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Home My WebLink About1117 E 4th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Renew permit T stat for furnace Owner CHAPMAN JOSHUA ALICIA 502 PARRISH RD SEQUIM Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 93 7500 ECH 1 00 43 7500 ECH Fee summary Charged Permit Fee Total Plan Check Total Grand Total cwy7 INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98382 ELECTRICAL ALTER RESIDENTIAL 143974 137 50 4/08/09 10/05/09 137 50 00 137 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Date 4/08/09 09 00000306 930206 1117 E 4TH ST 06 30 00 5 4 0155 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER Plan Check Fee Valuation EL 0 200 SRV FEEDER EL LVT THERMOSTAT Paid Credited /z /1,/ag DATE 137 50 00 00 00 137 50 00 RESULTS 3Iylrn rsxviagD 0 0 0 Extension 93 75 43 75 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. City of Port Angeles Permit Application Building DivisionlElectrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph. (360) 417 -4735 Fax: (360) 417-4711 Date: T1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Re wired, PI ase omp ete Elect ical Plan Review Information Sheet Job Address: Building Square Footage: Description of above "3 -Ir- 17_ _s Lk.) D V rt Owner Inffatiorl c WW1 Name. Unit Charae 93.75 $11375 $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 90 Address: 4 A V Mailing City: 1 ".....5e Phone. License Exp. Jr t State InOt- Zip 9838 LI 4 ,1- 7 SO(,, gly Signature of owner electrical contractor or electrical administrator Date: RECEIVED APR 8 2009 LIGHT DEPT Contractor Information Name' Mailing Address: City Phone* License Exp Total (Qty Multiplied by Unit Charnel if/7/o Cash Check Credit Card State. Fax: Zip: 90 6� Service /Feeder 200 Amp. f /2,g_►yAG Service /Feeder 201 -400 mp. Service /Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp Service /Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy 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 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. PREPARED 4/06/09 9 22 59 CITY OF PORT ANGELES ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ ME99 01 1117 E 4TH ST ALICIA JOSH CHAPMAN JOSHUA ALICIA CHAPMAN 06 30 00 5 4 0155 0000 07 00000963 MECHANICAL APPL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 5Q\9) e o°\ g MECHANICAL FINAL April 6 2009 8 21 ALISIA 461 7806 MECHANICAL FINAL AFTERNOON INSPECTION TICKET INSPECTOR JAMES LIERLY COMMENTS AND NOTES SUBDIV PHONE PHONE (360) 461 7806 TIME 09 AM HEAT PUMP 01 00 1pangrle PAGE 4 DATE 4/06/09 O cCfN \o \A Li- 0-1- aca 3 P2f1/111-5 Cruc v_, )u 0 m \a.cL 1,0K),:62,+ otbue .11)Sti4r co\1 00N, 01--,A--(5--( on --Wths2- -cor °AAA" ‘1.)( WIThk-F15 16Cr5 20± pa, +5 WOlit-/Y1 0/0' r-o-r nsLe yul)42[9- noyl\A-ci rut, C)/Of 5., WJJ"Q- re- LkAis- 04c-.\-- trOks 4J_ (6\-Q52-VkcSJ 1,15QQ_CAGNI WeC;s1 Al) ligt 5c) Ca\- ViA4rx, On Wa_ Vop 3 b4\ 6 /qv: q(,,frodo F.( ELECTRICAL INSPECTION WIRING REPORT 417 -4735 zs /57 O ER/CONTRAc TOR r-14,A P r 14 ADDRESS 1117 E. q APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED Fibr. 0 -Z- r r✓ 'Q 1Z )1;,1E. ..3 DE,o5( 11;7. 12 ALL L. c c9 h.t) c9L=-1 Z�`tZs LAVE.L. VA14 OLYMPIC PRINTERS, INC. (360) 452 1381 PERMIT INSPECTO r37 ?62. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE Or pORTA4. A C ORKS ER/CONTRAC OR c�b C.J -i+VPI .A1 ADDRESS APPROVED 0 0 0 CORRECTIONS NEEDED* ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PEF MIT INSPECT DITCH ROUGH IN /COVER SERVICE FINAL NOT APPROVED 1)sr'k ti[ SI:fzv I, C_01.11)oTTZS 5 44.04Trai 7.1 s“ 1 r.J (_,1 1-16 A 4 ALL NV' .l 1 1Z rt z r tD �►�Cy.� )4.'2 "Vs TO ID Ztitgi> �z 14 FL 4 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 3' ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number 07 00000962 Application pin number 582356 Property Address 1117 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 5 4 0155 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor CHAPMAN JOSHUA ALICIA 502 PARRISH RD SEQUIM WA 98382 OWNER Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ 200A SVC REWIRE Permit pin number 109249 Permit Fee 75 00 Plan Check Fee 00 Issue Date 10/23/07 Valuation 0 Expiration Date 4/20/08 Qty Unit Charge Per 1 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total 75 00 00 75 00 75 00 00 75 00 00 00 00 Date 10/23/07 Extension 75 00 00 00 00 Ex p P__e D 5P- /0 9 Pzvnt 07- 30l, II\ SPECTION TYPE DATE DITCH SERVICE ROUGH IN FE\ AL COMMENTS: t'0 -4? ELECTRICAL RESULTS INSPECTOR DAT yy LL rTC7 O ER/CO RACTOrl avr(ie./C__ ADDRESS 7 CORRECTIONS NEEDED _'"'k,5', ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT fi APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE X' FINAL eta e.ge /4i42 Srec INSPECTOR 4/� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 WF0071502 001 City of Port Angeles 1 PAGE i REQ DATE SCHED START CREW LOCATION SUBDIVISION GEN LOC REQ DEPT REQUESTOR 08/20/07 08/20/07 PW Electrical 1117 E 4TH ST SCHED COMPLETION Inspector EINP LOC ID 100540 LOC ZIP 98362 L;1."1'Y Vt YVKl' ANUEL±•;b LUMP DATE 08/20/07 PW- Electric PRIORITY Medium ktrainor ORIGIN Staff REQ USER KTRAINOR AUTH USER KTRAINOR WORK TYPE 1117 E 4th Inspect, set meter, connect permanent power 1117 E 4th Inspect, set meter, connect ermanent power CATEGORY E Elec Srvc /2ndary Maint ESEM TASK Service Connect SOON READY DEPT PW- Electric PWEL SCHED START 08/20/07 SCHED COMPLETION FACILITY SEG FACILITY DESCRIPTION EIJE :'1'x1L Electric Utility System PARENT ID FACILITY TYPE M Miscellaneous SUBTYPE SYS System START TIME START DATE UNIT OF PRODUCTION LABOR DATE EMPLOYEE HRS OT Oinrctrk lv lc°� Cc,-s o v FACILITY ADDRESS Lily COMPLETION TIME COMPLETION DATE QUANTITY EQUIPMENT MATERIAL NUMBER HRS ITEM QTY 08/20/07 8 52 45 ROUT 08/20/07 ACT M COST Job wired by Electrical Contractor Owner Electrical contractor name Purchaser's mailing addr s 5og M.rri5k ed City 312--N Telepho ne nut er AX number 3tc en r (n Premises owner's nam License number Date Expires State ZIP LAM 983RA 1 /Installation description Commercial ,Residential New 0 Altered /Addition ELECTRICAL WORK PERMIT APPLICATION )2 (u,t 1 act_OhOte_ka9 2 O Si g i i G? Address of inspection Er"' 5+ r� t\AQ(PS WA gE33CoD Phone nu a to schedu tn 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. Cash )4 Check 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 instal- Credit Card Visa Mastercard Discover lation 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 Card City Utility Specifications. /Signature of owner electrical contractor or electrical administrator Expiration Date X 0 n insPectlonfee itHou lka.aja Date '-/7�� /`fcard *75" p- Electrical Load Additions and or Service Information NO LOAD CHANGES Baseboard KW Voltage Furnace KW Overhead Service Phase 1 3 lier Heat Pump Ton LAR Temp Service Service Size. Fan -Wall KW 0 Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360 417 -4735 ROUGH -IN THERMOSTAT SERVICE oft Inspection Date Date AUG 1 7 21307 fitr tieirr FINAL 0 Appr ed By Date Appr ed By Date DITCH Date Appr ed By Date Appr ed By Area, Building or Equipment Inspected Appr ed By Date Approved By FEEDER Action Taken Electrical Inspector J CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000963 Date 8/17/07 Application pin number 442957 Property Address 1117 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 5 4 0155 0000 Tenant nbr name ALICIA JOSH CHAPMAN Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1200 Owner Contractor JOSHUA ALICIA CHAPMAN 502 PARRISH RD SEQUIM WA 98382 (360) 461 7806 OWNER Permit MECHANICAL PERMIT Additional desc INSTALL HEAT PUMP /FURNACE Permit pin number 109256 Permit Fee 64 70 Plan Check Fee 00 Issue Date 8/17/07 Valuation 0 Expiration Date 2/13/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 7000 ECH ME INSTALL 100- FAU 14 70 Fee summary Charged Paid Credited Due Permit Fee Total 64 70 64 70 00 00 Plan Check Total 00 00 00 00 Grand Total 64 70 64 70 00 00 T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] 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 ofwork will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner builder) Date BUILDING PERMIT INSPECTION EECOKD Q CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY 6i'ORKIIEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION 6 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I V" YES NO CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.I PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LTNE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING R. HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I IN BUILDING 417 -4815 1 10i16/0q T• Policies \1102 15 building permit Inspection record05.wpd [1/4/20051 SEPA. f ESA. SHORELINE. FINAL FINAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED YES NO I 41?) I I I I I I 1 I III BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans, specs, and a 8 '4" x 11" site plan MUST BE COMPLETE to be accepted for review (360) 417 -4815 FAX (360) 417 -4711 Residential projects: submit two sets of plans mercial projects: submit three sets of plans Applicant Agent 5Q- 1 p Owner /17)f—lb C Owner' 50 c Par n‘3 VI Contractor/Engineer W Contractor/Engineer's Address PROJECT ADDRESS t 61 -h tS�. LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. Residential Multi family Commercial Repair TYPE`OF WORK New Constr Re -roof Addition Move Remodel Demolition Sign Other COMMERCIAL/RESIDENTIAL. Occupancy Group: Existing Structures) basement 1" floor 2' floor 3' floor Accessory Structures Existing Structure(s) TOTAL LOT COVERAGE Lot size Sq Ft. Existing Structure(s) Sq. Ft. Footprint Proposed Structure(s) Sq. Ft. Footprint TOTAL Structure(s) Sq. Ft. Footprint Total Lot Coverage Stove Garage Deck Sq. F Sq. Sq. F Sq. F Sq. Sq. F State License Phone Phone Pnv-t- /A nap (QS ZONING Subdivision. SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION BRIEF DESCR PTIO OF �E 2104E7' p� l f �.F�,LA o N tOrrA rt' MA A k lQ C).� 1 Wl 1 l I�OV((C� p.00� O 0 Occupant Load: Construction Type: t. Proposed Structure(s) basement Ft. 1" floor t. 2n floor t. 3` floor Ft. Accessory Structures t. Proposed Structure(s) TOTAL TOTAL of existing proposed structures Maximum Height of Proposed Structure(s) (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) Phone 1 140' '8O Applicant t �l' Lc C`J JY\kOIr Expires Are you planning to install a lawn sprinkler system? Date T• \FORMS \BUILDING DIVISION \BIdgPermitAppl: 2006 CODE backup.wpd FOR OFFICIAL USE ONLY Date Rec. t� p� Permit 63 Date Approved: g I -D 7 Date Issued: t Sq. Ft. Sq. Ft. Sq. Ft. Sq. Ft. Sq. Ft. Sq. Ft. Sq Ft. Ft. 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. The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW M application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2) I hereby certify that I have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and that I must obtain such permits prior to work PREPARED 11/14/08 8 56 14 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/14/08 ADDRESS 1117 E 4TH ST SUBDIV TENANT NBR ALICIA JOSH CHAPMAN CONTRACTOR PHONE OWNER JOSHUA ALICIA CHAPMAN PHONE (360) 461 7806 PARCEL 06 30 00 5 4 0155 0000 APPL NUMBER 07 00000964 PLUMBING REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 11/14/08 PLUMBING FINAL November 13 2008 8 54 03 AM 1pangrle JOSH 461 5860 PLUMBING FINAL AFTERNOON COMMENTS AND NOTES 9(ei-A 0 -61(0/3 )Q00/15 CY, tiL\--‘ acrio4wr wiorl- cb\I 3)4\, Ck_C.,/,. Of- -HMI_ 409 ,Ot+171 ko .7/0.1r) yok OSJI- vrov3lAs, r A a \NO WAS* ‘AC509,_ ie0Su(k Cl/Ulf AA" v kDje-d-- (,1) pa +5 rTS c M s_kr 6 Application Number 07 00000964 Date 8/17/07 Application pin number 588796 Property Address 1117 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 5 4 0155 0000 Tenant nbr name ALICIA JOSH CHAPMAN Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 550 Owner Contractor JOSHUA ALICIA CHAPMAN 502 PARRISH RD SEQUIM (360) 461 7806 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98382 PLUMBING PERMIT ALL NEW PLUMBING 109264 57 00 Plan Check Fee 00 8/17/07 Valuation 0 2/13/08 Per 7 0000 ECH 57 00 00 57 00 Signature of Contractor or Authorized Agent OWNER BASE FEE PL- EA INSTALL Charged Paid 57 00 00 57 00 WATER PIPE Credited 00 00 00 Due Extension 50 00 7 00 00 00 00 "9 a 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 T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] /J1. Date Signature of Owner (if owne is builder) 670 Date FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN .HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET! CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 BUILDING PERMIT INSPECTION RECORD O CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COf ER, INSULATE OR CONCEAL ANY WORE BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO I I FINAL t -19-08 DATE 01 1 ACCEPTED BY. FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT DATE ACCEPTED BY. DATE ACCEPTED I YES I NO I c CONSTRUCTION R.W PW/ CONSTRUCTION R.W 6 ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT I I "1 PLANNING DEPT 417 -4750 I I I I PLANNING DEPT BUILDING 417 -4815 I I I I BUILDING I I I T• \Policies\I 102 15 building permit inspection record05.wpd [1/4/2005] Applicant or Owner, Owner's- ddress Contractor/Engineer N/A A State License Contractor/Engineer's Address PROJECT ADDRESS I 1 17 F `7 PM! F no p LAS LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. j Residential Multi family Commercial Repair TYPE OF WORK New Constr Re -roof Addition Move Remodel Demolition Sign lgc Other BRIEF DESCRIPTION OF TFjE PROJECT' COMMERCIAL/RESIDENTIAL. Occupancy G Existing Structure(s) basement 1 floor 2nd floor 3'd floor Accessory Structures Existing Structure(s) TOTAL LOT COVERAGE Lot size Sq. Ft. Existing Structure(s) Sq. Ft. Footprint Proposed Structure(s) Sq. Ft. Footprint TOTAL Structure(s) Sq. Ft. Footprint Total Lot Coverage BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans, specs, and a 8 x 11" site plan MUST BE COMPLETE to be accepted for review (360) 417 -4815 FAX (360) 417 -4711 Residential projects: submit two sets of plans Commercial projects: submit three sets of plans 5Q t T- b C kch r\ 5o Par n`3 h Stove Garage Deck T• \FORMS \BUILDING DIVISION \BIdgPermitAppl. -2006 CODE backup.wpd Subdivision. SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION Ar\ �nepo p v,w.b tr Kt 5 5 0 o e .-r-r> up: Occupant Load: Construe n Type: Sq. Ft. Proposed Structure(s) basement Sq. Ft. lst floor Sq. Ft. 2 °d floor Sq. Ft. 3' floor Sq. Ft. Accessory Structures Sq. Ft. Proposed Structure(s) TOTAL TOTAL of existing proposed structures Maximum Height of Proposed Structure(s) Are you planning to install a lawn sprinkler system? (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) FOR OFFICIAL USE ONLY Date Rec. Permit Phone Phone Phone ZONING 2 -11 —O 7 c\2, Ol ro t Date Approved: —17 -o7 Date Issued: Expires Sq. Ft. Sq. Ft. Sq. Ft. Sq. Ft. Sq. Ft. Sq Ft. Sq Ft. Ft. Sin iC (io ∎6`1/4 r\�t\ 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. The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2) I hereby certify that have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and that I must obtain such permits prior to work Date -1 Applicant s< F Cl -4Jxm CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15040 r/ _ ...) ~ "')'t" Port Angeles. Wash1ngton.........~m...n.:.n_'.;:...............................ooo.. 19..~..ooo In accordance with the City Ordinance to regulate the installation. extension. or repair of elec- trical equipment in, on. or about any building or other structure in the City of Port Angeles. per- mission is hereby granted to do electrical work as listed below. , 'II? ,.. ,r-, ~:::s..::<Z:;::g;~:.::i?l~~:~~~:~::::::::::::::::..;;:=~:~::...~~~~:~.~~~::::~::::::::::::::::::::::::::::::::::::::::: . . V OJ . . ".-0'") "12 . \1 . Wirmg Contractor ...~..:;..,"'''''''...~.'"..m.'~nn('!:!__'n'..'.......... By.....__.__nn..m.mm....mn...nm....n__.__m......n__... Light Outlets....____.....______...._..........._.._.. . "', ./ '11" Service, volts'" ._::___~,~----~--......;.;....-___.... ::~e w:i:::~.::h~::::;:..:~.:::::.::.:..:_h Main fuse ......."!!?!?!!:____............. S Enclosure __....................__.....__________ Receptacle Outlets.......__..._______________.... Dryer, KWj........n__n__h_......_n____.____ Range, KW ___...n Water Heater: KW.nhm.h..num. mhumU 1/ )s' HI) Heal: R W .__..~.....__..._..................!.__...... Type of wiring: Entrance Cable __..__..________..___________ Rigid Conduit hh.mhummmmmuu Motors: size, volts and phase: Metallic Tubing __m......__.............. Current transformers: No. & Size____________________.___.....___....... Ser. No.....__.___.._____________...._............... Ser. No......................................______.__ Ser. No..._________.________.____________............ Type of Wiring: Armored Cable ____..........___....________. Non-Metallic ......._________________._____.._ Knob & Tube.......___..._____...__________... RIgid Conduit .hh'hhhh.hhmm.hm Metallic Tubing ___........_.........._____ Raceway __..____...________________........_...... Circuits, Light....___.______..__.....___..._______... Utility .u.uumm..m.UUUh.U.mmmm. Heat Range ..__............................___...___._.. Water Heater ............................... Motor ..._._................._..........._..____. Dryer m____......._______.____________________________ Furnace __________.._________....'_......... Total Load__..____.___________________ Ser. No.___..__________________...___................ Total ....................................._. Remarks: n.nm?.c.n<....'--.....n.....!.t::~.r....~'I....,.!:..!-!~l2.......,g..,,"t,n..m.__...u.....n.....n...mnnn.__nmmmm. - /.- -. - .' )/ V) .'/,', /j ", By /y. t. ~-'.&(.", "::.J;,.,,~_/<~ _ --.----.---------.-.;,--.----.----...-...-------------"-.-;:;:---_._~~".--- NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con- cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION Permit Fee $........................000........... Treas. Receipt No,............................ ..r j)" \-. t'). h!.v II, / )1(-.) .; :')(),:>A' .:;r-' ELECTRICAL PERMIT N? 15040 /1/<- C> $/ Date calle .loK j'?';'rtlc::,n.nny!.'nhumnouh.un.hnnmnnmnnn_nmn.ou.h.mnm.m.ouhmnmnOUhh.mnou__Um.oum.nnh.ou..OU_mm..mOUOUn.. ~f.J~/"'" P~..~-t.(!-,*,,,,,,,, . ~::;~::::ry:~::::tt~rJ.f~~~:;:~Z~~:::::::::::::::::::.:.::::~::::.:.:::::.:.::::::::::::::::::::::::.::::::::::::::::::~:::::::::~::::::::::~=:::=::::::::::::::::~ Total Load ........__.....u..._....._____nn_nn........................................Oh..__._.... 1M 3-72 Olympic Printers, Inc. .._..........__._...............n____n............._._.._..............._...._.._.._.........._......_