HomeMy WebLinkAbout1205 E Front St - BuildingOppORTgN ELECTRICAL INSPECTION
C
y WIRING REPORT
RKS 417-4735
DATE
PERMIT � � INSPECTOR
g hl I.c)5 I
OWNER/CONTRACTOR -rr11-.ZA\ Aft/
Si -1 4: -
ADDRESS ADDRESS _
126S7 K- rlZbOT S -f—
APPROVED NOT APPROVED
❑ DITCH ❑
❑ ROUGH IN/COVER 0
❑ SERVICE ❑
❑ FINAL ❑
CORRECTIONS NEEDED- 30,c�V l m vfLOPPc'fL— t. Dn a -K l� (—
r-L."ajp-rlcF- HNA, -7— ?orL� �tSCc,14F-C�Ti�
o .7f..
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
OLYMPIC PRINTERS, INC. (360) 452-1381
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 09 00000819 Date 8/19/09
Application pin number 523280
Property Address 1205 E FRONT ST
ASSESSOR PARCEL NUMBER 06 30 00 5 3 1340 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 0
Application desc
Furnace circuit
Owner
Contractor
EVERETT HAROLD G
SHAMP ELECTRICAL
CONTRACTING
114 SHADE TREE LN
PO BOX 383
PORT ANGELES
WA 983629292
PORT ANGELES
WA 98362
(360) 452 1689
Permit
ELECTRICAL HEATPUMP
Additional desc
Permit pin number
151662
Permit Fee
57 50
Plan Check Fee
00
Issue Date
8/19/09
Valuation
0
Expiration Date
2/15/10
Qty Unit Charge Per
Extension
1 00 57
5000 ECH EL BRANCH CIRCUIT WO/FEEDER
57 50
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
57 50
57 50 00
00
Plan Check Total
00
00 00
00
Grand Total
57 50
57 50 00
00
INSPECTION TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
Signature of owner or Electrical Contractor X
RESULTS
tf-scnIr- &->
Date
INSPECTOR.
08/13/2009 15 47 FAX
City of Port Angeles Permit Application
Building Division/Electrical inspections
321 East Flfth Street P 0 Box 1150
Pon Angeles Washington, 98362
Ph (360)417.4735 Fax: (384)417.4711
RECEIVED
AUG 14 4uu,7
ELECTR)Ck
iNSPECTIORS
Date _
1 & 2 Single Family Dwelling
ulh-Family or Commercial'
commercial Addition !Alteration / Remodel / Repair'
Plan Review May, BeRequired�, P.lea�omple Ei al Plan Review Information Sheet
lob Address ! 'G _ _. — -- — -• _-.
Building Sove Footage
Cescription of above ._Q�� �L �i Q C__U =.--
� 005/006
� M
I
e Informal Contractor rmativ�
Na
Name Name.
Maibng ess: —� Malli Ad _r _(f
Cay State . dip C;ty _ State --
City _ 21��
Ph -Fax; ----f Phon _ Fa rl'1�,�_ S�
LicenseI i Ex, Licens # r Exp - � 3 o/
Unit Charoe amt Total (Qty Multiplied by Unit Char. ej
$ 9, 7 $ Service/Feeder 200 Amp.
$11 75 $ Service/Feeder 201-400 Amp
$16C O0 $ ServicelFeeder 401-600 Amo
$205.00 $ Service/Feedet 601 1000 Amp
$2912! $ SerrncelFeeder over 1000 Amp
$ 0C Brancr Circuit W! Service Feedei
$
$ 5 50 3rancn Circuit 1W10 Service Feeder
$ 2 OC E Each Additional Branch Circe{
$ 72 5C $ Temp Service, Feeder 200 Amp
$ 86 25 $ Temp Service,Feeder 201.400 Amp
$116 95 S __ 'emp Service/Feeder 401.600 _^mp
$13 25 $ 7emo Service,,Feedei 60' 1000 i.mp
$ 75 CC $1 Portal to Portal Hourly
$ 6? LC _ S SigniOuthi'ie L.gNing
$ 7' CL, —, $ - _ Signai Circuit/ Limited Energy Commercial
$ SD CC $ Signal CircuN Limited Energy 1 & 2 Fam�ty ,Dwelling
$ 5000- _ $ Signa, Circuit/ Limited Energy Matti -Family Dweli,ng
$ 9375 $ Manufactured Home Connection
$ 6,0 00 $ Renewable ElectricalEnergy 5KVA System or. Less
$ 81325 $ First 1300 Square Ft
$ 2 -)0 $ Each Additional 500 Square Ft or Portion of
$ 5-50 S Each Oulbtuldmo or Detached Garage
S 855' 25 $ Each Swimming °col or Hol Tub
S 4375 $ Thianosiai
$ "V Total
Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this efectdcaf permit is finefireti f2j Owne%is required to hire at,
electrical contractor if abovo said property Is for sets, rentor tease.
After reading the above statement, I hereby certify that i am the owner of the above named property or a licensed electrical contractor tam maring the eiec:ric3i
installation or alteration in compliance with the electrical laws, N.E.G. RCW Chapter 19 28, WAC. Chapter 296.468 The City of Port Angeles Municipal Code anti
Utility Specifications.
Signature of owner electrical contractor or electrical administrator F] Cash
Check
X= �C^ •-.•"'"' Date. �Ii3l Q� Credit Card 9 .�. -
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 09 00000749 Date 7/30/09
Application pin number 792925
Property Address 1205 E FRONT ST
ASSESSOR PARCEL NUMBER 06 30 00 5 3 1340 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 0
Application desc
HP T stat
Owner Contractor
EVERETT HAROLD G AIR FLO HEATING CO INC
114 SHADE TREE LN 221 W CEDAR
PORT ANGELES WA 983629292 SEQUIM WA 98382
(360) 683 3901)
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 150821
Permit Fee 43 75 Plan Check Fee 00
Issue Date 7/30/09 Valuation 0
Expiration Date 1/26/10
Qty Unit Charge Per Extension
1 00 43 7500 ECH EL LVT THERMOSTAT 43 75
Fee summary Charged Paid Credited Due
Permit Fee Total 43 75 43 75 00 00
Plan Check Total 00 00 00 00
Grand Total 43 75 43 75 00 00
INSPECTION TYPE
I DATE RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
Signature of owner or Electrical Contractor X Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
INSTALL HEAT PUMP
Owner
HAROLD G EVERETT
1205 E FRONT ST
PORT ANGELES
(360) 452 9708
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
WA 98362
09 00000748 Date 7/29/09
157100
1205 E FRONT ST
06 30 00 5 3 1340 0000
HAROLD G EVERETT
MECHANICAL APPL PERMIT
COMMERCIAL ARTERIAL
9883
Contractor
AIR FLO HEATING CO INC
221 W CEDAR
SEQUIM WA 98382
(360) 683 3901
MECHANICAL PERMIT
INSTALL HEAT PUMP
150805
64 80 Plan Check Fee
7/29/09 Valuation
1/25/10
Qty Unit Charge Per
BASE FEE
1 00 14 8000 EA ME FURN/HP/FAU < OR = 5 TON
Fee summary Charged Paid Credited
Permit Fee Total 64 80 64 80 00
Plan Check Total 00 00 00
Grand Total 64 80 64 80 00
00
0
Extension
50 00
14 80
Due
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 has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the performance of construction.
Date Print Name Sign re �of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FormsBuilding 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
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT INCONSPICUOUS 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
Date I Accepted By I Comments
1
1
I
i
1
FINAL Date Accepted by
I 1
I
1
1
FINAL Date Accepted by
1 _
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction R.W PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750 ex
Building 417-4815 fn- ]11 A
T.Forms/Building Division/Building Permit
C)
�C
00
T
PREPARED 11/13/09 9 25 31 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/13/09
ADDRESS 1205 E FRONT ST SUBDIV
TENANT NBR HAROLD G EVERETT
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683 3901
OWNER HAROLD G EVERETT PHONE (360) 452 9708
PARCEL 06 30 00 5 3 1340 0000
APPL NUMBER 09 00000748 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01 11/13/09 MECHANICAL FINAL TIME O1 00
4� November 12 2009 4 03 41 PM 1pangrle
ELLEN 683 3901
MECHANICAL FINAL HEAT PUMP AT DR HAROLD EVERETT S OFFICE
AFTERNOON INSPECTION
COMMENTS AND NOTES
BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
For City Use only
Attn. Building Permit Technician
Date Received_ "? - 2 q —0°I
321 E. Fifth St. Port Angeles, .WA 98362 Permit # 0'i-"?4gS
(360) 4174815 fax (360) 417-4711 Date Approved .
Applicant or Agent IN 9, F t-0 HE PST°I P) Phone
,%O_ fob 3- 390
Owner __b'%. t4k0,0 (..b EV E kL-'ST Phone 3"
Owner's Address I PAo6 S#5T FRo f iii 14 �U b E LES . t W A
Contractor/Engineer �.R r-Lp t4 E.-kj 114 6- Phone _266
Contractor/Engineer's Address a,a 1 vJ ED 'S 'g,,IC a U k Wl t U% k- 9t 3$ -a-
License # k1 R F LJ4 n001C J( Expires
PROJECT ADDRESS _J.a►o5 F � Ro1J — �. �a`i i 1!N 6 E l.�s: WA
Parcel Number Lot Zoninq
Proiect`Tvpe & Brief Description: o Residential
Check all that apply
❑ New Construction
o Addition
❑ Remodel
❑ Repair
❑ Re -roof
in Demolition
Commercial ❑ Multi -family o Industrial
o Sign o wall -mounted ❑ projecting o freestanding o awning c other
*Heat System
o Other
Floor Areas
Basement,
1'I Floor
2nd Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed_
Other
Total sign area sq. ft. Maximum allowed sign area sq ft.
)bleat pump o wood -burning stove ❑ gas fireplace o pellet stove o other
Existing (sq. ft'_) Proposed (so, ft.)
04 per sq ft. = $
TOTAL VALUAriON . $
Total footprint, of structures.sq. ft. "' Lot size sq. ft. = Lot coverage %
Max.'height-of proposed structures ft. Occupancy group # of.bedroom$.
Willa lawn sprinkler system be installed? Occupant load # of full baths.
Will a fire sprinkler system.be installed? Construction.type # of half baths
./have read -and completed this application and know'd to .be ?rue and correct. I am authorized to apply for this permit, and
understand that it is my responsibility to determine what permits are required, and t obt .. permits prior to working on
projects r
Date s Print Name E LL.reN NSE% V R -S Signature.
T.Forms/suilding Division/Bldg PefmI A"I,-2006 Code.doc
T d T L6C EB9 096 01i m I d WdZt, o T 6002 62 inc
RECEIVED
JUL 29 2009
City of Port Angeles Permit Application
Building DlvisioNEtectrical inspections ELECTRICAL
321 East lFifthStrad -PA.Box 1150 INSPECTIONS
Port Angeles Washington, 98362'
Ph: (360) 417-4733 Fax: (360) 417-4711
Date:
1 & 2 Single Family Dwelling
ilti-Family or Commercial'
commercial Addition / Alteration I Remodel / Repair'
" Pian Review Ma BeAnOred Pease Cam uncal Pian RKview Info pn Sheet
,fob Address: , �� . FKOiti t _ �N
Building Square Footage:
Description of above t-042 nl t ori l i P
Owner Information
Name:._bt- PiArt0Ld eYF_t_S 1
Maili Address:, LX*'5 . e • p vwn 51
City. oil State: W +c Zip:
Phone:
License #./ Exp.
Contradtor Info ation
Name: . 'F� 1T tiretrTt N 6r
Mallin Address: �?,1 Ml CF�,QT
City 6411hl►. State: W & Zip: 1$ 3 gi �-
Phone: t - _& 'S
License #/ Ex�L 'F L H C 60 9 C j
Unit Charoe {may
t °rl N Multiplied by Unit Ctiapaej
$ 93.75
$
Service/Feeder 200 Amp.
$113.75
$
Servica/Feeder2014WAmp.
$160.00
$
ServicelFeeder 401-6tO Amp.
$205.00
$
Service/Feeder 601-1000 Amp.
$291.25
$
Service/Feeder over 1000 Amp.
$ 2.00
$
Branch Circuit W/ Service Feeder
$ 57.50
$
Branch Circxitt W/O Service Feeder
$ 2.00
$
Each Additional Branch Cinarit
$ 72.50
$
Temp. Service! Feeder 200 Amp.
$ ,86.25
Temp. Service/Feeder 201-400 Amp.
$116.25
$`
Term. Servicea/Feeder 401.600 Amp.
$131.25
$'
Temp. Service/Feeder 601-1000Amp.
$ 75.00
$
Portal to Portal Hourly
$ 69.00
$
Sign/Outiihe Lighting
$ 75.00
$
Signal Circuit! Limited Energy Commercial
$' 50.00
$
Signai Cftut Limited Energy, 1 &.2 Family O4iei6ng
$'50.00
$
$ignal CFaaf/ Limi$ed,Energy Maid -Family Owal in l
$ 93.75
S•
Manufactured Home Connection
$,80.00
$
Renewable Electrical Energy '5KVA System or Less
$ '$6.25
$
First 1300 Square Ft.
$ 27.50
$
Each Addilional-500 Square Ft. or Portion of
5 57.50
$
Each Outbuilding or Detached Garage
$ 86.25
$
r Each, Swimming Pool or Hot Tub
.$43.75 1
$
rte- Thermostat
r
• 1 Total
Owrwr as de9ned by RCW.19.2&M. (t) Owner w0l acupy I* Owture fior trw years aftr tide oluk oral penin is fataltaed (2) Owner is reipdmd to hire an
electrical contnector K above seWpmperty hi lrOr sere, rent ar lease.
Atter reading ttrs above d&%"n ,1 hsreby'esrtit Ahd i aro die owner o1 ft above named property are licensed electrical cot trw*x i am maidng the electrirrA
installation or a(teratlan in oorripli.nu a with the !electrical laws, N.EC RCW. Chapter 1928 WAC. ChapW 2964M The City of Port Angeles 1110alolpal Code, and
Utility SpeciNcationi.
Signature of own , electrical cor&actw or 4bcbical admkiikdmWr
12816c,
2 d i LSE 699 09C 0-1=1 `2i I a WUzt, 01 6002 62 i nC
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
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES' DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
07 00001479
625459
1205 E FRONT ST
06 30 00 5 3 1340 0000
DR EVERETT
PUBLIC WORKS UTILITES
COMMERCIAL ARTERIAL
6500
Contractor
HAROLD G EVERETT
ANGELES PLUMBING
1205 E FRONT ST
P O BOX 1151
PORT ANGELES
WA 98362
PORT ANGELES
(360) 452.8525
Permit
RIGHT OF WAY
Additional desc
PRESSURE LINE TO
STORM CB
Permit pin number
117606
Permit Fee
50 00
Plan Check Fee
Issue Date
12/12/07
Valuation
Expiration Date
6/09/08
Qty Unit Charge Per
1 00 50 0000 ECH RIGHT OF WAY PERMIT
Date 12/12/07
WA 98363
00
6500
Extension
50 00
Special Notes and Comments
A connection inspection is required by Public Works prior to
back filling
Fee summary Charged Paid Credited Due
Permit Fee Total 50 00 50 00 00 00
Plan Check Total 00 00 00 00
Grand Total 50 00 50 00 00 00
' 1
Separate Permits are required forelectrical 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
fora 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
donstr tion.
1 Z/0
Signature of Contractor or Ayth rized Agent. Date Signature of Owner (if owner is.builder) Date
T•\Policies\1102.15R (11051
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPEI DATE I ACCEPTED COMMENTS
YES I NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
I` PARKING
SIDEWALK
CURB & GUTTER
I DRIVEWAY APPROACH
I` BACK-FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ICONSTRUCTION RW /PW/ CONSTRUCTION R.W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T-\Policies\l 102.15R [ 1/05]
ELECTRICAL PERMUTAAD INSPECTIONRECORD
CITY OF PORT ANGELES
360-417-4735
Application Number 07 00001091 Date 10/09/07
Application pin number 135700
Property Address 1205 E FRONT ST
ASSESSOR PARCEL NUMBER 06 30 00 5 3 1340 0000
Tenant nbr name DR HAROLD EVERETT
Application type description COMM REMODEL
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 18000
Owner Contractor
HAROLD G EVERETT HOCH CONSTRUCTION
1205 E FRONT ST 4201TUMWATER TRUCK TRAIL
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 452 5381
Structure Information 000 000 REMODEL RECEPTIONIST AREA
Construction Type TYPE V NON RATED
Occupancy Type BUSINESS OFF/PRO/MED/REST
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc SHAMP/ 1 4 CIR REMODEL
Permit pin number 112128
Sub Contractor SHAMP ELECTRICAL CONTRACTING
Permit Fee 58 00 Plan Check Fee 00
Issue Date 10/09/07 Valuation 0
Expiration Date 4/06/08
Qty Unit Charge Per Extension
1 00 58 0000 ECH EL COMM ALT <5 CIRCUITS 58 00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
Other Fees
STATE SURCHARGE
4 50
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
58
00
58
00
00
00
Plan Check Total
00
00
00
00
Other Fee Total
4
50
4
50
00
00
Grand Total
62
50
62
50
00
00
INSPECTION
TYPE DATE
DITCH
SERVICE
'ROUGH - IN
FINAL
COMMENTS:
RESULTS
ELECTRICAL
INSPECTOR
PREPARED 10/01/07 9 59 52 INSPECTION TICKET PAGE 13
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/01/07
ADDRESS 1205 E FRONT ST SUBDIV
TENANT NBR DR HAROLD EVERETT
CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452 5381
OWNER HAROLD G EVERETT PHONE
PARCEL 06 30 00 5 3 1340 0000
APPL NUMBER 07 00001091 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 10/01/07 L BLDG FRAMING TIME 01 00
October 1 2007 8 37 20 AM 1pangrle
lwT RICK 460 3824
FRAMING
AFTERNOON
COMMENTS AND NOTES
F 08/28/2007 15 41 FAX
i
r'
i r
Job wired by
al contra
� Pur 's it
O Electrical Contractor O Ower
PM oWnJnaatt�� 1
la
C(Ij- L -(-7`2.q
ELECTRICAL WORK PERMIT APPLICATION
�Won deacdOon
Commercial O Residential
i�a*q�«rtJ 'l,79 NewCI Altered/Addilden
ZIP
AddKgt� �q5 t:—_l e — — —
Clly , J
phone numb le ItjaQe
OW -014Y. as defined by RCW.I9.28.261 (IJ Owtrer will occupy the Strueturt: for two
years after this elect ovi permit is frnalrscd• (2) Owner Is required to hire an electrical
emrtractoe tf above said property is for sale, rent or lease 0 Cash 0 Chock #
Auer reading the above ataternent, I hereby certify that 1 am the ownCr of the above
named property or a licensed electrical contractor. l am making the electrical instal_ ❑ CredjtCard Visa MasterCard Discover
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 Cala #
Utility Specifications.
�Sigoato owner clec lcal contractor or electrical adml l9trat r �- Expir4onDate O 0
ofcatd napec[i n,fee
LX Date: �` $
Electrical Load A,^gypdpa Information
0 NO LOAD CHANGES
Cl 8aseboard `KW Voltage t
O Furnace _KW ❑ Overhead Service Phew ❑ t O 9
U Heat Pump _ Ton _ LAR ❑ Temp Service Service Size:
O Fan -Wall _ KW ❑ Uttde►ground Service Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-4174735
ROUT I ERMOSTAT SERVICE
�n ed ay Dena AYCro•od Dy Iglu Approved By
FINAL DlTCH >FEF.1D>r"R
ed By GUIs APPMag By uric AMOVed By
Inspection Arr$g or � RWIdin menti Electrical
Date W p Inspected Action Token Inspector
RECESV -
04_f 1 LUU7
s
UGHT oEFr
i r
o
1
J
R
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 07 00001091 Date 9/28/07
Application pin number 135700
Property Address 1205 E FRONT ST
ASSESSOR PARCEL NUMBER 06 30 00 5 3 1340 0000
Tenant nbr name DR HAROLD EVERETT
Application type description COMM REMODEL
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 18000
Owner Contractor
HAROLD G EVERETT
HOCH CONSTRUCTION
1205 E FRONT ST
4201TUMWATER TRUCK
TRAIL
PORT ANGELES
WA 98362 PORT ANGELES
WA 98363
(360) 452 5381
Structure Information
000 000 REMODEL RECEPTIONIST AREA
Construction Type
TYPE V NON RATED
Occupancy Type
BUSINESS OFF/PRO/MED/REST
Permit
BUILDING PERMIT COMMERCIAL
Additional desc
REMODEL RECEPTIONIST AREA
Permit pin number
111476
Permit Fee
319 75 Plan Check Fee
207 84
Issue Date
9/28/07 Valuation
18000
Expiration Date
3/26/08
Qty Unit Charge
Per
Extension
BASE FEE
95 75
16 00 14
0000 THOU BL -2001 25K (14 PER K)
224 00
Other Fees
STATE SURCHARGE
4 50
Fee summary
Charged Paid Credited
Due
Permit Fee Total
319 75 319 75 0o
00
Plan Check Total
207 84 207 84 00
00
Other Fee Total
4 50 4 50 00
00
Grand Total
532 09 532 09 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 an rdinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presu e o give authority t iolate or cancel the provisions of any state or local law regulating construction or the performance of
con ru ion7.
07
(aure of Con actor or Authorized Agent [date Signature of Owner (if owner is builder) Date
T-Tolicies\1102_15 buildingpeninit idspection record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RE CORD I
CALL 417-4S 15 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS 0
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, IA'SULATE OR CONCEAL ANI' IYORKDEFORE l
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT .JOB SITE. C
INSPECTION TYPE I DATE I ACCEPTED I COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS I I I I
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS i
I POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR/SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING 1 1 0 t 10-7 TL -L,
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BA.R
INSULATION
SLAB
WALL / FLOOR / CE,ILING
MECHANICAL
ROUGH -IN
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
FINAL DATE ACCEPTED BY.
FINAL
MANUFACTURED HOMES I I
FOOTING / SLAB 1
BLOCKING &HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s I SEPA.
PARKING/LIGHTING I I ESA.
LANDSCAPING I I I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANC OUSE
RESIDENTIAL DATE YES I NO COMMERCIAL
ELECTRICAL LIGHTDEPT
417-4735
CONSTRUCTIONR.W /PW/
ENGINEERING
417-4807
FIRE
417-4653
PLANNING DEPT
417-4750
BUILDING
417-4815
T-\Policies\l 102 15 building permit inspection record05 wpd [1/4/2005]
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW / ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
DATE ACCEPTED BY.
I
DATE I ACCEPTED 1
YES NO
N
�0
" 1
Jot
FOR OFFICIAL USE ONLY
BUILDING PERMIT APPLICATION Da
'a
Fill out CO-MTTF.TELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call ate-Ap ed:
P
PERMITS (360) 417-4815 FAX(360)417-4711 Datelssuad:.
Applicant or Agent:�GW7WPhone: 4zGPL-4-04,
Owner- PAZ'o I't; VXP 07-r Phone:
Address: /Zory WAI::-;rr City- -'
'�wr A 1V6?Sjj3-5 zip CIV15(loz-
Architect/Engineer- 5NIP-H A*r')417-wC'-r5 Phone: 4-E;Z - (:�'/ /,,-.
Contractor AJ4�'fJ 60t4v"TALACMON) State License #-P�0/7/60 N7 Exp Phone: 415S
Address: 42ol 774MVYA7Ur---1VU6��'0rCity- 47-S5 zip --I
PROJECTADDRESSZONING C- A
LEGAL DESCRIPTION Lot: #Wo I2.. Block: Subdivision.
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK. SIZEIVALUATION
11 Residential 0 New Const o Re -roof 0 Stove. 300 SF @ -$ 90.'�/SF = $
0 Multi -family 0 Addition 0 Move[3 Garage SF @$ /SF = $
Commercial Remodel Ei Demolition o Deck SF @s /SF = $
0 Repair 1:1 Sign o Other TOTAL VALUATION $—1 ,00
BRIEF DESCRIPTION OF THE PROJECT M7504oZ- 7-6MOCUL -7-o
kNo
COMMERCIAL/RESIDENTIAL. Occupancy Group: Occupant Load. Construction Type: A�dV "�5 P
No. of Stones: L Lot Size: Existing Sq. Ft. &Proposed Sq Ft. =TOTALS q. Ft.
Total lot coverage %
PLANNING USE. ONLY
ESA/Wetland(s), 0 Yes n No SEPA Checklist required? 0 Yes r-1 No Other -
APPROVALS
PLAN
BLDG-
D-PVvM-
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 tune 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 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
must obtain such permits prior to work.
Date: e-7
TAFORMS\BIdgPernitfbrmwpd Applicant
0
444'-
ry u i Lenur Rei r iuuei rur
Harold Everett
1205 East Front St., Port Angeles, WA
wwr sib
SITE PLAN
rug InRrnur ReniuuCi rur.
Harold Everett
1205- East Front St., Port Angeles, WA
CGt/!1 YARD
r
\ t \
PI�OIfI M11lSt
SITE PLAN
SM" P W -V
Application Number . . . . .
Application pin number
Property Address . . . . . .
ASSESSOR PARCEL NUMBER:
Tenant nbr, name . . . . . .
Application type description
Subdivision Name
Property Use . . . . . . . .
Property Zoning . . . . . . .
Application valuation . . . .
CITY OF PORT ANGELES
PUBLIC WORKS -UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
07-00001479 Date 12/12/07
625459
1205 E FRONT ST
06 -30 -00 -5 -3 -1340 -0000 -
DR. EVERETT
PUBLIC WORKS UTILITES
COMMERCIAL ARTERIAL
6500
Owner
Contractor
------------------------
HAROLD G EVERETT
------------------------
ANGELES PLUMBING
1205 E FRONT ST.
P. O. BOX 1151
PORT ANGELES
WA 98362
PORT ANGELES
WA 98363
O GG) 452-6525
----------------------------------------------------------------------------
Permit . . . . .
. RIGHT OF WAY
Additional desc
PRESSURE LINE
TO STORM CB
Permit pin number
117606
Permit Fee
50 00
Plan Check Fee
.00
Issue Date
12/12/07
Valuation . . . .
6500
Expiration Date
6/09/08
Qty Unit Charge Per
Extension
1.00 50
0000 ECH RIGHT
OF WAY PERMIT
50.00
----------------------------------------------------------------------------
Special Notes and
Comments
A connection inspection is required
by Public Works prior
to
back filling.
----------------------------------------------------------------------------
Fee summary
-----------------
Charged
----------
Paid Credited
----------
Due
Permit Fee Total
----------
50.00
----------
50.00 .00
00
Plan Check Total
00
.00 .00
00
Grand Total
50 00
50.00 .00
.00
07-M 7c -I
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
T9Policits\1102.15R[1/05]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date 12 – G 1-i - 67 Time Received by 9V (phone, person)
Location of Work to be inspected 12.o5- 1 rrvrc�
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. U'j—�4/i 9
Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other �ow.c smut
Aressw%e,
INSPECTION NOTES:
Inspected: Date Timp
Remarks: New downsoowt Ys Cmvfa.� 4
1i.neFv-Ovk. ort, Ct el Swinnn Ov V, o i•�
P45 T1 CO V IA.@ v p'C Froze f 1- ...its "e S, t4
---ByR✓
Jvct�., 2" PVC-------
cc.fct, Rc1S,�4 eA'4 Naetk
RESTORATION REQUIRED ...... YES NO X
QJ L2�tL�l r/� i/ t-Jp
b
v�v
s)
—� `—' 1 8 d
SURFACE RESTORATION:
SURFACE TYPE: ❑ Unimproved []Gravel ❑ Asphalt ❑ PCC
❑ Repaired by City Work Order #
❑ Repaired by Permittee ❑ COMPLETE
❑ No Damage Found ❑ INCOMPLETE
1V Z I
❑ Other
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES For City Use Only:
Attn: Building Permit Technician Date Received PZ' { � O 7
321 E Fifth St., Port Angeles, WA 98362 Permit
(360)417-4815 fax(360)417-4711 Date Approved
eell
Applicant or Agent 400 Phone j�7 z—�52S
Owner J)f- U2/ Phone
Owner's Address E o -7f
Contractor/Engineer ,%��/mss _ /usr�ir�i Phone Sz— g5ZS
Contractor/Engineer's Address
License # Expires
PROJECT ADDRESS
Parcel Number Lot Zoning
Proiect Type & Brief Descriotion: o Residential ACommercial o Multi -family o Industrial
Check all that apply /
o New Construction
o Addition `gj�Ljyq��/ e7C[rtoSS<
o Remodel
Li Repair
o Re -roof
o Demolition
o Sign o wall -mounted o projecting o freestanding o awning o other
Total sign area sq. ft. Maximum allowed sign area sq. ft.
o Heat System ❑ Heat pump o wood -burning stove o gas fireplace o pellet stove o other
)(Other
r
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement
1s' Floor
2"d Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be Installed?
Will a fire sprinkler system be installed?
sq. ft. - Lot size
ft. Occupancy group
Occupant load
Construction type
per sq. ft. = $
TOTAL VALUATION $ �
5-00 �a
sq. ft. = Lot coverage
# of bedrooms
# of full baths
# of half baths
I have read and completed this application and know It to be true and correct. I am authorized to apply for this permit and
understand that it /s my responsibility to determine what permits are required, and topbtain permits prior to working on
projects. U
Date D Print Name V/�/%/U��7` Signature /j ��
T Forms/Building Division/Bldg Permit Appl. 2006 Code.doc
d06
SuaIQ
4 '
"as
010
0
N
r
lb,F.Yf]Y.4' wryvp lvfuo:r.oH
a'd'O.f dA wmvp ivau�al
d ata UV ,
.�aBy
'O� n
.uq ayf fo,ygrgrrvodra. ayr aq fou pvys 8w.vp dvw nyf Jo am.ayfo.fuy
rarodlM puv am uvo nr foJralaBuY uodJo �Jp ayf nq pampoud n 8wxvupldvw nyl
vouduasay lo8ai o ry pam aq of yapuafw fou n dvw sub
f�.
Application Number . . . . . 22-00001124 Date 9/09/22
Application pin number . . . 622272
Property Address . . . . . . 1205 E FRONT ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-1340-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Wireless
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
EVERETT HAROLD G ADT LLC
114 SHADE TREE LN 11824 N CREEK PARKWAY, N
PORT ANGELES WA 983629292 STE 105
BOTHELL WA 98011
(206) 719-0347
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 101.00 Plan Check Fee . . .00
Issue Date . . . . 9/09/22 Valuation . . . . 0
Expiration Date . . 3/08/23
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00
1.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 5.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 101.00 101.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 101.00 101.00 .00 .00
MULTI-FA MILY/ COMMERCIAL
ELE CTRICAL PERMIT APPL ICATION
Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------
Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _
OWNER INFORMATION
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRICAL CONTRACTOR INFORMATION
Name: License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
llim!
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
Branch Circuits 1-4
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 -Multi-Family
Signal Circuit/Limited Energy/First 1500 sf -Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charge Quantity
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
Total (Quantity x Unit Charge)
$ ____ _ $ ____ _$ ____ _$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _ $ ____ _$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _
$ ____ _
$ _____ 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.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
lJ CD
PREPARED 9/08/22, 7:20:34 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001124 1205 E FRONT ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 101.00
TOTAL DUE 101.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Security system
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
9/21/2022 22-1124 TAP
OWNER
CONTRACTOR
ADT
PROJECT ADDRESS
1205 E Front St