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Home My WebLink About1033 Homestead Ave - Building CITY OF PORT ANGELES (1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000982 Date 8 /01/12 Application pin number 356602 Property Address 1033 HOMESTEAD AVE 4 ASSESSOR PARCEL NUMBER: 06-30-14-3-2-0250-0000- REPORT SALES TAX Application type description MECHANICAL APPL. PERMIT on your state excise tax form Subdivision pert Use N ame Prro t the City of Port Angeles ,I r Property Zoning RS9 RESDNTL SINGLE FAMILY- (Location Code 0502) Application valuation 12320 X Application desc 2 DUCTLESS HEAT PUMP SYSTEMS Owner Contractor WAHL TOM A /PAULA J DAVE'S HTG COOLING SRVC INC �1 \0/ 1033 HOMESTEAD ST PO BOX 413 PORT ANGELES WA 983622731 PORT ANGELES WA 98362 (360) 452 -0939 Permit MECHANICAL PERMIT Additional desc 2 DUCTLESS HEAT PUMP SYSTEMS Permit Fee 79.60 Plan Check Fee .00 Issue Date 8/01/12 Valuation 0 Expiration Date 1/28/13 Qty Unit Charge Per Extension BASE FEE 50.00 2.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 29.60 Fee summary Charged Paid Credited Due Permit Fee Total 79.60 79.60 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 79.60 79.60 .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. 6 J /rz 7) Z o/10 C,.r2, Zg— Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit Q J�, 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 by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date g' I IXcepted by U W MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permits 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 T /Rnilrlinn rlivisinn /Rnilriinn Permit .0 N N N N H COsi ...I-- w W ,Mg ''=1 s UP W Q �1 m M m VJ o s 01 N C M En O) O z d, H --T 0 O W n�■ M 0 til a U m C1 w X 0 7 H W W F H 22 v) wv) Mo w 2P.1 MX 0 N 0 0 H n a a H 0 0 0 H o 0 H O H F W a 00 X 0 20 F I 41 W a w H o h z as w X aN w HH z w HU ara o H 7 F"- U 0 U P. a V) H 0 U a H 7.i `C a u a x. w 00 („c„, U 0, 0.4 4,. w, O o H H Ca a 1 a h O 4 Q 0 1 N 0 W 0 41 �J a N Z U) 10 41 C7 4 M 0 0 0 w 2 462. a £XXo.o U) 0 000 W 0 1) 0 0 00 -.7 0 0 W W N l H 0 M> x r 0 v) w 0 g g o 0 o 0 W r 0 0 0X F w 0 m 0)a a 124 C.) a O M O F wt, MU az N 0 o 41 N a 0 W U .7 H N 01 W U 0 W 0 E Jul 31 12 02:14p Dave's Heating Cooling 3604520939 p.1 i>.rcrtr'i4 BUILDING PERMIT APPLICA ION Print in ink L`� r c ti I f f CITY OF PORT ANGELES For City Use Only: A ttn: Building Perrnit Technician y y' to Received l• la _am 321 E. Fifth St., Port Angeles, WA 93362 mit FiS/ (360) 417 -4815 fax (350) 417 -471' Le Approved a ke Applicant .P a ye, k5 4(- 2o in a Phone g5a.0 c,3q Property Owner �o inn 'A- P co•-• (,00,-4,k Phone SFS7 1 79,C. Property Owner's Address /6 3 3 Ho rh.. ;,5-f-e- ,v-e-v Contractor \l`e-k -(-ea Phone `ACS.- o q.3 Contractor's Address P- 0, 8 0 c cart -A'n sz s License _72A-V Hci c, Expires S l3 E -rnail PROJECT ADDRESS /03 3 ('400,- e,s-- e.Q.cL A nom. Parcel Number Lot Zoning Project Type Z. Brief Descriptions <Residential o Multi- family Com ercial a Industrial Che :k all that zpp?y Ne.W Construction o Addition a Remodel o Repair o Dernolition o Re -roof a House garage. other a tear of -roof o lay over one layer TO System 1�J teat pump a wood- burning stove o gas fireplace o pellet sto o ether o Other s SS S .5 S Floor Areas Existing (sa. ft.) Proposed (sq. ft.) Basement p. sq. ft. 1 Flodr 2 Floor 3` Flop, Garage Carport r Covered Porch iI Deck al Shed Other G BUILDING DIVISION TOTAL VALUA170 3.O Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved dri ,ways, sidewalks, patios, and other impervious surfaces. (see PANIC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler syste.m be installed? Occupant load l of full baths Will a fire sp rinkler system be installed? Construction type of half baths have read and corp Th is application and know if to be true and correct. I am authorized to aop/ 'or this permit and understand that it is rn� p p sibitit/ fo determine what permits are req:.'ired, and to obtain permits prior. working a projects. Date. 3 1 rint Name O( rt c -Wtif Signature I i T :Forms;Bui!d:ng Division /Building per:nit applcation 1 ELECTRICAL PERMIT 1 CITY OF PORT ANGELES 1 360- 417 -4735 N Application Number 12- 00001043 Date 8/14/12 CP Application pin number 167635 Property Address 1033 HOMESTEAD AVE REPORT SALES TAX �1 ASSESSOR PARCEL NUMBER: 06- 30- 14 -3 -2- 0250 -0000- Qn our excise tax form Application type description ELECTRICAL ONLY Y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 3 circuits ductless heat pump Owner Contractor WAHL TOM A /PAULA J EXTRA MILE TECH ELECT., LLC 1033 HOMESTEAD ST 418 N. RACE ST. PORT ANGELES WA 983622731 PORT ANGELES WA 98362 (360) 457 -0198 1( Permit ELECTRICAL ALTER RESIDENTIAL W Additional desc Permit Fee 73.00 Plan Check Fee .00 Q\1 w Issue Date 8/14/12 Valuation 0 Expiration Date 2/10/13 Qty Unit Charge Per Extension 2.00 5.0000 ECH 'EL -ECH ADDNT BRANCH CIRCUIT 10.00 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 0 Fee summary Charged Paid Credited Due Permit Fee Total 73.00 73.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.00 73.00 .00 .00 a INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN g(1-7 C A '.v2P' FINAL 811711Z COMMENTS: F -p PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X_ Date: G: \EXCHANGE \BUILDING i A i, ECE[ t CITY OF PORT ANGELES PERMIT APPLICATION Q 9- 0' AUG 1 Building Division/Electrical Inspections j 321 East Fifth Street —P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS Date: y g 12 1 2 Single Family Dwelling *Plan Review May Be Required, Please Complete Etectr Plan Review information Sheet Job Address: /D 3 3 1:4,116 sl"E: /1 E Building Square Footage: Description of above °2_ rucw C i2 4-A A...A 4: tc +c.# Le ss j_.\ A P rn Ps Owner Information Contractor Information a Name: -r cnA 4- "Pc, LA, L is) ki Name: s ki -fit 41 1. ec.k �G/-ir �c�,. t 1 Mailing Address "es 3 MMst A-D 4iie" Maiing Address: 4 -1 15 lice -E. 5 1 City: 7'A S t a t e w vr- Z i p Z City: P Statel, l Zip: 4 vY� 1✓ 2,-. Phone Ys7- 97 9E Fax: Phone: <1$ 7 -5.31 Fax: Sit -X CC License /Exp. License /Exp. C -g. /4R -M r' 9 77,'j., Item Unit Charge gly 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 SeMcelFeeder over 1000 Amp. 8 373.0 Branch Circuit W/ Senate Feder 5.00 Branch Circuit W/O Service Feeder 63.00 63. C Each Additional Branch Circuit 5.00 2.. ;a, P' 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 1 Each Additional 500 Square Ft. or Portion of 40.00 1 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub $110.00 73. ee 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 f 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, WAG. 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, electrical contractor or electrical administrator: 0 Cash Check creaacsra: X 1 e -y r -sP� Dated: 5 -1y 01101D012 ,.0 1j /r1 Owner TOM A /PAULA J WAHL 1033 HOMESTEAD ST PORT ANGELES (360) 457 9796 Date T:FormsBuilding DivisionBuilding Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 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 Application desc INSTALL A WOOD BURNING STOVE Qty Unit Charge Per 1 00 Fee summary Charged WA 983622731 Permit MECHANICAL PERMIT Additional desc WOOD BURNING STOVE Permit pin number 155150 Permit Fee 60 65 Issue Date 10/14/09 Expiration Date 4/12/10 Permit Fee Total 60 65 Plan Check Total 00 Grand Total 60 65 09 00001066 199920 1033 HOMESTEAD AVE 06 30 14 3 2 0250 0000 TOM A /PAULA J WAHL MECHANICAL APPL PERMIT RS9 RESDNTL SINGLE FAMILY 5044 Contractor THURMAN SUPPLY 1807 E FRONT ST PORT ANGELES (360) 457 8591 Paid Credited 60 65 00 60 65 Plan Check Fee Valuation BASE FEE 10 6500 EA ME STOVE /FIREPLACE /MISC APP 00 00 00 Date 10/14/09 WA 98362 Print Name Signature of dntractor or Authorized Agent 00 0 Extension 50 00 10 65 Due 00 00 00 PK aled to 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 performa ce of construction. Signature of Owner (if owner is builder) Inspection Type 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 AIR SEAL. Walls Ceiling FRAMING Joists I Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS 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 Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Comments FINAL Date Accepted by FINAL Date I�_13-c3 cepted by III FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 1 PREPARED 10/23/09 8 21 20 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/23/09 ADDRESS 1033 HOMESTEAD AVE TENANT NBR TOM A /PAULA J WAHL CONTRACTOR DIAMOND ROOFING ENTERP INC OWNER TOM A /PAULA J WAHL PARCEL 06 30 14 3 2 0250 0000 APPL NUMBER 09 00000862 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 10/23/09 N SUBDIV BLDG FINAL TIME 01 00 October 15 2009 8 43 31 AM 1pangrle PAULA 808 5367 BLDG FINAL RE ROOF AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE SO SHE CAN MEET YOU THERE COMMENTS AND NOTES PHONE (360) 452 9518 PHONE (360) 457 9796 PREPARED 10/23/09 8 21 20 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/23/09 ADDRESS 1033 HOMESTEAD AVE TENANT NBR TOM A /PAULA J WAHL CONTRACTOR THURMAN SUPPLY "OWNER TOM A /PAULA J WAHL PARCEL 06 30 14 3 2 0250 0000 APPL NUMBER 09 00001066 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 457 8591 PHONE (360) 457 9796 ME99 01 10/23/09 JLL MECHANICAL FINAL TIME 01 00 October 15 2009 8 44 55 AM 1pangrle PAULA 808 5367 BLDG FINAL WOOD- BURNING STOVE AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE SO SHE CAN MEET YOU THERE COMMENTS AND NOTES project Type Brief Description: Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3` Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant V5w/4- /241 Property Owner I /x._ Property Owner's Address /753 /�m�-7!' '7 '.I Contractor Contractor's Address License Expires PROJECT ADDRESS /p 33 y 22 -Q 77//,.G Parcel Number X Residential Multi family Existing (sa. ft.) EL200sed (sq. ft.) Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Phone qS' 9 796 Phone .,oa„ �o�� .may, �✓r�J Phone f S.91 E -mail For City Use Only Date Received RD I y Permit# Oct— If7(o& Date Approved Lot Zoning Commercial Industrial House garage other tear off re -roof lay over one layer Heat pump j 'wood- burning stove gas fireplace pellet stove other /77,610 l//t7 f/ sue:/, /3 per sq. ft. e Fil-o U2 3 S c i nyt-allarhlov` l 5 c( 4 TOTAL VALUATION 5 O '1 LI- 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 of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits pri er t o working onprojects. Date /d -/3- '9 Print Name e '4 h./,e,/ Signature 0 -'-4a T:FormsBuilding Division/Bldg Permit.doc 1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc TEAR OFF RE ROOF HOUSE Owner TOM A /PAULA J WAHL 1033 HOMESTEAD ST PORT ANGELES (360) 457 9796 Structure Information 000 000 Qty Unit Charge Per 12 00 14 0000 THOU Other Fees Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand Total 8-D+ oci 'rot g Date Print Name T:Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983622731 263 75 00 4 50 268 25 09 00000862 397460 1033 HOMESTEAD AVE 06 30 14 3 2 0250 0000 TOM A /PAULA J WAHL RE ROOF RS9 RESDNTL SINGLE FAMILY 13710 263 75 00 4 50 268 25 Contractor DIAMOND ROOFING ENTERP P 0 BOX 2963 PORT ANGELES (360) 452 9518 TEAR OFF RE ROOF HOUSE Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF RE ROOF HOUSE Permit pin number 152314 Permit Fee 263 75 Issue Date 8/24/09 Expiration Date 2/20/10 BASE FEE BL -2001 25K (14 PER K) STATE SURCHARGE Paid Credited Due Plan Check Fee Valuation 00 00 00 00 Date 8/24/09 INC WA 98362 4 50 00 00 00 00 00 13710 Extension 95 75 168 00 6 9 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 th per o ance ofco>struction. Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) IT_IS 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 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 AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood I Ducts MANUFACTURED HOMES Footing I Slab Blocking Hold Downs Skirting 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 Date Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T /Building Division /Building Permit FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Applicant IOM \AI? fk. Property Owner 1"AM Property Owner's Address 0 to M E S -O.D Contractor IDIAMo r Relo1=IN Contractor's Address Ia1S (3tiK. ID,ArwoNt. License Expires PROJECT ADDRESS 033 Nom FS t Et Parcel Number Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Site Coverage the amount of impe and other impervious surfaces (see BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Existing (sq. ft.) Proposed (sq. ft.) ous su sq. T Lot size ce on a parcel including structures 7 94 135 for exemptions) Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be i ailed? Occupant load Will a fire sprinkler system be stalled? Construction type I have read and completed this application and know it to be true and correct. I am author that it is my responsibility to determine what permits are required, and to obtain permits pri Date 9 09 Print Name 7; NI. W AN L Signature T Forms /Building Division /Bldg Permit.doc Phone Phone Phone E -mail Lot Project Type Brief Description. YResidential Multi family Check all that apply New Construction Addition Remodel 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 (TOTAL VALUA TION Commercial Industrial per sq ft. sq ft. Lot coverage ved driv ays sidewalks patios Site coverage For City Use Only Date Received `i -24 -0 f Permit 09— %(oZ- Date Approved Zoning of bedrooms of full baths f half baths to apply for th permit and understand rkin 7 on projects. NAME ADDRESS CITY STATE, ZIP SOLD BY I QUANTITY 1 2 3 I 4 5 6 1 7 8 9 10 11 12 13 14 15 16 17 18 19 20 RECEIVED BY a adams 5805 DIAMOND ROOFING Cliff Duffy Fors (360)452-9518 1295 BIk. Diamond Rd. Port Angeles, WA 98363 CUSTOMER'S ORDER NO DEPARTMENT t orv, -v ■4- 1 k.... 1, KEEP THIS SLIP FOR REFERENCE DATE 1.0_09 I CASH C 0.D CHARGE ON ACCT MDSE RETD PAID OUT 1 DESCRIPTION PRICE I AMOUNT 1 kaL.L,Se_ 1 t 0 ke. cAc-1 1 1 v,s-kc,\■ ti 1 1,0_,,,,,,,...N_ /1 1-- •.,J r C.. 1 c.. 4 1 eN C c e-.4 X.r. s $,A.. 11 1 -7v 1 I ,e_3•0fli.,:z4 I I I I --G .44 kr...AA° ‘4,a rPerv., re Akc. oLe_ (W;u:Ae O s i e tr—ci LI Si 0 c.A.4k (-1 1 0>)"/ FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT. A 58'7) -4 PERMIT NUMBER . . TOTAL FEE / b r:J2- f[~ CONT. Lie. NO. TIMETOCQMPLETE NO. STORIES LEGAL OCCUPANCY Site Address ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT S -fr.:....4 JO J '} Ho M.~ CORA CT ADDRESS IS RESPqNSIB1L1TY OF APPLICANT PERMITS WITH WRONG AODRE1SES ARE CANCELLED . Owner 0 4 IM.J(/,L . Installation By If r A LL~ C- Owner's Address . -- Installers Address . ~L~ --ht.-t { J i.Jl.. U I "L Day Phone Installers Phone Application is hereby made for Permit to i~stall Electrical EquiprTJent as foll()ws: ~ i:l rjJ ~ 1tvI-'/'0L.. ~b 'j:Id 'O~~)""\ fJJ lB- 0'" JJ1e I Wiring Method t>{Pr f IZrfr..-- . NUMBER AMP 12QV. 240V NUMBER AMP 120V 240V 'USE OF CIRCUIT' CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER '0 10QR FEE CIR 30 CIR 30 LIGHT SIGN 50 VOLTS ... LIGHT OR LESS CONVI;NIENCE MOTOR ,---. CONVENIENCE MOTOR APPlI~NCE MOTOR DISHW,.6,SHER FI RE ALARMS .. DISPOSAL BURGLAR ALARM RANGE! MISC. - OVEN WATE~ HEATER LAUNDRY - f--. DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS ~ OIL .- FURNACE ENERGY FEE ELECTRIC BASIC FEE , - ELECTRIC HEAT I /b~ TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. ur~IT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS -. SERVIQE AW.G. -. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH - - t certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. DateAPplicatio~ made ('0 tj 1'1--/ 'f (, ,19 'BY . /~ % !~ q. .<!!:.- I CONTRACT R OR OWNER (OR AUTHORIZED AGENT) - Permission is hereby given to do the above described work, according to the conditions hereon and according to the.approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. . REC R F ITY LIGHT WARNING By PLANS 0 , 't '. .!.. .:, Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turnedon before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ . Date Pelmit Issued WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC, ,. DATE OF VISIT . -;rj'2l /r~ If I MADE BY . II. //1/ >.J.I-- J'V 1<:1/ REPORT OF INSPECTOR REMARKS . , . , z c:J a: <C :E !a :J: I- Z W l- . I- o Z o c O.K. FOR COVERING O.K. TO CONNECT SERVICE FINAL O.K. . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT , 1 N? 16838 ")- -y '7;j:::'- port Angeles, Washlngtonum______m__m___...mm._m.um._.........__m_m, 19(.'.:0_ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles, per- mission Is hereby granted to d6 electlkal work as listed below. Address ./~_.2m3m___2f?:~'='-~~~--muuummu--u occupancy_____~:::L~_q~_u_m..______u Owner ~1f,t~f (::/~_"'~~m_ TenanL.mu__mmu__um..mu_um____________u.__.mu_mu..__ _.._~y~~=..____.u_n__u_.~~ - (I - Wiring Contractor _mm___m_______._._muuuu_muumu______________m_ By..uuum__uummm_mmuuu_..__u___u_.m__m__._um Light Outlet...._....__....................._______.. Service, volts ............................n......... No. wires ....................................... .' Receptacle Outlets.......n___................... Dryer, KW nn....__n.............................. Size wlres..................................._.. Range, KW........hn............._ Water Heater: Main fuse ....................................... Enclosure ....................................... KW.....______..._..___........_........_. _____... Hoot, KW...._/':;.i:fk.)...5.~:~. Motors: size, volts and phase: Type of wiring: Entrance Cable ......m......m.... Rigid Conduit ................ MetalUc Tubing ............. Current transformers: No. & Size....................................... Ser. No............................................... Ser. No................................__............ Ser. No. ............................................. Type of WIring: Armored Cable .............................. Non-Metallic __............................... Knob & Tube..............................:._ RIgid Conduit ......._:......._..........___ Metallic Tubing ........................... Raceway ......................._......___._ Circuits. Light..................................._.. Utility _......._...._.".___.____.___.........__... Heat ..............................:.....::.._:..... Range ............................................. Water Heater ............................... Motor .................................00.......... Dryer ..............................................__ Furnace .......00................._......_........... Total Load............................. Ser. No....................._...................... Total .....n.nnn...__.n................. Remarks: ,/d-J!kDt.2.e.._m__m~::1!4.ti.~::"-.;;uu-mmumum-umm-mm--m--m-mmm000___000" $__000000__'___'__'000000_000_00000:__' NO.umu_u_____.____m..... By fftr..~__~~tZ~!-~ p'. - -.. 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. Permit Fee Treas. Receipt NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION , ELECTRICAL PERMIT N? 16838 Address....................................................................................................................................__..Date..._......_.._......_.........._......_......_.........\ -, Owner 00............................................._......_......_.._..........00.............00................................ Tenant..................nn.........nnnn.n.......................... v"TiringContractor........................__........._......_...........~.._.............................................................By.............................................................. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due noUce must be given the Inspector so that work may be inspected before concealment. . 1M Olympic Printers, Inc.