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HomeMy WebLinkAbout124 W 13th St - Building CITY OF PORT ANGELUS DEPARTMENT OF COMMUNITY &: ECONOMIC DEVELOPMENT- BUILDING DIVISION \® 321 EAST STH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 11-00001297 Date 11/16/11 Application pin number . . . 054341 Property Address . . . . . . 124 W 13TH ST REPORT SALES TAf ASSESSOR PARCEL NUMBER: 06-30-00-0-3-8735-0000- Application type description SIDING on your state excise tax form Subdivision Name . . . . . . Property Use to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 2400 ---------------------------------------------------------------------------- Application desc REPLACE SIDING, REPAIR PORCH SHEETING ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KEPLER III THOMAS/DENISE STRAIT WAVE SERVICES 3704 CRABAPPLE ST 2020 W. 5TH STREET PORT ANGELES WA 983623714 PORT ANGELES WA 98362 (360) 452-5962 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc REPLACE SIDING, PORCH REPAIR Permit Fee . . . . 109.75 Plan Check Fee 00 Issue Date . . . . 11/16/11 Valuation . . . . 2400 Expiration Date 5/14/12 Qty Unit Charge Per Extension BASE FEE 95.75 1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 109.75 109.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 114.25 114.25 .00 .00 �vat 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. �rd vrrzz) � Wate 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-- N Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK.BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling f Drywall Interior Braced Panel Dnl T-Bar INSULATION: Stab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood i 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 Construction - R.W. PW /Engineering 417-4831 w Fire 417-4653 Planning 417-4750 `n Building 417-4815 - \(i PREPARED 12/15/11, 9:16:15 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/15/11 -' -------------------------------------------------------- ADDRESS . : 124 W 13TH ST SUBDIV: CONTRACTOR STRAIT WAVE SERVICES PHONE (360) 452-5962 OWNER KEPLER III THOMAS/DENISE PHONE ' PARCEL 06-30-00-0-3-8735-0000- APPL NUMBER: 11-00001297 SIDING -- PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 12/06/11 JLL BLDG FRAMING 12/06/11 AP December 5, 2011 2:03:11 PM pbarthol. Wayne 461-1766 December 6, 2011 3:34:09 PM jlierly. BL99 01 12/1.5/11 J BLDG FINAL rLC/ December 15, 2011 8:41:43 AM jlierly. wayne 461-4766 --------------------- --------- COMMENTS AND NOTES -------------- PREPARED 12/06/11, 9:01:56 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/06/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 124 W 13TH ST SUBDIV: CONTRACTOR STRAIT WAVE SERVICES PHONE (360) 452-5962 OWNER KEPLER III THOMAS/DENISE PHONE PARCEL 06-30-00-0-3-8735-0000- APPL NUMBER: 11-00001297 SIDING ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------` —-- - ----------—------- —-----------------—--------------- BL3 01 12/06/11 / L BLDG FRAMING .� December 5, 2011 2:03:11 PM pbarthol. Wayne 461-1766 -- - COMMENTS AND NOTES -------------------------------------- BUILDING/PLUMBING/MECHANICAL PERMIT APPLICATION - SHORT FORM (To be used for projects that do not require plan review.) Date Received Permit# i/ 1.-97 City of Port Angeles Please print in ink. Date Approved -6 Approved by Attn: Building Permit Technician 321 E. 5"' St., Port Angeles, WA 98362 360=417-4815 fax: 360-417-4711 Credit card payments are accepted Mon-Fri 8-5 pm (no American Express) Hours: Mon through Fri 8—5 pm Cash & checks are accepted Mon-Thurs 8:30-4 pm & Fri 8:30-12:30 pm Phone: Contact erson: 360 r VI _ ill h Q 7 Property owner: 2 it Phone: 366 �/�6 a 6132 Property owner's mailing address: 0J Phone: Contractor's business name: 57KAZ7 Ups l'7 or property owner's name if he/she.is doing/overseeing the work Contractor's mailing address: GJ5tc C Contractor's L&! license number: 7, W Expiration�d Project Address: h Project Type: 4 Residential c Commercial �, Industrial L�, Multi-family Project Business Name: (for commercial, industrial, or multi-family projects) The following permits are usually issued over-the-counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re-roof: ❑house ❑ garage ❑ other ® tear off& re-roof ❑lay over one layer V Licensed contractor: Submit a copy of your re-roof bid. Project Valuation * (labor & materials, not including sales tax). Re-side: ztouse ❑ garage ❑ other Project Valuation lIC6 * (labor & materials, not including sales tax) r� YN r►C /C art r h � AauS.4e i4/E;Z,4 c Q. Repair: (explain the project) i D-411 r. L, Project Valuation D *Homeowner; If you will be doing/overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 = Project Valuation $ T:Forms/Building Division/Building/Plumbing/Mechanical Permit Application-Short Form (Revised 2011) Page 1 of 2 Swimming Pool or Spa (? 24" deep): For prefabricated swimminq pool or spa proiects that do not require plan review: (✓) Obtain the City of PA handout entitled "Pools & Spas" & follow the requirements. Project Valuation $ Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? ❑ house ❑ garage ❑ other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. (✓) Agree to ensure that all utilities are/will be properly turned off(and capped off if needed) prior to demolition. (✓) Obtain (from the City of PA) an aerial view map of the parcel and put an "z" over the structure(s) to be demolished. Submit the map with this application. (✓) Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360-417-1466 to discuss whether or not an ORCAA.Demolition Permit will also be needed. ❑yes ❑ no Will the debris be going to the Regional Transfer Station in Port Angeles? ❑yes ❑ No If yes, will.a licensed contractor be taking it there? (✓) If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the.Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: (explain the project) Project Valuation $ Mechanical Permit: (explain the protect) Project Valuation $ I have read and completed this application and know it to be true and correct l 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. ) Date 7 / Signature Print Name Z6>� Page 2 of 2 Contractors or Tradespeople Printer Friendly Page Page 1 of 1 Genera[/Specialty Contractor A business registered as a construction contractor with LEd to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name STRAIT WAVE SERVICES UBI No. 602614152 Phone 3604525962 Status Active Address 2020 West 5Th St License No. STRAIWS941KW Suite/Apt. License Type Construction Contractor City Port Angeles Effective Date 5/16/2006 State WA Expiration Date 5/28/2012 Zip 98363 Suspend Date County Clallam Specialty 1 General Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date STRATFORD, WAYNE jOwner 05/16/2006 Bond Information Bond Company Bond Effective Expiration Cancel Impaired Bond Received Bond Name Account Date Date Date Date Amount Date Number 2 CBIC SH8015 05/04/2008 Until $12,000.0005/05/2008 Cancelled 1 STATE FARM 98-GE-0308-1 05/09/2006 Until 07/27/2008 $6,000.0005/16/2006 FIRE Et CAS CO I I Cancelled Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Policy Effective Expiration Cancel Impaired Received Name Number Date Date Date Date Amount Date 4 CBIC C11SH8015 05/04/2009 05/04/2012 $300,000.0003/25/2011 3 CBIC C11SH8015 05/04/2008 05/04/2009 $300,000.0004/10/2008 STATE FARM 2 FIRE Et CAS 98GY52561 05/04/2007 05/04/2008 05/04/2008 $250,000.0005/01/2007 CO STATE FARM 1 FIRE Et CAS 98GT27240 05/04/2006 05/04/2007 $250,000.0005/16/2006 CO Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 11/16/2011 aCF S;""���'�v �`'�"� �2"as � "�`",r," d �n �'� ` 'mt.�m,4��d m, r.* �-�'_ e' ', " "rpt! r k, i F l MIN �FP ¢f�� � ✓F W d k,�x} ,Y Si - YOUx�� .�fA�;' S�m�• .3�C -, �',z .. i'� t`? x ,.�,^� yr°-�S�A ,4x�, e • c .�. ¢ -t ,-c�C` ``�� ' F rm "�r"�cft�aa °_�'$S ^m t" �+ �������� r s, xapax "i;f i$ � sa g -:.,, a sstaa� y jy� ari �ti`rr3 �", "y�r� ^�, Rrd ~•y�tw.� .F�',�,��r2. �.� :. 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CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 11-00001375 Date 12/02/11 Application pin number .' . . 863250 ASSESSOR PARCELSNUMBER: 06430-00-0-3-8735-0000- REPORT SALES TAX Application type description RE-ROOF on your state excise tax form Subdivision Name Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 1750 ---------------------------------------------------------------------------- Application desc reroof garage ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KEPLER III THOMAS/DENISE STRAIT WAVE SERVICES 3704 CRABAPPLE ST 2020 W. 5TH STREET PORT ANGELES WA 983623714 PORT ANGELES WA 98362 (360) 452-5962 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . RE-ROOF GARAGE Permit Fee . . . . 89.65 Plan Check Fee .00 Issue Date . . . . 12/02/11 Valuation . . . . 1750 Expiration Date 5/30/12 Qty Unit Charge Per Extension BASE FEE 50.00 13.00 3.0500 HND BL-501-2K (3.05 PER C) 39.65 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 89.65 89.65 .00 .00 Plan Check Total .00 00 .00 .00 "Other Fee'Total 4.50 4.'50 .00 .00 Grand Total 94.15 94.15 .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 T 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. W Inspection Type Date Accepted By Comments , t FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: 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 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 Construction- R.W. PW /Engineering 417-4831 Nli Fire 417-4653 v1 Planning 417-4750 _ Building 417-4815 T:Forms/Building Division/Buildinq Permit PREPARED 12/06/11, 9:01:56 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/06/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 124 W 13TH ST SUBDIV: CONTRACTOR STRAIT WAVE SERVICES PHONE (360) 452-5962 OWNER KEPLER III THOMAS/DENISE PHONE PARCEL 06-30-00-0-3-8735-0000- APPL NUMBER: 11-00001375 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -----------------------! - ------------------ ----------------------------------------- BL99 01 12/06/11 BLDG FINAL / December 5, 2011 2:05:14 PM pbarthol. Wayne 461-1766 ------------------------- —-------- COMMENTS AND NOTES -------------------------------------- RECEDED. BUILDING/PLUMBING/MECHANICAL PERMIT APPLICATION - SHORT IWDEC 0 1 ,2011 (To be used for projects that do not require plan review.) CITY OF PORT ANGELES, Date I ING DIVISION Permit# .-/3 7 S� City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5th St., Port Angeles, WA 98362 360-417-4815 fax: 360-417-4711 Credit card payments are accepted Mon-Fri 8-5 pm (no American press) Hours: Mon through Fri 8-5 pm Cash & checks are accepted Mon-Thurs 8:30-4 pm & Fri 8:30-12:30 pm Contact person:, )� � `� � Phone: Property owner: �2Vt t S �6Y'Gt l/>^ C � lP✓ Phone: 310 d 3�2_ Property owner's mailing address: Contractor's business name: s'Tlr w,(¢Gc Se,-vj�e� Phone: or property owner's name if he/she is doing/overseeing the work 366 Y61 1766 Contractor's mailing address: S-/-h a 2-6 ZJ Contractor's L&I license number: Expiration date: Project Address: Project Type: 2rResidential o Commercial L:i Industrial L� Multi-family Project Business Name.- (for ame:(for commercial, industrial, or multi-family projects) The following permits are usually issued over-the-counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re-roof: ❑ house4�rage o other mr tear off& re-roof © lay over one layer (✓) Licensed contractor: Submit a copy of your re-roof bid. Project Valuation $ 7 5'6�°" * (labor& materials, not including sales tax) Re-side: ® house c garage m other Project Valuation $ * (labor& materials, not including sales tax) Repair: Explain the project) Project Valuation $ *Homeowner: If you will be doing /overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 = Project Valuation $ T:Forms/Building Division/Building/Plumbing/Mechanical Permit Application-Short Form (Revised 2011) Page 1 of 2 Swimming Pool or Spa (> 24" deep): For prefabricated swimmingpool or spa projects that do not require plan review. (✓) Obtain the City of PA handout entitled "Pools & Spas" & follow the requirements. Project Valuation $ Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? ❑ house ❑ garage ❑ other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. (✓) Agree to ensure that all utilities are/will be properly turned off(and capped off if needed) prior to demolition. (✓) Obtain (from the City of PA) an aerial view map of the parcel and put an 'Y' over the structure(s) to be demolished. Submit the map with this application. (✓) Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360-417-1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. ❑yes ❑ no Will the debris be going to the Regional Transfer Station in Port Angeles? ❑yes ❑ No If yes, will a licensed contractor be taking it there? V) If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: (explain the project) Project Valuation $ Mechanical Permit: (explain the prosect) Project Valuation $ l have read and completed this application and know it 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 to obtain permits prior to working on projects. Date Signature Print Name S7'64 Page 2 of 2 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 51 Street, Port Angeles, WA 98362 Application Number . . . . 04-00000651 Date 7/22/04 Pin number . . . . . . .269752 Property Address . . . . . . 124 W 13TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-8735-0,000- Application description . FIRE ABANDON TANK INSPECTION Subdivision Name . . . . Property Use . . . . . . . . Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . 100 Owner Contractor ------------------------ ------------------------ KEPLER III THOMAS/DENISE OWNER 3704 CRABAPPLE ST PORT ANGELES WA 983623714 ---------------------------------------------------------------------------- Permit . . . . . . UNDERGROUND TANK RES Additional desc . . ABANDON TANK IN PLACE SLURRY Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . 7/22/04 Valuation . . . . 100 Expiration Date 1/19/05 Qty Unit Charge Per Extension BASE FEE 15.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- e�- Permit Fee Total 15.00 15.00 .00 .00 Plan Check Total .00 .00 .00 .00 �. Grand Total 15.00 15.00 .00 .00 �" 111 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced,or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examined this application and know the-wine to be true and correct.All provisions of recognized standards, laws and ordinances governing this type of work will be;compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the ermit. � O Signature of Contractor or Authorized Agent Date Signatui f Owner(if Owner is builder) Date FIRE PERMIT :INSPECTION RECORD Call 360-417-4655 for fire inspections.Please provide a minimum 24-hour notice.Itis unlawful to cover,insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Ins ection Tye Date Passed Comments , FIRE SPRINKLER Underground,piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi(24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test#1 Above ground piping inspection/pressure test Piping pressure test psi Tank(container)inspection Time initiated Test#2 { Appliance inspection Piping pressure test psi LP-gas final Time initiated UNDERGROUND STORAGE TANK(UST)ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTBER(specify) permit final GENERAL COMMENTS: ,2/15/00 CITY OF PORT ANGELES - FIRE DEPARTMENT PERMIT 321 East 5'h Street, Port Angeles, WA 98362 Application Number . . . . . 04-00000651 Date 7/22/04 Pin number . . . . . . .269752 Property Address . . . . . . 124 W 13TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-8735-0000- Application description . . . FIRE ABANDON TANK INSPECTION Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 100 Owner Contractor ------------------------ ------------------------ KEPLER III THOMAS/DENISE OWNER 3704 CRABAPPLE ST PORT ANGELES WA 983623714 ---------------------------------------------------------------------------- Permit . . . . . . UNDERGROUND TANK RES Additional desc . . ABANDON TANK IN PLACE SLURRY Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . 7/22/04 Valuation . . . . 100 Expiration Date . . 1/19/05 Qty Unit Charge Per Extension BASE FEE 15.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- e—• Permit Fee Total 15.00 15.00 .00 .00 Plan Check Total .00 .00 .00 .00 �. Grand Total 15.00 15.00 .00 .00 V! This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 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 recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the ermit. Signature of Contractor or Authorized Agent Date Signature/6f Owner(if Owner is builder) Date FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERWI T CARD AND APPROVED PLANS AT J Ota SITE Inspection Type Date Passed Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test#1 Above ground piping inspection/pressure test Piping pressure test psi initiated Tank(container) inspection Test Time i Appliance inspection Piping pressure test psi LP-gas final Time initiated UNDERGROUND STORAGE TANK(UST)ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER(specify) permit final GENERAL COMMENTS: 2/15/00 14 CITY OF PORT ANGELES � PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST STH STREET, PORT ANGELES.WA 98362 v..I ELECTRICAL PERMIT Issued: 1/09/98 Permit No: 6179 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ MRS WILLARD 124 13TH ST W 124 W. 13TH STREET Lot: 6 Port Angeles, WA 98362 Block: 387 Long Legal : 360/452-3644 Sub: TPA T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- ELECTRIC SERVICE 924 DRAPER RD. PORT ANGELES, WA 98362 360/452-6424 000/000-0000 PROJECTINFO-------------------------------------------------------------------- Prj Type: RES. MISC. Prj Value: $0 . 00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: RS7 Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 120, 240 Furnace KW: 0 X Overhead Service Diameter: X-1 -3 Heat Pump KW: 0 Underground Service Service Size: 200 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECTNOTES------------------------------------------------------------------- CIRCUITS, SMOKE DETECTORS PER PA HOUSING REHAB i PROJECT FEES ASSESSMENT--------------------------------------------------------- . Service: $0 .00 Additional Feeders: $0.00 Circuit Wiring: $41 .00 Temp Service: $0. 00 TOTAL FEE: $41 . 00 Misc $0 . 00 Amount Paid: $41 . 00 -------------------------- TOTAL FEE: $41 . 00 Balance Due: $0 . 00 I COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417.4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MQ4tl"24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANF WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPT® COMMENTS YES NO DITCH SERVICE 'C GENERAL COMMENTS: PW-11M.15109fl CITY OF PORT TbIA LIGHT DEPARTMENT ELECTRICAL PERMIT N° 1551.7 M Port Angeles, Washington------e-.........._----------------------------------------- 13- .....' 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. Address ------------ -------------------------------------------- - Occupancy -=l=""----------- ----••---------- Owner ----------------•----•"---------------.--------------------------•------ Tenant----------------------------------------------------------------------- WiringContractor--------------` --� _ - ------- By-_---------------------------------------------------------------- Light Outlets........................................ Service, volts ..................._.................. Type of Wiring: Receptacle Outlets............................... No. wires ...................................... Armored Cable .............................. Dryer, KW------------------------------------------ Size wires........--......................._. Non-Metallic ................................. Snob & Tube................................. Range,KW------------------------------------------ Main fuse ....................................... Rigid Conduit ....._...................._.. Water Heater: Enclosure .......7:!........................... Metallic Tubing ........................... KW--------------------------------------------- Type of wiring: Raceway Heat: KW............... .+-----I:,. .r....: Entrance Cable........_._._._.........' Circuits. Light....................................... Motors: size, volts and phase: Rigid Conduit ............................... Utility ................_......................... ........................................................... Metallic Tubing ........................... Heat .............................................. Current transformers: Range ............................._............. ..............................._.......................... No. & Size....................................... Water Heater ............................... ................ ......................... .. Ser. No............................................... Motor ............................................ ........................................................ Ser. No.............................................. Dryer................................................. .......................................................... Furnace......__...................... Ser. No.............................................. TotalLoad----------------------------- Ser. No............................................ Total _.................................... Remarks: --"! " ---------------•-------------- = •-----------------"----------------------------------------------------------"---------"--------------------------------------------------------------------"----------.-_---- --------•---------------------------------------------------------------------------------------•----------- •-------------- ------------------------------- Permit Fee Treas. Receipt i NOTICE—Current must not be turned on until Certificate of Inspection has been issued. It 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 N° 15517 Address ....................................'----........----'-..........................:...................-""................................ Date........................................................ Owner ..........................................-............................................................................... Tenant.......................--.....-------......---.................. WiringContractor..................................._......................_............................................................. By.............................................................. 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. IIm Olympic Printers, Inc. ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 15-00000779 Date 7/06/15 Application pin number 830080 Property Address . .. . . 124 W 13TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3-8735-0000- Applicat:i.on type description ELECTRICAL ONLY on your excise tax form Property SubdivisionName . . . . . . to the City of Port Angeles Property U,se Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . 0 Application desc Service and circuits Owner Contractor CONWAY, MARGARET FAE BLACK DIAMOND ELECTRICAL CON`I'R 124 W 13TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 98.362 PORT ANGELES WA 98363 (360) 565-7.035 Permit ELECTRICAL ALTER. RESIDENTIAL Add:i.t::i.onal. desc , Permit Fee . . . 140.00 Plan Check Fee .00 Issue Date . . . 7/06/15 Valuation 0 Ex.p:i.:rat.:i.on Date . 1./02/16 Qty Unit Charge Per Extension 4.00 5.0000 ECH EL BRANCH CIRCUIT W/FEEDER 20.00 1.00 1.20.0000 ECH EL-0-200 SRV FEEDER 120.00 Fee summary Charged Paid Credited Due Permit Fee Total 140.00 :1.40.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .1.40.00 140.00 00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE g ID ROUGH-IN 1� FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor ; Date: G:\EXCHANGE\BUILDING r�'+I��J iwrli� li�'„�✓ Q�11 t l N CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections ,���[j �l 321 East Fifth Street—P.O. Box 1150/Port Angeles Washington,98362 g g Ph: (360)417-4735 Fax: (360)417-4711 :.I C f i 11H,Cl,�i 2-1 r t f°U)"N"s Date __,' 1 &2 Single Family Dwelling Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address:,....___ Y .� �.. .m ......--... ..._ _......... Building Square Footage: m .. �.. .- w ..-............................ ..._...... ._. Description of above Owner Information Contractor I tion Name: Name: Mailing Address. r" �! " " .. ......... ��_ _—. 7 �_ " °' Mailing Address _ Phtor�e��� L�"Fa� ...... p ..... ........ CityState Zip ...._._. ,.m.-�.-. - City:_ table ---��-�...... �_ --_� Phone ..._–......._ �._Fax License#/Exp.— .—w.. License#I Item Unit Charcle (qty Total jQtv Multiplied by Unit Charge Service/Feeder 200 Amp. $120,00 Service/Feeder 201400 Amp. $146.00 Service/Feeder 401-600 Amp $205.00 ........ $.......r................................ Service/Feeder 601-1000 Amp. $262.00 Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Each Additional rcuit BFeeder ito al Branch Circuit $ 65,00 Branch Circuits 1-4 $ 75.00 .._....--__ $_.. _....,..,,m......... ..m.. Temp.Service/Feeder 200 Amp. $ 93.00 _,.W $. ..........................m,m. ..... Temp.Service/Feeder 201-400 Amp. $110.00 $ . u. Temp.Service/Feeder 401-600 Amp, $149.00 $ .........�.......�—.._...... Temp.Service/Feeder 601-1000 Amp. $168.00 $,m, ..,_..,. _... Portal to Portal Hourly $ 96.00 $__..._.. — Signal Circuit/Limited Ener 1&2 Family Dwelling $ 64.00 Manufactured Home Connection $120,00 _m . ,.. $............................................... Renewable Electrical Energy-5KVA System or Less $102.00 $ _........ Thermostat $ 56.00 $.............._�.�.........�.. .... Note:$5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $._ ....................... Each Additional 500 Square Ft.or Portion of $ 40.00 r, $---,„_,,,m,m,,,,,,,,,,--- Each Outbuilding or Detached Garage $ 74.00 $ — Each Swimming Pool or Hot Tub $110.00 _ $ 00 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.I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C., RCW.Chapter 19.28,WAC,Chapter 296-4613,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner elect'cal contractor or electrical administrator: ❑ Cash *Check El Credit Card# X Dated � �.��� 0110112012