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HomeMy WebLinkAbout1123 Columbia Street - Building ELECTRICAL PERMITz ( CITY OF PORT ANGELES43 360=417-4735 Application Number 17-00000404 Date 4/26/17 Application pin number . . 216868 Property Address 1123 COLUMBIA ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-3-0275-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL OFFICE Application valuation . . . 0 Application desc Circuits Owner Contractor ROBERT E CARUTHERS II KIRSCH ELECTRIC INC. 1123 COLUMBIA ST P. O. BOX 3396 PORT ANGELES WA 983624207 SEQUIN WA 98382 (360) 683-6819 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee . . .00 Issue Date . . . . 3/30/17 Valuation . . . . 0 Expiration Date . . 10/23/17 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 INSPECTION.TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN Li/2JT? R FINAL 11/7151r7 ' 54(7. Nii; COMMENTS: ;Well. L/2 ,//.. ye u € 07114.1 • PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: . . ..--.. .O.PeRrAli . CITY OF PORT ANGELES PERMIT APPLICATION '' t( t.4 ' L , . _ ci 4„, ., Building Division/Electrical Inspections -1... 321 East Fifth Street-.P.O.Box 1150/Port Angeles Washington,9I52 Ph:(360)417-4735 Fax:(360)417-4711 \.--- _,..' ' • Date; , 7-9-I 1 • 1 &2 Single Family Dwelllhg' - - *Plan Review May Be Required,Pleae ComplelialElectri - Plan Review Information Sheet Job Address: •LS, c, +1116 db. • Building Square Footage:____, . , Description of above . . • Owner InMption, Contractor Information r • Name: Nt) .10..-t-J-Wet.PCS _____ Name: V.1.1spn. .n.et k-,4:;c... -..r•r..-. Mali •Address: l (.,, ....A.... ..,• Mailing Address: 'to.' i4lay"4-.SCIfis . City: °-7., L.,._ • State: , Zip: cte6re‘2,2_. City:7-ft-pf'_ .).W‘ State; <NA- Zip: ck%%V- Phone: g-40(-.qz -4 Fax Phone;L.%`L,(CL Fax C5CaS,4:01(1 License#1 Exp. --- - • License#/&P. ALl-= ' C--•7-_. •IS2-- U.3 . : Item . Unit Charge gtt i - Total(Qty Multiplied by 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 ' i Branch Circuits 1-4 $ 75.00 • I . $ - - 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 Circuit/Limited Energy-1&2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 . $ • Note:$5.00 for each additional T-Stat NEW CQNSTRUCTION ONLY; First 1300 Square Ft. . $120,00 . • $ . Each Additional 500 Square Ft.or Portion of $ 40.00 $ Each Outbuilding or gatached Garage $ 74,00 $ Each Swimming Pool or 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 296-46B,The City of Port Angeles Municipal Code,and Utility Specifications and RAMC 14.05.050 regarding Electrical Permit Applications_ Signature of owner,electrical contractor or electrical administrator: in cast; CI Check VS-quit Card N siNr•--, 1.•-s.k...., x Dated: 3 7-ck: l'I-- turiv2012 • • • . ,• : . i• Building Permit 1123 Columbia St 12 -1190 Prepared 11/27/12,15:57:36 Program HTDFTAL User ID PBARTHOL Property Information Address: 1123 COLUMBIA ST PORT ANGELES, WA 98362 Location ID: 100226 Owner name: ROBERT E CARUTHERS II ASSESSOR PARCEL NUMBER: 06-30-00-5-3- 0275 -0000- ALTERNATE ID: 063000530275 Zoning: CO COMMERCIAL OFFICE Subdivision: Application Information Application desc: WOOD STOVE INSERT Application status: PERMIT ISSUED Status Date: 9/11/2012 Application type: MECHANICAL APPL. PERMIT Application date: 9/11/2012 Valuation: 4500 Square footage: 0 Public building: NO Reviewed by PB PAT BARTHOLICK Pin number: 400220 Entered by PERMITS Contractor Information Contractor Name: B B ENTERPRISES Contractor Number: 2496 Type: GENERAL Status: ACTIVE Contractor Requirements Doc Number Exp Date STATE LICENSE BOND LIABILITY INSURANCE No outstanding inspections exist BBENT *043P1 Outstanding Inspections Insp Schedule Confirmation Permit Pmt Type ID Date Number Description Seq Min Max Work Description Code Description Quantity CO Information CO Issue Str /seq Date Status Description Application Inquiry- (BPN200I001) Screen detail for Program: BP BPN200I, Inspection history Application 12- 00001190 10/05/2013 10/05/2013 10/05/2013 Str /Seq Permit /Seq Inspection type Insp Seq Inspector Schedule date Results Results date Confirmation Nbr 000 000 ME 00 MECHANICAL FINAL 0001 JLL 11/19/2012 AP 11/19/2012 386409 Page 1 Permit Additional desc 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 WOOD STOVE INSERT Owner CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ROBERT E CARUTHERS II 1123 COLUMBIA ST PORT ANGELES Qty Unit Charge Per 1.00 10.6500 EA T:Forms /Building Division /Building Permit WA 983624207 MECHANICAL WOOD STOVE 60.65 9/11/12 3/10/13 Fee summary Charged Permit Fee Total 60.65 Plan Check Total .00 Grand Total 60.65 12- 00001190 400220 1123 COLUMBIA ST 06-30-00-5-3- 0275 -0000- MECHANICAL APPL. PERMIT COMMERCIAL OFFICE 4500 PERMIT INSERT Contractor B B ENTERPRISES 520 ROSE ST. PORT ANGELES (360) 417 -0436 Paid Credited Plan Check Fee Valuation BASE FEE ME- STOVE /FIREPLACE /MISC. APP. 60.65 .00 60.65 .00 .00 .00 Date 9/11/12 WA 98362 0 Extension 50.00 10.65 Due .00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction V /r /l Z co t70 t4 l c l Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: FINAL Date Accepted by 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: FINAL Date Accepted by Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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. T.Cnrmc /R,,ildinn fli.oicinn /Gitilriinn Pcrmif Project Address: 11 -3 E Cato�o 1 ct_ Main Contact: Phone Property Owner Name Phone Mailing Address I 3 b Cob u yi to 1 Email City PA (A// F. 3 6 c� State Zi 6 �/J Contractor Nam Co Cd LTA e C{ 1 ^h Pj 8 i l r t Phone r /f O S 40 IMO Mailing Address _,..D 3 C 5T Email City 43/19 State q_ V„ Zip c 0 34 D Contractor License Expiration: )3 Ott 3 Project Value: '-l5 Zoning: Tax Parcel Lot Type of Permit Residential Commercial Industrial Public Demolition Fire Repair Reroof (tear off /lay over) For the following, fill out both pages of permit application: New Construction Remodel Addition Tenant Improvement Mechanical Plumbing Other Existing Fire Sprinkler System? Yes No Maximum height of structure Proposed Bedrooms Proposed Bathrooms Project Description I have read and completed the 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 what permits are required, and to obtain permits prior to working on projects. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned, and the fees forfeit. Date c iIl )))g.._ Pre i. Signature CO I Sod •f l' THE CITY OF ORTANGELES W A S H I N G T O N U.S. 321 East 5`h Street Port Angeles, WA 98362 P: 360-417-4817 F: 360-417-4711 hcatuzo @cityofpa.us Building Permit Application For City Use Permit 12% 1( Date Received: 61 t Date Approved: °I Residential Structures Area Description (SQ FT) Existing Proposed Minimum value For Office Use Basement Appliance Vent Heater (Suspended, Floor, Recessed wall) First Floor Size: Heating /Cooling appliance repair /alteration Second Floor Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping Covered Deck /Porch /Entry Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Deck Ventilation System Garage Carport Other (describe) Area Totals Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: Haz /Non -Haz Piping of Outlets: Appliance Vent Heater (Suspended, Floor, Recessed wall) Boiler /Compressor Size: Heating /Cooling appliance repair /alteration Evaporative Cooler (attached, not portable) Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping of Outlets: Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Ventilation System Commercial Structures Area Description (SQ FT) Existing Proposed Minimum value For Office Use Structure (s) Medical gas piping of Outlets: Water Line Addition Vent piping Sewer Line Tenant Improvement Other (describe): Other (describe) Area Totals Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps Fuel gas piping of Outlets: Water Heater Medical gas piping of Outlets: Water Line Vent piping Sewer Line Industrial waste pretreatment interceptor Other (describe): Lot /Site Coverage Calculations Footprint (SQ FT) of all Structures: Lot Size: Lot Coverage SQ FT Site coverage (all impervious structures) Site Coverage PREPARED 10/23/08 9 09 59 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/23/08 ADDRESS 1123 COLUMBIA ST SUBDIV TENANT NBR ANN D MOORE CONTRACTOR R N BUILDERS PHONE (360) 460 0979 OWNER TERRY L ANN D MOORE PHONE (360) 457 9259 PARCEL 06 30 00 5 3 0275 0000 APPL NUMBER 08 00001140 RES REPAIR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 10/23/08 J BLDG FINAL October 21 2008 5 04 00 PM 1pangrle TERRY 457 9259 BLDG FINAL 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 REPAIR /REINFORCE DECK FOUNDATION FLOOR RAILINGS Owner TERRY L ANN D MOORE 1123 COLUMBIA ST PORT ANGELES (360) 457 9259 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T Forms /Building Division /Building Permit (05 /13 /08).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983624207 08 00001140 278220 1123 COLUMBIA ST 06 30 00 5 3 0275 0000 ANN D MOORE RES REPAIR COMMERCIAL OFFICE 5335 Contractor R N BUILDERS 171 CEDAR GLEN PORT ANGELES (360) 460 0979 Date 9/15/08 WA 98362 BUILDING PERMIT RESIDENTIAL REPAIR /REINFORCE DECK 134197 151 75 Plan Check Fee 60 70 9/15/08 Valuation 5335 3/14/09 Qty Unit Charge Per Extension BASE FEE 95 75 4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charge d Paid Credited Due Permit Fee Total 15 1 75 151 75 00 00 Plan Check Total 60 70 60 70 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 216 95 216 95 00 00 Separate Permits are required forelectrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction pp l Y ?.JO �1 n v. b, Aitoo,rC Date Print Name Signatu of Contractor or Authorize Agent Signature of Owner (if owner is builder) INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING FINAL DATE ACCEPTED BY. 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 FINAL DATE ACCEPTED BY. HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA ESA. SHORELINE. PLANNING DEPT SEPARATE PERMIT M'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 p I 7J!7 O -5 W BUILDING BUILDING PERMIT INSPECTION RECORD U CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS ©c CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION 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 ND APPROVED PLANS AT THE JOB SITE. 0 T I: il,R n,v, n /I11 ildi Permit (05 /13 /081.wod c 3 tI Applicant or Agent Property Owner Property Owner's Address I 23 5 Contractor /Engineer �vr� e/U. Contractor /Engineer's Addre s License je J e u 1 1Q51 3, 1 PROJECT ADDRESS Parcel Number Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures 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 rax (360) 417 -4711 Existing (sq. ft.) 112 2 6 (L Lot Project Type Brief Description. Residential Commercial Check all that apply New Construction Multi- family Industrial Addition .Sort-`1 r P .l'Acv Remodel Repair Re -roof Demolition Heat System Heat pump wood burning stove gas fireplace pellet stove other ID Other Proposed (sq. ft.) yyxZ TOTAL VALUATION sq ft. Lot size sq 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 Dat D Print Name Vd Signature T Forms /Bui ding Division /Bldg Permit Appl. 2006 Code doc For City Use Only Date Received q-9-02. Permit ate Approved Phon t y5 -9 Phone (f Phone r �5 c,14 cy ires i 4zq /Z4xR Zoning per sq ft. Lot coverage 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 apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. 33 St 5094 1 1 ,6/7//« -6 d R N BUILDERS 1 2-6 Z All Phases of Construction 2 T GE Lr Glen Lane c=73 Z PORT ANGELES WA 98362 Poz�t 4 (360) 452 -0404 ((J> Cell (360) 460 -0979 PROPOSAL SUBMITTED TO n lAkC)c_. .e..._.J PHONE DATE a osb STREET a C.4 vim r cti JOB NAME Li Dc C CITY S TE and ZIP CODE v�� (r 1e 9 2. JOB LOCATION (a 3 COtu.er6;ck ARCHITECT 1 3 (e0_vS gzS DATE OF PLANS JOB PHONE 'AGO 0:11 We hereby submit specifications and estimates for Os Lt, 1/4. S K"- i- d- C,1r-,n 94 r r .3 0 o i 0(7 w Mai 5( Ra4E Qt r ay L1'1 +-I k e c�. ,kS Q 1 o s?, 5'' Ce P Ce 4ckr ru,15 Ctda r 23 2- p i L i 5:1. S+ 0 ..ppi>ck citc4. 10 .n(?, 5,. S ro r 4e S4 1 4 Otc'1. 1. I l.f. ti�d nrtY'" :a/.F/_1R.f 5 V n f;•y y".r�.r,.S'•A jb -L,.+ t,,,.,y'ti•..` p l 4 6 y 1 aX 41 (r Qn rc1nd Tot I .a. L 35 00 w P c 9 n( p l n �-I u Pe tt ft's Got 1C1 i ___L, i 0 .f �G /..±1" n_ in r 1 �)O Propose hereby to furnish material and labor _%U►5W1d 5' P rl?4 �'lir4 X complete in accor l ance with above specifications, for the sum of I -K. 0 it Ay 01) �L'3�rOZ? dollars 5 t Payment to be made as follows: 1 5 ()Wa 0 dt,p n '''1". r r 0F ac,k i C Pakimel+ upon Coripie -fioa All material is guaranteed to be as specified. All work to he ompleted in a workmanlike manner accoi ling to standard practices. Any altera ion or deviatin• from above specifications Authorized I involving ex, costs will be executed only upon written orders, id will become an extra Signature j charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner V rry fire,ltornado and other necessary insurance Note: T a ins withdraw by im if t '�.11i� s prop. •al may be not arranteri within Accept -nice of F ropoGal —The abc"ac_ Aces, sue r;catrons Date o AL .ance: ruposal and conditin•is are s.oiisfac o• d ire h reav accepted You are author Signature to do the work as specified. P will iht. i de as outlined above. Signature Page No. of Pages erD O. u 6 t. n e i n C TY OF PORT ANGELES Cg istrucfson flans The Issuance of this permit based upon these plans, specifi- caiions and other data shall not prevent the building official from thereafter requiring the correction of errors in said pla ,s, specifications and other data, or from preventing bui ding operations being carried on thereunder when in Inc .tion of all codes and ordinances of this jurisdiction. Approval Date /lid By \L. ARAD vt4- 1 LI Ixbra °4'"41.-Y IC7 7:?7,-1-09 (7-,-,^er-Vi jrc "fir, ytor► 1-4 n- 0 V hh 6 r-,- f d 1 s ti/9CvrrD c,c1 11'2,3 Ca ILA/4M Si Pa.e3107- Lt_3 15 (A,froe CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 03- 00000978 Date 10/06/03 Property Address 1123 COLUMBIA ST ASSESSOR PARCEL NUMBER. 06-30-00-5-3- 0275 -0000- Application description RE -ROOF Subdivision Name Property Zoning Application valuation 1200 Owner Contractor MOORE TERRY L /ANN D AFFORDABLE SERVICES 1123 COLUMBIA ST 258663 HI WAY 101 PORT ANGELES WA 983624207 SEQUIM SEQUIM WA 98382 y.37 9 (360) 452 -5264 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF, FELT, COMP Permit Fee 68.35 Plan Check Fee Issue Date 10/06/03 Valuation Expiration Date 4/04/04 Qty Unit Charge Per Extension BASE FEE 47.00 7.00 3.0500 HND BL- 501 -2K (3.05 PER C) 21.35 Other Fees STATE SURCHARGE 4.50 Fee summary T: \PLANNING \FORMS \1102.15 [4/2002] Charged Paid Credited Due Permit Fee Total 68.35 68.35 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 72.85 72.85 .00 .00 00 1200 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 1 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. Fi L- Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALI,S FOUNDATION DRAINAGE ELECTRICAL, (LIGHT DEPT) SEPARATE PERMIT: 8 ROIJGI I -IN PLUMBING UNDER FLOOR SLAB ROIIGI I -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WAI.I.S CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL. T -BAR INSULATION SLAB WALL /FLOOR /CEILING MECHANICAL HEAT PUMP WOOD STOVE. PELLET CHIMNEY 11001) DI ICTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAI. 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 d BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING 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 T: \PLANNING \FORMS \I 102.15 14/2002] OCT 04 2003 05:49 PM 2D673853.73784237 360 582 9029 BUILDING PERMIT APPLICATION FIJI out COMPLETELY and to INK Your application and ells plan MUST BE COMPLETE to be accepted for review. If you have any question, call (360) 4174815 P.01 FOR OFFICIAL USE ONLY Dave Res.: Feernit a: 9 72 Ode Approved: Deb trwd: Applicant or Agent: PtCf5Nrrfret i icp 5 Phone: 340 F*3 -q4 /q Owner:17rr1 L, s X111 lam. mitre. Phone: 7 2(1(145 77 q7 en Address: V.?? 7.? C() I f ns 1 t v h Ire 5TI City: Fix J y LY/S L4 /l4-. 1 cerii 2 i. Architect/Engineer: Phone: Contractor µFa2 v. t� K P, �G 11.I A 61,t, State license /C;r 7 t'hone;23..y¢l,G Address: 2.59,1 2 I-h N y inl L1/ a City: 563/ a M l4 4 Zip:4 2 74.7 ul1 PROJECT ADDRESS; I I Zb COI.'1b cx Si-. ZONING; Credit Card Solder Nana: Billing Address ZSQ,(pf`; I f /Al (1 01 Credit CardTyp a VISA Lam' MC N TYPE OF WORK: o Roatdantiel 0 New Constr. ilr o 7 Multiefarmly 0 Addition 0 Move 0 Commmcial 0 Remodel o Demolition LEGAL DESCRIPTION: Lot: Block Subdivisions CLALLAM COUNTY PARCEL NUMBER: V✓ City: dl1 F. I tie a !trap. Dale: SIZEIVALUATION: O Stove SP. ®3 a O Garage SF. 02; SF. ®3 /SF.,e S Repair Sign 0 Other TOTAL VALUATION S 1240 co BRIBE? DESCRLPTlON OF THE PROJECT. r r) lG1c I !r f 1 n7)-T r COMMERCIALMESIDTIMAL: Occupancy Group; Occupant Load; Construction Type: No. of stories: Let Sizm Existing Sq. Pt Proposed Sq. Pt TOTAL Sq,Ft Basting lot oesetage 96 Proposed lot coverage 9 Total lot coverage 9� PLANNING USE ONLY: ESA/Wet1414s); O Yoe 0 No SBPA Checklist required? 0 Yee 0 No Otha: BUILDUNG PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the applleagon and plan sulardttal requheinents if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount mut be entered by the applicant, TWA figure will be reviewed and maybe tevbedbytbeBuilding Division to comply with aunent fee schedules. Contact the Permit Coordinator at417 4815 for ualahnce. PLAN CHECK PEE: IP a plan chock Re ie due it nut be submitted at the time the building permit application and construction plena are submitted All other pewit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: 11' no pem:it to issued within 180 days of the date of application, the application will expire The Building Official cal seared the time for action by the applicant up to IRO days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, currant edition). No application can be extended more than once, 1 hereby candy that I naps read end Issmned this application and know Re seine to be true and toned. am addgrbad to apply tot this permit end understand fhef f le my responsibility to determine whet permits ass requSed,not the Gfya, end that I must obtain sicfl ponrtts prior to work TA.FoRNS\ivi' uneinepemtltwpd Applicant: APPROVALS: PLAN: BLQG DPWUt OTHER Date: ._3 0 2) 0 21 '0 21 0 (0 0 1 00 O z(0 0 I2 II Ul N A K CITY OF PORT ANGELES LIGHT DEPARTMENT In accordance with the City Ordinance to regulate the installation, extension, or trScal equipment in, on, or about any building or other structure in the City of Port mission is hereby granted to do electrical work as listed below. 2 3 (2 t r 4—te t Address Owner Tepgnt Wiring Contractor Light Outlets tg" Receptacle Outlets Dryer, KW N Range, KW Water Heater: KW Heat: KW /In Motors: size, volts and phase: Permit Fee $f C f Total Load Remarks: n. 1M Olvmnic Printers. Inc. ELECTRICAL PERMIT N° 16185 Port Angeles, Washington 19 Service, volts No. wires Size wires Main fuse Enclosure Type of wiring: Entrance Cable Rigid Conduit Metallic Tubing Current transformers: No. Size Ser. No Ser. No. Ser. No Ser. No f Treas Receipt No Occupancy repair of elec- Angeles, per- By Type of Wiring: Armored Cable Non Metallic Knob Tube Rigid Conduit Metallic Tubing Raceway Circuits, Light. Utility .f') Heat Range t ti Water Heater Motor Dryer Furnace Total By NOTICE Current must not be turned on until Certificate of Inspection has been issued. If work is to coaled 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 ELECTRICAL PERMIT be con- N9 16185 A9dress Date Owner Tenant Wiring Contractor By 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 concealment. ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . , , . , 16- 00000259 Date 2/25/16 Application pin number . . . 045304 Property Address . . . . . . 1123 COLUMBIA ST ASSESSOR PARCEL NUMBER; 06- 30- 60 -5 -3 Application type type description ELECTRICAL ONLY Subdivision Name_ . . . . , . Property Use Property Zoning COMMERCIAL OFFICE Application valuation 0 Application desc Security lights, down outlets Owner Contractcr ROBERT E CARUTHERS IT KIRSCH ELECTRIC 1NC. 1123 COLUMBIA ST P. C. BOX 3396 PORT ANGELES WA 983624207 SEQUIN WA 98382 (360) 683 -6819 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc 1 -4 CIRCUITS Permit Fee 75.00 .Plan Check Fee .00 Issue Date 2/25/16 Valuation 0 Expiration Date 8/23/16 Qty Unit Charge Per Extension BASE FEE 75.00 Fee summary Charged Paid Credited Aue Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 00 QQ .00 Grand Total 75.00 '75.00 .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 r 6 COMMENT'S; PERMIT WILL EXPaE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date.- G:\FXCHANGE\BUILDING N Building wisionlEMect>ciral Inspections 321 East T+ th Street - -)P.O. Boa 11501 Part Angeles Washington, ft. (364) 7 4735 Fax: (360) 417 -4711 Date: I & 2 Single Family El Plan Revie ' May Be Req Job Address Building Square aotage' Description of at _ Owner Inforn' do Name: mallin Address: City: Phone: - W.. License 's' 1 Exp, Item Service/Feeder 200 Amp. SeruloelFeeder 01-400 Amp, Service/Feeder 01.600 Amp SorvicalFe9dar 01 -1000 Amp. ServicelFeeder rl000 Amp. Branch Circuit N it service Feeder Branch Circuit 1110 Service Feeder Each Addifional Branch Ciroult Branch Circuits -4 Temp. Servlcet eeder,200 Amp, Temp. Servicah feeder 201 -400 Amp. Temp. Servicel eeder401 -600 Amp. Temp. Service! eeder 601 -1000 Amp , Portal to Portal ourly Signal GlrcACIY L ited Energy -18a 2 Fami y Dwelling Manufactured me Canhectlah Renewable Ell rica4 Energy - 5KVA $ysU m or Less Thermostat Note $5.0 for each additional T -Sts NEWCONSTIRI CTION ONLY: First 1300 Squa le Ft Each Additional 00 Square Ft. or Pathan Eaoh Outtbuildin or Detached Garage RECEIVED IIV;iI ECTIONVO otrical Plan Review Information Shoot Unit Charge $ 920.00 $146.00 $ 205.00 � zsz0o $ 373.00 $ %6 -00 $ 63,00 $ 5.00 $ '5.00 $ 93.00 $110.00 ' $149.00 $1 88.00 $ 96.00 $ 64.00 $120.00 $102,00 $ 56.00 $120.00 $ 40.00 $ 74 -00 Each Swimming Pool or Not'7u6 1 $110.00 Cont *actor informatia Name � Mailin A rsss: b City: : state: zip: Owner as def1wner, ed bar RCVV.19.28.261: 1) Owner will oecupy the s#ru6lure for k years et to hire an ele'cal contractor if above id property is t'dr sale, rent or lease. Permit expir After reading e alcove statement, I h reby certify that I am the owner of the above name the electrical i stallation or alteration i compliance with the electrical lawn N.�,G., RCW, Angeles Muni pal Code, and Utility $ oitroallons and PANIC 14.05050 regarding Electti Signature cf electrical t.ant tot or electrical administrator: d $ +aL Total his electrical permit s finalized. (2) Owner is requi fter six months of la t inspection. operty or a licensed electrical contractor. I am ma ipter 19,28, WAG, C iapter 296465, The City of permit AppliCaffOns. rh Q M!ck IN Card # 4