Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1625 W 5th St - Building
Electical Permit 1625 W 5 "' St 12- 350 )J ELECTRICAL PERMIT CITY OF PORT ANGELES r * O 360-417-4735 `A '1 Application Number . . . . . 12-00000350 Date 3/28/12 Application pin number . . . 250250 Property Address . . . . . . 1625 W 5TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2970-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1-4 circuits addition ---------------------------------------------------------- ----------------- Owner Contractor ------------------------ --------------------- -- DEBRA K ROBINSON EXTRA MILE TECH & ELECT., LLC 1625 W STH STREET 418 N. RACE ST. 1 PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 565-0106 (360) 457-0198 Z44;-7 --------------------------------------------------------- Permit ----------------------------Permit . . . . ELECTRICAL ALTER RESIDENTIAL I� Additional desc 1-4 CIRCUITS 1�J Permit Fee 75.00 Plan Check Fee .00 Issue Date . . . . 3/28/12 Valuation . . . . 0 ��JJ Expiration Date . . 9/24/12 Qty Unit Charge Per Extension BASE FEE75.00 - Fee summary Charged Paid Credited Due ----'------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 :00 .00 .00 Grand Total 75.00 75.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN (.� tZ FINAL . COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST IN SP I Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDWG MAR-26-2012 09 :09 PM E. JANSSEN 360 452 2982 P. 01 kvok r., LZI? C, CITY OF Powr ANGELES Pr,.R.MIT Appi..wATION 'Jill 14AR 2 ' Rall1ding Division/Electrical Inspections z1 21 East Fift Street—P.O. Box 11.50/Port Angeles Wasbington,98362 ELECT RICA, Ph: (360) 4.17-4735 Fax: (360)4174711 INSPECTIO 2 Single Family Dwelling Multi.-Family or Commercial' Commorci,.), 4(.Irlijinn I Alteration Remodel I Repair' 'Plan Review May 8 R ulred, Please Copplete El�orical Plan Review Information Sh(.!(,.,i1 Job Address: .............. Building Square Footage: Description of a)ove,, Owner Ifftmation Contractor Intionnation Namo:.— L..L�'D -t L Mailing AddMSO: _/ Mal"Address:. -"4(4 7441. -Vr Aj City:—....j1 > ........ State: I,) _Y;Zst_ A Zip: Phone:_ 6,65.' Phone-,-15-i—,,?a_AFax: 0-f-7 k',G*'.'V- License 0 Exp...o5,y ro.4,-m r 7 .3 LIAM Unit C are Wy Total(Qty M��i Irby l�ni�Cl>argpj Servicieeda,200 Amp. $119.90 Service/Feede,201-400 Amp. $145.50 ServicefeWe*401-600 Amp $204.60 SOMWIPeedet 1 601-1000 Amp. $262-20 Servicefreedw,over 1000 Amp. $,17250 ftnch Circuit W/Service Feeder $ "0 Branch Circuit W/O Service Feeder S 73.50 EaCh Additional Branch Circuit $ 260 Temp.Sorvicef Feeder 2W Amp. $ 9270 Temp.ServkviFee0er 201-400 Amp, $1,10.30 Temp.ServicefFeeder 401-600 Amp 3146.70 Tamp.Servicallseder 601-1000 Amp $16/X90 POW to Poft Hourly 5 95.90 SigrMulline 1;911" S 80.20 S"CWCUiV limited Energy I First 1500 s - Commercial $ 96.90 Note: WX for each additional 1500 s Signal Circuit/Limited Energy-1&2 Famil.-I Dwelling $ 63.90 Signal Orcuill Limited Energy-Multi-Family Ovmlling $ 63.90 Manufwured Home Connection $119.90 — Renewable Electrical Energy-5KVA SM3m or Less $102.30 Theimostat $ 56.00 NINCONEWMALY, First 1300 ftrare Ft $110,30 Each Additional 500 Square Ft.or Portivi:I ;1, 35.20 Each Outbuilding or Delached Gempe S 73.50 Each Swimming Pool or Hot Tub $11030 2.— Total Owner as dclined by RCK19.20.261:(1)Owner will Occupy the structure for two years after this electrical parrnit is finalized,12)Owner is require to hire an ehictrical contractor If above said oroperty is for sale,rent or lease.Permit expires after six months of last Inspection. After readi%the above statement,I he reby certify that i am the owner of the above named property oi a licensed electrical contractor.I am maker the electrical installation or alteration it compliance with the electrical laws,N,E,C.,RCVV.Chapter 19.28 WAC.Chaptot 2961'-136,The City of Port Angeles Municipal Code,and Utility Svecificalions and PAMC 14.05.050 regarding Electrical Per-mit Applicaiions. Signature of owner,electrical contractor or electrical administrator: LJ Cash 1-? CrodllCa�on /W4 _Qiv .3.. 0110112010 ELECTRICAL PERMIT i CITY OF PORT ANGELES 360-417-4735 Application Number 10 00001333 Date 11/15/10 Application pin number 976333 REPORT STATE SALES TAX Property Address 1625 W STH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 2970 0000 on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 3 circuits bathroom remodel Owner Contractor DEBRA K ROBINSON EXTRA MILE TECH & ELECT LLC \o 1625 W STH STREET 418 N RACE ST PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 565 0106 (360) 457 0198 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 177345 Permit Fee 78 70 Plan Check Fee 00 Issue Date 11/15/10 Valuation 0 Expiration Date 5/14/11 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 5 20 Fee summary Charged Paid Credited Due Permit Fee Total 78 70 78 70 00 00 Plan Check Total 00 00 00 00 Grand Total 78 70 78 70 00 00 V V INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date t ti Q i Citj o•pori Angelus Parmit Application 1 t Bi,;IJrnp Dineioolrlrctrrcal Inapectlone 321 E:aM Fifth Street-P.O.Box 1150 Pon Angater,Washington,06362 Ph, .96a)411-4715 Fox'(360)411-4711 oZ, 1 ' I t �. I 111:v 1 � 2000 2 Sm(lie Parra y ELECTRICAL Commercial" _ M,dh•F;)mily Or Commercial"minArci21' INSPECTIONS _. ,trrerc iol Adui;ron AIEural on Rvf,ioev s. -�eviflw May be Required.Please Gomple .iti u,Pa?�i ev ew ritormawn ShQP�I, t i)arcr 111011-it ani, _ I-��;. i i . c t Owr Infoeni abon C ntracror I n,OlEfli,)n Na- , Z.� l�f-11 __— '_� I� Name.4_ 1ez* All, ' rp-ri� r` l -(-?12IC 1i�� klar-u,A)diens: _. _L(G a? r Mailing Address, I dip ,.rt_1��. amity _(?� S4]tH k►/� if S_i.lrr:Z- F,„ Fax: _ Pllune..y Fa, V<-5;- I icense#I Exp. i�:T� ati l _ rtLiiy�. ON plat(Qty Multiolied by nr Glarus S c 0 —;iervlcaiFaeoer 200 Amp. Service/Feeder 201.400 Mip S ?"a kP Service/Feeder 401.600 Amp S ServicolFosdor 601 1000 Amp S 1' „eNireiFeeoei over 1000 Arnp $ ? _ Branch Circuit Wr Service Feede. 5 '0 -�' ' ja, Branch Circuit W10 Sorvico Feudei S b 1y, edch Additional Branch Circuit 5 _- Temp.Service]Feeder 200 Anq: S 1 emp ServlCalFeedor 201-400 Amp S 1 v Temp Servtce/Feeder 401.600 Amp Tamp ServicelFeedef 6Ui 1000 AmP S `!r Portal to Portal Hourly S >IE; ' Signl0utine Lighting u r.0 Signal CucuiV Lunitod Enc!gy ;,urnn!ercia dibinal 1 O. u- �0 Signal Circuit/Limited Energy 1&2 Fanwy I)welhag Signal Circuit!Limited Energy Mulr•Fdualy Uwauin l MmiuNctuiad Nome Connechon Renewable,Etectricel Energy SKVA v Arn, ii• S First 1300 Square Ft. S i 'C Farh Additional 500 Square F1 ter hu be 30 Cacti Outbuilding of Detached Garage S 'd' �_- Each Swimming Pool or Hot 1 ub i(; i hbrmoslal 7(, notal Gwnsr as dolined by RCW.191211.251 11)Owner will ,ter rhe structure lot-two years after this eluetrie2 porus o finati:ad.(2. :iwna is required to hire 4n elnCtrical contractor rl oar ve sato property is for sale,rent or lease.Permit(#rpiror,altar six months of last inspection. After eading the above statement.I hereby curnfy 1tu7t m the owner of the above namod property or a licensed electrical comractor any making the eloctilcar Installation or egerstion in compliance with the electrical laws N.E. ACW Chapter 19.28,WAC.Chapter296.468,The City of Port Angelos Munlcig).fl Coco,and Utility Speelftcallals. Signature Cf(owner,electrical contractor or eleccrica iti i i m.stci L Cash 1.1 hecY; —Daig _I F <<1 Crodn Cara 4 TO d Z86Z ZSb 092 N3SSNOr 3 WO 9T ZT 0TOZ—TT—PON �o 1 � 5L} vI C5 PREPARED 1/25/11 10 00 18 CORRECTION RECEIPT CITY OF PORT ANGELES 321 E STH STREET P O BOX 1150 Receipt ) Application number 10 00001154 Date 10/07/10 I n Correction option Adjust with G/L Time \ (J Correction description cancel & refund not doing work Number 0102365 Corrected by KEMERY Cashier EPARKER 1' Before After Fee Amount Credit Reduced Amount Credit Structure Permit Insp Paid Remaining Paid Remaining 86 PERMIT FEES 86 50 00 86 50 00 00 000 000 ELAR 00 Totals 86 50 00 86 50 00 00 Simpson Electric LLC PO Box 1086 Port Angeles, WA 98362 (360)457-9270 12/2/10 Attn: Electrical Inspector Trent Re. Permit# 10-00001154 Debra K Robinson 1625 W 5th ST We need to be refunded on this as we are not doing the work. Thank you; Deborah L simpson ELECTRICAL PERMIT ` t CITY OF PORT ANGELES 360-417-4735 Application Number 10 00001154 Date 10/07/10 Application pin number 217622 REPORT STATE SALES TAX Property Address 1625 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 2970 0000 on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Remodel living bathroom Owner Contractor DEBRA K ROBINSON SIMPSON ELECTRIC 1625 W 5TH STREET 243036 W HWY 101 PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 565 0106 (360) 457 9270 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 175075 Permit Fee 86 50 Plan Check Fee 00 Issue Date 10/07/10 Valuation 0 Expiration Date 4/05/11 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 �1 5 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 13 00 N Fee summary Charged Paid Credited Due Permit Fee Total 86 50 86 50 00 00 V Plan Check Total 00 00 00 00 Grand Total 86 50 86 50 00 00 T�� i�: �L) W' �3 F -1 -Ilk V ' INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTSt— PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X -,Date:. c` 01 QONT'4 y .�`i" CITY OF PORT A.NGFA,ES PERMIT APPL IckTION Building DivlislionfrLlectrical Inspections I I� 321 East Fi>fltb Street—P.O.Box 1150/Port Angeles Waghiflgton,983620 C 9 a7 201,1j" �p a� Ph- (360)417-4735 Feat-.(360)417-471.1. ' �•� �/ O ELECTRICAL Date: INSPECTIONS jb 1 &2 Single Family Dwelling ^MultWamfly or Commercial" —Commercial.A,ddition/Alteratio 1.(Remodel I Repair 'Plan Review Mair 9QZequired Ple Com le Electrical Plan Review Information Sheet Job Address: / �_�` , Building Square Footage: Description or above 1 r / LP Owner Irrformatl r Contractor atil �Ok#"L/ Name: P b r R Malting Add NaMF4�Ad6 C . ClMaltins:� _1City:me /Fxp, Phon •�v Fax: _ Ire 54 S_D 10(p UconsO#I Exp•__.�J ''L -2 Unk Chame 9!M Total Qy Mul Lk# d Unit Cha e ServlcelFeeder200 Amp. $119,90 SeMcelFeeder 201-400 Amp. $145,50 -— Service/Feeder 401-800 Amp $2,04.60 — Servlce/Feader 601-1000 Amp $2-62.20 Service/Feeder over 1000 Amp. $372.50 $ Branch Circuit WI Service Feeder $ 2.60 Branch Clroult W/a Servlre Feeder $ 73.50 �� Each Additional Branch Circuit $ 2,60 Temp.Service/Feeder 200 Amp. $ 92,70 T $ Temp,Service/Feeder 201-400 Amp, $110,30 Temp.Service/Feeder 401-600 Amp. $148,70 Temp.SaMce/Fender 601-1000 Amp $167,90 Portal to Portal Hourly $ 95,90 $ Sign/Outline Lighting $ 88,20 Signal Circuit/limited Energy/First 1500 sf-Commensal $ 95.90 Note: $5.00 for each additional 1500 sf $---— Signal Circuli/Limped Energy 1&2 Famlly Dwelling $ 63,90 Signal Circuit/Limped Energy Multi-Family Dwelling $ 63.9n - '— Manufactured Home Connection $119.90 Renewable Electrical Energy 5KVA System or Less $102.30 $ Thermostat $ 56.00 $ N CON ION ONLY $--------- First 1300 Square Ft. 3110.30 $ Each Additional 500 Square Ft or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73,50 — Each Swimming Pool or Hot Tub $110,30 -" I$ - - 2 Total Owner as defined by RCW 19,26.261 (1)Owner will occupy the structure for two years aiter this electrical permit Is ilnelIzed. 21 Owner Is required to hire an electrical contra*r 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 elecMcal cc 71'actor.I am maldng the electrical Installation or alteration In compliance with the electrical laws,N.E.C. RCW.Chapter 19.28,WAC.Chapter 295,f B,The City of Port Angeles Municipal Code,and Utility SpeclBcatlons and PAMC 14.05.050 regarding Electrical permit Applhcattons. Slgnat f owner,electrical con or or electrical administrator ❑ ceeh 0 check PREPARED 9/08/10 8 23 40 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/08/10 ADDRESS 1625 W 5TH ST SUBDIV TENANT NBR DEBRA K ROBINSON CONTRACTOR JIM S HANDYMAN SERVICE PHONE (360) 808 1105 OWNER DEBRA K ROBINSON PHONE (360) 565 0106 PARCEL 06 30 00 0 1 2970 0000 APPL NUMBER 10 00000506 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 6/03/10 JLL BLDG FRAMING TIME O1 00 6/03/10 AP June 2 2010 2 56 56 PM 1pangrle JAMES 808 1105 FRAMING AFTERNOON June 3 2010 4 52 57 PM jlierly BL99 01 9/08/10 BLDG FINAL TIME O1 00 September 1 2010 1 16 59 PM 1pangrle JIM 808 1105 BUILDING FINAL FRENCH DOOR & DRYWELL AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES cja,\j \ S� GX 0 �0 PREPARED 6/03/10 8 43 21 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/03/10 ADDRESS 1625 W 5TH ST SUBDIV TENANT NBR DEBRA K ROBINSON CONTRACTOR JIM S HANDYMAN SERVICE PHONE (360) 808 1105 OWNER DEBRA K ROBINSON PHONE (360) 565 0106 PARCEL 06 30 00 0 1 2970 0000 APPL NUMBER 10 00000506 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 6/03/10 L BLDG FRAMING TIME O1 00 June 2 2010 2 56 56 PM 1pangrle JAMES 808 1105 FRAMING AFTERNOON COMMENTS AND NOTES ELECTRICAL PERMIT O CITY OF PORT ANGELES 0 360-417-4735 Application Number 10 00000505 Date 5/21/10 Application pin number 271025 rd Property Address 1625 W 5TH ST 1" ASSESSOR PARCEL NUMBER 06 30 00 0 1 2970 0000 �+ Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 3 circuits basement circuits Owner Contractor ROBINSON DEBRA SIMPSON ELECTRIC 1625 W STH STREET 243036 W HWY 101 (07- PORT ANGELES WA 98362 PORT ANGELES WA 98363 vv (360) 565 0106 (360) 457 9270 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 165654 Permit Fee 78 70 Plan Check Fee 00 Issue Date 5/21/10 Valuation 0 Expiration Date 11/17/10 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 5 20 Fee summary Charged Paid Credited Due Permit Fee Total 78 70 78 70 00 00 Plan Check Total 00 00 00 00 Grand Total 78 70 78 70 00 00 V" INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTS f Z Ls (z) Signature of owner or Electrical Contractor X Date y01- _ Crry OF PORT ANGELES PERM"APpLICATInN MAY ` 0 2009 Building Di"Siom/Efectrical Inspections ELECTRICAL Ph. (360)417-4735 pax:(360)417-4711 �? 3z1 East I�'ri411 Street—P.O.Box X1510/Fort Angeles Wasbingtop,98362 INSPECTIONS (JA Date: a-()(D 1 &2 Single Family Dwelling MuVamily or Commercial* ____Commercial fi d0loin/Alteratior Remodel/Repay' Pian Review May Be Required, Please Cop 8 6 ectrical Plan Review Information Sheet .►oh Address:__� (p ��" L� S� Building Square Footage: ------ Description of above +� _ Owner Int ?_ ,_ n Name:_ Y✓�o� _ O i h 5� Co�tr�e-W Ink malion Meiling Ad Clay S `gyp, �� Meiling Addraq/ �'S phone: • ► ChY' Z10 - -� License#I Exp_Y Jr/G�7^ Phone:� 01 Fax: License#I - © 1 Un t C a ® (Wt Low My Mali-tilaift Unit Cba!g Service/Feeder 200 Amp. $119.90 Sendce/Feeder 201.400 Amp. $145.50 - Service/FeederQ"00 Amp $204.60 r' Service/Feeder 601.1000 Amp. $282.20 -- $ Service/Feeder over 1000 Amp. $372.50 $ — Branch Circuit W/Service Feeder $ 2.60 - a-- -- Branch Circuit W/0 Service Feeder $ 73.50 J $ Each Additional Branch Circuit $ 2,60 O Temp,Servlce/Feeder 200 Amp, 92.70 Temp.SeNce/Feeder 201400 Amp. $110.30 $ Temp.Service/Feeder 401.600 Amp. $148.70 Temp.Serolce/Feeger 601.1000 Amp $167.90 ----- $� Portal to Portal Hourly $ 9590 $ Sign/Outline Lighting $ 88.20 Signal ClrculU IJmlted Energy 1 Fimt 1500 sf-•Commercial $ 95.90 $� Note: $5.00 for each addliional 1500 of �--- $ - Signal Clrculr/Limited Energy-1&2 Family DrMling $ 63.90 Signal Circult/Limited Energy Multi•Famlly Dwelling $ 63.90 $ Manufactured Home Connection $199.90 $ - Renewable ElectricAl Energy 5KVA System or Less $107-30 $ Thermostat $ 56.00 $ NEW CO_M- 10 OXY, -- $ _ First 1300 Squares Ft. $110.30 $ Each Addltional 500 Square Ft.or Portion of $ 35.20 ------ $$ - Each Outbuilding or Detached Garage $ 73.50 Each Swimming Pool or Not Tub $110,30 " $= L r total Owner as defined by RCW 19,28251,(1)towner will occupy the structure for two years after this dechicel(permit is finalized, " Owner is required to hire an electrical contractor U above said property Is for sale,rent or lease.Permit expires after six months of last Inspection After reading the above statement.I hereby icerlify that I am the owner of the above named properly or a licensed electrical ce,r,,actor. I am making the electrical installetion or alteration in compliance with the electrical laws,N.E.C. RCW Chapter 19.28,IN/AC.Chapter 296 13,The C( of Port Angeles Municipal Code,and Utility Specifications and PAMC 14-05.050 regarding Electrical Permit Applic�dions ly Signa armee,electrical cc r or elecbrtcal administrator o cmm 0 chic Ix OrisxF � v�Q .�_ 011e1/2010 CITY OF PORT ANGELES C1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000506 Date 5/20/10 Application pin number 769074 Property Address 1625 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 2970 0000 Tenant nbr name DEBRA K ROBINSON Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1600 Application desc FRENCH DOOR & DRYWELL Owner Contractor DEBRA K ROBINSON JIM S HANDYMAN SERVICE 1625 W 5TH STREET PO BOX 2125 PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 565 0106 (360) 808 1105 Structure Information 000 000 FRENCH DOOR & DRYWELL Permit BUILDING PERMIT RESIDENTIAL Additional desc FRENCH DOOR & DRYWELL Permit pin number 165662 Permit Fee 83 55 Plan Check Fee 54 31 Issue Date 5/20/10 Valuation 1600 Expiration Date 11/16/10 Qty Unit Charge Per Extension BASE FEE 50 00 11 00 3 0500 HND BL-501 2K (3 05 PER C) 33 55 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 83 55 83 55 00 00 Plan Check Total 54 31 54 31 00 00 ("►V Other Fee Total 4 50 4 50 00 00 Grand Total 142 36 142 36 00 00 Separate Permits are required for electrical work, SEPA, Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.9" Dat Print Name Si ure of Contractor or Auth zed Agent Signature of Owner(if owner is builder) T.Forms/Building Division/Building Permit C> I BUILDING PERMIT INSPECTION RECORD C-R — 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING Under Floor/Slab Rough-In Water Line Meter to Bldg) Gas Line ^ , Back Flow/Water FINAL Date Accepted b AIR SEAL. V Walls Ceiling FRAMING — — 10 SL(— Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling ({� Drywall Interior Braced Panel Only)__ v Bar INSULATION. Slab Wall/Floor I Ceiling MECHANICAL. p n Heat Pum /Furnace/FAU/Ducts Rough-in r Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking 8 Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By V1 Electrical 417-4735 Construction R W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Q Building 417-4815 m�— T:Forms/Building Division/Building Permit 0,rt'H��,�; BUILDING PERMIT APPLICATION Print in Ink �'�••'�- CITY OF PORT ANGELES For City Use Only . Attn Building Permit Technician Date Received 5-20-10 321 E. Fifth St. Port Angeles WA 98362 Permit# r- (360)417-4815 fax (360)417-4711 Date Approved Applicant �rG pt f}4 y5_ 4Po e ,3GG- eC2//0.5 Property Owner �� ¢,,,� �c, ��� e 36o-S6S'- 6/o6 Property Owner's Address AL 2 3 we r7` Contractor J,, 7,, &�,, SQr��G Phone 3Go�a8 iso t' Contractor's Address 93D / T IA- 6 Z License # l " pires 20 E-mail PROJECT ADDRESS Parcel Number Lot Zoning . Project Type & Brief Description. a Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction ❑ Addition ❑ Remodel r e4 Ck Vn a �`- ❑ Repair ❑ Demolition tjpl: Lc ❑ Re-roof z�,Kouse ❑ darage ❑ other ❑ tear off& re-roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @ $ per sq ft. _ $ 15' Floor 2nd Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ p Total footprint of structures sq ft. T Lot size sq ft. = Lot coverage % Site Coverage = the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage % Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? r Construction type #of half baths /have read and completed this application and know it to be true and correct. /am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. IT Date t Print Name e /, i^iy'4� Signatur , T Forms/Bu' ing Division/Building permit application M L(/17 ;7 G(, �P-e a �Y_� 4�` �S r se t CITY OF PORT ANGELES—Construction Plans The issuance of this permit based upon these plans,specifi- 4-L, cations and other data shall nai prevent the building official from thereafter requiring the correction of errors in said J plans, specifications and other data, or from preventing 1 T building operations being carried on thereunder when in l 4 violation of all codes and ordinances of this jurisdiction. * + - 2 Mit 5v- 24a,,10 Approval Dategy ` Q M 0,10 WRI 33 -lf"r- 61 '4 4v,- 44 IV; _fI7 90. NOW MCI 44- R—R- U Ae`, -APIRTAI'l -e Al 71' k1l CAN ,'IN NAM av ,,own A ! .-A E ss vf NNW ct W Pil �3 Rpl • Q sit M 0140-11S"A MP .Ar- VIP,m- " A, 1 z SM 1, 3 WL ZX', .WAS -W� 41 EE. , 'VI L�, '�. `� "*�' _ n �'.�•r.'.y r -., _ l.M+;�M�i..*f?'�•`'°C�"� Xi'F"„'; � .+.,_�� «�: t jf't:"``�,f�.'s�p '��« s f'.-, ••n. s-, Mm v Ji sA k i"AM_lt�j 1pl_k "'., y. M Clallam County Assessor& Treasurer - Property Details - 56883 DEBRA K ROBINSON Page 1 of 4 Clallam County Assessor & Treasurer Property Search Results > 56883 DEBRA K ROBINSON for Year 2010 - 2011 Property Account _ Property ID- 56883 Legal Description LOT 14 ST BL 129 Geographic ID- 0630000129700000 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. 1625 W FIFTH ST Mapsco PORT ANGELES WA Neighborhood`. Cycle 5 Res Map ID- Neighborhood CD- 10955130 )` Owner Name:- _ DEBRA K ROBINSON Owner ID-- 49110��� V _ Mailing Address: 1625 W 5TH ST %Ownership 100 0000000000% PORT ANGELES WA 98363 Exemptions. Taxes and Assessments Due Property Tax Information as of 05/20/2010 Amount Due if Paid on . -W- _ First i Second '( i Half Half Statement i 1 Base Base I I Base AFT Year I ID _ Taxing_Jurisdiction - Due Due Penalty Interest Paid Du 12010 39907 ST SCH STATE SCHOOL $22314 $22315 $000 $000 $446.29 2010 39907 CC-GEN COUNTY $11875 $11875 $000 $000 $23750 2010 39907 PORT PORT $1669 $1669 $000 $000 $3338 12010 39907 PORT ANG PORT ANGELES $27495 $27494 $000 $000 $54989 2010 39907 SD#121 SCHOOL DISTRICT#121 $28904 $28902 $000 $000 $57806 2010 39907 NTH OLY LIB NORTH OLYMPIC LIBRARY _ $3450 _'$3451 $000 $000 $6901 12010 39907 HOSP#2 HOSPITAL#2 $4872 $4871 $000 $000 $9743 2010 39907 _ WSMET PK DIST WILLIAM SHORE MET PARK DIST $1550 $1550 $000 _ $000 $31 00 2010 39907 CITY_STORMWATER CITY STORMWATER _ $3600 $3600 $000 $000 $72.00 12010 39907 WEED_CONTROL WEED CONTROL $082 $0 81 $000 __$000 _$_163 2010 39907 TOTAL. $1058.11 $1058.08_ $0.00_ $0.00 $2116.1_9_ 12009 568832008 ST SCH STATE SCHOOL $256 35 $256 35 $000 $000 $51_2.70 2009 568832008 CC-GEN COUNTY $12974 $12973 $000 $000 $25947 1---- 2009 56883_2008 PORT PORT _ $1838 $1837 $0_0_0 $000 $3675 2009_ 568832008 PORT ANG PORT ANGELES $284 57 $284 55_ $000 $000 $569 12 12009 568832008 SD#121 SCHOOL DISTRICT#121 $317 02 $317 02 $000 $000 $63404 2009 568832008 NTH OLY LIB NORTH OLYMPIC LIBRARY $3770 $3769 $000 $000 $7539 2009 568832008 HOSP#2 HOSPITAL#2 $53.21 $53.20 $000 $000 $10641 2009 568832008 CITY_STORMWATER CITY STORMWATER $3600 T$3600 $000 $000 m$72.00 http.//vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=56 5/20/2010 jo,PORi,k,C CITY OF PORT ANGELES Imo' DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 05-00000798 Date 9/12/05 Application pin number . . . 069562 Property Address . . . . . . 1625 W 5TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2970-0000- Application type description RES ADDITION Subdivision Name Property Use Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 1764 44 Owner Contractor ROBINSON DEBRA REED DESIGN & CONSTRUCTION INC 1625 W 5TH STREET PO BOX 160 PORT ANGELES WA 98362 CARLSBORG, WA (360) 565-0106 CARLSBORG WA 98324 (360) 683-2062 Other struct info . . . . . TOTAL %, LOT COVERAGE .20 NUMBER OF STORIES 1.00 EXISTING LOT COVERAGE 1451.00 LOT SIZE 7000.00 PROPOSED LOT COVERAGE 1549.00 TOTAL LOT COVERAGE 22.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . Permit pin number . 59766 Permit Fee . . . . 86.65 Plan Check Fee 34.66 Issue Date . . . . 9/12/05 Valuation . . . . 1764 Expiration Date 3/11/06 Nit Qty Unit Charge Per Extension BASE FEE 47.00 13.00 -- --- HND BL-501-2K (3.05 PER-C)- ------------39.65 --------------------------- Special Notes and Comments Electrical load calculations and elctrical permits are 1 required. Customer service is underground - call for locates 1-800-424-5555 09/02/2005 08:58 AM GMCLAIN ---------------------------- F Public Works Utility Engineering has no requirements for this plan review. ------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ------------------------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ^r Permit Fee Total 86.65 86.65 .00 .00 ` Plan Check Total 34.66 34.66 .00 �- Other Fee Total 4.50 4.50 .00 .00 Grand Total 125.81 125.81 .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. /L /, Signature of Contractor or Authorized Agent Date ignature of Owner(if owner is builder) Da T:\Policies\l 102_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 INSULATE OR CONCEAL ANY WORK BEFORE PLEASE PROVIDE A MINIMUM IECTED AND ACCEPTED. POST COVER,IS UNLAWFUL To OST PERMIT N ACONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDER FLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEATPUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING SEPA: PLANNING DEPT. SEPARATE PERMIT#'s ESA: PARKING/LIGHTING SHORELINE: LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL ELECTRICAL-LIGHT DEPT. 417-4735 LIGHT DEPT CONSTRUCTION-R.W. CONSTRUCTION R.W./PW/ 417-4807 PW/ENGINEERING ENGINEERING FIRE DEPT. 417-4653 FIRE PLANNING DEPT. PLANNING DEPT. 417-4750 BUILDING 417-4815 BUILDING T:\Policiesll 102_15 building permit inspection record05.wpd[04/20051 Pukr,�A.( FOR OFFIC U �S 0p7LY: BUILDING PERMIT - APPLICATION Datekec. Q� Peln]lt#:d�✓� �(� Fill out COMPLETELY and in INTK.four application. and site plan MUST B Date Approved. —�� COMPLETE to be accepted for review. If you have an},questions, call Date Issued: PERMITS (360) 417-4815 FK(360)417-4711FA-X(360)417-4711 Applicant or Agent: ULJiy-(� Phone: J(d Ste` y U(p Owner: ,zA +�o Phone: 36 0- S (, S' -C/ d 6 Address: ( S S Sf City: 'orf y�,�`I c 5 iwll zip: Architect/End neer: 0 LO iAJ Phone: �3 b o Y(� r- d I o 6 Contractorlf£ED 'DCf;-(w d(,sf,,_Vii~— State License#:R,6D AC"'321'-Exp: �'� Phone:3 bo g3_d44 Address n 6 rD� /(d 6 City: ClIU-S,6e c,F r��}�A Zip: /��.3 2 �/ �' 1 7 PROJECT ADDRESS: � L � � ��- �� � �i' ZONING: LEGAL DESCRIPTION: Lot: _rf A Block: .1 .z 9 Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: il.L�' W r'L" 14 City: a, f li�aLWCJ Qh 5 8,3(a 3 Credit Card Type VISA MC #_ Exp.Date: TYPE OF WORK: SIZE/VALUATION_ / ,k Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF. @$ /SF.=S /7(a . u� ❑ Multi-family X Addition ❑ Move ❑ Garage SF. @$ /SF._$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF—=$ ❑ Repair ❑ Sign ❑ Other TOTAL VALUATIO V S 174 y UD BRIEF DESCRIPTION OF THE PROJECT: Tei 1, ('S/ a aj& COMMERCIAL/RESIDENTLAL: Occupancy Group: Qccupant Load: ,"-f e)-, Construction Type: No. of Stories: d Lot Size: i cj C Existing Sq.Ft. j &Proposed Sq.Ft. Q4/ �8 =TOTAL Sq.Ft. sy Total lot coverage 2-21 % +&;- PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: ESA/Wetland(s): ❑ Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER: VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and maybe 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 1 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 re)' plicant: bility to determine what permits are required,not the City's, and that I must obtain such permits prior to work. T:�Policies\BL-1102_13. d /�e�L► Date: 5 s s d def C�' •��°^� r.�...,�� � s y — + a 9 I 9 i ii I t _ 5 I I , I I E ' I - ti -_-_ - -- -i— iSgy 09 e;+n#+eOR-0 11LEltES 4 n ai-MCecn�-! cr+l t The lssqarro of this P6if�as �pn Chesedans spe tf�k�a+�+�hallnot! �-or�gentthe b ddin iof ci!1 $rt erequiqmg t!{e correct+oA of rors m said a id : i- - boiling oPeratipns b fld-o her-f�aiar�_fror2_ aeentm�; ---- - I -� �ictalt on of all ctide� arra gtdin� h der hen ir+ mg carnedl on t ereur� i � Hees jjj�jjiI1:j,i::III1I 11, 1 �'�MprovalOate n' Y -_lo -4 Cs 4,4 i e I i 1 i �3 ` "` 40 , ,. £ 1630 1635 _ .. A, f6"I 4 jr 5 1 \ ,'aha • 10 - \ e= 1 625 Fk �fe• .'F v5 11, 41 E D .iriM ,A4, 07 g r` s y s s� 20 Vertical Datum=NA VD 88 N This map is not intended to be used as a legal description. Feet Horizontal Datum=NAD 83197 Area Map This map/drawing is produced by the Cin' of Por[Angeles jar its own use and purposes. Anv other use o(this map/drawing shall not be the responsibility ofthe Cin. ° ` T-T- LI --44I i _ f , I i F- ---------- TI III ---------- LI k4tCS. ' S I 3, - �j L {, �X 1 �aSt 4 S o - �L--- .Z)cc. k'dl 3 f Ad "I't rxel-� 71, _ - a ( (� 2 �' W Sr Q f - - I � I i---- -i I I I I ( I � � I 44s+� df I t 14� T _ _ — I FI — — v '7� 1 i - I iss? zul, �- av 7 IZ\7 i• 4� n . d P T v a ?� '' • ��.h �ost , Z �io v�5 0-� c:o+n�t�e�e fo �;I! h� 2 I-, aeeP 6,y 605Me41C W4 down�;nc�, f2 o leave �/ baC0ie'�, +l1 O("hj M2tt Tc� �UI� q Dt Ire© �1 PSV! S w ' 7 Y/ - r.44nn ,3 -L. to fa— a .��_ PREPARED 12/02/05, 12:36:58 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 12/02/05 ----------------------------------- ---------- DRESS . : 1625 W 5TH ST SUBDIV: CONTRACTOR REED DESIGN & CONSTRUCTION INC PHONE (360) 683-2062 OWNER ROBINSON DEBRA PHONE (360) 565-0106 PARCEL 06-30-00-0-1-2970-0000- APPL NUMBER: 05-00000798 RES ADDITION --------------------------------------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --- -------------------- ------------------------------------- BL99 01 12/02/0E _ JL-P'F-- BUILDING FINAL 12/01/2005 09:26 AM DYASUMUR DEBRA 565-0106 MEASURE SETBACK FROM CHAIN LINK FENCE, NOT OLD CEDAR FENCE. PERMIT HANGING EITHER ON DOOR OR TRELLIS. -------------------------------------- COMMENTS AND NOTES �� r .C�`OF,PORT A GT D! SJON DEPATMENT OF COMMUNTrY DEVELOPMENT BUILDING 321 EAST 3 C S't�R JEr,"polk T LES,WA 9$362, t A gA#aeti r 031-0000031 Date 6/09/03 ' � 1625 W 57H $T' 04=30-60-0-1-4 -0000- i ti deacri tion . . =crixcAL ONLY ; A it 4oatiOn imXuation 0 Oaner COmtraotcor i P 6 . . PORT 94362 02d3 (36Q) 66S-$146 ----------- ----- ------------ -------- Permit >a CTFt$C L Avm $11 TAL Additional d*S,� Permit Fee . . 46.70 Plan-O' Poo Isst3e fttevala6/09/03Ltt1 8xpiaCatiiato 12/06/03 a Qty gill, Charge Por > ct0#�09 1.0,0 46,7000 ice, RL-R QA RM 1-4 ALT CtXC 66.74 Pae PUMAry charged Paid edited Daae ----------------- -------- ------- ....... Pew t Tota 46.70 46.70 00 Plan Owok Total :, .00 40 .00 .00' exand Til' 46.70 46.70 .ACS 00 } ato it'0 requi*fOre4ectrical Wafkw SCP �Si� . n 0nsruconuthoi iiwir9s@ daO fCoriltructti0nvrwork ;* **f rk t nu11ad i r d �' "a'p ric l0 I ii after "'as cornrnenced;or 9 mired inspectl0ns h���not been rdq�res titri8� its# irlsp #in: Oroy � 1�t!"hive read errd e> nil�n�d tl �i �©n the en1e to! t ander. prarii0ns of i nQ Ory i'nen governing.this'� r3{!b a pt e� er n 0r not, The grerr�ng, a�� r�,1�Qt At pre�lrm� t0 i$utNlOrity t violate c>r c. r �l the ovisiern �f r r1 �rieting con*en' r re nis cif construction.` Sign t1 f C©ritr Or or Auftrized Awn# a�#e Signature of turner(if ommer is butuder) T.1�t.f+ITFrJrI At1 1102.15142002] BUILD*d PERMIT`INSPECTION RECORD CALT,417.4815 FOR BUILDING INSPEC1 ONS. PLE"E PROVIDE A MINiMUI� Li�UR�It�T��E. lY':lS LI1V WP �1►COY , INSULATE dR CONCZAL ANYB�EFI��I11�CFECT&L1,#N�?ACCLPTBI! PST P'BRMIT tN A tom"c ous AT1 i. KsEP PERmr CARD AND APMovED PLANA'- $SrFE .,x niskmo iT'YPe DATE ACCEPTED; CAM 7 YS$ NO IFOURDATIONS WALLS FATION DRAIIIIAGE ELECTRICAL (Li�fi E T DVq) SEPARATE PERIHi1':*. UNTlunooRtSLAD ROUGWIN WATERWit GASLTNB BACK FL+w l WATER x 1r3. AIR SCA WALLS CEllLA1iG !;, _ Ff"ING JOISTS/aiRDERS SHEAR WALL WALLS/It"I CEIM0 DRYWALL T BAR IKSi7LATIOIN SLAB WALL I I?LOOft I CElLmG HEAT PUl►D' WOOD STOVE J PELLET!Ci IEY HOW I DUCK'S PW[1TIWTI8S1 SIT$WORK trR DivWop). SEPARATE PERMTL Vv vWATERLM IIr(sm SEWERCOM0CTION " SANITARY -. STORM K ANWtMG DEPT. SEPARATE PERMIT Or$ SEPA PAIMIlYGAIGHTII s ESA: LAIVDSCAPH�JG `SIif�R'13t..IIdlr: . 777 _'FI1 AI.INSPI I I"$REQD�IRpRD I �` w+X�'t-« { %b[* ;37.+1✓ .E ALELECTItiCAL, GH1`D1. 417�t735 F C � F1tll�G ' MC 417-4807 / FjRT 41740FIR9 DEPT, PLAN DEP7. 417j473b PLANAti DEIrP SUILDDia T:1PLANND* jRMSN1102.151442M) 4 t CITY OF PORT ANGELES PUBLIC WORKS -BUILDING DIVISION L� 321 EAST 5TH STREET, PORT ANGELES,WA 98362 PERMT ISSUED: 3/07/2002 PERMIT NO: 13248 OWNER/APPLICANT PROPERTY LOCATION BRAD WEATHERBEE 1625 5TH ST W 201 ROBINSON RD Lot: 14 Port Angeles, WA 98362 Block: 129 ❑ Long Legal 360/452-3710 Subdivision: TPA T: S: Parcel No: 063000012970000 CONTRACTOR ARCHITECT WEATHERBEE CONSTRUCTION N/A 386 HULSE RD Port Angeles, WA 98363 98360-0000 360/452-3710 360/000-0000 PROJECTINFO Project Value: $98,000.00 SFD Units: 0 Commercial: 0 Project Type: SFR NEW SFD SQ FT: 0 Industrial: 0 IN, Occupancy Type: RESIDENTIAL Garage: 0 \( by Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES CONSTRUCT NEW SFR, 1972 SQ. FT. WITH 559 SQ. FT. ATTACHED GARAGE ( n fq-l() z°_ e; p} * f3£3o3 ISI FEES ASSESSMENT Building Permit: $979.75 Misc Fee 1: $0.00 Plan Check: $391.90 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $1,559.15 Plumbing: $154.00 AMOUNT PAID: $1,559.15 Mechanical: $29.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned 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 constructio or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date WELDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 1 INSPECTIONTYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS 3 -27-Oz- FOUNDATION -O - FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-TN PLUMBING UNDERFLOOR/SLAB ROUGH-INUyyz WATERLINE 1--6C- 77774- GAS LME BACK FLOW/WATER AIR SEAL WALLS -J CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL �^ WALLS/ROOF/CEILING DRYWALL T-BAR INSULATION SLAB WALL/FLOOR/CEILING - Z MECHANICAL HEAT PUMP WOODSTOVE/PELLET/CHIMNEY/INSERT 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 OCCUPANCYNSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 D�� BUILDING CtIAPPL.WPD ' pOnrq,t,Q FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION �t<R�m . "�� Petit#: '��- Date Approved: J Date Issued: �� The Building Permit -Pre-application must be ftUed out completely. Please type or print in ink. If you have any`questions,please call 417-4815 Applicant or Agent: Boxd 6k)e� \V}2J'6,,9. Phone: -17 - -3-210 Owner: W eA\Yie r�J2 'L. Phone: 7 S- Z —3'IO Address: 20/ PO 6 r)sor� r 0 City: pbr-t h!! eZip: g3 Z Architect/Engineer: Phone: c1 Contractor WPln\Vlef �2e, ��1lY1511Licen e(� rnG /r��"y4�Exp:lO 5� "OoLPhone: / �37WO Address: 201 gohm5on r) Cityy:{_POT-ty1-r/1�1G e le S Zip: C/136/3- E /13 6/3- PROJECT ADDRESS: !12 S L )SIA Ste" 1 P�` I_, �eS ZONING: R S �i LEGAL DESCRIPTION: Lot: Al Block: 2`I Subdivision: CLALLAM COUNTY PARCEL NUMBER: 06300 O 011910Credit Card Holder Name: Billing Address: City: Credit Card#: Exp.Date: VISA MC TYPE OF WORK: S�/�VALUATION: .Residential >(New Constr. ❑ Re-roof ❑ Woodstove I -I" SF. @$ /SF._$ ❑ Multi-family ❑ Addition ❑ Move XGarage SF.@$ /SF._$ ❑ Commercial ❑ Remodel ❑ Demolition )!IjDeck SF.@$ /SF._$ ❑ Repair ❑ Sign ❑ TOTAL VALUATION $ OGY> BRIEF DESCRIPTION OF TI ' JPROJECT: Pn LJ Si' tZ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: J No. of Stories: Lot Size: 2 0 o 0 ❑ %Lot Coverage: ��" % Existing Lot Coverage:�/sq.ft.+Proposed Lot Coverage: '1000 /sq. ft. =TOTAL LOT COVERAGE: /sq.ft PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application,site plan(for additions)and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section 107.4 of the Uniform Building Code,current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility io determine what permits are required, it remains the applicants responsibility to determine what permits are required and to obtain such. I /� f� Applicant: Oil/ ,n� Date: ! 0 T:\FORMSUPPS\B ui Id ingpermi t v ; D pa g> i I i IL i r -70 I +� so l w S Argo+ City of Port Angeles Applicant Project Review Sheet EApplicant: , : Proposed use: Wig. {� C Is the proposed use listed as a"permitted use"or an"accessory ase"in this apne �Yes a - :ok Ono:requves 1'D Is this the only use(business,residence,etc.)on this ine7 renew yes:ok ❑no:rewires PD Has there ever been been submitted and is pmd�ing a�ppteeal �or PRDOVed for this site,or has ane ❑ tevrew Yes:requites 1?D Pr'uo:cit Dow the poposed use require a new buisoea hemaea review Does 11 Yes:requires CC �no:ok the poject extend into arty requited sdbwlm or mosview cdcriorps any lot lines(interior,or requir ❑lies:requites PD �no:ok Dow the exceed the petted height allowonw or cause the Property to exceed renew the allow'droverage m this zaaea ❑Yes:regpims PD �ao:ok Does the Project nquue any additional parking or special review in this Zone? its ❑yes:requires PD �no:ok Does the project eliniinste any casting larking spaces? renew ❑yes:reTAires PD Xno:ok Is the project located within 200'of the shoreline? renew ❑yes:requires PD ,Fefuo:ok Are there any envitunmeatauy sensitive areas on or within 200'of the pro review renew including: O yes:requires Piirso:ok • wetlands or areas of standing water(year round or seasonal), renew ' streams round or seasonal); • areas a slope of 40%or greater,or • areas that have evidence of Past ground movaorat or erosion? Have all the requited submittals ben provided by the;appl;caW ,l /�§ Plan 'B'Constmctim Drewinga Yw:A ❑m:mark O parloag/Dneum a Plan O Civil Drawings - required Energy Cake O Supporting&W.Cale nems) ❑LendscapdLighting Plan O Other I Planni»g partfi re regriired yK proeessing•nae may be extended {fit is determined a separate Planning P�wB�P®' d peradt(sJ mart he approved prior to ire issuance ojany other permi +� �P�rl(earsts�urr#)•�is8astgt`�s�f�r/�attnlha ss�t[ I+prlrat<eYyrp br.l+r�rsy�IC7tdaptatrtffjsti!'Fl+a taty+?lt�+irl(o►ssrortntrla stebssyuanttys+►yafnrl'rsviavr apprornsltif�s� �ry�:� '7fa'ser; er'nr�gh'P,rldrbrxliwf:���: Permit Category# (see reverse side) Building Permit# Master Tracking# Route to: OBD OCC OFD OLD OPD O PW Wile O Other Staff Initials Dem Compietion of/his form is required jar all cafeI 113 regaind jar category 1 a perneitr an/ess Ih gory!b, pe^^i� Cwrrpietion is not ry reser t! in a potential change ofase or occapanry. Mad.?(42f911Wlrv�m) ----------------- ---- __________________________________________________________ WATTSUN 5.6 1997 WA STATE ENERGY CODE COMPLIANCE REPORT 02/17/80 FILE: C:\\WATTSUNS\\ANEWFILE HOUSE ID: Site: Analyst: Rick Beck Jurisdiction: Utility: City of Port Angeles Homeowner: House Type: Single Family Floor Area: 1973 ft2 Builder: Weatherbee Construction Weather Data: Whidbey Island, WA Climate Zone: 1 The PROPOSED design *COMPLIES* with 1997 WA State Energy Code. REFERENCE PROPOSED COMPONENT PERFORMANCE 344 335 Btu/hr-F ENERGY BUDGET 3 . 52 3.84 kWh/ft2-yr REFERENCE DESIGN Reference Component Value X Area = UA ------------------------------------------------------------------------------ On Grade Slab F-0. 540 152ft 82 .1 Floor U-0. 029 559 16 . 2 Glazing @15% U-0. 400 296. 0 118 . 4 Doors U-0. 200 37.0 7.4 AG Wall U-0. 058 1411 81 .8 Ceiling, Attic U-0. 031 1219 37.8 Infiltration ACH-0. 350 15784ft3 ( 101 . 1) ---------------------------- Reference UA 343 .7 -------------------------------------------------------------------------------- PROPOSED DESIGN COMPONENTS Component Description Value X Area = UA ------------------------------------------------------------------------------ On Grade Slab R5 2' vertical F-0. 580 152ft 88.2 Floor R19 unvented Joist 16oc U-0.040 559 22 .4 Glazing @14% **Sumit Loe E U-0. 320 286.0 91 .5 Doors Metal R-5 +tb frame base case U-0.190 37.0 7.0 AG Wall R19 STD Lap Wood U-0. 062 1421 88.1 -------------------------------------------------------------------------------- Items in parentheses not included in COMPONENT PERFORMANCE totals. ** Denotes non-standard values - check calculation of thermal value. Page 1 WATTSUN 5.6 1997 WA STATE ENERGY CODE COMPLIANCE REPORT 02/17/80 FILE: C:\\WATTSUN5\\ANEWFILE HOUSE ID: Ceiling R38 blown Attic STD baffled U-0.031 1219 37 . 8 Infiltration Standard Air Sealing ACH-0. 350 15784ft3 (101. 1) ---------------------------- Proposed UA 335.0 Struc Mass Light Frame, Sheetrock walls M- 3 .000 1973 5919 -------------------------------------------------------------------------------- HEATING/COOLING/VENTILATING SYSTEMS PROPOSED Heating System Type: Electric: Zoned System Efficiency: 100 % Modified Efficiency: 100 % Design ACH: 0. 60 Design Load(at 46F dt) : 23380 Btu/hr Total Load: 23380 Btu/hr System Size(Output) : 10. 5 kW (150%) Average Annual Heat: 11000 kWh Annual Cost: $ 605 Ventilation System: Integrated Spot & Whole House Cooling System: SEER: 0.0 Cooling Load(at -7F dt) : Btu/hr System Size(%Over) : tons(@125%) Annual Cool Requirement: kWh/yr Solar Access: Partially Shaded -------------------------------------------------------------------------------- GLAZING ORIENTATION PROPOSED PROPOSED South ft2 North 286. Oft2 Southeast Northwest East West Northeast southwest Eff S Glz: 2.8% -------------------------------------------------------------------------------- Economic and energy consumption estimates are designed for comparative purposes only. Actual cost for heating will vary depending on weather conditions, occupant lifestyle and other factors. Page 2 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: f Date Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): -. Permit No. F -- Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other r INSPECTION NOTES: Inspected: Date Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 7 — Time Received by (phone, person) Location of Work to be inspected Uj Name of person requesting inspection _ CC Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. 1-3Z-46 Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other ZL-vS al!G,`I -q INSPECTION NOTES: Inspected: Date Time By Remarks: RESTORATION RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee [] COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date _7,_ / — Time Received by L/ (phone, person) Location of Work to be inspected Name of person requesting inspection r 1C Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. L2 v Sewer Foundatio Framing Chimney Plumbing Final Sewer Excay. Other t INSPECTION NOTES Inspected: Date Time By Remarks: i RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one►: Permit No. 1�Z Sewer Foundation Framing Chimney (Plum'bin Final Sewer Excay. Other INSPECTION NOTES: j Inspected: Date Time By Remarks: l RESTORATION REQUIRED . . . . . . YES NO CAU4 SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date - 5 - 27- 6Z Time Received by (phone, person) L Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. _ Type of Inspection (circle appropriate one): Permit No. 7; ' `t SewerFoundation Framing Chimney Plumbing Final Sewer Excay. Other 1 � INSPECTION NOTES: Inspected: Date Time By Remarks: r RESTORATION REQUIRED . . . . . . YES NO m 6 C SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel []Asphalt ❑PCC ❑Other ❑Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . REQUEST: Date •-2 Time Received by (phone, person) Location of Work to be inspected 25- LIL�1) Name of person requesting inspection Address of person requesting inspection Phone No. Type of Ins ircle appropriate one): Permit No. Sewer undat' Framing Chimney Plumbing Final Sewer Excay. Other INSPECTION NOTES: Inspected: Date Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee [] COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUST: Date J f� �2 Time Received by (phone, person) Location of Work to be inspected / z Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. i'3 Sewer Foundation Framing Chimney Plumbing in01 wer Excay. Other INSPECTION NOTES: _ Inspected: Date - f, r% - Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: [_] Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee [] COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 BAST STH STREET. PORT ANGELES,WA 98362 ELECTRICAL PERMIT ISSUED: 6/14/2002 PERMIT NO 7701 OWNER/APPLICANT PROPERTY LOCATION BRAD WEATHERBEE 1625 5TH ST W 201 ROBINSON RD Lot: 14 Port Angeles, WA 98362 Block: 129 ❑ Long Legal 360/452-3710 Subdivision: TPA T: S: Parcel No: 063000012970000 CONTRACTOR ARCHITECT DAVIS ELECTRIC N/A 453 WILLIAMSON RD. SEQUIM, WA 98382 98360-0000 360/683-3842 360/000-0000 PROJECTINFO Project Type: RES.NEW Project Value: $0.00 Occupancy Type: RESIDENTIAL Construction Type: Occupancy Group: Zoning Use: Electrical Heat: ❑ Baseboard 0 KW ❑ Riser ® Underground Service ❑ Furnace 0 KW ❑ Overhead Service Voltage: 0 �. ❑ Heat Pump 0 KW ❑ Temp Service Phase: ® 1 ❑ 3 ? ® Fan Wall 8 KW Service Size: 200 Feeder Size: 0 PROJECT NOTES NEW 2600 SQ.FT. SFR WITH REMOTE METER RECEIPT#9123 FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $146.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $146.00 AMOUNT PAID: $146.00 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANP WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 7 7 0 ) INSPECTION TYPE DATE ACCEPTED CONDAFNTS YES NO DITCH ROUGH-IN/rO70�- FINAL J C GENERAL COMMENTS: PW-1102.15141961 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 721 EAST 5TH STREFT. PORT ANGELES.WA 98362 ELECTRICAL PERMIT ISSUED: 4/26/2002 PERMIT NO 7626 OWNER/APPLICANT PROPERTY LOCATION BRAD WEATHERBEE 1625 5TH ST W 201 ROBINSON RD Lot: 14 Port Angeles, WA 98362 Block: 129 ❑ Long Legal 360/452-3710 Subdivision: TPA T: S: Parcel No: 063000012970000 CONTRACTOR ARCHITECT DAVIS ELECTRIC N/A 453 WILLIAMSON RD. SEQUIM, WA 98382 98360-0000 360/683-3842 360/000-0000 PROJECTINFO Project Type: TEMPORARY SVC. Project Value: $0.00 Occupancy Type: RESIDENTIAL Construction Type: Occupancy Group: Zoning Use: Electrical Heat: ❑ Baseboard 0 KW ❑ Riser ❑ Underground Service ❑ Furnace 0 KW ❑ Overhead Service Voltage: 0 ❑ Heat Pump 0 KW ❑ Temp Service Phase: ❑ 1 ❑ 3 ❑ Fan Wall 0 KW Service Size: 0 Feeder Size: 0 PROJECT NOTES E CONNECT TEMP. SERVICE 1 RECEIPT#8997 FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $39.80 Misc Fee: $0.00 TOTAL FEE: $39.80 AMOUNT PAID: $39.80 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MIM"24 HOUR NOTICE. ITIS UNLAWFUL TO COI ER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND MIACCEPTEDy. KEEP PERT CARD AND APPROVED PLANS AT JOB SITE � /G ;)L 6 INSPECTION TYPE DATE ACCEPTED COMMENTS YSS NO DITCH Z FINAL -t Z� GENERAL COMMENTS: M-1102.15[4961 r nR 4*0 FOR OMCUV USE ONLY S ELECTRICAL PERMIT APPLICATION Fbmil.: Ap�vW: F Dam Issu�J: The Electrical Permit Application must be filled out completely. '41- l - Please type or reprint in Ink If you have any questions,please call(360.417-4735 /;�) Fax number:(360)417-4711 Owner or Elec.Contractor Agent_u�5�� w�'") S UA) Phone: -S/O S- 0 Fax Property Owner: DF6/_'- �E.b )J(J)J / Phone: Address: /(,,A � S)� .�d-� � City: J' d� 4N :JC /eS 1z)if Zip: Electrical Contractor: 5 GSL r- /) '1 License A: X14 Exp: X%'4 Phone: ")I///� Address: W//{ City: 'J/ - Zip: INSTALLATION WIRED BY: ,Q OWNER ❑ELECTRICAL WNTRACTOR Credit Card Holder Name:/ S��m� Billing Address: (� S S� _City: ldrf (LA zip: 7SA 3 Credit Card Number: -/ /L9d��" pate. VISA: MC:_ PROJECT ADDRESS: 1 5/ W ✓ '— �;a Lo r'� /qK'S 'Z'f p TYPE OF WORK: Check Al that apply. ❑ New XAlteration/Addition �j ly �� f esidental ❑ Multi-farm ❑ Commercial ❑ Mobile Home Sq. Ft. . ❑ Remote Meter ❑Detached garage ❑Hot Tub ❑Swim �Pool y/� ❑(�Se�ptic P,uJmR) ❑Low Voltage ❑Telecom. ❑ Sigq Number of Circuits added oraltered: DESCRIPTION OF THE ELECTRICAL PROJECT: AllElectrical Heat Load Additions '70 Service Information ❑Baseboard _KW Voltage: ❑Furnace —KW ❑Overhead Service Phase: ❑ 1 ❑ 3 ❑Heat Pump _KW ❑Temp Service Service Size: ❑Fan-Wall _KW ❑Underground Service Feeder Size: PAMC 14.05.060(B): For industrial,commercial, & residential projects larger than a duplex,a one-line drawing of the Electrical Service& Feeders, building size(sq. ft.), load calculations,and the type 8 of conductors and/or raceway is required and shall accompany the Electrical Permit application. I hereby der*that I have read and examined this application and know that same to be true and correct, and I an authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: �// K two /ppmt; Date: •r- Ali- 0.3 Owner or Elec. Cont. Signature: hy�S✓/era Date: J -,30-03 PW-9019 FOR OFFIML USE OM �y ELECTRICAL PERMIT APPLICATION _. - - - b Pte.. P � The Electrical Permit Application must be filled out camoleteW Dat Lu.L- Please type or reprint In Ink. N you have any questions,please call(360)4173735 Fax number:(360)417-4711 REQUEST INSPECTION C Owner or Elec.Contractor Agent: Phone: Fax: Property Owner. /1'i r�r C, 4 r,t //JJ Phone: C4-5—Z- 3 -71 , Address: Z) v r ,to la is. ( City: /� iy-, ZIP. W S�3/K7 Electrical Contractor. a S V r License#: /ytrJ/3 Exp: Phone: /of_S30 Address: . r.�;����,..�.sP,. .lf City:_ .sc-g!:- , Zip: INSTALLATION WIRED BY: ❑OWNER VELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: Cit.,- Zip: Credit Card Number._ Exp. Date: VISA: M( PROJECT ADDRESS: 5— (� TYPE OF WORK: Check all that apply: ❑ New ❑Alteration/Addition ❑l Residental ❑ Multi-family ❑ Commercial ❑ Mobile Home Sq. Ft ✓Remote Meter ❑ Detached garage ❑ Hot Tub ❑Swim Pool ❑ Septic Pump ❑ Low Voltage ❑Telecom. (i Number of Circuits added or altered: )) DESCRIPTION OF THE ELECTRICAL PROJECT: et) f—Lo cT(+ 0y st F�: S Electrical Heat Load Additions PERMIT FEE; �7"� Service Information - ❑Baseboard _KW Voltage:�� O Furnace KW 11 Overhead Service Phase: 1 ❑ 3 OH ,Pat Pump TON LRA ❑Temp Service Service Size: RbC [3-Fan-Wall ' KW 1laUndergroundService Feeder Size: PAMC 14.05.060(8): For industrial, commercial, &residential projects larger than a duplex,a one-line drawing of the Electrical ServicE Feeders, building size(sq. ft.), load calculations, and the type&of conductors and/or raceway is required and shall accompany the Elect Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permit: required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Date: Owner or Elec. Cont. Signature: Date: C:/E L E C T R I CA L P E R M I TAP P L I CAT I O N NO Ac.' Ti/�/cJ /3�, �ti<rk��2✓iv�� �'/ e /� �'_(I��0,�— CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 2 - t5 -09 Time A Received by Z-e"K,5 e • (phone, person) Location of Work to be inspected Name of person requesting inspection 4n't&I15 Address of person requesting inspection 4tf)4 7¢g Phone No. y(7-qj(9 Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other INSPECTION NOTES: n Inspected: Date 2 - 1:5- —D !/ Time f� By et, I'c S Remarks: <e-aefl-eef 8`" /�-G . Meeh �J/Ga /'c k.) bated . RESTORATION REQUIRED . . . . . . YES NO `v v� SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel []Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue nn reverse side if necessarv) croccr c.mcniwircwincwr nnrc