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Home My WebLink About1815 E 3rd St - Building Building Permit 1815 E 3 rd St 12- 1302 PREPARED 10/09/12, 9:43:10 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/09/12 -------------- --------'-------- ADDRESS . : 1815 E 3RD ST SUBDIV: CONTRACTOR DIAMOND RFNG ENTERPRISES INC PHONE (360) 452-9518 OWNER WALKER JAMES F PHONE PARCEL 06-30-11-5-0-0530-0000- APPL NUMBER: 12-00001302 RE-ROOF ---------------------------------------- -------- PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------- - -------------------------------- BL99 01 10/09/12 JLL BLDG FINAL ,QLje October 9, 2012 8:35:52 AM pbarthol. )77 .�'Donald 452-9518 — -- ------------l - COMMENTS AND NOTES ------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00001301 Date 10/04/12 Application pin number . . . 909434 Property Address . . . . . . 519 S PEABODY ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-9845-0000- REPORT SALES TAX Application type description RE-ROOF Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . COMMERCIAL OFFICE (Location Code O$O2) Application valuation . . . . 20570 ------- Application desc TEAR OFF/INSTALL COMP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CLALLAM CNTY PUB HOSP DIST 2 DIAMOND.RFNG ENTERPRISES INC DBA OLYMPIC MEDICAL CENTER 1295 BLACK DIAMOND RD 939 CAROLINE ST PORT ANGELES WA 98363 PORT ANGELES WA 983623909 (360) 452-9518 (360) 417-7170 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF/INSTALL COMP Permit Fee . . . . 361.75 Plan Check Fee .00 Issue Date . . . . 10/04/12 valuation . . . . 20570 Expiration Date 4/02/13 Qty Unit Charge Per Extension BASE FEE 95.75 19.00 14.0000 THOU BL-2.001-25K (14 PER K) 266.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 361.75 361.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 366.25 366.25 .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: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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments + FOUNDATION: p! 'ftVl Footings l/ Stemwall 1 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: 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 Pum /Furnace/FAU/Ducts 1 Rough-In Gas Line Wood Stove/Pellet/Chimney �. Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab ,Blocking&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 Electrical 417-4735 Vv Construction-R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T Pnrmc/Ruilriinn nivicinn/Riiildinn Permit THE — CITY OF S-, For City Use i6 R, Permit # � ECEI � � ® W A S H I N G T O N , U . S . OCT 042012 Date Receive d 321 East 5`� Street CITY OF PORT ANGELES Port Angeles, WA 98362 Date ADmoy l al BUILDING DIVISION P: 360-417-4817 F: 360-417-4711 a) hcatuzo@cityofpa.us I — Building Permit Application Project Address: l 1� F Main Contact: Phone # Property Name Phone Ownerc��MailingAddress Email r city 11'1'C) Sate Zip Contractor Na Phone 4 Mailing Address ++ `� , Enuil City P� � I State Zip - (� 92 363 Contractor License i Expiration: Iq Project Value: oo Zoning: Tax Parcel # Lot# $ � Type of Residential N' Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ i,teroof(tear off/lay over) IR For the following, fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition Cl Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure ! Proposed Bedrooms Proposed Bathrooms Yes ❑ No ❑ Project i Description i — I have read and completed the application and know it to be true and correct.,I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required,and to obtain permits prior to working on projects. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt,the application will be,considered abandoned,and the fees forfeit. Date Print Namenature :.i DIAMOND 0F1No = OII## Duffy Fors 990202 Ik. D' r— e,Igs, WA Y§J§ �. CUSTOMER'S ORDER NO. DEPARTMENT DATE NAME ADDRESS CITY,STATE tSo , �\ W� SOLD BY ASH O.D. CHARGE ON ACCT. MDSE RETD PAID OUT QUANTITY DESCRIPTION PRICE AMOUNT er q 1l : " 5 ll 6 cL C,Cs. 7 � 4 9 C\ 10 , C 0 11 12 13 14 O d'G ►� 15 i 16 17 18 19 20 � - _-- RECEIVED BY - KEEP THIS SLIP FOR REFERENCE 5805 i OF?ORT 4NC u' �•��`mm CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 • c T—t (206) 457-0411 PERMIT NO. �7 S zG ELECTRICAL PERMIT DATE Site Address: /� C �� El INSPECTION FOR El WILL CALL FOR G INSPECTION INSPECTION Installed By: License Number: Phone: Owner/Business: ` ' Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT ❑ RESIDENTIAL ❑ RISER ❑ BASEBOARD KW ❑ COMMERCIAL )? OVERHEAD SERVICE ❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROUND SERVICE ❑ HEAT PUMP KW ❑ REMODEL ElFAN/WALL KW ❑ ADD/ALTER CIRCUITS VOLTAGE: ❑/3zf�O SERVICE UPGRADE/REPAIR / SERVICE SIZE AMPS ❑ TEMPORARY SERVICE FEEDER SIZE AMPS Details/Description: iV o2 C R(90 W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. A40.K. to connect service ❑ Final O.K. Site Address: Permit/Receipt No. /&is C17. wed ur.�/�FE,e 416a 7 Installer: New Meters Date: Z6 Notify Port AngelaU City Light by Street Address and Permit Number when ready for inspection.Work must not be covered ® before inspection and 0.K.for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Buildin Permit. PHONE 457-0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 4e Electrical Inspector Permit Fee WHITE—File by address PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC. - 1 CITY OF PORT ANGELES / — DEPARTMENT OF LIGHT A !o F ERECEI T UMBER PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT TOTALFEE - ��-� �S• CONT.LIC.NO. TIMETOCOMPLETE NO,STORIES LEGALOCCUPANCY ELECTRICAL PERMIT ON Y NO OCCUPANCY OR SE ESTABLISHED UNDER THIS PERMIT Site Address / S E ..-, / ��2/ ANQELe S -T� CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG DRESSES ARE CANCELLED Owner '3"/�07?PNE ,LF✓O/LA Installation By SMS R S0t�/1rP/� Owner's Address /S� -/`, .J r Installers Address Day Phone ` . Installers Phone - Application is hereby made for Permit to instal I''Electrical Equipment as follows:• - l�L-t_�ro-o Wiring Method NUMBER AMP _ 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PER 1 0 1 0OR FEE USE OF CIRCUIT CIRCUITS PER 10 1 0 OR FEE CIR 30 CIR 30 LIGHT SIGN ,LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE - - MOTOR - APPLIANCE MOTOR DISHWASHER. FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE19 MISC. OVEN WATER HEATER LAUNDRY Y DRYER' - REINSTALLATION LIGHT FIXTURE k FURNACE GAS-OIL SUB TOTAL FEE FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT -() AMP (((( PHASE FEEDER SIZE OF SERVICE ENTRANCE CO DOCTORS SERVICE A.W.G. SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be perfoorrmeedd'''under this permit will be done by the installer aVinconmance wi the N. Electrical Code. Date Application made 1g BCT NER(O AUTHORIZED AGENT) Permission is hereby given to do the above described work,according to the conditio a ording to the approved plans and specifications pertaining thereto, subject to compliance with the OrdinancesoofffttheCitge es. p////''/ / / By �FYHT Date Permit Issued j /�/ �jG PLANS A`GPR ED Notify(((///Department of City Light by Street Address and Permit Number when ready for inspection.Work must not be covered or`current turned on before inspection and O:K.-for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone:457-0411 Ext!158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE Original CANARY-Duplicate PINK-Triplicate WHITE CARD-Inspector's Report _ - mvuoic ooiulooc iuc REPORT OF INSPECTOR DATE OF VISIT MADERY REMARKS w v� avk. — N°T G rtcc•� . ok- Tb f<✓ IWEO-j 1-f c. O O.K.FOR COVERING O.K.TO CONNECT SERVICE _ FINALO.K. Ncd—� cl Hkl �� cl