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Home My WebLink About1129 W 5th St - Building o}�r, �•1 RECEIVED CITY OF PORT ANGELES PERMIT APPLICATION ��- Building Division/Electrical Inspections �i CC��fG�iC 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 RNSPFCTIONS Ply: (360)417-4735 Fax: (360)417-4711 Date: —1 &2 Single Family Dwelling *Plan Review May Be Re aired, please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above Owner Infor tion J�.1 Contractor Inf r tion Name:� 4l w' 1�-. Name: Mallin d res i Z.-' I �'j Mailing Address: City: Tate: Zip: t-5 City: State: Zip: Phone:9Z61,10 '76a ax _ X' Phone'. Fax: License#1 Exp. License#l Exp, Item _Unit Charge City Total(Qty Multilplied by Unit Charge) Service/Feeder 200 Amp, $120.00 $ ServicelFeeder 201-409 Amp. $146.00 $ ServicelFeeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp, $37100 $ Branch Circuit W!Service Feeder $ 5,00 Branch Circuit W10 Service Feeder $ 63.00 �_ $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75,00 $ Temp.Service/Feeder 200 Amp. $ 93.00 $. Temp.ServicelFeeder201-400 Amp, $110,00 $ Temp,Service/Feeder 401-500 Amp. $149.06 $ Temp.ServicelFeeder 601.1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit)Limited Energy-1&2 Family Dwelling $ 64.00 $ Manufactured Home Connection $12000 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56,00 $ Note:$5,00 for each additional T-Slat 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 Hot Tub $110.00 $ $_ �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, f 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: ❑ cast, ❑ check C] Credit Card# X e� _„-, Dated: � � /_3 01101Z12 i �FPDf37', ELECTRICAL INSPECTION WIRING REPORT 417-4735 DAov, PERMIT# INSPECTOR �OW tiI c CONTRACTOR ADDRyt APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . --�� +/ CORRECTIONS NEEDED: 6,FpG) I 07rp--n k t [m A I� yq C, eA lz r,-x) ®�, , NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 95 DAYS - DO NOT REMOVE ®- y ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 .Application Number . . . 13-00000942 Date 8/21/13 Application pin number . . . 330142 Property Address . . . . . . 1129 W 5TH 1- REPORT SALES TAX ASSESSOR PARCEL NUMBERr 06-30-00-0-L-1240-0000- Application type description ELECTRICAL ONLY on your excise tax form Property Name . . . . . . to the City of Port Angeles Pro ert Use Property Zoning . . , , . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . 0 - -------------------------------------- Application desc Final inspection expired permit 12-684 Owner Contractor -------------------- NICHOLASC BENGE OWNER 1129 W 5TH ST PORT ANGELES WA 98363 .,,,.,,,r (360) 941-3537 -- ------° --------------- Permit , . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc , Permit Fee . . , , 63.00 Plan Check Fee 00 {� Issue Date 8/21/13 - Valuation . . . . 0 Expiratipn Date 2/17/14 Qty Unit Charge Per Extension .1,00 63,0000 ECH DL-R- BRANCH CIR WO/ SER FEED 63.00 - _------------ Fee summary Charged Paid Credited Due Permit Fee Total 63,00 63.00 .00 ,00 Plan Check Total. .00 .00 OD 00 Grand Total 63.00 63.00 00 .00 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: G:IEXCHANGEIBUILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 'limy 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001017 Date 9/15/11 Application pin number 944680 Property Address 1129 W 5TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 1240 -0000- Tenant nbr, name NICHOLAS C BENGE on your state excise tax form Application type description MECHANICAL APPL. PERMIT Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1000 Application desc GAS FIREPLACE TANK SET GAS LINE E X P IED Owner Contractor NICHOLAS C BENGE OWNER 1129 W 5TH ST PORT ANGELES WA 98363 (360) 941 -3537 Permit MECHANICAL PERMIT Additional desc GAS FIREPLACE TANK SET Permit pin number 192724 Permit Fee 121.30 Plan Check Fee .00 Issue Date 9/15/11 Valuation 0 Expiration Date 3/13/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65 1.00 10.6500 EA ME -FUEL GAS PIPING,1 -5 OUTLETS 10.65 1.00 50.0000 HR ME- INSPECTION, MIN 1 HR 50.00 Fee summary Charged Paid Credited 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 npt rel 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 constr ction. 9 K/it /AA,/ l_A-Plaa— kg4-1-- Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: l 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: p Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 tp t 14 1 Y ExpiRED T:Forms /Building Division /Building Permit CITY OF p W A S H I N G T O N U. S. A V- ,r-r COMMUNITY ECONOMIC DEVELOPMENT April 2, 2012 Nicholas Benge 1128 West 5 Street Port Angeles, WA 98363 RE: Expired Building Permit #11 -1017 Dear Mr. Benge: I am writing this letter to inform you of the status of the above permit. The permit expired on March 13, 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, HM Oet in Heather Catuzo Building Permit Technician 321 E 5 Street Port Angeles, WA 98362 hcatuzo @cityofpa.us 360 417 -4817 BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received C A— 16'x) Permit# U— loll City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5 St., Port Angeles, WA 98362 360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person: �J Phone: 11 g a l a 0023)6,9/ 76,s 7 Property owner: j`�; �l�v S �0-►1� z Phone: C R y 35 Property owner's mailing address: 1l -s S P AY} -e.s /A) 3� Contractor's business name: S �j�, one: (or property owner's name if he /she is doing /oversees the work) Contractor's mailing address: Contractor's L &I license number: Expiration date: Project Address: iv S 5�-- PA- g936 b- Project Type: Residential I Commercial u Industrial o Multi- family Project Business Name: (for commercial, industrial, or multi family projects) The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re -roof: house garage other tear off re -roof lay over one layer Licensed contractor: Submit a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Re -side: house garage other Project Valuation (labor materials, not including sales tax) Repair: (explain the project) Project Valuation *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011) PageIof2 Swimming Pool or Spa (2 24" deep): For prefabricated swimming pool or spa projects that do not require plan review: Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? house garage other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. (1) Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. yes no Will the debris be going to the Regional Transfer Station in Port Angeles? yes No If yes, will a licensed contractor be taking it there? (1) If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: (explain the project) Project Valuation Mechanical Permit: (explain the project) �!✓�S 1,iv� G�S 'T yr lD-c F b 0 Project Valuation 1 000 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 1 S I UU Signature Print Name 1 Page 2 of 2 Clallam County Assessor Treasurer Property Details 56641 NICHOLAS C BENGE Page 1 of 1 Ciallam County Assessor Treasurer Property Search Results 56641 NICHOLAS C BENGE for Year 2011 2012 i P roperty Account Property ID: 56641 Legal Description: LOT 13 BL 112 Geographic ID: 0630000112400000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location 1 Address: 1129 W FIFTH ST Mapsco: PORT ANGELES, WA Neighborhood: PA West Res Map ID: 3 Neighborhood CD: 5151000 Owner Name: NICHOLAS C BENGE Owner ID: 13495 Mailing Address: 970 W BROADWAY PMB 498 Ownership: 100.0000000000% JACKSON, WY 83001 Exemptions: Taxes and Assessment Details Property Tax Information as of 09/15/2011 Amount Due if Paid on: M. NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid 1 Amount Due Statement Details 2011 151380 $805.60 $805.53 $0.00 $0.00 $805.60 $805.53 Statement Details 2010 39677 $771.94 $771.91 $0.00 $0.00 $1543.85 $0.00 Values 1 Taxing Jurisdiction I Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 9/15/2011 3:46 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net /propertyaccess /Property. aspx ?cid =0 &year =2011 &prop_id =56641 9/15/2011 't'::; .. s CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 App~icat!on Number Property Address ASSESSOR PARCEL NUMBER: Tenantnbr, name Application description SUbdivision Name Property Zoning . . . Application valuation 03-00000736 Date 7/28/03 1129 W 5TH ST 06-30-00-0-1-1240-0000- RE ROOF AND REPAIR .WALL RE-RooF owner Contractor 5100 RONALD D HENDRICKS ET AL 1125 W 5TH ST PORT ANGELES WA 983632003 HENDRICKS CONSTRUCTION'INC 327 E 10 TH ST PORT ANGELES WA 98362 (3~.0) 452-1641 Permit . . . . Additional.desc perlllit Fee Issue Date Expiration Date BUILDING PERMIT -NO'PR FEE REROOF AND WALL' REPAIR 148.75 Plan Check Fee 7/28/03 Valuation 1/25/04 .00 5100 Qty Unit Charge Per Extension 92.75 56.00 BASE FEE 4.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee '. summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- PerlllitFee Total 148.75 148.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other. Fee Total 4.50 4.50 .00 .00 Grand Total 153.25 153.25 .00 .00. Separa~e.~ermits are required forelectrical work,SEPA,Shoreline, ESA, utilities, private and publicimprovement~. Thispemli.t bEJPollles nul.1 andyold if:^,orl< or construction authorized is not commenced within '180 days, if construction or work Is suspende~()":~b~ndoned for a.peri9cl.otJ~Od.aysafterthe work ,as commenced,(lrif requir~d insPEJctiolls have not been requested within.1~Oclfl>'s~pr~1't~~.I~st inspection; .1 hereby certify that I have read and examined this application and know the same to be true and corre9ti.Ij!I,~ro\li~!?,ns of laws and ordina.nces governing this type of work will be complied with whether specified herein or not. The grantingota permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction o(tt1ljlperfo!111!3nc~of construction. iJ. // . "2 I /. ~ '. "7;./L~. ' ~ ....Z~,@.3 Signature of Contractor or Authorized Agent Date SignatiJfe of Owner (if owner is builder) .., " T:\PLANNING\FORMS\\ 102.15 [412002] BUlLDING'PERMIT!INSPEC~QNRECORD 03-7?;b - CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24'HOUR NOTICE. IT IS UNLAWFUL'Jjf) Car?/i,R, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE . , INSPECTION TYPE DATE ACCEPTED COMMENTS .. YES T NO ., FOUNDATION: '. " FOOTINGS WALLS FOUNDA nON DRAINAGE . .'. " I.... ELECTRICAL (LiGHT DEYf) SEPARATE PERMIT: ## . ROUGH-IN .. . I .. . . . -, '. PLUMBING '. UNDER FLOOR I SLAB ROUGH-IN . WATER LINE . '. GAS LINE .. BACK FLOW I WATER ii", . . . . AIR SEAL ..,. WALLS I ... CEILING FRAMING JOISTS I GIRDERS . . .. SHEAR WALL I WALLS I ROOF I CEILING DRYWALL I' T-BAR INSULATION '. SLAB ~. WALL I FLOOR I CEILING I . MECHANICAL HEAT PUMP WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS . PW UTILITIES r SITE WORK (Engineering Division) SEPARATE PERMIT II's: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT ##'s SEPA: P ARKING/LlGHTING ESA: LANDSCAPING SHORELINE: .:: .:.;f."N:.u;!~S'Pl:cn,9~S ~l;lUIRED PRIOR T9 qcCUJ.>t\\,,!CY{!1SE,;.. ..' '" . ... .. . , DATE " .' " R~lDENTIAL ,<' " !rYES NO COMl\1ERClAL . DATE ACCEl'1ED ,; .' .... ....... .<Y. ;;, .' i,CI.. i.....,., .... ',,' "f; ce' . '., L YES '.....NO . ...... . . . ..", o' ., "':1" -.... . ELECTRICAL -LIGHT DEPT. 417"4735 : ELEctRICAL .' . I. '.:..:.;. LIGHT DEPT . <;,; L CONSTRUcTION R. W./ PWI '.' . .' CONSTRUCTION" R. W: . ENGINEERING 417-4807 . 1\ PW I ENGINEERING !.<", ... .__<0- FIRE 417-46R .. FIRE DEPT. . '. . i < " Pi.ANNI~G DEN: 4IZ-47~O . :::T PLANNING' DEPT. .. .' ""~;1~ _;1. BUILDING 417-4815 ~....l~-<J ~ ,,} .1-.. BUILDING · .0 T:\PLANNING\FORMS\1102.15 [412002] BUILDING PERMIT - APPLICATION FOR OFFIC~\;~10NL Y: Date Rec.: <:l~ pennit#::a Date APprOVed', Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Applicant or Agent: II '("tV J r i (f s Co V $ T -+^' ( Phone: J ~(J ~ +"~ - / ~ ~II Owner: /f'OAJI1Ic1 flcN.J't'(KJ Phone: tt'tY )10- ~~/- ~~"To/ Address: to/3d... \AI<!:$r t-/'f~ City:/bt/ A~t:lr.5 L-v~ Zip: Jr!f3bJ Architect/Engineer: 5(' 1,(, /0 "VII/-C/' COA./"7N}c/vr Phone: 36t:J- "TiP/ - ~b 7'0/ Contractor HrN!..r,' C(-.> (~:f:tv-c. State License #: IIEIJi, C.J'O t.{4./clxp: I /0 ~ Phone: ~t/- ~?&7r Address: 1~32... ,'V 4f?-~ City: j)o-rr- Il~((-r-.s w.1- Zip: 7636"3 PROJECT ADDRESS: 11:z. t:t W t!'sr ~ 7'~ ZONING: ;( 5- ( LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: /)ls.f Residential 0 New Constr. }i Re-roof 0 Stove o Multi-family o Addition 0 Move 0 Garage o Commercial 0 Remodel 0 Demolition 0' Deck J( Repair 0 Sign 170 Other, BRIEF DESCRIPTION OF THE PROJECT: K. t /,f ; r City: Exp. Date: SIZEN ALUATION: SF. @ $ . /SF. = $ SF. @ $ /SF. = $ SF. @ $' /SF. = $ TOTAL VALUATION $ ~"'( w ,.iJdo....; 5~ tI-"R~ ..('c;a+ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage Construction Type: = TOTAL Sq.Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONL V: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No 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 may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. . EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the 'applicant up to 180 days upon written request by the applicant (see Section 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 ,not the City's, and that I must obtain such permits prior to work. T:\FORMS\APPS\Buildingpennit.wpd Applicant: Date: , . CITY OF PORT ANGELES DEPARTMENT.OF PUBl.IC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date $ - I~ -CJ:S ~ Time Received by Rv (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. ~ 5'2.. - 16'-1 I Type of Inspection (circle appropriate one): Permit No. /'$6 Sewer Foundation Framing Chimney Plumbing <!:!@sewer Excav. Other //2 Cf RotA.. ILl -c:;-'i-l, INSPECTION NOTES: Inspected: Date Remarks: \ By RESTORATION REQU ED...... YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage' Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) .'i",:_;;,;",:,?\;:~,:"" , . . . \~ CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. g-~/R cf' ~~~J- , DATE ELECTRICAL PERMIT Site Address: Sq. Ft. o READY FOR INSPECTION License Number: o WI LL CALL FOR INSPECTION Phone: Instailed By: Owner/Business: Phone: Owner/Business Address: ELECTRIC HEAT a ~ BASEBOARD KW -L- o FURNACE KW _ o HEAT PUMP KW o FAN/WALL KW ~ RESIDENTIAL b COMMERCIAL o NEW CONSTRUCTION ~ REMODEL o ADD/ALTER CIRCUITS /i< SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER t2( OVERHEAD SERVICE tJ UNDERGROU~SE~ICE VOLTAGE: ;C:jg ~C/ b(1 rjJ 03 rjJ' SERVICE SIZE 'dtLD AMPS FEEDER SIZE AMPS DetailslDescription: ~ a ( A~ ~~ SPA~ &.11 IlM/ A-# C;,0 ~~~ '-- W.S. No. SERVICE SIZE CAPACITY: o o.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service o Final O.K. ~ perms1/~ New Meters ,--- Installer: Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection a O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Buil. ermit. PHONE 457.0411, EXT. 224. // NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ r ~ Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meier Dept., Bottom: City Hall OLYMPIC PAINTERS INC.