HomeMy WebLinkAbout1417 A St - BuildingApplication
IRRIGATION
Owner
ALAN /LISA PARTRIDGE
1417A ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
T:Forms/Building Division/Building Permit
A pplica t ion Number
Application pitT numbet
Property' Address
ASSESSOR PARCEL
Tenant iibr name„ ti
m
Appl .cation tj pe description
S u11division Name
Property U s er.
Property Zgri rig
Application valuation
SYSTEM DOUBLE' C .BACKFLOW DEVICE bkv 4 4
WA 983637241
Fee summary Charged
Permit Fee Total 57 00
Plan Check Total 00
Grand Total 57 00
PLUMBING PERMIT
IRR DBL -CHK BACKFLOW
144675
57 00
4/22/09
10/19/09
:2.1 „Ei1S1"5TH: ST
0.9” 000'd03'59
458 78. t *:;;31��'',1 °µins �Sh
06 O:La;lr6'66 '0000
;i a 7.
ALAN' /`LISA ,P
PLUMBING' REPAIR
'v...,. a „z.
RS SINGLE�FAMZLY
•1
xy k—
OSTERBERG LANDSCAPING INC
1521' 'S O ST
PORT ANGELES WA 98363
"13'60). 452'9511
57 00
00
57 00
Contractor
Qty Unit Charge Per
BASE-FEE
1 00 7 0000 EA PL -LAWN SPRNKLR BCKFLW PREV
e.n;'T
T <.AN,GE'LES
Iwo Q F POR.
ON;07v1IC:DE'V,E P MENT
?ET PORTANGELES ``VI!A ".98362`;
Plan Check Fee
:1,-Valuation
Paid Credited
00
00
00
Date 4/22'/09
*1%
Due
00
00
00
00
0
Extension
50 00-
7 00
r 6k.?,
Rar\ <eir
4)sec_7\-e. da-rrrov4 P2?-17
gektrro *o L ny Le
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 l80 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 1 w regulating const cfionorthe "er rmance of constructiio
#2_ 0c( 4
Dale Print NameSig ature of Contractor or Authorized Age! t S gnature of Owner (if owner s 'u Ider)
NAME OF PREMISES
SERVICE ADDRESS
LOCATION OF DEVICE.
ASSEMBLY v C //175
Manufacturer
Initial
Test
Repairs
Details
Final
Test
AIR GAP INSPECTION
REQUIRED MINIMUM SEPARATION YES NO
COMMENTS
CHECK VALVE #1
Leaked
Held at 5
Cleaned
Replaced
Held at? C psi
tf( 'r 6:
r
Initial
Test
Repairs
Final
Test
I Date /Time Tester
Backflow Assembly Test Report
City of Port Angeles
Public Works and Utilities Department
Water/Wastewater Collection Division
J 4 C 4 A 4 A
l
/7 if /f 5 iits
A' A/ /if f'/, GS'C /G 4/Gl'
956x T l
IS THIS AN APPROVED ASSEMBLY? YES @'NO IS ASSEMBLY INSTALLED CORRECTLY'' YES c NO
DATE OF INSTALLATION At' ,0/ UNKNOWN
Model Size Serial No
REDUCED PRESSURE PRINCIPLE ASSEMBLY
DOUBLE CHECK VALVE ASSEMBLY
4 Gl e; "fe x e l
7 1ckt i'
CHECK VALVE #2
Leaked
Closed Tight
Held at psi
Cleaned Cleaned
Replaced Replaced
Closed Tight
Held at (2 <psi Opened at psi
Signature
q.7
RELIEF VALVE
Did Not Open
Opened at
3 psi Butler YES NO
Cert.
ps
Test Kit
WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY
/N5 TtgeEpG G AN0S6-4e/A/
Assem.#
Received
,25 27/
RP RPDA
DC DCDA
PVB Air Gap
SVB AVB
Replaced
PVB /SVB
AIR INLET
Did Not Open
Opened at psi
CHECK VALVE
Leaked Held at psi
REPAIRS
Cleaned
AIR INLET Opened at psi
CHECK VALVE Held at psi
BACK PRESSURE NO YES
TYPE OF HAZARD Z. 41
Line Pressure 7 ,5 s i
Held Backpressure YES I3K NO
#2 Shutoff Held YES CY NO
Relief Valve Exercised YES NO
Official Use Only
Passed Failed
g -v O v Ai!P,t,t(
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000359 Date 4/22/09
Application pin number 458778
Property Address 1417 A ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 1666 0000
Tenant nbr name ALAN /LISA PARTRIDGE
Application type description PLUMBING REPAIR
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 1500
Application desc
IRRIGATION SYSTEM DOUBLE CHECK BACKFLOW DEVICE
Owner Contractor
ALAN /LISA PARTRIDGE
1417 A ST
PORT ANGELES
Permit PLUMBING PERMIT
Additional desc IRR DBL -CHK BACKFLOW
Permit pin number 144675
Permit Fee 57 00 Plan Check Fee 00
Issue Date 4/22/09 Valuation 0
Expiration Date 10/19/09
WA 983637241
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 0000 EA PL -LAWN SPRNKLR BCKFLW PREV 7 00
Fee summary Charged Paid Credited Due
Permit Fee Total 57 00 57 00 00 00
Plan Check Total 00 00 00 00
Grand Total 57 00 57 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 1 w regulating const ction or the nerfnrmance of cnnstrnctin .0
z2 oq 6
T:FormsBuilding DivisionBuilding Permit
OSTERBERG LANDSCAPING INC
1521 S 0 ST
PORT ANGELES WA 98363
(360) 452 9511
Date Date Print Name Si ature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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
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 &I Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
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
Inspection Type
Date Accepted By
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Comments
FINAL Date9 Accepted by IB
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
For City Use Only
Date Received 4 -22 -C9
Permit Oq— 51
Date Approved
Applicant tk :f (94,-6,-.6e Phone .66 22? 0
Property Owner f3 d e, A Phone
Property Owner's Address /4.( S, t i-- 5 7- 4 z ete5 4ha, A?/_
Contractor ,e, 6 c4c..„,0 2 Phone cro) 7Q
Contractor's Address s', A) i{�.,�
License Expires E -mail
PROJECT ADDRESS 4/7 r /1. 4 q 3
Parcel Number Lot Zoning
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
Floor Areas
Basement
1St Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Site Coverage the amount of impervious
and other impervious surfaces. (see P
Max. height of proposed struct
Will a lawn sprinkler syster se installed?
Will a fire sprinkler sy m be installed?
Date Prnt Name
T Forms /Building Division /Bldg Permit.doc
(A1aA 115 e)
wfer A Ian `LiSe. Q ari h -fJ Or Co Ln.ilj (Ak) 4e-
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
•Residential
r
t 4 o0v1 .5t is
(4,
Multi- family Commercial
House garage other tear off re -roof lay over one layer
Heat pump wood- burning stove gas fireplace pellet stove other
%xistinq (sq. ft.) Proposed (sq. ft.)
Signature
per sq ft.
TOTAL VALUATION C79 €6
sq ft. T Lot size q Lot coverage
s ace on a parcel including structures paved driveways sidewalks patios
C 17 94 135 for exemptions) Site coverage
Occupancy group of bedrooms
Occupant load of full baths
Construction type o calf baths
Industrial
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 fs my responsibility to determine what permits are required, and to obtain permits prior to working on projects.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
36'0)/
0'~c
DATE
ELECTRICAL PERMIT
Installed By:
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
lQ--6\/ERHEAD SERVICE
o UNDERG'OUN~E
\,IOL~E: .2& .'
~INGLE PHAS~
o THREE PHASE-,
SERVICE SIZE ...5..;2.0 AMPS
.
9
IA/IR f
W.S. No.
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
/1
~ ry/~
f? ~- Jlts;4/1
AtJU5? /1;;J~ /I1-e7L-r ~.
SERVICE SIZE
Q)
If-JP-
Details/Description:
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K. I
1.f.i^ ~Rough-in/cover O.K. (~ I,) ~i)
~ O.K. to connect servic , _'_
o Final O.K.
Installer: t:Sw
~. Il-.
~~(tA
New Meters
-
Site Address:
/ ifl?
.'
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. (J.O
T ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ YfJ -
Electrical Inspector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meier Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
, .
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
\./
ELECTRICAL PERMIT
PERMIT NO. JCJr7'
r/30.;'t/
DATE
Site Address:
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
'liIf Residential
r Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
"'rJt: Add/alter circuits
[] Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
01003.0
Service size
o Temporary
Amps
DetailslDescription:
tu t'fl L
1~t
Wlyd
cJj,
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
~ Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
Permit/Receipt No.
J(),J
Site Address:
New Meters
.
Notify the Department of City Lig by Street Address and Permit Number when ready for inspection. Work
must not be covered or eiectrically energized before inspection and O.K. for covering or service has been given
by the In~eclor in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT cQO r!:!'
Inspector Amount paid
WHITE - fife by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
\
OLYMPIC PRINTERS. INC.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
364- 417 -4735
Application Number . . , , ,
15- 00000086 Date 2/04/15
Application pin number . . .
366838
INSPECTOR:
Property Address , . .
1417 A ST
ASSESSOR PARCEL NUMBER:
06-30- 00-0- -4- 1666 -0000-
SERVICE
Application type description
ELECTRICAL ONLY
Subdivision Name . , , ,
ROUGH -IN
Property Use
Property Zoning . , , , . . ,
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
COMMENTS:
Application desc
200 amp service and master bedroom ,remodel
___°---------------------------------------------- -------------
- - -. -. - _.. - --
Owner
Contractor
PARTRIDGE AT,AN /LISA
APS ELECTRIC y
1417 S A ST
546 BENSON RD,
PORT ANGELES WA 983637241
PORT ANGELES
1�7A 98363
(360) 452 -6753
_.._____- __--- --___. -------------------------------------------------------
Permat . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee 140,00
plan Check Fee
.00
Issue Date 2/04/15
Valuation
0
Expiration Date 6/03/15
Qty unit Charge Per
Extension
4,00 5.0000 ECH EL-
BRANCH CIRCUIT W /FERnER
20.00
1.00 120,0000 BCH EL-0
-200 SRV FEEDER
120.00
--------------------------------------------------'-------------------------
Fee summary Charged
Paid Credited
Due
-- ----- -- -- -- - --- ---- - - - - --
.Permit Fee Total 140,00
---- - - - - -- ---- - - - - -- ----
140.00 ,00
- - - - --
DO
Plan Check Total ,00
.00 ,00
OD
Grand Total 140.00
140.00 .00
.00
REPORT SALES TAX
on your excise fax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
i
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGETUILDING
I-
�JS
S
FROM : A.P.S. ELECTRICAL CONTRACTOR FAX N0. : 360 452 6753
CITY OF PORT ANGELES PERMIT APPLICATION
Buillding DIVision/Electricol Inspections
321 East )E±tfth Street—P.O. Box 11501 Port Aageles Washingtna, 98362
Ph: (360) 417 -4735 Fax, (360) 417 -4711
mate : .9 3� �0I G
At I & 2 Single Family Dwelling
Feb. 03 2015 09:06AM P1
RECEIVED
1
FEB _ 3 2015 ;, 4, r'•" aQ
.ti
w�r
plan ,Revlei M y R mired, Alease ample to Eir?ctrical Plan Revietu information Sheet
Job Address; " ►.t h �� "
BuikliAg Square Footage;
Description of above 1— - , Q
Owner lgformjan L�
Name: _.-. `.. �a �` t
Mailirm d mss:
City, Slate, -.- Zip:
Phone: -L _ Fax:
Lloenae #1 Exp,
,,,,,,
AD
ordl.Charge
Sets to /Feeder 200 Amp.
$120,00
ServlcelFeeder 201 -400 Amp,
S 146,00
SwidWFedder 401.500 Amp
$ 205.00
Serv'loa$oeder 601 -1000 Amp.
$ 262.00
ServicelFseder over 1000 Amp.
$ 373.00
Branch Circuit W/ Service f=eeder
$ 5.00
Bimch Ci rdl Wfo Service Feeder
$ 63,00
Eaoh Addillorral 9ranch Circuit
8 5.00
Branch Circuits 1.d
S 75.00
Temp. Service! Feeder 200 Amp.
$ 93.00
Temp. ServI6&Fr�ar201-40DA*,
$110.00
Temp. ServioelFeeder 401.600 Amp.
$148,00
Temp. SarylceXoodor601.1000 Amp .
$168.00
Portal to Portal Hourly
$ 96,00
'$ignaf CircuW Limited lrnergy- 1 &2 Farrrlly D,viVN
S 64.00
Manufactured Home Connection
$ 120.00
Renewable Electrical Energy - 5KVA System or Less
$ 1102,00
Thermostat
$ 56,00
Nola: $5, 00 tnr each addl0anal T-Stat
NEW GONSTRUCTION.ONLY.
First 1300 Square Ft.
$120.00
Each Addltionai 560 Square Ft. or•Poftn of
$ 40.00
Esoh OothuiW!r% or Dotpchod GAMgo
$ 74.00
Each Swimming Poal or Hot Tub
$ 910.00
Contra or f orrnatio
teem? J 1� M 2
iNal! }tlgAddress:. nn
Phone: ,,,,,,,,,Fax:
License # 1 Exp.
My. Total (0tx 1A.QAIP.Iled by Un# Chorus)
c
$
$
$
$ 4 Total
ouwter as detirmd by ROW. 99.28,261: (f) Owner will co0upy the stPv&m far buo years after this etc 4cal permit is Razed, (2) Owner is requfre0
to hire an electrical contraatar if above said properly is for sail, rent or lease. Permit expires after six months of last inspection.
After reading the above siaternent, l hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making
the eleclncat installation or alteration In compliance Wth iho elaftai laws, N,E.C„ ROW, Chapter 19,28, WAG. Chapter 295.465, The City of Dart
Angeles Municipal Code, and Utility Specificasons and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, eWrlcal contractor or electrical adtnlntstrator: ❑ cam 11 Chad
X ��1n ,&.Creditcm* M
IG- arrtad: M �) o�taarzas2
ELECTRICAL INSPECTION
6.
WIRING REPORT
0
417-4735
�
RKS &'
llATE:
/
-71111 1T
PI
INSPECTOR
OWNER
CONTRACTOR ryry
tkl��-2
ADDRESS
NOT APPROVED
D ... ........ -.. DiTCH ....... ............ 0
ROUGH INJCOVER . ............. . D
SERMCE .......... ....... D
............. RNAL. ... I ......... I - - D
CORRECTIONS NEEDED, v;-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS