Loading...
HomeMy WebLinkAbout2143 W 4th St - BuildingPREPARED 11 /10 /10 8 08 44 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11 /10 /10 ADDRESS 2143 W 4TH ST SUBDIV TENANT NBR RICK KAREN SISTEK CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813 OWNER RICK KAREN SISTEK PHONE (360) 452 7471 PARCEL 06 30 00 9 4 0015 0000 APPL NUMBER 10 00001078 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 11/10/10 JLL V �i 7� MECHANICAL FINAL TIME 01 00 November 9 2010 4 03 54 PM 1pangrle JENNY (ALL WEATHER HTG 452 9813) MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL A DUCTLESS HEAT PUMP Owner RICK KAREN SISTEK 2143 W 4TH ST PORT ANGELES (360) 452 7471 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Qty Unit Charge Per Fee summary Charged T Forms /Building Division /Building Permit WA 983631401 MECHANICAL PERMIT INSTALL A DUCTLESS 174169 64 80 9/30/10 3/29/11 BASE FEE 1 00 14 8000 EA ME FURN /HP /FAU Permit Fee Total 64 80 Plan Check Total 00 Grand Total 64 80 10 00001078 936906 2143 W 4TH ST 06 30 00 9 4 0015 0000 RICK KAREN SISTEK MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 77/2 Contractor ALL WEATHER HTG 302 KEMP ST PORT ANGELES (360) 452 9813 Paid Credited Due 64 80 00 64 80 HEAT PUMP OR 5 TON g/ do T o+ 1 �OIG�C t n c J�✓ L. 00 00 00 Date 9/30/10 COOLING WA 98362 Plan Check Fee 00 Valuation 0 Extension 50 00 14 80 00 00 00 INC REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting Landscaping 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 1 Comments Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE 16- Accepted 1 by 1 Date Accepted By CITY OF PORT ANGELES Attn: Building Permit Technician 321 E Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360).417 -4711 Applicant A l l bilcovier ecehng 4 exelinct Property Owner RACY. k 44..r Pro Owners Address Property W Contractor 1) p Contractor's Address License BUILDING PERMIT APPLICATION Print in ink 11.11111 0.4■1 r 111tlT Expires e arl E -mail PROJECT ADDRESS 4`1±� Parcel Number proiect Type Brief Descriotlon. )(Residential New Construction y► Multi- family Check all that apply l 4 a Addition o Remodel o Repair a Demolition a Re -roof o Heat System o Other o House o garage o other o tear off re -roof o lay over one layer o Heat pump wood buming stove o gas fireplace o pellet stove o other Floor Areas Existing (sq. ft) Pposed (sq. ft.Z Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq, ft. T Lot size Site Coverage the amount of impervious surface on a parcel, including structures, and other impervious surfaces. (see PAMC 17 94.135 for exemptions) Max. height of proposed structures Will a lawn sprinkler system be Installed? Will a.fire sprinkler system be installed? Z0 'Z0 39Cd ft. 9NI1C3H a3H ±C3M1 11C Occupancy group Occupant load Construction type Phone Phone Phone Lot For City Use Onl Date Received Cr— Z2 10 Permit tC) 0"1 Date Approved Zoning per sq. ft. sq. ft. Lot coverage of bedrooms of full baths of half baths N40. (1527ctsi3 allaccrolweayn Commercial o Industrial TOTAL. VALUATION 7 1 12- 9 z. CIO paved driveways, sidewalks, patios, Site coverage 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 itt y re.:ponsibility to determin what permits are required, and to obtain permits prior to t ing on projects. Date 10 Print Name ,f 4n14 e r l P'Yt Signature`:' /A. 7 2If T:Forme/Building Division /Bldg Permit.doc LLISZ9t709ET 61 69 0I0Z /LZ /60 Clallam County Assessor Treasurer Property Details 62774 RICK/KAREN SISTEK. Page 1 of 8 Clallam County Assessor Treasurer Property Search Results 62774 RICK /KAREN SISTEK for Year 2010 2011 Property Account Property ID Geographic ID 0630009400150000 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 Township Section Range Location Address. 2143 W FOURTH ST Mapsco PORT ANGELES WA Neighborhood Cycle 5 Res Map ID 3 Neighborhood CD 10955130 Owner Name RICK/KAREN SISTEK Owner ID 52583 Mailing Address. 2143 W 4TH ST Ownership 100 0000000000% PORT ANGELES WA 98363 -1401 Taxes and Assessment Details Property Tax Information as of 09/27/2010 Amount Due if Paid on std 62774 Legal Description EDGECLIFF REPLAT LOT 5 Exemptions. Year Statement ID Taxing Jurisdiction 2010 45339 ST SCH STATE SCHOOL 2010 45339 CC -GEN COUNTY 2010 45339 PORT PORT 2010 45339 PORT ANG PORT ANGELES 2010 45339 SD #121 SCHOOL DISTRICT #121 2010 45339 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 45339 HOSP #2 HOSPITAL #2 2010 45339 WSMET PK DIST WILLIAM SHORE MET PARK DIST 2010 45339 CITY STORMWATER CITY STORMWATER 2010 45339 WEED_CONTROL WEED CONTROL 2010 45339 TOTAL. 2009 627742008 ST SCH STATE SCHOOL 2009 627742008 CC -GEN COUNTY 2009 627742008 PORT PORT 2009 627742008 PORT ANG PORT ANGELES 2009 627742008 SD #121 SCHOOL DISTRICT #121 NOTE. If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due First Second Half Half Base Base Amt. Amt. Penalty Interest Base Paid $482.28 $482.27 $000 $0 00 $482.28 $256 65 $256 65 $0 00 $0 00 $256 65 $36 07 $36 07 $0 00 $0 00 $36 07 $594.22 $594.24 $0 00 $0 00 $594.22 $624 68 $624 66 $0 00 $0 00 $624 68 $74 58 $74 57 $0 00 $0 00 $74 58 $105.28 $105.29 $0 00 $0 00 $105.28 $33 50 $33 50 $0 00 $0 00 $33 50 $36 00 $36 00 $0 00 $0 00 $36 00 $0 82 $0 81 $0 00 $0 00 $0 82 $2244.08 $2244.06 $0.00 $0.00 $2244.08 $552.52 $552.51 $0 00 $0 00 $1105 03 $279 61 $279 64 $0 00 $0 00 $559.25 $39 61 $39 61 $0 00 $0 00 $79.22 $613 32 $613 33 $0 00 $0 00 $1226 65 $683.27 $683.27 $0 00 $0 00 $1366 54 http. /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year 2010 &prop_id =62 9/27/2010 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number 10 00001057 Application pin number 254995 Property Address 2143 W 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 9 4 0015 0000 Application type description ELECTRICAL ONL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMLLY Application valuation 0 Application desc 2 circuits ductless heat pump Owner Contractor SISTEK RICK /KAREN 2143 W 4TH ST PORT ANGELES y�z V471 WA 983631401 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Date 9/22/10 RESULTS WA 98363 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 173872 Permit Fee 76 10 Plan Check Fee 00 Issue Date 9/22/10 Valuation 0 Expiration Date 3/21/11 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50 1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 2 60 Fee summary Charged Paid Credited Due Permit Fee Total 76 10 76 10 00 00 Plan Check Total 00 00 00 00 Grand Total 76 10 76 10 00 00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. E0 le, 110 M 1504 32 rn /6410 P Signature of owner or Electrical Contractor X Date: c) FEcrilyEa r SEP 2 1 2009 AfijobAN ELECTRICAL INSPECTIONS 11 I rilia CITY OF PORT ANGELES PEST APPLICATION Building Division/Electrical Inspections 321 Cast Fifth Street P.O. Box 1150 'Port Angeles Washington, 98362 Plrc (360) 417 -4735 Fax (360) 417 -4711 Date: O 1 Single Dwelling Multl"Family or Commercial" Commercial Addition Alteration Remodel Repair* 9 le Fami{ Y U19 Plan Review May yyu�ired, Please Me ad ical Plan Review Information Sheet Job Address: `{3�� sz building Square Foolege: A irt (-Ot➢�'1!t -4" Oeacrlptlon of Above �R -Les Contra ctqL Infomuth Name Mailing A City:, State: Phone ;fr Fax; Vie' License 0/ Exp. _,_.,,h' Owner Inform ion Name; i G I 5 K. Mailing Add CI Stets: 7.ip: 2, my. Phone Fax: License*, Exp. Itim Unit Charg SenricelFeeder 200 Amp. $119.90 Servkao1Feeder 201 -400 Amp. 145.50 SsNice/Feeder401.800 Amp 204.60 Service/Feeder 601-1000 Amp, 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp, Service! Feeder 200 Amp, 92.70 Temp. Service/Feeder 201-400 Amp. 110.30 Temp. Service/Feeder 401 -600 Amp. 148.70 Temp. Service /Feeder 601-1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign/Outline lighting 88.20 Signet Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1400 of Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi- Family Dwelling 63.90 Manufactured Homo Connection 119.90 Renewable Electrical Energy -5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION oti(LY: First 1300 Square Ft. 110.30 Each Additional 500 Square Ft, or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110,30 Total Owner as defined by RCW.19.28.261 (1) Owner wilt occupy the structure for two years after this electrical permit Is finalized, (2 Owners required to hire an electrical contractor if above said property Is for sale, rent or lease. Permit expires after six months of lest inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a Itcensed electrical con( actor, I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW, Chapter 19,28, WAC, Chapter 29&4E 3, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Pemttt Applications. Sign of owner, electrical contra" or electrical administrator 0 Gaut% 0 rhea D I pip c�enrenr*. 0-7-) 9lul�o ovoirime Total ar Mutt! piled by Unit Charnel PREPARED 10/04/04 14 09 58 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/04/04 ADDRESS 2143 W 4TH ST SUBDIV CONTRACTOR SUMS CONSTRUCTION PHONE (360) 452 2268 OWNER SISTEK RICK /KAREN PHONE PARCEL 06 30 00 9 4 0015 0000 APPL NUMBER 04 00000666 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 8/20/04 JLL BUILDING FOUNDATION MONO SLAB 8/20/04 AP Mike 461 2185 BL3 01 9/09/04 JLL BUILDING FRAMING TIME 17 00 9/09/04 AP MIKE 461 2815 CALL FIRST ON ANOTHER JOB BL9 01 9/09/04 JLL BUILDING SHEARWALL TIME 17 00 9/09/04 AP MIKE 461 2815 CALL FIRST ON ANOTHER JOB BLI 01 401 JL M I I Mike 461 2815 COMMENTS AND NOTES PREPARED 9/09/04 12 30 31 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/09/04 ADDRESS 2143 W 4TH ST SUBDIV CONTRACTOR SUMS CONSTRUCTION PHONE (360) 452 2268 OWNER SISTEK RICK /KAREN PHONE PARCEL 06 30 00 9 4 0015 0000 APPL NUMBER 04 00000666 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 8/20/04 JLL 8/20/04 AP BL3 01 9(04/04 JLL BL9 01 JLL BUILDING FOUNDATION MONO SLAB Mike 461 2185 BUILDING FRAMING TIME 17 00 MIKE 461 2815 CALL FIRST ON ANOTHER JOB BUILDING SHEARWALL TIME 17 00 MIKE 461 2815 CALL FIRST ON ANOTHER JOB COMMENT$ AND NOTES PREPARED 8/20/04 12 45 56 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/20/04 ADDRESS 2143 W 4TH ST SUBDIV CONTRACTOR SUMS CONSTRUCTION PHONE (360) 452 2268 OWNER SISTEK RICK /KAREN PHONE PARCEL 06 30 00 9 4 0015 0000 APPL NUMBER 04 00000666 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 :/20/04 BUILDING FOUNDATION MONO SLAB Mike 461 2185 COMMENTS AND NOTES Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner SISTEK RICK /KAREN 2143 W 4TH ST PORT ANGELES Structure Information Construction Type Occupancy Type Other struct info Permit Additional desc Permit Fee Issue Date Expiration Date Other Fees Fee summary Permit Fee Total Plan Check Total Charged Signature of Contractor or Authorized Agent T \PLANNING\FORMS \1102.15 [11/14/2003) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 04 00000666 277648 2143 W 4TH ST 06 30 00 9 -4 0015 0000 RES DETACHED GARAGE WA 983631401 48 30 RS7 RESDNTL SINGLE FAMILY 3800 Contractor SUMS CONSTRUCTION 422 EAST FRONT PORTANGELES WA PORT ANGELES (360) 452 2268 240 SF ADDITION TO EXISTING GARAGE TYPE V NON RATED GARAGES CARPORTS SHEDS TOTAL t LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 240 SF GARAGE ADDITION 120 75 8/05/04 Valuation 2/02/05 Plan Check Fee Qty Unit Charge Per BASE FEE 2 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Comments When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations The proposal will result in the addition of a hobby room for a total lot coverage of 11% in the RS 7 zone The site contains an environmentally sensitive area however the setback from the top of the bluff is noted as more than 50 from the top of the bank and therefore an independent review of the bank stability will not be required Setbacks and lot coverage are good No land use issues are noted Electrical load calculations and elctrical permits are required Paid Credited Due 120 75 120 75 00 48 30 00 e/f/o bate Date 8/05/04 WA 98362 11 00 V N 1 00 3228 00 33200 00 240 00 3668 00 1 00 STATE SURCHARGE 4 50 0 0 00 48 30 3800 Extension 92 75 28 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to v iolate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date a 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD/ DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT Ws SEPA. PARKING /LIGHTING I ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T• \PLANNING FORMS \1102.15 [11/14/2003) BUILDING PERMIT INSPECTION RECORD YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING Application Number Pin number Other Fee Total Grand Total T- \PLANNING \FORMS \1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 04 00000666 277648 4 50 4 50 173 55 173 55 00 00 Page 2 Date 8/05/04 00 0 0 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 CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS Cda ip S 14.4 14, a WALLS I FOUNDATION DRAINAGE /DOWN SPOUTS I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS IW _q —©J I l l I— WALLS ROOF CEILING Iq- `I k I .4 1 DRYWALL (INTERIOR BRACED PANEL ONLY) I I T -BAR I I INSULATION SLAB I WALL FLOOR CEILING D -N 6 u I I L. MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I h ...4„ I I PLANNING DEPT BUILDING 417 -4815 I in-7_6-61 I' V l i T I BUILDING T\PLANNING \FORMS \1102.15 [11/14/2003) I BUILDING PERMIT INSPECTION RECORD I I I I I I I I Applicant or Agent: `I `1 GW-4 e2AA Owner Q 1 cK S (Sri Address Q. P4? CD_ `i Architect/Engineer Sw s (S cr J Address. 563 it) 30c- Sf City al if L)eSi 1 .1 4-1 1 Contractor PROJECT ADDRESS LEGAL DESCRIPTION Lot: BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 J!' Block: CLALLAM COUNTY PARCEL NUMBER. 0 to 3000 q DO 1 S Credit Card Holder Name: Billing Address: Credit CardType VISA MC TYPE OF WORK. residential 0 New Constr Re roof Multi family Addition Move Commercial Remodel Demohtion Repair Sign BRIERDESCRIPTION OF THE PROJECT .A rOm p 6 Boon COMMERCIAL/RESIDENTIAL Occupancy Group. C No of Stories. Lot Size: 33.,2UD Existing Sq Ft. 32 2 8 Total lot coverage 11 PLANNING USE ONLY City Ng-r- thiA -ii5 Pear Ag Coo City. ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone Phone Phone FOR OFFICIAL USE ONLY Date Rec. 7-2-6 6 d Date Approved Date Issued. 452_4 221,5 Zip c g3 ,z State License 5W -2 Exp ('23 05 Phone. 952. -Z Zip q 2- ZONING Subdivision. D 6-Ea i FP e P(A3 Exp Date: SIZE/VALUATION Stove .24 SF /SF Garage SF /SF Deck SF /SF Other TOTAL VALUATION 3girD Occupant Load. Construction Type Proposed Sq Ft. 140 TOTAL Sq. Ft. 3 L 5 APPROVALS. PLAN BLDG DPWU FIRE. 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_pernut fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107 4 of the Umfonn Building Code, current edition) No application can be extended more than once. I hereby certify that 1 have read and examined this application and know the same to be true and correct. 1 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 t t I must obtain such permits prior to work. T •\FORMS\APPS\Buildingpermit.wpd Applicant: 1 Date 7/ 2 /4 7 r 1• I f$ECT1DN 304(c) B 1,ipproval Oat IC7 t o I 1 11 Mans t 1, spe ai- Cr j ..Y (tl r VOm „pians, pacification t and othee, datad or Pun_ revk building operhtions being carried on therf underi whed j 4 violation of all cotes and ord nance:s of this jrisdicton in o nss i sox i vv I t: _l:SW.. 7 <sn qgs0., VtiV 1 CITY OF PORT ANGELES Cirstrd The Issuance df this permit based upo it‘ cations- Ind other. d; shall not I preVe t e bui! from th freaftar recuiring the cbrrection of er tr; i I 6 10 4 VY1(IL-° \4 j I 1 f. l '6� L__ 1 •Y 1 Jv 1 5 T ,till i -1)\-0'\ -\\N 1 4,\\ 1 L L__ l N SIRE T NORTH OF 4 STREET AS 51 -1OWN (4EPEON VACATED HEREBY SAID VACATION SUBJECT TO THE RIGHT RETAINED BYT-IE CITY OF PORT ANGELES TO USE THE EY, ISTINO GULLY FOR DRAINAGE OR SEWER PUP POSES TO EAS( 111 GRANT PORT I F UTURE /gi �/IR IPELI f1 1 n7 CO .,0 \9 \Y h 0 I co /O\ \0 t A7 5 T 11.\' a J f GITY.OF a' t EXISTIN 20 WIDE c0 MAINTE `I 21 l "MENT O i 35 FT G 7 FP i— VACATED S 141.1I6 NEREDY 1' O 8/, ib 0 DO s 0 40 0 Sn 01 Sn z 40 40 84 07 N 0 p X e% 4 /a r h° D 0 --(a '7 0 tf m 69 54 0 s, s 0 OS N O 0r �0 o `V 0 O In 31 0 30 29 A SS Al a t W -a a• �O ti 195.48 153 77 503 IG 519.54 N 50 45 01 W 75 75 15 15 75 75 l5 1 574.97 N 5C 45 01 W EXIST CITY MON -1 M 7H ENGINEER'S CERTIFICATE 25 ,t Z7 I hereby certify that this replat is based on an actual survey, that distances and bearings are accurate and that the monuments have been set and the lot corners staked on the ground Said survey being on the Washington State Coordinate System, North Zone, all bearings are relative to said system and all distances are 9999 of horizontal ground distance. 75 0 50 26 2.5 a0 75 75 75 153 91 03 75 r 0 5 w O M 2 uJ 0 0 F d, 's "" r"""''''' CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :\2\ EAST 5TH STREET. PORT ANGELES. WA 9R~62 ~~.t:-"..L.L.....o.L...L.U.u l'11UmUer Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 04 00000850 Date 461150 2143 W 4TH ST 06-30-00-9-4-0015-0000- ELECTRICAL ONLY 5/18/05 RS7 RESDNTL SINGLE FAMILY o Owner Contractor SISTEK RICK/KAREN 2143 W 4TH ST PORT ANGELES WA 983631401 ELECTRIC SERVICE -82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 ----------------~----------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL SHAMP/ 1-4 CIR. OUTSIDE LIGHTS 49304 _ SHAMP ELECTRICAL 48.10 5/18/05 11/14/05 CONTRACTING Plan Check Fee Valuation .00 o \J _. L vJ Qty Unit Charge Per 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 G .L \} ~ r\ COMMENTS/ACTION NEEDED ~ ELECTRICAL PERMIT INSPECf.lON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO 5. GENERAL COMMENTS: PW-I 102.13 (4I96J d'OII'~_ = 'Y#! CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :\21 EAST 5TH STREET. PORT ANGELES. WA 9R~62 App11cation Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use property zoning . . . Application valuation 04-00000850 Date 461150 2143 W 4TH ST 06-30-00-9-4-0015-0000- ELECTRICAL ONLY 5/18/05 RS7 RESDNTL SINGLE FAMILY o Owner Contractor ------------------------ ------------------------ SISTEK RICK/KAREN 2143 W 4TH ST PORT ANGELES WA 983631401 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 ---------------------------------------------------------------------------- permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL EL. SVC./ 1-4 CIR. ART STUDIO 34686 ELECTRIC SERVICE 48.10 Plan Check Fee 9/23/04 Valuation 11/14/05 .00 o -------------------------------------------------------------------------- Qty 1. 00 unit Charge Per 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 '\) '- Q Fee summary Charged Paid Cred{ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 t ~ ~ COMMENTS/ACTION NEEDED \ ELECTRICAL PERMIT INSPEg,ION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO IUn:H WI 1111 .;H_IN / CUVER ~bK VICE / FINAL I s7J~/n"i/1 ~./~I , / GENERAL COMMENTS: PW-I 102.13 (4I96J 05/17/2005 18:03 FAX '-- ~001/001 I N5PELTlflj . / 0 ". J 'e:l Electrical CDntracto~ Owner ~~ ~ AnDual Permit Q Alarm 0 Carnh'.l 0 Commercial"L.e("ResideDtial D 1TU-t ELECTRICAL WORK PERMIT APPLICATION -erReQuest Inspection o Residential Maint. D Signs 0 Thermostat lJ Telecom. Job ",/,.d by b Electrical Contractor 0 Owner installatiOTl dc~criptio" Electrical contractor name: License number J CI,UA:\+s ~5er~ 383 C. YGRT AufsBI~ Telephone number . r -"2.- State ZIP { 1);A qR.3C;L FAX number \-~ re.... Premises own.er's name L.I-\-t\-p t'Y\ A--tJ Address or iospution ~ ?-143 lil. ~ ", C o Cosh 0 Check # I hereby certify that I am the owner of the above named propcny or a licensed el:ctrical contractor (or the fum's authorized agent) and am makinS lbe electrical lnstallation or alteration in compliance with tbe clcc:aicallaw, Chapter 19.28 RCW. CJ Credit C..-d Visa Mastercard Discover Card# __CY\..::hI.L.._"____-____ t:ontractol'" or electricll administrAtOr Expiration Dale of card /' WALLS Insulll.tion Only D:l.le ~ro~cdar Cover D;ale A1l"ro~~ By '- CEILlNG Insula lion Only O.le fIlCl~w\l6B)' Cover Dille Al'Pl'l.lvII1I8y IHERMOSfAT Dill; ^PFrovcd By DITCH DIU AII~l"llved Ill' SERVICE Dille A.1IJ1tllvc('l By Fm>ER o~,; Approvtdl:ly Electrical Load Additions and or subtractions I:l NO LOAD CfolANGES o Baseboard _ KYV o Furnace _ KW D Heal Pump _ Ton ~ LAR D Fan-Wall __ KW Service Information CI Overhead Service o Temp Service C Underground Service Voltage Phose D I I:l 3 Service Size: Feeder Size: Inspection Area, Building Or Equipmem Inspected Action Taken Electrical Dilte Inspector S-~Jl' /"S- D/TtW / ~urs'O'" L/c;A/7:5 ~ A /l /1'C4/ 8: ''''1/,,< f'/~oo\L At" .&-- ~ , 1/ - , I " FROM FAX NO. Sep. 21 2004 07:29AM P1 .. ELECTRICAL PERMIT APPLICATION H1I< OFI;lrJ",:. lI5E()!'-l1_Y lJ;.L.Jlo<~. '_' .__",_'''_ "';'tll~ Eu,::r,:r.c...al P~lOlIl Apj'hr:ahor: must be tilled oot comDle!elv. "'....,.., --~--"-".~'-- IJ..!~ ^,14,..~~tlO __h. _0'. ___~ U.." 1r;J.~~ol _....___ .' PlcD,U type or rcpr'nt in ink. Address: INSTALLATION WIRED BY: o OWNoR ,.., oL::CTRICAl CONTRACTOR CJ ~ Credit Card HDlder Nsme:___ ~\. ' 8111ing Address: ~ Ity;J....- Credit Card Number: V I \.. -~. ~a\eV <-j tt.. 0 Zip; c,() Cf\ ~ ~sidenllal 0 Multi-family !:J Commercial 0 Mobile Home Sq. Fl VlSA:__ Me: 9: <!>~ '- ~~ ~~ "- Oy; PROJECT ADDRESS: :hI 43 LJ. 'TYPE OF WORK; Check alllhsr apply:~..w o Alleralion/AddlliDh [) Remole Meier 0 Detached garage 0 Hol Tub 0 Swim Pool 0 Saptic Pump i:J Low Voltage CI Telecom. 0 Sig,,!\.~ \)) Number of Circuits added or altered: _...... cuL:t .fiO") - 3. - 0, 1J,. J Ct l-f.lIU' de r ,'r-rA U,.,~ DESCRIPTION OF THE EL.ECTRICAL PROJECT: --1.::- C i ;-fA;: t Electrical Heal Load Add!tlons and !1f_SubtractiDnl' Service Information o Overhead Service o Temp Service o Underground Service Voltage: Phase: [' 1 Service Si~e: Feeder Size: J 8aaeboard ::! F umace ":J HeBt Pump ::J Fan-Wall 'tYi~LRA KW U 3 , hereby'certify that I have read and examined this application and know that same to be true and correct, and I am ~uthorized to apply for this penn/to I understand it is not Ine City's legal responsibility to determine what permfts 'lre required; it remains the appiicants responsibility to determine what permits are required Bnd to obtain such. D~ .' Credit Card Holder'. Signature:_~ JfjJ,.. J oate:~ ~) ~I'Y' lo~ Ow~, ~"" 00""""""" !J?,(...1 11 rP-h II D"'~ /.. PERMIT FEE: $ 7'8 _ /0 ::/ELeCTRICA.LPERlvtlT APPLlCA 7'ION ~ CFVY OF Pom, ANG1,KLES ftwmrr API"LICATION Builthng DiviNion/Elettrical In-sl)ections 321 Ea5t Fifth Street — P.O. Box 1150/ Port Angeles Wa shin gton, 98362 Ph: (360) 41747,15 I,= (360) 4174711 ()ate: 6.19-14 --aL I & 2 Single Family Dwelling 'Plan Review May Be Required. Please CornlJlete Electrical Pian Review Information Sheet JoD Aftew -2j41VX,A,-s1-,-,'_' _ -- "- 1.- _...._..-...._ .._._..- '.._....._-w........._ Kiiv-Tq . .. . . ........... .. . . . ....... ........ . .... ....... . ............ .... .. ........... .... ............ Owner Information . Contractor Information N,-qm:---Bkk & Name: kW� Addrem: _2143 W. 4Lh St Wa �N Add ............. - NY -RwtAn9daM---- State: Z*r Oty, 8�ata: —WA- 4P Phone: Ptone.,A 2 272,2 __Fax,. Umnw 41 It4m Unit gbArge P!Y Fetal (Qt`y Multiplied by Unit ChAMO Sepik*,'Foo�r 200 Anip. $120.00 Se ,`ieefF2edur 201-4W Arq�. $14600 Sorvkefkodat 401-6O Amp $2,15.00 SeAvy,eiFee;" f R 1- 1 OM Amp, 4MI00 3,8rviW. Fezdaf over 1000 Amp. 3?3.00 . . ...... ...... $ l3farich ci � fff Service Feeder 5,00 Btarich Citcuit W10 Service Faedei 63,00 DO Addition-3J 13tairb CaW 5.00 BmndiUoaits 14 75.00 $ Temp. Savim! Feeder 2WAMa. 23.00 Temp. Ser elFeedat 201-400 Amp, $ 110.003 Temp, Ser*WFeeJer 401 -600 Amp. $ 14HO Temp. Sera ceiFeaier 601-100 Amp $168.00 pww b Portal WAY $ 96,00 Serial Ckwlf L i T i ted EfeW - I & 2 Famay Dm,.§N $ 6400 1 Maiubdufed Ho" Connocba-q $12000 Reovivalk Elentric-A Enwgy - 5K VA System or Less $102.00 . . ....... .... nleanoWt $ 6600 Nol-a-. $5.00 for each &Jd&fel 7-SU NEW CONSTRUCTJON ONLY, First. 1300 Square F1, 120N Eadi Additional 5W .Square Ft. or Pothon of 400 Ea d) Gulbuildrg or NWied Wray8 7400 Ea di SAI aiming Pod or HolTub $110,00 $--L4 al— Total Owm r as defined by ROP119.28,261: (1) Owner will occupy the structure for lvm years after this electrical permit is finaliTed. (2) Oviner is required to NrDzn electrical wntractor if above said pmpefty is brzale, rent or lease. Nrmftexpires after six months of last jmpeectiou. After readinq the above statern&4, I hereby cortffy that I am the cwnar of the above named properly Dr a licensed electrical contractor. I am making the electrical instalWion or aliemtbn inn phan With the ekxtrl cal laws, N, E, C., RC W. Chapter 1928, WAC.Chapter 296-465, The City of Port Angeles Murdd pal Code, and Wity S pLicificabons and PAM C 14.05.050 regarding Electrical Permit Appkations. Sing natu re of owno r, o lectrica I contrattor or *to ctrica I a dm In istraw r: F Ctith 0 rhutk X Mike Shirley http:llwww.pdfescape.comlopenlRadPdf.axd?rt=c&dk=0366F69OCTZ73PBARLT42T3G697H... 611912014 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 - 417 -4735 Application Number 14- 00000727 Date 6/23/14 Application pin number 034275 Property.Address , , , 2143 W 4TH ST ASSESSOR PARCEL NUMBER; 06-30-00-9-4- 0015 -0000- Application type,description ELECTRICAL ONLY Subdivision Name . . . . , . Property Use Property Zoning , . , . , , . RS7 RESDNTL SINGLE FAMILY Application valuation . , . 0 ,Application desc Camera system Owner Contractor RICK / KAREN STSTEK HI TECH SECURITY INC 2143 W 4TH ST 723 E FRONT ST PORT ANGELES WA 983631401 PORT ANGELES WA 98362 (360) 452 -7471 (360) 452 -2727 Permit . , I . , . ELECTRICAL ALTER RESIDENTIAL Additional desc , Permit Fee 64.00 Plan Check Fee .00 Issue Date 6/23/14 Valuation . . . . 0 Expiration Date 12/20/14 Qty Unit Charge Per Extension 1,00 64.0000 ECH EL- SINGLE CIR LIMITED RES 64,00 Fee summary Charged Paid Credited Due Permit Fee Total 64.00 64.00 .00 .00 Plan Check Total 00 .00 ,00 .00 Grand Total 64.00 64,0.0 .00 .00 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGRBUILDING