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Home My WebLink About735 W 13th St - BuildingNAME OF PREMISES 7 l V 6 4f H /7 �I SERVICE ADDRESS 3 ,5' A/ 3 c 2 X 6 r LOCATION OF DEVICE. 7I' r A/ 4 r' AYE ar ASSEMBLY /j/ f 6 4 /8 9 G X Manufacturer Model IS THIS AN APPROVED ASSEMBLY? YES 141\10 IS ASSEMBLY INSTALLED CORRECTLY? YES fa-'NO U DATE OF INSTALLATION L t 61 UNKNOWN❑ Initial Test Repairs Details Final Test COMMENTS DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #I CHECK VALVE #2 RELIEF VALVE PVB /SVB Leaked Held at ?psi Cleaned Replaced Held at ?psi AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO Initial Test Repairs Final Test Date'Tirne Tester REDUCED PRESSURE PRINCIPLE ASSEMBLY Leaked Closed Tight Held at $psi 7 1 V' 1> E e l. t.:k• Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection. Division Cleaned Cleaned Replaced Replaced Closed Tight Held at Ppsi Signature L t i ce.. Did Not Open J (c Size Opened at psi 3 psi Buffer YES NO Opened at psi Cert. Test Kit WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY RP RPDA DC B'"'" DCDA PVB Air Gap SVB AVB AIR INLET Did Not Open Opened at psi Leaked Held at psi REPAIRS Cleaned Replaced TYPE OF HAZARD 4 /4/ Line Pressure psi Held Backpressure YES NO #2 Shutoff Held YES IQ' NO Relief Valve Exercised YES NO Official Use Only Assem.# T w Received /fC 9 Serial No CHECK VALVE AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES Passed Failed 0 ��tt"" /5P ru '7 /n6LC 1 r 0 Owner JONELLE STEVEN CHAPMAN 735 W 13TH STREET PORT ANGELES WA 98363 (360) 417 9531 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00000779 Application pin number 896600 Property Address 735 W 13TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 7350 0000 Tenant nbr name STEVEN CHAPMAN Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 100 Application desc LAWN SPRINKLER SYSTEM BACKFLOW VALVE Contractor OWNER Permit PLUMBING PERMIT Additional desc LAWN BACKFLOW PROTECTION Permit pin number 129247 Permit Fee 57 00 Plan Check Fee 00 Issue Date 7/03/08 Valuation 100 Expiration Date 12/30/08 Qty Unit Charge Per BASE FEE 1 00 7 0000 ECH PL- EA LAWN BACKFLOW Fee summary Charged Paid Credited T.Porms /Building Division/Building Permit (05 /13 /08).wpd Date 7/03/08 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 Extension 50 00 7 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 7/3/ 3 e/ 0 7 Cl /4/0, Date -Print Name 1 Signature of Contractor or Authorized Agent Signature of Owner Jwner is builder) INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE 1 ACCEPTED COMMENTS FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE O BACK FLOW WATER l7 d R AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR PLANNING DEPT SEPARATE PERMIT M's PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 1 T 1 dill lrii n,vi ,/R lri5 ermit (05 /13 /081.wnd BUILDING PERMIT INSPECTION RECORD YES 1 NO I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL FINAL DATE ACCEPTED BY. SEPA. ESA. SHORELINE. ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BU1LDING DATE I ACCEPTED YES 1 NO I I I I. I I I. I FINAL DATE ACCEPTED BY. 1 CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 W (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent Phone 1 7-?_53I Property Owner 5 Phone Property Owner's Address 7 3 3f 5-L PA. Q' Contractor /Engineer 3/L%P// Phone Contractor /Engineer's Address License Expires PROJECT ADDRESS Parcel Number Project Type Brief Description. *Residential Commercial Multi- family Industrial Check all that apply New Construction Addition rIDL4J ��J� Welt- /i Remodel Repair Re -roof Demolition Heat System Heat pump wood burning stove gas fireplace ❑.pellet stove other **Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq ft. 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink Total footprint of structures sq ft. T Lot size Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant Toad Will a fire sprinkler system be installed? Construction type T:Forms /Building Division /Bldg Permit Appl. -2006 Code.doc For City Use Only Date Received "7-6;-- 08 Permit 0 Date Approved' Lot Zoning TOTAL VALUATION Dv C.90 sq ft. Lot 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. 9 Date /08 Print Namc i-T /?l ef/ /24 C... 3 h 4 h1 Signature /�ij :ice i CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N'! 17421 Port Angeles, washlngton...___.L.i2___.::.i..___...___...uu___....._.___.___. 19_-,~~::_.(J 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 d6 electrical work as listed below. Address ..u./..:!...~~.u~../..Jutt.7F---.u----muuum-u Occupancy....,.!1..~~.u___u.__._u___u_u Owner u..u,,Q~~~:..---~~"f,<<V.eP ,q~r~;-.-------.---.----..m.---.--.---uuu----..u.----..----.....u.. Wiring Contractor ___uu!7-'1C...,i2t2.~:!..~d:2___.u('"'--.."C[1By..uu---...---------...--.---.------u.----um.u___._.._uuu__u Light Outletsnn___n___n___n.___.________n_.___. Service. volts n./~Yn::-:'n~~.___ Type of Wiring: Receptacle Outlets....m.............n......... No. wires ........m............_......r.':'..... Armored Cable .............................. SI I Y / Cl aJ" Non.Metalltc _____.______nn________n_______ ze w res..................................._.. :::Je;>oA Main fuse ...._............................,.... Enclosure .~5............m.m:....~.~..~ Dryer, KW...n...__................................ Range, KW m..__m.......m..mm.. Water Heater: KWmmnnFzmun.n.nnn.mn Heat: Kw.___I.?I",.~:.'7~",.g~g. ~tY.~lzz:..~I;;:*__ Type of wiring: Entrance Cable .......mmm............. Rigid Conduit ....................m........ Metallic Tubing m........................ Current transformers: No. & Size............................. Ser. No.............................................. Ser. No. ............................................. Ser. No.............................................. Knob & Tube.______.nnn___n._____n___._ RIgid Conduit ___.n________n___nn.n.___. Metallic Tubing ......._....m......._.. Raceway .......................-.....-.--.- Circuits, LighL.................................._.. Utility .______._________nn.nnn___n.___________ ~ Heat .......................-........-..---- Range ............................................. Water Heater ............................... Motor ............................................. Dryer .....................-.......................-- Furnace .........................'h................... Remark:~ta:u~~,~=:..;.~;.=:;;.:u/~_~:~t__::.L~~~~__:....______.___...u___.:~:::.__:::.::::.:::~::...:__.:::.:::~.:~:: ________..______..___u____..___________...__.__.__.___.___.______..__._...__.___...._.._._______.____.____._..--...--------..-..--.....--.---.--.--------......--.---....----- ::~~~=:----::-:?:~=---~~i'Z~~: 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. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 17421 Address..................._...................................................................................................................Date..._......_..~.._.._.........._......-......-..-...- Owner ..................................._.........._......_......_.._........................................................... TenanL................................................................... , Wiring Contractor ..................................._......................_............................................................. By .............................................................. NGlTICE-Current must not be turned on until Certi!lcate of Inspection bas been issued. If work is to be con. cealed!due notice must be given the Inspector so that work may be inspected before concealment. . \ 1M Olympic Pdnt.", Inc. '\.'-.. HUME CITY OF PORT ANGELES PERTMIT APPLICATION Building DivisionCElectrical Inspections 321 East Fifth Street — P.O. Box 11501 Port Angeles 'Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Dated r t �_J q CA 1& 2 Single Family Dwelling APR 21 20h (ELECTRICAL INSPECTIONS *Plan Review May Be Require , Pie se Com fete. Electrical Plan Review Information Sheet Job Address: _ Building Square Footage: t 6 oo . E Description of above GtC v J-c -Al- 1-1 - q'; -� Owner Jnformat o Contractor Information Name:. `ice Name; _,�� Mailipg ddress, ' �' Mailing Address: City �> State:' zip: City: Stale: Zip: Phone Fax: -- Phcne: Fax: License # 1 Exp. License #lExp. Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) ServicelFeeder. 200 Amp. $120.00 $ Service/Feeder 201 -400 Amp. $146.90 $ Service/Feeder 401 -600 Amp $ 205.00 $ Service /Feeder 601 -1000 Amp. $ 262.00 $ Service /Feeder over 1000 Amp. $ 373,00 $ Branch Circuit W1 Service Feeder $ 5.00 $ Branch Circult WIO Service Feeder $ 63,00 �� $ Each Additional Branch Circuit $ 5.00 S $ La 01 Branch Circuits 1-4 $.75.00 $ Temp. Service/ Feeder 200 Amp. $ 93.00 $ Temp. ServicelFeeder201.400 Amp. $110.00 $ Temp. Service /Feeder 401.600 Amp. $149.00 $ Temp. Service /Feeder 601.1000 Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit) Limited Energy • 1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 55.00 $ 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 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110,00 $__ o $ -73 — Total Owner as defined by RCW.19.29.261: (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 properly or a licensed electrical contractor, I am malting the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, VVAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications. 0V NyX_(Z— Signature of owner, electric4l,,;ontractor r electrical administrator, ❑ Cash ❑ Chlecckk,� - "� n, :. .:\ .✓ " j ,r' _.� -y ! ❑ Credit Card U Dated: 4) Oil 01)2012 ? [ h 0Fp0R'rgNGfi ELECTRICAL INSPECTION WIRING REPORT I(s 417-4735 DAT rRVIT # INSPECTOR ),Z lizz jj� OWNrRICONTRACTOR 15- v C—� ADDRESS �7 APPROVED NOT APPROVED 0 .. — . .............. DITCH ...... ...... ...... 0 0 ................ ROUGH IN/COVER ............. Ll ... .............. . SERVICE ............ ...... 0 0 ........... ......... FINAL .................... Ll CORRECTIONS NEEDED: 4-1ZO1) KI) ALL_ V-nTETV-, - S-T-F')'F L:Y-1; - - -- L?!; � I 'FZ 2 It NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS, INC. (360) 452-1381 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . , , , . 14- 00000473 Date 4/21/14 Application pin number , , . 962507 DITCH Property Address , . . . . . 735 W 13TH 9T ASSESSOR PARCEL NUMBER; 06 -30 -00 0-3- 7350 -0000- Application type description ELECTRICAL ONLY Subdivision Name , , , . . . Property Use , . , , , FINAL Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 3 circuits basement rewire Owner Contractor CHAPMAN JONELLE, STEVEN OWNER 735 W 13TH STREET PORT ANGELES WA .98363 {3(50) 417 -9531 Permit , . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee 73.00 Plan Check Fee 00 Issue Date 4/21/14 Valuation , , , , 0 Expiration Date 10/18/14 Qty Unit Charge Per Extension 2.00 -?Y!' 5.0000 ECH EL -ECU ADDNT BRANCH CIRCUIT 10.00 1.00'::,`' +i'' 63.0000 ECH FL -R- BRANCH CIR WO/ SER FEED 53.00 Fee summary Charged Paid Credited Due Permit Fee Total 73.04 73.00 .00 ;00 Plan Check Total .00 .00 .00 'Co Grand Total. 73.00 73.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Coate 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date.: GA EXCHANGEIBUILDING t t� .s K J U1