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HomeMy WebLinkAbout1501 W 5th St - Building Electrical Permit 1501 W 5'h St 12- 1409 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00001409 Date 10/25/12 �1 Application pin number . . . 975117 �J Property Address . . . . . . 1501 W 5TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2670-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . : . . . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T-stat 2 ton heat pump ---------------------------------------------------------------------------- Owner Contractor EDITH A CHRISTIE ALL.WEATHER HTG & COOLING INC 1501 W STH ST 302 KEMP ST 1-4 PORT ANGELES WA 983631810 PORT ANGELES WA 98362 (360) 452=2807 (360) 452-9813 ------------------------ ----- v\ ------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee .00 Issue Date . . . . 10/25/12 Valuation . . . . 0 Expiration Date . . 4/23/13 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due (pV ------------------ ---------- ---------- ---------- ---------- Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL I Z Z COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X /'� Date: / G:\EXCHANGE\BUILDING wMme REPORT 417-4735 owoRKS a•sc DATE PERMIT# INSPECTOR OWNER My s;rL V-- CONTRACTOR -r c�oL. ADDRESS 5o W APPROVED NOT APPROVED - ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ I ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . .� ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . .. _' Q CORRECTIONS NEEDED: `Q O 0 — F20 \\ Qti.Y in C_qL— P%#-"A Iry JgC Gly. ) N 9—AT :!�ir� I D i i NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 95 DAYS DO NOT REMOVE 10/23/2012 08:54 13684525177 ALL WEATHER HEATING PAGE 05/05 Tj� CITY ORPORT ANGEJLE8 -_- . ^~~~~^CA^^ON Building Division/Electrical Inspections 321 East Fifth y3 —�J � ' Ph: (368)417-4735Fax: (3604X7-@71D Dote: _x_1 &@ Single Family Dwelling ~ Plan Review May Bo Roqu|ed, Please Complete EleotrIca|Plan Review Information Sheet Job Add Building Square Footage: 1004 Description of above Owner Information Contractor Information Mailing Address:1501 WcRt 5th Street Mailing Address: 302 KcmR S !!! trcet City Porr.Amccl Slate:WA Zip:2", A— Clt�:ft-1:Angdq_State:–WA—zip:__26mL_ Phone:4.52-29 Fax; Phone: 452-9813 Fax:452-5177 Item --_ -- Total MY Rdbiled by Unit ha[ge) 8on400fFeoda/20VAmp. $120[00� Service/Feeder 2O14U0Amp. $140.00 ------ 8om|ceTooda,4O1-6O0Amp $205.00 ------- 8anov�Feed*r8O14U8VAmp, $262.00 ------ ' Som|oe/Foederover 1VO0Amp. %373.00 ------ Branch Circuit w0Service Feeder $ 5.00 ------- Branch Circuit W/O Service Feeder $ 63.00 ------- Eoc|iAdditional Branch Circuit o 5.00 ------' Branch Circuits i'4 * 70.O0 ------ Temp,Service/Feeder 2OVAmp. $ 93.00 ------ romp.SmW,e/Fonoo,2V1-40OAmp. $110.00 ------' Temp.Service/Feeder W}1-6OOAmp. $149.00 ------ Temp,$*n4ue/Feedar881'1VVOAmp. $168.00 — ----- Pprtu|toPormKHourly $ 06.80 - ----- SignalCinuit/Limited Energy'1&2Family Dwelling $ 641.00 - ----- Mmufac{urodHmmoConnvctivn *120.00 ------ Renewable Electrical Energy'5KvASystem orLess $103.00 Thermostat Note: � OG�UU ---�--- Num:$5.VV�reach oddNona|�S\� ------- ~- 56.00 --���-- First`uuuSquare Ft, $120.00 Each Andi0voa|500Square Ft.orPortion of $ 40.00 ------ Each Outbuilding Detached Garage $ 74.00 ------' Each Swimming Pool o,Hot Tub $110.00 ------' $ 56.00 Total Owner as defined by RCW.18.28.2S1:( will Ocmpy the struCtUmfor bwo' after this electrical permit is finalized.(2)Owner is required tohire mne|enkcontractor boxp|reyafterxixmonthwof|astinxpoction. After reading the above statement,|hereby certify that I am the owner of the above named property or a licensed electrical contractor.|mmmaking the u|wdrioo|installation oralteration iocompliance with the electrical laws,N£L,RCVV.Chapter 19.28,WAC.Chapter 296-4G8 Th Ci�ofphd 8ng�auMunidp�Code,and UUU�Gpe�ficabonoand P\MC14.O5.080�Do�|nUBn�rc�Permit Ap��e8ono. ' - Signature ufowner,electrical contractor urelectrical administrator: O ovoo O como O �nmxoxmo o««m:- 10/23/120110112012 Building Permit 150I .W 5 `n 12- 1252 Prepared 11/27/12,12:38:38 Application Inquiry-(BPN200I001) Page 1 Program HTDFTAL Screen detail for Program: BP BPN200I, Inspection history User IO PBARTHOL Application 12-00001252 ------------------------------------------------------------------------------------------------------------------------------------ Property Information Address: 1501 W 5TH ST PORT ANGELES, WA 98362 Location ID: 91180 Owner name: EDITH A CHRISTIE ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2670-0000- ALTERNATE ID: 063000012670 Zoning: RS7 RS7 RESDNTL SINGLE FAMILY Subdivision: Application Information Application desc: WATER LINE METER TO HOUSE Application status: COMPLETE Status Date: 11/01/2012 Application type: PLUMBING PERMIT Application date: 9/25/2012 Valuation: Soo Square footage: 0 Public building: NO Reviewed by: PB PAT BARTHOLICK Pin number: 521072 Entered by: PERMITS Contractor Information Contractor Name: * OWNER Contractor Number: Type: Status: Contractor Requirements Doc Number Exp Date -- --------------- ---------- STATE LICENSE BOND LIABILITY INSURANCE Outstanding Inspections Insp Schedule Confirmation Permit Pmt Type ID Date Number Description Seq Min Max --------------- ------ -----—--- ------------ --------------- --- ----- ----- No outstanding inspections exist Work Description Code Description Quantity ------ ------------------------- -------- CO Information CO Issue Str/seq Date Status Description ------- ---------- ------ ------------------- Str/Seq Permit/Seq Inspection type Insp Seq Inspector Schedule date Results Results date Confirmation Nbr 000 000 PL 00 PLUMBING WATER SUPPLY 0001 JLL 10/19/2012 AP 10/19/2012 383224 000 000 PL 00 PLUMBING FINAL 0001 JLL 10/19/2012 AP 10/19/2012 383240 * ` CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00001252 Date 9/25/12 Application pin number . . . 521072 Property Address . . . . . . 1501 W 5TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2670-0000- REPORT SALES TAX Application type description PLUMBING PERMIT on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code O$OZ) Application valuation . . . . 500 --------------- Application desc WATER LINE METER TO HOUSE ------------------------------------------------------------------------------ Owner Contractor EDITH A CHRISTIE OWNER 1501 W 5TH ST PORT ANGELES WA 983631810 ' (360) 452-2807 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc REPLACE WATER SUPPLY LINE Permit Fee . . . . 57.00 Plan Check Fee .00 Issue Date . . . . 9/25/12 valuation 0 Expiration Date 3/24/13 . Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL-WATER LINE 7.00 Fee summary Charged ;Paid Credited Due =---------------- ---------- --- ------ ---------- ---------- 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 forelectrical 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. R q,,; bate Print Name Signatureof Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD �l 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 r 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 V FOUNDATION: �t Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor i 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 1 Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 TCnrmc/R .ilrlinn rli..ic inn/Glilriinn Pormi4 7l-tE NGELE For City Use CITY CSF Permit # 2 W. A S H I N G T 0 N , U . S . Date Received: r Z�( 62-- 321 East 51 Street Port Angeles, WA 98362 Date Approved: Q- ` tZ-- P: 360-417-4817 F: 360-417-4711 hcatuzo@cityofpa.us Building Permit Application Project Address: C .S 3 Main Contact: Phone # Property Name Phone Owner ' S 3 ce `E '�:- 2- ZR Mailing Address Email City State Zip Contractor Name Phone Mailing Address Email City State Zip. Contractor License # Expiration: Project Value: Zoning: Tax Parcel # Lot# Type of Residential Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair t9 Reroof(tear off/lay over) ❑ For the following,fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ® Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No Project Description 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 Name Signature Residential Structures Area Description (SQ FT) Existing Proposed Minimum$ For Office Use value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck Garage Carport Other(describe) Area Totals Commercial Structures Area Description(SQ FT) Existing Proposed Minimum$ For Office Use value Structure(s) Addition Tenant Improvement Other(describe) Area Totals Lot Site Coverage Calculations Footprint(SQ FT) of all Structures: Lot Size: %Lot Coverage SQ FT Site coverage(all impervious+ %Site Coverage structures Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/N'on-Haz Piping #of Outlets: Appliance Vent # Heater-(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # repair/alteration Evaporative Cooler(attached,not # Pellet:itove/Wood-burning/Gas # portable) Fireplace/Gas Stove Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit Plumbing Fixl:ures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gals piping #of Outlets: Water Heater # Medical gas piping #of Outlets: Water Line # Vent piiping # Sewer Line # Industrial waste pretreatment # interceptor Other(describe): CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT v 321 East 5" Street, Port Angeles, WA 98362 Application Number 10 00000986 Date 9/08/10 Application pin number 009184 Property Address 1501 W 5TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 0 1 2670 0000 onour state excise tax form Tenant nbr name EDITH A CHRISTIE y Application type description FIRE ABANDON TANK INSPECTION to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1000 Application desc SLURRY FILL A 275 GAL HEATING OIL TANK Owner Contractor EDITH A CHRISTIE SMALL JOBS SERVICE 1501 W 5TH ST PO BOX 104 PORT ANGELES WA 983631810 PORT ANGELES WA 98362 (360) 452 2807 (360) 452 5593 Permit UNDERGROUND TANK RES Additional desc 1 Permit pin number 172999 Permit Fee 15 00 Plan Check Fee 00 Issue Date 9/08/10 Valuation 1000 Expiration Date 3/07/11 Qty Unit Charge Per Extension BASE FEE 15 00 Fee summary Charged Paid Credited Due Permit Fee Total 15 00 15 00 00 00 Plan Check Total 00 00 00 00 Grand Total 15 00 15 00 00 00 t/4 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 compied with whether specrfied 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 permit. P'��� �> > e -(0 Signature of Contractor or Authorized Agent Date Signature of Owner(if Owner is builder) Date FERE PERMIT INSPECTION RECORD a 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. CQ c5� KEEP PERMIT CARD AND APPROVED PLANS AT JOB 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 Alann final LP-GAS Completed by Contractor- Underground piping inspection/pressure test Q Test#I Above ground piping inspection/pressure test Piping pressure test psi Tank(container) inspection Time initiatedTest#2 Appliance inspection Piping pressure test psi Time initiated LP-gas final UNDERGROUND STORAGE TANK(UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final _Z -10 Kt D PERMIT OTHER(specify) permit final R � 5 GENERAL COMMENTS 77 cQ 2/15/00 .a , PORT ANGELES FIRE DEPARTMENT d Abandonment of Residential Fuel Storage Tank 1,100 Gallons or Less Cod,�� Applic r Permit�� � ation f o' Q VA a �t4Uj � Please call the Fire Marshal s Office at 417-4653 for assistance with the processing this permit. Site Address /-6-0 it/ �-4 C2�ll� —�y ) Name of Applicant: Date: 8"—a&s C) Address: 0` 1�;O'K (� 3 �P�` 3 Telephone. PA zh,Fte Owner A4-5 /_ e'(r1 S i Telephone: l�s� _a '7 Permits are issued at the City of Port Angeles Permits Counter located at City Hall, -)lI E 5`` Port Angeles, A. - Permit fee $15 00 paid to the City of Port Angeles Fire Department. Date paid. Date Issued. Date Issued. C(.% 20 l O Issued by ubv c Additional Comments I have read and understand the requirements of this application. Applicant's Signatures FP 25 A (Revised 1219104) Page 1 of 3 G Section I -Required Information Applicant is required to furnish the following information on the space provided on the next page. 1 A site plan showing the number, size, and location of the underground storage tank with reference to the existing home. 2 Specify the type of liquid which was stored in the tank. Section II- Requirements and Limitations Issuance of a permit is subject to compliance with the listed requirements and approval by a field inspection of the Port Angeles Fire Department. Residential underground storage tanks may be abandon in place or removed. 1 There shall be no welding, cutting, or other sources of ignition in the area while abandoning operations are in progress. Welding or cutting on tanks require a separate permit from the Port Angeles Fire Department. 2 Removal of all flammable and combustible liquids from the tank and all connecting Ines shall be pumped out. Please use a hand pump or other means to remove remaining flammable or combustible liquids as far as practical. 3 If the tank is removed and stored on site temporarily the tank shall be placed in a secure location and blocked to prevent movement. The tank would be required to be merted prior to being transported. The hole-created by removing-the tank shall be filled with a suitable material (earth, sand, etc ) 4 There are three options for the abandonment of residential"fuel storage tanks. All three options require that the tank is first completely pumped out. Option#1—The tank and all associated fill and vent piping can be removed completely This is generally the best method,however it is also the most expensive. Option 42—The tank fill and vent pipes are removed,then the tank is filled completely with an inert xmxture such as san s . If Option#1 (complete removal) is not chosen,then this method is REQUIRED if the tank is within 5 feet of a property line, driveway, sidewalk, swimming pool, deck or building foundation. O ion#� . The tag fills rid vent prpes are r�d ad w grade' p caped e is g left ace.I this me ,thea ant m ead,un and an t llo statement: a " .using tSa-s methd*&,I understand t t the�Q1d cr ed by th tank may se a ccTl�apse o e add a nt gr d if t tank out o r time. Q Applicant SignatureDate FP 25 A(Revised 12/9/04) Page 2 of 3 } Site Diagram L 7 JCI 4 f-k ts qk Tobe completed by Fire Department Method of abandonment: O Tank removed ( ) Tank filled with inert mixture ( ) Tank vent and fill lines capped below grade FP 25 A(Revised 12/9/04) Page 3 of 3 PREPARED 9/09/10 8 04 26 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/09/10 ADDRESS 1501 W 5TH ST SUBDIV TENANT NBR EDITH A CHRISTIE CONTRACTOR CARRUTHERS CONSTRUCTION PHONE (360) 460 0147 OWNER EDITH A CHRISTIE PHONE PARCEL 06 30 00 0 1 2670 0000 APPL NUMBER 10 00000942 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 9/09/10 JLLBLDG FINAL September 8 2010 1 34 57 PM 1pangrle JOSH 460 0147 BUILDING FINAL RE ROOFED THE HOUSE COMMENTS AND NOTES CITY OF PORT ANGELES ��. DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION _ 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 10 00000942 Date 9/01/10 Application pin number 631318 Property Address 1501 W 5TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 0 1 2670 0000 Tenant nbr name EDITH A CHRISTIE on your state excise tax form Application type description RE ROOF Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 4000 Application desc TEAR OFF & RE ROOF THE HOUSE Owner Contractor EDITH A CHRISTIE CARRUTHERS CONSTRUCTION 1501 W 5TH ST 43 FARRELL PL PORT ANGELES WA 983631810 PORT ANGELES WA 98362 (360) 460 0147 Permit BUILDING PERMIT NO PR FEE Additional desc RE ROOF THE HOUSE Permit pin number 172478 Permit Fee 123 75 Plan Check Fee 00 Issue Date 9/01/10 Valuation 4000 Expiration Date 2/28/11 Qty Unit Charge Per Extension BASE FEE 95 75 2 00 14 0000 THOU BL-2001 25K (14 PER K) 28 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 128 25 128 25 00 00 1 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 - ( - to Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T.Forms/Building Division/Building Permit C> I BUILDING PERMIT INSPECTION RECORD --D — 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 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 UZI FRAMING. Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION Slab Wall/Floor/Ceiling n � MECHANICAL. V ` Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimneyn Commercial Hood/Ducts FINAL Date Accepted b V/ ) 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 I Engineering 417-4831 Fire 417-4653 I Planning 417-4750 Building 417-4815 to (,� O L/ T Forms/Building Division/Building Permit BUILDING PERMIT APPLICATION Print In Ink CITY OF PORT ANGELES a.�- For City Use Only- Attn. Building Permit Technician Date Received -31-to 321 E. Fifth St. Port Angeles WA 98362 Permit# i©- (360)417-4815 fax (360)417-4711 Date Approved Applicant J05(n Phone (sod i 7 Property Owner ��{ ��S � Phone Property Owper's Address CA Contractor r��w f �o� Phone Contractor's Address 6T 2 License # Ex ires E-mail PROJECT ADDRESS Parcel Number Lot Zoning Project Type & Brief Description. �(Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply J ❑ New Construction ❑Addition ❑ Remodel ❑ Repair ❑ Demolition V,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 r Floor Areas Existin_g(sq. ft.) Proposed(sq. ft.) Basement @$ per sq ft. _ $ 1 St Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck (Aajt al-!; ;z Baro Shed L0-6dt' 20071 Other TOTAL VALUATION $ Total footprint of structures sq ft. T Lot size sq ft. = Lot coverage % Site Coverage =the amount of imperviou surface o parcel including st uctures ed driveways sidewalks patios and other impervious surfaces. (see PAM 17 9 135 for exemptions) Site coverage Max. height of proposed structures Occupancy grou #of bedrooms Will a lawn sprinkler system be installed?/ Occupant loa #of full baths Will a fire sprinkler system be installed? Constructi type #of half baths 1 have read and completed this application and know it to be true and correct. 1 am authorize o apply for this permit and understand that it is my responsibility to determine what permits re required, and to obtain permits prior to orking on projects. Date 31- /D Print Name �05 �V- " Signature T Forms/Building Division/Building permit application OF PORT 44, =C FAN CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 ® cirt (206) 457-0411 PERMIT NO. 3 T DATE y-aa-9 ELECTRICAL PERMIT Site Address: ❑ READY FOR WILL CALL FOR 6_74— INSPECTION INSPECTION InstalledBy: License Number: Pho e: 7 Owner/Business: • Phone: Owner/Business Address: Sq. Ft. )( RESIDENTIAL ❑ TEMPORARY SERVICE OVERHEAD SERVICE ❑ COMMERCIAL ❑ PERMANENT SERVICE UNDERGROUND SERVICE X BASEBOARD KW ❑ NEW CONSTRUCTION VOLTAGE: ❑ FURNACE KW ❑ REMODEL ❑ SINGLE PHASE ❑ FAN/WALL KW ADD/ALTER CIRCUITS ❑ THREE PHASE ❑ HEAT PUMP KW SERVICE UPGRADE/REPAIR SERVICE SIZE.2DQ AMPS ❑ SIGN ❑ SPECIAL EQUIPMENT ,, n (LIST BELOW) l Details/Description: saetr� &-&ek /fpm W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. NOT O.K. ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. r O.K. to connect service iAVA/ � ❑ Final O.K. Site Address: y. — Permit/Receipt No. 5-41 c� SS Installer: New Meters Date: Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection.Work must not be covered ® before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Buil ing Permit. PHONE 457-0411, EXT. 224. 1--,5 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ •�,F/D /I0 lectrica Inspector PermUit Fee WHITE—File by address YELLOW—file by number PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC. 1