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Home My WebLink About1323 S I St - Building oe. pORT ~ 'J'';~(('J. ,.. ~-- ~~ 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: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner 6/13/05 05-00000465 Date 791695 1323 S I ST 06-30-00-0-4-0140-0000- RES REMODEL RS7 RESDNTL SINGLE FAMILY 500 Contractor KIMBALL, MARK/CHRISTINE 1323 SO I ST PORT ANGELES WA 98362 ( 36) 457-4376 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date OWNER BUILDING PERMIT -RESIDENTIAL INTERIOR REMODEL 51706 47.00 Plan Check Fee 6/13/05 Valuation 12/10/05 --. 18.80 500 ~ ~ ~ Per Extension 47.00 BASE FEE MECHANICAL PERMIT ~. 51680 54.25 6/13/05 12/10/05 Plan Check Fee Valuation .00 o ,. \-\ Qty Unit Charge Per BASE FEE 7.2500 ECH ME-VENT FAN Extension 47.00 7.25 V" ~ 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 51698 61.00 6/13/05 12/10/05 .00 o ~ ?- --- ~ --=-- ~ ~ . - (~~'" Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP Extension 47.00 14.00 2.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 162.25 162.25 .00 .00 Plan Check Total 18.80 18.80 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 185.55 185.55 .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 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 "7 ~V\c.^,),),- ~J' Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent ~ \\~'1 <; T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD , CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIQNS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES I 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 FOUNDA nON DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING , DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL 'HEATPUMP/FURNACE/DU~~ I,-/q-o \ /'L-f..-. GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKJNG & HOLD DOWNS SKJRTING 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 ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 / / ;x. , PLANNING DEPT. BUILDING 417-48] 5 ///.j/C~ H/!' BUILDING T:\Policies\1102 15 building ermit inspection record05.wpd [1/4/2005] G y. p '0 '0 >-3 '0 to , >-3 '0 ::;~08E; 0'0 t" t" ><: ~ t" ><: ~ H~ '" '" '0 '" '0 'O~~ZO >-3Dl '" , '" , t"ODl>-3~ ><:'0 '" H '" H Dl~~Dl :>- 0 0 0 >-3 0 0 >-3 Zt" :>-'" O~ H H H ~. 0'" "'Dl >-3 0 '" to to 0 '0 t' '" Dl' ~. OH o ~_ O~~ ~ ~H "'''' ODl ODl >-3, " ;;:0 ;;:0 0 00 "'C::O 'OC::O OO~ H ~~ "'''' t"Dl t"Dlo """ H W " Dloo 1 DlOO , , ;;: '" Glo 00 >-3>-3'" , >-3 >-3 to owto w Dl'" "'''' DlDlt' 1 DlDlq 00:>- t"- ~ oOi 1 OOH 0 , t" Dl 1 e; oot" OOH 1 00- 00 '" H ~" H ..., >-3 0<:" ~ ill ~ ill ~c;'~ '" :>-t" DlHQ 1 t" DlHQ '" t" "'Z ,t" "'Z ...~ C::OO", 1)<. C::OO", ~ , ~ ... 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""H 3:0[J) O'U :<'tJ 00>-3 cot' "'''' tJOH 6~ [J}[J} ",oZ c::n t"'" "'td t':<' ~ '-H >-3H "'Z [J}'U n 0C) '->-3 0 0 nH ZZ 3: "':<' 00 3: 0 3:Z [J}[J} '" c:: 3: 'U'U Z 0C) '" "'''' fl >-3 "';x: Z nn [J} .. , >-3 >-3>-3 "'H' [J} OH ~ "'Z :<'0 .. Z tJ ~>-3 '-<>-3 Z ~8 0 3: 'U'U[J} >-3 i3i3~ "';>: '" 'U'" [J}'" \f' [J} td .. zZtJ >-3 ;>> "''''H t' ~ :<'H < >-3--' t' ;x: .. H 00 '" t'0 :<' w t' 0"0 >< ... '" --' ~ , ... w s: --' 0"0 \1 ~ tJ'U ;>>;>> ==0 >-3C) "'''' .~ \~. co '- 0 '" '- 0 "'--' BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your applicatior: and site plan MUST BE COMPLETE to be accepted for review. If you have any qnestions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Owner: Address: \ -') L 1-; <:) Ill:' ~ \-- r~\,\l. t'- ~ \ 1'1 h/\LL Phone: -~ Ice - y~ l- ~ -j'lL Phone: City: Pc,P- \ fW-GeUi-:S Phone: Zip: c-\ ~ ') 6 '<) Architect/Engineer: Contractor cQ U ') l/}..o V" State License #: Exp: Phone: Address: PROJECT ADDRESS: .. ~2") City: ~.- '1-1., ~-t ? L' (el ), ' \ Block: LEGAL DESCRIPTION: Lot: I"'V ~",-.:u:-~ Subdivision: Zip: ZONING: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: / .B Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial ,;YRemodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: o Stove o Garage o Deck o Other i\i)l) '/2.. SIZEN ALUATION: \ ~ SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ I.~~ ()f\t"Vt {IV c..>x../~T)Iu{c7" LV,'l-L!'--/1" Cco)(:{ COMMERClALIRESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq, Ft. ESAlWetland(s): 0 Yes 0 No SEPAChecldistrequired? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Pelmit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building pemrit application and construction plans are submitted. All other pennit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R1 05.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what Pr~mits,are r;3j~ed ,not the City's, and that { mus~tain such permits prior to work. T:\PoJicies\BL-lI02_13.wpd Applicant:" V 1c~ f-...v.LcJ(j/ Date: ",)\ ~ \") -- ' \/ ~ () _,. "-'1 ~/( r--.-l. -J. .,.! C)t=. YA~:')O:' I .~ 1 r \ .. C tf,;.; J . -r ' 1') . \~ ) f-..) . A/-, ------- / /' "'-". Kl i\DALL \~2---S Lt ~ 1 - \{ ---SIb (Ir:-' '" CS .1 /)" h ~ C)"' c' i!..- fi\fn-r .. I '.1.. -.!.{'. r \' -(1)(/ ) '< . '._j ,(., '? .~'~+ ~,~~ ~-., I t" ,.--. . --,-"~'----.... ..,;.i /'. ., '-~ ~ "- k .' . " r ) , ",1 I. \:.o!-t- ., .... ~_i l I 11.' _~i -_:~ .-'l' ...---'"~~- .., ..c;!. ].' +', . .' ~ " ~! ..J' ~ ---.- (' ,. .~~, t'- c)i- \~/)\ '( ." \ I i\ FilE CITY OF PORT ANGEL"'" . .:::t;on Plans Th~ Issuance of tills pennit t [liJ'1s. specifi- cctions and other data s1Ia!,'~iiJing official from thereafter requiring: .,' 0' (,riors In said pl?~s, soecifications lOr' v fr8m preventing building oper~lions bel> the; "under when in violatIOn of all codes i 'z;, 01 this Jurisdiction. ~:::~:iq;~t ~::"'J L l. ~ t) ;,: 0.,] '" ;..'Uon;.. n'U t'l >< ; 'U;"::;:01:) H", H 'U 'U",ZZI:) o.,]t'l ...... t:-'nt'lo.,]", ><'U Ul H t'l",",t'l ;.. 0 0 >-l Zt:-' ;"Ul 0"' H ~. nUl "ll'l 0.,] I:) ~ lJj 0 'U ~ t'l. "', 0 n", "' "'" Ot'l 0.,]...... ;':0 H 'UC::O 00:>: H ~~ t:-'t'l0 "''''H w t'lUl , , ;,: tv G)o ;;J;a owtJj w t'l'" 00;" t:-'- I:)I:)~ 0' t:-' Ul t'l f oot:-' UlH 00- N '" , "' H "'0;': Ul W t'lH~ '" , ;.. 0.,] w UlZ "'"' C::Ul "' , :>: H t:-''U t'lo...... " 0.,] '" UlHn ; "':I: ",0", t'l , H H ;':OUl "'0;': :Ul:)>-l 000.,] ",,,t'l t'lt'l I:)OH "......n UlUl t'loZ H:I: c::n t:-" t'l ~~S; t:-':u o.,]H "tvH Ul'tl n ",on ......0.,] 0 0;" nH ZZ ;,: 3 '" t:-' 00 ;,: III ;':Z UlUl t'l " :u ;,: 'U'U Z "HO t'l t'lt'l 0.,] tvC:: Z nn Ul .. G) 0.,] 0.,]0.,] w:I: Ul OH ~ tv, :u0 Z .. Z I:) 'U <=-<0.,] Z ;,: ~;:; 0 'U'UUl 0.,] SS~ t'l:>: t'l <=-< Ult'l Ul t:-' ZZI:) 0.,] H t'lt'lH t:-' t'l <: :u t:-' t:-' H >< t'l "' w t:-' '" >< '" '" " , '" w " '" I:)'U ;..;.. 0.,]G) t'lt'l " ...... H '" ...... 0 "'''' ...,~ J(jd~ . plication Number , . ~r pplication pin number CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. W^ 91l~(12 05-00000465 Date 7/21/05 ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . Application valuation 1323 S I ST 06-30-00-0-4-0140-0000- RES REMODEL RS7 RESDNTL SINGLE FAMILY 500 Owner Contractor KIMBALL, MARK/CHRISTINE 1323 SO I ST PORT ANGELES WA 98362 ( 36) 457-4376 OWNER ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL KIMBALL/ 1GFCI RECP IN BATH 55004 48.10 Plan Check Fee 7/21/05 Valuation 1/17/06 .00 o ~ ~ ~ ~ -.--'--'" - f:' ~ '---......... ~ <./' \ ~\ ~ ,",'" ~ \\ ~ ~ ~ Qty 1. 00 Unit Charge Per 48,1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------...--- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 ,00 .00 .00 'Other Fee Total 4.50 4.50 .00 .00 Grand Total 52,60 52.60 .00 .00 COMMENTS/ACTION NEEDED ELECfRJCAL PERMIT INSPEQJON RECORD CALL 417-4735 FOR ELECTRlCAL 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 PERMlT CARD AND APPROVED PLANS AT JOB SITE INSPEcnON TYPE DAn COMMF.J"n'S GENERAL COMMEJ'IlTS: "'V.II01.1'I~ ff'ORT~ ~"'O~'<;., a".~ w- -=-:or ~ ~~ 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: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001002 Date .324008 1323 S I ST 06-30-00-0-4-0140-0000- MECHANICAL PERMIT 10/29/04 RS7 RESDNTL SINGLE FAMILY 5025 Owner Contractor KIMBALL, MARK/CHRISTINE 1323 SO I ST PORT ANGELES WA 98362 (360) 457-4376 PENINSULA HEAT 502 W. 8TH ST. PORT ANGELES (360) 457-2775 WA 98362 Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL THERMOSTAT 36.40 Plan Check Fee 10/29/04 Valuation 4/28/05 .00 o Qty Unit Charge Per 1.00 36.4000 EC EL-LOW VOLTAGE Extension 36.40 vJ l0 }1 W :2 If ~ \ t; f-1 "^ ~I Permit MECHANICAL PERMIT Additional desc ELETRIC FURNACE Permit Fee 60.70 Plan Check Fee .00 Issue Date 10/29/04 Valuation 0 Expiration Date 4/28/05 Qty Unit Charge Per Extension BASE FEE 47.00 1. 00 13.7000 ECH ME-REPAIR/ALTER/ADD APPL. 13.70 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- permi t Fee Total 97.10 97.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 97.10 97.10 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have' not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. uN FILe::- Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNINGIFORMSIl 102.15 [11114/2003] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN Wi" TER LINE (METER TO BLDG) dAS LINE BACK FLOW 1 WATER AIRISEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHJMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 i'. 1-0 Y J I L-, BUILDING T:\PLANNING\FORMS\1I02.15 [11114/20031 BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY DaleRec.:l6 -"2q'd<..( Permit #:0'-/-/00""2... Date Approved: Date Issued: Fill out COMPLETELY and in INK. Your application and site.plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Applicant or Agent: [J, u,ylO ~Ie .4-n.c1ersCTY7 Owner:.J1 axIL li.U:n1al J I t ;/ Address:J32-~ S.. I S+ Phone: l{-f)7-'dl 77.5 '-+ c:5 '7-'-/ .3 7 ?., Zip: q<;;-303 Phone: City:-YO (f-ArlJe&s Architect/Engineer: Contractor P~Y\ L \-'1 ") i.,c~i-Je Ct /f- Address: 51)2 tv '8't...h.. PROJECT ADDRESS: 1623 Phone: State License #f[AJilUlf1~ City: t:b (1-4nJ.,PU5 S III.. if'S--j- . Phone:L;.57-:1 775- Zip: c; <isS6 2. ZONING: LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: Subdivision: Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp. Date: TYPE OF WORK: SIZEN ALUATION: o Residential 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $ o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repa" 0 Sign I3--Oth" TOTAL VALUATtON ~ 5{J~Z; ~ BRIEF DESCRIPTION OF THE PROJECT: F tee +rtc' D~nau \ VI sl-zr Ua....f-uJYl / ~/d l/d / :l-d?,~ I LiJ l- n~ COMMER AL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq.Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BillLDING PERMIT APPLlCA nON SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: lfno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that n is my msponsibility to determine what permns am mqUl~,not t~e :3~'s,}'J' that I must obtain such permns,priOr to worl<. nFOltMSIAPPS\D"ild;ogp"~;,.wpd APPlic.,Ct? ~~ Date, /.cJ h 7 A ~ ;;:: >-l "0 i';;~~8E; {")'U '" >< ~ H:U '" 'U 'U:uZZt:l >-l'" '" , t"{")"'>-3:u ><'U Ul H "':u:u'" l" 0 0 >-3 Zt" l"Ul O:u H !j1. {")Ul "'''' >-l t:l ~ tJj 0 'U "'. :U. OH {"):u :u :UH 0'" >-l' ;;::0 0 'UCO OO~"OI-' ~~ t""'0 .+:>.CJ'\HtIjW "'Ul , , ;;::Z'-' QO ;j ;a QWttlHW "'.. OO~Z t"- t:lt:l~ 0 t"UlUl '" , OO~c: UlH ffJ H 0- t"H W 0' l" :u H ~~~~~ 0 , t" "'H~ '-' UlZ P::dtIj , CUl ;;:: ",l" 0 , t"'U tIjo..........1-3 0 >-l "0 (")H{") , ~ ;>:..;>: , ~O:U , , H , H HOUl , ;;:: :ut:l>-3 (")o>-l , '" "'''' l"OH , (") UlUl t"oZ , ;>: C{") , '" , ~ t":u 'U , >-lH '" H Ul'U :u (") (") '>-l ;;:: 0 l" (")H H H ;;:: t" 00 >-l , HZ ;;:: ;;::Z ZUl '" '" ;;:: Ul'U Z Z '" 'U'" >-l Z "'{") Ul l" >-l {")>-l t" Ul >-lH ~ 00 :uZ t:l '-<>-l Z ~8 0 'U'UUl >-l ssg "'"' '" Ul'" Ul ZZt:l >-l "''''H t" < t" H '" W W :u "'''' t" 00 >< .... "'''' -..J -..J ..'" W-..J -..J-..J "'''' t:l'U l"l" >-lQ "'''' H H , 0 H , 0 .... eft pORT ~ /~ ha ...~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001002 Date .324008 1323 S I ST 06-30-00-0-4-0140-0000- MECHANICAL PERMIT 11/12/04 RS7 RESDNTL SINGLE FAMILY 5025 Owner Contractor KIMBALL, MARK/CHRISTINE 1323 SO I ST PORT ANGELES WA 98362 (360) 457-4376 PENINSULA HEAT 502 W. 8TH ST. PORT ANGELES (360) 457-2775 WA 98362 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date T:\PLANNINGIFORMS\1102.I5 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: # n; I;:' tA-/z--v, ~.fA" ROUGH-IN I I J - I.~-()ql r { t'" PLUMBING ( UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS I CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERJOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB I I WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTiON SANITARY STORM PLANNING DEPT. SEP ARA TE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED ...." YES NO ELECTRJCAL - LIGHT DEPT. 4 I 7-4735 /1- {S-lX( (i:~' ELECTRJCAL LIGHT DEPT CONSTRUCTION R. W. 1 PW 1 CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 {I 1/14/2003] f VORT ~ lO~~ ~ "- -=-'" ~ ~~ 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: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001002 Date .324008 1323 S I ST 06-30-00-0-4-0140-0000- MECHANICAL PERMIT 10/29/04 KIMBALL, MARK/CHRISTINE 1323 SO I ST PORT ANGELES WA 98362 (360) 457-4376 PENINSULA HEAT 502 W. 8TH ST. PORT ANGELES (360) 457-2775 WA 98362 <0 ....s;::. ~ \) \::J f'J ~ \ \i\ - ~ ~ W \,'J ~) VJ 1'0 --- ~,-.l - (}) ~ ~ ~ 1 RS7 RESDNTL SINGLE FAMILY 5025 Owner Contractor Permit ELECTRICAL ALTER RESIDENTIAL Additional desc THERMOSTAT Permit Fee 36.40 Plan Check Fee .00 Issue Date 10/29/04 Valuation 0 Xl Expiration Date 4/28/05 Qty Unit Charge Per Extension 1.00 36.4000 EC EL-LOW VOLTAGE 36.40 ___1________________________________________________________________________ Permi t MECHANICAL PERMIT Additional desc ELETRIC FURNACE Permit Fee 60.70 Plan Check Fee .00 Issue Date 10/29/04 Valuation 0 Expiration Date 4/28/05 Qty Unit Charge Per Extension BASE FEE 47.00 1. 00 13.7000 ECH ME-REPAIR/ALTER/ADD APPL. 13.70 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 97.10 97.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 97.10 97.10 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T: \PLANNING\FORMS\ I 102.15 [11114/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. 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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # .n; -~/(/ ROUGH-IN 11- J<. .-rr IIi.!' II" I _. PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 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 ELECTRJCAL - LIGHT DEPT. 417-4735 ;1-1&-0 l/ IrK ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERING 4] 7-4807 PW 1 ENGINEERING FIRE 4]7-4653 FIRE DEPT, PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] DetailslDescription: I I I I I I I W.S. No. I CAPACITY: I 0 O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER I 0 INSTALL SERVICE POLE I I o Ditch Inspection O.K. V'~ rough-in/cover O.K. 1ff'tA'P p.K. to connect service /P(,\ ~ rinal O.K. . . . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. ~/7r; h ~?-S-:-93 DATE Site Address: I Installed By: I Owner/Business: I Owner/Business Address: I ELECTRICAL PERMIT '\\ --:- 1/ WILL CALL FOR INSPECTION Phone: o READY FOR INSPECTION License Number: Phone: Sq. Ft. '" RESIDENTIAL [j COMMERCIAL o BASEBOARD KW..&.-- o FURNACE KW _ o FAN/WALL KW o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE ~D PERMANENT SERVICE NEW CONSTRUCTION REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR )( OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE fJI!J(!) AMPS o SPECIAL EQUIPMENT (LIST BELOW) lOt) '6 Air SERVICE SIZE DATE ENGR. o CHANGE SERVICE WIRE o OTHER Site Address: I In~taller: I Date: t... ''')0-93 I No!ify Port gele City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. I Ts ~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ I ElecJicallnsp ctor WHITE - File by address YELLOW - file by number I OLYMPIC PRINTERS INC. I S'O, Go Permit Fee PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall . . . Site Address: '" "") '? I .,;zo--~ Installed By: l I' '0 Owner/Business: I Owner/Business Address: I CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. DATE ~/t/ ~ //t? #--5 I / ELECTRICAL PERMIT r o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Details/Description: I I I I I I I W.S. No. dPACITY: I 0 O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER I 0 INSTALL SERVICE POLE I I o Ditch Inspection O.K. I' o Rough-in/cover O.K. ~p.K. to connect service o IFinal O.K. Sits! Address: I /3;;L ~ In~laller: I I Notify Port Angeles Cit Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O. K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Eem1it. PHONE 457-0411, EXT. 224. &.2 I r/ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .:J 0 ___ I. $ Electrical Inspector Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall I OLYMPIC PRINTERS INC I Phone: Sq. Ft. \6 TEMPORARY SERVICE I[j PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) )( OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS ~ ----; fi) J~~- SERVICE SIZE DATE ENGR. o CHANGE SERVICE WIRE o OTHER r "Rd C~ permitfReCeiPI,f'I6' / New Meters I ELECTRICAL WORK PERMIT APPLICATION , /Installalion description Job wired by D Electrical Contractor DOwner o Commercial ~esideDtial Electrical contractor name License number Date Expires ONew o Altered/Addition Purchaser's mailing address Gfc (")iJ~ ~ 0..:1 U?, City State ZIP \,..i N~ ~.....\ I+f-coI1 Telephone number FAX number Premises owner's name i"~ ~\ ~&A\..V Address of inspection "I- C::;{-. \,,",>'1....."':> '), City (J Mb~? oIL.\ Phone number to schedule inspection: l\ ')\- '-\ '5'"1b Owner as defined by RCW 19.28.261 :(1) Owner will occupy the .\'truclure for two years ajier this electrical permit is finalized. (2) Owner is required 10 hire an electrical contractor if above said properly is for sale. relit or lease. D Cash D Check # After reading the above statement, I hereby certify that I am the owner of the above ~rcditCard ~ named property or a licensed electrical contractor. I am making the electrical instal- Visa Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468. The City of Port Angeles Municipal Code, and Card # - - - Utility Specifications. ---------------- :~gnM: OI;W cr, eleClr~al cont,acto, 0' elect,ical ad):ni",ato, Expiration Date ($nsP1f'e; ~el 0 ,~~1'2 Dateq 1'1')';- of card '- () U1 \ ..t.: ~ U\ Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW Service Information o Overhead Service o Temp Service o Underground Service Voltage Phase 0 1 0 3. Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT , SERVICE Dale Approved By Date Approved By , DITCH FEEDER "- Dale Approved By/ Dale Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector . . Dale Approved By FlNAL /bO Approved By ELECTRICAL PEF,f\~IT APPLlCATIOt.,j .- = o ~ FCW Clf'l;r~: -",-,. !!~E [)~:l_~' J ,~, ,'_.'f~ tol rclrrlj! ~ [)~I, .'UlI'H".,,,j U~l, h~ucJ _~_,_. The Electrical Permit Application nlust be filled out completelv. Please type or reprint in ink. If you have an}' questions, please call (360) 417""':;735 Fax number: (350) 417-4711 Owner or Elec Contractor Agent: MA.,e.J::.. '(.\ (v\ 1)4\.-<- Phone <fs 1-1./)'710 Fax: Property Owner t1 N-~ ~ C 1~1')11 N 12 t:=., M M LL-. Phone: . Address \7;J<-."" "Sa --, ")~. Cily (oiCl JNJGc?t..~ Zip ~'Sb '5 Electrical Contractor: License #' Exp: Phone: AddreSS: , City: Zip II,STALLATION WIRED BY: .z6WNER o ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: City: Zip: Credit Card Number: Exp. Date: VISA: Me: PROJECT ADDRESS: \~L-~ "3,l <)+. fD~\ AtJbC'LCS TYPE OF WORK: Check.ell that apply: ONew ~ Alteration/Addition ~esidential 0 Multi-famiiy o Commercial o Mobile Home Sq. Ft \00"6 G ....c OSign \ "-. <::I> a ~ o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump Number of Circuits added or altered: \ o Low Voltage 0 Telecom. DESCRIPTION OF THE ELECTRICAL PROJECT: ~VIc..6 G>~ ylJeuJ EL8:T~1 <:.... hA. R- N ,/\-C...0" Electrical Heat Load Additions and or Subtractions Service Information D Baseboard ....a-rurnace :J Heat Pump ::J Fan-Wall KW .lQ..KW TON LRA KW ,0'Dverhead Service o Temp Service o Underground Service Voltage:;tt\-o ~ Phase:)2r1 0 3 )..000<--00 Service Size: be f'MP bo U Feeder Size: b- <; ~ I hereby certify that I have read and examined this application and know that same to be true and correct, and J am 3uthorized to apply for this permit. I understand it is not the City's lega/ responsibility to determine what permits 3re required, it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Date: Owner Dr Elec. Cont. Signature: Date: PERMIT FEE: $ ::lELECTRICALPERMIT APPLICATION !El!EClpm~.Al ~NSIPIEC1JU))N W~lR~NG 1Rl!E!P>OIRlT _ 417-4735 /It- PERMIT' INSPECTOR e>S- ~ ~'5' ,Ac&J APPROVED NOT APPROVED D ................... DITCH ................... D D .............. ROUGH IN ICOVER .............. D D .................. SERVICE .................. D D .................... FINAL. . . . .. .. . . . .. . . .. ... D CORRECTIONS NEEDED: {j)g4'"lr-1 t/P7<.I j r'1 ;t>.N ~ ,( / t'?,~r7' @ '/VJ[.,J (~.) ct/ d-c..-.., r ~ 77.> P ~.I"A:- Of<.. ~, ;;;Ci.U ,\-, .s?"2?~ ~ L;r/;:;.;'7N(; Y~,r) BOB - .2-6/ -3 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS OLYMPIC PRINTERS, INC. (360) 452.1381 - DO NOT REMOVE -