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HomeMy WebLinkAbout1230 W 16th St - BuildingPREPARED 10/04/10 8 19 12 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ BL99 01 1230 W 16TH ST WALDRON LARRY U /DEBRA A 06 30 00 0 4 3930 0000 10 00001070 RE ROOF SNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 10/04/10 of ALF INSPECTOR JAMES LIERLY SUBDIV PHONE PHONE BLDG FINAL TIME 01 00 October 1 2010 4 23 51 PM 1pangrle LARRY 460 7643 BUILDING FINAL RE ROOF AFTERNOON COMMENTS AND NOTES PAGE 3 DATE 10/04/10 Owner Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Q -23 /o Date Print Name T Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 32i 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 Application desc hot mop over one layer WALDRON LARRY U /DEBRA A 1230 W 16TH ST PORT ANGELES Structure Information 000 000 REROOF i- BUILDING PERMIT NO PR FEE Qty Unit Charge 174052 109 75 9/23/10 3/22/11 Per 1 00 14 0000 THOU Other Fees Fee summary Charged WA 983637008 r rtn II�IJt��kJn 10 00001070 460520 1230 W 16TH ST 06 30 00 0 4 3930 0000 RE ROOF RS7 RESDNTL SINGLE FAMILY 2537 Contractor OWNER Date 9/23/10 Plan Check Fee 00 Valuation 2537 BASE FEE BL -2001 25K (14 PER K) STATE SURCHARGE Paid Credited Due Permit Fee Total 109 75 109 75 00 Plan Check Total 00 00 00 Other Fee Total 4 50 4 50 00 Grand Total 114 25 114 25 00 Signature of Contractor or Authorized Agent Extension 95 75 14 00 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 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Signature of Owner (if owner is builder) IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. !FINAL Date Accepted by FINAL Date Accepted by 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 10— y poR Akr BUILDING PERMIT APPLICATION Print in ink Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1st Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant L m� ro Property Owner „t„ U)olAr. n Property Owner's Ad r'ss J, 30 fA> Contractor Contractor's Address License S#d PROJECT ADDRESS ___,Alo L eh t7610 now/ 393lD ppo.O Expires E -mail C- Phone Phone (360 Ns -)01 Phone Lot Residential Multi- family Commercial House garage other tear off re-roofNi lay over one layer Heat pump wood- burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (mac. ft.) Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type I have read and completed this application and kno it to be true and correct. I am authorized to that it is my responsibility to determine what permits are required, and to obtain permits prior to wo Date 9-23-10 Print Name A 41114t1 Signature T Forms /Building Division /Building permit applica ion For City Usg 0,04: ,`o Date Received `f 5 �j Permit f G Date Approved Zoning f1 S'J per sq ft. a TOTAL VALUATION Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures, paved driveways, sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage of bedrooms of full baths of half baths Industrial I apply for this permit and understand ing on projects. SOLD_T.O: 00 ALINE° SHIPPED ORDERED UM 1 108 108 EA P623AB 2 3 7 7 EA P625B 4 1 1 EA 4NE0 5 1 1 EA 2NE0 6 1 1 EA BACKBK 7 12 12 EA SG2BK 8 16 16 EA SA6BK 9 6 6 BX 212EGRFG5 10 6 6 BX 2HGRFG5 11 15 15 RL FELT30 12 13 14 2 2 BX A1138 15 29 29 EA RTOP 16 17 18 19 PRIOR DEPOSIT .2749.76 TOT WT '0.00 HARTNAGEL BUILDING SUPPLY INC 3111 HIGHWAY 101 EAST PORT ANGELES, WA 98362 TOLL FREE 1- 888 -452 -6252 PHONE (360) 452 -8933 AN EMPLOYEE OWNED AND OPERATED LUMBER TRADERS STORE .GUST NA: JOB<NQ: :PURCHA ORDER: REFERENCE: TERMS: CLERK; '20.1432; 7 Q00 'LARRY >PO'# LAARRY" ;ORDR 37933' NET 10TH 99: SHIP'TO: ygp RON: 1230 W 1.6TH' :3/12 *4 PLEASE LOAD ROOFING 2' DOWN FROM RIDGE METAL FLASHING ON ROOF AND LEA /E NAILS IN A DRY SPOT TERMINAL. 568 ORDER: 379331 ESTIMATE: 379217 SALESPERSON: 57 ROD SHAWVER TAX. Hi HARTNAGELS- CHARGE RET X Received By PAGE NO 1 DATE TiME6 `9/21'%1'19 1'19 INVOICE: D79617 DESCRIPTION. 1 SUGG UNITS PRICE!' PER EXTENSION PAB PREM 30 ALG.BLK ANT BLACK[4 17.56 108 15.961 /EA 1 723.79 C !!!ALGAE BLOCK!!! PAB SG -30 BLACK,[3]Y 18.96 7 17.23 /EA 120.61 C 4' NEOPRENE FLEX FLASH (12) 6.99 1 3.975 /EA 3.98 C 2' NEOPRENE FLEX FLASH (12) 4 79 1 3.00 /EA 3.00 C 5X11 BLACK CHIMNEY PAN 12.49 1 10.617 /EA 10.62 C STYLE G BLACK DRIP EDGE 2' 5.99 12 4.35 /EA 52.20 C 2 X 3 BLACK STYLE A 8.49 16 5.835 /EA 93.36 C 2 -1/2' EG ROOF NAILS 5# 8.99 6 8.09 /BX 48.54 2' HD GALVANIZED ROOFING 5# 11.99 6 10.79 /BX 64 74 2 SQ 30# FELT 24 49 15 21.204 /RL 318.06 C HARTNAGELS STOCK BOTH ASTM AND I OZ I C/ F AM 2 5.39 /BX 10 78 £PIV L 29 3.00 /EA 87.00 TAXABLE 2536.68 NON- TAXABLE 0.00 SUBTOTAL 2536.68 TAX AMOUNT 213.08 TOTAL 2749 76 I I ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 l Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type de'scription Subdivision Name property Use Property zoning . . . Application valuation 07-00001302 Date 11/19/07 855076 1230 W 16TH ST 06-30-00-0-4-3930-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Owner Contractor WALDRON LARRY U/DEBRA A 1230 W 16TH ST PORT ANGELES WA 983637008 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc OLY EL/ HP-FURN. Permit pin number 114926 Permit Fee 46.00 Plan Check Fee Issue Date 11/16/07 Valuation Expiration Date 5/14/08 .00 o '- ~' ~ CJ Qty 1. 00 Unit Charge Per 46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.00 t Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.00 46.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.00 46.00 .00 .00 "- ~ \~ G\ ~ INSPECTION ELECTRICAL TYPE DATE: RESUL TS: INSPECTOR: DITCH SERVICE ROUGH - IN FINAL il !J3/~7 i1f/ 774/ . / . , COMMENTS: ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001302 Date 11/16/07 855076 1230 W 16TH ST 06-30-00-0-4-3930-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Owner Contractor WALDRON LARRY U/DEBRA A 1230 W 16TH ST PORT ANGELES WA 983637008 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc OLY EL/ HP-FURN. Permit pin number 114926 Permit Fee 46.00 Plan Check Fee Issue Date 11/16/07 Valuation Expiration Date 5/14/08 .00 o Qty 1. 00 Unit Charge Per 46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.00 Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 46.00 46.00 .00 Plan Check Total .00 .00 .00 Grand Total 46.00 46.00 .00 Due .00 .00 .00 -- ~ o ~ ~ ~ ~ mSPECTION ELECTRlCAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH - IN FINAL t I ) J3t[)7 Ay ~ COMMENTS: ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001255 Date 11/01/07 082785 1230 W 16TH ST 06-30-00-0-4-3930-0000- LARRY WALDRON MECHANICAL APPL. PERMIT RS7 RESDNTL SINGLE FAMILY 7900 Owner Contractor LARRY U & DEBRA A WALDRON 1230 W 16TH ST PORT ANGELES WA 983637008 (360) 460-7643 PENINSULA HEAT 782 KITCHEN DICK RD SEQUIM WA 98382 (360) 681-3333 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL PEN. HEAT/ T-STAT 114363 PENINSULA HEAT 35.00 11/01/07 4/29/08 Plan Check Fee valuation .00 o Qty 1. 00 Unit Charge Per .35:0000 ECH EL-LVT-FIRST THERMOSTAT Extension 35.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 ~ ~ o ~ ---- ~ ~ INSPECTION ELECTRlCAL TYPE DATE: RESUL TS: INSPECTOR: DITCH SERVICE ROUGH - IN FINAL Il/13/D7 A-? .~ COl\1MENTS: Of pOAT ~ l~"<;-<r. ~ ~ -- 'l.&trc~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001255 Date 10/29/07 082785 1230 W 16TH ST 06-30-00-0-4-3930-0000- LARRY WALDRON MECHANICAL APPL. PERMIT RS7 RESDNTL SINGLE FAMILY 7900 Owner Contractor LARRY U & DEBRA A WALDRON 1230 W 16TH ST PORT ANGELES WA 983637008 (360) 460-7643 PENINSULA HEAT 782 KITCHEN DICK RD SEQUIM WA 98382 (360) 681-3333 Permit MECHANICAL PERMIT Additional desc INSTALL HEAT PUMP SYSTEM Permit pin number 114249 Permit Fee 64.80 Plan Check Fee .00 Issue Date 10/29/07 Valuation 0 Expiration Date 4/26/08 Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 14.8000 ECH ME- INSTALL 100- FAU 14.80 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 ~ \ 0~ '" ~ ~ "? Y ~ ~ 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 an/)ate or local law regu ting construction or the performance of CO~b'~07:. C~tLrlofkA~ cJ~ ~ Date Pnnt Name Signature of Contractor or AuthOrized Agent Signature of Owner (If owner IS builder) T:Forms/Building DivisionIBuilding Permit (1010 I/07).wpd 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 UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE . INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. o -J 1 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOVNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALLIHOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA TION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES , FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TOOCCUPANCYIUSE 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. 4 I 7-4750 PLANNING DEPT. BUILDING 417-4815 11---7_1-(\"1 \W BUILDING f'J vt Vl ~ \..N o ~ -. G'. ~ V) -to ;:t: ~ V c ~ --0 T: Forms/Building Division/Building Permit (1010 1107). wpd ~ ....e- ....0 , e- N , .... .... r>lr>l t.!lE-< 00:00: 0.0 MM M<!' MID Me- , , ....0 CDID ID<!' >< ..:I ~ r>l H ..:I E-< r>lCll ".'" 8~ E-<I-) Z .. O~ HO E-<E-< UU r>lr>l 0.0. CIlCll ~~ 00 IDID MM :> H o gJ CIl r>lr>l ZZ 00 :I::I: 0.0. <11 <11 ..:I 0. Z 0. o 00: ~, 00..:1 ..:1000: oO:oU ~OH 00:~~ ~ E-1~~~ CIlS~gj~::>: ::r: P:::::r: Q I L/l E-tQ aLl) ~~j~~~ ~::o::oOO ;3: CI) 10 ><Z><OO OP:::HO:::MO ~~(J~~~ r-lHfJ..HOO o N '" CIl r>l -..:I e-r>l ot.!l ~~ N 'E-< ....~ ....0 0. o "'''' ~O 00: 0.>< r>lE-< ~H o.U ~ " 1Il 0: ZO E-< CIl -U CIlE-<oO: ..:IZ gj~~~~..:I 01;'js~~g; ~E-<UOo.oO: E-< H ::>: ~ r>l 0. Ul E-< 1;'j Z~ 00 HU E-<' o.Ul HE-< ~..:I U::O UlUl r>lr>l !-<OO: i P< E-< 15~S ZUl Hr>l ~O: ~~r>l :EE-<E-< CIlr>l grgA: O::!; "'0 ~U ~ 0: "r>l 1Il "13 !-< i P< Q) ..... ... 01 <: <1l Po ..... o o .. ::!; ....0. o .... .. <!' '" .. ::!;ID 0. ~~ ~ M 0. e- E-< ..:10 00: 00:0 r>l ZC\lN::I: H <!' ~ ..l.D I oe- H N 1...:1 00: ooO:Z ()i-l\OZO HQ)'d'HO ~1I><"'@ :I:Q)~t.!l'" U>~OE-< ~~j<il~ '~ e- o , e- N , .... .... o Ul , 0. >< E-< .... o '" '" r>l ::>: CIl r>l E-< o Z ~ Ul E-< Z r>l ~ o U ,--- 10/29/07 13:13 FAX 3606812086 Peninsula Heat 14J02 BUILDING PERMIT - APPLICATION FOR OmClAL USE ONLY: DallJR=.: \O-2'l-07 Permit II: 0 -Z - I Z c; C5 Dare ApJJmvat: Dart Issued: FlU out COMPLETELY aDd in INK. Your application Ind lite plan MUST BE COMPLETE to be accepted for review. If you have aay qUestiOIUl, caD (360) 417-4815 APPlicantorAgent:PAarhl-k4nd~ Phone: ~g/-3333 Owner: ~n:y [(lAId ~ Phone:. Lf4:t2-7"~ 3 Address: I ~30 W . /6 ~ 5-1- . City: ~ ~ C- An:JP &5 Zip: f'gs ~ ~ ArcbitectlEngineer: Phone: Contractor ..f~;' ( ~ ~U / a ~t2. itate License #ft:;v/ J(/jdL/~ - Address: 7~a. J!.J:j,.-)ru;-fJuL /21 City: ~t:;;;'Y'U/h/) PRomcr ADDRESS: / ~ ~ to uJ J I ~ -tb- 57 . Phone: lJ"/-??5? Zip: 9'83 8".;;.. ZONING: LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNlY PARCEL NUMBER: Subdivision: Credit Card ~older Name: BiJliae Addret.: Credit CardType VISA Me ''''fYE>>(JFWORK: P"'Residential 0 New Consb". Cl Re-roof I;J r Stave ',' . C Multi.family 0 Addition 0 Move D. Garage o Co~iaJ 0 R.emodel 0 Demolition C: -.Deck ' . o Repair" . IJ ,SW1 , ,[] Other BRIEF DEsCJmrnON OF THE ~ROJECT: ::r;;, 5,"7-r? / / City: Exp. Date; # , SIZE/vALUAUON: ~@S ISF.""$ SF.@S ISF. ""'$ : SF. @ S ' ISF. = $ .. . 1 '~TOTALYALU~TIO~, :$ ~'3'/') flPd~T .JJU Y ft~__- "., . COMMERClALIRESIDENTIAL: Occupancy Group: Occupant Load: No. ofStanes: _ Lot Size: Existing Sq. Fl & Proposed Sq. Ft Exi9ting lot coverage _ % & Proposed lot coverage _% = Tota11ot coverage Construction Type: ... TOTAL Sq.FL % APPROVALS: PLAN: BLDG: DPWu: FIRE: OTHER;_ PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUIIJiING PERMIT APPLICATJON SUB.MlTr AL: The Building Division ClIIl provide you with information on the application and pbm subinittalrcquirements if you haYC questions. V ALUAUON OF CONSTRUcnON: In all cases, a valuation amount mutt be entered by the applicant. nus figure will be reviewed and maybe revised by the Building Division to comply with cw:rent fe~ schedules. Contact the Permit Coordinator'at 4174815 for assistaIlce. PLAN CHECKFEE: IF a plan che~k fee is due it ~t be submitted at the time the building'pennit application and construction plans are submitted. .All othei petmit fees are due at the time of pCImit i~suance. ,. . EXPIRATION OF PLAN REVIEW: Irno pe~t is issued within 180 days of the date ofapplieatioD,' the application will expire.' The Building'Official can extend the time for action 'by the ~pplicarit up to 180 days upon written request by the applicant (see Section 107.4 of the UlliformBuilding Code, CUllent edition). No app~ation can be extended mOte than once. ' I hereby certify that I hElve read and examined this application and know t understand that it is my responsibility to determine whaf permits are req . correct. J am authorized to apply for this permit and I ustob" SuchP.~ID_' Dat.: /4 ~'7 T:\FORMS\APPS\1luildingpcnnit.wpd ..;.,~. ~ '~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98162 Application Number Application pin number - Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000874 Date 508922 1230 W 16TH ST 06-30-00-0-4-3930-0000- ELECTRICAL ONLY 7/30/07 RS7 RESDNTL SINGLE FAMILY o Owner Contractor WALDRON LARRY U/DEBRA A 1230 W 16TH ST PORT ANGELES WA 983637008 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL OLY. EL./ 200A SVC 107771 OLYMPIC ELECTRIC 75.00 7/30/07 1/26/08 Plan Check Fee Valuation .00 o '" N ~ a Qty Unit Charge Per 1.00 75.0000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 75.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 ~ ~ ~ \~ ~ COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfIONRECORD CALL 417~735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-lI02.1S (4'96) .. ~~ . CffyOF pbR.TP&r9E~g~ DEI> ARTMENTOFCpWdUNITYDEVF:I.<JPl\.1ENT -BUILDINGDMSION j21 BASTSTH.STREET; PORT ANGELES,WA 98362 . ApplicationNumber ... pin. number . . . .. property.Address.. . ASSESSOR PARCEL NUMBER: Ap~licationdescription Subdivision Name. . Property USe . . . . Property Zoning, . Application valuation 04;"00061132 Date 12/0.7/04 .79.;;944.. .. . ........ ........... . ... 1230 W16TH ST 06-30-00-0-:4..3930-0000- MECHANI6u.1\!'PL. PBRMIT RS7RBSDNTL SINGLB FAMILY 5800 OWner contractor . . '. :. . . ----~-----------~------- - - -,-;'" - -'- - ~-.- ....- - ~'- ',;. -'- - ~.;,;'-..;.- WALDRON.LARRY. y!DEBRA A . 1230 . W16TH ST . PORT.ANGBLBS WA 983637008 EVBRWARM 25715lHWY101 PORT.AN'GBLBS (360) .452 -3366 WA 98362 -------"7 - -- -,- -~ - - -~ --,- -------....- -...;,;. - -.;.-- -... -,~.~--~~-~-~--..;.-...;--- -- -- _-:... ;.;;.---------..;' Permit .. . . Additionaldesc Permit.Fee. Issue Date :Expiration Date MECHANICAL ..PERMIT'" ......................... PBLLET AND WOOD BUlU(ST9VE 74; 4.0 PlaIl, Check Fee 12/07/04 Villuation . . . 6/06/05 00 o Qty unit .. Charge Per 13.7000ECH BASB FEB. .. ' ME-RBPAIR/ALTBR/ADD APPL. EXtension 47.00 27.40 2.00 Fee sunnnary Charged Paid Credited Due - Permit Fee Total Plan Check Total . Grand Total 74..40 .00 74.40 74.40 ;00 74.40 .00 .00 .00 .00 .00 .00 cp 81..~ ~ . tt: "-- G" '+ ::s ~ Separate perrniits are required for e.lectrlcal W()rk, SEpA, Shoreline, E~A. Utllities;'f?~y~t(i}and public improVtln'lEmts. .1pisp,Wifl)ecomes null an~ Yoldifw()rkor construction autho~ed.is not commenced INithln180d,yS;lfconstruction orwor'klssusp.,,~,,~i9r~bll,n~on~d for a periodof180 days .after the work as commenced, or if required Inspections hava not been requested withiry1IJO da~frornthe last inspection. thereby c~rtlfythat.1 h~ve read and eXamined .this application and know the same to betl'lJ~ and. corr~tJ IUIProvi.sions of laws and ordina~cesgov!3mlng this type of work will be cOmplied with V"hetherspectfled herein ornolThegrantlrtg'ofapl3rlTlltdoes not presume to give authority to violate or cancel .the provisions of any'stateor Ipeal law. regulating.. construction.Cif th!3 performance of constru on.. .' Signature.ofOwner (if owner Is bullderl Date T:\PLANNlNG\FORMS\1l02;IS [I t/14I2003] -- - ,', :z~ I' . ~',;\:'."~ >,'.. ,;.';~ '" ""-",,~.'-' ' .- "1~_</~-' i , ; ~':t>~;'[:J~',~i~.;i~~)>?::~;!~t~~~~~~. t'~ t~~!?:"I~;';;f:i~~;;l~~~~ BUIlJ)~GPERMITINSP~CTlONRECORD CAI.L 417-4815 FORJ~UlLDlNG INSPECTIONS. CALL 417-4735 ~()R.ELECTRlCAtINSI'ECTIONS. 1-.' PLEASE PR.OVIDE A MINIMUM 24H0URNOTICErlT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORKBEfioRE .. INSPECTEDANDACC}3PTED. POSTPERMlTINACQ~SPlcuoirS'tOOAi1:()N:' ........ .... .........c . ..... ..' KEEp PERMIT cARD AND APPROVED PLANSAT.JOB:S:J,m." ,.:. '.I:';;;' ..' . . INSPECTION TYPE ...... DATE .ACCEPTED COMMENTs '. ......}.ic'.':. . '. I ", .....i< ..;. ..... . . YES NO . .. .... I ..... FOUNDATION: '. .... .. Ii.....:.. . ..... ..... FOOTINGS ... ..' WAL~ . . '.. .'. .. FOtJN])ATIOfl/ DRAINAGEIDOWN SOOUfS .. . .' J .'. . J.... . ELECTRICAL (UGHT DEPT) SEPARATEPERMlT:tI ..' i.. ':. .' '. t.. ROUGH"lN '. '. .. .....!. . I ..' I .. ....... ". . .' ." .. PLUMBING '.. .;i.. "f .. UNDERFLooRISLAB .. .... .. ROUGH.IN .' ... I .' WATER LINE (METER TO BLDG) ..' GAS LINE .' " ". BACK. FLOW /WATER \ . .' . ..... . '.. ..... ..'. y' AIR SEAL ... ... . ;, '.. . .....,.... ....... . .. .... .. < WALLS .' I CEILING . ." 'Ie I '.' , . . FRAMING .' . .... '. JOISTS r GIRDBRS ." SHEAR W ALLlHOLD DOWNS . . '. WALLS/ ROOF / CEILING ." DRYwALL (INTERIOR BMCBDPANBLONLY) .... T~BAR . .' '. , .... ". .... . .... INSULATION . . . SLAB . I WALL {FLOOR/ CEILING ., T .... I MECHAN1CAL , .... . .'. .' .... ..... HEAT PUMP ". ...; GASLlNE . '. .. . I. WOOD STOVE/ PELLET / C~ .. '. HOOD/ DUCTs .'. .. . PW UTILITIES/SITE WORK ~ti&bivisiOll) SEPARA~P~i#'s: . WATERLINE/METER ". .' . SEWBRCONNBCTION ..' . . '. . . . SANITARY' ". STORM ." PLANNlNGDEPT; . SEPARATE PERMrr#'s ...... SEPA: PARKtNGILIGHTlNG .. . ESA: LANIlSCAPING '. , .. " i: SHORBLINE~' ii; . , ..... " . .' :: ..... ....... , . "'.., . .... " FIN:Al{~.~~~E:Q;lO~S.~Ql1~ .PI90R,TQPCcppA,N~msE.":,!. ..... .'. ..' .'it.',.. , RESIDENTIAL / :,,/iHi~ATE ., YES NO cOMMERCIAL . DATE ..... A,CC~"'tD '., ...~... .. ... . ..... ... :. ........ '. ... .... .. .'. .. \'IS .N9 Ei.Ec:TRJCAL . UGm DEPT. "417~m . .... . ... ELEcTRICAL ,.. ; .,i':, \ ,,' '. f. . . LlGHTDEPT . '.: '.. ..... ') '. CONSTRUCTION R.W./ PW/ CONSTRUCTlON"R.W. .... . i .. ENGINEERING 4J7-4807. PWI ENGINEEIID{G '. " . ., . . .. . FIltEDEPT., . .. ... '.' .'" S. FIRB :417-4653 . . . ....... . .. .... !,' '.. .., , . ,"--.- ,,: . ,- ~ . PLANNING DEPT. ..'{'X'. : .. PLANNING DEPT. 417-4750 .... .. ........ ." BUILDING" · 417-4815 l':"IJ./-e:><)' ........ ".:.1,'.).;:.- '. BUILDING .... ....,.,: '.' ..:. .. '. ... '.. .. PREPARED 1/14/05, 12:56:10 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1230 W 16TH ST EVERWARM WALDRON LARRY U/DEBRA A 06-30-00-0-4-3930-0000- 04-00001132 MECHANICAL APPL. SUBDIV: PHONE PHONE : (360) 452-3366 PERMIT PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 ~">~ MECHANICAL FINAL LARRY 457-1677 WOOD AND PELLET STOVES PAGE DATE 6 1/14/05 -------------------------------------- COMMENTS AND NOTES -------------------------------------- T~ ., 10/30/0; 12:46 FAX 3606812086 ,--:::> ~', Peninsula Heat ~02 ~ .. "'=-.11. "'~ ..l' -... ELECTRICAL WORK PERMIT APPLICATION Insle.llalion description a Cornmerdal ~Dtilll EI Dale Expires - IJNew D Altered! AdditioD u$-7.1P rt63~2- f"l"?!i- tJ hw V/J11-o1-f? $h-~. 1- t s~~ Owner Clli .h:[ifl(.J by RCW.J9.1l1.26J:(I) o,..."er will OCCl/py Ilrl: )"Irll("hm! for two )'t'ar:f after rhis dee,rical permit j)" fi"ali=e.d. (1) (h.'II~" is "~qu.iT~d to hirE: arr dee/rieu' conlroc'C)", if ub()ve said pmp(~I'T)' i.r Inr ~alf!. rent or leasf.'. After reading the abovll StilTement. , herehy cc:nity that I am lhc O\llt1eT of the ..bove ".,mcd propcl'T)' or 8 licensed electrical contruduf. I am mnkill8 the electrical in!\bl- lation or al1eralion in compliance with (he l;:lccuical lllW$, N.E.C, RCW. ChaplCf 19.26. WAC. Cl1sptc:r 296-469, -rhc City of PUTl Angeles Murlicipal Codc, and Utility Specific . ons. Slgn:n own~~ d IJ Cash IJ Check N ~ Visa C..-dN _.LJk-E! U-:- __-____ Ma~tercard Discover Expiration Date of card ~nsP3S~ Service InfarmAtlon x Electrical Loed Additions and or subtmctlons IJ NO LOAD CHANGES D Baseboard Kw CJ Furnace KW U"'Fl"68t Pump $n _ LAA IJ ~an.W.1I t<m [J Overtlead Service o Temp Service Q Underground Service Voltage Ph... IJ 1 IJ 3 Service Sizo: _ Feeder Size: SAME DAY iNSPECTION. CALL BEFORE 7:00 AM 360-4]7-4735 ROUGH-IN THERMOSTAT SERVICE nIle ^FP",vrd Dy Olle Approved By niL' ^pprtl\cd Dr FINAL Dum FEEDER Datc ApprDvrd ~y 1),.,= """.......toJ Br Oat.. A~DroVeoJ By Inspection n.:l.\~ Area, Building or Equipment Inspected Action Talc~n Electrical Inspeccor ELECTRICAL INSPECTION WIRING REPORT 417-4735 PERMIT # APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 O. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 ~. . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 ~. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: l-~~Y NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 11/1'15/21'11'17 18:32 361'14523498 OLYMPIC ELECTRIC PAGE I'll " L~ (;\II '-:{' :1'" c! .'..... " ; 'I ..1. . ELECTRICAL WORKl'ERMIT APPLICATION ";1',' "1. ;:!. 'r '! Job ",,,ed by arflectrlCal CODfratlor DO"".r IDst,U.tian 4eaariptioa IJ .ColDIDerdlll rielldeDtlal Eleetrieal contro.cliot 1\.me 1..Iceme number 0aL! Elilpires OI,?/?7"",~ &....."'~~;,.. /?LY/l1PE-C.M'~i?1 Purc~:t nUlllinl BddresI l.f2Jo Tv,,*,&V/9rhA' Cilb Stale ZIP /t?r-r- -(1/Jp"'?/ U7. 7FJi'52 Telephone number FAX Dumw ~- 7. ON... o A1leredlAddllloD Ptlllm(ttl OWD~rIJ a.me t,rl 'iii'" (/,7lk-~/J Addnll 0 'peellon r~ /2JO W /b- Clt~..-- ;I- ~r,..;;' f Pbou Ilumber to Ic:bldule la.pe(Uon; 7'.: OtttMr /U d~J1It,d b)l RCw'/I,Z8.J61 :(I) OwlfU trill oe/:upy '^~ """~Ilrr fOT two ytJIn OJIU' Ilt13 cJ<<Jrictll pcnnJt IJ ftfJd/um (2) OwNer it rqlli"u tp 1t1n IJ.IlI tJrz:lrlc11/ ",nnIC1Dr V dN.., .said pI'OPf."IY u fdr ~,J1I!, 'en' or 104ft.. After ,ft.CUDS d\c lbO've statement, 1 hereby certif'y rhat I aJh the Cwne!' or lhe abo~ aamDCI pIVpm)' or . lh;:cnud eleclric1l convaetOt. I en maklng lhe elcctrlcalll\ltlllla btiOD or al\etttion ill compljlhcB with t},e electric,IIp't, N.S.C.. RCW. Chapter 19.28. WAC. Chtplcr 296-468. The CilY of Porl An,.I.. Municipal Codo. and UtiJily SpeclficeticDI. SI,..tDR or DWDer, el.drh:al contractor Of elec1rlc:al dudnlscrltor '..... Date: 1//6>07 o c.sh Cl Ch~ck # ~",dit Card V... MlIStercard Discover Card # - - . -------------'----:- x ~"?'~ Expiration Dale of card o NO WAC CHANGES o Baaebow _ tWI IJ Fu","",,' ~ KW I!r"&e_ Sorvleo o tieat Pump .ta Ton _LAn 0 Temp Sorvieo .0 F."..WoJl _ KW C Undarground Sorv1c9 SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-4174735 VOltage 2'117 PhllllGl!("l 0 3 Service Sb:a:2a;:2 Feeder SIze: :1 "!" WJ ROVGB-JN 'IHERMOSTAT SERVICE Dill APPI9V'CII8)' 0.1. Appt'IlWOa)' Do< APJIft'nd D)' I !J!1/nFINAL .~ DITCH / FEEDER II 9 7 ow t:=;d D D.. Olts)' '- 0.. foppfvwIIlly Inlpectioa " Area, BDilding or Equlpm.nllnspeotcd , A.ction TUea Blectrlcal Dale InspectOr II / "I / c,-1/ {l'E/ fJ.fi4Z4ZdJ I J!/,-, '/J , - ~CE.ftV~ I.JJ .._u _ _ "M~ '''' VU 'W .':-: 07/19/2007 08:28 3604523498 OLYMPIC ELECTRIC PAGE 01 . ,."", . ELECTRICAL WORKl"ERMIT APPLICATION Job wired by rileetrlc~1 CODlT8clor 0 Omaor !ftltal1lCion dealiription _ . / . tJ COIIlmerdal Q'llt,lclo.t1al BIr::I:Iri~.1 oontrlctar nlme Uceose number Date !~Jres t'?/-~4.y1/ r- ;:::h hr- (?L Yft/l PE./: .2%7/.?? Purci:i6:)t ...U11l1l aclclnl.. ij.2?/? /V/77l./A' /+~ CIty 1? 'A / 51&1. zrp tL2.C.7'/7'/7U'/.-'1 Vd. 7/T6'f Tel ~onc number" FAX numba' CNtw C A1ltrtd/Adcllllo. .R74/-/" AfPc?"r1~ frrR'f C ,..' ,- .r, mlU:1 oWDe~'s vim,. / h?tZ:..., W~/V'/V,/'7 Adclnly{r I..p.olloo ,~ 1..J-16) (..,,/' / h t::& CII"B",:r~/~.-?F ' PboDl n~lDber to U:bfldulfl laspulJoa: ~ Owltllr.. d(//..d by RCw'J9.28.16/:(/J Ow..,. wlll....py lA, SlrIl<,.",/or two yMn oftu "'Is "....,ao/ pcrmJl/z /IM/Ized. (1) Owt,.,./z ""IulMlI. hire Q)I <i<<:/rlcal CCNlrnaclDI' "abow .JlJJd P"OpUty tr lor JGlt. ren' Dr ItliUl. After Tad.iDa the above lWomen" I benby eertlJ')' that I un. the _owner of Ibe aboye lWDed JII'OPCftY or a liccn.ed. elDcttic.al aontnll:\Of. 1 1m matl"l tho eleettleal iaua1~ Iallon or .Iteration In oompll.noo willi the .100t,leol IOWI, H.E.C., RCW. Chapter 19.18, WAC. Cl\aptor 296-468, The Ci,y or Poll A_aal.. Munlelpal Coclo, ond UllIit)' Specll1c.d.... SleDI'''" or owutr, elecrrical"contractor or electrical adrnlnl.1ralor o Cash 0 Check# IlI"&dit Card VlSB Ma.stercard Discover Card # - . - ---~ ------ ----_._-~ Dale: ExpimtiOll Date of oord o LOAD CHANGES o Baaeboard KW o Furnace _ KW o Heat Pump _ Ton _ LAR C Fill-Well _ KW SAME DAY INSPECTION ~rI1.1ld Se""ce C Temp Sell/tce [J U_dergll)uncl So"""" ' CALL BEFORE 7:00 AM 360-417-4735 . Servlc:e InfDrmDtlon VollDge ..;z If It? Pha8l1ll1 C 3 Sel'Ybl sae: ~ Feede, SIz.: R , ROUGH-IN /' THERMOSI'AT SERVICE .... AW'O"tlI ElJ' .'d ~.Itr ... ~._lIY /' DITaI FEEDER <"7/...i '~7 AL~ ... o^,,",ncI11 "/ 001. ~B'I '.:.L~ ' .. 7 .'llI,peclioo ' , ' , , " AmI, Building or Ilqulpmentlnspectcd Elaetrlcal Dale Acti.OD fakeD InJpectDr . . , , .--- ' .. r;;; VI: IJ/ JUL211 2007 UGHTDI=Pf "