HomeMy WebLinkAbout1316 S Laurel St - Building CITY OF PORT ANGELES
se DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 09- 00000848 Date 9/01/09
Application pin number 144304
Property Address 1316 S LAUREL ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 8790 -0000-
Tenant nbr, name JOSEPH BOBBY BEEMAN
Application type description RES DETACHED GARAGE
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 34320
Application desc
572 SF DET. GARAGE STORAGE ABOVE
Owner Contractor
JOSEPH BOBBY BEEMAN OWNER
1601 E. 3RD ST.
PORT ANGELES WA 98362
(360) 461 -7599
Structure Information 000 000 572 SF DET. GARAGE STORAGE ABOVE
Other struct info HARD SURFACE AREA
Permit BUILDING PERMIT RESIDENTIAL
Additional desc 572 SF DET. GRG 2ND STORY
Permit pin number 152058
Permit Fee 518.75 Plan Check Fee 337.19
Issue Date 9/01/09 Valuation 34320
Expiration Date 2/28/10
Qty Unit Charge Per Extension
BASE FEE 417.75
10.00 10.1000 THOU BL 25,001 -50K (10.10 PER K) 101.00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
September 1, 2009 2:57:38 PM sroberds.
The proposal will result in a 572 detached garage w /storage
above in the RS -7 zone for total lot coverage of 30% and
site coverage of 31 No land use issues are anticipated.
August 26, 2009 11:36:02 AM Brian 417 -4708.
5 feet horizontal or 4 -1/2 feet vertical clearance must be
maintained from electrical conductor to new structure.
Electrical load calculations and electrical permits are
required.
Public Works Utility Engineering has no requirements for
this plan review.
Other Fees STATE SURCHARGE 4.50 f/ h al
Fee summary Charged Paid Credited Due t1 (•�i
Permit Fee Total 518.75 518.75 .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:FormsBuilding Division/Building Permit
1
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 FINAL Date Accepted by
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 FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold'Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
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
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number 09- 00000848 Date 9/01/09
Application pin number 144304
Plan Check Total 337.19 337.19 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 860.44 860.44 .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:FormsBuilding DivisionBuilding Permit
BUILDING PERMIT INSPECTION RECORD 2
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 0
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 OQ
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 1 uF(Z Ok
Stemwall 9 y Oq
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor 1 Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL: v
Walls V
Ceiling
FRAMING: (b. (0
Joists Grders Under Floor
hear Wall Hold Downs 10 —2. L 2L
Walls Roof Ceiling
Drywall (Interior Braced Panel Only) J
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by p
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
/f)-
PLANNING DEPT. Separate Permit #s SEPA: pr
Parking Lighting ESA: a ,p
Landscaping _SHORELINE:
X
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735 \j`+
Construction R.W. PW Engineering 417 -4831
Fire 417 4653
I Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
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PROJECT STATUS UPDATE
Permit# oci-S4g
Date: `j-- 6-11
l
Gje,S)
phoned .the: e to at L (--15q q
Property Owne at
Contractor at
I left a phone message, .r discu ssed
The permit (has expired, or will expire soon). hat is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
7 I y (Wa CA)
7-7-I1
r e e I
AA AP .tlA .ACM t$ g3
T:Forms /Building Division/Project Status Update
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RECEIVE
JAN 2 5 2011
CtrY OF PORT ANGELES
BUILDING DIVISION
PROJECT STATUS UPDATE
Permit
Date: I Z —23-- 1 0
I phoned the: Applicant 5 Ore, at O c t —1 5 f 9
Property Owner at
Contractor at
(left a phone message, o discussed):
The permi (has expired •r will expire soon). What is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
R I I Suk rv► C,t.o ex-Ee.vi sl'o lellefir. He- ko C PAs 40 eon? (eJe.
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T:Forins /Building Division/Project Status Update
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BUILDING PERMIT APPLICATION Print in ink
CITY OF. PORT ANGELES
Attn: Building Permit Technician 4
For City Use Only
Date Received R amour 321 E. Fifth St., Port Angeles, WA 98362 i l P ermit ;AI
-4.360) fax (360) 417 -4711 r
L. t e D ate Approved_, /may.
Applicant �cE_ �ec‘^^N Ph e 3L k S-9
Property Owner
P Y
Pro :3 (3.eeoan Phone
Property Owner's Address t E.: 3R) s-�
Contractor p Phone
Contractor's Address
License Expires E -mail
PROJECT ADDRESS i 3‘(0 S L vr2._ v
Parcel Number c3L,300003V -ck 000 oc Lot Zoning
Project Type. Brief Description: r- Residential. Multi family Commercial' o Industrial
Check all that apply
rSJew Construction i� S- t C.. Hen 6 bp, c,,
Addition 5+ol&c�e c�vea- cLbr, ve.
Remodel .l
o Repair Noie° oh gp_ij of rh.e owner. Go,lled 4 ch an jed -file rear se4- 6acic
Demolition .0 12' a y.G4 -(-fl 14 6 e+w-eeo., .4+' +we> 9arn es JJ
Re -roof House garage other tear off& re -roof lay over one layer
Heat System Heat pump wood burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement 60$ per sq. ft.
l Floor /04AS sl �Q
2 Floor yobs 512 4cLam,v,e. e, 30 ,00 17 60
3 Floor a
3 0
.P G #424,1 4e a
Covered Porch
Deck
Shed s
Other
TOTAL VALUATION 89 3
Total footprint of structures ,0�0 sq. ft. Lot size (0, 9 sq. if Lot coverage p_°1.94
A Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage 3 l
Max. height of proposed structures ,25 ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? 1..10 Occupant load of full baths
Will a fire sprinkler system be installed? OD Construction type of half baths.
I have read and completed this application and .know it to be true and correct. i am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to w rkin on rojects.
Date `/9 f Print Name Jot �e• vvJ Signature /7 --e-">
G'
T Forms /Building Division /Bldg Permit.doc
2009 1242310
Page 1 of 1 Notice 1
Beeman
Clallam County Washington 09101/2009 03:08:02 PM
sill�N'i1 11 Iwi i��I wait <4r'�r lig niiii 11111
AFTER RECORDING RETURN TO:
00Q-( a' s
q6 2
DOCUMENT: LIMITATION ON USE
GRANTOR: Joseph Beeman
GRANTEE: City of Port Angeles
ADDRESS: 1316 South Laurel Street
ASSESSOR'S PARCEL NO: 063000387900000
The undersigned, being the Owner and entitled to possession of the described real property, hereby
acknowledges, states, and declares that use of the property is subject to restriction and limitation.
The limitation is more particularly described as follows: On September 1, 2009, Owners were granted
building permit No. 09 -848 for remodel of an accessory structure (garage) on the described real property.
The Owner understands and declares that the use of that structure is subject to limitation as an accessory use.
The Owners understand, intend, agree, and acknowledge that residential occupancy ofthe accessory structure
(garage) is not permitted. The structure does not meet criteria for residential occupancy.
This limitation is an encumbrance on and runs with the described real property described as follows:
Property address: 1316 South Laurel Street Assessor's Parcel No. 063000387900000
Dated this t3 day of -ITT •a2-- 2009.
OWNER: .Sc Se-• ?N as' eml,c\Ni OWNER:
Printed Na 11 4 Name:
STATE OF WASHINGTON
ss.
County of Clallam
On this 4 4 57- day of 2009, before me, the undersigned, a Notary ublic in and for the State of
Washington, du'l`y commiss'oned and sworn, personally appeared to me known to be
the indivkkii�1�tWtt
147
i ted the foregoing instrument, and acknowledged the said instrument to a his/her free and
volun i ,a£tdQO e uses and purposes therein mentione•
O TA 'a 1 1
R y N f i 1 it
N EXP. 02.24-20121
Notary Public in an• for th State of Washington
A O a residing at Port Angeles.
7 .4 �a Is i 9 -es aV W_
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ELECTRICAL PERMIT —A
CITY OF PORT ANGELES Gt
360- 417 -4735 CID
Application Number 09- 00000892 Date 8/31/09
r
Application pin number 961828
Property Address 1316 S LAUREL ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 8790 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
New garage, 200 service, 4 circuits
Owner Contractor
Beeman, Wes OWNER "Z—
13 S LAUREL ST
l,J.\
PORT ANGELES WA 983627738
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 152686
Permit Fee 101.75 Plan Check Fee .00
Issue Date 8/31/09 Valuation 0
Expiration Date 2/27/10
Qty Unit Charge Per Extension T 4.00 2.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 8.00
1.00 93.7500 ECH EL -0 -200 SRV FEEDER 93.75
Fee summary Charged Paid Credited Due
Permit Fee Total 101.75 101.75 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 101.75 101.75 .00 .00
4
1 IA
C
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH .11129 IDG� i.7
SERVICE (2./t/0/ 4?
/7
ROUGH -IN b' /C ValoP
FINAL Q `0
1 ,5i)
COMMENTS:
Signature of owner or Electrical Contractor X Date:
t:-- L
OF pORTq�,v� ELECTRICAL RICAL INS ECTION
U
WIRING }'''EPORT
G W
s� 417 -4735
"uRKS 6
DATE PERMIT INSPECTOR
OWNER/ NT RACTOR
ADDRESS
5.1-A urZ.g_
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: l U Th U r'1 40.1 Cep_ L t 144
S T A? w t IBS 1,J 1 114 I Z,
r N CO 77)b it- 4
P 1 l 7j5-r -i s r..�►��
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
RECEIVED
AUG 31 2009 Y po,tr
City of Port Angeles Permit Application ry
Building Division /Electrical Inspections ELECTRICAL
321 East Fifth Street P.O. Box 1150 INSPECTIONS
Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417-4711
Date: Tr 2 l d1
-p1 2 Single Family Dwelling
Multi Family or Commercial*
Commercial Addition Alteration Remodel Repair" 0
Qo
Plan Review May Be Re•uired, Please Complete Electrical Plan Review Information Sheet "ND
,lob Address:') S LW ufa L 1
Building Square Footage: 1V
Description of above f'N)Y�W 972 2COi 12.Ul (.O 1 7 1 C (QGU t
Owner Information Contractor Information
Name: 1,JES Narne: ®l,,a.
Mailin Address 1 moo°\ 3 Mailing Address:
City: ?o 9-- "k• -State: 1/41 ■f'. Zip: 9 c."36.."2— City: State: Zip:
Phone: H 61 'i 9Fax: Phone: Fax:
License Exp. License Exp.
Unit Charge QQtt 1 Total Qty Multiplied by Unit Charae)
93.75 n. Service /Feeder 200 Amp.
$113.75 Service /Feeder 201 -400 Amp.
$160.00 Service /Feeder 401 -600 Amp.
$205.00 Service /Feeder 601 -1000 Amp.
$291.25 Service /Feeder over 1000 Amp.
2.00 tk Branch Circuit W/ Service Feeder
57.50 Branch Circuit W/O Service Feeder
2.00 Each Additional Branch Circuit
72.50 Temp. Service/ Feeder 200 Amp.
86.25 Temp. Service /Feeder 201 -400 Amp.
$116.25 Temp. Service/Feeder 401-600 Amp.
$131.25 Temp. Service /Feeder 601 -1000 Amp.
75.00 Portal to Portal Hourly
69.00 Sign /Outline Lighting
75.00 Signal Circuit/ Limited Energy Commercial
50.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling
50.00 Signal Circuit/ Limited Energy Multi- Family Dwelling
93.75 Manufactured Home Connection
80.00 Renewable Electrical Energy 5KVA System or Less
86.25 First 1300 Square Ft.
27.50 Each Additional 500 Square Ft. or Portion of
57.50 Each Outbuilding or Detached Garage
86.25 Each Swimming Pool or Hot Tub
43.75 Thermostat
(b I Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an
electrical contractor if above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical
installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator Cash
Check
X Date: Credit Card
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
TEAR OFF RE ROOF GARAGE
T Forms /Building Division/Building Permit (05 /13 /08).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00001168
969312
1316 S LAUREL ST
06 30 00 0 3 8790 0000
JOE BEEMAN
RE ROOF
RS7 RESDNTL SINGLE FAMILY
4800
Owner Contractor
JOSEPH BOBBY BEEMAN OWNER
1601 E 3RD ST
PORT ANGELES WA 98362
(360) 452 6849
Structure Information 000 000 TEAR OFF RE ROOF GARAGE
Date 9/15/08
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF GARAGE
Permit pin number 134494
Permit Fee 137 75 Plan Check Fee 00
Issue Date 9/15/08 Valuation 4800
Expiration Date 3/14/09
Qty Unit Charge Per Extension
BASE FEE 95 75
3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 137 75 137 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 142 25 142 25 00 00
(S 2
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
9 ge- z R
Date Print Name Signature of Contractor or Authorized Agent o sitignature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -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
YES 1 NO
FOUNDATION
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /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
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
1 FIRE 417 -4653 I I I
I P'ANNING DEPT 417 -4750 I I I
1 BUILDING 417 -4815 1 '26`0 1 I 1i-L-
T F c /R, ,Irlinn n■v■ Mill it ri, Pe nil (05 /13 /081.w6d
FINAL
DATE ACCEPTED BY.
I
I I FINAL DATE ACCEPTED BY.
1
PLANNING DEPT SEPARATE PERMIT N's SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
1 PLANNING DEPT
1 BUILDING
YES
NO
PREPARED 8/20/09 8 20 53 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS 1316 S LAUREL ST SUBDIV
TENANT NBR JOE BEEMAN
CONTRACTOR PHONE
OWNER JOSEPH BOBBY BEEMAN PHONE (360) 452 6849
PARCEL 06 30 00 0 3 8790 0000
APPL NUMBER 08 00001168 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PAGE 2
DATE 8/20/09
BL99 01 8/20/09 BLDG FINAL
August 19 2009 2 16 29 PM 1pangrle
JOE 452 6849
BLDG FINAL RE ROOF
COMMENTS AND NOTES
Y"" I s qx `n �at `3
PROJECT ADDRESS
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
Applicant or Agent
Property Owner
Property Owner's Address V 3a�
Contractor /Engineer
Contractor /Engineer's Address
License
I3k4 S LA.) -`L-
Project Type Brief Description. feResidential Commercial
Check all that apply
New Constructic aro�� �.�S�p�u.ce
Addition
Remodel
Repair
p e -roof
Demolition
Heat System
a Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures sq ft. Lot size
Date
T FormsiBuilding D" ,ion /Bldg Permit Appl 2006 C ae doc
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
3
Phone _3t4o •-ts 2.„ 68 `4 i (44)
Phone
Phone
Expires
Lot
For City Use Only
Date Received q-
Permit (JS- 1169
Date Approved
Zoning
Multi- family Industrial
o Heat pump wood burning stove gas fireplace pellet stove other
per sq ft.
\f *.c c :A 2_%-\
\...A :Zb 0— oa
TOTAL VALUATION as-t0
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
Print Name j� v��J Sia nature G�
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects.
,~v .... CITY OF PORT ANGELES
~'~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, ANGELES, ,/,.~
PORT
WA
98362
t~UILDIIV(~ I~I~MIT ISSUED: 6/17/2002 PERMIT NO: ~
OWNER/APPLICANT PROPERTY LOCATION
1316 LAUREL S
MARJORIE DEINES
1316 SO. LAUREL STREET Lot: N 1/2 19 & 20
Port Angeles, WA 98362 Block: 387 ~ Long Legal
360/457-7751 Subdivision: TPA
T: S: Parcel No: 063000038790000
CONTRACTOR ARCHITECT
PENINSULA HEAT N/A
502 W. 8th Street
Port Angeles, WA 98363 , 98360-0000
360/457-2775 360/000-0000
PROJECT INFO
Project Value: $0.00 SFD Units: 0 Commerciak 0
Project Type: HEAT PUMP ADD SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
new electric furnanceJ Iow voltage thermo.
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: thermostat $34.40
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $68.55
Plumbing: $0.00 AMOUNT PAID: $68.55
Mechanicah $34.15
BALANCE DUE: SO.DO
Radon: $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 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 pedormance of
construction. /
Signature of Con~,~ctor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\ 1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 I ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPAPOkTE PEILMIT: #
PLUMBING
GNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD ! DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
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
FIKE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417~4815 BUILDING
T:\PLANNING\FORMS\ 1102.15 [4/2002]
BUILDING PERMIT - PREAPPLICATION
Tht BulMing Pe~it - P~appllcagon ~ ~t f~
P~e t~e or p~t ~ ~ ~you have ~y qu~tb~, p~z c~ 417~815
Con.actor ln$ License
TYP~ WORK: SIZE/VALUATION:
~"'K~sid~atial ta New Co~. U R~f u W~vc , SF.
o M~-~y o A~on o Move · o G~ag¢ .,. 8F. ~ $ ~F, ' $
o Co~i~ o R~el o ~ohfioa o ~ SF. ~ $ ~F.-$
COMMERC~E~ ~p~ ~up: ~up~t ~:_ C~on T~:
No. ~ S~: ~t S~: % ~t ~v~g¢:
~g ~ Co~age: Aq. · + Pm~ ~t Cov~age: ,, ,/~. · = TOT~ LOT CO--CE: /~
P~G ~Sg O~Y: ~PROV~: P~.
P~u Req~:., No~: B~G.
~ H¢i$~ ~: ~g: DPW
Si~ PI~ ~d U~ Appmv~ by:., Date: ~'~
ES~=~(s): ~ Y~ ~ No S~A Chela r~? ~ Y~ ~ No O~=: O~R
Di~$ion c~ p~de you ~ mo~ d=~l~ ~o~a~on on ~¢ application ~ pl~ ~b~ ~.
B U~G P~ ~P~CATION $UBMi'i-i'A~ Yo= ~mpl¢t~ application, $it~ pl~ (for ~igo~) ~d builds ~
pl~ =~ ~ ~ ~b~R~ to ~ B~l~g Di~a{~ Any addition h~r th~
may ~ r=~ by ~¢ B~l~g Div. ~ ~mply ~ c~t f~ ~M~. C~et
~ON OF P~ ~V~W: W no ~t is i~ ~ 180
304(d) of~e U~ B~l~g C~e. c~t ~6on). No application c~ ~ ¢x1~d~ mor¢ ~ on~.
I ~m~ ~ ~t 1 ~ mad and e~mined thi$ application and ~ow the $ame to ~ tree and comct, and I am authorized to app~for
thi& permit, I u~er:tand it i& not the Ci~'$ legal re:potuibifi~ to detem:ine what pemi= am ~ui~d; it remai~ the applicant's
~pomibili~ to &te~ine what pe~l~ am mquimd and to obtain :uch.
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BU1LDING D1VISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Applicatiom Number ..... 03-00000013 Date 1/25/03
Property Address ...... 1316 S LAUREL ST
~SESSOR P~kRCEL NUMBER: 0630000387900000
Application description . . . ELECTRICAL ONLY
Property Zoning .......
Application valuation .... 0
Property owner ....... A MARJORIE DEINES
Owner address ........ 1316 S LAUREL ST
PORT ANGELES WA 983627738
()
Contractor ......... COLEMAN ELECTRIC
Permit ...... ELECTRICAL ALTERRESIDENTIAL
Additional desc . .
Permit Fee .... 46.70 Plan Check Fee . . .00
Issue Date .... 1/03/03 Valuation .... 0
Qty Unit Charge Per Extension
BASE FEE 46.70
Fee summary Charged Paid Credited Due
Permit Fee Total 46.70 46.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 46.70 46.70 .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 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:\PLANNING\FOICMS~ I 102.15 [4/20021
BUILDING PERMIT INSPECTION RECORD '
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: g
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSOLATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD/ DUCTS
PW UTILITIES ! SITE WORK (Engineering Division) SEPARATE PERaMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT g'$ 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 ~./~/~7. ~ ~}~ LIGHTELECTRICALDEPT
CONSTRUCTION R.W. / PT/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FOKMS\ I 102.15 [4/2002]
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET, PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 1/03/2003 PERMIT NO
OWNER/APPLICANT + pROPr=RTY LOCATION
MARJORIE DEINES 1316 LAUREL S
1316 SO. LAUREL STREET Lot: N 1/2 19 & 20
Port Angeles, WA 98362 Block: 387 ~ Long Legal
360/457-7751 Subdivision: TPA
T: S: Parcel No: 063000038790000
CONTRACTOR = ARCHITECT
COLEMAN ELECTRIC N/A
PO BOX 1326
PORT ANGELES, WA 98362 , 98360-0000
360/452-7594 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: HEAT PUMP
Occupancy Group: Zoning Use:
Electrical Heat:
!:~ Baseboard 0 KW ' Riser ' j Underground Service
! Furnace 0 KW i Overhead Service Voltage: 0
~ Heat Pump 5 KW ~ TempService Phase: ~ 1
[ ! Fan Wall 0 KW Service Size:
Feeder Size: 0
PROJECT NOTES
HEAT PUMP CIRCUIT.
RECEIPT/4 10042
FEES
ASSESSMENT
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $46.70
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $46.70
AMOUNT PAID: $46.70
BALANCE DUE $0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 41%4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DITCH
ROUGH-IN / COVER
SERVICE
FINAL I ~4 ~/;~,~ IH I
·
GENERAL COMMENTS:
PW-1102.1§ [406]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION
321 EAST 5tn STREET, PORt ANGELES, WA 98362
BUILDING PERMIT ISSUED: i~./Icj/02_. PERMIT NO: 13921
OWNER/APPLICANT PROPERTY LOCATION
1316 LAUREL S
MARJORIE DEINES
1316 SO. LAUREL STREET Lot: N 1/2 19 & 20
Port Angeles, WA 98362 Block: 387 [] Long Legal
360/457-7751 ~' Subdivision: TPA
T: S: Parcel No: 063000038790000
CONTRACTOR ARCHITECT
PENINSULA HEAT N/A
502 W. 8th Street
Port Angeles, WA 98363 , 98360-0000
360/457-2775 360/000-0000
PROJECT INFO
Project Value: $3,600.00 SFD Units: 0 Commercial: 0
Project Type: HEAT PUMP ADD sro SQ FT: 0 Industrial: 0 '-
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES 0
INSTALL HEAT PUMP
RECEIPT#10018
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00 (
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $34.15
Plumbing: $0.00 AMOUNT PAID: $34.15
Mechanical: $34.15
BALANCE DUE: $0.00
Radon: $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 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.
OA,/
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD ~
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UPtLAWFUL 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 I ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DIL~d~NAGE ~
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS I '
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF /CEILING
DRYWALL
BUILDING PERMIT
~.....,o~ Fl~ Building Permit
Pl~e t~e or p~t ~ ~ ~you have ~y qu~t~, pl~e c~ 417~81~
o~cr:
1316
~a~ nZSC~ON: ~t: Bilk:
'rY'PE OF WORK: SIZEfVALUATION:
[] Reaidantial gl New Con.re'. [] Reroof gl Woodztove SF. 1~ $ . JSF. = $
~2 Multi.family gl Addition [] Move . 0 Garage · SF. (~ $ , ,/SF. '" $.
~ Comma'~i.I o R~mod~l [] Ek:molition o D~k SF. ~ $ /SF. = $
gl Rep.& tn Sign -6 TOTAL VALUATION ~ "~.,~, 0/2).
!
COMMIi;RCIALJR,F..SIDENTIALa Occupancy Group: Occupant Load: .__ C~on Type:
No. of Stod,=:. Lot Size: % Lot Cov~age:
Existing Lot Coverage: ~/sq. t~. + Proposed Lot Corm'age: /sq. ~. - TOTAL LOT COVERAOE: /~i-q
PLANNING USE ONLY: A.PPROV,iI-q~ PLAN
Pm-mits Required:. No~: BLDG
Max. Height:... S~th ac, k.s: 7_,,imin ~ DPW
Site Plan md Use Approved by:. Date: FIRE.
ESMWelland($): gl Yes gl No SEPA Chec. klbt rexluir~? o Yes D No Other: OTHER
PllY. APPIulCATION SUBMITTAL: Your apl~#,.,,~,,n and ~tt plan rnu.rt b~fttt,,t out compl~ to bt acc¢£ted for rtvltw. Tim Buil~a$
Division can provide you with mom detailed ir~'ormation on the application and plan submittal requiremcate.
BULLDING pItRM. IT APPLICATION SUBMITTAL: Your completed applR:afion, site plan (for additions) and building com~ac,~ion
plans are to be ~bmitled to the Building Division. Any addition larger than 500 sq. ~ will need · Pr~appllcatloa Revl*w.
VALUATION OF CONSTRUCTION: In ~1 ca _,~.~_. a valuation mount mu,t be enteric[ by the applieanL TI~ figor~ will I~ rtwi*wed and
nay be revi~:d by the Building Div. to comply with curt*hr fee schedules. Contact the permit Coordinator at 417-4815 for
?LAN Ctt~CK FE~: Yo~' plan ch~k re* is du~ at the time the bdlcling l~mit application md coasax~tioa plata are ~ubrdtted. Ail
mt feea ar~ due at the time of I:,:rmit i.~mance.
D~PIRATION OF PLAN REVIEW~ If no permit is i~sucd withh 180 daya of thc date of application, tl~ application will ~q~ir~ by
.mitafia'~ Th~ Bu;L~;n$ Official can ~'tend th~ tkne loc acti~ by the applicant up to 180 days, on writt~m l'~,que~ by the applicant (~ ~
04(d) of the Uniform Building Code. c~t edition). No application ~an b~ ex'tended more than once.
hereby ctrtify that I hay, rtad and examined thiJ at~,olication and know the ~amt to bt true and corr*ct, and I am author~x~d to agpb' for
~i~ £ermit. I undcratand it i~ not the City~ legal re~pon*ibilitv to determine what permi~ are required: it remain.t the a£pllcant'*
-.. . ~, .rm~ - - ~w.!~o,..ot'im.~I
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5a Street, Port Angeles, WA 98362
BUILDING PERMIT ISSUED: 6/11/2002 PERMIT NO: 13476
OWNER/APPLICANT PROPERTY LOCATION
MARJORIE DEINES 1316 LAUREL S
1316 SO. LAUREL STREET Lot: N 1/2 19 & 20
Port Angeles, WA 98362 Block: 387 [] Long Legal
360/457-7751 Subdivision: TPA
T: S: Parcel No: 063000038790000
CONTRACTOR ARCHITECT
PETTIT OIL N/A
638 MARINE DR
PA, WA 98363-0000 , 98360-0000
800/972-7002 360/000-0000
PROJECT INFO
Project Value: $500.00 SFD Units: 0 Commercial: 0
Projec~ Type: TANK DEMO SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
abandoned in place with slurry
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: tank demo $15.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Sumharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $15.00
Plumbing: $0.00 AMOUNT PAID: $15.00
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be
tree and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
thel~'ovisions of an,y state or local lgw regulating the work specified in the permit.
Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate
or conceal any work before inspected and accepted. Post permit in a conspicuous location.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
Inspection Type I Date Passed Comments
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough-in inspection
Alarm final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test # 1
Above ground piping inspection/pressure test Piping pressure test psi
Time initiated
Tank (container) inspection Test #2
Appliance inspection Piping pressure test psi
LP-gas final Time initiated
UNDERGROUND STORAGE TANK CUST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned ~- ?~ C)~,
UST abandonment final
PERMfI' OTHER (specify)
permit final
GENERAL COMMENTS:
2/15/00
From: Ken Dubuc
To: Roger Vess
Date: 6/12/02 5:33PM
Subject: tank removal final
Roger -
Permit 13476, a permit for a tank removal at 1316 S. Laurel is finaled.
Thanks,
Ken
CITY OF PORT ANGELES
LIGHT DEPARTMENT
"'. ELECTRICAL PERMIT
'NO
. .
17377
/(j1 -..:;:;.. TO
Port Angeles, Washlngton...m..-lm......_.._.....m..::m.mm...........m, 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 ..m/J..L.~....~...~~d.n....m..m.... Occupancy..&?:g,.,..'.mm.....m..mm..
Owner ......i2~.c"'"J.?.~~J;'i~hr::....m Tenant..._.m..mm...._.......m_..m.mn....~_...mm._......m
Wiring Contractor ..~..........!~.m[~~~.';!t..nhn......m By.....m..................mmm........mn....m...m.m.....
Light Outlet.hh..........................._.._.... Service, volts .//t..'!./.;:J.:.Y.:.'?.... Type 01 Wiring:
3/
No. wires ..h..~.............................::-.. Armored Cable .............h...............
Size wlresh.....~~..~.. Non.Metalllc .....................00..........
Main luse .'!~.'-.4,.n.... Knoh & Tubeh.........n...h.............._
S'
Enclosure .........~.............................
Receptacle Outlets.....................h........
Dryer, KW.....n_................._................
Range, KW..............................
Water Heater:
! ":1 r
KW..nhmmm......m::n.n.n 00 0000. n. 00
; .
Heat: KW......h.....................................,.,.
Motors: size, volts and phase:
Type of wIrIng:
Entrance Cable ._...........................
Rigid Conduit 00......0000......
Metallic Tubing ...........h..............
Current transformers:
No. & Size...........:::............................
,.
Ser. NO........._..h...........:..__.................
Ser. No..............................................
Rigid Conduit h.............................
MetAllIc . Tubing ....h_hm.............._
Raceway ......................._......_.__._
CIrcuIt., LIghL................h..................
Utility .....00.....00........._....................
J.Ieat __....................................._.._
Range ............................._.........-..--
Water Heater ...............................
Motor ..._........................._.h....._..._
Dryer _.................................__..........__
Furnace ..........._............'_......_...........
/-
..../'
Total :Load............................. Sec. No. ................._..__....h................ Total .........h..........................._
:::~~~~:m:::::::::~~=::~:~:~=~::::::::::::=~~=:==~~~~:=:~==:=::::::~~::1t::::::::::::::::::::::::::::::::::
Sec. No..............................................
......mh.m...h.hnn...\..mmm.mhh...mm....................m..mmm.m..m......?.m..m~mm.. .. m.-'.mmm.mm.mmmm......
Permit Fee \ Treas. Receipt CJ/ c/~ . ~
$m_m....mmm.m....\m.C.. NO.m.m.....mm....._... By /-)[.aA m.l...(!<:mm.mm.my?:::~:..m._..I
NOTICE-Current must not. be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
f '
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
I
-;fiT
,
ELECTRICAL PERMIT
N?
17377
Address........................................................................................................................................Date..._......_.._.._.._.........._......_......_......._
Owner........................__....____._......_.___....._......_.._..............._.._........................................Tenant................................................................_...
;-,...1 ! \.
Wiring Contractor........................................ .................................................~~__.............................By..........................._............._....._............_
. . \
. NOTICE--Current must not. be turned on until CertIfIcate of Inspection has been issued. It work Is to be COD-
cealed due.'noUce must be given the Inspector so that work may be inspected before concealment.
\: .
1M Olympic Printers, Inc.
~un U~ U~ u~:~~p
Bobb~ O. Coleman
360-452-7594
p.l
Ii
ELECTRICAl PERMIT APPLICATION
=~~
-.~ ~----
'thrc. Bedritalhm>>l~~ mU:5\tIe... 011I: tdl. 1A1eN.
-_"'_""'lr. .......-..."...-P......-I3OO'..7-
4T3!I
Fa....-, j3llll) '17"'1'
o..-..EIoc.C_~ ..~~.._
"'-""""" ~fl () __A
AcIdnlss: / ..3/ t; . <? ~ h R.I..f' City.
E_Cad>ac_ ~~- -. ~.h....~ __
REQUeST INSPECTION 0
...........:L - ?<-i </ fa., L-7 >"1'"
p_ 7- '7'75/
P? ,4 '!p: 4!r3'-z..
........ #.
e.p,
Dhone.
-,
City.
OOlNNER ~CONTRACTOR
/2./","-~_"" PI....-rhu.
lilY.
'NS1AlLATION_ BY:
Qvdt Carrl HoIderN;tme.
Billlng_n'
eredil Cant Number..
<
':&p.DaIe:
ZIp:
vr.tA- . ./MC~
-7- PRO.lE1:T _s.~'
/3/b'
.<\
LAu~
TYPE OF WORK: Check i!!! that apply: JIlNew 0 AllerationlAdailion
pReSidential OMulti-family 0 Commercial 0 MobileHome Sq.FI
RemoteMeler DOetachedgarage OHQITub O~"'imPool oSepllcPump Ou.V~ OTelecom. OSlgn
NumberofClo:uils_ .,._: al~ ~/i2~~. r
lIElICRIPTlllII OF 1HE ELEClJIICAL PRO./KT: /2A:i W /0 klV F OQ... ~n.J Co-
PeRMIT FEE: r 5. . 5"0
Ser\liei. InfftnBatin..
e___''':'j
UBasel>oanl -:;
~umace .LOKw
o H....I FU.., _! _lRA
:J Fan-Wall ---..-'1(W
/
o~_
D T_ SefVIt:&
o IJndoogn>und Senri<>e
VoII8ge:
_ 01 03
Setvice Size:
_SIze:
I hereby r;edify that ( have reed and examined this appficalion and knUw that same 10 be tnJe and correct. and I am
authorizJtd 10 apply for this permit. , understand it Is not the City's tegaI teSpOnSjbiIity 10 determine what permits
am required; it remains lhe "fF'ic:aitls responsibility to detunnine what permits are teqUired and to obtain such.
"-"""'-'- ~c:Jt'f2d
Owner or Elee. Cont. SIgnature:
C:IELfCTRlCAlPERMrrp. PLICAl ION
C?f7
~- .
--rtf,
Oallt: ~ -'1-0,-
Date:
'"1 .,
t::tl~ 1 '} /'r'~7
fila,-/-
~;; ..Jot..
<.".11 lac
J,~
-{;, ~Ct(1 ,"; U (><7 ". {\'4 f:
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Jun 04 02 03:34p
Bobb~ O. Coleman
360-452-7594
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ELECTRICAL PERMIT APPLICATION
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The €lectticai Ptmm"l Appiicatioo must be fttictd out c~.
~ tr.. or "print in ink. If you have Iln)I ql,lnl:ions. plNGe call (360) 417-
.,""
Fax number: (360) 417-4711
()wr,er Of Eloc. COflfradar Agent: ..6th':h.e-ft.-,--
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_s. /.3/1:. . <? ~UJU..f CiIy.
EIe<1J1caI~ ~~"r...- C7A~~;~
REQUEST'NSPECTfl)N 0
Phone'..1- 7"'; oj "I fax: J_ -7 .,--,"''-1
~none. 7-'7 '75/
p:; 4 '1> q.!r.H '"L
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Dhone'
Address:
CiIy.
o OWNER )!(ELECTRICAL CONTRACTOR
I2.JL4-n-._".. PI",-cktc<
Zip:
INSfAlI.ATlON WI1'lEO BY;
CRJd/t CatrJ Holder Name'
Billing Address" Ci(y:__
Credit CanI Exp, Date:
Zip:
VfSA~MC,--
PRO.JECT ADDRESS-
/3/t
,<;
~
TYPE OF WORK:
Check all that apply; JlfNew
o AlletationlAddilion
)(Residential 0 MullHamily 0 Commercial 0 Mobile Horne Sq. FI
RemoteMeIer o Detached garage OHolTub O~wimPool OSepticP\lmp OLowVoIlage o Tel"""",. OSign
Number ofCircuils added maltered: i1~ (3.,12.::-..,. r
DE5CRWnoN OF 1lIE ELECTRICAL I'RO.IECT: /1../ii W / () klV FOR,," (}n/ Co-
Electrical Heat Load _I...."
PERMIT FEE: i '5-. 57J
Servica Inftwntation
CJ Baseboard
~umac.
o Haal Pump
GFa"..Wall
_KW
.LOKw
- TON_ LRA
_KW
o Overhead Service
Ll T 0IJll) Servic:e
o Underground Service
Voll8ge;
Ph8$e: 01 03
Service Size:
Feeder- Size:
I hereby certify that I have read and examined this application and know thai same /0 be #rue and correct, and I am
aurhoriZliO to apply for this permit I understand if is not fh9 City's legal responsibility to determine what petmits
818 required; it remains the appIicsirts responsibility to determine what permits an: required and to obtain $UGh.
Credit Card Holder'" Slgnatu....:
~fr/~-
Dale: k> -i/-Oz.-
Owner or E1ee. ConL Signature:
C:IElECTRICAlPERMITAPPlIGAlION
Date:
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,
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Owne'o'Elec.~on"'ClorAgent_ (M~ .
Property 0,,,,,,,: ~/ge9.-?- ~k/~
Add,ess: / -3/ c;. , <;' L,,QvR,, / City:
aL_"..-L~ ~);,/~
Dee 23 02 11:57a
Eleclncal Contractor:
Address:
Bobb~ O. Coleman
/3
360-452-7594
p. I
~
Ll yO
ELECTRICAL PERMIT APPlICA nON
rOlfornCI"L U:SEO~l..Y
D....JH.c, ___..______
hrvli'",____
""'.""........,-.....--
The Elechical Parmit Application must be fill" out cOfnDIf!lelV'.
Please tll'pe 0( r"lIprint irl ink. If you have any quelilions. plea~o call (3tiO) 417-
47JS
F;u number: (36U) 417-4711
#'7j53
~
REQUEST INSPECTION PI::
Phone''?z -7..r97'" F'x;';< -? J7 y'
Phone: '7 - '7';;5/
Zip: '5'-f -:' c:;:>
iJ
license #:
Exp:
Phone'
INS TAlLATION WIRED BY: IJ OWNER
Credit Card Holder Name:
Billing Address.
City"
)6:LECTRICAL CONTRACTOR
/?O/&rff,4>-J b/t.,;-cf/ZI <-
Zip:
/3/b ~ f-~
Alhfl f- h1,o ~-4
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Credit Card Number:
PROJECT ADDRESS'
TYPE OF WORK:
Cffy:
Zip:
VISA,--- MC,---
Check alllhat apply: I"jI:'New
o Commercial 0 Mobile Home
Sq. Ft
j!l Residenlial 0 Multi-family
o Alteration/Addition
Number of Crrcults added or altered.
Remote Meier 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0 Sign
DESCRIPTION OF THE ELECTRICAL PROJECT,
/lot c/
~-r~
~
Electrical Heat Load Additions
Service Information
U Baseboard
o Furnace
~eal F'>Jmp
CJ Faa.Wall
_KW
KW
;ulTON_LRA
-KW
tJl'-eV
PERMIT FEE,~{,,70
KM. II- /vo!f2-
Vollage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
[I Overhead Service
o Temp Service
o Underground SeJVi~
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
aulhonzcd to apply for Ihis permit. I understand it is not the City's legal responsibility to determine what permits
are required; il remains the applicants responsibility to determine what permits are required and to obtain such,
40(2L
Credit Card Holder's Signature:
oate:/OZ~.J'- O'z-
Owner or Elec. Cont. Signature:
CJELECTRICALPERMITAPPlICA TION
Date:
---
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / fort Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date; �' °' z 7" ") 'Z Multi- Family or Commercial*
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: S , LN�vS2 ` i �ti"at "
Building Square Footage:
Description of above
Owner Inf rmation
-S Sr_e' —t�
Contractor Information
Name: �1—;,j
Name
Mailin dress, I?a' « S. i_ ��� =5T
Mailing Address:
City: State: hl1Pr Zip:
City: State Zip;
Phone: Fax:
Phone: Fax:
License # /Exp.
License # / Exp.
Item Unit Charge
9-ty Total Qty Multiplied by Unit Charge
Service /Feeder 200 Amp. $132.00
$
Service/Feeder 201 -400 Amp. $160.00
$
ServicelFeeder 401 -600 Amp $ 225.00
$
Service/Feeder 601 -1000 Amp. $ 288.00
$
Service /Feeder over 1000 Amp, $ 410,00
$
Branch Circuit WI Service Feeder $ 5 OC
$
Branch Circuit W/O Service Feeder $ 74.00
$
Each Additional Branch Circuit $ 5.00
Branch Circuits 1 -4 $ 86,00
$ S� w
$�
Temp. Service/ Feeder 200 Amp. $102.00
$
Temp Service /Feeder 201 -400 Amp. $121.00
$
Temp. Service /Feeder 401- 60OAmp. $ 164,00
$
Temp, Service/Fooder 601 -1000 Amp . $ 18500
$
Portal to Portal Hourly $ 96,00
$
Sign /Outline Lighting $ 88.00
$
Signal Circuit/ Limited Energy– Multi - Family $ 64.00
$
Signal Circuit/ Limited Energy / First 1500 sf – Commercial $ 96.00
$
Note $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less $113.00
$
Thermostat $ 56.00
$
Note: $5.00 for each additional T -Stat
//
�i� "�
$ Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two
years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C.,
RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding
Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:
❑ cash ❑ Check
❑ Credit Card #
x •�-� � Hated: 2 / � �- 7 °
/'Z_.
01101/2012
ELECTRICAL INSPECTION
,, cowi WIRING REPORT
KS 4 417-4735
DATE: PE9MFf#-------7 WS7E0-TOR
OWNER
CONTHACTOF]
ADDRESS
APPROVED NOT APPROVED
...... ...... . DITCH ................ ... Cl
ROUGH IN/COVER .............. .o
Q. . .................. SERVICE .......... ........ 11
11 .....................FINAL ...... . 0
CORRECTIONS NEEDED!
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
ORKS
DATE,
- III -2-9-b---
PERMIT#
=
OWN
NTRACTOH
ADORFSS
- 43
APPROVED
NOT APPROVED
11 ..................DITCH ........ ........... 0
)� N Av gyp-. .. ROUGH IN/COVER ......... Ll
0 ........... ... SERVICE ................... 0
❑ ....... ....... FINAL .................... 0
CORRECTIONS NEEDED:
FA,
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
Application Number
Application pin number . . .
Property Address . . .
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name . . . . . .
Property Use
Property Zoning . . . . . . .
Application valuation . . .
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
12- 00001554 Date 11/28/12
563178
1316 S LAUREL ST
06-30-00-0-.3- 8790 -0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Owner Contractor
A MARJORIE DEINES OWNER
1316 S LAUREL ST
PORT ANGELES WA 983627738
Permit . . , . . . ELECTRICAL ALTER RESIDENTIAL
Additional. desc 6 CIR
Permit Fee 96.00 Plan Check Fee .00
Issue Date 11/28/12 Valuation 0
Expiration Date 5/27/13
Qty Unit Charge Per Extension
BASE FEE X6.00
Fee summary Charged Paid Credited Due
-- --- -- ---- - - - - -- -- -- - - - - -- ---- - - - - -- ---- - - - - -- --- - - - - - --
Permit Fee Total 96,00 96.00 .00 06
Plan Check Total 00 OD 00 .00
Crand Total 96.00 96.00 .00 00
INSPECTION TYPE
DATE:
E
INSPECTOR:
DI"T"CH
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Cade 0502)
INSPECTION TYPE
DATE:
R'ESULTS:
INSPECTOR:
DI"T"CH
SERVICE
ROUGH -IN
FINAL
COMMENTS:�R
PERM]TWILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of Owner or Electrical Contractor X� � � � Date:
G:IE:XCHANG DBU ILDING