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
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~'
~
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
"-
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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
--
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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
~
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INSPECTION ELECTRlCAL
TYPE DATE: RESUL TS: INSPECTOR:
DITCH
SERVICE
ROUGH - IN
FINAL Il/13/D7 A-? .~
COl\1MENTS:
Of pOAT ~
l~"<;-<r.
~
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'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
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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
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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
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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]
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I'
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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
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(;\II
'-:{'
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.'.....
"
;
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..1.
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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
.
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.
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 "