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HomeMy WebLinkAbout906 W 15th St - Building RECEIVED 'V0 CITY OF PORT ANGELES PERMIT APPLICATION MAY 15 2013 ��`-- Building Division/Electrical Inspections , 321 East Filth Street—P.O. Box 11501 Port Angeles Washington,98362 ELECTRICAL Ph: (360)417-4735 Fax: (360)417-4711 NP CTIONS \ Date:05/14/2013 �J 1 &2 Single Family Dwelling -0 Multi-Family or Commercial* _[ Commercial Addition 1 Alteration 1 Remodel l Repair* *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address:906 W 15TH ST Building Square Footage:2290 Description of above INTRUSION ALARM INSTALL * -ADT LLC" Owner Information Contractor Information Name: LOSEY Name;ADT LLC Mailing Address:906 W 15TH ST Mailing Address:11824 N CREEK PKWY N,SUITE 0105 City:Port Angeles State'WA zip:98363 Clty:B07HELL State'.WA zip:98011 Phone:3604607777 Fax: Phone:206-774-9499 Fax:888400-0383 License#1 Exp License#1 Exp,ADTLLL*881 DO Item Unit Charge ty Total(Qty Multiplied by_Unit Charge} Service/Feeder 200 Amp. $119.90 $ Service/Feeder 201-400 Amp, $145.50 $ Service/Feeder 401.600 Amp $204,60 $ Service/Feeder 601-1000 Amp. $262.20 $ Service/Feeder over 1000 Amp. $372.50 $ Branch Circuit WI Service Feeder $ 2.60 $ Branch Circuit WIO Service Feeder $ 73.50 $ Each Additional Branch Circuit $ 2.60 $ Temp,Service!Feeder 200 Amp. $ 92.70 $ Temp.Service/Feeder 201-400 Amp. $110.30 $ Temp.Service/Feeder 401-600 Amp. $148.70 $ Temp.Service/Feeder 801-1000 Amp $167.90 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit!Limited Energy 1 First 1500 sf—Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf //J Signal Circuit!Limited Energy-1 &2 Family Dwelling $ 63.90 $� Signal Circuit]Limited Energy-Multi-Family Dwelling $ 63.90 $ Manufactured Home Connection $119,90 $ Renewable Electrical Energy-5KVA System or Less $10230 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft, $110.30 $ _ Each Additional 500 Square Ft.or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming Pool or Hot Tub $110.30 $ $ otal 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 296-46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Check Jennifer Digitally 519nea by Jennuar Burgess L�] Credit Card#4292102798618677 ex 12113 cvc 140 ON:en=Jennlier eurgess, o=NORTHWEST PERMIT, pro/i 412013 x ou=NORTHWEST PERMIT, Dated; 0110112010 email=tenni er nwpermi,cam,c= Dale:2013A4,013 09:5A,35-0100' ELECTRICAL PERMIT kA CITY OF PORT ANGELES e 360-417-4735 Application Number . . . , . 13-00000523 Date 5/15/13 Application pin number . , . 074400 REPORT SALES TAX V" Property Address 906 W 15TH ST ASSESSOR PARCEL NUMBER; 06-3Q-00-0-4-2900-0000- Q17 our excise tax form Application type description ELECTRICAL ONLY Y Subdivision Name to the City of Port Angeles Property Use , , . , . (Location Code 0502) Property Zoning RS7 RFSDNTL SINGLE FAMILY Application valuation . , . . 0 Application desc Alarm system ---------------------------------------------------------------------------- Owner Contractor BRYCE LOSEY ADT LLC 906 W 15TH ST 11824 N CREEK PARKWAY, N PORT ANGELES WA 98363 STE 105 BOTHELL WA 98011 ----- --- 719-0347 Permit . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fes 64,00 Plan Check Fee .00 Issue Date 5/15/13 Valuation , . . . 0 Expiration Date 11/11/13 Qty Unit Charge Per Extension 1,00 64,0000 ECH EL-SINGLE CIR LIMITED RES 64,00 ----------------------------------------- . ._-_-----°__-- _-_____-_°_- ____-__- Fee summary Charged Paid Credited Due Permit Fee Total 64,00 64,00 .00 00 Plan Check Total .00 00 ,00 .00 Grand Total 64.00 64.00 ,00 .00 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: G:IEXCHANGE\BUILDING d ECITY OF PORT ANGELES s� DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION '�i 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000019 Date 1/09/12 Application pin number 988160 ASSESSOR PARCEL 06 00- 0- 4-2900 0000 REPORT SALES TAX Application type description RES REPAIR on your state excise fax form Subdivision Name Property Use to the City of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 050 2) Application valuation 500 Application desc foundation drain to curb cut Owner Contractor EVERHART, RICHARD L MELISA K OWNER e' 1 g iv,' jf2, 906 W 15TH ST PORT ANGELES WA 98363 Permit BUILDING PERMIT RESIDENTIAL Additional desc FOUNDTION DRAIN WEST SIDE OF H Permit Fee 50.00 Plan Check Fee 32.50 Issue Date 1/09/12 Valuation 500 Expiration Date 7/07/12 Qty Unit Charge Per Extension BASE FEE 50.00 Fee summary Charged Paid Credited Due Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total 32.50 32.50 .00 .00 Grand Total 82.50 82.50 .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. 2I -0 6r tv5 y (6 ate 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 cy, 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. v`\ Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts •4. 1 1 y �L� 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 Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit: #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE" Inspection Type Date Accepted By Electrical 417 -4735 1 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 f Planning 417 -4750 Building 417 -4815 Via /MIME T:Forms /Building Division /Building Permit PROJECT STATUS UPDATE Permit 19 0 L W 1 5Th 5 Date: S .23 1 phoned the: Applicant BYTe. LOSf at 1-I La 0" 31'9'4" Property Owner at Contractor at I eft a phone me g or discussed): The permi has expire or will expire soon). What is the status of this project? lease call and schedule a final inspection. Submit a "permit extension request" letter. Or Let me know if the project is abandoned. T:Forms /Building Division/Project Status Update 0\ ?OR r.4:,.;. BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City 32 Attn: 1 Building Fih St., Port Angeles, 98362 Date Received Use Only: '44/4 Permit y1 �/Q (360) 417-4815 fax (360) 417-4711 Date Approved Applicant f5e Phone 3lv0 -41Po Property Owner b 4 5u L05esi Phone 3 /ac -}101- 99 &O Property Owner's Addr ss q pi, j�j 5T Contractor opOnee._ Phone Contractor's Address License Expires E -mail PROJECT ADDRESS gdla G.9 l ST rr }-nel&Its C113 '3 Parcel Number Lot Zoning Project Type Brief Description: R esidential Multi- family Commercial Industrial Check all that apply yr New Construction Ppud li Ala) tn) t S i N hvG Addition Remodel XRepair Demolition Re -roof garage other tear off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove X other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 6 Total footprint of structures 1 66,:? sq. ft. Lot size 1 `4 019° sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage -Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths 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 rojects. Date j- L I-/8- Print.Name y� Lt& tol-e -f- Signature Z/1/17M.., c J G T:Forms /Building Division /Building permit application %wF�,� CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000057 Date 1/23/12 Application pin number 420708 Property Address 906 W 15TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -4- 2900 -0000- on your state excise tax form Application type description PUBLIC WORKS UTILITES Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc RCP #12 -02 Curb Cut for Foundation Drain Owner Contractor BRYCE LOSEY OWNER 906 W 15TH ST PORT ANGELES WA 98363 Permit RIGHT OF WAY Additional desc RCP #12 -02 Permit Fee 150.00 Plan Check Fee .00 Issue Date 1/23/12 Valuation 0 Expiration Date 7/21/12 Qty Unit Charge Per Extension 1.00 150.0000 ECH PW RW CONST EXCAVTION OTHER 150.00 Special Notes and Comments Contact City Inspector prior to start of construction. No pumping to street allowed- Gravity only. No sediment to enter storm drain. Fee summary Charged Paid Credited Due ti Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 150.00 150.00 .00 .00 V\ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. (6 4... s (if i 9 3 -1a Signature of Contractor or Authorized Agent Date Signature of Owner (ifw is builder) Date T:Forms /Building Division /Public Works Permit PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANI' 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 YES I NO PW UTILITIES (Engineering Division) WATERLINE:/ METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK -CURB 8/.'GUTTER DRIVEWAY APPROACH BACK FLOW;.DEVICE; y a a r 5 c i r F'INAL:INSPECTIONS REQUIRED PRIOR TO OCCUPANCI' /USE` -5 R ESIDENTIAL DATE YES; NO COMMERCIAL DATE ACCEPTED ,CONSTRUCTION R W /,PW CONSTRUCTION ..R W ENGINEERING:. 417- 4807 PW ENGINEERING FIRE 417 -46 FIRE DEPT.. PLANNING DEPT. 417 -4750 PLANNING:DEPT. BUILDING 417- :BUILDING- 4815 T Forins /Building Division /Public Works Permit,. If1 N H SD I O I N 1 wwl U H I aol a a w I H E a Z Z m w m piQ o w w x W E x x U H H pc I n c a 0 H 7 I C Q 0 E o z d H O Vl F F E z r m U U I 7. O r E ww w r z m v a i x HZ Q Z 1 0 0 H H I H U Q O 0 m E 0 d' U H q L f/] 0 a H H E w Z W u 0 0 0 0 cn cn q o H w w a N 1 E 0)0 a oa W H q x H 0 r.0 mw o .'4' W 114 .4 •H ula a Cr) 0 V] H d' z Ri 10 H w a m x o x a h E O o N E o o q H H ao l 0 a w r� t o H q I x o o 0 w w N I N W 0 II m o H W E E 0 0 mw 0 SON 001-q O O H \O I 01 w o H o 0 w 0 o O£ E W O N N (.i; l Ri a a u O I a w a a 0 w al 0 E W w I W U o a 0 1 CO t a z E a o a 10 t:4 H m wH a Q a0 l. -000 a h 0) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 09 00001274 Date 12/07/09 Application pin number 326094 Property Address 906 W 15TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 2900 0000 Tenant nbr name RICHARD /MELISA EVERHART Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1 1700 Application desc TEAR OFF RE ROOF THE GARAGE Owner RICHARD /MELISA EVERHART 906 W 15TH ST PORT ANGELES WA 983637230 (360) 912 7003 Contractor WESCO ENTERPRISES PO BOX 1527 PORT ANGELES (360) 452 1430 Structure Information 000 000 TEAR OFF RE ROOF GARAGE WA 98362 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF RE ROOF GARAGE Permit pin number 157784 1 Permit Fee 86 60 Plan Check Fee 00 Issue Date 12/07/09 Valuation 1700 Expiration Date 6/05/10 Qty Unit Charge Per I Extension BASE FEE 50 00 12 00 3 0500 HND BL 501 2K (3 05 PER C) 36 60 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total as 60 1 86 60 00 00 Plan Check Total 00 I 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 91 10 91 10 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. ate Prin0earne Si n'atuv..-af Contrytor Authorized Agent T:FormsBuilding Division/Building Permi( Ro Signature of Owner (if owner is builder) Inspection Type 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 Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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. Date Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T.Forms /Building Division /Building Permit Inspection Type 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 PREPARED 12/09/09 8 22 19 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/09/09 ADDRESS 906 W 15TH ST SUBDIV TENANT NBR RICHARD /MELISA EVERHART CONTRACTOR WESCO ENTERPRISES PHONE (360) 452 1430 OWNER RICHARD /MELISA EVERHART PHONE (360) 912 7003 PARCEL 06 30 00 0 4 2900 0000 APPL NUMBER 09 00001274 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 12/09/09 BLDG FINAL December 9 2009 8 18 22 AM 1pangrle KERRY 460 2851 BLDG FINAL RE ROOFED THE GARAGE COMMENTS AND NOTES PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition e -roof Heat System. Other Floor Areas Basement 1St Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures T Forms /Building Division /Bldg Permit.doc BUILDING PERMIT CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Pol Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4.711 Applicant &Tv /�e i�fd Property'Ownkr ireido4 et/ /AAr r=f- Property Owner's Address qe6 /ffti Contractor We.s6,0 &iz7 „‘oa'ls Contractor's Address la /§2o,' W License i, s Expires House )(garage other Ktear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) 7 x /k I q ft. Lot size rface on a :parcel including str and other impervious surfaces (see PI 1 C 17 94 135 for exemptions) Site. Coverage the amount of impervio Max. height of proposed structures Will a lawn sprinkler system be ins Iled? Will a fire sprinkler system be in ailed? Residential ACC /ow/2 Date 72 -0 Print Name /4/iy Occupancy group Occupant load Constructio pe APPLICATION Print in ink Phone Phone Phone E -mail Lot Multi- family Commerciaal /.S /d OTAL VALUATION For City Use Only Date Received j2--1-0/2 Permit oq- 1279.. Date Approved <r2 -/'7o Zoning per sq ft. overage ved driveways ;sidewalks patios Site coverage of bedrooms of full baths of half baths Industrial I have read and completed this �plication and it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to de rmine what permits are required and to obtain' permits prior to working on projects Sigrnture /c TO 906 W 15th PORT ANGELRS, WA 98363 We hereby submit specifications and estimates for' TO TEAR OFF EXISTING ROOF ON GARAGE ONLY, CLEAN UP ALL DEBRIS AND HAUL AWAY THEN TO INSTALL A 30yr PABCO S —G THREE TAB ROOF, (CLASS A FIRE RATED) LINED WITH 151b FELT USUNG 1 1/4" NAILS THEN TO CLEAN OUT GUTTERS AND PICK UP ALL DEBRIS AND HAUL AWAY We Propose hereby to furnish material and labor complete in accordance with the above specifications, for the sum of: ONE THOUSAND SEVEN, HUNDRED dollars 1 700 00 Payment to be made as follows: IN FULL UPON COMPLETION All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents.or delays beyond our control. Owner to carry fire, tornado, and other necessary insurance. Our workers are fully covered by Worker's Compensation insurance. Acceptance of Proposal —The above prices, specifications and con- ditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. flat/4 of Arrpntanrp• WESCO ENTERPRISES WESCOE *094D5 P 0 Box 1527 PORT ANGELES WA c 8362 (360) 452 1430 Authorized Signature Signature Signature PHONE DATE 457 -9681 12/07/09 JOB NAME LOCATION 3 e) 9/ 2 JOB NUMBER JOB PHONE Note. This proposal maybe withdrawn by us if not accepted within 4Aezi_ 30 days. f vORr "-\.: ~-.4.0~<<~ (j~~ '- -=..;or ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001382 Date 11/27/07 378712 906 W 15TH ST 06-30-00-0-4-2900-0000- RICHARD EVERHART MECHANICAL APPL. PERMIT RS7 RESDNTL SINGLE FAMILY 3000 Owner Contractor RICHARD & MELISA EVERHART 906 W 15TH ST PORT ANGELES WA 983637230 (360) 912-7003 EVERWARM 257151 HWY101 PORT ANGELES (360) 452-3366 WA 98362 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT INSTALL GAS FIREPLACE 116269 60.65 Plan Check Fee 11/27/07 Valuation 5/25/08 .00 3000 Qty Unit Charge Per Extension 50.00 10.65 BASE FEE 1.00 10.6500 ECH ME-GAS PIPE 1 TO 5 Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 60.65 60.65 .00 Plan Check Total .00 .00 .00 Grand Total 60.65 60.65 .00 Due .00 .00 .00 /1; ~ /'7 ~ '~ V \.. 0) 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 orwork 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. .II fA --:r-/o-r d!?L.-MuScCUeJI1?<rl- ~ ~ Dare Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/BlIilding DivisionlBlIilding Permit (1O/OI/07).wpd BUILDING PERMIT INSPECTION RECORD ~ \ \J-J 00 ~ CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 YES NO 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 FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE \ 2. - ~ 1____-07 -:-\1 J./ WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W / PW/ CONSTRUCTION - R.W. ENGINEERING 4 I 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4 I 7-4750 PLANNING DEPT. BUILDING 417-4815 \-7_-II---(}'1 .~H.r BUILDING ~ C- O- L, ..-- 01 ~ V\ + o ,. \j) J) ~ ~ g T: Forms/Building Division/Building Permit (1010 1107).wpd <..... "" 0 ..... " .... ..... ~ r.<1 N :z: .... I>: r.<1 ~ :z: E-o r.<1r.<1 "E-o ::> :>: ...:...: 0 I:: H o.Q >< 0 :z: ..-i E-o +J ...1 r.<1 U ...1 r.<1 W ...: :>: 0. U OJ "'''' 5 I:: Z "'0 ..-i r.<1 "'0 :z: "''' .... E-o I I r.<1 ..... NN W :z:.... '" W W ltl.... .... o U .... .... :>:r.<1 .,-'" H 0-= W H H 0.:>: 01 OO+JH 01 01 H I:: H I:: I:: oE-o 00 0'" r.<1",""0,,, '" 0 "'''' 00. :>:.01::00. 0. uE-o >< "'''' ...... H ~rn .......t .... ....::!~ ...1 .... E-o .... 0 I>: 0 wo 0 IE-or.<1 r.<1 .. ~ ~ ~.S u ~ c:;~ :z: H :> o"E-o ...1 H r.<1r.<1 1r.<1 ....r.<1 .... oz E-o Q ZZ :>:" ~~~~~ eo .. H ~ r.<1OO gj 00 Hltl uN ~~~ r>l :':r.<1 :Z::Z: E-o u r.<1 r.<1 u 0 E-o u r.<1.. E-< ~~ en 0.0. m :> ::!~ .... :>:eo Q 0 .,- 0 Qj ltl H.... 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M :> o E-< Moo en Z Hr- M ~g~~ Cl)Notll ..: r-O e;, .. 10:: "'NO. ...:lNri ,::C 0\ I Z Ul-< 0::;: HQ,lQMOH ~~~~ii!:I: :I:QI:I:...:lM...:l u>uenE-<...:l MOH-ttI..,::C ::;:ZO:Cl":U '~t ~t o en ...... 0. :>< E-< M o '" M :<: M 0: M :I: E-< :=> o :>< E-< M M ::;: 6 M :I: o en M :<: H E-< ~ o ~ M ~ en M !~ ~ "- en '" E-< Z M ::;: ::;: o u ~ en M !; Z H :<: , o ,., ~ f '" '" ~ ~ CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 Applicant or A~ 6Lu..rd.. Ue.r[,o.J"r Owner ( ~Ma.r: ve..~ ha...ri- Owner's Address 900 W /5'11'" .5f..n:?f'_ T Contractor/Engineer 6've:....iwt:(.....r/Vl l1.ea..r-rvt -I- Ho/Vl€- Contractor/Engineer's Address License # BUILDING PERMIT APPLICA TION Print in ink For City Use Only: Date Received ll-2..--Z-0l Permit # t:J[- \ ?''3L... Date Approved Phone Phone 3&0 //2- =roo~ Phone Expires PROJECT ADDRESS r Parcel Number Lot Zoning Project Tvpe & Brief Description: rlResidential o Commercial o Multi-family o Industrial Check all that apply o New Construction o Addition o Remodel o Repair oRe-roof o Demolition o Sign o wall-mounted o projecting o freestanding Dawning o other ~eat System Total sion area sq. ft. Maximum allowed siqn area sq. ft. o Heat pump 0 wood-burning stove 'Iff gas fireplace 0 pellet stove 0 other o Other Floor Areas Existing (SQ. ft.) Proposed (sq. ft.) Basement @$ per sq. ft. = $ 1 sl Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALVA TlON $ .::; . ff'){) 0 () , Total footprint of structures sq. ft. Lot size sq. ft. = Lot coverage % Max. height of proposed structures ,AI//I- ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? db Occupant load # of full baths Will a fire sprinkler system be installed? A/(? Construction type # 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. If --- ~ ~r Date 1/ ILl-fa =r- Print Name , c....hvkd !:.-Vt!:...rl-u::-lJf- Signature.- T:FormslJuildin9 DivisionlBldg Permit Appl.-2006 Code.doc CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15605 - Port Angeles, washlngtonm.,.L~'m__::__~~.m--m.--.....m....., 1~.? In aocordance 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 .m~~.~ L::>'~=lZ!!.. ____m__.._______._______..._. Occupancy____m.._m_..___.__m___m_______.....__.__ ~:~:~ ~-~~::~~~::::m . ~~:Z;j;'~ .:e:a~::::::::::...:..:.~::::::::::=::::::::::::::::::=::::::::::::::::::: ~ -- Light outlets__mm./__?__.m...____..m Service, volts --/.#t:..V-~!!...~... ReceDtacle Outlets..mt.C9____...__.... No. wires __.:J.mm.m.:;p.m.m Dryer, KW __mm__eR________________._________ Size Wlres..~t1.--m.m--.m----- Range, KW....__L..:?:..._____..___nn__m Main luse .__...:.:2.9!__t2..4__.m Enclosure mm.S__m...........m....... Water Heater: ~ KW_______f;...'i___________.___________ Heat' KW__...-/~"'.:1../3..$mm-- Type of wiring: Entrance Cable ..mm.mm..m... Motors: size. volts and phase: Rigid Conduit m.....m.................... Metallic Tubing ........................... Current transformers: No. & Size....................................... m.__/~mm..__mmm.m Ser. No.................................__........... Ser. No. ...................................__........ Ser. No............................................... Type of Wiring: Armored Cable .............................. Non-Metallic .................__m...m...._ Knob & Tube.......m........................ Rigid Conduit __...__._______.___m______m Metallic TUbing ............m............ Raceway ........................................_ Circuits, LlghL-f...mmmm------m------- ~:~:ty..::::~:I.:~~:::::~:~:~:~:::::::::::::: Range __/~:mm...m....._________.___ Water Heater ..~....................... ... :r:.:::...~.::::..~~::::::~~....:::..::::::::..::..::= Furnace .....................__..._................... '30 Total Load............................. Ser. No........................__.................... Total....................................... Remarks: m~.'''''::.__m__.~~__''____.m__.m____mmmmmm_mm.m___.___mm.mmm.m____m__mm Permit Fee $m.3,t..b..Q.m__mm__m__ NO.m.__...................... By.%--(f!il~_, 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. Treas. Receipt NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT Address ..m.x.l9.!e..........&.r.. .~ti__... .__..... m __......__..m.......__..........m...__.. D.te..._...._____............__......_...__._...____....__.. . , Owner .......... ~....~. .. ... .. .... .......--.................. .. Tenant.................................................................... Wiring Contractor........ _~.... ..... By.............................................................. l(p,t /fw ~B N? 15605 NOTICE-Current must n()j; e urned on until Certificate of Inspection has been issued. If work is to be con- cealed due noUce must be given t Inspector so that work may be inspected before concealment. ' 1M Olympic Printers, Inc.