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1026 E 5th St - Building
PREPARED 6/15/11 8 26 31 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/15/11 ADDRESS 1026 E 5TH ST SUBDIV TENANT NBR PETER L CHASE CONTRACTOR PHONE OWNER PETER L CHASE PHONE (360) 457 5233 PARCEL 06 30 00 0 1 9210 0000 APPL NUMBER 10 00001463 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BAIR 01 1/03/11 JLL BLDG AIR SEAL TIME 01 00 1/05/11 AP January 3 2011 9 53 47 AM 1pangrle PETE 457 5233 AIRSEAL AFTERNOON January 5 2011 9 05 38 AM pbarthol BLI 01 1/04/11 PB BLDG INSULATION 1/05/11 AP January 4 2011 8 27 10 AM 1pangrle PETE 457 5233 INSULATION January 5 2011 8 51 49 AM pbarthol BL3 01 1/12/11 JLL BLDG FRAMING TIME 01 30 1/12/11 AP January 11 2011 4 17 46 PM 1pangrle SUE 457 5233 FRAMING BOX BEAM PLEASE INSPECT AFTER 1 15 PM January 12 2011 4 00 41 PM jlierly Recd Engineer letter for pier footyings and inspected tyhe box beam in attic area/ Owner replaced a failing beam dividing the kitchen and living area that was failing and required of them for the approval of the frame jll BL99 01 6/15/11 LL BLDG FINAL TIME 01 15 June 15 2011 8 21 55 AM 1pangrle VSUE 457 5233 BUILDING FINAL PLEASE INSPECT AFTER00 PM _l PLEASECALLHER 10'MINUTES BEFORE YOU GET THERE PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME1 01 1/03/11 JLL MECHANICAL ROUGH IN TIME 01 00 1/05/11 AP January 3 2011 9 53 11 AM 1pangrle PETE 457 5233 MECHANICAL ROUGH IN AFTERNOON January 5 2011 9 05 38 AM pbarthol ME99 01 6/15/11 L MECHANICAL FINAL TIME 01 15 June 15 2011 8 22 59 AM 1pangrle SUE 457 5233 MECHANICAL FINAL PLEASE INSPECT AFTER 1 00 PM PLEASE CALL HER 10 MINUTES BEFORE YOU GET THERE PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS CONTINUED ONTO NEXT PAGE M �r ,00 m PREPARED 6/15/11 S 26 31 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/15/11 ADDRESS 1026 E 5TH ST SUBDIV TENANT NBR PETER L CHASE CONTRACTOR PHONE OWNER PETER L CHASE PHONE (360) 457 5233 PARCEL 06 30 00 0 1 9210 0000 APPL NUMBER 10 00001463 RES REMODEL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL99 01 6/15/11 J PLUMBING FINAL TIME O1 15 L / June 15 2011 8 23 27 AM 1pangrle SUE 457 5233 PLUMBING FINAL PLEASE INSPECT AFTER 1 00 PM PLEASE CALL HER 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES PREPARED 1/12/11 8 13 28 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 1026 E STH ST SUBDIV TENANT NBR PETER L CHASE CONTRACTOR PHONE OWNER PETER L CHASE PHONE (360) 457 5233 PARCEL 06 30 00 0 1 9210 0000 APPL NUMBER 10 00001463 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BAIR O1 1/03/11 JLL BLDG AIR SEAL TIME 01 00 1/05/11 AP January 3 2011 9 53 47 AM 1pangrle PETE 457 5233 AIRSEAL AFTERNOON January 5 2011 9 05 38 AM pbarthol BLI O1 1/04/11 PB BLDG INSULATION 1/05/11 AP January 4 2011 8 27 10 AM 1pangrle PETE 457 5233 INSULATION January 5 2011 8 51 49 AM pbarthol BL3 01 1/12/11 BLDG FRAMING TIME O1 30 V January 11 2011 4 17 46 PM 1pangrle SUE 457 5233 FRAMING BOX BEAM PLEASE INSPECT AFTER 1 15 PM COMMENTS AND NOTES PAGE 5 DATE 1/12/11 2 k -,C"6 va- S --"re C_ 1 aa -j w 18- 4,► -L'o Q �Y ✓r'1 2 PREPARED 1/04/11 8 34 24 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/04/11 ADDRESS 1026 E 5TH ST SUBDIV TENANT NBR PETER L CHASE CONTRACTOR PHONE OWNER PETER L CHASE PHONE (360) 457 5233 PARCEL 06 30 00 0 1 9210 0000 APPL NUMBER 10 00001463 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BAIR 01 1/03/11 JLL BLDG AIR SEAL TIME 01 00 January 3 2011 9 53 47 AM 1pangrle PETE 457 5233 AIRSEAL AFTERNOON BLI 01 1/04/11 JLL BLDG INSULATION January 4 2011 8 27 10 AM 1pangrle �T PETE 457 5233 INSULATION COMMENTS AND NOTES Owen Structural Engineering Inc. 220 E. First Street Port Angeles, WA 98362 January 4 2011 Jim Lierly Building Inspector City of Port Angeles 321 E 5th Street Port Angeles WA 98362 Dear Jim RE Chase Wall Removal and Box Beam Support at 1026 E 5th Street Phone: (360) 452-8574 Fax: (360) 457-8020 I have known Mr Chase for many years and am confident that he placed the rebar and CS20 in the footing as he has drawn However this cannot be independently confirmed without X-ray or destructive exploration A metal detector could determine if steel exists in the footing but it is difficult to verity size shape and placement accurately It is obvious that the CS 20 strap is embedded in the footing Reinforcement is not required by the residential code or even by stress analysis for plain concrete Another criterion for non -reinforced footing adequacy is assuming the effective footing width to be based on a 45 degree angle from the edge of the column With the 10 -inch footing depth, this basically includes the total footing width Therefore I consider this footing and strap connection acceptable CRO/cs Respectfully submitted �.Q'�o>< �sy O Crai . Owen PE. SE ;•� �,, T 7 T 75 s Encl Sketch with drawing approval stamp Cc Pete Chase 10254 ltr ePL b 5 T - `00 CIO Y4 CR 0 Q-3 C, CRAIG Co suiting Eng-inees DateBy Tr Al I, Port- w1Aj tyle E:' GEFTIOITAKEN M/MAKE CORRECTIONS NOTED R-Vl-Qr AfIJID RES-J[MD17 SJC11 •11T '7PECIFIED ITEM - Correct ons or -om tnts M.(.- , the shoe r' IS dUrng this v revv c- not relieve contractor from compliance it` This cher' i requiremp-its of the drawings and specifications. only or revi& of general conformance with the design concept of the project and general compliar, e with the infor-iatior- gven T ble n the contract documents. The cor actor is --sponsi. , for xzr confirming and correlating all quantities and dimensions. ,elec'ing tabrication processes and techniques ci onslitiction coordinating his work vvith that nt all other trades, and performing his work in a safe and satisfactory marltr ePL b 5 T - `00 CIO Y4 CR 0 Q-3 C, CRAIG Co suiting Eng-inees DateBy Tr Al I, Port- w1Aj PREPARED 1/03/11 10 06 39 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/03/11 ADDRESS 1026 E 5TH ST SUBDIV TENANT NBR PETER L CHASE CONTRACTOR PHONE OWNER PETER L CHASE PHONE (360) 457 5233 PARCEL 06 30 00 0 1 9210 0000 APPL NUMBER 10 00001463 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BAIR O1 1/03/11 L BLDG AIR SEAL TIME O1 00 January 3 2011 9 53 47 AM 1pangrle E( PETE 457 5233 AIRSEAL AFTERNOON PERMIT ME 00 MECHANICAL PERMIT -- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME1 01 1/03/11 J L MECHANICAL ROUGH IN TIME O1 00 January 3 2011 9 53 11 AM 1pangrle PETE 457 5233 MECHANICAL ROUGH IN AFTERNOON COMMENTS AND NOTES ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 10 00001472 Date 12/20/10 Application pin number 449856 Property Address 1026 E 5TH ST ASSESSOR PARCEL NUMBER 06.30 00 0 1 9210 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 7 circuit kitchen laundry remodel Owner DATE. Contractor INSPECTOR. PETER L CHASE OWNER 1026 E 5TH ST PORT ANGELES WA 983624115 (360) 457 5233 FINAL ! Permit ELECTRICAL ALTER RESIDENTIAL COMMENTS Additional desc Permit pin number 179176 Permit Fee 89 10 Plan Check Fee 00 Issue Date 12/20/10 Valuation 0 Expiration Date 6/18/11 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL -BRANCH CIRCUIT WO/FEEDER 73 50 6 00 2 6000 ECH EL-ECH ADDNT BRANCH CIRCUIT 15 60 Fee summary Charged Paid Credited Due Permit Fee Total 89 10 89 10 00 00 Plan Check Total 00 00 00 00 Grand Total 89 10 89 10 00 00 REPORT STATE 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 ! --- COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date - I CITU OF PORT ANGELES PERMIT APPLICATION DEC 2 0 2010 Building Division/Electrical Inspections ELECTRICAL 321 East Fifth Street — P O Box 1150 / Port Angeles Washington, 98362 INSPECTIONS Ph (360) 417-4735 Fax. (360) 417-4711 Date ) Z –ZO --/a �& 1 & 2 Single Family Dwelling _ Multi -Family or Commercial* —Commercial Addition / Alteration / Remodel/ Repair* * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 10 2 - Building Building Square Footage: Description of above 4,z� . 4-e. (n �CPiwX o cX e i Owner Informat'on�oo Contractor Information Name: FC- (�l�S e Name: Mailing Address: ) 0 Z Co L 3:� Mailing Address: Cita H Ar.a e(ew, State: c/ R Zip: City State: j Zip: Phone: df57-�s�z 3_3 Fax: Phone: Fax: License # / Exp. License # / Exp. Item Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 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/Outline Lighting Signal Circuit/ Limited Energy / First 1500 sf - Commercial Note. $5.00 for each additional 1500 sf 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 Thermostat NEW CONSTRUCTION ONLY. First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charge Qtv Total (Qtv Multiplied by Unit Charge) $ 119.90 $ $145.50 $ $ 204.60 $ $ 262.20 $ $ 372.50 $ $ 2.60 $ $ 73.50 $ -7750 $ 2.60 $ 4's -m— $ 92.70 $ $110.30 $ $148.70 $ $167.90 $ $ 95.90 $ $ 88.20 $ $ 95.90 $ $ 63.90 $ $ 63.90 $ $ 119.90 $ $102.30 $ $ 56.00 $ $110.30 $ $ 35.20 $ $ 73.50 $ $110.30 $ $ 9? r0 Total Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection After reading the above. statement, I hereby certify that I am the owner of the above named property or a;licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N E.0 RCW Chapter 19.28, WAC Chapter 296-46B The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14 05.050 regarding Electrical Permit Applications. Signature of owner electrical contractor or electrical administrator, ❑ Cash ❑ Check ❑ Credit Card # X �� Dated: I —c—CJ — (D 01101/2010 C7 �N J :,; CITY OF PORT ANGELES „i �►i DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc KITCHEN & LAUNDRY AREA REMODEL 10 00001463 Date 12/20/10 650431 1026 E 5TH ST 06 30 00 0 1 9210 0000 PETER L CHASE RES REMODEL RS7 RESDNTL SINGLE FAMILY 2600 Owner Contractor PETER L CHASE OWNER 1026 E 5TH ST PORT ANGELES WA 983624115 (360) 457 5233 Permit BUILDING PERMIT RESIDENTIAL Additional desc KITCHEN & LAUNDRY AREA REMODEL Permit pin number 179119 Permit Fee 109 75 Plan Check Fee 71 34 Issue Date 12/20/10 Valuation 2600 Expiration Date 6/18/11 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL -2001 25K (14 PER K) 14 00 Permit MECHANICAL PERMIT Additional desc Permit pin number 179044 Permit Fee 78 55 Plan Check Fee 00 Issue Date 12/20/10 Valuation 0 Expiration Date 6/18/11 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 2500 EA ME VENT FAN (SINGLE DUCT) 7 25 1 00 10 6500 EA ME HOOD/DUCT MECH EXHAUST 10 65 1 00 10 6500 EA ME STOVE/FIREPLACE/MISC APP 10 65 Permit PLUMBING PERMIT Additional desc KITCHEN REMODEL Permit pin number 179036 Permit Fee 93 00 Plan Check Fee 00 Issue Date 12/20/10 Valuation 0 Expiration Date 6/18/11 Qty Unit Charge Per Extension BASE FEE 50 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required forelectrical 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 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 I Date I Accepted By Comments FOUNDATION: 417-4653 I Footings Building Stemwall Foundation Drainage / Downspouts Piers Ij 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 I 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 SEPA. Parking / Lighting ESA. Landscaping I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T Forms/Building Division/Building Permit i IV CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 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 T:Forms/Building Division/Building Permit Signature of Owner (if owner is builder) Page 2 Application Number 10 00001463 Date 12/20/10 Application pin number 650431 REPORT SALES TAX Qty Unit Charge Per Extension on your state excise tax form 2 00 7 0000 EA PL -PLUMBING TRAP 14 00 to the Cit of Port Angeles 1 00 7 0000 EA PL -WATER LINE 7 00 Y 1 00 15 0000 EA PL -SEWER LINE 15 00 (Location Code 0502) 1 00 7 0000 EA PL -WATER HEATER 7 00 Fee summary Charged Paid Credited Due Permit Fee Total 281 30 281 30 00 00 Plan Check Total 71 34 71 34 00 00 Grand Total 352 64 352 64 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. Date Print Name Signature of Contractor or Authorized Agent T:Forms/Building Division/Building Permit 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By FOUNDATION: Fire 417-4653 Footings 417-4750 Building 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. J— j— (` j L Walls I Ceiling FRAMING l 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 Parking / Lighting I I Landscaping I Comments FINAL Date 6 1 � Accepted by %T4--L— FINAL Date CJrf Accepted by . SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Electrical 417-4735 Construction R.W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815�— T-Forms/Building Division/Building Permit ri FT Accepted By --Ty -JLL- N 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 Applicant 5 c_5aT? � s� Property OwnerL�t.asc- Property Owner's Address /,9Q4, kaa-� F �qh Contractor e*ev- C Contractor's Address License # Expires For City Use Only Date Received i lb' 110 Permit # t0 — vf(n°), Date Appl oved /-7- shone x/ 7 -,1-,')3 3 ` Phone -/7 -5�.3 3 Po, -k A nqj �1es Phone -16.7 -Sa 33 E-mail PROJECT ADDRESS Parcel Number Lot s Zoning Proiect Type & Brief Description. Residential ❑ Multi -family ❑ Commercial ❑ Industrial Check all that apply zai 3t ❑ New Construction Aev &fe NSC) �keOAP-r Mo\nh� tse.SWMi rnachihe. ❑ Addition Kph & .�.AUtsdi'�••pOl. rr>�Mrydei ,KRemodel V1 pV; nq p` S n 1< �ddin�C a. �iShw�is4�er ❑Repair �dk (3e rn Z Pos+-S -F*r ❑ Demolition ,,r- \[e ko&tl v�nr s6t5-42�m move Ah�ev+ til oyer +he s-Fove ❑ Re -roof ❑ House ❑ garage ❑ other 3' J ❑ tear off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Basement 151 Floor 2"d Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other Existin_q (sq. ft.) v Proposed (sq. ft.) / Total footprint of structures sq ft. Site Coverage = the amount of impervious surface on and other impervious surfaces (see PAMC 17 94 135 per sq ft. = $ TOTAL VALUATION $ x.(,,00 Lot size % sq ft. = Lot coverage arZtions) luding structures pave ZtTI a s ewe �r it overage Max. height of proposed structures ft. Occ ancy group / # of b rooms Will a lawn sprinkler system be installed? Occupa load / # of full b the Will a fire sprinkler system be installed? Constructio type # of half arks s patios /have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects Dat/p Print Namm:Z i� Signatur i T Forms/Building Division/Building permit application *I � � Clallam County Assessor & Treasurer - Property Details - 57559 PETER L CHASE for Y Page 1 of 7 Clallam County Assessor & Treasurer Property Search Results > 57559 PETER L CHASE for Year 2011 2012 Property PORT ANGELES WA Neighborhood- Account Neighborhood CD- 10955130 Property ID- 57559 Legal Description: Geographic ID- 0630000192100000 Agent Code Type Real Base Tax Area. 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code Open Space: N DFL Historic Property N Remodel Property- ropertyMulti-Family Multi-FamilyRedevelopment: N 2010 Township _ CC -GEN COUNTY CLALLAM _ Section. Range 2010 40550 Location $12.79 $12.79 Address. 1026 E FIFTH ST Mapsco Taxes and Assessment Details Property Tax Information as of 12/16/2010 W2 LT2 & ALL LT3&E2' LT4 BL192 11 N N Map ID- 2 Owner ID- 17848 % Ownership 100 0000000000% Exemptions Amount Due if Paid on. 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. PORT ANGELES WA Neighborhood- Cycle 5 Res Neighborhood CD- 10955130 Owner Name PETER LCHASE Mailing Address- 1026 E 5TH ST PORT ANGELES WA 98362-4115 Taxes and Assessment Details Property Tax Information as of 12/16/2010 W2 LT2 & ALL LT3&E2' LT4 BL192 11 N N Map ID- 2 Owner ID- 17848 % Ownership 100 0000000000% Exemptions Amount Due if Paid on. 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. Penalty Interest Base Paid p $000 $000 $34206 $000 $0 00 $182.03 $000 $000 $2558 $000 $000 $421 47 $000 $000 $44307 $0 00 $000 $52.90 $000 $000 $7468 $000 $000 _ $23 76 $000 $000 $72.00 $000 $000 $1 63 $0.00 $0.00 $163918 $000 $000 $38865 $000 $000 $19669 $000 $0 00 $2786 $0 00 $000 $431 43 $000 $000 $48064 http.//vpn.clallam.net.8084/propertyaccess/Property.aspx?cid=0&year=2011 &prop_id=5 12/16/2010 First Second Half Half Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. 2010 40550 ST SCH STATE SCHOOL $171 03 $171 03 2010 40550 _ CC -GEN COUNTY CLALLAM _ $91 02 $91 01 2010 40550 PORT PORT OF PORT ANGELES $12.79 $12.79 2010 40550 PORT ANG CITY OF PORT ANGELES $21074 $21073 2010 40550 SD #121 SCHOOL DISTRICT #121 $221 54 $221 53 2010 40550 NTH OLY LIB NORTH OLYMPIC LIBRARY $2645 $2645 2010 40550 HOSP #2 HOSPITAL #2 $3734 $3734 2010 40550 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11 88 $11 88 2010 40550 CITY STORMWATER CITY STORMWATER $3600 $3600 2010 40550 WEED—CONTROL WEED CONTROL $082 $081 2010 40550 TOTAL. $819.61 $819.57 2009 575592008 ST SCH STATE SCHOOL $19433 $19432 2009 575592008 CC -GEN COUNTY CLALLAM $9835 $9834 2009 575592008 PORT PORT OF PORT ANGELES $1393 $1393 2009 575592008 PORT ANG CITY OF PORT ANGELES $21572 $21571 2009 575592008 SD #121 SCHOOL DISTRICT #121 $24031 $24033 Penalty Interest Base Paid p $000 $000 $34206 $000 $0 00 $182.03 $000 $000 $2558 $000 $000 $421 47 $000 $000 $44307 $0 00 $000 $52.90 $000 $000 $7468 $000 $000 _ $23 76 $000 $000 $72.00 $000 $000 $1 63 $0.00 $0.00 $163918 $000 $000 $38865 $000 $000 $19669 $000 $0 00 $2786 $0 00 $000 $431 43 $000 $000 $48064 http.//vpn.clallam.net.8084/propertyaccess/Property.aspx?cid=0&year=2011 &prop_id=5 12/16/2010 Lo oj R 0 WAS, 11 ( v Y11 Olt 1717 L 76 A'! fp Vv) v\ 441"C'S4166 ?a 2 y 21 C-) (o 175 s All) 17 f As c - ft F�o ol Z�f I j Z-gj OWEN STRUCTURAL ENGINEERING INC. 220 E. Is' St. Port Angeles, WA 98362 i �/ (360) 452-8574 FAX (360) 457-8020 Wall Into Box Beam Pete Chase Port Angeles At 9151; T 0�0 VO SQA F-: x F; A V -I- T- 1 O'S' C L) F? J5 N j5T )-4 n n OP 0!, FLO,) 3o -FOT- F) P, 53C)\,j E 18' Drawer Bank 28' sink base 2® lower w/ Pullout shelves 1 S' Pantry wl Pullout 18" DW, I Finished End Fridge & '31 'fes full -depth upper cabinet UIPIPF9 OA:6)"FT 3A., G 15 IQ 5 175 -1\ 'i 0 0 /N 7 E: F- 14 T FR) U -r I L) TY 0 0 M, 9 -T-) � G, 71) 1;)R ly 1-7� K 0) (45 H F R o C) F- 1� F- F -0- ?ANTpy r e - 'j -)z 'R =� LJ � r-- GT A�7 cXzek E- T 3 0 P Z I W)NJbo w UPF R C(, 3i WF -TS �R�wrRs 13 N�ElV LJ�t I I3 -d =►d�� o -j- 1 N ('F-fV'0 ? E7 R ) G Separate Permits.arerequradfsrelectricalwork, SEPA,Shoreline.,96A,:ptiiilies,privyteandpublleimprq Wena ��a�►ae� . null'and void if work or construction authorized is not comhmenbed wjthlr'18i1 days, if construction or work is sus�'etr A, ned for a period of 18 days after the wank as commenced, or if required inspections have not been requested -with 18ft` s frtarr the last inspection. t he' certify that i'have read and examined this application and know the. some to be true an corr�t. J��►re►at�sbns caws and ordinarribes governing this type of work will be compiled with whether specified herein or not. The gr 8nl� s<'{ rr E_ imDt presume to give authority to violate or cancel the provisions of any state or local law regulating construction or },perforr�ance of construction. t Signature. of Contractor or Authorized AgentDate Signature of Owner (if owner is builder) l - .-\rLANR u4mFflRms8ii02.i5 ice) h CI Y W.POR'T ANGELES DEPARTMENT OF COMM JNITY 15EVELOPMM - BUILDWG DIVISION 321 BAST STH M, ESi', PORT ANGELLBS; WA 95362 Property Address . • • . • • '1.026 E 5TH ST A$SSSSOR PARCEL NMER: 06-30-00-0-1-9210-0�000- Application description . RBS ACCESSORY BUILDN(3,:, Subdivision Name . . . . . Property Zoning . . . . . - Application valuation . . . . 1000 owner contractor - CHASE PETER L SMITH W CONSTRUCTION _. 1026 E -STH ST 21S-LEMMUN RD PORT ANGELES WA 903624115 PORT ANGELES WA 98362 . " (360) 457-1224 ------ Structure Information 214.5 SF FOUNDATON-ONLY" Construction Type TYPE V NON-RATffia. " OccupanCCy Type . . . . . . SINGLE FAM & CONGREGATES Other struct info . . . . . NUMBER OF UNITS 1.00 w., Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . Permit Fee . . . . 62.25 Plan Check Fee 24.90 x. Issue Date . . . . 8/18/03 Valuation . . . 1000 Expiration Date 2/15/04 Qty Unit Charge Per Extension BASS FEE 47.00 5.00" 3.0500 BND BL -..501-2R (3 05 PSR C) 15:25. ----------------4.50 - -----Other Fees---------- ees--.-- . . . .-.-.-.-.--STATS SURCHARGE Fee summary "Charged Paid Credited Due -------------------------------------- -- { ----------------- Permit Fee Total 62.25 62.25 .00 .00' Plan -Check Total 24.90 24.90 .00 .00 other Fee Total 4.50 4.50 .00 .00 . Grand Total 9..65 91.65 .00 T1 ' .00 cm Separate Permits.arerequradfsrelectricalwork, SEPA,Shoreline.,96A,:ptiiilies,privyteandpublleimprq Wena ��a�►ae� . null'and void if work or construction authorized is not comhmenbed wjthlr'18i1 days, if construction or work is sus�'etr A, ned for a period of 18 days after the wank as commenced, or if required inspections have not been requested -with 18ft` s frtarr the last inspection. t he' certify that i'have read and examined this application and know the. some to be true an corr�t. J��►re►at�sbns caws and ordinarribes governing this type of work will be compiled with whether specified herein or not. The gr 8nl� s<'{ rr E_ imDt presume to give authority to violate or cancel the provisions of any state or local law regulating construction or },perforr�ance of construction. t Signature. of Contractor or Authorized AgentDate Signature of Owner (if owner is builder) l - .-\rLANR u4mFflRms8ii02.i5 ice) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT .......... . REQUEST: Date —/8— 0:3� Time Received by RLI (phone, person) Location of Work to be inspected /0 Z,6 S: . 54It Name of person requesting inspection r— Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer oundation aming Chimney Plumbing Final INSPECTI 7TE& Inspected: Date' D'_ Time N4 Remarks: I/ / V Phone No. Permit No. Sewer Excay. Other By! RESTORATION REQUIRED ...... YES NO wed,. ao y- ti SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved []Gravel ❑ Asphalt ' ❑ PCC ❑ Other ❑ Repaired by City ❑ Repaired by Permittee ❑ No Damage Found Work Order # ❑ COMPLETE ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) T FOR OFFICIAL USE ONLY: BUILDING PERMIT- APPLICATION DateRec.: S_15..02 Permit #:`� Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved: COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Date Issued: Applicant or Agent: r, Phone: WV, / 4S Z - 3 ? 3 Owner: �� �_-'��c .s Phone: Address: . ) U 9il, (_�— Citye - A v,3-e_�_j Zip: Architect/Engineer: Phone: Contractor State License #: �,M 1 Tl4 CA t93$Bxp Phone: J ,S 7-4.-22-4 Address: City: PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: ❑ Residential 'C New Constr. ❑ Re -roof ❑ Multi -family ❑ Addition ❑ Move ❑ Commercial ❑ Remodel ❑ Demolition ❑ Repair ❑ Sign BRIEF DESCRIPTION OF THE PROJECT: Subdivision: City: Zip: ZONING: Exp. Date: SIZE/VALUATION: ❑ Stove SF. @ $ /SF. _ $ ❑ Garage SF. @ $ /SF. _ $ ❑ Deck SF. @ $ /SF. _ $ ❑�+1- Other p T��µggOTAjjL VALUATION $ 0600 Q" COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: -J- Lot Size: / 0'7 8Rn Existing Sq. Ft. 153 6- & Proposed Sq. Ft. 214, S- = TOTAL Sq.Ft. /-7 Existing lot coverage % & Proposed lot coverage % = Total lot coverage__Jf,,,7 % APPROVALS: PLANNING USE ONLY: PLAN: BLDG: DPWU: ESA/Wetland(s): ❑ Yes C3 No No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information 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 maybe 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: If no 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 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify 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 understand that it is my responsibility to determine what permits are required of �iy'pat I mu _obtain such permits prior fo work. T:\FORMS\APPS\Buildingpermit.wpd Applican :l.�%� Date: BILE 0 CITY OF PORT ANGELES — Constriction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not preverr' the building official from thereafter requiring the correction of errors in said o _ \ plans, specifications .and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this ju ' fiction. (SECTION 303(c) - Uni rm Buding Code.) \ Approval Date lb y )41 1 1 CrrY OF PORT ANGELES DEPARTMENT OF �CoMmu `rfly, DEVELOPMENT - BUILDING DIVISION w 321 EAST STN S11 u,. Pon ANGELES, WA 98362 �i atl�m 02-00000nQa aaat sI$lk9Ql Property Addzeas . . . _1026 a STH 8T ASSRSSOR, PARCEL NUMM 09 -10 -00 -0 -1 -9210 -0000 - Application deaftiption . USCTUCAL MY au3divi.sic . . . . . . p8, .csatl4n Wa"tion 0 owner ccatractor ---------------� CHAZZPZTZR 1024.8 STH ST PORT ANOMES W4 563624115 - - -- - - - _ -- _ .. . Pe=Lt . . , . . . RZACTRICAL ALTU MID .. ----- ..-_ Additional dear WT TUB HOOK -up Sub Cantor . SIMPSON Permit fee .. 46.90 Plan Check Fee .00 Issue Date . . . 9/23!43 Valuation . . . . 0 ssjairatioa mate 1/22'04 Qty Veit Cage Per Extension 1.0.4 46.7000 WV RL -s. OR FSM 1-4 ALT =Ft=T$ 46.90 Fee summary Charged Paid Credited Due pernit Total '-46-70-- 46,90. ,00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 4:6 , 74 44.70 .00 .00 Separate P'erroits are requiredtrelectrfcal work, SEP& Shoreline, ESA. utilities, privates and public improvements. Tits pormfit becomes auN and void if work or construcWn authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of J 80 days after the work as commenced, or If required Inspections have not been requested within 180 clays from the last = inspection. I hereby certify that l have read and examined this application and know the same W be true and correct. AM provisions of laws and ordinances governing this type of work will be complied with, whether sped 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 regutating oonstructlon or the performance of construction. Stnadure of Contractor or Authorized int . Date T 1102.15 sraft Signature of Owner (it owner is builder) Date 7— MU DING PERT INSUMON RECORD CALL 417ASIS FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUIR. NOTICE. TT,Y UNLAWFUL TO C©VE.M INSULATE OR CO ATZa ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERbIff INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOU SITE INI¢PECTI4)1NTYPTs DATE ACCEPTEI) COMMENTS YI3S NO - FOUNDATION- FOOT040S WALLS I FOUNMTION DRAINAGE „.,..,,.... ELECTRICAL (LtGIHT M SErPARATE PERMIT: # UNDER FLOORI SLAT$ ROUGK4N WATER LINE WINE _ QACR FLOW J WATER AIR SWAL WALLS CULING FRAMING jotm J GIRDERS i SIIEAR WALL _ WALLS / P4 OF /CEILING DRYWALL e. T -DAR INS'W ATIO N - SLA'E WALL I FLOOKaI CEILINGS MFCIRANICAL - _> HEAT PUMP WOOD STOVE I PELLET CMMMY Howl DUCTS PW V TILITtES I .SITE WORK ' (Enonowing Divisim) SEPARATE PERMIT Vs: WATE=RLINS I to R ,,,, ,,,, SA9W'ITiARY STORM —STORMM - PLANNING DEPT, SSPARATE PERMIT Vs SEPA: PARKINWLIGHTING ESA: LANDSCAPING $SCIRELRWE FINAL _N '�— INSPECTIONS SQUIRED PRIOR TCI 4CCUPANCYIIJS'S RESIDENTIAL HATE YES - NO COMMERCIAL ELECTRICAL - LIGHT DEPT. 417-473$ 9" CQNSTFCI I N R.W. / PW( 411»4507 FIRE 4174653 PLANNINGOW. 4174356 tIUtiLDEWG 417-4815 T.VLANNINMFORNMI14LIS I4M) ELECTRIC L LIGHT LI �1�S41t�I-R.W. FIRE KEPT. PLANNING DEPT. • .1$UtLDI1WG . DATE ACCEPTED YES NO OF, PO4Tf,6NG110-, DEPARTMENT OF M M?f:JNWY D�LQ N '' = � I;IN DIM1014 321 EAST �Ti�l' STRmi t'ORT ANf3EI.�;S; WA 912362. rwxi.cacscn mt mer . . . . . 03-00000792 Date 8/20/03 Property Address . . . 1026 R STX ST* ASSESSOR PARCEL NUMBER: 06-30-00-0-1-9210-0000- Application descriptio. BUtdi'RICAL OMY Subdivision Name . . . . . "r Property. Zoning . ' . . . . . Application valuation 0 j Owner Contractor"\) CRASS PETERL OWNER 1026 8 ,STU ST . PORT AMBLES WA 983624115 ----------- --- --------------------------------- , Permit . . . . . . EL>LerktCAL, ALTER RBS Tin Additional•desc DITCH C+ONDIIIT/ HOT TUB - Permit Fee 46.70 Pura Check Fes 00 Issue Date 8/20103 _ valuatio ;. o Mcpiration Date 2/17/04 Qty unit charge Per Extension 1.00 46.7000 SCC RL-R OR RM 1-4 ALT CIRCUITS 46.70 Pei 'summary Charged Paid Credited Due ------------------------- ---------- -------------------- P6rmit Fee Total 46.70 46.70 .00 .00 ^ Plan Check Total .00 .00 .00 _ .00 v Grand Total,,--. 46.70 46.79"" .00 .00 _. ,. , Se erste Permits are required for elects p q cal work, SEPA; Shoreline, ��„u#►�fities, pt tyle and public imprgviiivnt, "ltifis permit becoins nulfaii void H work or construction authorised is nil# commenced v�i#hin 190 daSts►„if construe#ion or werlf gip- 040, .arabar*(ioned for a period Of 180 days afterthe work as commencegl, or if required lnspections Nave not been requested” 1 tt8 days from the lay t inspection. 1,1 ereby car* that l have i ad:and eximined this application and know the same ;to.be true sn S tre provisions of Jaws and ordinances governing this type of work will Oe, compiled with whefhbr spgcifiso tierelappr not gr ermitdtfes not presuma to give authority to violate or cancel the provisions of arty state or4ocal .few regulating construili a tha'perforrnance of construction. Signature of Contractor or Authorized Agent ®ate Signature of Owner (if owner is builder) Data T:TL At6W0WOR 4Sk1 t02.13 [4/2002) / BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPWft(j 3§- PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL =TO CO INSULATE_ OR CONCEAL ANY WORK BBF0JW INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION - KEEP PERMIT CARD AND APPROVED PLANS AT JOB SI'Z'E A. COMMIE'S INSPECTION TYPE ! DATE ACCEPTED IYES I NO FOUNDATION: FOOTn" WALLS FOUNDATIOK DRA24AM ELECTRIC" (LIGHT DEPT) SEPARATE Pat , >! ROUGH -114 � 1 PLUMBING UNDERFLOOR/'SLAB ROUGH -IN WATER LINE GAS LINII BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS I ROOF / CEILM 'DRYWALL T -BAR INSULATION SLAB l WALL / FLOOR / CEIL1NG i MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIVY HOOD/ DUCTS PW UTILITIES / SITE WORK (Enginemim8 Division) SEPARATE PERMIT M'L: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEP .. SEPARATE PERMITN't SEPA' PARKING/LIGHTING C ESA. SHORELINE: LANDSCAPING .... nr4At INSPECTION$ REQUIRED PRIOR TO OCCUPAN,r'1/1USI . YES NO COMMERCIAL. RESIDENTIAL ELECTRICAL- - LIGHT D&PT. 4174735 /1. r1 164 W ' CONSTRUCf10N-R W. CONSTRUCTION R.W. / PW/ 417 4807 PW / ENGINEERING ENGINEERING FIRE 417.4633 FIRE DEPT. 417=4756 PLANNING.DE T. PLANNING DEPT. BUILDING 4I7=�/Ed3 BUILDING DATE ACCEPTED, Vx$ NW, 4 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION v 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00000740 Date 9/01/04 Pin number . . . . . . .829540 1� Property Address . . . . . . 1026 E 5TH ST Signature of Contractor or Authorized Agent ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -9210 -0000 - Application description . . . RES ACCESSORY BUILDING Subdivision Name . . . . . . Property Use r Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 2956 6(I Owner Contractor ------------------------ ------------------------ CHASE PETER L OWNER 1026 E 5TH ST PORT ANGELES WA 983624115 Structure Information HOT TUB COVER ----- Construction Type . . . . . TYPE V NON -RATED Occupancy Type . . . . . . GARAGES, CARPORTS, SHEDS Other struct info . . . . . TOTAL % LOT COVERAGE 16.20 CONSTRUCTION TYPE V -N HARD SURFACE AREA NUMBER OF STORIES 1.00 EXISTING LOT COVERAGE 1535.00 LOT SIZE 10780.00 PROPOSED LOT COVERAGE 214.50 TOTAL LOT COVERAGE 1749.50 NUMBER OF UNITS ---------------------------------------------------------------------------- 1.00 Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . HOT TUB COVER ON EXIST SLAB Permit Fee . . . . 47.00 Plan Check Fee 18.80 Issue Date . . . . 9/01/04 Valuation . . . . 0 Expiration Date . . 3/01/05 Qty Unit Charge Per Extension BASE FEE ---------------------------------------------------------------------------- 47.00 Special Notes and Comments when roof gutters are .installed, drains will located in dry wells or piped to approved storm drain locations. The proposal involves the use of an approved building foundation for an approved accessory use - a hot tub cover. The area has already been calculated in the lot coverage which is 16%. No land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Permit Fee Total 47.00 Plan Check Total 18.80 Other Fee Total 4.50 Grand Total 70.30 Paid Credited Due 47.00 .00 .00 18.80 .00 .00 4.50 .00 .00 70.30 .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. % 1� Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \PLANNING\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. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPVCTION TYPE,I DATE I ACCEPTED COMMENTS • a • I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH -IN PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER i AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS r 1 SHEAR WALL/HOLD DOWNS/I�i�/D h� `r•[^, WALLS / ROOF / CEILING ' 11 DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION' SLAB WALL/ FLOOR/ CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY `I HOOD/ DUCTS 1 PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGH ESA LANDSCAPING ING I I I SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 CONSTRUCTION R W / PW/ ENGINEERING 417-4807 FIRE 417-4653 PLANNING DEPT 417-4750 BUILDING 417-4815 T\PLANNING\FORMS\1102 15 [11/14/20031 4 /-12-01-1 3 . k ELECTRICAL LIGHT DEPT CONSTRUCTION - R W PW / ENGINEERING FIRE DEPT PLANNING DEPT BUILDING PREPARED 11/12/04, 8 58 26 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/12/04 ADDRESS 1026 E STH ST SUBDIV CONTRACTOR PHONE OWNER CHASE PETER L PHONE PARCEL 06-30-00-0-1-9210-0000- APPL NUMBER 04-00000740 RES ACCESSORY BUILDING -------------------------------------------------- ---- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------- — ----------- — -- ----------- — ----------- — — ---------------- BL9 01 9/28/04 JLL BUILDING SHEARWALL 9/28/04 AP PETE - 457-5233 BL99 01 1/12/ 4 JL_ L BUILDING FINAL -1/i�lVdl/�)— Pete 457-5233 Permit in Hot Tub room and is unlocked COMMENTS AND NOTES PREPARED 9/28/04, 12-49-39 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/28/04 ADDRESS 1026 E 5TH ST SUBDIV CONTRACTOR PHONE OWNER CHASE PETER L PHONE PARCEL 06-30-00-0-1-9210-0000- APPL NUMBER 04-00000740 RES ACCESSORY BUILDING ------------------------------------------------------------------------------------------------ PERMIT- BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------- ------ - --------- -- - --- -------------- - ----- BL9 01 / 8/0,jL BUILDING ALL PETE 457 457-52-5233 -------- - --- --- COMMENTS AND NOTES--------- y,ou7,j, FOR OFFICIAL USE ONLY BUILDING PERMIT - APPLICATION Date Rec -a-lfl�dy ermrt #05(4 L!( % g -- V1 Fill out COMPLETELY and in INK. Your application and site plan MUSTE' ate Approved COMPLETE to be accepted for review. If you have any questions, call Date Issued / PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent Phone: 461— 1 011 18 Owner: � �� Z- , �� va_ Phone: 3Z,© `- div �2 -52,33 3 Address- City:n rn eii e_s Zip: `_7' Architect/Engmeer: Phone: Contractor State License #: Exp: Phone: Address: City: Zip: PROJECT ADDRESS: ) v �?' t' ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC # Exp. Date: TYPE OF WORK: SIZE/VALUATION: ❑ Residential ❑ New Constr ❑ Re -roof ❑ Stove SF. @ $ /SF. = $ ❑ Multi -family ❑ Addition ❑ Move ❑ Garage SF. @ $ /SF. = $ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @ $ /SF. = $ ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ BRIEF DESCRIPTION OFTHEPROJECT: COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories- / Lot Size: )6-7 W Existing Sq. Ft 153L5 & Proposed Sq. Ft 014.5 = TOTAL Sq. Ft. )% Total lot coverage ) L< - .2 % APPROVALS: PLANNING USE ONLY: PLAN' BLDG: DPWU: FIRE: ESA/Wetland(s). ❑ Yes ❑ No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information 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 maybe 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 tune 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: If no 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 RI 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 1 hereby certify that 1 have read and examined this application and know the same 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 ,not the City's, and th ust obtainin suc is prior to work _ T \RVESS\BLDG-forms-brochures\2003-Buildingpermrt.wpd Applicant: �i:� Date O PORTANGELES W AS H I N G T O N, U. S. A. DATE: August 27, 2004 MEM O TO: Permit Counter FROM: John G. Hebner, Electrical Engineering Speciali t RE: Building Review Comments - Dated: August 23 1) 1026 East Stn Street - Hot Tub Roof/Cover There may be a conflict with the electric utility service wire. The service wire must have a minimum of 3 V2' clearance over a pitched roof and 11' over a flat roof. Review construction clearances of electric wires from hot tubs with the Electrical Inspector. (Al Oman 417-4735) Any modifications to the existing electric utility facilities will be at the customers expense. Note: If there are fature plans to enclose the porch, the electric meter must be relocated. The Electric Utility recommends that it be relocated to the garage with a sub -feed to the house.. e t t 111 i Poo S� cle ff N r —i M b 7a r N M h 7C� z N r 1� VIP CITY OF PORT ANGELES — Construction Plans The Issuance of this permit based upon these plans, specifi• cations and other data shall not prevent the boding official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. (SECTION 303(c) - UnWDrBy e.) X Approval Date X Z)e , -►A is e �4c t ©p ok-L I I --Li L'o 4(;-. LGI- ca )-s OP 1A N U C.7'y iri wi�sr � ,�v�r�0 rs zoK 0 5RY)-) G14T I � I I / I i SUuT15L\j'T t) T) E 2-1 - Jh R 1 4 Z) ou 13 � F- D 0 0 NC)P,TH �LENJA7)o)4 CO'DE CHECK® Building SECOND PRINTING BY MICHAEL CASEY, DOUGLAS HANSEN, AND REDWOOD KARDON Illustrations and Layout Paddy Morrissey © 2003 by The Taunton Press, Inc ISBN 1-56158-595-5 Code Check® is a registered trademark of The Taunton Press, Inc , registered in the U S Patent and Trademark Office ACKNOWLEDGMENTS Special thanks to Dennis Balzer, General Contractor, Mark Cramer, Certified Inspector, Robert Fennema, P E , and Larry Johnson, Sr Project Manager. ode Check Building is a condensed guide to commonly cited code violations in the construction of one- and two-family dwellings Building codes and code -authoring organizations throughout the country are undergoing major transformations The purpose of the book is to emphasize the life safety principles at the heart of these building codes To be sure of compliance in your area, we recommend consulting your building department early and often during the course of a construction project. Code Check is limited to conventional construction, and in many projects it is necessary to use engineering provisions of other codes that are beyond the scope of this book or of the IRC Key [Straight -bracketed information refers to the 2003 IRC] {Squiggle -bracketed information refers to the 1997 UBC} [403 1] { } The left straight -bracket number refers to the IRC code number [ ] [1806 11 The right squiggle -bracket number refers to the UBC code number Example ❑ 61n block OK for one story to 9ft [606 2 1] (2109 6 1) The rule above is found in section 606 2 1 of the 2003 IRC and section 210961 of the 1997 UBC Codes ending in numbers separated by commas refer to multiple code sections - example {1507 5,6} refers to (1507 5) & {1507 61 Other abbreviations in code references T-xx refers to Code Check Building tables F-xx refers to Code Check Building figures [local] = not code though commonly a local amendment A superscript E (XXX XE) after a code citation refers to the 2002 NEC A superscript M (XXX.XM) after a code citation refers to the 2000 UMC A superscript P (XXX XP) after a code citation refers to the 2000 UPC A superscript EC (XXX.XEc) after a code citation refers to the 2000 IECC A superscript B (XXX XB) after a code citation refers to the 2000 IBC EXC means the following line contains an exception to the cited rule Abbreviation's` -- AG = Appendix G of the IRC Concrete I'- ConcreteJSlalis -' ' %ement particles, through the chemical reaction process of hydration, Concrete slabs that serve as floors require vapor retarders to prevent ;develop crystals when wet that bond the concrete mix together Too much water moisture from rising into the building and damaging the floors or creating n severely weaken concrete indoor air quality problems, such as mold Slabs require reinforcement to resist e three basic ingredients in concrete are cracking and upheaval 1 Portland Cement. Cement and water form a paste that coats the gregate and/or sand in the mix. The paste hardens and binds the aggregates and Concrete Slabs nd together ❑ Slab floor on grade min 3%in thick & 2500psi concrete [506.1] 119004 4} 2 Water. Water (hydration) is needed to chemically react with the cement and to ❑ Elevated or wood -supported slab must be engineered . [local] {2307} ow workability with the concrete The amount of water in the mix compared with ❑ Soil compacted & free of debris .... [506 2 11 {3313.3} amount of cement is called the water to the cement ratio. The lower the water ❑ Soil treatment to prevent termite infestation . [320.1] (n/a} cement ratio, the stronger the concrete (higher strength, less permeability) ❑ Base 41n sand, gravel, or crushed stone <21n dia [506.2.2] (1834 2) 3. Aggregates Sand is the fine aggregate Gravel or crushed stone is the coarse ❑ Vapor retarder points min 61n lap under habitable space [506.2.3] {1832.2} ;regate in most mixes ❑ Slab w/turned down footing reqs 1 #5 or 2 #4 bars in middle eparation: ACI 318 %of footing depth ... . ... .. F10 [403 13 2] (1806 7.2} ) Remove all debris and ice from space to rete ..... . 5.7 ❑ Wire mesh located min 'hin down from top of slab .F10 [local] {1907 7.1} ] Forms properly coated & clean ... 57 ❑ Soil -supported sidewalks & slabs not governed by code unless ] Reinforcement clean of ice or mud .............5.7 transmitting building loads to soil [105 21 (1922 1 1 2) Ong: ] Maintain above 50' F for first 7 days .5 11 1 ] Keep moist first 7 days (plastic sheeting) . . ... . 5 11 1 apections: ] Inspect before cover up 1 3 1 ] If ambient temperature below 40T or above 95T, inspection records to include record of concrete temperature & protection during placement and curing ....1.3.3 31 Mixing '& Strengthnt.,r3 : y 'he proportion of water to cementitious material determines the compressive strength of the concrete. The codes provide minimum requirements for mpressive strength based on the exposure conditions, soil types, and smic design category zing and Strength IRC UBC I Min 2,500psi concrete for any residential use .[402 2] {1905.1.1] 1 Min 3,000psi compressive strength in seismic design .[n/a] 11921 2 4 1) 1 Min 3,000pst if exposed and moderate or severe weathering potential .[402.2] {n/a} I Air entrained if exposed to freeze -thaw conditions [402 2] {1904 2.1) Fig. 10 • Monolithic Slab with Footings Form board, removed after 6x6 - 10x10 concrete sets welded wire mesh Concrete min. '/2" cover min. 3'/z" / - _ - - :. a 1-.#6 in,, middle 1y3>' Gravel Ci S' �, max. 2" Vapor y diameter, retarder min. 4" (plastic thick sheeting) Compacted or ' Min. 12"& ' previously per T19 undisturbed soil 2 /i I.L _ L T 3 4- F 2 L,. ( i31 1_ �? __. _ ! v 21 fig- �"-- "_�__.'�_..-.-......�..—.... L..w.x��•.» ._..,_.. � __ - - ._. _` -lt- - '- - cvv r= 1 ! — '— �'— --- — -- -- GA R AG G --2� - -- —' -- f - --1- Y Ski ;Poe – ti3c� i 5 744 , , •'w?«+'uf•n,.;,�. _ .^:r;v_*'�.s�„»SP''l'<i;,�s. w-..,Tc�i.r�nF:"::ooy.a�4„w.;"-`•Nh':�"�"a'dt`..'5:'f--Tx c",;"y.>___.x'S.'-a='�<'E' _ .�. ,_"C:`se. :s.i .:_ ,,,„g y«y;„ u Y ''�s'v,�`'"�•`#`,..:5 /057 , . CITY OF PORT ANGELES 15¢Y FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A / PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT TOTAL FEE I 30 I .�-Z CONT.LIC NO. TIMETOCOMPLETE NO.STORIES LEGAL OCCUPANCY E CTRICAL PEERRMI;pyLy% NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address ����'/� Q COR/9�ECT ESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADQR E$SES ARE CAN�Eci Owner l o t " 0 Installation By�;rTG� � 4 r Owner's Address Installers Address - Day Phone - - Installers Phones Application is hereby made for Permit to install Electrical Equipment as follows: AMP 240V USE OF CIRCUIT NUMBER CIRCUITS PER 1� 0 1 00R FEE CIR 30 LIGHT LIGHT CONVENIENCE CONVENIENCE APPLIANCE DISHWASHER DISPOSAL ®(RANGE OVEN WATER HEATER (LAUNDRY DRYER IFURNACE GAS - OIL' FURNACE ELECTRIC ELECTRIC HEAT ELECTRIC HEAT USE OF CIRCUIT SIGN 50 VOLTS OR LESS MOTOR Wiring Method NUMBER AMP 120V CIRCUITS PER 10 MOTOR MOTOR I I FIREALARMS IIBURGLARALARM MISC. II I I II I I II I I REINSTALLATION LIGHT FIXTURE k II SUB TOTAL FEE II ENERGY FEE BASIC FEE TOTAL FEE 240V 10 OR FEE 30 .�SmIZE OF SERVICE SWITCH OR CIRCUIT BREA ER A C UNIT O AMP S" PHASE FEEDER I ¢SIZE OF S�E/R/V(/—CSE ENTRANCE GOND ORS SERVICE r.>J'G/{,% T/ (J — /h A.W G r � ZFF/ SUB-.OTAL I I SIZE OF GROUND / SIZE OF EN RANGE SWITCH I certify that the work to be performed under this permit will be done by the installer and in c rm a with the N.E,C. Electrical Code. Date Application made //`Q�� 7 '19 By �— CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the Condit! s hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.4., . �DECTOR OF CITY LIGHT Z Date Permit Issued / _ / — By r' • - (' PLANS APPevEDI Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457.0411 Ext. 158. IWARNING I PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE- Original CANARY - Duplicate PINK - Triplicate WHITE CARD - Inspector's Report OLYMPIC PRINTERS INC I _ - I - ' O.K. FOR COVERING 011.70C�ONNECJSERVIIIOE `L REPORT OF INSPECTOR DATEOFVISIT MADEBY REMARKS 1 f l 'fit t� I _ - I - ' O.K. FOR COVERING 011.70C�ONNECJSERVIIIOE `L 09f21(?003 29:50 4579270 SIMPSON ELECTRIC PAGE 01 ELECTRICAL. PERMIT APPLICATION Thn Elartrlonl Permit Appiiostibn jaunt 111111109120% COMPI Pto9so tYpa or reprint In Ink it Lou he" airy 4ueati0na, plasm 0911 {380, 41747,% Fex numban (890a 477-3714 y 6 o -/0V b ' rnxdrMrnLuxnONLY PCINI W. 1AW (nw 1"W',wt:..— anx L Owner or Efoo. Contr9otorApanf:_.L2./�1/LLLLJ:.JL'! _Z J.9 �� __ Phone: � 5 • 70 Fax: 7 __._.L.t` 76 PropartyOwner: Pf_,j.1 4e t�hifse, % / /// ,y ( Photla:._Y,.,�j_%- ..23? Addrese; /liar (P E. V6 r�7. City: ! Q/L_ T .�? � U"/e:J El4onical Aodress:a`i /d/ city:,. I -9,n4 azygd P -- INSTALLATION W FIEF BY: OWNER 14ELECTNCAL CONTRACTOR Credit Card Notder Name: Rifting Address; Or Credit Card Number;. _ Fxp. Det— __....... P'ipr PRoreC'raooweae: _j �Iy E _ s -b .ST. TYPE QF WORK: Check W! that apply: 0 New ❑ AlteratfoNAddltion 1 Residents( C] Multifamily C-1 Commercial 2 Mobile Home Sri: Ft. ,_... ....... 0 Remote Meter 0 Detached garage XHot Tub 7, Swim Pool a septic Pump L7 i.ow %ioitagn r Telecom. (_'t sign Nuhbmr of Ctroults added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: _ 1-- C_._ *Overhand Service * Tamp Sarvlao ❑ Underground Service §mI;"•.€. LnWL+t;=41 pt.1 Voltago: ... ....... Y_.._ Phase; 1`:11 x_11 SeAAcn Fsoder Size:.,.„_...._ PAMC 14.06.060(8): For Industrial, commarutaf, & residential prof" larger then a duplex,'s one - fine drawing of 9119 F.Aactrical Servlcet & Faedera, building size (sq. ft.), land calculations, and the type & of conductors and/or rae®w9y Is required and chali /accompany the Electrical Parmlt applloeflon. - i hereby certify that I have read and examined this applicefton and know that same to be fru-,19 and corroot, and I rant authorfzed to apply for this permit. i understand it is not the City's legal responsibiilty to dotermine what permits are required; it remains the applicants responsibility to determine what permits are nsquirs i Bind to obtain such. Y Credit Card Haider'® Signature: 9f r,�/R3 PW -9019 Ownet, ox Elec. Cont signs � - Dote, ! / C Baseboard _ _ KW O Furnace _KW ❑ Heat Pump _KW C fan -Wall _KW *Overhand Service * Tamp Sarvlao ❑ Underground Service §mI;"•.€. LnWL+t;=41 pt.1 Voltago: ... ....... Y_.._ Phase; 1`:11 x_11 SeAAcn Fsoder Size:.,.„_...._ PAMC 14.06.060(8): For Industrial, commarutaf, & residential prof" larger then a duplex,'s one - fine drawing of 9119 F.Aactrical Servlcet & Faedera, building size (sq. ft.), land calculations, and the type & of conductors and/or rae®w9y Is required and chali /accompany the Electrical Parmlt applloeflon. - i hereby certify that I have read and examined this applicefton and know that same to be fru-,19 and corroot, and I rant authorfzed to apply for this permit. i understand it is not the City's legal responsibiilty to dotermine what permits are required; it remains the applicants responsibility to determine what permits are nsquirs i Bind to obtain such. Y Credit Card Haider'® Signature: 9f r,�/R3 PW -9019 Ownet, ox Elec. Cont signs � - Dote, ! / 1 � pOHTq i�',ycF(F FOR OFFICIAL USE ONLY 21\ ELECTRICAL PERMIT APPLICATION IaP�nln Ze Approved The Electrical Permit Application must be filled out completely. Date Issued' `SMS PNOJ' Please type or reprint in ink. If you have any questions, please call (360) 417.4735 -it '-7Q^7 Fax number: (360) 417-4711 f 1 G— Owner or Elec. Contractor Agent, _ ,, p '`'Phone: Fax, / Property Owner _ r P,4� .—�_ �-. Lit'\2 5 � �/ "65 - %'�lo Phor IJ%p—, psiZ�3 Address: b 2, [i E city.�F6 ,T -r P .n a Zip: Electrical Contractor: f'_ vl—,r'; c C[S.��G ,nom(. License #: Exp: Phone: Address: City: Zip: INSTALLATION WIRED BY: 1WNER ❑ ELECTRICAL CONTRACTOR Credit Card Holder Name• Billing Address: Credit Card Number., City: Exp. Date: Zip: VISA:_ MC: PROJECT ADDRESS: TYPE OF WORK: Check all that apply: ❑ New �)kAlteration/Addition 2esidential ❑ Multi -family ❑ Commercial ❑ Mobile Home Sq. Ft ❑ Remote Meter ❑ Detached garage ❑ Hot Tub ❑ Swim Pool ❑ Septic Pump ❑ Low Voltage ❑ Telecom. ❑ Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: Q./ CH q{- 7-- %Ii /710 7- 7a-fi5 Electrical Heat Load Additions and or Subtractions Service Information ❑ Baseboard KW Voltage: /ZO Z 0 ❑Furnace _ KW ❑ Overhead Service Phase:k. 1 ❑ 3 ❑ Heat Pump TON LRA ❑ Temp Service Service Size:__ O Fan -Wall _KW ❑ Underground ServiceFeeder Size: / tj I I!-r�, I hereby certify that l have read and examined this application and know that 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 applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Owner or'Elet. Cont. rICALPERMITAPPLICATION Date: Date: U _� %O PERMIT FEE: $ �G ( ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 18-00001312 Date 8/28/18 Application pin number . . . 926272 Property Address . . . . . . 1026 E STH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -9210 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor PETER L CHASE LINCOLN WIRING 1026 E STH ST 81 WESTRIDGE RD PORT ANGELES WA 983624115 PORT ANGELES WA 98363 (360) 457-5233 (360) 808-1757 --------------_-------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIR DHP Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 8/28/18 Valuation 0 Expiration Date 2/24/19 Qty Unit Charge Per Extension BASE FEE 75.00 ----------------------------------------------------- - -------------------- Fee summary Charged Paid Credited Due ------ ------------------------------------ ---------- Permit Fee Total 75.00 75.00 .00 00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code'0502) 9ORT""QF ELECTRICAL INSPECTION L_! to WIRING REPORT -,�W 417-4735 DATEPERMIT k INSPECTOR OWNE CONTRACTOR 1-1 rje-c>z ADDRESS /62 E> >��-- APPROVED NOT APPROVED ❑ ....................DITCH.................... ❑ ❑................ ROUGH IN/COVER ........... ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ CORRECTIONS NEEDED: � / � >>ILY_ � i7 't X3 C 12)-0 L nL4 • 3Z NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS -- DO NOT REMOVE -- 10 1 - 2 SINGLE-FAMILY M 1 ELECTRICAL PERMIT APPLICATION -•i Public Warks and tAilitics Ucnat-tmcnt V" 321 f.. nth Street. Part .angelus. WA 98302 ^] 360.417.4735 1ricaIpernlit�«-;i?1'tlj�a.u` 1_ Project Address: l . jF , S 1-i'V z� . P Project Description: 0 Single -Family Residential O Duplex / ARU Building Square foots e. Name: t'G+e_ Lb sr Mailing Address: -Zoo)-c- P" Name: , h c. Mailingdress:r 1i Email: T^410 t�.6c:�e 6 Email: RQ. Phone: License: L T V cc2itJ T Expiration Date: -I& vs. Phone: Rz Fr—t' 75-7 Arm Unit Charge Quintily JQW (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 _ 1 $ % 5,00 Temp. Service/Feeder 200 Amp. $9300 $ Temp. Service/Feeder 201-400 Amp. $11000 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal Circuit/Limited Energy -1&2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool / Hot Tub $110.00 $ 1V Ing. i - - sv_j Owner as defined by RCW. 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with atowner N.E C , RCW. Chapter 19.28, WAC, Chapter 296- 466, The City of Port Angeles Municipal Code, and Utility Specifica.05.050 regarding Electrical Permit Applications. �A CJK c ' Date Print Name Sig [[-Electrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711) PREPARED 8/22/18, 9:49:19 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - T - - - - - - - - - - - - - APPLICATION NUMBER: 18-00001312 1026 E 5TH ST . FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 75.00 TOTAL DUE 75.00 Please present this reciept to the cashier with full payment.