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1009 S Pine St - Building
s ELECTRICAL WORK PERMITAPPLICATION r Job wired by ❑ Electrical Contractor Owner Electrical contractor name License number Date Expires 5 City State ZIP { e 1 -4- �.J P��3,& . -2 Telephone number FAX number 36o- Lj;"7 -Oi Premises owner's name (o0C� S l fr.z Address of inspection ` % Moe Sch inc/ l�/ Ci`t or4- AoNctt e- t-,- s WA g02141 Phone number to schedule inspection Owner as defined by RCW, 19.18.261:(/) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire mi electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation 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. Si nature of owner, electrical co1ntract or electrical administrator X `E ��� AA. \1v�, Date: ,Z S be, Ilation description ❑ Commercial XResidential ❑ New ❑ Altered/Addition i S£t�✓"Ce Tc,L0,e4 C'ho -L19f, Electrical Inspector r I-)) ❑ Overhead Service �nc� A Z�ln VV ❑ Temp Service 30 Spc, c e brew ke,,'' bo x ❑ Underground Service ❑ Cash ❑ Check # ❑Credit Card Visa Mastercard Discover ` Card# Expiration Date fee �n of card It It ❑ NO LOAD CHANGES Area, Building r Equipment Ins Inspected 6 P ❑ Baseboard _ KW Electrical Inspector ❑ Furnace _KW ❑ Overhead Service ❑ Heat Pump _ Ton _ LAR ❑ Temp Service ❑ Fan -Wall _ KW ❑ Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 - 417 -4735 ROUGH -IN THERI\IOSTAT Dnle Approved By FINAL DITCH Service Information Voltage Phase ❑ 1 ❑ 3 „ . Service Size: 14 - Feeder Size: .4 SERVICE 3 �i Y' 17 1 Inspection Date Area, Building r Equipment Ins Inspected 6 P Action Taken Electrical Inspector — �G /f'✓L rC-. Sr7 7X e/ 1- i k _ a 0 F,ORi4N C�`FN ELECTRICAL INSPECTIO.INSPECTION. U � WIRING REPORT w� ®s` 417 -4735 RKS d DAT PERMIT# INSPEC R 6?1- O NER /C TRACTOR G`xvv95fL ADDRESS`` Av APPROVED NOT APPROVED ❑ .............. ......DITCH.................... ❑ ❑ ................ ROUGH IN /COVER ............... ❑ ❑ ............... .....SERVICE................... ❑ ❑ ............... ......FINAL.................. . CORRECTIONS NEEDED: d i - G' oaj /i 1 Oil! �/gl°..✓i�f /t�./1 �Lt i.-eeed� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452 -1381 Approved by J ` Umc Approved UY / Dace Approved By FINAL 1 ( DITCH 1 / FEEDER Inspection Date ELECTRICAL WORK PERMITAPPLICATTON 1*0p Electrical Inspector 3-1-04 /> G — OQZa7�f- nr _5L t4 /dI�I✓t G Installation description Job wired by ❑ Electrical Contractor Xowner ❑ Commercial ,Residential •. Electrical contractor name License number Date Expires O U31) --e New ❑ Altered /Addition r--- Purchaser's mailing address ce AH ®io City State ZIP + Telephone number FAX number t' Premises owner's name -fir' TJav^e Scf��`n�l _ Address of inspection / 100`; 5- E! SY CIt >-Fc>,1- -1 ,� 9e le- -s tOq (F8360, Phone number to schedule inspection: y-7 -) -0836 Owner as defined by RCW19.28.261:(I) 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. ❑ Cash ❑ Check # After reading the above statement, 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- ❑ Credit Card Visa Mastercard Discover lation or alteration in compliance with the electrical laws, N.B.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Card # - - Utility Specifications. Signature of owner, electrical co ctor or electrical administrator Expiration Date X J Lam( Date: ZO Se D of Card Inspection fee $ 90,, 70 Load Additions and or subtractions Service Information 1Eplrectrical rq NO LOAD CHANGES ❑ Baseboard _ KW Voltage Z Z V ❑ Furnace _ KW ❑ Overhead Service Phase ❑ 1 ❑ 3 ❑ Heat Pump _ Ton LAR El Temp Service Service Size: Cl Fan-Wall _ KW ❑ Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360- 417 -4735 ROUGH -IN THERMOSTAT SERVICE Approved by J ` Umc Approved UY / Dace Approved By FINAL 1 ( DITCH 1 / FEEDER Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector 3-1-04 /> G — OQZa7�f- nr _5L t4 /dI�I✓t G FROM Owner or Elec. Contractor Agent Property Owner. RIM M1 Address: 5 l 3 Eleebbal contractor. E' 6-4j d Address: ' . 1 1rC INSTALLATION WIRED 13V: Credit Card Molder Names: FAX NO. Aug. 03 2003 07:10AM P1 roR OPMGIAL US8 Q1l ELECTRICAL PERMIT APPLICATION revue,: oo.�povwi The E Ieetrlaal Permit Application roust be filled out com alatshc °i 1orid" P lease type or reprint In ink. H y eu have any questions, please call (21!0) 4174776 vrj A Fas number. 176014174711 f�jQL t� SC Y-VI Phone: �, y2`iFar y5 phone -�••� ik ri zip: rt t- J t u I S hL� - -- Licenes d:,$ Exp: c/ 0 S Phone:' t"-, city: fi � A41C1•iLS Zip: -LfL O OWNER 0 ELECTRICAL CONTRACTOR v Billing Address: -City. — Credit Card Number: " Exp. Data • 11 ' 1~ Zip: VISA: TYPE OF WORK: Check go that apply. 0 New WherafiorVAdditlon '%Realdenbl O Multl- famlly 0 Commercial 0 Mabp® Hotlfs Sq. Ft. o Remote Meter ❑ Detached garage D Not Tub 0 Swim Pool ❑ Septic Pump 0 Low Voltage O Telecom. Number or Circuits added or elterod: DESCRIPTION OF THE ELECTRICAL PRQJECT: cl rY _ id z Eeeeereal Load Addlllona sod or sutnractlons SeMoe.lelfonnathm 0 Baseboard — KW Voltage: D Fumaee KW C Overhead Service Phase: 01 0 3 O Heat Pump TON _ LAIR 0 Temp Service Samoa Size: 0 Fan-W ell _ KW ❑ Underground Service Feeder Size: PAMC 14.05.060(6): For Industrial, cam martial, & residential projects larger than a duplex, a one • line drawing of the Electrical Sen Feeders, building size (sq. ft.), load calculations, and the type 6 of conductors andlof racew ey is required and shell arcont pony the Electrical Pemtit application, I hereby certify that 1 have read and examined this application and know that same to be true and correct, and authorized to apply for this permit. I understand It is not the City's legal responsibility to determine what perm are required; It remains the applicants responsibility to determine what permits are regWred and to obtain sue Credit Card Holdeea signature. / 7 L/ ,l� Dots! �yA,T,7 Owner or Elec. Gant signature: / Date: ow- �,.�703/'7 PERMIT FEE: $ - �t� {pF Pour 9ryCE ♦ •• .p' -. cm PoRDFFlCI e, Wcc DNLt' ELECTRICAL PERMIT APPLICATION Dmd0= Dam Issued: The Electrical Permit Application must he filled out completely. `DNS PHO, Please type or reprint in ink. If you have any questions, please call (360) 4174735 �y� /6Z Fax number: (360) 4174711 �J // Owner or Elec. Contractor Agent: /Chp / 14(110 Phone: //57 r l- Property Owner: _ Phone: ' Address. > � CF�rn �Rx DIVVr` City: 1,24 Zip: Electrical Contractor: �i /License #: Exp: Phone/: Address: Zoo Y ✓ / /f✓� City: A /4 - ZiP: Y i 3 INSTALLATION WIRED BY 'OWN��EJJR ❑ ELECTRICAL CONTRACTOR Credit Card Holder Name: A p i> _ /� /� Ci r. Billing Address: /0/c 12h City: /a% Zip. J114_ Credit Card Number: � Exp. ate; / VISA: �MC: _ KW KW PROJECTADDRESS: 1004 S PIN& 57- TYPE OF WORK: Check all that apply: ❑ New Alteration /Addition ❑ Residential ❑ Multi- family ❑ Commercial ❑ Mobile Home Sq. Ft 9'j .0 ❑ Remote Meter ❑ Detached garage ❑ Hot Tub ❑ Swim Pool ❑ Septic Pump ❑ Low Voltage ❑ Telecom. ❑ Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: Electrical Heat Load Additions and or Subtractions Service Information Baseboard ,uJol/£D No � Z -0efr� cefoy 6Of ❑ Furnace _ KW KW ❑ Overhead Service Voltage: Phase: ❑ 1 ❑ 3 ❑ Heat Pump (3 Fan -Wall _ TON LRA ❑ Temp Service Service Size: _KW /I,DUtOj>. O Underground Service Feeder Size: � l hereby certify thaha e refi9d and examined this application and know that same to be true and correct, and l am authorized to apply for this permit. l understand it is not the City's legal res 'b' 7' to determine what permits are required; it remains the applicants responsibility to determine at p mits are required and to obtain such. Credit Card Holder's Signature: Date: �� 0 y 7 Owner or Elec. Cont. Signature: Date: /ELECTR I CALPERMITAPPLI CATION /to ZlZ3 /off PERMIT FEE: $ 'boy, p CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION ,ham 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04- 00000150 Date 2/20/04 Pin number . . . . . . .095550 Property Address . . . . . . 1009 S PINE ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 2442 -0000- Application description . . . PLUMBING REPAIR Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 100 Owner Contractor --------- ----- ---- - - - - -- ------------------------ HAUCK, ROD OWNER 1009 S PINE ST PORT ANGELES WA 983627320 ( 36) 670 -1503 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . REPLACE WATER LINES INTERIOR Permit Fee . . . . 54.00 Plan Check Fee . .00 P Issue Date . . . . 2/20/04 Valuation . . . . 0 Expiration Date ^ . . 8/18/04 ,5�) Qty Unit Charge Per Extension BASE FEE 47.00 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 Fee summary Charged Paid Credited Due ----- ------ - - - - -- ---- - - - - -- --- --- - - -- ---- -- -- -- ---- - -- - -- Permit Fee Total 54.00 54.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 54.00 54.00 .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 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 vio to or cancel the provisions of any state or local law regulating construction or the performance of construction. , '�-'/c z/' Signature of 65ntractor uthorized Agen Date Signature of Owner (if owner is builder) Date T: \PLANNING \FORMS \1102.15 [11/14/20031 jo, � v CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04- 00000743 Date 9/07/04 Pin number . . . . . . .132903 Property Address . . . . . . 1009 S PINE ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 2442 -0000- Application description . . . RES DETACHED GARAGE Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . Application valuation . . . . 6000 Owner Contractor ------------------ - - - - -- ------------------------ SCHINDLER, DAVE /SHEILA MERWIN'S CONSTRUCTION 1009 S PINE ST P. O. BOX 1687 PORT ANGELES WA 983627320 PORT ANGELES WA 98362 (360) 477 -0836 (360) 477 -0836 - - - - -- Structure Information 784 SF DETACHED GARGE - - - -- Construction Type . . . . . TYPE V NON -RATED Occupancy Type . . . . . . GARAGES, CARPORTS, SHEDS other struct info . . . . . TOTAL % LOT COVERAGE 19.80 CONSTRUCTION TYPE V -N HARD SURFACE AREA NUMBER OF STORIES 1.00 EXISTING LOT COVERAGE 1296.00 LOT SIZE 10500.00 PROPOSED LOT COVERAGE 784.00 TOTAL LOT COVERAGE 2080.00 NUMBER OF UNITS ---------------------------------------------------------------------------- 1.00 Permit . . . . . . BUILDING PERMIT - RESIDENTIAL Additional desc . . Permit Fee . . . . 148.75 Plan Check Fee 59.50 Issue Date . . . . 9/07/04 Valuation . . . . 6000 Expiration Date . . 3/07/05 Qty Unit Charge Per Extension BASE FEE 92.75 4.00 14.0000 THOU BL- 2001 -25K (14 PER K) 56.00 ---------------------------------------------------------------------------- Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The proposal will allow a new 784 sf detached garage in the RS -7 zone for a total lot coverage of 20 %. Setbacks are good. No land use issues are noted. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Other Fees . . . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited ----------- - - - - -- Due ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 148.75 148.75 .00 ---- - - - - -- .00 Plan Check Total 59.50 59.50 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 212.75 212.75 .00 .00 Lasered CED 29 1�% 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 cq�struction or the performce of construction. �� l \ 7 Signature of Contractor or Authorized Agent Date `mature of Owner (if owner is builder) Date T \PLANNING \FORMS \1102 15 ri 1/14/20031 4v 5 � `sJ y CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 04- 00000743 Date 9/07/04 Pin number . . . . . . .132903 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 T \PLANNING \F0RMS \1102.15 [11/14/2003] Date Signature of Owner (if owner is builder) Date 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 WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE /DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT- # ROUGH -IN PLUMBING UNDER FLOOR / SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE li BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL /HOLD DOWNS WALLS / ROOF / CEILING 1 19L DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY SEPA ESA SHORELINE STORM PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W. / PW/ ENGINEERING 417 -4807 CONSTRUCTION - R W PW / ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT. 417 -4750 PLANNING DEPT BUILDING 417 -4815 ,e} // BUILDING TA\PLANNING\FORMS \1102 15 [11/14/20031 PREPARED 6/19/06, 10:46:47 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 6/19/06 ADDRESS 1009 S PINE ST - -' -- - --- SUBDIV - - ----- — - -- - - -- TENANT, NBR DAVE SCHINDLER CONTRACTOR MERWIN'S CONSTRUCTION PHONE (360) 477 -0836 OWNER SCHINDLER, DAVE /SHEILA PHONE (360) 477 -0836 PARCEL 06-30-00-0-3- 2442 -0000- APPL NUMBER 04- 00000743 RES DETACHED GARAGE ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ---------------------------------------------------------------------------- BL1 01 9/27/05 JLL BUILDING FOUNDATION FOOTING -- ------ -- - - -- 9/27/05 DA 09/27/2005 08.07 AM PBARTHOL --------------------------- DAVID 477 -0836 09/27/2005 04:10 PM JLIERLY - ------------------ no rebar to ground contact BL1 02 9/30/05 JLL BUILDING FOUNDATION FOOTING 9/30/05 AP 09/29/2005 02 56 PM PBARTHOL -----,---------- - - - - -- DAVE 477 -0836 09/30/2005 04:38 PM PBARTHOL --------------------------- 09/30/2005 04 38 PM PBARTHOL --------------------------- BL2 01 12/28/05 JLL BUILDING FOUNDATION WALL 12/28/05 DA 12/27/2005 10 00 AM PBARTHOL --------------------------- ... **CALL 1ST DAVE 477 - 0836 * * * ** 12/28/2005 04:51 PM PBARTHOL --------------------------- NEEDS 2' LAP JOINTS ON HORIZ STEEL BL2 02 12/29/05 JLL BUILDING FOUNDATION WALL 12/29/05 AP 12/28/2005 04 03 PM DYASUMUR --------------------- - - - - -- Dave Ph. 477 -0836 corrected re -bar problem. 12/29/2005 01:18 PM PBARTHOL --------------------------- BL3 01 6/12/06 JLL BUILDING FRAMING TIME 13:00 6/13/06 AP DAVE 477 -0836 06/09/2006 03 39 PM DYASUMUR --------------------------- 06/13/2006 08:25 AM JLIERLY -------------------- BL99 01 6/.19/96 BUILDING FINAL TIME 13 00 06/19/2006 OS ------------ - - - - -- - - - - -- COMMENTS AND NOTES - - - - - -- PREPARED 6/12/06, 12 12 44 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 6/12/06 ADDRESS 1009 S PINE ST - -- - ------------------------------------ SUBDIV TENANT, NBR DAVE SCHINDLER CONTRACTOR MERWIN'S CONSTRUCTION PHONE (360) 477 -0836 OWNER SCHINDLER, DAVE /SHEILA PHONE (360) 477 -0836 PARCEL 06-30-00-0-3- 2442 -0000- APPL NUMBER 04- 00000743 RES DETACHED GARAGE - - - --- PERMIT: ------------ ----- BPR 00 BUILDING PERMIT ------ -- -- - - - - -- - RESIDENTIAL --------------- - - - - - -- REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS - - - - - -- BL1 01 ---------------------------------------------------------------------------- 9/27/05 JLL BUILDING FOUNDATION FOOTING 9/27/05 DA 09/27/2005 08:07 AM PBARTHOL --------------------------- DAVID 477 -0836 09/27/2005 04:10 PM JLIERLY -- - no rebar to ground contact BL1 02 9/30/05 JLL BUILDING FOUNDATION FOOTING 9/30/05 AP 09/29/2005 02 56 PM PBARTHOL --------------------- - - - - -- DAVE 477 -0836 09/30/2005 04 38 PM PBARTHOL --------------------------- 09/30/2005 04:38 PM PBARTHOL --------------------------- BL2 01 12/28/05 JLL BUILDING FOUNDATION WALL 12/28/05 DA 12/27/2005 10:00 AM P13ARTHOL ----------------- * * ** *CALL 1ST DAVE 477 - 0836 * * * ** 12/28/2005 04 51 PM PBARTHOL --------------------------- NEEDS 2' LAP JOINTS ON HORIZ STEEL. BL2 02 12/29/05 JLL BUILDING FOUNDATION WALL 12/29/05 AP 12/28/2005 04:03 PM DYASUMUR --------------- -- Dave Ph. 477 -0836 corrected re -bar problem. 12/29/2005 01:18 PM PBARTHOL --------------------------- BL3 01 2/0 LL BUILDING FRAMING TIME: 13:00 all DAVE 477 -0836 06/09/2006 03.39 PM DYASUMUR -- --- - - - - -- ------- - - - - -- COMMENTS AND NOTES - PREPARED 12/29/05, 10.08 53 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/29/05 ADDRESS 1009 S PINE ST SUBDIV CONTRACTOR MERWIN'S CONSTRUCTION PHONE : (360) 477 -0836 OWNER SCHINDLER, DAVE /SHEILA PHONE (360) 477 -0836 PARCEL 06-30-00-0-3- 2442 -0000- APPL NUMBER 04- 00000743 RES DETACHED GARAGE - -- - ----- ------- -- - - - - -- — ----- ---- ----- ---------- --- - - - --- — ------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ---- — ------- - ----- -- --------- -- ----- - - - --- ------------------- BL1 01 9/27/05 JLL BUILDING FOUNDATION FOOTING 9/27/05 DA 09/27/2005 08 07 AM PBARTHOL --------------------------- DAVID 477 -0836 09/27/2005 04 10 PM JLIERLY -- ---------------- no rebar to ground contact BL1 02 9/30/05 JLL BUILDING FOUNDATION FOOTING 9/30/05 AP 09/29/2005 02.56 PM PBARTHOL --------------------------- DAVE 477 -0836 09/30/2005 04 38 PM PBARTHOL --------------------------- 09/30/2005 04 38 PM PBARTHOL --------------------------- BL2 01 12/28/05 JLL BUILDING FOUNDATION WALL 12/28/05 DA 12/27/2005 10 00 AM PBARTHOL -------- - - - - -- - - -- * * ** *CALL 1ST DAVE 477 - 0836 * * * ** 12/28/2005 04.51 PM PBARTHOL --------------------------- NEEDS 2' LAP JOINTS ON HORIZ STEEL BL2 02 12/29/05 JLL BUILDING FOUNDATION WALL 7- 12/28/2005 04 03 PM corrected re- - /-�T,��� Dave Ph. 477 -0836 corrected re -bar problem -------- -------- ------- - - - - -- COMMENTS AND NOTES -------------------------------------- PREPARED 12/28/05, 11:36 35 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/28/05 ---- --------------- - --- ADDRESS 1009 S PINE ST SUBDIV CONTRACTOR MERWIN'S CONSTRUCTION PHONE (360) 477 -0836 OWNER - SCHINDLER, DAVE /SHEILA PHONE (360) 477 -0836 PARCEL 06-30-00-0-3- 2442 -0000- APPL NUMBER- 04- 00000743 RES DETACHED GARAGE -- — ------- --- -------- - - - - -- -- PERMIT: BPR 00 BUILDING PHRMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ------------ --- --- ---- ---- ---------- --- - - -- - - -- - -- --- BL1 01 9/27/05 JLL BUILDING FOUNDATION FOOTING 9/27/05 DA 09/27/2005 08:07 AM PBARTHOL --------------------------- DAVID 477 -0836 09/27/2005 04:10 PM JLIERLY --- - - - - -- no rebar to ground contact BL1 02 9/30/05 JLL BUILDING FOUNDATION FOOTING 9/30/05 AP 09/29/2005 02 56 PM PBARTHOL --------------------- - - - - -- DAVE 477 -0836 - 09/30/2005 04 38 PM PBARTHOL --------------------------- 09/30/2005 04 38 PM PBARTHOL --------------------------- BL2 01 12/1,28/05 JLL BUILDING FOUNDATION WALL }� /) 12/27/2005 10 00 AM PBARTHOL --------------------------- * * ** *CALL 1ST DAVE 477- 0836 * * * ** ---- --- -- ------- --- ---- - - - --- COMMENTS AND NOTES -------------------------------------- LH �"j 011 C�- OAI�l� PREPARED 9/30/05, 11 42 23 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/30/05 ------ ---- -- -- -- - - - - -- -- - - - - -- ADDRESS 1009 S PINE ST SUBDIV: CONTRACTOR MERWIN'S CONSTRUCTION PHONE (360) 477 -0836 OWNER SCHINDLER, DAVE /SHEILA PHONE (360) 477 -0836 PARCEL 06-30-00-0-3- 2442 -0000- APPL NUMBER 04- 00000743 RES DETACHED GARAGE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS - -- -- ----------------------- - - - - -- - ---- --- ---- BL1 01 9/27/05 JLL BUILDING FOUNDATION FOOTING 9/27/05 DA 09/27/2005 08 07 AM PBARTHOL -- - - - - -- DAVID 477 -0836 09/27/2005 04-10 PM JLIERLY ---------------------------- no rebar to ground contact BL1 02 9/ JLL BUILDING FOUNDATION FOOTING 09/29/2005 02 56 PM PBARTHOL -------- - - - - -- DAVE 477 -0836 -------------------------------------- COMMENTS AND NOTES ------------------- - - - --- PREPARED 9/27/G-S; 2-j-_a45 50 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR. JAMES L LIERLY DATE 9/27/05 -- -- ----- --- -- - -- ADDRESS 1009 S PINE ST SUBDIV: CONTRACTOR MERWIN'S CONSTRUCTION PHONE (360) 477 -0836 OWNER SCHINDLER, DAVE /SHEILA PHONE (360) 477 -0836 PARCEL 06-30-00-0-3- 2442 -0000- APPL NUMBER 04- 00000743 RES DETACHED GARAGE ---- ------- -- ----- --- - - ---- — ---- - -- -- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/27/05 JLL BUILDING FOUNDATION FOOTING �� 09/27/2005 08 07 AM PBARTHOL --------------------------- DAVID 477 -0836 -------------------------------------- COMMENTS AND NOTES -------------------------------------- ...0,UILDING DIVISION- CITY OF PORT ANGELES Correction Notice Job Located at 10".4 SZ- Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: These corrections must be made and are not fo be covered until reinspection is made. When corrections have been made, please call /2 for inspection. - -' 7 Date ' . . . 1 DO NOT REMOVE THIS TAG -t 0?I6 Ez evL, r t4o co i ce, T W t a-'N - These corrections must be made and are not fo be covered until reinspection is made. When corrections have been made, please call /2 for inspection. - -' 7 Date ' . . . 1 DO NOT REMOVE THIS TAG 4`y pOxr/ FOR OFFICIAL USE ONLY r BUILDING PERMIT - APPLICATION Date Rec — I _pL Permit # '' Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved COMPLETE to be accepted for review. If you have any questions, call Date Issued (360) 417 -4815 Applicant or Agent: Dgot .SG fz i'ti C1' le r— _ Phone: 36o y-7 7 0 g 3 6 Owner: nave C i nd �� Phone: 3 6o y7 7 0$ 3 6 Address: ©n� 5 �!'n� s'+� City: /'oil �OCfeto5 �.t�A Zip: Architect /Engineer: Phone: Contracto n State License #: McRW i C*c161 iU3Exp: 0' 1 CJ 6 Phone: q-7-7 0 $ 36 Address: 5o �'b 16 V City: ?44- Anq�e(�5 W R Zip: q$ 3ba• PROJECT ADDRESS: l oci a S f ^ -- s�" ZONING: LEGAL DESCRIPTION: Lot: S-10 s° �� h Block: 3a.5 Subdivision: Tp CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: ❑ Residential IR1 New Constr. ❑ Re -roof ❑ Multi- family ❑ Addition ❑ Move ❑ Commercial ❑ Remodel ❑ Demolitio ❑ Repair ❑ Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: SIZE/VALUATION: ❑ Stove i S SF. @ $ /SF = $ VL Garage SF. @ $ /SF. _ $ Demolition ❑ Deck SF. @ $ /SF. _ $ ❑ Other TOTAL VALUATION $ Co. '5 aarage COMMERCIAL/RESIDENTIAL;, Occupancy Group: Occupant Load: Construction Type: losoo No. of Stories: _ Lot Size- 70 x IS'(::) Existing Sq. Ft. JZ.c'(.,. & Proposed Sq. Ft. � = TOTAL Sq.Ft. �agd Existing lot coverage % & Proposed lot coverage % = Total lot coverage Z'1,8 PLANNING USE ONLY: ESA/Wetland(s): ❑ Yes ❑ No SEPA Checklist required9 ❑ Yes ❑ No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION• In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the tune the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permmt is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, ,nnot tthe nCity 's, and that Nust obtain such permmits prior to work r T TORMSWPPS\suttdmgperm,t wpd Applicant �I l�W� ate: 1 ' 1 li c1 0 Y( vu + CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES, WA 98362 Application Number 05- 00000899 Date 9/28/05 Application pin number 825679 Property Address 1009 S PINE ST ASSESSOR PARCEL NUMBER. 06-30-00-0-3- 2442 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Owner Contractor --- -- ----------- -- SCHINDLER, DAVE /SHEILA ---- -- ------------------------ OWNER 1009 S PINE ST PORT ANGELES WA 983627320 ( 36) 477 -0836 Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ 100A FEEDER TO SHOP Permit pin number 60640 Permit Fee 78 70 Plan Check Fee .00 Issue Date 9/28/05 Valuation 0 Expiration Date 3/27/06 Qty Unit Charge Per Extension 1 00 78 7000 ECH EL -RM -0 -200 1ST SRV FEEDER 78.70 Fee summary ----------- - - - - -- Charged ---- - - - - ---- Paid Credited - - -- -- ---- - - - - -- ---- Due - -- - -- Permit Fee Total -- 78 70 78 70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 78.70 78 70 .00 .00 COMMENTS /ACTION NEEDED V 6 ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MDUMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 14" + -_ W- m5t 14" Application Number Application pin number_ . Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning . . . Application valuation . CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 05- 00000899 Date 3/17/06 825679 1009 S PINE ST 06-30-00-0-3- 2442 -0000- ELECTRICAL ONLY 0 Owner Contractor ------- ---- ------- SCHINDLER, DAVE /SHEILA - - - - -- ------------------------ OWNER 1009 S PINE ST PORT ANGELES WA 983627320 ( 36) 477 -0836 ---------------------------------------------------------------------------- Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ NEW HOUSE PNL Permit pin number 71910 Permit Fee 78 70 Plan Check Fee 00 Issue Date 3/17/06 Valuation 0 Expiration Date 9/13/06 Qty Unit Charge Per Extension 1 00 78 7000 ECH EL -RM -0 -200 1ST SRV FEEDER 78 70 Fee summary Charged Paid Credited Due Permit Fee Total 78.70 78 70 00 .00 Plan Check Total 00 .00 00 .00 Grand Total 78 70 78 70 .00 00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 102.1514" + r:z.1 roullarLge. M 102.1514" d owe CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION �i 321 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 . 05- 00000899 Date 3/17/06 825679 1009 S PINE ST 06-30-00-0-3- 2442 -0000- ELECTRICAL ONLY 0 Owner Contractor SCHINDLER, DAVE /SHEILA OWNER 1009 S PINE ST PORT ANGELES WA 983627320 ( 36) 477 -0836 Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ 100A FEEDER TO SHOP Permit pin number 60640 Permit Fee 78 70 Plan Check Fee 00 Issue Date 9/28/05 Valuation 0 Expiration Date 7/16/06 Qty Unit Charge Per Extension 1 00 78 7000 ECH EL -RM -0 -200 1ST SRV FEEDER 78.70 ---------------------------------------------------------------------------- Permit . . ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ NEW HOUSE PNL Permit pin number 71910 Permit Fee 78 70 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 9/13/06 Qty Unit Charge Per Extension 1 00 78 7000 ECH EL -RM -0 -200 1ST SRV FEEDER 78.70 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 157.40 157 40 00 00 Plan Check Total 00 .00 00 .00 Grand Total 157 40 157.40 .00 .00 COMMENTS /ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417 4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, I I INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE l41 WaWilt.) l41 d ow, CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number 04- 00000162 Date 7/10/06 Application pin number 004686 Property Address 1009 S PINE ST ASSESSOR PARCEL NUMBER. 06-30-00-0-3- 2442 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use Property Zoning . . . . . . Application valuation 0 Owner Contractor HAUCK, ROD OWNER 1009 S PINE ST PORT ANGELES WA 983627320 ( 36) 670 -1503 ---------------------------------------------------------------------------- Permit ELECTRICAL ALTER RESIDENTIAL Additional desc REPLACE 2 WIRE CLOTH WIRE Permit pin number 22368 Permit Fee 64 90 Plan Check Fee .00 Issue Date 3/03/04 Valuation 0 Expiration Date 11/06/04 Qty Unit Charge Per Extension 1 00 64 9000 ECH EL -R OR RM 0 -200 ALT SRV FDR 64 90 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc 4 CIRCUITS/ ELECTRIC SERVICES Permit pin number 23580 Sub Contractor ELECTRIC SERVICE Permit Fee 46 70 Plan Check Fee .00 Issue Date 4/06/04 Valuation 0 Expiration Date 11/06/04 Qty Unit Charge Per Extension 1 00 46 7000 ECH EL -R OR RM 1 -4 ALT CIRCUITS 46.70 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 111 60 111.60 .00 .00 Plan Check Total .00 .00 .00 00 Grand Total 111.60 111.60 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A M24 MUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE W0 Wri GENERAL COMMENTS: vw -1102 1s 1+4961 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. u>~>~n UPl??,AT`T CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE v DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE /DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH -IN PLUMBING UNDERFLOOR /SLAB ROUGH -IN j 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 HEAT PUMP GAS LINE WOOD STOVE /PELLET /CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY SEPA: ESA: SHORELINE: STORM PLANNING DEPT. SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ ENGINEERING 417 -4807 CONSTRUCTION - R.W. PW /ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 - 4815 ° BUILDING T: \PLANNING \FORMS \1102.15 [11/14/2003] ro H 10 C � K N ro m H o p y r �• I ro n M r N O 3 0 D W t%m0 \ I to cn o I H H b O C7 I H x, x � z [mKy I I C ro I y I I M y II ro ro d W C A C) czi y o n 3 O 3 °z z Q Std H x z V H !n z d I z H o r H 3 � I r I � I 0 , o , ro y E O ;d rozzzd Hb7 rmz�m K> zC Ym O;0 H d m o �ro N a m y o \ C o L] o o n b] 0 0 ooxt ro � N ro w cn II a a b7 N Z o G] o 0 ;d 0 q I z r r z zm � ro ro � mn � n H 00 z z ca4 H roroCCO 3n O O U M zzo� H enmc � C w m m 0 r 0 w , C , K d ro H G] p] h7 , N , N I \ O I � m I ro ro p y ro �o N I ro (n N I r � ro r nro W N N O Ri 3 0 H F-' N N Ll C, O n a w m o 0 0 0, y y ro dd� N ;t7' ro r m OZ C U) z acro �rro� y I N y I ro ro�zd rr[ Cr � M to 3 c n z z a ro n n l o n -+ 3 O O 3 Z C 3 z C d z z b o M y r x�z w y y7. � C7 y z I 3 z m yl 0 y � d � d o r' o � 0 0 rogEO� a roxzz4 m rnmyx�Kro z C�bc�n O � 3G3 H N md w O ro z O r oox N I qtn o cn R7 O O 0 K I N N � w ro m o t+ N y , io P W N zo c� o 0 ;n o � I ro H �z zm �mro ron �xn any H H 00 z 4 H rororCn 'I 3n 0 0 0 zzdl y W m r C I w � C m K m v 0 r 0 w , d ro H L] [T] R] w r m m 4 +0 F PORT qNC�( • I , U � N ® c t rr EtO� C� J CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT • e PERMIT NO. /r1 "'3 DATE Si a Address: ❑ READY FOR ❑ WILL CALL FOR OO Ne✓ INSPECTION INSPECTION In Blled By: L License Number: Phone: Ow finer /Business: Phone: O finer /Business Address: Sq. Ft. EL CTRIC HEAT ❑ RESIDENTIAL ❑ BASEBOARD KW ❑ COMMERCIAL ❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ HEAT PUMP KW ❑ REMODEL ❑ FAN /WALL KW 'g ADD /ALTER CIRCUITS ❑ SERVICE UPGRADE /REPAIR ❑ TEMPORARY SERVICE D ails /Description: -7 /s W,Aim I SERVICE SIZE ❑ O.K. ❑ NOT O.K. ON REQUIRED: ❑ CHANGE TRANSFORMER ❑ INSTALL SERVICE POLE Inspection O.K. T -in /cover O.K. K. to connect service nal O.K. DATE ❑ RISER ❑ OVERHEAD SERVICE ❑ UNDERGROUND SERVICE VOLTAGE: ❑ 1 0 ❑ 3 SERVICE SIZE AMPS FEEDER SIZE AMPS ENGR. ❑ OVERHEAD SERVICE APPROVED ❑ CHANGE SERVICE WIRE ❑ OTHER Ndtify Port Angeles City Light by Street Address and Permit Number when 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 n the Building Permit. PHONE 457 -0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Q �O W Electrical Inspector Permit Fee — File by address PRINTERS INC. PINK — Top: Eng, Bottom, Customer GREEN — Top: Meter Dept., Bottom: City Hall fie Address: Permit /Receipt No. I taller: New Meters Date: Ndtify Port Angeles City Light by Street Address and Permit Number when 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 n the Building Permit. PHONE 457 -0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Q �O W Electrical Inspector Permit Fee — File by address PRINTERS INC. PINK — Top: Eng, Bottom, Customer GREEN — Top: Meter Dept., Bottom: City Hall PORT ANGELES HOUSING REHABILITATION PROGRAM 129 E 1st ST Port Angeles, WA 98362 Telephone #452 -2023 ,ril 22, 1994 (Revised Aug. 26, 1994) 1 worklist specifications for: Bruce and Edna May (94PA39L) 1009 Pine St Port Angeles, WA 98362 Telephone 11452 -5242 A (HEALTH AND SAFETY REPAIRS) 1)Bathroom: Install new ceramic tile tub wrap on the wall and ceiling areas. Include new water resistant concrete wall board and ceramic tile window wrap. 1)Kitchen: Install a new double tub stainless steel or porcelain enamel sink package (homeowner's choice) . Include new drain lines to eliminate leaks under the sink area. Contractor to provide material allowance for sink and faucets. 2)Bathroom: Properly install the hot and cold water supply lines under the vanity sink to eliminate leaks. Insure that drain lines are properly secured. 3)Bathroom: Install a new toilet package. Contractor to provide material allowance for toilet. 4)Bathroom: Install a new bathtub package with concealed shower faucet and diverter, hand -held shower with stainless steel flex hose and wall mount bracket and trim and fittings. 100 1)Kitchen: Install a new ceiling exhaust fan and switch and insure that the fan is properly vented to the exterior. 2)Bathroom: Install a new ceiling exhaust fan /light /heater combination and insure that it is properly vented to the exterior. Fan, light, and heater to be switched separately and located in the bathroom. Disconnect and remove existing electric baseboard heater and wiring. FI 100 1)Safe up all wiring, outlets, fixtures, switches, and junction boxes throughout the house. All 2 -prong outlets to have proper polarity and insure that all other outlets are properly grounded. All fixtures and connections to have proper junction boxes, and all j- boxes, switches, and outlets to have cover plates. Insure that water lines are properly bonded. 2)Kitchen: Install new GFI protected outlets to replace all existing outlets. 3)Kitchen: Install a new designated circuit and outlet for the microwave oven. 4)Dining room: Install (1) new outlet. Homeowner to designate location. 5)Bathroom: Install a new GFI protected outlet near the sink. Disconnect existing outlet. 6)Bathroom: Install a new wall mount light over the vanity sink to replace existing light. Connect to a new switch to be located in the bathroom. Disconnect and cap off existing switch in the hallway. 7)Install new hardwired (battery backup) smoke detectors throughout the house to code. 8)NW bedroom: Install (1) additional outlet. 12)NE bedroom: Install (2) new outlets. 13)Rear entry: Install a new flush ceiling or wall mount entry light and connect to a new switch to be located inside the doorway to replace existing switch and wiring. 11700 1)Clean out the fireplace insert and chimney. OJECT B (BUILDING AND ENERGY CONSERVATION) 00 1)Repoint and cap the fireplace chimney. 00 1)Front entry: Install a new pre -hung steel insulated door package with a deadbolt, lock, peephole, and magnetic or bulb type weather stripping. Trim and finish the interior and exterior. Stain and finish or paint the door and trim. 2)Front entry: Install a new aluminum framed combination storm /screen door package. 2 / , . -. 100 1)Safe up all wiring, outlets, fixtures, switches, and junction boxes throughout the house. All 2 -prong outlets to have proper polarity and insure that all other outlets are properly grounded. All fixtures and connections to have proper junction boxes, and all j- boxes, switches, and outlets to have cover plates. Insure that water lines are properly bonded. 2)Kitchen: Install new GFI protected outlets to replace all existing outlets. 3)Kitchen: Install a new designated circuit and outlet for the microwave oven. 4)Dining room: Install (1) new outlet. Homeowner to designate location. 5)Bathroom: Install a new GFI protected outlet near the sink. Disconnect existing outlet. 6)Bathroom: Install a new wall mount light over the vanity sink to replace existing light. Connect to a new switch to be located in the bathroom. Disconnect and cap off existing switch in the hallway. 7)Install new hardwired (battery backup) smoke detectors throughout the house to code. 8)NW bedroom: Install (1) additional outlet. 12)NE bedroom: Install (2) new outlets. 13)Rear entry: Install a new flush ceiling or wall mount entry light and connect to a new switch to be located inside the doorway to replace existing switch and wiring. 11700 1)Clean out the fireplace insert and chimney. OJECT B (BUILDING AND ENERGY CONSERVATION) 00 1)Repoint and cap the fireplace chimney. 00 1)Front entry: Install a new pre -hung steel insulated door package with a deadbolt, lock, peephole, and magnetic or bulb type weather stripping. Trim and finish the interior and exterior. Stain and finish or paint the door and trim. 2)Front entry: Install a new aluminum framed combination storm /screen door package. 2 CITY OF PORT ANGELES Y N0- 1 7 7 1 7 LICHT DEPARTMENT ELECTRICAL PERMIT Port Angeles, Washington ............ J ` •• -------------- - -- 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 work as listed below. Andress .. -------- n---- - - /..: ----?-_-- -` - ---- -� -- -- - --- - ......--- --.. Occupancy---- = `_K=im .................- - %.�,� / Owner -------- Tenant - ------ - C , Wiring Contractor ,.ru'..L!_ : f w--- - -- --- -- - - --- -- By ------------------------------------------------- ------------------- �� �.. ..i Lli;ht Outlets ....... ..- __ ................. _.._..... Service, volts ... .......... Type of Wiring: Re,eptacle Outlets ............................... No. wires ...... ................. _....... ..... Armored Cable ............................. Drier, KW .......................................... Size wires ....... (G..."�L�: "� Non- Metallic .......... _.................-- I/ .,tip,% ..._. Knob & Tube ................................. Range, KW........ ..._---- ---------------- --_ - - -- Main fuse ... .....:c..._..- ..._C.._......... < Rigid Conduit ........................... _.. Wll.ter Heater: Enclosure.......`. .......................... Metallic Tubing ........................... KW................. ..................b--- ------ Heat: KW........._�.. %.._....._ . .............. Motors: size, volts and phase: Total Remarks: Type of wiring: Entrance Cable Rigid Conduit Metallic Tubing ... Current transformers: No. & Size ............... Ser. No ................ ............................... Ser. No. Ser. No. Raceway ...... Circuits, Li ght ........ ............................... Utility................. .------ '.................... Heat -------- - - - - -- Range ------- - - - - -- Water Heater Motor ............ Furnace C Total Permit Fee Treas. Receipt -) �,/ , $ No. - By `- -------------------- --- --- �---! °--•----- NOTICE— Current must not be turned on until Certificate of Inspection has been issued. If work is to be con - cellled due notice must be given the Inspector so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N_ 17717 ELECTRICAL PERMIT Address................... _................................................................................................................... Date .................................... ._ ...... .......... Owner.................................... ...... - ... ...... ....... _.._ .............. ............................................ Tenant. ................................................................... WiringContractor ........................................................................................... ............................ . .. By ................................................ .------------- i NOTICE — Current must not be turned on until Certificate of Inspection has been issued. It work is to be con - ��, claled due notice must be given the Inspector so that work may be inspected before concealment. i 1M Olympic Printers, Inc. CITY OF PORE' ANGELES ELES PERMIT APPLICATION Bixildiing Ilivision/Electirical Inspections 321 .Cast Fiffli Street P.Q. Box ,1.150 / Port Angeles Washington, 99362 V %: (360) 417.,4735 Fax.* (360) 417- 47.11 Date: 3' 2 to -_l3 X 1 & 2 Single. parnily Dwelling REE C �, : o' 0 YOaY�g4,c�/ a, t: ty. c M '�, Sri,, Qa/p �Fv MAR � C ELECTRICgt hNspFCTioly� * Plan Review May Be Required, PI se Co Clete Electr' al Klan Review Information Sleet Job Address: �� , Suildlnq Square Foctana! Vwner Into aU Name � : Mailing Ad ss• Q City, Wate:14,1 q._, Zip; - f� Phone,, M '* Fax: License # / Exp. I _ � 8 �. - . Contrac Informatfolt ,�r� �lamer� g/e.c.7'�'�' Mailing Address: � � (�. Q• �pjt CI ry; _P• ICI . State: u,aj'� Phone• Fax: License # 1 Fxp, _ tum Service/Feeder 200 Amp. Unit Char e $120,00 - Total Multi died tnt Unit Gharael Service /Feeder 201400 Amp, $146,00 ServicelFeeder401,600 Amp $ 20$,00 Service/Feeder 6011000 Amp, $ 262,00 -- $ Service /Feeder over 1000 Amp, $ 373,00 $— Branch Circuit W/ Service Feeder g 5,00 — -- - 8ranoh Circuit W/O Service Feeder $ 63.00 $ - $ Each Additional Branch Circuit $ S,00 .m Branch Circuits 1-4 Temp. ServW Feeder 200 Amp, 75.00 $ 93,00 $ $ • Temp, Servlce/Feeder 201.400 Amp, $110,00 $ Temp, Service /Feeder401 -600 Amp. $149,00 ate - 6 Temp, Servlca /Feeder 601 -1000 Amp, $1613,00 ` Portal to Portal Hourly $ 90,00 $` °- Signal Circuit/ Umltod Energy -1 & 2 Family Dwelling $ 64.00 - Manufactured Home Connection Renewable $120.00 $- -�- ----- - Electrical Energy -5KVA System or Less $109 - Thermostat Note: $5.00 for each additional T -Stet -00 $ 56.00 "� $ $ NEW C4 STRUCTI N ONLY: First 1300 Square Ft. $120.00 Fach Additional 500 Square Fl, or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74,00 Each Swimming Pool or Hot Tub $110,00 $- — -- �,�► dd total Owner as defined by RCW,19,2&261: (1) Owner will to hire an electrical contractor if occupy the structure for two years after this electrical permit is finalized, (2) Owner is required 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 electlioal contactor. I am making the electrical instagation or alteration in compliance with the electrical laws, N.E,C., RCW, Chapter 19.28, WAC. Chapter 296.4611, The City of Port Angeles Municipal Code, and Utility Speclfcatrons and PAMC 94,05.050 regarding Electrical Permit Applications, ftnatur f owner, electrl Cal cont ror electrical administrator: ❑ Coh ❑ Chock a X7 Credit cord# r Dated; ~ .i Y/ 01109/1012 1? 0 Ft 7',l ELECTRICAL INSPECTION 6pl WIRING REPORT 417-4735 DATE, PEnMJT 4 INSPECTOR,-, 1� T -COY ow R C;ONTRACTOR L4 ADDRESS /o� � APPROVED NOT APPROVED .............. DITCH . . ........... ...... 0 ROUGH IN/COVER ............... ❑ ❑ .................... SERVICE , .................. ❑ ❑ ..................... FINAL .................... 1:1 CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 16 DAYS - DO NOT REMOVE - ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 13- 00000287 Date 3/27/13 Application pin number , , , 421967 DITCH Property Address . . . 1009 S PINE ST ASSESSOR PARCEL NUMBER; 06-30-00-0-3- 2442 - 0000 -- Application type description ELECTRICAL ONLY Subdivision Name Property Use . . . . . , . Property Zoning . . . . , . FINAL, Application valuation . . . . 0 Application desc 1 -4 circuits convert garage to room Cwner Contractor TROY T AND TRISIJA K T1S SIMPSON ELECTRXC PO BOX 2195 243036 W HWY 101 PORT ANGELES WA 98352 PORT ANGELES WA 98363 (360) 457 -9270 Permit , , , . , , ELECTRICAL ALTER RESIDENTIAL Additional dear 1 -4 CIRCUITS Permit Fee 75.00 Plan Check Fee 00 Issue Date 3/27/13 Valuation . , . . 0 Expiration Date 9/23/13 Qty Unit Charge Per Extension BASE. FEE 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 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0542) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL, COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G,IEXCHANGF\j3UILDING 1 CT T, Z T Application Number . . . . . 22-00001326 Date 12/28/22 Application pin number . . . 996382 Property Address . . . . . . 1009 S PINE ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2442-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Stacy Nikodym & Jerry Remick BLACK DIAMOND ELECTRICAL CONTR 1009 S Pine St 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 303-4925 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 12/28/22 Valuation . . . . 0 Expiration Date . . 6/26/23 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 10/19/22,11:51:19 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001326 1009 S PINE ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 63.00 TOTAL DUE 63.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/20/2023 23-1326 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 1009 S Pine St