HomeMy WebLinkAbout916 Glenbrook Cir - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
,REES, .ROSALYN /,FOREST
916 GLENBROOK CIR
PORT ANGELES
(360) 457'4108
Permit
Additional desc
Permit pin number
'Sub Contractor'
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit'Fee Total
Plan Check Total
Grand Total
WA 983626
7/30/07
1/,26/08'
COMMENT /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST.5TH STREET .PORT,ANGELES, WA'98362
07 00000719
942846
916 GLENBROOK CIR
06 30 15 5 9 0050 0000
ELECTRICAL ONLY
RS9 RESDNTL SINGLE FAMILY
0
Coritr•,actor
ALASKAN ELECTRIC
237 ROBERSON RD
.736 PORT ANGELES
(360) ,582 .3874
ELECTRICAL NEW RESIDENTIAL
ALASKAN/ 320A 2 FEEDERS.'.
104927
ALASKAN ELECTRIC
135 00
Plan Check Fee
Valuation
Qty Unit Charge Per
2 00 ,22 OQOO;'ECH Eh RM '0 .'200 .ADD SRV FEEDER
1 00 '91. 00.00 ECH
Eli RM 201 400 1ST SRV FEEDER
Charged Paid Credited
135 00 135 00 00
00 00 00
135 00 135 00 00
Date 7/30/07
WA .98362.
Due
00
0
Extension
44 00
91 00
,90
00
00
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 COMMENTS
YES 1 NO
DITCH j 9 .f -o7 10 I
ROUGH -IN COVEk a .=.z Q 1
SERVICE I 9—/i 0 7 4 -i 1
FINAL I /o —s 07 I,,4vr4
GENERAL COMMENTS:
1 1
I 1
1 1
I I
PW- i1oi.1514961
PREPARED 7/06/06 12 32 49 INSPECTION TICKET PAGE 14
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/06/06
ADDRESS 916 GLENBROOK CIR SUBDIV
CONTRACTOR PHONE
OWNER REES FORREST/ ROSALYNN PHONE
PARCEL 06 30 15 5 9 0050 0000
APPL NUMBER 06 00000415 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 5/04/06 JLL
5/04/06 AP
ME99 01
MECHANICAL GAS LINE TIME 13 00
05/03/2006 04 35 PM DYASUMUR
LANE 671 1436
05/04/2006 04 45 PM PBARTHOL
MECHANICAL FINAL TIME 13 00
FOREST 457 4108 REQUESTING FOR PATRICK
07/05/2006 02 52 PM DYASUMUR
COMMENTS AND NOTES
PREPARED 5/04/06 13 09 34 INSPECTION TICKET PAGE 12
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/04/06
ADDRESS 916 GLENBROOK CIR SUBDIV
CONTRACTOR PHONE
OWNER REES FORREST/ ROSALYNN PHONE
PARCEL 06 30 15 5 9 0050 0000
APPL NUMBER 06 00000415 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 5/04/06
JLL MECHANICAL GAS LINE TIME 13 00
.-1 05/03/2006 04 35 PM DYASUMUR
e lit) 671 1436
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
REES FORREST/ ROSALYNN
916 GLENBROOK CIR
PORT ANGELES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983626736
Permit MECHANICAL PERMIT
Additional desc PROPANE COOKTOP
Permit pin number 76299
Permit Fee 50 00
Issue Date
Expiration Date 10/30/06
Qty Unit Charge Per
Other Fees
Fee summary Charged
Permit Fee Total 50 00
Plan Check Total 00
Other Fee Total 4 50
Grand Total 54 50
T• \Policies \1102_15 bug permit inspection record05.wpd [1/4/2005]
06 00000415
249365
916 GLENBROOK CIR
06 30 15 5 9 0050 0000
MECHANICAL APPL PERMIT
RS9 RESDNTL SINGLE
500
'zed Agent Date
Contractor
OWNER
50 00
00
4 50
54 50
FAMILY
Plan Check Fee
Valuation
BASE FEE
STATE SURCHARGE
Paid Credited
00
00
00
00
Date 5/03/06
Du
fir //9-i
7/67A6- p&
00
0
Extension
50 00
4 50
e
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 •veming this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give hotity to violate or ancel the provisions of any state or local law regulating construction or the performance of
constructio
Signature of Owner (if owner is builder) 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
YES 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
BUILDING PERMIT INSPECTION RECORD
1 1
I I
1 1
1 1
1 1
I I
I I
I I
I 1
I 1
1 1
I I
I I
I I
I I
1 1
1 1
1 1
I I
1 s/ r-/p6 I`/nv 1
1 1
1 1
1 1 1
1 1 1
I I
1
1 1
I 1 1
FINAL
FINAL
SEPA.
ESA.
SHORELINE:
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417-4653 I 1 1 1 FIRE DEPT
PLANNING DEPT 417 -4750 I �j 1 1 1 I PLANNING DEPT
BUILDING 417 -4815 17/ t✓6' 1 Y 1 1 BUILDING
T• \Policies \1102_15 building permit inspection record05.wpd [114/20051
COMMENTS
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
I I I
I I I
I I I
Applicant or Agent: 1 A .15j t� `AN'6 Phone:
Owner tr ,2-26-- C2-��5 Phone:
Address: 4 I( 6L il./J..:6ie )7� 1- City Zip
Architect/Engineer Phone:
Contractor State License 4
Address: �J City.
PROJECT ADDRESS 7 i& �i/Aa dt
LEGAL DESCRIPTION Lot: Block:
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
BRIEF DESCRIPTION OF THE PROJECT
COMMERCIAL/RESIDENTIAL. Occupancy Group
No of Stones: Lot Size: Existing Sq Ft.
Total lot coverage
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
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
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
I hereby certify that I have read and examined
apply for this permit and understand tha it i
must obtain such permits prior to work.
TAFORMS\B1dgPermitform.wpd App
Subdivision.
Exp
Phone:
Zip
ZONING
STZF/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION
Occupant Load. Construction Type
Proposed Sq Ft. TOTAL Sq Ft.
Date:
FOR OFFICIAL 67 (/-2'-'
Date R ec. U�
Pennit 7�
Date Approved: 7
Date issued: S��✓/ O,
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordmator at 417 -4815 for assistance.
PLAN CAFCK 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.
lication and know the same to be true and correct. I am authorized to
onsibility to determine what permits are requjred not the City's, and that 1
Jun 11 07 11:56p
Mitchell Blackburn
360-582-3874
p,1
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Job wired by
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ELECTRICAL WORK PERMIT APPLICATION.
DOwner
Jo'Stallalion description
o Commercial ~Residential
o New ~teredlAddition ,
Electrical contractor name
~
Purchaser's mailing addttss
:?37 t<c ~t-$O~ RP
uP&R..A-O~ 8'XIST/AJ6 ~l:SR:.0
City
PoR-T
~
StIW: ZIP
r>JA--, qe~G Z-
FAX n~
g'=D- <'/.:>2.-.-5'3 ~5
RtSEFS
P,Q..DIV/ 2cl:::> ~ ' "TO :5 20 (J--
kl / l2'514- ~B PfseD To,
I
tJH2.POP-T ;()-R.l!J"i-..
J'ZS IJ-
TelephoDC Dumber
3>Ge>-5'e>2-- 387<1
pr~;MV~/ D7c fi>~T.
Address. of iospectiDo
'li"', ,~IJ I!R~ CtAc..t....e
City 0 /I"
_I 6~T ,l:TN~.:S. ,W~
Pbone DU19ber Co ~~bedule iDS tloD:'
3\00 ,-'t'57- to
Owner as defined by RCW./9.28.16J:(I) Owner will occupy Ihr slruclurefor IWO
years after Ihis eJeclrical permit is finalized. (2) Owner is reqwed to hire an electrical
COnlractor if above ~a;d property is for sale. renI or ItuUf!.
After reading the above statement. J hereby certify that J am lbe owner of the aboye
named propcny or a licensed electric::a.l contracfor. I am making the electrical instBl-
latlon or alteration in oompliance with the electrical laws, N .E.C.. RCW. Chapter
19.28, WAC. Chapter 296-468. The City of Port Angeles Municipal Code, and
Utility Specifications.,
Signa~,/! of OW7("t.lClrical conh'utor or electrical admialstrator
X/f/;J. tt!4t4- I3~Date:t-/2-'07
Electrical Load Additions and 01' subtractions
Q NO LOAOCHANGES '/n-fJ's'
o Baseboard KW
tJ Furnace kw a Overhead Service
[] Heal Pump _ Ton _ LAR 0 Temp Service
CI Fart-Wall KW %underground Service
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
.:! ~.
'-'L{e:,- r", eD
'?83b2-
CIPL.
I e- rx:>.;, .~" C-l~i:..
"gw f .;l. r UOLJe.:>
o Cash 0 Check #
'Ji Creilil Card
Card #
ExpiratioD Date
of card
Service rnformation
Voltage
Phase01Q3
Service Size:
Feeder Size:
, ., ..,
ROUGH-IN r THERMOSfAT r SERVICE
Dale Appl'Owed Bl" c... .........., }h.~/07 4d7
" 0, Afpnnocd s,
FINAL DITCH , r l'EEDER ....,
/- . 5-- "7 Az.o ~ ,/0'7 Aa
'Dale Approwal By "'-...! Oak Appm...a1 By " 0... o\ppfQVal. By
InspcetioD' Are., Building or Equipmcn'lnspected Elec:lrical
Date Action Taken Inspector
~-Z.O- 07 WILL Nab L~ F>>b-mo""'T TllIWSI'C/Z.Md r Tier Ilfnf.l/ro API! /UL.
IRECEI' ED .
, "" 1 n '",
...VI1 .L ~ . 'v.
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Jun 11 07 1156p
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360-582-3874
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