HomeMy WebLinkAbout121 E Park Ave - Building
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ELECTRICAL WORK PERMIT APPLICATIbN
oc;;2. - 0tX:> 2- ",~",,,,, .
~trical Contractor Installation descriPti~ .
Job wired by .0 Owner o Commercial Residential
Electrical contractor name License numbcr Datc Expires ~
Ni)y"" ~"''',''-'-\/\ '0\pc'>;;",,- NO'- \- \,,'f e. "\ 'to(Y\ l.- o Altered/Addition
Purchaser's mailing address (:.:~ (' G '-'-'- -\ <::.
\\.00 pe... So\-.. \.>..A ~'€..- 'f Ar~ '~ P\" \-erL~
-
C-fb v\ State ZIP
~"b'2.>e_ 'b \j.J\ ~"60~3 ;;:)x:-r) '0 X"\ ,( 'f().,~ U:fGr '1c
Telephone number FA~m~\_~ <;;, 3~
u.:.,\- n \.Q~
Premises owner's name \'\.~ \\e ~
\ ',::)<::"1'"'\"\ 0- \. \
Address of inspection Yf\~ \C-
\ ;A\ ~
City ~ :$"3G '-
\Q=,~ ~ Ice \e..--S. ~
Phone number to schedule inspection: '-\-y,,- \ '\ la. u",
Owner as defined hy,RCW 19.28.26/:(/) Owner will occupy the strllctllre for twu
years after this electrical permit is jinalized. (2) (fiI-'IIer is required to hire all dectrical
cOII/ractor if above said property is for sale. rent or lease. 0 Cash o Check#
A fter reading the above statement, r hereby certify that I am the owner of the above ~Card
named property or a liccnsed electrical contractor. I am making the electrical instal. Visa Mastercard Discover
lalion or alteration in compliance with the electrical laws. N.E.C.. RCW. Chapler ~-
19.28, WAC. Chapler 296.468, The City of Port Angeles Municipal Code, and Card # ___ 0_1\...._ - \e...._-____
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator Expiration Date
X "\'0", '" Q.... \0C-----Date: \-kO"6 of card ( $nspection fee
Electrical Load Additions and or subtractions
D NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
D Fan-Wall KW
L
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD 1D 3-
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
~ ROUGH-IN
+il5/ ~
Dalc Approvcd By
FINAL
,7/~D~lD0 ~
Appro,edBy.../
Inspcction
Date
THERMOSTAT
Dale Approved By
/ DITCH
"- Dale Approved By
, SERVICE
I),-//a, A~/
t Datl!
FEEDER
Dale Approved By
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
.,' .
( ,
\-
\
"
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
-Cm""Z-
INSPECTOR
~
ADDRESS
12,1 "E ? 1<:..1<
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . .. . . . . SERVICE.. . . .. . . . .. . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
-' .~
CORRECTIONS NEEDED:
'-. lSn1l Q<..,l;UU.ION \)1 S?6S};:" I Lc:oK~
() ll\l _ "E-Y 1\.1 liE. c 3 I L{ ~ 2.[')
~ vc:.c.'E. 'rI p,."C. L- t:.- \1\ i:7E.. 12., '" \ t7 L '("'
-hwNbfl'D ( 1$2.0K~N ~tJ:il:~ ~tlJZ:.s:l c~
_ N./'Z..-c- 466.4 p.,
_ f~,>< ~JZl)~{ t-IffI 1J.~~E 1\l~"3't?,.2.1{
/il.>-\ GLoSE~ ~l""" :;:""= r,.o<;,E( cr
NlZ..G '-tlO.8"'Bt
GfCI ('~nC1 rL.DO~ I-IJf...AT 1\1~c.. "t2y.~l} (".
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
ELECTRICAL PERMIT APPLICATION
fOR OFFICIAL USE ONLY:
Dalc:R.cc.:
P<nnit#: 7 ~ II
Dale Approved:
Dalewucd: ~/< $-1 Z<l~/
,
The Electrical Permit Application must he filled out completely.
Please type or print in ink. If you have any questloos, please call (360) 417-4735
Fax number: (360) 417-4711
Applicant and/or Agent: ~km Ih1 ~/c Phone:
Property Owner: /If ; II ~ ~
Address: City:
Contractor License #: Exp:
Fax # 41502 - 7$7y
Phone:
Zip:
Phone:
Zip:
Address:
City:
Credit Card Holder Na~~~ [30 b bit. (). C:Jk.nt I/-U
BillingAddress: S2Z- w, lIP ..:l.1.
Credit Card Number
Permit Fee: ~ 9". .:LS
CitY. /b,d-,4.,"ric.. Zip:VA'-76Z.
.
Exp. Date:
PROJECT ADDRESS:
/~/
t;- p~ r Ie..
ZONING
LEGAL DESCRIPTION: Lot:
Block:
Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
o Residential 0 Mulli-fanlily 0 Commercial 0 Mobile Home
Electrical Permit Cees are based on WAC 296-46-910
BRIEF DESCRIPTION OF mE PROJECT:
//01 TuB
Electrical Heat Load Additions
Service InCormation
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
KW
KW
KW
KW
o Riser
o Overhead Service
o Temp Service
o Underground Service
V ollage:
Pbase: 0 I 0 3
Service Size:
F ceder Size:
Comments:
I hereby certifY thai I have read and examined Ihis application and know Ihe same to be troe and correcl. and I am authorized to apply
for Ihis permit. I understand il is not the City's legal responsibility to determine ltofIat permits are required; it remains the applicants
responsibility 10 delermine whal permits are required and 10 obtain suJ.!~ ~ C{t~
PW-l102_23 [=3/.001 Credit Card Holder's Signature: /'L/U,tJ '-1-\. (!.Q. ~ Date: sf; (;,/~O
,
\\- . ~~
T,~il
"<i",';;i5',. t;D
'- &'
.--- - . . .. -- '..... . -. ....". ", I 1-1'-''' I IV1'o1
"."""'---"1
l'l"IlI1i..,
I)'d~ "r'!"""l"'l:_~~,~_._
1).,( l'\'''d:.~~____.:...-
JlTl #97/ .
Tltl') E1N7lJiC:lI P(~rmil ^PrIIiC~lion !!~,~~I....Q..c..!ll!~d CUI comDlelelv.
Please lyre Or reprint In Ink, It you haw;- ::rnr qUf'sllons. ph~..ase call (360. 4174735
Fa:.: fJUmhF'r: (.'360) 417-4711 '
OW"., 0' Elec. (:onl,"<IOI Agcnl:-1".NGELES_El.ECTIll t' ] NC~
REQUEST INSPECTION 0
ProPP.rt? Owner:
Ga;/ /'r);I/er-
/'J,.l ~;J~1)r-k
Phooe.4 ~7-'12!i1-_ Fax: 4 '\7-'17';<;
Cily:
\;.:; fJ, .
ANGF./'I':IA 60RS
Licrlrl~c tt: Exp;
Phone:
^"oress:
Electrical Conlraclor:
Jl.NGELES ELECl'HIC INC,
Zip:
Address; 524 EAST FIRST
>
Pt~one .
~ 'D-Q7f>4
Cily PORT ANGT:;1,ES. WA'
Zip; 911362
INSTALl.ATION WIRED BY;
I.IOWNER.
x>f.LF.:CTRIC^L CONTF;^CTOR
Credit C8rd Holder N8me:-----.:rp(1 s, "'pSOJl
Billing Address:
City:
Zip:
Credit Card Number:
Exp. Dal,,:
VISA:_MC:_
PROJECT ADDRESS:
/;2/
L
r.'~c.
TYPE OF WORK: Check alllhal apply: . [J New
~esidenlal 0 Multi.family 0 Commercial
IDlleralionlAddition
. 0 Mobile Home
Sq. Ft
o Remote Meter 0 Detached garage [] Hol Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 Sign
Number of Circuits added or a.ltered: 3
DESCRIPTION OF THE ELECTRICAL PROJECT:
)
iLl) 50,-, hy ~"e/
'J~ err c, I :+S
Electrical Heal Load Additions
q?'L-rrfj.
ServIce Informallon
o Baseboard
CJ Furnace
:J Heal Pump
0'1 Fan-Wall
_KW
,---KW
_KW
I'~KW
o Overhead Service
o Temp Service
LJ Underground Service
Voltaae: J ;20/;1'/0
Phase: S 1 '0 3
Service Size: .
Feeder Size: I/{) 1+7./
'AMC 14.05.060(B): F~r industrial. commercial, & residential projecls larger Ihan a duplex: a one -line drawing of Ihe Electrical Service &
=eeders, bUilding size (sq. N.j, load calc'Jlalions, and Ihe type & of conductors andlor raceway is required and shall accompany the
=Ieclrical Permll applicalion.
eM- (del-
, hereby certify that I have read Bnd examined (his application and know that same to be true and correct,' and lam
lUthorized to apply for this permit. I understand it is not the Cily's legal responsibility to determine what permits
~re reqUirer it remains the applicants responsibility to determine what permits are required and to obtain such.
lo/~o) . .
. Credit Card ~lo'der'$ Signature:~. J~ .1"_ ~~.t""l J.~ Date:
k( - Owner or Ell!c, Cant. Signature: Date:
'W-90;Jo ~ Ili~.-f- w/f:-fec,f tJ-fJ, (f1- 0'& *5-
f1NIft,~D ..~((~~_
/0 {./03 . .
/'~ S9G6 GSV 09E JNI JldlJ3l3 S3l3~N~ NOd~
(5
4' r;~ .30
NdLS'GL E0G-l0-01
Dee 19 07 10:32a
Dave's Heating & Cooling
360-452-0939
p.1
~.-
..~ .. "
~:~!
.....~
ELECTRICAL WORK PERMIT APPLICATION f'
.
Job wired by
lectrical Contractor [J Owner
InstOlllalion description
o Commercial ~esideDtial
Electrical contraclor name
eO:, eA-h ~~(;...
p7J.b:1ser's mailing addle
.0, Ir.ix '-f (-3
Cit
'PoYkkF'
T~jl2..nC' numbe
7'::::>~3
p;;J:;;';'~je:;;tim~ 6tLl. f
Addrl:S5' or insp~,c:tioD It.
1,;1../ 6. c:<rk Avei"\CA.R...
C'fJOrA-- An~
Phonf' number fo scbe ole iaspec:tion: ~S;;;;;- /l-r..:a
License number
Date Ex ires
~ew
o Altered/Addition
.5Cv"1I1' ;;;;...c.... 0"'1
.PAVes Kc.q<=( \ ~c
/Ot.<.) .ra (+a.~ ~ o.s~=t- WI'
State Zf?
01\ C(fG.(,?-
FAX number
M ,({-er
9
,
V\
-
Owner as defined by RCH:19.28.16.r:(!) Owner ......m OCCIlPY ,he ~/rUClu"e lor two
years after (hi.) electrical permit is finoliud. (2) Owner j~' required Jo flire un electrical
contractor if above said property is for Jole. renl or Jeu~e.
Aficr r~adinG th~ above slatemcnt, I her~by CCr1if~ thOlt [ am the owner of t.he above
nllmcd propert): or a licenscJ electrical contractor. I am making the c)cctricu] instal.
lation or aheration in compliance with the electrical laws, N.E.C.. RCW. Chapler
19.28. WAC, Chllptt:r 296-466, Th~ City of Port Angeles Municipal Code, and
Utility Sp~ejJ1cations.
Signature of oft/net, e1ectrka{ coulraclar or eJe<:trical 3dminislralor
o Cash 0 aleck #
lil"Sedit Card VISa
Card #
Mastercard
Discover
----------------
x
Date:
Expiration Date
of card
Insp~Clion ~
$3:5-
Elec r ca load Additions an 0 subtract.ons
CJ N LOAD CHANGES
CJ Baseboard KW
Iil""Jurnace ft KW
[lJ'Heat Pump ..;J.. Ton.!:11. LAR
:J Fan.Wall KW
Service 'nformation
CJ Overhead Service
o Temp Service
o Underground Service
Voltage
Phase CJ 1 CJ 3
Service Size:
Feeder Size:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
( ROUGH-IN THERMOSTAT , SERVICE
~~
Ihle Appro...t;:d Oy Jale N:pro.,td By
I' I'lNAL DITCH ) ( FEEDER
$~
Dale ^l>pr(wtd By./ " D~lt APJ'lo..."d By
Inspection ! Area, Building or Equipment Inspected Electrical
Dale Action Taken Inspector
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
!21 F. AfiT 5TH STREET. PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 6/25/2001 PERMIT NO 7311
OWNER/APPLICANT PROPERTY LOCATION
WENDALL MILLER 121 PARK AVE E
121 E PARK Lot: E 1/2 15 & W 1/2 16
Port Angeles, WA 98362 Block: 5 [] Long Legal
360/452-1173 Subdivision: PSCC 2ND ADDN
T: S: Parcel No: 063010500560000
CONTRACTOR ARCHITECT
COLEMAN ELECTRIC N/A
PO BOX 1326
PORT ANGELES, WA 98362 , 98360-0000
360/452-7594 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: HOT TUB
Occupancy Group: Zoning Use: RS7
Electrical Heat: ,._
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 0 KW [] Overhead Service Voltage: 120,240
[] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3
[] Fan Wall 0 KW Service Size: 0
Feeder Size: 50
PROJECT NOTES
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $44.25
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $44.25
AMOUNT PAID: $44.25
BALANCE DUE $0.00
( ()MMt.?~T~4/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL ,~ ] 7-~735 FOR ELECTRICAL I]qSPECTIONS. PLF~SE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA It/FUL TO CO
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED~
KEEP PERMIT CARD AND APPROVED PLokNS AT JOB SITE
DITCH
ROUGH-IN / COVER 7,~//~ t/ ~r~
SERVICE
FINAL I ?//~,/ { ,?//h {
GENERAL COMMENTS:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16248
Port Angeles. washlngton......L....Q.:::::...:::t.LP.m.__mmmm..__. 19__.1..:7
In accordance with the City Ordinance to regulate the installation. extension. or repair of elec-
trical equipment in. on. or about any building or other structure in the City of Port Angeles. per-
mission is hereby granted to dO electrical work as listed below.
Address .__m.l.2:.L.m.__.__.__.__j;.m:!.~IfI,_____.._mm____.____ Occupancy___.________C-b,-=m.___.________..____
~ #' -
Owner m=y.#:::~tft..i!~'-_::id!::d___{~'!:!f1'..~~t..'L.:n._.h_____ Tenant..._mmmmm___..n___.______..mu__m_.m.h..._u..___m
Wiring C';;n;ac.?o'r __~.s;..__~l)l~/.,1m~.!.~J._:__.__________.____ By.____.m__mm.mmmm__m.______m__..___._____.___________
v
~ ~- fc-1 , . ?- <If)
Light Outlets__.....h.__..................._.._._... Service, volts __...______.___............h______....
Receptacle Outlets__..~.Q................. No. wires ..h.......:J.........................
D'ye,. KW mm__....__../_~_...__........._..... ::~n ;~::s::~f~~;~~:;:f~::~::
Range, KW ..h__..h__l..L.~._.h___......__
Water Heater:
Enclosure .......___..__......__....____...__..__
-
KW_............__lL___'!.......
Heat: KW....!..3.__~....~.J3.i3.d..;.~h~.
,
Type of wiring:
Entrance Cable ......__m.___m__.._______
Motors; size, volts and phase:
'j .
U-'--<J._~I"l_
(fj::::c;.:L:f=::~::::::::::::::::::::::::::
Rigid Conduit __.............................
Metallic Tubing ..___...___.....
Current transformers:
No. & Size....___....______
Ser. No....._..__..____..._..__..._____....__.__..._.
Ser. No. ..__..h..........h....................__...
Ser. No.__._________..____..__....____...............
Total wad......h................h...
Ser. No.__..__.__..__.____............____...____._..
......-J.-1" ~,() l")~"IAAA~
nnnnn.u____~u-_nnuuuh.-n--n-h-h-...-h.u-nnn.--h..nnuu__u--....un.nn.nunnnn____.__...__.n_nu..uu_u..n___n.n.._
Total ......2-...,Q......__............__
Remarks:
Type of Wiring:
Armored Cable ...__.............__.....__._
Non-Metallic ..................__........_..._
Knob & Tube.__....................__.....__..
Rigid Conduit ...............................
Metallic Tubing ...........................
Raceway .._...__.........................._..._
Circuits, Light........:.-:S.._..........................
~.
DUlft;- ..........::z'::~:..................._......
I.Icat ..../..::;?...:...............................
Range .....~....__....................._....
Water Heater ..___~.................
'~
Motor ............_........................._..__..
Drycru_u__..u____.~......................._
F Il rnace .........................,~.__........_.......
Permit Fee Treas. Receipt
$__n2..__~__~__:__~___m.m. NO.nmmm__m__m__.__.. By nt..U..~!m.s.:.!::..di.~!.-=,.,:'::.~.::::::'_m
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected berore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
Address
N?
16248
It
" . .
Owner h...............__................_......_.._..:...___...._.._............_.___............................__.....__.... Tenant....__......__..__......___.........................h..............
Date..._......._.._.._:._.......__._......_......__.::.....
WiringContractor........................._..........._...................._..n...........,._.._.......................................By..............._....................................._........
NOTICE-Current must nDt be turned on until Certlflcate ot Inspection has been Issued. It work i13 to be con-
cealed due notice must be given the Inspector so that work may be inspected berore concealment.
1M Olympic Printers, Inc.
"
.
C/;-JU\..~vp 0 '" ,
"'I ~ (p - 7 q. fA) ~~ CAw..-w<;\,
:
MEMO:
August 31, 1979
TO:
Larry Wickersham
FROM:
T. G. Honnold
HE:
New Residence, Pi;irk Street, John Wei;ir
Following my discussions with Mr, Wei;ir on Tuesday, mee.ting with him On
si te Wednesday and my discussions with you on Thursdi;iy, .the followin<;r is i;i
summary of the electrical wiring corrections and or i;ilterni;itives being
required by the Light Department.
Please make corrections, additions and/or deletions in this summary
as best you can from memory.
1. Meter Loop:
~A.
Replace l;;" thinwall conduit with 3/4" rigid.
or l--1IIt~i/ c'pt!-1?.N1fS I;' C,T. cu.-1c1u;f
,
/10 GMdtt/s
Y tl../Vl
~B. Connect conduit to C.T. can with nuts both sides.
A/!>D a-l l?1al..-vl .ptJ4-1tds.
I-C-;
L.B. plate must be accepsible when used.
N(JJI tfNrl1?,J/t'd /"q -f'U;'~ CXiS-e.,
9?YflC,UG03 Rot
pgrmi~tgd is 91tp19cion proof ~r03.
~D: Meter loop not permitted overhead through garage.
(15 foot
rule for unfused conductors within building, permits longer
runs under concrete but not exposed).
/
2. Meter base must be of short circuiting ~ plunger type.
'-- -
3. Must have plastic bushings on 2-conduits going underground from
C.T. can to riser pole.
r
,
Page -2-
L4-.-
Modify dit9~ so riser can go up North side of pole.
i!;i-o:.-ud t9H-", a/So r"ertOred 0'"1-1 pole. i~i(
5.
Between Garage and House.
To prevent moisture from entering conduit and running into
basement and panel.
~A. Install conductors in continuous conduit run.
Cl
(Hax. 4-90!1
elbOWS).~und wire must then be run external to conduit.
OR:
VB. Install plastic bushings on 2-conduits going underground from
C.T. can and install approved seal on conduits from house.
4-6. Between furnace and panel #2 cu. conductor not rated 125 amps to
#/ UL-,
match breaker.
6A. Furnace requires
/JA:-.-
greater than l25A breaker. Install two
IV
.-"',v'
breakers
and connect directly to breakers in furnace, abandoning two legs
provided.
(Carrior
- 20kw for future conversion to heat pump -
NO,/: /?fV1Yl"d, ,4-vn (JW<7'1 e t>-Yft:i._fJ;J?QC.e-
In,sIeQdlnji'". n4'>>1el'ldie dq;/a.. iJ1c/t.ld....>
I--:L~/o Fe,.. c;fTI1flhi/&t/$ /(><ld v.t>de. r-e~f/;'emt!vl,
Henry Corn - Sequim).
. ./ C~f'/d:t.:r
V7. In right hand panel, remove Ga&le strap from hot leg.
/
8. Low voltage conductors are bundled and held with non-meta lie
,
sheathed cable clamp. Should use grometdAot cf. stJ.pjJor-funre S
/- 1- 0 II e1M t:1I t!/ G Ir,u:v" I
~ City normally does not permit splices in run from service entrance
to panel including C.T. can.
To accommodate Mr. Wear in not
(
I
Page Three
v9: Cont.
having to purchase new conductors, a compression splice will be permitted
in the C. T. can.
~
,
tA-
~ R)u:..-e.pl/~~.
10. Recommend investigating capacity of transformer serving low voltage
lighting. Historically there has been a problem with overloading when
one used for more than two panels. >>,,1 Cd' de ,'e.p't/ n/~-B* ~
Mr. Wear has advised that~~~Electric will make the necessary
'7gIvVdtti/ . I
corrections ..!I'-hursdcty, September ,)3".
These notes will be used by Win for follow up inspection.
TGH/ls
0';' e }.II"
w.et;tv
a.,
u-f'1 ok J fUj
,kr
fari- C:/ct'.,
3e/INY'7- _ .
~ 5/tvc; t-th//
A(~ uJ(7r~- c/~
u1 $I'(?cl-~ vV///
I/(~ ~ OAfd
C~'I > aI;.!t/t>;,,/
[3 - 3-/- -7 j'
~~.
~d/-e (JUI;/ /,'f"N'~/r ~r-
/~t.7 cltn"'"ye" H~q/ cL~
de. >>1dale c1fkr /Jt>y#!/ '/-
4C//JL:'C4"~~ t?rL ~/eh~,
--.-
7 ti/c
PREPARED 4/14/08 9 06 34 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/14/08
ADDRESS 121 E PARK AVE SUBDIV
TENANT NBR WENDELL MILLER
CONTRACTOR BROTHERS PLUMBING INC PHONE (360) 452 3259
OWNER WENDELL D GAIL MILLER PHONE (360) 452 1173
PARCEL 06 30 10 5 0 0560 0000
APPL NUMBER 07 00001413 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 12/18/07 JLL BLDG FRAMING TIME 01 00
12/18/07 AP December 18 2007 8 47 58 AM 1pangrle
WENDELL 460 9838
FRAMING
AFTERNOON
BLI 01 1/08/08 JLL BLDG INSULATION
1/08/08 AP January 8 2008 8 30 24 AM 1pangrle
WENDELL 460 9838
INSULATION SMALL EXTERIOR WALLS
A. BL99 01 4 14/08 JLL BLDG FINAL TIME 01 00
April 11 2008 4 12 17 PM 1pangrle
WENDELL 460 9838
BLDG FINAL
AFTERNOON
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 1/31/08 PS MECHANICAL GAS LINE TIME 01 00
1/31/08 AP January 31 2008 8 40 07 AM 1pangrle
WENDELL 460 9838
GAS LINE
AFTERNOON
January 31 2008 4 41 05 PM pbarthol
ME99 01 4/_4/0 JLL. MECHANICAL FINAL TIME 01 00
April 11 2008 4 12 57 PM 1pangrle
WENDELL 460 9838
MECHANICAL FINAL
AFTERNOON
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 12/18/07 JLL PLUMBING ROUGH IN TIME 01 00
12/18/07 AP December 18 2007 8 49 08 AM 1pangrle
WENDELL 460 9838
ROUGH IN PLUMBING
AFTERNOON
PLUMBING SHOWER PAN
January 22 2008 8 25 28 AM pbarthol
CASEY 670 8714
January 22 2008 4 29 05 PM jlierly
PL99 01 4/14 08 JLL PLUMBING FINAL TIME 01 00
April 11 2008 4 13 18 PM 1pangrle
WENDELL 460 9838
PLSP 01 1/22/08 JLL
1/22/08 AP
PLUMBING FINAL
AFTERNOON
COMMENTS AND NOTES
PREPARED 1/31/08 11 18 59 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/31/08
ADDRESS 121 E PARK AVE SUBDIV
TENANT NBR WENDELL MILLER
CONTRACTOR BROTHERS PLUMBING INC PHONE (360) 452 3259
OWNER WENDELL D GAIL MILLER PHONE (360) 452 1173
PARCEL 06 30 10 5 0 0560 0000
APPL NUMBER 07 00001413 RES REMODEL
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 131/08
3 l
JLL
MECHANICAL GAS LINE TIME 01 00
January 31 2008 8 40 07 AM 1pangrle
WENDELL 460 9838
GAS LINE
AFTERNOON
COMMENTS AND NOTES
PREPARED 1/22/08 11 02 49 INSPECTION TICKET
CITY OF PORT ANGELES
ADDRESS
TENANT NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
PERMIT
TYP /SQ
PL2 01
PLSP 01
121 E PARK AVE
WENDELL MILLER
BROTHERS PLUMBING INC
WENDELL D GAIL MILLER
06 30 10 5 0 0560 0000
07 00001413 RES REMODEL
PL 00 PLUMBING PERMIT
REQUESTED INSP
COMPLETED RESULT
12/18/07 JLL
12/18/07 AP
1/22/08
DESCRIPTION
RESULTS /COMMENTS
INSPECTOR JAMES LIERLY
SUBDIV
PLUMBING ROUGH IN TIME 01 00
December 18 2007 8 49 08 AM 1pangrle
WENDELL 460 9838
ROUGH IN PLUMBING
AFTERNOON
PLUMBING SHOWER PAN
January 22 2008 8 25 28 AM pbarthol
CASEY 670 8714
COMMENTS AND NOTES
PHONE (360) 452 3259
PHONE (360) 452 1173
PAGE 9
DATE 1/22/08
PREPARED 1 /10 /08 8 43 37 INSPECTION TICKET PAGE 10
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/10/08
ADDRESS 121 E PARK AVE SUBDIV
TENANT NBR WENDELL GAIL MILLER
CONTRACTOR DAVES HTG COOLING SRVC INC PHONE
OWNER WENDELL D GAIL L MILLER PHONE (360) 452 1173
PARCEL 06 30 10 5 0 0560 0000
APPL NUMBER 07 00001510 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 1 /10/08 J JanuaNICAL FINAL 8IME O1 00
a rC January 9 2008 3 38 29 PM 1pangrle
JEANNIE 452 0939
MECHANICAL FINAL
AFTERNOON
COMMENTS AND NOTES
PREPARED 1 /08 /08 10 37 21 INSPECTION TICKET PAGE 16
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/08/08
ADDRESS 121 E PARK AVE SUBDIV
TENANT NBR WENDELL MILLER
CONTRACTOR BROTHERS PLUMBING INC PHONE (360) 452 3259
OWNER WENDELL D GAIL MILLER PHONE (360) 452 1173
PARCEL 06 30 10 5 0 0560 0000
APPL NUMBER 07 00001413 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 12/18/07 JLL BLDG FRAMING TIME 01 00
12/18/07 AP December 18 2007 8 47 58 AM 1pangrle
WENDELL 460 9838
FRAMING
AFTERNOON
BLI 01 1/08/08 ```'''L BLDG INSULATION
1 January 8 2008 8 30 24 AM 1pangrle
WENDELL 460 9838
INSULATION SMALL EXTERIOR WALLS
COMMENTS AND NOTES
Application Number 08 00000002
Application pin number 146860
Property Address 121 E PARK AVE
ASSESSOR PARCEL NUMBER 06 30 10 5 0 0560 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
WENDELL D /GAIL L MILLER
121 E PARK AVE
PORT ANGELES WA 983626930
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
Fee summary
ELECTRICAL ALTER RESIDENTIAL
Charged Paid Credited
Date 1/03/08
NORTH PENINSULA ELECTRIC
761 FRESHWATER PARK RD
PORT ANGELES WA 98363
(360) 477 1764
118372
NORTH PENINSULA ELECTRIC
64 00 Plan Check Fee
1/03/08 Valuation
7/01/08
Due
Permit Fee Total 64 00 64 00 00 00
Plan Check Total 00 00 00 00
Grand Total 64 00 64 00 00 00
00
0
Qty Unit Charge Per Extension
1 00 64 0000 ECH EL R OR RM 0 200 ALT SRV FDR 64 00
SPECTION
TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
7 YriW
1D6 4
ELECTRICAL
RESULTS INSPECTOR
Application Number 07 00001514
Application pin number 273650
Property Address 121 E PARK AVE
ASSESSOR PARCEL NUMBER 06 30 10 5 0 0560 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL FAMILY
Application valuation 0
Owner Contractor
WENDELL D /GAIL L MILLER
121 E PARK AVE
PORT ANGELES WA 983626930
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 117986
Sub Contractor DAVE S HTG COOLING SRVC INC
Permit Fee 35 00 Plan Check Fee
Issue Date 12/20/07 Valuation
Expiration Date 6/17/08
Qty Unit Charge Per
1 00 35 0000 EC EL LOW VOLTAGE
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
Charged Paid Credited
35 00 35 00 00
00 00 00
35 00 35 00 00
Date 12/20/07
DAVE S HTG COOLING SRVC INC
PO BOX 413
PORT ANGELES WA 98362
(360) 452 0939
Due
00
00
00
00
0
Extension
35 00
INSPECTIOl\
TYPE
DITCH
SERVICE
ROUGH
FINAL
COMMENTS:
ELECTRICAL
DATE RESULTS INSPECTOR
3)1S i,Df3 <AY
Application Number 07 00001510 Date 12/19/07
Application pin number 677650
Property Address 121 E PARK AVE
ASSESSOR PARCEL NUMBER 06 30 10 5 0 0560 0000
Tenant nbr name WENDELL GAIL MILLER
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 7945
Owner Contractor
WENDELL D GAIL L MILLER
121 E PARK AVE
PORT ANGELES WA 983626930
(360) 452 1173
Permit MECHANICAL PERMIT
Additional desc ELEC FURNACE HEAT PUMP
Permit pin number 117945
Permit Fee 64 80 Plan Check Fee 00
Issue Date 12/19/07 Valuation 7945
Expiration Date 6/16/08
Qty Unit Charge Per
BASE FEE
1 00 14 8000 ECH ME INSTALL 100- FAU
Fee summary Charged Paid Credited
Permit Fee Total 64 80 64 80 00 00
Plan Check Total 00 00 00 00
Grand Total 64 80 64 80 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.
19-1ri107 6(4(e-rIk0.,,.,,P
Date Print Name
T.Forms/Building Division/Building Permit (10 /01 /07).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
DAVES HTG COOLING SRVC INC
PO BOX 413
PORT ANGELES WA 98362
Due
Extension
50 00
14 80
C
c)"'
Sign ure of Contractor or Autholized Agent Signature of Owner (if owner is builder)
CALL 417 -4815 FOR BUILDING INSPEC
CALL 417 -4807
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT
INSPECTED AND ACCEPTED.
KEEP PERMIT CARD
INSPECTION TYPE DATE
FOUNDATION•
1
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 ft's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING
FIRE
PLANNING DEPT
1 BUILDING
417 -4807
417 -4653
417 -4750
417 -4815
T Forms /Building Division/Building Permit (10/01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
TIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
FOR PUBLIC WORKS UTILITIES
IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
POST PERMIT IN A CONSPICUOUS LOCATION
AND APPROVED PLANS AT JOB SITE.
ACCEPTED COMMENTS
YES 1 NO
FINAL DATE
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
1 BUILDING
DATE
ACCEPTED 13Y.
FINAL 0 (v DATE J ✓v ACCEPTED BY.
ACCEPTED
YES 1 NO
0
Dec 19 07 09 Daves Heating Cooling
Owner's Address
m'Residential
o Multi family
G Commercial
Repair
BUILDING PERMIT APPLICATION
360 452 -0939
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8 x 11" site plan MUST BE COMPLETE to be
accepted for review. (360) 417 -4815 FAX (360) 417 -4711
Residential projects: submit two sets of plans
Commercial projects: submit three sets of plans
Applicant or Agent 22& v2 kea41 rte r n m, Phone 4 7`5i -cam 3 9
Owner WanIe 6cx (I t (-er Phone 1 73
,V I E Park ve,t PO A-h 9S�-kS
Contractors laves 4-{ea-t-t State License Z4 V SHC-q (KGExpires
".ServiGrZ c
Contractors Address P. G .130,e '4(3 Po,-a- ,4n
PROJECT ADDRESS. 1 E Park ,4 ve c.ce.
LEGAL DESCRIPTION Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK
New Constr
O Addition
o Remodel
o Sign
O Re -roof 0 Stove
Move 0 Garage
Demolition 0 Deck
Other
S1,6
Phone 4 f5 .9 -og3
ZONING
SIZE/VALUATION
SF Qa S /SF
SF /SF
SF a@ /SF
TOTAL VALUATION `7. Y H 5. oc,
tr -5 rt. ih cicc4.1 A.?
v
BRIEF DESCRIPTION OF THE PROJECT
S-toL Gr`. O-c E'.l ectr 1 G.. -Ft.(
G..)c) r k.
COMMERCIAL/RESIDENTIAL. Occupancy Group: Occupant Load: Construction
Existing Structure(s)basement
1" floor
2 floor
3`d 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
Sq. Ft. Proposed Structures) basement
Sq. Ft. In floor
Sq. Ft. 2o 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)
Are you planning to install.a lawn sprinkler system?
(Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
p1
FOR OFFICIAL USE ONLY-
Date Rec.. 12 I C c 1
Permit it 7 l Ci in
Date Approved:
Date Issued:
Sq. Ft.
Sq. Ft
Sq. Ft
Sq. Ft.
Sq. Ft.
Sq. Ft.
Sq. Ft.
Ft
VALUATION OF CONSTRUCTION: h 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. All 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. (IRCIIBC 2006 105.3.2)
1 hereby certify that 1 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 that it is my responsibility to determine what permits are required, and that i must obtain
such permits prior t9 work
Date o� !D 1 Applicant
•1FORMSIBUILDING DIVISION\BIdgPerm'rtAppl:2006 CODE backup. v d
PREPARED 12/18/07 9 07 51
CITY OF PORT ANGELES
ADDRESS
TENANT NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
PERMIT
TYP /SQ
BL3 01
PERMIT
TYP /SQ
PL2 01
121 E PARK AVE
WENDELL MILLER
BROTHERS PLUMBING INC
WENDELL D GAIL MILLER
06 30 10 5 0 0560 0000
07 00001413 RES REMODEL
BPR 00 BUILDING PERMIT
REQUESTED INSP
COMPLETED RESULT
PL 00 PLUMBING PERMIT
REQUESTED INSP
COMPLETED RESULT
12/18/07
RESIDENTIAL
DESCRIPTION
RESULTS /COMMENTS
BLDG FRAMING TIME 01 00
December 18 2007 8 47 58 AM 1pangrle
WENDELL 460 9838
FRAMING
AFTERNOON
DESCRIPTION
RESULTS /COMMENTS
INSPECTION TICKET
INSPECTOR JAMES LIERLY
SUBDIV
PHONE (360) 452 3259
PHONE (360) 452 1173
PLUMBING ROUGH IN TIME 01 00
December 18 2007 8 49 08 AM 1pangrle
WENDELL 460 9838
ROUGH IN PLUMBING
AFTERNOON
COMMENTS AND NOTES
PAGE 9
DATE 12/18/07
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 07 00001413
Application pin number 494813
Property Address 121 E PARK AVE
ASSESSOR PARCEL NUMBER 06 30 10 5 0 0560 0000
Tenant nbr name WENDELL MILLER
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning
Application valuation
RS7 RESDNTL SINGLE FAMILY
17000
Owner Contractor
WENDELL D GAIL MILLER BROTHERS PLUMBING INC
121 E PARK AVE PO BOX 2136
PORT ANGELES WA 983626930 SEQUIM WA 98382
(360) 452 1173 (360) 452 3259
Structure Information 000 000 CONVERT BEDROOM TO BATHROOM /LNDRY
Permit BUILDING PERMIT RESIDENTIAL
Additional desc BEDROOM TO BATHROOM /LNDRY
Permit pin number 116780
Permit Fee 305 75 Plan Check Fee 122 30
Issue Date 12/07/07 Valuation 17000
Expiration Date 6/04/08
Qty Unit Charge Per Extension
BASE FEE 95 75
15 00 14 0000 THOU BL -2001 25K (14 PER K) 210 00
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 116806
Permit Fee 67 90 Plan Check Fee 00
Issue Date 12/07/07 Valuation 0
Expiration Date 6/04/08
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 2500 ECH ME VENT FAN 7 25
1 00 10 6500 ECH ME OTHER APPL N/R 10 65
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
116798
100 00
12/07/07
6/04/08
T.Forms /Building Division/Building Permit (10 /0I /07).wpd
Plan Check Fee 00
Valuation
Qty Unit Charge Per
BASE FEE
4 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP
1 00 7 0000 ECH PL EA INSTALL WATER PIPE
1 00 15 0000 ECH PL- EA BLDG SEWER
Other Fees STATE SURCHARGE
Fee summary Charged Paid Credited Due
Date 12/07/07
0
Extension
50 00
28 00
7 00
15 00
4 50
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.
12. -1 Ed n ELL. /Vt 1 LLg(L t ~/'y\' Q
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
INSPECTION TYPE
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 d's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
I FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T Forms /Building Division/Building Permit (10 /01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
DATE ACCEPTED
YES NO
I I I
I I I
I I I
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
COMMENTS
DATE ACCEPTED BY.
DATE ACCEPTED BY.
DATE
ACCEPTED
YES 1 NO
o f PORT,�,y
irervat..
11-
Page 2
Application Number 07 00001413 Date 12/07/07
Application pin number 494813
Permit Fee Total 473 65 473 65 00 00
Plan Check Total 122 30 122 30 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 600 45 600 45 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.
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T Forms /Building Division/Building Permit (10 /0l /07).wpd
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION-
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
I PLANNING DEPT 417 -4750
1 BUILDING 417 -4815
T Forms/Building Division /Building Permit (10 /01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
1'-O$ -Og
I- 3 t -o s PU
loLt
I
YES NO
I -o g o� T��
I I
I
17 -1$ 3 L•L-
I
FINAII 1 1 1 -og DATE ACCEPTED 13Y.
PLANNING DEPT SEPARATE PERMIT N's SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
Show ex-- Par 22. -0 8 r(.(_
Li-
FINAL 0 1 1 -o !ATE ACCEPTED BY.
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
1 BUILDING
DATE ACCEPTED
YES I NO
I
Applicant or Agent WEt4D L L- M IL LE R
Owner (A.YEADL LL MILLER
Owner's Address tZ,l kaK AVE. Po i' Arlb .LES
Contractor /Engineer r a,R 0 9 N-Et25 QLurnB t4I.D
Contractor /Engineer's Address cp o ?)/DX. z t31.0 SEcQuil&
License 3Ro n+ P 1 7 Q LA J
Parcel Number C to 501 b Soo 5 tpc c oo
Project Type Brief Description. (Residential Commercial
Check all that apply
New Construction
Addition
)(Remodel
Repair
Re -roof
Demolition
Sign
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
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
Existing (sq. ft.) Proposed (sq ft.)
4.
Max height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
per sq ft.
For City Use Only
t +ate Received tl —o -07
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Phone (JEL- 539
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PROJECT ADDRESS 17...t e. P,Q K AVE. ?aQ:i LC 4 LbELES. lit/A• 983(02_
Lot Zoning
Multi family Industrial
(ADD 4,51 'SA ref EX-IS i IA b jr 0..m
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wall- mounted projecting freestanding awning other
Total sign area sq ft. Maximum allowed sign area so ft.
Heat pump wood burning stove gas fireplace pellet stove other
TOTAL VALUATION 11,000
sq ft. Lot size sq ft. Lot coverage
of bedrooms
of full baths
of half baths
Ok
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 is my responsibility to determine what permits are required and to obtain permits prior to working on
projects. tn n
Date Print Name �Erl E U.. MILLER. Signature l� eD. 7YYti-�--
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ISECItal 303(c) Uniform titling Code.) A C10
i Approval Date 12- 6 B _ILI
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Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Zoning
Application valuation
Owner
WENDELL D /GAIL L MILLER
121 E PARK AVE
PORT ANGELES WA 983626930
T• \PLANNING\FORMS \1102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
03 00000971
121 E PARK AVE
06 -30 10 5 0 0560 0000
ELECTRICAL ONLY
0
Contractor
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452 9264
Date 10/05/03
WA 98362
Permit ELECTRICAL NEW RESIDENTIAL
Additional deac SUB -PNL /W 3 CIR
Sub Contractor ANGELES ELECTRIC
Permit Fee 76 30 Plan Check Fee 00
Issue Date 10/05/03 Valuation 0
Expiration Date 4/03/04
Qty Unit Charge Per Extension
1 00 76 3000 ECH EL -RM -0 200 1ST SRV FEEDER 76 30
Fee summary Charged Paid Credited Due
Permit Fee Total 76 30 76 30 00 00
Plan Check Total 00 00 00 00
Grand Total 76 30 76 30 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
Ft%
CALL 417 -4815 FOR BUILDING 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
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION•
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT if
ROUGH-IN
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL
WALLS ROOF CEILING
DRYWALL
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE /PELLET /CHIMNEY
HOOD /DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT N's:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT q's SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING
I FIRE
PLANNING DEPT
1 BUILDING
T• \PLANNING \FORMS \1 102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
YES 1 NO
417 -4735
J2-Z- ACC)
417 -4807
417 -4653 I 1 I
417 -4750 I I 1 I
417 -4815 I I I
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
I I I