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HomeMy WebLinkAbout938 W 15th St - Building.iii. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY R. ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . 12- 00000976 Date 8/17/12 '* Application pin number . . . 234352 Property Address . . . . . . 938 W 15TH ST , TAX Application type description 06-30-00-0-4-2935-0000- iption COMM COMMREPAIR REPORT SALES TA Subdivision Name . . . . . . on your state excise tax form rY` Property Use . . . . . . . . i Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD to the City of Port Angeles Application valuation . . . . 2000 (Location Code 0502) Application desc ADD FALSE DORMER TO ROOF Owner Contractor WILLARD C /CAROLYN B MULLER TTE MOORE CONSTRUCTION 3264 MT ANGELES RD 1385 E. ELLIOTT CREEK RD. i PORT ANGELES WA 98362 PORT ANGELES WA 98362 ,l L+ i n a1i (360) 460 -4561 Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc ADD FALSE DORMER TO ROOF Permit Fee 95.75 Plan Check Fee 62.24 Issue Date . . . . 8/17/12 Valuation . . . . 2000 Expiration Date 2/13/13 Qty Unit Charge Per Extension BASE FEE 50.00 15.00 3.0500 HND BL- 501 -2K (3.05 PER C) 45.75 Special Notes and Comments August 8, 2012 3:57;42 PM sroberds. The proposal will result in the addition of a false dormer to an existing building and a re roof. No land use issues anticipated. 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 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 a examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of c will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or ce1 the pro ' ons of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormslBuilding Division /Building Permit BUILDING PERMIT INSPECTION RECORD -- PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS - Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Landscaping Footings Construction - R.W. PW / Engineering 417 -4831 Stemwall Fire 417 -4653 Foundation Drainage / Downspouts Planning 417 -4750 Piers Building 417 -4815 J'�Gt-}` �� jub Post Holes (Pole Bldgs.) PLUMBING: FINAL Date Accepted by 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: FINAL Date Accepted by 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 SEPA: ESA: SHORELINE: Parkin / Lighting Accepted By Electrical 417 -4735 Landscaping Construction - R.W. PW / Engineering 417 -4831 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 J'�Gt-}` �� jub --Z UA 1� N '1 N 1 H rl I \ I � I N I \ I OJ I I I I I W W I as I a q I I I I I I I H I � I to I 1 o I � I I � I I O I I N O I � � I � w I I I I I a w w I F Q z z w U bDO I w UE I �naa N c I o � z z O m a H O I (n U U a a 1 � C7 N l0 W vmI w 00Iz z H l H V OU 99 1, z N O L .] I a I O U p I Cry Cry 7 Q 7o H I Uv] V] I q q biH boa 1 ww I ,.a a aw o w l q !z W l W P7 a s q o 0 a F zln � r+ Ha��I Ifl UON O M a In �Faalulamo mxa� z�n Ifl H U LO H W I H 2 U I m I H m I 0 0 1 q m I , -I u goo I .7 w a I o I j�i'I q q p w w N N W Lk M 0 m E-I H U' i W o t7 1 I pq W q d' ry� I o,EaoH � °ol� \ F .• •. .. 1 V W O m m ma � rx 1 rxu I al o w1w q I F g I I w w m u J ut O l m a z E C+ l 0 0 a� awuai m wE+ g22!ka l aHlgoaaa w rla a a U I a u o a a a F w m CITY OF EKES THE 4F P� A W A S H I N G T 0 N, U. S. 321 East St' Street Port Angeles, WA 98362 P: 360- 417 -4817 F: 360- 417 -4711 hcatuzo @cityofpa.us Building Permit Application For City Use Permit # �'� 01 Date Received: + t� Project Address: -2 10 Q � n Name ML-L-1 0 0 a� M G Z N � N O Email Z � Mn N rn Zip Contractor rml Project Address: -2 Main Main Contact:" d Phone # Property Name ML-L-1 Phone Owner Mailing Address -3 L Z (-( , 1 c,5 If�/t'�" r C Email �5 city 1 t'"t ` - c State Zip Contractor Name t(�[ � _ ' j� _ A fl �l�!\ Phone Mailing Address 1x4- i l l /1`. r'-'•/ Email City q ,r/�' t A e4 9 3& State Zip Contractor License # �11 1-`I Expiration: C, - 2°'1 -- 201 5 Project Value: Zoning: Tax Parcel # Lot # $ Type of Residential ❑ Commercial Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off /lay over) ❑ For the following, fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other W Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No ❑ Project A� t a (s c O�D n�.�. -e✓ lJ to � ��`t I IJ Description 2 ct S Y--2 10 r an-p- I have read and completed the application and know it to be true and correct. I 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. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned, and the fees forfeit. Date Print Name Signature Residential Structures Area Description (SQ FT) Existing Proposed Minimum $ value For Office Use Basement Appliance Vent # Heater ended, Floor, Recessed wall) # First Floor Size: # Heating /Cooling appliance repair/alteration # Second Floor # Pellet Stove /Wood- burning /Gas Fireplace/Gas Stove Gas Cook Stove/Misc. # Fuel Gas Piping Covered Deck /Porch /Entry Ventilation Fan, single duct # Furn eat Pump/ ,Fofted Air Unit Size: Deck O n # Garage Carport Other (d Ar otals Commercial Structures Area Description (SQ FT) Existing Proposed Minimum $ value For Office Use Structure (s) Appliance Vent # Heater ended, Floor, Recessed wall) # Addition Size: # Heating /Cooling appliance repair/alteration # Tenant Improvement # Pellet Stove /Wood- burning /Gas Fireplace/Gas Stove Gas Cook Stove/Misc. # Fuel Gas Piping Other (describe) Ventilation Fan, single duct # Furn eat Pump/ ,Fofted Air Unit Size: Area Totals O n # Lot Site Coverage Calculations Footprint (SQ FT) of all Structures: Lot Size: % Lot Coverage SQ FT Site coverage ervious + struc Haz /Non -Haz Piping % Site Coverage Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # • Haz /Non -Haz Piping # of Outlets: . Appliance Vent # Heater ended, Floor, Recessed wall) # Boiler /Compressor Size: # Heating /Cooling appliance repair/alteration # Evaporative Cooler (attached, no portable) # Pellet Stove /Wood- burning /Gas Fireplace/Gas Stove Gas Cook Stove/Misc. # Fuel Gas Piping # of Outlets: Ventilation Fan, single duct # Furn eat Pump/ ,Fofted Air Unit Size: # Ventilation System # Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping # of Outlets: Water Heater # ical gas piping # of Outlets: Water Line # Vent piping # Sewer Lin # Industrial waste pretreatment interceptor # Other (describe): .45 cG 1 l� i J i 6�R e S a � w " V > CITY OF PORT ANGELES _ Cmnsftction Plans The Issuance of this permit 6esed upon these plans, specifi- cations and other data shell 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 thwunder `tivhen in violation Of all codes and ordinances of this jurisdiction. Approval pate i sy mil( wOr�G� s J e W � '� to ZY Cl� .45 cG 1 l� i J i 6�R e S a � w " V > CITY OF PORT ANGELES _ Cmnsftction Plans The Issuance of this permit 6esed upon these plans, specifi- cations and other data shell 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 thwunder `tivhen in violation Of all codes and ordinances of this jurisdiction. Approval pate i sy mil( wOr�G� s J 14 III ,.. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12- 00000975 Date 7/31/12 Application pin number . . . 416275 Property Address . . . . 938 W 15TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4- 2935 -0000- Application type description RE -ROOF Subdivision Name Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD Application valuation . . . . 19280 Application desc --------------------- TEAR OFF & REROOF ---------------------------------------------------------------------------- Owner ------------------ Contractor - -- - -- WILLARD C /CAROLYN B MULLER TTE ------------------------ MOORE CONSTRUCTION 3264 MT ANGELES RD 1385 E. ELLIOTT CREEK RD. PORT ANGELES WA 98362 PORT ANGELES WA 98362 ---------------------------------------------------------------------------- (360) 460 -4561 Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF & REROOF Permit Fee . . . . 347.75 Plan Check Fee .00 Issue Date . . . . 7/31/12 Valuation . . . . 19280 Expiration Date 1/27/13 Qty Unit Charge Per Extension BASE FEE 95.75 18.00 14.0000 THOU BL- 2001 -25K (14 PER K) 252.00 Other Fees . . . . . . . . . ---------------------------------------------------------------------------- STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 347.75 347.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 352.25 352.25 .00 .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 w will be complied with whether specified herein or not. The granting of a permit does n6t presume to give authority to violate or c cel he pr vi ons of any state or local law regulating construction or the performance of construction. 1 I 17— Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) i:r•orms /buinng uivisionn3unding Nermlt BUILDING PERMIT INSPECTION RECORD -- PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS -- 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: Landscaping Footings Construction - R.W. PW I Engineering 417 -4831 Stemwall Fire 417 -4653 Foundation Drainage / Downspouts Planning 417 -4750 Piers Building 417 -4815 2- -2— Post Holes (Pole Bldgs.) PLUMBING: FINAL Date Accepted by 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 Onl T -Bar INSULATION:. Slab Wall / Floor / Ceiling MECHANICAL: FINAL Date Accepted by Heat Pump / Furnace I FAU / Ducts Rough-In Gas Line Wood Stove / Pellet / Chimney Commercial Hood I Ducts MANUFACTURED HOMES: Footin /Slab Blocking & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEP& ESA: SHORELINE: Parkin / Lighting Accepted By Electrical 417 -4735 Landscaping Construction - R.W. PW I Engineering 417 -4831 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 2- -2— T Fnrmc /Riiilriinn r)ivi- inn /Riiildinn Permit sA N O � V \ rl N H H i f i N i U Fh tai, Q i N �r 0 c 0 N r� a H i F' razz xw moo cnaa H 0 f H o F F uu� ww� aa� zz h a a i q o �o 0 W o W oz� °o U 0 m ul U ON W 0 14 cn a FC r cn HU qo 0 W a o N W a.a MO N o � •a •w Q F wW mu a° a a F W u a w F Q z z a a au aouowa w �4o F as ou zU) W i q F wa a v� z H z H q w F O W O Cy a°w P4 o z o� m w F °z Q F � � � � z o � E F c a w u cn q W .7 a m F a ' w w Q W N F W \ a N O � u d � O a o r a CITY atv ORT NN.GELES W A S H I N G T Ci N, U.S. 321 East 51h Street Port Angeles, WA 98362 P: 360- 417 -4817 F: 360- 417 -4711 hcatuzo @cityofpa.us Building Permit Application For City Use M Phone # LA(Qo " 61 m Property Permit # l a �- 0o C 0 Owner Mailing Address Z� S. �fi A�C,e1�S r Date Received: ° �J ` I o ,.� Zip Date Approved: � Cn z Z o zM N m Name n '� Phone CA Mailing Address Project Address: 013 2� w 54.k :J-� Main Contact: t t�� Phone # LA(Qo l� VV` Ors vAS-& j Property Name Phone Owner Mailing Address Z� S. �fi A�C,e1�S Email C ity (� State Zip � � Contractor Name n '� Phone Mailing Address Email City State Zip Contractor License # Expiration: V AOD-X- 1 �L�1 (t, - Z`? -- 1 5 Project Value: Zoning: Tax Parcel # Lot # Type of Residential ❑ Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof ear o ay over) For the following, fill out both pages of permit appli New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes 11 No 11 Project `r nL -1 1 Description I have read and completed the application and know it to be true and correct. I 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. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued 'n 180 days of receipt, the application will be considered abandoned, and the fees forfeit. Date Print Name Signatur MOORE CONSTRUCTION 1385 E Elliott Creek Road Port Angeles, WA 98362 Name / Address Muller Living Trust B WCM c/o Carolyn B Muller, 3624 S Mt Angeles Rd. Port Angeles Wa 98362 Estimate Date Estimate # 3/24/2012 75 Customer Signature Project Description Qty Cost Total Removal and disposal of roofing @938 W 15th St apartments and 19,880.00 19,880.00T re roofing with Malarkey Highlander 30 yr composition roofing. Includes all new pipe,eave,duct flashings and new attic vents. Included is an allowance for landfill fees of 1900.00 and permit fees of 600.00. Sales Tax - Clallam County 8.40% 1,669.92 Total $21,549.92 Customer Signature � N CITY OF PORT ANGELES DEPARTMENT OF COIVIlViUNifY DEVELOPMENT - BURDING DIVISION v 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 04-00000834 Date 9/27/04 Pin number . . . . . .916824' Property Address . . ,. . $38 N 18TH ST # 29 ASSES30R ".PARCEL NUMBER: 86-30-00-074-2935 -0000-- Applicaition description . . BLECT1_iCAL ONLY Subdivision Name . . . . . Property IYso Property Zoning . COMMERCIAL NEIGHBORHOOD Application ve.xua�tiOU . _. . 0 Owner Contractor --------- - -- -------------- -- --------- - - - - - - - WILLARD C /CAROLYN B MULLER TTE KIRSCH ELECTRIC INC. 3264 MT ANGELES RD P. O. BOX 3396 PORT ANGELES NA 98362 SEQUIN WA 98382 (360) 683-6819 ` Permit . . . . . ELECTRICAL ALTER RESIDENTIAL Additional dose REPLACE FIRE DAMA NIRE permit Fee . 48.10 Plan Check Fee .00 .,[1 19SUO Date . . 9/29/04 valuation . 0` `\ Faakpiration Date /27/05: Qty Unit Charge Per Extension M 1.00 48.1000 BCH EL -R OR RM 1 -4 ALT CIRCUITS 48.10` Fee summary Charged Paid Credited Due Permit Fee Total 48.10 48.10: .00 .00 Plan check Total .00 .00 .00 .00 yJ Grand Total 46.10 48`.18 .00 .00 Separste Permits are required torelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvetnents. This permit becomes, null and void If work or construction authorized is not c ommenced_w thin 180 days, if construction or work is suspended or abandoned for a period of 180 days afterthework as commenced, or if required Inspections have not been requested within 180 days from the last inspection. I thereby cerEifythat I'have read and examined this application and know the same to be true and correct. AN 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- "Wite or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Data Signature of Owner (f owner is builder) Date T:VLANNVAMRMb11102.15 t11l14r20031 BUILDING PERMIT INSPECTION RECORD CALL. 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. —,,.v r—"- . a.mrrx sr n s n• vyAv rn rT we rrl►fr 1 r"]MFrr 'TA efeb un FATVrr► ITD /1D ► ' dmv,turiDY ipvvd%Dv +F pORT,k,CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 03- 00000544 Date 6/05/03 Property Address . . . . . . 938 W 15TH ST ASSESSOR PARCEL NUMBER: 0630000429350000 Application description . . . ELECTRICAL ONLY Property Zoning . . . . . . . Application valuation . . . . 0 Owner Contractor -------- ---------- - - - - -- WILLARD C /CAROLYN B MULLER TTE ------------------------ ANGELES ELECTRIC 3264 MT ANGELES RD 524 E. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -9264 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Sub Contractor . . ANGELES ELECTRIC Permit Fee . . . . 35.20 Plan Check Fee .00 Issue Date . . . . 6/05/03 valuation . . . . 0 Expiration Date . . 12/02/03 Qty Unit Charge Per Extension 1.00 35.2000 ECH EL -R OR RM REPAIR METER /MAST 35.20 Fee summary ----------- - - - -- Charged Paid Credited Due - Permit Fee Total ---- -- - - -- ---- 35.20 - - - - -- ---- - - - - -- ---- 35.20 .00 - - - - -- .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.20 35.20 .00 .00 to Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is budder) Date T \PLANNING \F0RMS \1102 15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT N ROUGH -IN PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T -BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE /PELLET /CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engmeenng Division) SEPARATE PERMIT N's WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT N's SEPA PARKING /LIGHTING ESA wvner wnnvr_ SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417 -4735 (Q «, (/t/ ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ ENGINEERING 417 -4807 CONSTRUCTION - R W PW / ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BUILDING 417 -4815 BUILDING T \PI.ANNlNG \FORMS \l 102 15 [4/20021 CITY OF ANGELES ELECTRICAL PERMIT LIGHT DEPARTMENT N? 15394 Port Angeles, Washington -`- -- - I-- ----------- ----- - - - --- 19"---- - 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 th C' y of Port Angeles, per- mission is hereby grante to do el trlc /allwork ass�listed,bel� / , i Address -�� -LS-� I - _ ----- ! - - -_T. Occupancy--Z -� —a Owner - - - -- c_. �P± . : -. , JCL _L t e a f--- _o-.. -'taw{ f_a e.. - - -- -- ,.cr�m'tt"� WirinWiring Contractor �-- --_ -�� c. - -_ - - -. _ B g __ y ------------------ --------------------------------------- _----------- Light Outlets ------------ .------------------------ ..... Receptacle Outlets ----------- --- ............... dt 0 G v� Dryer, KW L....__< ._.'.'... ----- ----------------- 3 Range, KW ------ -�0 --- - ---- ------- - - - -- s,l Water Heater: (-- Heat: RW ..._(^ . V ..... ..:'....'r ?�.---- ...- - - -- Motors: size, volts and phase: - v r... --------------------------- - - - - -- Total Remarks: Service, volts ,C No. wires ..� /!::":,'- :.<.'%`..` Size wires ------ !--.- -- --- .......---- Main fuse _J,...� t'.�. j! �. Enclosure _-'° ............................... Type of wiring: Entrance Cable Rigid Conduit Metallic Tubing -- Current transformers: No. & Size .............. Ser. Ser. Ser. Ser. 'type of Wiring: Armored Cable Non - Metallic - - -. Knob & Tube.... Rigid Conduit .. Metallic Tubing Raceway ...._ ... ..................._....._..... 1 � Circuits, Light --- .-- _.rc.11..t.`.._.--- - - - - -- / 4 Utility ----- -- --......i._........ / Heat y C' Range- -- ------------ __....._------ .....__j>r; Water Heater ............................... Motor...... ....................................... C, :i Dryer....... =...... ............................... Furnace -------- .. ........ __. Total --- ---- /-- ---- ' ........ Permit F �er� Treas. Receipt /'% iJ $ -/ y � ---------------- No.---------- ----ti---- -- ------ By: ------------------------------ y-- e. 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 r ELECTRICAL PERMIT N° 15394 Total Load 1M P -72 Olympic Printers, Inc. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ,V0 5T (G.S ........... INSPECTION REPORT ........... REQUEST: Date 9 "1 Y -01 Time T � /n Received by �/ (phone person) Location of Work to be inspected Name of person requesting inspec 9i Address of person requesting inspection 703 -SJ /? S% Phone No. V /7 "�����% Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. the C-✓4 fPl- INSPECTION NOTES: Inspected: Date c "v.-) _Time Lor' 46P1 By :7 17 Remarks: :23'X5-' Gv %jvt J[Je c seta RESTORATION REQUIRED ...... YES NO L 4 oil IgTk $D` V SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑ Gravel []Asphalt ❑ PCC [Other Sde ❑ Repaired by City YCOMPLETE- k Order # ZO - 93 / ❑Repaired by Permittee -tV //3 S/o7 tw� ❑ No Damage Found INCOMPLETE Az4- 07 rF (Continue on reverse side if necessary) CT.RFF.T_BLIPCPI N.r.c luncn a r�w.rc. FROM : KIRSCH ELECTRIC FAX NO. : 3606630869 Sep. 20 2004 09:51AM P1 Ud4 Mk iUSiF�; 01:h FN CITY OF PA BLDG DEPT FAX No.380 417 4711 P.003l003 e ELECTRICAL PERMIT APPLICATION The Elect0cal P"I ApUlloll0n must he llaad eut aomolrteN. P0a OP11V`"USEONLY b.wa= P..40, VA.A, G � W..6 Plaeee bps or reprint In Ink If y6u have any Questions. please cell (]6Q14474735 / - Fax number. (360) 417 -4711 KIN KW ❑ Overh�atl- Service ' O Heat Pump _. TON LRA o Temp Service . . O Fx+ Wall 17 Underground service .... ..... .. Owner or Eloc. Con/tr'o'^Nor Agent j {` S C t C_.T - Phone: Fax' .. , Properly Orvaer, ✓ ( G < r' Phone: Addre.70' X14'• - zip:. eamcal Contradwr - Uoease It tom' P'hOne: . Address: ©Ox . f. .g �. .., . city. ' .. S'F1t7ciii) Lp. .._W INSTALLATION WIRED Or. DOWNER ELECTRICAL CONTRACTOR Gedit Card HolderN Me: �, c �l rA r 5 C h Wag Address SOX � LL PRwIEC7A.D0esa: 1 TYPE OF WORK' Check &a the apply; O ResldeMtal pp Multi-fam0y o Renwle Meter' \ 0 Detached Garage ❑ New "teratl0NAd01t ❑ Commercial ❑ Mobileiiome. O Hot Tub t7Swim Pool 0 Septic P Number of Circuits added or Owed,' DESCRIPTION OF THE ELECTRICAL t ' '- t. • . r� - r.a M I hereby certify that I have read and examined this application and know Thal suihorized to apply forthis permit I understand it is not the CtV's legal reap) are raqukeit It remalnb tha applkailts respons/bi o to de,"Ine what perm) Cradle Card Holder's Owner or Mar. Cont. r PERMIT FEE: $ 3 �o ::/ELECMCALPffAUTAPPUW ON O eawboanj .— 0 Fumeae KIN KW ❑ Overh�atl- Service ' O Heat Pump _. TON LRA o Temp Service . . O Fx+ Wall 17 Underground service _,.._KW I hereby certify that I have read and examined this application and know Thal suihorized to apply forthis permit I understand it is not the CtV's legal reap) are raqukeit It remalnb tha applkailts respons/bi o to de,"Ine what perm) Cradle Card Holder's Owner or Mar. Cont. r PERMIT FEE: $ 3 �o ::/ELECMCALPffAUTAPPUW ON RECEIVER V� CITY OF PORT ANGELES PERMIT APPLICATION`'`.♦► - y Building Division /Electrical Inspections SEP 13 2013 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 FLE RICAL , d Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS� co Date: ! -13 & �2"" mlly Dwelling * Plan Review May Be R quired, Please Complete lectrical Plan Review Information Sheet Job Address: 3�i 1 sT Building Square Footage: _ Description of above Owner Information Contractor In orm ation Name: S6 � ? 7— Name; ZVI- Mair g Address: 1# 19 G. S 7— Mailing Address: city; — State: Zip: City: State: Zip: Phone: Fax: Phone: Fax License # 1 Exp, License # t Exp. L Item Unit Charge Qt I Total (Qty Multiplied by Unit Charge) ServicelFeeder 200 Amp. $ 120.00 $ ServicelFeeder 201-400 Amp, $ 146.00 f $ ServicelFeeder 401 -600 Amp $ 205.00 $� r $ ServicelFeeder 601 -1000 Amp. $ 262.00 $ ServicelFeeder over 1000 Amp, $ 373.00 $ Branch Circuit Wl Service Feeder $ 5.00 $ Branch Circuit W!O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ Temp, Service/ Feeder 200 Amp. $ 93.00 $ Temp. ServicelFeeder 201 -400 Amp. $ 110.00 $ Temp. ServicelFeeder 401 -600 Amp $ 149.00 $ Temp. ServicelFeeder 601 -1000 Amp $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit] Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Lass $ 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 $ $ J _, —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. Signature of o e , e ctrical contractor or electrical administrator: U cash check U Credit Card #\ x Dated: �! ��� ="110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , , , . . 13- 00001048 Date 9/13/13 Application pin number . , . 612576 DITCH Property Address , . . . , 938 W 15TH ST ASSESSOR PARCEL NUMBER; 06-30-00-0-4 -2935 -0000- Application type description ELECTRSCAL ONLY Subdivision [Same . . . . Property Use . , , . , , , . FINAL Property Zoning . . . , , COMMERCIAL NEIGHBORHOOD Application valuation . . . 0 Application desc Meter pack replacement Owner Contractor WTLLARD C /CAROLYN B MULLER TTE BLACK DIAMOND FLECTRICAL CONTR 3264 MT ANGELES RD $02 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (3 60) 565 -1035 ---------------- - - - --- - ---------_---_------------------------------------ Permit I . , , . , ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee 160,00 Plan Check Fee .00 15sue Date 9/13/13 valuation . . . , 0 ' Eipiraticn Date 3/12/14 Qty Unit Charge Per Extension 1.00 160,0000 ECH EL -COM 201 -400 SRV FEEDER 160,00 Fee summary Charged --------- Paid Credited Due -- - - - - --- ---- - -- - -- Permit Fee Total 160.00 ---------- ---- - - -- -- 160.00 ,00 ---- - - - - -- .00 Plan Check Total 00 00 .00 .0 -0 Grand Total 160.00 160100 .00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGBIBUILDING W t