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Home My WebLink About1019 E 9th St - BuildingPREPARED 3/25/10 8 10 39 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/25/10 ADDRESS 1019 E 9TH ST SUBDIV TENANT NBR JAMES B /CYNDI L WEBSTER CONTRACTOR AMERICA S FINEST INC PHONE (360) 452 9129 OWNER JAMES B /CYNDI L WEBSTER PHONE (360) 460 2119 PARCEL 06 30 00 0 2 7770 0000 APPL NUMBER 10 00000221 RES REPAIR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 3/04/10 JLL 3/04/10 AP BL99 01 3/25/10 J L BLDG FRAMING March 4 2010 1 24 28 PM 1pangrle FRED 452 9129 FRAMING SHEATHING March 4 2010 4 12 01 PM jlierly BLDG FINAL TIME 01 00 March 17 2010 1 16 33 PM 1pangrle JIM WEBSTER 565 6248 BLDG FINAL AFTERNOON COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1 circuit to repair damage Owner JAMES B /CYNDI L WEBSTER 1019 E 9TH ST PORT ANGELES (360) 460 2119 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98362 ELECTRICAL ALTER RESIDENTIAL 162016 73 50 3/08/10 9/04/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000230 190200 1019 E 9TH ST 06 30 00 0 2 7770 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor BOTERO SON ELECTRICAL 940 TAMARACK WAY PORT ANGELES Plan Check Fee Valuation Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER Charged Paid Credited 73 50 73 50 00 00 00 00 73 50 73 50 00 Date 3/08/10 WA 98362 Due Extension 73 50 -/BJca 3/25 1 '0?; 00 00 00 DATE RESULTS 00 0 Signature of owner or Electrical Contractor X Date INSPECTOR. CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax. (360) 417 -4711 Date. 7.3- r 1 2 Single Family Dwelling Plan Review May Be Required Please Comte Electrical Plan Review Information Sheet Job Address: /O i q C.-. l rt, 1 L. Building Square Footage: v Description of above f1 ,&.c; A Owner Information Name: c I Mailing Address: City: State: Zip: Phone: Fax: 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 Branch 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 /Outline 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 5KVA System or Less 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 Signature of owner electrical contractor or electrical administrator' f X Dated: Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Unit Charge 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 35.20 73.50 $110.30 Contract fo ation Name: /..s ()ix, r' z''U Mailin Address: z/n v� L '2 tic -/G City' \.a State_ Zip: 9? A 5i Phone: 'i'c.,, 9i; Fax: 9S L/ L. f License Exp. `,»T;'. 17 s g? 9 5 oC.,� Total (Qty Multiplied by Unit Charge) gym% S Total Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to°hire an electrical contractor if above said property is for sale rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N E.0 RCW Chapter 19.28, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications. Cash Check I "Credit Card 3 Le /D dr 011 d N d CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000221 Date 3/04/10 Application pin number 916524 Property Address 1019 E 9TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 7770 0000 Tenant nbr name JAMES B /CYNDI L WEBSTER Application type description RES REPAIR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 5000 Application desc REPAIR WALL /ROOF DAMAGE FROM LOGGING TRUCK Owner Contractor JAMES B /CYNDI L WEBSTER AMERICA S FINEST INC 1019 E 9TH ST 618 E WASHINGTON PORT ANGELES WA 98362 SEQUIM (360) 460 2119 (360) 452 9129 Permit BUILDING PERMIT RESIDENTIAL Additional desc REPAIR WALL /ROOF DAMAGE Permit pin number 161919 Permit Fee 137 75 Plan Check Fee 89 54 Issue Date 3/04/10 Valuation 5000 Expiration Date 8/31/10 Fee summary Charged Paid Credited Due WA 98382 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00 Other Fees STATE SURCHARGE 4 50 Permit Fee Total 137 75 137 75 00 00 Plan Check Total 89 54 89 54 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 231 79 231 79 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 1 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 pr is 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 r_ s i to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 5/ bad Print Name Si nature of Contractor or A ed Att T:FormsBuilding DivisionBuilding Permit 3 Signature of Owner (if 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 Date Accepted By Comments FOUNDATION. Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water 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 Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting -4 -IQ LL- PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T.Forms /Building Division /Building Permit Inspection Type IFINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 3 -25 to ILL PREPARED 3/04/10 13 25 39 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/04/10 ADDRESS 1019 E 9TH ST TENANT NBR JAMES B /CYNDI L WEBSTER CONTRACTOR AMERICA S FINEST INC OWNER JAMES B /CYNDI L WEBSTER PARCEL 06 30 00 0 2 7770 0000 APPL NUMBER 10 00000221 RES REPAIR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 452 9129 PHONE (360) 460 2119 BL3 01 3/04/10 JLL BLDG FRAMING li____ March 4 2010 1 24 28 PM 1pangrle FRED 452 9129 FRAMING SHEATHING COMMENTS AND NOTES Floor Areas 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 Affl.e216/1s iit4eSY i C Property Owner 1Y\ 1.1 r� Property Owner's Address Contractor L- (c/t Is Contractor's Address r 59 ©O 3 v License 9-2DT7 4 Expires PROJECT ADDRESS Parcel Number Project Time Brief Description. Check all that apply New Construction Addition Remodel Demolition Re -roof Heat System Other r nk e se D 9 E a s fi 9. Lot Residential Multi- family Phone Phone Phone For City Use Only Date Received 3 -4 -10 Permit Date Approved 367O -7a77 3ipn L f (vo All 9 .66- 48/r ?a77 Se vj `1i1 6-d200 E -mail arne∎r —g sih260ffeit Zoning Commercial Industrial House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) Basement per sq ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed ---05Iher f a, r Iva lecAA m*enor Iva? 61 f�el, 1- -c,��-�� lIg /le TOTAL VALUATION v 1 Total footprint of structures sq ft. Lot size sq ft. Lot coverage Site Coverage the amount impervious surface on a parcel including structures paved driveways, sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage ok 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 of bedrooms of full baths of half baths 3 ;40e have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are requi ed, and to obtain permits prior to wo :y on projects Date 9 U Print Name C� i� R1 Oil/ Sia nature T FornsBuildina D !soon /Building permit application ASSOCIATES INCORPORATED March 4 2010 Mr Jim Lierly City of Port Angeles Department of Community Development 321 East Fifth Street Port Angeles, WA 98362 SUBJECT Single Family Residence at 1019 East 9 Street, Port Angeles, Washington Dear Mr Lierly This office has inspected the single family residence noted above to access the damage to the home from being struck by a logging truck. The damage was confined to the exterior wall of the home at the master bedroom on the south side of the home A portion of the exterior wall was destroyed with some minor damage to the gutter and fascia and a small area of the roof sheathing The foundation was exposed to a depth of approximately five feet to look for damage to the foundation and there were no signs of damage to the foundation It is the opinion of this office that the structural damage was confined to the areas noted above. The damaged wall area shall be reframed and the roof sheathing which was damaged shall be replaced as is noted on the attached sketch Repair of the wall and roof area is all that is necessary to restore the structural integrity of the home Please call me if you have any further questions on this matter Tracy Cudgel P E. Fc: JN 10053 Cc: America s Finest CIVIL ENGINEERING LAND. SURVEYING 301 East 6th Street, Suite 1 Port Angeles,Washington 98362 (360) 417 -0501 Fax (360) 417 -0514 E -mail: zenovic @olympus.net '14) e 1** 4 4- L 1 11 0.111. 111111.1101111V tg) r Clallam County Assessor Treasurer Property Details 58612 JAMES B /CYNDI L W Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 58612 JAMES B /CYNDI L WEBSTER for Year 2010 2011 Property Account Property ID Geographic ID 0630000277700000 Agent Code. Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space: N DFL N Historic Property' N Remodel Property* N Multi- Family Redevelopment: N Location Address. 1019 E NINTH ST Mapsco X PORT ANGELES Neighborhood' Cycle 5 Res Map ID' Neighborhood CD 10955130 Owner Name JAMES B /CYNDI L WEBSTER Owner ID 58793 Mailing Address. 1019 E 9TH ST Ownership. 100 0000000000% PORT ANGELES WA 98362 Taxes and Assessments Due Property Tax Information as of 03/04/2010 Amount Due if Paid on. E. 58612 Legal Description. LOT 14 &15 EXC E 15 BL 277 Exemptions: First Second Half Half Statement Base Base Base 1 An Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Du 2010 41535 ST SCH STATE SCHOOL $331 44 $331 45 $0 00 $0 00 $0 00 $E 2010 41535 CC -GEN COUNTY $176 38 $176 38 $0 00 $0 00 $0 00 2010 41535 PORT PORT $24 79 $24 79 $0 00 $0 00 $0 00 2010 41535 PORT ANG PORT ANGELES $408.38 $408 38 $0 00 $0 00 $0 00 $f 2010 41535 SD #121 SCHOOL DISTRICT #121 $429 31 $429 31 $0 00 $0 00 $0 00 $f 2010 41535 NTH OLY LIB NORTH OLYMPIC LIBRARY $51.26 $51.25 $0 00 $0 00 $0 00 2010 41535 HOSP #2 HOSPITAL #2 $72.36 $72.35 $0 00 $0 00 $0 00 2010 41535 WSMET PK DIST WILLIAM SHORE MET PARK DIST $23 02 $23 03 $0 00 $0 00 $0 00 2010 41535 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $0 00 2010 41535 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $0 00 2010 41535 TOTAL. $1553.76 $1553.75 $0.00 $0.00 $0.00 $31 2009 586122008 ST SCH STATE SCHOOL $379 48 $379 47 $0 00 $0 00 $758 95 2009 586122008 CC -GEN COUNTY $192.04 $192.07 $0 00 $0 00 $384 11 2009 586122008 PORT PORT $27.20 $27.21 $0 00 $0 00 $54 41 2009 586122008 PORT ANG PORT ANGELES $421.24 $421.25 $0 00 $0 00 $842.49 2009 586122008 SD #121 SCHOOL DISTRICT #121 $469.28 $469.28 $0 00 $0 00 $938 56 2009 586122008 NTH OLY LIB NORTH OLYMPIC LIBRARY $55 80 $55 80 $0 00 $0 00 $111 60 2009 586122008 HOSP #2 HOSPITAL #2 $78 76 $78 76 $0 00 $0 00 $157 52 2009 586122008 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 http. /vpn.clallam.net.8084 /propertyaccess /Property aspx ?cid =0 &year= 2010 &prop_id =58612 3/4/2010 PREPARED 5/09/08 11 23 41 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/09/08 ADDRESS 1019 E 9TH ST SUBDIV TENANT NBR JIM WEBSTER CONTRACTOR PHONE OWNER WEBSTER JIM /CYNDI PHONE 36) 417 3993 PARCEL 06 30 00 0 2 7770 0000 APPL NUMBER 07 00000294 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 4/03/07 PB BLDG FOUNDATION FOOTING 4/03/07 AP 04/03/2007 11 47 AM PBARTHOL 04/03/2007 11 50 AM PBARTHOL BL2 01 4/09/07 JLL BLDG FOUNDATION STEM WALL 4/09/07 AP 04/06/2007 11 36 AM PERMITS JIM 417 0880 04/09/2007 03 42 PM JLIERLY BL3 01 6/01/07 JLL BLDG FRAMING 6/01/07 AP 06/01/2007 08 14 AM LPANGRLE JIM 477 5189 GARAGE FRAMING 06/01/2007 04 13 PM JLIERLY BLDG FINAL TIME 01 00 May 6 2008 8 57 43 AM 1pangrle JIM 477 5189 BLDG FINAL DETACHED GARAGE AFTERNOON BL99 01 5/09/08 JLL COMMENTS AND NOTES PREPARED 5/09/08 11 23 41 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES ADDRESS 1019 E 9TH ST SUBDIV TENANT NBA JAMES WEBSTER CONTRACTOR PHONE OWNER WEBSTER JIM /CYNDI PHONE 36) 417 3993 PARCEL 06 30 00 0 2 7770 0000 APPL NUMBER 06 00000886 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 3/13/07 JLL BLDG FRAMING 3/13/07 AP 03/13/2007 09 28 AM JLIERLY jim 417 3993 03/13/2007 04 44 PM JLIERLY BL99 01 3/27/07 PB BLDG FINAL 3/27/07 DA 03/26/2007 11 35 AM PERMITS JIM 417 3993 NO ONE HOME NO HANDRAIL AT OUTSIDE STAIRS 03/27/2007 04 50 PM PBARTHOL BLDG FINAL TIME 01 00 q May 6 2008 8 58 59 AM 1pangrle JIM 477 5189 BLDG FINAL STORAGE OFF CARPORT AFTERNOON BL99 02 5/09/08 JLL COMMENTS AND NOTES INSPECTOR JAMES LIERLY DATE 5/09/08 Application Number 08 00000227 Application pin number 800043 Property Address 1019 E 9TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 7770 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor WEBSTER JIM /CYNDI 1019 E 9TH ST PORT ANGELES 36) 417 3993 Fee summary Permit Fee Total Plan Check Total Grand Total WA 983628014 OWNER Date 2/29/08 Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER JIM CINDI WEBSTER Permit pin number 121491 Permit Fee 46 00 Plan Check Fee 00 Issue Date 2/29/08 Valuation 0 Expiration Date 8/27/08 Qty Unit Charge Per 1 00 46 0000 ECH EL R OUTBD /DTCH GAR SEP Charged Paid Credited 46 00 46 00 00 00 00 00 46 00 46 00 00 Due Extension 46 00 00 00 00 leN\ INSPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE ROUGH IN FINAL COMMENTS: 3blop cpisQ' 91,zIan AS' PREPARED 3/27/07 8 24 42 CITY OF PORT ANGELES BL3 01 3/13/07 JLL BUILDING FRAMING 3/13/07 AP 03/13/2007 09 28 AM JLIERLY jim 417 3993 03/13/2007 04 44 PM JLIERLY BL99 01 3/27/07 L BUILDING FINAL 03/26/2007 11 35 AM PERMITS JIM 417 3993 ADDRESS 1019 E 9TH ST SUBDIV TENANT NBR JAMES WEBSTER CONTRACTOR PHONE OWNER WEBSTER JIM /CYNDI PHONE 36) 417 3993 PARCEL 06 30 00 0 2 7770 0000 APPL NUMBER 06 00000886 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTION TICKET PAGE 17 "(INSPECTOR JAMES L LIERLY DATE 3/27/07 COMMENTS AND NOTES N6 brAI 1.7-e; A1 I/1,1(4 (sac- Epai;2-r BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at /0/q q !4. Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction x.10 �.4/e /7 ,41 /f5' 4/a /7ar_s/f 4 /A /r T /7 it/ These corrections must be made and are not to be covered until reinspection is mace When corrections have been made, please call 'f /7 for inspection Date Inspector_forBuilding Division nn MAT RRMAVR THIC TA(: PREPARED 3/13/07 9 35 46 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/13/07 ADDRESS 1019 E 9TH ST SUBDIV TENANT NBR JAMES WEBSTER CONTRACTOR PHONE OWNER WEBSTER JIM /CYNDI PHONE 36) 417 3993 PARCEL 06 30 00 0 2 7770 0000 APPL NUMBER 06 00000886 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 3/3/07 BUILDING FRAMING 03/13/2007 09 28 AM JLIERLY jim 417 3993 COMMENTS AND NOTES Application Number 06 00000886 Date 9/29/06 Application pin number 242608 Property Address 1019 E 9TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 7770 0000 Tenant nbr name JAMES WEBSTER Application type description RES ADDITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 700 Owner Contractor WEBSTER JIM /CYNDI 1019 E 9TH ST PORT ANGELES 36) 417 3993 Other struct info Other Fees WA 983628014 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 84681 Permit Fee 56 10 Plan Check Fee 22 44 Issue Date 9/29/06 Valuation 700 Expiration Date 3/28/07 Qty Unit Charge Per Extension BASE FEE 50 00 2 00 3 0500 HND BL 501 2K (3 05 PER C) 6 10 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 09/20/2006 12 13 PM SROBERDS The proposal will result in a 110 sf accessory structure in the RS 7 zone for total lot coverage of 13% No land use issues noted Public Works Utility Engineering has no requirements for this plan review Fee summary Charged Paid Credited Due Permit Fee Total 56 10 56 10 00 00 Plan Check Total 22 44 22 44 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 83 04 83 04 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I-hereby certify that -I have -read -and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date T• \Policies \I102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 OWNER TOTAL LOT COVERAGE 12 60 CONSTRUCTION TYPE V N HARD SURFACE AREA 1 NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 1500 00 LOT SIZE 11900 00 PROPOSED LOT COVERAGE 110 00 TOTAL LOT COVERAGE 1610 00 NUMBER OF UNITS 1 00 STATE SURCHARGE 4 50 Signature of Owner (if owner is builder) Date 4:1 FOUNDATION: FOOTINGS SHEAR WALLS 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 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 PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 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 WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 13/13 i I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 15-9-41a I I -'13 FINAL FINAL SEPA. ESA. SHORELINE. DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant_or. Agent: ‘,..JrcYThrt Owner Address Architect/Engineer Contractor Address /C PROJECT ADDRESS (01")? LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. City State License TYPE OF WORK. Residential New Constr. Re -roof Stove Multi family 'Addition Move Garage Commercial Remodel Demolition Deck Repair Sign Other S- Cat2..Az 'G BRIEF DESCRIPTION OF THE PROJECT �rrorv,ri0 C G�.O City COMMERCIAL/RESIDENTIAL. Occupancy Group: No. of Stories: Lot Size: 1 l e° Existing Sq. Ft. 1c1,7) Total lot coverage 12 (o PLANNING USE ONLY ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other T•\FORMS\B1dgPermitAppl. wpd Applic BUILDING PERMIT APPLICATION Phone 4 7 Phone: PO Subdivision. Phone. Exp SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION. Date: FOR OFFICIAL USE ONLY Date Rec. 1/4-1/- IP L #•_c9 T oyed: mad. i2 Q c�clU Zip c3S'30z- Phone Zip ZONING 7 '700 Occupant Load. Construction Type: Proposed Sq. Ft. /16 TOTAL Sq. Ft. APPROVALS. PLAN BLDG DPWU FIRE. OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the 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, 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 t is application and know the same to be true and correct. I am authorized to apply for this permit and understand that it i must obtain such permits prior to work. responsibility to determine what permits are required ,not the City's, and that I 6O0 1 i i c',, CITY OF PORT ANGELES 7-- COnstrEectio;Plrils The Issuance of this Permithased uponthese:plans sprtai- catlons and other date shall not prevent the titaidin'g othdal front theeafter requiring_the correction of errorst in said Oars specifications and Other data, Or fora preventirg building-operations being- caned n thereunder ithea in violation of all codes and ordinances of this furisdictioa. ("SECTIvim,zo,30.4 LrIVIrre,rri ..0": C 1 0`9 11 0"iite' -2-1) 749P 1- 1 i 1 1 1 1 1 i i i 1 k 1 i l I !pNi.1* I Irff 1 iatt**411....mais.avaalito!... i 41 i b ;1 1 1 r 1 1 i i f 1 1 1 1 0 1 1 'r i I 1 1 1 .1 1 1 I 1 1 PREPARED 6/01/07 8 28 07 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/01/07 ADDRESS 1019 E 9TH ST SUBDIV TENANT NBR JIM WEBSTER CONTRACTOR PHONE OWNER WEBSTER JIM /CYNDI PHONE 36) 417 3993 PARCEL 06 30 00 0 2 7770 0000 APPL NUMBER 07 00000294 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 4/03/07 PB BLDG FOUNDATION FOOTING 4/03/07 AP 04/03/2007 11 47 AM PBARTHOL 04/03/2007 11 50 AM PBARTHOL BL2 01 4/09/07 JLL BLDG FOUNDATION STEM WALL 4/09/07 AP 04/06/2007 11 36 AM PERMITS JIM 417 0880 .1 ir 06/01/2007 08 14 AM LPANGRLE 04/09/2007 03 42 PM JLIERLY BL3 01 J�2 BLDG FRAMING 6/01/07 JIM 477 5189 GARAGE FRAMING COMMENTS AND NOTES PREPARED 4/09/07 8 26 20 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/09/07 ADDRESS 1019 E 9TH ST SUBDIV TENANT NBR JIM WEBSTER CONTRACTOR PHONE OWNER WEBSTER JIM /CYNDI PHONE 36) 417 3993 PARCEL 06 30 00 0 2 7770 0000 APPL NUMBER 07 00000294 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 4/03/07 PB BUILDING FOUNDATION FOOTING 4/03/07 AP 04/03/2007 11 47 AM PBARTHOL 04/03/2007 11 50 AM PBARTHOL BL2 01 4/09/07 J L BUILDING FOUNDATION WALL It 04/06/2007 11 36 AM PERMITS JIM 417 0880 COMMENTS AND NOTES PREPARED 4/03/07 11 47 47 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/03/07 ADDRESS 1019 E 9TH ST SUBDIV TENANT NBR JIM WEBSTER CONTRACTOR PHONE OWNER WEBSTER JIM /CYNDI PHONE 36) 417 3993 PARCEL 06 30 00 0 2 7770 0000 APPL NUMBER 07 00000294 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 4/03/07 JLL BUILDING FOUNDATION FOOTING 04/03/2007 11 47 AM PBARTHOL COMMENTS AND NOTES 4 as •US Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation WEBSTER JIM /CYNDI 1019 E 9TH ST PORT ANGELES 36) 417 3993 Other Fees Fee summary T \Policies \1102_I5 building permit inspection record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983628014 07 00000294 902952 1019 E 9TH ST 06 30 00 0 2 7770 0000 JIM WEBSTER RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 10368 Owner Contractor OWNER Special Notes and Comments The Fire Department has reviewed the project application and has no comments Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense Public Works Utility Engineering has no requirements for this plan review Date 4/02/07 Permit BUILDING PERMIT RESIDENTIAL Additional desc 864 SQ FT DET GARAGE Permit pin number 97667 Permit Fee 221 75 Plan Check Fee 88 70 Issue Date 4/02/07 Valuation 10368 Expiration Date 9/29/07 Qty Unit Charge Per Extension BASE FEE 95 75 9 00 14 0000 THOU BL -2001 25K (14 PER K) 126 00 STATE SURCHARGE 4 50 Charged Paid Credited Due Permit Fee Total 221 75 221 75 00 00 Plan Check Total 88 70 88 70 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 314 95 314 95 00 00 C k Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Sltuof Owner (if owner is builder) Date 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 WORE. BEFORE INSPECTED 4N'D ACCEPTED. POST PERMIT IN 4 CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING FIRE I PLANNING DEPT I BUILDING 417 -4807 417 -4653 I I I 417 -4750 I I 417 -4815 I 5 _C, /b g I `f t6 T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005) BUILDING PERMIT INSPECTION RECORD O fj03 k T LL- I I FINAL ft17 --11 E R Ain tN G /ol /o JLI. FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. DATE` ACCEPTED YES, I, NO I I I I I- I I I Applicant or Agent: if i l/1 Owner Address: /0/1 2 7 T Architect/Engineer r"/A- -0 Contractor (5+-i✓ Address: PROJECT ADDRESS LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. tXo 3o-(X) -L? 2 `777 J pp ©p TYPE OF WO Residential Multi family Commercial Repair BUILDING PERMIT APPLICATION Permit O Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 City Phone: State License Exp Phone: City Zip /OM C 9 ZONING S Block:. RK. New Constr Re -roof Stove Addition Move E Garage Remodel Demolition Deck Sign Other BRIEF DESCRIPTION OF THE PROJECT C'a—z. Z#-'vv 1 �8 r )h2 COMMERCIAL/RESIDENTIAL. Occupancy Group•_ 5 I No. of Stones. I Lot Size: 9d Existing Sq Ft. /6 /o Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other. Phone: 4/7 0880 Phone: Subdivision. Zi 9k SIZE/VALUATION SF /SF SF /SF /1)36Y SF /SF TOTAL VALUATION V T•\FORMS\BIdgPermitfonmwpd Appli t: i Date: i 1,FOR OFFICIAL USE ONLY 1 I lDateRec. O 3/9.)/D7 ate Approve ate Issued: Occupant Load. Construction Type: V N f Proposed Sq. Ft., '4 TOTAL Sq Ft. ,a474 APPROVALS PLAN BLDG DPWU FIRE. OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Buildmg Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the'time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance EXPIRATION OF PLAN REVIEW If no permit is issued withm 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 RI05.3.2 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. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to wo This tap is lot trended to be ed legal de too Th ap /di tg pi dt ed bt th Citt of Port Angeles lot its of n ise and purposes Ant othe use of di tap /di igshall at be the responsibiliti of the Cit,' leattOtafolsolagtr r al Di NANAYD h He nal Dan NAD N. Legend 50 Feet '14 41c w$ 14 Pj, Aci(4**PP ASSESSOR PARCEL..NUMBER 4 13 N 4:0 4 decrii�n iah Name' 'PrOpet•ty bae, "Or(?l ApiniC4tiOn liation 14 EBS,TE R J 1619 E 9711 ST PORT 36) 417-3993 Permit ion43 -desc; Sup Caritrac Permit Fee Dat 'Expi bate Qty 1 00, Fee summary Permit. Fee Total- Plan Check Total Grand Total TAPLANNINGWORMS\1102.15 [11/14/2003] ti.fr OV.PokT A_NO%ES, DEPARTMENT OF COMMUNITY DEVELOPMENT 1=_31,TILDNG DIVISION V.) 130d Ai4b4ti• tO,' 08'9301 144, 90628014 1019 'E 9TH ST 0,0, 7770 0000 ELECTRICAL ONLY 600 452 ]."6 69 ELECTR NEW RESIDENTIAL Zo'oo SO: PT-O'R Y: 840 SHAMP ELECTRICAL ec*I.ii.AeTpsid. 3,•38 90 P]2.04- Check F ee 6/28104. 741#4tii#i ii Unit Charge Pr• 70 ijooti, td!i SOP. FfRST ob 4- se Et-it SQFT ADDITIONAL. 500 Charged Paid 138 96 lip Ob 00 00 138 90 138 §o, bae& )04* ,s0i0 CONTRACTING i61* .A4040' WA 98362 Due Extension 10' 80 68 db. 00 00 00 444 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 authcriZed'iS•not commenced within 180 days if construction or work is suspended or abandoned for a periOd.of '10 Oys after the work as commenced or if reduired inspections have not been reqUeSted within180'claYs frorn the last ins peCtion I hereby certify that have read and examined this application and know the same to be true and COrredt. All,brOVisiOn8 of laws and ordinances governing this type of work will be complied with whether specified.herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractoror Authorized Agent Date Signature of Owner (if owner is builder) Date UNDER FLOOR/ SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS EILING PRMING OISTS/. GIRDERS ,J1:1EARNALL/HOLD WALLS ROOF CEILING_ IDRYWALL (INTER10114RACED PANEL ONLY) TtEAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT irs: WATERLINE METER SEWER CONNECTION SANITARY ELECTRICAL LIGHT DEPT. 417-4735 7 CONSTRUCTION R.W PW/ ENGINEERING 417-4807 FIRE 417-4653 I PLANNING DEPT 417-4750 I [BUILDING 417-4815 I TAPLANNING\ FORMS 1102.15 [11/14/20031 BUILDING PERMIT- INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4;735 FOR-ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24tHOURNOTICE. ITISUNLA:WEOLTO.COVERgINSULATE ORtCONCEALANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMItCARDAND APP,ROYED PLANS;ATIOB,SITE:_, INSPECTION TYPE DATE I: ACCEPTED I COMMENTS L. YES FOUNDATION: FOOTINGS I I VALLS FOUNDATION DRAIiciAbErbb*i•Isl)oths' I I I I ELECTRICAL al* -40 SEPARATE PERMIT A Al ROUGH-IN PLUMBING f STORM PLANNINGDEPT SEPARATEPERIvIIT #'s PARKING/LIGHTING 1` 'SHORELINE: :IAM)SCAPING 'FINALANSPECTIONStREQUIRELPPRIORZOX)COUPANCY/LISE!"' „.1_ RESIDENTIAL Dia! SEPA. ESA. NO COMMERC LIAL t_1•74cc4pTED ij Nts ELECTRICAL LIGHTDEPT CONSTRUCTION LW PW /ENGINEERING I FIRE DEPT PLAN1eN EPT. BUILDING //7 orrh 6-6 0,v*-11 1 6c) d atO JL UELI t 41P a a 09.064 ),M 1 4 -1 CPAP0a- 70r 5 /140 10 di VW (J(i' zt2-_ C- TOTAL- c_crr 1 epo 72.0 1 co‘ei a.mo2Pda' 6 ki4 car Cc WI) azcoct TOTAL- Lor aA•ettAW 04 pORT 4 RI* N Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner WEBSTER JIM /CYNDI 1019 E 9TH ST PORT ANGELES 36) 417 3993 T\PLANNING\FORMS \1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 04 00001023 186268 1019 E 9TH ST 06 30 00 0 2 7770 0000 MECHANICAL PERMIT WA 983628014 RS7 RESDNTL SINGLE FAMILY 7469 Contractor Date 11/04/04 ALL WEATHER HEATING COOLING 302KEMP ST PORT ANGELES WA PORT ANGELES WA 98362 (360) 452 9813 Pe rmit ELECTRICAL ALTER RESIDENTIAL Additional desc THERMOSTAT Permit Fee 36 40 Plan Check Fee 00 Issue Date 11/04/04 Valuation 0 Expiration Date 5/04/05 O Qty Unit Charge Per Extension 1 00 36 4000 EC EL -LOW VOLTAGE 36 40 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit Fee 61 70 Plan Check Fee 00 Issue Date 11/04/04 Valuation 0 Expiration Date 5/04/05 1 Qty Unit Charge Per Extension BASE FEE 47 00 1 00 14 7000 ECH ME INSTALL 100- FAU 14 70 1 Fee summary Charged Paid Credited Due Permit Fee Total 98 10 98 10 00 00 Plan Check Total 00 00 00 00 Grand Total 98 10 98 10 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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 I NO FOUNDATION: FOOTINGS I WALLS I I I FOUNDATION DRAINAGE/DOWN SPOUTS I I I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN I I I PLUMBING UNDER FLOOR SLAB I I I ROUGH -IN I I I W LINE (METER TO BLDG) I I I dkS LINE I I I BACK FLOW WATER I I I AH(ISEAL WALLS I I I CEILING I I I FRAMING JOISTS GIRDERS I I I SHEAR WALL/HOLD DOWNS I I I WALLS ROOF CEILING I I I DRYWALL (INTERIOR BRACED PANEL ONLY) I I I T -BAR I I I INSULATION SLAB I I I WALL FLOOR CEILING I I I MECHANICAL HEAT PUMP I I I GAS LINE I I I WOOD STOVE PELLET CHIMNEY I I I HOOD DUCTS I I I PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER I I I SEWER CONNECTION I I I SANITARY I I I STORM I I I PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING I I I ESA. LANDSCAPING I I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \1102.15 [11/14/2003] 3hg /07 M2 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I I <f OORT ~ ~~ ~~~ ~,.~ L -=- ~ ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 co <Q' r 06-00000760 Date 337080 1019 E 9TH ST 06-30-00-0-2-7770-0000- JIM WEBSTER RETAINING WALL 7/31/06 -.J ~ . Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Appl~cation type descr~pt~on Subd~v~s~on Name Property Use Property Zon~ng . . . Appl~cat~on valuation RS7 RESDNTL SINGLE FAMILY 1500 Owner Contractor WEBSTER, JIM/CYNDI 1019 E 9TH ST PORT ANGELES WA 983628014 ( 36) 417-3993 OWNER Perm~t BUILDING PERMIT -RESIDENTIAL Additional desc RETAINING WALL Permit pin number 82461 Permit Fee 80 50 Plan Check Fee 32.20 Issue Date 7/31/06 Valuat~on 1500 Exp~rat~on Date 1/27/07 Qty Unit Charge Per Extens~on BASE FEE 50.00 10.00 3.0500 HND BL-501-2K (3.05 PER C) 30.50 Spec~al Notes and Comments The Fire Department has rev~ewed the proJect appl~cat~on and has no comments 07/31/2006 12:21 PM SROBERDS --The proposal w~ll result in new reta~n~ng wall under 4'. No land use issues anticipated. Public Works Utility Engineering has no requirements for th~s plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm~t Fee Total 80.50 80.50 .00 .00 Plan Check Total 32.20 32.20 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 117.20 117.20 00 .00 /,,' , . L~sered CED ...... (Q - .~ --Q . Il1c;fx \t'\ OJ I:. eel ~ ~ 2~ V) d/ ':i 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-l-I:lave 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 s r local law regulating construction or the performance of 'construction. I rziJ J ) A /___ ~~ -7-31-tJ(? : SIgnature of Contractor or Authorized Agent Date . nature of Owner (if owner is builder) TlPohcles\ II 02_15 bUlldmg penmt mspectlon record05. wpd [1/4/2005] Date 1--. BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR WALUHOLD DOWNS WALLS I ROOF I CEILING DRYWALL(INTE~ORBRACEDPANELONL~ T-BAR INSULATION SLAB WALL I FLOOR I CEILING MECHANICAL HEAT PUNW I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY FINAL . DATE ACCEPTED BY' COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING - PLANNING DEPT. SEPARATE PERMIT #'s SEPA P ARKlNG/LIGHTING ESA LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECT~CAL - LIGHT DEPT 417-4735 ELECT~CAL LIGHT DEPT CONSTRUCTION R W I PWI r. CONSTRUCTION - R W ENGINEE~G 417-4807 PW I ENGINEE~G FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 I \ / PLANNING DEPT. BUILDING 417-4815 '~/!).7Ie7 \'v V \ BUILDING T \Pohcles\1102_l5 bUlldmg penmt inspectIOn record05 wpd [1/4/200~] , '\ ~ ~ ~ ~ ~~ ~~ ~~ ~~ ~, ~ ~ ~ ~ l PREPARED 3/27/07, 8 24 42 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER- INSPECTION TICKET INSPECTOR JAMES L LIERLY 1019 E 9TH ST JIM WEBSTER SUBDIV WEBSTER, JIM/CYNDI 06-30-00-0-2-7770-0000- 06-00000760 RETAINING WALL PHONE PHONE ( 36) 417-3993 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 $# BUILDING FINAL 03/26/2007 11 36 JIM 417-3993 WALL AM PERMITS PAGE DATE 16 3/27/07 -------------------------------------- COMMENTS AND NOTES -------------------------------------- ~Ilt-- #- Jim Webster 1019 E 9th st Port Angeles 3/12/2007 City of Port Angeles Building Dept. Building inspector Please consider this request to extend my building permit # 06-000760. I was not able to complete the project due to inclimate weather but will have it ready for an inspection by April 01. ~c::zu~ - - - ---- -, r- - - _. -T- - -- - -,- - I-f- - -- - m -- - -f-- _ -. I-- - 1- --- _I__ u - ,----- -- ---- ----- -I--f--- -i =:::=- - -- -, - 1-- --- --I --;- -I I-t-- - --+=1-t ~-fT -1~= 11 .." +~ - =h1J-llL! ~"=,~:__l~~~-' -I~ :;:1tDlt"= -', _ ~-I-D-__~ J f- _1..1._[[ t-{-I--- f-+- !- -+- 1-1--~ -_ --Ll~i--j --"=(- _d__ - . '. 1-:::: =-~-~i=t-~'::: - -=1-1- -'': - - -- -- --~~ ~=~- -~~-+f:-~' '--I-- -- ---- +- 1_ -:;;-_ _ _L __._ -- __=I=- - _ _ -= - - j-=_ C ~ ~:; --J-~--_ -- =- _ - - - _ __ __ _3 _ ~ _. _ _ _ ----1-1- - '----~-- t- --- - -- I---e- i'> -- -- .~~.. "= :,~ ..~~~=~~l__;~~"Y~~ - ~~ =::-:::: =-=~- ~::=::~ :LIJ'-J' n __ l- _ _-+ _L _ _ _ - - -. -1--- - - __ - _C---:. --LJ~.I :-r-~-== -1' - - -- f-I- -- -'--I--..J- . __ _ __. 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(! , /y CITY OF~~T ANGELES - ConstrUctijsrPlana The Issuance of t~fsill1!'mit based upon these p~ns, specifi. cations and other data sha!l,,[1ot prevent the building official from thereafter reQuiring the;~[rection ~tjerrors in said pla~s, speCIfications and other da~.; ol';;from preventing building operations being camed on thereunder when in violation of all codes and ordinances of 1ltts,:iurisdiction. ~EC'i16fJ !18J(~)..:.,l:tlt:"~'~'6l>8fl81) ''''>~~~ AllprllvalDate ~BY ~ , .~\~ ~ 'f) TIllS map IS /lot J/ltel1ded to be used as a legal deSC11ptlOll This map/dJaUlllg IS pmduced bl' the OIl' of POl t Angeles [01 Its ~\~l1liS;t~ld!,~~poses Any othel use of/his map/dIQ\111lg shall not be the lespollsl I /tv 0 e _ '\ ~\ , ',- " ,'\ '>" 'fry;' ../"" :d009 > I,/~ /1 ~f 11 I '!" ...-------- ,// r' /1 4.'(# 1015 '. ','4~ 1019 ^<.'4~ ~. ~ ,~ 90 &1 . t; 25 / N Area Map Vertlwl Datum = NA VD 88 Hon:ollfal Datum = NAD 83/91 Feet ~ j. Jri 02(}? 11 '. 1022 ~..... ~> ,,' if .'; Ai')", '>>it:"',,, /, 1025 if ::I:i2-c.-.- 6' '>~ l',,,~'t (~ .~ ....0\' ..'h>-\>\~.t ~'~ -.,"~I?,W';;>:'. I" ~ < ~f' \'" ~~F.>'l!~' J" ~~\ IS .'J \'"_ ~- m;'illl \~~- ! ~ BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Phone. q'),> -- ~I cf~ 4( -, 0&0 ZIp: qf6&2- PhOlle. CIty7o!2.:1 roJ~-S Phone: State LIcense #: Exp: Phone: CIty: 'f:' ~ ~ ZIP: ZONING: Block: Subdivision TYPE OF WORK: ~Residential 0 New Constr. 0 Re-roof 0 Stove o Multl- family 0 AddItlOn 0 Move 0 Garage o Commercial 0 Remodel 0 DemolitlOn 0 Deck o RepaIr 0 SIgn 0 Other BRIEF DESCRIPTION OF THE1ROJECT (~c~ I ~< CAJ~ SIZEN ALUATION: SF. @ $ /SF = $ SF. @ $ /SF = $ SF @ $ /SF. = $ TOTAL VALUATION $ +- l.59fJ ~ ~ w~ COMMERClAL/RESIDENTlAL: Occupancy Group Occupant Load & Proposed Sq Ft Construction Type: No. of Stories: Lot SIZe: Totallot coverage EXIstmg Sq. Ft. = TOTAL Sq Ft. % AFPROV ALS: PLAN: BLDG: DPWU: - FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applicant Tms figure w1l1 be revIewed and may be revIsed by the Buildmg DIVISlOn to comply willi current fee schedules. Contact the Pennit Coordmator at 417 -4815 for aSSIstance PLAN CHECK FEE: 1F a plan check fee IS due it must be sublll1tted at the time the buildmg perllllt applicatlOn and constructlOn plans are sub1ll1tted. All other perllllt fees are due at the time of permit issuance. EXPlRATION OF PLAN REVIEW: lfno perllllt is Issued WIthm 180 days of the date of applicatlOn, the application will expire. The Buildmg Official can extend the time for actIOn by the applicant up to 180 days upon wntten request by the applIcant (see SectlOn RI05.3.2 of the International Building/Residentlal Code, 2003). No applIcation can be extended more than once. I hereby cerlify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand tha . s my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to wo Date. 7-1~-O(O T\FORMS\BldgPerrnitform wpd Applican . '>I . . . CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. 2 -Z Co , 7/l0/?9 / I ELECTRICAL PERMIT DATE Site Address: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: cy {-L... - Installed By: OwnerlBus'lness: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alterlrepair o Overhead o Underground Voltage ' Lo/2 l(, lJ .- , ~0 03.0 Service size 700 Amps o Temporary- o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Detai IslDescription: ~e /J / Ii- ve...- ./ L ,rl,1 " D a. d /6 () #. /.._... ~ L , C /.. "'- --.J <:-/ W.S. No. Service Capacity: 0 O.K. 0 Not OK o Ditch inspection O.K. ~ugh-in/cover O.K. o O.K. to connect service o Final O.K. Date Size Comments 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 Site Address: PermitfReceipt No. Z-Z(P c, ~ r:1... .Je.cU,' c~ co Installer: 10 I q E 1 e-c. New Meters --e-- Notify the Department of City Light by Street Address and Permit Number when ready lor 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. /& o~ ;;Uo NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15675 Port Angeles, washlngton........__..s2?..::.i.::-..9..mm.mm..........m., lY.~. In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address m/'e,I__1.mmfl,Zl;t!:h,n__.hn.uumn'nnnm___nmn Occupancy..huu.M>t.~...'__"",nmnmU,h Owner un___"",...,h,.mm.mum.....__..,,__umuumumnn". Tenant.",..n,.uu"mu_m.nm,_.m_",nmmm.umm.....___.u Wiring Contractor nm'mnu"m.__,umm.mumm""m___u.___..huu Byn.u.u.m.mmmnmnu.mu,um.m.uuuu__'u'm'uu LIght Outlet"---.......................,............,.. ServIce, volts J.-?..cy...:'!./!.'2.......,... Type 01 Wiring: Receptacle Outlets......______________.nn....h No. wires ...00_3.............___............ Armored Cable .............____.....00...... Drye" KW..mu..",nm.....",,,,....,......... SIze wlres....j/./r)j~'"..I!. Non.Metalllc ,...,........................,... 7dJ.'r2. Knob & Tube.................................. Range, KW_...nn._ __....__._____m___nn_...._. Main fuse .h.._~'.~.t2A-:----..._._.n Enclosure ..(!!,:.VA................... Water Heater: Rigid Conduit ............................... Metalllc TubIng ..........................' KW.mnn...",,,,...,,,,,,..............,,,.... Heat: KW......3..9....6.r......... Type of wiring: Entrance Cable .......___m.___m... Ser. NO.__............_........_n..........__....... Raceway ................_......_...._.__..._ Circuits, Light._.___.________....._................_. Utility..............,.............................. Ileat ............__....__..................._...... Range ......._.___......__......................... Water Heater ............00................. Motor ........h......nn....................._... Motors: size, volts and phase: Rigid Condnlt ............................... Metallic Tubing ................_ Current transformers: No. & Size......n.__.___.____n._.._ Ser. No..........................._.............__... Dryer .............__.._n._._..._____.............__ Furnace .........................._......_.__....._. Ser. NO..h........_.........._...................... Remark:~t.:u~~~____..::.__:.;:~,L<J~C.,~:::~y__::Z~mmmnmu~~~.~:u::,:__,:__:::...:::.:::::::.:::: ___u.h_____nnnm.mummm__m.m__h,n___mnnm.___.u,mmuum.___mnmm,mum.mu.;~u"j)__.n.__m...__nu'mmmuummmmu ::~.=.~~.:~~.______.mmum ::~.~.~:u~~.~.~~.~.~mu___ By .9L~'mfi.:JL0-~' NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. . NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15675 Address..........__.......__........_____.................n........_......___.....................................................__..........Date..._......_.._......_.........._......_......_......... Owner .h_n..n..nn._........_....nn..........n_......_......_.._............................._______.....00...__.__......_. Tenant...h___.n.n.._n_._._n__...._....n_.._._....n.......n........ Wiring Contractor...n___...nn_n_._n..............n..n.nnnnnnn___n.n_.h....0._..00.....00__._...._.................0....... Byhn____....._............................._n......nnh__.. 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. . 1M Olympic Printers, Inc. ~"d"HJ""" $~O~,:~ na ...~ ~ ~--;-v#'" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 , Application \ Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property zoning . . . Application valuation 04-00000450 Date .819000 1019 E 9TH ST 06-30-00-0-2-7770-0000- SIDING 5/26/04 RS7 RESDNTL SINGLE FAMILY 4000 Owner Contractor WEBSTER, JIM/CYNDI 1019 E 9TH ST PORT ANGELES ( 36) 417-3993 OWNER WA 983628014 ---------------------------------------------------------------------------- Permit BUILDING PERMIT - NO PR FEE Additional desc SIDING / WINDOWS Permit Fee 120.75 Plan Check Fee .00 Issue Date 5/26/04 Valuation 4000 Expiration Date 11/22/04 Qty unit Charge Per Extension BASE FEE 92.75 2.00 14.0000 THOU BL-2001-25K (14 PER K) 28.00 "-. ---------------------------------------------------------------------------- ~ Other Fees STATE SURCHARGE 4.50 - ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 120.75 120.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 125.25 125.25 .00 .00 t\\ -Q .~ ~ \~ s ~\0 ~ ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ///f I /' / /7 / ...4j~ ( ____ ?~-VY'C::> \.;? O'-f Signature of Contractor or Authorized Agent Date Si~tUre of Owner (if owner is builder) 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I 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: 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 1 / - PLANNING DEPT. BUILDING 417-4815 1/31/0C;- 'JLL BUILDING T:\PLANNING\FORMS\1102.I5 [11/14/2003] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONL V: Date Rec.:<-<;" -~ - OJ..! Permit #: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Date Approved: Date Issued: Applicant or Agent: /'/.. Jl'to/\. + G.....j r---d. \( via. b 64<-r Phone: '3(., 0 4&d S/8(P Owner: ;?~ ! {)/q ~ q-h-. Phone: City: V~ ~ Zip: 9~G2- Address: Architect/Engineer: ---~ Contractor <Q(,U ~~ Address: ~_ ./' PROJECT ADDRESS: State License #: Phone: Exp: Phone: Zip: ZONING: /01'1 City: ~. 4't2:'- LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: lotC\ Credit CardType VISA TYPE OF WORK: p!Residential D New Constr. D Re-roof D Multi-family D Addition D Move D Commercial -Q.. Remodel D Demolition D Repair D Sign F DESCRIPTION OF THE PROJECT: ~ {~ ~( ~- ~ ~b~RCIALIRE~ID TIAL: ~ccupancy Group: No. ofStories:L- Lot Size:?E:; Y I drOExisting Sq. F1t Total lot cover)l#F'" 1 _ ~ ~; --.JPt-vI\GZ.> E- q. +-. ...- MC l ~. ~7E2- _ City: y f4 L-- Exp. Date: (. -~ D D D /SF. = $ /SF. = $ 4- ~-h~(? ock Construction Type: & Proposed Sq. Ft. r; , = TOTAL Sq. Ft. / % ... APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): DYes D No SEPA Checklist required? DYes D No Other: BillLDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 cunent fee schedules. Contact the Pennit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the tin1e the building pennit application and construction plans are submitted. All other permit fees are due at the time of pennit issuance. EXPIRATION OF rLAc1\,,~ REVIKW: If no pemlit 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 107.4 of the Uniform Building Code, cunent edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know th same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are reqJJife" ,not the City's, and that I must obtain such permits prior to work. Q5d0 0+_ T:\FO RMS\APPS\Bui ldingpermi t. wpd Date: , 1Il , >-3 'tl :;;:;;~8Ei O'd , I:" , ><: ~ H:U '" , 'd 'd:UZZO >-3'" , '" , '- ~()tI:ll-3::t1 ><:'d , , u> H tI:I:::o:::tltI:I ;p , 0 , 10 ... ZI:" ;Pu> O:U , H , ~. Ou> "1'" , , >-3 0 , ~ 1Il 0 'd t , ",. :u. 0 , o:uo :u :UH , O"''tl >-3'- , 3:10 W , 'dCO 00:>: H 1';!:::. , H , 1:""'0 ..."'''' 0 , "'u> , , 1Il H Glo , 0 , >-3>-30l oW{J) '" "'lfl i \" , "''''C:: 00>-3 1:"- 00>-< 0 , '" '" '" , e; 00:U {J)H , 00- '" w --P >-< ... , >-3 , :u :z: lflO,,-< :I: 0 , "'HGJ 0 , H lfl , I:" , {J)Z "'3: u> , CU>'tl u> , '- >-3 w , ~~; H-JO -J , O-J><: , H-JZ , , >-< ZoO ... Gl , H 0 1Il , :UO I 0 , S , "'''' 0 , u>u>:Z: 0 I:" COO , 0 r-':U Z , >-3H'tl U>'d~ 0 Gl , '->-3 0 , OH"l H 3: "1 OOt>:l HZ 3: H 3:Zt>:I Zu> '" Z 3: U>'d Z ;p , '" 'd'" >-3 r-' , Z "'0 u> , >-3 0>-3 , u> >-3H 1'; 00 >-3 , :UZ 0 H , 3: , "-<>-3 Z '" , ~:=; 0 .. , 'd'dU> >-3 , 55~ "'>><: '" H , U>'" u> -J , ZZO >-3 .. , "''''H r-' 0 , < 0 , r-' , H , '" , :u , w r-' , '" ><: , , , ... , H , -J , W '" '" w O'd ;p;p >-3Gl "'''' H '- W H '- 0 Ul'" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 04-00000639 Date .075672 1019 E 9TH ST 06-30-00-0-2-7770-0000- RE-ROOF 7/20/04 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning _ . . Application valuation RS7 RESDNTL SINGLE FAMILY 4000 Owner Contractor WEBSTER, JIM/CYNDI 1019 E 9TH ST PORT ANGELES ( 36) 417-3993 OWNER WA 983628014 Permit Additional desc Permi t Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR OFF, SHEET, FELT, COMP 120.75 Plan Check Fee 7/20/04 Valuation 1/17/05 .00 4000 Qty Unit Charge Per Extension 92.75 28.00 BASE FEE 2.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- permi t Fee Total 120.75 120.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 125.25 125.25 _00 .00 ""'. ~ ....... 4 n, ~ ~ 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 authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [I ]/14/2003] Ut;;)--()Q Date 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 FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULA TlON SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEA T PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTlNG 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. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 , I PLANNING DEPT. BUILDING 417-4815 II ~\I '0 c;- ,JU BUILDING T:IPLANNINGIFORMSIl 102.15 [I 1/14/2003J , , , , , , , , !~. , w , f-' , , 0 , In , , n:: <-< , t" t" , , , , , , , , , , , , o o :0<: :0<: '" Z >-3 [J) ~ tj Z o >-3 '" [J) OJ t" '" '" >-3 '" ~ i [J) >-< 10 >-l o f-' OJ S t" tj H Z <;) i 0:00 0"'", :0<:10 'dCO t""'O "'[J) >-3>-30; tH1S ~ >-< :0 Z "'HQ [J)Z C[J)'d ~~; >-< >-l :Otj, "'''' [J)[J)Z COO t":o >-3H'" [J)'dl<l "->-3 OH'<! OOt>:l :O<:Zt>:I :0<: '" Z >-3 [J) '" Z )> t" ::;:;;~8E; 'd:ozZtj t"O"'>-3:O "':0:0'" Zt" )>[J) C O[J) :0<:. >-3 OJ 0 '" . :0 . :0 oo::€ I-' ,f:>.O'\tIj 0 I I tIl ~ Olo-l(f) \.0 00>-3 01 tI:I tI:1 00:0 00" \.0 "" >-3 \,.oJOLj ::x: ""H "':0<: [J) :;dl........... r-3 "'-.10 , -.I ~ :O-.lZ OOtj 0' H "'0 o o o , O'd H:O >-3'" ~'d )> 0:0 "'''' tj 'd o :Of-' >-3"- W ~!::: <;)0 "'In t"- '" [J)f-' W o In W -.I 'd'd[J) gJgJ6J ZZtj "''''H <: H HZ Z[J) [J)'d 'd'" "'0 0>-3 >-3H 00 :OZ <-<>-3 ~n "'" [J)'" >-3 t" t" H '" :0 w t" '" ~ ",. f-' -.I , LV '" '" LV tj'd )>)> >-3<;) "'''' f-' "- LV f-' "- o In'" ~ ~ORT A..\: ....4.0~~ (;~<;" "-~ ~ "t&i:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Appllcatlon Number Pln number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Applicatlon valuation 04-00000647 Date .144291 1019 E 9TH ST 06-30-00-0-2-7770-0000- MECHANICAL APPL. PERMIT 7/21/04 Owner Contractor RS7 RESDNTL SINGLE FAMILY 5500 WEBSTER, JIM/CYNDI 1019 E 9TH ST PORT ANGELES WA 983628014 ( 36) 417-3993 PA SWIMMING HOLE & FIREPLACE S 518 W 8TH ST PORT ANGELES WA 98362 (360) 565-1163 Permlt Additional desc Perm1t Fee Issue Date Expiration Date MECHANICAL PERMIT GAS LINES, TANK, TWO STOVES 57.65 Plan Check Fee 7/21/04 Valuatlon 1/18/05 .00 o Qty Unit Charge Per Extension 47.00 10.65 ............ (() -- BASE FEE 1.00 10.6500 ECH ME-GAS PIPE 1 TO 5 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.65 57.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .00 .00 ~ '" --\) ~ V'I :-\ Separate Permits are required for electncal work, SEP A, 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 orwork 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 authonty to violate or cancel the proVisions of any state or local law regulating construction or the performance of construction. u~ Signature of Contractor or Authorized Agent Date T \PLANNlNG\FORMS\1102 15 [11/1412003] 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 LOCA nON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. y INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS ~~ ~ - ~ ; FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP ~ GAS LINE fJ-fJo.~ 0 4 ,j I 1. U\.AC:efZ.. ~ ~\-tO C I Ul::7 WOOD STOVE 1 PELLET 1 CHIMNEY Dk. \l~') 05 see HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engmeenng DIVISion) SEPARATE PERMIT #'s WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKING/LIGHTING ESA' LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W 1 PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING )( T \PLANNING\FORMS\1102 15 [11/1412003] PREPARED 7/22/04, 12 08 52 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 7/22/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER. 1019 E 9TH ST PA SWIMMING HOLE & FIREPLACE S WEBSTER, JIM/CYNDI 06-30-00-0-2-7770-0000- 04-00000647 MECHANICAL APPL PERMIT SUBDIV' PHONE PHONE (360) 565-1163 ( 36) 417-3993 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------~----------- -------------------------------------------------------------------------- ME6 01 7/22/ 4 ~~ MECHANICAL GAS LINE ~ Seth - 565-1163 ----------- ---- -------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 1/31/05, 13 05 37 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1019 E 9TH ST PA SWIMMING HOLE & FIREPLACE S WEBSTER, JIM/CYNDI 06-30-00-0-2-7770-0000- 04-00000647 MECHANICAL APPL PERMIT PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 7/22/04 7/22/04 ~ 01 ME6 02 , SUBDIV: PHONE (360) 565-1163 PHONE : ( 36) 417-3993 MECHANIC 17 00 re you go PAGE DATE 7 1/31/05 D NOTES -------------------------------------- 1 L Uu~ ~~ ~)(~~L J 1G/0fr I eft ORT~ $~~ ,. 'IL~ ~ ~':iJ;<P CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 / Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application descriptlon Subdivision Name Property Use Property Zoning . . . Application valuation 11/04/04 04-00001023 Date .186268 1019 E 9TH ST 06-30-00-0-2-7770-0000- MECHANICAL PERMIT RS7 RESDNTL SINGLE FAMILY 7469 ( '>~ Owner Contractor WEBSTER, JIM/CYNDI 1019 E 9TH ST PORT ANGELES WA 983628014 ( 36) 417-3993 ALL WEATHER, HEATING & COOLING 302KEMP ST. PORT ANGELES, WA PORT ANGELES WA 98362 (360) 452-9813 Permlt Additlonal desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL THERMOSTAT 36.40 Plan Check Fee 11/04/04 Valuation 5/04/05 .00 o Qty Unit Charge Per 1.00 36.4000 EC EL-LOW VOLTAGE Extension 36.40 Permlt Additlonal desc Permit Fee Issue Date Explratlon Date MECHANICAL PERMIT HEAT PUMP 61.70 Plan Check Fee 11/04/04 Valuation 5/04/05 .00 o Qty Unit Charge Per Extension 47.00 14.70 BASE FEE 1.00 14.7000 ECH ME- INSTALL 100- FAU Fee summary Charged Paid Credlted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 98.10 98.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 98.10 98.10 .00 .00 \ ~ -. o - -0 ~ ~ :;t ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to Violate or cancel the provi ions f any state or local law regulating construction or the performance of co s u tion. Signature of Owner (if owner is builder) Date NOV-03-2004 08:17 AM ALL WEATHER H/C Inc 360 452 5177 P.01 ~ ~ 1h Buildl", hnnlt . ~pl'ctllID" .."" blfIIJU .U, CllIIIJIIIlt.ly. "4i:;;iiI' Pie... .". or prtat aD lDk. If you bav. IDY qUMtlOlllt pleu. caD 417..-S15 Applloct... ~dlli...WI1L ~ 1 ()Q L~ PboDo: C3I.Q.I L\"~ - '" 'in ." 0wlIWI t"". ~ l.a.l~~k~ Phone;~o) :l(.0 'RI81. Addreu: ~, I So ji ~ City: ( I urr Zip: q ~ ~,~ ;2.- AnlbI~~ Phone: . Con . ' ~, ~ OtlUrt1- Liccmcd#:j1I!a \bijLl5"tUt) Bxp:4J ~ S' Phone: vi ~ d .JJ1 ~ / 5 . ~ City:!>Ot"'\ ~J/-, Zip: ~ K~ID~ . . 0 '\ ~''''''''IJ 10 J ~ f:, '1 ~W l f~(){ 4. ~~p (' ZONING.. " LBdAflrD~ON' Lot: Block: Subdiwicm: CJ..u".~COIMI'f PARCEL NVMUa: Credit C.rd Bolder N...: .... 4dd...a . catyl CnlUt CII'd'. Isp.nate: BUILDING PERMIT. APPLICATION '"UK u"rl~w. usa ONL~ . DIll R&: U ~ "Z. - 0 PInnIt': 041;- /0 S Datl~: DIll......:.., VI&. Me TVfI orwollKl IlZElVALUATlON: a a..fdadl1 1:1 New Cou1r. C Jle.roaf 0 WaodltDve 91. @ S JSF. - S Q Nu1ti-fuIIUy C AdditloD c Move 0 Glnle SP.,@ s ISP. · S 1:1 eo.......... D IIIDOdeJ D Demolition C Deck Slt.:@'S' . ISF.. S D bplir D Sip 0 TOTAL VALUAnON S 1; ~ ~ ~ ~ DIU ~1C1UP110N OJ'TBI paOJBCT: ~ ( f1 p: l\e S ~j' 'I pt--' ~~ (\ ~ ~"IIOt 1 \~ . t;:!::g I n ~-h1 t w / I-V \"l.(~u~ fmr -\ ~ -\-~.:, . . .IT ~ - 5" CO~ClAlJaSll)INTIA.L: OecuplDC)' Oroup: OCCuPlDt Load: CoUWetiOA Type: No. of Storiu: _ Lot Sill:.~ % Lot Co~erap: % , .. BxJadq Lot Coven.e: laq. ft. + Propoled Lot Coveraee: Ilq. ft. · TOTAL LOT COVERAGE: leq.ft p~G VII ONLY: APPROVALS: PLAN No... BLDG. DPW I'IRE BSAIW.dIIId(.): D YOI a No SSPA CIec:k1iat required? a Y~I a No Other: Onull , J. .trIL'DIlIfo'.......AlPUQTlON,IUlMlTTAL: r.." "".... .,,11.. pia.... H/IlW. .1It...~...". "" ",.",ftr ",."... The Buildia& Divilicm Call proviclo YCN with mole cIolli1ed iDformatiOD OD the application and pllllaubmiUal ~uimaeall. Vow; completed Ipplicatioa, lite plu. (tor additiou) gel buUcUaa COllltnacuon pm are to be submitted ta the BulldiD& Divili01l. V ALUATlON'Or CONITRVCTlO": Ja III ...,.. _ulloa amollDt mUlt be ..tend by the applioaDt. TbiI fipre wU1 be RlYiewed aad may be revised by the BuiJctiDa DiviliOll to comply witb c:umDt fee IcheduJea. Contact the Permit CoorcUutor at 417-4815 for UliltaDce. PLAN, CRICK J.U: Your plan abeck fee ... clue at the time the bldJdiDa permit applatiOll ud CODIwction plaal lie IlIbmitted. AU o~ pmDlt fOIl Ire due It the tUne of permit ialUlllce. 1XPIR4T10N or PLAN REVlEWI If no perDUt il illuod. witbiu 180 da)'l oft)le date of application, thiI..ppUcatloll.wIU up"'" The BuUdlus Official CaD extend the time tor action by the applicant up ta 180 da)'1 UPOQ writteD requallt by the applicant (lee Socti01l107.4 of tho Uniform Buildiq Code, OUImlt edition). No applicatioll can be extended more than ODCe. , III"., wrt(t; ,''''' Il1M reGd aM aGMllted IlIlI flPplkallon and blow Ih, .ram, to b, ,"" au comer. t,"d I"'" dll*rlJM ro gpply for. Ihu p.""lt J undmltllld II II 1101 Me City'll,ga/ fWpOMlbllttj. 10 Jat,,.,,,I,,, what p,rmlu aN Nqllir,J,. il "mailll ,h, appllca"d P'tIJpollllblllly to d."",,,, wlurt p".".'''' 1I~ required aIJd to obtain .ruch. I AppliCUlt: --- Datel J I ,I ~ jl}~ .! I '. " ... ""'1" ", I I T:\IIO~Pl\llllldlnplrmlt 1,'L ~ ~ORT ~ l"O~~~ ~ "-~ ~ 'l.t\~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 v Applicat~on Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivis~on Name Property Use Property Zoning . . . Application valuation 04-00000428 Date 5/19/04 .421176 1019 E 9TH ST 06-30-00-0-2-7770-0000- PLUMBING REPAIR \ ~ RS7 RESDNTL SINGLE FAMILY 2000 Owner Contractor WEBSTER, JIM/CYNDI 1019 E 9TH ST PORT ANGELES WA 983628014 (360) 417-3993 PLUMBING CONNECTION 175 S. BAYVIEW PORT ANGELES WA 98362 (360) 457-1690 Perm~t Additional desc Permit Fee Issue Date Exp~ration Date PLUMBING PERMIT Plan Check Fee Valuation 68.00 5/19/04 11/15/04 .00 o Qty Unit Charge Per Extension 47.00 14.00 7.00 BASE FEE 2.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68.00 68.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 68.00 68.00 .00 .00 1 ~ --..... ~ '"'""- -Q \r\ ~ --r ? Separate Permits are reqUIred for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized IS not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing thiS type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to vIolate or cancel the provIsions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date 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 PROVI!:\E A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 !<o/4!~/-'" '".....~~'lt'.,.. 1 FOUNDATI.oN: . . i ~._. . FOOTINGs.." ... .~ .. ;,j j", _...1 WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN I~ -1-- J...I"lJ.l 0\1' WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIvIsion) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA PARKING/LIGHTING ESA- LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 4 I 7-4735 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.\PLANNING\FORMS\1102 15 [11/14/20031 PREPARED 5/27/04, 12 23 43 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER INSPECTION TICKET INSPECTOR ROGER VESS 1019 E 9TH ST PLUMBING CONNECTION WEBSTER, JIM/CYNDI 06-30-00-0-2-7770-0000- 04-00000428 PLUMBING REPAIR SUBDIV PHONE PHONE PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 5/27/04 ~ PAGE DATE (360) 457-1690 (360) 417-3993 PLUMBING ROUGH-IN TIME. 17.00 STEVE 461-2259 PLEASE CALL BEFORE INSPECTING SO PLUMBER CAN BE ON SITE, CALL PLUMBING CONNECTION AT 457-1690 7 5/27/04 -------------------------------------- COMMENTS AND NOTES -------------------------------------- OS/24/2004 11:35 13504521589 SHAMP ELEC PAGE 01 'i, ELECTRICAL PERMIT A~PLlCATION POR O!TICl.A~ USE ONt. y OtIte1Jlee: PemYllfr: O;a'tAppnlved: Oilft"b~ \ . The C:leetri~l rermit Application m~t be fllll!d out c;QmDletolv. t:JtI -- S-59 please type or reprint in ink. If you have any questions" please call (360) 4174735 . F~. r1urnb~r: (36D) 41704111 . Owner or Elec. Contractor Agent:.st1bmP E1BYrRICftLCDtJ~71Nb IUC Phone: 4[,'t-/b/(Q Procarty owner;wee,S~'J . . . Address: -' n \ Cl E . qit\ ~ EIDemcal Contractor: 3t\fnl'IP ~\CA1..-C[) \JmCl1N (, Fax:3~ Phone; City ~T M~ . uHA-lY1PEC02~B:? . ^" .0" }~~. Uocn::ao H: ~; 1 - LJ~ ...., Zip: t18'?,(., 2- Phone: 451. -(I"irl Zip: QZ3i?'l. Address: 1>0 m')( .363 City: .f>Ql1:r ~ bFJ r-<; iAi'l. INSTA~\.ATION WIRED BY: o OWNER '~~EcTRICAL CONTRACTOR Credft Card Holder Name: MA1t K W. ~!J-t'lfOP Billing Add/"Osc: '110 W jD'1lJ 5tr"t"-c+ City: :Pi5f.T A~~"<; 1.04. PROJECT ADDRESS: lO l"l \?, VI --n-!' sh-r Pt::. Credit Carr! Number: Zip: 983,,3 VfSA;L MC: . TYPE OF WORK: Check ~ that apply: CI New o Alteration/Addition o Residential. CI Multi-family o Commercial CI Mobile Home nQ/v"\ Sq.Ft L!.~ o Romote Mete, 0 Detached gBrage 0 Hot Tub 0 Swim Pool n Septic: Pump Number of Circuits added or altered: \ /D DESCRlPTION,oF THE ELECTRICAL PROJECT: ~ r" ~ Wl U I , ) o Low Voltage 0 Telecom. 0 Sig "'IBetrical H~at Load Additions and or Subtractions , Service 'nformation o Baseboard w;;r1;vrnaca ~aat Pump o Fan.vyall KW )!f1 ~N _KW LRA ~~. tilf o Overhead Service o Temp Service o Undergrol.md Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: C:JELECTRICALPERMITAPP~ICA TION ;1t'tY ~/~)9 I hereby certify that / have read an xamined this application and know that same to be true and correct, and Ian authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits oro roqlJir~J i: remains the applicants rosponsibifity to d@termine what p~rmit~ are reCfu. ired and to obtain such. ~ (v;. .'\- . end" C<<d ...ld.... ",M"'" ~ ~ D"'~ Owner or Else:. Cont. Signature: tt.~ kt. __ oate:~ ~(-- . I~ ~~t~P---O~4f r; ~ \'2.~,o.?I JV PERMIT FEE: $ ;.)1) -~\l "\41l-- d.....'... l"~ ~~ ELECTRICAL WORK PERMIT APPLIC/t'i'ION 4 . ce -D -:27; "- r=.3J 1/ -~I&4 \ ~~; 1:'~J-"" ~ -~ Installation description Job wired by D Electrical Contractor DOwner o Commercial )a:7ReSidential Electrical contractor name License number Date Expires ~New o Altered/Addition Purchaser's mailing address ~~~'-v City State ZIP Telephone number FAX number ~ h~ rr:y,iW\ o;rerC1~~b ( 50~p ~ - ~b/i;?(L. ---r-- Address,O ir2\ectio~ "\ "1:::'- ~ Cit~.L--r ~ ~f.d& ~ L(:}',~ ~ Phone number to schedule inspection: , r;.:; Owner as d(filled by ReW 19.28.261 :(1) Owner will occupy the .\'/r/lcture fur Iwo ,. .. years after this electrical permit is finalized. (2) Owner is required /() hire all electrical conlraClOr if above said property is for sale. rem or lellse. D Cash D Check # After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal. D Credit Card Visa Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapler 296-468, The City of Port Angeles Municipal Code, and Card # - - - Utility Specifications. ---------------- :7tOf ~nt'"'to' 0' el~a: administrator Expiration Date :;) ;)7-tfi. of card (~nsP~iC; ~ . .-? Date. '- EleCTrical Load Additions and or subtractions Service Information o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton o Fan-Wall KW ~'R . '~~ ~ .....~. LAR o Overhead Service o Temp Service D Underground Service Voltage Phase 0 1 0 3 Service Size: Feeder Size: " THERMOSTAT SERVICE "- Dale Approved By Date Approved By " DITCH FEEDER "- Dale Approved By Dale Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector " . ........... - ,.~:., '," '~\ ~~ C",t..- .. ~..~7.-: "",' r" - .-'. .. . SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 /ROUGH-IN 3/Z,C13 E ~FINAL^p ,dBy ---- . --~.-- ElECTRICAlINSPECT~ON WIRING REPORT 417-4735 INSPECTOR c>8 OW ERI ONTRACTOR 0l"'"'-. cyt'J \ L ~ t.J -e: -::;r1Ei? APPROVED NOT APPROVED o ...."""""""" DITCH, , , , , , , , , , , , , , , , , , , , 0 0, , , , , , , , , , , , , , , , ROUGH IN/COVER, , , , , , , , , , , , , , ,')<:(, 0, , , , , , , , , , , , , , , , , , , , SERVICE, , , , , , , , , , , , , , , , , , ,lBC.. 0, , , , " , , , , , , , , , , , " , , FINAL" , , , , , , , " , , '" , , , , 0 CORRECTIONS NEEDED: '-~UN'D ALL M.JLT-AL ~X~ t..JITH '~ ~b tF77 4Gi2E...~-U "-l.~< zhD.('H? c.. RIri:. 'D\JC-L 13Ti..t-,)'Y DR .f\1>'b ~~ ~g.., -rH~ FL:~.I\A~ C.DN Du'-, 1\J~c.. 3~O.-ZY. T",~ L1'2- Z CH"'7r El2... CJ -4~\) coJ'l.c..ll.L:\';;'_ ou'EiZ. Ni~~ TZl HbIJ"7tz: ~+lLC..DG) CbN\)I;f"/ N,'t;{', ~~ >" 70S) 7~)2..M" I NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 Crry oi; Poin, ANGE-11iss Willding Divislon/It'lectrical Insi)ections 321 East MfIli Street — 11.0. 13ox If 5() / l'or-t Angeles W,.ishl.jI.grton, 99,162 Mi. (360) 417-4735 Mix. (360) 417-4711 Late; 8-21-13 I & 2 Single Family Dwelling TIE AUG 21 2013 ELECTRICAL INSPECTIONS ' Plan Review Myy Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: '101 Building Squ;iw FKritage: __._._.m.___......_..._ ........ . ... securil', . . . .................. Page I of I Owner Informat[on Contractor Information f lame----- . ...... . . . ........ L ... .. ....... ... .. . ........ ....... . ........ --Hi-Ttch ..Securi Ly hic, .... ...... .. ..... ..... hi alij ng Ad drew: .10 19 E nth.. _...__ . ..... . ...... - . ...... Maillig Mdress 7.21E CIV -RA--- Stara: -WA-- Zip: -M3fi2— CV -l?or-LAn90e-- Sla le: —VVA— zp: -%3B2---- Phane,-A�Z--�_4Q_3_—Fax: Phalle, A;52IJ-'a---Fay: 452-8560 License 41 Exp.,.-.,. ---------------- Licenee 4 f Exp. ...... .... Hl.TF-GTM5,5BS----L-'--'- Item Unit Charge Qty 'Total MY Muhl lied by Wit Charoel Ser0ciVFesdar 200 Airip. $120,00 SafvlcefFeedat K 1-400 Amp. $140.00 SeMceffiaf clei-401 -000 Amp $205.00 ServlcPVF&,--der 60 1 -1 ODD Amp. $262.00 SeMWFbedef ov ®r 1000 Amp. $373,00 Branch Circuit W1 Sawice Feeder $ 5.00 Branch Circuit W10 Sewice Feeder $ 63.00 EachAWitional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 75.00 Temp. Sewice/Feeder 200 Arrip. $ 93.00 Temp, ServlcaFeeder 201-40) Am p. $ 1110'ro Temp. ServlcarFeecler441 -600 Arrip, $ U9.00 Tamp. ServlceFeeclarM -1000 Amp $168.00 Portal to Portal Hourly $ 96M Signal CireadlY Limited Enefg/- 1& 2 Family Dvoyalling $ 64.00 Manufactured Home Corifl�eoflorl $12.0.00 ................ Renewable Electrical Energy - 5KVA System or Less $10.2,00 Thermostat $ W.09 Note: 35.110 for each a ddi H on a] T -S I a NEW CONSTRUCTION QNLY: First 1300 Square Ft. $120.00 Each Additional 500 Square Ft. or Portion of $ 40M Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110.00 $--tjo— Tota Owner as defined by RCV09,28,26 1: (1) Owner vd1l occupy the structure for two years after this electrical permit is finalized. (21 Owner is required ' to hire an electrical contm ctor if above said property is forsale, rent or lease. Perrilit expires after six rnonths of last Inspe,tion. After reading the above statement, I hereby certify that I am the cwoner of the above named property or licensed electrical contr@ctor. I am making theelactrical installation or alteration In coriliolfance 'Xith the electrical l@ vs_ N.E,C., RCW. Chapter 18,28, WAC,. Chapter 296-468, The City of Port Angeles Municip-tif Cade, and Utility Speciflczitions and PAMC 14,05.050 regarding Electrical Permit Applications, Signature, of owner, electrical contractor or e[ectrical administrator: El Cash El cheek 0,0 it Card 4 .X Mike Shirley http://www.pdfescape.com/open/RadPdf.axd?rt—c&dk=02664354B'URH92K6AIXTHCG6VCYFWL5SK&pc=I ... 8/21/2013 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , , , , , 13- 00000954 Date 8/22/13 Application pin number 237332 Property Address . . 1019 E 9TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 7770 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use , , . . ... . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . , 0 ---------------------------------------------------------------------------- Application de2c security system' Owner Contractor JAMES B /CYNDT I, WEBSTER MI TECH SECURITY INC 1019 E 9TH ST 723 E FRONT ST PORT ANGELES WA 98362 PORT ANGELES WA 96362. - - -- -(360) 460--------------------------------------2119 (360) 45212727_ -__ Permit . . . . . . ELECTRICAL ALTER RESIDENTTAL Additional desc , . Permit Fee 64.00 Plan Check Fee 00 Issue Date . , , . 0/22/13 valuation , . , . 0 Expiration Date 2/18/14 Qty Unit Charge Per Extension 1100 64,0000 ECH EL- SINGLE CTR LTMTTED RES 64,00 -------------------------------------------------- ------------------ -- - - - - -- Fee summary Charged Paid Credited Due Permit Fee Total 69.00 64.00 .00 .00 Plan Check Total- .00 .00 ,00 00 Grand Total 64.00 64.00 ,00 .00 t.' H . IV f, B, INSPECTION TYPE DATE: c INSPECTOR: DITCH REPORT SALES TAX on your excise tax form SERVICE to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: N PERMIT WILL EXPIRE SIX (b) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGE\BUILDING Application Number . . . . . 23-00000130 Date 2/09/23 Application pin number . . . 899460 Property Address . . . . . . 1019 E 9TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-7770-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Jetted tub ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JERRY AND ANNA M NICHOLS BLACK DIAMOND ELECTRICAL CONTR 1019 E 9TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 126.00 Plan Check Fee . . .00 Issue Date . . . . 2/09/23 Valuation . . . . 0 Expiration Date . . 8/08/23 Qty Unit Charge Per Extension 2.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 126.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 126.00 126.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 126.00 126.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 2/07/23, 8:40:55 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000130 1019 E 9TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 126.00 TOTAL DUE 126.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/16/2023 23-130 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 1019 E 9th St