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HomeMy WebLinkAbout1009 S Lincoln St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1 circuit basment rcpt Owner VALERIE A THOMAS 1009 S LINCOLN ST PORT ANGELES WA 98362 Permit Additional desc Permit pin number 163519 Permit Fee 73 50 Issue Date 4/12/10 Expiration Date 10/09/10 Qty Unit Charge Per 1 00 73 5000 ECH Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS Charged 73 50 00 73 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000344 457032 1009 S LINCOLN ST 06 30 00 0 3 2940 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor SEQUIM ELECTRIC 8294 OLD OLYMPIC HWY SEQUIM (360) 681 3794 ELECTRICAL ALTER RESIDENTIAL EL BRANCH CIRCUIT WO /FEEDER Paid Credited Due 73 50 00 73 50 Plan Check Fee Valuation 00 00 00 I �3lra 64? Date 4/12/10 DATE. RESULTS WA 98382 00 00 00 00 0 Extension 73 50 Signature of owner or Electrical Contractor X Date INSPECTOR. "Ps RECEIWE) CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 ELECTRICAL Ph (360) 417 -4735 Fax. (360) 417 -4711 INSPECTIONS Date. /f .7 ><„1 2 Single Family Dwelling APR 2 2009 Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: ST 1 vl rr,/e. Building Square Footage: 12.00 Description of above ADD ti tZ(- Owner Information Name: /z pr, P �N ✓Yttr S Mailing Address: t DO 'l 5 Liv► -n City' PrA, State: WA Zip: get 36 2 Phone: Fax: License Exp. Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5 00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY. First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charge 119.90 145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 110.30 148.70 167.90 95.90 88.20 95.90 63.90 63.90 119.90 102.30 56.00 110.30 35.20 73.50 110.30 at 'iv Contractor Information Name: ca t4-4 in rit -e c.i» LL C Mailin Address: Z...4 a y h/� City: S ,4, State: N/A Zip: R 3ft 2. Phone:.(/- 3 74.g____Fax: License Exp. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N E.0 RCW Chapter 19.28, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator Cash Check Credit Card X Qs.,/ 2_ Dated: 1 7/ lb 01/0112010 Owner as defined by RCW 19.28 261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection Qty Total (City Multiplied by Unit Charge) b 73. 6 Total PREPARED 1/06/10 8 00 41 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE /06/10 ADDRESS 1009 S LINCOLN ST SUBDIV CONTRACTOR PHONE OWNER WATKINS JOYCE M PHONE PARCEL 06 30 00 0 3 2940 0000 APPL NUMBER 09 00001019 RES REPAIR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 1/06/10 ii'L ///'''111 BLDG FINAL TIME 01 00 January 5 2010 3 40 40 PM 1pangrle VALERIE 417 2099 OR 460 5754 BLDG FINAL DECK AFTERNOON COMMENTS AND NOTES g Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc REPAIR DECK Owner WATKINS JOYCE M 1009 SO LINCOLN ST PORT ANGELES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Qty Unit Charge Per 2 00 Fee summary Permit Fee Total Plan Check Total Grand Total T:FornsBuilding Division/Building Permit WA 983627956 BUILDING PERMIT REPAIR DECK 154542 123 75 10/02/09 3/31/10 09 00001019 514155 1009 S LINCOLN ST 06 30 00 0 3 2940 0000 RES REPAIR RS7 RESDNTL SINGLE FAMILY 3200 Contractor OWNER RESIDENTIAL BASE FEE 14 0000 THOU BL -2001 25K (14 PER K) Charged Paid Credited 123 75 123 75 00 80 44 80 44 00 204 19 204 19 00 Date 10/02/09 Plan Check Fee 80 44 Valuation 3200 Due Extension 95 75 28 00 00 00 00 /;0 f 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 stat or local law regulating construction or the performance of construction. (o(1 o f Y ft &i Tilimekc Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 PLANNING DEPT Parking Lighting Landscaping Electrical Construction R.W PW Engineering Fire Planning Building 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 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 Separate Permit #s Inspection Type 417 -4735 417 -4831 417 -4653 417 -4750 417 -4815 !FINAL Date FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Accepted by BUILDING PERMIT APPLICATION Print in Ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant 611,.6(CA, r14-ay l vi S Property Owner V At Z,1 TI (inn AS Property Owner's Address 100 S C.-/A/ co GA/ Gontraetor S Contractor's Address License Expires PROJECT ADDRESS Parcel Number 60 q S Proiect Type Brief Description. Residential Check all that apply New Construction Addition Remodel X Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport orch E SCf S'I i eL e 1>c 1 Existing (sq. ft.) Proposed (lg. 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 Multi family ho Phone S r Phone E -mail blArG©c./� Lot TOTAL VALUATION For City Use Only Date Received dry xo /permit Date Approve d 3Go Q 4 0 o S 7 5 j 3 4-t7 locig Zoning /2 S 7 Commercial Industrial House garage other tear off re -roof lay over one layer `Heat pump wood burning stove gas fireplace pellet stove other per sq ft. 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 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine w at permits are required, and to obtain permits prior to rk on Date ib Z 7 Print Name Atha /I-P/VVIAS Signature T Forms /Building Division /Bldg Permit.doc t 1 i .....i 1 r ---71\-- t, 1 2z1-----. i i 7 i 1 r 1 II rge 4 i i, I i s i I 4 2. a _1 I i 1 I i 1 I I 1 i CliY OF PORT ANGELES 7 ConstrtictIori Plans 1 1' 7 thi,Issiarte of this' perniit,based plans; specifi= -i t --4:„.„......... cations and other data shall not prevent the building official from thereafter requiring correction of errors in said /7.... -plans, sPecifications .and_OtherAbta,:or_from preventing_ building operations being carried an thereunder When n violation -lot all codei and'-ordfiencesi of-this. jurisdictio I I 1 A 1 1 i 1 i 1 1 N If e'V- __--....;-----'770, r i '1 Fi gi -flat>V4, 4 1 1-- ---t- 1 1 f i ,t. 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In 1 1 1 A 1 1 1 I I- I 1 I I 7;1 I i V. 1 0,1 1 4- 1 a r n I_ t I I 4 -1 -1 ■-■.,p7:71.01td efi 1 .1 1- ra -34 fi 1 4' 0 5-1 1 I i )0 1 cA, ,C4 I 1 1 ,2s: I)), s $749/.9, frwv?svw/ 1 19t 7- 1401'1 4.8 Pi 1 ti —95 i I 1 1 1 I i I t 1 I I 1 I I 1 t i J 1_ dowq! i I L I t I i i _J_-_i__!.__ 4_____ ___1 i --i- 1 1 _I __J _J I__ __I I 1 ___i _1 I i 1 i 1-1 1 r L_.i —i i t i t --1,- r ---1 f L 1 i 1 i 1 4 I t-- tokle8y 4 1 i H I I IV/ '49 r P T-• A 0',".0 r r, 1 01 1 U r k.. s.--r' ....:.,4_,..,,,, A ---‘-'13 -4----' ----t f‘ 1 1 1 r I I I t, 1 il __I __41 I I i 'I .4 i t: —4 1— 4 i r 1 1 rr T l' -1 ---4)- ---F 1 i 1 1 1 i 11 't I t 1 I 'i t t i i i .1 t PiL L_ 1 _i H__i 1 I. 1 i i i i i 1 t I _L..1., r -----1 1 i r if 4 1 -2- ----4' --L-- j I 1 j I i 1 ■_____4._ --1----- 4— --i-- I 1 1 1 j 11 1.4 I 1;1 I I I ___i___ .1_ __I I i I I I i s l D 1 ,z. q' 7d V-P A A. I il D r gi:rni.„00.1„-T_____;!.__________; i____.„,A,:____vi;_.4,____.......__________. __i___,,.„. .\,..e‘ 4 1 1 1 .0, .1 i u i 1 _,,,kulLc.1_. ..,.tl_..2,711._i t_, __._i...,,_ 0 .r.., ,..i ,z17),,- ______4,:\_t_ I J 11 Zil i'.'41 1 I 1 I t A 1 I I 1 1_ W)t I t ifif\ -1 ___I____ 1 4 1 i 1 i 9 I 1 I 1 Prt9 a. 1 1 t 1 1 1 4 1 i__ i_ 1 1 k s 1,- 1 1 1- 1 I. ---vr.s.- .-.,:-..,4 L. f I I ,..A..... i 5/, o 0 i i ts az 1 .1 1- 1-4- crt 1- —T, i.t:' r t i i tk i (6. I 70 N i L_ 3,•! 1 I i I t i' i 1 £I 1 f. c---- i 1 7 I 1 t L___ i _I 1_____ --i-- --1 1 1 1_ _J -4. --4 --4- i i I 1 1 1 I L i li•N- f___ 4 1- 4 I I e 1 ‘-"ark-'13QT c V, I Ir Tit 491; 1 i 1__ P-:- J 1 LL I 1 1 I I I 1 1 1 I P PREPARED 8/20/09 8 20 53 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/20/09 ADDRESS 1009 S LINCOLN ST TENANT NBR VALERIE A THOMAS CONTRACTOR MOUNTAIN PROPANE INC OWNER VALERIE A THOMAS PARCEL 06 30 00 0 3 2940 0000 APPL NUMBER 09 00000808 MECHANICAL APPL PERMIT PERMIT ME 00 ME CHANICAL PERM IT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 683 1881 PHONE (360) 417 2099 ME6 01 8/20/09 L MECHANICAL GAS LINE TIME 01 00 l,i August 19 2009 2 21 26 PM 1pangrle NORMAN 683 1881 GAS LINE AFTERNOON COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc GAS FIREPLACE INSTALLATION TANK SET Owner VALERIE A THOMAS 1009 S LINCOLN ST PORT ANGELES (360) 417 2099 Permit Additional desc Permit pin number Permit Fee 00 Issue Date 0 Expiration Date Qty Unit Charge Per Extension 50 00 1 00 10 6500 EA 10 65 1 00 10 6500 EA 10 65 1 00 50 0000 HR 50 00 Fee summary Charged Paid Credited Due Permit Fee Total 121 30 121 30 00 00 Plan Check Total 00 00 00 00 Grand Total 121 30 121 30 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 con tru on. g 09 U4'.�B'lil iriwnao Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98362 09 00000808 266544 1009 S LINCOLN ST 06 30 00 0 3 2940 0000 VALERIE A THOMAS MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 3900 MECHANICAL PERMIT GAS FIREPLACE /TANK SET 151506 121 30 8/11/09 2/07/10 Contractor MOUNTAIN PROPANE 265 CHIMACUM RD PORT HADLOCK (360) 683 1881 Plan Check Fee Valuation Date 8/11/09 INC BASE FEE ME STOVE /FIREPLACE /MISC APP ME FUEL GAS PIPING 1 5 OUTLETS ME INSPECTION MIN 1 HR WA 98339 52( g� zs- ia 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 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 Inspection Type PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 1 ESA. Landscaping 1 1 SHORELINE. Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 1 n Gk re4 '5 1.45 I0 v 3 1 0 soxr,I N BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant ii2 1E l fo t Property Owner .5a E Property Owner's Address /d o R 5 -/Afco oAJ Contractor f l o vN T &4 PC' 2 1(1 Contractor's Address aco S cfl-e /La p License famm -r $3 Expires 2 PROJECT ADDRESS io 0 9 5 Lin( Parcel Number Proiect Tvoe Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition ID Re-roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other zo v House garage other tear off re -roof lay over one layer Heat pump wood burning stove 'gas fireplace pellet stove o other Existing (sq. ft.) Proposed (sq. ft.) TOTAL VALUATION 3cr0O Total footprint of structures /sq ft. T Lot size sq. ft. Lot coverage Site Coverage the amount of impervi• s surface on a parcel including structur =s pav-. driveways, sidewalks patios and other impervious surfaces. (see P C 17 94 135 for exemptions) Site coverage Max. height of proposed structures Will a lawn sprinkler system be in ailed? Will a fire sprinkler system be in- ailed? Residential ft. Multi- family Occupancy group Occupant load Construction typ per sq ft. S T Lot Phone For City Use Only Date Received —O 11 Permit ()C- $n R Date Approved 3o° 4.17-20.79 Phone. 3 (,o moo -5 Phone 3 360 6 g-3 /8-g/ 7" A-voce k. U/ sq- q ?3 l` Ea/ r, E -mail cv6vr,�., rnac�Nfac.ii'�/J /0 1 Commercial Industrial Zoning of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to a..ly for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior tq. gi,pro ects. Date 3'• r Print Name 6 THe414S Signature T Forms /Building Division /Bldg Permit.doc 2 3 A 4 �.1 e a' To x. 14 €wtt 14., 46 ro I D S 7 S- .' ~~ORT~ $4.0~~~ ,.. "-~ ~ 'l.iii:lC~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000236 Date .102108 1009 S LINCOLN ST 06-30-00-0-3-2940-0000- RE-ROOF 3/26/04 RS7 RESDNTL SINGLE FAMILY 300 Owner Contractor WATKINS JOYCE M 1009 SO LINCOLN ST PORT ANGELES WA 983627956 AFFORDABLE SERVICES 258663 HI - WAY 101 SEQUIM WA 98382 (360) 452-5264 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE RE-ROOF GARAGE ONLY 47.00 Plan Check Fee 3/26/04 Valuation 9/22/04 .00 300 """- Other Fees STATE SURCHARGE 4.50 ~ -.Q BASE FEE Extension 47.00 Qty Unit Charge Per Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 51.50 51.50 .00 .00 ~ ~ . r - .:s ('\ ~ :3- (f) -} 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 local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent 6tJ 'F I Ll:: Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1 102,15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS, CALL 417 -4735 FOR ELECTRICAL INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. . INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT, SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R,W, / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT, BUILDING 417-4815 5-'J-';( ~ 0"; J. J.... BUILDING T:\PLANNING\FORMS\1 102,15 [11/14/2003] ~' ...1' tJj , 0-') 'tl ~;g~8E; (}'" t-< , ><: ~ H:O \0 '" "':OZZtJ 0-') OJ \0 , '- t-<(} OJ 0-'):0 ><:'" {fJ H OJ:O:OOJ :<> 0 , 0 >i Zt-< :<>{fJ 0:0 H , ~, (}{fJ "'OJ , 0-') tJ , ~ tJj 0 '" , OJ' :0' 0 , (}:oO :0 :Oln , OOJ'tl 0-')'- , 3:0 '" , "'C::O 00 :e ::r;::\lf--' ~~ , t-<OJO ,r;..m):1l"Ijo , OJ{fJ , , o-J"'O G'lo , o-')o-')ttl Ol.>.J~O\D OJ"" , OJOJC:: OOH~ t-<- , tJtJH 0 ZtJ{fJ OJ , e; OO(f)):1I {fJH 00 tJjt-< w ~. 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Your applttlUOl1lnd .U. plaB MUST BE COMPLETE to be accepted for rwvl.w. If YOII hive any qu.tSoa.. caD (360) 41 '7-4815 Applicant ~r Aaent:.AB=i.,'n1iablz ~r I) J (0 S Phone: ..~O fFj'?' ..q ~{Cl Owner: 3 rA..b l....P _. I Ak1..W-1 l't ~~, .' Phone: --{ ~ 2.!, ~;?; (p~ ... Address: //)()C1 S. Li.nllilh..City:_j)/,Trt/i-n(fY~<' Zip:f...qf3.:J~4:....- Alcbilz:CtlFngincer: Phone:_ Contractor~'1 6, KeA.{.hLt ~i(t State Licenll&F='~DfZ..~~~/C2.5 lhODC:~.9&/~ Addn:88:2s~.~I-lW'tI,?f lA',. Ci~; 51{IJ'~ ., ~/A- . Zip:qt;?'2fi'_-1tt.z~ PROJECT ADDUSS: f tit:JCt S. L_/Y). ( .IJ.--t 1--\ .) lv-t.' t_::f ZONINGI LEGAL DESCRlPTION: Lot: Block:_ Subdivision: CLA.LLAM COUNTY PARCEL NUMBER: ___.._ _____ . Crad1tCardBOlderN....:~~, ~..J..t~ lllVl BIlUq Addr_ 'Z. ~9,~.~ it lA I , ( J lJI Cu :"' City: ~5~ I ~ ,. ,1;( lA.{A- q ~ $ c; ? - 7'-1 Zz,- c,..,. CardTn- VIlA V MC _ N on F I Ie.. Exp. Dat8: CJ RNidntial CJ New CODItr, ~R.o-roof C Stove sr. @ S ISP. - S C MWIi-tmlly C Addition C Move C Ganse SP. @)S ISP, - $ C ~ C Ramodel 0 Demolition 0' Deck SF, @ S /SP.,a:I S . C ~ ::l Sip 0 Other .~.TOTA; V ~UA nON . S~ '3fY)l.J ~J : BIlIEPDESCRlP110NOPTHEPR.OBCT: T~r;u'" /2L?~ J J.(I/--f. 1-o/)rY7LJ ~ '3~"'3e /6" It. ' COMMIJtCLUJU:SmENTlAL: Occupanc)' Oroup: Occupant ad: Caosaulition Type: No. or Sr.ortes: _ Lot Size: ~.ting Sq. PL &. PropolOd Sq. Ft. - TOTAL Sq.Pt. Bxi.!tin& loa covenp '" " Propoted lot coverDi" % .. T01l.110\ cover41Cl % - - APPB.OV.u.5: PLANNlNG USE ONLY: ___. PLANa :if:;.== - ESAlWotlulll(s): 0 Yes 0 No SBPA Checklist required? 0 Yn 0 No Other:_ rnu:: OTlllUlI_ JlUlLDING ftJlMIT APPLICA1l0N SUBMITTAL: The Build~ Division can provide you with iDftlrmatioD OD the application and plan mbmtaal requ1r1llllelDl if)'Oll bave quatlolJl. V ALUAnON or CONSTRUcnON; 10 aU c...., . valuaUoft amouat mult be entered by the applicltlt. This s,... will be rcvic'llr"Cd udmaybe revIMd bylbeB~DivilioJl to comply with CUlhll.t fee .chGdWCI. Co~uhc PermitCOllldiDBlDrat417-481' tvl'uliltance. Pl..AN Cm:CK FEE: IF . plm c:bcck fee iI due it DIIlIl bel aubmll1lld at the tiDlIO the 'bWlcliDa permit .pplic:alioa IILlS OClGltructioa phaus are 1\lbmltt8d. AD 0"- plllllit'" IUW clut at the timo ofpcn'llit iu\W\Ce. EXPIRA 110N Oll'....AN BEVJEWa It no pennil il illuec1 wtlhiD 110 day. of lhe date of appIioltiOD. tbc eppllcatloD 1ri1l uplr.. Tbe Buildiq 0ft1ci&l caeId8lld the time foractioD bylhe app1ilcll1tup to 180 cla)'l~ 1ft1ftcD ~Udllby IbuppUcmt(1H SectioIl107.4 of the Ullitozm BuUdtDa Code, cwrtIIU edition). No appliutioll. cau bll lIXte1)ded more than oace. , h."by ~try lllat I MYI f8Id I/Id .xamlntt1 till ,ppllcatlon ond know the semo to b. tnIe ,nd ccmct. 1111I .llhortz8d III 'pp~ for tIIJs permil end LllderatMd ItIIf , " my fNPON/bllify 10 dllannine whet permits..... required, 'lot th. Cly'" .nd fllf~ I mUlt obt8;, aurJr PfftI'IIta ptfor 10 M)'fc. I ~. .I2::ItL :2 -:i. S r-/')(_j T:\FO'\\.MSWPS\BulldhllJlm"lt.wpd Applir.IOC: flY, Daile: _ ~_ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 SitJ Address: I Ins ailed By: PERMIT NO. .s-fi,s .s '7' /t. /y~ , DATE o READY FOR INSPECTION License Number: , Det iIS!D:scriPtion: d--eo~ ~ ~ ~ K ( ch ft..) 0.. t>~~A.;> . _~ c 1-:-r ~ ' , =.~ (9,'1 ~ - A--,U /r,.Qu =1 ~No. CA*CITY: o O.K. 0 NOT O.K. ACT ON REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE Ow er/Business: ~ 0\\ er/Business Address: ELEjCTRIC HEAT o ~ASEBOARD KW ~ ~ URNACE KW I'> 01 EAT PUMP KW~ o AN/WALL KW )1<C RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS Y SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE . o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o RISER ~ OVERHEAD SERVICE o UNDERGROUN9 SERVICE VOLTAGE: /ZLJ Bi!P pQ1r/; 03~ SERVICE SIZE d c3-t..::> AMPS FEEDER SIZE / &0 AMPS ~~~~ /Zn~ SERVICE SIZE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o DitCh Inspection O.K. A.., ~ Rough-in/cover O.K. / (JII~o!K. to connect service o Flnalo.K. SitelAddress: W Instdller: I ~~ New Meters permit/R~~ . Noti Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or 0 the Building PEl!D1it PHONE 457-0411, EXT. 224. rAA A. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ I Electricallnspeclor WHITJ- File by address OLYMPIC (RINTERS INC PINK - Top: Eng, Bottom, Customer #sv Permit Fee GREEN - Top: Meter Dept., Bottom: City Hall I W~.! No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. P Rbugh-in/cover O.K. )9. oI.K. to connect service -jJ F nal O.K. . . . CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. /'1s.s-- // ,/3(,$8' ELECTRICAL PERMIT DATE READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone: Sq. Ft. ~ Residential 0 New Construction Heat KW 0 Remodel Baseboard 0 Furnace/Boiler ~Service update/alter/repair Heatpump 0 Other m Commercial/Industrial load 0 Add/alter circuits Total Connected load 0 Auxiliary power (attach breakdown) (I ist below) Total Motor load 0 Special equipment (attach breakdown) (list below) o Overhead o UndergrO!!'ld/ ,i:J Voltage ICR/&~ ~10 030 Service size i..:;lt9-0 Amps o Temporary Detai IslDescription: I I I -I dt9-D '- ~UuP Iv} R-Uf Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Li'~ Notl y the Department of City L' ht by S et Address and Permit Number when ready for inspection. Work mus not be covered or electrically energi before inspection and O.K. for covering or service has been given by th. Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411,.EXT.158 or EXT. 224. -J,.- NO OCCUPANCY OR USE ESTABLISHED U":'DER THIS PERMIT tiO ~ 30- Inspector Amount paid WHIT - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIJ PRINTERS. INC. ~qS~ FEE RrEIPT NUMBER . T1TALFEE . I Site Address CITY OF PORT ANGELES '. DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A /.;2/D PERMIT NUMBER 'tS. CONT. LIe. NO. TIMETOCQMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ,J Owner Owner's rddress o A PEAMITS WITH WRONG ADDR Installation By Installers Address .' ay Pho e . . Installers Phone pplical on is hereby made for Permittc? install Electrical Equipment as follows: Ju.1},..I/J(, CI~~ --m l\JtW 13c.1\ R.^^ IN ''',...n Mc;}..J' ( - La A. () 7(,,,,,~'1 -~,{) {. . -t;';. ., {:::vJ A-h i><;..D Wiring Method I I , AMP 240V NUMBER AMP 120V 240V USE OF CIRCUIT NUMBER PER 120V l00R FEE USE OF CIRCUIT' PER l00R FEE CIRCUITS C~R 10 30 \:.. , .. CIRCUITS CIR 10 30 LIGHT . ; ! SIGN c. - " .. 50 VOL T5 LIGHT , OR LESS" - CONVeNIENCE MOTOR - " " . I CONVENIE,NCE MOTOR I , ", : . . , MOTOR >.' . APPLltNCE' , .. DISH~ASHEA .. FIRE ALARMS " ,\ . DISPOSAL . , . , , BURGLAR ALARM , MIS~..' I RANGE : .' '. .. OVEN . ", . WATEr HEATER LAUN~RY . I' I '. DRYE* REINSTALLATION LIGHT FIXTURE # FURNtCE SUB TOTAL FEE GAS- IL FURNACE ENERGY FEE ELEC RIC BASIC FEE ELEC RIC HEAT . .. :" TOTAL FEE ELEC1RIC HEAT - SIZE OF SERVICE SWITCH OR CIRCUIT/BREAKER A.s:,..U~IT . , , . . . , .;-.. . . ~, , . I AMP PHASE , '. '.! .~ .J .,.. FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS , SERV/PE - , AW.G. . I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certiff that the work to be performed un~;'r this permit will be donB by the installer and in conformancB with the N.E.C. Electrical Code; Date AIP'ication made ,19 By '. ". - . CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) - - P rmission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and speCiflfations pertaining 'thereto, 'subject to compliance. with the Ordinances of the City of Port Angeles. . ' DIRECT OF. CITY D~te P rmlt Issued --; Iii /t 7 W/l Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not I be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158. . W RNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE" Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report \ nl vuo . OC'~ITCOC I~J"" REPORT OF INSPECTOR OATEOFVlS1T MADE BY REMARKS . .. . ,- .., . -' . , . . , , ., , , . ; , . . . . . - . ' , .' , , , .' .. , n K<<.J. ft/U.SO"; pJld A..vJ ..fI./ ~4 (l- ll. 'f'I ....... 1- IU A--\ -{I1.1r\,J. 1),. b~, I d ,IV.. . ' ~~n""" ~ - u..-A--r -J A..LIN. ( I No &JUL 'I't-J'l{}k,. +,..J f!/ttr A. A do , b (( 1.\VSf. Aft) /'\II/~ V .1/ d... -;p:;,,^- ~ ~.J~l.t..-~.~ I~LO 1h"1 11/( lMJ ifL b "JA.A'C.~ Ab . I'A A A-S vV{" Co\J / d ("..J..f ' (}.JAill d. a+ S; It,.1 o{.fJ d A-r ,f ;;2u-..r,:; ( - /11/ . w.11 S"t (J ,./ d A...- ' -+f", ,a..{ J'/l-l< --If, r d,v:.L VL rh-v~.."... . . , , /2-15-"17 r) t" ., '7, If .9..../ t1 I (' i-c> '1' ( f ;;" d. 'J'(~ f ;(I'L 1//' /i"',-/ . A4.- \:.A . I (2-1S--17 '7.) fi...../VI'-<..( Lv ilL ~ INHL ,f,. f,.<. /.--1(;... -A. ,...iucl. ) , . /" ",--, , <., O.K.FORCOVERINV jllbr )1 A--N, O.K. to CONNECT SERVICE /'z,,'1 r--r7 J)(7' FINAL O.K. ,. . Z <!' ~ cr: :!! ~ :E: I- Z w ie l- e z e Q . low. 109- - loom Application Numl,.)er 16-00000960 Date 6/28/16 Application p..i.n number 124160 P:roperty Address . - 1 1009 S LINCOLN ST ASSESSOR. PARCEL NUMBER; 06-30-00-0-3-2940-0000- Applicat.J..on type description ELECTRICAL ONLY Subdivision I Property Use Property Zoning RS7 RESDN'PL SINGLE FAMILY Application valuation 0 Applicat.i'..on desc Panel repair Owner Contractor VALERIE A THOMAS APS ELECTRIC 1.009 S LINCOLN ST 546 BENSON RD. PORT ANGELES WA 98362 PORT ANGELES KA 94.:;6:1 (360) 452-6753 Fermi t ELECTRICAL., AL'I'ER RESIDENTIAL Additional desc Permi , t Fee 1.20.00 Plan Check Fee Jfl Issue Late 6/28/16 Va 1. uation 0 Expiration Date 1.2/25/16 Qty Unit Charge Pea. Extermion 1.00 120.0000 ECH EL -0-200 SRV FEEDER 12000 Fee summary ('111arged Paid Credited Due Permit Fee Total 1.20 . 00 120.00 00 '00 Plan Check Total .00 00 .00 Grand '1'otal 1.20 . 00 120.00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL � ..• ,-.. COMMENTS: PERMIT WILL 02IRE SIX (6) MONTHS FROM LAST INSPECTION I= PA01 : Fil XCII 11:11119 #]1 Qq T CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections i �.. r 321 East Fifth Street — Port Angeles Washington, 98362 � � i' I , Ph: (360) 417-4735 Fax: (360) 417-4711 i,bf,`it•u4,Ue Date: G -Z7-I Multi -Family or Commercial* , Commercial Addition / Alteration / Remodel / Repair* * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address," A_ti..._........ .............. Building Square Footage: Description of work i.......... ........... _.._...................................... - Owner Information Name: VA /fit i C- / / w u Maiiin Addressr ................... ww City. - .���• State. Zip:ww . ^ Phone; Fax .. .. .._.. License # / Exo. Item Service/Feeder 200 Amp. Service/Feeder 201400 Amp. Service/Feeder 401-600 Amp Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuits 1-4 Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp . Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy / First 1500 sf - Commercial Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less Thermostat Unit Char $132.00 $160.00 $ 225.00 $ 288.00 $ 410.00 $ 86.00 $ 5.00 $ 74.00 $ 5.00 $102.00 $121.00 $164.00 $185.00 $ 96.00 $ 88.00 $ 96.00 $113.00 $ 56.00 Iia link A ress: _ ,, n Contractor Information City: �� State: L-A Zip:�.�..�.���... Fax: License —_ License # / Exo. Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ check 1� Credit Card # .................................. -- x .� n mated _ . 0110112012