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Home My WebLink About530 E 4th St - Building , -.,..'.,'_,:C:' e .~~.., "";,-",,.,",,;",...-,:- .... CITY ()Fi>OaJ':ANGELES DEPARTMENT OF COMMUNITY DEYELOPMENT - BUILDING DMSION 32 lEAST 5lH STREET,',BORTANGELES, WA 98362 . '.' ;, ',-. :}~\::, BUILDING. PERMIT:' OWNER/APPLICANT INDEPENDANT BIBLE'CHURCH 530 E. 4TH STREET Port Angeles, WA 98362 360/452-3351 T: CONTRACTOR OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 PROJECT. INFO " #, ''': Projecf'Value: $500.00 Project Type: PORCH REPAIR Occupancy Type: RESIDENTIAL ..-,:~ ,"---.,- ,-:., ',"-~' ,':.::'. '-.. - . -'. Occupancy Group: Construction Type: Zoning Use: RS7 ISSUED: 9/04/2002 PERMIT NO: 13681 ' .",.1,;:"....-.,,, . ~QpeRrv LOCATION ;,.:530 4TH ST E Lot: 2 Block: 172 fXI Subdivision: TOWNSITE "Parcel No: 063000017205000 :ARCHITECT N/A .98360-0000 360/000-0000 SFDUnlts: , SF[fSClFT: Commercial: Industrial: Garage: o o o ~ fTI MFD Units: MFD sa FT: o o 1, . PROJECT NOTES REPLACE /RI;PAIR PORCH ROOF i!<;.,;,;~ RECEIPT#9626 FEES ASSESSMENT Buildingperlllit: Plan Check: ,. State({$urtharge: House Moving: Manufactured Home: Sign: Plumbin.g: Mechanical: , Radon: $23.50 $0.00 $4.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 .I: -I- ~ MiscF=~ 1: . Mise Fee 2: Mise "Fee 3: $O:()O $o.()() $0.00 TOTAL FEE: AMOUNT PAID: . BALP.Nd: DUE: $28.00,-, $28;QO "'$0.00 SeJ)~rate Pe,!,!its are required for electrical work.SEPAS,hoteline. ESA, utilities: private a~d public improvements. Thisf)8rmij:b~mes nul,landvold if work.or construction alJthorized is not commence~i within.180 Clays. if constructipn or work Is suspended or abaQ~I1~d for a period of 180 days after the work as commenced,or if requlrfdlnspectlons have not bee,n requested ,within 180 days fr6111ffi.~las.t Inspection. I hereby certify that I have read and examfned'"~applicatioh 'arid knOw the same to'biftrUe and"corre.PtAiI P!9)lJ.$loh~.of laws.and ordinances governing this type of work will b~ cornplfedWithwhElther specified herein or n9t. The granting of a permit does nOt presume to give authority to violate or cancel the provisions of any state or local law reglJlating construction or the perfonnal:1ceof construction. . Sig~ature of. Contractpr or Authorized Agel'lt Date. T:\PLANNING\FORMS\1102.IS [412002) BUILDING PERMIT INSPECTION RECORD } 'l~, .~\." .. .";- -/~,:t- CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NO~nCE. IT IS UNLAWFlJl~TOCQJ{gJl.' INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED, POST PERMIT IN ACONSPICUOUS'LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE'", ~ . . _L~ INSPECTION TYPE g'fD~J~ . ACCEPTED COMMENTS, " ;;: ~l~./""" ,;' - I YES I NO , FOUNDATION: ", '" ,'\.. " FOOTINGS WALLS " FOUNDATION DRAINAGE .~; ~ I., '.' ELECTRICAL (LIGHT DEPT) SEP~TEPE~T:# ROUGH-IN .' ; PLUMBING ., UNDER FLOOR / SLAB ROUGH-IN "" ;".j WATER LINE GAS LINE . BACK FLOW / WATER , .. , f , i .,' , ::, I' t ,. AIR SEAL , " -, WALLS .. CEILING , ~ '-~'~".' /' FRAMING "" JOISTS / GIRDERS " SHEAR WALL WALLS / ROOF / CEILING '. 9~I1~o'Z. J..EJt DRYWALL T-BAR INSULATION SLAB I WALL / FLOOR/ CEILING I I ,-~ .....;~ '" MECHANICAL " ., .. .. HEAT PUMP WOOD STOVE / PELLET / CHIMNEY"'" ; . HOOD / DUCTS , , . :\,0;,. '." ,"'" , PW UTILITIES / SITE WORK (Engineering Division) SEP~TE PERMIT #'s: .:: l;'<" '::Jj~~!'l;-y". '-, ;- '. WATERLINE / METER . , , SEWER CONNECTION ...' " SANITARY . . " ~ ;: .\ ',c..;, " STORM . " ..... .-><' PLANNING DEPT. SEP~TE PERMIT #'s -' ;,,' ,', " SEPAl PARKlNGJLIGHTING ESA: '. LANDSCAPING SHORELINE: .. FINJU,.,Jf'!SPE,CTION~ REQUIRED PRlORTO OCCVP~<;YIUSE; !,;,., . " ,'. ,:,",. -'r~"-'_hJ::ji ::}~;~ v.'" ." ..."..",-.; RESIDJ;tNTIA~ DATE ,'. YES NO COMMERCIAL 'D'AT& '." h, ' Atc~mD'" . ; ','" . ;:> (. . :"_t' '. ,.1,iV --;'yfg .,. ;;"'NO"t ELECTR,.lCi\L - LIGHT DEPT. ", " ..' ,- , " " c . ,. ,., 417-4735 , , ELECTRICAL q ~,;;:" .;' " , UGHTDEPT .. .' " , CONSTRUCTION R. W./ PW/ , <.''' v,'~,i CONSTRUCTION - R. W. ENGINEERING 417-4807 - PW / ENGINEERING ',' '. : FIRE .. 417-4653 -. - ," <: , ,'- t --- FIRE DEPT. PLANNING DEPT, '" 4tT-47S0 r #jj.:~ ''A PLANNING DJWf.,': , M'" " Ii ;,,' ,c I ',~'.' ..' BUILDING 417-4815 ~ Kl/ BUILDING ..... / ;:'t,~.. ," ,: ", . ... _.-~-.. \ i \ , ~, ......., T:\PLANNING\FORMS\1102,15 [412002] BUILDING PERMIT - APPLICATION FOR OFF1CJ.\L l,!sf. Otl~: Date Rec.: 7-?"- c::!)-~ Permit #: J;so 68 J Date Approved: · Date Issued: ~(IC~P The Building Permit Application must befilled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent:. C/iucl::. i3yC'wJ Owner: /n/LJI7P~AJ/ffiN"Y-' &-;g,/~ r ttn#t' 1. Address: / /.:;z l'LIaLN{ L,'yUctJl1.J Architect/Engineer: N/A- Con tractor Gt'.u /U../~ City: Phone: 16'".:2 - 33 S-/ Phone: </5;2- 331.(;;/ /t'.e,i- 4c,g/~s 0;&- Zip: 923~~ Phone: License #: Exp: Phone: Address: City: Zip: PROJECT ADDRESS:- 5bo ~ q'ft... .5t: A Ie; #f4 Cd /Y"l;. ZONING: Rs- - 7 LEGAL DESCRIPTION: Lot::::z...., 7 Block: /72... . Subdivision: TPA CLALLAM COUNTY PARCEL NUMBER: (}b~{JOd a 172.()~Credit Card Holder Name: Billing Address: City: Credit Card #: Exp. Date: VISA MC TYPj: OF WORK: aJ..-"1{esidential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition l1J-"1{epair 0 Sign SIZEN ALUATION: SF. @ $ /SF. =.$ SF.@$ /SF. =$ SF. @ $ /SF. = r TOTAL VALUATION C Y S.oo i- Re 'p/;tJ('A- ek: IS -li'm If" I?; Rc A .If?, L'J P. o Wood-stove o Garage o Deck o BRIEF DESCRIPTION OF THE PROJECT: ~ n,., L!J z) ~ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: /sq. ft. = TOTAL LOT COVERAGE: APPROVALS: PLAN BLDG. DPW. FIRE ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER B UI LD IN G PERMIT APPLICATION SUB MITT AL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. No. of Stories: _ Lot Size: Existing Lot Coverage: PLANNING USE ONLY: Notes: % Lot Coverage: /sq. ft. + Proposed Lot Coverage: % /sq. ft. Y ALVA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee sChedu,les. Contact the Pennit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building pennit application and construction plans are submitted. All other permit fees are due at the time ofpennit issuance. EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that [ have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obta~in such. Applic,"$ . ~ D'te, r~L T'\FO RM S\AP PSIBu Ild ingpermi t ~-, ! :i 'I Ii Ii Ii ~ Ii I $ I 1 ! ~ !I ~ ~ ~ ~ '1 , I ! i I l '\: } ~.~ ~~ ~ ~~ ~~ ". ~, ~~ t .... ,-'" ~;::\. ~~ 'i,.Q '" . r~ ~ .~ ~ ,. ~ ~. ~':-'.' ,. . . ~L", . ~ ""~,,;:;,, . 'c. ~ ".;";::., _, , '. ~,-:;.. .' ~' ", 1l :":H' .~ ~'..., .:':. d" , ~ . . .' ~'.',~l" . \', ;. ::.: ~ :~..:. ~..~ :~:..:: . " ~""....,:,: . ~,,:,:y,:;.:.:;. . -- ~' -' . -. .-,.--. " --'~--......".'~-~- -------. : .,,' /::.:'. . !'...':-. ;';'~~" '~~'('::X)~~Z:~'rrf ~ ~. .,,;.~_.,.. . :'''L~~. '. ..,. :;;, ~., ':1' ,.,: L ~ vt . f: 1',;-; :: '~~.;' . . .+.,,~:.-~.~..:.,-: '- ~... ,01 .. .:~ .' ~. '" ... ;.1' I : . ...; ,';,.. ~ - -~:'~ :. . -r , :.;:'..:::. :rc, '.. i ~.~ ;. r.o ..,:1 .~ i i_ A A./Ob+N ',' ~. .' -t-',. .;.'.:' 1_, :~_:..~ :'+- . ".,' ..,,".: ~.t) ~~ ~; \'i':;)- "~t: ~~ r-- ~ ~ I} """' -- ~ ~ lJ\ (\ .':1.... ' f'ol,;.' , . . '~1 ~ -..; .. ~.,.." ...., . "'" .','~ .'\"',~.; ; -\ !:: " lM.ulllLJ< ~ ~~ ~~i~~ &~I "t'I ~ ~~~ t:' ~/I')~ . (\) ", ~ ~ ,'\ ~. , ""-.. IY~ i~~ 7""'.. ~ { ~~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: r ~ Date q - 17 - tJ '2-. Time Received by ~ ~ (phone, person) Location of Work to be inspected ~ 5 d E;, Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle ropriate OnE!): Chimney Plumbing Final Sewer Excav. Other Phone No. Permit No. L-;'6 ~I ~ INSPECTION N~ES: . "Z... Inspected: Date -/7 - 0 . Remarks: Time By ().~ RESTORATION REQUIRED . . . . .. YES .NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) .....-:--........,.,. --.......-- s ~~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUll..DING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Use property zoning . . . Application valuation 04-00001142 Date .203068 530 E 4TH ST 06_30-00-0-1-7205-0000- RES REMODEL 1/04/05 10000 Contractor Owner ------------------------ ------------------------ OWNER PARCHER THOMAS/KELLY 292 SUTTER STREET PORT ANGELES WA 983622919 (379) 8254 SEBRING FL ---------------------------------------------------------------------------- permit BUILDING PERMIT -RESIDENTIAL Additional desc RAISE ROOF & EXTEND WALLS permit Fee 204.75 plan Check Fee 81.90 Issue Date 1/04/05 Valuation 10000 Expiration Date 7/03/05 Qty Unit Charge Per Extension BASE FEE 92.75 8.00 14.0000 THOU BL-2001-25K (14 PER K) 112.00 Other Fees STATE SURCHARGE 4.50 ~ & <:- ~ D ~ }) <Y, C --. <:: \jv ~ \) \ ~ n--, " ~ J: ~ ..s ~ ---------------------------------------------------------------------------- Special Notes and Comments Public works electrical engineering has no requirements for this plan review. Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The Fire Department has reviewed the project application and has no comments The proposal is to allow remodel an existing residential structure. No additional square footage is proposed. Lot coverage is good at 28%. No land use issues are noted. Public works electrical engineering has no requirements for this plan review. public works utility engineering has no requirements for this plan review. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 204.75 204.75 .00 .00 plan Check Total 81.90 81.90 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 291.15 291.15 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last Inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law g I ting constru tion or the performance of construction. Signature of Contractor or Authorized Agent Date T:\PLANNlNG\FORMS\1102.15 [11/14/2003] ---.. BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGElDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS I~ ];-"S [T J..L CEILING "7 7 FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING ~y;^ 7('_ -:J i-l- DRYWALL (INTERIOR BRACED PANEL ONLY) , T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING 1'5: -l):3 - <!). C) j ~L . MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 7/t!70S JU...-.- BUILDING T:\PLANNlNG\FORMS\1102.15 [11/1412003] III III III III III >-l Itj ;g;g;;)8i; nltj I:-< I:-< I:-< :r> t-< '< ~ H~ \D H W H W 'tl 'tl~ZZtJ >-l1>1 \D ~ '- I:-<n1>1>-l~ '<'tl C/) H 1>1~~1>1 :r> 0 0 0 0 0 0 >-l ZI:-< :r>C/) O~ I-' I-' '" I-' I-' ~. nC/) "'1>1 >-l tJ ell III 0 'tl Itj 1>1. ~. 0 n~lll ~ ~-.J fr""O" Ww 01>1 >-l,- .....................,................................... '-'- 3:0 I-' l-'t\Jrvl\Jl\Jl\Jru 1-'1-' 'tlGo 00'tl lJ1 ~~ I-'WWWl\JWf\J 1-'1-' 1:-<1>1.... -""':r> W ,.................................................................... 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Z Z 'O>-J c.,>-J t>1 3:H ~n >< 3: 'O'O(f) >-J t>1 f3f3ij3 t>1:>: c., " (f)t>1 '0 t' ZZO >-J ;J> H>-" t>1t>1H t' Q t>1" <: t>1 :>:J .. t' t'a H '<a t>1 w :>:J " t' IV '< 00 "-' 111 '" 0'0 ;J>;J> >-JQ t>1t>1 " "- >-" >-" "- a 111111 ~'PORT",~ cY~O~~~ r\lii 1IL ~ ~ 'l.oi;:", Wi"" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 04-00001142 Date .203068 530 E 4TH ST 06-30-00-0-1-7205-0000- RES REMODEL 3/22/05 10000 Owner Contractor PARCHER THOMAS/KELLY 292 SUTTER STREET PORT ANGELES WA 983622919 (379) 8254 OWNER ------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date ------------------------------ MECHANICAL PERMIT .00 Plan Check Fee 3/22/05 Valuation 9/18/05 .00 o Qty 2.00 Unit Charge Per .0000 ECH ME-VENT FAN Extension .00 -------------------------------------- permi t Additional Permit Fee Issue Date Expiration ------------------------------ PLUMBING PERMIT desc Date .00 3/22/05 9/18/05 Plan Check Fee Valuation .00 o (;, vJ Q Qty 4.00 Unit Charge Per .0000 ECH PL- EA.FIXTURE ON ONE TRAP Extension .00 ------------------------- ----------------------------- Special Notes and Comments Public works electrical engineering has no requirements for this plan review. Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-EJ When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The Fire Department has reviewed the project application and has no comments The proposal is to allow remodel an existing residential structure. No additional square footage is proposed. Lot coverage is good at 28%. No land use issues are noted. Public works electrical engineering has no requirements for this plan review. Public works utility engineering has no requirements for this plan review. ", .:J:. ~ ------------------------ -------------------------- -------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total .00 .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 as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All proviSions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the proviSions of any state or local law regulating construction or the performance of construction. Date oAJ FIL.I:::- Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIQNS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONL y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET / CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] . t~ WI CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 ..- Application Number pin number plan Check Total Other Fee Total Grand Total 04-00001142 .203068 .00 4.50 4.50 Page 2 Date 3/22/05 .00 4.50 4.50 .00 .00 .00 .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 as commenced, or if required inspections have not been requested within 180 days from the last Inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give au\horily 10 violate 0' cancel the pmv;,;on, ot any ,tate 0' local law ,egulal;ng con,truction 0' \he perionnance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\policies\1102_15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN ~1 f" n 1.7,.') ~J.- ~- WATER LINE (METER TO BLDG) -/ J GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEA T PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PoliCIes\1102_15 bUlldmg pennlt mspectlon record05.wpd [1/4/2005] tJj tJj tJj tJj >-3 'll :;;;g~8El nou r< r< r< r< 0-< ~ H7' \0 \0 '" :.: ou OU7'ZZO >-3t'l \0 \0 :;:: "- r< nt'l >-37' o-<OU Ul H t'l7':<lt'l P 0 0 0 0 10 >-3 Zr< pul 07' N H H H ~. nUl "'t'l >-3 0 tIl tJj 0 ou 'll t'l. 7" 0 n:<110 7' 7'-.l wwt-'I-' HH Ot'l .. ,. .. .. .. >-3"- .......... -.. -.. .......... "- "- :':10 0 I-'I-'f-'I--' HH ouC:O OOou U1 ~.:::. I--'!-,WW NN r<t'lO U1",p '" .......... .......... .......... -.. 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State Lic=nee 'II: . . Exp~ :phone: '07"1. e~'-l LOOALD~==N:~ "~~I~~~~a~;~" CI.AI.LAMCOUNTYPARGSLNUMBBR: _ 00 ~CX:W' /7 ~t)~ . Credit Card. Holder Name: BBliDI Addro", Credit Card Type VIS~MC --' ~.or WOlitX: SIZiE/V Al.UATION: ~lmaal 0 N~C~tr- 0 ie-roof C Stove .. SP.@$ /SF. ...S.... Q Mn]bAamily 0 Addi1:iQJl Q Mo~ 0 Gar~ SF. @)$. !SF- =$ . . ......_-D..ccmmef=L..a.le=WL...:~ 0 Deck. ." . . sr..~__ /SF. =s~/().J. flc2.C) . o. Rcp..u D Sip AlPIF . .~ . TjTAL VALUA'AON ~:r1f;:~~ 1 - ~~t:~; ~_ ~ ,.~. rw.. ..."~ COMMERClALII.. .~ ..c. .-~, ~ "",,,. Ocalp"""""" -----=~ Typ", ~ N"'f~. ~ ~'::,." ". :':,::... ~!:q- IlL ~&:,;",.,...s.....Jl,- -TOTAL Sq I't--D.. '~'::'.':Y".':' - g - .' APPioVALS: , PLAN:. . BLDG: . ~.. DPWU:_ FmEt OTHER:_ Ciry: _. Date: PLANNING USE 01\'1. Y: _ - BSNWe11al1d(s): Cl Yes 0 No SEllA Check1iKtreqail'1ld? eYe. C No 00=: --- Bl.jlLJJING Pl!'ltMIT ,APPLICATION SUBMITTALI The Buitdi.na Divi!lion elm provide you witb iDlcnmarlo:n. on the applicl.1io.u w;l pwuubJ:XlittaJ. Iequiramlll1t=; ifyouhaV!l qoestiOD-I. . . . V ALUA1'IOl'l' OF CONSTRUCTlON; In all eUBi. a ...aluatiOIl alDOWltlDllBt be entered by the app1icaut.. This figure wilJ:bo re~ewed aDrl DlIlybe revited by the:BuildingDi'tis;cm. to comply WithCUI1'ecl fee schlldulci. COnl1Ct1he Pennit Coordinator at417 .481 S for assistan~. PLAN CBXCK FEE: IF a. plan check fee is d~ it must b~ 3lilimittClC1 at the time the bui1.tfu'..g pc.a:cit applicBii01l. aftd COllt1ruDtioJl. plam a:re , . ....,:'.'SUbt:nifted:-_~~::other,p.cnW.1.ieos.-.:re~::of~UAn~,.,.,...'... ...,,....:.,~,.,-...~,~...- .. -~- ......-......,:,...-.'.......- -.'i'-."'" ...-----.'''''-'''-- ..._....:.... :.......... . . EXPIRATION OF PLAN XEVIEW: If no pemUt it f9med within 180 days of the date of applicati~)J.I,. the appllcadolllfflJ cpire.. The BuIldmg.Qtlicial CllJl exrend thE time for action by the appllcant up 10 18~ clays upon ~-requeat by the applieant (Joe Scction:RJ CS.3.2 ofthc ln1zlm&ti.onaI Buil~ Code, 200~). No a.pplicatiol1 08.11 be ext=decl mPre 1ban onee. 1 hereby Clellio/ !hat I M\'lt read <Inri examJned this epp/iGation arY.1 know the BBfflfI to b~ ftUe amI corrEJCt. I am fluthDf/zedto apr>>l for this p~rmit end oJndeJ-stand tW if i8 my ~O!",'bVJry to ds.'ermJ~ew~f1t pelmiture req!Jlf9d ,not the C/fts, d that/ mlJ$1 .$Uch permits prforto work. . T:'RVBS~t"""..-.12003.BUp.dmpml&.wp4 App~ . Dat~ ---- \::) ,-. 1::- ~ '~ \""~ ~ =- \ If:' d' r 4- !I- -0 ~ $ n 0 (\\ ~ t'l ....., Z r- ..., [J) ~ ~ r t:J Z 0 ..., t'l [J) ~ ~" - v i ~\ , , ~ 1\' 'r" ---t- ~ ...,-- - r-> r f7' ."\ t: 0' t' W ..., 'd ~;;~8E; >< ~ '0 'O~ zt:J '- t'nt'l...,:O [J) .... t'l:o~t'l 0 ... zt' ;PO[J) ~ n[J) . ..., I-' 0' 0 'd OJ. ~. n~ll<l , ~ OOJ .. .. .. .. .. 3:0 'Oco 00'0 III t'OJ'" ".",;po W OJ[J) , , ~ 0 """"1-' OWn OJOJC:: 00::0 OJ t:Jt:J.... 0' t'l e; OO~ ". f-'O ..., .... f-' ..., ::0 ~ II:: ".0::0 t'lHG1 tv' 0 [J) [J)Z :u~~ ..., C[J)'d ~tdi OJ..J[J) [J)tv'- 0:>': .... ~lllt'l ... t'l, t' 3:0t' ~t:J1 00>< t'lt'l t:J0 gj~~ OJO t' , t'~CIl ...,H.... 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I _-==- \~:::- ALJ.,e i-- I I I ~~_-::-V2~: .- f~~~,:- _..... ^ r.: A1l+~. -= 11 rw ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll..DING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Use property zoning . . - Application valuation 05-00000020 Date .715080 530 E 4TH ST 06_30_00_0_1_7205-0000- RES FOUNDATION REPAIR 1/10/05 2500 Contractor owner ------------------------ ------------------------ OWNER PARCHER THOMAS/KELLY 292 SUTTER STREET PORT ANGELES WA 983622919 ( 37) 8254 ---------------------------------------------------------------------------- Permit BUILDING PERMIT -RESIDENTIAL Additional desc PLACE EXISTING FOUNDATION Permit Fee 106.75 Plan Check Fee 42.70 Issue Date 1/10/05 valuation 2500 Expiration Date 7/09/05 Qty unit Charge Per Extension BASE FEE 92.75 1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00 Other Fees STATE SURCHARGE 4.50 lr\ '-.N ~ ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 106.75 106.75 .00 .00 plan Check Total 42.70 42.70 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 153.95 153.95 .00 .00 ~, ..t. ...,. S' Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work Is suspended or abandoned for a period of 180 days after the work as commenced. or if required inspections have not been requested within 180 days from the last Inspection. I hereby certify that I have read and examined this application and know the sam to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein r not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any sta or local law r g ing constr ction or the performance of construction. Signature of Contractor or Authorized Agent Date T:\PLANNlNG\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS -/2-0 ~- ].L, WALLS ~ t<.. -.lJ '" \-/--., FOUNDATION DRAINAGElDOWNSPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I T FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA TIO/l( SLAB I WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CIDMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W. / PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BmLDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/1412003] , to to to .., 'd ?;;~~81J n'O , t-< t-< t-< >< ~ H:U , '" '0 3: '0 'O:UZZtJ ..,t'l , '" >: , l:"'()tI:lt-i:;o ><'0 , (fJ >-< t'l:U:Ut'l ;I> , 0 0 0 0 >-l Zt-< ;I>(fJ O:u , H H H !j1. n(fJ 'Ot'l , .., tJ '41"" III to 0 '0 'd t'l. :U. 0 n:u:u :u :Uw HH Ot'l .." , " " 3:0 H I 1--'1--'1--' H H 'OCO 00'0 '"' ~~ I I--'WW "->"-> t-<t'lo '"'''';I> W I . ................... " t'l(fJ , , :u 0 Glo I 000 00 "'..,Ill OWn t'l'"' if'"''"' '"''"' t'lt'lC: 00;I: t'l t-<- tJtJ>-< 0' t'l t'l ~ oo:u ... 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'0 ZUl 01 :O;J~ [ij g: ~ Ul'O Z '001 >-3 3:oa Z :0 O1n Ul oZ:J> >-3 n>-3 Z01>-3 Ul >-3H ~ 0 .... 00 UlZO :oz a c<oz :J># '-<>-3 Z to 3: :J>H 0 0 'O'OUl 3:n >-3 :J> Z gJgJ5i 01," 01 '" 0 Ult<1 Ul >-3 , zza >-3 01 Ul , O101H c< :0 c< , <: :J> , c< to , H , 01 '0 , :0 , w c< 3: >-3 , -.J ><: H , 3: , t<1 , .. , H , -.J , 00 .. , N 0 , lJ1 0 '" , , , , , , a'O :J>:J> >-3Gl , O1t<1 , , , H '- H N '- 0 lJ1lJ1 BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: ,- ? -0 .;- Permit#: n,~~~ Date Approved: Date lssued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Owner: Address: 2;) 9.:;) City: oit loWIAS Phone: 5(00 . ~ 1'\ - fJdS"i Phone7Jkff1)7Q - ~ ~~ \ Zip: qp) ~Co B Phone: State License #:%!l~f\vrg\'~L\JEXP: (, ~~, -(() ~t "Ie:: 2&~\' 17~ CLALLAM COUNTY PARCEL NUMBER: CXo ':)0000 nO~ Contractor \ Address: l~LL[ 1\( ell," ') VC PROJECT ADDRESS: ~so LEGAL DESCRIPTION: Lot: ;) Block: Subdivision: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: Pit. Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRI~ D CRlPTlON THE PROJECT: b f 1 "t COMMERCIALIRESIDENTlAL: Occupancy Group: Occupant Load: No. of Stories: ~ Lot Size: '}fI1) Existing Sq. Ft. I~ 3;) & Proposed Sq. Ft. Total lot coverage % City: Exp. Date: Construction Type: C() = TOTAL Sq. Ft. /G, ~(;) PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with infonnation on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby cerlify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and undemland that n is my responsibility to detennine what pennils are required ,nol Ihe City's, a !hat I musl ~n ch pennns prior 10 001; . , ~ T:\RVESS\BLDG-forms-brochures\2003_Buildingpermi1.wpd Applicant: '. Date\hUl:;/"clDs The City of Port Angeles Building inspections Dept. !. <:;-'1"':;,)"': s.tull ;.Jdi .) "lllIWTk.Pl cd G<1 Hi HIS fll",Sotl O' (:'1' :.~c rc(1iJlf'....:,::J. :S'cc iRe 40 1.3. 2. :...-..) bL 3" .:.:-kJM. F!.::rfof..1~'t:d F/IFt:: '1/1":11 3/411 HI!!'!. Cf'L,::.:<e;,;J "'ock '::W cJI'.J'"'C ;;(1(.-1 :JF:;'fO~.-C:.:J ;J:-er f'h:nbr,vc. :::"~L' F?4C'~::< I dr'",;)" .3 :';cdt 'SF;;,;~~c:: rc"~ 3-stol", ~:'u "II.ll be 4 A, r: r'Cj€\:::lC" r "'-1[1 2" S" oJl nc::-t LX-;':>::C;;:J d':pti1. .!5 "/2'~t!-CJI ,,)rld !l:)(2CnH,J '//,)1 r>'~n'lfcrc~n'CrH::;, 'sit]]] be .:=-L'L:cd no :.:OSCr'- t,:J C"t: o",ts'lch.:: LJCC of t:fk~ UJ.:JH (/ L-~'J!f Uh: st~::'YI'h~Jjl tt!!Ch'iCSS t;~t3:,(f"lU!T 4'-(;1' stem):,J! I/I:h 5U '~c;' a""C:::l~~ f;CfjTl~ tL',,:~ 4<::)4. i .3,:. ::::)~.::c:;~)s,r.:n~cnt 'k..1! L:h:t.,li k"r tll,,;-jher s:e-n~V3 c::i:. -it: r;;e <f) 1- ::r -b ( ~ 1D ~ :r .J , .'V "\ \ '....,,'" \..) .--- B ::> o ~ i:.. ~~- c: Q...'Z' ~ '- (2) ..... fa t\ ~ lr-,I -+:: t--- . $ "- 1/ \J'I ~ g ~ I ~~ t o ~ -(:( - '---- II ~ -- o j-E ~.- ~ ~ j s "'" r""--"" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :\21 EAST 5TH STREET. PORT ANGELES. WA 98:l62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description subdivision Name Property Use Property Zoning . . . Application valuation 04-00001142 Date .203068 530 E 4TH ST 06-30-00-0-1-7205-0000- RES REMODEL 2/24/05 10000 Owner Contractor PARCHER THOMAS/KELLY 292 SUTTER STREET PORT ANGELES WA 983622919 (379) 8254 OWNER - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -- - - - - -- - - - - - -- - - - -- Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL NELSON/ 1-4 CIR". JEFF NELSON ELECTRIC 48.10 Plan Check Fee 2/24/05 Valuation 8/23/05 .00 o Qty 1. 00 Unit Charge Per 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 cF) Gj o ---------------------------------------------------------------------------- Special Notes and Comments Public works electrical engineering has no requirements for this plan review. Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36. 050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The Fire Department has reviewed the project application and has no comments The proposal is to allow remodel an existing residential structure. No additional square footage is proposed. Lot coverage is good at 28%. No land use issues are noted. Public works electrical engineering has no requirements for this plan review. Public works utility engineering has no requirements for this plan review. ~ --t;. \~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - -- - -- L,., ~\ Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- peJ:mi t Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 52.60 52.60 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPE(?f.ION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO ~ .5 nhtZ-.> Be tv / /U&-CJ ~/fC'~4 e~/o n-ob.-rJ s Tb L1//~1 ...5~.t/'.../~ GENERAL COMMENTS: PW-Il02.l~ (4196] . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. ;'1..>/ 1/11/1>" I , DATE Installed By: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW o FAN/WALL KW DJ: RESIDENTIAL b COMMERCIAL o NEW CONSTRUCTION o REMODEL ::Ji'] ADD/ALTER CIRCUITS ~ SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER ~ OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: / CLJ /z r/U ~q\ D3rD' SERVICE SIZE ;)60 FEEDER SIZE AMPS AMPS Details/Description: dAA1f ~-e /fJ-v ~~ ~ r / l' ~#el7 JfJ~, ~hJl, r~~~ . cf..4/ ;JY-r I W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. .->f;,p./'''jx O.K. to connect service 11'''''- ~ Final O. K. L permit/Re11S/ New Meters --- )' Installer: .. 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~mil. PHONE 457-0411, EXT. 224. /fM NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ t SO Electrica'lnspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC. ~"~"''';~'-' --,. ~ ELECTBIC4L INSPECTION WIRING REPORT 417-4735 . '3. 5" o NER ONTAACTOR -Tb'-r=- ~5o/V ADDRf3't:' J€ ~ sT ~ APPROVE( 1'ZJti.::;,- ?~)r r~PROVED o .... 0 .. 0 0 0 . . 0 . 0 0 0 0 0 DITCH . 0 .. 0 . 0 0 0 . .. .. 0 . .. 0 0 o . 0 0 0 0 . 0 .. 0 0 0 o. ROUGH IN/COVER. 0 0 0 0 . 0 0 0 . 0 '" 0 o 0.. 0 0 0 0 . . . 0 0 0 0 0 0 . 0 SERVICE .. 0 . . 0 . . . . 0 0 0 . 0 . o. 0 o .. 0.. 0.... oW.... 0 FINAL. o. 0 0.... o. o. o. 0.. o. 0 CORRECT~~NS NEEDED: ~~/CJc.. ~::r- /ffb /~...u ~""# '" ____ ~~L (3 ~ :j ~ /A/ /~~.c:..s (j) ~/7VT' ~/&I'T"..) /"al:::... ..5M7a-...s . .:iJ; fJ';77ZJhf or ..5~;c , @ /2. /~/v I" f! /,(/ &~N(." ~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE _ OlYMPIC PAINTERS, INC. (380) 452-1381 FROM FRX NO. :6814254 Feb. 22 2005 09:08RM Pi o Electrical Contractor Q Annual Permit Q Alarm ~ tJ Owner W a Camlv8.1 0 Commercia! ELECTRICAL WORK PERMIT APPLICATION o Request Inspection 'I Residential CJ Residential MaiDt. 0 Signs (J Thermostat CJ Teleeom. Job wired by .JrElectrical Contractor 0 Owner 10...lIntion dmriotioo . - h ~/t! - {'..u.4~1 . Electrical cantractor ~ume". LICense number "Ie ff A/I Iw~ rJe, I...,. ,iFPPJ8..1 ?,J''1Rf> Pur~baser's mailing address ~ . ~ ~ ~~.;- &: d:/M 4.p-.. ...r-/"S- City State ZIP S"I~.U-'___ /(/~ C;"'8"L TelePhonf" n~b;r - . '{'~ Premises Op~ Addrell of Inspediob ,"" <5 ~ 'tj. 1'=- 1- City sm.i:t$T alA- o Cash 0 Check # I hereby certifY that 1 am the owner of the above named property or a licensed electrical contractor (ar the firm's authorized ageut) and am making the electrical insrallation or alteration in compliancc wid'l the electrical law, Chapter 19.28 RCW. o Cl'edit Card Card # Visa Mastercard Discover I, WALLS Insulation Only CEIlJNG Insulation Only .IiI' SigD3ture of owner, electrical eontractor or eledrlc31 3dminj5trator x THERMOSTAT nw. A.j)pfO"~'\1 5y 0,," AIIFJOyad By Dllte Approyed 9)' Olle Ai\prDYed l!y DrrcH FEEDER Cover CoveT D:ue Approved By Illl.l:e Apprtlvd Dy "'" APOtovo;o.l By D;ltll . ApplUyadB)' ElectTIcalload Additions and or subtrsctlons o NO LOAD CHANGES o Baseboard KIN o Fumace KW [J Heat Pump _ Ton _ LAR o Fan-Wall _ KW Servlcg Information Q Overhead Service o Temp Service Q Underground Service Vottage Phase 0 1 03 Service Size: _ Feeder Slza: ~f'(, InspeClion Area~ Building or Equipmenllnspected Action Taken Electrical Dale Inspector <U ,o~/r' -"~ -'L.n..-- I"'PR -FA'iZ t? . ~. &;J",,~u.cT, .3// /O~ ;fPUbH - r/V ,?JA Aca2 ; !~/ J/)< /. '-'I ~ AcO 1;- II- 0:;- ~/N4 /fy? A--c.D -005'