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221 Whidby Ave - Building
PREPARED 8/04/10 8 14 32 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/04/10 ADDRESS 221 WHIDBY AVE SUBDIV TENANT NBR MELVIN KOSSEN&I SCHNEIDER CONTRACTOR PENINSULA HEAT INC PHONE (360) 681 3333 OWNER MELVIN KOSSEN IRMA SCHNEIDER PHONE PARCEL 06 30 10 5 0 1452 0000 APPL NUMBER 10 00000575 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 8/04/ MECHANICAL FINAL TIME 01 00 August 3 2010 2 25 23 PM 1pangrle MEL 460 1658 MECHANICAL FINAL HEAT PUMP AFTERNOON PLEASE CALL HIM 15 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE COMMENTS AND NOTES 2. i an DATE ADDRESS APPROVED 0 OWNER/CONTRACTOR 22-1 t V-1 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT 8 INSPECTOR /0-0'49`8 >i16+'CT 7 /..r ,--Cr/ 2 -1 c ►a, f,L 01'04 DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED '1 h '2 r(, 1 S n4 w t Ago it W M' ►vr-z k NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 NOT APPROVED 0 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Heat Pump 2 5 ton 12 5 furnace Owner MELVIN KOSSEN /IRMA SCHNEIDER 221 WHIDBY AVE PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 56 0000 ECH EL LVT THERMOSTAT Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983626541 ELECTRICAL ALTER RESIDENTIAL 167122 56 00 6/08/10 12/05/10 56 00 00 56 00 Signature of owner or Electrical Contractor X 10 00000574 781942 221 WHIDBY AVE 06 30 10 5 0 1452 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Contractor 1 PENINSULA HEAT INC 782 KITCHEN DICK RD SEQUIM WA 98382 (360) 681 3333 Plan Check Fee 1 Valuation DATE Date 6/08/10 Paid Credited Due I 56 00 00 I 00 00 56 00 00 00 00 00 RESULTS 00 0 Extension 56 00 Date INSPECTOR. x 06/07/10 10 17 FAX 3606812086 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections JUN 0 7 2009 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 9,8362 Ph. (360) 417 -4735 Fax: (360) 417 -4711 tilt,' RICAL INSPECTIONS Date: 6/7// ✓i 2 Single Family Dwelling Multi Family or Commercial• Commercial Addition Alteration Remodel Repair •Plan Review ny Be Requited PI ase Cowlate Electrical Plan Review Information Sheet Job Address: G Zf Wfr7 d i f`>t 1% Building Square Footage: I Descriplion of above Owner InfQngtation Name: M' (_k D 3 S.e r7 Maiin d oss: City tate: p. 3 2 Phone: are License Exp Item Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401.600 Amp Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Brand Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service) Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401.600 Amp. Temp. Service/Feeder 601.1000 Amp Portal to Portal Hourly SIgn/Outllne Lighting Signal Circuit/ Limited Energy First 1500 sf- Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy SKVA System or Lass Thermostat NEW CONSTRUCTION ONLY. First 1300 Square Ft. Each Additional 500 Square Ft or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Change $119.90 $145.50 $204.60 262.20 372.50 2.60 73.50 2.60 92.70 $110.30 148.70 $167.90 95.90 $88.20 $95.90 63.90 63.90 $119.90 $102.30 56.00 $110.30 3520 73.50 $110.30 6/7//i Peninsula Heat RICE ILI-21 Contractppr Information Name: re n c.,4 /a 5 c•f Mailing Address: City: State: Zip: Phone: Fax: License 0 Exp. 91Y Owner as defined by RCW.19.28.261 (1) Owner will iccupy the structure for two years after this electrical permit is finalized. (2) Owner Is required to hire an electrical contractor If above said property I for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify tha; 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 antl PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, ele I contractor or electrical administrator El Ceti 0 check cad# OA Fii Ll03 Total (Qtv Multiplied by Unit Charnel Application Number 10 00000575 Date 6/07/10 Application pin number 272800 Property Address 221 WHIDBY AVE ASSESSOR PARCEL NUMBER 06 30 10 5 0 1452 0000 Tenant nbr name MELVIN KOSSEN&I SCHNEIDER Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 8365 Application desc INSTALL A HEAT PUMP CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Owner Contractor MELVIN KOSSEN IRMA SCHNEIDER PENINSULA HEAT INC 221 WHIDBY AVE 782 KITCHEN DICK RD PORT ANGELES WA 983626541 SEQUIM (360) 681 3333 Permit MECHANICAL PERMIT Additional desc HEAT PUMP INSTALLATION Permit pin number 167130 Permit Fee 64 80 Plan Check Fee 00 Issue Date 6/07/10 Valuation 0 Expiration Date 12/04/10 Qty Unit Charge Per 1 00 14 8000 EA Fee summary Charged T:FotmsBuilding Division/Building Permit BASE FEE ME FURN /HP /FAU OR 5 TON Paid Credited WA 98382 Due Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 00 00 Extension 50 00 14 80 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 grand 5f a permit does n esume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performs e of c stru 6/ OhaK%!k4,ck�( Date Print Name SignarKif Contractor or Authorized Agent Signature of Owner Of owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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 Inspection Type Date Accepted By I FINAL Date PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Comments FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Accepted by Li FINAL Date Accepted by Date Accepted By 06/07/10 10 17 FAX 360681208E Peninsula Heat iJ02 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth Std, Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant ah u r6 Phone Property Owner S 5 Phone Property Ow is Address (fVh/ df Aye uy 9 Contractor b /r 14 Phone Contractor's Address License PROJECT ADDRESS Gt��►1 cd ,4�h uQ. Parcel Number Protest Time b Brie/ Description: Check all l that appy a New Construction a Addition a Remodel a Repair o Demolition' o Re -roof Expires o House o garage o other c tear off re-roof o lay over one layer ritai i System .hflapump o wood burning stove o gas fireplace o pellet stove a other a Other Floor Aram Existing (sa. ft.) Pronosel Basement 1 Floor 2 Floor 3i Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? o Residential o Multi- family a Commercial TOTAL VALUATION D, 36 Sj Total footprint of structures sq. ft_ 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 ft Occupancy group Occupant load Construction type I have read and Completed this application and know it to be true and aired I am that it ism Y n3SPa►s+baY to determine what permits are required, end to obtain permi(5 pri Date 6�7�IC� Print NameCh cc 0 1 J!3 .signatu T:Fame/&ddwig Division/Bldg Pernrtdoc E-mail Lot For City Use Only Date Received Cn -`t —to Permit* 1 a 5- 7 5 Date Approved 53 33 Zoning Der sq. ft /1 of bedrooms S of full baths S of half baths o Industrial apply for 7,/s and understand Clallam County Assessor Treasurer I Property Details 65043 MELVIN KOSSEN AN Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 65043 MELVIN KOSSEN AND IRMA SCHNEIDER for Year 2010 2011 rProperty Account Property ID Geographic ID Type Tax Area. Open Space: Historic Property Multi-Family Redevelopment: Township Range Location Address. Neighborhood: Neighborhood CD Owner Name Mailing Address. I Taxes and Assessment Due Property Tax Information as of 06/07/2010 Amount Due if Paid on. YearStatementlpiTaxing Jurisdiction 2010 47310 ST SCH STATE SCHOOL CC-GEN COUNTY 2010 47310 [2010 47310 2010 47310 2010 47310 2010 47310 2010 47310 2010 47310 2010 47310 2010 47310 2009 650432008 2009 650432008 2009 650432008 2069656432008 2009 650432008 12009 650432008 65043 PORT PORT 0630105014520000 Real 0010 PA 121 PORT ST CNTY H2 L N N N 221 E WHIDB AVE PORT ANGELES WA Cycle 5 Res 10955130 PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAit #2 WSMET PK DIST WILLIAM SHORE MET PARK DIST CITY STORMWATE R CITY STORMWATE I WEED CONTROL WEED CONTROL 2010 47310 TOTAL: ST SCH STATE SCIOOL CO-GEN COUNTY PORT PORT RORT PORTX ■IGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY Legal Description Agent Code. Land Use Code DFL Remodel Property Section. Mapsco Map ID MELVIN KOSSEN AND IRMA SCHNEIDER Owner ID 221 WHIDBY AVE Ownership PORT ANGEIIES WA 98362-6541 Exemptions. 11 N N ;O. $18 52 $304 98 $320 61 $38.28 $54 04 $54 03 $17.20 $17 19 $36 00 $36 66 $0 82 $0 81 $1169.69 $1169.64 $281 80 $281 79 $142.61 $142.61 PUGET SOUND CO- OP COLONY 2 ADD LOT 16 LT 17 EXC E 15 BL 14 0,1\ \o- 35366 100 0000000000% First Half Second Half Base Due Base Due Penalty Interest Base $247 52 $247 52 $0 00 $0 00 $24 $131 72 $131 72 $0 00 $0 00 $1 $18.51_10 00 $000 $1 $304 98 $0 00 $0 06 $320 61 $0 00 $0 00 $32 $38.27 $0 00 $0 00 $Z $0 00 $0 00 $E $0 00 $0 00 $1 $0 00 $0 00 $Z $0 00 $0 00 $0.00 $0.00 $11€ $0 00 $000 $5E $0 00 $6 $2E $20.20 $20.20 $0 00 $0 00 $4 $312.81 $312.81 $0 00 $0 00 $62 $348 48 $348 49 $0 00 $0 00 $6c $41 44 $41 44 $0 00 $0 00 $E http.//vpn.clallam.net.8084/propertyaccess/Property aspx?cid=0&year=2010&prop id=65043 6/7/2010 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 amp service Furnace and heat Fump Owner MELVIN KOSSEN /IRMA SCHNEIDER ANGELES ELECTRIC 221 WHIDBY AVE 524 E 1ST ST PORT ANGELES WA 983626541 PORT ANGELES (360) 452 9264 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 165589 Permit Fee 125 10 Plan Check Fee Issue Date 5/19/10 Valuation Expiration Date 11 /15 /10 Qty Unit Charge Per 2 00 2 6000 ECH EL BRANCH CIRCUIT W /FEEDER 1 00 119 9000 ECH EL 0 200 SRV FEEDER Special Notes and Comments May 18 2010 2 43 47 PM Brian 417 Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS 125 10 00 125 10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00 761862 221 WHIDBY AVE 06 30 10 5 0 1452 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor 4708 OK Paid Credited Due I I 125 10 00 00 00 125 10 00 DATE Date 5/19/10 WA 98362 00 00 00 RESULTS 00 0 Extension 5 20 119 90 Signature of owner or Electrical Contractor X Date INSPECTOR. x 05/18/2010 10 45 FAX 360 452 9265 Angeles Electric City of Port Angeles Permit Application :Striding OtyhlintElaetrkN inipectione 321Eatt ttheet P.O.Box1150 Pert Aoge Wiehhmton,88352 Ph: (310)417 ftc.(�BO)4nd711 Date: YIP 1 2 Single FamilyDwelling Mulli.Faniy or Commercial Comnietblal Addition Alteration Remodel Repair* Plan Review May Be Requbed, Please Complete EI cal P. an Review information Sheet JobAddresi: I 21 /.D t/& Building Square.Footage: 4,/ Description of above +:f*=**tU 1 11fbR11at10n 'Name: Mailing Ad Clly: Phone: License Exp. Unit .Charae $119.90 $145.50 204.60 5 28220 372.50 s 2.80 $73.50 2.80 1 02.70 110.30 $148.70 $187.90 95.90 88.20 5 95.90 63.90 '83.90 119.90 $102.30 $110.30 '3520 73.50 -1,t0;30,— S8b0 State: 21 z 7 Check Date: 6//74 Name: Mailing City: Phone: License 1 Exp. �otal (Qtv Mullioned by Unit Chargel $J /Q ServlcelFeeder 200 Amp. I Service/Feeder 201-400 Amp. SwvioelFeeder 401400Amp. Service/Feeder 801 -1000 Amp. Sen rice!Feeder over 1000 Amp. '`t Branch Circa Wr Service Feeder r cvD MAY 1.8 2009 ELECTRICAL ll P I Q N S l r 1 �'�D ©!L .61.4'! �C/�e w! IC454 1 C o nb3Ltor Itnorfn Branch Circrdt W10 Service Feeder Each A6d1eonat Branch armdt Temp. Service/ Feeder 200 Amp. Temp. SeModFeeder 201-400 Amp. Temp. SOMcelFeeder 401400 Amp. Temp. SeMoelFeeder 801 -1000 Amp. Portal to Poi .Hourly SlgnlOutBne Lighting Signal C cut Limed Energy Commercial. Additional 1500 $5.00 Signal CUcultl tinted Energy 1 2 Family Dwelling Signal Mull Lirdted Energy Multi-Family Dwelling Menufachnred Monte Connection Renewable Electrical Energy 5KVA System or Less Fist 1300 Square FL Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Gave Each Swlmmiig!cduHotnub Thermostat Total creda Card t to [2] 0001/0l03 Omer er as debited by' CW 19.28.201: (1) Owner w ll occupy the structure for two years after this Necefal permit is finalized (2) Owner Is required to hire an Weddell contractor N above est ;hope*Q*Is torsi* rent or lase. Permit mites altersbrinonbte of lest Inspection. After reading the above ;Women, I hereby certify that I am the owner of t above named property or a licensed electrical contractor. I am malting the electrical bwtallatlon or aitritior in.complince Whale electrical laws, N.E.C. RCW. Chapter 1928, WAC. Chapter 296.488, The City of Port Angeles Municipal Code, and UWIty Specifications. Stgmhim of rawer, slecbleai contractor or electrical sdminletrator 0 Cash 1 0 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 8/09/2002 PERMIT NO: 13616 OWNER/APPLICANT PROPERTY LOCATION MEL KOSSEN 221 WHIDBY 221 WHIDBEY Lot: 16-17 EXC. E. 15' Port Angeles, WA 98362 Block: 14 [] Long Legal 360/457-7298 Subdivision: PSCC 2ND ADD T: S: Parcel No: CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $1,100.00 SFD Units: 0 Commercial: 0 Project Type: CARPORT SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 ~'J Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES ,~ ADD 14' 9" X 22' 6" CARPORT TO EXISTING GARAGE RECEIPT#9525 ~-' FEES ASSESSMENT Building Permit: $41.80 Misc Fee 1: $0.00 Plan Check: 0.00 Misc Fee 2: $0.00 State Surcharge: ;4.50 Misc Fee 3: $0.00 House Moving: ~0.00 Manufactured Home: ~0.00 Sign: ~0.00 TOTAL FEE: $46.30 Plumbing: ~0.00 AMOUNT PAID: $46.30 Mechanical: ;0.00 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 corn menced 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 cer[ify 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 .r~gulating construction or the performance of construction. ~- .. ~.Ty.~.z/C~ ,~ ~~. /~//~0 Signature of Contractor or Authorized Agent Date 'S~gnat~re of Owner (if owner is builder) ~ Date T:\PLANNJNG\FORMS\ [ [ 02. ] 5 [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 I DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERaMiT: # PLUMBING UNDER FLOOR / SLAB HOUGH-IN WATER LINE GAS LINE BACK FLOW / WATEH 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 PEEN[IT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTKICAL - LIGHT DEPT. 417-4735 ELECTPdCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. BUILDING 417-4815 BU1LDING T:\PLANNING\FORMS\ 1102.15 o~ ~,oa~r 4~ FOR OFFICIAL USE ONLY: BUILDING PERMIT- PLICATION ~ Bulldog P~ff~pplica~n m~ ~ o~ comp~ely. Ple~ ~e or print in i~ If~u have ~y qu~on~ ple~e ~ 417~15 Applic~torAg~t: - O~N~g- Phone: Ad.ess: City: . Zip: ~t~ngineer: ~NO~ Phone: Con~ctor o ~ Lic~se g: Exp:. Phone: Ad,ess: CiW: Zip:. Bi~ng Addr~: Ci~: Credit Card g: Exp. Date: ~SA MC T~E OF WO~: S~N~UATION: ~ Residential ~ NewCans~, ~ Re-~f ~ Wo~-stove ~t~ SF.~$ 3,%~SF.=$ ~ I ~ M~-f~y ~ Ad&~en ~ Move D G~ge SF. ~ $. /SF. = $. ~ Co,m~al ~ R~el u D~oHfion ~ D~k SF. ~ $. /SF. = g ~ R~a~ ~ Si~ ~ c~ F~ TOT~ V~UATION CO~R~S~E~: ~c~cy ~o~:. Occup~t ~ad: Com~cfion T~e:. No. of Stories: ~ Lot Size: ~ ~ ~%o~ % Lot Coverage: ] ~ % E~sfi~LotCove~ge: ~,~% /~.~.+Pmposed~tCove~ge: ~o /sq.R.=TOT~LOTCO~GE: ~:~% /sq.R. PLANING USE ONLY: ~PROV~S: PL~ Not~: BLDG. DPW ES~efl~s): ~ Y~ ~ No S~A ~ec~st ~d? ~ Yes ~ No O~er: OT~R B~D~G PE~ ~PLICATION S~: Your ~plic~on and ~te pl~ must be fi~ out completely to be accepted for ~i~. ~e B~l~g Di~sion c~ provide you ~ more de~iled ~o~fion on ~e application ~d pl~ sub~l ~q~emen~. Yo~ co~leted appHcatio~ site pl~ (for addition) ~d b~lding com~cfion pl~ ~e to ~ subbed to ~e B~ld~g Di~ion. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by thc applicant. This figure will be reviewed and may be revised by the Bnilding Division to comply with current fee schedules. Contact the Permit Coordinator at 4174815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time ofpesmit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days oftbe date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. 1 understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. T:'XFORM SL~PPS~Buildin gp~rmit DiPARTMENT OF PUBLIC WORKS, BUILD~IG DIVISION d'~'~ "@ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .12\ EAST 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT Issued: 4/26/99 Permit No: 6621 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ MEL KOSSEN 221 WHIDBY 221 WHIDBEY Lot: 16-17 EXC. E. 15' Port Angeles, WA 98362 Block: 14 Long Legal: 360/457-7298 Sub: PSCC 2ND ADD T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES.GARAGE Prj Value: $0.00 Occ Type: Cnstr Type: FEEDER Occ Grp: Occ Load: Land Use: RS7 Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser Overhead service X Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: 120,240 X-1 -3 200 AMPS 60 AMPS PROJECT NOTES------------------------------------------------------------------- WIRE GARAGE PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc GARAGE $42.50 TOTAL FEE: Amount Paid: $42.50 $42.50 --------------------------------- --------------------------------- TOTAL FEE: $42.50 Balance Due: $0.00 COMMENTS/ACTION NEEDED ~ ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I VIS I NO -IN I LUYbK ~JC.KYILJC. , , ~INAI I i7J7/7'7 I GENERAL COMMENTS: PW-II02.1S14'96l Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT .1 ELECTRICAL PERMIT PERMIT NO. .3 :1/7 /tJ -rf- 9/ DATE Site Address: wlvel ..t~ o READY FOR INSPECTION License Number: I'tWILL CALL FOR I'INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler [J Heatpump 0 Other [J Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead '0 undergr~~ / .r,) Voltage ,~ '(.;zy.... 01003.0 Service size Amps o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) DetailslDescription: WI'k W~~'fE - ~{} ~, Id~ rJI~ ~1~ ~} (-/.0 ~ . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. ~ ~ O.K. to connect service DFi~~~ ~\~\qV Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: Permit/Re~eipt No. '33 Site Address: New Meters .- . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. _.~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .;J 0 ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OlYM~'C P~INTE~S, INC. CITY OF PORT ANGELES LIGHT DEPARTMENT E,:LECTRICAL PERMIT N? 16969 ~ , Port Angeles, wasblngton.m...oof.m.i~.m....m..mmm..oo...m., 19"?Z In aooordance 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 e ctrlcal work as listed below. Address ...Il.._;? .!.mmn..m.... . ~ .. mm' ...um..nmUm OccupancYm..~s:loo.muum..moooo.m Owner 9;r~~.~L.~ ':'.';'" ..:vflnltnt..._mooummmoomuom._.noomn__m._.oo.oooomoomoo__. Wiring ~'~:~::~o~'.#~~u.fdI4:Jp,Y...mumoooooo.u.u.moo.mmm.moomoooom.u..uoo..--oo Light Outlets.....___..................___............. Service. volts ..L.?:::~.i?...f:.~. Type at Wiring: R ptacl Outlets No wires =' Armored Cable ...__mm_....__m._....... ece e ....___........_.m_m....... Slz'e wlres:~:.~~:::::::::::::~:: Non.Metalllc ................................. Dryer, KW ........._n.....___........________...... 7~ ....~e>C1 A Knob & Tube__.....____....................... Range, KW....hh..............,___................ Main tuse ..".. S....... ............. Water Heater: Enclosure m......__m._h_..._____m__....... Rigid Conduit ............................... Metallic Tubing ........................... KW.-mm.&:jm-.....zmm-m........_ Type of wiring: Heat' KW......r:.t.:.C?...~ ct... Ectrance Cable ...---......------.---....... Motors: size, voltl and phase: Rigid Conduit .....___mm..........__m.. Raceway .........._._.........._.....__..._ Circuits, Light._______........_______...__.___..._.. Utility ......................._.................... Ser. No..__.........__.............____............... Heat ....._______................................... Range ___........_..........._____......._______... Water Heater ............--......----....... Motor ..._...........____.....___.___......_.__... Dryer__.___.._........_.............__..........._..._ Furnace ............._...........'_...._._.__...._.. MetalUc Tubing ......... Current transformers: No. & Size..........__.._...........__ Ser. No._.......__.____..........._.................. Ser. No.._.___.__...........____...........____...__. Remark:~ta:n=~~.1.:=:~~oom~::~~:.~;--.~L.m:....m.:~~~:..~::.:::.:__~::~.::~:.:~::~::~:. n_nn..n_n..nnn.n_nnhunn_nn.._n...n__n.n....__._un..n__.n.nn_n_nn.....dnnn...u_n._nn__.......n_n.nnn....n__u.nn____.n.nn_nn. mm............moomm.moo..n.....m.mm.m...umm.mmmmmnn..oomoomoo...uuuomm~.nmm ~.. .....mm.m...m..uoom....m..oo Permit Fee Treas. Receipt ()( .' . ~ L $.000........_____.00000___._____00000. NO...........oo___m.......... BY,,;!{:__.J 00 .Loo .. __~..mm....~oo.m.'_'!!.*.'-' NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16969 Address_____.............._...._..............._._..........._.....................__...__._._...............__._.___..................___.._.Date..._......____.._.._..........---.-.-...-..----..-.- Owne~________._..___..____._............_.........._...._.__._..._.._.................__..__......_..........._..._.....____....Tenant.___________............__.__---..-.---.......-.....-----..---..... \ Wiring Contractor___..___.......___.......___............___.............___..........______..........___..........______..___............. By___......................___........___. .-----.............--.- \ NOTICE-Current must not be turned on until Certlflcate 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. \ - 1M Olympic Printers, Inc.