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:
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WATERLINE I METER
SEWER CONNECTION" ",
SANITARY . ,.'"
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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:;".' "".
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,
PLANNING DEPT.
BUILDING
417-4750. ! 'A~"d..
417-4815 ,rnJ.J ,,- -I<V
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BUILDING
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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
..' '.
:
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:
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AIR SEAL
WALLS
CEILING
FRAMING
JOISTS I GIRDERS
.
6"'/5... D2. LEH-
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SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING
MECHANICAL
8"'"'-t...d"l., LEH.
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, '"
",
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:. ";
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'4t7-473S' ':; j;'~~J~~Ah: ..:/.;,,{
,..
',ACCEPTED ,
';"c' "~:;vts '.'.NO;
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ELEqRlC}\L - LlGHTDEPT.
417-4807
.
CONSTRUCTION-R.W;' i
PW I ENGINEERING
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ENGINEERING
FIRE
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PLANNING DEPT. , .."
BUILDING
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417-4815
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pi.ANNIN~rJ)~iiT.,!, .,..,. ......,. ,'<
BUILDING!
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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
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Qq
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