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Home My WebLink About410 E St - Building CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electricat Inspections 321 East Fifth Street--P.O.Box 11501 Port Angeles Washington,5►83�� Ph:(360)417--4735 Fax:(360)417-47'11 „�. 2013 Date: I i ✓f1&2 Single Family Dwellin I'LE'C'mlm ( �I NSPEC'ICNS X11 *Plan Review May Be Required,Please Complete Electrical flan Review Informaflon Sheet Job Address: l(J Building Square Footage,_._ Deserlption of above Owner Information �j Contractor! formation Larne: Z ,/WV / zw f 3 � .fl Name xZZ Mailing Address: i ct y �. t, f Mailing A dress: $ F�Ef City: P/11- State: Zip: aVic"zr City: .. x1 T 5tsfe Zip: Phone, `160:•wn e' Fax: ___ Phone: ax: License#/Exp. _ License#/Exp. r9 item Unit Charge ServicelFeeder200Amp. $120.00 TI tNtsltiral,id. YUnit Charge. Service)Feedar 201400 Amp. $146,00 Service)Feeder 401-600 Amp $205.00 $ Servlce)Feeder 601-1000 Amp. $262,00 — $ Service/Feeder over 1000 Amp. $373 00 Branch Circuit W/Satuice Feeder $ 5100 $ Eancb Circuit W/O Service Feeder $ 53.00 ,pch Additional Branch Clrouit $ 5,00 $ Branch Circuits 1-4 $ 75.00 _ $ Temp.Service/Feeder 200 Amp. $ 93.00 $ Temp.Service/Feeder 201.400 Amp. $110,00 $ Temp.ServicelFaeder401.600Amp. $149,00 $ Temp.ServivelFesder 601-1000 Amp, $168.00 $_ Portal to Portal Hourly $ 86.00 Signal Circuit/Limited Energy-1&2 Family Dwelling $ 64.00 _ $ Manufactured Home Connection $120.00 T $ Renewabia Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 58.00 $ Note:$5,00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120,00 $ Each Additiona1600 Square Ft,or Portion of $ 40,00 $ Each Outbuilding or Detached Garage $ 74.00 $-- Each Swimming Pool or Hot Tub $110,00 _ $ Total Owner as defined by RCNl.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 certlty that I am the owner of the above named property or a licensed electrical contractor.i am making the electrical installation or alteration in compliance with the electrical laws,N.E.C,ROW,Chapter 19,28,WAC.Chapter 296466,The City of Port Angetes Municipal Code,and Utility Speciticationq and PAM 14.05.050 regarding Eteotdcat Permit Appticatfons. Signature of owner,electrical contractor or electrical administrator: G clan 0 etre l 0 Cressltcams 011e12012 I i ELECTRICAL PERMIT C� CITY OF PORT ANGELES i 360-417-4735RR Application Number . . . . 13-00000953 Date 6%22/13 w t Application pin number 154274 Property Address . . . , . . 410 E ST ASSESSOR PARCEL NTIMBER: 06 30-99-q-1-152D-D000- REPORT SALES TAX Application type description ELECTRICAL ONLY On your excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 ----------------------------- ------------------ Applicatich desc Ductless heat pumps Owner Contractor —'?Z60 Z60 "" fIT KATHRYN LYNN GEREN EXTRA MILE TECH & ELECT., LLC 410 S E ST 418 N. RACE ST, PORT ANGELES WA 983632015 PORT ANGELES WA 98362 (360) 460-2208 (360) 457-0196 , ---------------------------------- Permit , . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc 1-4 CIRCUITS Permit Fee 75.00 Plan Check Fee .00 Issue nate . , . . 8/22/13 Valuation , . . . p Expiration Date 2/18/14 Qty Unit Charge Per Extension .w... BASE FEE 75.00 Fee summary Charged Paid Credited Due ---- ---------- - -------- Permit Fee Total 75.00 75.00 00 '00 Pian Check Total . .00 .00 .00 .00 Grand Total 75.00 75.00 00 .00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN P FINAL. �s1 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G,,:IEXCHANGEII3UILD1NG ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . , , 13-00000953 Date 8%22/13 Application pin number . . . 154274 Property Address 410 E ST /�f ry-/�� ASSESSOR PARCEL NUMBER: 06-30-99-C-1-1520-0000- REPORT SALES //yq Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name , . . . . . Property Use to the City of Port Angeles Property Zoning , . , . , . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . 0 -------- ------------------- Application desc Ductless heat pumps Owner Contractor [KATHRYN LYNN GEREN EXTRA MILE TECH a ELECT., LLC 410 S E ST 416 N. RACE ST, PORT ANGELES WA 983632015 PORT ANGELES WA 98352 (360) 460-2208 (360) 457-0198 ------- _ -------------- Permit . . , . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee 00 Issue Date . . . . 8/22/13 Valuation . , . . 0 Expiration Date 2/18/14 Qty Unit Charge Per Extension BASE FEE 75.00 -------- _.------ Fee summary Charged Paid Credited Due - -- ---------- ---------- Permit Fee Total 75.00 75.00 .00 00 Plan Check Total .00 00 .00 .00 Grand Total 75.00 75.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Conti-actor X Date: G:TXCHANI GEIBUILDING 1 CITY OF PORT ANGELES PERMIT APPLIC.A.TION Building]Divislonl'E1ec>trrical Inspections +r` ` " 321 East Fifth Street--P.O.Box 1.1501 Port Angeles Washington,9&462 -� Ph:(360)417-4735 Fax.(360)4174711 ®EC 12 29V� Date: ' r I l l s Z,&2 Single Family Dwelling ELECTNICK INSPECTIONS Plan Review May Be Required,Please Gro�m lets electrical Plant Review Information Sheet Job Address: _— � J__ cr LA__ Building Square Foniaga: - — Desedpilon of above Owner Inormation -� �� Contracarl formation Name: �Pz;)J -�'9&F Name: x l IYI,LC 'a C'�i� le �tlt& Mailing Address: e116 _ Mailing Ad dress: 8 '" � /JC', syreffr City: i _ State _ Zip °s';:�6:�' city: t� A Stet 7Jp:. 18367- Phone:4F4 0 j",V,) rY Fax: v Phtrm:. SA-22. Fax: �. €lcense#/Exp. License#1 Exp.—Ex '+MT [tern Unit Charge Total Qtv Multi,plied,l�Unit Charnel ServlcelFeeder 200 Amp, $120,00 ServfcelFeeder 201.400;Amp. $146.00 Servlee/Feeder 401-600 Amp $205.00 g - ServlaelFeeder 601-1000 Amp. $262.00 ServioelFeeder over 1000 Amp. $373.06 $ Branch Circuit W!Service Fender $ 5,00 $ — 00 Circuit WIO Service Feeder $ 63.00 $ Bch Additional Branch Circuit $ 5.00 $ drench Circuits 1.4 $ 75.00 Temp,Servicel Feeder 200 Amp. $ 93,00 Tamp,ServicelFeeder 201-400 Amp. $110,00 $ Tamp.ServicelFeeder401-60C Amp, $149:00 _ $ Temp.ServicelFeeder 601-1000 Amp. $168,00 __ $ Portal to Portal Hourly $ 95.00 $ Signal Clrau(U Limited Energy-1&2 Family Dwelling $ 64,00 $ Manufactured Home Ccnnectlon $120.00 $� Rsnewablo Electrical Energy-50A System or Loss $102.00 � $ Thermostat $ 65.00 __ $ Note:$5.00 for each additional T Slat NEW CONSTRUCTION ONLY-, First 1300 Square Ft, $120.00 $ Each Additional 5170 Square Ft.or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ $ ! Total Owner as defined by RCW.19.28,261:(1)Owner will occupy the structure for two years after this electrical permit is finalized,(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires after six months of last inspection. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making the electrical iristailall4n or alteration in compliance with the electrical laws,RE.C.,RCVV,Chapter 19.28,WAC.Chapter 296-466,The City of Port Angeles Municipal Code,and utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signatowe of owner,electrical contractor oretectrieal administrators Ct Cash 0 000 narea: � 1 -}3 u4mtiaij9z - ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , . , . , 13-00001442 Date 12/13/13 Application pin number . . , 372284 Property Address . . . , . . 410 E ST n ASSESSOR PARCEL NUMBER: 06-30-99-0°1-1520-0000- REPORT T SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Property Name to the City of Port Angeles Pro ert Use Property Zcning , , , . . , R37 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation , . , , 0 Application desc Main breaker replace Owner Contractor KATHRYN LYNN GEREN EXTRA MILE TECH & ELECT., LLC 410 S E ST 418 N, RACE ST. PORT ANGELES WA 983632015 PORT 'ANGELES WA 98362 (360) 460-2208 (350) 457-5222 ------------------------------------------._-_-_. _ ._- _---_--------------- �*--•. Permit , , , ELECTRICAL ALTER RESIDENTIAL Additional desc . , {�/J Permit Fee 120.00 Plan Check Fee .00 Issue Date . . . , 12/13/13 Valuation , , . . 0 Expiration Date 6/11/14 Qty Unit Charge Per Extension 1100 120,0000 ECH EL-0-200 SRV FEEDER 120.00 --------------°°_°__--_ -------__ -- ------------------------------ ------ Fee summary Charged Paid Credited Due , Permit Fee Total 120.00 120,00 O0 .00 Plan Checic Total .00 .00 .00 ,00 :n Grand Total 120.00 120.00 .00 ,00 • V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE Pw ROUGH-TN FINAL ! ) COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAIEXCHANGEIBUILDING PREPARED 8/07/06 11 20 09 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/07/06 ADDRESS 410 E ST TENANT NBR JAMES LYNN GEREN CONTRACTOR CMU CONSTRUCTION OWNER GEREN JAMES /KATHRYN PARCEL 06 30 99 0 1 1520 0000 APPL NUMBER 06 00000337 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV BAIR 01 5/10/06 JLL BUILDING AIR SEAL TIME 13 00 5/10/06 AP 05/09/2006 04 38 PM DYASUMUR CHUCK 460 0114 05/10/2006 04 14 PM JLIERLY BL3 01 5/10/06 JLL BUILDING FRAMING TIME 13 00 si10/06 Ar 05/09%2006 04.38 PM DYASUMUR PHONE (360) 452 1771 PHONE CHUCK 460 0114 05/10/2006 04 14 PM JLIERLY BLI 01 5/11/06 JLL BUILDING INSULATION TIME 13 00 5/12/06 AP 05/10/2006 04 01 PM DYASUMUR CHUCK 460 0114 05/12/2006 08 59 AM DYASUMUR BL99 01 8/03/06 JLL BUILDING FINAL TIME 13 00 8/03/06 DA CHUCK 460 0114 CALL HIM TO OPEN DOOR 08/02/2006 11 59 AM DYASUMUR 08/02/2006 12 01 PM DYASUMUR 08/03/2006 04 37 PM PBARTHOL called chuck left message 3 10 No call back went to house no one home BL99 02 8/'07/06 J L BUILDING FINAL 08/04/2006 02 52 PM PERMITS CHUCK 460 0114 COMMENTS AND NOTES PREPARED 8/03/06 11 49 11 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER 410 E ST JAMES LYNN GEREN CMU CONSTRUCTION GEREN JAMES /KATHRYN 06 30 99 0 1 1520 0000 06 00000337 RES REMODEL PERMIT TYP /SQ BAIR 01 BL3 -01 BLI 01 BL99 01 PERMIT TYP /SQ PL2 01 PL2 02 PLSP 01 5/30/06 JLL 5/31/06 AP PL99 01 8/03/06 JLL BPR 00 BUILDING PERMIT REQUESTED INSP COMPLETED RESULT 5/10/06 JLL BUILDING AIR SEAL TIME 13 00 5/10/06 AP 05/09/2006 04 38 PM DYASUMUR CHUCK 460 0114 05/10/2006 04 14 PM JLIERLY 5410 /_0 JLL BUILDING FRAMING TIME. 13.00 5/10/06 AP 05/09/2006 04 38 PM DYASUMUR CHUCK 460 0114 05/10/2006 04 14 PM JLIERLY 5/11/06 JLL BUILDING INSULATION TIME 13 00 5/12/06 AP 05/10/2006 04 01 PM DYASUMUR CHUCK 460 0114 05/12/2006 08 59 AM DYASUMUR 8/03/06 JLL BUILDING FINAL TIME 13 00 4) CHUCK 460 0114 CALL HIM TO OPEN DOOR 4) c's 08/02/2006 11 59 AM DYASUMUR 08/02/2006 12 01 PM DYASUMUR PL 00 PLUMBING PERMIT REQUESTED INSP COMPLETED RESULT 5/02/06 JLL 5/03/06 AP 5/10/06 JLL 5/10/06 AP RESIDENTIAL DESCRIPTION RESULTS /COMMENTS DESCRIPTION RESULTS /COMMENTS INSPECTOR JAMES L LIERLY PLUMBING ROUGH CHUCK 460 0114 05/01/2006 11 05/03/2006 08 PLUMBING ROUGH 05/09/2006 04 CHUCK 460 0114 05/10/2006 04 14 PM JLIERLY PLUMBING SHOWER PAN TIME 13 00 DAVE 461 2501 05/30/2006 08 10 AM DYASUMUR 05/31/2006 08 28 AM PLUMBING FINAL TIME 08/02/2006 12 00 PM SUBDIV PHONE PHONE IN TIME 13 00 CALL WHEN YOU ARE IN AREA 49 AM DYASUMUR 36 AM JLIERLY IN TIME 13 00 39 PM DYASUMUR COMMENTS AND NOTES PBARTHOL 13 00 DYASUMUR (360) 452 1771 PAGE 4 DATE 8/03/06 PREPARED 5/30/06 11 29 18 INSPECTION TICKET PAGE 15 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/30/06 ADDRESS 410 E ST SUBDIV TENANT NBR JAMES LYNN GEREN CONTRACTOR CMU CONSTRUCTION PHONE (360) 452 1771 OWNER GEREN JAMES /KATHRYN PHONE PARCEL 06 30 99 0 1 1520 0000 APPL NUMBER 06 00000337 RES REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 5/02/06 JLL PLUMBING ROUGH IN TIME 13 00 5/03/06 AP CHUCK 460 0114 CALL WHEN YOU ARE IN AREA 05/01/2006 11 49 AM DYASUMUR 05/03/2006 08 36 AM JLIERLY PL2 02 5/10/06 JLL PLUMBING ROUGH IN TIME 13 00 x/1 AP 0 5/09/2006 04 3 DYASUMUR CHUCK 460 0114 05/10/2006 04 14 PM JLIERLY PLSP 01 5/30/06 JLL PLUMBING SHOWER PAN TIME 13 00 DAVE 461 2501 05/30/2006 08 10 AM DYASUMUR COMMENTS AND NOTES isaAJ t— 461- as of PREPARED 5/11/06 13 27 58 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BAIR 01 5/10/06 JLL 5/10/06 AP BL3 -01 -5 10 /_0 6 JLL 5/10/06 AP BLI 01 410 E ST JAMES LYNN GEREN CMU CONSTRUCTION GEREN JAMES /KATHRYN 06 30.99 0 1 1520 0000 06 00000337 RES REMODEL 11 06 147_ BUILDING AIR SEAL 05/09/2006 04 38 CHUCK 460 0114 05/10/2006 04 14 BUILDING_FRAMING 05/09/2006 04 38 CHUCK 460 0114 05/10/2006 04 14 PM BUILDING INSULATION 05/10/2006 04 01 PM CHUCK 460 0114 SUBDIV COMMENTS AND NOTES PHONE (360) 452 1771 PHONE TIME 13 00 PM DYASUMUR PM JLIERLY TIME. 13.00 PM DYASUMUR JLIERLY TIME 13 00 DYASUMUR PAGE 12 DATE 5/11/06 PREPARED 5/10/06 13 31 14 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER BAIR 01 BL3 01 410 E ST SUBDIV JAMES LYNN GEREN CMU CONSTRUCTION PHONE (360) 452 1771 GEREN JAMES /KATHRYN PHONE 06 30 99 0 1 1520 0000 06 00000337 RES REMODEL PERMIT BPR 00 BUILDING PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT RESIDENTIAL DESCRIPTION RESULTS /COMMENTS PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 5/02/06 JLL PLUMBING ROUGH 5/03/06 AP CHUCK 460 0114 05/01/2006 11 05/03/2006 08 PL2 02 5 10/ 6 PLUMBING ROUGH J O ,�f J 05/09/2006 6 04 CHUCK CHUCK 460 0114 BUILDING AIR SEAL TIME 13 00 05/09/2006 04 38 PM DYASUMUR CHUCK 460 0114 BUILDING FRAMING TIME 13 00 05/_09/_2006 04..38- PM- DYASUMUF CHUCK 460 0114 IN TIME 13 00 CALL WHEN YOU ARE IN AREA 49 AM DYASUMUR 36 AM JLIERLY IN TIME 13 00 39 PM DYASUMUR COMMENTS AND NOTES PAGE 7 DATE 5/10/06 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner GEREN JAMES /KATHRYN 410 S E ST PORT ANGELES Fee summary WA 983632015 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000337 489643 410 E ST 06 30 99 0 1 1520 0000 JAMES LYNN GEREN RES REMODEL RS7 RESDNTL SINGLE FAMILY 25900 Contractor Permit ELECTRICAL ALTER RESIDENTIAL Additional desc EX MILE/ BATHROOM Permit pin number 76521 Sub Contractor EXTRA MILE TECH ELECT LLC Permit Fee 48 10 Plan Check Fee Issue Date 5/05/06 Valuation Expiration Date 11/01/06 Qty Unit Charge Per 1 00 48 1000 ECH EL -R OR RM 1 4 ALT CIRCUITS Special Notes and Comments The Fire Department has reviewed the project application and has no comments 04/18/2006 05 02 PM SROBERDS The project will not result in an increase in lot coverage No land use issues anticipated Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Other Fees STATE SURCHARGE Charged Paid Credited Permit Fee Total 48 10 48 10 00 Plan Check Total 00 00 00 Other Fee Total 4 50 4 50 00 Grand Total 52 60 52 60 00 Date 5/08/06 CMU CONSTRUCTION 1695 S BAGLEY CREEK PORT ANGELES WA 98362 (360) 452 1771 Due 4 50 00 00 00 00 00 0 Extension 48 10 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO DITCH 1 ROUGH -IN COVEk 1$'. -5 126,1 SERVICE FINAL 1{� -R -ate 1,413 GENERAL COMMENTS: 1 1 1 1 1 1 1 1 1 1 1 1 COMMENTS PW.1102.13I PREPARED 5/02/06 13 15 25 INSPECTION TICKET PAGE 17 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/02/06 ADDRESS 410 E ST SUBDIV TENANT NBR JAMES LYNN GEREN CONTRACTOR CMU CONSTRUCTION PHONE (360) 452 1771 OWNER GEREN JAMES /KATHRYN PHONE PARCEL 06 30 99 0 1 1520 0000 APPL NUMBER 06 00000337 RES REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 02/06 JL L CHUCKI46 ROUGH IN WIEE 13 00 L'C' CHUCK 460 0114 CALL WHEN YOU ARE IN AREA 05/01/2006 11 49 AM DYASUMUR COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner GEREN JAMES /KATHRYN 410 S E ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983632015 BUJI,DING PERMIT RESIDENTIAL 74609 427 85 PLLUMBING PERMIT 74617 99 00 0/22/06 06 00000337 489643 410 E ST 06 30 99 0 1 1520 0000 JAMES LYNN GEREN RES REMODEL RS7 RESDNTL SINGLE FAMILY 25900 Contractor CMU CONSTRUCTION 1695 S BAGLEY CREEK PORT ANGELES WA 98362 (360) 452 1771 Plan Check Fee Valuation 1 Qty Unit Charge Per BASE FEE 1 00 10 1000 THOU BL -25 001 50K (10 10 PER K) Plan Check Fee Valuation er BASE FEE 3 00 7 0000 ECH PL EA FIXTURE ON ONE TRAP 4 00 7 0000 ECH PL- EA REPAIR/ DRAIN VENT Special Notes and Comments The Fire Department has reviewed the project application and has no comments 04/18/2006 05 02 PM SROBERDS The project will not result in an increase in lot coverage No land use issues anticipated Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Date 4/25/06 STATE SURCHARGE 4 50 Charged Paid Credited -I 526 85 526 85 00 171 14 171 14 00 4 50 4 50 00 Due 00 00 00 171 14 25900 Extension 417 75 10 10 00 0 Extension 50 00 21 00 28 00 66 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 goveming 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. au-d_ t QM �J. 1 4 UG Signature of Contractor or Authori ed Agent Date Signature of Owner (if owner is builder) Date T• \Policies \1102 15 building permit inspection wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION 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 WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 1 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 1 T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] I 1 I I 1 I I I 1 1 1 1 I I 1 I 1 I 1 I 1 I I 1 I I 1 I 1 1 1 I 1 I 1 1 1 I 1 I 1 1 1 1 I I 1 1 FINAL FINAL SEPA. ESA. SHORELINE. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING 1 FIRE DEPT 1 1 PLANNING DEPT 1 1 BUILDING 1 DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 1 Application Number Application pin number Grand Total 702 49 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000337 489643 702 49 Page 2 Date 4/25/06 00 00 Separate Permits are required for el ictrical 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 \I 102_15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION 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 WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL 1 1 /U6 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 NO 1.11n4tafftt— 0 51I o FINAL FINAL SEPA. ESA. SHORELINE: DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION RW ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 1 1 1 I FIRE DEPT 1 1 1 PLANNING DEPT 417 -4750 I 1 1 1 PLANNING DEPT I 1 1 BUILDING 417 -4815 IP 1 J Ai-- 1 1 BUILDING I I I T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: C' U) 0 Na n Phone: Owner 4 M ES s L y i 2&1J Address: I (oq. 5 S f3 c ex City PO( p4.ua Lc S Architect/Engineer. Phone: Contractor e Y`tiLt C? OA) 7 State License q..O.I *OZZM((xp 7 1 0 7 Address: CAM E City P06 rQ Na. LES PROJECT ADDRESS L i tG PO2T 1A76> Lac LEGAL DESCRIPTION Lot: Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Multi family Addition Commercial 1X Remodel Repair Sign BRIEF DESCRIPTION OF THE COMMERCIAL/RESIDENTIAL. No. of Stones: Lot Size: Total lot coverage PLANNING USE ONLY ov T\FORMS\B1dgPerrnitform.wpd Apphcant: Re -roof Stove Move Garage Demolition Deck Other PROJECT Occupancy Group Existing Sq Ft. ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Date chZ -1 Phone. LI 5 Z- 91 <I c, Zip SIZF/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION 25 1 60 034 o c— FOR OFFICII��A USE QNLY ate Rec. 1 T! O( fermit 011 177 to Approved 1 1 ate Issued: 4 I U(O Phone: Zip ci.2 3 G ZONING Occupant Load. Construction Type. Proposed Sq Ft. TOTAL Sq Ft. APPROVALS PLAN BLDG DPWU FIRE. OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistanc. 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 REVIEWS If no 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 R105.3.2 of the International Building, Residential 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 permits are required not the City's, and that I must obtain such permits prior to work. 60 Feet Ls w 214 ')O t Verti al Datum NAVD 8 Hari: mtal Datum NAD 83 91 Area Map 113" 129 409 Thi map of ntended to be used as a legal descrtpti This zap /drawing is produced by the Cite of Port Angele fo its n use and purposes Any other use of this map /drat ng shall zot be the spo ibilitr of the City. 1136 Chuck Ulbrich, Owner 1695 South 3agley Creek Road Port Angeles, Washington 98362 360/452 -1771 Lic. CMUCOI *022MG James Lynn Geren 410 E. Str Port Angeles Wa. 98363 452 -8146 H 460 -2208 C Bathroom remodel CMU Construction, Inc March 312006 Quote SET UP COVER FLOORER IN BEDROOM, HALL TO FRONT DOOR WITH VISE QUEEN DAILY FOR WORK AREA AND DEMO AND REMOVE OF DEBRIS. Remove tile wall in shower Remove Toilet, sink, tub and cap water drain Remove Door and Jam, Cabinets Countertop, Mirror Remove Ceiling fan Wall heater Light fixture Remove Drywall lath plaster from Ceiling walls Remove Vinyl floor and underlayment Remove All trim windows, door base and ceiling Remove Wall framing and furred out wall in shower Bedroom Trim removed Store and reinstalled. Remove Siding as needed for new window in north wall of shower and reuse New framing window in shower and pocket door frame N E. L.) 4 4 to mE,0 6 ee New insulation in exterior walls and ceiling New Geilittg fans in both Ix, throoms to be vent out thought east gable end venting 1t Sin Cca." Subcontractor Plumbing: Remove galvanized pipes in wall and floor, move tab drain Rough in new water lines 1 shower, sinks and toilet an drain in shower An Fixture allowance Toilet, Sinks ,Faucets Subcontractor Electrical. 2 standard outlets, 1 GFI outlet, 3 push button timer 2 standard boxes for indoor lights, 2 80 CFM ultra quiet bath fan /light 1 pick a watt fan forced heater, 1 standard thermostats, 1 install floor heat thermostat 240V heating mat thermstat( supplied by others) and install lights Owners to furnish light. Subcontractor Drywall. hang ,tape, prime ,smooth wall. And lite spraytex on ceiling Subcontractor Flooring: Labor Materials pre walls bathroom floor ti I Lsy✓t.e f 1 .9b►�L CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, spedi cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. ZDO' „rat— Approval Date J 850.00 88.55 425 45 230.38 93 17 252.94 55.50 47.28 220.75 78.40 231.20 416.26 202.86 2005.00 3,894.84 1250.00 1075.00 656.50 ti 1-a at- Labor to instill window Acceptance W President Labor materials: prep• shower floor curb for water proofing Labor materials: install heating pad system. This includes thermostat. The electrician well hook up Labor Walls install all wall tiles. Labor Shower Pan Curb tile Labor Floor install all floor tile e CO Wit o J3 Tile Allowance Floors Walls and grout. CGCk,N7'eic ra Prime 2 coat and Paint 2 coat Trim (Owner to furnish color) Shower Door frame less, Furo head rail and sill, Knob only on doors, Brush nickel finish And Labor to install Labor Materials to install all trims and pocket door White Oak door Shaker style finish to match cabinet Option Window white vinyl 36 X 36 slider over 1 row of glass block Option( (2) Window white viny136 x 36' slider over 2 row of glass block Freight and delivery Add to Subtotal 725.00 1500.00 1197.00 150 00 418.95 2628.34 530.20 537.80 328.73 879.00 50616 :1/1.&- 532.56 85.00 55.00 Subcontractor Cabinet maker. Solid white Oak Cabinet and Finished 3205.50 Clean up broom clean) Haul debris to land fill and dump fee 1080.00 Building permit: Plan check $165 90, Permit $414.75, State Tax $4.50 625.65 Add Freight to Subtotal Cl) 3 ;17- Add options to Subtotal Q 3 Subtotal $25,935.25 O.H.10% 2,593.52 Profitl0% 2,593.52 S.T 8.3% 2,583 15 Half at time of start up, half at in inspection and Balance at completion Total $33,705 44 Any additional work required by city county or by the state Any unforeseen or extras. pcPc, s� 5 J 5 (3 d G c This will be handed by $55.00 per Hr per man materials plus 0.H.10°/0 Profitl0% x. 1 0 CA 15 days to accept. D 71731! to 3 /0‘,„ Total 123,388765 'ti ~ CITY OF PORT ANG~LES PUBLIC WORKS - ELECTRICAL DIVISION ;121 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000073 Date 920300 410 E ST 06-30-99-0-1-1520-0000- ELECTRICAL ONLY 1/24/07 RS7 RESDNTL SINGLE FAMILY o Owner Contractor GEREN JAMES/KATHRYN 410 S E ST PORT ANGELES WA 983632015 EXTRA MILE TECH & ELECT., LLC 418 N. RACE ST. PORT ANGELES WA 98362 (360) 457-0198 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL EXTRA MILE/ 1-4 CIR KITCHEN' 93914 EXTRA MILE 46.00 1/24/07 7/23/07 TECH & ELECT., LLC Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.00 ~ \) Fee summary Charged Paid Cr~dited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.00 46.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.00 46.00 .00 .00 \\ ~ '\ , COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION.RECORD CALL 417~73S FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NonCE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCIP'J'D) COMMENTS . I YIS I NO 1)1 ".'H lUll II ;I-I-IN I CUV-hK SERVICb FJN AT $=-7 >~ ()7 I.-hJ) I GENERAL COMMENTS: PW-1101.151~ -s ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000027 Date 458161 410 E ST 06-30-99-0-1-1520-0000- PLUMBING REPAIR 1/11/07 (J "'-.J RS7 RESDNTL SINGLE FAMILY 3763 y '-J Owner Contractor GEREN JAMES/KATHRYN 410 S E ST PORT ANGELES WA 983632015 CMU CONSTRUCTION 1695 S. BAGLEY CREEK PORT ANGELES WA 98362 (360) 452-1771 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT MOVE SINK,VENT,TRAP 93187 64.00 Plan Check Fee 1/11/07 Valuation 7/10/07 .00 o Qty Unit Charge Per Extension 50.00 7.00 7.00 BASE FEE 1.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA. REPAIR/ DRAIN / VENT Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.00 64.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.00 64.00 .00 .00 ~ "'- ~ 1:' r;y~ OS, ~ / S' ...... 0..) tt\ C1 ":', .' 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. r~ tnirvuJ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:IPolicieslI102_15 building pennit inspection record05.wpd [I/4/2005J <..... BUILDING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILDING INSPECTIONS. CALL417-47~5 FOR ELECTRICALINSPECTJONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN 1J!1).r.>./11-' J )..; /.,- WATER LINE (METER TO BLDG) I 1"/ FINAL ~ f, 5/ 07 DATE TLL GAS LINE / ')-,/ tJ '7 I J J-i,-- ACCEPTED BY: BACK FLOW / WATER 7 7 AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALllHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH-IN - HEAT PUMP I FURNACE I DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE I PELLET I CIDMNEY MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMlT#'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - UGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R. W. I PWI CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW I ENGINEERJNG FIRE 4]7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PoJicies\l102 15 building permit inspection record05.wpd [1/4120051 r -- '<l'r- o ...... L/) .... ...... L/) r>lr>l (9E-< ..;..; ""0 .... r- r- .... , N L/) '<l' :>< ..:1 ~ r>l H ..:1 E-< r>lOO 14r>l ~~ E-<>:> Z .. O~ HO E-<E-< UU r>lr>l """" UlUl ~~ o \0 M :> Hr>lr>l OZZ 1Il00 ::>:x::x: Ul""'" .... N r- .... ~ < '" .r>l O~ o 0(9 ZOZ :>< . H ~olll 6~~~ ~~~P: u.......... ::> CJ) I r-- O::lJ::lON E-4&;~~g UlZ~mO 010 lJ::lUZoo r>lMO O::J c:r:: I I .......:;::OOI.Dt-- ~U~OO co 00 r>l -..:1 r-r>l 0(9 ~~ .... ......E-< L/)~ o '" o r>l'" ~O ..; "':>< r>lE-< ~H "'U ~ "~ "r>l o III UltJ "~ Ul"; ..:1Z r>l~~r>l ~E-<r>lU..:1 06~~:t ~uo"'''; Ul E-< Z r>l :>: Z:>: 00 HU E-<...... 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"-en::o U'-M zen '" ::0 en or- ClHr>1 Lll P:~ON :z: I>: E-+b;~~~ H '" ~OO 0 en cnZI":JCTlO 0 r>1 0 '0 4 0 -oCl r>1UZOO oClr>1r>1 r- 0 r-r>1 r>1....0 "-E-<E-< 0 0 OtJ 0::01>: , 0 enr>1 '- '- 0 ;:;-~ M~MI.Or-- Or>1oCl .... .... 0 o:;fIUeloo 0::00.. N 0 N O~ '- 0 '-E-< r>10 M 0 MI>: I>: I>:U , 0 .1>: .r>1 ... , 0.. 0 '" "- 0 0 E-< .13 0 r>1f>. enU M M 0 1>:0 en<( oClZ E-< 0 0 0 , <( r>11>:1>:r>1 H en 0 0..>< 1>:E-<I>lUoCl ~ '- 0 1>lE-< OZZI>:o.. 0.. N .... 0 I>:H ~03<(o.. >< oCl oCl 0 o..U UOo..<( "- E-< 0.. 0.. 0 BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: 1-1/-0" Permit #:tJ7 -~ 2-7 Date Approvedl---/ / r-O 7 Date Issued: / -t-J -t:)7 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 PERMITS (360) 417-4815 FAX(360)417-4711 ~lt ~~ Phone: 45 'Z..- 111' Phone: 4..:; "L-<:il ~~ . City: Pod AjJ~h:lt;..~ Zip: 911 W Phone: Applicant or Agent: e ~\...~ ~ owner:~ ; J..~ ~ Address: ~ I () J; .>7/L ArchitectlEngineer: Contractor (!. "'n\..,ll ~.O)J'<J</' Address:JU1~ ~. P..>o.'~i-~~ CP1! PROJECT ADDRESS: 4lO S LEGAL DESCRIPTION: Lot: State License #: ("'R. Utm:~ 27~(""" Exp: 1-01 City:_Poff "'Ma ck;. Phone: '4 ~ -011 If Zip: '1"l.~C.L .S7~ ZONING: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: . TYPE OF WORK: SIZEN ALUATION: ~ D Residential D New Constr. D Re-roof D Stove ~~ SF. @$ /SF. = $ D Multi-family D Addition D MoveD Garage . SF. @ $ /SF. = $ ~(<::,\ ~ pL()Mt~I~ D Commercial '1j(Remodel D Demolition D Deck SF. @ $ /SF. = $ D Repair D Sign D Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. PLANNING USE ONLY: ~~O/.jz.1 1(.,ieiJrA) I A).u.- ~1)L~1' 1. ,Ji1~, p.!uwJ~ /-<;h.k ~ "'-'...t. l.'..(~ / APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s): DYes D No SEPA Checklist required? DYes D No Other: 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: If no 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 RI05.3.2 of the Intemational 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 permits are required ,not the City's, and that I must obtain such permits prior to work. . T:\FORMS\BldgPennitform.wpd Applicant: CD.w ~ Date: kjl-O'1 r-- -1 -€-'f-c's-h4. IIJ.U,. v-eQ' ~qJ- '\ ( \ \ e~:;~ It- C< f fVD~i Vl~ cl of lZoiV I Not-- . ,fc, s ca k / bfu H edcc;f ~~ (~ . '\ lflD SOlE ~ .L { . '. , l.. t ' , , ~ . , f' .. 't> ' ~+h s-t. Al\~ ~~ -tt- \l -:+- tf\ ::; \-U , ~ORTANGELES WAS H I N G TON, U. S. A. NAME OF APPLICANT ~'(Vj r' ~VtV1 G.e..\r€.n DATE MAILlNGADDRESS '-f-lO SOlA-~ b Sh-e.e+- fA qg$b3 ) PHONE NUMBER (3~) 4-S2- >< 1+(,0 0/23/0:::"- I f STREET ADDRESS OF PROPOSED STREET USE G '~ profeV'~ eOo.-st- Of a~erv--e cz)2&lre $5 DESCRIPTION OF REQUEST (include drawings required for clarity): [If street closure is requested, please state the name of the street and limi!s of closure, tq ether "Yith the duration of closure.] ( J ~ " _ CD-. IVl CV\ Cl rl 0...- i- a....V\A.('C\o.A CGV~Or-VI;--ete. CO'Y\~ . -1-0 V\L~I .l:?(t.LAf e Se... o..;'\.~ . tLc{ eX S YWr.l.-Vs. CLl;....J . P42((eAA,lo.. \5 fA. C; i V\.C\ t'tcLk6' 61t\ c.'i I'CLW I VLCJ ?e jrVVlCLI'\. e~ y-e Y" tIlA-()...~vv{- IS THE USE TEMPORARY OR PERMANENT? HOW LONG WILL THE OBSTRUCTION BE IN P~CE? WHAT ARETHEHOURSOFOPE~TION? DVLR... HOW (TWILL BE LIGHTED? N(q n -e. EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET, SIDEWALK OR PLANTING STRIP. ARE THERE ALTERNATEAREASTHATCOULDBEl.JSED? . b r'12~ L_ +. 0 -fo etl-L.L:t-IT-9 >Kee.; ek~ HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Right Of Way Use Permit to the undersigned allowing the placement of the above described street use or obstruction, the undersigned for himself and for his successors in interest, hereby agrees to indemnify, hold harmless, and defend the City of Port Angeles against any claims or lawsuits for personal injury or property damage arising out of, or in any way connected with, the placement of the use or obstruction on the City street, sidewalk, planting strip, or right f way IT) ~ \f) q-- DATED this _ day of ,200 o '1' -C c ,.................................... Seal . . . . ....................................... Applicant SUBSCRIBED and sworn to before me this _ day of ,200 r,p NOTARY PUBLIC in and for the State of Washington residing at ' (This permit, if approved, may be terminated by the City of Port Angeles without cause and at any time) [OFFICE USE ONL Y] ~\ ~ Review copies sent to: Police Fire Street Date: Date application received 1 / fI /05 Fee paid $ Receipt # Certificate of Insurance per P AMC 11.12.140(B) Agreement to Remove Encroachment signed and on N/A recorded on N/A *************A J~ " Application reviewed and recommendation by City Engineer /...). ~ate -r/~J iJ;;- is to ~pprove and with the following conditions: ( . Application approved or denied by the Director of Public Works Date Approved copies to: Applicant 0 Fire 0 Police 0 Street 0 Other N:\PWKS\L1GHT\CONS\CATE\ROWPER.wpd o Address file 0 RUPfile 0 RUP # 0-$- 21_ . Site Address: I ns ailed By: Ow eT/Business: Ower/Business Address: Residential g Heat KW Baseboard 0 Furnace/Boiler Heatpump 0 Other q Commercial/Industrial load I Total Connected load (attach breakdown) Total Motor load (attach breakdown) . ~r'D"",'PHO" I: ~ //01 eLf CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. .:3 .:2 cf'.s- 9' -d2y-W ELECTRICAL PERMIT DATE G" o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o New Construction ~Remodel o Service update/alter/repair t Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead o Under~~~.%' rICO Voltage . ,;l ~10 030~ Service size (9D Amps o Temporary ~ FtLA-<A C:,/w rR~~~ I I I -1' ----1 W.sJ, No. Service Cap~city: 0 O.K. 0 Not O.K. iitch inspection O.K. ~iP~ Iough.in/cover OKtf' .K. to connect service o inal O.K. ~ Site Address: E Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Inst: lIer: V Notilly the Department of City Light by Street Address and Permit Number when ready for inspection. Work musil not be covered or electrically energized before inspection and O.K. for covering or service has been given by tije Inspec~riting on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. ~ //~ NOOCCUPANCYORUSEESTA.BUSHEDUNDERTH\~PEA.MrT ~C?~ :J 1nspector Amount paid WHI IE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: CIty Hall OLYM~ PRINTERS, INC. . -- \~ .....;.. CITY 01 PORT ANGELES LIGHt' DEPARTMENT ELECTRICAL PERMIT N? 16407 . )-/3 7f- Port Angeles. Washlngtonnmn_mm..m..___mm...mnm.mn_.___._nm., 19..m... In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trlca! equipment in, on, or about any building or other structure in the City of Port Angeles. per- mission is hereby granted to do electrical work as listed below. Add~eSS n.tf!-._'Ct~n..f:'-J..n:mmmmmnn.__..__.m__h'h__h__m Occupancynn_~...mhn...__.m...m..__. ~:=:~.~:~:&~4:~R;:~~;.;z~:~~~;:::::::::::::..~.-...~::::::::::~::::::::::::::::::::::::::::::::::::::: LlgJ out1ets.......:2.9.....=.:......~..... ServIce, volt, ...!.~.()./.'iJ:~....... Type of Wlrtog: Rece~tacle outlets....~....9.............. . No. wires ....._9__.~___..n....___..____... Armored Cable ----....00...-............... I (b SI . Y/U<9/ ;:;~ Non-MetalUc .......-..---.................... Dryer, KW......nm.'.n........m......mm... ze WIres...7u,;::.O......;r.,:.......=.. r / ;; Tv ~ Knob & Tube................................. Rang, KW.......hmn...........m............. Main fuse ""'--""";;;P'"'''''''''''''''' Ie, '4 Rigid Cl)ndult ............................... Water Heater: ./ Enclosure ..---.................-......-.---..... M tIll T bl , Y. '5 e a c u ng ........................... KW........nmh__~__n.____nun__m_ Type of wiring: Heat! KW....rZ...'f...(j.IJ................... Entrance Cable ...................... Motors: slze,'volts and phase: I ~/jJ.A ~ :::~.:Z;;Z:::.:~::::::::::i..;::~i.~ ~ P.tdl ............T........................................... /1'.......,,-1:. . '..........--..;---.----.-..----..-......-................. Rigid Conduit ......00...........___...._.... Metallic Tubing ._____00................... Current transformers: No. & Slze..............__.....n..n............ " Raceway ......................._......_._..._ 10 Circuits, Light....................................... Utlllty ...R:-................................ /r I-I eat __._______._.........................._.._.. G- Range .._..:______._..__...__...................... :2 Water Heater ....................._......... -:2. Motor ..._..._..__...00000000................___.. Dryer....~..____n_....__..nn_...____nn.n..._ Ser. No............_.__._....____._._......_..___.... Ser. No. ........____..............n_....._..._u_... Ser. NO.....n......_..............__................. Furnace .........................__......_........... yy Total ............___.....__................. Total Load........n........nn....... Ser. NO.n__n..n...n_..._~n..._...nn.nh...___ Remarks: .m.....nnnmnmm.nnm.nhn..__..h.h__n..n..mm...nnmmn..mmnmnnmnnmm..hn.n.nnmm.mm....m.mnm ..u~...n.u.u--..________n._nn___nnnnununuunuud.ud.__n_.._.nn._Uhn..___..n.u.._......nu.hhd.__._..n.nn.nnn_unnnnn....nu__nunn Permit. Fee Treas. Receipt ./Vr/J,7/ I Ii /J $. .3, c) 0 /It:1; ;//I~(d,. ...__.....m__.mm.mmmm.. NO...nn__._______............ By n_..m_.m....h.......n..mnnmnmmm...~. I NOTICE-Current must not be turned on unttl Certificate of Inspe.ctton has~ been issued. If work is to b~eon. 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 ELECTRICAL PERMIT N? 16407 A(ldress.._.._._..........._....................................._........_.__..___...__..._____.____.........____....._.......................Date...__...______..__._.......__._......_......_......._ OWner___................................_......_.._......_......_.._.._._........._............._____________..___._.....__...Tenant.._..__._______n___.__._._.....__..................._._...____...n Wiring Contractor......__..____..___..._...............__._...__...__._.___._..................___.___...._____..___.....__.._............ By .._..______..__________.____...____.......__...........__..... ./ NOTICE-Current must not be turned on until Certificate of InspecUonhas been issued. If work Is to be con. cealed due notice must be given the 1I1spector so that work may be inspected before concealment. ~ ... .... \ --- - "'_1_'___ T__ JAN-23-2e87 89:52 AM E.JANSSEN 3613 452 2982 p.el Q ~ ELECTRICAL WORK PERMITAPPLlCATlOlli . Jab wired by Electrl<al Contractor Cl Owner 111S111llolion dcscri~Hion ./ (;) Commercl.1 Ill'ReJldentlal License number ~ 1< c..flC. I c.....1 sr Ollole Ex.pirell (;) New o AUered/Addlllon Slflle ZIP --ld~ Telephone nUlnbcr P'AX nll1nbcr 0- .1->:;L'2..7..... '\f'1'-2.. ~,~~ _1+ \ +-c..vJ K~-~ t". 6.~L .....:4 ~ , Prcmlnl n",ocr', 11111~e ')f.tZ..~"...J 5""f(LEC.T ell I Ph_II nlJlnbfr to .cll~dult! ",'1-/711 OwllC''' n.j. JcjJ"eJ h)' RCW19.18.16/:(I) n...ller ",111 OCCflP." Ihr.: ,~/J'If(:'III'I! ji,,. two )'l!'(J~s Cl.ftcr ,Iri~ f:'fcc,,../t:al peJ.mlr Lo: flllalJuJ. (;J) O..."c!J' L~ l'eqllired '(1 hi", nh t.1(tt:J"/CDf emlll/.dCIW. If abo....e ~tJld 'property i.f jQJ' ttJle, rftlll OJ' let/!It', Q Cash 0 Check # ^n~r readin& the IIbnve !Ilatemcnl. I bereby (:l!rtify tnat I am the OWl\er ('If tlte "bavt' 'liA~d property Or " licensed elcc:trical CCIlIr.ICIOt, I Olm mp,killg lhe e1r:clrica\ il1St,,1. 0 Credit Cani latitn or allerulion in c~mplillnce with the l!lcetriCBI low5, N.E,C.. RCW. r:hnplcl' 19. 8, WAC. Chapler 296-460, The City nf f'orl Angeles Municipal ende, llnd Card # Uti "y Speeificollons, : ~n.h'~ .r "$(5;1,.,::/0';':';;: '~'ln~r;'.r() 7 Elllctrlcal Load Addltllll\l and or SUb"8ctlon~ o NO LOAD CHANGES D 8as8bQ8rd _ Kw o Furnace Kw [J Overhaad Sorvlce a keat Pump -= Ton __ LAA 0 Temp Service a fan-Wall KW CJ Underground Sorvlco SAME DAY INSPECTION, CALL BEFORE 7;00 AM 360-417-4735 ViS8 Mastercard Discover " -- - - - - - - - - ------ Expiration Dote of card Service Illtormatlon VOllage __ Ph.seO 1 03 Service Size: _ Feeder Size: ROUGH-IN THERMOSTAT / SERVICE O~lC 1)".<1 Vllt -;;;j.."..t,IIjY ^"'lTov.:d Dy Apprond Dr FEEDER._.",., ) OMl.: ^11rrn..ed Ely ( O.tt F1NAL s:.IS-O' ~ ;0110 Aflflrllvt!(! By DITCH Inlipcction DOle . AI'ea, Building or F.quipmenllnspeclcd Aclicn T:akcn EleClrlc~1 Inspcctor )1CrJ 1-';'1":0 "7 , MAY-04-2006 08':55 PM E.JANSSEN 3613 452 2982 P.01 '''i<clrlcal Contrador I ,\ !UIII.lll Pernllt l:J ~Iarm s DOwner ..."........"', ! (J Cernlvul 0 Commercial ~ Residentjal l:J Residential Maillt. 0 Signs CJ 1'hermolt8t C Teleenm. EI.ECTRICAL WORK PERMIT APPLICATION Ci!l Request Inspection i .J~h wlr<d by '1It Electrical Contractor Q Owner -- :~'~lri~nl COI\II'llClOr llilnic ,~,( 1.c4 1!JJJ.' It 'ti~8' '"')-7 'ddR'~ f '~YA- I /r LiCCll2 number J!ju'/, '7,1,;. """IIUl;"" ctcmiplio" / A /I--t" Jf.j!(J " f (;~c.lA; Is . Stale lfl' lvi~ <1(14-1. FAX number :2-2- , -r-----~__" ; lhl rellJ nr hupCtrloll I . '110_ E S,""f'/?f't'cT it),: ..__:; , -r-- , ll:r~hy certify (hat J anllhe owner of rhe ilbovl: n~mcd pror~~11)' Or a licc.ll~cd "'I~k,,1 COlllraclor (m' the firm's authoriZed agent) Md am lll;'\king lhr cl~clric;ll l;d~llIlOI\ ur alteration in: compliance with the: clcctric:d hlw. (,h,~ptcr 19.2~ Re\\!, CJ Cash 0 Check # o Credit CCird ViSiI Mastercard Dis.cover - Il:'l"t~~~e owner, dcctrlcnl cnntl'ACIU(1n ledru:sl Ihlllllnb"';llllr \ " .,~ t;j -11^ (L.-)' ~~#_--------------- E}(piration Dste of caru WALLS InsulAtion Onr~ j(~,a, ~-- . D"IC ~- ^1'l1!'\"~<J I!y ('(""lOr I .5-5:'~ 1)",\. Inf;ul:ilitlf] Only dd) J\l'l'tn\\.'l~ Ihle SERVICE ) \. Ol\l~ AflPl'''"\''t1 By ./ ,,- FEEDER "- Dlltt AJlpr~"(ll1 [;)' CEILING THRRMOSTAT (I)"'cr nlTCH I);tlt ^P~roytld Ur -b~l~ ^l'fl"l\'C<J Ay E ;ccWmJ.l>llMdltla"" end or U1blr@.l<lllmli - . ;0 LOAD CHANGES ' laSe board KW .,rJll'J,ce KW . "~ai Pump .._ Ton ~__ LAR . df'~Wall _ KW -..~ (JUle .~'I"\"'{dny SlIr~. Infarmetlan Ililipc~lion Area. Building or l':qllipllll'nt Inspected AC1l011 r...kcn F.lectriclll {Jute Inspector ~/O6 - "--. .b6)- h~AL - --. ,At-' , .-.....--- ... ~ "--... . - '--,.--- -- - ,---- -- , "---, -- -" -- -. .- - o Overhead Service o Temp Service U Undp.rground Service Voltage Ph.e. IJ 1 (;I 3 Service Size: _ Feeder Slzo: ~ .=(-S-00 I