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Home My WebLink About1125 E 2nd St - Building CITY OF PORT ANGELES ig DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001274 Date 11 /10 /11 Application pin number 484368 Property Address 1125 E 2ND ST REPORT SALES TAY ASSESSOR PARCEL NUMBER: 06-30-00-7-1- 0330 -0000- Tenant nbr, name PATRICK L BARTHOLICK on your state excise tax form Application type description MECHANICAL APPL. PERMIT to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 8081 Application desc HEAT PUMP Owner Contractor PATRICK LYNNE BARTHOLICK AIR FLO HEATING CO INC 1125 E 2ND ST 221 W. CEDAR PORT ANGELES WA 983624303 SEQUIM WA 98382 (360) 683 -3901 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit Fee 64.80 Plan Check Fee .00 Issue Date 11 /10 /11 Valuation 0 Expiration Date 5/08/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Fee summary Charged Paid Credited Due Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 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 .ny state or local law regulating construction or the performance of construction. ,1 It 110 I R b Ao►it∎ �l� 1 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by v l AIR SEAL: Walls Ceiling f I FRAMING: 1 f Joists Girders Under Floor Shear Wall Hold Downs r Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: L.* Heat Pump Furnace FAU Ducts 1 Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 1 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 t- D Gr�1• 1/4D H CO H rl Cr) g KC a H m ro 0 0 A o N o A a a H L 7 H w w CI) oo w x w a w x i H v s m a s VD 0 H If) Z F rn q 0 r H H H H 4 o CO uu E zN F PI s w E w w n m a z E m E H H 0 0 O N O F U N U W a 0) i w U a H U x N HHF00 H Aa 0z a a o H H x 0 U 0)o g W014 F F COHZ°E U) o CO a a a a Hw o 0 w N N H a z U x L (V 0 0) N x 0 0 0 0 W (0000 �p] H l W 10 a 44,100 i( PI F H 0 N F a F CO w H d H F( )O H 0 ((0x7 a N of r.0 0 4 a orl 0)a N N a F w 0 HI H a a a a U H HO a zo 0 Qw m -u 6 a 0 m F 00) H a o a 0) r w a u a F u 0 a t a F E 11/09/2011 WED 17:06 FAX 360 683 3971 Air Flo Heating Co. 1 001 /003 l I I I o c.PO R f TA.u.. BUILDING PERMIT APPLICATION Print in ink p*. CITY OF PORT ANGELES For City Usq Only: A ttn: Building Permit Technician •tr g Date Received ci I NIIIRIPr r■► 321 E. Fifth St., Port Angeles, WA 98362 Permit* 1 12:14 (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant or Agent .1kd e FLO 4 kit 11 C9- Phone (013 -3 I Owner P.A n \CK t2)flib L V K Phone Owner's Address 11 >G VS.0 6r: t ep 11_1 Irt4 6 Et�S, wk Contractor /Engineer 1.l PLO Re ft TAN 6- 1 Contractor /Engineer's Address ;i1,1 W. e_Eb. St 1 5e,60)114\ 1a1 e 31C °a-- License 4! R P-L 1A- Co 'kCt Expires PROJECT ADDRESS t r e i 5- 1- 6T ECT Parcel Number Lot Zoning Project Type Brief Description: (Residential o Commercial o Multi family o Industrial Check all that apply o New Construction o Addition o Remodel o Repair o Re -roof o Demolition o Sign o wall- mounted o projecting o freestanding o awning o other Total sign area sq. ft. Maximum allowed sign area sq. ft. DI,Heat System titHeat pump o wood- burning stove o gas fireplace o pellet stove other o Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 s Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other ru I TOTAL VALUATION 6,Q 0 t r l, Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type o f half baths I have read and completed this application and know it to be true and correct. l am author to apply for this permit and understand that it is my responsibility to determine what permits are required, and o obtain permits prior to working on projects. Date 1 t\ Print Name eLLetV 0,007--12.6 Signature c iAlk YlkeiV T:Forms/Building Division /Bldg Permit App I -2006 Code.doc ELECTRICAL PERMIT CITY OF PORT ANGELES 1°.-1 360 -417 -4735 Application Number 11- 00001259 Date 11/07/11 Application pin number 606650 REPORT SALES TAX Property Address 1125 E 2ND ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -7 -1 -0330 -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 T -stat Owner Contractor PATRICK LYNNE BARTHOLICK AIR FLO HEATING CO INC 1125 E 2ND ST 221 W. CEDAR PORT ANGELES WA 983624303 SEQUIM WA 98382 (360) 683 -3901 1 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 56.00 Plan Check Fee .00 Issue Date 11/07/11 Valuation 0 Expiration Date 5/05/12 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00 Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN )27 1/ FINAL )2-7 4 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE \BUILDING ELECTRICAL PERMIT 'tt CITY OF PORT ANGELES 360- 417 -4735 Application Number 11- 00001259 Date 11/07/11 Application pin number 606650 REPORT SALES TAX Property Address 1125 E 2ND ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -7 -1 -0330 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property y Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc T -stat Owner Contractor PATRICK LYNNE BARTHOLICK OWNER 1125 E 2ND ST PORT ANGELES WA 983624303 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 56.00 Plan Check Fee .00 Issue Date 11/07/11 Valuation 0 Expiration Date 5/05/12 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00 Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 11/03/2011 THU 15:43 FAX 360 683 3971 Air Flo Heating Co. 002/003 h NOV 4 2011 0 t'ORrq s'C&1W CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL Building Division /Electrical Inspections INSPECTIONS fr 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 -..r f Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: I. i )4. 1 2 S ngl Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel 1 Repair* Plan Review May Be Re uired, plta se Complete Electrical Plan Review Information Sheet Job Address: tf a, E. g A 5 T Building Square Footage: Description of above Owner Infq a ion Contractor Information Name:, Nam r TCC.k $A 12-1 La 1 —k C-1,.<- Name: ki R.. V-1-0 RE tk7l At b Mailirri� Address: I l 1-5 e 2 ST Mailing Address: 3, ?.`i 4Af C D k (2... 91 City: OAT AN4EIL6tate: 'ilk Zip: 4E%';1-- City: `sCGzdltA& State: e,9k Zip: 95C5% Phone: Fax: Phone,) 3 e Fax: E. 5c3 30th 1 License Exp. License I Exp. At ft Ft_I�--4° ®O el C5( Item. Unit Charge Total (Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. 119.90 Service /Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service /Feeder 401 -600 Amp. 148.70 Temp. Service/Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy 1 First 1500 sf Commercial 95.90 Note: $5.00 for each additiona11500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi•Family Dwelling 63.90 I Manufactured Home Connection 119.90 I Renewable Electrical Energy SKVA System or Less 102.30 Thermostat 56.00 ti SL 613 NEW CONSTRUCTION ONLY: First 1300 Square Ft. 110.30 Each Additioria1500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. i After reading the above statement, I hereby certify that I am the owner of the above named property or.a licensed electrical contractor. 1 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 and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or, electrical administrator: cash Check ilk Credit Card X KI Dated: 01/0112010 I ELECTRICAL PERMIT CITY OF PORT ANGELES c— 360-417-4735 'N Application Number 11- 00001280 Date 11/14/11 Ni Application pin number 930240 REPORT SALES.TAX ma y Property Address 1125 E 2ND ST on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-7-1- 0330 -0000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor PATRICK LYNNE BARTHOLICK AIR FLO HEATING CO INC 1125 E 2ND ST 221 W. CEDAR PORT ANGELES WA 983624303 SEQUIM WA 98382 (360) 683 -3901 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc LV T-STAT 1 Permit Fee 56.00 Plan Check Fee .00 c\'''\ Issue Date 11/14/11 Valuation 0 Expiration Date 5/12/12 V Qty Unit Charge Per Extension 1.00 "56.0000 ECH EL -LVT- THERMOSTAT 56.00 Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 N V L INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN ilVi il 2— ..,7 —"Cf&P FINAL 1)Z7 /1Z Or COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 11/09/2011 WED 17:07 FAx 360 683 3971 Air Flo Heating Co. /002/003 i N i 1 1 10 of 1 C/11 -4 /c I --I :ill r- F CITY OF PORT ANGELES PERMIT APPLICATION 1 q Building Division/Electrical Inspections t- Imo' 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 fi S R�. Q Ph: (360) 417 -4735 Fax: (360) 417 -4711` 0 Date: I.0 131 tI y. 1 2 Sing' Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, P� pse Complete Electrical Plan Review Information Sheet Job Address: 559 'Q4 Building Square Footage: Description of above Owner Intilrmation Contractor Information Name: V(W C R.1" Lo Uc Name: k 1 H--U [IAE tail tti ir Mailir, Address: 11$� e. a,':!( 51" Mailing Address. a, a:.l anf tit -rot IL S= City: f- O iti A, N (9 E late: kr tv Zip: t1 S City: v 4 Ak State: u$ ft Zip: I li: 515 Phone: Fax: Phone 3`t e2 Fax: 1 License Exp. License Exp. At P Fuo-ei m ®`t Item Unit Charge CU Total (Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. 119.90 Service/Feeder 201.400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372,50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service /Feeder 401 -600 Amp. 148.70 Temp. Service /Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi- Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 ti Sie, 610 I NEW CONSTRUCTION ONLY: First 1300 Square Ft. 110.30 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 Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. l 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 and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: Cash Check Credit Card tl X c;C..VIA.):6/ Dated: k lj 1 e I 0110112010 11/09/2011 WED 17:07 FAX 360 683 3971 Air Flo Heating Co. 0003/003 RECEYED 4 g• P F NOV 9 2011 Electrical Information Form E. Public Works Utilities Department m artment (360) 417 -4700 sr ELECTRICAL 9 U INSPECTIONS City Electrical Inspector (360) 417 -4735 Please complete and return to Public Works it Utilities Department Applicant Information Permanent service: Name: PtirT RAC-k< 6 A Lb LI c l,c-- Name and address of party Street: 1 i 2 A 2. r k.0 ST- responsible for permanent City State 1 ZIP: lo() Li t- e LE 5 e ct 1K service billing? Daytime Phone: Home Phone: Contact information (if other than above) Site contact: Name: Title: Daytime Phone: Contractor Name: Company: o t -L,) rE.k 1 0 N G— Daytime Phone: (D n 31 1 Electrician: Name: Company: Daytime Phone: Excavator: Name: Company: Daytime Phone: Project Type Existing New I..Sin famil residence Multi- family residence; of units Commercial Subdivision; of lots Overhead service General service Underground service ❑Other: Project Information Description of work: f 1`1\0\ F ti R ik� t t c k r` L P pU tAp Street address lot number: Nearest cross street: Desired connection date: Electrical transformer serving property is: on a pole on the ground Electrical Load Total square footage: sq. ft. Main disconnect size: amps Voltage: 0120/240 1ph 0120/208 3ph 0277/480 3ph 0120/240 3ph 0480 3W 3ph Other Standard residential loads (Lighting, refrigerator, dishwasher, washer) Check all that apply: NC ton) Range /Oven Hot Tub Clothes Dryer 0 Heating ❑.Pumps Hp) N.No Load Change Water Heater E levator Hp) O ther Supporting Documentation Please provide a copy of the following: `Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one -line drawing showing the service entrance panel and location. *Connected load data. *Size and locked rotor am s of all motors over 50hp. 1 e os Applicant's Signat "$,j i 1l�, ki[ i-J Date: 1.1,1 1 g MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360 -417 -4711 WS Information form.xls WF N: \PWKS\LIGHT\ENGR\#Originals \Information form Revised 1 15 09 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001236 Date 10/31/11 Application pin number 280580 Property Address 1125 E 2ND ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-7-1- 0330 -0000- Tenant nbr, name PATRICK L BARTHOLICK on your state excise tax form Application type description RES REPAIR Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2000 Application desc WATER DAMAGE REPAIR REMODEL Owner Contractor PATRICK LYNNE BARTHOLICK OLYMPIC RESTORATIONS INC 1125 E 2ND ST 1604 E 4TH ST PORT ANGELES WA 983624303 PORT ANGELES WA 98362 (360) 460 -0463 Permit BUILDING PERMIT RESIDENTIAL Additional desc WATER DAMAGE REPAIR REMODEL Permit Fee 95.75 Plan Check Fee .00 Issue Date 10/31/11 Valuation 2000 Expiration Date 4/28/12 Qty Unit Charge Per Extension BASE FEE 50.00 15.00 3.0500 HND BL- 501 -2K (3.05 PER C) 45.75 Permit MECHANICAL PERMIT Additional desc Permit Fee , 57.25 Plan Check Fee .00 Issue Date 10/31/11 Valuation 0 Expiration Date 4/28/12 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 Fee 64.0,0 Plan Check Fee, .00 Issue Date 10/31/11 Valuation 0 Expiration Date 4/28/12 Qty Unit Charge Per Extension BASE FEE 50.00 PL-PLUMBING TRAP 14.00 f I �I 2 00 7.0000 EA PL -PL L` 1 6 Other Fees- "STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due 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 co ith whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisi'. u -ny state or local law regulating construction or the performance of construction. Oikal be&ri Date Print Name ature of Contra •or or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists/Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Stab Wall Floor Ceiling MECHANICAL: Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs --t- Skirting I PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 CITY OF PORT ANGELES '0 CAA DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 11- 00001236 Date 10/31/11 Application pin number 280580 REPORT SALES TAX Permit Fee Total 217.00 217.00 .00 .00 on your state excise tax form Plan Other C Fee k Total Total 4.50 4.50 .00 .00 to the City of Port Angeles Grand Total 221.50 221.50 .00 .00 (Location Code 0502) 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 ;Forms /Building Division /Building Permit r 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. N POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In AID Water Line (Meter to Bldg) 1 Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling I 1 FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling 11 10 ii /a- +/i‘ v u- Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall I Floor Ceiling j(1-- MECHANICAL: Heat Pump Fumace FAU Ducts Rough -In 1 3/ eJ C Ems' Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By 70 Electrical 417 -4735 V Construction R.W. 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Ha 0 01000 i o H HO Wa •w I LL a Z O m 1 z O H 1 w R1 0-0 1• H H 00 H4 021E 010 0 R(' w z a w J HC O 1 10> CFCH wUa I X 1 OF Ozzzaa I a 1 H r, C41 g w 0 1 a 1 w r I a a aU H U Oa14 1 a H 1 0 0 y 0 5C)hf i,, BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES t QiC" For City Use Only: Attn: Building Permit Technician Date 'Received H)-3k-1( 321 E Fifth St., Port Angeles, WA 98362 C �V R H)-3k-1( I, l'I (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant OLP onAlL jeS f0irCt1l Inc Phone ,/6.2 e3 Property Owner IM-7 ,g,,/q Lyn/ Rai- (ld< Phone Property Owner's Address 9/ (2 5. asf Sc:zoi JD Sreeei Contractor (7L%,lpi s Zie b,S .7/✓G Phone ?�7z, 5/....:3 Contractor's Address /b 6z/ L "GS -S77 Q.er e-fs u/9 License Expires E -mail 0 4i e J s o d, PROJECT ADDRESS //2 5 g s-/ S�caiv s>' Parcel Number Lot Zoning Project Type Brief Description: 'Residential Multi family Commercial Industrial Check all that apply T/ New Construction o pu b) r�'U�� n�1-"-p 5 c� B Addition J Ve -vy -t- F J 1 Remodel 474? i ll exi's-hi4 /'1> 1,7 �+c/n7G ?f )(Repair Repair C/ -Bret waltvo'Gmle_ Keno t/ rein /GGC /Ul //b, f`I iitrul 4D4 oVs rv3, Demolition Re -roof House garage 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. 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION Q 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? Construction type of half baths I have read and completed this application and know it to be true and correct. I am authorized to a'd.1 or this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to we n projects. Date c// Print Name i' -ed19- ,L',f'/lG?/' IG fi Signature ltam T:Forms /Building Division /Building permit application V ;K Hoila 0 te.) Pgrr2 (tic 4Ab L'NrJ 01-LIM PI (i 1 12-S E 2 S! t [6,04 a, 147-L. -s`_, P O Y 7 X 4 6 6 ss f v J Po s t T A G C G V 3 6 2 9 (?3 CZ 36o- 46o —o 63 NEiA-) VIA l-L Ir2AMING ro/Z, Wn) SrA /r'aS FA /v) L`'l ?Zoo AK of V 7 Li se 7 .5 ti e e r g...o_a is a 0 j t r I r i r 7 r S► D E 5 3� boo/{ yr r 'Tit eArC'D 1 4.6,a -2 -4 D0 t gai"i-Ot&Nc. 6 e t 61 Clallam County Assessor Treasurer Property Details 62332 PATRICK AND LYNN... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 62332 PATRICK AND LYNNE BARTHOLICK for Year 2011 2012 i Property Account Property ID: 62332 Legal Description: WESTPHALS FIRST SUBDIVISION LTS 7 -9 BL 3 Geographic ID.: 0630007103300000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location Address: 1125 E SECOND ST Mapsco: PORT ANGELES, WA N Neighborhood: PA East Res Map ID: 2 Neighborhood CD: 5001000 Owner Name: PATRICK AND LYNNE BARTHOLICK Owner ID: 12782 Mailing Address: 1125 E 2ND ST Ownership: 100.0000000000% X PORT ANGELES, WA 98362 -4303 Exemptions: �l Taxes and Assessment Details Property Tax Information as of 10/31/2011 Amount Due if Paid on: M. NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2011 156682 $1161.62 $1161.52 $0.00 $0.00 $2323.14 $0.00 Statement Details 2010 44958 $1112.35 $1112.33 $0.00 $0.00 $2224.68 $0.00 Values Taxing Jurisdiction r Improvement Building ng Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 10/31/2011 3:46 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net /propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =62... 10/31/2011 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 11- 00001251 Date 11/04/11 Application pin number 985520 REPORT SALES TAX Property Address 1125 E 2ND ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -7 -1- 0330 -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 4 circuit remodel Owner Contractor PATRICK LYNNE BARTHOLICK KIRSCH ELECTRIC INC. 1125 E 2ND ST P. 0. BOX 3396 PORT ANGELES WA 983624303 SEQUIM WA 98382 (360) 683 -6819 f p b Permit ELECTRICAL ALTER RESIDENTIAL b(J C; Additional desc Permit Fee 81.30 Plan Check Fee .00 Issue Date 11/04/11 Valuation 0 Expiration Date 5/02/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 3.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 7.80 Fee summary Charged Paid Credited Due Permit Fee Total 81.30 81.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 81.30 81.30 .00 .00 1 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN u 1 FINAL 4,112- d>�I 1116' COMMENTS: �f PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGEIBUILDING oFpoRT4 ELECTRICAL INSPECTION WIRING REPORT N G m lVn 4C\ 417 -4735 DATE PERMIT INSPECTOR I �Z7 1l -1Z 1 OWN R /CONTRACTOR K) CA ADDRESS 21' 2 s APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: Lb LJ_ 1Z p tiTi4 �L1 1t i l lrZ 4� 1°►�� o f Paz) o _D Rau 1 Fl -7 1\I `f v /qP2r NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 *90ar44, ELECTRICAL, 9 S ECT ON `Fa wmmONO REPORT �`'-w Ks t 41 7-4735 DATE PERMIT k !Nip 81 it 2 I )255 OW ER HoL Ck( CONTRACTOR A K -.M'/ j rSI. 1L `'L.4)- ij Z4 AP PROVED NOT APPROVED DITCH ROUGH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: O/r< 'p Ca 0 R�rl C& L S /Ate– VA-P`t W- HO—IVY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 D 'VS DO NOT IRE 1(VE Nov 03 11 11:47a Kirsch Electric, Inc. 360- 683 -0869 p.1 ECEDN L o poet .t� 1 CITY OF PORT ANGELES PERMIT APPLICATION lv Building Division/Electrical Inspections I 'tli 3 2011 R 321 East Fifth Street P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417-4735 i(ss: (360) 417 -471) ELECTRIC/1i NiiiiIIV Date: 1 3 -I I INSPECTIONS ±-1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel 1 Repair* Plan Review May Be Required, Pleaa a Complete Electrical Plan Review Information Sheet Job Address: 11 5 Z S+ 0 Building Square Footage: 2Sbc; St Description of above Owner Information Contractor Information Name: n r P Name: K rSc'b1 c-fY)• C TM C Z t Mailing Address: (I a S L 4 Mailing Address: !O J 13 3 7, f City: Port 4 State: Wiz Zip: 4 2 l. 2- Ci l r ✓rte Stale: r,, Zip: ci Rf 3 Phone: Fax: Phone: ,...,s/.1- 6rrrpax: co c6"'3!Z `!?1.-; c 9 License It Exp. License Exp. Item Unit Charge Total (Qty Multiplied by Unit Charge) Service/Feeder200 Amp. 119.90 Service/Feeder 201 -400 Amp. 145.50 Service/Feeder 401-600 Amp 204.60 Service/Feeder 601 -1000 Amp. 26220 Service/Feeder over 1000 Amp. 37250 Branch Circuit W/ Service Feeder 260 Branch Circuit W/O Service Feeder 73.50 i 7 3 5 Each Additional Branch Circuit 2.60 3 7, .6-0 Ternp. Service/ Feeder 200 Amp. 92.70 Temp. Service/Feeder 201 -400 Amp. 110.30 Temp. Service/Feeder 401-600 Amp. 148.70 Temp. Service/Feeder 601 -1000 Amp 167.90 S Portal to Portal Hourly 95.90 Sign/Oulline Lighting 88.20 Signal Circuit/ Limited Energy I First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi-Family Dwelling 63.90 Manufactured Horne Connection 119.90 Renewable Electrical Energy -5KVA System or Less 10230 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square FL $110.30 Each Additional 500 Square Ft. or Portion of 0 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 0110.30 0/. 3c' Total Owner as defined by RCW.19.28261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, 1 hereby certify that I am the owrter 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 and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner electrical contractor or electrical administrator. 0 Cash. 0 Check w joi.,..eikA f ,tn !Yowl 4 ,r�. it-- 3 /1' �t Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Bedroom bath remodel basment Owner BARTHOLICK PATRICK /LYNNE 1125 E 2ND ST PORT ANGELES WA 983624303 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE ELECTRICAL ALTER RESIDENTIAL 143198 59 50 3/19/09 9/15/09 Charged Paid Credited 7 /zo /to ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000249 952370 1125 E 2ND ST 06 30 00 7 1 0330 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 59 50 59 50 00 00 00 00 59 50 59 50 00 DATE Contractor Plan Check Fee Valuation DITCH SERVICE ROUGH IN FINAL COMMENTS 6 ..f 1 epp OP, IQ Date 3/19/09 WA 98362 RESULTS 00 00 00 00 0 Extension 57 50 2 00 Due Signature of owner or Electrical Contractor X Date -TAP INSPECTOR. 03/18/2009 18 13 FAX 360 452 9265 .City of Port Angeles.Pennk Application 'BuidinpDlvlslonlElectil al,lnspectbns '321 lasil:,ifth Street P.O. Box 1'150 :Port Angeles Waehington, 98362 Ph:1380) 4174735 F9;: 1360) 4174711 Date: A 2 Single Family Dwelling Multi- Family or Commercial' Commercial Addition Alteration Remodel Repair* Description of above Unit Chard 93.75 $113.75 $160.00 $205.00 $29125 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 89.00 75.00 50.00 50.00 5 93.75 .80.00 86.25 27.50 57.50 8625 43.75 Signature of owner, electrical contractor or electrical administrator tuea3 /?,4? ECEffie D MAR 1 9 2009 LIGHT DEPT Plan: Review May Be Required, Please Comp$ a El cal Plan Review Information Sheet Job Address: Building Square Footage: 0.04 Eidfi4i_e_sol.b_aged44,414ez 4h.- 1 Owner Info ation Contractor Information Name: r, 1. D Name: iy�.�1� `r_ Mailing dre ,e/ F� Zip: Mailing Address: City yid o2� f 3 Z- City P /1.-- 41,52-- state: _fjg Phone: Phone: License 1 Exp. License Exp. .Qit J .1 i «G0 Total 0Q yt Muftiglierj 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 S7_. r Branch Circuit W/O Service Feeder ?,DO Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201400 Amp. Temp. SeMcelFeeder 401600 Amp. Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1812 Family Dwelling Signal Circuit/ Limited Energy Multi Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square FL or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat e'5W. Total liho0o1 /0001 Owner es defined byfCW.19.28. 281: (1) Owner will occupy the structure for two years after this electrical permit is finalised. (2) Owner is required to he an electrical contractor ftabove 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 gtaking 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 AngelesiNunicipal Code, and Utility Specifications. PREPARED 4/09/09 16 25 31 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/09/09 ADDRESS 1125 E 2ND ST TENANT NBR PATRICK /LYNNE BARTHOLICK CONTRACTOR THE PLUMBING CONNECTION OWNER PATRICK /LYNNE BARTHOLICK PARCEL 06 30 00 7 1 0330 0000 APPL NUMBER 09 00000311 PLUMBING REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 457 1690 PHONE (360) 417 0870 PL6 01 4/09/09 J� PLUMBING WATER SUPPLY April 9 2009 4 24 26 PM 1pangrle PAT WATER SUPPLY LINE COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000311 Date 4/09/09 Application pin number 319308 Property Address 1125 E 2ND ST ASSESSOR PARCEL NUMBER 06 30 00 7 1 0330 0000 Tenant nbr name PATRICK /LYNNE BARTHOLICK Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2100 Application desc WATER LINE REPLACEMENT WATER SUPPLY LINE Owner Contractor PATRICK /LYNNE BARTHOLICK 1125 E 2ND ST PORT ANGELES WA 983624303 (360) 417 0870 Permit PLUMBING PERMIT Additional desc REPLACE WATER LINE Permit pin number 144030 Permit Fee 57 00 Plan Check Fee 00 Issue Date 4/09/09 Valuation 0 Expiration Date 10/06/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL WATER LINE 7 00 Fee summary Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 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 grant o e s not presume to give authority to violate or cancel the provisions of any state or local law regulating co) truction or the perfo i Date Print Name T:FormsBuilding Division/Building Permit Charged Paid Credited Signature of THE PLUMBING CONNECTION 175 BAY VIEW AVE PORT ANGELES WA 98362 (360) 457 1690 Due tractor or Authorized Agent Signature O (if owner is builder) IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T Forms /Building Division /Building Permit Inspection Type FINAL Date by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By .1 1 Lt 1 I 1 1 1,1 l I II PROJECT ADDRESS Parcel Number Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? I have read and completed this application an. that it is my res onsibility to determine what,., Date gig Q i Print Name T.Forms /build; IQ Division;Blda Permit.doc 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 v r Property Owner .,r Property Owner' Address j Contractor '�'i� ei,Uiti4,,F iio./ Contractor's Address nt 7t 5 P,a14 vi e i n ue P13 License PLUM BC 1165 (<x Expires' 5/7 //a r 612 4,4 Proiect Tvpe Brief Description. Residential Multi family Check all that apply New Construction Addition Remodel Repair k T�2 4/10 ,c,o,az /Ads Demolition dititeE. Re -roof House garage other Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other Existing (sq. ft.) Proposed (sq. ft.) ft. Occupancy group Occupant load Construction type ow it to be true and correct. I am e required, and to obtain permits p r de21 i d Signature Phone Phone Phone 3 60 4 1.610 E -mail Lot For City Use Only Date Received I —1 D 9 Permit* Date Approved 4 01-7 Zoning Commercial Industrial tear off re -roof lay over one layer per sq ft. TOTAL VALUATION 2c Total footprint of structures sq ft. Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94'135 for exemptions) Site coverage of bedrooms of full baths thoriz ul•aths toa ?1� i�.� e�• understand CITy OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt! 17110 Port Angeles, washJngton.....___./.!.....=::.:?~J:::.:__ooo...ooo__ooo, 19.>Y In allCordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure In the CIty of Port Angeles, per- mIssIon is hereby granted to do electrIcal work as listed below. Address .__.!L:?::__~m~.#_~~._________________n___________ OccupancY.__Ll...-&.~______.____m____.________ooo Owner :;4.?a:'-d:I... 44~;Jd...U----ooo----. TenanL___.__n__.________._________n______________________________._______ Wiring ~-~:~~~~~~.:.&!~---~~,'1~~<:><:<---!"~-m.---ooo By__._____ooo___.ooo___________ooo__________._____.___ooo_ooomm..__ Light Outlets_______________________________________. Service, volts n.!.';?'?/--;!.___'y'? Type of WIring: Receptacle Outlets............................... No. wires m/l--"R'..J. .........................; Armored Cable ................00--.......... Si' $/ /"r Non-Metallic .........m........n........... Dryer, KW............................. ze WIres... n........~...Ji!.n._.. '0 ~.A .A Knob & Tube................................_ Main fuse ___.___nn_________V'...t'T:.___ Range, KW m.m.. Water Heater: Enclosure ......S..................__.m... HeatK:~::::#.j:J.;~~:;;n Motors: size, volts and phase: Type of wIring: Entrance Cable m_____nm.m.___ Rigid Conduit _____________nnn___...nn__ Metallic TubIng ..n___nnm...... Current transformers: No. & Size.....................__nn.. Ser. NO............nn.............................. Ser. NO.nn..n.n..........................nn.... Ser. NO.....n.................__n__................. Rigid Conduit ____________________.__________ Metallic Tubing .______..m___..n.n..... Raceway ......................._....._......_ CIrcuits, Light....................................... Ulillly _____________n______________________________ Jleat ...n.................................._...... Range ........h................................... Water Heater ..00........___00______........ Motor ..._.......h............................... Dryer .................................................. Furnace .........................._................... Remark:~ta:_.:~~_~===___..,,::;~__~~i_::q;~~_}:.t.ooo_~4:1::::::.-.:::.:::..::::-:.::::::: -._.______.......n.._.____._._..__n_n________...._..._n__.____.___.__..________._.~_~.____________._____..._..__._______._________~.._____._________u__~.__..._._._~~_.___ ---ooom------n_______m__.m_______n_____...ooomm_____________mm__mm_______nn___m____m_______n-:.----"")J...-~-:;- --~____nnn;___.m.m7--m--m- Permit Fee Treas. ReceIpt /~ ~ t. t(. .4 l $:_mooom_m________m___m_____ NO..ooom______.........._____ By y(~_!__':..__ ____..~___.:!!L~,_;21.{1%.:~cL~ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be eon- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION '\.-' ELECTRICAL PERMIT N? 17110 Address..............................................................................................__........................................Date..._...~:._.._.._.:~.........._......_...._._......... Owner ......n..............n..n..nn...n...._.._....n_n...._.._n...........n.00.....--..00.000000.000000__........00..00 Tenant........n...n.__................nnn__...................n..... WirIngContractor..................................._..................._.................................................................By.............................................................. NOTICE-Current must not,l'be turned on untH Certificate of Inspection has been issued. If work Is to be con- cealed due notice must be given' the Inspector so that work may be inspected before concealment. ~ \'. 1M Olympic Printers, Inc. I _ . \