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Home My WebLink About1410 W 5th St - Building 08/03/2012 09'.08 FAX 380 452 3498 Olympic Electric Cu. + PA CITY INSPECT (A 006/007 ~- . � J �� \ ~°* CITY~'ITY OF PORT ANGELES PERM%T D�� ~� -----~~~^~ ]0uDdingDi9k8i0o/Eluotricol Inspections 321 East Fifth Street-P.0. Box 115D/Port Angeles Wwohiogtoo, 98362 Ph: (368) 4I7-4735 Fax: (300) 4l7-47l1 Doha: 1 &2 Single Family Dwelling � P�zqn Review May Be Repired, Rease Complete Bectrical Plan Review Information Sheet Job Address: 14 k 0 Description of above Ini-tall0airand Resporise--H-scornect for Hat 74ater Tank Owner| Contractor Information Name N ol i�:i City:;,ort Anaeles_Slate: Wa zip� Clty:Por� zmqeles State! wa Zip: 98363 Item UnItCharg C� Total (Qty Multiplied by Unit Chargel QorVc�Fmndwr20OAmo --~ Gem|o�Foedo,201'400Amp $140.DO -------- ~---------- � Somio�Femd�4O1'60OAmp $205.00 --~---- ----~�---- � Berv�ce/Feede'081'1OOUAmp, $282.00 ------- ------~~--' � Semips/Fwwdw,over 1O00Amp, $373.0D ------ ---------- � Branch CircuU0YSorkaFeeder $ 5.03 ------- ----~~--- Branch C|rcuNwVO Service Feeder 3 63.00 . ------- Each 8ddhiona|B�nchO|�u|t $ �D0 ~--- ��- . � Branch C|mu\s1^4 % 75.00 -------- --------- Temp.Service)Peodo'2O0Amp. 83.UD �---------- Temp, �m|m�Fwodor2O1'40OAmp � 1i�0O -��-- ~--------- ' ' ' $ Temp.Service/Feeder 401'0OOAmp, 1400 -------- ---------- Temp,SerWoe/Faydmr8O1'1000 Arnp $ 188.00 ------- Portal to Portal Hourly $ 96-00 ----�� -~--------- � Signal Circuit/L|mi(wd Energy'I &2Fom||yDwelling $ 64.00 ------- -------�- Manufactured HomwConnwctioo * 12U-UO ------- Renewable E|optd"a/Energy^5KVA System orLess �$1C�O0 ------- ~----------- . Thermostat $ 58.O0 -------' ---------' �-----__--' Note!86,OO for each additional T'8ta| ------ NEW CONSTRUCTION QNLY� First 13Duwqumre Fl. 130.DO Each Additional 5O0 Square Ft-or Portion of 40,00 Each Outhu||dingorDmtanhmdGarage $ 74.00 ------- ----------' � Each$mJMM/ng Pool o,hot TVb $110-00 -------' --------- �-- ~c Jo_Total Owner mo defined byRCYV]8.28.261: (1) Owner will occupy the structure for two years after this electrical permit|mfi0m/|zod C� Owner iorequired to hire <� contractor Permit expires after six months of last|ospmoU-n, Afterreoding\heabom0stniwmont | ha(ebyovr-tih'that|anDth$nwnero/the$bovwOmmedpropertynra|ioona$de/wctr|cG�onn(rmotor | ammmK|nQ the o/octrjoo| |118t*||adonore|on$Uuninoorrp|/anc with the electrical laws, N.EC, RCW, Chapter 1y.28. VVAC. Chapter 2yG^408 �h �hvo(Po� Angeles Municipal- Cqde. and U�i�Spe��o8U$nsand PA�C 14.08.050 naRNn�ng Electrical penn�Aoo�mUono. ' ~ ` Signature of owner,electrical contractor or electrical administrator: O c"vh O nm^k Crodit mm# "mm. 0110V2012 - ELECTRICAL PERMIT i CITY OF PORT ANGELES 360-417-4735 O, Application Number . . . . . 12-00001005 Date 8/06/12 Application pin number 183045 Property Address . . . . 14.10 W 5TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2105-0000- 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 . . . . , . , RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Demand response hot water tank no fee Owner Contractor RICHARD A/STEPHANIE A GILMORE OLYMPIC ELECTRIC CO INC 6018 NORMA BEACH RD 4230 TUMWATER EDMONDS WA 980264126 PORT ANGELES WA 98363 (360) 457-5303 ------ -----1 ----- ------------------------------- -- - - - Permit ELECTRICAL ALTER RESIDENTIAL Additional desc DEMAND RESPONSE HOT WATER TANG: Permit Fee , . 00 Plan Check Fee .00 Issue pate 8/06/12 Valuation . . . . 0 Expiration Date 2/02/13 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL fly? COMMENTS: PEFWIT WILL EXPIRE.SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCIlAN0E1BlJILDING MEMO TO FILE April 10 2008 NOTES RE Permit number 04 -279 issued on 4/6/04 and expired on 10/6/04 FROM Jim Lierly Building Inspector Property owners Richard and Stephanie Gilmore completed a second story addition to their single family residence situated at 1410 West Fifth Street, Port Angeles Washington without the required building permit sometime between 2003 and April 2004 An after the -fact permit was then issued that required inspection by an engineer No inspections were made by the City because the structure was completed without inspections An engineering inspection report was requested but one has not been produced From outward appearances and from the building permit application the structure is used for residential purposes Building Inspector Jim Lierly spoke with Mr Gilmore on 4/08/08 about filing a note to the title regarding the lack of inspection such that future purchasers would be aware of the illegal situation It may also be an insurance issue Mr Gilmore said he had filed a note to title but didn't know where such a document should be filed nor could he produce a copy It was then assumed that such had not been done Taxpayer RICHARD A/STEPHANIE A GILMORE 1410 W 5TH STREET PORT ANGELES WA 98363 "AurcS akft)W f7e*--1 1• 43 'S efirl Di P,, 1e) r( eel) connection to or concurrently with the work authorized by a building permit shall not relieve the applicant or holder of the permit from the payment of other fees that are prescribed by law 108.6 Refunds. The building official is authorized to establish a refund policy SECTION 109 INSPECTIONS 109.1 General. Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work shall remain accessible and exposed for inspection purposes until approved. Approval as a result of an inspection shall not be construed to be an approval of a violation of the provisions of this code or of other ordi- nances of the jurisdiction. Inspections presuming to give authority to violate or cancel the provisions of this code or of other ordinances of the jurisdiction shall not be valid. It shall be the duty of the permit applicant to cause the work to remain accessible and exposed for inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of any material required to allow inspection. 109.2 Preliminary inspection. Before issuing a permit, the building official is authorized to examine or cause to be exam- ined buildings, structures and sites for which an application has been filed. 109.3 Required inspections. The building official, upon noti- fication, shall make the inspections set forth in Sections 109.3 1 through 109.3 10. 109.3.1 Footing and foundation inspection. Footing and foundation inspections shall be made after excavations for footings are complete and any required reinforcing steel is in place. For concrete foundations, any required forms shall be in place prior to inspection. Materials for the foundation shall be on the job, except where concrete is ready mixed in accordance with ASTM C 94 the concrete need not be on the job. 109.3.2 Concrete slab and under -floor inspection. Con- crete slab and under floor inspections shall be made after in -slab or under -floor reinforcing steel and building service equipment, conduit, piping accessories and other ancillary equipment items are in place, but before any concrete is placed or floor sheathing installed, including the subfloor. 109.3.3 Lowest floor elevation. In flood hazard areas, upon placement of the lowest floor, including the basement, and prior to further vertical construction, the elevation certifica- tion required in Section 1612 5 shall be submitted to the building official. 109.3.4 Frame inspection. Framing inspections shall be made after the roof deck or sheathing, all framing, fireblocking and bracing are in place and pipes, chimneys and vents to be concealed are complete and the rough elec trical, plumbing, heating wires, pipes and ducts are approved. ADMINISTRATION 109.3.5 Lath and gypsum board inspection. Lath and gypsum board inspections shall be made after lathing and gypsum board, interior and exterior, is in place, but before any plastering is applied or gypsum board joints and fasten- ers are taped and finished. Exception. Gypsum board that is not part of a fire- resis- tance -rated assembly or a shear assembly 109.3.6 Fire resistant penetrations. Protection of joints and penetrations in fire- resistance -rated assemblies shall not be concealed from view until inspected and approved. 109.3.7 Energy efficiency inspections. Inspections shall be made to determine compliance with Chapter 13 and shall include, but not be limited to, inspections for envelope insulation R and U values, fenestration U value, duct system R value, and HVAC and water- heating equipment effi- ciency 109.3.8 Other inspections. In addition to the inspections specified above, the building official is authorized to make or require other inspections of any construction work to ascertain compliance with the provisions of this code and other laws that are enforced by the department of building safety 109.3.9 Special inspections. For special inspections, see Section 1704 109.3.10 Final inspection. The final inspection shall be made after all work required by the building permit is com- pleted. 109.4 Inspection agencies. The building official is authorized to accept reports of approved inspection agencies, provided such agencies satisfy the requirements as to qualifications and reliability 109.5 Inspection requests. It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this code. 109.6 Approval required. Work shall not be done beyond the point indicated in each successive inspection without first obtaining the approval of the building official. The building official, upon notification, shall make the requested inspec tions and shall either indicate the portion of the construction that is satisfactory as completed, or notify the permit holder or his or her agent wherein the same fails to comply with this code. Any portions that do not comply shall be corrected and such portion shall not be covered or concealed until authorized by the building official. SECTION 110 CERTIFICATE OF OCCUPANCY 110.1 Use and occupancy No building or structure shall be used or occupied, and no change in the existing occupancy classification of a building or structure or portion thereof shall be made until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a certificate of occupancy shall not be construed as an approval of a viola- 2006 INTERNATIONAL BUILDING CODE 7 PREPARED 9/26/08 8 53 39 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/26/08 ADDRESS 1410 W 5TH ST SUBDIV TENANT NBR RICHARD GILMORE CONTRACTOR GARY S PLUMBING INC PHONE (360) 457 8249 OWNER RICHARD A /STEPHANIE A GILMORE PHONE PARCEL 06 30 00 0 1 2105 0000 APPL NUMBER 08 00000862 PLUMBING REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 7/24/08 JLL PLUMBING FINAL TIME 01 00 9/22/08 DA July 24 2008 8 52 54 AM 1pangrle ARPAD 457 8249 PLUMBING FINAL METER TO HOUSE AFTERNOON (THE CONTRACTOR STATED HE LL GET ANOTHER PERMIT IN THE FUTURE TO RE PLUMB THE HOME September 22 2008 8 52 21 AM jlierly PL6 01 9/26/08, f PLUMBING WATER SUPPLY TIME 01 00 September 24 2008 2 00 22 PM 1pangrle RICHARD 417 3409 WATER SUPPLY METER TO BLDG AFTERNOON PL99 02 9/26/08 PLUMBING FINAL TIME 01 00 September 24 2008 1 59 13 PM 1pangrle RICHARD 417 3409 PLUMBING FINAL AFTERNOON COMMENTS AND NOTES PREPARED 9/26/08 8 53 39 CITY OF PORT ANGELES ADDRESS 1410 W 5TH ST CONTRACTOR HELGELSON CONSTRUCTION OWNER RICHARD A /STEPHANIE A GILMORE PARCEL 06 30 00 0 1 2105 0000 APPL NUMBER 04 00000279 RES ADDITION PERMIT DF3 00 BUILD PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT BAIR 01 BL3 01 BL99 01 ME99 01 9/26/08 PL99 01 9/26/08 9/04/08 JLL 9/04/08 AP 9/04/08 JLL 9/04/08 AP 9/26/08 ME5 01 9/04/08 JLL 9/04/08 AP PL2 01 9/04/08 JLL 9/04/08 AP RES DBL FEE DESCRIPTION RESULTS /COMMENTS PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV PHONE (360) 928 9588 PHONE BLDG AIR SEAL September 4 2008 9 50 54 AM jlierly September 4 2008 3 57 50 PM jlierly BLDG FRAMING September 4 2008 9 51 16 AM jlierly September 4 2008 3 57 50 PM jlierly BLDG FINAL TIME 01 00 September 24 2008 1 47 17 PM 1pangrle RICHARD 417 3409 BLDG FINAL AFTERNOON MECHANICAL DUCTS September 4 2008 9 52 18 AM jlierly vent fan from bath/j11 September 4 2008 3 57 50 PM jlierly MECHANICAL FINAL TIME 01 00 September 24 2008 1 48 03 PM 1pangrle RICHARD 417 3409 MECHANICAL FINAL AFTERNOON PLUMBING ROUGH IN September 4 2008 9 51 58 AM jlierly September 4 2008 3 57 50 PM jlierly PLUMBING FINAL TIME 01 00 September 24 2008 1 48 36 PM 1pangrle RICHARD 417 3409 PLUMBING FINAL AFTERNOON COMMENTS AND NOTES PAGE 1 DATE 9/26/08 PREPARED 9/04/08 9 53 23 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ BAIR 01 BL3 01 PERMIT TYP /SQ ME5 01 PERMIT TYP /SQ PL2 01 1410 W 5TH ST HELGELSON CONSTRUCTION RICHARD A /STEPHANIE A GILMORE 06 30 00 0 1 2105 0000 04 00000279 RES ADDITION DF3 00 BUILD REQUESTED COMPLETED 9/04/08 9/04/08 ME ME REQUESTED COMPLETED 9/04/08 PL 00 PL REQUESTED COMPLETED 9 PERMIT INSP RESULT PERMIT INS? DESCRIPTION RESULT RESULTS /COMMENTS L RES DBL FEE DESCRIPTION RESULTS /COMMENTS NG INSP DESCRIPTION RESULT RESULTS /COMMENTS INSPECTOR JAMES LIERLY BLDG AIR SEAL September 4 2008 9 50 54 AM jlierly BLDG FRAMING September 4 2008 9 51 16 AM jlierly MECHANICAL DUCTS September 4 2008 9 52 vent fan from bath/ill SUBDIV PHONE (360) 928 9588 PHONE 18 AM jlierly PLUMBING ROUGH IN September 4 2008 9 51 58 AM jlierly COMMENTS AND NOTES PAGE 1 DATE 9/04/08 Internet BilliPay I .Confirm Payments https //billpay.usbank.com/cw411 /wps Pay Bills Payment Confirmation You ve paid the following bills. If you want to keep any additional information on file with the bill, click the Note link. Biller Name Account Amount Pay Date Confirmation Memo kandu Enterprise *90653 $27 10 09/05/2008 83D3L -D24X0 Note Total. $27 10 I of I 9/2/2008 I I 05 AM Internet Bill Pay I,Confirm,Payments, https://billpay.usbank.com/6W411/w,ps Pay MN T.: Confirmation Yo e paid the following tulle. If you went to keep eny additional mfommtioo on Me with the bill, click the Note link. Hide Name Account Amo at PayDote Confirmed° Memo kandn Enterprise •90653 T27.10 09/05/2008 83D3GD24X0 Note Total 027.10 f ltir 1 !1l 'r( .(Ill' 'l fir yu •1e i J Iltti}ll 0/2/2008 11' ()3 AM Bill To KANDU 565-8383 9\ Q4 41- °6( Richard Gilmore 1410 W 5th Port Angeles, Wa. 98363 714 west sixth street Port Angeles, WA 98363 360 -565 -8383 G e-1\ 5512 Item Quan. Description Ductwork 0.5 Install bath ducting/vent Kandu Enterprise Sales Tax (8 4 Total t1 ES 1116 NG DIVISION P O No. Terms U/M Man hrs 9/2/2008 44 R E C E V E D kandu ol y pen.com SEP 0 2 2008 /r 30Qm City of PA Due on receipt Date Rate 50.00 Invoice Project vent Invoice Amount 25 OOT $2.10 $27 10 0 (4- 7 z 43,9 teN,4 •Fot,%,L) V,AN F.--LJN 6-e 48" E,L 44, u57 rA1.1 m-t IL ao A-C-Cc:•Z W ALL 1 40 17.' O a tc.3,4,41/4- C7),LAmoizz.. Itov sTit Arm 640c) a•trz Lo$ Z$ A 1 t 6" S; ?A FLe. C oe _o ek MAT Wel 0) FLcoNz- .0■s.. AILEU z)P001 I 6 cf.1-smz5 Z/-G 24 oc_ 6 FAT L-7-"s-coszi ist,b No-rx 6 T 111,A, 1 5/- "FLO:DC.. a'st tO i6 oc 8 40 if Z b7- Tv.lb 5-0C(coZ. PREPARED 7/24/08 10 17 36 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/24/08 ADDRESS 1410 W 5TH ST SUBDIV TENANT NBR RICHARD GILMORE CONTRACTOR GARY S PLUMBING INC PHONE (360) 457 8249 OWNER RICHARD A /STEPHANIE A GILMORE PHONE PARCEL 06 30 00 0 1 2105 0000 APPL NUMBER 08 00000862 PLUMBING REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS/COMMENTS PL99 01 7/24/08 PLUMBING FINAL TIME 01 00 July 24 2008 8 52 54 AM 1pangrle ARPAD 457 8249 PLUMBING FINAL METER TO HOUSE AFTERNOON (THE CONTRACTOR STATED HE LL GET ANOTHER PERMIT IN THE FUTURE TO RE PLUMB THE HOME COMMENTS AND NOTES C.A41C 5-76 Pr7_a -3 1Z, 1/14 4 I yOq IA. i c3e) 413 Z1406. z-e.1 I. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation RICHARD A /STEPHANIE A GILMORE 1410 W 5TH ST PORT ANGELES WA 98363 T Forms /Building Division/Building Permit (10 /Ol /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00000862 465114 1410 W 5TH ST 06 30 00 0 1 2105 0000 RICHARD GILMORE PLUMBING REPAIR RS7 RESDNTL SINGLE FAMILY 4358 Application desc PEX PLUMBING NEW WATER LINE (METER TO HOUSE) Owner Contractor GARY S PLUMBING INC PO BOX 255 PORT ANGELES (360) 457 8249 Date 7/18/08 WA 98362 Permit PLUMBING PERMIT Additional desc PEX NEW WATER LINE Permit pin number 130344 Permit Fee 57 00 Plan Check Fee 00 Issue Date 7/18/08 Valuation 0 Expiration Date 1/14/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 Fee summary Charged Paid Credited Due Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work 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 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) d47' 9 CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF./ CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT H's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I I BUILDING 417 -4815 T Forms /Building Division /Building Permit (10/0 I/07).wpd BUILDING PERMIT INSPECTION RECORD FINAL 9 2 '6 _CO DATE 'IOL ACCEPTED BY. FINAL SEPA. ESA. SHORELINE. ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT I BUILDING DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE I ACCEPTED I YES I NO Applicant or Agent tG I S P l u to N 9 N L Phone Property Owner (-IID ..,JET Phone Property Owner's Addr s$ R,L Arp G, it Al ti" J Phone Contractor /Engineer Contractor /Engineer's Address License PROJECT ADDRESS �I Parcel Number BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Project Type Brief Description. Residential Commercial Multi- family Check all that apply New Construction l j) `L W t.J A i t r V∎ C C ❑Addition Remodel 4PtAcu c14t vi'AA t tCA Repair Re -roof Demolition Heat System Heat pump wood burning stove gas fireplace pellet stove other 'Other Floor Areas Basement 1st Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other T Forms /B l ilding Division /Bldg Permit Appl 2006 Code doc Existing (sq. ft.) Proposed (sq. ft.) Total footprint of structures sq ft. T Lot size 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 Expires For City Use Only Date Received 7 16" Permit ("VA— Date Approved 467 ig ai--(9 Lot Zoning per sq ft. sq ft. Lot coverage of bedrooms of full baths of half baths Date /I Print Name 1J g' 4).J Co N S Signature Industrial mil vJ TOTAL VALUATION .j y I have read and completed this application and know it to be true and correct. lam authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to otz ain permits prior to working on projects. Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner RICHARD A /STEPHANIE A GILMORE 6018 NORMA BEACH RD EDMONDS WA 980264126 Structure Information Construction Type Occupancy Type Other struct info Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per 9 00 14 0000 Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per Signs ire of Contractor or Authori d Agent T \PLANNING\FORMS \1102 15 [11/14/2003) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 04 00000279 312124 1410 W 5TH ST 06 30 00 0 1 2105 0000 RES ADDITION RS7 RESDNTL SINGLE FAMILY 10240 Contractor HELGELSON CONSTRUCTION 132 ANGELES LAIR LANE PORT ANGELES PORT ANGELES (360) 928 9588 SECOND STORY ADDITION TYPE V NON -RATED SINGLE FAM CONGREGATES TOTAL LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL DOUBLE FEE WORK WITHOUT PERMIT 218 75 Plan Check Fee 4/09/04 Valuation 10/06/04 BASE FEE THOU BL -2001 25K (14 PER K) MECHANICAL PERMIT DOUBLE FEE 61 50 Plan Check Fee 4/09/04 Valuation 10/06/04 BASE FEE 2 00 7 2500 ECH ME VENT FAN BASE FEE 6 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP Date V N 4/09/04 WA 98363 1 00 2 00 1 00 7000 00 1 00 1 00 1 00 87 50 10240 Extension 92 75 126 00 00 0 Extension 47 00 14 50 PLUMBING PERMIT DOUBLE FEE 89 00 Plan Check Fee 00 4/09/04 Valuation 0 10/06/04 Extension 47 00 42 00 Signature of Owner (if owner is builder) na e_ 6 1 ci -26- .*.\‘coLn y,* 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 authonzed Is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give .-uthonty to violate or cancel the provisions of any state or local law regulating construction or the performance of consttes :ion. Date BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS CALL -8117 -4735 FOR ELECTRICAL INSPECTIONS. 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 KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE(DUCTS) GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT ti's PARKING/LIGHTING LANDSCAPING RESIDENTIAL -'-I -bq I Tu.- CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 7 -4653 I NG DEPT 417.47 j I BUR NC 417 -4515 1. 9 26 OD O I Al I ;(1s) ,i YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417 4735 ELECTRICAL LIGHT DEPT FINAL 26 08 DATE ACCEPTED BY. O i FINAL 219 g DATE 31.1., SEPA. ESA. SHORELINE: CONSTRUCTION R.W PW ENGINEERING FIRE DEPT NNING DEPT DING ACCEPTED BY. DATE I ACCEPTED I YES I NO CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number property Address ASSESSOR PARCEL NUMBER: Application description Subd~v~sion Name Property Use Property Zon~ng . . . Applicat~on valuation 04-00000279 Date .312124 1410 W 5TH ST 06-30-00-0-1-2105-0000- RES ADDITION RS7 RESDNTL SINGLE FAMILY 10240 Owner Contractor Structure Information Construction Type Occupancy Type Other struct ~nfo HELGELSON CONSTRUCTION 132 ANGELES LAIR LANE PORT ANGELES PORT ANGELES (360) 928-9588 SECOND STORY ADDITION TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS RICHARD A/STEPHANIE A GILMORE 6018 NORMA BEACH RD EDMONDS WA 980264126 4/09/04 ~(G~ LOjb f04 WA 98363 1. 00 V-N 2.00 1. 00 7000.00 1. 00 1. 00 1. 00 Permit BUILDING PERMIT -RESIDENTIAL Additional desc DOUBLE FEE WORK WITHOUT PERMIT Permit Fee 218.75 Plan Check Fee 87.50 Issue Date 4/09/04 valuation 10240 Expiration Date 10/06/04 Qty Unit Charge Per Extension BASE FEE 92.75 9.00 14.0000 THOU BL-2001-25K (14 PER K) 126.00 Permit MECHANICAL PERMIT Additional desc DOUBLE FEE Perm~t Fee 61. 50 Plan Check Fee Issue Date 4/09/04 Valuation Expirat~on Date 10/06/04 Qty Unit Charge Per 2.00 BASE FEE 7.2500 ECH ME-VENT FAN Permit Additional desc Perm~t Fee Issue Date Expiration Date PLUMBING PERMIT DOUBLE FEE 89.00 4/09/04 10/06/04 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 6.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP .00 o Extension 47.00 14.50 .00 o Extension 47.00 42.00 ~ ~;j',?-o ~ - ~ ""'- \J c CJ1 ;t ~ 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 authonzed is not commenced Within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied With whether specified herein or not. The granting of a permit does not presume to give uthonty to Violate or cancel the proviSions of any state or local law regulating constructron or the performance of const tion. Signature of Owner (if owner is builder) T \PLANNINGIFORMS\1102 15 [11/14/2003] Date iI'.I0RT~ ~~O~"'::", (}~~ "-~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Applicat10n Number . . . . . 04-00000279 pin number . . .312124 Page 2 Date 4/09/04 Other Fees DOUBLE PERMIT FEE STATE SURCHARGE 218.75 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 369.25 369.25 .00 .00 Plan Check Total 87.50 87.50 .00 .00 Other Fee Total 223.25 223.25 .00 .00 Grand Total 680.00 680.00 .00 .00 Separate Permits are required for electncal work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct All proviSions of laws and ordinances governing thiS type of work will be complied With whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the prOVIsions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T'\PLANNINGIFORMS\1102 15 [11/14/2003] BUILDING PERMIT - APPLICATION ate Issued. Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Applicant or Agent: ~ ~ t.-, tie (~ ~~ ~, Owner: (?'c....0 A-f2;(J G'l 'I (~ Address: I l.{ L D LO 6s-r ~ City: Phone: '12.. ~ C) S 9' ~ Phone: P,fI~ Zip: C) <f S (P 2.. Architect/Engineer: Phone: Contractor jJeJ1~ ~Ovt 'sC'tIJtfstate License #:;!&~Cf!ila5hxp: 4-J 5-0 i Phone:4~C>~ (:, 1 ) Address: /8d-. 4lkje/1; /.--4112. Lv, City: ,Po,eT AA.J<sst:! Zip: 9cf-Sb.3 PROJECT ADDRESS: ) 4 \ 0 LV e;::t .s:-~ S I ZONING: LEGAL DESCRIPTION: Lot: 0. ~ -:, Block:---'- ~_I Subdivision: CLALLAM COUNTY PARCEL NUMBER: () Co3 ()OQ () I ~I. OS' OOOC) Credit Card Holder Name:~ Billing Address: Credit CardType VISA ~ # TYPE OF WORK: o Residential 0 ~ew Constr. 0 Re-roof o Multi-family 0"'" Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: ~ ~ L [ "'^' '(/i) .1:::- City: SIZENALUATION: I "3,2rJ SF.@$ ~,&)SF. =$ /0, 7-...l.(07 00 . SF.@$ /SF.=$ SF. @ $ /SF. = $ TOTAL VALUATION $ A-OP ., th 0 It J o Stove o Garage o Deck o Other ~AJJ) P-J 1Jr) ~ . COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: ~ Lot Size: ~ X l'fO Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage -===-% = Total lot coverage Construction Type: ~ =TOTALSq.Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist requrred? 0 Yes 0 No Other: BillLDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the apphcatIOn and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Contact the Permit Coordinator at 417 -4815 for aSSIstance. PLAN CHECK FEE: IF a plan check fee is due it must be subrmtted at the time the building permit apphcation 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, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current editIOn). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my re~ponsibility to determine what permits ~re required ,not the City's, and }hat I must obtain such permits prior to work. BFORMSIAP?S,"mldm,,"''''' wpd Apphoon" 91.... <f, / ~ Da'o, :3 - .;2 7 - ot 'j (j 1 r; CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date C;-fJ..lf -D-1' Time Cj..""?U /).)11 rReceived by ~(~ G7person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): seW~ming Chimney INSPECTION NOTE:; ...,J_. Inspected: Date ~ Remarks: /003 U) '-~+V; [:Jet. u....e....- , \ Plumbing Final Phone No. 70k' -06 /:./ / Permit No .r~ -br-E> h tJ; k\~ ;--S Sewer Excav. Other Time-Am ByJ L - ~~&e 'OollU c::..p IN I- 4 f-~ '-'\t..t oJ...e~ RESTORATION REQUIRED. . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City [] Repaired by Permittee D No Damage Found Work Order # o COMPLETE o INCOMPLETE Permission to continue construction, alteration, maintenance or repair work of any kind is hereby revoked or does not exist until conditions set forth in the ordinances and building codes of the City of Port Angeles are complied with. '~~. L ~!lF' ) Y,f " <)-" .~., . ..,~ .-;'" ".>..... . ..~~-.,\.'<J"'...,. --'" -t,,, ~ ~ ~ ~~.'" .F')' ~~... ..- ~ '~\..J'" f~e~1~~'" .. \'" <.. '\ ,. ->, ~ ~ .. rx. r..:G-1t'~_ .nl{......~'~jt ~ ',"', " ,,~(,...J~f" ~ .~~?:: ~>*.Jl'r: .~~t ~".J.J:~r"' ,r.~ - " .". ,\. ~ ~ ~~~ ... T~" :' '-~. _r'~ '" v'i...-..-~... :, i ~ ..---::.... . . lit -, . . : ~ 1/lJ!<).~''9' r :i:..... , '" , ~ ','1' -, ',J;~\~. '~~~', ":t'.'" CITY OF PORT ANGELES > ... ~.... ~\,';f,_~..t)t;..("~";.._{<".. ,. "'" ' . " :'.0o,,'!.',,;i" ..... -*1<.''-'''; " ' , , .,.; J'';_ ',"-t'" ~:~~ ~~:\...,'? '" ' ~ ..1....... "'Jlt(... "h:" ~ 't" ,-( ....1..1o: itl1 DEPA ME T Of DUBllC WORKS "" .',.'iC,'" ~. ',,' ," ~,..: ',',:"i1q. Ri,. , RT N r: . Carr 451:04 fl' ~e,tt~ t.2t)~'.t:>:':~~~ ,,' , . . .' " Building Section 'for 'rurther-tn-f-Ormatio,{:;' '''~'':,:' STOP WORK NOTICE , Effective Date.~' .~.:-: 1 . . Location of Work Name of Permit Holder Address of Perm it Holder Building Official ~ Time l ~. ~ l' . Permit No. 'f . .~ -t > ,. ..Po " ( . . , '" I-~ l' / . , ~ .. , , ~ ~',,' . ~ ~ '- '"' '. J' . ,r II ... ~." /' I ~; " fv."~' ' I ~ 0" <;"'... \\ , , & /; Posted By ,A, ,1> WARNING: CONTINUATION OF WORK OR REMOVAL OF THIS NOTICE IS A MISDEMEANOR AND IS PUNISHABLE BY STATE LAW. NOTICE: TO BE REMOVED ONLY BY BUILDING SECTION PERSONNEL. .. ~ t>- -... ~ ~ \\.J ~ ~ 'V "< 0 II ~~l - {t (Jj - ~ ~ ~J - ~. <::t ~ \7 3 ~ ).1.) ~ ':j o Q ~ J ~ 'it V\ <l.! )---... 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I ./__ : /0V'> -"7 _ m-~ ~ :: /' {:: =-""t'\ ';j .:=~ f , ..Q.-C\" ~ i:: {' ~-d~ , (ftt:P ~ ~" -r-t: 4~ 1 t. =--~ : I --1< ~I A , ')1 ~I ~' " ;" ~~ -ro -- <: ~ ~~ ~ /:1 .' . U) L:l0\ Q b ~E + (,l~ ~~ t'~ ""~ t ,'l .\., ," , .1 " ~ll \l i~ , , /,'. Ii;. ~t .j' \. ~. ' f. rl~, ' .j. '"~ ......,-p- :~I ~~., .JI .I' ~.: '',I', '1' ;- I ~ I,,' ~{" ~p ',' ii' ~> lill ,:'1 ~~! itJ ?i ," /11 ~ ,..Ji i1~ 'l.~), :1 ~ >1'1 ., " .' !,. ~t'l " };.. i~' ':1' ,~ J~ ,I,' ~ ,'Ii l!:~ !T.. (j) C cw. 1) - C> C> 10 " "', ., '., FI'J~ ---/ / /' . / CIVY OF PORT ANGELES - Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the bUilding official from thereafter requiring the correction 01 errors in said plans, specllicatlOns and other data, or from preventing bUilding operations being carried on thereunder when In vlolallon 01 all codes and ordinances of thiS Jurisdiction. (SECTION 303(c) - Um rm ulldin Code.) ~/ q "0 By ~Lt, Approval Date flI c:... (II 0 \) 4 , ""t\ 0- C) i\) '- '~ '-, ~ . T i CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16519 fL -:;/ )J Port Angeles, Washlngton..m.m.m._m._....Mmm.mm._m_.....mmm. 19........ In accordance with the City Ordinance to regulate the Installation, extension. or repair of elec- trical equipment In. on. or about any building or other structure In the City of Port Angeles. per- ::::s: i~./~~::_~~.~fE(:..~~_~~..:~.::~~.~~..~~.IO:~cupancy...~:__........__._........m_. Owner ..m..__~!..!t~.ma.P4..."fit?"~)lnt1;m.m__..____...._mmm._..m..m..m....m....___..mm.. Wiring Contractor _...~.e,,~.~..-~ ty___..____.m.m..m.mmmm....m__......___...mm..__.... Light Outlets....................._.............___._ Service, volts .../d.O~~.~ Type 01 Wiring: Receptacle Outlets_______........................ No. wires ........~.........._.......J:,'!':.. Armored Cable ................---......-.... SI I $(& ~ ' Non.Metalllc ................................. ze w res...X.7."'" ...-.....1"~..~.. ~~. Knob & Tub................................._ :::~o:::: ::::.~:::::.::.::.:::::..m Rigid Conduit .........................___... Metallic Tubing ...............___..m_... Dryer, KW...........nn.nnn......_u_...____... Range, KW ___.h.________n________...___n___ Water Heater: He~t~:~::::~:~:.f~.... Motors: size, volts and phase: Type of wiring; Entrance Cable ...n.,mmnmm Sec. No......_____.................________........... Raceway ......................._....._._..._ Circuits, L1ght...n.............................__.. Utility............................................. lIeat ......................................._.._.. Range ............................................. Water Heater h............................. Motor ..._....................................__.. Rigid Conduit ..................... Metallic Tubing ....mmn... Current transformers: No. & Size....................................... Ser. No. ............................................. Dryer ....................._.........00............__ Furnace .........................._......_.._....... Ser. No. .......00.................................... Total Load...n........................ Ser. No. ................._.......................... Total ................_n.................... Remarks: mm___u___uu___uu__..__..__~~.muum-uummmmm---m.muumumummmmmmm.m .~ . ___ul.~.:-..---..nnuun.un-n-nuhuh..__-n---n.-nnnnn..nnnu..nu-nunn.uu.uuu......u...___.Uh..hhUnnuu___n.nn_nn_u..nnnnn_.__ ::~.~.~~..~::.___.m_____u___. ::~.~.~:u~~.~.~~.~.~.._._ By .~;i;d,t2E,~dr~~.~~ 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 betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION r'.".-:-~V" 1/1. oJ; ELECTRICAL PERMIT N? 16519 Address...................___.........................___..............................................h_............__......................Date..._....;:_.._.._.._.........._......_...__h....._ Owner.................._....___....h..._.................._......_.._.......__..................................................Tenant.................................................................... Wiring Contractor ...................................._..................................................................................... By.......................................................__..... NOTICE-Current must not be turned on until Certirlcate ot Inspection has been issued. If work is to be COD- c~aIed due notice must be given the Inspector so that work may be inspected betore concealment. --".(' '\ /. , .-/' ./ \ 1M.... \. Olympic Printers, Inc. --,,'" " \.I