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HomeMy WebLinkAbout1333 E 6th St - Building 4,�L'1L 4txrtr.t,h�, � CIT'r►'•OF PORT ANGELES pFRt►IIT APPLICATION Building DivhjowEjectricA Inspections 321 Fast Fifth Street—P-0.Boa 1150/.Port Angeles Washington,9g i =r. Ph:(360)417»4735 Fax:(360)417-4711 Date:��.��.. �rE�r I&2 Single Family Dwelling Plan Review May Be�Uired,Tease Complete F;lecJdcal Plan Review lttforrnalion Sheet Job Address; Bulfding Square Footage. ----• �..�_ pesrdl)Uan of above . .. Owner Information Name: } Contractor Information .aZt f Mai�ingAdd � Name: t. 4: t CAL C City: 1 . Slate: Mailing Addtess:._ Phone* & ... ?r/ fax: .--• -5late:-M�&zp: ticens®#lExp_`._ Phor*ILL- °"`-- m- t*-- SenrtcafFeeder 200Amp. Unit Charsxe t Tntaf IBhr 141uf6ailed h�H $120.00120.00 _n€t Charnel 8erv€ce1Feeder 201.400 Amp. $146.00 $---•M--- SarvicufF'eeder941-640Amp $y05.(10 $_^___ ~� Sorvice/F•aWer Sol-11100 Amp. $262.00 $ 5ervicelFeeder over 1000 Amp. $373.00 �- Branch Circuit W/Service f=eeder $ S.00 3 Branch C'rrwit W/o Service Feeder $ 63.00 $-- .---. Each Additional Branch circuit $ 6ao S Brands Circuits 1-4 $ 75.00 i $� Temp.5ervlcel Feeder200 Amp. $ 93.E $ Temp.ServkWFeeder201-400Anip, $110.00 $ Temp.Serviceireeder401-COO Amp. $149.00 $ Temp.ServicelFeeder601-1000 Amp. $168.00 $---•- — Portal to Portal Hourly $ Signal Circuill Unilted Energy-1&2 Faniily Duelling $$ 96.0 $ Manufactured Home Connection S 120.00 $----- Renewable Electrical Energy-5€tVASystenh or less $102.00 $ Thermostat $ W.00 $ Nele:$5.00 fur each additional T-Stat EVI€C NSTRUCT€t3N ONLY- First 1800 Square FL $120.00 EachAddibonel 500 Square Ft.txtortion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74..00 $- Each Swimming Pool or Hot Tub $1IUD - � T�taf Owner as defined by€X1111.19.28.261:(1)Owner will taccupy the structure for two years after this electrical permit is finalized.(2)Clwner is required to hire an electrical COntractor If above said property is for sale,rent or tease.Permit expires after six months of last Inspection. After reading the above statement.I hereby certify that t am the owner of the above named property or a licosed ehw�j contractor,l am making the electrical installation oralterafion in compliance with the elechical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-468,The City of Port Angeles Municipal Code,and tUty Speeifcations and PAMC 14.45.050 regarding Etectrlcat permit Applications. SigAature Of owner,ekCtr[BW Contractor oreleetrical adrninbirator: ❑ cash © c GreaCard3 fy� s� - s•-�„ D.W. tlftbif2si72 ELECTRICAL PERMIT 1 CITY OF PORT ANGELES �--- 360-417-4735 Application Number . . . . , 12-00001598 Date 12/10/12 Application pin number 994168 Property Address , , . 1333 E 6TH ST �y ASSESSOR PARCEL NUMBER; 06-30-11-5-4-0340-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Property Name to the City of Port Angeles Pro ert Use Property Zoning . . , . . . , R87 RESDNTL SINGLE FAMILY (Location Code 0542) Application valuation . . 0 Application desc 1-4 circuits garage ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------- GERY B AND HEIDI GUDGELL EXTRA MILE TECH & ELECT. , LLC 1333 E 6TH STREET 418 K. RACE ST. PORT ANGELES WA 983629269 PORT ANGELES WA 98362 ( 36) 504-2109 (360) 457-0198 -------------------------------------------------------------_ -- ------ V�' Permit . , , . , , ELECTRICAL ALTER RESIDENTIAL Additional de5c 1-4 CIRCUITS q Permit Fee , . , , 75,00 Plan Check Fee 00 e\V�i'iJ Issue Date 12/06/12 valuation . , . , 0 Expiration Date 6/04/13 4 Qty . Unit Charge Pei Extension BASE FEE 75.04 -------------°_--__------__-------__ ----------- ----------------------- ------ Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total ,00 .00 40 .00 Grand Total 75.00 75,00 .44 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 1 Ca 17-- FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:1EXCHANGEIBU1LDING q� ttrgy�FlJ V" RECEIVED, CITY OF PORT ANGELES PERMIT APPLICATION AUG 7 2013 Building Division/Electrical Inspections 321 East Fifth Street—P.O. Box 11501 Port Angeles Washington,98362 RECTRWAL Ph: (360)417-4735 Fax: (360)417-4711 Date: 3 fir&2 Single Family Dwelling V *Plan Review May Be Required, Please C mpl to Electrical Plan Review Information Sheet Job Address: / 13 '�;' -�; -1 Building Square Footage: Description of above 6.g- r_ni-e_ el Owner Inf mation Contractor Information Name: ei? Name: Mailing Address `d' Mailing Address: City: State: Zip: City: State: Zip: Phone: G%' - Fax: Phone: Fax: License#1 Exp, License#1 Exp. Item Unit Charge (Ity Total_{Qty Multi_p_I_ied_by Unit Charge_1 ServicelFeeder 200 Amp. $120.00 $ ServicelFeeder 201-400 Amp. $146,00 $ ServicelFeeder 401-600 Amp $205.00 $ ServicelFeeder 601-1000 Amp. $262.00 $ ServicelFeeder over 1000 Amp, $373.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 63.00 L_._ $. ; Each Addltional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ Temp,Service]Feeder 200 Amp. $ 93.00 $ Temp.ServicelFeeder 201-400 Amp. $110.00 $ Temp.ServicelFeeder 401-600 Amp. $149,00 $ Temp.ServicelFeeder 60 1-1000 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-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 Hot Tub $110.00 $ $ Total Owner as defined by RCK19.28.261: (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,KE.C.,RCW. Chapter 19.28,WAC.Chapter 296-4613,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 J/}/ 17 Credit Card d X Dated: A% ��� 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES - 360-417-4735 Application Number 13-00000970 Date 8/28/13 Application pin number . . . 717920 SALES TAX Property Address . . , . . 1333 E 6TH ST � ASSESSOR PARCEL NUMBER! 06-30-11-5--4-0300-0000- REPORT SA Application type description ELECTRICAL ONLY on your excise tax form Property Us Name to the City of Port Angeles Property Use Property Zoning . . . . . , . R87 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . , 0 Application desc 1 circuit addition Owner Contractor ------------------------- ------------------------ GERY B AND HEIDI GUDGELL OWNER 1333 E 6TH STREET PORT ANGELES WA 983629269 r � { 36) 50.4-2109 1 Iii ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL ( �� Additional desc , . v°a Permit. Fee 63.00 Plan Check Fee 00 Issue Date 8/28/13 Valuation , . , , 0 Expiration Date 2/24/14 Qty Unit Charge Per Extension 1,00 63,0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due Permit Fee Total 63.00 63,00 Q0 .00 Plan Check Total ,00 .00 .00 .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 Elect17cal Contractor X Date: GAEXCHANG0BUILDING ~ "ORT ""'" tO~~~ ~ 'L ~ ~ ~--;--~ 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 . . . . 08-00001202 Date 724470 1333 E 6TH ST 06-30-11-5-4-0300-0000- CELESTE MATSON RE-ROOF 9/19/08 RS7 RESDNTL SINGLE FAMILY 5380 Application desc RE-ROOF - LAY OVER ONE LAYER Owner Contractor CELESTE Y MATTSON TRUSTEE 1333 E 6TH STREET PORT ANGELES WA 983629269 SOLOMON'S KEY CONSTRUCTION 214 S. LAUREL ST. PORT ANGELES (360) 452-4480 RE-ROOF - LAY OVER ONE LAYER INC WA 98362 Structure Information 000 000 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE RE-ROOF - LAY OVER 1 LAYER 134973 151.75 Plan Check Fee 9/19/08 Valuation 3/18/09 .00 5380 Qty Unit Charge Per Extension 95.75 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 ----------------- ---------- ---------- ---------- Permit Fee Total 151.75 151.75 .00 plan Check Total .00 .00 .00 Other Fee Total 4.50 4.50 .00 Grand Total 156.25 156.25 .00 Due .00 .00 .00 .00 ~ /-;? <(': ./ ? t"';r, ~ "y ~ O-p 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 160 days, if construction or work is suspended or abandoned for a period of 160 days after the work has commenced, or if required inspections have not been requested within 160 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. ~ LQ~6 T:Forms/Building Division/Building Permit (05113/08).wpd BUILDING PERMIT INSPECTION RECORD 0 o<Y CALL 417-48] 5 FOR BUILDING INSPECTIONS. CALL 4 17-4735 FOR ELECTRICAL INSPECTIONS. , CALL 417-4807 FOR PUBLIC WORKS UTILITIES. CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS. - PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE N INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. b KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. ~ INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT I/'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 9 - 25"-f) S?' -:r L.-L- BUILDING -' vJ vJ vJ (,l , 6> ~ (/) =t 70 ~ I ~ " /1""\ "'~ _ _ T'\~..:_~_..ln..:l.J:__ Tl___.:. ((\,11 "1'f'lQ' ......A 4 "'co 0 ...... I!l N ...... '" r.lr.l Clf-o ..;..; 1>.0 0 co .,. .,. , ., N .-< I!l ... .,. Ul <:: III 0 0. \D .-< >< M ..:I <>: :>: r.l I>. H :> ..:I H r.lr.l 0 f-o 0 ZZ I!l r.lCll gJ 00 r.l ~r.l :X::X: N f-o ~~ OJ "'''' <> 0 Z f-o..., N f<. 0 0 Z " co 0 ~ 0<>: 0 <>: HO CIl 0 , f-of-o f-o N r.l CIl UU Z <>: f-o r.lr.l r.l Z 1>.1>. :>: .,.co r.l CIlCll U tIiIZ:>: NO ~ ~~ Z ~OO ..:I "'..:I H HU ..;.........; 0 f-o...... Z W I Z U Z <>:I>.CIl ~~~~ Or.l I>.Hf-o Hr.l <>:..:1 .,.,. f-of-o . OU::> ClJ.J Cl UCIlO ZCllCll o 0.:>: 0 ::>::>0 r.lr.l ~Q)H~ <>:<>:0 10<>: ~CIl""~ f-tf-totz.., CIl '0 f-o ZZOO H OOoP::: ~I>.~ ,4- UCIlM , M Z f-oor.l I!l f-oO><f-o ,<>: I>.CIl::> cn~~~~N ZCIl .... ~Hr.l .,. ~;!cn~~~ Z <>: H '" \D HH ~ CIl ~Z~r-lO :. 4 r.l r.lf-oOf-o '0 HOO -..:I cn::E:CIlOO ::lr.lr.l cor.l M~OOOMO ~f-of-o '0 oc:> M..:I..:I..:I , , CIlr.l , ...... ;;,~ MWOOO\.DOO Or.l..:l 'I!l r-fucnuoo 0::>1>. 'N N 0:>: ' ...... ......f-o I>or.lO ,'" "'<>: <>: <>: O<>:U , 0 ,~ <>: 'r.l ~ , I>. ZO ~ , 0 f-o '13 , r.lf<. CIl -u , H <>:0 CIlf-o"; ..:IZ f-o 0 , 0 ..; ~~~gj[L H CIl , 1>.>< ~ ...... , '" r.lf-o ozzZ<>:I>. I>. , '" <>:H ~r.l03:";I>. >< , ..:I I>.U f-oUOl>."; I>. f-o , ~ . . P"~R.":n~p'"O':,cA." .L' -- ....,~~,,~? I ,; --"" '-~:.<',- -' ~,' ,. 9oLornf)~F I kE ~/cot'f,.s r!<l;JCr.LOf.--) :L) u.. \ 5l.~,{ifj:rL~lil 1zEL' ~/. .' ",', I , fo!2 J;~"i,';(PtLfs" VY Jr ; .: , . Page it J , of l pages' 7B:Yb 2- ( . i Address .~ ~ Job Location ; I:p A- ~\/;<\- 9,? !Date' of Plans i. ,. Phone # ! . j' ~.. ,,'" ..... ; r:- V' .. rT f:: I I -. , ~!: ~ ..,-^ ,1. I r .'- ~ . f. ,. . '.-':- . eby to ~iSh material 'l\'dIJbo~- complete i1,~ Wi~ 1l'" above Specfficanop~ rCre)Sjm of: . ., i $;' Srf i,. f'Nf', ~: tAlt0?lef f : ~ ; ~ 11 ~ (~Dollars. wrt~paY"2entstobemab~asfollows: ;5%l[X)v0' ! 8 4(AkJ~,c .~~ COMfL' ,: ....1 ?- q 15 ' ~f/o' . . j . ' . . Any alleration'ordeviation from above specifications invol'dng ej<tra costs will be Respectfully I . . executed only. upon written order; and will become an eidra 7harge over and . submitted :.,.. above the estimate, All agreements contingent upon strikes, accidents. or delays . beyond our control. f . Note . ./this proposal may, ~~~$;" I ':..:,... The above price~. specifications and conditions are satisfactory and are ;/ hereby accepted. You are authorized to do the work as specified. pa.y~~ntswi~'jb~m~de a. s outlined'aiov~) . . Date of AcCepfanc.~t(!;) ~;-l ,,_ t.) 8 Acceptance of Proposal ~. ,. ,:.' ..". FORM 3850 .......... '" MA0E1N'U.S,A. ..~_. f l; Signature Signature Applicant or Agent 5CU!)n1D;U9 kEY (ON $ ). Property Owner CE( F~ IF (ry.A-IS()tJ Property Owner's Address r.:3 ~ 3 E. b 'r Ii 51. Contractor/Engineer Contractor/Engineer's Address License # ') BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES .'-I.)ttn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 For City Use Only: Date Received-9 -Jq -og Permit # 0% - \202- Date Approved Phone 3 bO-lf 52 -W8 0 Phone Phone P&Rf Expires 0 ~ 11-1- ~2.. Parcel Number PROJECT ADDRESS Lot Zoning Proiect Tvpe & Brief Description: Check all that apply o New Construction o Addition o Remodel o Repair ~e-roof. " o Demolii"r6n o Heat System o Other Floor Areas Basement 1 sl Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures rSidential o Commercial o Multi-family o Industrial ., I I o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other Existinq (sq. ft.) Proposed (Sq. ft.) @ $ per sq. ft. = $ TOTAL VALVA T10N s::r( :3 sq. ft. sq. ft. = Lot coverage Lot size % Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft. Occupancy group Occupant load Construction type # of bedrooms # of full baths # 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 &///7/ IJEfrint Name eTA n7ES ,41) 10R.QSO T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc Signature Qovr~~.Q ~~ ~ cfr ,"ORT ~Q 'l~':'<.. r." L~ ~ "'~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00001032 Date 11/05/03 1333 E 6TH ST 06-30-11-5-4-0300-0000- MECHANICAL PERMIT RS7 RESDNTL SINGLE FAMILY 7639 Owner Contractor MATTSON, CELESTE 1333 E 6TH STREET PORT ANGELES (360) 417-0615 WA 9B3629269 ALL WEATHER, HEATING & COOLING 302KEMP ST. PORT ANGELES, WA PORT ANGELES WA 9B362 (360) 452-9B13 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL HEAT PUMP/ FURNACE SIMPSON ELECTRIC 46.70 Plan Check Fee 11/05/03 valuation 5/04/04 .00 o ~ CJj .0J Qty Unit Charge Per 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.70 Fee swnmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.70 46.70 .00 .00 ~ \\' \~ CA :I 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNlNG\FORMS\1102.15 [4/2002] ~-- BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS 1 ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEA T PUMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 //J.,I1.~ 0 Lj 'kJ] ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [4/2002] . CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Sepa~ate PerlT!lts are required for electrical work, SEPA, Shoreline, ESA, utilities, private and pubiic improvements.This p&rmltbecornes null and void If work or construction authorized is not commenced within 180 days, if construction or work Issuspen(Je(f()r~J:jalldoned " for apeoodof 180 days after the work as commenced, or if required inspections have not been requested within 180daysfrqm.the last Inspection, I hereby certify that I have read and examined thisapplic:ation and know the same to be true andcorreg,'~lprovisions of law~andordihances governing this type of work will be complied with whether specified herein or not. The granting ofapenTiit 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. . '.. . .., "'. ' ,;;:2~A.jJJ~ {OA-~ J S~nature of Co_~O~~rized Agent . D~e . Application Number . . Property Address . . . ASSESSOR PARCEL NUMBERe Appl~cation description . SUbdivielion N2l!IIe . ~'. . Property ZOning. . ., . Application valuation. . . . " 03-00001032 Date 10/23/03 1333 E 6TH ST 06-30-11-5-4-0300-0000- MECHANICAL PERMIT 7039 contractor MATTSON, CELESTE 1333 B 6TH STREET PORT ANGELES (360) 417-0615 ALL WEATHER, HEATING & COOLING 302KEMP ST. PORT ANGELES, WA PORT ANGELES ' WA 98362 (360) 452-9813 ~~-------~----~.-----------------------~---------------~----------~--------- Permit . . . . Additionaldesc . Per1nitFee . '. Issue Date . . BxpirationDate ELECTRICAL ALTER RESIDENTIAL 35.30 10/23/03 4/21/04 Plan Check Fee Valuation . . .00 o Qty tTtUt Charge Per 1.00 35.3000 Be EL-t.oW'\l'OLTAGE Extension 35.30 ------~-------------------------------.-----------~---------~-.------------- Permit . . . . Additional desc PermitFee . . IssUe Date . . . Expiration Date . MECHANICAL PERMIT HEAT PUMP 61.70 Plan Check Fee 10/23/03 Valuation . . 4/21/'04 .00 o Unit Charge Per BASB FEE 14.7000ECH ME- INSTALL 100- FAU Extension 47.00 14.70 FeeSUDllllary . Cluu:ged Paid Credited Due ---------------~- ---------- ~~~.------- Permit Fee Total Plan Check Total Grand Total 97.00 .00 97.00 .00 .00 .00 .00 .00 .00 Signature of Owner (if owner is builder) .'. UNDER FLOOR I SLAB ROUGH-IN . WATER LINE . .' . . . GAS LINE , BACK-FLOW I WATER . >..... ..... .' ". AIR SEAL >' , " WALLS \, , CEILING I ". 1 ; cc- .;i,' .' " FRAMING '. .., .' '. JOISTS I GIRDERS , , SHEAR WALL . .' " ; WALLS IRooF I CEILING . . .. DRYWALL '. T-BAR . '.' . .' . .F' " " INSULATION 'SLAB I ;, WALL/FLOOR/CEILING . L I I . MECHANICAL .; , '. ~-~~~;~':;:~f(~-?!:':O;- ". "R'?Sr.." "-:~:;.p:-:;r':;f7.:-:'->/7-:T:~7! ~ ~- :","',rt ',,,"~~,;.>- 1; ~ ~ 1..... ' BUILDINGP~INSPECfION RECORD o~-:t{O;3:~"'~" "<;~",',~:'~::~,"" ~c+':~'7,.- ....',;~,-~ 't' .' . _ _ _; ',__ ''--- '" "___>,.' _. _- _ ,', " ,', ':- ,;:'-~..:-"_:-,::::,-<,:-,:_,-:f;;"..i.':,' ,<,-!_"",.;/:,'::'~-:;~:,~.~:--:-:':'-.--~. CALt 417~815FOR BlJlLDING IN~PEcrIONS. PLEASE PROVIDE A MlNIMUM'2iJ HOUR NOTICE. ..ITI~UNlj('1tiF.tJI!.Tll;;Ct1ntJ(" INS~TEQRCqNCEALANY.W.qRKBE!OR}l!NSPECTBD AND ACCEPTED. "PQST PERMIT IN ACONS~IquOy~;):.i~TI()'N:;L KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE , -. " , , . .' ,,',' "',,,,, ", . :;, "".:' c;. .,i'::" .'! '::,L, ,. . ::. ". INSPECTION TYPE DATE ACCEPTED. .'. r ..... YES I NO] ': .; .... .' .; J,l(>IJNDATION: .. ; :F,OOTINGS WALLS FOUNDATION 'DRAINAGE , " '. , '..... '. , (' ... e '" ..... 'T I ,. .... - . . .:.. " .'~/ '. --c- . . ELECTRiCAl. '. ...ROUGH-IN " PLUMBING (LIGHT DBPT) SEPARATE PERMIT: 'II '.'. .... 7 --iT " ..:1; , ". " , HEAT PUMP . WOOD STOVE I PELLET ICHlMNEY HOOD I DUCTS. ,C!' ""i PW UTILITIES I. SI'rE WORK ;~rig~sion} SEPARATE P~ #.'s: .' WATERLINE I METER SEWER CONNECTION SANITARY STORM , . . . . PLANNING DEPT. SEPARATE PERMIT.#.s ,'. PARKINGlLIGHTlNG LANDSCAPING ..' SEPA: ESA: . , ..' .' .,: SHORELINE:. FjNM-.INm'JP1()!iSREQUIRED PRlORTOOCCW'ANQtp~~" .' .' .... .. DATE ,.... YES NO '.' COMMER,CIALI '. ;':;I?~TE" . ". ., ". 1'"',-, EiEcnucAi . ,,;!.. ,,' ,," LlGHTDBPT' ..,;,ii., , CONSTRUcTION}R.W: . 'CT , PW I ENGINEERING FIRE DEPT.' " , , -" , i RESIDENTIAL ',,~C:;CJl:mn YES, 'N.O ELECTRICAL - LIGHT DEPT. .... . CONSTRUCTION R. W.I PWI ENGINEERING FIRE PLANNING DEPT. ',. BUILDING. 417-4735 , '. . . , , 417-4807 '.; " ). ., ",.,,:>' ..... . ~ 417-4653 PLANNING D~PT, BUILDING 417-4750 Ii" 1- I 417-4815 1l0/JI\ JA'\ 1I ~K- , T:\PLANNING\FORMS\1102.1S [412002] Oct. 20 200~1C0~~6~ ...f'~S Pcnnit I: I C). Datil ApproVed: Dale 1IIuecl: TIre Building Permit - Pre-appltcation ",ust be jiIIMl_1It co",pletely. . Please type or prlDt'iO Ink. If YOIl bave any questiollS, please caD 417-4815 Phone: ^l5J- -q f/3 Phone: 117 - () (p 15 Zip;'?! :)w#- Subdivision: Credit Card Holder Name: City: Esp. Date: VISA Me ,.:' ;. ~ORJC . c New CoD8\r. MulIi-fImi}y . o Addition o C........"'Wn;W c R.cmodcl c Repair o JU..roof CJ Move c Deo1olition o Sign SIZEIV ALUAUON: . SF.@$ ISF. =$ SF. @ $ ISF. ... S SF.@$ ISF....$ T~~V~UAnON $ ~~~~dO IfF> I n ~U ~. LV J'- sid o Woodstove Cl Garage o Deck lJ ".'" . !.:,: ,~.' 'pJUD&SCJUPTJON OP11I& PROJECI': ,'. .. ' ~ ", '\"'<"', % Isq. ft. ... TOTAL LOT COVERAGE: APPROVALS: PLAN BLDG. DPW F.IRE BSAlWcdand(I): 0 Yea 0 No SBPA Cbecldiat required? 0 y~ 0 No Other: O'l"llER....-- ';:;,~:-':,. BlJD,.JJING,RaMrr~PUCATION SUBMITTAL: You, epplU!tdiDlllUltlliU pI4uI... N./IIlH Ollt~~ *' N ~ J-r rlft/lew. The BuildiQg Division can provide you with more detailed information on the application and plan submil1al rcquimDcDts. Y QUJ completed appUeatioll, site plan (for additions) and building construction plans are to be submitted to the Building Division. CoMM&aCIAUU~ENTIAL: Occupancy Group: . .. I No. of Storiea: _ Lot S~: % Lot Coverage: Exiatins Lot COverage; Isq. ft. + Proposed Lot Coverage: r~GU~QNLY; ,H.-t'..' . Occqpant Load: Coustruction Type: Isq.ft , ,v .ALUAl'ION OF CONSTRUcnO~:. In aU eues,'a valuation amount mUBt be entered by 1hc applicant. This figure will be reviewed and may be revised by the Building Division to comply with cuneot fee schedules. Contact the Pennit Coordinator at 411-4815 for asliistaDce. PLAN CDCK ;II'EE: Your plan cbcck fee is due at the time the building permit application aDd CODlltrucnon plana are submitted. AU other ~:,fCCl ~ ~ ~ the time ofpcrmit issuance. ~. .., '. . . " ....,'. ;J.:; ::.; ': .~,,:. " .(' , I '.. ~noN, OF PLAN UVIEW: If no permit is issued within ISO days of tlJe date of application. this ,.ppUcatloD. d eJ:pire. The Building Official caD extend the time for lIChon by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform BuildiDg Code. current edition). No application can be extended more than once. " J llueby <<I'tif1,tJun 1 h4ve reml and ezamiJled this appl~arion and know the same to be he and correct, and 1 am aurltortzed to apply for this pcnn/t. J uruler$land it is not the City's legal respolUlbility to determin.e what permits are requireJ: it 1'emalns tlte appltcant's responstbility to determine wh4t permits are required and to obtain such. \_,,: T,\l'()~~~;Id"-"'t APP~(jfcr1LS. D.~: I D /JL)IQ..~ , ~ ""'-'" . .. 11/02/2\3vJ3 15:22 4575270 SIHPSON ELECTRIC PAGE 01 Q QI b~~"2- r< e~>>~ ELECTRICAL PERMIT APPLICATION . I 'o;;.;;;,^' "'" 0'1.' -'r \ ~~:~~i~~~l";~;.' ~ ~ _ ::", \ tln\tl'lll~'" ._.---~- _....,....,--_..._~ Th~ Electr\Qal Permll Applloatlon myfrt bit tilled oLrt oQm~letm.l. PI9fi\BI:' ~ or rnprlnt In In\<. "you have eny qUlJstlons, pl.ORC O(llt (350. ~1'J"4ns 1'8. numbO" (3BD) 417-'1711 Own.... Of Eloo. Cant..O\ar AgOnl:3L!:::::"-flS.2- h... <5/oot Property OI'mQr: f: c f c ,1: '""__._ltJ '" H .\ t> V\- Addr...: / S .~~~C\. d:. t:. K C~: f{fJ ' EIBalrlo.' eom;.otar: ' h">.(?.f..li..!::' t;: (c f Llcsn.s ff: Add,.s.: ") C-/, ?05'C Hv-tt-1JJ j vJ City: fft. INST ALl-AT ION WIRED BY: 0 0:4 h). '?5ELECT?~TR~TOR . Credit Carel Holder Nllme: _ ._jr'(. v/ _ J. 1/Y'-~-l5 ~_.-..__....._..._-.._.-- 811/1119 Addrss.: City: _.._______........_....... Zip: ----...--...... phone: :t.sllil::J F.,.:..........fq- ~ Phone: q / 7 0 6 L!;:; -'--"-- ._!_;~; 0 \r t r;;, L::_.. ~~-_._.__.-.__.- --~-~ _~_ Exp: ..",........,,~_._,,_........,rll.,o!.ltl: . __....__...Jlp ..ID f.3 Credit Card Numbe" ___.___...__.__ Exp. Dale' ._...______............._. V/$Il:_-- MC:__.. PROJECT AODI'lE8B: I"?'33 l(... ro C7I -- ~-,--~.,_., ---,-.-..-..."-,,~.........-- TYPE OF WOFm; Check IllI thaI spply: [J New 0 Merallon/Addlllon ~eeldenlel 0 Multi-family [J Commercial C Mobile Home Sq. Fl.._..___.._____... CJ Remote Meter 0 Detech9d garage 0 Hot Tub 0 Swim Pool 0 Septic Pump [J I_ov~ Voltage [J Telecom. 0 Sign Numb~' 01 Circuit. added or sll..,.OO: DESCRIPTION OF THE EI..EC,.RlC~I~;;~~JECT:_fl ~ .F /hV'" V\..~~.__.".._....-..._..-._.._.----.. ~ Wc,~J kc..1-;;;; H<-*P"'=t"-~~=~==-~ - Bjectrlc;1l1 Heat I..Qild AtldlUqQ! ~Jn.ln19J:JJlfljl~rl CI Baseboard o F"m~ce CI Ha~\ Pump o Fan.Wall __KW tY. KW ..5..1<W _KW o OVQrheed SelVloa o Tmmp Servloe o Underground Service VClllage.: .............._.... ..... Pha",,, C.11 [] 3 SmrvtclEl C~I:/:,':J: ,..._'....."~_,, ~~~elKl~I' ~~lze:.__..~..._.,.._ PAMC 14.06.06018): For InduAlrl.I, commorolal, & msldmnllal projact$ largsr than a duplex; a one . line ~I'~wlng of Ihe F'laclrlcal Service &. Faeders, building slzs (sq. ft.), 10M oalcula\iona, and tile type & of cDnduclore andlor raosway I. required Wid "holl ""company Ihe F.l"l;;;~e;lIa~~tlo~FLI~r ~/ ~ua- \)-nUry - tJ"7 ~ ~ tJf~(~~X~t2-~ I hereby c~rtIfy that I have read and examined this application and know that $/.'lme I" be trU1J 9I1d corrocf, and I am a.lthOrlzed to ~pply for this permit I underetand It Is not the City's legal responsibility to ril)f13rmlrlG w/lat permits ~I are required; It remains the applici,mts responsibility to determine what pf)rmits are requirl-lf/llfld to obtain such. ..J\\..: Credit Card Hald9r'e Slgnatl.lr\l:_~&~-'. Dl!Ie:lI..::: 2. :..!l.? . Own.... f>r ~I",c. Coot, slgOIlII!rtJI:____ .._______................_._.OO'ltll: PW.g019 hYvAL /d-/,.2-oY -