HomeMy WebLinkAbout1623 E 3rd St - Buildingr '0"46 c
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 10 00000023 Date 1/19/10
Application pin number 560860
Property Address 1623 E 3RD ST
ASSESSOR PARCEL NUMBER 06 30 00 6 9 0130 0000
Tenant nbr name VIRGINIA M KITZMILLER
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 2789
Application desc
INSTALL A PELLET STOVE
Owner Contractor
VIRGINIA M.KITZMILLER
1623 E 3RD ST
PORT ANGELES WA 98362
(360) 417 3807
Permit MECHANICAL PERMIT
Additional desc INSTALL A PELLET STOVE
Permit pin number 159277
Permit Fee 60 65 Plan Check Fee 00
Issue Date 1/19/10 Valuation 0
Expiration Date 7/18/10
Qty Unit Charge Per
1 00 10 6500 EA
PELLET HEAT CO
230 EAST 1ST SUITE C
PORT ANGELES WA 98362
(360) 457 4406
BASE FEE
ME STOVE /FIREPLACE /MISC APP
Fee summary Charged Paid Credited
Due
Permit Fee Total 60 65 60 65 00 00
Plan Check Total 00 00 00 00
Grand Total 60 65 60 65 00 00
T:FormsBuilding Division/Building Permit
Extension
50 00
10 65
-A) p ,rciAcc /._iCOr* S /e- 4% /ice
Date Print Name Signature of Contractor or Authorized Agent
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 giveeuthority to violate or cancel the provisions of any
state or local law regulating construction or the performance of construction.
Signature of Owner (if owner is builder)
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
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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
PLANNING DEPT Separate Permit: #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
FINAL Date Accepted by
FINAL Date Accepted by
Accepted By
r Y 1 z -23 t J
�1�
12/30/2009 19 23 13604520503 SPA SHOP PELLET HEAT
BUILDING PERMIT
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant or Agent R�14 i M� P4
Owner V` n c. m k, 1-z. Ali 1tc►-
Owner's Address j i42. 1 E-
Contractor /Engineer te_ ,/ieie eo
Contractor /Engineer Address 2- 30
License
PROJECT ADDRESS
Pro/ect Type Brief Des
Check all that apply
o New Construction
o Addition
Remodel
o Repair
Re -roof
0 o Demolition
Sign
Floor Areas
o Heat System
o Other
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Cov 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?
T:Forms /audd ;ng Divis 'Gldg Permit Appl 2006 Code dc
cript/on. Residential Commercial
ItsP�Ai r",cife I� eeife4 7 14c_
C pr //c s tav�
ft
Occupancy group
Occupant Toad
Construction type
PAGE 01
APPLICATION, Print in ink
For City Use Only
Date Received 3a 09
Permit*
Date Approved
Phone
Phone Z y c..
3j, .y/ 7-3 07
D, c -36 d WO -'3 74
Phone 3
Expires ev _1./
K o 2 3 tF il7Jl S`� (eer phone ca-ti
Parcel Number 0 DOa p c
Lot Zonin9
o Multi- family o Industrial
Existing (sa. ftJ dosed (sa, ft)
C� persq.ft.
o wall- mounted o protecting freestanding awning o other
Total sign area sq ft. Maxi um allowed slqn area sq. ft.
o Heat pump o wood burning stove o gas fireplace iKpellet stove o other
TOTAL VALUATIONS .2- I o
sq. ft. Lot size sq ft. Lot coverage
of bedrooms
#.of full baths
of half baths
1 have read and completed this application and know it to he true and correct. 1 a authorized to apply for this perrnr and
understand that it is my responsibility to determine what permits are required, and to obtain per vts prior tp working on
pro'octs
Date Z- 3o -65 Print Name /'d+g ieeH. -5 ic.. Signatu e F i�
OA
PREPARED 2/22/10 8 24 41 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/22/10
ADDRESS 1623 E 3RD ST SUBDIV
CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452 9906
OWNER VIRGINIA M KITZMILLER PHONE (360) 460 5679
PARCEL 06 30 00 6 9 0130 0000
APPL NUMBER 10 00000123 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 2/22/10 JLL BLDG FINAL
February 19 2010 11 56 43 AM 1pangrle
Y KEN 460 0036
BLDG FINAL RE ROOF
COMMENTS AND NOTES
PREPARED 2/22/10 8 24 41 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/22/10
ADDRESS 1623 E 3RD ST SUBDIV
CONTRACTOR PHONE
OWNER VIRGINIA M KITZMILLER PHONE (360) 460 5679
PARCEL 06 30 00 6 9 0130 0000
APPL NUMBER 10 00000095 RES REPAIR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 2/22/10 u L BLDG FINAL
February 19 2010 11 57 55 AM 1pangrle
KEN 460 0036
BUILDING FINAL REPLACE GUARD RAIL ON DECK
COMMENTS AND NOTES
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
PROJECT ADDRESS J 3 e
T Forms /Build'ng Division /Bldg Permit.doc
l-e
Applicant n.AIa Z-rI -r (2,6 `7-,,j et 0
Property Owner )i rr x Yc /v► 1('1-1zho %/..rte
Property Owner's Address /z3 rd S 1
Contractor r, a zi pi cy n.. -e5 t-_-_, s°
Contractor's Address i� 4 L,
License expires
Residential .Multi- family
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
Phone
Phone
Parcel Number (5(0-3e, o 6 C, C/ 013 CS. 00 60
L/ -62
For City Use Only
Date Received je' /t2
Permit ,l U 13.3
Date Approved. J&e/ /O
Phone y5' 6
E -mail
Zoning
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof House garage other ear off re -ro er one layer
Heat System Heat pump wood burning stove gas fireplace pellet stove other
Other
Commercial Industrial
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq ft.
1 Floor
2 Floor
3rd Floor
Garage 1/
Carport 1k
Covered Porch
Deck
Shed
Other
TOTAL VALUATION I qn,cy0
Total footprint of structures sq ft. T Lot size sq ft. Lot coverage
Site Coverage the of impervious surface on a parcel including structures paved driveways sidewalks patios
and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site 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 is my responsibility to determine what permits are required, and to obtain permits prior to working on projects.
Date -9-6 6 f G Print Name E Signature
Tearoff
11/01/09
Extra Labor
Materials
Roofing Labor
Spires Roofing
Coil Homes
Project:
Item
Tyler Spires PO Box 2673, Port Angeles, Wa 98362
Cell (360) 477 3095
Jenny Kitzmiller (roof)
Remove 2 la ers existing roofing, hauli
of debris d €1.31
Description Total
Esimate
201
disposal 1,400.00
Apply 7/16" OSB plywood over skip sheathing. 1,800.00
Permit, apply 301b felt, 30yr architectural roof
shingles, new valley metal and step flashing against
walls and chimney, plumbing boots, drip edge and 4
roof vents, 7/16" OSB.
paom
2,523.71
Apply roofing. 1,350.00
Subtotal $7,073.71
Sales Tax (0.0 $0,00
Total $7,073.71
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
TEAR OFF /INSTALL 30 YR COMP
Owner Contractor
VIRGINIA M KITZMILLER
1623 E 3RD ST
PORT ANGELES
(360) 460 5679
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
5 00
Other Fees
Fee summary Charged
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
g -/C'
Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
BASE FEE
14 0000 THOU BL -2001 25K (14 PER K)
Print Name
T:FormsBuilding Division/Building Permit
WA 98362
BUILDING PERMIT NO PR FEE
TEAR OFF /INSTALL COMP
160507
165 75 Plan Check Fee 00
2/08/10 Valuation 6873
8/07/10
165 75
00
4 50
170 25
10 00000123
086565
1623 E 3RD ST
06 30 00 6 9 0130 0000
RE ROOF
RS7 RESDNTL SINGLE FAMILY
6873
COZI HOMES CONSTRUCTION INC
324 E 9TH ST
PORT ANGELES
(360) 452 9906
STATE SURCHARGE
Paid Credited
165 75 00
00 00
4 50 00
170 25 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 th
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governin ape of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate .ncel the provisions of any
state or local law regulating construction or the performance of construction.
Date 2/08/10
WA 98362
Extension
95 75
70 00
4 50
Due
00
00
00
00
Signature of Contractor or Authorized Ape
02 --2
to
Signature of Owner (if owner is builder)
Inspection Type
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
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
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
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting l l ESA.
Landscaping I SHORELINE.
Inspection Type
Date Accepted By
Comments
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 Z— 12-- IC) lrL
T.Forms /Building Division /Building Permit L
T:FormsBuilding DivisionBuilding Permit
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
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
RELACE GAURD RAIL ON DECK
Owner Contractor
VIRGINIA M KITZMILLER
1623 E 3RD ST
PORT ANGELES WA 98362
(360) 460 5679
10 00000095
732750
1623. E 3RD ST
06 30 00 6 9 0130 0000
RES REPAIR
RS7 RESDNTL SINGLE FAMILY
1808
OWNER
Date 1/28/10
Permit BUILDING PERMIT RESIDENTIAL
Additional desc REPLACE GAURDRAIL ON DECK
Permit pin number 160192
Permit Fee 92 70 Plan Check Fee 60 26
Issue Date 1/28/10 Valuation 1808
Expiration Date 7/27/10
Qty Unit Charge Per Extension
BASE FEE 50 00
14 00 3 0500 HND BL -501 2K (3 05 PER C) 42 70
Fee summary Charged Paid Credited Due
Permit Fee Total 92 70 92 70 00 00
Plan Check Total 60 26 60 26 00 00
Grand Total 152 96 152 96 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.
6 7 0c rem 2
Date Print Name Signature of Contractor or Authorized Agent
1 6 7 0 l
ca--
Signature of Owner (if owner is builder)
FOUNDATION
Footings
Stemwall
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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs
PLUMBING
Under Floor Slab I
Rough -In I
Water Line (Meter to Bldg) I
Gas Line I
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor I
Shear Wall Hold Downs I
Walls Roof Ceiling I
Drywall (Interior Braced Panel Only)
T -Bar I
INSULATION
Slab I
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts I
Rough -In I
Gas Line I
Wood Stove Pellet Chimney
Commercial Hood Ducts I
MANUFACTURED HOMES
Footing Slab I
Blocking Hold Downs I
Skirting I
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
2.' 22- In I
T:Forms /Building Division /Building Permit
Applicant
Property
Property
Contractor
Contractor's
License
Parcel Number
Project Type Brief Des
Check all that apply
a New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
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
ic za) Z
o 7-r ft ow -tee Cv e r csi.cd r r Phone
Owner -e,a/ Phone
Owner's Address j j
Co Phone
Address l P
Expires E -mail
PROJECT ADDRESS
cription.
aPc t) a rk S TS m� t Le_
House garage other tear off re -roof lay over one layer
Heat pump wood burning stove ❑gas fireplace ❑.pellet stove other
Existing (sq. ft.) Pr (sq. ft.)
Date Print Name
T Forms /Building Division /Building permit application
Lot Zoning
Residential Multi- family
1/1
1' L
tq-1 lam cJxs 1
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
Signature
For City Use Onl
Date Received /f:%
Permit -O'
Date Approved
Commercial
per sq ft.
of. bedrooms
of full baths
of half baths
(1 t •7 :o'7
Cru14-- ter k"
Industrial
/4 C-,
t v L0 cr
/1 Ylk b f Y'17;--- TOTAL VALUATION 46 �Z—
Total:footprint of structures sq f Lot size
sq ft. Lot coverage
Site Coverage-= the amount:of: impervious surface on a parcel including structures paved driveways, sidewalks, patios
and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage
I have read and completed this. application and know it to be true and correct. I am authorized to apply for this'peimit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to working on. projects.
Owner
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Move service stike up to 12 feet above deck
VIRGINIA M KITZMILLER
1623 E 3RD ST
PORT ANGELES
(360) 460 5679
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98362.
ELECTRICAL ALTER RESIDENTIAL
158501
9175--
12/1'8/09
6/16/10
Qty Unit Charge Per
1 00 93 7500 ECH EL 0 200 SRV- FEEDER
Charged Paid Credited
93 75 93 75 00
00 00 00
93 75 93 75 00
Signature of owner.or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
09 00001332
964888
1623 .E 3RD ST
06 30 00 6 9 0130 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE. FAMILY
0
Contractor
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452 6424
Plan Check Fee
Valuation
DATE RESULTS
11/1"SM 44 -c t S ie
L L htLe %It K6-2 F 3 'k S
Date 12/18/09
WA 98362
Extension
93 75
Due
00
00
00
00
0
Date
INSPECTOR.
FEB -4 -2006 07 51A FROM ELECTRIC SERVICE
City of Port Angeles Permit Application
Building DlvlsionlElectrical Inspections
321 East Fifth Street P.D. Box 1150
Port Angeles Washington, 88362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date:
1 2 Single Family Dwelling
Multi- Family or Commercial'
Commercial Addition Alteration Remodel I Repair'
Plan Review May Be Required, Please Complete Electrical Plan Review Informatic eet
Job Address: t t. L 6 sr 3 J
Building Square Footage:
Signature of owl
Description of above
r;iricat contractor r electrical administrator
RE;V 4
DEC 161
ELECTRICAL
INSPECTION
Owner Information Contract(: r rmation, C�
Name: V ft f. e k i Tzlv°tit -GP Name: 4' Iz Inc r' A.,--
Mailing dress: 1 61-1 E 3 --c ll Mailin �s: 9 +mo 4
City State: w Zip: 34. L City' i 141 State d Zip: nr X' 6 1
Phone: 60 9 Fax: Phone: -4-/L Fax: s r -.a
License Exp. License .p iii.. 4. c T T. i r 2 0 •v^
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
57.50 Each Outbuild Detached Garage
86.25 Each Swimmit r t or Hot Tub
43.75 Thermostat
7 S Total Ler
TO 4174711
Total (OW Multiplied by Unit (Jr
at 3. 7,r Service /Feeder: -1 Pmp.
Service/Feeder "900 Amp.
Service/Feeder il 500 Amp.
Service /Feeder i 10 00 Amp
Service/Feeder 1000 Amp.
Branch Circuit, i .rvice Feeder
Branch Circuit';, iervice Feeder
Each Addition.' 1ch Circuit
Temp. Service; er 200 Amp.
Temp. Service, g 201.400 Amp.
Temp. Service., A er 401 -600 Amp.
Temp. Service, er 601 -1000 Amp.
Portal td Portal illy
Sign/Outline Li ,f.
Signal Circuit o Energy Commercial
Signal Circuit/ .1 d Energy 1 2 Family Dwelling
Signal Circuit Energy Multi Family Dwelling
Manufactured t Connection
Renewable El' !l Energy 5KVA System or Less
First 1300 Squ' MI.
Each Additions-' 1 Square Ft. or Portion of
Owner as defined by RCW.19.26.261. (t) Owner will occupy the structure for two years aft i electrical permit is finalized. (2) Owner is required to hire an
electrical contractor if above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of t' above named Lit arty or a licensed electrical contractor I am making the electrical
installation or alteration in compliance with the electrical laws, N.E.C. RCV Chapter 1928 t Chapter 296468, The Cii; of Port Alleles Municipal Code, and
Utility Specifications.
D Cas
r
cre 0 f,..
P 1
OY PORT4A,
riga
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Vv
Application Number 08 00001069 Date 8/26/08
Application pin number 580419
Property Address 1623 E 3RD ST
ASSESSOR PARCEL NUMBER 06 30 00 6 9 0130 0000
Tenant nbr name VIRGINIA KITZMILLER
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 6000
Application desc
TEAR OFF RE ROOF
Owner
VIRGINIA KITZMILLER OWNER
1623 E 3RD ST
PORT ANGELES WA 98362
(360) 460 5679
Structure Information 000 000 TEAR OFF RE ROOF
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF
Permit pin number 133207
Permit Fee 151 75 Plan Check Fee 00
Issue Date 8/26/08 Valuation 6000
Expiration Date 2/22/09
Qty Unit Charge Per Extension
BASE FEE 95 75
4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 151 75 151 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 156 25 156 25 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
01 Cot_ 1r v1 z M>, ‘NL! .4-A" A,44
Date Print Natile Signature of Contractor or Authorized Agent Signet of Owner 09wne!is builder)
a u O
T.Forms /Building Division /Building Permit (05 /13 /08).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Contractor
>c
-13— to
INSPECTION TYPE DATE
FOUNDATION:
I FOOTINGS
I SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
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 it's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
I FIRE 417 -4653
I PLANNING DEPT 417 -4750
I BUILDING 417 -4815
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES. CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE.
ACCEPTED
YES NO
1
FINAL
FINAL
SEPA.
ESA.
SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W
PW ENGINEERING
I FIRE DEPT
PLANNING DEPT
I BUILDING
COMMENTS
DATE ACCEPTED BY.
DATE ACCEPTED BY.
I I 1
1 1 1
I I. I
Parcel Number
Max height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
BUILDING PERMIT APPLICATION Print n ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Firth St. Port Angeles WA 98362
(360) 417-4815 fax (360) 417 -4711
Applicant or Agent V■- r,o,.. tr Phone
_3 3 fic°7
Property Owner v■ 1L e 0-or" Phone 3c,c LI,,_L, -5
Property Owner's Address ,k c 2. p,„ Av.kr,,,t4,s -A-
Contractor /Engineer c- Phond-
Contractor /Engineer's Address
License Expires
PROJECT ADDRESS lv)3 S+ P� ►A �c 41
Lot Zoning
Project Type Brief Description. residential Commercial Multi- family Industrial
Check all that apply
New Construction 9 S(i t. e-or cn\d
Addition
Remodel
Repair
e -roof
Demolition
Heat System Heat pump wood burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement
1 Floor i 3
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures sq ft. Lot size
ft.
ha
pin
Occupancy group
Occupant load
Construction type
(J
TOTAL VALUATION t /Ws')
sq ft. Lot coverage
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. J
Date IS '),U OS_ Print Name U,r /3� v.‘ cA_ t'r7..,. I�f Signature V, 2',
T Forms /Building Division /Bldg Permit Appl. 204 Code doc
For City Use Only
Date Received g
Permit CA- IC& 1
Date Approved
per sq ft.
of bedrooms
of full baths
of half baths
3
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . 16-00000542 Date 4/19/16
Application pin number . . . 789836
Property Address . , . , 1623 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-9- 0130 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . . . µ 0
Application desc
Ductless heat pump
Owner Contractor
VIRGINIA M KITZMILLER BLACK DIAMOND ELECTRICAL CONTR
1623 E 3RD ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 460-5679 (360) 565-1035
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 63.00 Plan Check Fee 2 '00
Issue Date 4/19/16 Valuation
Expiration Date 10/16/16
Qty unit Charge Per'' Extension
1.00 63,0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 A0
Plan Check Total .00 .00 00 X00
Grand Total 63.00 63.00 ,00
M
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWILDING
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: It
')(1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:..------ -------- -- ---- _.---- - - - -.. " 2-,3
Building Square Footage: - - --
Description of above _m
Owner Information
Name: X I TL M.i J,1.7 ,�.
Mailing Address:
City: — State. Zip:
Name:
PhoneeFax
Mailing Address:
License #
City:.....
Item
Unit Charge
Service /Feeder 200 Amp.
$120.00
Service /Feeder 201 A00 Amp.
$146.00
Service /Feeder 401 -600 Amp
$ 205.00
Service /Feeder 601 -1000 Amp.
$ 262.00
Service /Feeder over 1000 Amp.
$ 373.00
Branch Circuit W/ Service Feeder
$ 5.00
Branch Circuit W/O Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1-4
$ 75.00
Temp. Service/ Feeder 200 Amp.
$ 93.00
Temp. Service /Feeder 201 -400 Amp.
$110.00
Temp. Service /Feeder401 -600 Amp.
$149.00
Temp. Service /Feeder 601 -1000 Amp .
$168.00
Portal to Portal Hourly
$ 96.00
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
$ 64.00
Manufactured Home Connection
$120.00
Renewable Electrical Energy - 5KVA System or Less
$102.00
Thermostat
$ 56.00
Note: $5.00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$120.00
Each Additional 500 Square Ft. or Portion of
$ 40.00
Each Outbuilding or Detached Garage
$ 74.00
Each Swimming Pool or Hot Tub
$110.00
r(
Contractor Info tian
Name:
Mailing Address:
—
City:.....
State Zip .......... -. .._...
Phone:W_
Fax
License # I Exw
p
_d0
Q�t
'Total Multi l "wed Unit Change)
$
........ .....
—
$
$
$
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 296466, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electri I co tractor or electrical administrator: ❑ cash AC�6heck
r
�� El Credit Card # . ......, ......�
Xakad 0110112012
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