HomeMy WebLinkAbout809 W 6th St - Building
'ti'
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 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
05-00000928 Date 10/30/05
333952
809 W 6TH ST
06-30-00-0-1-0180-0000-
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
20000
Owner
Contractor
GUY / SHIRLEY RICHARDSON
501 E 1ST STREET
PORT ANGELES WA 983632116
RICKENBACHER HOME REPAIR
121 E 2ND STREET
PORT ANGELES WA 98362
(360) 457-0467
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
CURRENT/ 7 CIR.
63297
CURRENT ELECTRICAL
64.00
10/30/05
4/28/06
CNTRG INC.
Plan Check Fee
valuation
.00
o
~
()
~
Qty Unit Charge Per
1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
3.00 5.3000 ECH EL-R OR RM ALT ADDNT CIRCUITS
Extension
48.10
15.90
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
CURRENT/GARAGE+7 CIR.
63289
48.10 Plan Check Fee
10/30/05 Valuation
4/28/06
.00
o
L
Qty
1. 00
Unit Charge Per
48.1000 ECH EL-R-OUTBD/DTCH GAR SEP
Extension
48.10
~
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 112.10 112.10 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 116.60 116.60 .00 .00
CJ\
-,.
COMMENTSI 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.
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
..
rUIJU- fl) ~t,
/O-;:LB-o~ ~
GENERAL COMMENTS:
PW.II112.1S (4196]
~ PORT~
J~O~~~
rGii
....~
~
~~
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
05-00000240 Date
.428000
809 W 6TH ST
06-30-00-0-1-0180-0000-
RE-ROOF
4/04/05
RS7 RESDNTL SINGLE FAMILY
6585
Owner
Contractor
BELFORD CATHERINE M
809 W 6TH ST
PORT ANGELES WA 983632116
RICKENBACHER HOME REPAIR
121 E 2ND STREET
PORT ANGELES WA 98362
(360) 457-0467
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF, FELT, COMP
AFFORDABLE SERVICES
162.75 Plan Check Fee
4/04/05 Valuation
10/01/05
.00
6585
r---_
Qty Unit Charge Per
Extension
92.75
70.00
BASE FEE
5.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee surrunary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 162.75 162.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 167.25 167.25 .00 .00
Separate Permits are required fo electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or cons ion authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period Of~80 .Js aft r .' e work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I ~." Y ce I Ulat I have read and examined this application and know the same to be true and correct: All provisions of
laws and ordi. es g fil lling this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to 91 ,. authprity to violate or cancel the provisions of any state or local law regulating construction or the performance of
y,st'"C:1f;/}yf~ I{ 'I. 0 )
Signa}9rEiof ontr ctor or Authorized Agent Signature of Owner (if owner is builder) Date
v ,
~
CJ
-0
"!l ~
<.
~
, ~
...........
-....-
-..J
tVJ
';-t.
\
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. 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.
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 4174815 CJ_/9-/Jr- () k-- BUILDING
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
FRSM 'AFFORDRBLE SERU(9=S
FAX NO. :3505829029
Apr. 04 2005 03:03PM Pi
,
Affordable Services
258663 HWY 101 West Sequim. WA,. Silica 1971
(360) 683.9619 (360) 385.2724 (360) 452.0840
BID PROPOSAL
-, -,-, 4/J Q t ok elO to ",UK eo ....- - Phone #I
'~:' t5; ocr . ~ to"" 1-\ Phon,e,tt2 .
, ~t"\ PrN~e.S Stale l.JJ~~t) Zip Code 9!3~9
j;t:~~~o:~e:~~d~;~~;';;:~;~~:~;l:~:;;'~~~; ~i-;;-------'-'- .-- - --~'9"J~~'-~;----;'fi"--"'--------- --- - - - --
r\Slal\ Plywood"" ~
~ :n.mll - Roof Felt - Install Drip Edge Metal
irtStall = Pipe Flasrun _ Install - Metal W-Yalleys
Install _ Em. aust vent5l!J Install - Rooflo Wall Flashing
R d V Install - Roof to Wall Step Flashing
~ : nslall I ge ems
I n.sta!! = ArTiC. Vents rl::i:L CutIn - Chimney Counter Fla.shing
instal! Sun Tube ~ Inslall - Chimney Step Flashing
:1s\all - Skylights ln~lall - Skylight Flashing
i nSla! I
: rlstall
:r1Sl.a11
: nsl8 II
Secure! Locale Septic. Drain field Location
_.- Pr!ce Includes Building Permit
ft C"Slomer 10 Secure Building Permit ~ fey CnNve"~~",,,jQkj ~.,.~ ....l,./
--'",,"''''' .J:N~-t~ II ~'3a '/Y IBm. /IJ J;-t~d. ~ - .. rl~5 w.-} '"'
- A\9~~ ~K,
~~5.is: So ,pr
. ..~~
Bid prices are subject to reasonable increases due to any necessary alteraticns, additions, increases in material and or
Labor to romplere work. Homeo'Mler will be notified of any necessary changes, which may affect COst, before hand.
~ -,-,: :~ Yes r..B.iJ. Color CWloOler3 11llrtelJ ., ' A..!Tordable Serr1ceJ IDlrlsu
~ ;0 Year Installation Warranry
'~oc"bl' Services' Rep'''eotatiY~ ;zf::-/
C us[umer's Signature of Acceptance
Date 71- L~
Date
to >-3 'd ;;;~~8Ei n'd
r< >< ~ H",
\0 '0 'd",ZZO >-3l'l
\0 '- r<nl'l>-3", ><'0
Ul H tIl::o::utl:1 :<>
0 0 >-l Zr< :<>Ul 0"'
H , iii. nUl 'dtol
, >-3 0
In"~ to 0 '0
tol. "', 0
"' "''''
IOtIl"'d >-3'-
......... I 3:.0 H
1'dC:O oottt::dCO ~~
r<tolo LnO'lttjHO
......... I trJ (I) , , r<n\O Glo
o I 1-3 t-3 tc OWI'7j~ tolen
IMtr:lCl QoOtIj:E r<-
OOH 0 ",Z tol
\s ooOtdO"l UlH
00 :<>>-3 IV
IV' nn:!:
I Cj 1::0 Z of:>.O.;J::o:I: w
I ~1tr:lHG':l 0' >-3tolUl '"
I ~ I CI.l Z ......:r::::ut-3
I IC::(/)"t! "' tol 0
, 'r<'d~ tI'jo::u::r: 0
, , >-3 HHO
, , ;:dcoZ3:
, 'H ootI:ltI:l
: >-l 0'
l"Ijo3:::G
",oto , ",0' 0 l'l
o",e: , l'll'l 0 'd
:!:'-H , UlUl21 0 :::
ZHr< , e:no ,
",0 r<", "'
'- H >-3H'd
IVZ Ul'd~
n 0(i11...........t-3
0 0 , nH'<I ZZ
3: en'd' OOtol
3: '" H , 3:Ztol UlUl
tol '" Z' 3: 'd'd
Z 1-'0)::;1 tol l'll'l
>-3 , ror<' Z nn
Ul '" " , >-3 >-3>-3
IV en , Ul Ul OH
~ roIV e: "'0
'" to " Z
0
:<> "'>-3
Z 3: >< ~~
0 'd 'd'dUl
>-3 'd 5563 tol?:
l'l '0 0 Ultol
Ul to "' zzo >-3
:<> 0 toltolH r<
"' :<> <:
>-3 to r<
:!: r< H
0 tol tol
r< w "'
Ul '" r<
tol 0 ><
"'
<:
H '"
n en
l'l -J
Ul ,
0
'"
'"
-J
0'0
:<>><
>-3Gl
w toltol
'"
0
'"
ro \0
w '-
H
\0 \0
'" '-
H 0
\0 enH
f pORT :'40:
lO~~~
rea
~--
'trli~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 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
05-00000928 Date 10/04/05
333952
809 W 6TH ST
06-30-00-0-1-0180-0000-
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
20000
Owner
Contractor
GUY / SHIRLEY RICHARDSON
501 E 1ST STREET
PORT ANGELES WA 983632116
RICKENBACHER HOME REPAIR
121 E 2ND STREET
PORT ANGELES WA 98362
(360) 457-0467
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
61549
344.75
10/04/05
4/02/06
Plan Check Fee
Valuation
137.90
20000
Qty Unit Charge Per
Extension
92.75
252.00
BASE FEE
18.00 14.0000 THOU BL-2001-25K (14 PER K)
Permit . . . . .
Additional desc .
Permit pin number
permi t Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
61564
54.25 Plan Check Fee
10/04/05 Valuation
4/02/06
.00
o
Qty Unit Charge Per
Extension
47.00
7.25
BASE FEE
1.00 7.2500 ECH ME-VENT FAN
Permit . . . . .
Additional desc .
Permit pin number
permi t Fee
Issue Date
Expiration Date
PLUMBING PERMIT
61556
82.00
10/04/05
4/02/06
Plan Check Fee
Valuatl.on
.00
o
Qty Unit Charge Per
Extension
47.00
28.00
7.0-0
BASE FEE
4.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1.00 7.0000 ECH PL- EA. REPAIR/ DRAIN / VENT
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 481. 00 481. 00 .00 .00
Plan Check Total 137.90 137.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 623.40 623.40 .00 .00
~wfcJ
tf~/tJP JW
~
~
-c
~
~
~
~
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 1 ~da s aft work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. ~ reby ce I t at I have read and examined this application and know the same to be true and correct. All provisions of
laws and oJd' ces g e n his type of work will be complied with whether specified herein or not. The granting of a permit does not
presume't e auth rl t ~ olate or cancel the provisions of any state or local law regulating construction or the performance of
/ I
constructi
Date
Signature of Owner (if owner is builder)
T \Pohcles\1102_15 bUlldmgpenml mspeclIon record05 wpd [1/4/2005]
Date
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. 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS , Jf').. ::>> ,,- t'J ~ .. \ L. \..
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING ~J vjvilfJ~ JW
UNDER FLOOR / SLAB
ROUGH-IN 11(')-2'1~S .I J,.~
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS lln. fJ'l-A5' L\J..1.
CEILING r I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING J,'>- "'''...0 C ..)l.A
DRYWALL (INTERIOR BRACED PANEL ONLY) -
T-BAR
INSULATION
SLAB I
WALL / FLOOR / CEILING 1- (j(_IO,<' ~L
MECHANICAL ~~ '~/Pv
HEATP~/FURNACE/DUCTS ftv
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s SEP A'
P ARKlNGILIGHTlNG ESA'
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W / PW/ CONSTRUCTION - R W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 , I PLANNING DEPT
BUILDING 417-4815 7-JZ,tJ/Cb 1/fJ BUILDING
T \PolIcte \ II 02 15 bUlldtn enmltnS ecllOn record05. d 1/4/20115
~j
.
7"l ~.
! '~
c> \j
~
if.
j
gp
p
wp[
PREPARED 2/28/06, 12 59 55
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR. JAMES L LIERLY
PAGE
DATE
6
2/28/06
------------------------------------------------------------------------------------------------
(360) 457-0467
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
809 W 6TH ST
RICKENBACHER HOME REPAIR
GUY / SHIRLEY RICHARDSON
06-30-00-0-1-0180-0000-
05-00000928 RES REMODEL
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BAIR 01 10/19/05 JLL
10/19/05 DA
BL3 01 10/19/05 JLL
10/19/05 DA
BAIR 02 10/27/05 JLL
10/27/05 AP
BLFR 01 10/27/05 JLL
10/27/05 AP
BL3 02 10/27/05 JLL
10/27/05 AP
BLI 01 11/08/05 JLL
11/08/05 AP
SUBDIV
PHONE
PHONE
BUILDING AIR SEAL TIME. 17:00
10/18/2005 04 38 PM PBARTHOL
JOHN 461-4282
10/19/2005 04:49 PM PBARTHOL ---------------------------
not ready
BUILDING FRAMING TIME: 17 00
10/18/2005 04:38 PM PBARTHOL
JOHN 461-5897
10/19/2005 04 49 PM PBARTHOL ---------------------------
not ready
BUILDING AIR SEAL
10/26/2005 04 32 PM PBARTHOL ---------------------------
10/27/2005 04 42 PM JLIERLY ------------------------____
BUILDING FOUNDATION REPAIR
10/26/2005 04.32 PM PBARTHOL ------------------------___
10/27/2005 04:42 PM JLIERLY ------------------------____
BUILDING FRAMING
10/26/2005 04.32 PM
10/27/2005 04 42 PM
BUILDING INSULATION
11/08/2005 08 14 AM
JOHN
11/08/2005 05 03 PM
BUILDING FINAL TIME:
02/27/2006 11.19 AM
JOHN 461-4282
BL99 01 ~~
-------------------------------------- COMMENTS
PBARTHOL ---------------------------
JLIERLY ----------------------------
TIME: 17 00
PBARTHOL ---------------------------
JLIERLY ----------------------------
13:00
DYASUMUR ---------------------------
AND NOTES ---------------------------------_____
PREPARED 3/01/06, 8 39:17
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR. JAMES L LIERLY
PAGE
DATE
2
2/28/06
809 W 6TH ST
RICKENBACHER HOME REPAIR
GUY / SHIRLEY RICHARDSON
06-30-00-0-1-0180-0000-
05-00000928 RES REMODEL
(360) 457-0467
SUBDIV
PHONE
PHONE
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BAIR 01 10/19/05 JLL
10/19/05 DA
BL3 01 10/19/05 JLL
10/19/05 DA
BAIR 02 10/27/05 JLL
10/27/05 AP
BLFR 01 10/27/05 JLL
10/27/05 AP
BL3 02 10/27/05 JLL
10/27/05 AP
BLI 01 11/08/05 JLL
11/08/05 AP
BL99 01 r28r~ ~
:J. ~S" 0
BUILDING AIR SEAL TIME. 17.00
10/18/2005 04 38 PM PBARTHOL
JOHN 461-4282
10/19/2005 04 49 PM PBARTHOL ---------------------______
not ready
BUILDING FRAMING TIME 17 00
10/18/2005 04:38 PM PBARTHOL
JOHN 461-5897
10/19/2005 04'49 PM PBARTHOL ---------------------______
not ready
BUILDING AIR SEAL
10/26/2005 04 32 PM PBARTHOL --------------------_______
10/27/2005 04 42 PM JLIERLY -------------------------___
BUILDING FOUNDATION REPAIR
10/26/2005 04 32 PM PBARTHOL -------------------------__
10/27/2005 04 42 PM JLIERLY -----------------___________
BUILDING FRAMING
10/26/2005 04.32 PM
10/27/2005 04 42 PM
BUILDING INSULATION
11/08/2005 08 14 AM
JOHN
11/08/2005 05 03 PM
BUILDING FINAL TIME:
02/27/2006 11.19 AM
JOHN 461-4282
PBARTHOL ---------------------------
JLIERLY ----------------------------
TIME. 17:00
PBARTHOL ---------------------------
JLIERLY ----------------------------
13 00
DYASUMUR ---------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~:::_:~--~---~----~~~~~~~~~_:~~~~~--~~--~~=~~~~-============================----
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2
10/27/05
10/27/05
JLL
AP
01
PLUMBING ROUGH-IN
10/26/2005 04 33
JOHN 461-4282
10/27/2005 04.43 PM
PLUMBING FINAL TIME.
02/28/2006 04:40 PM
TIME 17'00
PM PBARTHOL ---------------------------
JLIERLY
17 00
JLIERLY
PL99 01 ~ ~
-------------------------------------- COMMENTS AND NOTES ------------------------------________
PREPARED 11/08/05, 13 03 42
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
10
11/08/05
------------------------------------------------------------------------------------------------
SUBDIV
PHONE . (360) 457 - 04 67
PHONE
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
809 W 6TH ST
RICKENBACHER HOME REPAIR
GUY / SHIRLEY RICHARDSON
06-30-00-0-1-0180-0000-
05-00000928 RES REMODEL
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BAIR 01 10/19/05 JLL
10/19/05 DA
BL3 01 10/19/05 JLL
10/19/05 DA
BAIR 02 10/27/05 JLL
10/27/05 AP
BLFR 01 10/27/05 JLL
10/27/05 AP
BL3 02 10/27/05 JLL
10/27/05 AP
BLI 01 ~qL
BUILDING AIR SEAL TIME. 17 00
10/18/2005 04 38 PM PBARTHOL
JOHN 461-4282
10/19/2005 04.49 PM PBARTHOL -----------------------____
not ready
BUILDING FRAMING TIME 17 00
10/18/2005 04 38 PM PBARTHOL
JOHN 461-5897
10/19/2005 04 49 PM PBARTHOL ------------------------___
not ready
BUILDING AIR SEAL
10/26/2005 04 32 PM PBARTHOL ---------------____________
10/27/2005 04 42 PM JLIERLY --------------------________
BUILDING FOUNDATION REPAIR
10/26/2005 04 32 PM PBARTHOL --------------------_______
10/27/2005 04 42 PM JLIERLY --------------------________
BUILDING FRAMING
10/26/2005 04 32 PM
10/27/2005 04 42 PM
BUILDING INSULATION
11/08/2005 08 14 AM
JOHN
PBARTHOL ---------------------------
JLIERLY ----------------------------
TIME. 17 00
PBARTHOL ---------------------------
-------------------------------------- COMMENTS AND NOTES -------------------------_____________
PREPARED 10/27/05, 12:46 03
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
12
10/27/05
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
809 W 6TH ST
RICKENBACHER HOME REPAIR
GUY / SHIRLEY RICHARDSON
06-30-00-0-1-0180-0000-
05-00000928 RES REMODEL
SUBDIV'
PHONE (360) 457-0467
PHONE .
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BAIR 01
10/19/05
10/19/05
JLL
DA
BL3
BUILDING AIR SEAL TIME 17:00
10/18/2005 04 38 PM PBARTHOL
JOHN 461-4282
10/19/2005 04 49 PM PBARTHOL ---------------------------
not ready
BUILDING FRAMING TIME. 17 00
10/18/2005 04'38 PM PBARTHOL
JOHN 461-5897
10/19/2005 04 49 PM PBARTHOL ---------------------------
not ready
BAIR 02 10/.27/05 i= BUILDING AIR SEAL
a 10/26/2005 04 32 PM PBARTHOL ---------------------------
BLFR 01 10 2 JL BUILDING FOUNDATION REPAIR
10/26/2005 04.32 PM PBARTHOL ---------------------------
BL3 02 27/ 5 ___ BUILDING FRAMING
~~~~~-~~L~l!~~~~~~~~-=~~~~~~~~~--~~~=~--~~--~~~~=~~~_===========================_____
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS/COMMENTS
01
10/19/05
10/19/05
JLL
DA
TYP/SQ
PL2
01
l~J~lJ~
PLUMBING ROUGH-IN
10/26/2005 04 33
JOHN 461-4282
TIME 17 00
PM PBARTHOL ---------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 10/19/05, 11 53 35
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR, JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER,
809 W 6TH ST
RICKENBACHER HOME REPAIR
GUY / SHIRLEY RICHARDSON
06-30-00-0-1-0180-0000-
05-00000928 RES REMODEL
SUBDIV,
PHONE
PHONE
(360) 457-0467
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BAIR 01 10/~/05 JLL BUILDING AIR SEAL TIME. 17,00
),4 10/18/2005 04 38 PM PBARTHOL
!~~ JOHN 461-4282
BL3 01 ~ JLL BUILDING FRAMING TIME, 17.00
DJ{ 10/18/2005 04 38 PM PBARTHOL
JOHN 461-5897
----------------------~~-~~'"
PAGE
DATE
7
10/19/05
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
ApplIcant or Agent: If t'0k-e...Io Co, l ~ V' d NJ e. ~ ,oCi /tr
,
Owner: c;.. 'I si,,/,! ~()'ocJ. ~
Address: % fJ2 I f Z!lv S City: %,f Af/ek-1
I j
ArchItect/Engmeer Phone:
Contractor fif 'ct e-....L ,.JV' /Io...,e Ii?fJMr State LIcense #: RIC.trFi/J~"'l72. BSExp: l7/ O~
hV .D I
Address: 12 / f. 2 - Sf CIty. /vrf Awt>t.J 1J.f2-
809 tJ Gti I
LEGAL DESCRIPTION: Lot: / f5
Phone: 3.f, 0
Lf hi ~2cf-2
Phone:
tJ;4--
ZIp:
9d-'3b C
PROJECT ADDRESS'
Phone:36"O 'Ie I t/? J-C
ZIp: C?r3 6~
ZONING: J?S 7
Block: /0 I SubdIVISIOn:
OG3cCPO /O/h)
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
~ ResIdentlal 0 New Constr. 0 Re-roof
o MuIti-fallllly 0 AddItlon 0 Move
o CommercIal .ff Remodel 0 Demolitlon
p. Reparr 0 SIgn
BRIEF DESCRIPTION OF THE PROJECT:
f?c, JVt./ J?,.';tX.t'r F/rNr ',oofs / SvJlic.r
'PI!, v /
o Stove
o Garage
o Deck
o Other
J(I';./o/1 .Rec,}v,
SIZEN ALUATION:
SF.@$ /SF.=$
SF. @ $ /SF. = $
SF @ $ /SF. = $
TOTAL VALUATION $ 2~0C0-
- i",."je/ /5Jl. fl/..) he"",!I.../!. - ;1/ 17(".., ,P;{.NJbI1
COMMERCIAL/RESIDENTIAL: Occupancy Group'
No. of Stones: Lot SIZe:
Total lot coverage
EXIstlng Sq. Ft.
Occupant Load:
& Proposed Sq. Ft.
Constructlon Type'
= TOTAL Sq. Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA ChecklIst requrred? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the apphcant. Tills figure will be revIewed
and may be reVIsed by the Bmldrng DlVlsIOn to comply WIth current fee schedules. Contact the PeIllllt Coordrnator at 417 -4815 for aSSIstance.
PLAN CHECK FEE: IF a plan check fee is due It must be sublllltted at the tlme the buildrng permit apphcatIOn and constructlon plans are
sublllltted All other permit fees are due at the tlme of permit Issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit IS Issued Within 180 days of the date ofapphcatIOn, the application will expire. The
Bmldrng OffiCIal can extend the trrne for actlon by the apphcant up to 180 days upon wntten request by the applIcant (see Section R105.3.2
of the InternatIOnal Bmlding/ResIdential Code, 20~!;fl::tPPhcatlOn can be extended more than once
I hereby certify that I have read and examined tff~ .app"c(it~ and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to detertfiIige,V;hat p. I its are reqUIred ,not the City's, and that I m st obtam such permIts pnor to work
Date:
T \Pol1cles\BL-11 02_13 wpd
Clallam County Assessor's Office
(360) 417-2400/ FAX (360) 417-2299
NOTICE OF REAL PROPERTY ASSESSED VALUE CHANGES
FOR TAXES PAYABLE IN 2006
Date of Notice:
8/19/05
Change Reason:
Annual Update
Parcel Number: 063000010180
Taxpayer Code: RICH2851
Legal Description: I LOT 18 81101
I THIS IS NOT A BILL - SEND NO MONEY
for Assessor's use ( 557 262
Dear Property Owner: The following are the new assessed values for the above referenced property.
LAND BUILDINGS, MH &
CURRENT USE VALUE HIGHEST & BEST TOTAL VALUE
IF APPLICABLE USE VALUE Other Improvements
PREVIOUS VALUES $24,000 $60,165 $84,165
NEW VALUES $31,200 $69,190 $100,390
APPEAL DEADLINE IS:
9/19/05
TOTAL ASSESSED VALUE YOU
WILL BE TAXED ON:
$100,390
QUESTIONS ON VALUE: The Clallam County Assessor is required to revalue all properties within the county every
year, and to physically Inspect each property at least once every SIX years. Assessed values should reflect the
typical selling pnce of a property on the open market as of January 1 st of the current year. Assessed values are
based on the most recent available relevant sales data (with some exceptions). New construction and new land
subdivisions are inspected and valued countywide each year.
If you have any questions or concerns regarding the valuation of your property, call our office between 8:30 a.m.
and 4:30 p.m., or viSit us at the Clallam County Courthouse In Port Angeles. Our office staff will assist you with
reviewing your property assessment records. Differences In property characteristics or In assessed property values
can often be settled at this level. If after contacting us, you still disagree with the assessed values of your
property, It IS your nght to petition your assessment to the Board of Equalization on or before the deadline noted
above on thiS notice.
APPEALS: Property owners may appeal any or all values to the CLALLAM COUNTY BOARD OF EQUALIZATION,
223 E. 4TH ST., SUITE 18, PORT ANGELES, WA 98362, telephone number (360)417-2330. Petition forms may be
obtained from the Board of Equalization, the Assessor's Office, or downloaded from our webslte at
www.clallam.net/departments/
If you wish to appeal the new appraised value of your property, you must file a petition with the Board of
Equalization no later than July 1 of the current assessment year, or within 30 days from the mailing date on the
front of this notice, whichever is later. You will be notified by the Board of the date, time and place of your
scheduled hearing.
GUY / SHIRLEY RICHARDSON
501 E 1 ST ST
PORT ANGELES WA 98362
Parcel Lookup
Parcel Number 0630000101800000
Site Address' 809 W SIXTH ST PA
I Quitl I Back I
Taxpayer:
GUY / SHIRLEY RICHARDSON 501 E 1 ST ST
PORT ANGELES, WA 98362
Title Owner:
GUY / SHIRLEY RICHARDSON 501 E 1 ST ST
PORT ANGELES, WA 98362
Description:
LOT 18 BL 101
Value Summary:
Note: Listed values do not reflect adjustments made for exemplion programs such as
Senior/Disabled or Current Use programs (except Commercial Forestland properties)
Land Value' 31,200
Improvements Value: 69,190
Total Assessed Value 100,390
Property Characteristics:
Note: Use Code IS for Assessor's purposes only Contact the appropriate planning or
bUilding departments for ZOning and allowable usage of property
Use Code. 1114 FOUR BEDROOM
Land Size (acreage): .00
Note Acreage IS not listed for all properties In the
Assessor's records More information about land size
Tax Status. Taxable
Tax Code Area: 0010
Zoning Code' P _RS7
Note' ZOning and zoning codes change constantly Venfy all
zOning With the appropnate planning or building department
Building Characteristics: (Click on Bldg # for more details)
JL BldgJ~IDL- Bldg. Style Total S.F. BD BA
01 House 1 & 1/2 Story Fin Ished 1130 4 1
Tax History
Sales History
~~
11628.89911
http://65.161.10.164/website/sitis y.pgm?parcel=063 0000 1 01800000
Page 1 of 1
9/26/2005
l'
;'
,.
Cj
~
'''^,
"
"
",
40
Feet
Area Map
This map IS not Intended to be lIsed as a legal descrIptlon
Tills map/drawmg IS Ploduced by the City of Port Angeles /01 lis own use and pw pO'ies
Any other use of thIs map/drawmg shall not be the responrlb,I1Il' of the elfy
l-~"
I~
'-:!~i
,
,
1
; i
I (
I I ,hH_,;oc
. I I' I
--_.~-~ J j
· I r i i
I ~V)! I)
I j
I ~
I I i
)1 !, 4
i l:::-
I! ,I,~ I
~
1
I ;
! 1,1
I I
~
~
(~c
-.....
~
~
"'-.;-:,
~')
,- (j
I~"
,,'
~
('
K
(;
(')
~
~..
~
~
WI1
.'-
"
~
V)
~
--..)"'-
~
~
--!>
"'"
~
~
er=-
o
~
.' I
i
i
\
~
I.
: i
,
( !
[
,
l I
.
~
,
1 /
,
r I
I i
r 1
1
~
I
;-
r
r
.
\
,
I
I
; l
i I
,
I
l
, j
11
j I
i
I i
~ I
~ I
~ I
I I
I
J
L .I..
~~ ..
~~ --.-
\
'"
-- .~
".
V)
,-
t; '~
/" "
v
~~~
Vi
.. o't.-
s,
~~, "',
.',
I~
~ I
<;:),
~'
.,
-----=':.}
i
(~;
.~~.
. -~l.:l-t
(,
1 r
,
I
I
I
I
"-
..
.J (j"
I\!
I
I
,
I
!
:
:
~/'
/.".......",: ~- ~--..
.'
J
,
..
\.
I
I
,.. -.... -........... "-
~ ./.."
, I
~
,I
I
r
i
)
_..
~'-~
~ /~,.J
~'"~
20 ./-~ '-'~
.y(,;? '-~_ F
~1 0 (/
~
i
\
\
\,
r- \
r----..
-... --- ~-
'1
,
I
\ r e.
~ , -. )
I
~
--- ..-
~<
~
~ n 2
_ --J
-jt
. ~ J
-- "! d.J4:.... ----~----.
\
- ~~
I -
at
i
..-1
j
.1','i-; iT iJo riff:':
I
I
., --\
~ :
-I
. ):
j
.- -. _ ,}
-...- --...
...-... .....
--,I
,
\\
?~()
~ .Y'
.:'
.- ~
-~
_ <J;~
- ~~~--~~~ .~~
~J _H ~ ~-- ~ \({
(~,) ~rY .-. TI. -- 'r'
"'. , '" if ' ,-
:'>> (' " t . ~ ·
"Z:'\/ ~ '),
p~ \
r?'
"\'1
C',
(~
M)
~_/
~
d~ \t
~ ,,"3 \1:
\(, (K c'J
~) f~
r c? J~
~ (\.1\ (~
~~ "c?
"'1 '0'- ~
~ ~
\' ,~
(d
0:;7
cf,
c?
~,)
;..'\
c.-",5J
\."
'?
\
\
- .---..'-' . ", \ / -' -;;----77"/'7-/-;-;;-'/ ,/ /c"'7 f
-L ./ ./"__<:... ~/ \ _",'__"" --_,," ,,_ _____ ._-::::.. ............ ---..... '
if ;; >>- / //>')/ /~--->/ /_/?1'~;;;i? ~ lif
~ "':.:'-:.:';" "'- -...., :....... --... --... ....... "- ~_:<~ ",! ~ I
! 1 ~"l" :
I I 'i I
: '~I ; I"
J\ '(0, 1
I' I ~ I
, >( I, I
I ~ "I
~ ""'- f I
t"..c:.:; [
I x.,......-
i en'- I, VJ
I . I
1 -, U- I
: ,.. 'I' oJ:
, '.. N\--
( i"" ~ 'I' ~
I """ ,
Q.. i, 0 I I
8 \ I \?" i
. 7777~7-\J~ZI1
. ,\,' " " ,,/.-(...'. - ", '\
. )"7--7-~7" ;-"77-7 ,/
. -~-, ~ ~"'~'~'~~\. ~".."::. ~'-~~~~--,~ '
?--u... 7;;--.:~<.=
4'~ '7 \...~,. "-
..::..L__".~:......L=_L
.....
:::J
(1)
f
"
./
<Iii--
........
{l
~~
<.'..
~-
lJ')
~
-,
~
_.~
........
,/
........ ...... .~ '
/;/ /'
,-1
i
!
" ..............."
,,/ -7 /' /
"" :. \ "" ~
: ~l-
<:.
I1l
~
,
!
__ -L_---..
-~~
I'
r<
.~
..g
n>
::r
~
<::f--3--~
-I-
"
~
ro
.:s
~
--~
. ---9"
"'--", .
"
--
V\
.......
-..
-{;
,~
~~,
.~
~.
""Q~
, ...
~
)t'
.,;;
""-.--1::.
'"
"-
"" f"'v
(.~
-
)i
~,
~
s;--
~~
""
~
~"'-
0000.
,.:JNW~
~, )( ....
--- --
;;-'" n _
<:.... '" l' Cl
(\ :>
jcO
~
a
J
0- ~
.,
.....
,.
'"
ca...
')
",. ~
I"b
C; ,
t"
"
....:
, 0""1 "-,
.. """
~
:" \
\J
~"-'^
'-",
G'
"'--
",
o
Q
""'
~
{
~<:l
"'-
,~o
o
o
i
~,l
....... ------....... ----,-",\
I
1 ;/;/ ./ /'./ /' ,/ /' /.
- 1\ ,- ------~L
'\1 I
~ --- ~
,1' .' '1
, , '
~
l
I)
'b
......
~
1::-
o
l....
"
Cl
..
o
,
~
!O
,
t:
tI
~
J
~
G .~-
t I
, I
I I
r t ~ ___...:~-~. ."._. ,_......_
: r *--~--- ~
,
![ -'
: I
, I
. I
, :
: '
'\'"':-__.J
,'---..
, '.
\ ,
't--t
--
... ~-<--~
L-....,
'7
, ,
, ,
: t
: !
, i
i
: I
~ 'L-.~::~~',,:::..:,:.:::::
: I
I,
'I
! I
I
i
I
~..'~'--~~' -.- ..---,.." r-----
,
...... ~,..,... ._.. -..,#-.~"__._._<~_...w~~
,
co
a
--0
r \-
r-- 1
(
I
() I
--- ,... *-- !
~ I
:1 "I ',: ~"'_
_.~,. ::1
-1l \--i.
'4.-1' 1
t"
.....
t I.
I
v- Ii
~
c
...,
-.4,..
n I,
.>
~ I'
I
~ \.
I'
'. 1:
,
\';I I,
-!- ~:
-r- ~ 1.
-- , ,
0. ,
\, ..... ,1
'(.
\ -4
J ' .
J---:
I
~
'.,.
.:;r..
__=_~.~.,.~_.,_._.__..~_ i.-. ~ ..J.
-~~
.----_...--.-----
!
I
1
';
j
J
I
,..----.- .--..~ - ~ -
+----.
,
. ,
; i
il
,;...
;
, t
~ wr---
~ l
~
. ,
l,
I
. '
j:
1
1
l
l'
I.
,
!
I
~ ~.
,
~ ~ _.......,...-'....... *" ....--.
I C_=:-:-~~.__::-:..':" .~:::~:-~:::
;
I
1
l
!-v
. '
,
'...... .
I:>
I,
~ --._~ . --...,
--~ ...._-~ __._____4 .
, .
.. - ,~ .~,. - t '
~
~
....
VI
"-l..
S'.
~
5'-..
'-..
",.
"'-'
~
. - ~.... .:., ~ . " ~~ ..:.~.-:~--- ~::_~~~
- -~. ._.;
! I !
I I
i
!
, ~
i." 1\
! \
! \
I
~
I t , :
, i
I 11
.J ' .
, I
I I
, .
, - --.
.;f
(.J
"'~
c
...-
"
{,,;'
~
... ..
e",' B eCfh
[(;;.1) III ~~
r;' C e'l1 et)
;
~
'f)
4=-( ~f\;
14 r(~~>G
~~ff ~
-- ~.~ '''- --- -....- ----.
~ t tit
f
~'~
D R eMQvfl Rbi
lJ J I) ~tc..d ne \J/ p
P f tr b/uc.lc
"
,
~
~.o
I<:rftf )IJ
~ fh Corer ete
7( a>11~> ~
1---
tXetl~ p~ _ ~
I
~{\ vl0~ L ~O-\'p\
~~WJ'V~
--
l ' " - - -- -.
r :!J-{)
/J1f9 1A ' i
}
I
r
Re ItA re
rtl'( /I(~
..~-~
~11it
~l')r~
1< I!) 1/ (It t: IJhu
(p~L- ovre
r-"pI1'-/~ f/e()(rl 'r
r- .__ / I vIA I I * ~J, II" V I'
I
j " ...-..-:-- -- _. u_ __ --
r --.... / ,
f r\ l...- L---
V
-f I I v,/,..-/'
. I r /// "'-
I I
, I 18)(:
i : I
i I
I V "'/
! I
-.
I :
1'1 I
i ~~, r::=:::J t=1 , I /
~. I ~
~!
\ (fit!
I 1--" ~
I ~ , .
, L-f' ""' V
V v;p-
'r tlew 111/
./ .
- I~ P,erI:. ~ . ".. ~cp
t& / A loP
I ~
~ . -------
t, '-I--
1~ ~ I----
Y{J / - 2J1 - on
~ - I---::
- - , - - , - -
I
~ v/ ~. - - ~
---'
t)
(
, !i
I r,.,lt.
I
I CITY OF ORTAI\ ELES - ;on&1 u on Plans
I nit based on the e ns, specifi.
, rile Issuan of this pi b I ~tng officIal
i ations an other data hall not pr ent th
I , clion I ors in said
I rom ther liter reQui g the cor
I plans. Spl flcations d other ta, or fr preventing
! ~ations b ng earned n the e er when in
, building 0 all codal nd ordtn cas of it! s jUrisdICtion.
l violation ~ec>
! . UII 1"':7_-.
I '" i,. II
I F6~ v fl ~l ~ft t>,L'f' J} ? Approval te '1 t " ~
,
i ,
!
, (6.r
I
- Ii -- - . Iv WCJ
--' E
.' PJ( .
- Pod) BeQM) Sole) floof.:k,
i 800J tJ r; f~
-
Port !lYlJ elei) U,4 9<;3 3 (, <
\
I
I
"
I
-L~!
I :
I
J\
\
---I \
\
F;LE
'J
~
... ..
'6~ \ 1.-
4#1>
~.
~~.~
cPv.lJ~
id-~
1;Z~
;e. ~~
9~
~~~
~~
~~~
MIt
~~eO
~ :t:T2..t:....
-h
I ""
relt~
,~r-
16992
e?_ c; ??
Port Angeles, wash1ngton_____m_.,/-m_m_..___m.____.__.___m__m____m.._., 19_.000___
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment In, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
~::::S__:::~2:~~:.S:::~~~55~;:~~:~:~:::__~::~~~.~:~:::::::==::::::::::::::::::::::=:::::::::::::
Wiring Con~actor m_'flt~_'_.;t;:i~~~""k~:~!"!._e,~;?_,?f'By.......__m___._._m__..mm_mm___._____..m_m_____.m__..
Light Outlets.................__................___._. Service, volts ,1':LY..;7.:..~JL.. Type or Wiring:
Receptacle Outlets....____________............... No. wires 0.00.3...............__.....___.... Armored Cable ..__nm__...................
SI I 71/t< Non-Metallic ................----.---.--......
ze w res.............."".._..................
Main luse ...~!2..tJ...A.,......_
.s
Enclosure __....__n._m.___m_................
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Dryer, KW.....__.._n._._n...._n.....n.__.______
Range, KW ________m_nnmnm___."
Water Heater:
KW.......nnnnn.hh.....n_.h..____. "-,..._
Hea', Kw..../.-{fIi~-,t,.4A..-4.~~
Motors: size, volts and phase:
Type of wiring:
Entrance Cable ..___m_______..._____
Rigid Conduit __'.___00___00___
MetallIc Tubing ..n....__n..m__n
Current transformers;
No. & Size.___m...n____________nn.
Ser. NO......n.....n..nn..........nn............
Ser. No. __.00..000000.......................00.......
Ser. No. 00000000....00.00..00........................
N?
Knob & Tubenn.............................
Rigid Conduit .............__................
Metallic TubIng ______...00................
Raceway ...n.........................._....._
Circuits, Light.........__n.n....n.................
Utillty .....00.........___..............._....._____
I{eat ......................................._......
Range .............................................
Water Heater .........0000..................
Motor .....h............................__.........
Dryer..................................................
Furnace .. .......................,~...................
Remark:~ta:n~::~~"._~;=~.=~nn.nm,_~:,~::::_SL:_=__,~?{:~~nn..m~.~~::n::::::::::::::._:_:__.:__::_:::
-~~::;~-;~~mmmnmnmmm-m;~~~~:-;~~~;~~nnmnm-.--m-nmnnn-n277YV!;mnAm-z--n
$n...__.._._....n_.n_.___m_mm NO.n_m____..___.____m___. By n''tl...rI__m._-':.J/(..0:!:~:'_m_____;:.~._~''-~_
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
/
".
. ELECTRICAL PERMIT
".
Address
Nt!
16992
Owner..................................._......_n_......_......_.._...........................................................Tenant..................:..~...:..:........nn...........................
Date..._........h:....._.:_.........._......_......_.........
. I
'\
Wiring Contractor........................................ ..................._....__.......................................................By..............................................................
NOTICE-Current must not be turned on until Certiticate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
Oct 24 05 07:55a
Current Electrical Cent
3604571873
p.2
[t;.1J
~~".
'. ...:;;;...."..'..
. .
~~
~ ~-i
... ..
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
J(Electdcal Contractor 0 Owner
InslilTlation descripfion
l:l Commercial )it Residential
Electrical contractor name
(I1'9(J~k~, 'EJ &C.T,ev~l
Purchaser's mailing address
Pc ~'" 2.'1:.8]
Cit>.,
_P ""'-7 ">..1(;,<-1 h~
Teleph~nc number
=-r.c
License number
Date ElCpires
o New
o AUeredl Addition
e.oJ-l T c.l)!>AI';':' t:''l "-lP"I
.
State ZIP
WA
A~ "IL
A. LT&nq\ -=IiJ'"J. ,
'j
"ll?3'- .::>_
t:..tO-J.i-~ 1T5.
~1..30-t 1O.I:.G=
/).nn"'" S\Jr,
P~""'-F....I
(", DFTAr~
Premises owner's name
~MJoJ' e.rJc'_hr'1.ivv~2......
Address of inspection
~"l \.V - (~ 'tl--
Cil4'
It-'ot2.::r A r.J hL-l L-<;
Phone humber to schedule inspection:
b.l~ t
30~-r-h
Owner as d('flnC?d by ReI1/. /9.28.J6/:(1) OWller will occupy the strllctlfrc for two
years apa thi.\" electrical permit is finali=ecl. (2) ONner is ,.eqlli,.eJ 10 hire an c:/ecfrica/
CO/llru.ctor if above said property is for sale, relit or lea.w:.
AfteT reading the above statement, I hereby certiry that I am the owneT or the above
named pTopcrty or a licensed electrical contractor. I am making the electrical instal-
lation 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 Codc. and
Utility Specifications.
Signature 0 nero electrical contractor or electrical administntor
fif'O.IO 1- L{
5,30)C 3
G 42. ~'t-
C-lL
:::
4/j_1
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
X'
~..&
Date: /0 z.'f- UlO
Expiration Date
ofcOlrd
EI trical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
Q Heat F'ump Ton LAR
o Fan~Wall KW
/' 1P~
A1 Overhead Service 'Z-
CI Temp Service
o Underground Service
Voltage
Phase01D3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT ,.- SERVICE
"" L~/o.: .kD
" DaolC A.ppro~cll By Dale .'\ppro~cu H)" '- DJtc Appn:...cll By
FINAL DITCH FEEDER
~/,).liOc.. AcD //1 /. .I -" #to /t'~: /~ ,t~
^PT'foved 0)' D. Approvco.l By
Inspection Area. Building or Equipment Inspected Action Taken Electrical
Date .,.}nspec[or .........
f r/ ;;;"I^~ '7; f.
'7;/~ c-[? . //".I':._f..... _/
( , ,
.
~/H- 2- - oL
mo
/~'f !o~