HomeMy WebLinkAbout3711 Mt Angeles Rd - BuildingApplication Number 10 00000659
Application pin number 981493
Property Address 3711 MT ANGELES RD
ASSESSOR PARCEL NUMBER 06 30 14 3 1 9040 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
2 circuits guest room
Owner
KENNEDY MAUREEN
3711 S MOUNT ANGELES RD
PORT ANGELES WA 983628968
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty
1 00
1 00
Unit Charge
73 5000
2 6000
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
168211
76 10
6/28/10
12/25/10
Per
ECH
ECH
Fee summary Charged
76 10
00
76 10
Signature of owner or Electrncai Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Contractor
ALLEN ELECTRIC
PO BOX 1976
SEQUIM WA
SEQUIM
(360) 68 4840
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
EL BRANCH CIRCUIT WO /FEEDER
EL ECH ADDNT BRANCH CIRCUIT
Paid Credited
76 10 00
00 00
76 10 00
DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
RESULTS
��o %o Ala
Date 6/28/10
WA 98382
00
0
Extension
73 50
2 60
Due
00
00
00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
AcED
Date.
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362
Ph (360) 417 -4735 Fax. (360) 417 -4711
Date. C4- 2-Mo
1 2 Ingle Family Dwelling
Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 7 ALT", J(G 2-L1_55
Building Square Footage:
Description of above _9 r2 rs
Owner Information
Name: _JUt rt
Mailing Address: Ili Alt r. .4 n /L t-E CS
City' /yr State:l4 Zip: gG33'4
Phone:cfS iy 9i, Fax:
License Exp.
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 401 -600 Amp
Service /Feeder 601 1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 1000 Amp
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy First 1500 sf Commercial
Note $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Charge
119.90
145.50
204.60
262.20
372.50
2.60
73.50
2.60
92.70
110.30
148.70
167.90
95.90
88.20
95.90
63.90
63.90
119.90
102.30
56.00
110.30
35.20
73.50
$110.30
Signature of owner electrical contractor or electrical administrator
Xit Dated: L/2 .2i5/
%0-X
fi g 1pl5Atg/A16
ELIED
I JUN 25 Mg
ELECTRICAL
INSPECTIONS
Contractor Information
Name: 4Lt any £Lc
Mailing Address: P.U. I!.? o,4 I1- 9G
City u, x State: W.4- Zip: q,c1
Phone:‘,„,G •-.f-4. Fax:
License Exp.Azi_t i/E-ve x7 7/7/ tJ
Qty
Total (Qty Multiplied by Unit Charae)
Total
Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above. statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.0 RCW Chapter 19.28 WAC Chapter 296 -468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications.
Cash Check
Credit Card
01/0112010
/
PREPARED 8/04/06 8 14 25 INSPECTION TICKET PAGE 10
CITY OF' PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/04/06
ADDRESS 3711 MT ANGELES RD SUBDIV
TENANT NBR MAUREEN KENNEDY
CONTRACTOR PHONE
OWNER KENNEDY MAUREEN PHONE
PARCEL 06 30 14 3 1 9040 0000
APPL NUMBER 06 00000804 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01
8/04/06 JLL
e/4
BUILDING FINAL TIME 13 00
MAUREEN 452 1490 PERMIT WILL BE ON WALL
08/03/2006 12 36 PM DYASUMUR
08/03/2006 12 39 PM DYASUMUR
COMMENTS AND NOTES
Application Number 06 00000804 Date 7/25/06
Application pin number 680996
Property Address 3711 MT ANGELES RD
ASSESSOR PARCEL NUMBER 06 30 14 3 1 9040 0000
Tenant nbr name MAUREEN KENNEDY
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 2400
Owner Contractor
KENNEDY MAUREEN
3711 S MOUNT ANGELES RD
PORT ANGELES WA 983628968
Permit BUILDING PERMIT NO PR FEE
Additional desc
Permit pin number 83329
Permit Fee 109 75 Plan Check Fee 00
Issue Date 7/25/06 Valuation 2400
Expiration Date 1/21/07
Qty Unit Charge Per Extension
BASE FEE 95 75
1 00 14 0000 THOU BL 2001 25K (14 PER K) 14 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 109 75 109 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 114 25 114 25 00 00
\\0)'
e`
6
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes v
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 l law regulating onstruction or the performance of
construction.
Signature of Contractor or Authorized Agent Date
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
OWNER
/pture of Owner (if owner is build
P7 2S -6e
Date
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
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
BUILDING PERMIT INSPECTION RECORD
YES 1 NO
I I
1 I
1
I
1 1
1 I
I I
I I
1 I
1 1
I
1 1
I I
I I
I I
I I
1 1
I I
1 1
1 1
I I
1 1
1 1
1 1
I I
1 1
1 1
I I
I I
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417-4653 1 1 1 I FIRE DEPT
PLANNING DEPT 417 -4750 1 1 1 i PLANNING DEPT
J
BUILDING 417 -4815 Ib/ 9 /0 1 )-4.-- 1 1 BUILDING
T.r- 1111 1 c I ;Him" ,,Pn,,,f inspection record05.wpd f 1/4/2005)
DATE ACCEPTED BY:
DATE ACCEPTED BY.
1 1 I
1 1 1
1 1
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
Residential New Constr Re -roof Stove
Multi family Addition Move Garage
Commercial Remodel Demolition Deck
Repair Sign Other
i Nc BRIEF DESCRIPTION OF THE PROJECT
COMMERCIAL/RESIDENTIAL. Occupancy Group
No. of Stones: Lot Size: Existing Sq. Ft.
Total lot coverage
PLANNING USE ONLY
T•\FORMS\BldgPermitform.upd
pplic
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in I]VK. our 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
Applicant or Advent:
X O MrJ ��D
Address: S1 1 1 /4.1. 1 t City 17 -A
Architect/En o-lneer•
Contractor _,F State License
Address:
PROJECT ADDRESS
LEGAL DESCRIPTION Lot:
ESA/Wetland(s) Yes No SEPA Checkhst required? Yes No Other
City
Block.
Phone:
Phone
A.
Subdivision.
Phone:
Exp
x/ _1LIQiQ
Zip
Phone:
Zip
ZONING
Date: o1 `7.-0 6
STZF/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION x 4-00. OD
LD (L2t.9ic
Uott�o51 �t6
Occupant Load. Construction Type
Proposed Sq Ft. TOTAL Sq Ft.
FOR OFFICIAL USE,ONLY
Date Rec 7/667
Permit sd
Date '.pproved:1 /2,010 6
Date Issued: -12 -V0 j
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER.
VALUATION OF CONSTRUCTION k 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
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. 1 am authorized to
apply for this permit and understand th it is y responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to_wor
T•\Policies \1102.15R [1/05]
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
KENNEDY MAUREEN
3711 S MOUNT ANGELES RD
PORT ANGELES WA 983628968
Permit
Additional desc
Permit pin number 89995
Permit Fee 715 00
Issue Date 11/01/06
Expiration Date 4/30/07
Qty Unit Charge Per
1 00 715 0000 EA
Fee summary Charged
Permit Fee Total 715 00
Plan Check Total 00
Grand Total 715 00
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00001186
933586
3711 MT ANGELES RD
06 30 14 3 1 9040 0000
PUBLIC WORKS UTILITES
RS9 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
PUBLIC WORKS RES WATER SERV
Signature of Contractor or Authorized Agent Date
Plan Check Fee
Valuation
PW W/M 1 SERV 5/8 METER
Paid Credited
715 00 00
00 00
715 00 00
Date 11/01/06
Due
00
00
00
0
0
Extension
715 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 specifi d herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state oocal aw regulating construction or the performance of
const[I�Ctiort.
rr
Signature of Owner (if oy$ner is builder)
l
Date
CALL 417 -4807 FOR UTILITY 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.
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
TAPolicies \1102.15R [1 /05I
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
1 1
1 1
1 1
1 1
1
1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 I
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
1 1
1 1
1 1
1 1
CONSTRUCTION ILW
PW ENGINEERING
1 FIRE DEPT
1 PLANNING DEPT
BUILDING
COMMENTS
1 I 1
1 1 1
1 1
1 1
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. .y 7 / r'
.
~/z6~;/
I
DATE
Installed By:
/
/Jl /H.{UEP /:'~
fl.
o READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
Site Address:
OWner/Business:
Phone:
OwnerfBusiness Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW
o HEAT PUMP KW
o FAN/WALL KW _
0( RESIDENTIAL
b' COMMERCIAL
o NEW CONSTRUCTION
~ REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
,JczO AMPS
AMPS
o TEMPORARY SERVICE
o RISER
;gl OVERHEAD SERVICE
o UNDERGROUN SERVICE
VOLTAGE: ~ 0
~1f6 03
SERVICE SIZE
FEEDER SIZE
.
#J
ML
(' ~~ .;7.9& A;
~ /JvyJ ~ ~ O~
~ t?
( ~ CAk~J
mc:k kc
~ d'020
Details/Description:
,
/,UII!! L
/I1dzt
~&)-
"
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ Rough-in/cover O.K.
~-':I,;!I'J.,O.K. to connect service
iYv 0 Final OK
Site Address:
:3 7/1
;rJl.
-
Installer:
.
Notify Port Angeles City Light by Street Addre 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 eitherthe Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. .#.
~I/V NO OCCUPANCY OA USEESTABLlSHED UNDEA THIS PEAMIT $ (/" 50
Electrical Inspector Permit Fee
WHITS - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: MeIer Dept., Bottom: City Hall
(
LJ
OLYMPIC PRINTERS INC
s
~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
()~ ~j}8~
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
06-00001186 Date
933586
3711 MT ANGELES RD
06-30-14-3-1-9040-0000-
PUBLIC WORKS UTILITES
11/01/06
37//1n1~
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
{vi, f(~
KENNEDY MAUREEN
3711 S MOUNT ANGELES RD
PORT ANGELES WA 983628968
OWNER
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
89995
715.00
11/01/06
4/30/07
plan Check Fee
valuation
.00
o
Qty Unit Charge Per ~
--------=~~~------==:~~~~~-~~----~~-~~~-=:_:~~~-=~~~-~:=:~------,-~~
Fee summary Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand Total
715.00
.00
715.00
715.00
.00
715.00
.00
.00
.00
.00
.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 r 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 iocallaw regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.15R [1105]
~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . .
REQUEST:
Date If - ~- 01(;(
Time q /1M
Received by ()<n'1('> t:. (phone, person)
Location of Work to be inspected 37/t 1t1.1.. A::!.LI e.. s ~1!.
Name of person requesting inspection lJ<.".vr /5 .
Address of person requesting inspection Phone No. '117 -'If?LIq
Type of Inspection (circle appropriate one): Permit No.. OY~~(P
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Oth(tJa..+~C_
INSPECTION NOTES: \
Inspected: Date II ~1- 0,", Time If ttM) py f)t:.'1'1;~ L.
Remarks: {:;lJlJeJ g" C:"-"ioo ,eICTeVlded {" f,.E. Tuh,"-j To ~ter
~-t- ~+I' () ['()IJe.,f'l. I 'I l~fl{)1C
I I I I
~,,:-7
! .) .~.i-~ I I
., tlM!.~,-!
RESTORATION REQUIRED . . . . .. YE$} NO ><
If'
~
---
<;\J
,~
~~
'i-
~
/ I
/) /
..-/
" . -1,- Vr\~~ vJ~'t /
, qoe./t^ _ _ _ _ _ /'
<{s-3~"J. 75" (..-100 3~' (k€f
T'f I'" 2.' +,v-cM v",lve..
F e...."-<-
{
o
()
0-
oj
..
\l.;:}
~tD'" o~
&n1 (!.c/av';;,; w.,{v
I
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
D Repaired by City
[] Repaired by Permittee
D No Damage Found
D Asphalt D PCC D Other
Work Order # ~03'fg - ?7~
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
~TRFFT ~IIPFRINTJ:NnI=NT
InATI=\