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Home My WebLink About1419 Pacific Vista - BuildingPREPARED 11/29/10 8 22 00 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 1419 PACIFIC VISTA SUBDIV TENANT NBR THERESE PER AGESSON CONTRACTOR PHONE OWNER THERESE PER AGESSON PHONE (360) 417 4615 PARCEL 06 30 01 6 3 9000 0000 APPL NUMBER 10 00000482 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS COMMENTS AND NOTES PAGE 6 DATE 11/29/10 BL99 01 10/06/10 JLL BLDG FINAL TIME 02 15 10/07/10 DA September 29 2010 3 49 28 PM 1pangrle PER (HUSBAND OF TESS AGESSON) 775 0662 BUILDING FINAL REMODELED GARAGE INTO A DINING ROOM PLEASE INSPECT BETWEEN 2 15 PM 5 00 PM AND CALL HIM 10 MINUTES BEFORE YOU GET THERE October 7 2010 8 23 49 AM jlierly this was a frame inspection brace support for floor jll BL99 02 11/29/10 LL BLDG FINAL TIME 04 00 November 19 2010 4 23 31 PM 1pangrle v J TESS AGGESSON 417 4615 BUILDING FINAL SHE REQUESTED A LATE AFTERNOON INSPECTION PLEASE CALL HER 10 MINUTES AHEAD SO SHE CAN MEET YOU'THERE Aexinco NHS jc6_ you GyX -VV/ere Ae,55 1-\\1 W6 P -1p s 9°v\ PREPARED 10/06/10 8 20 17 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/06/10 ADDRESS 1419 PACIFIC VISTA SUBDIV TENANT NOR THERESE PER AGESSON CONTRACTOR PHONE OWNER THERESE PER AGESSON PHONE (360) 417 4615 PARCEL 06 30 01 6 3 9000 0000 APPL NUMBER 10 00000482 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 10/06/10 JLL BLDG FINAL TIME 02 15 September 29 2010 3 49 28 PM 1pangrle PER (HUSBAND OF TESS AGESSON) 775 0662 BUILDING FINAL REMODELED GARAGE INTO A DINING ROOM PLEASE INSPECT BETWEEN 2 15 PM 5 00 PM AND CALL HIM 10 MINUTES BEFORE YOU GET THERE PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 10/06/10 JLL PLUMBING FINAL TIME 02 15 September 29 2010 3 52 13 PM 1pangrle PER (HUSBAND OF TESS AGESSON) 775 0662 PLUMBING FINAL REMODELED GARAGE INTO A DINING ROOM PLEASE INSPECT BETWEEN 2 15 PM 5 00 PM, AND CALL HIM 10- MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES Se l eX rac e "A-- 6 4 um eSS )(A (y\iyA, (06)-2, CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 10 00000482 Date 5/19/10 Application pin number 405418 Property Address 1419 PACIFIC VISTA ASSESSOR PARCEL NUMBER 06 30 01 6 3 9000 0000 Tenant nbr name THERESE PER AGESSON Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 2348 Application desc REMODEL GARAGE INTO A DINING ROOM Owner Contractor THERESE PER AGESSON OWNER 1419 S PACIFIC VISTA PORT ANGELES WA 983631526 (360) 417 4615 Structure Information 000 000 REMODEL GARAGE INTO DINING ROOM Permit BUILDING PERMIT RESIDENTIAL Additional desc DINING ROOM IN GARAGE Permit pin number 165365 Permit Fee 109 75 Plan Check Fee 71 34 Issue Date 5/19/10 Valuation 2348 Expiration Date 11 /15 /10 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL -2001 25K (14 PER K) 14 00 Permit PLUMBING PERMIT Additional desc MOVE WATER HEATER Permit pin number 165373 Permit Fee 57 00 Plan Check Fee Issue Date 5/19/10 Valuation Expiration Date 11/15/10 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL WATER HEATER 7 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 166 75 166 75 00 00 Plan Check Total 71 34 71 34 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 242 59 242 59 00 00 T:FormsBuilding DivisionBuilding Permit 00 0 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 IS0 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume) -gt uthority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent V SigatkrCe oteler (if owner is builder) IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING. Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting Landscaping T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 Inspection Type Date Accepted By Comments FINAL Date IFINAL Date SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE 10 Accepted by TL'- Accepted by Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 k® `VA-- Deck Shed Other Applicant .44Vg G -v1 A Property Owner �1rwro4 °17 Per. f ,yl Property Owner.'s Address a-batA om. Contractor ge,r Ages Contractor's Address License Expires 1Z IAA Pa,e,tfirAtcAtA 6 1 6 2 AP Lot Zoning PROJECT ADDRESS Parcel Number Total footprint of structures sq ft. T Lot size Site Coverage the amount of impervious surface on a parcel including structures and other impervious surfdces (see PAMC 17 94 135 for exemptions) Max. height of proposed structures ft. Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? I have read and completed this application and know it to that it is my responsibility to dete( mine hat permitsE BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Ph Phone 1W\ Phone E -mail For City Use Only Date Received 5 IS 1.0 Permit ?i Date Approved h I 3(oO" l S 121/360 7 fa, vs. ,Residential Multi- family Commercial Industrial Project Type Brief Description. Check all that apply New Construction Ext7jj k5i GL 1:1 Addition c W(O tr fe L' A t t. l a S Ill O_ v .fiL.� 6 V cci /Remodel _AN) �,r/I th,1 I�0 tr (4/Li/lit Yl,t I ii: !Mod ttx (e✓ Repair ja f.(. -ftwi A4 SAY 4 v 0 Demolition 3 �vG�.� I 1 c�'i�t,t�1 ix E►�)'� w r�.rt1P o Re-roof House garage ❑er J tear off it -roof lay over one layer o Heat System Heat pump wood burning stove gas fireplace, pellet stove other o Other R mood sA1,1vp_. In) i l l 0,1/14 A k I^ Floor Areas Existing (sq. ft.) Proposed (sa. ft.) Basement l Floor 2 Floor 3 Floor Garage Carport Covered Porch be true and correct. I am authorized to apply for this permit and understand mired, and to obtain permits prior to working on projects Date 4 5 D Print.Nme -�'(L' I�iC r Signature 04:E 124-7 SF ...j Forms /Building Division /Building per application Occupancy group Occupant load Construction type per sq ft. MaiLericds 1 of bedrooms of full baths of half baths 1 I�1�7tt TOTAL VALUATION 23 D sq ft. Lot coverage paved driveways sidewalks patios Site coverage 4. 6.4 7 -3 Clallam County Assessor Treasurer Property Details 63140 THERESE PER AGES Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 63140 THERESE PER AGESSON for Year 2010 2011 Property Account Property ID 63140 Legal Description. KEDTER WOODS SHORT PLAT #88 -4 -8 V18 P45 LOT 1 48A Geographic ID 0630016390000000 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space. N DFL N Historic Property N Remodel Property N Multi Family Redevelopment: N Location Address: 1419 PACIFIC VISTA Mapsco PORT ANGELES Neighborhood Cycle 5 Res Map ID Neighborhood CD 10955130 Owner Name THERESE PER AGESSON Owner ID 10379 Mailing Address. 1419 S PACIFIC VISTA Ownership 100 0000000000% PORT ANGELES WA 98363 -1526 Taxes and Assessments Due Property Tax Information as of 05/13/2010 Amount Due if Paid on. M. Exemptions: First Second Half Half Statement Base Base Base An Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Du 2010 45683 ST SCH STATE SCHOOL $228 31 $228 31 $0 00 $0 00 $228 31 2010 45683 CC -GEN COUNTY $121 50 $121 50 $0 00 $0 00 $121 50 2010 45683 PORT PORT $17 08 $17 07 $0 00 $0 00 $17 08 2010 45683 PORT ANG PORT ANGELES $281 31 $281 31 $0 00 $0 00 $281 31 2010 45683 SD #121 SCHOOL DISTRICT #121 $295 72 $295 73 $0 00 $0 00 $295 72 2010 45683 NTH OLY LIB NORTH OLYMPIC LIBRARY $35 30 $35 31 $0 00 $0 00 $35 30 2010 45683 HOSP #2 HOSPITAL #2 $49 84 $49 84 $0 00 $0 00 $49 84 2010 45683 WSMET PK DIST WILLIAM SHORE MET PARK DIST $15 86 $15 86 $0 00 $0 00 $15 86 2010 45683 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $36 00 2010 45683 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $0 82 2010 45683 TOTAL. $1081 74 $1081 74 $0.00 $0.00 $1081 74 $1( 2009 631402008 ST SCH STATE SCHOOL $261.27 $261.27 $0 00 $0 00 $522.54 2009 631402008 CC -GEN COUNTY $132.23 $132.22 $0 00 $0 00 $264 45 2009 631402008 PORT PORT $18 73 $18 73 $0 00 $0 00 $37 46 1 2009 631402008 PORT ANG PORT ANGELES $290 03 $290 02 $0 00 $0 00 $580 05 2009 631402008 SD #121 SCHOOL DISTRICT #121 $323 09 $323 11 $0 00 $0 00 $646.20 2009 631402008 NTH OLY LIB NORTH OLYMPIC LIBRARY $38 42 $38 42 $0 00 $0 00 $76 84 2009 631402008 HOSP #2 HOSPITAL #2 $54.23 $54.22 $0 00 $0 00 $108 45 http. /vpn.clallam. net: 8084/ propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =63 5/13/2010 160 I! 0 .43 N YY1-6V Ar, f V I .f 4 vv4t4 1 ko i i )v LNG %t is ZZ 0,01( c3 0 el SC) a ri (ITY OF PORT ANGELES Construction Plans Te Issuance of this permit based upon these plans, specifi} •c. ?tions and other data shall not prevent the building official fr un thereafter requiring the correction of .errors in saic p arcs, specifications and -other data, or from preventinf building operations being carried on thereupder,syhen in ylation of code" "•and ordinanc of ttiis jurisdictio Ue I OC"� Approval Dated 1 11 1 D By e tLY 4019 PREPARED 10/24/07 9 42 21 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/24/07 ADDRESS 1419 PACIFIC VISTA SUBDIV TENANT NBR PER OR THERESE AGESSON CONTRACTOR PHONE OWNER PER THERESE AGESSON PHONE (360) 417 4615 PARCEL 06 30 01 6 3 9000 0000 APPL NUMBER 07 00000980 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 10/24/07 PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 10/24/07 PL99 01 10/24/07 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 8/29/07 JLL 8/29/07 AP BLDG FINAL TIME 01 00 October 23 2007 9 22 48 AM 1pangrle TESS 417 4615 BLDG FINAL AFTERNOON CALL 30 MINUTES AHEAD SO SHE CAN MEET YOU THERE MECHANICAL FINAL TIME 01 00 October 23 2007 9 24 13 AM 1pangrle TESS 417 4615 MECHANICAL FINAL AFTERNOON CALL 30 MINUTES AHEAD SO SHE CAN MEET YOU THERE PLUMBING ROUGH IN 08/28/2007 08 49 AM LPANGRLE TESS 417 4615 ROUGH IN PLUMBING 08/29/2007 04 59 PM JLIERLY PLUMBING FINAL TIME 01 00 October 23 2007 9 24 43 AM 1pangrle TESS 417 4615 PLUMBING FINAL AFTERNOON CALL 30 MINUTES AHEAD SO SHE CAN MEET YOU THERE COMMENTS AND NOTES PREPARED 8/29/07 9 07 20 INSPECTION TICKET PAGE 20 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/29/07 ADDRESS 1419 PACIFIC VISTA SUBDIV TENANT NBR PER OR THERESE AGESSON CONTRACTOR PHONE OWNER PER THERESE AGESSON PHONE (360) 417 4615 PARCEL 06 30 01 6 3 9000 0000 APPL NUMBER 07 00000980 RES REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 8/29 PLUMBING ROUGH IN 08/28/2007 08 49 AM LPANGRLE TESS 417 4615 ROUGH IN PLUMBING COMMENTS AND NOTES Owner Contractor PER THERESE AGESSON 1419 PACIFIC VISTA PORT ANGELES WA 98363 (360.) 417 46,15 COMMENTS/ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL. DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Application Number 07 00000980 Date 8/28/07 Application pin number 890580 Property Address 1419 PACIFIC VISTA ASSESSOR PARCEL NUMBER 06 30 01 6 3 9000 0000 Tenant nbr name PER OR THERESE AGESSON Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 3000 OWNER Permit ELECTRICAL ALTER RESIDENTIAL Additional desc OWNER/ REMODEL Permit pin number 109777 Permit Fee 46 00 Plan Check Fee 00 Issue Date 8/28/07 Valuation 0 Expiration Date 2/24/08 Qty Unit Charge Per Extension 1 00 46. 0000';ECH EL•n R' ORR..RM a 4 'ALT CIRCUITS 46 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 46 00 46 00 00 60 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 50 50 50 50 00 00 I t GENERAL COMMENTS: INSPECTION TYPE DATE ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, r INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ACCEPTED YES I NO DITCH ROUGH -IN COVER I �3 --i g -a 7 SERVICE FINAL I l (2- ?i, a 71 1I I I I I I I I I I COMMENTS PW- I102.1514/961 Job wired by Electrical Contractor lirOwner Electrical contractor name Purchaser's mailing address City Telephone number 'Pryp n,5 t 7 Y/kLSSoK1 Address of in tion 4 a it "Fort- krule_les VOA Phone number to s a tnspect 41 -4115 (PA •S—aut,Z Owner as defined by RCW 19 28.261 (I) 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. 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 instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19 28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. /Signature of owner, electrical contractor or electrical administrator Electrical Lo NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW SAME DAY INSPECTION, CALL ROUGH-IN Inspection Date I n Hu u Date i 7 Rfproved FINAL 19-3o-O7 Date E C E V L E 22, `m LIGHT DF State ZIP FAX number s and or subtract Approved License number Date Expires Expiration Date Date' 8 -3(o /::)f card ions \fInstallation description Commercial Residential New W� I Y I t Cookt -fin P-"j Add. 3 -wsaA4 SW t IG elk 1AJir1Y1 by -DiUAS -Na t e Cash Check Credit Card Visa Card Overhead Service Temp Service Underground Service BEFORE 7 00 AM 360- 417 -4735 THERMOSTAT Date Approved By DITCH Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION A Date Date Appr ed By Date ddition Mastercard Discover L s sped gn fee Service Information Voltage Phase 1 3 Service Size' Feeder Size: SERVICE Appr ed By FEEDER Action Taken e Electrical Inspector •r Approved By J O P PORT M CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000980 Date 8/23/07 Application pin number 890580 Property Address 1419 PACIFIC VISTA ASSESSOR PARCEL NUMBER 06 30 01 6 3 9000 0000 Tenant nbr name PER OR THERESE AGESSON Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 3000 Owner Contractor PER THERESE AGESSON 1419 PACIFIC VISTA PORT ANGELES WA 98363 (360) 417 4615 OWNER Permit BUILDING PERMIT RESIDENTIAL Additional desc ADD TWO SKYLIGHTS Permit pin number 109538 Permit Fee 109 75 Plan Check Fee 00 Issue Date 8/23/07 Valuation 3000 Expiration Date 2/19/08 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL -2001 25K (14 PER K) 14 00 Permit MECHANICAL PERMIT Additional desc KITCHEN EXHAUST FAN Permit pin number 109546 Permit Fee 57 25 Plan Check Fee 00 Issue Date 8/23/07 Valuation 0 Expiration Date 2/19/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 2500 ECH ME VENT FAN 7 25 Permit PLUMBING PERMIT Additional desc ADD A BAR SINK Permit pin number 109553 Permit Fee 79 00 Plan Check Fee 00 Issue Date 8/23/07 Valuation 0 Expiration Date 2/19/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 7 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL- EA BLDG SEWER 15 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 246 00 246 00 00 00 Plan Check Total 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 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 re.ulating construction or the performance of construction Signature of Contractor or Authorized Agent T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] Date Nattwd'of (mner (if owner is builder) r/0 WO 7 Date CALL 417-4S15 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. FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /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 ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT 6's PARKING /LIGHTING LANDSCAPING ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ ENGINEERING FIRE PLANNING DEPT INSPECTION TYPE DATE RESIDENTIAL 417 -4807 417 -4653 417 -4750 BUILDING 417 -4815 I T•\Policies\1102 15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD YES ACCEPTED NO FINAL FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE I ACCEPTED I YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY Application Number Application pin number Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 4 50 250 50 07 00000980 890580 4 50 250 50 00 00 Page 2 Date 8/23/07 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 \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] CALL 417-4S15 FOR. BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS A 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 4ND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /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 ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECOI.D DATE ACCEPTED S /z loi YES T LL I/O 2-4 -o/ I U1-4.— I NO SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING COMMENTS FINAL 16 l '1 J L FINAL li /'DTATE TLt ACCEPTED BY. ACCEPTED BY. .-L DATE ACCEPTED I N I YES I NO 7N) H S nF poRr, iv 'boa Residential projects: submit two sets of plans C ommercial projects: submit three sets of plans Applicant or Agent VgA- 9'1 1 4Lu Al t 4 i& Owner PeAr ar ThereSL 1'c6 e-SSOn Owner's Address 1 1 a Pcue...fi L J \I i Sin Contractor/Engineer State License Contractor/Engineer's Address I PROJECT ADDRESS 14.1 g 1 C U VS I rit LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. riResidential Multi- family Commercial Repair Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans, specs, and a.8' /z" x 11" site plan MUST BE COMPLETE to be accepted for review (360) 417 -4815 FAX (360) 417 -4711 TYPE "OF "WORK New Constr Re -roof Stove Addition Move Garage Remodel Demolition Deck Sign Other BRIEF DESCRIPTION A k. Aim u5 f .n Existing Structure(s) basement Is' floor 2nd floor 3` floor Accessory Structures Existing Structure(s) TOTAL LOT COVERAGE Lot size Sq. Ft. Existing Structure(s) Sq. Ft. Footprint Proposed Structure(s) Sq. Ft. Footprint TOTAL Structure(s) Sq. Ft. Footprint Total Lot Coverage BUILDING PERMIT APPLICATION Phone Phone Subdivision. Sq. Ft. Proposed Structure(s) basement Sq. Ft. 1 floor Sq. Ft. 2 floor Sq. Ft. 3` floor Sq. Ft. Accessory Structures Sq. Ft. Proposed Structure(s) TOTAL TOTAL of existing proposed structures Maximum Height of Proposed Structure(s) 4S -5121 3(ob- I-11 Lila( 5 Phone ZONING SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION COMMERCIAL/RESIDENTIAL. Occupancy Group: Occupant Load: Construction Type: Are you planning to install a lawn sprinkler system? (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) FOR OFFICIAL USE ONLY Date Rec. iT -07 Permit 0 Date Approved: 3 23 Date Issued: Expires 5 oars Sq. Ft. Sq. 'Ft. Sq Ft. Sq. Ft. Sq. Ft. Sq. Ft. Sq. Ft. Ft. 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. The plan check fee must be paid at the time the building permit application is submitted. AU other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2) 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, and that I must obtain such permits prior to work. Date 8 7 2 Applic T•\PORMS \BUILDING DIVISION \BldgPermitAppl: 2006 CODE backup.wpd v Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. / rft/~ ~/;;.3 Ii? . , .-. DATE Site Address: D READY FOR INSPECTION License Number: ILL CALL FOR INSPECTION Phone: Owner/Business: Phone: . Owner/Business Address: Sq. Ft. 'ri6 Residential 7 (' Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) I1r New Construction ti Remodel o Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead '!If underground.j yD Voltage ./ ~ Af10 03.0' Service size ~ Amps o Temporary DetailslDescription: Ihew- ~ 7/:u.J WJ1// l&fl-B' . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. 1#'l6-Ditch inspection O.K. .~ Rough-in/cover O.K. rB O.K. to connect service .~ Final O.K. 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 Installer: permitIRe~t(:r New Meters () -. Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. ~or EXT. 224. ~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;;;;;SD .-- { Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall,...-/ OLYMPIC PRINTERS. INC. \ J N, pORr t,4 Ft� CITY OF PORT ANGELES PERiVIIT APPLICATION RECEIVED *'"1►'�'�' Q), Building DivisionlElectrical Inspections 1 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 - 4711 MAR 18 2014 �y ; CTRICAL V Date: � iii _ 1 � 2 5rn�le Farn�ly D well! 1 3kCTIOWS * Plan Review May Be squired, Please Complete Electrical Plan Review Information Sheet Job Address: c' Building Square Footage: ,L24 7 Description of above Owner Inform at. iAn Contrac r Information Name: re.se c . r ''am Name: Mailin Address; I q I S• Mailing Address: City: State:- City; State: Zip: Phone; Fax: Phone: Fax: License # 1 Exp. License # J Exp. Item Unit Charge hi Total Q Multiplied by Unit Charge) ServicelFeeder.200 Amp, $ 120.00 $ Service /Feeder 201.400 Amp. $ 146.00 $ Service /Feeder 401 -600 Amp $ 205,00 $ Service /Feeder 601 -1000 Amp. $ 262.00 $ Service /Feeder over 1000 Amp, $ 373.00 $ Branch Circuit W1 Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 63,00- �_ $ Each Additional Branch Orcuit $ 5,00 1 $ Branch Circuits 1-4 $ 75.00 $ Temp. Service/ Feeder 200 Amp, $ 93.00 $ Temp. Service/Feeder 201.400 Amp. $110.00 $ Temp. Service/Feeder 401 -600 Amp. $149.00 $ Temp. Service /Feeder 601 -1000 Amp , $168.00 $ Portal to Portal Hourly $ 98.00 $ Signal Circuit! Limited Energy - 1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY; First 1300 Square Ft. $ 120.00 $ Each Addtional 500 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 Iwo 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, l am malting the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW, Chapter 19.28, WAC Chapter 296 -4613, The City of Port Angeles Municipal Code, and Utility Specifications and PANIC 14,05,050 regarding Electrical Permit Applications, 41gn-ahw owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check ❑ Credit Card O dated: 3f I � l __ Ot1012012 INSPECTION TYPE DATE: RESULTS: INSPECTOR: ELECTRICAL PERMIT CITY OF PORT ANGELES SERVICE , 9' 360- 417 -4735 ROUGH -IN d Application Number . . . . . 14- 00000330 Date 3/18/14 Application pin number . . . 491940 Property Address . .. . . . . 3,419 PACIFIC VISTA REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-01-6-3- 9000 -0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . , . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 Application desc Bathromm remodel 2 circuits Owner Contractor -------- ---------- - - - - -- THERESE / PER AGESSON ------------------------ OWNER 1419 S PACIFIC VISTA PORT ANGELES WA 983631526. d (360) 417 -4615 - - - - --- --------------------------------- Permit , . . . . , ELECTRICAL -------- __------ ...._._-- -__ - -_ ALTER RESIDENTIAL Additional desc . . Permit Fee 68.00 Plan Check Fee 00 Issue Date . . . . 3/18/14 Valuation 0 Expiration Date , . 9/14/14 Qty Unit Charge Per Extension 1100 510000 ECH EL -FCH ADDNT BRANCH CIRCUIT 5100 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEEL) 53,00 1 Fee summary Charged Paid Credited Due �f ----------------- -- -- - - - - -- Permit Fee Total 6Q.00 ---- - - - - -- - ---- - - - -- ---- -- - - -- 6$.00 00 00 Plan Check Total ,00 ,00 .00 .00 Grand Total 68,00 68.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN d FINAL COMMENTS: PERMIT WELL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:\F- XCIIANGEIBUILDING Date: