HomeMy WebLinkAbout1036 E 8th St - BuildingN�
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number
09 00000403 Date 5/06/09
Application pin number
824481
Property Address
1036 E 8TH ST
ASSESSOR PARCEL NUMBER
06 30 00 0 2 7700 0000
Application type description
ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning
RS7 RESDNTL SINGLE FAMILY
Application valuation
0
Application desc
1 circuit for 2nd floor remodel
Owner
Contractor
Patfield Kevin
OWNER
1036 E 8TH ST
PORT ANGELES WA 983626423
(360) 417 4271
Permit ELECTRICAL
ALTER RESIDENTIAL
Additional desc
Permit pin number 145409
Permit Fee 57 50
Plan Check Fee 00
Issue Date 5/06/09
Valuation 0
Expiration Date 11/02/09
Qty Unit Charge Per
Extension
1 00 57 5000 ECH EL
BRANCH CIRCUIT WO/FEEDER 57 50
Fee summary Charged
Paid Credited Due
Permit Fee Total 57 50
57 50 00 00
Plan Check Total 00
00 00 00
Grand Total 57 50
57 50 00 00
INSPECTION TYPE
DATE I RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
FINAL
I B lo,
COMMENTS
1
Signature of owner or Electrical Contractor
X Date
N�
City of Port Angeles Permit Application
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417--473/5 Fax: (360) 41q7-4711
Date:,Z0)417-4711
�� /
RECEIVED
MAY 6 2009
UGHT DEP?
X 1 & 2 Single Family Dwelling
Multi -Family or Commercial*
Commercial Addition / Alteration / Remodel / Repair*
* Plan Review May Be Required,PII s e Complete Elec 'cal Plan Review Informatigq Sheet 0
Job Address: u��ro 7H 5' fl�E l` J pta A f \)4'Czz
Building Square Footage. 7 C
Description of above 6ffij f FAM I L Y -L)1.JELL IN4 MINOR MODI F16A i ON -S 70
�''�p�,r�1-rr,�s-, inl c:/�Nn��cn�v t��►�,2F�1®_"��Z...
G'T��`��'.�f�
Owner Information F R i /tZ Contractor Information
Name: KE✓/N Name 0W 1")
Mailing A ress: D t� Mailing Address:
City- 1 Nf%tate:.k7 _ Zip: 'f .362 City State: Zip:
Phone Fax: Phone: Fax:
License # / Exp. License # / Exp.
Unit Charoe
$ 93.75
$113.75
$160.00
$205.00
$291.25
$ 2.00
$ 57.50
$ 2.00
$ 72.50
$ 86.25
$116.25
$131.25
$ 75.00
$ 69.00
$ 75.00
$ 50.00
$ 50.00
$ 93.75
$ 80.00
$ 86.25
$ 27.50
$ 57.50
$ 86.25
$ 43.75
Qtv Total (Qtv Multiplied by Unit Charge)
$
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
L $ ,�7 4,rD
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
App 3 'f- ► gC'L9,-75
$
Signal Circuit/ Limited Energy Commercial
$
Signal Circuit/ Limited Energy 1 & 2 Family Dwelling
$
Signal Circuit/ Limited Energy Multi -Family Dwelling
$
Manufactured Home Connection
$
Renewable Electrical Energy 5KVA System or Less
$
First 1300 Square Ft.
$
Each Additional 500 Square Ft. or Portion of
$
Each Outbuilding or Detached Garage
$
Each Swimming Pool or Hot Tub
$
Thermostat
$ �T7 226_
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.
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 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of w ele trical co r or or electrical administrator
X Date:
r'
❑ Cash
❑ Check
ElCredit Card # �
PREPARED 8/31/09 8 44 51 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/31/09
ADDRESS 1036 E 8TH ST SUBDIV
TENANT NBR KEVIN / DEENA PATFIELD
CONTRACTOR PHONE
OWNER KEVIN / DEENA PATFIELD PHONE (360) 477 2471
PARCEL 06 30 00 0 2 7700 0000
APPL NUMBER 09 00000366 RES REMODEL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 5/18/09 JLL PLUMBING ROUGH IN TIME O1 00
5/18/09 AP May 18 2009 8 52 46 AM 1pangrle
STEVE 461 2259
ROUGH IN PLUMBING
AFTERNOON
May 18 2009 4 26 34 PM jlierly
PL99 01 8/31/09 L PLUMBING FINAL TIME O1 00
l August 27 2009 4 53 00 PM 1pangrle
KEVIN 477 4271
PLUMBING FINAL
AFTERNOON
COMMENTS AND NOTES
PREPARED 8/31/09 8 44 51 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/31/09
ADDRESS 1036 E STH ST SUBDIV
TENANT NBR KEVIN / DEENA PATFIELD
CONTRACTOR PHONE
OWNER KEVIN / DEENA PATFIELD PHONE (360) 477 2471
PARCEL 06 30 00 0 2 7700 0000
APPL NUMBER 09 00000366 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 5/22/09 JLL BLDG FRAMING TIME O1 00
5/22/09 AP May 21 2009 4 25 28 PM 1pangrle
KEVIN 477 4271
FLOOR JOISTS
AFTERNOON
May 22 2009 4 50 10 PM jlierly
floor joist only 2nd fir/jll
BL3 02 6/16/09 JLL BLDG FRAMING TIME O1 00
6/16/09 AP June 16 2009 9 20 20 AM 1pangrle
KEVIN 477 4271
FRAMING
AFTERNOON
June 16 2009 4 59 43 PM jlierly
BAIR O1 6/22/09 PB BLDG AIR SEAL
6/23/09 AP June 22 2009 8 49 54 AM 1pangrle
KEVIN 623 326 8391
AIRSEAL
June 23 2009 8 12 14 AM pbarthol
BLI O1 6/24/09 JLL BLDG INSULATION TIME O1 00
6/24/09 AP June 23 2009 4 20 40 PM 1pangrle
DEENA 477 4271
INSULATION
AFTERNOON
June 24 2009 4 20 54 PM jlierly
BL99 01 8/31/09 BLDG FINAL TIME O1 00
August 27 2009 4 52 04 PM 1pangrle
KEVIN 477 4271
BLDG FINAL
AFTERNOON
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME1 01 6/18/09 PB MECHANICAL ROUGH IN
6/18/09 AP June 18 2009 8 29 10 AM 1pangrle
KEVIN 477 4271
MECHANICAL ROUGH IN BATHROOM VENT FAN
June 18 2009 4 24 01 PM pbarthol
ME1 02 6/22/09 PB MECHANICAL ROUGH IN
6/23/09 AP June 22 2009 8 50 42 AM 1pangrle
KEVIN 623 326 8391
MECHANICAL ROUGH IN
June 23 2009 8 12 14 AM pbarthol
ME99 01 8/31/09 J MECHANICAL FINAL TIME O1 00
August 27 2009 4 52 40 PM 1pangrle
KEVIN 477 4271
MECHANICAL FINAL
AFTERNOON
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
PREPARED 6/24/09 9 06 00 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/24/09
ADDRESS 1036 E 8TH ST SUBDIV
TENANT NBR KEVIN / DEENA PATFIELD
CONTRACTOR PHONE
OWNER KEVIN / DEENA PATFIELD PHONE (360) 477 2471
PARCEL 06 30 00 0 2 7700 0000
APPL NUMBER 09 00000366 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 5/22/09 JLL BLDG FRAMING TIME O1 00
5/22/09 AP May 21 2009 4 25 28 PM 1pangrle
KEVIN 477 4271
FLOOR JOISTS
AFTERNOON
May 22 2009 4 50 10 PM jlierly
floor joist only 2nd flr/jll
BL3 02 6/16/09 JLL BLDG FRAMING TIME O1 00
6/16/09 AP June 16 2009 9 20 20 AM 1pangrle
KEVIN 477 4271
FRAMING
AFTERNOON
June 16 2009 4 59 43 PM jlierly
BAIR O1 6/22/09 PB BLDG AIR SEAL
6/23/09 AP June 22 2009 8 49 54 AM 1pangrle
KEVIN 623 326 8391
AIRSEAL
June 23 2009 8 12 14 AM pbarthol
BLI O1 6/24/09 JLL, BLDG INSULATION TIME O1 00
June 23 2009 4 20 40 PM 1pangrle
DEENA 477 4271
INSULATION
AFTERNOON
oCOMMENTS AND NOTES
PREPARED 6/22/09 9 00 14 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/22/09
ADDRESS 1036 E STH ST SUBDIV
TENANT NBR KEVIN / DEENA PATFIELD
CONTRACTOR PHONE
OWNER KEVIN / DEENA PATFIELD PHONE (360) 477 2471
PARCEL 06 30 00 0 2 7700 0000
APPL NUMBER 09 00000366 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 5/22/09 JLL BLDG FRAMING TIME 01 00
5/22/09 AP May 21 2009 4 25 28 PM 1pangrle
KEVIN 477 4271
FLOOR JOISTS
AFTERNOON
May 22 2009 4 50 10 PM jlierly "
floor joist only 2nd flr/jll
BL3 02 6/16/09 JLL BLDG FRAMING TIME 01 00
6/16/09 AP June 16 2009 9 20 20 AM 1pangrle
KEVIN 477 4271
FRAMING
AFTERNOON
June 16 2009 4 59 43 PM jlierly
BAIR 01 6/22/09 JLL BLDG AIR SEAL
/ June 22 2009 8 49 54 AM 1pangrle
/ �.KEVIN 623 326 8391
(� AIRSEAL
PERMIT ME 00 MECHANICAL. PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
MEI 01 6/18/09 PB MECHANICAL ROUGH IN
6/18/09 AP June 18 2009 8 29 10 AM 1pangrle
KEVIN 477 4271
MECHANICAL ROUGH IN BATHROOM VENT FAN
./ June 18 2009 4 24 01 PM pbarthol
MEI 02 6/2F/09 JLL ECHANICAL ROUGH IN
r 2 C/ Kune 22 2009 8 50 42 AM 1pangrle
' KEVIN 623 326 8391
MECHANICAL ROUGH IN
- COMMENTS AND NOTES
PREPARED 6/18/09 8 33 39 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/18/09
ADDRESS 1036 E STH ST SUBDIV
TENANT NBR KEVIN / DEENA PATFIELD
CONTRACTOR PHONE
OWNER KEVIN / DEENA PATFIELD PHONE (360) 477 2471
PARCEL 06 30 00 0 2 7700 0000
APPL NUMBER 09 00000366 RES REMODEL
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
MEI 01 6/18/09 JLL MECHANICAL ROUGH IN
June 18 2009 8 29 10 AM 1pangrle
i KEVIN 477 4271
a MECHANICAL ROUGH IN BATHROOM VENT FAN
COMMENTS AND NOTES
PREPARED 6/16/09 9 25 22 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/16/09
ADDRESS 1036 E 8TH ST SUBDIV
TENANT NBR KEVIN / DEENA PATFIELD
CONTRACTOR PHONE
OWNER KEVIN j DEENA PATFIELD PHONE (360) 477 2471
PARCEL 06 30 00 0 2 7700 0000
APPL NUMBER 09 00000366 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 5/22/09 JLL BLDG FRAMING TIME 01 00
5/22/09 AP May 21 2009 4 25 28 PM 1pangrle
KEVIN 477 4271
FLOOR JOISTS
AFTERNOON
May 22 2009 4 50 10 PM jlierly
floor joist only 2nd flr/jll
BL3 02 6/16/09 L BLDG FRAMING TIME 01 00
_ June 16 2009 9 20 20 AM 1pangrle
KEVIN 477 4271
FRAMING
AFTERNOON
COMMENTS AND NOTES
PREPARED 5/22/09 8 41 05 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/22/09
ADDRESS 1036 E 8TH ST SUBDIV
TENANT NBR KEVIN / DEENA PATFIELD
CONTRACTOR PHONE
OWNER KEVIN / DEENA PATFIELD PHONE (360) 477 2471
PARCEL 06 30 00 0 2 7700 0000
APPL NUMBER 09 00000366 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 5/22/09 JBLDG FRAMING TIME 01 00
May 21 2009 4 25 28 PM 1pangrle
KEVIN 477 4271
FLOOR JOISTS
AFTERNOON
COMMENTS AND NOTES
PREPARED 5/18/09 8 55 27 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/18/09
ADDRESS 1036 E 8TH ST SUBDIV
TENANT NBR KEVIN / DEENA PATFIELD
CONTRACTOR PHONE
OWNER KEVIN / DEENA PATFIELD PHONE (360) 477 2471
PARCEL 06 30 00 0 2 7700 0000
APPL NUMBER 09 00000366 RES REMODEL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 Cl 5/18/09 J PLUMBING ROUGH IN TIME O1 00
May 18 2009 8 52 46 AM 1pangrle
s
STEVE 461 2259
ROUGH IN PLUMBING
AFTERNOON
COMMENTS AND NOTES
CITY OF PORT ANGELES
A DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
09 00000366 Date 4/30/09
348470
1036 E 8TH ST
06 30 00 0 2 7700 0000
KEVIN / DEENA PATFIELD
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
20000
Application desc
NEW DORMERS AND BATHROOM ON THE SECOND STORY
Owner Contractor
KEVIN / DEENA PATFIELD OWNER
1036 E 8TH ST
PORT ANGELES WA 983626423
(360) 477 2471
Structure Information 000 000 NEW DORMERS AND BATHROOM UPSTAIRS
Permit BUILDING PERMIT RESIDENTIAL
Additional desc NEW DORMERS & BATHROOM
Permit pin number 144766
Permit Fee 347 75 Plan Check Fee 226 04
Issue Date 4/30/09 Valuation 20000
Expiration Date 10/27/09
Qty Unit Charge Per Extension
BASE FEE 95 75
18 00 14 0000 THOU BL 2001 25K (14 PER K) 252 00
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 144774
Permit Fee 57 25 Plan Check Fee 00
Issue Date 4/30/09 Valuation 0
Expiration Date 10/27/09
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 2500 EA ME VENT FAN (SINGLE DUCT) 7 25
Permit PLUMBING PERMIT
Additional desc (((
Permit pin number 144782
Permit Fee 86 00 Plan Check Fee 00
Issue Date 4/30/09 Valuation 0
Expiration Date 10/27/09
Qty Unit Charge Per Extension v /y
BASE FEE 50 00
2 00 7 0000 EA PL PLUMBING TRAP 14 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 pres e to give authority to violate or cancel the provisions of any
state or loc 1 law regulating construction or the performance of construction.
� Lf���t?l�l' `/i=VAN P� i 1'►E21� _
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FormsBuilding Division/Building Permit
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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
FOUNDATION
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs )
PLUMBING
Under Floor / Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow/ Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists / Girders / Under Floor
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall / Floor / Ceiling
MECHANICAL.
Heat Pump / Furnace / FAU / Ducts
Rough -In
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES
Footing / Slab
Blocking 8 Hold Downs
Skirting
PLANNING DEPT Separate Permit#s
Parking / Lighting
Landscaping
Date I Accepted By
I
I
]FINAL Date
I
I
IFINAL Date
SEPA.
ESA.
SHORELINE.
Comments
Accepted by
Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction R.W PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number
Application pin number
Qty Unit Charge Per
1 00 7 0000 EA
1 00 15 0000 EA
Other Fees
09 00000366
348470
PL WATER LINE
PL SEWER LINE
STATE SURCHARGE
Page 2
Date 4/30/09
Extension
7 00
15 00
4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 491 00 491 00 00 00
Plan Check Total 226 04 226 04 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 721 54 721 54 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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FormsBuilding Division/Building Permit
MANUFACTURED HOMES
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT
Separate Permit #s
BUILDING PERMIT INSPECTION RECORD
.�
Parking / Lighting
ESA.
ISHORELINE.
W
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS —
V
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 I Date I Accepted By Comments
FOUNDATION
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Footings I
Stemwall
Date Accepted By
Foundation Drainage / Downspouts
Electrical
Piers I
417-4735
Post Holes (Pole Bldgs)
Construction
PLUMBING
417-4831
Under Floor / Slab
Fire
Rough-In
417-4653
Water Line (Meter to Bldg) I
Planning
Gas Line (�� f' Q
FINAL `31—V
_
Back Flow/ Water I Date 1S s�ccepted byj,
Building
AIR SEAL.
,0
vv
Walls
I I I
Ceiling
FRAMING C� 2Z -69
J
Joists / Girders / Under Floor I
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall (Interior Braced Panel Only) j
T-Bar
INSULATION Zy —not
Slab
I
Wall / Floor/ Ceiling
I
MECHANICAL.
Heat Pump / Furnace / FAU / Ducts
Rough-In 1(a-22-M P1 e-c i"tc -( 12oc�Jk—',
Gas Line I
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts ] FINAL Date31_6 1 Accepted by
MANUFACTURED HOMES
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT
Separate Permit #s
SEPA.
Parking / Lighting
ESA.
ISHORELINE.
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
N
Inspection Type
Date Accepted By
Electrical
417-4735
Construction
R W PW / Engineering
417-4831
Fire
417-4653
Planning
417-4750
Building
p
417-4815 0
T.Forms/Building Division/Building Permit
��
BUILDING PERMIT APPLICATION Print in Ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417-4815 fax (360) 417-4711
Applicant KEV1 N
Property Ownef Sj 2-F
Property Owner's Address 10_:;(0
Contractor SELF
Contractor's Address
License #
P f7teL-D
E STH
Expires
For City Use Only -
Date Received 4-%3'-0
Permit #
ate Approve
Pho T 7�
Phone
Phone
E-mail
PROJECT ADDRESS 103( E 8774 Tj� P0,0 -t—
Parcel Number 063 007 — 02 7700 Lot Zoning
Proiect Type & Brief Description. ><Residential ❑, Multi -family ❑ Commercial ❑ Industrial
Check all that apply
❑ New Construction N)@,) �ti2s 6N) 2O) 6-009 �� IT%Ib_ V�_, tort
❑ Addition -0 A -LF &telW-COM MW DF�--
_�KPemodel y ON) 2K)6 i� Q ROOMS LJ(LL- G.DNI /+-1UE -ro
❑ Repair E L)S&D A -S i Si�Y �� k5 A% �i 1 i
❑ Demolition
❑ Re -roof ❑ House ❑ garage ❑ other ❑ tear off & re -roof ❑ lay over one layer
❑ Heat System ❑ Heat pump o wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑ Other
Floor Areas
Basement
1 s' Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Existin_cL(sg. ft.) Proposed (sq. ft.)
@$ per sq ft. =$
TOTAL VALUATION $ .Lv I 000
Total footprint of structu ,-sq ft. . Lot size sq ft. = Lot cov e %
Site Coverage the amoun f impervi surface on a parcel including struc es paved drive sidewalks patios
and other impervious surface PAMC 17 94 135 for exemptions) Site coverage %
Max. height of proposed uctures ft. Occupancy group # of bedrooms
Will a lawn sprinkler stem be installed . Occupant load f full baths
Will a fire sprinkl system be installed? Construction ty # of baths
l have read and completed this application and know it to be true and correct. I am aO orized to apply for this permr d understand
that it is my responsibility to determine what perrn,ts are required, and to obtain permits p, ror to working on projects.
Date Print Name Signature
T Forms/Building Division/Bldg Permit.doc
027'
10�
SCITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST STH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 03-00000517 Date 5/28/03
Property Address . . . . . . 1036 E 8TH ST
ASSESSOR PARCEL NUMBER: 0630000277000000
Tenant nbr, name . . . . . COLDWELL BANKER
Application description . . . RE -ROOF
Property Zoning . . . . .
Application valuation . . . . 3245
Owner
________________________
Contractor
BENEFICIAL MORT CO
______-___
FOX'S REMODELING AND ROOFING
1036 E 8TH ST
428 ORCAS
PORT ANGELES
WA 983626423 PORT ANGELES
WA 98362
---------------------------------------------------------------------------
(360) 417-0342
Permit . . . . . .
BUILDING PERMIT - NO PR FEE
Additional desc . .
TEAROFF, SHEET, FELT, COMP
Permit Fee . . . .
120.75 Plan Check Fee
.00
Issue Date . . . .
5/28/03 valuation . . .
. 3245
Expiration Date . .
11/24/03
Qty Unit Charge Per
Extension
1
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
_________________
__________ ---------- __________
[�
V `
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
'4f
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.
Signatur Onfractor or AutWized Agent Date Signature of Owner (if owner is builder) Date
T \PLANNING\FORMS\1102.1514/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT k
ROUGH -IN
PLUMBING
UNDERFLOOR/SLAB
' ROUGH -N
WATERLINE
' GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
'
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL
' WALLS/ROOF/CEILING
DRYWALL
' T -BAR
(INSULATION
SLAB
'
WALL/ FLOOR/ CEILING
MECHANICAL
DATE I ACCEPTED
YES I NO
HEAT PUMP
WOOD STOVE/PELLET/CHIMNEY
HOOD/ DUCTS
PW UTILITIES/ SITE WORK (Engineenng Division) SEPARATE PERMIT k's:
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
SEPARATE PERMIT k's
PARK NC/L GHTING( ESA:
LANDSCAPING I SHORELINE'
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYNSE
RESIDENTIAL DATE YES NO COMMERCIAL
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 j r-0
PLANNING DEPT.
BUILDING
417-4815 �'n /�/� sr)C' 01
BUILDING
r �
T:\PLANNNG\FORMS\1102 15 [4/20021
COMMENTS
DATE
ACCEPTED
YES NO
•
Site Address: /10 3 `7
I II d8'
nsta a y. / m
I Owner/Business:
Owner/Business Address:
CITY OF PORT ANGELES/ / 7
LIGHT DEPARTMENT PERMITNO (�
ELECTRICAL PERMIT DATE 4�7_011"
❑ READY FOR WILLCALLFOR
�. (J INSPECTION / %� `INSPECTION
f//�C� L &t1APy (License Number: Phone:
/ r+,
Phone
Sq. Ft.
Residential
Heat KW
❑ Baseboard ❑ Furnace/Boiler
❑ Heatpump ❑ Other
❑ Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
❑ New Construction
❑ Remodel
Service update/alter/repair
)
Add/alter circuits
❑ Auxiliary power
(list below)
❑ Special equipment
(list below)
Overhead
/ ❑ nderground
Voltage
❑ 10 ❑ 3Z
Service size _
❑ Temporary
Details/Description:
2 , AI.7 (t SOMA Olt'S /
9/v --n GAc A-aI- eleCUI
W.S. No. Service Siza
Capacity: ❑ O.K. ❑ Not O.K. Commentq
❑ Ditch inspection O.K.
Rough-in/cover O.K.
O.K. to connect service
Final O.K.IIX
Amps
7atp Hold for: ❑ Easement ❑ Letter
❑ Signed up for service/meter
❑ Meter Department notified for installation
❑ Fire Department notified of inspection
❑ Plan Review approved/pending
Site Address: Permit/Receipt No.
/03�� 1 145-1
Installe New Meters Date:
• Notify the Department of City Light by�Street A/ddress and Permit Number when ready for i4spection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector
®in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMITO�
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 M 16597
Port Angeles, Washington----•------%-•_ l... ^-••.--------------------
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 electrW work as listed below.
Address ...!.!�.1._✓__9.__�r....
Owner
WiringContractor ._. 4Zc n
Light Outlets..... - ... ..................-----..
Receptacle Outlets ...............................
Dryer, KW .............. ............... ...........
.
Range, KW... -------------------------- _----------
Water Heater:
.c
KW...................... 5
? t) d'� - ...._....
Heat: KW .... ... ............. ............
Motors: size, volts d phase:
Occupancy .___._�1 a°='-------�
-.y Enclosure .........
Type of wiring:
Entrance Cable
Rigid Conduit .......
Metallic Tubing ...
Current transformers:
No. & Size ...............
Ser. No ...........
Ser. No ..............................................
.................... .................................... _
TotalLoad ............................. Ser. No .................. �........................
Remarks: ----------- ------------------------- J'` -
--------- -------------
-------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------- ...... ------------------------------)-
Permit Fee Tress. Receipt l///
Rigid Conduit ...
Metallic Tubing
Raceway .............
Circuits, Light ...........
Utility ............... -
Heat ...................
Range .................
Water Heater ...
Motor ...-............
Dryer-------------- .------------------------------- --
Furnace ........... .................
Total
$-------------------------------------No......................... ... By .:/% •--r- f----`�i =----------` ---z-
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
Address
Owner
Wiring Contractor
N° 16597
Date..._......_.._.. =_..........-......-......-......._
'--NO;ICF urrent 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.
�. IM Olympic Printers, Inc.
/Type
Serviee. Yeitg---r--.asd
of Wiring:
'Armored
No. wires ..................................
Cable _.....------.._.........
///a.L_
Non -Metallic
Size wires ....._�C�.C_N,fr
.................................
f�'
.....................
-----
.........
_----_..
v _ -
-.y Enclosure .........
Type of wiring:
Entrance Cable
Rigid Conduit .......
Metallic Tubing ...
Current transformers:
No. & Size ...............
Ser. No ...........
Ser. No ..............................................
.................... .................................... _
TotalLoad ............................. Ser. No .................. �........................
Remarks: ----------- ------------------------- J'` -
--------- -------------
-------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------- ...... ------------------------------)-
Permit Fee Tress. Receipt l///
Rigid Conduit ...
Metallic Tubing
Raceway .............
Circuits, Light ...........
Utility ............... -
Heat ...................
Range .................
Water Heater ...
Motor ...-............
Dryer-------------- .------------------------------- --
Furnace ........... .................
Total
$-------------------------------------No......................... ... By .:/% •--r- f----`�i =----------` ---z-
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
Address
Owner
Wiring Contractor
N° 16597
Date..._......_.._.. =_..........-......-......-......._
'--NO;ICF urrent 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.
�. IM Olympic Printers, Inc.