HomeMy WebLinkAbout1237 W 16th St - Building 0 s"-t
CITY OF PORT ANGELES
i DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000242 Date 3/18/11
Application pin number 360984
Property Address 1237 W 16TH ST
ASSESSOR PARCEL NUMBER: 06- 30- 99 -0 -4- 3220 -0000- REPORT SALES TAX
Tenant nbr, name BILLIE JEAN OLSON
on your state excise tax form
Application type description MECHANICAL APPL. PERMIT
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 1192
Application desc
INSTALL AN ELECTRIC FURNACE
Owner Contractor
BILLIE JEAN OLSON ALL WEATHER HTG COOLING INC
1237 W 16TH ST 302 KEMP ST
PORT ANGELES WA 983637007 PORT ANGELES WA 98362
(360) 452 -9813
Permit MECHANICAL PERMIT
Additional desc ELECTRIC FURNACE
Permit pin number 182766
Permit Fee 64.80 Plan Check Fee .00
Issue Date 3/18/11 Valuation 0
Expiration Date 9/14/11
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80
Fee summary Charged Paid Credited Due
r e A
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00 6„ (31\
Grand Total 64.80 64.80 .00 .00
cl,:5
EXPI
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.
3/a5/1/ 141,ctn ent,Veown ilk/A.614- y &1
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735 ,mil
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:
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 FINAL Date Accepted by
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 v
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831 Ctl
Fire 417 -4653
Planning 417 -4750"
Building 417 -4815 e r (y4
T:Forms /Building Division /Building Permit EX 'RED
PROJECT STATUS UPDATE
Permit c; t i 2 eG .,Sd 0 \S°
b\e mar
Date:
phoned the: Applicant ®Y\ 0 1sa n at `"12 ---L
Property Owner at
Contractor at
I (left a phone message, •r discussed):
The permit (has expired, or ill expire soon). hat is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
doll _Al 101? i LL/
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T:Forms /Building Division/Project Status Update
k) pour,14, BUILDING PERMIT APPLICATION Print in ink
-,1 te
0 CITY OF PORT ANGELES For City Use Only:
A ttn: Building Permit Technician Date Received 1— 15-1
r- 3 21 E. Fifth St, Port Angeles, WA 98362
Permit t 1- 47.-
(360) 417 -4615 fax (360) 417 -4711 Date Approved
Applicant k it K) Ck .Q.r ins 0OhnO Phone Q( 1 `rttZ
Property Owner ln 1 ii lj Phone r A�. irk f o r
Property Own -r's Address `1R�16 1 20lt i
Contractor k i I 1 M :I 1I j r Phone
Contractor's Address Nom. V 1 'L!
License ill 17MS M IM 1 E -mail 8
PROJECT ADDRESS es \W!'3 5
Parcel Number Lot Zoning
Project Type Brief Description: >QResidential o Multi- family Commercial o Industrial
Check all that apply an
a New Construction kw. Vi tat 1 artI Ii 1 i t' i .l GI 'l
Addition
Remodel
n Repair
u Demolition
D Re -roof o House o garage o other o tear off re -roof o lay over.one layer
eat System o Heat pump ❑.wood- burning stove o gas fireplace 'o pellet stove oth
a Other A A air ii1
Floor Areas Existing (sg, f) Proposed (so. ft.)
Basement per sq. ft.
1'` Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
.TOTAL VALUATION i 1 1 C/�, i4 f
Total footprint of structures sq. ft. "7. 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
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be Installed? Occupant load of full baths
WIII a fire sprinkler system be Installed? Construction type of half baths
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 w at permits are r quired,and to obtain permits prior I rking n rojects.
Date 3) t4I 1 Print Name r� Signature
T:Forms/Bullding Division /Bldg Permit.doc
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Fax; Pagos (Including Cover Page)
Phone: IDVtG: ill I j■
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Clallam County Assessor Treasurer Property Details 70516 BILLIE JEAN OLSON Page 1 of 5
C9allam County Assessor Treasurer
Property Search Results 70516 BILLIE JEAN OLSON for Year 2011 2012
Property
Account
Property ID: 70516 Legal Description: TPA SHORT PLAT
#85 -9 -6 V16 P62 LOT
B -BL 432- .16A
Geographic ID: 0630990432200000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi Family Redevelopment: N
Township: Section:
Range:
Location
Address: 1237 W SIXTEENTH ST Mapsco: i
PORT ANGELES, WA
Neighborhood: Cycle 5 Res Map ID: 3
Neighborhood CD: 10955130 `\1
Owner
Name: BILLIE JEAN OLSON Owner ID: 44095
Mailing Address: 1237 W 16TH ST Ownership: 100.0000000000%
PORT ANGELES, WA 98363 -7007
Exemptions: SNR /DSBL
i Taxes and Assessment Details
Property Tax Information as of 03/18/2011
Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
First 'Second'
1 Half Half
Base Base 1
Year Statement ID I Taxing Jurisdiction Amt. Amt. Penalty i Interest Base Paid Amount Due
2011 163302 ST SCH STATE SCHOOL $0 00 $0 00 $0.00 $0.00 $0.00 $0.00
12011 163302 CC-GEN COUNTY CLALLAM $0.00 $0.00 $0.00 $0.00 $0.00 $0.00'
2011 163302 SD #121 SCHOOL DISTRICT #121 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00';
2011 163302 CITY PORT ANG CITY OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2011 163302 PORT PORT OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2011 163302 NTH OLY LIB NORTH OLYMPIC LIBRARY $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2011 163302 HOSP #2 HOSPITAL #2 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2011 163302 WSMET PK DIST WILLIAM SHORE MET PARK DIST $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2011 163302 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $0.00 $72.00
2011 163302 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.00 $1.63
2011 163302 TOTAL: $36.82 $36.81 $0.00 $0.00 $0.00 $73.63
2010 51606 ST SCH STATE SCHOOL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2010 51606 CC -GEN COUNTY CLALLAM $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2010 51606 SD #121 SCHOOL DISTRICT #121 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00'
2010 51606 CITY PORT ANG CITY OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00''
2010 51606 PORT PORT OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2010 51606 NTH OLY LIB NORTH OLYMPIC LIBRARY $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2010 51606 HOSP #2 HOSPITAL #2 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2010 51606 WSMET PK DIST WILLIAM SHORE MET PARK DIST $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 f
2010 51606 CITY STORMWATER CITY STORMWATER• $36.00 $36.00 $0.00 $0.00 $72.00 $0.00
http: /websrv8.clallam. net/ propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop id =70516 3/18/2011
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 700
Application desc
ABANDON 350 GAL HEATING OIL TANK IN PLACE
Owner
BILLIE JEAN OLSON
1237 W 16TH ST
PORT ANGELES
Qty Unit Charge Per
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 983637007
Permit UNDERGROUND TANK RES
Additional desc ABANDON TANK IN PLACE
Permit pin number 183004
Permit Fee 15 00
Issue Date 3/25/11
Expiration Date 9/21/11
15 00
00
15 00
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5t Street, Port Angeles, WA 98362
11 00000263 Date 3/25/11
599228
1237 W 16TH ST
06 30 99 0 4 3220 0000
BILLIE JEAN OLSON
FIRE ABANDON TANK INSPECTION
BASE FEE
Contractor
R J SERVICES INC
514 ERVING JACOBS RD
PORT ANGELES WA 98362
(360) 457 1420
Plan Check Fee 00
Valuation 700
Paid Credited
15 00 00
00 00
15 00 00
Due
Extension
15 00
00
00
00
'Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder)
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
;2-iv
6 77
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
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 recognized standards, laws and ordinances governing this type of work will be compied
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
of state or local law regulating the work specified in the permit.
Date
FIRE PERMIT INSPECTION RECORD
Call 360 -417 -4655 for fire inspections. Please provide a minimum 24 -hour notice It is unlawful to cover, insulate V
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 Passed I Comments
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough -in inspection
Alarm final
LP -GAS Completed by Contractor-
Underground piping inspection /pressure test Test #1
Above ground piping inspection/pressure test Piping pressure test psi
Time initiated
Tank (container) inspection Test #2
Appliance inspection Piping pressure test psi
Time initiated
LP -gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable /combustible liquids
Tank appropriately abandoned
UST abandonment final 3-31-fl KM)
PERMIT OTHER (specify)
permit final
J
5
GENERAL COMMENTS
2/15/00
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 Building Division
(360) 417 -4711 Fax
Applicant or Agent 0 e_r
Property Owner ocz
Property Owner's Address f a 3 2
Contractor
Contractor Address
License
PROJECT ADDRESS
Type of liquid stored in the tank
Tank size (in gallons)
Total project valuation
Reauirements Limitations.
1)
Abandonment or Removal of a Residential Fuel
Storaae Tank (1.100 Gallons or Less)
Permit Aoolication
Phone 34D i-/S2 /y ,po
Expires
/0- /6 54-e-
o C
_5/ y r(./ ti s
rep
For City Use Only
Date Received 3 I I
Permit#
Phone Xo //59 /Ya0
Phone
Issuance of a permit is subject to compliance with the listed requirements and
field inspection approval by the Port Angeles Fire Department 360- 417 -4653
All tanks must be completely pumped out. Remove all flammable and
combustible liquid from the tank(s) and connecting lines Use a hand pump
where practical
Residential underground storage tanks may be abandoned in place or removed
There shall be no welding cutting or other source of ignition in the area while
abandoning operations are in progress
Welding or cutting tanks requires a separate permit from the Port Angeles Fire
Department 360- 417 -4653
If the tank is removed and stored temporarily on -site it shall be placed in a
secure location and be blocked to prevent movement. The tank shall be made
inert prior to transporting The hole created by removing the tank shall be filled
with suitable material (earth sand etc
Check which ootion will be used to abandon the tank.
Tank fill vent piping and tank completely removed
2) Tank fill vent piping removed
Tank filled completely with an inert mixture such as sand slurry
Page 1 of 2
Site Diagram.
Show the number size and location of the underground storage tank(s) with reference
to the existing home and nearby street(s)
-k
1
I have read and understand the requirements of this application
Date /l
Print Name 155 qe-r' 7"
Applicant's Signature
Gc t
5
I
-TA
o c vc«,C s e�c_e_
To be completed by the Fire Department
Method of abandonment:
Tank removed
f Tank filled with inert mixture
T Forms /Building Division /Abandonment or Removal of a Residential Fuel Storage.Tank Permit Application.doc
Page 2 of 2
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Application desc
t stat for 15 kw furnace
Owner
BILLIE JEAN OLSON
1237 W 16TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summar'
Permit Fee Total
Plan Check Total
Grand Total
WA 983637007
182782
56 00
3/22/11
9/18/11
Signature of owner or Electrical Contractor X
G: \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
11 00000244
630532
1237 W 16TH ST
06 30 99 0 4 3220 0000
ELECTRICAL ONLY
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Contractor
ELECTRICAL ALTER RESIDENTIAL
Qty Unit Charge Per
1 00 56 0000 ECH EL LVT THERMOSTAT
Plan Check Fee
Valuation
Special Notes and Comments
March 21 2011 4 14 50 PM Brian 417 4708 OK
Charged Paid Credited
56 00 56 00 00
00 00 00
56 00 56 00 00
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
y I II! Ry
1 4N?
Date 3/22/11
ALL WEATHER HTG COOLING INC
302 KEMP 'T
PORT ANGELES WA 98362
(360) 452 9813 2- 5rri
Due
RESULTS
00
0
Extension
56 00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date:
(PI
City of Port Angeles Permit Application
Building Division /Electrical Inspections
321 East Ft th Slreet P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 4 7.4735 Fax: (360) 417.4711
Date:
A. 2 Single Family Dwelling
Multi- Family or Commercial'
Commercial Addition Alteration Remodel Repair"
Plan Revie Be Re u ed, le C prr t (g ete _EIe ical Plan Review Information Sheet
Job Address: fTlh
Building Square Footage: q M 2
Description of above 10��, 71 Ji i 1 L em ae" f C G Y n a
Owner ation
Name: t11..
Maili Addre
City'
Phone:I
License #1 t xp.
Unit Charge _Qty
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
66.25
43.75
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit 1s fbralized, (2) Owner is required to hire an
electrical contractor if above said property is for sale, rent or lease.
After reading the above statement, l 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 1928, WAC. Chapter 296.468, The City of Port Angeles Munldpal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
00 /120 39Cd
State:
Fax:
4
tl L
Pr_ 4: nat/
9NI±CBH '13H1V3M 11V
Contractor Inform
Name:
Mailing
City'
Phone:
License Exp.
ress:
D Cash
D Check
D Credit Card ti
RECEIVED
MAR 21 2011
on
ELECTRICAL
INSPECTIONS
State:
Fax:
W tt' t
Total (QV Multlolied by Unit Channel
Service /Feeder 200 Amp.
ServlcelFeeder 201 400 Amp.
ServicelFeeder~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
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/Outllne Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi -Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square FL
Each Additional 500 Square FL or Portion of
Each Outbuilding or Detached Garage
I3 Each Swimming Pool or Hot Tub
t- j Thermostat
4576 Total
MLI
t
r tkik t <0.
CIA 11Y4P ''rtr
cLit
LLISZ91709ET Eb 0T 110 /8Z /E0
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
15 KW furnace No load change
Owner
OLSON BILLIE JEAN
1237 W 16TH ST
PORT ANGELES
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
"Q N 3
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983637007
Permit
Additional desc
Permit pin number 182303
Permit Fee 76 10
Issue Date 3/10/11
Expiration Date 9/06/11
ELECTRICAL ALTER RESIDENTIAL
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT
76 10
00
76 10
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G: \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
11 00000212
923800
1237 W 16TH ST
06 30 99 0 4 3 20 0000
ELECTRICAL ONLY
Paid
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
76 10
00
76 10
DATE.
Plan Check Fee
Valuation
Credited
00
00
00
RESULTS
37/L/0 4P
��lb
1
Date 3/10/11
WA 98363
0
0
Extension
73 50
2 60
Due
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
d76Z
INSPECTOR.
Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/.Electrical Inspections
321 East Fifth Street P.O. ox 9 2Ot
Date:
Ph. (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL
1 n
B 1150 Port Angeles Washington 98362m
1 2 Single Family Dwelling Multi- Family or Commercial* Com ion 1 Alteratior Remodel 1 Repair*
Plan Review May Be Required, Please Cgm t electrical Plan Review Information Sheet
Jab Address: -,R re (�r"►� i-
Building Square Footage: �7J
Description of above r (�./,cl..� -r��'� r a °'e
Owner Inforrnat or3
Name
Mailing Add
C
ense ft Exp.
j /Li S) 98 56
Item Unit Charge
Service/Feeder 200 Amp. 119.90
ServicelFeedor 201 -400 Amp. 145.50
Servico/Feeder 401-600 Amp 204.60
Service /Feeder 601.1000 Amp. 262.20
Service/Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60
Branch Circuit W/O Service Feeder 73.50
Each Additional Branch Circuit 2.60
Temp. Service/ Feeder 200 Amp. 92.70
Temp. Service/Feeder 201 -400 Amp. 110.30
Temp. Service/Feeder401 -600 Amp. 148.70
Temp. Service/Feeder601 -1000 Amp 167,90
Portal to Portal Hourly 95.90
Sign /Outline Lighting 88.20
Signal Circuit/ Limited Energy First 1500 sf -Commercial 95.90
Nolo: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90
Signal Circuit! Limited Energy Multi- Family Dwelling 63.90
Manufactured Home Connection 119,90
Renewable FJectrlcal Energy 5KVA System or Less $102:30
Thermostat 56,00
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110,30
r
State:
Fax:
ECEVE)
0 Caah Cheek
DAted: ,3 /9/, credit cord 0
Sig y; of owner, electrical co ctor or electrical administrator
Contra information 'It
Name: i
6 c LLB
Malting Address: o a
City' iv A State:ld. T
Phone: Fax:
License d Exp. 0 r
ciq Tot L1 Y-Mu l (plied by Unit Chard,
g 7 (Q Thotai
Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalize (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 Inspect )n.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical ontractor I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC Chapter 2! i-16B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
J
PREPARED 10/02/09 10 00 22 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/02/09
ADDRESS 1237 W 16TH ST SUBDIV
TENANT NBR BILLIE JEAN OLSON
CONTRACTOR PHONE
OWNER BILLIE -JEAN OLSON PHONE (360) 457 1743
PARCEL 06 30 99 0 4 3220 0000
APPL NUMBER 09 00000832 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 10/02/09 BLDG FINAL
October 2 2009 9 59 15 AM jlierly
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000832 Date 8/18/09
Application pin number 713728
Property Address 1237 W 16TH ST
ASSESSOR PARCEL NUMBER 06 30 99 0 4 3220 0000
Tenant nbr name BILLIE JEAN OLSON
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 3000
Application desc
TEAR OFF RE ROOF THE HOUSE
Owner Contractor
BILLIE JEAN OLSON OWNER
1237 W 16TH ST
PORT ANGELES WA 98363
(360) 457 1743
Structure Information 000 000 TEAR OFF RE ROOF THE HOUSE
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF HOUSE
Permit pin number 151886
Permit Fee 109 75 Plan Check Fee 00
Issue Date 8/18/09 Valuation 3000
Expiration Date 2/14/10
Qty Unit Charge Per Extension
BASE FEE 95 75
1 00 14 0000 THOU BL 2001 25K (14 PER K) 14 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 109 75 109 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 114 25 114 25 00 00
Ph 4,
09
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 fora 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 performan of construction.
atiAd ,�Qo����
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
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
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 SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
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
Inspection Type
Comments
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
6 7 —AO I �TLL-
Applicant "Tect.,v. C
Property Owner Soh o /S !al--
Property Owner's Address 1 Z. 3 7
Contractor Sec _d /3 er. J
Contractor's Address t 3 s fah /Itev s
License
Parcel Number
Project Type Brief Description.
Check all that apply
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
Date Fr q Print Name 6
Max. height of proposed structu
Will a lawn sprinkler system
Will a fire. sprinkler system
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
s
installed?
e installed?
PROJECT ADDRESS Z 37 w /6 f /1> wi9 7C7 z.
%Residential
X House garage other gear off re -roof lay over one layer
"0 pump wood burning stove gas fireplace pellet stove other
Existing (sq. ft.) Proposed (sq. ft.)
N V
N
Total footprint of structures ft. Lot size sq. ft. Lot rgverage
Site Coverage theamount of im• -rviou urface on a parcel including structures p: ved driv- ._ys sidewalks
and other impervious surfaces. (se e MC 17 94 135 for exemptions) Site coverage
ft
A. 1 d geA
Phone crs i y
Phone
Ph ys-7 -i 20r
4 a. 4 r p d -s w'✓ 9 X366
Expires E -mail
❑Multi- family
Occupancy group
Occupant load
Construction ty
T Fo /Building Division /Bldg Permit.doc v 2* 4
Signature
For City Use Only
Date Received g— i -0`t
Permit S32-
Date Approved
Lot Zoning
Commercial Industrial
per sq ft.
M `atS I 500
nLto o
TOTAL VALUATION 3., (700
of bedrooms
f full baths
o If baths
patios
I have read and completed this application and know it to be true and correct. 1 am authorized to apply for this p-rmif and understand
that it is my responsibility to determine what pe, nits are required, and to obtain permits prior to orkinon project
C`Jr'1°iC QF FORT ANGnZS PICT A "MCA'P] N
RECEIViE,-
9 2014
13uadit ] D,nvidauA iccuiml Inspeetioas
321 iAt Fjftb Street —P,0. B" 1150 1 Port Angeles W"h1 rgtc+n, 95361 1.I CTRIG
Ph: (360) 417- �173SP*: (350) 417 -4711 �S E ITIO S
IDatH � 9 a 2 S Salle Fm* DwelIn
Plan Review May Be ltquaecl, Pleese Eietlrical Plan Review Informaton Sheet
.lob Address "TH
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Desutp m cgobw o S d r 14
RNAArt
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MAIM
$.
8WAWftKW201- UArrlp.
$146.0D
5
Servf�8o1-1000 Amp.
$ 20M
SWVkWFGWsraver 10oD Amp.
$ 373,b0
Stanch CImoil W/ Seraoa Fad
S 5.00
Broach CIMVd w►O Feeder
$ 63,00
EaaMAdUaW MmM a=g
$ so
BranchClr L&1-4
$ 75.00
Tomp. Sary W FMW200 Mqx
$ Sam
Temp. Smv%elFeeder2D1400Amp.
$110.0D
Temp.,%WbA %adar4W- f00Amp.
$149.00
TW* &0kWFeo*6Di-1000Amp •
$168.00
' &2 r-ry
20m
I
$120.00
BBCWW Ewa - 5KVASy�m w'iesd
rawrMu
5102.00
IVY $5.00 W each aftdo W T-SW
$ W
FW 1300 Square Ft.
$120.00
Each Addio W 500 Square Ft or Pod= of
S 4D.00
F0o1 ub
$110.00
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Omer as deBrW by RCIN 19.28.281: (1) [owner va occupy the sberrWM for ho years WW!his e6cbW permit is fma%d. C?wner is
10 hiro an � Mtr N above said M p" is fur sue, Afflt or Ieaw Pemu1 c�i regWmd
After Meaft e,�ines after six months of lastinspeciior +.
Ow above MWML I hereby cuffyy that I am the mW of #Q above named property Ora Umsed ele fir. I am making
AngWW Muni io anrnpl r= with #10 el l laws, N.E-C., RCW. Chapter 18.28, WAC. Map1$r 29&MB. The City of Fort
Y -9POdkdO,►s and PAMC 14.05.050 rega*g Ekbical PemR Applies.
Slgnab neof owner, *c4lcal caMradDr or etedricar aftnlebdor. 1=1 Gss3lr D chid
TO 39VJ SAS 'iD3-13 N ASC-1V 666SZGV09C 8T :Z1 bTOZI6TIZT
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N
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number 14 00001523 Date 12/22/14
Application pip number 011852
Property Address . . , 1237 W 16TH ST
ASSESSOR PARCEL NUMBER; 06-30-99-Q-4-3220-0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning , . . , , . , RS7 RESDNTL SINGLE FAMILY
Application valuation , . , . 0
Application desc
Not water tank
Owner Contractor
JACIENE L BRYANT ALASKAN ELECTRIC
1237 W 16TH ST 237 ROBERSON RD
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 582 -3874
Permit , , , . , , ELECTRICAL ALTER RESI13ENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Checic Fee .00
Issue Date 12/2.2/14 Valuation , . , , 0
Expiration ]late 6/20/15
Oty Unit Charge Per Extension
BASE FEE 75,40
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00" 75.00 00 04
Plan Check Total •00 .00 .00 ,00
Grand Total 76.00, 75,00 .00 Q0
T) � . \ I I -Z,,;?, I I,),;-
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENT'S:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X Date:
GAEXCHANGE UILDING
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