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Home My WebLink About214 W 12th St - Building Building Permit 214 W 12t'' St 13 - 357 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000357 Date 4/08/13 Application pin number . . . 277467 Property Address . . . . . . 214 W 12TH ST ASSESSOR PARCEL Application type description 3 iption MECHANIICAL APPL. PERMIT REPORT SALES TAX Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles Application valuation . . . . . 1400 (Location Code 0$02) Owner Contractor ------------------------ ----------------------'-- Cheryl A Ross KATHOL CONSTRUCTION 214 W 12TH ST 312 BIGELOW RD PORT ANGELES WA 983627716 PORT ANGELES WA 98362 (360) 417-5594 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . Permit Fee . . . . 6.0.65 Plan Check Fee .00 Issue Date . . . . 4/08/13 Valuation, . . . . 0 Expiration Date 10/05./13 . 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 construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit 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 fi 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: I� 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 FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall I Hold Downs Walls I Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace!FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit:#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type - Date Accepted By Electrical 417-4735 Construction-R.W. PW I Engineering 417-4831 �l Fire 417-4653 �l Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit THE CITY OF ; NGE - :; For City.Use W A S H I N G T O N , U . S . Permit# Date Received: y 3 321 East 51 Street Port Angeles, WA 98362 Date Approved Cf1 gl�3 P: 360-417-4817 F: 360-417-4711 permits@cityofpa.us Building Permit Application Project Address: Main Contact: Phone # E-Mail: Property Name Phone Owner ° 5 Mailing Address Email City State !� Zip JX Contractor Name ` Phone MailingAd/dress JI 9 Email City �r� � State � ` Zip�� Contractor License # [ Expiration: Project Value: Zoning: Tax Parcel # Lot# $ /70D �- Type of Residential Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ For the following, fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ' `D o Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No ❑ Project Description I have read and completed the application and know it to be true and correct.I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned and the fees forfeit. Date Print Name Signature / fin 7 t r Residential Structures For Office Use Area:Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor 1 x t t t Covered Oeck/Porch/Entry �•a Deck Garage Carport Other(describe) Area Totals \ Commercial Structures For Office Use Area Descriptions (SQ FT) Existing Proposed. $$Value Existing Structure (s) Proposed Addition Tenant Improvement? Other work(describe) Area Totals Lot/Site Coverage Calculations Footprint(SQ FT) of all Structures: Lot Size: %Lot Coverage SQ FT Site coverage (all impervious+ %Site Coverage structures Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project Air Handler Size: # Haz/Non-Haz Piping #of Outlets: Appliance Vent # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Water Heater # Medical gas piping #of Outlets: Water Line # Vent piping # Sewer Line # Industrial waste pretreatment # interceptor Other describe): T:\BUILDING\APPLICATION FORMS\BUILDING,PERMIT 081212.DOCX PREPARED 4/26/13, 11:47:47 INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF PORT ANGELES ------------------------------- ------------- APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR ------------------------------------------------------------------------------------------------------------------------------------ 13 00000357 214 W 12TH ST 06-30-00-0-3-7820-0000- 063000037820 000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 4/17/13 APPROVED JLL REQ COMM: April 17, 2013 8:09:20 AM pbarthol. REQ COMM: Thelma 559-380-9264 RES COMM: April 17, 2013 4:09:39 PM jlierly. PREPARED 5/23/07 8 17 28 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/23/07 ADDRESS 214 W 12TH ST SUBDIV TENANT NBR CHERYL ROSS CONTRACTOR DOUBLE S CONST PHONE (360) 452 0824 OWNER 0 CONNOR MICHAEL E PHONE PARCEL 06 30 00 0 3 7820 0000 APPL NUMBER 06 00001230 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 5/23/07 JLLBLDG FINAL 05/22/2007 03 39 PM LPANGRLE STEVE 460 9423 BUILDING FINAL CALL FIRST AL OMAN PLANS TO DO HIS ELECTRICAL FINAL AT 10 00 AM PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 54/ /07 JL MECHANICAL FINAL 05/22/2007 03 43 PM LPANGRLE STEVE 460 9423 CALL FIRST MECHANICAL FINAL AL OMAN PLANS TO DO HIS ELECTRICAL FINAL AT 10 00 A M PERMIT P 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 12/22/06 JLL PLUMBING ROUGH IN 12/22/06 AP 12/21/2006 01 53 PM PBARTHOL DALE 452 8525 12/22/2006 03 25 PM JLIERLY PL99 01 1/1 7 J PLUMBING FINAL 05/22/2007 03 42 PM LPANGRLE STEVE 460 9423 CALL FIRST PLUMBING FINAL AL OMAN PLANS TO DO HIS ELECTRICAL FINAL AT 10 00 A M COMMENTS AND NOTES rlwkL d vw CITY OF PORT ANGELES PUBLIC.WQRKS;-:,;ELECTRICAL DIVISION v F.A�BT 3TH ST . ,� .PO�2T ANGELES.Wi1983G2 L� Application Number 06 00001230 Date 1/03/07 Application pin number 058120 Property Address 214 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 7820 0000 Tenant nbr name CHERYL ROSS Application type description RES REMODEL Subdivision Name Property Use z Property Zoning RS7 .RESDNTL SINGLE•fF.AMILY Application valuation 7000 ~' Owner Contractor O CONNOR MICHAEL E DOUBLE S CONST 214 W 12TH ST PO BOX 1386 PORT ANGELES WA 983627716 PORT ANGELES WA 98363 (360) 452 0824 Permit ELECTRICAL NEW RESIDENTIAL Additional desc S & J ELECTRIC/ 200A. + REMODEL- Permit pin number 92551 * , Sub Contractor S & J ELECTRIC ,v Permit Fee 78 70 Plan Check Fee 00 Issue Date 1/03/07 Valuation 0 Expiration Date 7/02/07 Qty Unit Charge Per Extension 1 00 78 7000 ECH EL RM 0 200 1ST SRV FEEDER 78 70 Other Fees STATE SURCHARGE 4 50 Fee summary Charged -�uPaid Credited Due 2TLT Sr N Permit Fee Total 78 70 078 70 3 7820 0000 00 Plan Check Total 00 00k RO• 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 83 20 83 20 00 00 n^ V, Q�' BpXll�b 1 824 pe' tA iyten�ic,ii lx -III, L .z COMMENTS/ACTION NEEDED R +e ELECTRICAL PERMIT INSPECTION RECORD CALL 417-0735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A M uM M 24 HOUR NOTICE. IT IS UNLAWFUL TO CO,VEIt INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE MORMON TYPE DATE ACCBPTSD COMMEM YRS NO DITCH 7-o .Z-2 FINAL 1 5-,A3- 07 GENERAL COMMENTS: 'PW-1102.1514" PREPARED 12/22/06 8 40 15 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/22/06 ADDRESS 214 W 12TH ST SUBDIV TENANT NBR CHERYL ROSS CONTRACTOR DOUBLE S CONST PHONE (360) 452 0824 OWNER 0 CONNOR MICHAEL E PHONE PARCEL 06 30 00 0 3 7820 0000 APPL NUMBER 06 00001230 RES REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 12/22/06 L PLUMBING ROUGH IN 12/21/2006 01 53 PM PBARTHOL DALE 452 8525 COMMENTS AND NOTES ° ""°F CITY OF PORT ANGELES .�`N iA; DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION `` v 321 EAST 5TH STREET PORT ANGELES,WA 98362 , Application Number 06 00001230 Date 11/15/06 Application pin number 058120 Property Address 214 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 7820 0000 Tenant nbr name CHERYL ROSS Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 7000 Owner Contractor O CONNOR MICHAEL E DOUBLE S CONST 214 W 12TH ST PO BOX 1386 PORT ANGELES WA 983627716 PORT ANGELES WA 98363 (360) 452 0824 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 90530 Permit Fee 165 75 Plan Check Fee 66 30 Issue Date 11/15/06 Valuation 7000 Expiration Date 5/14/07 Qty Unit Charge Per Extension •� BASE FEE 95 75 5 00 14 0000 THOU BL 2001 25K (14 PER K) 70 00 Permit MECHANICAL PERMIT Additional desc Permit pin number 90548 Permit Fee 57 25 Plan Check Fee 00 Issue Date 11/15/06 Valuation 0 Expiration Date 5/14/07 ` Qty Unit Charge Per Extension ^�— BASE FEE 50 00 1 00 7 2500 ECH ME VENT FAN 7 25 Permit PLUMBING PERMIT Additional desc Permit pin number 90555 Permit Fee 57 00 Plan Check Fee 00 ( / 1 Issue Date 11/15/06 Valuation 0 Expiration Date 5/14/07 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 ECH PL- EA REPAIR/ DRAIN / VENT 7 00 �.r) Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due C/ Permit Fee Total 280 00 280 00 00 00 <.y Plan Check Total 66 30 66 30 00 00 l Other Fee Total 4 50 4 50 00 00 Grand Total 350 80 350 80 00 00 t Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work 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. 14,'r 1 I- I (� 60 Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T\Policies\1102_15 building permit inspection record05.wpd[1/4/2005] r BUILDING PERMIT INSPECTION RECORD 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 NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWNSPOUTS PIERS \ `� POST HOLES(POLE BLDGS.) PLUMBING Q( UNDER FLOOR/SLAB ROUGH-IN a WATER LINE(METER TO BLDG) SHOWER PAN FINAL 517010 I 7 DATE �L� ACCEPTED BY. MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(rNTERIOR BRACED PANEL ONLY) T-BA R INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE y� `] j �\ WOOD STOVE/PELLET/CHIMNEY FINAL 0! 213/O l DATEZ v ACCEPTED BY. �\J COMMERCIAL HOOD/ DUCTS MANUFACTURED FIOMES FOOTING/SLAB BLOCKING&HOLD DOWNS l SKIRTING ^\ PLANNING DEPT SEPARATE PERMIT#'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 4174653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T-\Policies\l 102_15 building permit inspection record05.wpd[1/4/2005] v C)\.pORT,I&G. FOR OFFIC USE NLY ``'s BUILDING PERMIT - APPLICATION DateRec. 4 Of Permit# I—, -�y Fill out COMPLETELY and in INK.Your applicatior and site plan MUST B Date Approved: # /S 0 COMPLETE to be accepted for review If you have any questions, call to PERMITS(360)417-4815 FAX(360)417-4711 Date Issued. Applicant or Agent: 'I)Uu a& S �Q<% ?Nc- Phone. Owner- C tAE�`' L 'R0SS Phone. (0-1O Address City A Zip Archltect/Eng-meer• Phone Contractor :j)o L4S S LzKl c Ca State License#1Poui3LS(-6((abWxp 12L.5plo!7 Phone. 4-o-5 us Address ?U o`t- \39(o City 1J.1 . Zip PROJECT ADDRESS _ �Z lad 2'�- ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. 64*'30' �~D~3- 7 PLC Z 6) Credit Card Holder Name. Billing Address: City. Credit Card Type VISA MC # Exp.Date: TYPE OF WORK. SIZE/VALUATION ( �Ucec) Cr"Residential ❑ New Constr ❑ Re-roof ❑ Stove SF @$ /SF =$ ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF @$ /SF =$ ❑ Commercial Er Remodel ❑ Demolition ❑ Deck SF @$ /SF =$ ❑ Repair ❑ Sign �j Other ' 1 'TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT PJA,3&t"a--, :W-.5A*-y q � COMMERCUL/RESIDENTIAL. Occupancy Group-_ Occupant Load. Construction Type: No of Stories:, Lot Size: Existing Sq Ft. &Proposed Sq Ft. =TOTAL Sq Ft. Total lot coverage % PLANNING USE ONLY APPROVALS. PLAN BLDG DPWU FIRE ESA/Wetland(s)- ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other- OTHER. 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 IF a plan check fee is due it must be submitted at the tune the building permit application and construction-plans are submitted. All other permit fees are due at the tune of permit issuance. EVIRATION OF PLAN REVIEW If no 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 R105.3.2 of the International Building/Residential Code,2003) No application can be extended more than once. 1 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 itis my responsibility to determine wha permits are required,not the City's, and that 1 must obtain such permits prior to work. � qt T•\Policies\BL 1102_13 wpd Applicant: Date: I Cl—,y Or-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 of errors in said pla;s specifications and other-data, or from, preventing — -building-operations being carried on thereunder uer when h n in n. violation of all codes and ordinanc 'LE m ilding CodeJ� C_mor Approval Date UPSIASM BED - - 2 Lot) -- - -- _ -_ - - --_- -- - OF pORT,k,O� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 05-00000838 Date 9/07/05 Application pin number . . . 582758 Property Address . . . . . . 214 W 12TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-7820-0000- Application type description RE-ROOF Subdivision Name . . . . . . Property Use . . . . . . . . �•�- Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 7000 Owner Contractor ------------------------ ------------------------ O'CONNOR, MICHAEL E. OWNER 214 W 12TH ST PORT ANGELES WA 983627716 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR-OFF, FELT COMP Permit pin number . 59436 Permit Fee . . . . 162.75 Plan Check Fee .00 Issue Date . . . . 9/07/05 valuation . . . . 7000 Expiration Date . . 3/06/06 Qty Unit Charge Per Extension BASE FEE 92.75 5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00 T ---------------------------------------------------------------------------- Other Fees . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due - ---------------- ---------- ---------- ---------- ---------- Permit Fee Total 162.75 162.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 167.25 167.25 .00 .00 I S 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 1s not commenced within 180 days,1f 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 Owner(1 owner is builder) Date T\Policies\l 102_15 building permit inspection record05 wpd[1/4/20051 e`gyp%4ra� ��s FOR OFFICIAL USE ONLY � 1� BUILDING PERMIT - APPLICATION Date Rec f Pertut# Fill out COMPLETELY and in INK Your application and site plan MUST BE Date Approved `�� COMPLETE to be accepted for review. If you have any questions,call PERMITS(360)417-4815 FAX(360)417-4711 Date Issued Applicant or Agent: Phone: -3/'o 2, Owner: .S � Phone: Address: City: Zip: Architect/Engineer: Phone: Contractor State License#: Exp: Phone: Address: City: Zip: PROJECT ADDRESS: It ) /Z ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: �� Billing Address: lCity: Credit Card Type VISA MC # Exp.Date: TYPE OF WORK: SIZE/VALUATION: ❑ Residential ❑ New Constr.XRe-roof ❑ Stove SF. @$ /SF.=$ ❑ Multi-fancily ❑ Addition ❑ Move ❑ Garage SF. @$ /SF.=$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF.@$ /SF.=$ ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories:_ Lot Size: Existing Sq.Ft. &Proposed Sq.Ft. =TOTAL Sq.Ft. Total lot coverage % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: ESA/Wetland(s): ❑ Yes❑No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER: VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE:IF a plan check fee is due it must be submitted at the time the building permit application and construction plans ate submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no 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 R105.3.2 of the International Building/Residential Code,2003). No application can be extended more than once. I hereby certify that 1 have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required,not the City's, and that/must obtain such permits prior to work. T\Policies\BL-1102_13.wpd Applicant: Date: 7 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION �r 321 FAST STH STREET. PORT ANGELES.WA 98362 Application Number . . . . . 05-00001043 Date 10/30/05 Application pin number _ . . . 064615 Property Address . . . . . . 214 W 12TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-7820-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ O'CONNOR, MICHAEL E. OLYMPIC ELECTRIC 214 W 12TH ST 4230 TUMWATER PORT ANGELES WA 983627716 PORT ANGELES WA 98363 (360) 457-5303 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . OLYMPIC EL/ FURNACE Permit pin number 63248 Sub Contractor OLYMPIC ELECTRIC Permit Fee . . . . 48.10 Plan Check Fee .00 Issue Date . . . . 10/30/05 Valuation . . . . 0 Expiration Date . . 4/28/06 Q Qty Unit Charge Per Extension 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS 48.10 �^ Fee summary Charged Paid Credited Due n 1 --------- ---------- - --- ---------- H Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 t \ COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MV34UM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMPT CARD AND APPROVED PLANS AT JOB SITE WSPECT oN TYPE DATE ACCEPTED COMMENTS YES NO DITCH SERVICE FINAL GENERAL COMMENTS: PW-1102.1514" 0- '- I �(' ICITY OF PORT ANGELES 000367 FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT TOTAL FEE CONT.LIC.NO:. TWETO COMPLETE J NO.STORIES I LEGALOCCUPANCY WLECT IC PERM�T ONLY N _PCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address � � CORRECT ADD SS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner VI - Installation By Owner's Addre Installers Address Day Phone — Installers Phone Application' h r y made for Permit to ijostall Electrical Equipment as follows: Wiring Method NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER 10 1 00R FEE USE OF CIRCUIT PER t 0 1 00R FEE CIRCUITS CIR 30 CIRCUITS CIR 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE - MOTOR APPLIANCE . . MOTOR DISHWASHER FIREALARMS DISPOSAL BURGLAR ALARM RANGE MISC. ®y OVEN WATER HEATER LAUNDRY DRYER - REINSTALLATION LIGHT FIXTURE It FURNACE _ SUBTOTAL FEE _ GAS-OIL FURNACE ENERGYFEE ELECTRIC - BASIC FEE ELECTRIC HEAT " TOTAL FEE d. L7 ELECTRIC HEAT - SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT AMP. PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE v �' drm� A.W.G. SUB-TOTAL OU SIZE OF GROUND SIZE OF ENTRANCE SWITCH I Certify that the work to be performed under thi ermit will be y the i r and in c ce a 0.E-.0 Electrical Code. J G! Date Application made � � e� 15'� By ONTRACTOR OR OWNER(OR A OR ED AGENT) Permission is hereby given to do the above decribed work,according to the conditions hereon and according to the ap roved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. _ - ��.�//'/D�IREARRRRRRR QR 0 TY LIGHT Date Permit Issued By '" � PLANS APP OVEN® Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone:457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE-Original CANARY Duplicate PINK Triplicate WHITE CARD-Inspector's Report ni vnm,c oniurGas iur. REPORT OF INSPECTOR DATEOFVISIT MADEBY REMARKS 8 -1 -9 fe,,flL Te,v h ./Ir c- LS o j/r -o pelf' 8�4c ScA� d zd' �'s�se R2 C z 0 x a _N Z F _z W I.- 0 O z O 0 / O.K.FOR COVERING O.K.TO CONNECT SERVICE FINALO.K. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT '1 N° 16525 Port Angeles, Washington------------- --__ -- --------------------........1 19. __ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address -.%f'. !!i4f. { -W--� ------------------------- Occupancy....A'--w------------------------------ Owner ------ �.`'�- _Alj - T�nt---------...........-...-------------------------•---------•--------- Wiring Contractor-----------t fif '_ .- By - u P a�, Light Outlets.................................._..... Service, volts --- Type TYPe o[ Wiring: Receptacle Outlets---------------------------- - No. wires .....,, .. .r._...... Armored Cable .............................. ..........rr.�i... Dryer, KW.._......---------_......_.....---. Size wires..%7 ., Non-Metallic ................................. . ............ ............_.. Range, KW.---...--..___......................... Main fuse....._...-. Knob & Tube................................. R........................... Water Heater: Enclosure ------ --.�........................... Rigid Conduit ...................__........ %, �' t� Metallic Tubing ........................... KW..--_---..r.-.-- .-.....---_._.-----. Type of wiring: Raceway ....................... Heat: KW....4,54:_5... ........... Entrance Cable ........-................... Circuits, Light...................................... Motors: size, volts and phase: Rigid Conduit .. Utility --------------------------------------------- ......................_,......................_.-....._. Metallic Tubing --------------------------- Heat ......................................._...... . Current transformers: Range ............................................. ..............................._.......................... No. & Size....................................... Water Heater ............................... ........................................................... Ser.No---------------------------------------------- Motor ............................................ Ser. No---------------------------------------------- Dryer------------------------------------------------_ .........................................................' Furnace..........._.............. Ser. No. ............................ TotalLoad............................. Ser. No.............................................. Total ....................................... Remarks: ----------------------------------------------------------------•------ - •-------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------•----- ...•. _ Permit Fee Tress. Receipt $------------------------------------- No--------- ------------------- Byz� •`^s•- NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT NY 16525 Address ........................................................................................................................................ Date..................................................... i Owner .........................................._................_.._........................................................... Tenant---------------------............................................... WiringContractor..........................................................._............................................................. By............................................................. NOTICE—Current must not be turned on until Certiflpate of Inspection has been issued. If work Is to be con- cealed due notice must be given the Inspector so that work {pay be inspected before concealment. -- �lZ. _ 1M F,. ELECTRICAL WORK PERMITAPPLICATION twiff i Installation description Job wired by Electrical Contractor ❑ Owner ❑ Commercial rM Residential ElecClri`rd�(ontractor name License number Dale Expires ✓" d r✓/ �� j%^ ` ❑ New W Altered/Addition Pur haset's n„i/ailioggladdresf � At 2233 n/��✓ �ivrc� City � Stale ZIP Tele shone num er FAX number -G131 Preis owner's name "POSS Address of inspection Z/* w /.) city I& Phone number to schedule inspection: Owner as defined by,RC{V.l9.2R.?6l:(/) Owner will occupy the .structure for two gars after this electrical permit is finalized. (2)Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. ❑ Cash ❑ Check# After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- ❑ Credit Card Visa Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Card# Utility Specifications. Signature of owner, electrical contractor or electrical administrator Expiration Dale Inspection Cee X - Date: %L-2"J �� ofcard $ 79 270 Electrical Load Additions and or subtractions Service Information ❑ NO LOAD CHANGES ❑ Baseboard _KW Voltage ❑ Furnace _KW ❑ Overhead Service Phase❑ t ❑ 3 ❑ Heat Pump _Ton LAR ❑ Temp Service Service Size: ❑ Fan-Wall _KW ❑ Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THEIVNIOSTAT SERVICE �7-b7 f�9�24 Date Apprm Date Approved By Date Approved By FINAL DITCH FEEDER S 3 0 D APProvN Dy Dotc .\pProved By Dute APProved BY Inspection Area,Buildingor Equipment Ins ected Action Taken Electrical Date Inspector 10/21/2005 13: 49 3604523498 OLYMPIC ELECTRIC PAGE 01 I/� 4 rrrtttlllrrr ELECTRICA,LWORKPERMITAPPLICATION r Installation de8cription_ � Job wired by Electrical Contractor O Owner ❑ Commercial �"Restdendal Electrical contractor name Liccnsc number Date Expires O New Ix tered/Addidon pure ver' mailing address / y�z �; r ' Telephone numbs FAX number Preises owner's name r City Ilspectlol Phanc namher So s hcdule IeepeeNnn�/O ��_ Owner as defined by RCW.19.18.1d1:(1) Owner will occropy the shoe"for two ware eitn this electrical Permit it findh cd. (1) Owner is required to hire an electrical contracmr if above said property rs for.sale. rent or lease. ❑ Cash ❑ Check# After reading the above statement. I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- 05edit Card Visa MasterCard Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28. WAC. Chapter 296.469,The City or Port Angeles Municipal Code, and Card N ------_---- — Utility specifications- Stnatureor owner, electrical contractor or electrical administrator Fxpimbon Date inspection fee X Date: /O / of card g i I d itinn;s and or subtr ions, vice UUfor�� L ❑ NO LOAD CHANGES Vohege !•w O Baseboard I�KW �erhead Senilce Phase 1 O 3 ❑ Furnace (7 KW Service Size: Q p Temp SBMce Heat Pump _Ton_LAR ❑ ernp enticound Service Feeder Size; O Fan-Wall _KW SAME DAY INSPECTION CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE ome 0•m nnPwvcd By oesc nvrro..m ay OrrCH �»use nrmn..a ey o.m Du Electrical Inspection Area,Building or Fquipmcm Inspected Action Taken Inspector Date