HomeMy WebLinkAbout536 E 9th St - BuildingPREPARED 5/06/10 8 21 24 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/06/10
ADDRESS 536 E 9TH ST SUBDIV
TENANT NBR LARRY /DONNA WIESE
CONTRACTOR MAYBURY CONSTRUCTION INC PHONE (360) 461 0089
OWNER LARRY /DONNA WIESE PHONE
PARCEL 06 30 00 0 2 8700 0000
APPL NUMBER 09 00000811 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 5/06/10
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLDG FINAL TIME 01 00
May 4 2010 4 50 13 PM 1pangrle
LARRY 970 560 4876
BUILDING FINAL ADDED A 2ND STORY BATHROOM /NEW
WALLS DOORS WINDOW
AFTERNOON
MECHANICAL FINAL TIME 01 00
May 4 2010 4 51 31 PM 1pangrle
LARRY 970 560 4876
MECHANICAL FINAL ADDED A 2ND STORY BATHROOM
AFTERNOON
PL2 01 10/19/09 JLL PLUMBING ROUGH IN
10/27/09 AP October 19 2009 8 07 29 AM 1pangrle
WILL 477 1168
PLUMBING ROUGH IN
October 27 2009 3 51 10 PM jlierly
PL99 01 5/06/10 JLL Ak PLUMBING FINAL TIME 01 00
May 4 2010 4 54 40 PM 1pangrle
i LARRY 970 560 4876
PLUMBING FINAL ADDED A 2ND STORY BATHROOM
AFTERNOON
COMMENTS AND NOTES
PREPARED 5/06/10 8 21 24 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/06/10
ADDRESS 536 E 9TH ST SUBDIV
TENANT NBR LARRY /DONNA WIESE
CONTRACTOR PELLET HEAT CO PHONE (360) 457 4406
OWNER LARRY /DONNA WIESE PHONE (970) 560 4856
PARCEL 06 30 00 0 2 8700 0000
APPL NUMBER 09 00000987 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 5/06/10
f
MECHANICAL FINAL TIME 01 00
May 4 2010 4 55 23 PM 1pangrle
LARRY 970 560 4876
MECHANICAL FINAL PELLET STOVE
AFTERNOON
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
INSTALL A PELLET STOVE
Owner
LARRY /DONNA WIESE
536 E 9TH ST
PORT ANGELES
(970) 560 4856
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Qty Unit Charge
1 00 10 6500 EA
Permit Fee Total
Plan Check Total
Grand Total
T:FormsBuilding Division/Building Permit
WA 98362
MECHANICAL PERMIT
INSTALL PELLET
154153
60 65
10/23/09
4/21/10
Per
Fee summary Charged
60 65
00
60 65
09 00000987
928849
536 E 9TH ST
06 30 00 0 2 8700 0000
LARRY /DONNA WIESE
MECHANICAL APPL PERMIT
RS7 RESDNTL SINGLE FAMILY
4809
Contractor
STOVE
Plan Check Fee
Valuation
BASE FEE
ME STOVE /FIREPLACE /MISC APP
Paid Credited
60 65
00
60 65
00
00
00
Date 10/23/09
PELLET HEAT CO
230 EAST 1ST SUITE C
PORT ANGELES WA 98362
(360) 457 4406
Due
00
00
00
00
0
Extension
50 00
10 65
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes nul1and.
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned fora 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.
lQ ;,)2 I
/OM/ Wo$)E
Date Print Name Signature WContractor or Authorized Agent Signature of Owner Of owner is builder)
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION.
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT
Parking Lighting
Landscaping
Separate Permit #s
Inspection Type
Accepted By
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T.Forms /Building Division /Building Permit
Comments
FINAL Date Accepted by
FINAL Date 544— 4_ Accepted by—L_
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
PREPARED 10/19/09 8 09 11 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/19/09
ADDRESS 536 E 9TH ST SUBDIV
TENANT NBR LARRY /DONNA WIESE
CONTRACTOR MAYBURY CONSTRUCTION INC PHONE (360) 461 0089
OWNER LARRY /DONNA WIESE PHONE
PARCEL 06 30 00 0 2 8700 0000
APPL NUMBER 09 00000811 RES REMODEL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 10/19/09 J OcUobIrG ROUGH IN
_-1Q October 19 2009 8 07 29 AM 1pangrle
WILL 477 1168
PLUMBING ROUGH IN
COMMENTS AND NOTES
pi e, 1"--P--0.",%-
o fe z 4 <0 pORT
W ORKS
DATE
/0
OWNER/CONTRACTOR
t 1flQ1
ADDREbS
APPROVED
0.
0
CORRECTIONS NEEDED
OP L
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
PERMIT INSPECTO
NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
09/23/2009 09 18 13604520503 SPA SHOP PELLET HEAT
L
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth SL Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant or Agent t 51:4) ASP i'Eut-r_jlar Cp
Owner L ivaN f.
Owner's Address t t r` a. G
Contractor /Engineer tY)i L 2ou ;C
Contractor /Engineer's Address a --c gi}, r ria- r" Sr
License
PROJECT ADDRESS 3( F:.,
Parcel Number 044702000(7000
Floor Areas Existing (so. ftj Proposed (sq. ft.)
Basement
1" f=loor
2 "d Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures sq ft. Lot size
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
ft.
Occupancy group
Occupant load
Construction type
PAGE 01
For City Use Only
Date Received 9 -23-0-f
Permit* OR-9 g
Date Approved
Phone 36o L/ VV'
Phone 5 --sz.0 -4
Phone 34,o -�l,S VYb(i
Expires or
Lot 12 Zoning
Project Tae Brief Description. Residential o Commercial o Multi family o industrial
Check all that apply
o New Construction
Addition
Remodel
Repair
a Re roof
Demolition
o Sign o wall mounted o projecting o freestanding awning o other
Total sign area sq. ft. Maximum allowed sign area sq. ft.
Meat System o Heat pump wood burning stove gas fireplace,tiat:pellet stove other
o Other
per sq ft
TOTAL VALUATION ''ygD,,..
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
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 /o working on
projects,
Date 9 Print Name_tf ii ge. b E.R,Di_EI Signature
T Forms/6ullding Division /Bldg Permit Appl.. -2006 Code.doc
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Kitchen Bathroom Remodel 10 circuits
Owner
WEISE LARRY DONNA
PO BOX 56
MASA VERDA
(970) 560 4856
Permit
Additional desc
Permit pin number 152405
Permit Fee 75 50
Issue Date 8/27/09
Expiration Date 2/23/10
Qty
1 00
9 00
Unit Charge
57 5000
2 0000
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
CO 81330
ELECTRICAL ALTER RESIDENTIAL
Per
ECH EL BRANCH CIRCUIT WO /FEEDER
ECH EL ECH ADDNT BRANCH CIRCUIT
75 50
00
75 50
�ft 2 122 110
INSPECTION TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
09 00000869
652964
536 E 9TH ST
06 30 00 0 2 8700 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
Plan Check Fee
Valuatioh
Paid Credited
75 50 00
00 00
75 50 00
Date 8/27/09
WA 98363
RESULTS
Extension
57 50
18 00
Due
0 111P
00
00
00
00
0
Signature of owner or Electrical Contractor X Date
INSPECTOR.
08/13/2009 07 04 4579270
City of Port Angeles Pen'ni (1pplicaaoin
Building Division/Electrical insl actions
321 East Fifth Street P.4 boa 1 15o
Port Angeles Washington, 91136
Ph: (360) 417 -4735 Fa (3601 41 7.4711
Date: q
Owner Information
Name:
Mailing Address:
City
Phone:
License Exp.
Unit Charae
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116-25
3131.25
75.00
69.00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
57.50
86:25
43.75
1.4 i E'S
5:a e: i P Zip: ff3b12
545- i!
Cthy
Signature of owner, electrical c s tor i r r:+Iectrical administrator
A a ;?Irr• Date:
RECEIV
AUG 2 6 2009
ELECTRICAL
INSPECTIONS
1 2 Single Family CIwE 11 ng
Multi Family or Commer :i al'
Commercial Addition r A tr'!ration Remodel Repair
Plan Review May Be Requ rud, Plea.e Complete Electrical Plan Review Informal l on Sheet
Job Address: S3, le) c-r-th
Building Square Footage:
Description of above 11 5:
:14
ELECTRIC
Kr` fiche -r 64., 7 Cyill r S btf -#17 rr 0 zeA
Contrac Information
Name:' E e.c `c'r /.G-•e'
Mailing nd y ai(34 10 e d
City: fl-. State: Zip:
Phone: Y�57-.2.7C)
License Exp
Bitstigtauggicglarl Charggj
Service/Feeds 200 Amp.
Service/Feel: !r 201 400 Amp-
Service/Feeds 401 -600 Amp.
Service/Feed v 601 -1000 Amp.
ServicelFeed rr over 1000 Amp.
Branch Circus: WI Service Feeder
57 5' Branch CEcui W/O Service Feeder
r Oa Each Addnior al Branch Circuit
Temp. Servic Feeder 200 Amp.
3 Temp. Servic JFeeder 201.400 Amp.
Temp. Servic JFeeder 401.600 Amp.
Temp. Servlc h!Feeder 601 -1000 Amp.
Portal to Pon. d Hourly
Sign/Outline I ighting
Signal Circuit Limited Energy Commercial
Signal Circuit Limited Energy 1 2 Family Dwelling
Signal Circuit Limited Energy Multi-Family Dwelling
Manufacturec Home Connection
Renewable Eectrical Energy 5KVA System or Less
First 1300 Sri rare Ft.
Each Addition al 500 Square Ft. or Portion of
'3 Each Outbuili ling or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
1540
PAGE 03'
S
Owner as defined byRCW.79.. It 261_ (1) (Amer will oceupytfre sevctwe for two years aft v this electrical permit is finalized (I Amer Is regtd, d to We an
electrical contradorifabow s prvpen p' i!' for sale, rent or lease.
After reading the above stagsm a (t, I hereyrp certify that 1 am the owner of the above name( property or a licensed electrical contractor. I am miring the electrical
installation or alteration in con p dance wltli the electrical laws, N.E.C., RCW. Chapter 19.21 ti WAC. Chapter 296 -468, The Chly of Port Angeles N unidpal Code, and
utility specifications,
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 09 00000811 Date 8/19/09
Application pin number 661098
Property Address 536 E 9TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 8700 0000
Tenant nbr name LARRY /DONNA WIESE
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 8672
Application desc
ADD 2ND STORY BATHROOM /NEW WALLS DOORS WINDOW
Owner Contractor
LARRY /DONNA WIESE MAYBURY CONSTRUCTION INC
536 E 9TH ST PO BOX 729
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461 0089
Structure Information 000 000 ADD 2ND STORY BATHROOM ETC
Permit BUILDING PERMIT RESIDENTIAL
Additional desc 2ND STORY BATHROOM ETC
Permit pin number 151530
Permit Fee 193 75 Plan Check Fee 125 94
Issue Date 8/19/09 Valuation 8672
Expiration Date 2/15/10
Qty Unit Charge Per Extension
BASE FEE 95 75
7 00 14 0000 THOU BL -2001 25K (14 PER K) 98 00
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 151548
Permit Fee 72 05 Plan Check Fee 00
Issue Date 8/19/09 Valuation 0
Expiration Date 2/15/10
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 2500 EA ME VENT FAN (SINGLE DUCT) 7 25
1 00 14 8000 EA ME HEATER(SUSP /WALL /FLOOR MTD) 14 80
Permit PLUMBING PERMIT
Additional desc
Permit pin number 151555
Permit Fee 93 00 Plan Check Fee 00
Issue Date 8/19/09 Valuation 0
Expiration Date 2/15/10
Qty Unit Charge Per Extension
BASE FEE 50 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.
F 00 a 9 70. ifRef
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T /Building Division /Building Permit
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
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
Inspection Type
Date Accepted By
1
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Comments
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
Application Number
Application pin number
Qty Unit Charge Per
3 00 7 0000 EA
1 00 7 0000 EA
1 00 15 0000 EA
Other Fees
Fee summary
T:FormsBuilding DivisionBuilding Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
09 00000811
661098
PL- PLUMBING TRAP
PL -WATER LINE
PL -SEWER LINE
STATE SURCHARGE 4 50
Charged Paid Credited
Page 2
Date 8/19/09
Due
Permit Fee Total 358 80 358 80 00 00
Plan Check Total 125 94 125 94 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 489 24 489 24 00 00
Extension
21 00
7 00
15 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. Al! 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)
PLANNING DEPT Separate Permit #s
Parking Lighting
Landscaping
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor Slab
Rough -In 41
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION.
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
ie -19- oq
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T Forms /Building Division /Building Permit
SEPA.
ESA.
SHORELINE.
Comments
FINAL Date 5 6 1-11/0 Accepted by U
FINAL Date 5-6 -1 V Accepted by
Date Accepted By
5 3"�.�-
Floor Areas
Parcel Number
Proiect Type Brief Des
Check all that apply
New Construction
Addition
',Remodel
Repair
Demolition
Re -roof
Heat System
Other
Basement
1 floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant 9 y,13Bie eoNPi, c7 Phon
Property Owner pe..5 f( DoiWV17 (2JeCE Phone
Property Owner's Address 536i F 9 111 Aroe7 ■4/72 s A/X. 0 36 Z
Contractor /n}tigem fion47- fe:- /vN iC Phone O) 4 aye?
Contractor's Address /z x 7a� ��n i9�r/g LJ
License /n ygeff /o ys,Q T Expires j --zA_ :7„i0 E -mail
PROJECT ADDRESS 5 3 (0 S
Lot Zoning RS 7
cription. Res� idential Multi-family o Commercial Industrial
fL /9
_Conv B a
e rt o+ A, Dail r_ m S-f r�4 Ioa�h�m II 9l rc
_Remove- aAot L ila Rs J
boors
Re tyindc+w rui4 a L ay -a.er. e4ress WZhotOGO
House El garage other tear off re -roof lay over one layer
Heat pump wood burning stove gas fireplace pellet stove other
Existing (sq. ft.) Proposed (sq. ft.)
Max. height of proposed structure. ft. Occupancy group
Will a lawn sprinkler system be st fled? Occupant load
Will a fire sprinkler system b= nstal d? Construction type
Date eY O Print Name Ae4/ /7J9//f‘'F- Signature
TForms /Building Division /Bldg ?ermit.doc
APPLICATION Print in ink
T OTAL VALUATION
Total footprint of structures t sq ft. T Lot size
Site Cov.erage the amount o impervio ,'surface on a parcel including struc
and other impervious surfaces (see 'AMC 17 94 135 for exemptions)
For City Use Only
Date Received 9S
rmit
ate Approved
per sq ft.
<4
sq.
sq. ft. Lot coverage
es pa,d driveways sidewalks patios
Site coverage
of bedrooms
of full baths
of half baths
I have read and completed this 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
IN
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Approval Date
FILE
CITY OF PORT ANGELES Construction Plans
The Issuance of this permit based upon these plans, specifi-
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors in said
plan specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of at codes and ordinances of this jurisdiction.
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000791 Date
.166357
536 E 9TH ST
06-30-00-0-2-8700-0000-
RE-ROOF
9/08/04
RS7 RESDNTL SINGLE FAMILY
837
Owner
Contractor
CARVER BRUCE G
536 E 9TH ST
PORT ANGELES
OWNER
WA 983627920
----------------------------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF, SHEET, COMP
59.20 Plan Check Fee
9/08/04 Valuation
3/08/05
.00
837
Qty Unit Charge Per
Extens~on
47.,00
12.20
BASE FEE
4.00 3.0500 HND BL-501-2K (3.05 PER C)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 59.20 59.20 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 63.70 63.70 .00 .00
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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 ol/-Iocal law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
c_.,
~ Cu.)jLu
"--Signature of Owner (if owner is builder)
)(
en \A..~~
T:\PLANNING\FORMS\1102.15 [11/14/2003]
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(l/g/rY-f
Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LlGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT, 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 if> .-, <l ~r)J...1 \;, . BUILDING
T:IPLANNINGIFORMSI 11 02.15 [11/14/2003]
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. ~ 02 7("
?/LJ?hS
DATE
Site Address:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
l/'I. FAN/WALL KW ~
:g RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
~. REMODEL
b ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
D1!6 D3!6
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
DetailslDescription:
(AJ..(~ f RvwuJL J
/f-clcI J ,Ctu -/z, k;v
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection 0. K.
1f. Rough-in/cover O.K.
Do.K.tocon~e ~ ~
rr-FinaIO.K. h1: (~
Site Address:
Installer:
~
Permit/Receipt No.
S027(."
New Meters
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen 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 Building Permit. PHONE 457-0411, EXT. 224. .I.L ~
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ fl4 ;;lo / ~
Elect,;callnspecto, Pe'mH Fee /
:::: ::'~:sb,::dd'ess PINK - Top, Eng, Bottom. Custome, GREEN - Top, Mete, Z'
.
Site Address:
53{,o
IL
Installed By:
Owner/Busine
c
Owner/Business Address:
Jl'f Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Details/Description:
,:,
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CITY OF PORT ANGELES
LIGHT D'EPARTMENT
ELECTRICAL PERMIT
L
PERMIT NO. /3 77
lohc,!n7
I I
o READY FOR )'rlWILL CALL FOR
INSPECTION I INSPECTION
Phone:
DATE
License Number:
Phone:
Sq. Ft.
o Overhead
o Underground
Voltage
o 1l2J D3.l2J
Service size
o Temporary
Amps
o New Construction
o Remodel
~Servlce update/alter/repair
f!: Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
.
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ADO 's
Fttwz... 'U..
c...\-I-II.IV(, \:.;
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W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
M "'Ii! O.K. to connect service
o Final O.K.
Site Address:
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
.
Installer:
1"'-3/
D \,0
lC-k/(....
E . 9711
S''(:.fl.. V iC I€.
New ~~
Notify the Department of City Light by Street Address and Permit Number when ready for in pection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Insp ctor in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224.
~~
I nspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
........."LYMPIC PRINTERS. INC.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
~'.',--:;~~~
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ELECTRICAL INSPECTION
W!RiNG REPORT
457 -0411 Ext. 158
:::{J~iZ7 I PERMIT' /37 7 ~ INSPECT~ r
~u:.. Cft.ItU~
ADDRESS - ~
53G, f 1r1
APPROVED NOT APPROVED
o . . . . . . . . . . . . .. DITCH ................... 0
o .............. ROUGH IN/COVER. ... .. .. .. .... 0
o .................. SERVICE .................. 0
o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0
CORRECTIONS NEEDED:
(i) Jt./1 W lit. "'-
~ tf.-i1 /Alttt~
2- ;; 13Df
o AJ ,J.-O A fo,I1 LJ
,
O,.J U AM;:::?
I
b tI..5..A-!C't..t'<.
b It... "{A-'{c 'VL
(f\,JcJL
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS. INC. (206) 452.1381