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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 I Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000216 Date 547912 210 HAWTHORNE PL 06-30-15-6-0-0060-0000- FRED WEBB RE-ROOF 3/05/07 .')=' ~I G' RS9 RESDNTL SINGLE FAMILY 2659 Owner Contractor WEBB FREDERICK V 210 HAWTHORNE PL PORT ANGELES WA 98362 ROOF MANAGEMENT 325 E WASHINGTON PMB131 SEQUIM (360) 683-2272 WA 98382 Permit . . '. . . Additional desc . Permit pin number Permit Fee ,Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAROFF, FELT, COMP 96529 109.75 Plan Check Fee 3/05/07 Valuation 9/01/07 .00 2659 Qty Unit Charge Per Extension 95.75 14.00 '1-' '"'- " 1. 00 BASE FEE 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 t ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 109.75 109.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 114.25 114.25 .00 .00 .... ::::; ~ ~. J 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. l\ 3 ~ ~---()7 Signature of Contractor or Authorized Agent Date Signature of Owner (ifowner is builder) Date T:\Policies\ 1102_15 building pennil inspection record05.wpd [1/4/2005] BUll.,DING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR N6TICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY "VORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. ~ ~ I, ~ .~ INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDA nON DRAINAGE / DOWN SPOUTS I PIERS I I POST HOLES (POLE BLDGS.) , PLUMBIN.G UNDER FLOOR / SLAB ROUGH-IN , WATER UNE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA nON SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH-IN HEATPUMY/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET / CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMlT#'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 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERING FIRE 417-4653 1\ FIRE DErT. PLANNING DEPT. 417-4750 I / \ PLANNING DEPT. BU1LDfNG 417-4815 ~//hlf) 7 II BUILDING "'T'.\n~';~:M\ 1 1 rl'} I'::; hllil..-linn nprmil in-'mp.r.tinn recordOS.wod1 1/4/201151 \IV ~ "'"- \J r ~ ~ 90 1- Roof Management 325 East Washington St -P. M. B.Bl Sequim, Wa. 98382 , / ROOF ** 035P2 ~ 0 '7 - ?-/~ (360) 683-2272 - r ' Fax ( 360 ) 683 2272 * 51 Proposal To: Fred Webb 210 Hawthorn PL. Port Angels, W A. 98362 2 I 20 / 07 Remove all old roofing that is now in place and haul away. Inspect roof decking for any needed repairs if repairs are needed the cost will be extra to the quoted contract price for labor and materials with labor at 35.00 dollars per man hour. Install a new 30 pound base felt to the entire roof area tack to hold in place. Install a new Pabco thirty year premier laminated shingle color to match as close as possible. lnstall a new shadow cap ridge shingle to the ridge. Give the owner a contractors three year warranty and the manufactures 30 year limited warranty upon completion and payment in fuU. The cost for the above proposal is 2659.00 dollars plus all permits and tax at the rate of 8.4 %, Please sign and date a copy for our records and return it to the above address. Date tJr ~d' 07 Signature tM1J V J~ J Thank You {1 afAa,h w ~ Roo'fManagement :f ,ORT ~ ^~O~"'::~ ~Ra" ...~ ~ "l.ttc~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Applicatlon description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001054 Date .254724 210 HAWTHORNE PL 06-30-15-6-0-0060-0000- RES REMODEL 11/12/04 Lasered CEO RS9 RESDNTL SINGLE FAMILY 18500 f(l'JALtt/ II~ /06 cJV0 Owner Contractor WEBB FREDERICK V 210 HAWTHORNE PL PORT ANGELES WA 98362 A DEPENDABLE CONTRACTOR P. O. BOX 1574 PORT ANGELES WA 98362 (360) 452-8770 Permit MECHANICAL PERMIT Additional desc permi t Fee .00 Plan Check Fee .00 ~ Issue Date 11/12/04 Valuation 0 Explratlon Date 5/12/05 Qty Unit Charge Per Extension 'I 1. 00 .0000 ECH ME-VENT FAN .00 Permit Additional desc Permlt Fee Issue Date Expiratlon Date PLUMBING PERMIT ? - \:j .00 11/12/04 5/12/05 Plan Check Fee Valuation .00 o .:t::.. ~ E t .,. ;:s ~ Qty Unit Charge Per 2.00 .0000 ECH PL- EA.FIXTURE ON ONE TRAP Extension .00 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL CONVERT GARAGE TO MEDIA RM 33~.75 Plan Check Fee 11/12/04 Valuation 5/12/05 132.30 18500 17.00 BASE FEE 14.0000 THOU BL-2001-25K (14 PER K) Extension 92.75 238.00 ~ ")- Qty Unlt Charge Per Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 330.75 330.75 .00 .00 Plan Check Total 132.30 132.30 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 467.55 467.55 .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 poes not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the pertor ance of constructio . Signa ure of Contractor or Authorized Agent i(-/~' o'f Date Signature of Owner (if owner is builder) T IPLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. ~ "'T- { ~ ~ ~ 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. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. 1 INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO 1 rwn()s/~ 11-1 '! ~J./ J,L, FOUNDATION: FOOTINGS \ WALLS I I 1 DRAINAGEIDOWN SPOUTS FOUNDATION I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # 1 ROUGH-IN i I PLUMBING I UNDER FLqOR 1 SLAB ROUGH-IN I i-IL -1,...-oJ.J I I WATER LniE (METER TO BLDG) . - GAS LINE I 1 BACK FLO\y 1 WATER AIR SEAL 1 WALLS 1 1L !.- -f) <' LL CEILING T FRAMING I JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING r.,:;. J _ \ I 1 DRYWALL (INTERlOR BRACED PANEL ONLY) . T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING J-l:: -nr J.L I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS I PW UTILITIES 1 SITE WORK (Engmeenng DIvIsIOn) SEPARATE PERMIT #'s. 1 W A TERLINEIt METER 1 SEWER CONNECTION SANITARY STORM PLANNING ~EPT SEPARATE PERMIT #'5 SEPA: PARKlNG/LIGHTING ESA. 1 1 LANDSCAPlI~G SHORELINE' I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE \ RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL -liGHT DEPT. 417-4735 ELECTRlCAL I LIGHT DEPT I CONSTRUCTION - R. W. CONSTRUCTION R W. 1 PWI ENGINEERlNG I 417-4807 PW 1 ENGINEERlNG FIRE : 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 I PLANNING DEPT. BUILDING 417-4815 7/"0.'/0.1 v~(.., BUILDING ~ ~ t ~ 1 ~ \) f T IPLANNING\FORMS\1102 15 [11114/2003] PREPARED 7/25/05, 13 24 04 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 210 HAWTHORNE PL A DEPENDABLE CONTRACTOR WEBB FREDERICK V 06-30-15-6-0-0060-0000- 04-00001054 RES REMODEL INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE SUBDIV PHONE PHONE (360) 452-8770 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM 01 11/18/04 JLL 11/18/04 AP BL3 01 12/06/04 JLL. 12/06/04 AP BAIR 01 1/05/05 TG 1/05/05 AP BL99 01 ~~ BUILDING FOUNDATION MONO SLAB Gene 808-3181 P1umb1ng under slab and slabpour also foundat1on 1nsulat1on/plumb rough/and foot1ng 1n spect10n approved on th1s date/]ll BUILDING FRAMING GENE 808-3181 BUILDING AIR SEAL GENE 808-3181 BUILDING FINAL 07/25/2005 08 57 AM DYASUMUR GENE 808-3181 -------------------------------------- COMMENTS AND NOTES 1 7/25/05 PREPARED 12/02/04, 13-10 01 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY 210 HAWTHORNE PL A DEPENDABLE CONTRACTOR WEBB FREDERICK V 06-30-15-6-0-0060-0000- 04-00001054 RES REMODEL PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS "'__O'__~_~______;~"N:O::::::::'O SUBDIV PHONE PHONE (360) 452-8770 PAGE DATE 4 12/02/04 NOTES -------------------------------------- TIME 17-00 PREPARED 12/06/04, 13.10 30 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 12/06/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER' 210 HAWTHORNE PL A DEPENDABLE CONTRACTOR WEBB FREDERICK V 06-30-15-6-0-0060-0000- 04-00001054 RES REMODEL SUBDIV PHONE PHONE (360) 452-8770 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM 01 11/18/04 11/18/04 JLL AP BUILDING FOUNDATION MONO SLAB Gene 808-3181 P1umblng under slab and slabpour also foundatlon lnsulatlon/plumb rough/and footlng In _p spectlon approved on thlS date/)ll '"'__O'__~'l_~l(=>____~~~'N:o::::::;~ NOT" ______________________________________ PREPARED 11/18/04. 13 07 02 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 21 0 HAWTHORNE PL A DEPENDABLE CONTRACTOR WEBB FREDERICK V 06-30-15-6-0-0060-0000- 04-00001054 RES REMODEL SUBDIV. PHONE (360) 452-8770 PHONE PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM ~ -lqL BUILDING FOUNDATION MONO SLAB Gene 808-3181 P1umblng under slab and slabpour 01 PAGE DATE 7 11/18/04 -------------------------------------- COMMENTS AND NOTES -------------------------------------- / \;,~ ~~~~ r el) ~~;) ':J \{6t? CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date~ - S-DE: Time Received by (phone, person) Location of Work to be inspected '2.. 10 H Q wi- k.o r fA ~ Name of person requesting inspection G eo V\.e.. Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final Phone No. 808 - $: .,9\ I Permit No. Sewer Excav. Other A ,\, $"eo... L INSPECTION NOTES: J - ....--I Inspected: Date --S -OS Remarks: ~4( BY~ RESTORATION REQUIRED. . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel 0 Asphalt D PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE D INCOMPLETE PREPARED 1/06/05, 10 20 07 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 210 HAWTHORNE PL A DEPENDABLE CONTRACTOR WEBB FREDERICK V 06-30-15-6-0-0060-0000- 04-00001054 RES REMODEL SUBDIV PHONE (360) 452-8770 PHONE , PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM 11/18/04 11/18/04 BUILDING FOUNDATION MONO SLAB Gene 808-3181 Plurnblng under slab and slabpour also foundatlon lnsulatlon/plurnb rough/and spectlon approved on th,s date/]ll BUILDING FRAMING GENE 808-3181 BUILDING AIR SEAL GENE 808-3181 01 JLL AP 12/06/04 JLL 12/06/04 AP_ BAIR 01 H~':'1.?.5.--~' ~ ~~ -------------------------------------- COMMENTS BL3 01 PAGE DATE footlng In 3 1/05/05 AND NOTES -------------------------------------- BUILDING PERMIT. APPLlCA TION FOR OFF1ClAL USE OJ~Ll' Date Rec II" f ~ If Pem111# OC/-jDSLj I -...... Fill out COMPLETELY and 111 INK. Your applicatIOn and sIte plan MUST BE Co.MPLETE to be accepted for revIew. If you have AllY questlOlls, call PEr......1\1ITS (360) 417-4815 FAX(360)417-4711 Dale Approved Date lssued ApplIcant or Agent: A 'j} f PI!:Ni~A- PvLL CotVTil..I''N.:/Dfl.- Ov.'Iler f !2.C-'JJ~Il../~ V. W E~ 8 Address' 2(D Hri-t--l'T1+0~N( f'e-Clty: PII- Phone: 'f~d.. '1?770 Phone: ZIp 9 <( 3 tb;2.. Phone: a-It.{ 'oS-Phone: 4~.).. "if 170 ZIp q f 3 ~ ;}... ZONING: J\rchltectnEngineer: Contractor G~tJt. -Fu L WI c.fL State License #: ()E.fl!N tfI'l- O,VExp: Address: Po 2 oj:. (OS7'/ CIty: 12 A. PROJECT ADDRESS ;)..1 D t-I f1WT I+OI2~ fL- LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: SubdlVlSlon: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: o ResIdential 0 New Constr. 0 Re-roof 0 Stove o Mulu-fannl:y 0 Addluon 0 Move 0 Garage o CommercIal 0 Remodel 0 Demohuon 0 Deck o Repair 0 SIgn 0 Other BRIEF DESCRIPTION OF THE PROJECT' (201\ IJ.e.r- i- City: Exp. Date: SIZEN ALUATION: SF @ $ /SF = $ SF. @$ /SF. =$ SF. @ $ /SF. = $ \. I TOT_tU., VALUATION $ 6~1S.-h~ 9a.:J'~~ 10 jV1of""l.~_ /g 50'0 ~ , 'f> r'Y'\(( /( COMMERClAL/RESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft Construction Type: = TOTAL Sq. Ft No. of Stones' Lot SIZe' EXlSting Sq. Ft Total lot coverage % APPRO V ALS: PLAN: BLDG: DPWU: Fll'"E: OTHER: PLANNING USE ONLY: ESAlWetland(s)' 0 Yes 0 No SEPA Checldlstrequrred? 0 Yes 0 No Other: BlJil.,DING PERMIT APPLICATION SUBMITTAL: The Bmldmg DivISIOn can provIde you WIth mformauol1 on the applicahon and plan subI1l1ttal requrrements If you have questions. VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the apphcant. Tills figure Wlll be reVIewed and may be reVIsed by the Bmldmg DlVlSlOn to comply WIth cunent fee schedules Contact the PermIt Coordmator at 41 7-4815 for aSSIstance. PLtI...N CHECK FEE IF a plan check fee IS due It must be subI1l1tred at the t1me the bmldmg pemut applIcation and constructIOn plans are subI1l1tted All other pemut fees are due at the t1me of permIt Issuance. ExrJRATION OF PLAN RKVIEW: Ifno pemut IS Issued wltmn 180 days oftlIe date of applIcatlOn, the application will expire. The Bmldmg Official can extend the tune for actIOn by the applIcant up to 180 days upon ViTItlen request by tlIe applIcant (see Sechon Rl 05.3.2 of the International Bmldmg/ResIdentJaI Code, 2003) No applIcatIOn can be extended more than once I hereby certify that I have read and exammed thiS applicatIOn and know the same to be true and understand that IllS my responSibility to determine what permits are required ,not the City's, and th T'\RVESS\BLDG-fonns-brochures\2003-BU11dmgpemut wpd Applic~ nzed to apply for this permit and ermits pnor to work. Date: If - (2' 01- " II 1\ Q. \ I j(, , \ 1- ~g' ~~\\I /I ,Q, 1\ ~ tl II If \I II I '~ '.' : ~;-~~~ .~~_c--~TJ#<J6.~ .s.rt , _ _ ~ .- -'- -+ :--. -I o~ I~---- i , -- --: ~~~ ~W t~ -' -~ ' ': ~~ n: ! I I I I I I '-, ~'lE ~~ , >0- I \l ~, ! I ~ : I I I I I~ . I P'~ I ~~ ~ '--- ~ I ~l I 1 " \' " l , I , , . ~ VI iv' I ,I ,,', ---t-' I ""'- t ~ I d ' ' C} \J aV' {; (L 6~~\L , I <t '..:lo~i ~' , ~ ~ --- I I, ~ -: v1 2-'" I 19 _~<\'r" I , ~ s-o~ . 't ~ J\ ' , I I ' I l I: I I Clr( OF PORT ANGELES - Construction mans' The Issuance of this permit b8sed upon these plans, specifh . I I , cations and other data shall not prevent the building official ,from thereafter requiring the corrllction of errors in saidl plans, specifications and other data, or from' preventing building operztions being carried on thereunder when in' violation of: all codes and Ordinan~esiC: of his ,iu' 'enon., (SECTION 303(c) . U iform uildi Code.) , , , Approval Date By :, "!\ ~oC!L '/~ t-~, I ( I I ~ I "0' I t)1 \ i I @) t 'r , ~_____ J___ :~ .:!'J-1O r::2f (- I(] () o r- . 'R-" tL_ ~ - -fU - -- <l {) _'If)_ _ ~ -0- -- <J --(l--~- ,J) .~- Q g SLf'\~ ~ x~- S\ --- '~-~-- - --- -~- -~-- ---z,..--t..l - -7.A:'~-.e--- ~-------- - - - -- --- _ _I~~L_ \ V\l\.O"'_,"-T\..o..IL~ '&4Q.J~...IEI " ~----------- -(b.rz-o:l:"~~'= ./) C:::> --__ ---lo-- ----~--- --- - -- ------------------ ----------- () 'f> D '0 __<1;:, C> ~ .D C> --.-- -------r-- u ' o ~ Il' (eL- f) .fi 0 --~ --,0----- --- fi1 .z>- n - o '~ 'Y#! CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION l21 EAST 5TH STREET. PORT ANGELES. WA 98:l62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER. Application descript10n Subdivision Name Property Use Property Zoning . Application valuation 04-00001054 Date 254724 210 HAWTHORNE PL 06-30-15-6-0-0060-0000- RES REMODEL 12/16/04 RS9 RESDNTL SINGLE FAMILY 18500 Owner Contractor WEBB FREDERICK V 210 HAWTHORNE PL PORT ANGELES WA 98362 A DEPENDABLE CONTRACTOR P O. BOX 1574 PORT ANGELES WA 98362 (360) 452-8770 Permit Add1tional desc Sub Contractor Perm1t Fee Issue Date Exp1ration Date ELECTRICAL ALTER RESIDENTIAL 200 A ALTER SERVICE SIMPSON ELECTRIC 66.90 12/16/04 6/15/05 Plan Check Fee Valuation 00 o Qty 1 00 Unit Charge Per 66 9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66 90 Permit ELECTRICAL NEW RESIDENTIAL Additional desc OUTBUILDING Permit Fee 48 10 Plan Check Fee Issue Date 12/16/04 Valuation Expiration Date 6/15/05 00 o ~ ...... \) Other Fees STATE SURCHARGE 4 50 ':-... "\ t ~ :::l () ~ C" Qty 1 00 Unit Charge Per 48 1000 ECH EL-R-OUTBD/DTCH GAR SEP Extension 48 10 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- permi t Fee Total 115.00 115 00 .00 .00 Plan Check Total 00 00 .00 00 Other Fee Total 4 50 4.50 .00 .00 Grand Total 119.50 119.50 00 00 ~ COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECT.ION RECORD CALL 417~735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COJlER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO I I I I I I I I I I GENERAL COMMENTS: I I 7-12 -or ........) PW-II02 IS (N96) CITY OF PORT ~GELES °*~' P~LIC WOKS BUILD~G DWISION 321EAST 5TH ST~ET, PORT ANGELES, WA 98362 15UILI.,IIN~ I~,I~IVIIT ISSUED: 4/10/2002 PERMIT NO: 13347 OWNER/APPLICANT PROPERTY LOCATION SKIP WEB 210 HAWTHORN 210 HAWTHORN Lot: 1 Port Angeles, WA 98362 Block: [] Long Legal 360/000-0000 Subdivision: HAWTHORN DIV 1 T: S: Parcel No: 063015600060000 CONTRACTOR ARCHITECT EMERALD ROOFING N/A 133 LELAND AVE Port Angeles, WA 98362 , 98360-0000 360/452-4681 360/000-0000 PROJECT INFO Project Value: $5,000.00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES TEAR OFF/REFELT/3TAB RECEIPT#8941 FEES ASSESSMENT Building Permit: $111.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $115.75 Plumbing: $0.00 AMOUNT PAID: $0.00 Mechanical: $0.00 BALANCE DUE: $115.75 Radon: $0.00 Separate Perm ts are required for electrical work SEPA Shoreline, ESA, utilities, pri.vate 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 pedod 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 tree and correct. All provisions of aws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not )resume to give authodfy to violate or cancel the provisions of any state or local law regulating construction or the performance of :onstruction. ~---~-~ j~_~ ~ Si~tU3~e of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOP-. BUILDING INSPECTIONS. PLEASE PROV1DE A MIN1MUM 24 HOUR NOTICE. ITIS 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 INSPECTfON TYPE [ DATE IyEsACCEPTED] NO COMMEN~S cWZ I I I PLANNING DEPT. 417-4750 / /f ~ ~/~t"' PLANNING DEPT. BUILDING 417-4815 ]//t/.~t/~ V ~ ~ BIJlLDING CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N9 15541 , I. .' , Port Angeles. Wasb1ngtonm..__..:..............__..m.......m.mm....._________. 19::...m Ip. 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 electrical work as listed below. . . '" . 1./ 7/ / '/ Address __::UIO_~n~:~nm.':_~___~2~_~nL.m~.b......c_~_u.:__~~.~~......___ occupancy_____::.:_~___~_~:._.___h_...._:..__~_m_.___. . , . Owner .nn..__.:__n_:~_;__~__n___:-:.~:.!---:":-?~..n-n..---.-:--n:--..n-. :~.!lant--------n-n--..n-.......n.----h--nnn--.-._--.~-nn--h...~n ',,' .' . AI B Wiring Contractor ___'m'__:.<....:.,...,___e.:.:.:~__m....____mnnm.mm. y..........mm____m.mn...____...m...m......_____m...n__. - /. " - . ,'I Light, Outlets..._..............._.........._..___n. Service, volts .......-......-:....................... ~ ,) Rece~tacle Outlets.._.__..................____.. Dryer, KW._..u._.u.:.;n_..____..______n___._... I~t Rang~. KW.___....____......._._...__________....___. Wat~r Heater: '/ . "W // .l,'" .unh_..__h_.._._..._____..____._.._.___ Heat:; Kw......l.~_~......n/]~.l2.......... Motprs: size, v~lts and phase: . "" - <. ~ .::::j::::~::~:::.?::::~::::::~::~::::::.::::::: Total Load___..m......___......._.... No. wires ......:_.._..._.___....._...._......... SIze wIres._..._:.::........::..:............___ . -...., l . ~ MaIn fuse ....___...:............................ .s Enclosure .........._h_......................... Type of wiring: Entrance Cable mm__.m....m.......... Rigid Conduit .._..............______.______. Metallic Tubing .m___....m_.m........ Current transformers: No. & Size_...............................__..... Ser. No............_.._........__.___.__........_..... Ser. No. ....__.................................__.... Ser. No. ......_............_...._.......__........... Ser. No. ......n__...______._.._...._.._........._. Type of Wiring: Armored Cable .__......................_.... Non-Metallic ........__.___..._............__ Knob & Tube................................. RIgid Conduit ............................... Metallic TUbing m..m................... Raceway __..._._..............._..._.._._..._ CIrcuIts. Llght.....(:............................. Utility ..../7................................... /:'> . Ileat ..............._..__._......................... ..., Range ._..?_._._.._..............._____.._____. ')2 Water Heater .:..........._................. Motor ..._........_............._........._._..... '" Dryer __.___-.::~_.................__....._..._......._.. Furnace . .........__..............~.........._. ...... ~u Total....._................._............_.. RElmarks: ..muu....uuu.......uu..."...uu......uu..uuu~.m..__,....L:,......:...__.....m.............u..............u......u___...u.........u ._..;..~_...4__._~__....4.~_.........._.._____.._._..___._____...._.___.._____.____._.___...____...._...._..__.._...___._..4_...U.._....4.~.._.......~4......~...~..____._______ n.+4.u..._.U_.~.h.h~____uhnuh.u_u...~._n_h...u....__h..____.._.__h...._h.nhhnnnn_..nn.nnunnnnn_nnn.nnunnnnn__..nu.n......n4__ Pllrmit Fee .-? $."U___'.L~:.~u...u.........u. Treas. Receipt No..........___...._____u__... J.r f" ,. / ,/ By __;I.:._.___.~___:_______m:__.__..___._:_.__.:..":_:_:~~_::..._~:::.L NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be eon- cqaled due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ( i / J " ,,,; , ( , .' ., .! ..... 7/ N? 15541 ELECTRICAL PERMIT , , . .' / I /(. / ,),.-'_ . ..ddress....._............._..._..__.....:__.._.:..~._.........:....__:..__!.__.~~_:__..:..._~~..............::.~~..........._......__......._Date..._.....__.._.___.___........_.._.._.._.._.____.._ ibwner.___............::.{.!..:.r:._~::_~.:;-;....._...~~.__..:.:.~:..._............_....._......._..__._..___..._......__......Tenant_____._.___.__..__.._.._..______.._____n___.___...____...___._.___. . ". /"'.' WiringContractor__..._._...:_~:_~:_~:..::..:.........:__.;.......~~.....f....-.___......~......_~_.:.:..:__~..._:~:..__.____.__.___By____.__.._._._..___.__.._..................................... NOTIC~urrent must not be turned on until Cert1f1cate of Inspection has been issued. If work Is to be con- tealed due notice must be given the Inspector so that work may be inspected before concealment. ....-,_.___ T..... CITY OF PORT ANGELES JaGHT DEPARTMENT ELECTRICAL PERMIT N? 15412 Port Angeles, wasWngtonm../.m::-.n~'.m_.um___._______mumumm_, 19.~.J. - . 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- :::: ;7f!::~;:::-k:)l';:":='..",4<&>_m__m.... ~:~:: ~~~~:~~~'::-::~~gr~::::n..~:~~~~;::::::::::::::''',''''','..:::::::::~::::::::::::::::::::::::::::::::::::::: ;:JO /,)O/,J-ya Light OutletB....m._...m.______............._..... Service, volts ..m..............___..m............ Receptacle OUtletB../q..._mm........ No. wires ...J......h....~m-m...~m.. D'ye,. KWI.m.n.Snm.nnn....nnnnn. Size Wires...p;t!?:n::~m..u Range. KW n....!.?......n. Main fuse .nnmud:.?.t!./lm.n. -S: Enclosure .........___..._............m._____.. Water Heater: ....- , '(-/ \ Heal '(:~:::Z1...t.?/3..u::.: Type of \viring: Entrance Cable .....___.___.____...n....... Rigid Conduit ................_.......h..... MetalHc Tubing .____...................... Current transformers: No. & Size............_......._.................. Motors: size. .volts and phase: :::={d:~!:;:::::;;::::::::::::~::.::: u::1d'.'.41.Ji..,.....L;;"'"fi.L..un SeT. NO......................n........_............. SeT. No..........................._................_. SeT. NO..n....:..................................___ Total Load.....m....m..___....m.. SeT. No.............................................. Type of Wiling: Armored Cable Non.Metallic m..mm.un.m............. Knob & Tube Rigid Conduit Metall1c Tubing ...._............._........ "'"f~:~t:~=~ Range ....~~..................._m........_..h \Vater Heater .;;1.......................... Motor ..._........_..............._................ Drye;mnd..nmnhnn..h..nmm......h Furnace .........................._........_.. _. Total h...!...!!.mun.m.h....n..h Remarks: n._nnm.n.m.nnmm,n<;"t;{!_-""tr-:umnnC?~Lu:uuu-hn.nm...nnn.m__hm.uhh__.__m.nnnnn.nn .i,~:_~~:~i..~::::.--.---..:::.-:.nmmi~~.~-~:::~~-~-~~-~_~__~~:::um--h.--n-m:~-.:::::il-Zil;.l~~=:2~::=::.: NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con. ce~led 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 /1/(~ ELECTRICAL PERMIT N? 15412 2/ :/ ,., Date called IO~~~iO'~r...~.,,'~'~...m;."<..I!::.!;<.:.&n..m..h..nmm....m..n....m..h..h..m.m...nm.....nh... . -~. >.<-~_ /Y'C-<.-<L Preliminaryl~~pectlondates.._........................-.--__...____.___.____.........._...........___.__......__..__....._............___...._............__......__..___.._.__._.................. lnspectloncompleted____......_...__.....__.....................................................___..___.................__.___............____...__..h...______..........h__..__....___..._......_ Total Load ................................................h........nn....n..u........_......... ........ 1M 3-72 Olympic Printers, Inc. 12/15/2004 00:35 4579270 SIMPSON ELECTRIC PAGE 01 &~&1 ~lettricaJ Contractor ~ l:J Owner. ELECTRICAL WORK PERMIT APPLICATION CJ Request Inspection D Annual Permit 0 Alarm t:J Carnival 0 Commercial riesidtntial 0 Residential M~int. Q Signs 0 Thermostnt a Telecom. .Tob ..Ired by ~ectrical Contractor Q Owner J1 ~t/ S.::. V" // t c, L :2-- cy,) '":~j ;~:"O~T b~ 11). i ~ ~ I\J IJII-,.., ...vA P;~. 701_ ~ - / ! S,a a ~ Electrical contraCl0r name _'t' 'f:Ilson J;;i-e..(.J~,.c- L1J1 Pu,eh".,', Bing add..." f.-Jw' d4_3()~b fA} Y 101 Ci~ State ZIP 012+ /k'C,e./~s, W,4. Q83/..3 Telephone ""m~cr 'oJ FAX number # D ~. '-lS?-CJLf?b License number SiITJf!.5EL 92RJ? I hereby certify that J am the oWIlcr of the ~bove named property OT a !icemsccl electrical contn.ctor (or the firm'!: authorized agent) and am m:\king the electrical in9taUation ('IT alteration in compliance with the electrical law, Chapter 19.28 RCW. o Cash 0 Chcck /I ~rcditCard ~ Mastercard Discover Catd/l ' ecrri~ administrator Expiration Date of card x /' WAlLS In~IJJlltion Only F CEILING Insulation Only nftlC Aptlnwecl H)' I ~co...er ~ /~ /} <f Dale ^rr"w~Dy \. ./ F llIERMOSfAT '- DMC Appm"'ME!-y J DITCH '\ [)nlO ^PJ'lTDVe.1 ~y::/ SERVTCF; 01110 A(lptl'lVcd By / FEEDER "\ "- Dale ^""m..c~e.y ./ U~IC ^~ed 8y i" ft.;/"P'".' AP,O c:; D~ ^J1llMvNlBy \.. Electrlc.!'1 Load Addlllons .~d or subt[!!ctlons o NO LOAD CHANGES o Baseboard KW Q Fum~ce -.:... KW D Heat Pump Ton LAR Cl Fan-Wall KW Service Information o Overhead Service Q Temp Service lJ Underground Service Voltage p~as.O' 03 ServIce Size: _ Feeder Size: Inspeetion Ollte Area. Building or EQu;rmcnt Inspected Aetion Tak:en Electric:!l Inspector Cu s-I v. <. \1 \ \ \ \ _~-Ioy ~L-.. ./