie-Ie-or Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] ---- .-- -- ~ 31 \\"'i - <;J <: ~ ~'i- V' 'ri BillLDING PERMIT INSPECTION RECORD (95- l ()O 9--. 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: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS I I CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS / ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUNWI FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ILfJ-i,,-o.s ..\ I-v BUILDING T:\Policies\1102_1S building perrmt mspectlOn record05.wpd (1/4/2005] s. ~ ~:.J ~ ~ <. .:',j ~Ji /:~ ~o n-l- ~ IIlz.....C/"-:l/JT 4..,-... <.. 'IX 3/ ~ 7YYJ 19"x- 77 ~ 8CJ'J> 2.' ~x 26 :::_ 6" .>?.__ ...., I (j) I.;c (j) if" (& 2 I, rIel, c " 2 Y (l e=a.~JfOft 2 CJ I r e lfS:r r+t...-<....-- J . i/e-1fJ .5f- Fl 2..6 --r~ c# /J II ,.;, ~ ~ vCr; / ~ $"c7 "~""l._ .:: .'~ f .' l. Y()J ') - /6CX.: '{ 'e 6. 'f U' l.! 2-JP 2 s-~ e IOd "'- <:,s-"a ~ y.r~ ,.\..". /- ~"" . , ~. 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CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. ELECTRICAL PERMIT DATE /301- B ~1-- Bf\ Site Address: Installed By: 'l. 'T1tL GR.Af'JT tuc'lYl- t L AA.J C L. D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: (.D. Owner/Business: Phone: Owner/Business Address: Sq. Ft. 1J6 Residential " . I r Heat KW ill 10 r-.I<. ~Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) %New Construction o Remodel o Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) '!8:.overhead / . 0 Undergr/~nd;. .. Voltage z,c 'ly 0 l'O10 D3r4 Service size 2-00 Amps o Temporary DetailslDescription: ;Ufi~ -I/tl.rr'L- ).~t.v' P ~ . Ie . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch Inspection O.K. /Vt'Yt Rough-in/cover O.K. A~.O.K. to connect service /~" '~Final O,K. .J1P^ Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending . G LA-iVT Ail [ t.-C ~v Notify the Department of City Light by Street Address an Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. }1#- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /':3'0 -~ 'Inspector Amount paid WHITE - file by address YELLOW- file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall Installer: II/l- * -/;( Site Address: , l , OLYMPIC PRINTERS, INC:. I nstalled By: CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. /77 (c :J/0,/'?,f'" . DATE Site Address: ~ o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: Owner/Business A Sq. Ft. M Residential /- Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) U:New Construction IDRemodel o Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead o Undergrou/.2 ~It e /?O ~Vc) I 1.0 03.0 ervice size lit j(Temporary Amps DetailslDescription: ~ry . W.S. No. Service Capacity: D O.K. D Not O.K. D Ditch inspection O.K. D Rough.in/cover O.K. D O.K. to connect service )::!1Final O.K. /f~ Size Comments Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation o Fire Department notified of inspection D Plan Review approved/pending Installer: Permit/Receipt No. Site Address: . Notify the Department 01 City Light by Street Address and Permit Number when ready lor inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in riting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /~/t10 s ctor Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC.