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HomeMy WebLinkAbout839 W 5th St - Buildingcation Number ication pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc generator Owner FRANCIS THIEMANN /K P SANDERS 839 W 5TH ST PORT ANGELES WA 98362 (360) 452 9456 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 119 9000 ECH EL 0 200 SRV FEEDER Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS 190967 119 90 8/12/11 2/08/12 Contractor 11 00000868 837544 839 W 5TH ST 06 30 00 0 1 0235 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 ELECTRICAL ALTER RESIDENTIAL PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 ELECTRIC NORTHWEST LLC 1171 3 CRABS RD SEQUIM (360) 808 6188 Charged Paid Credited 119 90 119 90 00 00 00 00 119 90 119 90 00 DATE. Date 8/12/11 RESULTS WA 98382 Plan Check Fee 00 Valuation 0 Due Extension 119 90 00 00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. t I GI CLr -02 7 rz6 )11 1 12 -AN 3c4,0, Signature of owner or Electrical Contractor X Date: G \EXCHANGE\BUILDING CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax. (360) 417 -4711 Date g Q Zc 1 2 Single Family Dwelling Plan Review May Be Required Pleapfr Complete Electrical Plan Review Information Sheet Job Address: S',.?? (A S 5 Building Square Footage: Description of above 5 .nAt Inr frIs.:neq-c of Owner Inf rmation I Name: C�S hte ,avi Mailing Address: R31 W .St City P r'E A-. 4<./ State: 4 Zip: 9i36 9t Phone:3C¢o 0 Q n Fax: License Exp. Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp Temp, Service /Feeder 401 -600 Amp. Temp Service /Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each. additional 1500 sf Signal Circuit/ Limited Energy 1 2'Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY. First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Unit Charge 119.90 $145.50 204.60 $.262.20 372.50 2.60 73.50 2.60 92.70 $110.30 $148.70 $167.90 95.90 88.20 95.90 63.90 63.90 $119.90 $102.30 56.00 $110.30 35.20 73.50 $110.30 pia Dated: Qty Credit Card IECEIWED AUG 12 2011 ELECTRICAL INSPECTIONS Contractor Information Name: Peci r /Jo LL Mailing_Address: Il2I City 54- dui^^ Stated', Zip: 9,36 Phone A G O lo/'!r License Exp. EL EG7N L 967 U Total (Qty Multiplied by Unit Charge) I 01/01/2010 //9,10 Total Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale rent or lease. Permit expires after six months of last. inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N E.0 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 owner electrical contractor or electrical administrator cash check PREPARED 9/15/10 8 14 01 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/15/10 ADDRESS 839 W 5TH ST TENANT NBR FRANCIS THIEMANN KP S CONTRACTOR PENINSULA HEAT INC OWNER FRANCIS THIEMANN /K P SANDERS PARCEL 06 30 00 0 1 0235 0000 APPL NUMBER 10 00000974 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 9/15/10 _APB 7 7 /S JLL MECHANICAL FINAL TIME 01 00 September 14 2010 4 38 55 PM 1pangrle PENNY 452 9456 MECHANICAL FINAL HEAT PUMP AFTERNOON' COMI i t SUBDIV NTS AND NOTES PHONE (360) 681 3333 PHONE (360) 452 9456 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 2 5 ton heat pump 9 kw furnace Owner FRANCIS THIEMANN /K P SANDERS 839 W 5TH ST PORT ANGELES WA 98362 (360) 452 9456 Fee summary Permit Fee Total Plan Check Total Grand Total Charged Paid Signature of owner or Electrical Contractor X 10 00000994 695196 839 W 5TH ST 06 30 00 0 1 0235 0000 ELECTRICAL ONLY Contractor Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 173088 Permit Fee 78 70 Issue Date 9/09/10 Valuation Expiration Date 3/08/11 78 70 78 70 00 00 78 70 78 70 OLYMPIC ELECTRIC CO INC 4230 TUMWATER PORT ANGELES (360) 457 5303 Plan Check Fee Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT Special Notes and Comments September 9 2010 9 03 39 AM Brian 417 4708 OK INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Credited 00 00 00 RESULTS ict7/o 44P Date 9/09/10 WA 98363 Due 00 0 Extension 73 50 5 20 00 00 00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date 09/09/2010 06 31 FAX 360 452 3498 City of Port Angeles Permit Application Building Olvislon /Eiectrlcal Inspections 321 East Fifth Street P:D. Box 115a Port Angelo) Washington, 98362 Pn: (360) 4174735 Fax; (360) 4174711 D ate: "f /i7 2 Single Family Dwelling Multi Femily or Commercial^ Commercial Adrian Alteration Remodel Repair' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Addrees: Building Square Footage: Description of above 254, a//i 7 Olympic Electric Co PA CITY INSPECT a 001 /001 Owner Infor anon Contractor Informal Name: �fi1 L 74. icy Name: v r� Melling Address: .f79 4. s Mailin We Pd�d✓.4lh_ City,&. tA� State: 4/ Zip: 9 9 (J City: State: 4 Zip: �j%�lj` Phone: _y 4' 6 ,Fax: Phone: Fax: Y6 ey9f- License ft Exp License ti I Exp. l>,‘y��� /j.,d'Sri, L1(r C gty Total (Oiv Mullioned by Unit Charge) 119.90 5 Service/Feeder 200 Amp. 5146.50 Service/Feeder 201 -400 Amp, 204.60 Service /Feeder 401.600 Amp. 3 262.20 Service/Feeder 601.1000 Amp, 372.50 Service/Feeder over 1000 Amp. 3 2.60 Branch Circuit W/ Service Feeder 3 13.50 Z? Branch Circuit W/O Service Feeder 5 2.60 Z S. Each Additional Branch Circuit 9270 Temp. Service/ Feeder 200 Amp. 110.30 Temp. Sendce/Feeder 201400 Amp, 148.70 5 Temp. Service/Feeder 401 -600 Amp. 5167.90 Temp. Sarvlca/Feeder 601.1000 Amp. 95.90 Portatto Portal Hourly 88.20 Sign/Oohs! Lighting 5 96,90 Signal ClrculV.Llmlted Energy Commercial. Additional 1500 55.00 63.90 5 Signal Circuit/ Limited Energy .1 a 2 Family Dwelling S 63.90 Signal Circuit! Limited Energy MuIU- Family OweIUng 5 Manufactured Home Connection 102.30 Renewable Electrical Energy SKVA System or Lass 5110.30 First 1300 Square FL 35.20 Each Additional 500 Square FL or Portion of 5 73.50 Each Outbuilding or Detached Garage 3110.30 5 Each Swlniming Pool or Hot Tub 3 56.00 Thermostat $_jam Total Owner es defined by RCW.19.16.161: (11 Owner will occupy the structure for two years after this electrical penult is finalised. (2) OWN/ IS rsquIred to hire an electrical contractor H above said property Is for sale, rent or lease. Permit expires ahor six months of last inspection. After reading the above eletemont l hsroby certify that I um the owner or the above named property or licensed electrical contractor. t am making tha,eloetrtcel Installation or alteration In compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296488, The City of Port Angeles Municipal Code, and Utility Speelflcatlona. Signature of owner, electrical contractor or electrical administrator 0 Ceah 0 Check Dete; /y U Credit Card SEP 9 2UD9 4� poRr.4,y�`E� ELECTRICAL INSPECTIONS i Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc t stat 2 5 ton heat pump 9 kw furnace Owner FRANCIS THIEMANN /K P SANDERS 839 W 5TH ST PORT ANGELES WA 98362 (360) 452 9456 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 56 0000 ECH EL LVT THERMOSTAT Special Notes and Comments September 8 2010 9 32 05 AM Brian 417 4708 OK Fee summary Charged Permit Fee Total Plan Check Total Grand Total 172916 56 00 9/08/10 3/07/11 56 00 00 56 00 10 00000979 380945 839 W 5TH ST 06 30 00 0 1 02 5 0000 ELECTRICAL ()NIA Contractor ELECTRICAL ALTER RESIDENTIAL Plan Check Fee Valuation Paid Credited 56 00 00 00 00 56 00 00 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 PENINSULA HEAT INC 782 KITCHEN DICK RD SEQUIM WA 98382 (360) 681 3333 RESULTS cr /i4Ito I y Date 9/08/10 Due 00 0 Extension 56 00 00 00 00 INSPECTOR. Date e REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) o d 0 09/07/10 09 29 FAX 3606812086 Peninsula Heat CITY OF PORT ANGELES PERMIT APPLICATION Building Division/EIectrical Inspections 321 East Fifth Street —P O. Box 1150 Port Angeles Washington, 98362 Ph. (360) 417 -4135 Fax: (360) 417 -4111 Date: 7 /14 ✓1 2 Single Family Dwelling Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet Job Address: T3 9 w 5 5./4" Building Square Footage: Description of above Owner ormation Name: e /S 7i it ,7d C Malting Address: S'.3 R N/ 4h P .Cf State: gip: ff 3G 3 Phone +}57 4 Ki Fax: License Exp. Item Service/Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401-600 Amp Service/Feeder 601.1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201400 Amp. Temp. Service/Feeder 401.600 Amp. Temp. Service/Feeder 601 1000 Amp Portal to Portal Hourly Stgn/Outrine Lighting Signal Circuit/ Limited Energy First 1500 at— Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi-Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Addibonal 500 Square FL or Portion of Each Outbuilding or Detached Garage Each Swimming Pod or Hot Tub Unit Charge S 119.90 145.50 204.60 262.20 372.50 3 2.60 73.50 2.60 92.70 S 110.30 148.70 167.90 3 95.90 8820 95.90 63.90 63.90 8119.90 102.30 56.00 S 110.30 35.20 73.50 $110.30 Signature of owner, electrical c ptractor or electrical administrator z 9/7// Pti RECEBr SEP 12 O Multi Family or Commercial' Commercial Addi on Remodel Repair` Fiti rlv aPECTIQ N S Contractor Formation Name: tellj u74 r-i/A 4 Waring Address: City: Seem State: w.t Zip: Phone4l(1- -7343 fax License /Exp. Ar# n.'W I I Total (gty Multiplied by Unit Charge O Carp 0 Chock 10. Cfedlt cw s 4 )t/ o1,00m PORE. Total Owner as defined by RCW 19.28.261. (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property Is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. el 02 Application desc INSTALL A HEAT PUMP Owner CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation FRANCIS THIEMANN /K P SANDERS 839 W 5TH ST PORT ANGELES WA 98362 (360) 452 9456 Permit MECHANICAL PERMIT Additional desc INSTALL A HEAT PUMP Permit pin number 172866 Permit Fee 64 80 Issue Date 9/07/10 Expiration Date 3/06/11 Qty Unit Charge 1 00 Fee summary 14 8000 EA Permit Fee Total 64 80 Plan Check Total 00 Grand Total 64 80 4/7,ho aadVokbanIrseivL- T.Forms /Building Division /Building Permit Per Charged 10 00000974 Date 9/07/10 243542 839 W 5TH ST 06 30 00 0 1 0235 0000 FRANCIS THIEMANN KP S MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 8925 Contractor PENINSULA HEAT INC 782 KITCHEN DICK RD SEQUIM WA 98382 (360) 681 3333 64 80 00 64 80 Plan Check Fee Valuation BASE FEE ME FURN /HP /FAU OR 5 TON Paid Credited Due 00 00 00 00 0 Extension 50 00 14 80 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) \/-0\e gv 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 .cal law regulating construction or the performance of construction �J Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting Landscaping T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date I _,15- I A O ccepted by 1 I3 SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 09/07/10 09 16 FAX 3606812086 Peninsula Heat CITY OF PORT ANGELES Attn: Building Permit Technician 321 E Fifth St, Port Angeles, WA 98362 (360) 417-4816 fax (360) 417 4711 Applicant r��., /n fk, /4cle Ks Property Owner rte,? 6 7h Property Own l's Address s3 Contractor P_ rr i n Contractor's Address License PROJECT ADDRESS Parcel Number Max. height of proposed structures Wiill a lawn sprinkler system be installed? Will a fire sprinkler system be installed? BUILDING PERMIT APPLICATION Print in ink Expires Existing (sm. ft) ft posed O&M ft Occupancy group Occupant load Construction type 57 1 have read and completed this application and brow 1t to be true and cored 1 em autho that it is myrespons�br city to determine what permits are required, and to obtain permits prior Date q/7/1/) Print Name (lla ,4k AGk' /Sam Signature T :FonndBuIdtng DivleioNBldg Peninit.doc Phone Phone 27W cZ Phone E-mail Lot For City Use Only Date Received c i -1 In Permit i O 914- Date Approved Ph forth z Zoning Floor Areas Basement az a per sq. ft 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION Ui qq 25 J Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage of bedrooms of full baths of half baths a 02 pal) Type a Brief Description: D4 srdential o Mu/p- htm/ly a Commercial o industrial Check ea that apply D New Construction o Addition o Remodel o Repair a Demolition a R f o House o garage o other o tear off re -roof o lay over one layer 044.at System is-Weat pump o wood buming stove o gas fireplace o pellet stove o other n Other Clallam County Assessor Treasurer Property Details 56492 FRANCIS THIEMANN Page 1 of 6 Clallam County Assessor Treasurer Property Search Results 56492 FRANCIS THIEMANN /K.P SANDERS for Year 2010 2011 Property Account Property ID Geographic ID Type Tax Area: Open Space Historic Property' N Multi Family Redevelopment: N Township Range: Location Address: 839 W FIFTH ST PORT ANGELES WA Neighborhood: Neighborhood CD' Owner Name Mailing Address. Taxes and Assessment Due Property Tax Information as of 09/07/2010 Amount Due if Paid on .'re.p Year 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2009 2009 2009 2009 2009 2009 2009 2009 Statement ID 39532 39532 39532 39532 39532 39532 39532 39532 39532 39532 564922008 564922008 564922008 564922008 564922008 564922008 564922008 564922008 56492 0630000102350000 Real 0010 PA 121 PORT ST CNTY H2 L N Cycle 5 Res 10955130 Taxing Jurisdiction ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 WSMET PK DIST WILLIAM SHORE MET PARK CITY_STORMWATER CITY STORMWATER WEED_CONTROL WEED CONTROL 2010 39532 TOTAL. ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 CITY_STORMWATER CITY STORMWATER Legal Description. Agent Code Land Use Code 11 DFL N Remodel Property N Section. Mapsco Map ID FRANCIS THIEMANN /K.P SANDERS Owner ID 839 W 5TH ST Ownership: PORT ANGELES WA 98362 Exemptions: First Half Base Due $292 31 $155 56 $21 86 $360 17 $378 62 $45.20 $63 82 DIST $20 30 $36 00 $0 82 $1374.66 $336 61 $170 36 $24 13 $373 66 $416.27 $49 50 $69 87 $36 00 LOT 11 BL 102 3 55816 100 0000000000% Second Half Base Due Penalty Interest Base $292.31 $0 00 $0 00 $2E $155 57 $0 00 $0 00 $1E $21 87 $0 00 $0 00 $2 $360 16 $0 00 $0 00 $3E $378 62 $0 00 $0 00 $37 $45.20 $0 00 $0 00 $4 $63.81 $0 00 $0 00 $E $20 31 $0 00 $0 00 $2 $36 00 $0 00 $0 00 $0 81 $0 00 $0 00 9 $1374.66 $0.00 $0.00 $137 $336 62 $0 00 $0 00 $67 $170 35 $0 00 $0 00 $34 $24 13 $0 00 $0 00 $4 $373 66 $0 00 $0 00 $74 $416.28 $0 00 $0 00 $8: $49 50 $0 00 $0 00 $5 $69 86 $0 00 $0 00 $1 $36 00 $0 00 $0 00 $7 http. /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =56492 9/7/2010 PREPARED 10/03/05 13 15 22 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/03/05 ADDRESS 839 W 5TH ST SUBDIV CONTRACTOR PELLET HEAT CO PHONE (360) 457 4406 OWNER FRANCIS THIEMANN /K P SANDERS PHONE PARCEL 06 30 00 0 1 0235 0000 APPL NUMBER 05 00000867 FIREPLACE /INSERTS /FREESTANDING PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 10/03/05 -JLL MECHANICAL GAS LINE 09/30/2005 10 27 AM PBARTHOL DR THIEMAN 452 9456 COMMENTS AND NOTES l l OF pORrq,I,C�( 'WVaSs FN ft eLCW Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner FRANCIS THIEMANN /K P SANDERS 839 W 5TH ST PORT ANGELES WA 983632110 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total MECHANICAL PERMIT 59840 68 30 9/13/05 3/12/06 Qty Unit Charge Per BASE FEE 2 00 10 6500 ECH ME -OTHER APPL N/R Charged Paid Credited 68 30 68 30 00 00 00 00 68 30 68 30 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. co Ai Lc Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000867 Date 9/13/05 593102 839 W 5TH ST 06 30 00 0 1 0235 -0000 FIREPLACE /INSERTS /FREESTANDING RS7 RESDNTL SINGLE FAMILY 4500 Contractor PELLET HEAT CO 230 EAST 1ST SUITE C PORT ANGELES WA 98362 (360) 457 -4406 Plan Check Fee Valuation Due 00 00 00 0 0 Extension 47 00 21 30 7 \v‘ CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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 PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING FIRE PLANNING DEPT BUILDING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 417 -4653 417 -4750 BUILDING PERMIT INSPECTION RECORD I I I I I l I I I I I I I I I I I I I I I I I I 1 I I I I I TlPni es 11102 15 building permit inspection record05.wpd(1 /4/2005] 'I I Vo 3 -o .f I I i I I I I I I I I I I 417 -4815 I L 09i re1. 711,45/ 09 I YES I NO SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I 1 I I j_ 9 0 13 -05 1.) _°P;M d nr +1, Fill out COMPLETELY and in INNk, Your application and tits plan MUST BE COMPLETE to be accepted for review If yuu have any questions, call (360)4Y7 -4815 Applicant or Agent, 'Pi t,L 4rr rp r'n Phone' r3Pin 4 41-46 U wncr riL ama ratiktha u ki Phone 4 1c%7 Address:1QAq h City Zip :_q 3___ Architect invar Contractor t)6 t43.7- c6 State License Exp• 4`I 1 1 0 Phone Address. "2 C EA. 1S C LALLAM COUNTY PARCEL NUMBER, _,Io: U' ('btu I t 55C'rrf 1111htg Addreta: 220• C rL;Q 1 'redlt CardType VISA MC f YP R OF WORK. Residential O New Constr. Re•roof grove Multi- family Addition 0 Move Mirage Commercial O Remodel Demolition 0 Deck 0 Repair 0 Sign C Other )RIhF DESCRIPTION OF THE PROJECT BUILDING PERMIT APPLICATION PL9thikx_Tv_ac_.nohrh_214,646 r 4;41 'OMMERCL&L/ItESIDENTIAL Occupancy Group do of Lot Sum. Existing Sq. Ft. 'cluing lot coverage Proposed lot co'.eragc PLANNUSG USE ONLY PS A/Wetland(s) 0 Yes C No SEPA Checklist required? 0 Yes 0 No Otter' TOR vtA1APPV \Ruimirepermit wpd Applicant: Subdivision, c Phone' "'redit Card Holder Name, M1(3.(ael DITRE UAL[ fir__ City Exp. Date: SIZENALUAT'1ION• SF (g9$ /SF W$ SF /SF r 3 SF Q S /SF 3 TOTAL VALUATION 360 5 FO.R OPPICIAL USN-•,, INi v Date Rec. 621 fl* lacnnit M !7 5 '[2601 Date Approval 3 `95 Date 4aued 4/13 /OS City' Zip .3g3 PROJECT ADDRESS ,,q, ZONING LEGAL DESCRIPTION Lot. u Blook:.j02 Occupant Load, Construction Type Proposed Sq. Ft. TOTAL Sq.Ft. Total lot coverage APPROv A.LS PLAiN BLDG DPWU FIRS OTHER. 1111 nrs PERMIT APPLICATION SUHMI rrALt The Building Division eau provide yuu with information on the application and Lan subtn:,tta1 requirements if you have questions, ALUA'1'lON OF CONSTRUCTION In all cases. a valuation amount must be entered by the applicant. This figure will be reviewed n.d may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-481.5 forsasistact LA.s CHECK FEE LF a plan check fee is due ix must be submitted at the time the building permit application and conalructinn plans are tbm tted. AU other permit foes axe due at tihe. time of permit issuance. xrutATioN OF PLAN REVIh Wm if no permit is issued within 180 days of the dale of application, the application will expire, The ldi. Official can extend the time for action by the applicant up to 180 days upon written request by the applicant Glee Section 10'+ 4 al' to Uniform Building Code, current edition), No application can be extended more than once 5ereby certify feat I have mad end examined this application and know the same to be true end correct, I am authorized to apply for this permit and 'derstond that W Is my rooponsibi Illy to determine what permits are required ,rat the City's, and that tpr6 obtain such permits prior to wodr date /3 Q j.r g ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000867 Date 10/17/05 593102 839 W 5TH ST 06-30-00-0-1-0235-0000- FIREPLACE/INSERTS/FREESTANDING RS7 RESDNTL SINGLE FAMILY 4500 Owner Contractor FRANCIS THIEMANN/K.P. SANDERS 839 W 5TH ST PORT ANGELES WA 983632110 PELLET HEAT CO. 230 EAST 1ST SUITE C PORT ANGELES WA 98362 (360) 457-4406 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL APS/ 2- RECEPT. FOR GAS STOVE 62000 APS ELECTRIC 48.10 Plan Check Fee 10/17/05 Valuation 4/15/06 .00 o Qty Unit Charge Per 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 C}) (}j ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 \:". t l>t \).. V1 1 COMMENTS/ ACTION NEEDED \ ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTJtD COMMENTS I YES I NO DITCH ROUGH-IN / CUV,hK :S~K VICE J on.. TAT 10/(, /" ~:' I A-rJ:) I , ./ GENERAL COMMENTS: PW-II02.U (4196] I , Job wired by 8 tl(Elcctrical Contr:icU,r 0 Owner ELECTRICAL WORK PERMIT APPLICATION I EI em; cODrrac~ c.J1. ~c~6rLCd:G~j Ates p~~aser's mai~g ~ess _ 1'":> ^ -;)4i-~ ~ ~ f$'~L'BAA III D QLt\ sf))~ QCX3h 3 Telephone n ~ FAX number 0;;1. b r'13 €...., Installation de!>cri"lion D Commercial ~ Rcsideotial CJ New (Altered/Addition 'r4U~.I~ {6lAiO.J, -6C1 <3~ ~JrlWJ) ,I l'Tcmisn OWDe,.'~ name .:C.h; f', M.tLY\,Q; Address of Inspection tk "b 3q fA) < S. - Clryp.A ~ PlloDe Dumber)f schedule 'Q pcctjon: Sol -C! 4' awn(!f as defined by RCW.J9.28.26J:(J) Owner .....ill occupy tile. .<:tru.Cflll'e for two .l;eaY.t qfier thit e.lectrical pe1"1nit is jiJtofl:cd. (2) Owner is n:quired to hin: WI elel'fn"ml conlrucltJr if aha..,,/? said p1'operty is for sale. rent or lease. After reading the above statement, [ hereby certify that, I am the owner of the above named propcny or 3 licensed electrical contractor. I am making the electrical instal- lation or alteration in. compliance with the electrical laws, N.E.C., RCw. Chapter 19.2S, WAC. Chaptcr 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Sign Y't\ f"< . +- l\'\ ,-5 o Cash o Check # iP\-/iJ-L o Credit Card Visa Mastercard Discover Card # Expiration Date Date:l0~3~5 of card Insr~ction fee $ "'~.IO Service Information J:; ectrical Load A dl /'QINO LOAD CHAN \,,000"'" C}: Baseboard _ KW Q Furnace KW o Heat Pump _ Ton _ LAR Q Fan-Wall ~ ~ o O\lerl1ead Sef"\liee o Temp Service CI Underground Service Voltage Phase 0 1 Cl 3 Service Size: _ Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ".- ROUGH-IN ".- THERMOSTAT SERVICE D.. .-\pproveuDy D"" Appf'CIyed By D.. Approv<:d ijy FlNAL DITCH FEEDER ~ .~0 , D ~ Awruved By D~te Ap\lmvc4 By '- Da.lU Aprmved Ry In:,-pection Area, Building Qr Equipment Inspected Electrical . Date Action T8ken Inspector - -.. --" ~~p~-- - --+ .- - - -. -.. . ~d W~SS:80 S00C P0 ".80 [SL9 CSP 09[ "ON X~" ~O~J~~~NOJ l~JI~~J3l3 "S'd"~ WO~"