Loading...
HomeMy WebLinkAbout3523 Galaxy Pl - Building 10/04/2013 13 :32 FAX 19001/001 RECEIVEDw CY OCT CITY OF SORT ANGELES PERMIT API'1.lCAT'ION IfMURICAL Building Nvision/Electrical Inspections IV -� 321 East Fifth Street—P,O. Boa 11501 Port Angeles Washington, 98362 Ph. (360) 417.4735 FAN: (360) 417-4711 Date,, pjk. - 1 5 Zi &2 Single Family Dwelling Flan Revlew 1 Be Re '[red, Please Co M to Electr al PI n w Inform Ion heel ddb Adaress.._�.3.3—_--n— u D V 5ueding Square Footage Desw oiion cr above Owner I or ti° Contr r Information Name t ---- Name: 1 Mailing J A Zi If Mailin ss. Stare .. ip; City State, ip; Phone._ _ Fax _ Phon Fax' ce unse t=/Exp _ License t Exp. Item Unit C are t Total Multi Iled by nitChargg) ServicelFeeder 200 Amp 3 120.00 Service,Peeder 201.400 Amp $14600 $. ServicelFeeder 401-500 Amp $205 00 Servlce,'Feeder 601-1000 Amp $252 00 $ Servic0eeder over 1000 Ainp. $373,00 $ i3ranoh CkLlt U Service Feeder $ 5.00 5rench Circuil 0)10 Service Feeder $ 6300 $ Each Additional Branca Circuit $ 5.00 $ 9raitoh Cirouits 1.4 $ 75,00 $ Ter°p Service!Feeder 200 Amp $ 93.00 S Ter`�p ServicelFeader 201.A00 Pmp $1100D 5 Temp ServieelFeeder 401-500 Amp $149 00 S Tpr'p Sn�vi� lFrgd�r 601-IOQQ Arno $163 00 $---_ Forra to Po,1a -awry S 9600 Signal Oircuil;Limited Energy-1&2 Family Dwelling $ 64.00 $ Manuraotured,Home Connection $12C 00 $ ReneW,;,le i leotncal Energy-SKVA System or Less $10200 $ 'hermestal S 56.00 Nole S5 00 for each additional T-Star NEW C0N8TRUCTIQN ONLY: Firss,1 NO So,jare R $12000 _ Eaclti Add(ion al 500 Squsre Ft or Portlon of $ 40,00 $ Eacn Uutbudo ng or Gelached Garage $ 7400 $,_.-. _____ Eaots Swimming Pool or Hot Tub $110,00 $ atal Owner as defined by RM 18.26.281'{1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to-,ire an elect'cal ontractor if above said property is for sale,rep 1 or tease. Permit expires after aix months of last inspection Afler 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 eIBCUiG81 installation or alteration in compliance Mh the electrical laws, N.E,C.,RCW, Chapter 19,28,!•"i Chapter 291 The City of port Angeles Municipal Code, and Utility Specifications and PAMC 14.0y,,)S" Electrical Permit Applications, Signature f owner,elect- a contract or electrical adminietrator: ❑ Ceah ❑ Check �. adlt Card 0 Y,' Vj�, ,� OstOd ._ 411Qf12012 ELECTRICAL PERMIT CITY OF PORT ANGELES r� 360-417-4735 �'1 Application Number . . . . . 13-00001151 Date 10/07/13 Application pin number . , . 522753 Property Address . . . . . . 3523 GALAXY PL REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-15-7-5-0130-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning . , , , . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation , . , , 0 Application desc sub panel and circuits owner Contractor KELLY, L & DAVEY J SR SANDERS SHAMP ELECTRICAL CONTRACTING 122 ERVING JACOBS RD PO BOX 383 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360)461-0681 (360) 452-1689 ---------------------------------- ------------------------ --------------- Permit . , . . ELECTRICAT, ALTER RESIDENTIAL Additional desc . . , I Permit Fee 155,00 Plan Check Fee 00 �V Issue Date 10/07/13 Valuation . , . . 0 Expiration Date 4/05/14 Qty Unit Charge Per Extension 7,00 5.4000 ECH EL-BRANCH CIRCUIT W/FEEDER 35.00 1,00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 ' ----------------------------------------------------------------------------- Fee summary Charged paid Credited Due Permit Fee Total 155,00 155.00 ,00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 155.00 155.00 .00 .00 INSPECTION TYPE DATE. RESULTS: INSPECTOR: DITCH ROUGH-IN 1� FINAL ^` COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEWILDING � CITY OF PORT ANGELES If lit aTh9.a. DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001003 Date 9/14/11 Application pin number 736305 Property Address 3523 GALAXY PL REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-15-7-5- 0130 -0000- Tenant nbr, name KELLY AND DAVEY SANDERS on your state excise tax form Application type description MECHANICAL APPL. PERMIT Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE' FAMILY Application valuation 4625 Application desc MINI -SPLIT HEAT PUMP SYSTEM Owner Contractor KELLY L DAVEY J JR SANDERS PENINSULA HEAT INC 122 ERVING JACOBS RD 782 KITCHEN -DICK RD PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 461 -0681 (360) 681 -3333 Permit MECHANICAL PERMIT Additional desc MINI -SPLIT HEAT PUMP Permit pin number 192567 Permit Fee 64.80 Plan Check Fee .00 Issue Date 9/14/11 Valuation 0 Expiration Date 3/12/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 J�, 'ell Fee summary Charged Paid Credited Due Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 ot 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 clays 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 provisi of any state or law regulating construction or the performance of construction. ql fil ij_.../ Date 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 0 PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS Building Inspections 417 4815 Electrical Inspections 417 4735 tJ 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 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 V Back Flow Water FINAL Date Accepted by r AIR SEAL: V Walls 1 Ceiling 1 FRAMING: V.•) Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling 111111 J Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab x Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough-In Lin y m' Gas Line 1_30-1( Wood Stove Pellet Chimney �99 q Commercial Hood Ducts FINAL Date Accepted by V MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit ft SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 C) Planning 417 -4750 3 Building 417 -4815 T:Forms /Building Division /Building Permit ............7 c)...) ‘../N\ a 4 E 9 0 ‘z:s 0 co ro H 0 rn F w 1 04 w w 0 F 04 FS K 0 a 0 N w a O a w M H 40 M CO M 0 40 M O w v H H 40 H CO 4 Z 0 0 z O d 0 H ro 0 o p 0 UD M H .-1 M M a 0 a a M Z w w ••a aZx H M X a a H W w 0 H a 14 40 0 00 ao4 w rn u En 0404 4040 Flu 0 a 0 Hh H4:; 0a0 z z H H 0 a H Z R, H U U X Z Z N H Z F F F W w a w H N H u Z a a w X40 ww40 w 4040 a z£ N a X 2 2 0 0 a a 40 U) 40 HH 4n U /C 4 4 4 •4Z w 0 X a H 004004 0 w a a 40 HA ,I• H a 0 a HF as Z O zZww• Nr 4040 W a 4n 40 uaauw w K4 14 f4 W a) Fa 41 X 0 4 ,D00 HQa 4nxxacOF CT4Z Dog H M x PI N H0 04 F ,0 041FixioC4 a 40 7• 0 x 0 N M U H w a It M x h 0 H a III 4n a raa .a w 0 a H 0 g Q 0 .a >.z pgww H H w 41.-)4-4)410 F F H z (0w w w 4 0 14,4 0,1 o i¢ M x a r0 o 0 0 04 M 41 0 40 F w 0 04 ma a a au O z 0 w wz 4 aa w H 0 o wH gzzzaa I d a m W U FS F U O 0 FS 04 H X BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received Permit City of Port Angeles Please print in ink Date Approved Attn Building Permit Technician Approved by 321 E. 5"' St., Port Angeles, WA 98362 360-417-4815 fax: 360-417-4711 Credit card payments are accepted Mon-Fri 8-5 pm (no American Express) flours' Mon through Fri 8 5 pm Cash checks are accepted Mon-Thurs 8:30-4 pm Fri 8:30-12:30 pm Con tact personi Phone si 1: 3 3 3 7, Property owner: /l q_ tja Phone: 1 16 65 Property owner's mailinQddress: 352 Ve e Contractor's business name: -e )75 ye/ Phonq; (or property owner's name if he/she is doing/overseeing the work) 6 S --2 Contractor's mailin• address: 4- -4 Contractor's L;64 license number Expiration date/ P‘F:/11 /01/s Project Address: 352. Ga\axl P Project Type 1esidentia Residential Commercial o Industrial Multi-family Project Business Name: (for commercial, industrial, or multi-family projects) The following permits are usually issued over-the-counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re-roof: c house o garage c other c tear off re-roof b lay over one layer (i) Licensed contractOr Submit a copy of your re-roof bid. Project Valuation (labor materials, not including sales tax) Re-side: house r:J garage u other Project Valuation (labor materials, not including sales tax) Repair: (explain the project) Project Valuation *Homeowner; o lf o y s o t u o w f m ill a b t e er d ia o t i s ng d the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. x 2 Project Valuation T:Forrns/Building Division/Building/Plumbing/Mechanical Permit Application Short Form (Revised 2011) Page 1 of 2 2 hattie- t Z 6 1-24 1, Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa projects that do nOt reguire Plan review (1) Obtain the City of PA handout entitled "Pools Spas" foUow the requirements, Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? r house garage o other Note: some demolition permit apptications need to be reviewed by various City departments, and may take approximately two weeks to obtain, Agree to ensure that all utilities are/will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application, (1) Obtain (from the CRY of PA) a copy of the Olympic Region Clean Alr Agency (ORCAA) Demolition Permit Application, Contact ORCAA at 360-417-1465 to discuss whether or not an ORCAA Demolition Permit will also be needed. yes o no Will the debris be going to the Regional Transfer Station in Port Angeles? iz yes c:J No 11 yes, will a licensed contractor be taking it there? tf yes, obtain (from the City of PA) a copy of the Waste Disposal Application, Complete and submit the waste disposal application to the Building Permit Technician, now (or later If asbestos testing is needed). Plumbing Permit: jexplain the proiect) Project Valuation ,NlechanIcal Permit: (explain the project 4- Project Valuation 1 17 1 Z. I have read and completed this applidation and know it to be true and correct. I am authorized to apply for this permit and understand that it is my re.sporsibiilty to determine what pe s are required, and to obtain permits prior to working on projects. DateQ/L3A Signature Print Name //e Page 2 of 2 Clallam County Assessor Treasurer Property Details 68280 KELLY L AND DAVE... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 68280 KELLY L AND DAVEY J JR SANDERS for Year 2011 2012 Property Account Property ID. 68280 Legal Description: LOT 13 GALAXY ESTATES Geographic ID: 0630157501300000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi- Family Redevelopment: N Township: Section: 4 4 Range: Location Address: 3523 GALAXY PL Mapsco: PORT ANGELES, WA Neighborhood: x ref Cycle 4 Res (City) Map ID: 2 Neighborhood CD: 10953130 Owner V t-/. Name: KELLY L AND DAVEY J JR SANDERS Owner ID: 50313 Mailing Address: 122 ERVING JACOBS ROAD Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details Property Tax Information as of 09/13/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due I' Statement Details 2011 161722 $1203.45 $1203.38 $0.00 $0.00 $1203.45 $1203.38 R Statement Details 2010 50006 $1152.37 $1152.35 $0.00 $0.00 52304.72 50.00 Values ;Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 9/13/2011 3:48 AM ©2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net/ propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =68280 9/13/2011 ELECTRICAL PERMIT CITY OF PORT ANGELES 1 360- 417 -4735 Application Number 11- 00001010 Date 9/30/11 Application pin number 428020 REPORT SALES TAX Property Address 3523 GALAXY PL our excise tax form ASSESSOR PARCEL NUMBER: 06-30-15-7-5-0130-0000- 017 y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor KELLY L DAVEY J JR SANDERS BLACK DIAMOND ELECTRICAL CONTR 122 ERVING JACOBS RD 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 461 -0681 (360) 565 -1035 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 192633 Permit Fee 73.50 Plan Check Fee .00 Issue Date 9/14/11 Valuation 0 Expiration Date 3/14/12 Qty Unit Charge Per Extension (N r 1.00 73.5000. ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 Fee summary Charged Paid Credited Due V v Permit Fee Total 73.50 73.50 .00 .00 VV Plan Check Total .00 .00' .00 .00 Grand Total 73.50 73.50 .00 .00 :1) C r INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL °1- 'TN) COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 11 Iiir e i'OR ..1,1. CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street— P.O. Box 1150 Port Angeles Washington, 98362 x Ph: (360) 417 -4735 Fax: (360) 417 -4711 l.. 5< Dat q-ft/ '2-0,I 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 3S A (-M' 1 ?t- Building Square Footage: Description of above ADO GALL Poe-- ii /A7 P e Owner Information Contractor Information, Name: rK 6L(Lt -F 3)4uqC, 5; ✓O 6,R5 Name: 6CA‘C.. l/1 lY1' P K. .G7vGA<, Mailing Address: Mailing Address: SO L. 3 L.AG•. l.uar City: State: Zip: City: PPe State: AI• Zip: q,16 3 Phone: Yx2 .%'(3 Fax: Phone: 9/- J/,r1 Fax: License Exp. License Exp. EPACIct.C. P •?Z Item Unit Charge Qty 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 W/ Service Feeder 2,60 Branch Circuit W/O Service Feeder 73.50 I 7 3 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 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf 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 102.30 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 13 7. Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named propertyor 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 o er, electrical contractor or electrical administrator: Cash P...Check El Credit Card i �T 9-i/ X Dated: 01/0112010 e 0 F Fs .E TRICAL INSPECTION A N WIRING REPORT r 417-4735 c wORKS DATE: PERMIT INSPECTOR 1 OWN R CONTRACTOR C.1‹ /c kVi> ADDRESS 2 ‘,PJ L 6 40 -e VL APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL RRECTIONS NEEDED: rem o --11-& T 1' LC vitsruD eo TZ u t .ent3 SG O5 'f PL— �j- p ri Ga NZ .22.n 5 G9 f v Ai mo)4.-, }T r1 Ysl sTtl� e— w 12,) N,C-ei `�rz r t.,A I rz, 1Er, R 0 w- Pi-1, L 1 14 141, 61 Lur_p t,ViztlID NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE Application Number 08 00000579 Date 5/14/08 Application pin number 275929 Property Address 3523 GALAXY PL ASSESSOR PARCEL NUMBER 06 30 15 7 5 0130 0000 Tenant nbr name DAVE KELLY SANDERS Application type description RE ROOF Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 5600 Application desc TEAR OFF RE ROOF CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Owner Contractor DAVE KELLY SANDERS LARRY S ROOFING 3523 GALAXY PL 352 AVIS ST PORT ANGELES WA 98362 PORT ANGELES (360) 460 0517 Structure Information 000 000 TEAR OFF RE ROOF Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF RE ROOF Permit pin number 126649 Permit Fee 151 75 Plan Check Fee 00 Issue Date 5/14/08 Valuation 5600 Expiration Date 11/10/08 Qty Unit Charge Per Extension BASE FEE 95 75 4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00 Other Fees Fee summary T.Forms /Building Division/Building Permit (10 /0l /07).wpd STATE SURCHARGE 4 50 Charged Paid Credited WA 98362 Due Permit Fee Total 151 75 151 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 156 25 156 25 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 fied herein or not. The granting of a permit does not presume to give authority to vio t or cancel the provisions of state o, loc regulating construction or the performance of construction. 3— (Z 0 e1 c N4 \s. A ��1 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 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. 01 INSPECTION TYPE DATE ACCEPTED COMMENTS YES I 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 BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS I GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT N's PARKING /LIGHTING LANDSCAPING RESIDENTIAL CONSTRUCTION R W PW/ ENGINEERING 417-4E07 I FIRE 4I7 -4553 PLANNING DEPT 4IJ.9T50 T Forms /Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417-4'35 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT y� ypp a 0 I PLANNING DEPT BUILDING 417 -4815 /��/(I t/�I I 1 0 I BUILDING I FINAL DATE ACCEPTED BY. FINAL DATE ACCEPTED BY. DATE ACCEPTED YES I NO O 7‘: et I I I I I .I I a- 1 I I I BUILDING PERMIT CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417815 fax (360) 417 -4711 thiL Property Owner's Address Contractor /Engineer J f flab v ;n Contractor /Engineer's Address es ii\l" jI, License RrG ttioN, L�11 PROJECT ADDRESS 3SZ3 C 1c a Applicant or Agent Property Owner Parcel Number Project Type Brief Description. )4 Residential Commercial Check all that apply o New Construction Addition Remodel Repair f El Re-roof V8 Demolition Heat System Other Total footprint of structures 1 T e) \bl w ICS I lMT°‘ I I WSJ 4 40f 0 f 1 u t I I Heat pump wood burning stove gas fireplace pellet stove 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 Max height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type TOTAL VALUATION (7OO sq ft. Lot size sq ft. Lot coverage 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 Bete. ine what permits are required, and to btain p mits prior to working on projects o Date I 101n Print Name Signature T Forms /Building Division /Bldg- Permit- Appl,- 2006 Code -doc APPLICATION Print in ink For City Use Only Date Received 5 14 OAS Permit Date Approved Phone Phone Phone Expires 1x--01 Lot Zoning Multi- family Industrial of bedrooms of full baths of half baths To Whom It May Concern. This letter is in reference to permit 07 -654 for 3523 Galaxy Pl. Port Angeles Wa 98362 I am requesting a refund of my building permit for a re -roof project. I will not be doing the project at this time as I have sold my house since the issue of the permit. Please issue a refund for the amount of the permit. Thank You Stacie M. ayden June 11, 2007 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000654 511112 3523 GALAXY PL 06 30 15 7 5 0130 0000 STACIE HAYDEN RE ROOF RS9 RESDNTL SINGLE FAMILY 2200 Owner Contractor HYDEN ANTHONY /STACIE 3523 GALAXY PL PORT ANGELES WA 98362 T \Policies \l 102 15 building permit inspection record05 wpd [1/4/2005] OWNER Date 6/05/07 Permit BUILDING PERMIT NO PR FEE Additional desc RE ROOF HOUSE Permit pin number 103879 Permit Fee 109 75 Plan Check Fee 00 Issue Date 6/05/07 Valuation 2200 Expiration Date 12/02/07 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL -2001 25K (14 PER K) 14 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 109 75 109 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 114 25 114 25 00 00 g Sc c, A2 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 kn o the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether oec fled here' or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state o I• :I law r gula construction or the performance of ek/d? construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 70 CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 H ✓UR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED 4ND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE FOUNDATION: FOOTINGS SHEAF WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD DATE ACCEPTED YES NO FINAL FINAL SEPA. ESA. SHORELINE: 417 -4TH 5 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -46` 3 I I I I FIRE DEPT PLANNING DEPT 417 -47`40 I I I PLANNING DEPT I BUILDING 417 -4815 I I I BUILDING T \Policies11102 15 building permit inspection record05.wpd [1/4/2005] COMMENTS DATE ACCEPTED BY, DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE I ACCEPTED I YES I NO I 1 I I I I I I Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: cL If 1-1 -cty1 .PYI l Owner S"�cta 2 DAJci•2►' Address: ,7Z3 100 -C p L GP Architect/Engineer• Contractor Address. PROJECT ADDRESS LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Multi- family Addition Commercial Remodel Repair Sign BRIEF DESCRIPTION OF THE PROJECT nn 1L Re -roof Stove Move Garage Demolition y Deck Other rennoda t t COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stories Lot Size. Existing Sq Ft. Total lot coverage °A) PLANNING USE ONLY BUILDING PERMIT APPLICATION City tor+ A- vva.e.(e u Phone: State License Exp: City• P3 2, Q0.. )cu P a ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R 1 05.3.2 of the International Building/Residential Code, 1 03) No application can be extended more than once. Phone: 4(p I-all D 0 Phone: Li Z4 D v Subdivision. Phone: Zip. ZONING Zip: Occupant Load: Construction Type: Proposed Sq. Ft. TOTAL Sq Ft. FOR OFFICIAL USE ONLY (736)-05.10 Date Rec. Pe,mit 0 669- Date Approved:, 05-67 Date Issued: 0 to b 6 -0 7 °16•340 SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION OD, 00 red2.r Slr,a.., rod W Oortaposl€e APPROVALS. PLAN BLDG. DPWU FIRE. OTHER. I hereby certify that I have read and examined th'• plication and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is m ponsibi ty to etermine what permits are required not the City's, and that I Date: L/; must obtain such permits prior to work. CITY OF PORT ANGELES UGHT DEPARTMENT .... N~ 17516 ELECTRICAL PERMIT port Angeles, washlngton.m__;:L~...:?..~=..m...._...m...m.....m..., IJ~~ 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 hereb~granted to 40 electrical wor0, ~)fted below. 3 ~ :J 3---&~t? doh / '2/ /'l--~. Address .--J--.mm....------~--mmi:.~.---7(1m---- __m__m__mm.__. Occupancy__________m______.____m.m____.______m___ Owner '?~~--i"J7m--<<~----m"----'/cenanL-----------m----------------m-------.---m---m--.----m---.-- Wiring contractj .lJ$If.::~7j--------.---,,:C::./;:;= B~;:;--mmm-------------mm------m----------------------.-- Light OutletB.....mm......._______.____._..____.. Service, volts '.__'jm~2---...---..--- Type at Wiring: Receptacle Outlets.n{...~.....-.._._.._... No. wires ......//.;_;;m__.../-)... Armored Cable ..n............_m.n....... D KW c.. Si tres T /' // aY Non-Metallic ................___mnm_..... R:::'~, KW...~......2.~..~.....~.......~..........__. M:~n ;uBe :~:7f::::::::~:: Knob & Tube____m____.......__..____...... ('" Rigid Conduit __..___.....____..________...__ Water Heater: Enclosure ......Jmnn.mm............... MetalUc Tubing .mm.m_...._m____... KW____.....y..__.__.____mmm____m H.", KW..J.f....~~ Type of wiring: Entrance Cable __m_m.. M::>tors: size, volts and phase: ..j__~--m----.--..--.....--.... f __r:-..~~______________.mmm__.__ Rigid Conduit ....______...___m______m__. Meta1l1c Tubing m_mmm............_. Current transformers: No. & Sizenn_n.n._.........n....._.__...n_. Raceway .....___~........._...._._.__._ .J Circ~:~;it~i~i~=:~~~:~~~~::::~::::~::~::~~~~~~~:: /0 I-Ieat .............___............_._....._.._...... 'c-J' Range ....._.nn__n...........__.._nn__........ :;l Water Heater _...mm........__.___.m... Ser. NO............nn_n_____.....__nn........... :r::::___~~~~r~-.~~~~~~~~~..~~~._~~~~~~~~~~~~~~~..~~= Furnace _._.____.................'_....._____.___..... Ser. NO.._.nn..................._..n.__._nn...._. db Total Load...nn_n__..________..._... Ser. NO.n__n.....................___._.___._..____ Total n......................n_nnn__.... Remarks: __.m.____m.mm'~__.__..__~:?:':,~~2!:'L.~______.mmm.mmmm_____________.m____mm____.__.__m__m___ Ser. NO........_n___..nn..n____nnn_n...._..__. _._....._._.___.._~.___...__._.__.______________...___..___.._______..___.____._.____..._...__u.__._......___..._._____.______..__________.....__n__._____..__...u____u___.__ ......_n........nnn______uuuun.nnnnn...n...n___nn____n___...........__nnnnnnnnn_......_.o..____.uu.__u___u..__nn..._n_n_nn..nuu_d_uno By flLj(~ik~--~LJ---- NOTICE-Current must n()j; be turned on until Certificate of Inspection has been issued. If work Is to be con- cealed due notice must be given ~e Inspector so that work may be inspected before concealment. Treas. Receipt Permit .Fee $....J'.t__2.Qmm_____________ No.................____..__.... NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N~ 17516 ELECTRICAL PERMIT Address....._..__._._.__..____......._........................_.....__.............................._........._______________._.___.._.____....Date...__..._____~__.__._..........-......-......----...-.. o -.;rDer .._.....nn................___.______nn_..._......_......_n_.......nn___......n_....___.._..n.n_...._.....nn.... Tenant..._..u..n............_........___.___nnn__....nn_n__._.nn vilirin\ Contractor ._..____._..____........l.~.......-....--...............--.__......................._._........._..:.:..;.;.;;;.::....___. By___.............__..___.___._.__..........__...............-.. NOTICE-Current must not 'bE!- turned on until Certificate of Inspection has been issued. If work is to be con- ce:lled due notice must be given the'Inspector so that work may beHnspected before concealment. s , 1M Olympic Printers, Inc. , "