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205 W 5th St - Building
0�t� rrr t,�. ff CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections RECEIVED 321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362 Ph: (360) 417-4735 Fax: (360)417-4711 AUG 2 8 2013 Date: �" ` 6 1 &2 Single Family Dwelling t��l9 lCAI Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 0 `~ W 5-24 Building Square Footage: Description of above Owner Information Contractor Information Name: lMt1CC. '7G ph RA-k� �fAA c,-,� Name: 04)r- Mailing Address: 2-o w 9"1r,�' Mailing Address: City: State: Zip: City: State: Zip: Phone: Fax: Phone: Fax: License#l Exp. License#/Exp. t./�CrD L Item Unit Charge Qtv Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $120,00 --- ServicelFeeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 60 1-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit VVI Service Feeder $ 5,00 $ Branch Circuit W!O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ Temp.Service/Feeder 200 Amp. $ 93,00 $ Temp.Service/Feeder 201-400 Amp. $110,00 $ Temp.Service/Feeder 401-600 Amp. $149.00 $ Temp,SorvicolFeeder 601-1000 Amp. $168,00 $ Portal to Portal Hourly $ 96.00 $ Slgnal Circuitl Limited Energy-1 &2 Family Dwellfrg $ 64,00 $ Manufactured Nome Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft.or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Not Tub $110.00 $ $ Z 6 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.C,,RCW. Chapter 19,28,WAC,Chapter 296-4613,The City of Port Angeles Municip I ode d Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signatur r, a rical contractor or electrical administrator: Q Cash Check © Credit Card 9 x Dated: r co —13 0110112012 Z. ELECTRICAL PERMIT 1 CITY OF PORT ANGELES (7 360-417-4735 Application Number 13-00000975 Date 8/29/13 Application pin number 463950 X41 Property Address 205 W 5TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-8760-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . Property Use , to the City of Port Angeles Property Zoning , . . , , , . RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation , , . , 0 Application desc Panel replacement Owner Contractor CHARLES F AND SUSAN T.VELIE BLACK DIAMOND ELECTRICAL CONTR PQ BOX 1431 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 417-6613 (360) 565-1035 Permit , , . . , , EI,FCTRTCAL ALTER RESIDENTIAL Additional desc . Permit Fee 120.00 Plan Check Fee ,00 Issue Date 8/29/13 Valuation , . . . 0 Expiration pate 2/25/14 Qty Unit Charge Per Extension 1,00 120,0004 ECH EL-0-200 SRV FEEDER 120.00 Special Notes and Comments August 28, 2013 8,41:05 AM handers, Panel exchange acceptable, comply with service guidelines. Fee summary Charged Paid Credited Due Permit Fee Total 120.00 120.00 00 .00 Plan Checic Total .00 .00 ,00 ,00 Grand Total 120,00 120.00 ,00 .00 J INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL Env COMMENTS: PERMIT WILT.EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGE1BUILDING CITY OF PORT ANGELES :NSW DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000814 Date 8/02/11 Application pin number 323898 Property Address 205 W 5TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0- 8768 -0000- Tenant nbr, name CHARLES SUSAN VELIE on your state excise tax form Application type description PLUMBING PERMIT to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 3000 Application desc RE -PLUMB HOME METER TO HOUSE II' Owner Contractor E XP t I CHARLES F AND SUSAN T VELIE OWNER :791i 1'' PO BOX 1431 b PORT ANGELES WA 98362 (360) 417 -6613 Permit PLUMBING PERMIT Additional desc RE -PLUMB HOME Permit pin number 190298 Permit Fee 57.00 Plan Check Fee .00 Issue Date 8/02/11 Valuation 0 Expiration Date 1/29/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL -WATER LINE 7.00 Fee summary Charged Paid Credited Due Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. /19 4 r.6o en U,5-6/4- 47:7:7***:: Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD 1 PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS OQ Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling Q FRAMING: Joists Girders Under Floor VI Shear Wall Hold Downs Walls Roof Ceiling a Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling 4 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 SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Date Accepted By e" r11111_ Electrical 417 -4735 1" 1 C Construction R.W. PW Engineering 417 -4831 1 Fire 417 -4653 _Z Planning 417 -4750 Building 417 -4815 T .Fr,r,n IR1 iilriinn nivisinn /Ruildina Permit CITY OF pORT NGELES WASHINGTON, U. S. A COMMUNITY ECONOMIC DEVELOPMENT April 11, 2012 Chuck and Susan Velie 205 West 5 Street Port Angeles, WA 98363 RE: Building Permit Extension Permit #11-814 Dear Mr. and Mrs. Velie: I am writing regarding the above permit extension request submitted by you on April 10, 2012. We have granted your request for extension. The permit will expire on July 29, 2012. This will be the final extension granted on the project. If you are unable to complete the work by the new expiration date, please contact us so that we can discuss your options. If you have any questions, please let us know. Sincerely, (-vO Heather Catuzo Building Permit Technician 321 E 5 Street Port Angeles, WA 98362 hcatuzo@cityofpa.us 360 417 -4817 City of Port Angeles Community Economic Development ATTN: Heather Catuzo 321 E. 5 Street Port Angeles, WA 98362 Dear Heather; Thank you for your letter regarding the status of our expired building permit (Permit #11- 814). The purpose of this letter is to request an extension to the permit. Due to our work schedules, we have been out of town for extended periods of time and were unable to complete the work at the time anticipated. If at all possible, we would appreciate a 90- day extension to complete the work. Thanks again for yo r ,reminder. The Velies 1 \1.11 6 Chuck Susan q)17‘ Y RECEIVED APR 1 0.2012 CITY OF PORT ANGELES BUILDING DIVISION PROJECT STATUS UPDATE Permit t l i 1 L I Date: 9 2 14' 17 phoned the: Applicant at Property Owner Ch V C J i J Q rti i t L 1 to 1 Contractor at (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. 1.V1A on ire i--d e r W (k r) re (t es rake his f)-I-U v w 11 n Ili() rill' T:Forms /Building Division/Project Status Update CITY OF pORT 16.-141_ W A S H I N G T O N U. S. A COMMUNITY ECONOMIC DEVELOPMENT April 2, 2012 Charles and Susan Velie 205 W 5 Street Port Angeles, WA 98363 RE: Expired Building Permit #11 -814 Dear Mr. and Mrs. Velie: I am writing this letter to inform you of the status of the above permit. The permit expired on January 29, 2012. I spoke with you regarding this permit and explained that if the work is not complete, a letter requesting an extension would be required. This will be our final attempt to resolve the status of the permit. If we do not receive a response from you regarding the above permit by April 20, 2012, we will consider the permit abandoned and will expire the permit. If you choose to do the work at a later date, you would need to reapply for the permit and pay all associated fees. Thank you for your prompt attention to this matter. Sincerely, efaA.4 Heather Catuzo Building Permit Technician 321 E 5 Street Port Angeles, WA 98362 hcatuzo@cityofpa.us 360 417 -4817 ?OR r BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician For City Use Only: Date Received C3 321 E. Fifth St., Port Angeles, WA 98362 Permit (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant (2i-MAt s I Phone 36'o y /7 f3 Property Owner C 14g SL2 o 1/1/47 Phone Property Owner's Address a 2c 5 t v. S,-, r Contractor /j Awee-s- Phone Contractor's Address License Expires E -mail L rve /,.e PROJECT ADDRESS w. 5>'4 Parcel Number Lot Zoning Project Type Brief Description: Residential Multi- family Commercial Industrial Check all that apply New Construction Re vwr h/ oaSe: 0 2Z-2 I l-70 Addition Remodel Repair Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. /Se .M47 1 Floor I5 LC. loOr- 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 3 otro Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths I have read and completed this application and know it to be true and correct. 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. Date o /1 Print Name e`- /42U �L /G Signature 4 T:Forms /Building Division /Building permit application Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc Hot Tub Owner CHARLES F AND SUSAN T VELIE PO BOX 1431 PORT ANGELES (360) 417 6613 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98362 182212 110 30 3/08/11 9/04/11 Qty Unit Charge Per Fee summary Charged 110 30 00 110 30 Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 11 00000204 202708 205 W 5TH ST 06 30 00 0 0 8768 0000 ELECTRICAL ONLY 110 30 00 110 30 Contractor ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 ELECTRICAL ALTER RESIDENTIAL 1 00 110 3000 ECH EL SWIMMING POOL /HOT TUB PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 00 00 00 DATE. RESULTS Date 3/08/11 WA 98362 Plan Check Fee 00 Valuation 0 Extension 110 30 Paid Credited Due 3 J I 00 00 00 INSPECTOR. Date REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) 7 03/08/2011 08 43 FAX 360 452 9265 Angeles Electric Cityeflott Angeles Pine App Ikation iiiik$4.0NSanffliateell I21 itiOltINSearit40,e1 its l'froloielititiookoisus2 prosoyor P Man Daft 7 Yop Zi12 Single **NARA Mugfairilitor ammarcid* CoMMendelAddition/Aitendion /Remodel/Repair Plan flaylivAles tie Required, Peeve CompleteN Job talp,Revere Infomm*Stmet Adel et Adidlet.SqUarefookkit "2/21) :DearAption.atatae 440" \--/417j RECELE MAR 3 2011 3 7 1/ 0. ELECTRICAL INSPECTIONS INSPECTIONS *P"otiro ija 11.. C2Unthefirinionnatior' :Nen* .4tA4/ if 40-.1464A4 IL- Name: VI 1 f 4-. ;MOO .....131.1257 M state: -ap: WeS42- air AeliVisita: teete: 4bac_.zar ..././Wardr_./ Phone 7757-67.SroFicc Pbni: M.-14 Fat 40, ziAtitc ILliettio*/.4), Um= it/ Sep, "AfiL Lex Slai 04 :Unit Ctiartie PIZ Ddittatadigalkalataegeg .8 Mew SeateFesder 200A/M. $145.50 Seneefeeder 20140 Amp. :$101.10 SembelFeider 401430 Amp. .$28220 BerimeFetar 1014W0 Mip. 4372.50 fienteFesderiarr COON*. ZOO Borieh ChoitWIlieMee Feeder .73.50' Moth not Wt/tierim Fork .8 230 &eh Acklemal Rend MO S. 470 1 Temp. NM* Feeder 200 Amp. $.110.30. Temp. 801a0Fiedet 301400 kip. 4145.70 Taw Serviceieetir401400 MIL $157,A0 Temp. lintoceader$01-1003 Amp. 8 Pablb Pithilimely i 88.20 sinfOlonatthini I I. 1153 8Prid Choi WM begy Confordel. Wand 1500 3520 1.030 Venal ClimettkiiMd Enemy. 1 32 Fent/Daft $'13$0 *am MI Undell5noirp AWN* MOW OLIO htrotsaluridthine Ceraillion *1020 Remota BablatinergY ROA *MI cr UN $.11o30 Rat MO Speen :1. 15.20 fah Addliond OW Wpm Ft. er Poem ot I 73.50 1 Each CulteOiral or Diehmhed Osage „JeL stico s- Each batmliPofferfletTab Theerodet Total &merle depot by* ROfelltratlif; (1) 01111l El SCOW the sintelwe far home Malik *Wu 1 penal tie SisallseiL p) Owner* reedt fa Nam OMNI confuter 11 atroarilitrnatiaaitroli hada Pfitatillf&eerisitopfrosaltwebramifilis et leethapeelen. -Albrjekttog the sborostatment I Welly eat, that lem the ewer et the abate mod property or a licemed electrical contractor.' ain AI: the eleahlealinebletim or IROO#WairtiOSIMPORtha elechRitlave, NEL, RCW. Chapter 10.2R WAC. Chepter 350401, The City al Port Amish@ Wald* CM* UMW Illogngaloni. .itigmetutot Ortner, *Wed matador or elmbleal admhilstrator 0 Cash a 0001/0001 Zoloweicaeoftior Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Low voltage Owner CHARLES F AND SUSAN T VELIE PO BOX 1431 PORT ANGELES (360) 417 6613 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total WA 98362 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 11 00000031 140827 205 W 5TH ST 06 30 00 0 0 8768 0000 ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 Contractor ELECTRICAL ALTER RESIDENTIAL 180141 63 90 1 /10 /11 7/09/11 Plan Check Fee Valuation Qty Unit Charge Per 1 00 63 9000 ECH EL SINGLE CIR LIMITED RES Charged Paid Credited 63 90 63 90 00 00 00 00 63 90 63 90 00 INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G. \EXCHANGE \BUILDING 3/4 II o" P Date 1 /10 /11 ADT SECURITY SERVICES INC 11824 NORTH CREEK PKWY BOTHELL WA 98011 (425) 489 3668 9 OZ S I DATE. RESULTS 00 0 Extension 63 90 Due 00 00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date: l 8 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 7 2011 Ph (360) 417 -4735 Fax. (360) 417 -4711 Date: 10/4/10 ELECTRICAL Plan Review Ma Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 2,1 S ST Building Square Footage: Descfiption of above INSTALL LOW VOLTAGE BURGLAR ALARM SYSTEM (1 CONTROL 8 DEVICES, valuation: $500.00) Owner Information Name: CHARLES VELIE (TAXPAYER) Mailing Address' ?05 W 5TH STREET City: Port Angeles State:..ya Zip: nRM9 Phone; 360417.6613 Fax: License Exp. LOW VOLTAGE BURGLAR ALARM 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. SenricelFeeder 401 -600 Amp. Temp. Service /Feeder 601 -1000 Amp Portal to Portal Hourly SignlOutline 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 x 01 -06- 11 17 10 FROM -nw permit Unit Charoe 119,90 145.50 204.60 262.20 372.50 2.60 73.50 2.60 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 13609452091 T -902 P002/003 F -322 Dated: 01/06/2011 gty RECEIVE 1 2 Single Family Dwelling Multi- Family or Commercial` nComm %n Alteration Remodel Repair Contractor Information Name: ADT SECURITY SERVICES MB iling Address. 116.24 N CREEK PKWY N, 9105 City; BoYn6u State: WA Zip: 96o11 Phone: 360- 945 -2787 Fax: 360.94s0251 c f 5 2b, I License Exp AoTSESI0 2os--- Bnsr2o11 Total (y Multiplied by Unit Char* 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.C. RCW Chapter 19.28, WAC. Chapter 296.468, 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 S Application Miscellaneous Information Maintenance CITY .OF PORT ANGELES, File Edit List Commands Help. iiINGARDi SECTOR Nayiline 1 V OK Exit Cancel Add Application Miscellaneous Information Maintenance Application number ASSESSOR PARCEL NUMBER: Address: MEI 1O/26/10 lOctober 26, 20109 36 19 AM ipangrle 10/26/10 406-03 10 ,I,LEFT A PHONE MESSAGE TO CALL I 10/26/10 FORA FINALINSPECTION OR UPDATE ME ON 1 13711111 10/2706 THE STATUS OF THIS JOB 10-26-10 I 10/26)10L 4EXPIRED THIS PERM1T BECAUSE THEY, NEVER I RESPONDED TO MYREZNES1 t t111111 io72 09 00001383 08-30-00-0-0-8788-0000- 205 W 5TH Highlighted 'code field indicates the line is not available for List selection. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 09 00001363 Date 1 /05 /10 Application pin number 763494 Property Address 205 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 8768 0000 Tenant nbr name CHARLES AND SUSAN VELIE Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 406 Application desc INSTALL A PROPANE LINE TO A KITCHEN STOVE Owner Contractor CHARLES F AND SUSAN T VELIE SUNSHINE PROPANE PO BOX 1431 10853 RHODY DR PORT ANGELES WA 98362 PORT HADLOCK (360) 417 6613 (360) 683 4010 Permit MECHANICAL PERMIT Additional desc PROPANE LINE TO COOK STOVE Permit pin number 158899 Permit Fee 121 30 Plan Check Fee Issue Date 1/05/10 Valuation Expiration Date 7/04/10 Qty Unit Charge Per BASE FEE 1 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 1 00 10 6500 EA ME FUEL GAS PIPING 1 5 OUTLETS 1 00 50 0000 HR ME INSPECTION MIN 1 HR Fee summary Charged Paid Credited Print Name T:FormsBuilding Division/Building Permit WA 98339 Due Permit Fee Total 121 30 121 30 00 00 Plan Check Total 00 00 00 00 Grand Total 121 30 121 30 00 00 00 0 Extension 50 00 10 65 10 65 50 00 0 ,o 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. Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping I SHORELINE. Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit Inspection Type Comments FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 0 (%-xp lrei ib PREPARED 8/03/11 8 08 55 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/03/11 ADDRESS 205 W 5TH ST SUBDIV TENANT NBR CHARLES AND SUSAN VELIE CONTRACTOR SUNSHINE PROPANE PHONE (360) 683 4010 OWNER CHARLES F AND SUSAN T VELIE PHONE (360) 417 6613 PARCEL 06 30 00 0 0 8768 0000 APPL NUMBER 09 00001363 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 8/033411 MECHANICAL FINAL TIME 01 00 August 2 2011 2 06 22 PM 1pangrle CHARLES 417 613 MECHANICAL FINAL COOK STOVE AFTERNOON HE STATED THEY ALREADY HAD PROPANE SO A GAS LINE INSPECTION WASN T NEEDED COMMENTS AND NOTES p, 05 w S St Dec 28 09 07:01p Susan Chuck Velie Applicant Parity 8 c5L4bAr 1(rt l le Property Owner S,rne Property Owner's Address __jog Contractor 6/1in G_ Contractor's Address 1 D$ 3 Vtivdivi Pr. License Mts&ii9VRIQP Ljo ect Type Brief Description: Check an that apply o New Construction Addition o Remodel o Repair Demolition Re-roof o Heat System W'Other Tlstwq Floor Areas (360) 417 -6613 p 1 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 PROJECT ADDRESS 7.0S W S relit Parcel Number 06 3O 00 Oa l'(oe Existing (sq. ft.) Proposed (so. ft.) Bert H u1tb k- WA Expires E -mail /Residential o Multi family Basement 1 Floor 2 Floor 3" Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant Toad Will a fire sprinkler system be installed? Construction type Phone 4I1 -bbl pie; 4j01423$ Phone Phone For City Use Only Date Receivedjl- t'i 04 Permit O —1.3L1 Date Approved ran_ beerttrt,Shtne, n Lot .19 Zoning o Commercial o House garage other o tear off re -roof lay over one layer Heat pump o wood burning stove 0 gas fireplace pellet stove other fimpune IinP fmm tvirkn9 -hunt 41) la/info n a*buP. per sq. ft. S of bedrooms of fun .baths of half baths Industrial DO TOTAL VALUATION 4+14 Y Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage I have read and completed this application and know it to be true and correct. l am authorized to apply for this permit and understand that it is my responsibility to determine what permits am required and to obtain permits prior to on projects. Date i Z 215 I V9 Print Name Su Ve i t e Signature 41. f T:Forms/Building Division/Bldg Pemrit.doc Clallam County Assessor Treasurer Property Details 56294 CHARLES F AND SUS Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 56294 CHARLES F AND SUSAN T VELIE for Year 2009 2010 Property Account Property ID 56294 Legal Description. LOT 19 BL 87 Geographic ID 0630000087680000 Agent Code. Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space N DFL N Historic Property' N Remodel Property' N Multi Family Redevelopment: N Location Address. 205 W FIFTH ST Mapsco PORT ANGELES Neighborhood Cycle 5 Res Map ID Neighborhood CD* 10955130 Owner Name CHARLES F AND SUSAN T VELIE Owner ID 57658 Mailing Address. PO BOX 1431 Ownership 100 0000000000% PORT ANGELES WA 98362 Taxes and Assessments Due Property Tax Information as of 12/29/2009 Amount Due if Paid on 1 Exemptions: A First Second Half Half Statement Base Base Base Amount Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due 2009 562942008 ST SCH STATE SCHOOL $186 75 $186 75 $0 00 $0 00 $373 50 $0 00 2009 562942008 CC -GEN COUNTY $94 52 $94 50 $0 00 $0 00 $189 02 $0 00 2009 562942008 PORT PORT $13 39 $13 39 $0 00 $0 00 $26 78 $0 00 2009 562942008 PORT ANG PORT ANGELES $207 31 $207 30 $0 00 $0 00 $414 61 $0 00 2009 562942008 SD #121 SCHOOL DISTRICT #121 $230 94 $230 96 $0 00 $0 00 $461 90 $0 00 2009 562942008 NTH OLY LIB NORTH OLYMPIC LIBRARY $27 46 $27 46 $0 00 $0 00 $54 92 $0 00 2009 562942008 HOSP #2 HOSPITAL #2 $38 76 $38 76 $0 00 $0 00 $77 52 $0 00 2009 562942008 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 $0 00 2009 562942008 WEED_CONTROL WEED CONTROL $0 81 $0 82 $0 00 $0 00 $1 63 $0 00 2009 562942008 TOTAL. $835.94 $835.94 $0.00 $0.00 $1671.88 $0 00 2008 562942007 ST SCH STATE SCHOOL $198 32 $198 31 $0 00 $0 00 $396 63 $0 00 2008 562942007 CC -GEN COUNTY $95 96 $95 95 $0 00 $0 00 $191 91 $0 00 2008 562942007 PORT PORT $14 02 $14 01 $0 00 $0 00 $28 03 $0 00 2008 562942007 PORT ANG PORT ANGELES $206 65 $206 64 $0 00 $0 00 $413.29 $0 00 2008 562942007 SD #121 SCHOOL DISTRICT #121 $231 32 $231 32 $0 00 $0 00 $462 64 $0 00 2008 562942007 NTH OLY LIB NORTH OLYMPIC LIBRARY $27 88 $27 88 $0 00 $0 00 $55 76 $0 00 2008 562942007 HOSP #2 HOSPITAL #2 $9 53 $9 53 $0 00 $0 00 $19 06 $0 00 2008 562942007 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 $0 00 2008 562942007 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63 $0 00 http. /vpn.clallam net 8084 /propertyaccess /Property aspx ?cid =0 &year= 2009 &prop_id =5 12/29/2009 Application Number 08 00001400 Date 11/10/08 Application pin number 483000 Property Address 205 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 8768 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc 5kw furnace to replace basboard Owner Contractor Lutz Alison 205 w 5th st PORT ANGELES WA 98363 EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES WA 98362 (360) 457 0198 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 137414 Permit Fee 46 00 Plan Check Fee 00 Issue Date 11/10/08 Valuation 0 Expiration Date 5/09/09 Qty Unit Charge Per Extension 1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS 46 00 Fee summary Charged Paid Credited Due Permit Fee Total 46 00 46 00 00 00 Plan Check Total 00 00 00 00 Grand Total 46 00 46 00 00 00 SPF,CTION TYPE DATE DITCH SERVICE ROUGH IN FINAL COMMENTS 17..) I Z la� 17-to-lue ELECTRICAL RESULTS INSPECTOR dig, wired Ay liElett)iral Co traetor OOn nee ?!atrial eoattacio name L koee rrmbtr Date Expires m iLe Itrcbeer'e mailing eddleae _41 41 /2ga sr &r Cit State ZIP 1 r o0 P M (AL S H/t ut 8 I 7._ Tels.;tbuau neeibst FA, why ,i1:522217 5 r Promisee a raer'e name _f /50Ai L u Z. IfOre,a Of titepactkn A.o 5 vtl, 5 s1REET City r? x k. 0 NO L0A07" 0 flaeeboerd INJ W Fume 1(W Haut Punm 2 Tan.,_ 0 Fan•A'ell _KW Phone audible to schedule ieapettfon: 44` 33 ,1'1 l Owner es defined by RCiy19,215.16: ;7) Oweas of I accapy the s ru ere for list years after ddr rlearknlpnndt trfealtrd hl Omer is required Ir h■ra an dEniwi truract r if dbow taldprv is ft. aolt ..tai or lore. Alter readies the abuve augment, i hereby :edify that I am the owner of the above rose poet or Homed electrical webetter I em matdni the electel tl byta- Ieuun Of alteration in comptitate with the rle ttloci lows, N.t,C,, PCn1. (ttiptet 928, WA," Cheater 296-40, The City Of Port Angeles Municipal Code, and Utility Specification& r91gattuee a owner, elactrleal on 'LILT T44 04 ri 0.SE 3e eJtd S 0 Ovothaed Service LAP 0 Temp Serdno 0 Underground fieruice SAME DAY INSPECTION, CALL BEFORE 0O AM 360417.4735 ROUG1111V i� ewe FINAL t t J e A N la nspwa/ ono ,m,djy IswecGor nt,Aviidlago:EmipmeatImputed U00c y tinaj a EICOt6cal I Imam l d ?/08 NOV `2008 cif add or r retrleal aeminiatrator BXpirstion #44. Date: d 11041I B dead i TBERMOSTAT Del, terror'& or• DITCH DEPT ELECT ICALwoltt►. PERMaiAPPLICATION Atstallation dcscriptlrn 7 Commercial �iOStdantltl U Nen iFdterediAddition 10& Ct ►u Rom-LE #E4r Doti' Mkto P►tuuiks 0 Crab 0 C!irck 4 0CredtCrati Visa Mast :m:71 riscuver Card *I Wet infor i Phase it G Sawa+ Sirs 206 Fool She' t{ At SERVICE IEfd!c r Inanec;:ud fee �P r 4 i NOV-04-2008 10 04 PM E JANSSEN 'tired by litEirctrIcal Contractor Elamite costrictor name Mc= natter Daft Explas EV214- ALI lit/ 84/km Ad d /2/Y1 crger o ZIP clitA A.A.14.(1.3 144 /1 FAX, 11,111, 7ciphaat. mains ;laminar I mail as drai ,D27 4tI 5 14, j Premise: ti iner's name 5 tZ Aeons at Inspection iretiC: ao5/ 5 4 5ittEEV 4!. I04 1 clf 5 d..,,;i1 City 1 4 Mbar le el71? ifilltes!1011! 1 OlellOiNifinid by RdiritAt Ow_ aer ;fill amp the rZ tim yeart0a a eleartcaligirisfat Oa h Aspired tp I ht 1 118* etivrocror above nta popo I: liw 4 Allesleslin; the IouVe atieumet, i hffeby ,ify I am the am mine ow aniiiirnifprit- or Wad elechied untreeter Mai the anon:al Moat D creditcw hiltuiiikatterstion in cemplinte with the aleohinikie MEL, XIV, Chaplet ".28, *AC Center 296483, The City of Poit uateipal Cede, and Utility Sncificatian. „Siloam ovular, eliettleil ce metir or rs onboard Tkr A thstiSohli urm A.Ton_ LAP 1 _KW Y. INSPECITON, CALL BEFORE *N 11 Asrii r,/ Dm. lins•,Bvintoig Equipment hopeoteti Otic NOV 7 2008 lipoid al 3 Card M ExpirationDato I/ /18 ssfeard o Ovethald Servi 0 temp So* o lindargroisii '$an,ice 7:00.0160.411.1735 IBILIMOSTAT D.0 APProl 5y MICR 360 452 2982 ELECTRICAL WORR PRMIl'APPLICATION DEPT Nrifistillation description 0 Commercial V4ICSIdentlil Nem 4.1iffsd/Addilin 4.Ikiib btutiks Ik) co c,t atA44_ Row tIEF?oti:' Vis SERVICE 1 1 Du Annmei ar ........e nom MaSiSSCPssl tiscovcr 4450011 isayine inforatng Vamp 12P 1.4$ Phme 11:0 A Near Size 4 41 ken Tsket Email V111111111 Imps% P 01 Application Number 08 00001380 Application pin number 408020 Property Address 205 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 8768 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc Remove boiler add furnaace heat pump Owner Contractor Lutz Allison 205 w 5th st PORT ANGELES WA 98363 Date 11/03/08 PENINSULA HEAT 782 KITCHEN DICK RD SEQUIM WA 98382 (360) 681 3333 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 137190 Permit Fee 35 00 Plan Check Fee 00 Issue Date 11/03/08 Valuation 0 Expiration Date 5/02/09 Qty Unit Charge Per Extension 1 00 35 0000 EC EL LOW VOLTAGE 35 00 Fee summary Charged Paid Credited Due Permit Fee Total 35 00 35 00 00 00 Plan Check Total 00 00 00 00 Grand Total 35 00 35 00 00 00 IN SPECTIO1\ TYPE DITCH SERVICE ROUGH IN FII� AL COMMENTS: ELECTRICAL DATE RESULTS INSPECTOR )7 -RP 10/31/08 10.91 FAX 3606812086 c E Heat a03 p tD J red by 4 2008 ELECTRICAL WORK PERMIT APPLICATION lectrical Contractor 0 Owner LIGHT DEPT ElcArical contractor name License number Date Expires n /rasa /o at 1//%'2 'f (Installation description Commercial 1 0 New sidential Altered/Addition kerne)te eV/5 1€4"" entry State ZIP �P7de /M 51 cL f Tel h f number FAX nu bet :160 �3 733 ail Li an a Purchaser's mailing css 'Premi 7�er name Z.L4 7 Address of inspection G2 5 bi. 5L- s) City gr/t-47--) el s Phone nu bf r t o 7!77 Owner as defined by RCN' l9.28.261-(1) Owner will occupy the structure for Iwo yrc:ry ufier ►his electrical permit is frnalied. (2) Owner is required to hire an electrical contractor if above said property is fur sale, rent or lease- 0 Cash After reading the above statement, 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- Credit Card baton or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19,21!, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. /Signets a J!'owncr, clectr al ract or electrical administrator Expiration Date te: \f card Electrical Load Addiapd or subtractions NO LOAD CHANGES O Baseboard KW �Fu ace KW DA Pump Ton LAR O Fan -Wall KW Inspection Date O Overhead Service 0 Temp Service O Underground Service Arca. Building or Equipment Inspected 0 Check Mastercard Discover Card# 41/ lnsp3 xx Service Informatlort Voltage Phase 1 3 Service Size: Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360- 417 -4735 ROUGH -IN 1 THERMOSTAT SERVICE Nr2Pe Date Apprtrvcd by l Pat; Ammon Hy l Dntc Apt�na�r�l by FINAL C\ DITCH FEEDER (4 (2106 Date Aapravad By Data Appr ved Sy Delc Appm.at by Action Taken Electrical Inspector 1 NCO o , N rl , N rl ~~ t.?b <>:<>: o.Cl .....,. .....,. .... .... .... .... I I rlrl CO \0 \0'" >< >-'I ~ ~ H >-'I b ~(I) :<:~ 8~ b':J :;: O~ HO bb UU ~~ 0.0. (1)(1) :;::;: H H 00 \0\0 ....00 :> H ~~ Cl :;:Z III 00 Co :I::I: (I) 0.0. .,. o >-'I N 0. N b 0. b Co <>: ::0 >-'II ..:l o..:l :;:0<>: :z: OaU o cnOH ~ 8d,~ H H\.D~ H ~r--U <>:b co~ ~ p:::( ~ I :E b ~ 0 en Ol ::r: 1Il I U1 :I:~<>:~';'~ f-lE-lHE-iOr-l U1CJ);:JenOO (I) I 0 ~~Z::::C:OO WHILlMO U1 ~ :z: 0::: I I o~ILlP:::(\.DCO \\IQOIQoo '" o '" (I) ~ -..:l co~ ot.? ~~ rl 'b N~ rlO 0. Cl ~'" ~O <>: 0.>< ~b ~H o.U ~ . '" ~ ZO b (I) -U (l)b<>: ..:l:;: ~~~&i~L Cl:;::;::;:~o. Cl~03<>:0. <>:bUOo.<>: OJ rl '"' tl1 <: oj 0. rl o :~ o r-- " Lfl ~ " :Erl H rl b " co b H :E ~ ~ 0. 00 I COM .....::IOM.....:1 ~OMP:::( ZNIZ H rl H ~ .. co P.. rl\O ..:lrl ..:l <>: ~<>::;: U\.-lHUO HOJf-IHO ~i)3~~ ::r:Q)~::r:1Ll UU<>:Ub ILl <ll:I:ILlJ:I-. :EClU:E<>: (I) b :;: ~ :E :;::E 00 HU b' 0.(1) Hb ~..:l U::O (1)(1) ~~ "'Cl~ (ji ~~~: :;:(1)1 H~I H cr:: I l-J ~ClCll ~ ~ ~ : ~ en ILl I.......... o ILl H IN O:>OlIr-l O:E I........... ILl 0 IN 0::: U I""" ~ : I I rl 0" 0 (1)1 "'" 0. I '" >< I ~ b I :E ~ .~ III "5 ... ~ 0. 0. 5 0. b <>: ~ ;I: (I) ~ b o :;: Cl ~ (I) b :;: ~ :E :E o U f poRr ~ tO~('(~ ~ 1L -=-:or ~ "t.i;::;--~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] 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 . . . . 08-00001385 Date 11/03/08 511860 205 W 5TH ST 06-30-00-0-0-8768-0000- DAREK STAAB &ALLISON LUTZ MECHANICAL APPL. PERMIT RESIDENTIAL HIGH DENSITY 7227 Application desc INSTALL HEAT PUMP Owner Contractor DAREK STAAB & ALLISON LUTZ 205 W 5TH ST PORT ANGELES WA 98362 (360) 461-3344 PENINSULA HEAT 782 KITCHEN-DICK RD SEQUIM WA 98382 (360) 681-3333 Permit MECHANICAL PERMIT Additional desc INSTALL HEAT PUMP Permit pin number 137257 Permit Fee 64.80 Plan Check Fee Issue Date 11/03/08 Valuation Expiration Date 5/02/09 Qty Unit Charge Per BASE FEE 1. 00 14.8000 ECH ME- INSTALL 100- FAU .00 7227 Extension 50.00 14.80 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 Ii1- /<2 '/}CZt, /I ..../ ~ ~ O<f Separate Permits are required for electrical work, SEP A, Shoreline, ESA, utilities, private and public improvements. This perm it 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 I allaw regulating construction or the performance of construction. Signature of Owner (if owner is builder) Signature of Contractor or Authorized Agent T: FormsfBuilding DivisionfBuilding -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 417-4807 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCA TION. KEEP PERMIT AND APPROVED PLANS A T JOB SITE. Inspection Type Date Accepted By: Comments FOUNDATION: Footinos Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab Rouoh-In Water Line (Meter to Bldo) Gas Line Back Flow / Water FINAL Date: Accepted by: AIR SEAL: Walls I I Ceiling I FRAMING: Joists / Girders Shear Wall / Hold Downs Walls / Roof / Ceilino Drvwall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall / Floor / Ceiling MECHANICAL: Heat Pump / Furnace / Ducts Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date: Accepted by: MANUFACTURED HOMES: Footino / Slab Blockino & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parkino / Liohtino I I ESA: Landscaping I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE RESIDENTIAL DATE Accepted By: Commercial Date Accepted By: Electrical 417-4735 Electrical Construction - R.W. Construction - RW. PW / Enqineerinq 417 -4807 PW / Enaineerina Fire 417-4653 Fire. Plannina 417-4750 Planninq Buildinq 417-4815 17-1-)-0<6 .TLL-- Buildinq T:Forms/Building Division/Building Permit o oQ \ - \.N cf) 0\ ~ vi ~ \J\ ~ ~ ::c ~ T ~ 3 -"D ~ 10/31/08 10:31 FAX 3606812086 Peninsula Heat 1al02 il CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 96362 (360) 417-4815 . fax (360) 417-4711 Applicant or Agent {}kaJ-'/#I-/e.4krs~ Owner .a7/;~~ LIA--h_ Owner's Address ~ iJ5.W 5-1--1:2- 5:1- . ContractorlEngineer p~ nl n. ,t1./61 Contractor/Engineer's Address ~ License # '6 /1/ BUILDING PERMIT APPLICA TJON Print in ink ..' For City Use Only: Date Received 11- 3 -0<3 Permit# 08 - 13SS- Date Approved Phone Phone ~tfS-/-~ 3 3 ~ L/ (-, / - _~?~ '-I t/ PROJECT ADDRESS Parcel Number Lot Zoning ;1 Pro/ect TVD8 & Brief Descr/Dtlon: ~dentlal o Commercial [] MuJtj~family c Industrial Check all thaI apply o New Construction o Addition .' o Remodel p Repair - c"Re-roof c Demolition c Sign [] wall-mounted [] projecting c freestanding Dawning c other ~ystem Total sian area sa. ft. Maximum allowed sign area sa. ft. ~at pump [] wood-burning stove [] gas fireplace c pellet stove 0 other c Other FlooT Areas Existina (sa. ft.} ProDosed (sa. ft.} Basement @$ per sq. ft. = $ . .: .1~)Floor . 2nd Floor 3"' Floor Garage Carport Covered Porch .. Deck Shed .. .- -, I" OU] .. '-.. ';. , . ~r.. . _.' ..... . Z:J-~7 . . - TOTAL VALUATION $ Total footprint of structures :1 Max. height of proposed structures I . Will a lawn sprinkler system be installed? . I Will a fir~ ~prinkler ~ystem be installed? sq.1t. + Lot size sq. ft. = Lot coverage # of bedrooms # of full baths # of half baths % ft. Occupancy group Occupant load Construction type I have. reap ~nd completed this applicatiofJ and know it to be true and correct. I am authorized fo apply for this permit and understand that it is my responsibility to determine w at permits are requir.ed, and project~. J ,I (J. i ,J '. J 1- Date 10 3;/ oY Print Name 'Har/~7K: Signature ., . T:FonnslBuilding DivisionlBldg Permit Appl.-2006 Code.doc '. I , " ~~ _ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll..DING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 2477 Application Number . . Property Address ASSESSOR PARCEL NUMBER: Application description property Zoning... . . Application valuation . 03-00000429 Date 5/02/03 205 W 5TH ST 0630000087680000 MECHANICAL APPL. PERMIT Owner Contractor ------~----------------- GRAY, SHARON 12515 20TH AVE HE SEATTLE (206)277-6895 WA 98125 ALL WEATHER, HEATING & COOLING 3 o 2 KEMP ST. PORT ANGELES, WA PORT ANGELES WA 98362 (360)" 452-9813 ----~---~-~-------------------------------------~---------~------------------ . Permit .. . . Additional,desc Permit, Fee . . Issue Date . . EXpiration Date MECHANICAL PERMIT 57.65 Plan Check Fee 5/02/03 Valuation . . 10/29/03 .00 o Qty Unit Charge Per Extension 47.00 10.65 BASE FEE 1.00 10.6500 ECH ME-GAS PIPE 1 TO'S Fee summary Charged Paid Credited Due ----------------- ---------- ---_._----- ---------- ---------- PerIllitFee Total 57.65 57.65 .00 .00 . Plan' Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .00 .00 Vr! "i- S Q/}!.l :+; Signature of Contractor or Authorized Agent Date' Signature of Owner (if owner is builder) Separate Pe,rmlts are required for electrical work, SEPA, ShoreUne;ESA, utilities, private and public improvemepts.This permlt~ecpm..s null and void if work or construction authorized is not commenced Within 180 days, ifeonstruction or work Is suspindeclot~b~ntfon..d for a period of 180 days after thework as commenced, or if req",lr~tflrlspectlons have not been requested 'vVithin 180 daysfroll"lthe last Inspection. I hereby certify that I have read and examined this application and know the same to be true arid correa~t Rt9\1~IClI'lSpf laws and ordinances governing this type of work will be cOrnplie~\Vithwh~~er specified herein or not. The granting of a permit~oesnot presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance hi construction., , ____ ' . , ON FlU T:\PLANNING\FORMS\J 102.15 [412002] r '.:<"~: ~t:'..:'.' /1< . ,c.':~~:?~T~~j: ., ..(\....1 .1 BUlLD~~J.)ERMq' INSp,~CT!ONRECORD (93.. J/&~' '. CALL 417-4815 FORBUILDINGINSg~(JTIONS.PLEi\S~"P~OVIDE.1\ MINIMUM 24 HOUR NOTICE. if iSUNLAJrFULTO COv.ER1\ INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. ' POST PERMIT IN A CONSPICUOUS LOCATcION. KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE INSPECTION TYPE DATE I ACCEPTED, I< CO~~ .'. i>:'t,iA;; YES: I NO ..... .'(~;.. ';Y'C) . .... ' ( .... FOUNDATION: '. I FOOTINGS I . WALLS ..... " FOUNDATION DRAINAGE . '. ELECTRICAL (LIGHT DEPl) SEPARATE PERMIT: #. ROUGH-IN I I I . '. PLUMBING .. .' . '. UNDER FLOOR/ SLAB ". ROUGH-IN '. WATERLINE GAS LINE . . BACK FLOW / WATER " '. . . ;. AIR SEAL . . WALLS . CEILING I I C . ... FRAMING .... ". JOISTS/ GIRDERS SHEAR WALL . WALLS / ROOF / CEILING '. DRYWALL T-BAR . . INSULATION SLAB WALL / FLOOR / CEILING I I . '. MECHANICAL '. HEAT PUMP WOOD STOVE / PELLET / CHIMNEY . HOOD / DUCTS .'. PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER '.' SEWER CONNECTION SANITARY .. STORM " PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING. . SHORELINE: - 1.~;FIN"f~S~ECTI()N~J~EQUlRED PRIOR TO cx.:CUrANCYIUSE .' .....~.- . L"'". RESIDENTIAL . .DATE. . YES NO COMMERCIAi.' "'. .jJ DATE ''\cCEl'tiri ." '" .... ..;. ',.'1,( d . .,,!. ), ,'. .',;'.' .', . m', JIlO "C 417-4735" .r o' . '. { ELECTRICAL - LIGHT DEPT. ELECTRICAL .' ".' LIGHT DEPT .. '.'. .,',. , , . .. " ;.:; ". " CONSTRUCTION-R. W. . CONSTRUCTION R. W./ PW/ .'. ENGINEERING 417-4807 PW / ENGINEE~G ... FIRE 417-4653 FIRE DEPT. .' . . \, . , 417~750;' .~ , . PLANNING DEPT. -',.",,- ": PLANNING DEPT. .' . BUILDING 417-4815 #l:) -Q.-f:)~ t?// BUILDING '."'. T:\PLANNING\FORMS\1102;15 [412002] ~-_._._-_._--_.__._.._--, "" ,( CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: ~- Date 0 ~- - 01- - (') .., Time cr: 7cJ /).wUl Received by$~,- Spersonl Location of Work to be inspected ..~ 5 . t"tJ 6-;J:iL Name of person requesting inspection 3 .) /:I_I-t~ -7 G I"" ;} Address of person requesting inspection Phone No. Type of Inspection (circle appropriate.one): Permit No. Sewer Foundation Framing Chimne PI Final cav. Other Gta.$ 1,"~.5 Jif!r~ 01-1 t.. '1"1 Time By RV 1~9 , INSPECTION NOTES: Inspected: Date C;; - 2 "'oS Remarks: uk RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved o Gravel D Asphalt 0 PCC D Other D Repaired by City D Repaired by Permittee o No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPI;RI"'TENQ,ENT . ~ (PATE) . CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 5" -~-03 Time Received by /^~ LA) !)-fLt. AU W~a jt~v- / RV (phone, person) Phone No. Permit No. l..J2f::t Sewer Excav. Other \ INSPECTION NOTES: Inspected: Date .$-30-0:5 Remarks: By O-K RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) f?v D Other STREET SUPERINTENDENT (DATE) . . . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. .,:)/6,S 7/7~~- DATE Site Address: ELECTRICAL PERIII!IT .s-I-l-. D WILL CALL FOR INSPECTION Phone: D READY FOR INSPECTION License Number: Installed By: , Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT D BASEBOARD KW ~ D FURNACE KW D HEAT PUMP KW D FAN/WALL KW '(B. RESIDENTIAL D COMMERCIAL D NEW CONSTRUCTION D REMODEL D ADD/ALTER CIRCUITS ,l(SERVICE UPGRADE/REPAIR D TEMPORARY SERVICE D RISER '!'!- OVERHEAD SERVICE D UNDERGROUZ SERVICE VOLTAGE: /21J, yO ~1~ D3i6 SERVICE SIZE ~ AMPS FEEDER SIZE AMPS Details/Description: ~~e- CAy - &0 /frUP ~J. W.S. No. SERVICE SIZE CAPACITY: D O.K. D NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D OVERHEAD SERVICE APPROVED D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. D Rough-in/cover O.K. o O.K. to connect service D Final O.K. Site Address: ~ Permit/Receipt No. Sits Installer: " New Meters - Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. .4/' T-~. NO OCCUPANCy OR USE ESTABLISHED UNDER THIS PE\i.MIT $ IJ' ~ Electrical Inspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . y 15-00000204 Date 3/05/15 Application pin number . . , 282864 Property Address . .. . . . . 205 W 5TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0- 8768 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . 0 Application desc Feeder to garage Owner Contractor LORENA M STRICKLAND APS ELECTRIC 4173 EAST BEACH RD 546 BENSON RD. PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 452-6753 Permit . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 120.00 Plan Check Fee a "00 Issue Date 3/05/15 Valuation 0 Expiration Date 9/01/15 Qty Unit Charge Per Extension 1.00 120.0000 ECH -EL-0-200 SRV FEEDER 120.00 Fee summary Charged Paid Credited Due -- --------- I - — ...... Permit Fee Total 120.00 120.00 X00 c00 Plan Check Total .00 .00 00 '00 Grand Total 120.00 120.00 100 100 INSPECTION TYPE DATE: RESULTS: DITCH Signature of owner or Electrical Contractor GAEXCHANGEWILDING ----------- - - REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR: Date: FROM : A.P.S. ELECTRICAL CONTRACTOR FAX NO. : 360 452 6753 Mar. 05 2015 07:12AM P1 r� CITY Ol' PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 Cost Fifth Street — P.O. Box 1 1501 Port Angeles Washington, 98362 Ph: (360) 417.4735 Fax: (360) 417 -4711 Date: 3— el - 15 )L1 & 2 Single Family Dwelling r.J Plan Ravtat May tae Required, Please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: OesG►Iption of above "" - �Y Owner Info talon -1 o f` t% f ' "t Cie,1 h a Contractor Info lion Name. � • L v 5 �o 3 � .� � ` Mailing" dress: � ��r � .-. iii A Clly: StaleM ZIp: City. Stele: Zip: pwo�_.— .._F : Pirrone: -Fax: -------------- License 91 Exp. License 1 F p. 91 _ err t� Char Total M I ti b Unit Service/Feeder 200 Amp. $120.00 Service/Feeder 201 400 Amp. $146.00 $ Satvice/Fasder 401 -600 Amp $ 205.00 Servim)Fesder 601 -1000 Amp. $ 26200 Service/Feeder over 1000 Amp. $ 373.00 Branch Circuit W/ Service Feeder $ 5.00 S_ Branch Circuit W10 Service "Feeder S $3.00 $ „ Each Additional Branch Circult $ 5.00 Branch Circuits 1.4 $ 75.00 S- Temp. Service/ Feeder 200 Amp. $ 93.00 $' Tempi. Ssrvica FeWk 201400 Amp, $110.00 Temp. Service/Feedor401 -600 Amp. $149.00 $ Temp. ServicelFeeder 601.1000 Amp. $168.00 Portal to Portal Hourly $ 96.00 Signal CircuiU'lamited Energy -1 & 2 Famity Divilling $64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat 8 56.00 AJ ,$5. 66 foieach addl50' aw T—%t N SM 10N! First 1300 Square Ft. $120.00 _ $,. _.. Each Additiona1500 Square Ft or.Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Mot Tub $110.00 $ $la a , Total Owwr as deft W by RC W. 99.28.281: (1) Owner W occupy the structure for two years after this slocfrical psnmit Is frnalked. (2) Owner Is required to hire an electrical contractor if above said property is for sate, 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 liproperty or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws,, I .E.C., RCW, Chapter 10.28, WAC. Chapter 29548S, 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 0 check k cnwhcarde�__ 1 DOW: 4-. ['� .. 0110112012 d Q