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Home My WebLink About3415 S Peabody St - BuildingDa e DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL WATERLINE AND BACKFLOW VALVE Owner Contractor OLYMPIC VINEYARD CHRISTIAN FSP 3415 S PEABODY ST PORT ANGELES WA 98362 Permit PLUMBING PERMIT Additional desc INSTALL WATERLINE AND BACKFLOW Permit pin number 146175 Permit Fee 64 00 Plan Check Fee 00 Issue Date 5/15/09 Valuation 0 Expiration Date 11/11/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL -WATER LINE 7 00 1 00 7 0000 EA PL- BACKFLOW PROTECTION <OR =2 7 00 Fee summary Print Name T:FormsBuilding Division/Bu ding Permit 09 00000454 387516 3415 S PEABODY ST 06 30 15 5 0 1610 0000 PLUMBING REPAIR RS9 RESDNTL SINGLE FAMILY 500 OWNER Charged Paid Credited Permit Fee Total 64 00 64 00 00 00 Plan Check Total 00 00 00 00 Grand Total 64 00 64 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 with n 180 days, if construction or work is suspended or abandoned fora 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 ofa permit doesrn•t liresun to give authority to violate or cancel the provisions of any state .r local law regu -tmg construction or the performance of constn. CITY OF PORT ANGELES Date 5/15/09 Due l b ko pad- sr A-PO'ra veeY 0-urn I- Linda ?,2-; Sig .ature o ac or or Autln rir_ed Agent Signature of Owner (f u',vner is b Her) e /(j k 4/713,-e ,4 f 0A/ Manufacturer Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division NAME OF PREMISES L/ Pal //I /61/9`/Z40 f gw 5Mr SERVICE ADDRESS 1 5 f ell L �l y/ 7 v LOCATION OF DEVICE. (N v !/'L g//r/ 1 P 77-0/t1 FL fl A., i t !C f PW, ASSEMBLY I/t/ /VS 95P(4, l L Model Size WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Official Use Only Assem.# g C Received Serial No IS THIS AN APPROVED ASSEMBLY? YES N IS ASSEMBLY INSTALLED CORRECTLY' YES B'NO O DATE OF INSTALLATION I b` /Ve G UNKNOWN❑ REDUCED PRESSURE PRINCIPLE ASSEMBLY RP RPDA DC 13' DCDA PVB Air Gap SVB AVB DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #1 CHECK VALVE #2 RELIEF VALVE PVB /SVB Initial Test Leaked Held at tt i Leaked Closed Tight Held at 2 r c psi Did Not Open Opened at psi AIR INLET Did Not Open Opened at psi Repairs Details Cleaned Replaced Cleaned Replaced Cleaned Replaced 3 psi Butler YES NO CHECK VALVE Leaked Held at psi REPAIRS Cleaned Replaced Final Test Held at g psi Closed Tight Held at ek psi Opened at psi AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO TYPE OF HAZARD Line Pressure Held Backpressure #2 Shutoff Relief Valve //Ne/ U" A II; Af psi COMMENTS /1/ (fli r )7 J t f 7 e dj `-7" 1/7 yl YES NO Held YES NO Exercised YES NO Date?ime Tester Signature Cert. Test Kit Passed Failed Initial Test s J y (f t t k L. Je s" l 1.4. ,tar s^ C' 144 I t:t/ C' r Repairs l Test j 7 13-- z t r '�.di1 v� JJ) lr v Ai !N 6:;-71 1 f i .1 i �6 j J..✓.w e /(j k 4/713,-e ,4 f 0A/ Manufacturer Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division NAME OF PREMISES L/ Pal //I /61/9`/Z40 f gw 5Mr SERVICE ADDRESS 1 5 f ell L �l y/ 7 v LOCATION OF DEVICE. (N v !/'L g//r/ 1 P 77-0/t1 FL fl A., i t !C f PW, ASSEMBLY I/t/ /VS 95P(4, l L Model Size WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Official Use Only Assem.# g C Received Serial No IS THIS AN APPROVED ASSEMBLY? YES N IS ASSEMBLY INSTALLED CORRECTLY' YES B'NO O DATE OF INSTALLATION I b` /Ve G UNKNOWN❑ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL WATERLINE AND BACKFLOW VALVE 09 00000454 387516 3415 S PEABODY ST 06 30 15 5 0 1610 0000 PLUMBING REPAIR RS9 RESDNTL SINGLE FAMILY 500 Owner Contractor OLYMPIC VINEYARD CHRISTIAN FSP 3415 S PEABODY ST PORT ANGELES WA 98362 OWNER Date 5/15/09 Permit PLUMBING PERMIT Additional desc INSTALL WATERLINE AND BACKFLOW Permit pin number 146175 Permit Fee 64 00 Plan Check Fee 00 Issue Date 5/15/09 Valuation 0 Expiration Date 11/11/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL WATER LINE 7 00 1 00 7 0000 EA PL BACKFLOW PROTECTION <OR =2 7 00 Fee summary Charged Paid Credited Due Permit Fee Total 64 00 64 00 00 00 Plan Check Total 00 00 00 00 Grand Total 64 00 64 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'nA.t p� l°ese to give authority to violate or cancel the provisions of any star r local law regu •ting construction or the performance of const tton Da e Print Name Signature o actor or Aut° orized Agent Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit Inspection Type Date Accepted By Parking Lighting Inspection Type Comments Date FOUNDATION Electrical 417 -4735 Footings Construction Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING FINAL Date Q' Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. C_ "e'_ G 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. FINAL Date Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parking Lighting Landscaping 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. T:Forms /Building Division /Building Permit 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 Property 0 er Property Owner's Address Contractor Contractor's Address License Parcel Number Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Da T Forms /Bu.idina Print ivision /Bldg Permit.doc 774/ .f- Expires PROJECT ADDRESS /S S dd _57 Lot Zoning Existing (sq. ft.) Proposed (sq. ft.) E mail Project Type Brief Description. Check all that apply New Construction Residential Multi family Commercial Industrial Addition Remodel Repair Demolition 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 TOTAL VALUATION I hau r a and completed this application and know it to be true and correct. I am thorzed to that m responsibility to determi' what permits are required, and to obtain p mits prior to For City Use Only Date Received S f o� Permit Fi' q c Date Approved j— f( oc per sq ft. Total footprint of structures sq ft. T Lot size sq ft. Lot coverage 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 Max. height of proposed structures `t. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths PREPARED 5/05/09 8 25 24 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/05/09 ADDRESS 3415 S PEABODY ST SUBDIV TENANT NBR VINEYARD CHURCH CONTRACTOR EARTH TECH CONSTRUCTION PHONE (360) 670 8811 OWNER OLYMPIC VINEYARD CHRISTIAN FSP PHONE (360) 928 1037 PARCEL 06 30 15 5 0 1610 0000 APPL NUMBER 09 00000227 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 3/23/09 JLL BLDG FRAMING TIME 01 00 3/23/09 CA March 23 2009 8 35 03 AM 1pangrle JASON 670 8811 FRAMING AFTERNOON March 25 2009 2 25 56 PM 1pangrle BL3 02 3/26/09 JLL BLDG FRAMING TIME 01 00 3/26/09 AP March 25 2009 2 27 33 PM 1pangrle JASON 670 8811 FRAMING AFTERNOON March 26 2009 4 47 11 PM jlierly BL99 01 4/23/09 JLL BLDG FINAL TIME 01 00 4/23/09 DA April 22 2009 3 24 28 PM 1pangrle JASON 360 670 8811 BLDG FINAL AFTERNOON April 23 2009 4 03 45 PM jlierly door locked contractor was not available /j11 BL99 02 5/05/09 L BLDG FINAL L/ May 4 2009 4 04 25 PM 1pangrle e� CHRIS 451 1140 BLDG FINAL COMMENTS AND NOTES PREPARED 4/23/09 8 30 07 CITY OF PORT ANGELES ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ BL3 01 BL3 02 3/26/09 JLL 3/26/09 AP BL99 01 4/23/09 3415 S PEABODY ST VINEYARD CHURCH EARTH TECH CONSTRUCTION OLYMPIC VINEYARD CHRISTIAN FSP 06 30 15 5 0 1610 0000 09 00000227 COMM REMODEL BPC 00 BUILDING PERMIT REQUESTED INSP COMPLETED RESULT 3/23/09 JLL 3/23/09 CA COMMERCIAL DESCRIPTION RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES LIERLY BLDG FRAMING TIME March 23 2009 8 35 JASON 670 8811 FRAMING AFTERNOON March 25 2009 2 25 BLDG FRAMING TIME March 25 2009 2 27 JASON 670 8811 FRAMING AFTERNOON March 26 2009 4 47 BLDG FINAL TIME 0 April 22 2009 3 24 JASON 360 670 8811 BLDG FINAL AFTERNOON COMMENTS AND SUBDIV PHONE (360) 670 8811 PHONE (360) 928 1037 01 00 03 AM 1pangrle 56 PM 1pangrle 01 00 33 PM 1pangrle 11 PM jlierly 1 00 28 PM 1pangrle w A NOTES A i PAGE 3 DATE 4/23/09 INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN 3�3o`1s/ A 4) FINAL b/z(cf7 l"l 4 4; COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 2 circuits for Cry room Owner OLYMPIC VINEYARD CHRISTIAN FSP 3415 S PEABODY ST PORT ANGELES WA 98362 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total 143586 59 50 3/30/09 9/26/09 59 50 00 59 50 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000272 356480 3415 S PEABODY ST 06 30 15 5 0 1610 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 b /(jag t �J, Contractor ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 ELECTRICAL ALTER COMMERCIAL Plan Check Fee Valuation Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT Paid Credited Due 59 50 00 59 50 00 00 00 Date 3/30/09 WA 98362 00 0 Extension 57 50 2 00 00 00 00 tap l rt Name Date PREPARED 3/26/09 8 55 43 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ BL3 01 3415 S PEABODY ST VINEYARD CHURCH EARTH TECH CONSTRUCTION OLYMPIC VINEYARD CHRISTIAN FSP 06 30 15 5 0 1610 0000 09 00000227 COMM REMODEL BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 3/23/09 JLL 3/23/09 CA BL3 02 3/26/09 LL BLDG FRAMING March 23 2009 JASON 670 8811 FRAMING AFTERNOON March 25 2009 BLDG FRAMING March 25 2009 JASON 670 8811 FRAMING AFTERNOON SUBDIV PHONE (360) 670 8811 PHONE (360) 928 1037 TIME 01 00 8 35 03 AM 1pangrle 2 25 TIME 2 27 COMMENTS AND NOTES 56 PM 1pangrle 01 00 33 PM 1pangrle PAGE 5 DATE 3/26/09 03/25/2009 09 53 FAX 360 452 9265 R ED E 'EieErt MAR 3 0 2009 .City Of Port Angeles.Permit Application Bui Idiirg: DiMisionIEleclrtcal Inspections 121 EaltOtth Street Box 1150 Port Angel6aWashsngton, 98362 Ph1380)•4174735 Fax: 4174711 Date: Unit Charge 93.75 8113.75 8160.00 $205.00 4291.25 2.00 57.50 2.00 72.50 .8625 $1 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 1-8, 2 Single Family Dwelling Mul Family or Commercial" ommercial Addition Alteration Remodel Repair* PIan;Review May Be Required, Please ete ctrical anRevie tion Sheet Job Address: y u dvic.trst Building Square Footage: Description of above .40) 410 Owner In Name: Mailing City Phone: License Exp Qty Total (Qtv Multiplied by Unit Charnel Service/Feeder 200 Amp. Service/Feeder 201400 Amp. Service/Feeder401 -600 Amp. Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit WlO Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. SeMce/Feeder 401.600 Amp. Temp. SeMce/Feeder 601 -1000 Amp. Portal to Portal Hourly SignlOuUine Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub 15 "Total Owner as dented by RCW 19.24.261: (1) Owner will occupy the structure for two years after this electrical permit Is finalized. (2) Owner is requhed•to hke an electrical contractor H above said properly is for sale, rent or lease. After reading the above statement, l hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am asking the electrical Installation or alteration In compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Munldpal Code, and UtlfNy Specifications. Signature of owner, electrical contractor or electrical administrator Date: LIGHT DEPT Atist44ded An*? Contractor Inf. ation Name: Mailing Ad City Phone: License Exp. I?) 0001 /00 PREPARED 3/23/09 9 12 28 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/23/09 ADDRESS 3415 S PEABODY ST TENANT NBR VINEYARD CHURCH CONTRACTOR EARTH TECH CONSTRUCTION OWNER OLYMPIC VINEYARD CHRISTIAN FSP PARCEL 06 30 15 5 0 1610 0000 APPL NUMBER 09 00000227 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 3/23/09 tick SUBDIV BLDG FRAMING TIME 01 00 March 23 2009 8 35 03 AM 1pangrle JASON 670 8811 FRAMING AFTERNOON COMMENTS AND NOTES PHONE (360) 670 8811 PHONE (360) 928 1037 1 j ,\•6 P Vcotipl i CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION rtay 321 EAST 5TH STREET PORT ANGELES WA 98362 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 INT REMODEL ENLARGE ONE ROOM 09 00000227 975481 3415 S PEABODY ST 06 30 15 5 0 1610 0000 VINEYARD CHURCH COMM REMODEL RS9 RESDNTL SINGLE FAMILY 7000 Owner Contractor Date 3/20/09 OLYMPIC VINEYARD CHRISTIAN FSP EARTH TECH CONSTRUCTION PO BOX 1232 505 FRESHWATER BAY RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 928 1037 (360) 670 8811 ,Structure :Information 000 000 INT REMODEL ENLARGE ONE ROOM Construction Type UNKNOWN Occupancy Type ASSEMBLY Permit BUILDING PERMIT COMMERCIAL Additional desc ENLARGE ONE ROOM Permit pin number 142869 Permit Fee 165 75 Plan Check Fee 107 74 Issue Date 3/20/09 Valuation 7000 Expiration Date 9/16/09 Qty Unit Charge Per Extension BASE FEE 95 75 5 00 14 0000 THOU BL 2001 25K (14 PER K) 70 00 Special Notes and Comments The F.i.re Department has reviewed the project application and has no comments Other Fees Fee summary T:Forms/Building Division/Building Permit STATE SURCHARGE 4 50 Charged Paid Credited Due Permit Fee Total 165 75 165 75 00 00 Plan Check Total 107 74 107 74 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 277 99 277 99 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 regulati g construction or the performance o onstruction. o -G 5av1 M Date Print Name ignature of C tractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Parking Lighting Comments FOUNDATION Date Accepted By Footings Stemwall Foundation Drainage Downspouts R.W PW Engineering Piers Fire Post Holes (Pole Bldgs 417 -4653 PLUMBING FINAL Date Accepted by Under Floor Slab 417 -4750 Rough -!n Building Water Line (Meter to Bldg) 417 -4815 5- 5 -Qq Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING z(9-oq 3L-I-- Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. FINAL Date Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 5- 5 -Qq ILA_ PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS 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. T.Forms /Building Division /Building Permit Floor Areas Basement 1St Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink PROJECT ADDRESS 31 S Peaboaj Parcel Number Existing (sq. ft.) Proposed (sq. ft.) J 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 CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 1 2 1 (360) 417 4815 fax (360) 417 -4711 Applicant Jq.� �QtA o Qo e Q� Ph Property Owner OIy rn 1 e Vineyard. Chri s1 -�c, r S r Pho Property Owner's Addre�sys 6. `tt `1 Contractor i (4 �'ec -t,. s-. Contractor's Address „.�sku..9ci-r r2 a3+.y Rp License Ex ires E -mail per sq ft. TOTAL VALUATION For City Use Only Date Received 3 Permit 0 ate Approved of bedrooms of full baths of half baths Phone g(co) lo•o -I Vt' neyct_rd Chuff Lot Zoning RS' -Ct Project Type Brief Description. Residential Multi- family Commercial Industrial Check all that apply New Construction oiv— e 131 1 f bne C usv- An Addition in 7” or 7 /n Leer_ One Alec, Cam f7 do c J Remodel l e.lnc,:t-i-,1y ervni- so;� (--i Repair •J `J Demolition 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 Total footprint of structures sq ft. T Lot size sq ft. Lot coverage 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 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 wh permits are required, and to obtain permits prior to working projects. Date "/Z o 7 Print Name s9 /v/42IQ Signature T•Forms /Building Division /Bldg Permit.doc CJ Roof Beam! 2000 International Building Code (97 NDS)1 Ver 6.00.7 By Charles Smith Lindberg Smith on: 03 -10 -2009 4:06:28 PM 4 Project: Olympic Vineyard Location. ceiling beam over cry room Summary 5.125 IN x 12.0 IN x 16.5 FT 24F V4 Visually Qraded Western Species Dry Use Section Adequate By 277.3% Controlling Factor Section Modulus Depth Required 7.25 In Deflections: Dead Load: DLD= Live Load. LLD= Total Load: TLD= Reactions (Each End) Live Load: LL -Rxn= Dead Load: DL -Rxn= Total Load: TL -Rxn= Bearing Length Required (Beam only support capacity not checked) BL= Camber Regd. C= Beam Data. Span: L= Maximum Unbraced Span: Lu= Pitch Of Roof RP= Live Load Deflect. Criteria: U Total Load Deflect. Criteria. U Camber Adjustment Factor CAF= Roof Loading: Roof Live Load -Side One: LL1= Roof Dead Load -Side One: DL1= Tributary Width -Side One: TW1= Roof Live Load -Side Two: LL2= Roof Dead Load -Side Two DL2= Tributary Width -Side Two TW2= Roof Duration Factor Cd= Beam Self Weight: BSW= Slope /Pitch Adjusted Lengths and Loads: Adjusted Beam Length: Ladj= Beam Uniform Live Load: wL= Beam Uniform Dead Load: wD_adj= Total Uniform Load: wT= Properties For 24F V4- Visually Graded Western Species Bendinq Stress: Fb= 2400 PS Shear Stress: Fv= 190 PS Modulus of Elasticity Ex= 1800000 PS Ey= 1600000 PS Fc perp= 650 PS Fb_cpr= 1200 PS Stress Perpendicular to Grain: Bending Stress of Comp. Face in Tension: Adjusted Properties Fb' (Tension): Adjustment Factors: Cd =0.90 Fv' Adjustment Factors. Cd =0 90 Design Requirements. Controlling Moment: 8.25 ft from left support Critical moment created by dead loads only on all span(s). Controlling Shear At a distance d from support. Critical shear created by dead loads only on all span(s). Comparisons With Required Sections: Section Modulus (Moment) Area (Shear) Moment of Inertia (Deflection) Fv'= M= V= 0.22 IN 0.03 IN U7511 0.24 IN U815 173 LB 1423 LB 1596 LB 0.48 IN 0.32 IN 16.5 FT 0 0 FT 0 12 240 180 1.5 X DLD 2.0 PSF 15 0 PSF 5 5 FT 2.0 PSF 15.0 PSF 5.0 FT 1 15 15 PLF 16.5 FT 21 PLF 172 PLF 193 PLF Fb'= 2160 PS 171 PS 5869 FT -LB 1252 LB Sreq= 32.60 N3 S= 123.00 N3 Areq= 10.98 N2 A= 61.50 N2 Ireq= 162.91 N4 1= 738 00 N4 Multi- Loaded Beam( 2000 International Building Code (97 NDS) 1 Ver 6 00 7 By Charles Smith Lindberg Smith on: 03 -10 -2009 4 PM Project: Olympic Vineyard Location. existing beam at basement Summary 5.125 IN x 18 0 IN x 14.5 FT 24F V4 Visually Graded Western Species Dry Use Section Adequate By 44 4% Controlling Factor Area Depth Required 14.39 In Center Span Deflections. Dead Load: Live Load: Total Load: Camber Required: Center Span Left End Reactions (Support A) Live Load: Dead Load: Total Load: Bearing Length Required (Beam only support capacity not checked). Center Span Right End Reactions (Support B) Live Load: Dead Load: Total Load Bearing Length Required (Beam only support capacity not checked). Beam Data: Center Span Length. Center Span Unbraced Length -Top of Beam: Center Span Unbraced Length- Bottom of Beam: Live Load Duration Factor Live Load Deflect. Criteria: Total Load Deflect. Criteria: Center Span Loading: Uniform Load: Live Load Dead Load: Beam Self Weight: Total Load: Point Load 1 Live Load: Dead Load: Location (From left end of span) Trapezoidal Load 1 Left Live Load: Left Dead Load Right Live Load: Right Dead Load: Load Start: Load End: Load Length: Trapezoidal Load 2 Left Live Load: Left Dead Load: Right Live Load: Right Dead Load: Load Start: Load End: Load Length. Trapezoidal Load 3 Left Live Load: Left Dead Load. Right Live Load: Right Dead Load: Load Start: Load End: Load Length. Properties For 24F V4- Visually Graded Western Species Bending Stress: Fb= 2400 PS Shear Stress: Fv= 190 PS Modulus of Elasticity Ex= 1800000 PS Ey= 1600000 PS Stress Perpendicular to Grain. Fc perp= 650 PS Bending Stress of Comp Face in Tension: Fb_cpr= 1200 PS Adjusted Properties Fb' (Tension) Fb'= 2392 PS Adjustment Factors: Cd =1 00 CI =1 00 Cv =1 00 Fv' Fv'= 190 PS Adjustment Factors. Cd =1 00 Design Requirements: Controlling Moment: M= 6 235 Ft from left support of span 2 (Center Span) Critical moment created by combining all dead loads and live loads on span(s) 2 DLD- Center= 0.04 IN LLD Center= 0.25 IN L/705 TLD- Center= 0.28 IN U616 C= 0.05 IN LL- Rxn -A= 9132 LB DL- Rxn -A= 1095 LB TL- Rxn -A= 10227 LB BL-A= 3 07 IN LL- Rxn -B= 7506 LB DL- Rxn -B= 653 LB TL- Rxn -B= 8159 LB BL -B= 2.45 IN L2= 14.5 FT Lu2 Top= 1 67 FT Lu2- Bottom= 14.5 FT Cd= 100 U 360 U 240 wL 2= 0 PLF wD -2= 0 PLF BSW= 22 PLF wT 2= 22 PLF PL1 -2= 173 LB PD1 2= 1423 LB X1 -2= 5.0 FT TRL-Left-1 2= 800 PLF TRD-Left-1 2= 0 PLF TRL-Right-1 2= 800 PLF TRD-Right-1 2= 0 PLF A-1 2= 0.0 FT B -1 -2= 5.0 FT C -1 -2= 5.0 FT TRL -Left-2 2= 650 PLF TRD -Left -2 2= 0 PLF TRL Right -2 -2= 650 PLF TRD- Right -2 2= 0 PLF A -2 2= 0.0 FT B -2 -2= 14 5 FT C -2 2= 14.5 FT TRL- Left -3 -2= 320 PLF TRD- Left-3 -2= 0 PLF TRL Riqht -3 -2= 320 PLF TRD- Right -3 -2= 0 PLF A -3 -2= 5 0 FT B -3 -2= 14.5 FT C -3 -2= 9.5 FT 33537 FT -LB Page: 2 Controlling Shear V= 8092 LB i At a distance d from left support of span 2 (Center Span) Critical shear created by combining all dead Toads and live loads on span(s) 2 Comparisons With Required Sections. Section Modulus (Moment) Sreq= 168.28 N3 S= 276 75 N3 Area (Shear) Areq= 63.88 N2 A= 92.25 N2 Moment of Inertia (Deflection) Ireq= 1272.10 N4 I= 2490 75 N4 Group: A Building Address: 3415 CERTIFICATE Q CUPANCY a1ry a r_ Building Dimes; tiles This C'r'tifiegtion:issued pursuant to the requirements of Sectiona109 of the UniformRBullding,Code,.e :Itttfrtnt,that :at the time of issuance this structure was in compliance• withithe "various rdmances of the City. r,Qgu1ating Building ;const Y o s For the followi x Use Classification: ItS of Construction: Owner of Business /Residence; 'Eric Sandras Address: ;222 Post on the, Shall not be re sezozie: RS -9 titith Angeles, WA 98362 'd Christian Fellowship s TWA 98362 Date ous place Oved ej ept1 Building Official 2001 G ANCC ROUTING SLIP Certificate of Occupancy $47 00 Certificate /Inspection Fee DATE 3 0 New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Address of Proposed Business 3 S61/74 PM,60 Applicant O 7,-.r• 1/ '941 i Address 2 /4/L7 4,,..co/Ai O A A./7QIPf I 9 8362 1 Phone business i'52--'3 home oil 4,06/10 683 —356y Brief description of proposed business G/ 'AC /Pee -7i.I ce— Legal Description Lot IE 'r 16 Block 1 Subdivision Maju l te5 A AANi i Current Use of Property c_,z t/k me e,-;,..7 A c e Zoning Classification of Property Ie5 9 WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes THE FOLLOWING WILL BE REQUIRED' PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs r/ New septic tanks New sewer service Admission charged to patrons V Is this a home occupation? N Excavation of filling of lots Work done in City right -of -way __Z__ Is there sufficient off street parking? 11) Fire New driveway openings i/ 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other A grading plan for site drainage (parking lots, downspouts, etc.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other I hereby apply for a Certificate of Occupancy and acknowl- 3C)/ edge that I have read this application and state that the Date information I have supplied is correct to the best of my knowledge Signed r4 ,C0.✓tA ra S APPef•i D REJECTED ek Building Section i Comments Conditions 1�tY Si n om- ho [e r- te r(-h prior" ft 1911. -1n, dea Public Works Department OC z &nStor\ o� ikR, V� wt\ Ct tt.of -3 23 o i S Department Planning g p a. G f co( Ga+`� r i i I Fire Department `J 3 at 6 City Clerk PB I.A. CITY OF PORT ANGELES LIGHT DEPARTMENT 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 S 6C,4 Owner Wiring Contractor en inn. Light Outlets Receptacle Outlets Dryer, KW a� Range, KW Water Heater: KW Hrat: KW Motors: size, volts and phase: 3X.2 f ..:!C f!i i td Permit Fee Ai- Total Load 1M 1 Olympic Printers, Inc. Port Angeles, Washington- Treas. Receipt No ELECTRICAL PERMIT Ser. No Ser. No Ser. No Ser. No, Service, volts Tor' Tenant By No. wires Size wires e4 Main fuse if p Enclosure c r Type of wiring: Entrance Cable Rigid Conduit Metallic Tubing Current transformers: No. Size Remarks: By ELECTRICAL PERMIT F Occupancy 0- s t "t•�` Type of Wiring: Armored Cable 1C N Metallic Knob Tube Rigid Conduit Metallic Tubing Raceway Circuits, Light Utility Heat Range Water Heater Motor N9 16285 19 Dryer Furnace Total NOTICE Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- netted 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 N? 16265 Address Date Owner Tenant Wiring Contractor By 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. CITY OF PORT ANGELES LIGHT DEPARTMENT Owner Water Heater 2 Ee fb (KW r .'i Hrat: KW P:otors: size, volts and phase: w 9 Permit Fee 0 Total Load IM nlvmnir PrintAre rnr ELECTRICAL PERMIT N9 16499 Port Angeles, Washington 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. n 7;/ i' 4 Address J r Occupancy.... i 4. 4 sZTenant Wiring Contractor By Light Outlets..._ Service, volts Receptacle Outlets No. wires Dryer, KW Size wires e, 11 Inge, KW y Main fuse Enclosure Type of wiring: Entrance Cable Rigid Conduit Metallic Tubing Current transformers: No. Size Ser. No Ser. No. Ser. No Ser. No Treas. Receipt c r. No By ELECTRICAL PERMIT Type of Wiring: Armored Cable Non Metallic Knob Tube Rigid Conduit Metallic Tubing Raceway Circuits, Light Utility Beat Range Water Heater Motor Dryer Furnace Total Remarks: 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 N? 16499 Address Date. Owner Tenant Wiring Contractor By NOTICE Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con c;. due notice must be given the Inspector so that work may be inspected before concealment. Owner Contractor REVOLUTION CHURCH KIRSCH ELECTRIC INC, 2018 :WEST VIEW DR ELECTRICAL PERMIT P. 0. BOX 3396 PORT ANGELES CITY OF PORT ANGELES SEQUIM WA 98382 (360) 477 -3834 360- 417 -4735 (360) 683 -6819 Application Number . . . . , 14- 00001423 Date 11/21/14 ALTER COMMERCIAL Application pin number . . 600461 Property Address . . . . . 3415 S PEABODY ST Plan Check Fee Ob ASSESSOR PARCEL NUMBER: 06- 30- 15 -5 -0- 1610 -0000- REPORT SALES TAX 0 Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . Per Extension Property Use . . . . . . . , ECH EL -COMM BRANCH CSR WO/ S/F to the City of Port Angeles 7.00 5.0000 Property Zoning . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 0 Permit Fee Total 109.00 Application desc ,00 Plan Check Total .00 installation Sozo room .00 Grand Total 109.00 Owner Contractor REVOLUTION CHURCH KIRSCH ELECTRIC INC, 2018 :WEST VIEW DR P. 0. BOX 3396 PORT ANGELES WA 98363 SEQUIM WA 98382 (360) 477 -3834 (360) 683 -6819 Permit . . . . ,. ELECTRICAL ALTER COMMERCIAL Additional desc .. Permit Fee 109.00 Plan Check Fee Ob Issue Date 11/21/14 Valuation 0 Expiration Date 5/20/15 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL -COMM BRANCH CSR WO/ S/F 74.00 7.00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 35.00 Fee summary Charged Paid "'Credited Due Permit Fee Total 109.00 109.00 1,00 ,00 Plan Check Total .00 .00 00 .00 Grand Total 109.00 109.00 00 100 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date, :: G:\EXCHANGE\BUILDING _J( %-," V Of PORT ANGELES PERMIT APPLICATION DuOdIng Division/Electrical Inspections 321 East fifth Street – IP n -R— 1150 / D Angeles XXT- 16. VA 3 11r, VAR, 70362 Ph: (360) 417-4735 Fax: (360) 417-4711 I'MIJO-, tG} Date: W10-14 -,XMulti-Family ol(]Lom�m�erclar Plan RevieW May Be RTedre,0 „Pie g =Complete Ell l Plu Revie: Job Address: e ". t W e) Building Square Footage: Description ofabovo, information Shee t 04 Ownerinif Urmation ContractorInf rmatloin Name:— Name: )j i 4->UA '-;I jC6 X- MaHli Address: �AAI akotW 4A- W CRY: ir State; UA= Zjp: zp: City; State: Z11' PhoneL4LI- —94Fati: License # I Exp, �AoQ',tNC Phone` L.: I D%C" F,' 6 Lw�;z �-7 License # I Exp__�' --2a zz Item unk-chme Total ift Multifti;Lk Unit Cha!ge) Service/Feeder 200 Amp. $132-00 $ Service/Feeder201400 Amp. $160.00 Servioe/Feeder401.600 Amp $225.00 Servlce/Feeder 601 .1000 Amp. $288.00 Service/Feeder over 1000 Amp. $410,00 Branch Circuit W1 Service Feeder $ 5.00 Branch Circuit WIQ Service Feeder $ 74.00 7 Lt Each Additional Branch Circuit Branch Circub 14 $ 5.00 $ 86.00 $ Temp, Service/ Feeder 200 Amp. $102.00 Temp. Service/Feeder 201400 Am p. $121.00 Temp. Service/Feeder 401.600 Amp. $164.00 Temp. ServicielFeeder 601-1000 Amp . $185.00 Portal to Portal Hourly $ 96.00 Sign/Oulflne Lighting $ 88-00 Signal Circuit/ Limited Energy - Multi-Famlly $ 64,00 Signal Circuit/ Limited Energy I First 1500 st - Commercial $ 96,00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113,00 $- O-D Thermostat $ 56.00 $— Not-: $5.00 for each additional T-Slat 10-7 Total Owner as defined by RCW.1 9.28.261: (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 moms 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., RM Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles MQnlclpal Code, and Utility Specifications and PAMC 14,05,1150 regarding Electdcal Permit Applications. Signature of owner, electrical contractor or electrical administrator 13 Cash ❑ Check P"Eredit Card# DI\ X It r141-1�1 el - WeM _V-122�LL4k- - 0110`10112 VV Application Number . . . . 15-00000495 Date 5/11/15 Application pin number . . 384975 DITCH Property Address. ... . . . 3415 S PEABODY ST ASSESSOR PARCEL NUMBER: 06 -30 -15 -5 -0 -1610 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . Property Use . . . . . . . . FINAL Property Zoning . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Application desc ---------- ...... Ductless heat pumps Owner Contractor REVOLUTION CHURCH KIRSCH ELECTRIC INC, 2018 WEST VIEW DR P. O. BOX 3396 PORT ANGELES WA 98363 SEQUIM WA 98362 (360) 477-3834 (360) 683-6819 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 99.00 Plan Check Fee ,00 Issue Date 5/11/15 Valuation 0 Expiration Date 11/07/15 Qty Unit Charge Per Extension 1.00 74.0000 ECH 'EL -COMM BRANCH CIR WO/ SIF 74,00 5.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 25.00 Fee summary Charged Paid -Credited Due Permit Fee Total 99.00 99.00 .00 .00 Plan Check Total .00 .00 .00 00 Grand Total 99.00 99.00 ,00 00 REPORT SALES TAX on yourexcise tax form 11# 1 A4 AiV 'g (Location Code 050'A -.!At, 6*) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: T_ -7 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING I 'MKS E]A r i� z.JP � r+^drvdwo ELECTRICAlLiiiii INSPECTION ., 47-3,5 PH iml [ 9 ltrr APPROVED , NO.I.' APPROVIe,,, I, ❑............. DITCH ... ..a .... ❑................ ROUGH IN/COVER ..,....... ,..,.9 ❑ ....................SERVICE...........,....... 0 ❑...... FINAL. n;;;;;;,I CORRECTIONS NEEDED ...,,........... ... ..... ...... �� .�.m__.. _ �m__.._._...... NOTIFY II INSIPEc rOR Wl°IIEN CORRECTIONS ARE COMI::�LETED WITHM 15 DAYS NOT REMOVE ��,,,,,,,�m„�� i>r� iIf,(tii,�III % n 'l t� 1 CITY OF PORT ANGELES PERMIT APPLICATION5 i Building Division/ElectricalInspections ��,t ��fi:i�, 321 East Fifth Street — P.O. Box 1150 / Port Angeles WasWa ton, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 ru Gate: 5.1.1 S r w Plan Review May Be Required, Please C plete, Electrical Plan eview Information Sheet Job Address: Owner Information Contractor tnfbrmatlon Name: f +� �+" Name: I A 1:!? rl Mating Address: _ 4;,-� Mailing Address: w F , City: - State: pk- ZJp: City: niV State:ra Zip: . Phone, ^ 'l�e�.� Wcenseaxpp.. License#/Earp °_� Item Unit Cha e QtV Total Muftf fled by Unit Char e Service/Feeder 200 Amp. $132.00 $ Servlce/Feeder 201-400 Amp, $160.00 Service/Feeder 401-600 Amp $ 225.00 $ ServiwReeder 6011000 Amp. $ 288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit W/0 Service Feeder $ 74.00 $ Each Additional Branch Circuit Branch Circuits 1-4 $ 5,00 $ 86.00 $ c' $ Temp. Service/ Feeder 200 Amp. $102.00 $ Temp. Service/FaWar 201400 Amp, $121.00 $ Temp. Service/Feeder 401-600 Amp.. $164.00 $ Temp. Service/Feeder 601-1000 Amp , $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Oulline Lighting $ 88,00 $ Signal Circuit/ Limited Energy - Mulff-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 $ " Tota 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 K above said property is for sale, rent or lease. Permit expires after six months of last inspection. Atter 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 296-466, The City of Port Angeles Municipal Cade, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ check rcditCard # 4 r We& � ✓ � i— t 0110112012 ELECTRICAL I CITY OF PORT ANGELES 360-417-4735 Application Number 15-00000434 Date 4/24/15 Application pin number 938310 Property Address . . . 3415 S PEABODY ST ASSESSOR PARCEL NUMBER: 06 -30 -15 -5 -0 -1610 -0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc T -stats Owner Contractor REVOLUTION CHURCH PENINSULA HEAT INC 2018 WEST VIEW DR 782 KITCHEN -DICK RD PORT ANGELES WA 98363 SEQUIN WA 98382 .,._..n (360) 477-3834 360_..681-3333 Z:;,_ ...._ �....,. Permit . . . . , ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee 66.00 Plan Check Fee .00 Issue Date 4/24/15 Valuation . . . . 0 Expiration Date , . 10/21/15 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 2.00 5.0000 ECH EL-LVT-ADDITIONL THERMOSTAT 10.00 Fee summary Charged Paid Credited Due Permit Fee Total 66.00 66.00 .00 .00 Plan Check Total .00 .00 ..00 QO Grand Total 66.00 66.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: --� PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGE\BUILDING CITY OF PORT ANGELES PERMT APPL,1 ATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Boz 1150 / Port Angeles Washington, 98362 Ph: (360) 4174735 Fax: (360) 417-4711 Date: D q /2, /S� -.✓ Multi -Family or Commercial* Building d�: -. an Review Information Sheet Plan Review May Be Required, Please Cont fete Electri al PI Square Foot e. Description of above — m pry Ownernformation Name:— " 1. '. klaf -S - Phone::]Q7 t tAtNr. . City: ALt . _ .......�.._ Zip: �. License # / Ex ....... Item Service/Feeder 200 Amp. Service/Feeder 201400 Amp. Service/Feeder 401-600 Amp Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/0 Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp . Mortal to Portal Hourly SigrdOutiiee Lighting Signal Circuit/ Limited Energy -- Mulli-Family Signal Circuit/ Limited Energy / First 1500sI - Commercial Note: $5.00 for each additional 1500 st Renewable Electrical Energy - 5KVA System or Less Thermostat Note: $5.00 for each additional T-Stat yakcharge $132.00 $160.00 $ 225.00 $ 288.00 $ 410.00 $ 5.00 $ 74.00 $ 5.00 $ 86.00 $102.00 $121.00 $164.00 $185.00 $ 96.00 $ 86.00 $ 64.00 $ 96.00 $113.00 $ 56.00 (l(((� fii("R�'1P' Rui (;hMN(( Contract r Information Name City: State Trp: Phone License TotaMulti lied b Unit Char $--b —6'."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. Pennit 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 296-0613, 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 X Check 11Credit Card # fixated: -..�-.... �-...��._ 0110112012