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Home My WebLink About1021 W 5th St - BuildingElectical Permit 1021 W 5 `'' St 12-1006 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00001006 Date 8/06/12 Application pin number . . . 257854 Property Address . . . . . . 1021 W STH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -0966 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Demand response hot water tank ---------------------------------------------------------------------------- no fee Owner Contractor THOMAS P & B E PELETT OLYMPIC ELECTRIC CO INC 1021 W STH ST 1 4230 TUMWATER PORT ANGELES WA 983632114 PORT ANGELES WA 98363 (360) 460-5358 (360) 457=5303 ------------------------ Permit . . . . . . ELECTRICAL ------------------- ALTER RESIDENTIAL Additional desc DEMAND RESPONSE HOT WATER TANK Permit Fee . . . . .00 Plan Check Fee .00 Issue Date . . . . 8/06/12 Valuation . . . . 0 Expiration Date . . 2/02/13 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ------------------------------ --------------------------- Permit Fee'Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Pon` Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH I SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING E �n 0-A 08/03/2012 09:08 FAX 360 452 3498 Olympic Electric Co. + PA CITY INSPECT 1&007/007 AUG" ) e 2012 CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL Building Division/Electrical Inspections INSPECTIONS 321 East Fifth Street = P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fay.: (360) 417-4711 Date: 6 ' 3 ) --,� ,X_ 1 & 2 Single Family Dwelling Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1 I-) 1 ►N �`�''t'" Building Square Footage: Description of above Install Demand Response Disconnect for Hot Water Tank Owner Information Contractor Information Name:�MjyYj4 Name: Olympic t~^lectric Mailing Address: ^' Mailing Address: 4230 Tumwater City: Port Angeles tate: Wa _. Zip: _ C' t_ les State: City: ��- AngeW .�� Zip: 98363 Phone!- VI 5_%' Fax: Phone:360-457-5303Fax: -360---4,92- 3499 License # / Exp. Llcense # / Exp. oLymPFr255DI Item Unit Charcie Qty Total (Qtv Multiolied by Unit Charde Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201.400 Amp. $ 146.00 $ Service/Fonder 401-600 Amp $ 205.00 $ Servlce/Feeder 601-1000 Amp, $ 262.00 $ Service/Feeder over 1000 Amp, $ 373.00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit WIO Service Feeder $ 63.00 i $_ r�o Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ Temp. Service/ Feeder 200 Amp. $ 93.00 $ -- Temp. Service/Feeder 201-400 Amp, $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $_ Temp, Service/Feeder 601.1000 Amp , $168.00 $ Portal to Portal Hourly $ 96.00 3 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 or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ $_ , o 0 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 296-468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Sign ture of owner, electrical contractor or electrical administrator: Cl cash D check 129 Credit Card # X 0 1/0 112 01 2 CITY OF PORT ANGELES i DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 11-00000286 Date 4/06/11 Application pin number . . . 264804 Property Address . . . . . . 1021 W 5TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -0966 -0000 - Tenant nbr, name . . . . . . TP & BE PELETT Application type description RES REMODEL Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 2000 ---------------------------------------------------------------------------- Application desc CUT FOUNDATION & ADD AN EXTERIOR DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ THOMAS P & B E PELETT OWNER 1021 W 5TH ST PORT ANGELES WA 983632114 (360) 460-5358 --- Structure Information 000 000 S ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . CUT FOUNDATION & ADD A DOOR Permit pin number . 183277 Permit Fee . . . . 95.75 Plan Check Fee 62.24 Issue Date . . . . 4/06/11 valuation . . . . 2000 Expiration Date . . 10/03/11 Qty Unit Charge Per Extension BASE FEE 50.00 15.00 3.0500 HND BL -501-2K (3.05 PER C) ---------------------------------------------------------------------------- 45.75 Other Fees . . . . . . . . . STATE SURCHARGE ---------------------------------------------------------------------------- 4.50 Fee summary Charged Paid Credited ----------------- ---------- Due ---------- -------- -- ---------- Permit Fee Total 95.75 95.75 .00 .00 Plan Check Total. 62.24 62.24 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 162.49 162.49 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) livat 3.1(0.12 - 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 lay 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type ( Date FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts I Piers I Post Hales (Pole Bldgs.) l 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 Wali / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) I T -Bar INSULATION: Slab Wall / Floor / Ceiling MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rough -in Gas Line I Wood Stove / Pellet / Chimney Commercial Hood / Ducts l MANUFACTURED HOMES: Footing / Slab Blocking 8 Hold Downs Skirting l PLANNING DEPT. Separate Permit #s Parking / Lighting Landscaping Accepted By Comments Mtrxa n w a kil (6 3-1 l `4t -- I f I FINAL Date I IFINAL Date i I SEPA: ESA: SHORELINE: Accepted by Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type I Date I Accepted By Electrical 417-4735 1 Construction - R.W. PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 1 ?) — j tQ- I 'a— T:Forms/Building Division/Building Permit M PREPARED 3/16/12, 8:29:03 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/16/12 -------------------------- — --------------- —--------------------------------------------- — ---- ADDRESS . : 1021 W STH ST SUBDIV: TENANT, NBR: TP & BE PELETT CONTRACTOR : PHONE OWNER THOMAS P & B E PELETT PHONE (360) 460-5358 PARCEL 06-30-00-0-1-0966-0000- APPL NUMBER: 11-00000286 RES REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BURW O1 6/03/11 JLL BLDG RETAINING WALL 6/03/11 AP June 3, 2011 9:13:18 AM pbarthol. Tom 460-5358 June 3, 2011 4:09:10 PM jlierly. BL99 01 3/16/12 BLDG FINAL March 15, 2012 3:15:10 PM hcatuzo, t owner will not be present. 460-5358. -------------------------------------- COMMENTS AND NOTES -------------------------------------- PROJECT STATUS UPDATE dA)ed Permit # 117_ CP Date: V IX I phoned the: Applicant at Property OwnerTlloma5 PPIM at 4lo0�'Gj�� Contractor at I (left a phone message, or discussed): The permit (has expired, or will 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. docsn-� Wa n*D be t. y_re__ Vevy G.vl.9 . T:Forms/Building Division/Project Status Update PREPARED 6/03/11, 9:44:24 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/03/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 1021 W 5TH ST SUBDIV: TENANT, NBR: TP & BE PELETT CONTRACTOR : PHONE OWNER THOMAS P & B E PELETT PHONE (360) 460-5358 PARCEL 06-30-00-0-1-0966-0000- APPL NUMBER: 11-00000286 RES REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------- -------------------------------------- — ---- — ------------------------ BURW 01 6/03//11 L BLDG RETAINING WALL y June 3, 2011 9:13:18 AM pbarthol. Tom 460-5358 ------------------------------- COMMENTS AND NOTES---------------------------------- BUILDING PERMIT CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., .Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 Applicant Property Owner <-4 X4,�_ Property Owner's Address /oma% Contractor Contractor's Address r t License # - I Expires APP7nP TION Print in ink For City Use Only: Date Received H - 4 - 11 Permit # Date Approved Phone3�o y,f�e9 - s3_f;-8' ( E-mail PROJECT ADDRESS Parcel Number Lot Zoning Proiect Tvpe & Brief Description: }Residential ❑ Multi -family ❑ Commercial ❑ Industrial Check all that apply J ❑ New Construction ❑ Addition r D ❑ Remodel G --7' ec ec l!P �� v:1JrtcL7�iv W %cl 4«0— 70-0 ❑ Repair I� nto S k o P o-v)eA ` ❑ 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 Existinq (sq. ft.) Proposed (sq. ft.) Basement @ $ per sq. ft. _ $ 151 Floor 2nd Floor 3rd Floor / Garage / Carport/ ,lot�e�alS i j p60 Covered Porch Ioptrt� Deck Shed Other TOTAL VALUATION $ �� coo, Total footprint of structures 7/ sq. ft. T Lot size �' x r� sq. ft. = Lot coverage �0 % Site Coverage = the amount of impervioussurface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC.17.94.135 for exemptions) Site coverage % Max. height of proposed structures �� ft! Occupancy group fl 4 # of bedrooms Will a lawn sprinkler system be installed? g, /M Occupant load # of full baths Will a fire sprinkler system be installed? 'TuConstruction type I # of half baths / I have read and completed this application and know it to be true and correct. /am authorized to ap y for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to ng on prots. 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The Issuance of this permit based upon these plans, specifi- FRE cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes nd o finances of this jurisdiction Wat, of "I codes or f1T orm Ing 1,00e.) 7 Approval jDate By 'csl A ill 0, -V-z� Y17 -ad 'Pe WA 16, e, fi'd v Fee t so ljsCt wee y vv es -f 9 t K C? re e v pv, -71/7 ,R .tr9 r 1p G e?L✓ @ I�.I t. G'Y co f , e if dErl "U bS% 01 -------•-------------------------------------------------------------- Retaining Wall Retaining Wall Eyestone-Pelett Foundation Wall Configuration Summary (a) (b) (c) (d) (e) M M (h) (i) (k) (j) Wall Height Soil Backfill Reinforcement Footing Reinforement Thickness Requires Vertical Horizontal Longitudinal Front Back Depth Dist. from Face Wall Bent Vert, (Ft.) (Ft.) (0. C.) (O'c') (In.) (in.) (In.) (in.) (in.) Steel 7'-2f' 6f,81t #4 @ 5" ox. #4 @ 12" ox. #4 @ 12" ox. 8" 2411 1011 411 810 yes 32 ft. between Corners #4 @ 10" ox. 28" above footing to 36" above footing #4 @ 16" ox. 36" above footing to top of wall 71-2'4 61-81' #4 @ 5" ox. #4@12"ox. #4@12"o.c. 30" 8.1 10" 4" 811 yes 32 ft. between Corners #4 @ 10" o.c. 28" above footing to 36" above footing #4 @ 16" ox. 36" above footing to top of wall 5'-2' 4'-8" #4 @ 16" ox. #4 @ 16" ox. #4 @ 12" ox. 8" 12" 1011 411 811 no 32 it, between Corners or shorter 81 71-611 #4 @ 3.5" ox. #4 @ 12" ox. #4 @ 12" ox. 8" 2811 1011 411 811 yes 32 ft. between Corners #4 @ 7" ox. 32" above footing to 44" above footing #4 @ 14" ox. 44" above footing to top of wall 99027WT Page I Retaining Wall - e\ett 6ft. wall Moment Soil Pressure Soil Height Height ofwall Height offooting Distance from wall face to n(8e| Thickness ofwall Footing front Footing baok(underooi|) Weight of soil Weight ofConcrete pheeang|o Sliding friction phee Soil Pressure Bearing Soil Pressure Horizontal Anchor Bolt shear strength Moment Floor Anchor Bolts Moment from Bldg. Load Moment from Horizontal 8haa| Moment Wall Moment Footing Moment Soil Moment Soil Pressure Total Overturning Moment Rectangular Soil Pressure Triangular Soil Pressure CritialFaotora: K8iDi0uno steel raU0 z Fy= fo � Fc= Factor of Safety Retaining Wall 18K8ay'9K9 South Wall Distance between- Corners 66 in. 62 in. 10 in. 4 in. 8 in. 8 in. 12 in. 115puf 1GDpcf 33 Degrees 0.3%1100 1500 P.S.F. 413.23P.LF. of wall D per bolt 2.67 o.c. O�0JFt. -Lbs. plus O.ODFt-Lbn� plus 17727Ft. -Lbs. plus 551.11 Ft. 'Lbs. plus 362.96 Ft. -�Lba' plus Q83.B9Ft. -Lbs. plus 887.17Ft. 'Lbs. minus 1O8B'UGFt. -Lbs. i897.S$Ft. -Lbs. 272=P1 0.91 =P2 0.0015 4O'DOO-OO 2�000-0] 0.85 2,500.00 1.70 P�Sii F!G1 Vertical Loads Live Load ofBuilding Dead Load ofBuilding VVoU Footing Soil Total Rectangular Soil Pressure Triangular Soil Pressure Factor to zero P1 = Uniform P1� Triangular Pressure P2� Footing pressure on G|eta|nimqWall K3vmrtmrninq Moments about front toe Soil Pressure Moment � Factor of safety = Sliding Friction Resistance � Allowable Pressure = K8\n\nlum steel = Maximum steel o= Moment Ultimate, knin. rehnf.\ Moment Actual = Area Steel Required Area ofSteel per bar PSI Bar Spacing = 32 Ft. 0.08F.LF.ofwal\ CiC0P.LF.ofwall 551.11 P.LF.cfwall 31111 P.LF.ofwall 536.67 P.LF.ofwall 1398.8gF.LF.ofwall 2.33 =P1 1.17=P2 1.17 892.69 P.S.F. -586.12 P.S.F. soil side. 2075.23 987.17 2.10 > 2{3K 5036 P.LF.ofwall 206.66667 P.S.F. 0.144 Sq. In./FL 1114Sq. |D./Ft. 0.2259 In. 1.879,21 Ft. Lbs. 465.54 Ft. Lbs. OA40 Sq. |O./Ft. O�Sq. In. 16 In. 0.150 Sq. In. 0k. Retaining VVa| ' Bar Cut -Off Determination: Wall Horizontal resistance: Cut off height = 30 In. from top ofwall Spacing ofHorizontal Steel = 12 in. Soil Pressure Horizontal = 134.93 P.LF.ofwall Area Pfsteel per bar = 0.2 Sq. In. Moment Actual = 179.91 Ft. Lbs. Length mfwall bbwncorners = 32 Ft. Area Steel Required = 0.O54Sq. |O./Ft. Resistive Moment Capacity = 13.800 In. -Lbs. Area ofSteel per bar 0.2 8q. In. Soil pressure capacity 13 PGF� Bar Spacing = 16/n. Footing moment Reduction = 177 F[-Lba. #4@1G" o'o. 0.160 Sq. In. OK. Horizontal steel Cut off height = 50 In. from top ofwall Soil Pressure Horizontal = 255.11 P.L.F. of wall Minimum steel 0,144 8q. |n./Ft. Moment Actual = 46770 Ft. Lbs. Area Steel Required 0.140 8q. |n./FL Area nfSteel per bar 0.2 Sq. In. Area ofSteel per bar 0.2 Sq. In. Bar Spacing = 16 In. Bar Spacing = 16 In. #4 @ 16" m.o. 0.150 Sq' In. O9K. #4@ 116/' P.c. 0'160 Sq' In. 0kC. Footing Reinforcement: Min. steel in footing = 0.18 Sq. |m./Ft. Spacing of Steel = 12 in. Area of steel per bar 0.2 8q. in. #4 @ 12" o/c.e/m= 0.200 Sq. In. OK. Page PREPARED 2/23/11 8 17 23 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/23/11 ADDRESS 1021 W 5TH ST SUBDIV TENANT NBR THOMAS P & B E PELETT CONTRACTOR PHONE OWNER THOMAS P & B E PELETT PHONE (360) 460 5358 PARCEL 06 30 00 0 1 0966 0000 APPL NUMBER 11 00000010 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS B 1 01 2/07/11 JLL BLDG FRAMING TIME O1 00 2/07/11 DA February 3 2011 4 48 34 PM 1pangrle THOMAS 460 5358 FRAMING AFTERNOON February 7 2011 4 51 24 PM jlierly Owner cancelled inspection (phone message) recall when ready/jll BL3 02 2/10/11 JLL BLDG FRAMING TIME O1 00 2/10/11 DA February 9 2011 4 04 38 PM 1pangrle TOM 417 5589 FRAMING AFTERNOON February 10 2011 4 22 19 PM jlierly bock and nail plywood seams/ recall for a shear nail irspeclion/electrical roughin before frame/jll BL3 03 2/22/11 JLL BLDG FRAMING TIME O1 00 2/22/11 AP February 18 2011 4 47 33 PM 1pangrle BARBARA 417 5589 FRAMING AFTERNOON �� February 22 2011 4 17 43 PM jlierly BLZ O1 2/23/11 BLDG INSULATION A. February 22 2011 3 56 47 PM 1pangrle BARBARA 460 5348 INSULATION HER HUSBAND TOM REQUESTS THAT YOU PLEASE INSPECT AS EARLY AS POSSIBLE PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 2/22/11 JLL PLUMBING ROUGH IN TIME O1 00 2/22/11 AP February 18 2011 4 48 13 PM 1pangrle BARBARA 417 5589 ROUGH IN PLUMBING AFTERNOON February 22 2011 4 17 43 PM jlierly PL2 02 2/23/11 L PLUMBING ROUGH IN 1X February 22 2011 3 57 53 PM 1pangrle BARBARA 460 5348 PLUMBING (ROUGH INS) HER HUSBAND TOM REQUESTS THAT YOU PLEASE INSPECT AS EARLY AS POSSIBLE COMMENTS AND NOTES uokY�Z�W PREPARED 2/22/11 8 07 40 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/22/11 ADDRESS 1021 W STH ST SUBDIV TENANT NBR THOMAS P & B E PELETT CONTRACTOR PHONE OWNER THOMAS P & B E PELETT PHONE (360) 460 5358 PARCEL 06 30 00 0 1 0966 0000 APPL NUMBER 11 00000010 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 2/07/11 JLL BLDG FRAMING TIME O1 00 2/07/11 DA February 3 2011 4 48 34 PM 1pangrle THOMAS 460 5358 FRAMING AFTERNOON February 7 2011 4 51 24 PM j L erly Owner cancelled inspection (phone message) recall when ready/jll BL3 02 2/10/11 JLL BLDG FRAMING TIME O1 00 2/10/11 DA February 9 2011 4 04 38 PM 1pangrle TOM 417 5589 FRAMING AFTERNOON February 10 2011 4 22 19 PM jlierly block and nail plywood seams/ recall for a shear nail inspection/electrical roughin before frame/jli BL3 03 2/22I/11 L BLDG FRAMING TIME O1 00 (4 February 18 2011 4 47 33 PM 1pangrle BARBARA 417 5589 FRAMING AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 2/22/11 L PLUMBING ROUGH IN TIME O1 00 February 18 2011 4 48 13 PM 1pangrle It BARBARA 417 5589 ROUGH IN PLUMBING AFTERNOON COMMENTS AND NOTES PREPARED 2/28/11 8 52 31 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/28/11 ADDRESS 1021 W 5TH ST SUBDIV TENANT NBR THOMAS P & B E PELETT CONTRACTOR PHONE OWNER THOMAS P & B E PELETT PHONE (360) 460 5358 PARCEL 06 30 00 0 1 0966 0000 APPL NUMBER 11 00000010 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 2/07/11 JLL •BLDG FRAMING TIME O1 00 2/07/11 DA February 3 2011 4 48 34 PM 1pangrle THOMAS 460 5358 FRAMING AFTERNOON February 7 2011 4 51 24 PM jlierly Owner cancelled inspection (phone message) recall when ready/jll BL3 02 2/10/11 JLL BLDG FRAMING TIME 01 00 2/10/11 DA February 9 2011 4 04 38 PM 1pangrle TOM 417 5589 FRAMING AFTERNOON February 10 2011 4 22 19 PM jlierly block and nail plywood seams/ recall for a shear nail inspection/electrical roughin before frame/jll BL3 03 2/22/11 JLL BLDG FRAMING TIME O1 00 2/22/11 AP February 18 2011 4 47 33 PM 1pangrle BARBARA 417 5589 FRAMING AFTERNOON February 22 2011 4 17 43 PM jlierly BLI O1 2/23/11 JLL BLDG INSULATION 2/24/11 DA February 22 2011 3 56 47 PM 1pangrle BARBARA 460 5348 INSULATION HER HUSBAND TOM REQUESTS THAT YOU PLEASE INSPECT AS EARLY AS POSSIBLE February 24 2011 4 28 29 PM jlierly owner was not ready (no insulation was installed) and decided to call an insulation company recall when ready/jll BLI 02 2/28/11 J BLDG INSULATION February 25 2011 11 03 12 AM pbarthol tom 460 5358 - COMMENTS AND NOTES PREPARED 2/10/11 9 17 55 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/10/11 ADDRESS 1021 W 5TH ST SUBDIV TENANT NBR THOMAS P & B E PELETT CONTRACTOR PHONE OWNER THOMAS P & B E PELETT PHONE (360) 460 5358 PARCEL 06 30 00 0 1 0966 0000 APPL NUMBER 11 00000010 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 2/07/11 JLL BLDG FRAMING TIME O1 00 2/07/11 DA February 3 2011 4 48 34 PM 1pangrle THOMAS 460 5356 FRAMING AFTERNOON February 7 2011 4 51 24 PM jlierly Owner cancelled inspection (phone message) recall when ready/jll BL3 02 2/10/11 L BLDG FRAMING TIME O1 00 4/ February 9 2011 4 04 38 PM 1pangrle TOM 417 5589 FRAMING AFTERNOON COMMENTS AND NOTES PREPARED 2/07/11 8 19 25 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/07/11 ADDRESS 1021 W 5TH ST SUBDIV TENANT NBR THOMAS P & B E PELETT CONTRACTOR PHONE OWNER THOMAS P & B E PELETT PHONE (360) 460 5358 PARCEL 06 30 00 0 1 0966 0000 APPL NUMBER 11 00000010 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED R SULT RESULTS/COMMENTS BL3 O1 2/07/11f BLDG FRAMING TIME O1 00 February 3 2011 4 48 34 PM 1pangrle THOMAS 460 S358 FRAMING AFTERNOON COMMENTS AND NOTES �jo �— '* �t CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION = ` 321 EAST 5TH STREET PORT ANGELES, WA 98362 Y r,Nr,ii.a �i'u iv iuwci Application pn number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation L1-VUUVuu1U Late 1/125/11 522030 1021 W 5TH ST 06 30 00 0 1 0966 0000 THOMAS P & B E PELETT RES ADDITION RS7 RESDNTL SINGLE FAMILY 40000 Application desc ENCLOSE A DECK INTO A BEDROOM ADD A BATHROOM ETC Owner Contractor THOMAS P & B E PELETT OWNER 1021 W 5TH ST PORT ANGELES WA 983632114 (360) 460 5358 Structure Information 000 000 ENCLOSE A DECK INTO A BEDROOM ETC Permit BUILDING PERMIT RESIDENTIAL Additional desc ENCLOSE DECK, ADD BED&BATH Permit pin number 179853 Permit Fee 569 25 Plan Check Fee 370 01 Issue Date 1/18/11 Valuation 40000 Expiration Date 7/17/11 Qty Unit Charge Per Extension BASE FEE 417 75 15 00 10 1000 THOU BL -25 001 50K (10 10 PER K) 151 50 Permit MECHANICAL PERMIT Additional desc Permit pin number 179861 Permit Fee 70 95 Plan Check Fee 00 Issue Date 1/18/11 Valuation 0 Expiration Date 7/17/11 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 2500 EA ME VENT FAN (SINGLE DUCT) 7 25 1 00 13 7000 EA ME HT OR COOL APP RPR/ALTER 13 70 Permit PLUMBING PERMIT Additional desc Permit pin number 179879 Permit Fee 93 00 Plan Check Fee 00 Issue Date 1/18/11 Valuation 0 Expiration Date 7/17/11 Qty Unit Charge Per Extension BASE FEE 50 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction r /`/o wr •�i S �`� G �_ ��` Date Print Name Signature of Contractor or Authorized Agent 4e nature of ner I ner is builder) T Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD 4 — 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 I Date I Accepted By I Comments FOUNDATION 1 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 I FINAL Date Accepted by AIR SEAL. II 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 I Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES Footing / Slab I Blocking & Hold Downs I I Skirting PLANNING DEPT Separate Permit #s SEPA. Parking / Lighting ESA. Landscaping I I 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 P ! DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 v Page 2 Application Number 11 00000010 Date 1/18/11 Application pin number 522030 Qty Unit Charge Per 3 00 7 0000 EA PL -PLUMBING TRAP 1 00 7 0000 EA PL -WATER LINE 1 00 15 0000 EA PL -SEWER LINE Special Notes and Comments The Fire Department has reviewed the project application and has no comments January 18 2011 1 23 10 PM sroberds The proposal will result in remodel of a sfr including exterior deck stairs/landing in the RS 9 zone No land use issues anticipated January 6 2011 9 32 04 AM Brian 417 4708 Proposed work will not affect main electrical service entrance Electrical permits will be required for additions to bedroom bathroom family room etc Public Works Utility Engineering has no requirements for this plan review Other Fees STATE SURCHARGE Fee summary Charged Paid Credited Permit Fee Total 733 20 733 20 00 Plan Check Total 370 01 370 01 00 Other Fee Total 4 50 4 50 00 Grand Total 1107 71 1107 71 00 Extension REPORT SALES TAX 21 00 7 00 on your state excise tax form 15 00 to the City of Port Angeles (Location Code 0502) Due 4 50 00 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 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 T Forms/Building Division/Building Permit Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 l --TLA— C LA -Water WaterLine (Meter to Bldg) Gas Line Back Flow / Water FINAL Date Accepted by AIR SEAL. Walls Ceiling FRAMING SLI.- 2—Z2—(( 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 i Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking / Lighting Landscaping SEPA. ESA. 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 I<i Q N crc I 1 �LA "'/ T:Forms/Building Division/Building Permit r rC)li! i.�.�. BUILDING PERMIT APPLICATION Print In Ink �''"�►hx �- CITY OF PORT ANGELES For City _Use Only, / - Attn Building Permit Technician ` Date Received _ -3' l �4 321 E Fifth St. Port Angeles WA 98362 Permit # II�-1 (360) 417-4815 fax (360) 417-4711 Date Approved t Applicant LiNDEFR� - 66mtTN Arc l`�—,�_ Phone 4 S ? Property Owner -I--o�--�— Phone Property Owner's Address Z �h o Contractor Phone Contractor's Address License # Expires E-mail PROJECT ADDRESS Parcel Number Int( t,/ S ST Lot Zoning RI -S 17 Project Type & Brief Description. X Residential ❑ Multi -family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction e n C lose ext sV ng deck, +D Q bedroom XAddition ef-,AJVe¢T MwzgnU45 nCr-__ -i, Remodel m -- o Repair Pi4h1Q— �.— c? - ❑ Demolition .#6+6 e-kZ4,WV A kPn%nurp ❑ Re -roof �v3 v o House o garage o other ❑ tear off & re -roof ❑ lay over one layer XHeat Systema �'� ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other >COther %2 �14G� FSG/f�iN� h�=i� STI+/P� L�// f ��'.¢�51�►1.2 � �.L 6� Floor Areas Existing lag,. ft.) Proposed (sp. ft.) Basement 151 Floor 2nd Floor 3rd FloorT Garage Carport Covered Porch Deck AZ Shed Other @ $ per sq ft. = $ TOTAL VALUATION $ Total footprint of structures1,,� sq ft. T Lot sizesq ft. = Lot coverage 2,45 % 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 % Max. height of proposed structures S1-. ft. Occupancy group �_ # of bedrooms Will a lawn sprinkler system be installed? _Aje:? Occupant load r # of full baths ,3 Will a fire sprinkler system be installed? Construction type Vtv� # of half baths I have read and completed this application and know it to be true and correct. /am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects Date IZ-(h -Ip Print Name Signatures T.Forms/Building Division/Building permit application .AO,30 026, I A,323 f -I 94- — — — — — — PROPERTY LINE 140.04' — NEW LAWWs TO MATCH — _ — - -�. EXISri L�_alt� _ y 704' 30' ABO ET � EXTG T SETBACK F rK OWE �- LANDSCAPE WALL !- -NEW STAIR — I Ws AT 900'' MAX AMV PPL GRADE I NEN POSTS I Ism \ .1. IVVCE ABOVE W NM XT STAIRS I I AREA OF EXTG DECK ABOVE ISETBACK (j[ \ 14 ENCLOSED POR BEDIIOCM i I F- LL IABOVE CK— I EAISTW� U Na CURB PROPERTY LINE 140.04' S1TE f'LAN SCALE: 1 10' - O' NOFZT+4 / 1 I 1101- 6p 1040 10 / L / i =1030 -� /1022, e_ R 102 " /} v j 101A1- 1006 / 25 1{323 Sj 19 I 1021 s. 1019 ts� ' 1011 1 X00 799_, � s CSO I "1009 e nen 1008 G 39 939" i cele 3 262'9 o Clallam County Assessor & Treasurer - Property Details - 56595 THOMAS P AND B E Clallarn County Assessor & Treasurer Property Search Results > 56595 THOMAS P AND BE PELETT for Year 2011 2012 Property Page 1 of 5 Account 39633 ST SCH STATE SCHOOL 2010 Property ID- 56595 Legal Description LOT 16 BL 109 Geographic ID- 0630000109660000 Agent Code 39633 Type Real 39633 SD #121 SCHOOL DISTRICT #121 Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space. N DFL N Historic Property, N Remodel Property- N Multi -Family Redevelopment: N Township Range Location Address: 1021 W FIFTH ST PORT ANGELES WA Neighborhood: Cycle 5 Res Neighborhood CD- 10955130 Owner Name. THOMAS P AND B E PELETT Mailing Address. 1021 W 5TH ST PORT ANGELES WA 98363-2114 Taxes and Assessment Details Property Tax Information as of 01/03/2011 Amount Due if Paid on. M. Section. Mapsco. Map ID- 3 Owner ID- 45603 , % Ownership 100 0000000000% Exemptions NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due Year Statement ID Taxing Jurisdiction 2010 39633 ST SCH STATE SCHOOL 2010 39633 CC -GEN COUNTY CLALLAM 2010 39633 PORT PORT OF PORT ANGELES 2010 39633 PORT ANG CITY OF PORT ANGELES 2010 39633 SD #121 SCHOOL DISTRICT #121 2010 39633 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 39633 HOSP #2 HOSPITAL #2 2010 39633 WSMET PK DIST WILLIAM SHORE MET PARK DIST 2010 _ 39633 CITY STORMWATER CITY STORMWATER 2010 39633 WEED CONTROL WEED CONTROL 2010 39633 TOTAL. 2009 565952008 ST SCH STATE SCHOOL 2009 565952008 CC -GEN COUNTY CLALLAM 2009 565952008 PORT PORT OF PORT ANGELES , 2009 565952008 PORT ANG CITY OF PORT ANGELES 2009 565952008 SD #121 SCHOOL DISTRICT #121 2009 565952008 NTH OLY LIB NORTH OLYMPIC LIBRARY First Second Half Half Base Base Amt. Amt. Penalty Interest Base Paid $29463 $29463 $000 $000 $589.26 $15678 $15680 $000 $000 $31358 $22.04 $22.03 $0 00 $000 $4407 $36302 $36303 $000 $000 $72605 $381 62 $381 63 $000 $000 $763.25 $4556 $4556 $000 $0 00 $91 12 $6432 $6432 $000 $000 $12864 $2046 $2047 $000 $000 $4093 $3600 $3600 $000 $000 $72.00 $0 82 $081 $000 $000 $1 63 $1385.25 $1385.28 $0.00 $0.00 $2770.53 .$33885 $338 85 $000 $000 $67770 $171 48 $171 49 $000 $000 $34297 $24.29 $24.29 $000 $000 $4858 $37615 $37614 $000 $0 00 $752.29 $41905 $41905 $000 $000 $838 10 $4983 $4983 $000 $000 $9966 http.//vpn.clallam.net.80841propertyaccess/Propertyaspx?cid=0&year=2011&prop_id=56595 1/3/2011 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 11 00000157 Date 2/17/11 Application pin number 810796 Property Address 1021 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 0966 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 4 circuit room addition Owner Contractor THOMAS P & B E PELETT KIRSCH ELECTRIC INC 1021 W 5TH ST P 0 BOX 3396 PORT ANGELES WA 983632114 SEQUIM WA 98382 (360) 460 5358 (360) 683 6819 166 3 VV 6667 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 181644 Permit Fee 81 30 Plan Check Fee 00 Issue Date 2/17/11 Valuation 0 Expiration Date 8/16/11 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 3 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 7 80 Fee summary Charged Paid Credited Due Permit Fee Total 81 30 81 30 00 00 Plan Check Total 00 00 00 00 Grand Total 81 30 81 30 00 00 INSPECTION TYPE DATE. RESULTS DITCH SERVICE ., C REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. ROUGH IN , I 115 I t'l FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G•\EXCHANGE\BUILDING Date: l O J �A Feb 16 11 03 26p Kirsch Electric Inc 360-683-0869 p 1 PON T AN, CITY OF PORT ANGELES PERMIT APPLICATION FEB 17 2011 Building Division/Electrical Inspections 321 East Fifth Street—P O. Box 1150 / Port Angeles Washington, 9836 ELECTRICAL Ph: (360) 417-4735 Fax. (360) 417-4711 �NSPECTIUNS Date: V.12 lb j / 1 & 2 Single Family Dwelling _ Multi -Family or Commercial* _ Commercial Addition I Alteration I Remodel I Repair' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: I o _2 1 lib . Building Square Footage: Description of above roam c r eyi OwnerInfgmation Contractor.) fommrattif�n Name: lcm Pe_1le4+ Name: K11r36'1[— Mailing Address: f��? / u� Mailing Address: 1>C� Tom)! City .lr� State:W . Zip: rr k {6 Z City. StateAA Ja Zi : 'Cfk'3 Phone: Fax: Phone:—622gFax: License 41 Exp. License # I Exp. Item Unit Chante QtV Total Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $119.90 $ ServicelFeeder 201-400 Amp. $145.50 $ . ServicelFeeder 401-600 Amp $ 204.60 $ Service/Feeder 601-1000 Amp $ 262.20 $ Service/Feeder over 1000 Amp. $ 372.50 $ Branch Circuit W1 Service Feeder $ 2.60 $ Branch Circuit W/O Service Feeder $ 73.50 _[_ $ 0 Each Additional Branch Circuit $ 2.60 — $ 7, 50 Temp. Service/ Feeder 200 Amp. $ 92.70 $ Temp. ServicelFeeder 201-400 Amp. $11C.30 $ Temp. Service/Feeder401-600 Amp. $ 148.70 $ Temp. Service/Feeder 601-1000 Amp $167.90 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit Limited Energy I First 1500 sf — Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf Signal Circuit' Limited Energy 1 & 2 Family Dwelling $ 63.90 $ Signal Circuit' Limited Energy Multi -Fatuity Dwelling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy 5KVA System or Less $ 102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft. $110.30 $ Each Additional 500 Square Ft. or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming Pool or Hot Tub $110.30 $ $�S/ , 3L -)Total Owner as defined by RCW.19.26.261 (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 ❑ cis 3 Credit Card p 0-11A IP- x Dated: Z^ —� 01101/2010 pF?ORT 4,0" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION <� 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000193 Date 3/21/05 Pin number . . . . . . .056560 Property Address . . . . . . 1021 W 5TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -0966 -0000 - Application description . . . MECHANICAL APPL. PERMIT Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 2500 Owner Contractor - ------------------------ ----------------------- PELETT THOMAS P/B E FERRELLGAS LP 1021 W 5TH ST ONE LIBERTY PLAZA PORT ANGELES WA 983632114 LIBERTY MO 64068 (360) 683-9029 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . ZERO CLEARENCE PROPANE Permit Fee . . . . 57.65 Plan Check Fee .00 Issue Date . . . . 3/21/05 Valuation . . . . 0 Expiration Date . . 9/17/05 Qty Unit Charge Per Extension BASE FEE 47.00 1.00 10.6500 ECH ME -GAS PIPE 1 TO 5 10.65 Fee summary Charged Paid Credited Due - ------ ---- ------ ---------- ---------- ---------- ---------- Permit Fee Total 57.65 57.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .00 .00 ` Z1 �Si 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 gie. authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construc ' n. Signature of Contract/Or"�A'u�fiofrized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] \ BUILDING PERMIT INSPECTION RECORD 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. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE( DATE YES ACCEPTED O COMMENTS NO I FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEATPUMP/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 RESIDENTIAL SEPA: ESA: IJ SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL - LIGHT DEPT. 417-4735 CONSTRUCTION R.W. / PW/ ENGINEERING 417-4807 FIRE 417-4653 PLANNING DEPT. 417-4750 BUILDING 417-4815 T:\Policies\1102_15 building permit inspection record05.wpd [1/4/20051 ELECTRICAL LIGHT DEPT CONSTRUCTION - R. W. PW / ENGINEERING FIRE DEPT. PLANNING DEPT. BUILDING DATE I ACCEPTED YES NO r PREPARED 4/07/05, 12:56:11 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/07/05 1 --------------- ------------- --------------- --------- -- ------------------------------------- ADDRESS . : 1021 W 5TH ST SUBDIV: CONTRACTOR FERRELLGAS LP PHONE (360) 683-9029 OWNER PELETT THOMAS P/B E PHONE PARCEL 06-30-00-0-1-0966-0000 APPI, NUMBER: 05-00000193 MECHANICAL APPL. PERMIT ------------------ ---- ------------ ---------------- ---------------- ---------- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS - --------- --- ----- --------- --------------- --------------- --------------- --- -------------- ME6 01 4/,,07 05 JLL MECHANICAL GAS LINE TIME: 17:00 UI iA,-- 4-�? Tom - 417-5569 COMMENTS AND NOTES PREPARED 4/11/05, 13:20:58 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/11/05 ADDRESS . : 1021 W 5TH ST SUBDIV: CONTRACTOR FERRELLGAS LP PHONE (360) 683-9029 OWNER PELETT THOMAS P/B E PHONE PARCEL 06-30-00-0-1-0966-0000- APPL NUMBER: 05-00000193 MECHANICAL APPL. PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME6 01 4/07/05 JLL MECHANICAL GAS LINE TIME: 17:00 4/07/05 AP Tom - 417-5589 ME99 01 4/11/ 5 _ JLL MECHANICAL FINAL N A O Tom 460-5358 COMMENTS AND NOTES CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST STN STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT Issued: 6/16/99 Permit No: 6668 OWNER/APPLICANT------------------------PROPERTY LOCATION ------------------------ THOMAS & BARBARA PELETT 1021 5TH ST W 1021 W. 5TH ST Lot: 16 Port Angeles, WA 98363 Block: 109 Long Legal: 360/417-5589 Sub: TPA T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- KIRSCH ELECTRIC 141-H FALCON RD. SEQUIM, WA 98382 360/683-6819 000/000-0000 PROJECTINFO -------------------------------------------------------------------- Prj Type: TEMPORARY SVC. Prj Value: $0.00 Occ Type: Cnstr Type: Occ Grp: Occ Load: Land Use: RS7 Electrical Heat Service Type Baseboard KW: 0 Riser - Voltage: 0 Furnace KW: 0 X Overhead Service Diameter: -1 -3 Heat Pump KW: 0 Underground Service Service Size: 0 AMPS Fan/Wall KW: 0 X Temp Service Feeder Size: 0 AMPS PROJECT NOTES ---------------------------------------- PROJECT FEES ASSESSMENT ----------------------------------------------------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $37.25 TOTAL FEE: $37.25 Misc $0.00 Amount Paid: $37.25 ---------------------------- -------------------------- TOTAL FEE: $37.25 Balance Due• $0.00 CONINIENTS/ACTION NEEDED ELECTRICAL PERMIT CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST STH STREET, PORT ANGELES, WA 98362 Issued: 9/08/99 Permit No: 6736 OWNER/APPLICANT------------------------PROPERTY LOCATION ------------------------ THOMAS & BARBARA PELETT 1021 5TH ST W 1021 W. 5TH ST Lot: 16 Port Angeles, WA 98363 Block: 109 Long Legal: 360/417-5589 Sub: TPA T: S: Parc No: 06300001096600 CONTRACTOR-----------------------------DESIGNER--------------------------------- KIRSCH ELECTRIC 141-H FALCON RD. SEQUIM, WA 98382 360/683-6819 000/000-0000 PROJECTINFO -------------------------------------------------------------------- Prj Type: RES.NEW Prj Value: $0.00 Occ Type: Circuit Wiring: Cnstr Type: Occ Grp: Occ Load: Land Use: RS7 Misc Electrical Heat Amount Paid: $147.50 Service Type $147.50 Baseboard KW: 0 Riser Voltage: 120,240 X Furnace KW: 10 X Overhead Service Diameter: X-1 -3 X Heat Pump KW: 6 Underground Service Service Size: 320 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT NOTES -------------------------------------------- NEW HOUSE Z p 33 70-11� Z PROJECT FEES ASSESSMENT --------------------------------------------------------- service: $147.50 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 TOTAL FEE: $147.50 Misc $0.00 Amount Paid: $147.50 --------------------------------- TOTAL FEE: $147.50 ------- Balance Due: CONIMI:NTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A lv II 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPEI DATE I ACCEPTED I COMMENTS YES I NO I DITCH ROUGH -IN / COVER I SERVICE I FINAL GENERAL COMMENTS: I-'1f//t0 I r&zl I PW -1102 15 1196 ELECTRICAL PERMIT INSPECTION RECORD CALL 417-0735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A NUN[MUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPEI DATE I ACCEPT® I COMMENTS YES I NO DITCH I I I IRODUH-IN/COVER I SERVICE I FINAL I GENERAL COMMENTS: PW -1 102.15 14"