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1512 W 4th St - Building
Electrical Permit 1512 W 4' St 13 -450 ELECTRICAL PERMIT W CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 13-00000450 Date 5/01/13 v Application pin number . . . 123950 Property Address . . . . . 1512 W 4TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2605-0000- on our excise tax form Application type description ELECTRICAL ONLY Y Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc panel replacement Owner Contractor ----- - ------ SEYMOUR, MICHAEL & PATRICIA ELECTRIC SERVICE 1512 W 4TH ST 82 DRAPER RD PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452-6424 ---------------------------------------------------------------------------- Permit . . . . . ELECTRICAL ALTER RESIDENTIAL .. Additional desc . . N Permit Fee . . . . 120.00 Plan Check Fee .00 Issue Date . . . 5/01/13 Valuation . . . . 0 Expiration Date . 10/28/13 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 , ---------------------------------------------------------------------------- Special Notes and Comments May 1, 2013 10:37:49 AM BANDERS. Electrical service mast requires extension to provide the minimum 16' clearance over driveway. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 120.00 120.00 .00 .00 n Plan Check Total .00 .00 .00 .00 Grand Total 120.00 120.00 .00 .00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE r' 3 l47 ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING APR-30-2013 09:29A FROM:ELECTRIC SERVICE 4526424 TO:4174711 P.1 I V E D ECR F APR i3 0 2013 CITY OF PORT ANGELES PERMIT APPLICATION \ � Building Division/Electrical Inspections I. ELiCTRICAL O 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 INSPECTIONS Ph:(360)417-4735 Fax: (360)417-4711. I. 6 L46 2 Single Family Dwelling V I Date: — i Plan Review MayBe RequirePlease rnplete Electrical Plan Review Infolrrtation Sheet Job Address: o 00 Building Square Footage: Description of above Owner Infonyi)lo� ontrador Informo4n Name: f!�µ r �-� Jnu��nu�� 2tr L lO Melling A cess: l ! �— lung A State: We^ Zip: G e Or. State: `'� Zlp: Sf 6 i City: - f�hone: 4 9-2--&-t. ; Fax: a '� Phone: Fax: ipense 01 Exp. License#/Exp. n ha e Total[ltv lid by Unit Charnel e $120.00 Service/Feeder 200 Amp. $146.00 $ Service/Feeder 201 400 Amp. $205.00 $ Service/Feeder 401-600 Amp $26200 $ Service/Feeder 601-1000 Amp. $ Service/Feeder over 1000 Amp. $313.00 $ Branch Circuit WI Service Feeder $ 5 $ Branch Circuit W/O Service Feeder $ 83.00 $ Each Additional Branch Circuit $ 5 $_ Branch Clrcults 1.4 $ 15'00 $ Temp.Service/Feeder 200 Amp. $ 93.00 $ Temp.Service/Feeder 201400 Amp. $110.00 $ Temp.Service/Feeder 401.600 Amp. $149.00 $ Temp.Service/Feeder 601-1000 Amp. 3168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/Limited Energy-18 2 Family Dwelling $ 64.00 �� $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat S 56.00 Note:$5.00 for each additional T-Stat NEW cr>wts7RUCTION ONLY: $ First 1300 Square FL $120.00 S Each Additional 500 Square R.or Portion of $ 40•00 $_ Each Outbuilding or Detached Garage $ 14.00 $ Each Swimming Pool or Hot Tub $110.00 s_!:Lc-_" Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two y after this elecrio permit is finalized.(2)Owner is required to hue an electrical contractor if above said property Is for sale,rent or lease.Penn 1 expires after six months of last inspection. r. am making After reading the above statement I hereby certify that I am the owner of the a.C-,1 kCW Chapter pt19 20.WAC.or 0 Chapter 96-46B,electrical cThelCity of Port the electrical installation or alteration in compliance with the electrical laws,N.E.0, AMC 14.05.050 regerdin�;Electrical Permit ApPl Angeles Municipal Code,and Utility Specifications and Picatlons. Signature of owner,electrical contractor or electrical administrator: cr— t--,-,�+-- ❑ Credh Cud A ' 01101012 i I i ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 13-00000450 Date 5/01/13 Application pin number . . . 123950 Property Address . . . . . 1512 w 4TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2605-0000- on our excise tax form Application type description ELECTRICAL ONLY Y Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation . 0 ---------------------------------------------------------------------------- Application desc panel replacement ---------------------------------------------------------------------------- Owner Contractor SEYMOUR, MICHAEL & PATRICIA ELECTRIC SERVICE 1512 W 4TH ST 82 DRAPER RD PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452-6424 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . . . 120.00 Plan Check Fee .00 Issue Date . . . . 5/01/13 Valuation . . . . 0 Expiration Date . . 10/28/13 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Special Notes and Comments May 1, 2013 10:37:49 AM SANDERS. Electrical service mast requires extension to provide the minimum 16, clearance over driveway. ------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 120.00 120.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 120.00 120.00 .00 .00 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: GAEXCHANGMBUILDING PREPARED 10/04/05 13 29 15 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/04/05 ADDRESS 1512 W 4TH ST SUBDIV CONTRACTOR HOME IMPROVEMENT & MAINTENANCE PHONE (360) 582 3661 OWNER SEYMOUR MIKE/OATRICIA PHONE ( 36) 457 5079 PARCEL 06 30 00 0 1 2605 0000 APPL NUMBER 05 00000350 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/10/05 JLL BUILDING FOUNDATION FOOTING 6/10/05 DA 06/10/2005 08 27 AM DYASUMUR BRUCE 461 2733 06/10/2005 04 59 PM JLIERLY vert to be tied in place/jll BL1 02 6/13/05 JLL BUILDING FOUNDATION FOOTING 6/13/05 AP 06/14/2005 08 50 AM JLIERLY 06/15/2005 12 56 PM JLIERLY BI2 01 6/15/05 JLL BUILDING FOUNDATION WALL 6/15/05 AP 06/15/2005 12 32 PM JLIERLY 06/15/2005 04 53 PM JLIERLY BL9 02 6/29/05 JLL BUILDING SHEARWALL 6/29/05 AP 06/29/2005 11 51 AM DYASUMUR BRAD 461 4686 06/29/2005 04 31 PM JLIERLY BL3 01 7/28/05 JLL BUILDING FRAMING TIME 17 00 7/28/05 AP 07/28/2005 11 47 AM DYASUMUR BRAD 461 4686 07/28/2005 04 42 PM JLIERLY air seal ok on this date/jll BLI O1 8/03/05 JLL BUILDING INSULATION 8/03/05 AP INSULATION BRAD 461 4686 08/03/2005 04 15 PM JLIERLY BL99 01 9/06/05 JLL BUILDING FINAL TIME 17 00 9/07/05 DA BRAD 461 4686 09/07/2005 12 29 PM JLIERLY BL99 02 9/28/05 JLL BUILDING FINAL 9/28/05 DA 09/27/2005 01 20 PM PBARTHOL BRAD 461 4686 HOME OWNER 457 5079 09/28/2005 04 34 PM JLIERLY no electrical final BL99 03 10/0 /0 JLL BUILDING FINAL 10/03/2005 02 32 PM PBARTHOL MIKE 457 5079 COMMENTS AND NOTES PREPARED 9/28/05 13 30 49 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/28/05 ADDRESS 1512 W 4TH ST SUBDIV CONTRACTOR HOME IMPROVEMENT & MAINTENANCE PHONE (360) 582 3861 OWNER SEYMOUR MIKE/OATRICIA PHONE ( 36) 457 5079 PARCEL 06 30 00 0 1 2605 0000 APPL NUMBER OS 00000350 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/10/05 JLL BUILDING FOUNDATION FOOTING 6/10/05 DA 06/10/2005 08 27 AM DYASUMUR BRUCE 461 2733 06/10/2005 04 59 PM JLIERLY vert to be tied in place/jll BL1 02 6/13/05 JLL BUILDING FOUNDATION FOOTING 6/13/05 AP 06/14/2005 08 50 AM JLIERLY 06/15/2005 12 56 PM JLIERLY BI2 01 6/15/05 JLL BUILDING FOUNDATION WALL 6/15/05 AP 06/15/2005 12 32 PM JLIERLY 06/15/2005 04 53 PM JLIERLY BL9 01 6/29/05 JLL BUILDING SHEARWALL 6/29/05 AP 06/29/2005 11 51 AM DYASUMUR BRAD 461 4686 06/29/2005 04 31 PM JLIERLY BL3 01 7/28/05 JLL BUILDING FRAMING TIME 17 00 7/28/05 AP 07/28/2005 11 47 AM DYASUMUR BRAD 461 4686 07/28/2005 04 42 PM JLIERLY air seal ok on this date/jll BLI 01 8/03/05 JLL BUILDING INSULATION 8/03/05 AP INSULATION BRAD 461 4686 08/03/2005 04 15 PM JLIERLY BL99 01 9/06/05 JLL BUILDING FINAL TIME 17 00 9/07/05 DA BRAD 461 4686 09/07/2005 12 29 PM JLIERLY BL99 02 9/28/ 5 JLL BUILDING FINAL 09/27/2005 01 20 PM PBARTHOL BRAD 461 4686 HOME OWNER 457 5079 COMMENTS AND NOTES r� PREPARED 9/06/05 12 20 44 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/06/05 ADDRESS 1512 W 4TH ST SUBDIV CONTRACTOR HOME IMPROVEMENT & MAINTENANCE PHONE (360) 582 3861 OWNER SEYMOUR MIKE/OATRICIA PHONE ( 36) 457 5079 PARCEL 06 30 00 0 1 2605 0000 APPL NUMBER 05 00000350 RES ADDITION PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 016 J3,�, ,� MECHANICAL FINAL TIME 17 00 -EL1/y- BRAD 461 4686 CONTINUED ONTO NEXT PAGE PREPARED 9/06/05 12 20 44 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/06/05 ADDRESS 1512 W 4TH ST SUBDIV CONTRACTOR HOME IMPROVEMENT & MAINTENANCE PHONE (360) 562 3861 OWNER SEYMOUR MIKE/OATRICIA PHONE ( 36) 457 5079 PARCEL 06 30 00 0 1 2605 0000 APPL NUMBER 05 00000350 RES ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 7/08/05 JLL PLUMBING ROUGH IN TIME 17 00 7/08/05 AP 07/08/2005 01 14 PM JLIERLY 07/08/2005 -04 44 PM JLIERLY PL99 01 /OS/ JI � PLUMBING FINAL TIME 17 00 SIDBRAD 461 4686 COMMENTS AND NOTES PREPARED 9/06/05 12 20 44 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/06/05 ADDRESS 1512 W 4TH ST SUBDIV CONTRACTOR HOME IMPROVEMENT & MAINTENANCE PHONE (360) 582 3861 OWNER SEYMOUR MIKE/OATRICIA PHONE ( 36) 457 5079 PARCEL 06 30 00 0 1 2605 0000 APPL NUMBER 05 00000350 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/10/05 JLL BUILDING FOUNDATION FOOTING 6/10/05 DA 06/10/2005 08 27 AM DYASUMUR BRUCE 461 2733 06/10/2005 04 59 PM JLIERLY vert to be tied in place/jll BL1 02 6/13/05 JLL BUILDING FOUNDATION FOOTING 6/13/05 AP 06/14/2005 08 50 AM JLIERLY 06/15/2005 12 56 PM JLIERLY BI2 01 6/15/05 JLL BUILDING FOUNDATION WALL 6/15/05 AP 06/15/2005 12 32 PM JLIERLY 06/15/2005 04 53 PM JLIERLY BL9 01 6/29/05 JLL BUILDING SHEARWALL 6/29/05 AP 06/29/2005 11 51 AM DYASUMUR BRAD 461 4686 06/29/2005 04 31 PM JLIERLY BL3 01 7/28/05 JLL BUILDING FRAMING TIME 17 00 7/28/05 AP 07/28/2005 11 47 AM DYASUMUR BRAD 461 4686 07/28/2005 04 42 PM JLIERLY air seal ok on this date/jll BLI 01 8/03/05 JLL BUILDING INSULATION 8/03/05 AP INSULATION BRAD 461 4686 08/03/2005 04 15 PM JLIERLY BL99 01 §/ 5 JJE�LL BUILDING FINAL TIME 17 00 BRAD 461 4686 CONTINUED ONTO NEXT PAGE PREPARED 8/03/05 13 43 50 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/03/05 ADDRESS 1512 W 4TH ST SUBDIV CONTRACTOR HOME IMPROVEMENT & MAINTENANCE PHONE (360) 582 3861 OWNER SEYMOUR MIKE/OATRICIA PHONE ( 36) 457 5079 PARCEL 06 30 00 0 1 2605 0000 APPL NUMBER 05 00000350 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/10/05 JLL BUILDING FOUNDATION FOOTING 6/10/05 DA 06/10/2005 08 27 AM DYASUMUR BRUCE 461 2733 06/10/2005 04 59 PM JLIERLY vert to be tied in place/jll BL1 02 6/13/05 JLL BUILDING FOUNDATION FOOTING 6/13/05 AP 06/14/2005 08 50 AM JLIERLY 06/15/2005 12 56 PM JLIERLY BI2 01 6/15/05 JLL BUILDING FOUNDATION WALL 6/15/05 AP 06/15/2005 12 32 PM JLIERLY 06/15/2005 04 53 PM JLIERLY BL9 01 6/29/05 JLL BUILDING SHEARWALL 6/29/05 AP 06/29/2005 11 51 AM DYASUMUR / BRAD 461 4686 06/29/2005 04 31 PM JLIERLY BL3 01 7/28/05 JLL BUILDING FRAMING TIME 17 00 7/28/05 AP 07/28/2005 11 47 AM DYASUMUR BRAD 461 4686 07/28/2005 04 42 PM JLIERLY air seal ok on this date/jll BLI 01 8/03/05 JL BUILDING INSULATION INSULATION BRAD 461 4686 COMMENTS AND NOTES lam"' PREPARED 7/28/05 13 24 11 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/28/05 ADDRESS 1512 W 4TH ST SUBDIV CONTRACTOR HOME IMPROVEMENT & MAINTENANCE PHONE (360) 582 3861 OWNER SEYMOUR MIKE/OATRICIA PHONE ( 36) 457 5079 PARCEL 06 30 00 0 1 2605 0000 APPL NUMBER 05 00000350 RES ADDITION PERMIT SPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/10/05 JLL BUILDING FOUNDATION FOOTING 6/10/05 DA 06/10/2005 08 27 AM DYASUMUR BRUCE 461 2733 06/10/2005 04 59 PM JLIERLY vert to be tied in place/jll BL1 02 6/13/05 JLL BUILDING FOUNDATION FOOTING 6/13/05 AP 06/14/2005 08 50 AM JLIERLY 06/15/2005 12 56 PM JLIERLY BI2 01 6/15/05 JLL BUILDING FOUNDATION WALL 6/15/05 AP 06/15/2005 12 32 PM JLIERLY 06/15/2005 04 53 PM JLIERLY BL9 01 6/29/05 JLL BUILDING SHEARWALL 6/29/05 AP 06/29/2005 11 51 AM DYASUMUR BRAD 461 4686 06/29/2005 04 31 PM JLIERLY BL3 01 7/28 OSJ&n BUILDING FRAMING TIME 17 00 07/28/2005 11 47 AM DYASUMUR BRAD 461 4686 COMMENTS AND NOTES PREPARED 7/08/05 13 33 30 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/08/05 ADDRESS 1512 W 4TH ST SUBDIV CONTRACTOR HOME IMPROVEMENT & MAINTENANCE PHONE (360) 582 3861 OWNER SEYMOUR MIKE/OATRICIA PHONE ( 36) 457 5079 PARCEL 06 30 00 0 1 2605 0000 APPL NUMBER 05 00000350 RES ADDITION PERMIT PL 00 PLtDMING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 7 L PLUMBING ROUGH IN TIME 17 00 07/08/2005 01 14 PM JLIERLY COMMENTS AND NOTES PREPARED 6/29/05 12 55 09 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/29/05 ADDRESS 1512 W 4TH ST SUBDIV CONTRACTOR HOME IMPROVEMENT & MAINTENANCE PHONE (360) 582 3861 OWNER SEYMOUR MIKE/OATRICIA PHONE ( 36) 457 5079 PARCEL 06 30 00 0 1 2605 0000 ! / APPL NUMBER 05 00000350 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/10/05 JLL BUILDING FOUNDATION FOOTING 6/10/05 DA 06/10/2005 08 27 AM DYASUMUR BRUCE 461 2733 06/10/2005 04 59 PM JLIERLY vert to be tied in place/jll BL1 02 6/13/05 JLL BUILDING FOUNDATION FOOTING 6/13/05 AP 06/14/2005 08 50 AM JLIERLY 06/15/2005 12 56 PM JLIERLY BI2 01 6/15/05 JLL BUILDING FOUNDATION WALL 6/15/05 AP 06/15/2005 12 32 PM JLIERLY 06/15/2005 04 53 PM JLIERLY BL9 01 6 29/ 5 LL BUILDING SHEARWALL 06/29/2005 11 51 AM DYASUMUR BRAD 461 4686 - COMMENTS AND NOTES PREPARED 6/15/05 13 09 52 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/15/05 ADDRESS 1512 W 4TH ST SUBDIV CONTRACTOR HOME IMPROVEMENT & MAINTENANCE PHONE (360) 582 3861 OWNER SEYMOUR MIKE/OATRICIA PHONE ( 36) 457 5079 PARCEL 06 30 00 0 1 2605 0000 APPL NUMBER 05 00000350 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/10/05 JLL BUILDING FOUNDATION FOOTING 6/10/05 DA 06/10/2005 08 27 AM DYASUMUR BRUCE 461 2733 06/10/2005 04 59 PM JLIERLY vert to be tied in place/jll BL1 02 6/13/05 JLL BUILDING FOUNDATION FOOTING 6/13/05 AP 06/14/2005 08 50 AM JLIERLY 06/15/2005 12 56 PM JLIERLY BI2 01 6/15/05 L _ ► �JLL BUILDING FOUNDATION WALL 06/15/2005 12 32 PM JLIERLY COMMENTS AND NOTES PREPARED 6/14/05 8 50 28 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/13/05 ADDRESS 1512 W 4TH ST SUBDIV CONTRACTOR HOME IMPROVEMENT & MAINTENANCE PHONE (360) 582 3861 OWNER SEYMOUR MIKE/OATRICIA PHONE ( 36) 457 5079 PARCEL 06 30 00 0 1 2605 0000 APPL NUMBER 05 00000350 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/10/05 JLL BUILDING FOUNDATION FOOTING 6/10/05 DA 06/10/2005 08 27 AM DYASUMUR BRUCE 461 2733 06/10/2005 04 59 PM JLIERLY vert to be tied in place/jll BL1 02 6/13/0$ JL ((( ��� BUILDING FOUNDATION FOOTING 06/14/2005 08 50 AM JLIERLY COMMENTS AND NOTES PREPARED 6/10/05 12 58 12 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/10/05 ADDRESS 1512 W 4TH ST SUBDIV CONTRACTOR HOME IMPROVEMENT & MAINTENANCE PHONE (360) 582 3861 OWNER SEYMOUR MIKE/OATRICIA PHONE ( 36) 457 5079 PARCEL 06 30 00 0 1 2605 0000 APPL NUMBER 05 00000350 RES ADDITION PERMIT BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/20/05- J BUILDING FOUNDATION FOOTING 06/10/2005 08 27 AM DYASUMUR BRUCE 461 2733 COMMENTS AND NOTES �- P I �10fP�^FN CITY OF PORT ANGELES 411 DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION w 321 EAST 5TH STREET PORT ANGELES,WA 98362 'r'Bc�cwti�'� Application Number 05 00000350 Date 5/23/05 Application pin number 787700 Property Address 1512 W 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 2605 0000 Application type description RES ADDITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 35000 Owner Contractor SEYMOUR MIKE/OATRICIA HOME IMPROVEMENT & MAINTENANCE 1512 W 4TH ST 754 MCCOMB RD PORT ANGELES WA 983631805 SEQUIM WA 98382 ( 36) 457 5079 (360) 582 3861 Other struct info TOTAL % LOT COVERAGE 16 10 CONSTRUCTION TYPE V N NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 2253 00 LOT SIZE 17500 00 PROPOSED LOT COVERAGE 564 00 TOTAL LOT COVERAGE 2819 00 NUMBER OF UNITS 1 00 Permit BUILDING PERMIT RESIDENTIAL �. Additional desc 108SF ADDNT & 456SF DECK Permit pin number 49510 Permit Fee 515 75 Plan Check Fee 206 30 Issue Date 5/23/05 Valuation 35000 1 Expiration Date 11/19/05 Qty Unit Charge Per Extension BASE FEE 414 75 10 00 10 1000 THOU BL-25 001 50K (10 10 PER K) 101 00 Permit MECHANICAL PERMIT Additional desc Permit pin number 49528 Permit Fee 68 75 Plan Check Fee 00 Issue Date 5/23/05 Valuation 0 For, Expiration Date 11/19/05 Qty Unit Charge Per Extension S BASE FEE 47 00 l 3 00 7 2500 ECH ME VENT FAN 21 75 1 ' �/�/)( 0 Permit PLUMBING PERMIT ' 1 Y �(�( V/I Additional deme CH pin number 49536 �JJ f/`t.— ✓h Permit Fee 68 00 Plan Check Fee 00 Issue Date 5/23/05 Valuation 0 Expiration Date 11/19/05 Qty Unit Charge Per Extension BASE FEE 47 00 3 00 7 0000 BCH PL- EA FIXTURE ON ONE TRAP 21 00 Special Notes and Comments When roof gutters 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 to or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor Authorized Agent D to Signature of Owner(if owner is builder) Date T\Policies\1102_15 building permit inspection record05 wpd[1/4/2005] �' BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDER FLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR low- INSULATION SLAB WALL/FLOOR CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T\Policies\1102_15 building permit inspection record05 wpd[1/4/20051 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION IL lff�- 321 EAST 5TH STREET PORT ANGELES,WA 98362 Page 2 Application Number 05 00000350 Date 5/23/05 Application pin number 787700 Special Notes and Comments wells or piped to approved storm drain locations 05/12/2005 04 46 PM SROBERDS The proposal will allow a residential addition for total lot coverage of 16t No land use issues are noted Electrical load calculations and elctrical permits are required Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 652 50 652 50 00 00 Plan Check Total 206 30 206 30 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 863 30 863 30 00 00 z 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 authori violate or cancel the provisions of any state or local law regulating construction or the performance of constructio . Signature of Contr ctor or Authorized Agent ate Signature of Owner(if owner is builder) Date T-\Policies\1102_15 building permit inspection record05 wpd[1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION- FOOTINGS OS WALLS 0� FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN 7 7 67V (/ WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS 'L$ ��� —T4- CEILING l r �TLL FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS (o 55 Jt'-u- W ALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING 3 d �LL MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 —,L— 1 L BUILDING T-\Policies\1102_15 building permit inspection record05 wpd[1/4/20051 c 1 FOR OFFICIAL USE ONLY BUILDING PERMIT- APPLICATION DateRec Permit# Fill out COMPLETELY and in INK.Your application and site plan MUST B Date Approved..questions, COMPLETE to be accepted for review If you have any questions, call Date Issued. PERMITS (360)417-4815 FAX(360)417-4711 y� f Applicant or Agent: �'//�r✓ - �f y V"A14 Z Phone � ;72 Owner L!// Phone. Address. S City. l� Zip Architect/Engineer• ��/7J£' '/ '��� Phone. II N6 1 NI LO IS E� 006thone Contractor �rC�f7 �:- ✓.-1��� '� s State License# p `sG Zip Address..���_���tL�� � City ��29u-i w� C.�et � ✓fir PROJECT ADDRESS r�l� L� � -�— ZONING /� ES LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. or,"e_, *h^pr–oV e►An.'e w v Credit Card Holder ame: Billing Address: City. Credit Card Type VISA MC # Exp.Date: TYPE OF WORK. SIZE/VALUATION ❑ Residential ❑ New Constr 11Re-roof ❑ Stove C► �o _SF @$ /SF =$ ❑ Multi-family ¢� Addition 11 Move El Garage lack ` SF @$ /SF =$ ❑ Commercial Remodel ❑ Demolition dl Deck SF @$ /SF =$ \ - IN Repair 13Sign 11 Other TOTAL VALUATION $3s, �� BRIEF DESCRIPTION OF THE PROJECTc '� �'s `''� ``' `�'"� ' G� COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type: No. of Stones:— Lot Size: /7 Existing Sq.Fta . &Proposed Sq.Ft. s,�,� =TOTAL Sq Ft Total lot coverage_'A;_ % APPROVALS. PLANNING USE ONLY PLAN BLDG DPWU FIRE ESA/Wetland(s) ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other- OTHER. VALUATION OF CONSTRUCTION In all cases,a valuation amount must be entered by the applicant. Tlus figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the tune the building penmt application and construction plans are subnutted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no pern it is issued within 180 days of the date of application,the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section R105.3.2 of the International Building/Residential Code,2003) No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. t am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required,not the City's, a I must obtain such permits prior to work. Date: T•\RVESS\BLDG-forms-brochures\2004-Buildingpenmit.wpd Applicant: i• 07 TS S Nil, f 1�34 1530 91 1,528 1152��� 1527 NNI, 1523 162IN 1615 150.1 1505 415 1520 417 1512 1435 504 1431 1425 506 L-), This incip is not intended to be us a legal desriptio VD N NAD 83191 Area Map Th is mapldrawing is produced by the City qfPort A ngeles for its own use andpurposes. V"I"'al aimm 88 =====3HOr�otua'DDa'u`"=NA Feet Any other use ofthi mapldrawingshall not be the responsibility ofthe City. 4SEASONS (360) 4S2023 - Fax(360) 4S2-3047 ENG/NEER/NG, INC.. 619 S. Chase Street-3 ort Angeles, WA 98362 April 25, 2005 Mike Seymour 1512 W 4' Street Port Angeles, WA 98362 Subject: House remodel and bank setback Dear Mr Seymour I have reviewed your proposed building addition. It seems to me that the proposed addition to the existing house is reasonable. I measured the setback from the top of the bank at 79 feet at the closest. The new deck it would be within 73 feet from the top of the bank. This should not adversely affect the stability of the property I would recommend the drainage be dispersed onto the ground using splash blocks. This is similar to the existing condition. In short,the site plan prepared by Annie O'Roarke appears accurate and suitable for this small remodeling project. Sincerely, �. 0 L D� ,Jay S Peter en PE Civil Engi eer MAY-05-05 09 42 AM OROURKE 503 357 6882 P 01 Imo'f1 _T 15i2 � 4� � CL4L.l1��`'I CDS t-�T'� 17 e e- k c��-D1� D►��1'v tz' -s ol Pio Rx� I WN 4' � r CITY OF PORT ANGELES PUBLIC WORKS -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 4a� BUILDING PERMIT ISSUED: 1/10/2002 PERMIT NO: 13178 OWNER/APPLICANT PROPERTY LOCATION T. L. ROBERG 1512 4TH ST W 1512 W 4TH Lot: 3-4 Port Angeles, WA 98362 Block: 126 ® Long Legal 206/000-0000 Subdivision: TPA T: S: Parcel No: 06300001260500 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 98360-0000 206/000-0000 360/000-0000 PROJECTINFO Project Value: $2,500.00 SFD Units: 0 Commercial: 0 Project Type: PLUMBING SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 ri Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES REPLACE WATER SERVICE TO HOUSE , BLDG SEWER& DRAIN , BLDG WATER LINES `V`) RECEIPT#8702 I 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: $69.00 Plumbing: $69.00 AMOUNT PAID: $69.00 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 commenced within 180 days,if construction or work is suspended or abandoned fora 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 ive ori to v' r cancel the provisions of any state or local law regulating construction or the performance of cons ction l- l0 -oZ gri ure of tfgctof& zed Agent Date Signature of Owner(if owner is builder) Date 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 INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE A INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:k ROUGH-BJ PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATERLINE GAS LME 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 WOODSTOVE/PELLET/CHIMNEY/INSERT HOOD/DUCTS PW UTILITIES/SITE WORK (En6^neenng Division) SEPARATE PERMIT k's: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT N's SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES T NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 QZ BUILDING C W PPL.W PD 0 �0f Po/ a� N FOR OFFICIAL USE ONLY: Date Rec.: BUILDING PERMIT - APPLICATION Permit#: Date Approved: Date Issued: The Building Permit -Pre-application must be filled out completely. Please type or print in inks If you have any questions,please call 4174815 5 P# ( I Applicant or Agent: Phone: Owner: b n R oth Y F Rn h t° PG C Phone: 1-4.5'7- /530 Address: l ti l `LUH ty 5? City:1)0 R�/ e- s Zip: �fr 36 I Architect/Engineer: Phone: Contractor ©CJ A) License#: Exp: Phone: Address: City: Zip: PROJECT ADDRESS: /S i Z 1tJ i L-6 S T ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card#: Exp.Date: VISA MC TYPE OF WORK: SIZE/VALUATION: Vkesidential ❑ New Constr. ❑ Re-roof ❑ Woodstove SF.@$ /SF.=$ ❑ Multi-family ❑ 9dition ❑ Move ❑ Garage SF. @$ /SF. =$ ❑ Commercial emodel ❑ Demolition ❑ Deck SF. @$ /SF.=$ ❑ Repair ❑ Sign ❑ TOTAL VALUATION $// BRIEF DESCRIPTION OK THE PROJECT: C4-JA-F :5.�E,e V/Cf- -/-'O �loilS COMMERCIAL/RESIDE IAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: %Lot Coverage: % Existing Lot Coverage: /sq.ft.+Proposed Lot Coverage: /sq. ft. =TOTAL LOT COVERAGE: (sq.ft PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): ❑Yes❑No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application,site plan(for additions)and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: 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 of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the 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. I 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. Applicant: �- Date: JO-A.) 10 2 BC2 TAFORMSWPPS\Buildingpe it CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . REQUEST: Date. JL� C� Z Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing ChimneyPlumbing Final Sewer Excay. Other j � INSPECTION NOTES: Inspected: Date Time By Remarks: LCr RESTORATION REQUIRED . . . . . . YES NO Z z� rZ - SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 4�."o aT CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 FAST STH STREET. PORT ANGELES.WA 98:62 ti Application Number . . . . . 05-00000350 Date 7/14/05 Application pin number . . . 787700 Property Address . . . . . . 1512 W 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2605-0000- Application type description RES ADDITION Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 35000 Owner Contractor - ------------------------ ----------------------- SEYMOUR, MIKE/OATRICIA HOME IMPROVEMENT & MAINTENANCE 1512 W 4TH ST 754 MCCOMB RD PORT ANGELES WA 983631805 SEQUIM WA 98382 ( 36) 457-5079 (360) 582-3861 Other struct info . . . . . TOTAL % LOT COVERAGE 16.10 CONSTRUCTION TYPE V-N NUMBER OF STORIES 1.00 EXIST,ING LOT COVERAGE 2253.00 LOT SIZE 17500.00 PROPOSED LOT COVERAGE 564.00 TOTAL LOT COVERAGE 2819.00 NUMBER OF UNITS 1.00 ------------------------- --------------------------------------- .Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc JEFF NELSON/CIRCUITS Permit pin number 53884 ` Sub Contractor JEFF NELSON ELECTRIC Permit Fee . . . . 48.10 Plan Check Fee 00 Issue Date . . . . 7/14/05 Valuation . . . . 0 Expiration Date . . 1/10/06 Qty Unit Charge Per Extension 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS 48.10 ---------------------------------------------------------------- Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. 05/12/2005 04:46 PM SROBERDS --------------------------- ` The proposal will allow a residential addition for total 1 lot coverage of 16%. No land use issues are noted. Electrical load calculations and elctrical permits are ^ required. LA --------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 52.60 52.60 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A N INIMUM 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]OB SITE INSPECTION TYPE DATE ACCEPTED COMMEr7TS YES NO DITCH -7-18 2FINAL � SERVICE 30 •us GENERAL COMMENTS. Pw-1102.1514'961 9 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 04-00001004 Date 11/01/04 Pin number . . . . . . .174608 Property Address . . . . . . 1512 W 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2605-0000- Application description . . . MECHANICAL APPL. PERMIT Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 2500 Owner Contractor ------------------------ ------------------------ SEYMOUR, MIKE/OATRICIA PA SWIMMING HOLE & FIREPLACE S 1512 W 4TH ST 518 W 8TH ST PORT ANGELES WA 983631805 PORT ANGELES WA 98362 (360) 457-5079 (360) 565-1163 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . PROPANE INSERT, LINES, TANK Permit Fee . . . . 57.65 Plan Check Fee .00 Issue Date . . . . 11/01/04 Valuation . . . . 0 Expiration Date . . 5/01/05 Qty Unit Charge Per Extension BASE FEE 47.00 1.00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 Fee summary ChargedPaid Credited Due _ ---------------- ---------- - ---------- ---------- _ Permit Fee Total 57.6557.65 .00 00 Plan Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .00 .00 [� r { 3� -mss o►� A's- YZ Q'2- GLI"t'`- 0-1— � V 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 y o -iolate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contrap r or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\PLANNING\FORMS\1102.15[11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL 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 DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN PLUMBING UNDERFLOOR/SLAB ROUGH-IN W TER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIRlSEAL 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 GAS LINE 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: ESA: PARKING/LIGHTING 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. CONSTRUCTION R.W./PW/ 417-4807 PW/ENGINEERING ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 I f —O r BUILDING T:\PLANNING\FORMS\1102.15[11/14/2003] PAGE 2 PREPARED 10/04/05, 13:29:15 INSPECTION TICKET DATE 10/04/05 INSPECTOR: JAMES L LIERLY _________ CITY OF PORT ANGELES --------------------------------------------------------------------------- ADDRESS 1512 W 4TH STMPHONE (360) 565-1163 CONTRACTOR PA SWIMMING PHONE HOLE & FIR S PHONE (360) 457-5079 OWNER SEYMOUR, PARCEL 06-30-00-0-1-2605-0000- APPL NUMBER: 04-00001004 MECHANICAL APPL. PERMI - PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYp/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------- ---- -- ---------------------- ME99 01 12/01/04 DA MECHANICAL FINAL 12/01/04 DA Mike - 457-5079 30 lb test on line for 24hrs / gauge shows Slbs jl ME6 01 12/02/04 JLL MECHANICAL GAS LINE TIME: 17:00 12/02/04 AP MIKE - 457-5079 ME99 02 10/ 4/ 5 JLL MECHANICAL FINAL II 10/04/ CAL NAL AM PBARTHOL MIKE SEYMOUR 457-5079 COMMENTS AND NOTES ----------- --------------------------- ---------------------------- PAGE 2 PREPARED 12/02/04, 13:10:01 INSPECTION TICKET DATE 12/02/04 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY —---------------- -- - -------------- SUBDIV: ADDRESS . : 1512 W 4TH ST PHONE (360) 565-1163 CIA CONTRACTOR PA SWIMMING HOLE & FIREPLACE S PHONE (360) 457-5079 OWNER SEYMOUR, PARCEL 06-30-00-0-1-2605-0000- APPL NUMBER: 04-00001004 MECHANICAL APPL- PERMIT --------------------- PERMIT ME00SMEED�IIP CNSPEMIREQUEDESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------- ME99 01 12/01/04 JLL MECHANICAL FINAL 12/01/04 DA Mike - 457-5079 30 lb test on line for 24hrs / gauge shows Slbs/jll 12/02 04 JL MECHANICAL GAS LINE TIME: 17:00 ME6 01 MIKE - 457-5079 - COMMENTS AND NOTES PREPARED 12/01/04, 12:10:51 INSPECTION TICKET PA' BUILDINCVISION CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DA ADDRESS . : 1512 W 4TH ST SUBDIV: CONTRACTOR : PA SWIMMING HOLE & FIREPLACE S PHONE : (360) 565-1163 CITY OF PORT ANGELES ' OWNER SEYMOUR, MIKE/OATRICIA PHONE (360) 457-5079 i PARCEL 06-30-00-0-1-2605-0000- I APPL NUMBER: 04-00001004 MECHANICAL APPL. PERMIT----------------- I PERMIT: ME 00 MECHANICAL PERMIT i REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS i '------------------------------------------------------ ME99 01 MECHANICAL FINAL Mike 457-5079 - Correction Notice ----------------- COMMENTS AND NOTES - U� b5 2 Job Located at i TIns ection of your work revealed that the following is � p not in accordance with the codes governing the work in this jurisdiction: I� {I r 1 i i 1 I I These corrections must be made and are not tobe covered until reinspection is made. When correct have been made, please call for inspection. Date Inspector f r`BUK ing ' ' 'on I DO NOT REMOVE THIS TAG d CITY OF PORT ANGELES b PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST STH STREET. PORT ANGELES.VI►A 9R3G tA lica 787700 p kation pin number 1512 w 4TH ST Property Address . • • . 06-30-00-0-1-2605-0000- ASSESSOR PARCEL NUMBER: Application type description RES ADDITION Subdivision Name . . • • . ' Property Use • . ' ' ' . RS7 RESDNTL SINGLE FAMILY Property Zoning • . • ' ' ' 35000 Application valuation . . . Contractor Owner -- --- HOME IMPROVEMENT & MAINTENANCE SEYMOU MIKE/OATRI 754 MCCOMB RD WA 98382 1512 W 4TH ST PORT ANGELES WA 983631805 5 EQUIM (3360)60) 582-3861 16.10 ( 36) 457-5079 TOTAL % LOT COVERAGE Other struct info . . V-N CONSTRUCTION TYPE 1.00 NUMBER OF STORIES 2253.00 EXISTING LOT COVERAGE 17500.00 LOT SIZE 564.00 PROPOSED LOT COVERAGE 2819.00 TOTAL LOT COVERAGE 1.00 NUMBER OF UNITS �J __ _ _ __ --------------------------------- -----Permit---- ELECTRICAL ALTER RESIDENTIAL Additional desc . . NELSON/ HOT TUB Permit pin number 56671ELSON ELECTRIC Sub Contractor - Sub Contractor JEFF NELSON ELECTRIC Check Fee .00 Permit Fee . • . . 48'10 0 8/04/05 Valuation issue Date 1/31/06 Expiration Date • Extension Qty Unit Charge Per 48.10 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS -------- Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. 05/12/2005 04:46 PM SROBERDS -- -------itio The proposal will allow a residential addition for total V^�� lot coverage of 16%. No land use issues are noted. Electrical load calculations and elctrical permits are required. ------------------------------------ -----------------'--- 4.50 Other Fees . . STATE SURCHARGE ------- ------------------------ paid -------- ----- Paid Credited Due Fee summary Charged ---------- ---------- --------- ---------- 4810 .00 Permit Fee Total 48.10 . .00 Plan Check Total 00 .00 .00 4.50 .00 .00 Other Fee Total 4.50 .00 Grand Total 52.60 52.60 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A 1\IDJU"24 HOUR NOTICE. ITIS UNJ�AWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCSPiED COMMENTS YES NO LILMAL GENERAL COMMENTS: rw-�ioz.isµ�ssl FROM FAX NO. :6814254 Aug. 02 2005 09:11AM P1 4 ELECTRICALWORKPERMITAPPLICATION P _a9eguestInspection IecMcal Contractor O Owner e�Ms ❑ Annual Permit ❑Alarm O Carnival ❑ Commercial ❑ Residential ❑ Residential Maiot- O Signs ❑ Thermostat ❑ Telecom. Job wired by electrical Contractor ❑Owner Installation description T %073 /v,i; �4 Electrical contractor name _ License number GFE Al GEG Ax, F 'RM Purchaser's mailing addre55 3 � " 2 f• Z=49�L /oS City tale ZIP Telcphon number number qj6Q C12-41 yZS�f Premises owner's name Address of insp lion /-T'12— LJ• yT1r City ❑ Cash ❑ Check# 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor(or the firm'5 authorized agent)and am making the electrical 21' redit Card Visa Mastercard Discover installation or alteration in compliance with the electrical law,Chapter 19.26 ROW. Card# Slgnature of owner, electrical contractor or electrical administrator Expiration Date X of card IDspection fee WALLS CEHING E 5THERM7� SERVICEInsulation Only Insulation OnlyApproved DyApp.=c0 Br ppmvcJ D,v D.,, Apprv•W By Cover Cover CH '};�)�D.,. A,p d By Dem Appmvod By AUpmKd By Dae Appmvw av Electrical Load Additions and or sulotruAns Soul=Information ❑ NO LOAD CHANGES - / ❑ Baseboard _KIN KG'r T(�� Voltage 7_qV O Furnace _KW ❑ Overhead Service Phase-Er I ❑ 3 ❑ Heat Pump _Ton!LAR ❑ Temp Service Service Size: O Fan-Wall _KW ❑ Underground Service Feeder Size: Inspection Area,Building or Equipment htspcctcd Action Taken hlectrical p Date Inspector a dS 7 --/7v.4-z__ 210 le 8o_s� FROM FAX NO. :6614254 Jul. 06 2005 11:11AM P1 ELECTRICAL WORK PERMITAPPLICATION p ❑Request Inspection JJJ Electrical Contractor O Owner �"'e+�'je a O Annual Permit O Alarm 0 Carnival 0 Commercial 0 Residential 0 Residential Maint. O Signs 0 Thermostat O Telecum: Installation description Job wired by de7ElecMcal Contractor D Owner `` qq i — JA.(J� Electrical contractor nameLicense number SFr _r-kit cc84RP ,Purchaser's mailing address - . City State zip Telephone lu iber I FAX number lit flay Premises owner's name .. Address or inspection /S/Z cj, y r, City n — 1 ❑ Cash ❑ Check# I hereby certify that I am the owner of the above named property or a licensed electrical contractor(or the firm's authorized agent) and aro making the electrical radii Card Visa Mastercard Discover installation or alteration in compliance with the electrical law,Chapter 19.28 R(:W. Card# Signature of owner, electrical contractor electrical administrator Expiration Date O aInspection Ise j $ LA'py� CE9JNG THERMOSTAT SERVICE Insulation Only D°° Approved By ane AVMr By DuBy Dai. d By FEEDER �k _�� / –0 Caver D1TCH ' DuBr y Dam APPmvM ay O� 99yy Dnr Appavrd By Dne A ,m By Electrical Load Additionsand or subtractions Service Informatlon O NO LOAD CHANGES 0 Baseboard _KW Voltage ZyU 0 Furnace —KW 0 Overhead Service Phase 1 0 3 0 Heat Pump Ton_LAR O Temp Service Service Size: .WFart•Well Z KW 0 Underground Service Feeder Size: 111101 Inspection Area,Buildingor Equipment inspected Action Taken Electrical Date Inspector Q _ Q i9L°m ?/Glos- FOURTH ST . 109 330 OV 1275 321 / 25 50 — - - _ 37 I� 15 s 1528 i 1530 10 12 13 7 1 19 - - - 18 Ll 1 ' I 15<34 1 \ I— —� 1 100 s c/0 152? / 1512 I/ —415 — — - — — - - - - - - - — — - - - -- DP 4— 5 - - 4 - - 3 2 1 6 5P ' \ 12 \ I I m \ � 9 � 13 17R 1501 � I 141 4 H!20 7 6 419 1535 1527 152(51 X23 15211 1515 ( I 1505 25 7 417 14 — B II sol 758 B 1s32% i I1526 1522 lszo 687 0 I I I--7 440 / \ 501 11 I II 10� F,6 .012 37 — —� I 2 P / .est --cna 15F r t ®\ i I ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 7.4-00001375 Pate 11/12/14 Application pin number . , . 89BI25 Property Address , . . , , , 1512 W 4TH ST ASSESSOR PARCEL NUMBER: 06-30-p0-0-1-2605-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form subProperty Us Name . . . . . to the City of Port Angeles Property Use Property Zoning , . , . . RS7 RESDNTL SINGLE FAMILY (Location Code oo) Application valuation 0 ---------------------------------------------------------------------------- Application desc Garage remodel --------------------------- ------ ------------------------------------------- Owner Contractor Christopher D Mac Donald ALASKAN EL$CTRTC 1334 RANDOTPH ST .NW 237 ROBERSON RD WASHINGTON DC 20011 PORT ANGELES WA 98362 (360) 582-3874 ----------------------------------------------------------- 6;,__53 .---- Permit . . , . . , ELECTRICAL ALTER RESIDENTIAL Additional desc .. . Permit Fee . , , , 165.00 Plan Check Fee 00 Issue. Date 11/12/14 Valuation . . . . 0 Expiration Date 5/11/15 Qty Unit Charge Per Ex'tennion 9,00 5.0000 ECA - EL-BRANCH CIRCUIT W/FEEDER 45,00 1,00 120.0000 ECR EL-0-200 SRV FEEDER 120,00 ---------------------------------------------------------------------------- Fee summary Charged Paid ' Credited Due Permit Fee Total 165.00 165.00 .00 .00 Plan Check Total .00 .00 .00 O0 Grand Total 165.00 165.00 ,00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN s FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or EIectrical Contractor X Date: G:IEXCIIANGRBUILDING RECEIVED 131" t VI CITY OF PORT ANGELES PEWWIT APPLICATION V 12 �a�ts "�" . .9 Building Divl5ilo:rr/ElectriicolIns ections W 321 Elgt Fifth Street--P.O.Box 1150/Purt Angeles Wushiagton,518362 INSPEC rioNs Ph: (360)417-4135 Fax; (360)4174111 pad; /f'� I &2 Single Family Dwelling *plan Review May Be Royired, Please Complete Ele Ical Pian Review Information Sheet Job Address: 7-• " 6041ng Square Pootage: Description of above a Q I C= air—ft,e owner ln anon Contractor Information Nerve: _ !57p2 6ri2 Name:Al"$'rxil-r..r Malling Address: l -rMailing Address:J*7 rRofiqQS01-Z City:. P,A=- State;( Z1p: City: - State, W Ar-Zip:,.2132(e 4 Phone: Fax: Phone' 0 ����` Fax: License#/txp,� _----_. ... -- License#1 Exp, yrs 5 em U n Kage t r Total(0ty Multiplied_by Unit Chargal ServicelPesder 200 Amp. $120,00 $ t�. � Service/Feeder 201.400 Amp. $146.00 $ Service)Peader401-600 Amp $205,00 $»...� Service/Feeder 601.1000 Amp. $262.00 ServicWFesder over 1000 Amp, $373-00 branch Circuit W1 Service Feeder $ 5.00 Branch Circuit W10 Service Feeder $ 63.00 $ Each Additional Branch Circuit Branch Circuits 1-4 $ 7$.00 Temp.Service/f=eeder 200 Amp, $ 93.00 Temp.Service/Feeder 20140 Amp. $110,00 Temp,Service/Feeder 401400 Amp. $149,00 $- -- Temp,Servica/Feeder 601-1000 Amp, $168,00 $� Portal to Portal Hourly S 96.00 _. 8- Signal Circuit!Umltad Energy-1&2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewabla Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note:$5,00 for each additional T Sta! NEW qQNSTEUP1110N ONLY., First 1300 Square Ft. $120,00 $ Each Addigonal 500 Square Ft,or Portion of $ 40,00 Each Outbuilding or Detached Garage $ 74,00 $ Fach Swimming Pool or Hot Tub $110,00 $ Total Owner as defined by RCW.19.28.261;(1)Owner wili 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 compliauewith the electrical taws,N.E.C.,RCW:Chapter 99,28,WAC.Chapter 296-468,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 Dated: 01!0111012 TO/To 13JCd SAS '1.0:1-13 N7ASC-)t7 ECESZSV096 5b :OT bTOZ/TT/TT