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HomeMy WebLinkAbout918 E 9th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 amp service change Owner Spawn Cynthia 918 E 9TH ST PORT ANGELES Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983628013 Permit Additional desc Permit pin number 163501 Permit Fee 119 90 Issue Date 4/12/10 Expiration Date 10/09/10 119 90 00 119 90 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000343 383029 918 E 9TH ST 06 30 00 0 2 8322 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 1 00 119 9000 ECH EL 0 200 SRV FEEDER Date 4/12/10 NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477 1764 Plan Check Fee Valuation Paid Credited 119 90 00 00 00 119 90 00 DATE RESULTS 05 11 cQ 0 0 0 Extension 119 90 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. CTQ: N1 2010 -04 -08 12:32 NORTH PENINSULA ELEC City of Port Angeles Permit Application Building Olvieion/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 4174735 Fair: (360) 417-4711 Date 4- z c`) C.) 2 Single Family Dwelling Multi Family or Commercial` Commercial Addition I Alteration Remodel Repair" Plan Review May Be Requir Ple Complex, Elec I Plan Review Information Sheet Job Address k_ Building Square Footage. I ZCCC- S c c Cam: Description of above Owner Information Name, Mailing Ad. e 4� City re Stale. Lt_ Zip Phone: Fax: License 1 Exp. Unit Chime $119 90 145.50 204.60 S 262.20 372 50 2 60 73 50 S 2.60 92.70 110.30 148 70 167.90 5 95 90 88.20 95 90 63.90 63.90 S 119.90 510230 $110.30 3520 73.50 $110.30 56.00 Q 3609289409 360 417 4711 Con`raFto(Infor Mailing dr s s: 1 or L City ___V" State' Zip: Phone `.\1l- l V 1Fax: 24 License I Exp. I f �al lay Multiplied by Unit Charoe) Service/Feeder 200 Amp. S Service /Feeder 201 -400 Amp Service/Feeder 401-600 Amp. Service/Feeder 601 -1000 Amp Service/Feeder over 1000 Amp Branch Circuit WI Service Feeder Branch Circuit WI0 Service Feeder S Each Admuonal 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 Commercial. Addibonal 1500 95 00 Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi-Family ()wailing Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat S j 1 r e Total Name: i{vG Owner as defined by RCW. f9.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required w hire an electrical contractor if above said property is ferule, rent or lase. Permit expires after six months of last Inspection. After reading the above etatemen4 I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical inetaltatlon 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. Signature of owner electrical contractor or electrical administrator (7 Cash Check Date' N U RECEPIED APR 1 2 2009 ELECTRICAL INSPECTIONS C2121_,... P 1/1 ckc PREPARED 9/29/09 13 08 00 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/29/09 ADDRESS 918 E 9TH ST SUBDIV TENANT NBR CYNTHIA J SPAWN CONTRACTOR EVERWARM INC PHONE (360) 452 3366 OWNER CYNTHIA J_SPAWN PHONE (360) 775 8788 PARCEL 06 30 00 0 2 8322 0000 APPL NUMBER 09 00000849 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 9/29/09 MECHANICAL FINAL Cynthia 775 8788 AFTER 3 00 COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 09 00000849 Date 8/19/09 Application pin. number 346599 Property Address 918 E 9TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 8322 0000 Tenant nbr name CYNTHIA J SPAWN Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 4354 Application desc INSTALL A WOOD- BURNING STOVE Owner Contractor CYNTHIA J SPAWN 918 E 9TH ST PORT ANGELES (360) 775 8788 WA 983628013 EVERWARM INC 257151 HWY101 PORT ANGELES (360) 452 3366 Permit MECHANICAL PERMIT Additional desc WOOD BURNING STOVE Permit pin number 152074 Permit Fee 60 65 Plan Check Fee 00 Issue Date 8/19/09 Valuation 0 Expiration Date 2/15/10 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 10 65 Fee summary Charged Paid Credited Due Permit Fee Total 60 65 60 65 00 00 Plan Check Total 00 00 00 00 Grand Total 60 65 60 65 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 consuction. 5i //464 e Aa Sauv Date Pr Name T.Forms/Building Division/Building Permit WA 98362 Signature of ContiJtor or Authorized A Signature of Owner (if owner is builder) 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 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 Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T.Forms /Building Division /Building Permit FINAL Date Accepted by FINAL Date Accepted by a4 09 Date Accepted By El v 9 7,q -Dg c l BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 �r (360)417 4815 fax (360) 417 -4711 Applicant C,gyt` -c s 7 Vvn Property Owner G4 91.4 11- Property Owner's Address G j f P q S/- Contractor Evev(ea (w. 1 e f G 6 /.9, Contractor's Address z.5 /5 l0 (f A License J Expires PROJECT ADDRESS Parcel Number q \R E Project Type Brief Description. Residential a Multi- family Check all that apply New Construction o Addition o Remodel Repair Demolition o Re -roof X System o Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Existing (sq. ft.) Proposed (sq. ft.) Total footprint of structures Site Coverage the amount of impervi and other impervious surfaces. (see P Max. height of proposed structu Will a lawn sprinkler system Will a fire sprinkler syste T Forms /Building Division /Bldg Fermit.doc House garage other tear off re -roof lay over one layer Heat pump 'wood- burning stove o gas fireplace pellet stove o other installed? e installed? Date .e11cfci Print Name C s• Lot size ace.on a parcel including structures C 17 94 135 for exemptions) Phone 2 67 t ?ee Phone 72;57 q 3 2 Phone q- E-mail For City Use Onl Date Received 75' Og Permit %LI ct Date Approved Lot Zoning Commercial o Industrial per sq ft 'OTAL VALUATION 4-3,C1- Q sq ft. Lot coverage p- ed drivew- sidewalks patios ite coverage ft. Occupancy group bedrooms Occupant load of baths Construction type Z of ha l paths 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 w ing on projects �G7 Signature ru —wt�t �1 11 . ~ BfJILblN6 peRM, I CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST 5TH SlREET, PORT ANGELES, WA98362 OWNER/APPLICANT AMITY BUTLER 918 E 9TH STREET Port Angeles, WA 98362 360/417-3937 T: ISSUED: 6/21/2002 PROPERTY LOCATION 918 9TH ST E Lot: 5 Block: 283 Subdivision: TPA Parcel No: 063000028322000 S: PERMIT NO: 13497 D Long Legal CONTRACTOR EMERALD ROOFING 133 LELAND AVE Port Angeles, WA 98362 360/452-4681 PROJECT INFO Project Value: $4,000.00 Project Type: RE-ROOF . Occupancy Type: RESIDENTIAL Occupancy Group: Construction Type: Zoning Use: ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 SFD sa FT: 0 MFD Units: 0 MFD sa FT: 0 Commercial: Industrial: Garage: o o o ...0 - (j) PROJECT NOTES TEAR OFF, FELT, COMP RECEIPT#9228 FEES ASSESSMENT Building Permit: Plan Check: State Surcttarge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $97 ;25 $0;00 $4.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Misc Fee 1: Misc Fee 2: Misc Fee 3: (T1 ..L) j- $0.00 $0.00 $0.00 . TOTAL FEE: AMOUNT PAID: BALANCe DUE: $101.75 $101.75 $0.00 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 ordinancesgoveming 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\FORMS\II02.IS [4/2002) " Date fz/~~ Date ;"'~ ~",. ">", ""1 BUILDING PERMIT INSPECTION RECORD . ,~;t;:{>. CALL 4174815 FOR BUILDING INSpECTIONS. PLE~SE PROVIbE A MINiMtJM74 HOUR NOTICE. IT IS UN1..A ,."lJUfTOe.eVE~, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION; INSPECTION TYPE '. FOUNDATIQN: ^' kEEP PERMIT CARn AND APPROVED PLANS AT JOB SITE DATE I ACCEPTED YES NO' COMMENTS ,,:, ~,,' " ,,', " " FOOTINGS WALLS '", , FQUNDATlQN DRAINAGE '.' ,\,/S';"..', ELECTRICAL (LIGHT DEPT)SEPARATEPERMIT: # .... RQUGH-IN PLUMBING UNDER FLQQRI SLAB RQUGH-IN ." , " . " '" '\ , , , ,;., 'f ." "'.,,' , WATER LINE GAS LINE BACK fLow I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL T-j3AR INSULATIQN SLAll WALL I FLOOR I CEILING MECHANICAL HEAT PUMP.", WOOD STOVE I PIiLLET / ~y ", HOOD/DUCTS ,...', , PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5: , " , , . I I r ,,' .' . , ",' .. '" . '. . " . I , , ,', ii, ,;.: 'i. , ~'>, , , " ' .' '. ,,! .::' " WATERLINE I METER SEWER CONNECTION" ", SANITARY . ,.'" , "" '" - " ,. PLANNING DEPT. SEPARATE PERMIT #'5 STORM , , /. , . " , ',' " ",," \}') , , ." f', SEPA: '. ESA: . P ARKlNGILIGHTING LANDSCAPING - SHORELINE: .. Fm~ INSPEc::TI()NS~QUIRED PRIOR TOOCCYr~cxlUs,~ ..' ."."'", ",' -, " ." ",,' - DA'9";'" ,YES NQ/C()~M,~Rc:IM:( DA:I'E ." ,1gc::..~;: , ,',f..', <.' , ' i.', "i",,:,),;' ,", ." 'if )"::YEs' ""NO", '417-4735<",:, ""," :, "f}~i#r:,' ,.', ,.,j ';'f , " ,'".u ,;,- ",' CONsTIh:JcTI6f.i~ itW: . "'.',;: '..' 417-4807 PW I ENGINEERING ,...'t'", RESIDENTIAL ",:' , j{; " ELECTRICAL ~LIGHfDEPT. CON'mOCTIONR.W./l>WI i ENGINEERING " 4174653 '.' , FIRIi ',. FIRE DEPT. PtANNING i:>EPJ:;".' "". .... , PLANNING DEPT. BUILDING 417-4750. ! 'A~"d.. 417-4815 ,rnJ.J ,,- -I<V , '. .', ..' .', BUILDING .'. , T:\PLANNING\FORMS\1102.15 [412002) ~d._T~ ti BUILDING p~RMTt CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll..DING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 CONTRACTOR HOCH CONSTRUCTION 4201 TUMWATER TRUCK TRAIL Port Angeles, WA 98362 360/452-5381 PROJECT INFO Project Value: $10,500.00 Project Type: DORMERS Occupancy Type: RESIDENTIAL Occupancy Group: Construction Type: Zoning Use: OWNER/APPLICANT AMITY BUTLER 918 E 9TH STREET Port Angeles, WA 98362 360/417-3937 T: PERMIT NO: s: ISSUED: 6/21/2002 PROPERTY LOCATION 918 9TH ST E Lot: 5 Block: 283 Subdivision: TPA Parcel No: 063000028322000 13496 o o o ..0 - cP D Long Legal ARCHITECT N1A I ...~8360-:O000 360/000-0000 SFD Units: SFD sa FT: o o Commercial: Industrial: Garage: {T7 MFD Units: MFD sa FT: o o PROJECT NOTES ADD 1 02 sa. FT. SECOND STORY DORMER WITH BATH RECEfPT#9228 FEES ASSESSMENT Building Permit Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: PLANS. B~" $195.25 $78.10 $4.50 $0.00 $0.00 $0.00 $41.00 $30.75 $0.00 Misc Fee 1: Mise Fee 2: Mise Fee 3: $0.00 $0.00 $0.00 ..0 ..,.. $ Separate Permits are requiredforelectrlcalwork. 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 orwork is suspended or abandoned for a period of180 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 pennit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the perfonnance of construction. TOTAL FEE: AMOUNT PAID: BALANCE DUE: $349.60 $349.60 $0.00 Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\ttOZ.IS (412002] ~/. 06 Date BUILDING PERMIT INSPECTION RECORD :',. . ".,i. <~~.'I> . .....',;", ,:';\ CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASg PROVIDEAMINIMOMf24HOURNOTICE.. ITIS UNLAWFUL TO COVER; INSULATE OR CONCEAL ANY WOk/( BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. INSPECfION TYPE ',.. DATE 'd. ACCEPTED 'I' YES NO 'C:"'>,;t:<f~: '~.,~ ,~ "KEEP PERMI~CAR:DAND,A.PPROVED PLANS AT JOB SITE COMMENTS ' ,i "'. "..\ ...... :"., <.~: t' FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ; : :",...... , ., ,.'.,:, '. . ",,:..':,',.:;;,< " (LIGHT DEPT) SEPARATE PERMIT: # ... : . : ELECTRICAL,. ROUGH~IN . PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE GAS LINE . BACK FLOW I WATER ,~ ..... ".' h '{..'" :(:" , 'C" .: ",. I f3-~t>c E/::.,HsJ ..' '. : , : ..... '.' '~r .0 '. :0 . .;". '- . AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS . 6"'/5... D2. LEH- I. . .' ",' , . '. , ':..' ,,,'. :. :.... .~\.,. SHEAR WALL WALLS I ROOF I CEILING DRYWALL T-BAR INSULATION SLAB WALL I FLOOR I CEILING MECHANICAL 8"'"'-t...d"l., LEH. , " , ~.../5' 02 IL.~ f( , '" ", WOODSTOVE/PELLET/C~Y .' HEAT PUMP I HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER . ",;', SANITARY STORM . ....\, :'. :. '., . SEWER CONNECTION . . '\;1. , .' . . '. '." f' PLANNING DEPT. SEPARATE PERMIT #'s P ARKlNGILIGHTING LANDSCAPING SEPA: ESA: SHORELINE: , ... ,. '.. I . .... ".Jil,J", ; FINA~I.l~,~!:E<::TI9J1l~:R,EQUIRED PRIOR,TOo<:;C~1lANCYIl!SE:".., RESIDENTIAL' DATE'YES NO .:QOMMERCJAL:. "; '. '". ::.< . '. " <i,',.';','::.;.' '4t7-473S' ':; j;'~~J~~Ah: ..:/.;,,{ ,.. ',ACCEPTED , ';"c' "~:;vts '.'.NO; ... .: ." ". ,;". , :.' , .' ','" . " . ELEqRlC}\L - LlGHTDEPT. 417-4807 . CONSTRUCTION-R.W;' i PW I ENGINEERING .,. -., cONSTRUCTION R. W.I PWI ENGINEERING FIRE .. . , . .....'..,--', ."- ',.--,' --,",-"." PLANNING DEPT. , .." BUILDING 417:;4~S3 " -,' "- .. .,41717~p,; 417-4815 .' " ... Ji!:'I^;' ',1'" .'. . . ~fA;.-' '~ KY . . FIRE DEPT. ' pi.ANNIN~rJ)~iiT.,!, .,..,. ......,. ,'< BUILDING! " .,... T:\PLANNING\FORMS\II02.IS [412002] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date~ec.:h-Iq-OL- PermIt #: ~ !l9 ~ Date Approved: ~ -ZG-t'z. I Date Issued: ~~'P The Building Permit Application must be filled out completely. Please type or print in ink. Uyou have any questions, please call 417-4815 Applicant or Agent: Itm i~( er Owner: ~~(-r '" RiJv lSuf/u- Address: I ~ E ~ q"'-' S+ret>L City: Vo r+ _~ks Architect/Engineer:~ I/i/lii:Ib rYp/"[IL SmifL Phone: Contractor ~..!f JIo61u License #: Exp: Phone: Address: City: por+ An~dcs Zip: q~3L,3 PROJECT ADDRESS: q / g E. q 1k... sh-u-t- ZONING: LEGAL DESCRIPTION: Lot: S- Block: "Z a'3 Subdivision: ~h CLALLAM COUNTY PARCEL NUMBER:ob'3 ~29'32?~edit Card Holder Name: Billing Address: City: Credit Card #: Exp. Date: :s t./Cf I 6(:) t(:>/I'~ Phone: 4 f7-3cr37 1145/.35 Phone: 4 I 7 - 3137 Zip: q?'-5 (p, 1- VISA MC SIZEN ALUATION: SF. @ $ /SF. =.$ SF. @ $ /SF. = $ SF.@$ /SF.=$' TOTAL VALUATION . $ , D liibo Bb:~D~=TI~: ~THE L:JEf~~o~M;-b:r ~~~~~~ ~~~~PU((J1t - - I COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: TYPE OF WORK: o Residential 0 New Constr. o Multi-family t{ Addition o Commercial )( Remodel o Repair ORe-roof o Move o Demolition o Sign o Wood-stove o Garage o Deck o Construction Type: % /sq. ft. = TOTAL LOT COVERAGE: APPROVALS: PLAN BLDG. DPW FIRE ESAlWedand(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be acceptedfor review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. % Lot Coverage: /sq. ft. + Proposed Lot Coverage: No. of Stories: _ Lot Size: Existing Lot Coverage: "i(';PLANNING USE ONLY: "Notes: /sq. ft. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time 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: lfno permit is issued within 180 days of the date of application, this 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, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to ObtainJHh. ~ Applicant: ~_ ,6ifA./ Date: 09~Z T:\FORMS\APPS\Buildingpermit -. I .\ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: / Date ~ - e - e,-- Time Received by j;: l ~. (phone, person) v _E A~3:ie-5 PlulM. 6 ,1:::J Phone No. . Permit No. J 54 CJ t::, Sewer Excav. Other ~ Time By ~ (9). ' RESTORATION REQUIRED . . . . .. YES NO C~l( k~ve YOCA 30 !-jSG-<8SZS- SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ,j'b' CITY OF POR.TANGELES DEPARTMEN,T OF PUBLIC WORKS . '.' .....' ....."....."......:..........:.'...,;......... ..-.....,.... .:.-.-:.-:...:.......:..-,-'.-.:::.:.'.... '..' , . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: DateS-J'I.... 6<.- / Time Re.ceivedby Rl/ (phQne, person) Location of Work to be inspected 9/ .C2J &" Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer... Foundation Framing Chimney.... Plumbing Final CjikL Phone No. ' . Permit No. 1.5<19...". Sewer Excav. Other < ...1Ji~<-<- A ~~ SeCt.- ~ INSPECTION NOTES :'..,ry Inspected: Date f# -/~-O? -.Tillle Remarks: By (p)<.~ RESTC)RATION REQUIRED . . . . ... YES NO TA~v.s Afv1 qi6() AV\A. SURFACERES"rORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other o Repaired' by City o Repaired' by .permittee o No Damage Found Work'. Order # D.. CglVlPLETE O'INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (PATE) :<~,.:;\:);t ~;r:Y;t}~~~::.;1i~1%!~'~t?ity:}iX':.'< FROM : A.P~S. GEN&ELC CONTRACTOR FAX NO. 360 452 6753 Aug. 07 2002 ~ pOflt 41\1 ,:,7~C.. ~.~ ~1:-~ ~~~ {/'0\ 02:42PM Pl ~ - ~ I ELECTRICAL PERMIT APPLICATION FOR O~[lICl.AL L'S!:: ONLY (Jlllell<e,,:,.___ rermil~: _____._u OttllApproved: ..._..._ D~I"Ls5Ued:__, .___ rhe flec:lri.:;:al Permit Application rnLl~t be filled out combletelv. :::{f--n (;7 Please type or rl3prinl in ink. If you have any questions. pleas-g eall (360) 417-4735 Fax number: (3l30) 417-4711 REQUEST INSPECTION ~ Ow.,.e 0e Elec Cont:actor .^gent AiLd -'!,_._.. SJ..f1C.}; Phone: If t)C2 - b 7 S 3 Fax: "1a. rY\ e.. P'cpecry OwMI R ,uh. ...... ~ m', +:1 e wt 14:'. I" Phone: .., l( -"3 't '57 Address 9 r)J e. q tA.. Sf:. City PI} Zip: qSS/,d, ( ( AP5I''-C-:t:.''I:6/0N Electrical Contractor: ~ .p. S . C:J77r ("i~c License #: E,p: I.{ -1'1-0'f Phone: Lf5d "1:,'75 S Addeoss 5 '-/ b City ~'< , t rttl~v) of ", Zip: 90.3 b.3 INSrALLATION WIRED BY. '.J OWNCR )(ELECTRiCAL CONTRACTOR . Credit Card Holder Name: A. p, :'). -b-ene /'fLL 'I- Sf e ,1 p) c.o./ 6; n-f tad 01 BilfingAddress: 6J./hAu7~f\ I2J City: P A Credit Card Number: (: Zip: qg36 "3 V/SA:_ MC.~ PROJECT ADDRESS: q { )S [; _ qf-J. s't Ie e"T TYPE OF WORK: Check iJ.ll that apply' U New ~ Alteration/Addition ~ReSidental CJ Multi-family =:J Commercial 0 Mobile Home Sq. Ft Remote Meier 0 Detached garag9 1:= '-101 Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Sign Number of Circuits added or altered __~_..____ DESCRIPTI9N Of THE ELECTRICAL PROJECT: ~..... ~ ~ -~ - A-L.n:L___~iif (f&XJ?UJ LJ ~(#''J s C> 7- PERMIT FEE:! 0 f5 . 70 Service Information b~~J/0 ~ ~ -It?3.u> j .y5.:i"""O $/ljB- 70 l;lectrlcal Heat Load Addition" 'XBaseboard '.~: Furflace ::=-1 Heat Pump "j Fan-Wal! KW KW _TON KW LRA 1)( Overhead Service o Temp Service o Underground ServIce Voltage: Phase: ~1 0 3 Service Slze:,Q"O.,Q Feeder SIze: PA,MC 14,05,060(8): For industnal. com;nerc:al. &. residential projects larger than a duplex. a one -line dra'Ning 01 the Electrical Service & Feeders. building size (sq. ft nductors andlor raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and eXClmined this application and know that same to be true and correct, and I am authorized to apply for this permit. I understand it is not the Cify's legal responsibility to determine what permits are required; It remains the "'ppllcants responsibility to determine what permits are requ/red., and to obtain such. ~. ~J /. AL-- lZ~"';,JO ~ ""8~ ~r <:..L("A-iZlf.rl<:'~,? F~ WI N /:JlJc>J'> - V ~~z.. I.(e.+ 17/..,'" ok"" ,;, - ~i f2- I' · , , Credit Card Holder's Signature: : ~ Date: ct ~ 7 :003 Owner Or Elec. Cont. Signature: /2- ~k Date: 7S' 7 ;;lOCi::? a?LECTRICAnMITAPPLlCATION ~ c ~ 8'/8/02... ACCOUNT PERMIT ACCOUNT DOLLAR NAME NUMBER NUMBER AMOUNT Surcharge ($4.50) 001.2291000 D.R.A. Fees Plus Inter~st 001.2392000 Burning Permit ~ . 600.32290014 Fire InspecVPermit Fee 600.34220015 Fire Sprinkler Plan Review Fee 600.34220016 Construction 420.32210017 Plumbing 420.32210018 Mechanical 420.32210019 Sign 420.32210020 Clear/Grade Permit 711.32210021 House Moving 711.32210033 Sidewalk/Driveway/Curb PermiVRight of Way Permit 711.32240011 Publications 711.34150000 Blueprints-Aerial 711.34320000 Administration Cost (5%) 711.34320010 Plan Check Fee 420.34583000 Engineering Service Fees 711.34895000 Mise Revenue 420.36990000 TOTAL GENERAL FUND TOTAL 001.1111000 StreeV Alley Restoration 752.32210032 Storm DrainfTap 752.34490010 S/W Co-Op 752.36990000 TOTAL STREET FUND TOTAL 102.11110000 Electrical Permits/Inspections ~,..,,~, 911.32210028 <f1Zi1 0" . -. -r V" I TOTAL LIGHT DIVISION TOTAL 401.1111000 d" (ffJ t2>n P.B.IA 650.2319200 ..,- V'. , , TOTAL PBIA TOTAL 650.1111000 TOTAL CAPITAL IMPROVEMENT FUND TOTAL 310.1111000 Property Sales 715.39510010 TOTAL P.W.IMPROVEMENT FUND TOTAL 314.1111000 Hot Tap (watermain) . 753.34340023 FH. Install/Meter 753.34340024 W/M Installation 753.34340025 Water System Development Charge 753.34480010 TOTAL WATER FUND TOTAL 402.11110000 Sanitary Sewer Permit 754.32210029 Sanitary Sewer Tap/Cap or MH Tap 754.34350018 Sewer System Development Charge 754.34350024 ULlD 215/Equivalent Service Connection Fee 782.34350025 TOTAL WASTEWATER FUND 402.1111000 Milkwaukee Dr Assessment 755.34370030 TOTAL SOLID WASTE FUND 404.11110000 RECEIPT# I';?' ~521 GRAND TOTAL .1' (}.?/ 4n . , /l ;15 9/.;:? <..;~... " '.~ CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT ~ If % .<--r. FILL-IN COMPLETELY. TOTAL EACH FUND AND GRAND TOTAL G:\Group\Acct\Forms\Rev.Rec\Pub-Wk Lasl Revised June 2002 . ^- ^8 CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT . . . . ACCOUNT PERMIT ACCOUNT DOLLAR NAME NUMBER NUMBER AMOUNT Surcharge ($4.50) 001.2291000 D.RA Fees Plus Interest 001.2392000 Burning Permit Fee 600.32290014 Fire Inspect/Permit Fee 600.34220015 Fire Sprinkler Plan Review Fee 600.34220016 Construction 420.32210017 Plumbing 420.32210018 Mechanical 420.32210019 Sign 420.32210020 Clear/Grade Permit 711.32210021 House Moving 711.32210033 Sidewalk/Driveway/Curb PermiVRight ot Way Permit 711.32240011 Publications 711.34150000 Blueprints-Aerial 711.34320000 Administration Cost (5%) 711.34320010 Plan Check Fee 420.34583000 Engineering Service Fees 711.34895000 Mise Revenue 420.36990000 TOTAL GENERAL FUND TOTAL 001.1111000 StreeVAlley Restoration 752.32210032 Storm DrainfTap 752.34490010 SfW Co-Op 752.36990000 TOTAL STREET FUND M.. TOTAL 102.11110000 . Electrical Permits/Inspections ff' I 10 I 911.32210028 .:p/O~. 70 TOTAL LIGHT DIVISION TOTAL 401.1111000 1.,<1/015. '70 P.RIA 650.2319200 TOTAL PBIA TOTAL 650.1111000 TOTAL CAPITAL IMPROVEMENT FUND TOTAL 310.1111000 Property Sales 715.39510010 TOTAL P.W.lMPROVEMENT FUND TOTAL 314.1111000 HotTap (watermain) 753.34340023 F.H. Install/Meter 753.34340024 W/M Installation 753.34340025 Water System Development Charge 753.34480010 TOTAL WATER FUND TOTAL 402.11110000 Sanitary Sewer Permit 754.32210029 Sanitary Sewer Tap/Cap or MH Tap 754.34350018 Sewer System Development Charge 754.34350024 UlID 215/Equivalent Service Connection Fee 782.34350025 TOTAL WASTEWATER FUND 402.1111000 Milkwaukee Dr Assessment 755.34370030 TOTAL SOLID WASTE FUND 404.11110000 RECEIPT# I\"~ 9509 GRAND TOTAL $/OfJ,70 4P..5 Uf;cnuc- Cj /8 /C.. 9'!ft-.s T: FILL-IN COMPLETELY - TOTAL EACH FUND AND GRAND TOTAL G:\Group\Acct\Forms\Rev.Rec\Pub-Wk Last Revised June 2002 CITY OF PORT ANGELES P.1ElCZN1<IT APPLICATION )t W[ding Division /Fiectricall Inspections 321 /East Fifth Strreet --P.O. ilex 1150 /.PomtAngeleo Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Data:. —,21 6 -1. 1 & Z Single Family Dmiling * Plan a Review Ma y Be a ui ie ed e o Electrical Plan Review Information Sheet J r Building Square Footage: W Description of abode Owner Informa!jan Name: r - -- — Mailing �drBSs: � Gity, �,t`Ska1e: jt� Zip; License # 1 Exp._ Item Unit _Charge Service/Feeder 200 Amp, $12000 ServicelFeeder201.400 Amp, $146,00 Service /Feeder 401.600 Amp $20500 Service /Feeder 601.1000 Amp, $ 262,00 ServicOFeeder over 1000 Amp. $ 373.00 Branch Circuit W1 Service Feeder $ 5,00 Branch Circuit W10 Service Feeder $ 63.00 Each Additional Branch Circuit $ 5100 Branch Circuits 1A $ 75.00 Temp. Service/ Feeder 200 Amp, $ 9100 Temp. ServicelFeeder201 -400 Amp, $110,00 Temp, $ervicelFeeder401.600 Amp. $149.00 Temp. Service)Fopder 60 1 -1000 Amp . $16900 Portal to Portal Hourly $ 96 -00 Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 Manufactured Home Connection $120.00 Renewable Electrical I =nergy - 5KVA System or Less $102.00 Thermostat $ 56,00 Nate: $5.00 for each additional T -Scat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120,00 Each Additional 500 Square Ft. or Portion of $ 40.00 Each Outbuilding or Dolached Garage $ 71,00 Each Swimming Pcol or Mot Tub $110.00 JUN 2 6 21 EL CNICAL INSPEUIONS Contract Information Name: `� IG e- Mailing Addres : ''a City; �State,l�)A Zip; 4 _ Phone;. Fax: License # / Exp_ A 9RO7 ... .y fetal. (Qty, Multil;olied by Unit Change) $ $ $ $ � Ntai Owner as definer/ by RCW,19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (,1) 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, f hereby certify that I am the owner of the above named property or a ilcensed electrical con tractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW, Chapter 19.29, WAC, Chapter 29641113, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications, Signatu of owner, electrical c ctor or electrical administrator: C cosh ❑ Check Cradle Card #__0_i!%L 0110112012 W 1 Ol Q ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . , . , , 13- 00000701 Date 6/28/13 Application pin number . , , 985316 Property Address 918 E 9TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 8322- 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . , , . . . R87 RESDNTL SINGLE FAMILY Application valuation , .. . . 0 Application desc Hot tub Owner Contractor Spawn, Cynthia SIMPSON ELECTRIC 918 E 9TH ST 243036 W HWY 101 PORT ANGELES WA 983628013 PORT ANGELES WA 98363 (360) 957 -9270 Permit , . , , , , ETIECTRTCAL ALTER RESIDENTIAL Additional desc , , 1 -4 CIRCUITS Permit Fee , . , 75,00 Plan Check Fee 0D Issue Date 6128113 valuation . , , , 0 Expiration Date 12/25/13 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 ��'`��1?� \1�JA is V°' 1 • ���r � 11-.� 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 EXPIRE SIX (6) MONTI48 FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGF\BUILDrNG e-- Qq c� t�