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Home My WebLink About2127 W 12th St - BuildingApplication Number 08 00001105 Application pin number 231865 Property Address 2127 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 01 5 0 0240 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 1 circuit to shed Owner Contractor HOWE MONTY R 2127 W 12TH ST PORT ANGELES WA 983635008 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 Date 9/05/08 WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 133702 Permit Fee 46 00 Plan Check Fee 00 Issue Date 9/05/08 Valuation 0 Expiration Date 3/04/09 Qty Unit Charge Per Extension 1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS 46 00 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 INSPECTION TYPE DATE RESULTS DITCH SERVICE ROUGH IN FINAL COMMENTS: 4(06 -wp glqlu? r,-? ELECTRICAL, INSPECTOR PREPARED 8/11/08 8 25 44 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/11/08 ADDRESS 2127 W 12TH ST SUBDIV TENANT NBR MONTY DEBORAH HOWE CONTRACTOR PHONE OWNER MONTY R HOWE PHONE (360) 417 2022 PARCEL 06 30 01 5 0 0240 0000 APPL NUMBER 07 00000984 RES ACCESSORY BUILDING PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/25/07 PB 9/25/07 AP BL99 01 8/11/08 BLDG FOUNDATION FOOTING TIME 01 00 09/24/2007 02 47 PM LPANGRLE MONTY 417 2022 FOUNDATION AFTERNOON 09/25/2007 04 12 PM PBARTHOL BLDG FINAL August 7 2008 10 35 23 AM 1pangrle MONTY 417 2022 BLDG FINAL COMMENTS AND NOTES January 27, 2008 City of Port Angeles Department of Community Development Building Division 321 East 5 Street Port Angeles WA 98362 Re Permit Application Number 07- 00000984 Application Pin Number 543736 To Whom It May Concern 2127 W 12 Street Port Angeles, WA 98363 360 -417 -2022 This letter is to substantiate the necessity of an extension on my permit dated 9/13/2007 application and pin number above \t`' I sustained a serious injury on 9/26/2007 I have been hospitalized five times over the months of September October and November with complications due to infection I am still under daily care of Dr Robert Watkins. I am still using crutches and not allowed to put more than 20 pounds of weight on my bad leg at this time Due to these circumstances I am in need of an extension to do my project. The concrete foundation was poured in October by Greystone Homes Concrete The shed material is on site, but has not been started yet due to my injury I am unable to give a definite time period due to my condition Thank you for your time and consideration in processing my extension request. Sinc ly Monty R. owe MRH /dch REC E.,n1 l JAN 2 B 200E 5G r r,,, CITY OF t x-cervieot ra 0� -28-08 PREPARED 9/25/07 9 28 05 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/25/07 ADDRESS 2127 W 12TH ST SUBDIV TENANT NBR MONTY DEBORAH HOWE CONTRACTOR PHONE OWNER MONTY R HOWE PHONE (360) 417 2022 PARCEL 06 30 01 5 0 0240 0000 APPL NUMBER 07 00000984 RES ACCESSORY BUILDING PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 /25/07 JLL i A BLDG FOUNDATION FOOTING TIME 01 00 09/24/2007 02 47 PM LPANGRLE MONTY 417 2022 FOUNDATION AFTERNOON COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000984 Date 9/13/07 Application pin number 543736 Property Address 2127 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 01 5 0 0240 0000 Tenant nbr name MONTY DEBORAH HOWE Application type description RES ACCESSORY BUILDING Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 380b Owner Contractor MONTY R HOWE OWNER 2127 W 12TH ST PORT ANGELES WA 98363 (360) 417 2022 Structure Information 000 000 288 SQ FT STORAGE SHED Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc 288 SQ FT STORAGE SHED Permit pin number 109595 Permit Fee 123 75 Plan Check Fee 49 50 Issue Date 9/13/07 Valuation 3800 Expiration Date 3/11/08 Qty Unit Charge Per Extension BASE FEE 95 75 2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 09/12/2007 02 35 PM SROBERDS The proposal is to add a 288 sq ft storage shed to an existing s f developed property in the RS 7 zone The proposal will result in 2041 total square footage or 22% lot coverage No land use issues anticipated Public works electrical engineering has no requirements for this plan review Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary STATE SURCHARGE 4 50 Charged Paid Credited Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 49 50 49 50 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 177 75 177 75 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 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„loc l law regulating construction or the performance of construction. .5 F j cto V Q Signature of Contractor or Authorized Agent Date si g nature 0 r (if 6wner is builder) Date T Policies \1102 15 building permit inspection record05 wpd [1/4/2005] CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL 4N3' WORK BEFORE DVSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION CA KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT 4's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 BUILDING PERMIT INSPECTION RECORD ACCEPTED YES I NO -Z5 -o7 Pg FINAL FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW /ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I I PLANNING DEPT BUILDING 417 -4815 I "1 O9 I I I BUILDING T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. N rt DATE ACCEPTED C I YES I NO I Iv) I I Residential Multi- family Applicant or Agent Owner V Owner's Address D-- Contractor/Engineer Contractor/Engineer's Address Commercial Remodel Repair Sign TYPE OF WORK New Constr Addition PROJECT ADDRESS .2 F 02'7 LAD 2 Pe) r Ati V P S k/k ZONING LEGAL DESCRIPTION Lot: 2.g Block: A Sub z el 5 CLALLAM COUNTY PARCEL NUMBER. Q 2 O -'Q1 5no.2y Re -roof Stove Move Garage Demolition Deck Other rG .Q rJ BRIEF DESCRIPTION OF THE PROJECT -4-0 r'Q 0.r S P oft X COMMERCIAL/RESIDENTIAL. Occupancy Group Existing Structure(s) basement J (,1 1 floor 2 "d floor 3` floor Exist g tructure s TOTAL Ai Maximum Height of Proposed Structure(s) Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans, specs, and a 8'/2 x 11" site plan MUST BE COMPLETE to be accepted for review (360) 417 -4815 FAX (360) 417 -4711 BUILDING PERMIT APPLICATION Residential projects: submit two sets of plans Commercial projects: submit three sets of plans I hereby certify that I have read and examined this application apply for this permit and understand that it is my respon i,%ilit}% such permits prior to work. Date Applicant T \FORMS \BUILDING DIVISION \BIdgPermitAppl. -2006 CODE.wpd °r2 Imo- 4vatL. E phone e, a a a_ Phone 5 '1'nv4. Le.c State License SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION t. 9R3 r OYES. c z) Occupant Load. Expires Phone Construction Type: Sq Ft. IZposed Structure(s) basement Sq Ft. '7/ 1 floor Sq Ft. X Z n9 2 "d floor Sq Ft. u gh C 3`d floor Sq. Ft. SO rroposed Structure(s) TOTAL Ft. TOTAL Sq. Ft. of existing proposed structures determ e wha mits aq FOR OFFICIAL U ONLY ate Rec. 3, 0 Permit Date Approved: Date Issued: tl 3. Q__for PN Sq. Ft. Sq Ft. Sq Ft. Sq Ft. Sq Ft. jp XI 14 -1'3 LOT COVERAGE Lot size Sq Ft. Q Existing Structure(s) gq Ft. Footprint Proposed Structure(s) Sq Ft. Footprint 2M 2.o 1 4 TOTAL Structure(s) S Ft. otprint i(� Total Lot Coverage ,P4.0 (Divide Total cture(s) Sq Ft. oo'tprint by Lot Size Sq. Ft.) VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance PLAN CHECK FEE The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has been issued, except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each The extension shall be requested in writing and justifiable cause demonstrated. (IRC /IBC 2006 105.3.2) d know th same to be true end correct. I am authorized to required, and that I must obtain '2122. Co ack 7sPt— 55 L G., \r■ S C C (h 0 74 7/ ae-e- f 21 rJ 6' MIN. TO UN- TREATE ATERIAL ANCHOR 7 MIN. EMBEDMENT CRAWL SPACE VERTICAL REINFORCEMENT BEND =12 X BAR DIA. 04 BAR 6' BEND r—t I 3' CLEAR�.A.NNCE �Itii BENT VERTICAL REINFORCEMENT TIED IN PLACE TO HORIZONTAL/ REINFORCEMENT WALL THICKNESS 6' THICK FOR WALLS UNDER 6' HIGH 8' THICK FOR WALLS OVER 6' HIGH —1 5 tt— FOOTING WIDTH FO 12' 1 -STORY 1- STORY6' b' 2 -STO' 2- STORY( 2 3 -STORY 3 -STORY 8 1/2' CLEARANCE N OLITHIC CONCRETE'FOUNDATION DETAIL EL 1102_OBIRC.WPD '1 AKCHOR 47' MIN. EMBEDMENT 2003 INTERNATIONAL BUILDING CODE CONCRETE FOUNDATION WALL FOOTING DETAIL NO SCALE 12' 1 -STORY 15' 2 -STORY 23' 3 -STORY G WIDTH cAcArk._ IA ANCHOR BOLTS FOR 1 STORY 72' D. C. 2 STORY 48' 0. C. PLACE BOLTS WITHIN 12' OF EACH PLATE END USE 3 "X3 "X114' SQ. WASHERS UNDER NUTS PRESSURE TREATED SILL PLATES #4 HORIZONTAL REINFORCEMENT PLACED WITHIN 12' OF TOP OF WALL FINISH GRADE REINFORCEMENT SCHEDULE *2' MIN. FOOTING DEPTH *2' TO 4 BELOW i GRADE INTO 4' TO LESS UNDISTURBED THEN 6' SOIL 12' 1 -STORY 1 B' 2 -STORY KNESS 6' MIN. TO UN- TREATED MATERIAL HEIGHT IN FEET **6' TO 8' >8 ;I FINISH GRADE lll l�i�11 MIN. FOOTING DEPTH BELOW GRADE INTO UNDISTURBED }1= SOIL 12' 1 -STORY 18' 2 -STORY VERTICAL REINFORCEMENT 1 #4 48 0 C #4 48' 0 C f #4 @24 0 C I#4 @240 CI HORIZONTAL REINFORCEMENT (1) #4 TOP BAR #4 24 0 C #4 18 0 C #4 10 O. C ENGINEERS ANALYSIS WITH STAMPED SIGNED PLAN REQUIRED VERTICAL REINFORCEMENT MUST BE BENT TIED TO FOOTING REINFORCEMENT REINFORCEMENT SHALL BE GRADE 60-- HYDRAULIC BENT ONLY #4 REINFORCEMENT 2- PIECES CONTINUOUS Y2 ANCHOR BOLTS(SAME AS ABOV_ PRESSURE TREATED SILL PLATES #4 REINFORCEMENT 1 -PIECE CONTINU _beLst.: RA_ 11-ce.t:r6tL #4 REINFORCEMENT 2 PIECES CONTINUOUS I r7 I. 0 s c a sti,„ 4 4::to CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing 'Ad building operations being carried on thereunder when in NS violation of all codes and ordinances of this jurisdiction. ode.) ..2e)4, (4 Approval Date I By .7a. 114.1.1 e•veNbAal 1":" r- Q`ril t- aorc_ aa, r r sL A 4. if --G (NcM.ck? 41‘. n K) (-1 (Y FitA4 JI 1 " f s ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Applicacion Number Application pin. number property Address ASSESSOR PARCEl. NUMBER: Application type description Subdivision Name property Use property zoninH . . . Application valuation 05-00001021 Date 10/18/05 160009 2127 W 12TH ST 06_30_01_5_0_0240-0000- FIREPLACE/INSERTS/FREESTANDING RS9 RESDNTL SINGLE FAMILY 4800 Contractor Owner ------------------------ ------------------------ HOWE MONrY R 2127 W 12TH ST PORT ANGELES WA 983635008 PELLET HEAT CO. 230 EAST 1ST SUITE C PORT ANGELES WA 98362 (360) 457-4406 ------------------------------------------------------ ---------------------- permit .. . . . Additionai desc . permit pin number permit Fee Issue Date Expiration Dat:e MECHANICAL PERMIT FREESTANDING PELLET STOVE 62596 50.00 Plan Check Fee 10/18/05 Valuation 4/16/06 .00 o Qty Unit: Charge Per 1.00 50.0000 ECH ME-WOOD BURNING APPL. Extension 50.00 -------------~------------ -------------------------------------------------- Fee sUIlUlll.ry Charged Paid Credited Due -------~--------- ---------- ---------- ---------- ---------- permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grana Total 50.00 50.00 .00 .00 'P - \11 ~ <. ~ 'r t "" ~ :3 Separate Plrmits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and vql if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a periodf 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspectlon,1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and oroances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to ive authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction ~C~ Signature of ontractor or Authorized Agent I 0 I L fs Lo:r- Date Signature of Owner (if owner is builder) Date T:\Policies\ 11 02_ building permit inspection record05.wpd [1/4/2005] BVILDINGPERMITINSPECTIONRECORD <95- IOf)-.) CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS 1 ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA nON SLAB WALL 1 FLOOR I CEILING MECHANICAL HEAT PUNWI FURNACE 1 DUCTS GAS LINE WOOD STOVE I PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCTTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 IT. . I s-:cx- J J...L/" BUILDING T:\Policies\1102_J5 building permit inspection record05.wpd [1/4/2005] 3: >-l ", , )>'Oon)> n'O 01 "' ~ , '0)>:800 H'" '" '0 , 'O"'ZZO >-l01 '" ....... , t"OtDl-3:::d ",'0 (fJ H , 01"''''01 )> 0 0 >-l , Zt""' )>(fJ 0'" H .. , ~. n(fJ "'101 >-l 0 ~ tJj 0 '0 ~ 01' "'. OH n'" '" "'H 001 >-l....... 3:0 H '00:::0 OO::r:~l'V ~~ t""'010 lJl~Otrjl-' 01(fJ , , :8t""'N "'0 t;J;H Qwttjt"-.l 01U1 00 01 t""'- OO~ 0 , 3:>-l:8 01 000 (fJH I-'I-'Z::r:1-' N 1~ 0' >-101N '" H l'VlJl~)::>1-3 N O1H~ H' >-l:I: U1 (fJZ 0'" 0:::(fJ "'1 n(fJ w t""''O HO O>-l CO >-l i "'N 0101> '00 t""' , H )>0 3:H3: "'O>-l nO OH01 0101 010 z.......n (fJ(fJ .......0 >-lH:I: o:::n z' ~~~ t""'''' >-lH (fJ NH (fJ'O 01 n on .......>-l '" 0 0)> nH >-l zz 3: U1t""' 00 (fJ 3: 3:Z ....... (fJ(fJ 01 01> "'1 3: "'1 '0'0 Z HHH 01 '" 0101 >-l "",oZ Z 01 nn (fJ , " )> >-l 01 >-l>-l NOt""' (fJ (fJ OH ~ ON >-l "'0 N ~ " Z 0 N ~~ 0 <=-<>-l Z Z ~~ 0 3: 'O'O(fJ >-l 01 '" 2121g 01:>' 01 '0 .. (fJ01 (fJ tJj ZZO >-l )>H O101H t""' "'...., <: >-l" t""' :I: 0 H 00 01 t""' w '" '" t""' 0 "' 01> U1 ...., , 01> 01> 0 '" 0'0 )>)> >-l'" 0101 H H ....... H U1 ....... o H U1CO 300 452 0503;# 2 10-14-05; 4: 49Pf\.1 ~ ... III .........,.., I ....., J, Dlte Ji.tL:.' ....-'Of oj. ,..,'~. /r:i ~ : ,l""'WrTTD "... - -:.~ --'.d.._ OGto ^pproved :__ Otto !~~I.lr;;iJ: ~ pm QUIt eOMPLIlT~LY and in INK. Your appllcaUon and .lte plan MUST BE l:OMPLETE to b. .cc~pted ror rn,'ew. JC you hBlIe any ques<<on., call (360) 417-4815 Applicant or Aeent~J r ~ Own~r:tt1o'""Y ~G: Addresll:2127 ~2~ Phone:~. ~-4~ ~ Pllone;~.4a.%)22 Cit)':~~ ~~r:J~ Zip:~~. , ArChitcctBm~c:r; Phone: Contractor u..trr f:::!&i CO State L~ O5O~xp:~ Phon8:~ Addres5: z.~~ C ~ J sr City:~ ~ Zip;~ PROJECT .wDRESS:~J 2."'" ZONING: LEGAL DESCIUPTlON: tot ~ Blook: Sobol,.;,l"", ~~.--~h I 'tA ~ CLAllA.'I.l CO,lNTY PAResL NUMB~ ~?OOI~2.4OOXlC. ~~ j :'rlldlt Card Holder Name: JlIlIJI& A...t.Ir..: CUYI ~,.edlt CardType VISA Me N J:q>>.Datel rYPE Ol'WORK: SIZIWALUAnON: ~ Rtlllit.l.t:nulIl 0 New Con.tt. C Reool"Qof )5,. Sto"e SF. @ S ' ISF, - $_ 'J M'.tlti.family 0 AddItion 0 MCMl 0 Oal'ase SP. @ S 1::>1'. "" S __ , CummercLal 0 Remodel CJ DeUlCIlitiOD 0 Deek SF,@oS ISF. .. S o ~etlaiT :::J Sign [J OtJ:ler TOTAl. VALUATION . S~.. ~ IRlU' DESCRlPTION OF THE PROJECT; LPsnll ~ ~.....,.. ~,,~ 1 aJ~~_ 'OMMERClALIRESJDENTlAl.: ~c;up&nc)' Group: Occupant Load: ~o. oI'Stari.es: _ Lot S!zc: _ BxUuQ& Sq. Fl. & ProrJo.ed Sq.1!. xlstinS 101 coverase _ % It Proposed lot c:overago __% - Totllllot CClvor'ic COll9tnlctlOI1 Type ;._. - TOTAL S'l,Pt. % APPRO'"ALS: P1.A.l'l : BLOC: '- DPWU;_ iI.lJlE: OTBBR' --- '- PLANNING USE ONLY: E~AIW~t'an(j(s): 0 Yes 0 No SBPA Ch.~kJi8t required? 0 Yes a No Other; rrn .OI'NG PERMIT APPLICATION StrBM.J'fTALI The Suildin& DiYi.5iotl '-1Ul provide YUIl wilt! lnfr;lfmation on the appllcation anJ M submittal requiremen!ll if you have qIJesnolU. 1\1. UATlON UF CONSTRUCTION: 10 aU uses. II V.bulllnn llmOllnl mu.t be '"tered by the applicant. This figure will be rcncweJ d m.IIy be re"lSed by the BulldJr..g Divi~101l to eomp ly with cutnn~ foe sehedules. COlltacllht Permit Coordl.n.atont 41 7,481 So for luislanc e. ,A. -.. ClUCK FEE:lP tl pla.n check ~e is due it mUll be .ubmitt~d allhll ~ thCl bUildin& ~rrnit application wd cunllllruc:r.il1n plans are :'lIUrt~. ^ll other pe:nnit fcas uc due at ~ time of permit 1~"'\IlLnce, u>rRA.nON OF PLAN RJ:VlEWt Uno penn1t Is luucd withIn 180 dll)'1 oftl1~ ullle n:appHclllion, me appUcatJoQ will np1re. The '!ldi."l.i Official can ex-lend Ihe ti.tm for action "y the applicltlt up to 180 day. upon \mtten ~qucat by tb.e a.ppliCllIil (JOce SecTIon 107.4 1)1 , Uniform Building Code. cun:en~ odition), No application can be llxtended more than once. !f8by c&rtify that / halm rHd and txsm/i'1Qd tl'lf, ~pplfoBI'on ,nd know the sami to be Ift/& and ~ct. I am lIfJthot1zed 10 6pp/y lor t.~ls permit and ',"'eM thaI i. my "'IIOMibiIIfy /0 d_,.. wh~ 1>""'''' Iff ..q~" ,nd ffl.~t oblaln IUOh /Jifmr. prior 10 woll< tnllt.l\,~\APP"i\Hutl~P1IP'"='I\lipd Applicllnt: _ ~ ~~ Dille: '''-I'I-'S- CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16421 J .,.. dS- // Port Angeles. Washlngton...............mm.m.mm.mm....nm..nnm.m.. 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 the City of Port Angeles, per- mission is hereby granted to dO electrical w\lrk as listed below. ,,;) J J 7' wi;; t:/ k.h.-u!..(JA,~ ~,:t.- . Address mn'.'.m.n.nmmmm..m...___.....nmnmnn.nnn....nnnn........m Occupancy...nmn......n...n...m......mn.n...n (J "'5' "-, ...1 ~ Owner .nnm't.~:!:.<~:'.nn~:1.:.~d~...~.....nnmnn___ Tenant.mn...n...nn..._.___.nm_n.mnnn__n..._____.mnmnnn Wiring C~tractor __.:.;i:4,j,~L:nE.$,.:I}.:'r.r;.!.n.n...mnnn By...n.m:mmm.m______.mm.n.nnn....n.mnm.....nn ''Y -- If '" .' Light Outlets___..!.:.,...__....:___..___........... Service. volts ../,-!:.e.__L"!!.__J".P.... Type of Wiring; RecePt~cle OUtl~ts..___:J:'..Q_____..______ No. Wlr,es ...:---~;-;:;;.;.;.lP....... Armored Cable .............m.............. 'w '" SI' /" '" ~.. !/ Non-Metallic ................................. Dryer. K ___u.n.~..u............................ ze wlres......._.;h......................_.. . /:)... / --7Cr//I Range, KW......:...................._.............. Muin fuse ..........~............................ Water Heater: /' Kw.__._____r;__L.__....n.__..__ ,~~ . Heat: KW.........!...i.n....!':'!.~_~........ . I Motors: size. volts and phase: Enclosure .......(~S......................... Type of wiring: Entrance Cable ............................. Rigid Conduit __________...___ MetalUc Tubing ...m......... Current transformers: No. & Size....................................... Ser. No............................................... Ser. No.............................................. Ser. No............................................... Total Load............................. Ser. No. ............................................. Knob & Tube.................................. Rigid Conduit .___..________..............___ Metalilc Tubing ____.__.____.._____._______ Raceway ..............................._......._ .3 Circuits. Light....................................... Utility __...!f..___.___...._________.._________.... y I-Ieat ......................................._...... :2. Range ............................................. .:J Water Heater ...._......................... Motor ..._........................................ Dryer.......~...h..........................__ Furnace .........................'~................... /r Total ......._...........h................. Remarks: ...nn........'n.."-.._....=.n.nL.e.-...tn.4nn-'___n....__.n.n.nnn__.............nn__nn..m....mm.mm.mmmm...m.... ~" " .. -- --.. -.- .:f.=i~~~.::..:::....:::::::..:mmm::~~.~:::~.~.~.~~~.~..:.:..~.---..--.--.--..--::..~&ZZJl:~:;t~2~~:=.:.. 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 concealmenl NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION / ELECTRICAL PERMIT N'! 16421 Address..................._..........................................................................._.........c............................ Date..._......_.._.._.._.. ........_......_......___....... Owner ..................................._.........._.............._.._...........................................:............... Tenant.................................................................... Wiring Contractor ..................................._..................................................................................... By.............................................................. NQTICE-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. 1M Olympic Printers, Inc. r:I8 -l(O ~ ....~.'.. ~1 ~ . '," P".-",;, \:=--;~ ...... ELECTRICAL WORK PERMIT APPLiCATION Job wired by ~ Electrical Contractor 0 Owner E1cfitrical contrilctoT name License number Dale Expires (lu..rric.._ Se<u: L<)VC.- F,--Fc:TSrI3:2.0n, Purchaser's muilin~d,ess V 1 ~ .~ g~ IJrc...~ V' Or. I j~. , "--et Ci.y 0 ^ 1 Stale Zl~ t 0 r-t t!!JCt-f ~ ~C!: \.1/ fl Telephone number V FAX number - &, 2- Premises owner's name , , jl\.{cnt--i".- tt(),^/~ Lv \"'L-~ Installation description a Commercial Cf Residential o New o Altered/Addition "78" 31i 2.- 1 . ~ \ ~ , c( Ir'CIJtT ~ ~J UI l1"'<2.- S hpJ ""'""' <- o \J\ Address or inspection t:J...\'2.-{ City f'o0 <r' O\ll/'lcr QJ de filled by RCW.J9.28.26J:(I) OWller will occupy the $,ructllre for two years after this electrical pennit is jj,I(IUzecl. (2) OW1/er is required to hire Q/1 electrical contructor if above said properly is for sale. rent Qr lease 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 inst::ll- latian ar alteration in compliance with the elcctricQI laws. N,E.C. RCW. Chapter 19.28. WAC. Chapter 296-46B. The City of Port Angeles Municipal Code, and Uti lilY Specifications. Signature of I:J Cash I:J Check # I:J CreditCard Visa -f;sj"'card Discover Card# _O_Vl.-__..Lv __-____ x Expiration Date of card ~n'PEn;& Service Intormetlon Electrical Load Additions and or subtractions o NO LOAD CHANGES 1:1 Baseboard KW o Fumace KW (J Overhead Service Q HeatPump _ Ton_LAR 0 TempSol'Vice o Fan-Wall _ KW l:I Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 Voltaga PhasaO ,0 3 Sorvice Size: _ Feeder Size: ROUGH-IN " THERMOSTAT /' SERVICE C, 9,( lJ?J ~ Aflflroved By O'le Approved 8y '- l)glt Approved by I' FINAL 'I DITOl ( FEEDER I 'J;I~.J, Or), ~BY/ I DlU: Approved By - / "- CUI" Approved By lnSllection Area, Building or Equipmenllnspectcd Action Taken Electrical Date Inspeclor . .- ----- ,/, d nL17H17 .01 1721792S17 3)10~3S )I~1)3l3:WO~j ~17[:L0 17002-[2~1)O ADDRESS Z-l 'Z ELECTRICAL INSPECTION WIRING REPORT 417-4735 IN~ APPROVED NOT APPROVED ifIZl. . . . . . . . . . . . . . . . . . . . DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . .lJl( D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: {~ 'f'c l N,'ll, ~~R , N-. (-.- _.~ - 13- c:>')l, ~ 'f'rTi.fZ- ""Ll 'i7~ 1'o.a.tE:.;;.S.p,,"i3:LL f7rl~~~ 17(Y'~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 - 417 -4735 Application Number , , . . . 16- 00000307 Date 3/03/16 Application pin number , , . 610235 Property Address , . , . . . 2127 W 12TH ST i�PVRTSTATESALE3 TAX ASSESSOR PARCEL NUMBER: 06 3Q OJ 5-0- 0240 -0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision dame . . . to the City of Port Angeles Property Use I . . . . . , -Property Zoning . . , . , , , RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . , 0 Application desc Ductless heat pump Owner Contractor RESULTS: HOWE MONTY R ry T DITCH EXTRA MILE TECH & ELECT., LAC 2127 W 12TH ST 418 N, RACE ST. PORT ANGELES WA 983635008 PORT ANGELES WA 98362 .� (360) 457 -5222 Permit ELECTRICAL ALTER RESIDENTIAL Ob Additional desc , COMMENTS: Permit. Fee 63.00 Plan Check Fee .00 Issue Date . . . 3/03/16 valuation . , , o Expiration Date , 8/30/16 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ 5ER FEED 63.00 Fee summary Charged Paid Credited Due Permit Fee Total 63,00 63,00 .00 .00 Plan Check Total 00 .00 OD 00 Grand Total 63.00 63.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN .� FINAL Ob COMMENTS: --;z PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X_ Date: W RF QTY OF PORT ANGELES fl ff APPLICATION l$ratldWg11)"iOMMEiectlica'll TIMSPeCtIODS xv 2 291 3211 East Fifth Street — P.O. Box 19.541 Port Anples WnsMngtou, 98362 Ph-, 061 417 -4735 F= (360) 4174711 Date: $ �' 1 & 2 Single harrily Duelling * Pleb Review M% 3e Re uired, P1 7e, CoMplete geoWmal PlAn Review nforl latioal Sheet Safikhq 640M Fowe; Vesct'rptlon oFel�re. Owner lnformat lon may: tacML& . Zx --s r uceaase# I5x samoelFwder2MAmp. Servic0eeder 201 -100 Amp. SanftelFeeder 401 -600 Amp ServloalFaeder$014000 Amp. ServioelF rler over 1000 Amp. 6ranob Cirrar€t w1senfice Fir Branch Ciroult w10 SepAce Feeder ach AddMml BMch Cs"MW Branch C1111ctrfs 14 "3`omp eMcel Feeder= Amp- Temp rgwffioeder201r400Amp. Temp. ServtoalFaeder 401 -600 Ante. Temp. s'eri bWFoeder 6D14000 Amp. Paul 0 Porw ft ay signal armilt ladod Energy -1 V Family meting Mandactured time Connedoil Renewable ltectria Emgw -5XVA .">yatern or Less Thermostat Note: $5.001oreaetr additional T -M NM0SiMMM First 1300 Square F't. Each Additional 500 SgUareft. Of Pertion Of Each 0jxhra2ft9 or De*hed Coage Each Swiamirag Pool or HotTr Cctor Information me: M X Ek Mal Address: . ra � x r a I motet W& 71p., 36_ P �9: -- „.Fax: t'� ��► Ucarrse#/ . X Xx it Un't9ho 0 T. l (ft Mul4plYed by Unit Chanel $12040 $.„,„.,_,,...w..,....... $146,00 $ 206.00 $ 2.62,00 � $� $ 373,00 $� $ 33.00” $ 03.00 $ 5.Q0 $ MOO $� $ 9300 — $- $11i9.00 $- $149.00 $163.00 $ 9f,.00 $ 64.00 �. $120.00 $102.011 T.... . $ 56,00 $120.06 4 $—.. $1102011 $ Total owner as defined by RClli1.19.28.261: (1) Owner wilt a=py the structure for two years after this electrloW permit is finalized. (2) owner is required to hire an elecWcal contmaorif above said property is Tor safe, rent or lease. Permit expires after six months of last irtspeel€on. After reading the abvve.statement, I hereby certify that I am the owner of the above named property or a Ccensed electrical c;orrtractor I am making the eleCfttW installetion or alteration In compliance with the oiectrical laws, N.E.C., RCK Chapter 1928, WAC. Chapter 296-4613, The City of Part Angeles Municipal Cade, and Milky Spedfirdons and PAMC 14.05.050 regarding Etect W Permit Applications. Signature of owner, electrical contractat or electrical administrator' 0 check Cr card 'PA/ F; z rasa: ^ 4 ` _ a�tattzota