HomeMy WebLinkAbout504 E 3rd St - Building r CITY OF PORT ANGELES
f�� DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000440 Date 4/17/12
Application pin number 336320
Property Address 504 E 3RD ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -5 -2- 6530 -0000- REPORT SALES TAX
Application type description PLUMBING PERMIT on your state excise tax form
Subdivision pert Use N ame
Pro t the City of Port Angeles
.,1
Property Zoning RS7 RESDNTL SINGLE FAMILY' (Location Code 0502)
Application valuation 11420
Application desc
WATER HEATER SUPPLY
Owner Contractor
THOMAS H KAREN E MITCHELL ALPHA BUILDER CORPORATION
209 S VINE ST 105 1/2 E. 1ST ST.
PORT ANGELES WA 983623212 PORT ANGELES WA 98362
(360) 452 -3154
Permit PLUMBING PERMIT
Additional desc WATER HEATER
Permit Fee 64.00 Plan Check Fee .00 T` VA)
Issue Date 4/17/12 Valuation 0
Expiration Date 10/14/12
Qty Unit Charge Per, Extension
BASE FEE 50.00
1.00 7.0000 EA PL -WATER LINE 7.00
1.00 7.0000 EA PL -WATER HEATER 7.00
Fee summary Charged Paid Credited 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
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,
7
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 Comments
FOUNDATION: Vr
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line T
Back Flow Water FINAL Date 3.3' II a Accepted byt/
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 FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SERA:
Parking Lighting ESA:
Landscaping _SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
Inspection Type Date Accepted By S
N
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
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oN..FORrq�C BUILDING PERMIT APPLICATION Print in ink
0 CITY OF PORT ANGELES
A ttn: Building Permit Technician For City Use, Only:
Date Received ice. la
t`;i.wr 321 E. Fifth St., Port Angeles, WA 98362 Permit
(360) 417 -4815 fax (360) 417 -4711 Date Approved 1 a
Applicant �(ctn (ic,ti Am Phone s) 3
Property Own r
d- jc Jo ,f 4 r_L_I( Phone et5 0 X6
Property Owner's Address
Contractor Phone y e -2 73 I ET/
Contractor's Adi t-)02_ 5 f
License A .1
1 (-I 32c O r r'(a /40 Expires p /g; E -mail ri, iA /„o 0c-,r7
PROJECT ADDRESS 1.--f
Parcel Number Lot Zoning
Project Type Brief Description: Residential Multi family Commercial Industrial
Check all that apply
New Construction
Addition If I
Remodl
e
o Repair
Demolition
Re -roof House garage other tear off re -roof lay over one layer
Heat System Heat pump wood- burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq, ft.
1 Floor
2 Floor
3` Floor
Garage
Carport E C E F ail
Covered Porch
Deck
Shed i12
other
•r• EL
BUILDING DIVISION or, C>
TOTAL VALUATION J y D (5
Total footprint of structures sq. ft. T Lot size sq. ft, Lot coverage oh
'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 0 /U
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this application and know it to be true and correct t am authorized to apply for this permit an understand
that it is my resp nsibllity to determine what permits are required, and to obtain permits prior to working on projects.
Date Print I� Print Name j t� 1 Signature
C� N �r y g
T:Forms /Building Division /Building permit application CV Q-: it
N
ELECTRICAL PERMIT
CITY OF PORT ANGELES i,
360 -417 -4735 va
Application Number 12- 00000584 Date 5/14/12
Application pin number 198688
Property Address 504 E 3RD ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -5 -2- 6530 -0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
200 amp service and 6 circuits remodel
Owner Contractor
THOMAS H KAREN E MITCHELL SIMPSON ELECTRIC
209 S VINE ST 243036 W HWY 101
PORT ANGELES WA 983623212 PORT ANGELES WA 98363
(360) 457 -9270
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc r\
Permit Fee 150.00 Plan Check Fee .00 1
Issue Date 5/14/12 Valuation 0
Expiration Date 11/10/12 Os
,Qty Unit Charge Per Extension ,_12_
6.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 30.00
1.00 120.0000 ECH EL -0 -200 SRV FEEDER 120.00
Special Notes and Comments
May 14, 2012 1:36:57 PM tamiot. 0
secondary strike is to provide a minimum of 12ft clear from
deck.
A..J\ summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00
Plan Check Total .00 .00 .00 .00 -fit
Grand Total 150.00 150.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE r iU
f 1l/12_ l ROUGH -IN 4P /I f i 2- FINAL 't K.. I
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X li k Date:
G: \EXCHANGE \BUILDING
4 0 ?oar J Ni
a
CITY OF PORT ANGELES PERMIT APPLICATION ti A`
Building Diivision/ElectricalInspectiions J L
321 East Fifth Street P.O. Box 1150 Pout Angeles Waddington, 98362 1
Ph: (360) 417 -4735 Fax: (360) 417-4711 1 1 `i• r r
Date: J EC RICAL
l',1 2 Single Family Dwelling „,;SE'1 CTIONS
*Plan Review May Be lew 7 red, Please Complete Electrical Plan Review Information Sheet
Job Address: 3 hfii
Building Square Footage:
Descr'iptIon of above W� i i'1 r I n IP g _Asa* /1
pA r;(4, Cie "R.t...
Owner Info igtion .r-- Contra t. r Inform ion
Name: 13._ 4- O r. .�j Name:. &_-y e-C 1 e. u.2.
Mailin i >r zirAwk Mailing Ad; id •r.
City: State: Zip '1= -1- City. State Zip: 1
Phone: -12._ Fan: Phone: a►l' Or... 'i:
License #f Exp. License /Exp. r!a —1... ir,:10
it !j as 4.11( TotaljQty Multi( tied by Unit_Charge)
Service/Feeder 200 Amp. 120.00 /20.44
Service/Feeder 201 -400 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 Circuits 1-4 75.00 75 Cr
Branch Circuit WI Service Feeder 5.00 EIEE p o• 0
Branch Circuit W/O Service Feeder 63.00
Each Additional Branch Circuit 5.00
Temp. Service/ Feeder 200 Amp. 93.00
Temp. Service/Feeder 201 400 Amp. 110.00
Temp. Service/Feeder 401600 Amp. 149.00
Temp. Service/Feeder 601 -1000 Amp 168.00
Portal to Portal Hourly 96.00
Signal Circuit Limned Energy 2 Family Dwelling 64.00
Manufactured Home Connection $120.00 v
Renewable Electrical Energy 5f NA System or Less 102.00
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Fl. 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
O Gi t Total D
Owner as defined by RCW.19.2&261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (A Owner Is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of fast inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical con tractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -4 iB, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signori of owner, electrical contra r or electrical administrator 13 Cash 0 Check
(j cn:dreCardrt
dated: 5)11 11.t 0110112012
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
1
Application Number 12- 00000466 Date 4/24/12
Application pin number 159988
Property Address 504 E 3RD ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -5 -2- 6530 -0000- REPORT SALES TAX
Application type description RES REPAIR on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code OJO2)
Application valuation 3350
Application desc
REPAIR DRY ROT IN SILL PLATE IN GARAGE
Owner Contractor
THOMAS H KAREN E MITCHELL ALPHA BUILDER CORPORATION
209 S VINE ST 105 1/2 E. 1ST ST.
PORT ANGELES WA 983623212 PORT ANGELES WA 98362
(360) 452 -3154
Permit BUILDING PERMIT RESIDENTIAL
Additional desc REPAIR GARAGE
Permit Fee 123.75 Plan Check Fee 80.44
Issue Date 4/24/12 Valuation 3350
Expiration Date 10/21/12
Qty Unit Charge Per Extension
BASE FEE 95.75
2.00 14.0000 THOU BL- 2001 -25K (14 PER K) 28.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 123.75 123.75 .00 .00
Plan Check Total 80.44 80.44 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 208.69 208.69 .00 .00
l 04. IT
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
0
4
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
1
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: 4. t a
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling 4 1 S
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Fumace FAU Ducts
Rough -In
Gas Line
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
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 5.4. l 2- 1
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Y 0,.,0Rr,:,,. BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
ri For City
Attn: Building Permit Technician Use Only
321 E. Fifth St., Port Angeles, WA 98362 Date Received g C
Permit tg.' �4OIO
(360) 417 -4815 fax (360) 417 -4711 Data Approved 1.4• I2r
Applicant j A, Phone Phone 4 0
Pro Lid j... 1
Property d
p Y Owne
Owner's c;,� :J-- RA �c-4 1
Property ner's Address
Contractor C Phone
Contractor's Add -ss I. 0 A
License Expires -mail
i
PROJECT ADDRESS f r-
Parcel Number ()(p 'OQQ (,D 59 Lot Zoning F51
Project Type Brief Description: X Residential Multi family Commercial Industrial
Check all that apply
New Construction J 2 v e. c -1)1 v cv f, t S; 4
o Addition ii.
Remodel
epair
o Demolition
o Re -roof House garage other o tear off re -roof lay over one layer
Heat System Heat pump wood- burning stove gas fireplace pellet stove other
o Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq, ft.
1 Floor
2 Floor
3 Floor
Garage
Covered Porch RECEIVED
Deck
Shed I
Other �a�
CITY OF PORT ANGELES "ill
BUILDING DIVISION TOTAL VALUATION 3 t,�
Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage oh
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 Toad of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this application and know it to be true and correct, f 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 Print Name i Sig nature r s
r
T:Forms /Building Division /Building permit application 1 f J a I «c e Cam'
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
THOMAS H KAREN E MITCHELL
209 S VINE ST
PORT ANGELES
Permit ELECTRICAL ALTER
Additional desc EL SVC GARAGE
Permit pin number 181495
Permit Fee 73 50
Issue Date 2/14/11
Expiration Date 8/13/11
Qty Unit Charge Per
1 00 73 5000 ECH EL
Charged
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
1 7.1. le
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS
WA 983623212
73 50
00
7 3 50
11 00000144
180608
504 E 3RD ST
06 30 00 5 2 6530 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452 6424
RESIDENTIAL
CIR
73 50
00
73 50
Plan Check Fee
Valuation
BRANCH CIRCUIT WO /FEEDER
Paid Credited
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
00
00
00
Date 2/14/11
RESULTS
d
4 4
WA 98362
00
Extension
73 50
Due
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Z �4z L(
0
INSPECTOR.
-14,p
Date.
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
DATE: PERMIT INSPECTOR
21 5 La 01 1 -4
OWNER
r c-115. 1_L_
CONTRACTOR
1 LL`ZI C.--
ADDRESS
P R Imo_
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER ;;15
SERVICE
FINAL
CORRECTIONS NEEDED: IA.'I"■ I ST A t4 i� P 1EDiztali
DG a l
�irtaTl�/r`�
LO t )7-5 4,21) wt FA'/ S G�4
coos a RI c 4 M EC 33 q
t 2 c T U v g. t to t_ 1 2 E. t 67 ?'i L.
13 4 c irrm
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
APR -5 -2007 07 05A FROM ELECTRIC SERVICE 4526424
CITY OP PORT ANGELES PERMIT APPLICATION
Building Division/Electrical 1n5pectione
321 East Fiftb Street P.O. Box 1150 /Port Angeles Wasbirrk) n, 98362
Ph. (360) 417 -4735 Fax: (360) 417 -4711
Date: 1 24 1 (4
'k- 2.Single Family Dwelling, .Multi-Family or Commerci• Commercial Addition Alteration 1 Remodel 1 Repair'
Plan Review Mae Required Please Complete Electrical Plan Re vk
4 Information Sheet
j Address: N r. '.I)
Descd of above V a- cs- 5.0— G r r...�F n
II
O w w nor informsfi$r►
Meting Me m: `2 0 cf S V K
C. State: t�J. Zip:
Phone: Fax:
License N /Exp
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Servica/Feeder 401 -600 Amp
ServlceiFeeder 601 -1000 Amp.
.$ery ceJFeeder over 1000 Amp,
Bra Circuit W/ Service Feeder
Brandt Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service) Feeder 200 Amp.
Temp, Service/Feeder 201 400 Amp.
Temp. ServlcelFeeeder401 -600 Amp.
Temp. SenicelFeeder 601 -1000 Amp
Portal to Portal Hourly
ti lc C L-
Unit Charge
119.90
145.50
204.60
26220
372.60
2.60
S 73.50
2.60
92.70
110.30
148.70
$167.90
95.90
Sign /Outlne Lighting 88.20
Signal Circuit/ limited Energy First 1500 et- Carnmerdal 9590
Nate: $3.00 for each addtiona) sr
Signal Circuit/ limited Energy 1 2 Family Dwelling 133.90
Signal Circuit/ limited Energy Muitt- Family Welting 63.90
Manufactunad Bane Connection $119.00
Renewable Etecbical Energy 5KVA System or lass 102.30
Thermostat 66,00
JEW cONSTRUCT(ON ONLY
First 1300 Square Ft. 5110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outhufioing or Detached Garage 73.50
Each Swimming Pool or Not Tuh 8110.30
Owner as defined by RCW.19.28.281 (1) Otter will occupy the slucture km
to hire an electrical contactor If above seld property Is for sale, rent or lease.
After reading the above statement I hereby certify that I am the owner ofthe t
the elec trtcal Installation or alteration in compliance with the electrical lams. N.
Angeles Munidpal Code, and Utility Spedfcations and PAMC 14.06.050 rega
Signatu f owner 9hyctrlcal or electrical administrator.
Contractor Name: IGl Informatielt
Mailing dress: 2- I J
Pty: e State: W cia $C•
Phone: ac Lir eras I Dtp. ,�.2 0-.r5 142 151-
TO 4174711
Total ay Mullioned by Unit Chai
s.
c Totel
years after this electrical permit is finalized. (2) Owner is required
mit expires after sac months of last inspection.
Ye named property or a licensed electrical coMracdor lam making
RCW. Chapter 19.28, WAG. Chapter 296 -46B, The City of Port
1
ig Electrical Perml.Applications.
ash crak
Credit Card
otroilm10
P 1
coo 99LITA
1tIPIME
DATE:
Z 1 1 I) 1
OWNEFiTi 0
CONTRACTOR
ADDRESS
APPROVED
0
a_
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
lfrOl 1 44
PERMIT# INSPECTO
rz
7 J V
DITCH
ROUGH IN /COVER
SERVICE
FINAL
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
NOT APPROVED
-0.04 t> P167_- 3.19 >r2 )i J
t_ v
DO NOT REMOVE
CORRECTIONS NEEDED: __LOCIAI V"D Al W
Application Number 10 00001434
Application pin number 240970
Property Address 504 E 3RD ST
ASSESSOR PARCEL NUMBER 06 30 00 5 2 6530 0000
Tenant nbr name THOMAS KAREN MITCHELL
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 5719
Application desc
HEAT PUMP INSTALLATION
Owner
THOMAS H KAREN E MITCHELL
209 S VINE ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
Fee summary
Permit Fee Total 64 80
Plan Check Total 00
Grand Total 64 80
T Forms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
14 8000 EA
WA 983623212
MECHANICAL PERMIT
HEAT PUMP INSTALLATION
178657
64 80
12/08/10
6/06/11
Per
Charged
L
Contractor
ALPHA BUILDER CORPORATION
105 1/2 E 1ST ST
PORT ANGELES
(360) 452 3154
Plan Check Fee 00
Valuation 0
BASE FEE
ME FURN /HP /FAU OR 5 TON
Paid Credited Due
64 80
00
64 80
00
00
00
Date 12/08/10
WA 98362
Extension
50 00
14 80
00
00
00
Separate Permits are required for electrical work SEPA, Shoreline ESA, utilities private and public improvements This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the
last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law gulating construction or the performance of
construction
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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
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
'FINAL Date
1
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
T Forms /Building Division /Building Permit
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Accepted by
Io Bob FINAL Date Accepted by B
VASY
Date Accepted By
Linda Pangrle
From Robert Kajfasz
Sent: Wednesday June 15 2011 1 15 PM
To Linda Pangrle
Subject: RE Ductless Heat Pump Inspection
Yes, 12/16/10
From Linda Pangrle
Sent: Wednesday, June 15, 2011 1 14 PM
To: Robert Kajfasz
Subject: RE Ductless Heat Pump Inspection
guess that was pretty vague wasn't it. Now I know for a fact that you aren't a mind reader
#10 -1434 504 E 3 st Tom Karen Mitchell
From Robert Kajfasz
Sent: Wednesday, June 15, 2011 1 11 PM
To: Linda Pangrle
Subject: RE Ductless Heat Pump Inspection
What installation?
From Linda Pangrle
Sent: Wednesday, June 15, 2011 1 11 PM
To Robert Kajfasz
Subject: Ductless Heat Pump Inspection
Hi Bob,
Ken Tobias said you already inspected and approved this installation Please tell me the date that you inspected
Thanks,
Linda
1
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Applicant
Property Owner
Property Owner's Address
Contractor
Contractor's Ad
License
PROJECT ADDRESS
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
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
ess c4 NA:)
As 11 PAA
r.
PA
Cy 3 1M/ Expires
Residential Multi family
Phone
Phone
PA
Phone
.2 RE -mail
Lot
For City Use Only
Date Received \2_ �O
Permit 10 19
Date Approved
99 e-7
Zoning
Commercial Industrial
House garage other tear off re -roof lay over one layer
pkHeat pump wood burning stove gas fireplace o pellet stove other
Existing (sq. ft.) Proposed (sq. ft.)
per sq ft.
TOTAL VALUATION j (9
Total footprint of structures sq ft. T 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
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
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 wor 'ng on projects
Date /co) Print Name ir�H 1 m t rv,C Signature
T Forms /Building Division /Building permit application
Clallam County Assessor Treasurer Property Details 61736 THOMAS H AND KA. Page 1 of 5
Clallam County Assessor Treasurer
Property Search Results 61736 THOMAS H AND KAREN E MITCHELL for Year 2011 2012
Property
Account
Property ID 61736 Legal Description P S CO -OP COLONY
SUBD LOT 23 LOT
16 &E5 LT17 BL 65
Geographic ID* 0630005265300000 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
Neighborhood: Cycle 5 Res
PORT ANGELES WA
Map la 2 1
Address. 504 E THIRD ST Mapsco
Neighborhood CD 10955130
Owner
Name THOMAS H AND KAREN E MITCHELL Owner ID* 41516 L
Mailing Address. 209 S VINE ST %Ownership 100 0000000000%
PORT ANGELES WA 98362 3212
Exemptions
Taxes and Assessment Details
Property Tax Information as of 12/08/2010
Amount Due if Paid on #M_
NOTE If you plan to submit payment on a future date make sure you enter the
click RECALCULATE to obtain the correct total amount due
Year Statement ID Taxing Jurisdiction
2010 44432 ST SCH STATE SCHOOL
2010 44432 CC -GEN COUNTY CLALLAM
2010 44432 PORT PORT OF PORT ANGELES
2010 44432 PORT ANG CITY OF PORT ANGELES
2010 44432 SD #121 SCHOOL DISTRICT #121
2010 44432 NTH OLY LIB NORTH OLYMPIC LIBRARY
2010 44432 HOSP #2 HOSPITAL #2
2010 44432 WSMET PK DIST WILLIAM SHORE MET PARK DIST
2010 44432 CITY STORMWATER CITY STORMWATER
2010 44432 WEED CONTROL WEED CONTROL
2010 44432 TOTAL.
2009 617362008 ST SCH STATE SCHOOL
2009 617362008 CC -GEN COUNTY CLALLAM
2009 617362008 PORT PORT OF PORT ANGELES
2009 617362008 PORT ANG CITY OF PORT ANGELES
First Second
Half Half
Base Base
Amt. Amt. Penalty Interest Base Paid A
$98 42 $98 43 $0 00 $0 00 $196 85
$52.39 $52.37 $0 00 $0 00 $104 76
$7 36 $7 36 $0 00 $0 00 $14 72
$121.27 $121.27 $0 00 $0 00 $242.54
$127 49 $127 48 $0 00 $0 00 $254 97
$15.22 $15.22 $0 00 $0 00 $30 44
$21 48 $21 49 $0 00 $0 00 $42.97
$6 84 $6 83 $0 00 $0 00 $13 67
$36 00 $36 00 $0 00 $0 00 $72.00
$0 82 $0 81 $0 00 $0 00 $1 63
$487.29 $487.26 $0.00 $0.00 $974.55
$112.53 $112.52 $0 00 $0 00 $225 05
$56 95 $56 94 $0 00 $0 00 $113
$8 07 $8 06 $0 00 $0 00 $16 13
$124 92 $124 90 $0 00 $0 00 $249 82
http.// vpn .clallam.net:8084 /propertyaccess /Property aspx ?cid =0 &year =2011 &prop_id =61 12/8/2010
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Ductless heat pump
Owner
MITCHELL THOMAS H /KARENE
209 S VINE ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 73 5000 ECH
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
O 2Icr 7 I
WA 983623212
178608
73 50
12/08/10
6/06/11
Charged
73 50
00
73 50
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00001430
564160
504 E 3RD ST
06 30 00 5 2 6530 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452 6424
ELECTRICAL ALTER RESIDENTIAL
EL BRANCH CIRCUIT WO /FEEDER
Paid Credited
73 50
00
73 50
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Plan Check Fee
Valuation
00
00
00
RESULTS
si«lu
g
Date 12/08/10
WA 98362
Due
00
00
00
0 0
0
Extension
73 50
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
7
4(
Date:
JAN`26 2007 01 01P FROM ELECTRIC SERVICE 4526424
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspection
321 East Filth Street —P.O. Box 1150 /Port Angeles Washings" e., 98362
Ph. (360) 417 -4735 Fax: (360) 417 -4711
Date:
2S.,1 2.S le amity Dwelling.
Owner info ion
Name: °I .p, ne%, )t4
mating Addle
City: it State: *Zip; a7 N Ca
Phone Fax
license Exp,
Item
Service/Feeder 200 Amp.
Seryice/Feeder 201 -400 Amp.
ServlceJFeeder 401.600 Amp
Service/Feeder 601 1000 Amp.
.$ervlceIFeeder 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 Amp.
Temp, ServiceJFeeder401-600 Amp.
Temp. ServicelFeeder 601 -1000 Amp
Portal to Portal Hourly
Sign/Outrine tighsng
Signal Circuit/ limited Energy I First 1500 of Cammerdal
Note: $5.00 for each additional 1500 if
Signal Circuit/ Urnled Energy 1 2 Family Dwelling
Signal Circuit! Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or irss
Theenostsl
NEW. CONSTRUCTION ONLY;
Fist 1300 Square Ft.
Each Additional 500 Square R. or Porton Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
ecat C t rr
Unit Chame
119.90
145.50
204.60
26220
372.60
2.60
1 73.60
2.60
92.70
110.30
1 148.70
167.90
1 95.90
8820
95.90
5190
6190
119.90
1102.30
66.00
1110.30
1 35.20
73.50
1110.30
t
gtt
TO 4174711
vat
Vin^ '1 7 ��`,`c/��
L
ELECTRICAL
AVSOECT!ON3
_Multi- Famlly or Commercial' Commercial Addition /Alteration Remodel Repair=
Plan Review May Be Regtl�d P Complete Electrical Plan Reviev ,1, 1 ?matlon Sheet
Job Addrrsr. r��AA
Building Square Footage:
Description of above
ontraCtOr t 1112
carne: �e�L"
deiG sd s: 2
�a7 etete:
;144 4 1.1 Tilt Fax:
tense i1rExp. e L 2 Gr
73.50
1
1
11,50 Total
P 1
Total (Qtr, Multiplied by Unit Charge'
1
1
1.
Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for tt ars after this electrical permit is finalized. (2) Owner Is required
Wee an electrical Contractor if above sold property is for sate, rent or lease. P r expires after six months of lest inspection.
After reading the above statement. I hereby certify that I am the owner of the et named property of a licensed electrical contractor. l am making
the electrical installation or alteration in compliance with the electrical laws. N. .,!RCW Chapter 19.28, WAC. Chapter 296.468, The City of Port
Angeles Munidpal Code, and Utility Specifications and PAMC 14.05.050 regar ii 4 Electrical Permit Applications.
Signature of owner electrical contractor or electrical administrator Cash k
r pCredacard D t/L
Lt.2 �-r.�' bad: 1 0- /O' 1 ILO O rr
9 01av2010