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HomeMy WebLinkAbout1604 E 4th St - Building CITY OF PORT ANGELES ritsta. D EPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION k ,75, 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 09- 00001219 Date 12/01/09 Application pin number 482661 Property Address 1604 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 8335 -0000- Tenant nbr, name FRED /JEANIE DEFRANG Application type description RES ACCESSORY BUILDING Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 51840 Application desc 1,728 SQ. FT. DETACHED GARAGE /SHOP r Q Owner Contractor FRED JEANIE DEFRANG OWNER 1604 E 4TH ST Q PORT ANGELES WA 983624808 t (360) 460 -0463 Structure Information 000 000 1,728 SQ. FT. DETACHED SHOP /GARAGE 5v-u- AAA Other struct info HARD SURFACE AREA �(lY �J�(,��(� Permit BUILDING PERMIT -RESIDENTIAL q,�/� Additional desc 1728 SF DET. GARAGE kV �Jl' A IkU‘ Permit .pin number 157032 Permit Fee 684.25 Plan Check Fee 444.76 (?t Issue Date 12/01/09 Valuation 51840 i S Expiration Date 5/30/10 Qty Unit Charge Per Extension BASE FEE 670.25 2.00 7.0000 THOU BL- 50,001 -100K (7.00 PER K) 14.00 Permit MECHANICAL PERMIT EXP E i Additional desc BATHROOM IN GARAGE Permit pin.number 157040 Permit Fee 67.90 Plan Check Fee ,00 Issue Date 12/01/09 Valuation 0 Expiration Date 5/30/10 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 7.25 1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65 Permit PLUMBING PERMIT Additional desc BATHROOM IN GARAGE Permit pin number 157057 Permit Fee 100.00 Plan Check Fee .00 Issue Date 12/01/09 Valuation 0 Expiration Date 5/30/10 Qty Unit Charge Per Extension 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 1 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 o ca. =;1 the provisions of any state or local law regulating construction or the performance of construction. De/%;,(4, L i r e Date Print Name Sig tire of Contractor or Authorized Agent Signature of 0 ne ner 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 I I Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Stab 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: 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 INSF'ECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 I Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit CITY OF PORT ANGELES 0 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 09- 00001219 Date 12/01/09 Application pin number 482661 Qty Unit Charge Per Extension BASE FEE 50.00 3.00 7.0000 EA PL- PLUMBING TRAP 21.00 1.00 7.0000 EA PL -WATER LINE 7.00 1.00' 15.0000 EA PL -SEWER LINE 15.00 1.00 7.0000 EA PL -WATER HEATER 7.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments November 24, 2009 3:58:06 PM sroberds. The proposal will result in a detached garage /shop for total lot coverage of 16% and site coverage of'24% in the RS -7 zone. No land use issues anticipated. Electrical load calculations and electrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Proposed building shall not encroach into sewer easement. See permit #09 -1175 for sewer permit. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 852.15 852.15 .00 .00 Plan Check Total 444.76 444.76 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1301.41' 1301.41 .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 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FonnsfBuilding Division/Building Pennit h 1 BUILDING PERMIT. INSPECTION RECORD f PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 0 Building Inspections '417 -4815 Electrical Inspections 417 -4735 I 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. ..9 Inspection Type Date Accepted By Comments FOUNDATION: 2. u Footings Stemwall 1. 1. Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab l -O i -Q "3 1_,C Rough -In 10 <-18 o TL Water Line (Meter to Bldg) Gas Line Back Flow Water 1 FINAL Date Accepted by Ci AIR SEAL: Walls C Ceiling FRAMING: 0}1i W rle_Aj 'CO U5 i n TI. i Girders Under Floor _;J (ShearWalTHold Downs 1- 1 1© Pe Walls Roof! Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In 10— I v" la "SL-L-, ''4.r 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 7) lb Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 i x 1. Fire 417 -4653 1-31 Qx. 1� Plannin• 417 -4750 Building 417 -4815 N S' T:Forms /Building Division /Building Permit CITY OF pORT NGELFS W A S H I N G T O N U. S. A ■W COMMUNITY ECONOMIC DEVELOPMENT July 27, 2012 Fred Defrang 1604 E 4th Street Port Angeles, WA 98362 RE: Building Permit #09 -1219 Dear Mr. Defrang: This letter confirms that the above permit has expired. The permit expired on July 26, 2012. We notified you in writing of the status on June 27, 2012 and have had no response to the letter. A fee will be required in order for us to perform future inspections. The building is not approved for occupancy. If you have any questions, do not hesitate to contact us. Sincerely, IC Heather Catuzo Building Permit Technician 321 E 5 Street Port Angeles, WA 98362 hcatuzo@cityofpa.us 360 -417 -4817 CITY OF OR 1 NGE LES W A S H I N G T O N U. S. A COMMUNITY ECONOMIC DEVELOPMENT June 27, 2012 Fred Defrang 1604 E 4 Street Port Angeles, WA 98362 RE: Building Permit #09 -1219 Dear Mr. Defrang: I am writing this letter as a courtesy to remind you of the status of the above permit. The permit will expire on July 26, 2012. If the work has been finished, please call to have the work inspected. If we haven't performed the inspection by July 26, 2012, we will close the permit entirely. After that time, you may request an inspection and pay a $50.00 one -time inspection fee. If you have any questions, do not hesitate to contact us. Sincerely, Heather Catuzo Building Permit Technician 321 E 5 Street Port Angeles, WA 98362 hcatuzo @cityofpa.us 360 417 -4817 PROJECT STATUS UPDATE Permit# 061' lq IlPO4 W 51 L Date: 112)11- I phoned the: Applicant K4 616 6/ 1 1 T at 0 Property Owner at Contractor at I (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? v' Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. LM v e a r d i r i e raMml need g aft t6 4•6' 07 Ifo 19 I'3pvfl Z� 'EX get_ Lc. -7c) ,1 7 -4/1, 9 T:Forms /Building Division/Project Status Update PROJECT STATUS UPDATE Permit O C-, 1 Z 1q b, Date: '4--5 IL �e 1 phoned the Applicant f r` DP_ "Erv1/4-rl at 1 4 60 -0463 Property Owner at Contractor at (left a phone message, o discu se The permit (has expired, will expire soon). A at is the status of this project? Please call and schedule a final inpection. Or •e`ts\ Submit a "permit extension request" letter. 23. ad Let me know if the project is abandoned. i f" 5- a u V f2 4 --5 -II No ansuo e-4- ov s kor Q L{ -z5 -t 1 1 1 a OL. 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N H M m H 4 IBC O H H N W w o o w w h h o H Q Q i Q Q Q Q a ---..00 zww 00 00 oo H Npq W w oo •H n7 W w o) a1 00 H W qi0 QMO (AHH oo H H H F. HH H H aH oo HH H 0 o W W I I w W to W N W 4 4 a a w a1 O W a H H H N CO W r O W a W a) r O W a H H 0) CO r- a H w woo O Q a Q O H H H H N O o a H H N O Q a o o H H N 0 0 0X F W 0 N N H H 0 0 O W O O O O W O N N 0 0 0 O X a W a a U H H H H H a u H H H a a U H H H H a 2 0 a) GO l W a Q H X W w N U 'a H H H H 4 4 H H 4 4 H H a 0 N H 4 a 2 H a o 0 0 o E a o 0 H a o 0 w En aaE. wua H 0 x a1 a1 w H n z z z a a FC CO w o1 U m a H m g a H N aH Qwoz4a W a a a a r w W W a a au ,:4E U 0 a 4 a H an a) a) al a H E X a H a a Linda Pangrle From: Fred DeFrang [freddefrang @gmail.com] on behalf of DeFrang Services fred @defrangexecutiveservices.com] Sent: Monday, April 25, 2011 5:09 PM To: Linda Pangrle Subject: Permits As requested, please extend my permits at 1604 East 4 Numbers 04 -712 and 19- 12 Thank you. Fred DeFrang DeFrang Executive Services Legal Investigations /Process Service 1125 East First Street Port Angeles, WA 98362 360.460.0463 360.452.1168 (Fax) 7 1 www .defrangexecutiveservices.com fred @defrangexecutiveservices.com jyy sti fjp4 9- A to0;7;7( N 0 CO H 0 H 0 H W W 0 H 4 4 a 0 rn 0 w 0 o a a) 0 0 a) a) 0 a1 c 1r a1 ?1 0 H N 7, H1 0 H HI H Sa ?a 01 H 11 C Sa 1-I Sa 0) 0) C t+ 0) o r0 a) 0) a1 0 0 r1 a) C 0) 0 c H QS CO a H ro N 0 H H I1 HI 0) 0) 0 HI a a H, Q, •IH .1 H n H a .1 H 0 0 a 0 W 0 4 a- 0 0 0 0 0 0 F 0 0 0 0 H a Ir, U) W U) 01 0 0 O 0 0 0) 0 H Ir, N l0 W ^a G] 0 x 11) H rn 0 1n In .0 H U 4) a s vl ,n 0 H to rn W 0 o r r rn rn (0 z H "0 0 E N Z 0 If) It) O 0) 0 Z H 0 0 0 H rn H Z o W OD z 0 z a Z Z 0 H 0 0 1 0 W o 4 0 H rn 0 H U) H 01H0 Z H E F 0 0 0 o 0 0 0 F 0 H F o o H co UU Z Z a H v) Z 00 o 0 o U0 0 Z 0 0 00 0 W 0 Z 0000011 0 0 CA H W W H W N N a O N N 0 W 0 O 0 N r 0) CO O N N N z as q E H 4N to N 0 '0 o] E a l0 E q a a l0 W ZZ a H00 1 4 m 0 W 1'o 00 o 00 0 -a -o -a H E H H H U 0 0 0 0 1 Q H H a o x In O a O o a 0 a 00 H a If) 0 O a 0 0) 4 W o 1 ff H H 4 0 H U H 1 H U W H 0 W a I� Q F\ H S a) 0 0 oN 0\ U 0 W H\ Z (1 4 a) O U 0 0 1.. a) H 0 .7'i 0 0 H ?I 0 0 l0 W a U) >I l0 z a 00 cr) 0,00.000.1 a a) 0 l0 H >1 H H Cr, 0 n o 00,10 S U (5 H z m M Q F a E 1 a 0 cr) 0 0 0 Q 0 A E 0 0 (5 0 0 0 0 W E a 0 (5 0 Q 0 o 000 q U 41Z Q U0 UQ CZ 4 C rn0) U �1 W a v)0) 0 00 U0o W 0 0 U) W W a a) 0 a) a O O Z ra a U a U W W W 0 a a W W 0 0 0 0 aiZ 00 1 0P4 00440a "0000= E 000= Q a 0 0 0 0 0 0 a a 0 0 0 U F H E a a)n r a wmw a s a) Wa rn F0 Q Ja4 a cn 1 cn0 a 0 0) rn H Z( 1 a a H 0 a z m a 0 W W rn O F W a s ,a4 a W a• 0)1-1(1) a s H E I o ff hi 1 r; 4 17 4 h H a I-i hi b 4 Z 1 N O H D 1 0 QQ oo 1 mm o 0 o WW W o 0,0, q rno 1 0o HHI HI EEE H o0 W I I 1\ rn W a a O) 1 H H H N CO 0 W a a) H HI W R) H W D,00 0 U a 1 O O H H H 0 .'7. H 0 .7 a o O N H a01 a ti 00 a0 H WO NN HH 0 W 0 0 0 W0 NN 0 0a Ili a P4 r“.) 1 H I H D4 H IX C..) HI HI H H o z 0 a a W a O H Di 0 0 N, a Z F 0 0 0 o E 0 0 E 0 o 0 4 W 0 a a W H (r) 1 H CO H (1) 0>1 a E+ W U a 1 0 x W H Q Z Z Z a a (5 a, W 0) U W a H a .1 N a W o 0 4 a CCkss]]] I a a a WWW r w r a a 0 0 Q H O O a 4 a 0- 1 0 W R7 a F E a H a a 10 H H 0 0 0 0 H 0 0 a Q M 0 0 0 o 0) 0 a' la W C 1-1 la 0 0 0 b) ro CL 0 C M 0 H 0 a 0 0 a 0 H I 5 E 0 H 0 0 a E H 1 0 22 N r+0 0 W U) 0 0 0 O 0 0 0 W 7 0 :G 0 H H UE cn as H 0 0 0 0 2 H0 OE Z NH 0 z H H rH H z O a H W uC H 1 0 m W O U) H 0 H 2 0 0 0 x U) U U Z 2 0 0 0 H U) H a s Q 4 E 0 10 H N N <0 00 W cn U) a H z E 0 3 of 0 E H C H HU Z H 0 0 o 0 al G a O vH WX >.02 u 1 0 H H H W A< A 0 N o H 0 g q0 q uz U0 z 0 00 0(0 00.00.00.02 o w 0 0 000.0000 01 o0 00.0 H M a ry W a M V) W H O H 0�0 010)0 1 Ne `1) ni 0 �Hw 0 s a Z a r] 0 ^J H Q Q P W W W H H 0 U) W 0 a a 0 .o 0 0 W H .7 0 r1 H KC 1 H w w o o 0 a 0 o H 0 0, a a a a o ti a z o PP w a\ Q H WW ∎U) •u H a o U) H. .-12 H a o 0 a W z d re, GI H to a a El H W U a o W H Q z z z a a a a W 0 01 aH 1 QWOaFca w El a a au 1 FcHUOag a H m 0 c nc O M o OT=( la) 7 �,,,O»f,,,i BUILDING PERMIT T' 0 Print in ink CITY OF PORT ANGELES i N` l 1 Attn: Building Permit Technician For C Us O`,r` 12, p 321 E. Fifth St., Port Angeles, WA 98 62 or---3111‘.,e,,... r e (360) 417 -4815 fax (360) 417 -4711 Qz �f' �r roC �i -rmi ate A.t /�L'-. I car g ar 2 j� Applicant F A(/mn 4-,%.6;,._ A 6 P r- ;60 O a Property Owner Fled 4 rol nip De, Pro n 'hone Property Owner's Address 4 \apt\, Contractor d 1o�y 2r N— hone Contractor's Address As. License Expires E -mail G 'vcSerckes, c PROJECT ADDRESS /6.0 -/,�P/ OvP1-/ Si- Parcel Number Lot Zoning ps 7- f# Project Type Brief Description: 'Residential Multi- family Commercial Industrial Check all that apply Pe,IG L New Construction ,5 A sy-E0 Roar= p yv WeO 5icles BU r Addition one_ rnr -r, or Remodel USX 46 310 SF L 9 SF Repair 7` X t8' i2 5 F 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 //,5 0— per sq. ft. 1 Floor /(0(•8 2 Floor 3rd Floor Garage /7;-' qti- 6 I Z ��3�2 Carport Covered Porch 0-q Deck 'Sa4 3(' to l /05 Sw'1ce- Shed 7 4 Other— (4, .-fVf-I-9is I-1 LIt iii= G, t fi ?`f 4- LIIS TOTAL VALUATION 5,352 Total footprint of structures 1- 6 lei sq. ft. Lot size t.a 5 a) a, sq. ft. Lot coverage li, 3 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 o2 `fa 11% 1i 4 5c-- t. to °b Aa .Max. height of proposed structures T ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Aio Occupant load of full baths Will a fire sprinkler system be installed? /y,0 Construction type of half baths I have read and completed this application and know it to be and correct. I am authorized to or this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to w• projects. Date 0 Print Name YC6 1 (.0e Y6(-6 Signature IIII At/ T:Forms /Building Division /Building permit application l CA 7.7.,v, t:: s C I1111Li 1C 1 11 1 11111111 11 IL IL C f1 II 11 IC 11 1 1 11111L 1 11 1 C IC I1 1C11IC1 IC IL I1 il 11 1 1 11 1C 11 IC111C 1 11 11 1111111 L IC l1 1C1 L 1C1 IL IC IC C ClC1 ClLi C jIC111L11 t� t Ii ii ii iiI IL rim 111 C11111111j11 I1 IC IL fD t=n 110111111111 0 H a a 4 n O iiii i fl hiiii o i �-r c1 i? o a y ti 4 Z r a1 1 o 1 1C 1C 1L IC iL i o a 1 y a y 1 1C11 iC 111 C 1 n IL IL IC a 2 s d 0 IC IL 1 L1110i11C11i ,...19 m ClCI11C111C1 s s p 1 11; CI11C111C1 L o F C IC IC �1 E a 1C1C1111111 r a a 7 11L111Lj11C1 a r. y S IL IL IC C. ■IL..IC i C"--- e -I":\ e-." S ''..;15." ---.1..... Q--- IN, ...........44 _.1. li 4....., 1. ‘'l `N. c 4 7 I ,I r 1 Z- 7 ,4., l■--\ c?'s c c.. Cl'il i y 4 :.t.- C. 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L 7 Y, 1 i I 1 00 .17Z 0 s3ssni et OSSIOS -31INViol-31d ,");'•:;;',;;!;,'',!,;:p'',..f::::::1,:':, 1 i 4 .igi!:',II Af4'iT,I, 4.',.`,,. 4 I ,..4.,:-.:,.... il•,1..-_-..r.r.k..1a41.1->:.""%1i".;74 n44'';',-'1.1,1'.; 02 r E La- E I CTI -,',',5'.'',''':---..,,,,•.',.41.7-:'',4t,q,',1.-;'•'5,4‘'-ip.14;,V,;'.4::',!,',:' lv i.' i r" ,-5 .;.4 ,'i-. IV.1..'.' -4, r,,v4v. ..4t :;4,'... F,..',.,...,,,,:l..1:,,,i '•:1F'.:',..15.':,:-!,,,',44;.,,'.4': lt. 0 )T t I I v• i l i LeJ 1 i I r i t; 1 ONY14?:131t0 1 ,e 1 ,r1:, l' ..,:f.,:•,....:, f i r a 7 ACI)d (IS t (2 /c -r D..>ci T.. i ;:..:7. r.iiii 947-- (1)----)S ti V_ ,.....____L__v,....„_----7.--------•'' #10au 37tjaj 01Y) C;i1 I:A lc'119-Sj ----------Y 1 ''''''••'•••,•:".•,;:i'''-'!..:".;.:.:ii.:':;•.`,•.;.:L',:.:'L:CL.:-'.!;,:-....,:,•...:'g..•'..L•i',L••2.1• CITY OF PORT ANGELES 'Ir(�'� DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 09- 00001219 Date 4/01/10 Application pin number 482661 Property Address 1604 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 8335 -0000- Tenant nbr, name FRED /JEANIE DEFRANG Application type description RES ACCESSORY BUILDING Subdivision Name Property Use 7 r Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 51840 Application desc 1,728 SQ. FT. DETACHED GARAGE /SHOP Owner Contractor FRED JEANIE DEFRANG OWNER 3 NO01' ��1604 E 4TH ST PORT ANGELES WA 983624808 O �[1t (360) 460 -046 J Structure Information 000 000 1,728 SQ. FT. DETACHED SHOP /GARAGE n Other struct info HARD SURFACE AREA M Permit BUILDING PERMIT RESIDENTIAL Q/ P 0 I O Additional desc .(1 46 SF SHED ROOF OFF GARAGE 1 Q \71 Permit pin number 163139 Permit Fee 151.75 Plan Check Fee .00 L t ed. Issue Date 4/01/10 Valuation 51840 Expiration Date 9/28/10 Qty Unit Charge Per Extension BASE FEE 151.75 Special Notes and Comments The Fire Department has reviewed the project application and has no comments November 24, 2009 3:58:06 PM sroberds. The proposal will result in a detached garage /shop for total lot coverage of 16% and site coverage of 24% in the RS -7 zone. No land use issues anticipated. Electrical load calculations and electrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Proposed building shall not encroach into sewer easement. See permit #09 -1175 for sewer permit. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 151.75 151.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .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 1 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 ..es no presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constru t %U gi I A jab Date Print Name Signature of Contractor or .thorize. Agent Signature of Owner (if owner is builder) T:FormsBuilding 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 b AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling mall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove i Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blockirig 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 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 CITY OF PORT ANGELES e ir DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 1 Page 2 Application Number 09- 00001219 o Date 4/01/10 Application pin number 482661 Grand Total 156.25 156.25 .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 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit BUILDIN PERMIT INSPECTION RECORD 4. �O PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 5 a 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: I Footings 1 Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) m PLUMBING: Under Floor Slab "....._;,_:4 Rough -In .---1----..- Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling (-5� FRAMING: Joists Girders Under Floor _C. Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar t1 INSULATION: Slab Wall Floor Ceiling r–C MECHANICAL: 4 Heat Pump Furnace FAU /Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab I 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 Electrical 417 -4735 Construction R.W. PW Engineering 417-4831 Fire 417 4653 Planning 417 4750 0 4: t5'‘ Building 417 -4815 g 11 a -f-7 T T:Forms /Building Division /Building Permit Zi H 0, I O I H I 01 0 H I GI w I u H 1 aa a 0 I 0 0 0 0 ai a l0 H HI 04 14 1a 0 0 0 0 0 rt a a 1 M H ri a C4 H I .7. i H W W H n 2 2 r 01 w m 0 .o 00 0 0 w w .0 x x I H u Z' u) a s �n o H 4 0 0 z H 0 ,-1 W H n 2 H H 0 a Oa ,a 2 H 0 I 0 0 (1) U) 0 H U U 0 z 0 o 0 a 0 X 0 Cal w 1 H 10 H N W W 0 2 22 I 0 -1 00 0Hz OO aa 01 H H I 0 H U Z. 0 H 0 0 0 00 0w a zw u a 0 w a 5 0 w a w E a 0 0 0 0 o a.) 00 o c 01 al es n a (n cn 01 0 (1] u Q o cn 10 41 04 1) 0 11 11 a ai o w I0a 01 01, n a 0 0ou F E N H H M w w r, cn dM H E. r w w co GI maa aaaa E. (Z1 n a ama acne CI) H zm a z u w 41 a, H a H w M i x H H CJ Z a H Z a h 2 H a f] H I dl g4 o H q H H 0 I 41 w o o a a w\ o o pww o, a m 04 an nrno aaHE+ o\/ a HH o 00 ow W 10 41 U)1, �0a a 0, o W.] H 0 41 10 H H H w 0 1 14 0 0 0 0 a o o 0 a o J 0 aX a£ N a; 01 x 04 10 00 0 0 04 0 o f H0 I .1,a •w a a 1, l z o w m a 10 0 1 m E- 14 a z E 0 o E. 0 o 04 04000 W u H 1 a g o g 1, H I O 2 2 2 a a a' a a E a H 041)1010 W F 10 W F a (C s°' :r,,,,. BUILDING PERMIT APPLICATION Print in ink j 1 CITY OF PORT ANGELES .r i For City Use Orly: Attn: Building Permit Technician y Date Received '1 l ,23 --0 Imiri 321 E. Fifth St., Port Angeles, WA 98362 Permit 11.- (360) 417 -4815 fax (360) 417 =4711 l Date Approved Applicant A7:C°� mil Pho e r3 Property Owner Ari L':f✓ .vg- Pho. Property Owner's Address Contractor 1 L Phone Contractor's Address License Expires E-rni ifese cant PROJECT ADDRESS eas., 4 Parcel Number Lot Zoning R5 7 nn Project Type &Brief Description: Residential Multi- family ❑:Commercial Industrial Check all that apply flew Construction -56/4:47 Addition Remodel Repair Demolition Re -roof House arage 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 //5 per sq. ft. 1 Floor /1 7A 2 Floor 3` Floor Garage 11 i R 7i0 MIMI Carport Covered Porch Deck £j >3o t,i qb Shed /71a 9 Other S v c,ce i 2. t q.t. SZ£o-rU, -r 1128 =Alz TOTAL VALUATION t 0 y Total footprint of structures I aH,. sq. ft. Lot size ea 5 2-1 Z sq. ft. .Lot coverage 6 .3 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 11 gb t 19 36)5P .1- yl; v,1L 2'5) 2� 2,12 Max. height of proposed structures d11 ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? fe) Occupant load of full baths Will a fire sprinkler system be installed? ✓v Construction type of half baths •1 have read and completed this application and knows it to be true and correct. l HIS authorized to apply for this permit and understand that it is my responsibility to determine what permits are require 1. and to obtain permits prior !crk g un rojects. Date (7, 3 l e i 7 4 Signature lit 4,' fr nttva T:i om /Bucding !Division/Bldg Permi!.doo v, t tz n``�.bz S r x 4 r?�C�L M s m r� rr"�''s.'"r r" §'gyp" `"i r ,x 4`"y'�G. !ap it "a9� 4041„.14-4g.4,.„.„,':i.:„St?„,V;;-;'„,-..". L M r o f .�'P t ^v -r ,l r S a F i 4 v. w r i -4 T 1 g b 3 9 i. t a f 1 r R' N i f o r s- I uro 031,(,0‹1600N1 "•.r.- .,.._,....,w, i a sy —mow so c I 7J R6 VM Sal)Or'1✓ 124'1: I J ..O n� v o ur o9r 3 ^011c1 C I s L33NLS nit' ✓1 Y 4091 L o y C. I 0 9 v.+ 'S31303 1M1d )VV,0.03Q 31N ✓J( NhJ •7 3J J A o 1 I o ff 2 o \o zz 3.. s AaoeV3d S 6.7 a .)I %)'I_i y. 3a vo 4 1 2 1 0, t d d Q yy NIV'ld 'l.l.. i �1' 'tlb7 w sa or f I o VM '53130 1dad '1332/LS H14 13+7'3 4091 1V S1 1 13V3A0ddV1 03S9,1021,1 16 N NNN% a 1 A' 5 //Ili ...1.. S. a W i 0 41/N M s rii Z wN v im ti yy a0 Iv o o W O 9 O FY 'Or .0 �I O 1 L K) 0 0y1 z II xo J _0 W o U V o I IIIII' i I 111111 AII� II��1 1 i ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 0 Application Number 09- 00001186 Date 11/13/09 1 Application pin number 478174 Property Address 1604 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 8335 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc HOT TUB Owner Contractor DEFRANG, FRED /JEANIE OWNER 1604 E 4TH ST PORT ANGELES WA 983624808 v' Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 156612 Permit Fee 86.25 Plan Check Fee .00 Issue Date 11/13/09 Valuation 0 Expiration Date 5/12/10 Qty Unit Charge Per Extension 1.00 86.2500 ECH EL- SWIMMING POOL /HOT TUB 86.25 Fee summary Charged Paid Credited Due Permit Fee Total 86.25 86.25 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.25 86.25 .00 .00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: tbl J 01 Signature of owner or Electrical Contractor X d Date: A City RECEIVE 1 of coRrAA of Port Angeles Permit Application qterr Y 9 pp NOV t s Building ng Di P.O. Street P Box 1150 Port Angeles Washington, 98362 if Ph: (360) 417 -4735 Fax: (360) 417-4711 ELECTRICAL 4 INSPECTIONS V ;2/•' Date: /7-1 2—(j, .2 Single Family Dwelling. Multi- Family or Commercial* Commercial Addition Alteration Remodel 1 Repair* Plan Review May Be Required; Please Complete Electrical Plan Review Information Sheet Job Address: /(1 7 E `f qtr Building Square Footage: N /,4 Description of above f jT 7 Z i 13 a'r` -i 1 1 l i e 5 Owner Information Contractor Information Name: F�l,�-+✓ Name: Mailing,Address: /4 G y C 1 Mailing Address: City: /n r� State: GdA- Zip: /��310� City: State; Zip: Phone: O•�Vaj Fax: Phone: Fax: License Exp. License Exp. Unit Charge Qty Total (Qty Multiplied by Unit Charge) 93.75 Service /Feeder 200 Amp. $113.75 Service /Feeder 201 -400 Amp. $160.00 Service /Feeder 401 -600 Amp. $205.00 Service /Feeder 601 -1000 Amp. $291.25 Service /Feeder over 1000 Amp. 2.00 Branch Circuit W/ Service Feeder 57.50 Branch Circuit W/O Service Feeder 2.00 Each Additional Branch Circuit 72.50 Temp. Service/ Feeder 200 Amp. 86.25 Temp. Service /Feeder 201 -400 Amp. $116.25 Temp. Service /Feeder 401 -600 Amp. $131.25 Temp. Service /Feeder 601 -1000 Amp. 75.00 Portal to' Portal Hourly 69.00 SignlOutline Lighting 75.00 Signal Circuit/ Limited Energy Commercial 50.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling 50.00 Signal Circuit/ Limited Energy Multi Family Dwelling 93.75 Manufactured Home Connection 80.00 Renewable Electrical Energy 5KVA System or Less 86.25 First 1300 Square Ft. 27.50 Each Additional 500 Square Ft. or Portion of 57.50 Each Outbuilding or Detached Garage 86.25 ?z; Each Swimming Pool or Hot Tub 43.75 Thermostat 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. After reading the above statement, l 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 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, e! 'cal contractor or electrical administrator Cash t, J Check Date_ r 0 0 Credit Card 4 s ELECTRICAL PERMIT CITY OF PORT ANGELES 0 360 -417 -4735 -D Application Number 09- 00001221 Date 11/24/09 Application pin number 990142 Property Address 1604 E 4TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1- 8335 -0000- /f\„1 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation • 0 Application desc 200 amp service 14 circuits for shop Owner Contractor DEFRANG, FRED /JEANIE OWNER 1604 E 4TH ST PORT ANGELES WA 983624808 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 157081 Permit Fee 121.75 Plan Check Fee .00 Issue Date 11/24/09 Valuation 0 Expiration Date 5/23/10 Qty Unit Charge Per Extension 14.00 2.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 28.00 1.00 93.7500 ECH EL -0 -200 SRV FEEDER 93.75 Fee summary Charged Paid Credited Due Permit Fee Total 121.75 121.75 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 121.75 121.75 .00 .00 6015u rt. p (7 /1) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE /i9 f /D '01/25 ROUGI -I -IN FINAL COMMENTS: /0)26 JZ 2% Signature of owner or Electrical Contractor X Date RECEI,,, 1. NOV pORT A City of Port Angeles Permit Application NOV 2 4 2009 6 5 t te- Building DivisionlElectrical Inspections 321 East Fifth Street P.O. Box 1150 ELECTRICAL Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS Ti Date: /4 o -e 1 2 Single Family Dwelling. a Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: f6 6'. 1 e ---e? r--- Building Square Footage: E 7 ca-'g Description of above _a.i ..al..: Owner Information Contractor Information Name: be,, n.-- Name: ried e/ -a,n Mailing Address: o f f Mailing Address: City: P/ State: Zip: City: State: Zip: Phone: W3 Fax: Phone: Fax: License Exp. License Exp. Unit Charge Qty Total (Qty Multiplied by Unit Charge) 93.75 1 '-3 7 5 Service /Feeder 200 Amp. $113.75 Service /Feeder 201 -400 Amp. Are $160.00 Service /Feeder401 -600 Amp. Gde/dev- $205.00 Service /Feeder 601 -1000 Amp. /f WI 7 $291.25 Service /Feeder over 1000 Amp. 2.00 Branch Circuit W/ Service Feeder ASie4cf 57.50 Branch Circuit W/O Service Feeder C-e. 1,5'td-s 2.00 Q-6 4---- Each Additional Branch Circuit aj 6S /0 72.50 Temp. Service/ Feeder 200 Amp. 86.25 Temp. Service /Feeder 201 -400 Amp. $116.25 Temp. Service /Feeder 401 -600 Amp. $131.25 Temp. Service /Feeder 601 -1000 Amp. 75.00 Portal td Portal Hourly 69.00 Sign /Outline Lighting 75.00 Signal Circuit/ Limited Energy Commercial 50.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling 50.00 Signal Circuit/ Limited Energy Multi Family Dwelling 93.75 Manufactured Home Connection 80.00 Renewable Electrical Energy 5KVA System or Less 86.25 First 1300 Square Ft. 27.50 Each Additional 500 Square Ft. or Portion of 57.50 Each Outbuilding or Detached Garage 86.25 Each Swimming Pool or Hot Tub 43.75 Thermostat lai 2 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. 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 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owne :2::: rical contractor or electrical administrator Cash A "4_ F._%: A Credit Linda Pangrle From Fred DeFrang [freddefrang @gmail.com] on behalf of DeFrang Services [fred @defrangexecutiveservices.com] Sent: Monday April 25 2011 5 09 PM To Linda Pangrle Subject: Permits As requested, please extend my permits at 1604 East 4 Number Thank you Fred DeFrang DeFrang Executive Services Legal Investigations /Process Service 1125 East. First Street Port Angeles, WA 98362 360.460.0463 360.452.1168 (Fax) www .defraneexecutiveservices.com fred (adefraneexecutiveservices.com 1 nd 09 -1219 ro try, J� i" vor s'' P b<?" 00/ 0\ Cor ci ,,k\-4 e) \Mui- Property Owner Contractor I (left a phone m- discussed) T Forms /Building Division/Project Status Update PROJECT STATUS UPDATE Permit# _1I Z— Dates 1( ot I phoned the Applicant I Y E! Q f rz q I L sw- e Q.,-- ry J. II 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 L1-5- l i 1N n an see,(' s e� n© s f r re.k a rY\t C� 121 a 9-254 t 4Q QP J, b. S-' \o. .,e2.6u24 o C'_o -a 4 s J vyv, c.Qo %A. PREPARED 11/17/05 12 22 48 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/17/05 ADDRESS 1604 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER DEFRANG FRED /JEANIE PHONE PARCEL 06 30 00 0 1 8335 0000 APPL NUMBER 04 00000712 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/16/04 JLL BUILDING FOUNDATION FOOTING 9/16/04 AP Dan 417 5152 BL3 01 5/26/05 JLL BUILDING FRAMING TIME 17 00 5/26/05 AP 05/23/2005 01 14 PM RVESS FRED DEFRANG 460 0463 NEED TO CALL ON WEDNESDAY TO SET UP TIME FOR INSPECTION AND MEET WITH FRED AND SOMERS ON THE JOB SITE 05/26/2005 04 36 PM JLIERLY BAIR 01 6/15/05 JLL BUILDING AIR SEAL 6/15/05 AP 06/15/2005 01 00 PM JLIERLY 460 0463 06/15/2005 04 52 PM JLIERLY BLI 01 6/22/05 JLL BUILDING INSULATION 6/22/05 AP 06/22/2005 11 37 AM DYASUMUR FRED DEFRANG 683 0381 MSG ONLY 06/22/2005 03 52 PM JLIERLY BL1 02 8/08/05 JLL BUILDING FOUNDATION FOOTING 8/08/05 AP FOOTING INSPECTION 08/05/2005 08 35 AM PBARTHOL FRED 4600463 08/08/2005 04 47 PM JLIERLY BI2 01 8/22/05 JLL BUILDING FOUNDATION WALL 8/22/05 AP 460 0463 08/22/2005 04 44 PM JLIERLY BLEW 01 8/22/05 JLL BUILDING FTG /WALL 8/22/05 AP 08/22/2005 09 48 AM PBARTHOL FRED 460 0463 08/22/2005 04 46 PM JLIERLY BL3 02 9/16/05 JLL BUILDING FRAMING TIME 17 00 9/16/05 DA 09/15/2005 03 42 PM PBARTHOL FRED 460 0463 09/19/2005 11 02 AM PBARTHOL DOUBLE JOIST/ RAFTER HANGERS BAIR 02 11/04/05 JLL BUILDING AIR SEAL 11/04/05 AP 11/04/2005 10 11 AM PBARTHOL FRED 460 0463 11/04/2005 02 57 PM JLIERLY BL3 03 11/04/05 JLL BUILDING FRAMING 11/04/05 AP 11/04/2005 10 10 AM PBARTHOL 11/04/2005 02 57 PM JLIERLY BLI 02 11/17/05 J 1UI16ING INSULATION i 1 1 11/16/2005 03 03 PM PBARTHOL FRED 460 0463 COMMENTS AND NOTES PREPARED 11/04/05 11 40 09 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/04/05 ADDRESS 1604 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER DEFRANG FRED /JEANIE PHONE PARCEL 06 30.00 0 1 8335 0000 APPL NUMBER 04 00000712 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/16/04 JLL BUILDING FOUNDATION FOOTING 9/16/04 AP Dan 417 5152 BL3 01 5/26/05 JLL BUILDING FRAMING TIME 17 00 5/26/05 AP 05/23/2005 01 14 PM RVESS FRED DEFRANG 460 0463 NEED TO CALL ON WEDNESDAY TO SET UP TIME FOR INSPECTION AND MEET WITH FRED AND SOMERS ON THE JOB SITE 05/26/2005 04 36 PM JLIERLY BAIR 01 6/15/05 JLL BUILDING AIR SEAL 6/15/05 AP 06/15/2005 01 00 PM JLIERLY 460 0463 06/15/2005 04 52 PM JLIERLY BLI 01 6/22/05 JLL BUILDING INSULATION 6/22/05 AP 06/22/2005 11 37 AM DYASUMUR FRED DEFRANG 683 0381 MSG ONLY 06/22/2005 03 52 PM JLIERLY BL1 02 8/08/05 JLL BUILDING FOUNDATION FOOTING 8/08/05 AP FOOTING INSPECTION 08/05/2005 08 35 AM PBARTHOL FRED 4600463 08/08/2005 04 47 PM JLIERLY BI2 01 8/22/05 JLL BUILDING FOUNDATION WALL 8/22/05 AP 460 0463 08/22/2005 04 44 PM JLIERLY BLEW 01 8/22/05 JLL BUILDING FTG /WALL 8/22/05 AP 08/22/2005 09 48 AM PBARTHOL FRED 460 0463 06/22/2005 04 46 PM JLIERLY BL3 02 9/16/05 JLL BUILDING FRAMING TIME 17 00 9/16/05 DA 09/15/2005 03 42 PM PBARTHOL FRED 460 0463 09/19/2005 11 02 AM PBARTHOL DOUBLE JOIST/ RAFTER HANGERS BAIR 02 1 /04 05 BUILDING AIR SEAL 11/04/2005 10 11 AM PBARTHOL FRED 460 0463 BL3 03 1 /0 /05 JL BUILDING FRAMING 11/04/2005 10 10 AM PBARTHOL 1_ PERMIT ELAR 00 ELECTRICAL ALTER RESIDENTIAL SUB JEDI ELECTRIC (360)460 0556 REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS EL1 01 5/04/05 ACO ELECTRICAL ROUGH IN 5/04/05 AP 05/04/2005 03 05 PM AOMAN 05/05/2005 08 05 AM AOMAN EL1 02 10/12/05 ACO ELECTRICAL ROUGH IN TIME 17 00 10/12/05 AP ROUGH IN LIVING ROOM SUNROOM10 /21/2005 12 19 AM AOMAN 10/21/2005 12 19 AM AOMAN PERMIT ELNR 00 ELECTRICAL NEW RESIDENTIAL REQUESTED INSP DESCRIPTION r./ PREPARED 9/16/05 12 40 49 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/16/05 ADDRESS 1604 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER DEFRANG FRED /JEANIE PHONE PARCEL 06 30 00 0 1 8335 0000 APPL NUMBER 04 00000712 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/16/04 JLL BUILDING FOUNDATION FOOTING 9/16/04 AP Dan 417 5152 BL3 01 5/26/05 JLL BUILDING FRAMING TIME 17 00 5/26/05 AP 05/23/2005 01 14 PM RVESS FRED DEFRANG 460 0463 NEED TO CALL ON WEDNESDAY TO SET UP TIME FOR INSPECTION AND MEET WITH FRED AND SOMERS ON THE JOB SITE 05/26/2005 04 36 PM JLIERLY BAIR 02 6/15/05 JLL BUILDING AIR SEAL 6/15/05 AP 06/15/2005 01 00 PM JLIERLY 460 0463 06/15/2005 04 52 PM JLIERLY BLI 01 6/22/05 JLL BUILDING INSULATION 6/22/05 AP 06/22/2005 11 3 AM DYASUMUR FRED DEFRANG 683 0381 MSG ONLY 06/22/2005 03 52 PM JLIERLY BL1 02 8/08/05 JLL BUILDING FOUNDATION FOOTING 8/08/05 AP FOOTING INSPECTION 08/05/2005 08 35 AM PBARTHOL FRED 4600463 08/08/2005 04 47 PM JLIERLY BI2 01 8/22/05 JLL BUILDING FOUNDATION WALL 8/22/05 AP 460 0463 08/22/2005 04 44 PM JLIERLY BLEW 01 8/22/05 JLL BUILDING FTG /WALL 8/22/05 AP 08/22/2005 09 48 AM PBARTHOL FRED 460 0463 08/22/2005 04 46 PM JLIERLY BL3 02 9 r/o 5 JLL BUILDING FRAMING TIME 17 00 09/15/ 2005 03 42 PM PBARTHOL FRED 460 0463 COMMENTS AND NOTES PREPARED 8/22/05 13 56 04 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/22/05 ADDRESS 1604 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER DEFRANG FRED /JEANIE PHONE PARCEL 06 30 00 0 1 8335 0000 APPL NUMBER 04 00000712 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/16/04 JLL BUILDING FOUNDATION FOOTING 9/16/04 AP Dan 417 5152 BL3 01 5/26/05 JLL BUILDING FRAMING TIME 17 00 5/26/05 AP 05/23/2005 01 14 PM RVESS FRED DEFRANG 460 0463 NEED TO CALL ON WEDNESDAY TO SET UP TIME FOR INSPECTION AND MEET WITH FRED AND SOMERS ON THE JOB SITE 05/26/2005 04 36 PM JLIERLY BAIR 01 6/15/05 JLL BUILDING AIR SEAL 6/15/05 AP 06/15/2005 01 00 PM JLIERLY 460 0463 06/15/2005 04 52 PM JLIERLY BLI 01 6/22/05 JLL BUILDING INSULATION 6/22/05 AP 06/22/2005 11 37 AM DYASUMUR FRED DEFRANG 683 0381 MSG ONLY 06/22/2005 03 52 PM JLIERLY BUILDING FOUNDATION FOOTING FOOTING INSPECTION 08/05/2005 08 35 AM PBARTHOL FRED 4600463 08/08/2005 04 47 PM JLIERLY BI2 01 22/ 5 L BUILDING FOUNDATION WALL 460 0463 BLFW 01 /22/ 5 LL BUILDING FTG /WALL 09•4a nM PBARTHOL FRED 460 0463 BL1 02 8/08/05 JLL 8/08/05 AP COMMENTS AND NOTES PREPARED 8/08/05 14 03 49 CITY OF PORT ANGELES ADDRESS 1604 E 4TH ST CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT BPR 00 BUILDING PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT BL1 01 9/16/04 9/16/04 BL3 01 5/26/os 5/26/os BAIR 01 6/15/05 BLI 01 6/22/05 6/22/05 BL1 02 8 0 /05 DEFRANG FRED /JEANIE 06 30 00 0 1 8335 0000 04 00000712 RES ADDITION 6/15/05 JLL AP JLL AP JLL AP JLL AP JLL RESIDENTIAL DESCRIPTION RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES L LIERLY SUBDIV PHONE PHONE BUILDING FOUNDATION FOOTING Dan 417 5152 BUILDING FRAMING TIME 17 00 05/23/2005 01 14 PM RVESS FRED DEFRANG 460 0463 NEED TO CALL ON WEDNESDAY TO SET UP TIME FOR INSPECTION AND MEET WITH FRED AND SOMERS ON THE JOB SITE 05/26/2005 04 36 PM JLIERLY BUILDING AIR SEAL 06/15/2005 01 00 PM JLIERLY 460 0463 06/15/2005 04 52 PM JLIERLY BUILDING INSULATION 06/22/2005 11 37 AM DYASUMUR FRED DEFRANG 683 0381 MSG ONLY 06/22/2005 03 52 PM JLIERLY BUILDING FOUNDATION FOOTING FOOTING INSPECTION 08/05/2005 08 35 AM PBARTHOL FRED 4600463 COMMENTS AND NOTES PAGE 1 DATE 8/08/05 PREPARED 6/22/05 13 23 46 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/22/05 ADDRESS 1604 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER DEFRANG FRED /JEANIE PHONE PARCEL 06 30 00 0 1 8335 0000 APPL NUMBER 04 00000712 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/16/04 JLL BUILDING FOUNDATION FOOTING 9/16/04 AP Dan 417 5152 BL3 01 5/26/05 JLL BUILDING FRAMING TIME 17 00 5/26/05 AP 05/23/2005 01 14 PM RVESS FRED DEFRANG 460 0463 NEED TO CALL ON WEDNESDAY TO SET UP TIME FOR INSPECTION AND MEET WITH FRED AND SOMERS ON THE JOB SITE 05/26/2005 04 36 PM JLIERLY BAIR 01 6/15/05 JLL BUILDING AIR SEAL 6/15/05 AP 06/15/2005 01 00 PM JLIERLY 460 0463 06/15/2005 04 52 PM JLIERLY BLI 01 6/22/05 JLL BUILDING INSULATION FRED 11 37 AM 3Y 0381 MSG FRED DEFRANG 683 0381 M ONLY COMMENTS AND NOTES PREPARED 6/15/05 13 09 52 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/15/05 ADDRESS 1604 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER DEFRANG FRED /JEANIE PHONE PARCEL 06 30 00 0 1 8335 0000 APPL NUMBER 04 00000712 RES ADDITION PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 ¢/15/05 JLL MECHANICAL GAS LINE 06/15/2005 01 01 PM JLIERLY COMMENTS AND NOTES PREPARED 6/15/05 13 09 52 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS 1604 E 4TH ST CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/16/04 9/16/04 BL3 01 5/26/05 5/26/05 DEFRANG FRED /JEANIE 06 30 00 0 1 8335 0000 04 00000712 RES ADDITION JLL AP JLL AP BAIR O1 /15 /OS7LL SUBDIV PHONE PHONE BUILDING FOUNDATION FOOTING Dan 417 5152 BUILDING FRAMING TIME 17 00 05/23/2005 01 14 PM RVESS .FRED DEFRANG 460 0463 NEED TO CALL ON WEDNESDAY TO SET UP TIME FOR INSPECTION AND MEET WITH FRED AND SOMERS ON THE JOB SITE 05/26/2005 04 36 PM JLIERLY BUILDING AIR SEAL 06/15/2005 01 00 PM JLIERLY 460 0463 CONTINUED ONTO NEXT PAGE PAGE 1 DATE 6/15/05 PREPARED 5/26/05 12 51 40 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/26/05 ADDRESS 1604 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER DEFRANG FRED /JEANIE PHONE PARCEL 06 30 00 0 1 8335 0000 APPL NUMBER 04 00000712 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/16/04 JLL BUILDING FOUNDATION FOOTING 9/16/04 AP Dan 417 5152 BL3 01 5,/26105 SL BUILDING FRAMING TIME 17 00 05/23/2005 01 14 PM RVESS FRED DEFRANG 460 0463 NEED TO CALL ON WEDNESDAY TO SET MEET WITH FRED AND SOMERS ON THE JOB SITE COMMENTS AND NOTES UP TIME FOR INSPECTION AND PREPARED 9/16/04 12 48 22 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/16/04 ADDRESS 1604 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER DEFRANG FRED /JEANIE PHONE PARCEL 06 30 00 0 1 8335 0000 APPL NUMBER 04 00000712 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/ 6/ 4 LL� BUILDING FOUNDATION FOOTING 1 Dan 417 5152 COMMENTS AND NOTES Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor DEFRANG FRED /JEANIE 1604 E 4TH ST PORT ANGELES Structure Information 384SF DECK ENCLOSER 164SF COVERED PORCH Construction Type TYPE V NON RATED Occupancy Type SINGLE FAM CONGREGATES Other struct info TOTAL LOT COVERAGE 13 30 CONSTRUCTION TYPE V N HARD SURFACE AREA NUMBER OF STORIES 2 00 EXISTING LOT COVERAGE 1335 00 LOT SIZE 15400 00 PROPOSED LOT COVERAGE 718 00 TOTAL LOT COVERAGE 2053 00 NUMBER OF UNITS 1 00 Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE 2 00 7 2500 ECH ME VENT FAN Qty Unit Charge Per Permit Additional desc Permit Fee Issue Date Expiration Date Signature of Contractor or Authorized Agent T• \PLANNING \FORMS\1 102.15 11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 04 00000712 373736 1604 E 4TH ST 06 30 00 0 1 8335 0000 RES ADDITION WA 983624808 MECHANICAL PERMIT RS7 RESDNTL SINGLE FAMILY 40000 OWNER Date 8/18/04 61 50 Plan Check Fee 00 8/18/04 Valuation 0 2/15/05 BASE FEE 5 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP BUILDING PERMIT RESIDENTIAL Extension 47 00 14 50 Permit PLUMBING PERMIT Additional desc Permit Fee 82 00 Plan Check Fee 00 Issue Date 8/18/04 Valuation 0 Expiration Date 2/15/05 Extension 47 00 35 00 566 25 Plan Check Fee 226 50 8/18/04 Valuation 40000 2/15/05 Qty Unit Charge Per Extension BASE FEE 414 75 15 00 10 1000 THOU BL -25 001 50K (10 10 PER K) 151 50 F Special Notes and Comments SeparA ggr S A;" tl641i1W §Al t(l s 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 t ue and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or no r e granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law reguAin c. struction or the performance of construction. g/i Date Signature of Owne o er is ilder) ['Sate 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 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 WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION 10 a SLAB M WALL FLOOR /aIiti9I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT /Ps: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING I ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4307 PW ENGINEERING FIRE 417 -4653 I PLANNING DEPT 417 -4750 I I BUILDING 417 -4315 T \PLANNING\FORMS \1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. YES I NO I I I I I I I I I FIRE DEPT PLANNING DEPT BUILDING DATE I ACCEPTED I YES I NO I I I I I I I I I .,„,srANG, Imo= 44k. Application Number 04 00000712 Pin number 373736 Special Notes and Comments wells or piped to approved storm drain locations Site is located in the RS 7 Lot coverage is good at 13% and setbacks are in compliance No land use issues noted Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense Other Fees Fee summary Charged Paid Credited Due Permit Fee Total 709 75 709 75 00 00 Plan Check Total 226 50 226 50 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 940 75 940 75 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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 Page 2 Date 8/18/04 STATE SURCHARGE 4 50 SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD /DUCTS ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD 7 CALL 417 -4815 FOR BIJILDING 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 FIRE 417 -4653 PLANNING DEPT 417-4'50 I BUILDING 417-4E15 I I Pi T• \PLANNING FORMS \1102.15 [11/14/2003] I ACCEPTED 'ES NO FOUNDATION: i FOOTINGS 4� I r o A`/ I w 1 LL/ I 6/0/6 C_! A C WALLS I I I 1 (J6 �L� r! ety�� 4.4/' FOUNDATION DRAINAGE/DOWN SPOUTS I I I GGG 4l ELECTRICAL (LIGHT DEPT) SEPARATE PERMIItT� l ROUGH -IN �s� O I J I PLUMBING UNDER FLOOR SLAB ROUGH -IN I WATER LINE (METER TO BLDG) I GAS LINE I BACK FLOW WATER AIR SEAL WALLS I t> /i 5/o6 I Sw CEILING -QS FRAMING JOISTS GIRDERS I I SHEAR WALL /HOLD DOWNS I WALLS ROOF CEILING 1 q7(010 5 r VaA1/K I N -es /3 P J J+ DRYWALL (INTERIOR BRACED PANEL ONLY) I I T -BAR I I INSULATION I I Y►S V ic+-h 0 t1 pi r m S J J- L PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER I SEWER CONNECTION I SANITARY I STORM I PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING I ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL 417 -4 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING COMMENTS DATE I ACCEPTED I YES I NO I I I I I I I i I Fill out COMPLETELY and in INK. Your application and site plan MUST B i COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: /Lied ,'w De fir fied 4 svQ.(ma Address —04 E. 'f Architect/Engr• mee Contractor d n e1 h Address. PROJECT ADDRESS 160/ E. 4 s! Aim Lrg LEGAL DESCRIPTION Lot: Ai/ L >4 Block: 45 Subdivision. CLALLAM COUNTY PARCEL NUMBER. Oe, .3oaD OMB 335 (MO /S n9 46 Owner Credit Card Holder Name: Billing Address: Credit Card Type VISA MC TYPE OF WORK. Residential New Constr Re -roof Multi family a Addition Move Commercial Remodel Demolition Repair Sign BRIEF DESCRIPTION OF THE PROJECT eNC`LaSP eyi S /nG de l'. PLANNING USE ONLY BUILDING PERMIT APPLICATION 4L City rz State License City Stove City- SIZE/VALUATION o u t o) Phone 3/ (mesSag) Phone S' Zip ir.362 Phone 3yya Exp Phone Zip ZONING 084 SF 75 /SF a 8, gee Garage 6 If SF 5,0`"-5,0`"--e /SF 8', Zoo Deck hlza ff. /SF 000 Other TOTAL VALUATION 427 C) /112/ 22/01/ TD E)LISiM/67 gEntifii M 4N 0 8,14,1 .4i)O 2vv COMMERCIAL/RESIDENT IA O &pancy Group. Occupant Load. Construction Type: No. of Stories. Lot Size: tic x w© Existing Sq Ft. Proposed Sq Ft. 1 TOTAL Sq. Ft. 2 Total lot coverage I `4 ESA/Wetland(s) Yes No SEPA Checklist required? Yes 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 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 R105.3.2 of the International Buildmg/Residential Code, 2003) 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 correc 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 Iii in such permits prior to work. T•\RVESS\BLDG- forms- brochures\2003- Buildingpermit.wpd Applicant: U Exp. Date: FOR OFFICIAL USE ONLY Date Rec. P —1 4 Ott Permit Date Approved. LAate Issued: 7Z.1 Sec. c APPROVALS. PLAN BLDG DPWU FIRE. OTHER. Date: 0-• /LH ,OA Scale /N SCALE. UA'it. N N W o U gal O p n M7 cA g J aa au ;Iwo W Z CI) o z N Q Q d o 0 w N tuo r.4 CI Q W Q a NOTED APRIL 2004 FILE. 02291 DEFRANG/ENCR/ QNL/02291E -1.011G JOB NO: 02291 i I A661 -1,0-A) 14.5. y S`z Pow 4.70 x 416 1 20q ur .11-1 641, 140.7 f u �s(s6o1�i D.N n F b.sYLfn R Pt/ v tA 2Go u '7>S1 0 17, SCE (1 L P•4 *IA (,46(.. OA. toJ t'' Ok y 4.0 �(L6 o L 6 i �c.r2 b .i I-I ye LS II 26o 1.3� 2 M 1 b A 2 ^-1- s '-2 Y 1-1 1)r 1 F/ 2/ 2 fR v) 9///_. 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T (9 'r) Lci6 v['. t/ 3 3 o( 0 --/is-(740) Application Number 09 00001175 Application pin number 617350 Property Address 1604 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 8335 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Sewer connection for garage Owner Contractor DEFRANG FRED /JEANIE 1604 E 4TH ST PORT ANGELES CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Permit SANITARY SEWER HOOK UP Additional desc SEWER TO GARAGE Permit pin number 156406 Permit Fee 135 00 Plan Check Fee 00 Issue Date 11/10/09 Valuation 0 Expiration Date 5/09/10 Qty Unit Charge Per Extension 1 00 135 0000 EA SAN SEWER HOOKUP 135 00 Fee summary WA 983624808 Charged Paid Credited Date 11/10/09 R J SERVICES INC 514 IRVING JACOBS RD PORT ANGELES WA 98362 (360) 457 1420 Due Permit Fee Total 135 00 135 00 00 00 Plan Check Total 00 00 00 00 Grand Total 135 00 135 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 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 t' •i e a thority to violate or cancel the provisions of any state or local law regulating construction or the performance of constr Signatur�f actor r Authorized Agent T' \Policies \1102 15 [10/081 Date Signature of Owner (if owner is builder) Date CALL 417 -4831 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITAR Y STORM SITE DRAINAGE CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies \1102 15 [10 /08] RESIDENTIAL PERMIT INSPECTION RECORD YES 1 NO SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING 1 FIRE DEPT I PLANNING DEPT I BUILDING Application pin number 373736 Property Address 1604 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 8335 0000 Application type description RES ADDITION Subdivision Name Property Use Property Zoning Application valuation Owner DEFRANG FRED /JEANIE 1604 E 4TH ST PORT ANGELES Permit Additional desc 'Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Other Fee Total Grand Total WA 983624808 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 421 EAST 5TH STREET PORT ANGELES. WA 98362 RS7 RESDNTL SINGLE FAMILY 40000 Contractor OWNER Structure Information 000 000 384SF DECK ENCLOSER 164SF COVERED PORCH Construction Type TYPE V NON RATED Occupancy Type SINGLE FAM CONGREGATES Other struct info TOTAL LOT COVERAGE 13 30 CONSTRUCTION TYPE V N HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS ELECTRICAL ALTER RESIDENTIAL JEDI/ ALTERED SVC 48397 JEDI ELECTRIC 66 90 5/04/05 Valuation 10/31/05 Plan Check Fee Special Notes and Comments When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations Site is located in the RS 7 Lot coverage is good at 13% and setbacks are in compliance No land use issues noted Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense Other Fees STATE SURCHARGE Fee summary Charged Paid Credited 66 90 66 90 00 00 00 00 4 50 4 50 00 71 40 71 40 00 2 00 1335 00 15400 00 718 00 2053 00 1 00 Qty Unit Charge Per Extension 1 00 66 9000 ECH EL R OR RM 0 200 ALT SRV FDR 66 90 Due 4 SO 00 00 00 00 00 0 ELECTRICAL PERMIT INSPECTION RECORD 'CALL 417 -4735 FOR ELECTRICAL INSPECTIONS: PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCI ROUGH -IN COVEIR SERVICE FINAL GENERAL COMMENTS: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO /a-4z es' Arat4i11 -mi SuN 5 -i/ os- Lr `�tsu"1 I x o5 I,r 1 1 1 1 1 1 1 1 1 1 1 1 I COMMENTS PW.11U2.15 [461 1 tT s.,e )Electrical Contractor Owner Job wired by Electrical contractor narps AE Da Ell GTfIC Purchaser's mailing address P.O. Pox 3 5k' City State ZIP Pon fl APte leS (..„0.,. le'36P2 Tele hone number FAX number n‘ /7er £L etc 'Premises owner's ame Fr Ca d 4t 146- Address of inspection 16 o'1 X57 11 City or J /onset 'er /signature of owne lectrical contractor or electrical administrator X WALLS Insulation Insulation Only Date Date Approved By Date Appr ed By Cover Cover Inspection Date /d/ /..2 o 7 Electrical Contractor Owner Approved By Date Insulation Only Appr ed By K nz 2oorrl Annual Permit Alarm Carnival Commercial yr Residential Residential Maint. Signs Thermostat Telecom. License number 5zz I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law Chapter 19.28 RCW (Installation description Date Area, Building or Equipment Inspected A ELECTRICAL WORK PERMIT APPLICATI ri /I //cc .Seance Cl Cash Check Credit Card Visa Mastercard Discover Card Expiration Date of card Action Taken ■e C Inspection fee s 46,90 CEILING THERMOSTAT SERVICE Date Approved By Date Approved By DITCH FEEDER Approved By Date Approved By Electrical Load Additions and or subtractions Service Information NO LOAD CHANGES '�77,,,, O Baseboard KW Voltage 1 c 4'L Furnace KW Overhead Service PhaseVI 1 3 Heat Pump Ton LAR Temp Service Service Size: 0(2 O Fan -Wall KW Underground Service Feeder Size: Electrical Inspector 7h� ,A0 ~ ~ORT ~ ~~O~~"" "".~ W- -=..a' ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 04-00000712 Date .373736 1604 E 4TH ST 06-30-00-0-1-8335-0000- RES ADDITION 9/16/04 RS7 RESDNTL SINGLE FAMILY 40000 Owner Contractor DEFRANG, FRED/JEANIE 1604 E 4TH ST PORT ANGELES WA 983624808 OWNER Structure Information Construction Type Occupancy Type Other struct info 384SF DECK ENCLOSER,164SF COVERED TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS PORCH - -- -- 13 .30 V-N Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 200A SERVICE w/ REMOTE METER ELECTRIC SERVICE 90.10 Plan Check Fee 9/16/04 Valuation 3/16/05 .00 o ~ ~ ~~ " o ~ \) ~ 2.00 1335.00 15400.00 718.00 2053.00 1. 00 Extension 78.70 11.40 ~ G\ Qty 1. 00 1. 00 Unit Charge Per 78.7000 ECH EL-RM-0-200 1ST SRV FEEDER 11.4000 ECH EL-METERS REMOTE INSTALL ~ ~ o lA :1 Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Site is located in the RS-7. Lot coverage is good at 13% and setbacks are in compliance. No land use issues noted. Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90.10 90.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 94.60 94.60 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.IS [11/14/20031 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS 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 I FRAMING JOISTS / GIRDERS SHEAR W ALUHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I 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: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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 BUILDING T:IPLANNING\FORMS\1102.I5 [11/14/2003] g ~ -- ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number . . . - 04-00000712 .373736 Page 2 Date 9/16/04 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:IPLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 T ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGEIDOWN SPOUTS - - ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # I 0 ~ .::24 - 0 (t J t.ifI..o' (. J '{;..e.-[., u ~ ROUGH-IN d" 1-d C( 32<),4 IittLJ 0 I( PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP GAS LINE 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 #'5 SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 5/51,,...- ~ 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:IPLANNINGIFORMSIl102.I5 [11/14/2003] l~r7 FEE RECEIPT NUMBER " CITY OF PORT ANGELES DEPARTMENT OF LIGHT' APPLICATION AND ELECTRICAL PERMIT A &15 PERMIT NUMBER . TOTAL FEE '6 !!:E- ES " Site Address CONT. Lie. NO. TIME TO COMPLETE NO. STOAIES LEGAL OCCUPANCY . " \'i~ . ~ \\ " , ELECTRICAL PERMIT O~L y \ ,\ \ PERMITS WIT~ WAONG ADDRESSES ARE CA~ElLED /. Installation By 1')( C( /J1 de ~/[ C7itJC Owner Owner's Address - Installers Addres's Day Phone Installers Phone Applic_ati~n is hereby r:nade for. Permit to install Electrical ~quipment as fOllOWS":. I 1i!~t.J ~/~. He.. -p1-/J, ZooTH. Wiring ~ethod . NUMBER AMP -12QV 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PER '0 l00R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE CIR 30 CIR 30 LIGHT SIGN LIGHT '" 50 VOLTS OR LESS CONVENIENCE . MOTOR CONVENIENCE MOTOR APPLIANCE .MOTOR DISHWASHER FIRE ALARMS , DISPOSAL BURGLAR ALARM RANGE MISC, OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION llGH1 FIXTURE # FURNACE SUB TOTAL FEE GAS. OIL FURNACE ENERGY FEE ELECTRIC - , BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT ,SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. , I SUB- 'rOT AL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be don~ by the instailer and in conformance with the N.E.C. Electrical Code. By t >J~..J Date Application made ,19 . CONTRACTOR?R OWNER (OR AUTHORIZED AGENT) Permissi9.n is hereby given to do th~ al?ove describec:! work, according to th~ conditions hereon and according to the approved plans and specifications pertaining ther;o(, sz("; ~ oom,"'"" .,," ,", :."'OOu2?~9 . .' . ,\ Date Permit Issued f PLANS ~PRO ED . . . , Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turnE:1d on befor~ inspe~tion and O.K. for covering or service has been given by Inspector in Writing on PermjfPlacard. A.. Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WARNING WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector"s Report 9,=YMP!9 ~~I~~~S,~N~~ REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS . " .' " I , , (f ( 7/ ff, Jljfj- pjLo 11-(. r fAA I( tt.- ., ~ ^ {, , JJt... .v~ " ( , " { . '\' . , , \ .. " " . i\;i" . , . , , ., ,., " , "." ,\ " .. . ,- " ,,' I . , - . " n ". / / ,L If/11ft. I" 4' " O.K. FOR COVERING , I 0:1".. .>ieel.n~"" "'...nw........ " . " ; F'.'.' B.1t . , , " ,. .. . z Cl a: '" ::liE !!1 :I: I- Z W . I- o Z o C . 6354- FEE RECEIPT NUMBER CITY OF PORT ANGELES. DEPARTMENT OF LIGHT . APPLICATION AND ELECTRICAL PERMIT A /03 5'''3 ~1 PERMIT NUMBER .. (t. "'?- ~ ( II 0 A// -('- TOTAL FEE CONT. L1C. NO. TIME TO COMPLETE NO. STORIES lEGAlQCCUPANCY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ELECTRICAL PERMIT ON L Y l~o4 E 4th CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner A1tLE/?) . #//Hq( ri77l) . Installation By . .~/1/hrller;: n ~~(' Owner's A~dress .Sq771r;:- , Installers Address ,-r-.?cf c:: '/ - --.. . Day Phone 4.i~7.9-::r-?<f--- Installers Phone -1's7 .9'2 bY. Applic~tion is hereby ~a~e!or Permit to insta!1 Electripal Equipm~nt as follows: ,1l4!'i.=: ~ //ii:1/2# .~~ __ Site Address \^{i_ring M~thod !f.o/lll-e.,c 4} AMP 240V NUMBER AMP 120V - I 240V USE OF CIRCUIT NUMBER PEA 120V 100R FEE USE OF CIRCUIT PEA 100R FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 LIGHT SIGN , - - .. 50 VOLTS -- - LIGHT OR LESS CONVENIENCE . . MOTOR CONVENIENCE MOTOR . APPLIANCE - .. . MOTOR . . . ., . - DISHWASHER . - FIRE ALAR~S - .. .. - DISPOSAL BUAGLAA ALAAM -- RANGE MISC. - OVEN WATER HEATER LAUNDRY . -- - DRYER REINSTALLATION LIGHT FIXTURE # FURNACE ~UB TOTAL FEE GAS. OIL FURNACE ENERGY FEE ELECTRIC .. BASIC FEE ELECTRIC HEAT I Z-O I IL TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUqTORS SERVICE A.W.G. , I SUB-TOTAL /1,., . SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to' be performed un~'er this permit will be done by the inst~er and iO~ 't? the/.E.c. Electrical'Code. Date Application made Fi5il C-~ ,19 9'~ By . JI", . ~TR~CTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do t~e .above described work, according to the conditions hereon and according to the approved plans,and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. . DIRECTOR.OF CITY LIGHT I . Date Permit Issued Z-&1-&5 Bym~ PLANS APPROVED WARNING Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. . Permits Phone: 457.0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE - Original CANARY. Duplicate PINK - TrIplicate WHITE CARD -Inspector's Report . -Y" '. ~ \. ,. -,"" .- -lo. ':</!'fW . ''or .,.... - ~"'" .....-- WOo' \ .. . .~. .: <:- .' REPORT OF INSPECTOR ',' .- , -'. DATE OF VISIT MADE BY REMARKS '. . -; - ~\ , C354 I I---; .' .-.- .' , Z-{c-f5 H DATE , ., , , /&3 ;(<; 9S. f---! PERMIT NO. PRICE $ , , f--: ELECTRICAL CONTRACTOR A...\(~F.d::.:':, ELt.C'TRIC'. , >---; lId .4- E 41H , ADDRESS OF JOB , 1---', I +-l-AMIL-TCN , OWNER OR GENERAL CONTRACTOR A LL'Et-1 ~ W , \1 \ , ) f---' , f--! , I---! I \ 0'( pORT 4t\'Q , " , 1---1 "* ~< ~: () ~Il' ~ NO INSPECTIONS PROVIDED UNTIL PERMIT ~TY LIGHT SINCE 1893 , HAS BEEN PAID IN FULL. . 1---, , '. --O~ 0 , . . . - - -.,. . -: '. , .. ' , - .' ; , ,. . . - ., -.. . - . . . . - .. " , J.--I ( ~S- ) , . O,K. FOR COVERING .. /. - II -y[P > ir5J O.K. TO CONNECT SERVICE J..-II-rS- Jd 'Ii .. - FINAL O.K. ,'-- , . - , , , , , ' , " . , , , .. . . SEP-15-04 08:38 PM 3532872/7378423 ""'j'i 3744130 P~01 ELECTRICAL PERMIT APPLICATION . '''.'' . ,~or Elac. con~.;.; Agenl_E~~. E. '(LSY~ ll.b..k_ Phone 4 5~; :. Owner;--1::...r-L.d . I"o..~ j . ___. Phone; ~. . _-10.~-SJ::.e~._____ City: -.-RfL_ . .1..' C;, - !::L..&:.r cal Conuactor: ~LJ..rj. 0~.rv~_ Li:;"'se #;~I ~')" ...f."Il; If} _~~~i V b-llt....y.12d.._ Cit;c f~ A__. 6lLATION WIRED BY; 0 OWNER ~LECTRICAL CONTRACTOR t Card Holder Name: JI Address:__.. - '-'D-~ T-ttity:=~ '__h~_.' Card Number:__ __,____,..__.____ Exp_ Date: The Elactricat Permit Appllc.allon must be filled out ~omDlutel~. P 'eas8 type or r.prlnt in Ink. If you have IIny quesHons. plean call (360) 417-4735 F"" numbo" (360)417-471' PO" O('l'lc....u. USE ONLl' DIto'JI...:__ f'tmU!,._~- lhIeA,ppD\"~;._ -- DeI.Ia.-d,_'= 0'7 - 7/2- c ~a-nL Lt,."5'l",rA '?}. Zip; 9~ ~ h;' pnono:I~J~ Z-rp:~ Zip: "'SA: Ifl - T ADDRESS;_-16 O~____E L..t J ...._._______.___ F WORK: Check AI! that apply: 0 New 0 Alteration/Addition \C) ~ o I ~ o Multi.family o Commercial 0 Mobile Home Sq. FL ole Melor 0 Detached garage 0 Hot Tub U Swim Pool 0 Septic Pump " . n Low Voltage 0 TeleCom. " of Circuits added or altered _ _.# ____ _ ~IPTI N OF THE ELECTRICAL PROJECT._ -.2DL__ Q. ~ --.a...i.+~~.S a. ,v I l t...- . . 1:l.1I-€.- }'\.U A ~ \"" ;:looJ Ll'n o.re., ~ ~ ,,_~("~ ) !i ~"\.Y..1..<'__..-Q~'1 ..fLQt ._1'"1 del! -- ~ ;" . ',py certify that I have read and examined this application and know that same to be true and co~t. and I , 1:fi!ed to apply (or this permit. IlInderstand it is not the City's legal responsibility to determine what. permits 'qllired; it remains the applicants responsibility to determine what permits are reqllired and to obtain SlJch. (;,f C;;~~ luJ ~. . q,..,-~ 1 ' Ct ~ I 'Ji' (/!" Cr.d;tCardHolde~'Slgn'lure; ,'. ---4._~.o.t.:--'I:/3.La7 .j!. /J ( - Owner or Elcc. ConI. Slgn.tur.; ~~_ Oato: '1'/; ""joy PW.~~in03 Ok- ~ .I! PERMIT FEE: $-312" 10 ~/J;tL ";;61o~ ~I \.... d Additions and.Qt subtractions Service Information KW KW TON KW tAR (.J Overhead Service u Tenlp Service }l'-UndorgroumJ Service Vonage; ....J:1.J.JL<- '1 0 Phase: 1,l1 n 3 Service Slze:~ .. Feeder Size:____ .14.05.060(8): For Induslrial. commercial, & resldel\lial projects larger lIlan a duplex, a one . line drawing of the Eleclric8J Service " building size (sq. ".J, load calculations, and the type & or conductors and/or raceway is required and shall aCCam pany the 'ill Pom,il application. "';"11;':.. CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: %3 1 & 2 Single Family Dwelling APR 9 2013 ELECTRICAL INSPECTIog * Plan Review May Be Reguired, Please Cog lete Electrical Plan review Information Sheet Job Address: Ilv O i -S-t Buiiding Square Footage: Description of above Owner Information Name: 1T&c1 1,Te.,eq;e lJel;� ei Mailin ddress: City: State: Zip: Phone: 0 0V Fax: License # I Exp. Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp ServicefFeeder 601 -1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit WIO Service Feeder Each Additional Branch Circuit Branch Circuits 14 Temp, Service/ Feeder 200 Amp. Temp. ServicelFeeder 201 -400 Amp. Temp, Service /Feeder401 -600 Amp. Temp. Service /Feeder 601 -1000 Amp Portal to Portal Hourly Signal Circuit/ Limited Energy -1 & 2 Family Dwellinc Manufactured Home Connection Renewable Electrical Energy - 5KVA System or Less Thermostat Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charge $120.00 $146.00 $ 205.00 $ 262.00 $ 373.00 $ 5.00 $ 63.00 $ 5.00 $ 75.00 $ 93.00 $110.00 $149.00 $168.00 $ 96.00 $ 64.00 $120.00 $102.00 $ 56.00 L Contractor Informat'o Name: Mailing Address: City: State: Zip: Phone: Fax: License # I Ric, Qty Total (Qty Multiplied „byUnit Charge) $ $ $ $ $ $ $120.00 $ $ 40.00 $ $ 74.00 $ $110.00 $ ob Total Owner Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is fins it zed. (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 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of a e lectrical contractor or electrical administrator: ❑ Cash ❑ Check El Card t1 X Dated: 0110712012 W V� ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . , . . . 13- 00000364 Date 5/08/13 Application pin number . , . 687388 Property Address .., . . . , 1604 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 8335 -0000- Application type description ELECTRICAL ONLY Subdivision Name IQSue Date Property Use , , . . . . . , Valuation , . , . Property Zoning . . . . , , RS7 RESDNTL SINGLE FAMTT,1' Application valuation . . . , 0 Application deac Qty Unit Charge Permit expired 09 -1221, 09 -1166 Owner Contractor --- ----- ---------- - - - - -- -- -------------- -- - - - - -- DEFRANG, FRED /JEANIE OWNER 1604 E 4TH ST PORT ANGELES WA 983624608 Permit , . , . , . ELECTRICAL ALTER RESIDENTIAL DATE: Additional desc . INSPECTOR: DITCH Permit Fee 238.00 Plan Check Fee 00 IQSue Date 5/D8/13 Valuation , . , . 0 Expiration Date., 11/D4/13 Qty Unit Charge Per Extension 13.00 5,0000 ECH EL -ECH AJDDNT BRANCH CIRCUIT 65.00 1.00 63,0000 ECH EL -R— BRANCH CIR WO/ SER FEED 63.00 1,00 •110,0000 ECH F,L- SWIMMING POOL /HOT TUB 110.00 Fee summary Charged Paid Credited Due Permit Fee Total 238.00 238,00 .00 00 Plan Check Total. .00 .00 .00 00 Grand Total 238.00 238,00 ,00 00 C ALLWEV t 114 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: ikxyl PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGE\13VILDING It 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 -466, 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 a check ❑ Credit Card # 2� X —' {toted: �" � 1 _I__ 01/0112012 RECEIVED OF pC?Rrq;yyF(r 1 CITY OF PORT ANGELES PERMIT APPLICATION NOV 2 5 20111 s- Buiiding Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 ELECTRICAL Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTION Date: ll 2 1 T 1& 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: /1" '1 ti Building Square Footage: Description of above IN , V 47 y3� Owner Information Contractor Information Name: FYZPLD 17, r��� h .,,.. Name: Mailing AdCress: _J G Mailing Address: City: State: Zip: -Z— k&- o City: State: Zip: Phone: Fax Phone: Fax: License # ! Exp. License # 1 Exp. Item Unit Charge Total {qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service /Feeder 201.400 Amp $146.00 $ Service /Feeder 401 -600 Amp $ 205.00 $ Service /Feeder 60 1 -1000 Amp. $ 262.00 $ ServicelFeeder over 1000 Amp. $ 373.00 $ Branch Circuit W/ Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 63,00 $ - Each Additional Branch Circuit $ 5.00 $ Branch Circuits 14 $ 75.00 $ Temp. Service! Feeder 200 Amp. $ 93 00 $ Temp. Service/Feeder 201.400 Amp. $11 0.00 $ Temp. Service /Feeder 401.600 Amp, $149.00 $ Temp, Service /Feeder 601 -1000 Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/ Limited Energy - 1 & 2 Family Dwelling $ 64.00 $ Manufactured Home 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 of Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ 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 -466, 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 a check ❑ Credit Card # 2� X —' {toted: �" � 1 _I__ 01/0112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . . . . 19- 00001490 Date 12/01/14 Application pin number , . . 577760 Property Address . . , . , . 1604 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 8335 -0000 Application type description ELECTRICAL ONLY Subdivision Name , , , . . . Property Use Property Zoning , . , , . , , RS7 RESDNTL SINGLE FAMILY Application valuation , . . , 0 Application desc Activate expired permit 13 -364 Owner Contractor ------------------------ DEFRANG, FRED /UZANIE OWNER 1604 E 4TH ST PORT ANGELES WA 983624808 Permit . , , . , . ELECTRICAL ALTER RESIDENTIAL DATE: Additional desc , . INSPECTOR: DITCH Permit Fee 63,00 Plan Check Fee .00 Issue Date 12/01/14 Valuation , . . . 0 Expiration Date 5/30/15 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 53.00 Fee summary Charged Paid Credited Due Permit Fee Total 63,00 63.00 .00 ,00 Plan Check Total 100 00 ,00 ,00 Grand Total 63,00 63,00 ,00 ,00' REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPaE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING t Y Address: 1604 E 4t" Street PREPARED 4/16/15, 10:10:35 INSPECTION TICKET PAGE 1 ' CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/16/15 ---------------------------------- ADDRESS . : 1604 E 4TH ST SUBDIV: CONTRACTOR : PHONE OWNER DEFRANG, FRED/JEANIE PHONE PARCEL 06-30-00-0-1-8335-0000- APPL NUMBER: 13-00000466 RES REMODEL PERMIT: BPR 00 BUILDING PERMIT - RESIDENTLAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---—-----------------------------------------—------------------------------------------—--- BAIR O1 5/15/13 JLL BLDG AIR SEAL 5/15/13 AP May 15, 2013 4:23:14 PM jlierly. May 15, 2013 4:24:22 PM jlierly. BL3 01 5/15/13 JLL BLDG FRAMING 5/15/13 AP May 15, 2013 4:22:17 PM jlierly. fred 460 0463 May 15, 2013 4:24:22 PM jlierly. BLI O1 5/17/13 JLL BLDG INSULATION _ 5/17/13 AP May 15, 2013 4:23:38 PM jlierly. May 17, 2013 3:37:37 PM jlierly. BL99 01 4/16/15 1 BLDG FINAL -April 16, 2015 9:53:21 AM jlierly. -------------------------- --------- ---- Fred 460-0463 -------------------------------------------------- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME5 01 5/15/13 JLL MECHANICAL DUCTS 5/15/13 AP May 15, 2013 4:22:49 PM jlierly. May 15, 2013 4:24:22 PM jlierly. ME99 01 4/16/15J MECHANICAL FINAL April 16, 2015 9:54:08 AM jlierly. PERMIT: PL 00 PLUMBING MRMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL2 01 5/15/13 JLL PLUMBING ROUGH-IN 5/15/13 AP May 15, 2013 4:23:03 PM jlierly. May 15, 2013 4:24:22 PM jlierly. PL99 01 4/16/15ko PLUMBING FINAL April 16, 2015 9:54:33 AM jlierly. ------------------------- ---- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 13-00000466 Date 5/15/13 Application pin number . . . 158124 (Jv Property Address . . . . . . 1604 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-8335-0000- REPORT SALES TAX 1 Application type description RES REMODEL Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles Application valuation . . . . 6000 (Location Code 0502) ---------------------------------------------------------------------------- Application desc adding bath room and laundry ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DEFRANG, FRED/JEANIE OWNER 1604 E 4TH ST PORT ANGELES WA 983624808 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . ADD BATH/ LAUNDRY/CANNING ARE Permit Fee . . . . 56.00 Plan Check Fee 36.40 Issue Date . . . . 5/15/13 Valuation . . . . 6000 Expiration Date 11/11/13 Qty Unit Charge Per Extension 4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . BATH LAUNDRY FAN �! Permit Fee . . . . 81.95 Plan Check Fee .00 Issue Date . . . . 5/15/13 Valuation . . . . 0 Expiration Date . . 11/11/13 Qty Unit Charge Per Extension BASE FEE 50.00 3.00 10.6500 EA ME-HOOD/DUCT-MECH. EXHAUST 31.95 - ------- -------------------------------- --- Permit . . . . . . PLUMBING PERMIT Additional desc . . ADD BATH LAUNDRY CANNING .- Permit ANNING ..Permit Fee . . . . 99.00 Plan Check Fee .00 Issue Date . . . . 5/15/13 Valuation . . . . 0 Expiration Date . . 11/11/13 Qty Unit Charge Per Extension BASE FEE 50.00 5.00 7.0000 EA PL-PLUMBING TRAP 35.00 1.00 7.0000 EA PL-WATER LINE 7.00 1.00 7.0000 EA PL-DRAIN VENT PIPING 7.00 ---------------------------------------------------------------------------- Special Notes and Comments May 13, 2013 2:04:27 PM sroberds. The application is to final permit 04-712 that expired and 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 tate or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authori Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit a BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type 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 b 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 Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit . CITY OF PORT ANGELES ®� DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING.DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 13-00000466 Date 5/15/13 Application pin number . . . 158124 ---------------------------------------------------------------------------- Special Notes and Comments REPORT SALES TAX to permit completion of an unfinished downstairs to a on your state excise tax form bedroom/bathroom/multi purpose room. No increase in lot coverage. to the City of Port Angeles -----Other------Fees STATE-------------------------STAT--SURCHARGE---CHAR------------=-----4.50--------- (Location Code 0502) ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 236.95 236.95 .00 .00 Plan Check Total 36.40 36.40 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 277.85 277.85 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent 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 IM 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 b AIR SEAL: Walls r 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 Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: 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 T:Forms/Building Division/Building Permit THP `� 1TY OFr kA-ML GELE$- For City Use J-� Permit# W A S H 1 IV C;�T 0 N, U . S. Ite Received: 321 East 5d` Street Port Angeles, WA 98362 Date Approved 13 P: 360-417-4817 F: 360-417-4711 permitsC@cityofpa.us Building Permit Ap ation Project Address: Main Contact: Phone # f�c2 G5�Klo FW-J D�. i �h E-Mail: ��e Property Name Phone Q Owner Mailing Address ,l Email fif Com city State Zip ori .mss- �rl� Contractor Name � Phone Mailing Address Gly v� Email city State Zip Contractor License# Expiration: Project Value: Zoning: Tax Parcel# 1uiP34 - Lot# $ DV LM301901 15�36' -5�AJ &7-8 �c Type of Residential ® Commercial ❑ Industrial ❑ Pd6lic ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ For the following,fill out both pages of permit application: New Construction ❑ Remodel ® Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No IS- Project Descriptio-n--71 t�Nr � i` v�dnd vt did -4,1a0 Y — n Nn V&-Vtk4 I have read and completed the ap cation and know it to be true and correct.I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned and the fees forfeit. Date Print Name Signature y � � li gQNT,1r FOR OFFICIAL USE ONLY %� f`� BUILDING PERMIT - APPLICATION Date Ree.18`- r rte' Permit#• �. Fill out COMPLETELY and in INK.Your application and site plan MUST B Date Approved. D �1r COMPLETE to be accepted for review If you have any questions,call to Issued: PERMITS(360)417-4815 FAX(360)417-4711 nj Ice _ oU q-5-11 Applicant or Agent: ed 00&22a �P o Phone Owner- 4 jB,a 0 1/P/7r�i2 Phone Address City- n4ele' Zip 1rc�.�6Z Architect/Engineer-� , 'Ll-1744y aL �eS -. ZC/IQv,� Phone 447 :o,/ --A , Contractor rl`, State License#• Exp Phone Address. City• Zip PROJECT ADDRESS /Ei 04 A. 4� s% ZONING td;L L g LEGAL DESCRIPTION Lot: Ari LT9 Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. 66 .3= 0/9-3,35 6000 1?09 D6 ':7a Seg od Credit Card Holder Name: Billing Address: City-- Credit ityCredit Card Type VISA MC_# Exp.Date: TYPE OF WORK. SIZE/VALUATION 13 ® Residential New Constr EIqq� Re-roof ❑ Stove SF @S 75 /SF =$ 13 Multi-family 0 Addition 1:1Move ❑ Garage 6 J/' SF @$0—/SF =$ ��ZOO ❑ Commercial ® Remodel ❑ Demolition ❑ Deck (rnlf� or.@$ /SF = 000 ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ 4U,G77O BRIEF DESCRIPTION OF THE PROJECT ADDijj�aAl TO �:X/5fi t1e &-0XW t ,4ND L'x/'2y. eNC4a.Se_ e_ou ii;g ' dkh' COMMERCIAL/RESIDENTIAk. O68pancy Group Occupant Load. Construction Type: No. of Stories._ Lot Size: i10 X y0 Existing Sq Ft. {33� &Proposed Sq Ft. -1 IS =TOTAL Sq.Ft. 7.6 Total lot coverage % APPROVALS. PLANNING USE ONLY PLAN BLDG DPWU FIRE. ESAIWetland(s) ❑Yes ❑No SEPA Checklist required? ❑ Yes❑ No Other- OTHER. BUILDING PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE.IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application,the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section R105.3.2 of the International Building/Residential Code,2003) 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 correc 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 that I in such permits prior to work. T•1RVESSIBLDG-forms-brochures12003-Buildingpermit.wpd Applicant: Date: Vvrn(:n r-A I CIV Vn I V YLA I LLINI=At5UVE W/(2)#4 BAR CONT. W/#4 BAR @ 48"O.C.VERT. I I I I ENGINEERING S.W~ 1(2)1/2"i�A.13. I &(1) HOR.TOP BAR I I ;t I SCHEDULE ON 5/1 &1/2X10 A.B.W/2X2X3/16WASHER @48 O.C. BETWEEN HOLDDOWN5 4 XI8 P.T.BEAM — — — — — — — — — — I a I I v I I 18 X 18 X 12 CONCRETE PIER PADS I EXISTING 4 X 12 DF#2 BEAM ' I > O W/4 X 4 P.T.P05T5 IN CB544&PC44 I I SUPPORTED BY NEW = I I o o I 6 CRIPPLE WALL „ . I ~ 6"CONCRETE 5TEMWALL N� I CRAWL SPACE o Q LU I I o I I I -12 X 6 CONCRETE FOOTING o o 23 D x15-5 Uoo W LU o 4X8 P.T_BEAM — — ENTRY W n r n U- I N ml oWm I I `nl L _ 1 1 1 10-8 x11 -5 N Z ~ I I 4'MAX 5TEMWALL OR CONSULT v W/ENGINEER FOR MODIFICATION X I TO 5TEMWALL&FOOTING PROVIDE 30"WIDE I N I 2 X 8 P.T.LEDGER IUT9 J015T HANGERS ACCE55.TO CRAWL 5PACE I W/5"5CREW5 @ 6"O.C.STAGGERED I I I L — _ — — — ON EXISTING RIM J015T W/LU28 HANGERS ABP �.a'-b" 3''6° LIVING — — — — — — — — — — — — — — — — — — —� �—� — — — — — — — — —I I 6068 1151 \ �� _— — — — — — -- \ \ DECK - - - - - - - - - - - - - - - - - - - - — \ 1aJ)ECT-T� I - - - - - - - - - - - - --- — 1- - <1 _ 11 I i PROVIDE 2X4 BLOCKING BETWEEN J015T TO EXISTING RIM.ATTACH TO 2i 4 STUD WALL 2" FROM 0 5/8"(A307)THRU ROD W/10"MIN. EX15TING CONCRETE 5TEMWALL RIM W/16D @ 6 O.C. STAGGERED. CONCRETE W/R-21 INSULATION EMB.USE 51MP50N"SET'EPDXY. - ENCLOSING STEPS TO REMAIN 1 ATTACH FLK SHEATING TO 2X W/COUPLER&THREADED ROD TOTE EMOV DB EX15TING 4 X 6 OF#2 PO5T5 —\ J do I BLOCKING W/10d @ 6"O.C. �' PH02-5[)53 ON DBL 2X 5TUD5 ABOVE IN C8461N6"CONCRETE WALL `�I--- \ - 55TB16 ANCHOR BOLT CITY OF PORT ANGELES—Constructio P I a EXISTING4X12 DF#2 BEAM I o �1�,�-i - v��.�/✓f�� W/COUPLER&THREADED ROD TO The Issuance of this pend be !d tpan these plans,sp Clfi- w 1 �J �j PHD2-sD53 ON DBL 2X 5TUDs ABOVE cations and other deb 3hall not�reveM the builds 0 Mal T-HI5 AREA EXCAVATED w� O I � � Q from thereafter rep ping the correction of errors in idto / TOBASEMENT DEPTH << O (/� �^ �� pn/� 8AN ;`� FIR5T FLOOR OF TWO STORY BUILDING p7 EXISTING CONCRETE o m M IS� ...JJJ pF-GV r�a�S, specificatiopt and other data, or from p� a tng ' I STEMWALLTO13EREMOVED ALTERNATE BRACE WALL PANEL: z 5'6 , /� gBtt�� // l� AVF' building operations being carried on thereunder r he I mDECK ABOVE o zJ`,6 /U X O6MIN.2'8"WIDE W/EDGE BLOCKING violation of all codes and ordinances of this jus i ibn. P; 7/16"0513 P52-92 SHEATHING BOTH 51DE5 f � NAILED:5,10 6"EDGE/12"FIELD WIVINI y ° l (3)1/2 X 10 A15.01/5 POINTS Approval Date I S By c PHD2 HOLDDOWN @ EACH END 2868 �► I I w N j EX15TINGU� BASEMENT ' c D o 25'-6"x 23'-p11 ,y II I MENT I _i �,� X ZJ'-°�� N ,��'ID�' S�ru92 I o I — — -- —t— �°~/��,�t _ _ — — — — — — — — — l�`J — — — — — — — — — — — — 11 OEM °� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I J 8026 ; I+ — - - - - - - - - - - - - II _ II- - - - - - - - - - ING WALL STOOP STEPS II — - - - - - - - - -__ LIVING AREA / / 2'_01 / L - - - - 1288 5q ft CONCRETE 5TEMWALL ING 5TEP5 TO REMAIN -, ,_ <.. _ _ _ _ — — — — uv t,P�tro iN cam"GUNGKtl E WALL Berl �. .. ... - L L ._ - — SEE ELEVATION & y I r 12 X 6 CONCRETE FOOTING 6 X 42 CONCRETE STEMWALL I J TO BE REPLACED BY NEW 6 X 8 POST ' I W/(2)#4 BAR CONT. W/#4 BAR @ 48"O.C.VERT. I p WHICH EXTENDS TO PLATELINE ABOVE ENGINEERING 5.W 1 &(1) HOK.TOP BAR I �t I SCHEDULE ON 5/1 13E WE k7 A.5. &1/2 X 10 A.B.W/2 X 2 X 3/16 WASHER @ 48"O.C. I � _ I I BETWEEN HOLDDOWNS I I � I 4 X 8 P.T.BEAM — I - - — — — — — — 181X 18 X 12 CONCRETE PIER PADS I I EXISTING 4 X 12 DF#2 BEAM ji✓ o I O W/4 X 4 P.T.P05T5 IN C13544&PC44 I I SUPPORTED BY NEW r U " Q I I O I I -6' CONCRETE STEMWALL CRAWL5FACE BZW � I -12 X 6 CONCRETE FOOTING w o 11 o Q =' 23'-0"x 15'-5 i <9 o I I � Q, Q I oYW - - - - _ _ �o'� 4 X 8 P.T.BEAM N } I m � � _ - - - - I ENTRY C) h, I ml oom x11-5LL I c - U w Z:) o J I I z ~ I = I X NTMWALL OR CONSULT W/EN G ER FOR MODIFICATION -t x I TO STEMWALL&FOOTING I I t PROVIDE 30"WIDE N I 2 X 8 P.T.LEDGER IUT9 JOIST HANGERS ACCE55 TO CRAWL SPACEI W/5"SCREWS @ 6"O.C.STAGGERED I I 1J F — — — — ON EXISTING RIM JOIST — — I W/LU28 HANGERS LIVING ABP 6068 DECK - - - - - - - - - - - - - - - - - - - - - \ \ 16-IUx7 I r — — --- — 1 1 _ PROVIDE 2X4 BLOCKING BETWEEN It' I JOIST TO EXISTING RIM.ATTACH TO 2iX 4 STUD WALL 2"FROM � 1 *IXISTNGCONLRETESTEMWALL I I RIM W/16D @ 6"O.C.STAGGEKED. CONCRETE W/R-21 INSULATION 2'-111 - 5/8"(A307)THRU ROD W/10"MIN. . ;ENCL051NG 5TEP5 TO REMAIN I I I EMB.USE SIMP50N"SET'EPDXY. LL TE 5LA6 .�- --�_— �O}. ATTACH FLK SHEATING TO 2X W/COUPLER&THREADED ROD TO I L EMOVED FXI5TING 4•%6 DFR2 P05T5 V I BLOCKING W/10d @ 6"O.C. INCB961N6 CONCRETE WALL PHD2 5D53 ON DBL 2X STUDS ABOVE y� gT IXI571NGM1%12DFS2BEAM I 30 N O 55T1316 ANCHOR BOLT C 2 1 w I W/COUPLER&THREADED ROD TO I ✓ r BE DR00 M PHD2 SD53 ON DBL 2X STUDS ABOVE //�FTHIS AREA EXCAVATED 1 Q,-111 0,-1011 I L`J I, v / TO BASEMENT DEPTH u u 1 Q CCII E%15TING CONCRETE - p m 3 j� Lo I FIRST FLOOR OF TWO STORY BUILDING - STEMWALL TO BEREMO✓ED w ABP ALTERNATE BRACE WALL PANEL: a I ` DECK ABOVE N m a y MIN.2'-8"WIDE W/EDGE BLOCKING 7/16"0513 P52-92 SHEATHING BOTH 51DE5 o \ I .t� I�1O ETE OR5: NAILED:8610 6"EDGE/12"FIELD I RCIONNECTED 1 0 VOLT ti (3)1/2 X 10 A.B.@ 1/5 POINTS "ll I I Vaj TTERY BACKU 5D PHD2 HOLDDOWN @ EACH END jC 2868 EXISTING I I i BASEMENT ' "x 23-0 II 25-6 j MULTI-FURF05E ROOM MENT o I _ X 23'-0" IS I I I N 20'-611 x 11'-4" I _ p, o II � I I - o — — — — — — — --- — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - - - — — — - - - - 6040 - - L—A 6040 I — - - - - - - - - - � _. I I I 6026 a _ _ _ _ _ i l I —I � - - - - - I+- - LIVING AREA NG WALL'L STOOP/STEPS I I I - — I — — — — — — — — — —1 — — — — — — — — — — — I b. _ — � 6'_011 2'-6" I — — - - — — — - - - - - i 12855 ft 2'-0"// _ G-CON_CRETF STFnnUial I �—I— — — — — — — — — — —5—� — — — — 6-D II,, r � Application Number . . . . . 22-00000704 Date 6/10/22 Application pin number . . . 452480 Property Address . . . . . . 1604 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-8335-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T-stat DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DEFRANG, FRED/JEANIE DAVE'S HTG & COOLING SRVC INC 1604 E 4TH ST PO BOX 413 PORT ANGELES WA 983624808 PORT ANGELES WA 98362 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee . . .00 Issue Date . . . . 6/10/22 Valuation . . . . 0 Expiration Date . . 12/07/22 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits@cityofpa.us -a CD 3 ;::;: Project Address: 1604 East 4th Street, Port Angeles, WA 98362 Project Description: low voltage thermostat wire for controller as part of ductless heat pump system installation tl Single-Family Residential □ Duplex/ ARU Building Square footage: _2_,3_7_4 _ OWNER INFORMATION Name: Fred & Jeannie DeFrang Mailing Address: 1604 East 4th Street, Port Angeles, WA 98362 Email: _ Phone: 360-460-0463 ELECTRICAL CONTRACTOR INFORMATION Name: Dave's Heating & Cooling Service, Inc. Mailing Address: PO Box 413, Port Angeles, WA 98362 Email: davesheating@wavecable.com License: DAVESHC9912C Expiration Date: _5/_2_02_3 _ Phone: 360-452-0939 PROJECT DETAILS lwn Unjt Charge Qyantjty I.Qtal (Q u a n ti ty x U n it C h a rg e ) Service/Feeder 200Amp. $120.00 $ _ Service/Feeder 201-400Amp. $146.00 $ _ Service/Feeder 401-600 Amp. $205.00 $ _ Service/Feeder 601-1000 Amp. $262.00 $ _ Service/Feeder over 1000 Amp. $373.00 $ _ Branch Circuit W/ Service Feeder $5.00 $ _ Branch Circuit W/O Service Feeder $63.00 $ _ Each Additional Branch Circuit $5.00 $ _ Branch Circuits 1-4 $75.00 $ _ Temp. Service/Feeder 200 Amp. $93.00 $ _ Temp. Service/Feeder201-400Amp. $110.00 $ _ Temp. Service/Feeder 401-600 Amp. $149.00 $ _ Temp. Service/Feeder 601-1000 Amp. $168.00 $ _ Portal to Portal Hourly $96.00 $ _ Signal Circuit/Limited Energy - 1&2 DU. $64.00 $ _ Manufactured Home Connection $120.00 $ _ Renewable Elec. Energy: 5KVASystem or less $102.00 $ _ Thermostat (Note: $5 for each additional) ~~--- $56.00 _..;;;;;1 ===---- _ _::,,$.:::5::6::·=Q=Q===------- First 1300 Square Feet $120.00 $ _ ~"""""""""'"" Each Additional 500 square feet" $40.00 $ _ Each Outbuilding/ Detached Garage $74.00 $ _ Each Swimming Pool/ HotTub $110.00 $ TOTAL $ 56.00 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. 06/08/2022 Heather Navarre ¼~ \V--.__ Date Print Name Signature (0 Owner~ Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4 711] ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: T-stat NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 7/12/2022 22-704 TAP OWNER CONTRACTOR Dave’s Heating PROJECT ADDRESS 1604 E 4th St