HomeMy WebLinkAbout218 S Jones St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
q 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000833 Date 8/04/11
Application pin number 678116
Property Address 218 S JONES ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-7-9- 0220 -0000-
Tenant nbr, name GARY BRAUN on your state excise tax form
Application type description RES REPAIR to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 800
Application desc
REPAIR WEST DECK
Owner Contractor
GARY BRAUN ACE MICHAELS INC
218 S JONES ST 1329 W. 10TH ST.
PORT ANGELES WA 983624420 PORT ANGELES WA 98363
(360) 457 -3189 (360) 460 -6172
Permit BUILDING PERMIT RESIDENTIAL
Additional desc REPAIR WEST DECK
Permit pin number 190504
Permit Fee 59.15 Plan Check Fee .00
Issue Date 8/04/11 Valuation 800
Expiration Date 1/31/12
Qty Unit Charge Per Extension
BASE FEE 50.00
3.00 3.0500 HND BL- 501 -2K (3.05 PER C) 9.15
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 59.15 59.15 .00 .00
0 \elei
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00 ?)..--SP\\
Grand Total 63.65 63.65 .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 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 provisions of any state or local law regulating construction or the performance of
construction.
e--24-- 1 t f lA ACS C,i,J,) L.L.- f
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDIING PERMIT INSPECTION RECORD 1
o4
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 'P
Building Inspections 417 -4815 Electrical Inspections 417 -4735 W
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 I Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor Ck
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Stab
Wall Floor Ceiling q MECHANICAL:
Heat Pump Furnace FAU Ducts 0
Rough -In D
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by 0
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit Its SERA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735 t'
Construction R.W. PW Engineering 417 -4831 V\
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 S 6 l ^V
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0,s°Kr,1.� BUILDING PERMIT APPLICATION Print in ink
x z w !/r
0°��'" CITY OF PORT ANGELES For City Use Only:
Attn: Building Permit Technician r Date Received S-4 -1
321 E. Fifth St., Port Angeles, WA 98362 C, Permit
�r (360) 417 -4815 fax (360) 417 -4711 u
Q Date Approved
Applicant 'e f/" C I/L. S 4c. Phone 3c,,4 4(0 6 r`? a
Property Owner O r r� Phone
Property Owner's Addres 6)/6 .SO 3
Contractor A e i(1&. t Ws :.t_ AG Phone y 4, 0 c..,,-?Q
Contractor's Address a q ieD o A- 5 t
License Expires E -mail
PROJECT ADDRESS f So■- aoAA -S
Parcel Number Lot Zoning
Project Type Brief Description: .residential Multi- family Commercial Industrial
Check all that apply
New Construction R_ ,11-.;‘ Po) nt. kc f .-a
Addition Qer V4,A,Ja Q,. -j S Cs W ICS 4 t& c K
Remodel
,repair
Demolition
Re -roof House garage other tear off re -roof lay over one layer
Heat System Heat pump wood burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 S Floor
2 Floor
3 ftl Floor All1
Garage Aligra
Carport Porch WI
Covered
Deck N_
Shed
Other
4 60
TOTAL VALUATION O
Total footprint of structures s• T Lot size sq. ft. Li erage ok
Site Coverage the amount of impervious s <ce on a parcel, including structures, paved sidewalks, patios,
and other impervious surfaces. (see P A C 17.9 or exemptions) Site cove :•e
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
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 hat permits ar required, and to obtain permits prior to working on projects.
Date g -//ll 1 144 L1� L 1.-.
-1- Print Name Signature iN 0_(Z
T: Forms /Building Division /Building permit application
Clallam County Assessor Treasurer Property Details 62495 GARY BRAUN for Yea... Page 1`of 1
Clallam County Assessor Treasurer
Property Search Results 62495 GARY BRAUN for Year 2011 2012
Property
Account
Property ID: 62495 Legal Description: CAIN, SUBD OF
SUBURBAN LOT 18
LOTS 9 +10 BL 2
Geographic ID: 0630007902200000 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:
Range:
Location
Address: 218 S JONES ST Mapsco:
PORT ANGELES, WA 98362
Neighborhood: Cycle 5 Res Map ID: 2
Neighborhood CD: 10955130
Owner
Name: GARY BRAUN Owner ID: 15263
Mailing Address: 218 S JONES ST %Ownership: 100.0000000000%
PORT ANGELES, WA 98362 -4420
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 08/04/2011
Amount Due if Paid on: M. 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 I Statement ID I Base Amt. Base Amt. Penalty Interest I Base Paid Amount Due
Statement Details
2011 156824 $970.76 $970.70 $0.00 $0.00 $1941.46 $0.00
Statement Details
2010 45102 $929.87 $929.85 $0.00 $0.00 $1859.72 $0.00
Values
Taxing Jurisdiction
Improvement Building
Sketch
Property Image
I 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: 8/4/2011 3:52 AM 2011 True Automation, Inc. All Rights
Reserved. Privacy Notice
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year 2011 &prop_id =62495 8/4/2011
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
RE SIDE THE HOUSE GARAGE
Owner
GARY BRAUN
218 S JONES ST
PORT ANGELES
(360) 457 3189
Structure Information 000 000
Permit BUILDING PERMIT NO PR FEE
Additional desc RE SIDE THE HOUSE GARAGE
Permit pin number 175877
Permit Fee 137 75
Issue Date 10/19/10
Expiration Date 4/17/11
Qty Unit Charge Per
3 00
Other Fees
Fee summary
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
14 0000 THOU
T Forms /Building Division /Building Permit
WA 983624420
Charged
Permit Fee Total 137 75
Plan Check Total 00
Other Fee Total 4 50
Grand Total 142 25
10 00001216
129088
218 S JONES ST
06 30 00 7 9 0220 0000
GARY BRAUN
SIDING
RS7 RESDNTL SINGLE FAMILY
4500
Contractor
ACE MICHAELS INC
1329 W 10TH ST
PORT ANGELES
(360) 460 6172
RE SIDE THE HOUSE GARAGE
BASE FEE
BL -2001 25K (14 PER K)
137 75
00
4 50
142 25
00
00
00
00
Date 10/19/10
WA 98363
Plan Check Fee 00
Valuation 4500
Paid Credited Due
Extension
95 75
42 00
STATE SURCHARGE 4 50
00
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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 C
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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
T.Forms /Building Division /Building Permit
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
Inspection Type
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Accepted By Comments
I FINAL Date Accepted by
I FINAL Date
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Accepted by
Date Accepted By
1 1- 19- o 1311,
PREPARED 11/15/10 8 38 20 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/15/10
ADDRESS 218 S JONES ST
TENANT NBR GARY BRAUN
CONTRACTOR ACE MICHAELS INC
OWNER GARY BRAUN
PARCEL 06 30 00 7 9 0220 0000
APPL NUMBER 10 00001216 SIDING
SUBDIV
PHONE (360) 460 6172
PHONE (360) 457 3189
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLDG FINAL
November 12 2010 3 27 13 PM 1pangrle
BL99 01 11/15/10
MIKE 460 6172
BUILDING FINAL RE SIDED THE HOUSE GARAGE
COMMENTS AND NOTES
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant Ace__ c kg,ofs Z\c
Property Owner (31- a��
Property Owner's Address 4 1 g S 5d-
Contractor c 3
Contractor's Address c$
License Expires
PROJECT ADDRESS 9, S, So S
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
Max. height of proposed structures
Will a lawn sprinkler system be installed'
Will a fire sprinkler system be installed
T Forms /Building Division /Building permit application
Residential Multi- family
Occupancy group
Occupant load
Construction type
Phone
Sd-
E -mail
Phone 4 (00 (0 1
Phone h/S'
Lot
I n tom\ New 511Acivsx oo
U
4
Zoning
Commercial Industrial
4" Vy -)-tee
House garage other tear off re -roof lay over one layer
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 1
3 Floor )C
C arp ort Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION S
Total footprint of structures sq ft. T Lot size ft. Lot coverage
Site Coverage the amount of impervious s rfac on a parcel including structures pa d driveways sidewalks patios
and other impervious surfaces (see PAMC 94 135 for exemptions) Site coverage
I have read and completed this application and know it to be true and correct. am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are re uired, and to obtain permits prior to wo ing -n projects
Date I 0-1 i° Print Name v A•Al L L. Signature
For City Use Only
Date Received 10 19 10
Permit 10 12167
Date Approved
of bedrooms
of full baths
of half baths
61
Clallam County Assessor Treasurer Property Details 62495 GARY BRAUN for Yea. Page 1 of 7
Clallam County Assessor Treasurer
Property Search Results 62495 GARY BRAUN for Year 2010 2011
Property
Account
Property ID 62495 Legal Description. CAIN SUBD OF
SUBURBAN LOT 18 LOTS
9 +10 BL 2
Geographic ID 0630007902200000 Agent Code.
Type. Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11
Open Space: N DFL N
Historic Property N Remodel Property* N
Multi Family Redevelopment: N
Township Section.
Range
Location
Address. 218 S JONES ST Mapsco.
PORT ANGELES WA
Neighborhood' Cycle 5 Res Map ID 2
Neighborhood CD 10955130
Owner
Name GARY BRAUN Owner ID 15263
Mailing Address: 218 S JONES ST Ownership 100 0000000000%
PORT ANGELES WA 98362 -4420
Exemptions.
Taxes and Assessment Details
Property Tax Information as of 10/19/2010
Amount Due if Paid on.
NOTE. If you plan to submit payment on a future date make sure you enter the
click RECALCULATE to obtain the correct total amount due
First Second
Half Half
Base Base
Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid p
2010 45102 ST SCH STATE SCHOOL $195 12 $195 13 $0 00 $0 00 $390.25
2010 45102 CC -GEN COUNTY $103 83 $103 84 $0 00 $0 00 $207 67
2010 45102 PORT PORT $14 60 $14 59 $0 00 $0 00 $29 19
2010 45102 PORT ANG PORT ANGELES $240 42 $240 42 $0 00 $0 00 $480 84
2010 45102 SD #121 SCHOOL DISTRICT #121 $252.74 $252.74 $0 00 $0 00 $505 48
2010 45102 NTH OLY LIB NORTH OLYMPIC LIBRARY $30 18 $30 17 $0 00 $0 00 $60 35
2010 45102 HOSP #2 HOSPITAL #2 $42 60 $42 60 $0 00 $0 00 $85.20
2010 45102 WSMET PK DIST WILLIAM SHORE MET PARK DIST $13 56 $13 55 $0 00 $0 00 $27 11
2010 45102 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72 00
2010 45102 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63
2010 45102 TOTAL. $929.87 $929.85 $0.00 $0.00 $1859 72
2009 624952008 ST SCH STATE SCHOOL $223 82 $223 82 $0 00 $0 00 $447 64
2009 624952008 CC -GEN COUNTY $113.28 $113.26 $0 00 $0 00 $226 54
2009 624952008 PORT PORT $16 04 $16 05 $0 00 $0 00 $32.09
2009 624952008 PORT ANG PORT ANGELES $248 45 $248 45 $0 00 $0 00 $496 90
http. /vpn. clallam.net. 8084 /propertyaccess/Property. aspx ?cid =0 &year= 2010 &prop_id =6 10/19/2010
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
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
9/14/04
04-00000814 Date
.482170
218 S JONES ST
06-30-00-7-9-0220-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
BRAUN GARY
218 S JONES ST
PORT ANGELES
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457-5303
WA 98363
WA 983624420
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
HEAT PUMP FURNACE/ OLYMPIC EL.
OLYMPIC ELECTRIC
48.10 Plan Check Fee
9/14/04 Valuation
3/14/05
.00
o
Qty Unit Charge Per
1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
ExtensJ.on
48.10
Fee summary Charged PaJ.d Credited Due
----------------- ---------- ---------- ---------- ----------
PermJ.t Fee Total 48.10 48.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 48.10 48.10 .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 f~om the last
inspection. I hereby certify that I have read and exammed this application and know the same to be true and correct. All pf, Visions of
laws and ordinances governing this type of work will be complied With whether specified herein or not. The granting of a perm does not
presume to give authority to Violate or cancel the proviSions of any state or local law regulatmg construction or the pertor ance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is bUilder)
T \PLANNING\FORMS\1102.15 [11/14/2003]
~ 'PORT ~
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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 zon~ng . . .
Application valuation
9/24/04
04-00000814 Date
.482170
218 S JONES ST
06-30-00-7-9-0220-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
BRAUN GARY
218 S JONES ST
PORT ANGELES
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457-5303
WA 98363
WA 983624420
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP ONLY
Permit Fee 61.70 Plan Check Fee .00
Issue Date 9/24/04 Valuation 0
Exp~ration Date 3/24/05
Qty Unit Charge Per Extens~on
BASE FEE 47.00
1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 61.70 61.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 61.70 61.70 .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 or local law regulating construction or the perfOl:mance of
construction.
- /'
r!) N 1-, )...~
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T'\PLANNING\FORMS\1102.IS [11/14/2003]
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 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
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
I
DRYW AL4 (INTERIOR BRACED PANEL ONLY)
T-BAR I
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE I
WOOD ST~VE / PELLET / CHIMNEY
HOOD / DpCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISion) SEPARATE PERMIT #'S'
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA
PARKINGILIGUTING ESA-
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUGTION R. W. / PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 PLANNING DEPT
I r::l~ ^ro' - , _ \ l-L..-
BUILDING 417-48/5 "...~ '''-IN BUILDING
T:\PLANNINGIFORMS\1102.15 [11114/2003]
I
PREPARED 9/28/04, 12 49 39
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
8
9/28/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
218 S JONES ST
OLYMPIC ELECTRIC
BRAUN GARY
06-30-00-7-9-0220-0000-
04-00000814 ELECTRICAL ONLY
SUBDIV.
PHONE (360) 457-5303
PHONE
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~;;;-~~----}il~~_~lr~---~;~~~~~~~-;~~~~------------------------------------------------
_________~--~-~-----~~~~-~R:::ME~TS4::~0:::ES ______________________________________
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
Date Rec f/ - 20 -oV
Penmt #. D4.... l:O t Lf
Date Approved
Date Issued
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
(360) 417-4815
ApplIcant or Agent: (11 u rlo f-le- ~ J,g rs ttJY? Phone:
Owner: :1:7 i?,!!t4r7 Phone:
Address: _~. Jcn1es clty:Io~t-A-n~~~
"
~ 57--:7J77.s-
~6 7-6/70
Zip: 9 ff36::2...
Architect/Engineer: Phone:
Contractor Pe I1l J1 S u la. ).ked State License #f?t:11J~
Address: 5t>~ W gt:!L City: /t;r-r ~i1'e~ t;
PROJECT ADDRESS:_~I ~ S. LJii-nr:' S
Phone:~7~ 77.s:::-
ZIp: 923~..:;/
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
SubdivlSlon:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o ReSIdential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o CommerCial 0 Remodel 0 DemolItIOn
o R~parr 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
SIZEN ALUATION:
o Stove SF. @ $ /SF. = $
o Garage SF. @$ /SF. = $
o Deck SF. @$ /SF = $
[fD QlI>er . ./ T9TAL VAL~O~ $ ~100!:l-
I/ I J1$ml/a.-'b..dYl - L:leIC!:2.dl'1 IrdL_ (TJt._ .
.
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stories: Lot Size: EXisting Sq. Ft. & Proposed Sq. Ft.
Existmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage
Construction Type:
I APPROVALS, I
PLAN: __
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist requrred? 0 Yes 0 No Other
BillLDING PERMIT APPLICATION SUBMITTAL: The Buildmg DIVISIOn can proVide you With mformation on the applIcatIOn and
plan submIttal requirements If you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. Tills 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 trme the bUlldmg pernut applIcation and constructIon plans are
subffiltted. All other pernut fees are due at the trme of permIt Issuance.
EXPIRATION OF PLAN REVIEW: Ifno pernut IS Issued Wlthm 180 days of the date of applicatIOn, the application will expire. The
BUllding Official can extend the time for action by the applIcant up to 180 days upon WrItten request by the applicant (see SectIOn 1074 of
the Umform BuIlding Code, current edItIon). No applIcatIOn can be extended more than once.
I hereby certify that I have read and examined this application and know the s
understand that if is my responslbJ/ify to determine what permits are requin ,
ate' '1-/ ~~
T \FORMS\APPS\Bulldmgpenmt wpd
Apphcant:
'/
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. .3 ~ 39
DATE .3~.3 ~ C'.-
/ /
Site Address:
I
Installed By:
I
Owner/Business:
I
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
o nsr/Business Address:
Sq. Ft.
I
I
I
o RESIDENTIAL
o COMMERCIAL
o BA.sEBOARD KW ---rn-
~RNACE KW ~
o FAN/WALL KW --.r-
~AT PUMP KW,--
o SIGN
I
,
,
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
Details/Description:
I
I
.
~~{r"~t, ~ ! 'LJ:W &"//.!.I'
,
I
W&. No. SERVICE SIZE
CApACITY:
,0 O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
! 0 INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o !Ditch Inspection O.K.
I
o flough-in/cover O.K.
o IO.K. to connect service
A'1 tinal O.K.
New Meters
~
.
Nolify Port Angeles ity Light by Street Address and Permit Number when ready for inspection. Work must not be covered
befbre inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the B~rmit. PHONE 457-0411, EXT. 224.
i - / ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ c!::2 D 1!!!!...
I Electricallnspeclor Permit Fee
I
WH1rE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: MeIer Dept., Boltom: City Hall
OLYUrC PRINTERS INC.
'}
I
: 078
FEE R9CEIPT NUMBER
,.
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
47S-
PERMIT NUMBER
,~ ELECTRICAL PERMIT ONLY . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
" ';j'J?' S/)v'..f-h'\" :f~'>1~ ,..' ,\ ".,
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ~ESSES. ARE CANCEL~
Owner ,.. U Installation By c:L11 t\ c.le.S J;;;;;,I G-iY'/
Owner'skddress ':lly ~5c>"Tt., ,,)()I'1ee Installers Address \J,~,..2.(/ E,~/,r::r-
Day Pho~eJ.t5' 7 -~ J 70 Installers Phone if sa..- 9~c.'-I
APPlicatIon is hereby made for Permit to install Electrical Equipment as follows:
---.2je..lN'-OJ~ ~ Se-".; lC-<:- QQ..(~(l ,d-L
I ~ , ,
I
I
I "'.
TOTAL FEE
J., "
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Site Address
'3'" &~ ',' (1", '- J;'" u' , .'
: . ._. nn~eI"'l 7, d~
_ 0 r,. \.'" c.;jNT;UCn:m. TI~ETO.COMP~~TE_.
.',1\
-. -,
, -
'\
.
NO.. S~ORIES
LEGAL OCCUPANCY
Wiring Method
<J{ tn"F) <l.,>(
."
. .
USE10F CIRCUIT NUMBER AMP 12QV 240V NUMBER AMP 120V 24QV
CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
, CIR 30 CIR 30
LIGHT I SIGN
lIGHT1 - 50 VOLTS
, OR LESS
CONV~NtENCE MOTOR
CONVENIENCE MOTOR -
,
APPLIANCE MOTOR
,
OISH~ASHER FIRE ALARMS
OISPO~AL BURGLAR ALARM
RANG~ MISC, .
OVEN,
WATEa HEATER .-.- -
LAUNQRY . ,
DRYE~ . REINSTALLATION LIGHT FIXTURE It
FURN~CE . SUB TOTAL FEE
GAS. Oil
FURNACE ENERGY FEE
ELECT;RIC BASIC FEE
ELECTRIC HEAT 30 r;:-""
, TOTAL FEE
ELEC~RIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. U~IT '2t3>n AMP /<25 PHASE
FEEO~R SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVice J7A;> 4L. A.W.G.
,
I I SUB. tOTAL SIZE OF GROUND I':. SIZE OF ENTRANCE SWITCH ~O
I certif~ that the work to be performed under this permit will be do~e by the installer and in confo
Date Ahplicatlon made / t(rif / ?5" , 19 By
I . I- - CONTRACTOR OR ow ER (OR AUTHORIZED AGENT) ,
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
speciflpations pertaining thereto, subject to compliance with the Ordinances of t~e City of Port Angeles'- .~ \ - '.'. ~ \
I DIRECTOR OF CITY LIGHT
> \t
BY~
PLANS APPROVED ' iII\
Noti'fy Department of City Light by Street Address and Permit Number when ready for inspection. ~ork ~ust ..,
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
,.
Date pbrmit Issued
i
- :. \~:.t..'
I
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
i
Ol YMPI~ PRINTERS, INC.
WHITE. OrIgInal CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
. )0;" \..
..: . '.
REPORT OF INSPECTOR
..-.; ~. )
DATE OF VISIT MADE BY REMARKS
~ ,
~':J/-OS- 7Jt77 NeeP C.RdllNn If'on /tV ')L {'onl/VC"c /eP
/
lYetJ ~TN,V'" o~ lVe,.; w/lLL CJ?/e~ .5e'<? 1// <"p
104 /.ItJ 8LANkS' "'If tJ /? e A /("12 rU ;1'1 tJeh7 rt'l.'V'T
. o l'~tV//y c;. 5, .
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.
-
.
.'
.
,
..
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,
/f- t/-fr 7ffl_o O.K. FOR COVERING
,.; '.:(1 \. -~ O.K. TO CONNECT,SERVICE
1-1 t,/,r 1'.' , 11r
-', I Ob ~ FINAL O.K. .\...1'"'J" "
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1m 01
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09/13/2004 15:32 FAX 3604523498
'-,,,,,-lJ~; c;:;:'O,,",M;"';1 I'. PUHI AI-<C;>cLe$
OLYMPIC ELECTRIC
(j
~/'G\ ELECTRICAL PERMIT APPLICATION
The Electrical Pennlt AppUcatlcn must bit flIIMI' aur co"'''''''''.
FOR 0I'nC1A1. usa ONLY
-
-..
.....-
-.....
PI.a80 t)'PO or raprtn! In ink. lfyDU have eny quest..... pi..... all (310)4'7-4731
p." nurn bet: I_I 417~1 t
{/~- &'/7'
Ooner...~.....OO'....""-Ag..t Olympic Electric Co.. Inc.
Property~ If?-. ~:r;/I
Add..., r:2:P ---'- _12__ '\
e_CCwl_ Olympic Electric Co.. Inc.
~ 4230 Tumwater
Phone: 457-5303
Fa" 452-3498
Phone: 'i S-7- &/ W
Zip: '7% r/C 2.
3/31/03 Phone: 457-5303
ZIp; 98363
ClIy:
H,rf A''!r Ir: ("
L_ #: Q 'lM'tC:28SD1Exp:
. Port Angeles
CIty.
INSTALlATTON WlRI!D BY:
DOWNER
l(J ELEC"ffiICAL CONTFlACTOR
CredIt CatflHoJdfrN_: Charles To Burkhardt, Olympic Electric Co.. Inc.
8III/nf1 AddIua: Same
CredIt CvrI NumlMr.
City:
&p.D.tv:
ZJp:
VISA: X Me:
PRO.IECT~B: .11? 5 ./0/7r 5" fbrI4o/r,{./
TYPI! OF WtlRJ(; Check llll U1at apply: 0 New ~Bllon/Add1t\on
ClI1't88ldantIBI 0 MultI-famDy
o Commercial 0 Mobile Home
Sq.Fl
. 0 Remote Meter 0 OelBched garage 0 Hot Tub 0 SWIm Pool 0 Septic Pump . . 0 Low Voltage 0 Tel8Cllm. 0 SIg
Number of ClI1:uIlB added or _ed: .:2-
DESCRIPTION OF THE ELECTRICAl. PROJECT: /I/"" ? r )?,./ /)/"7 d- ;;.///7 r7 /C!
........~I I -- ......lIIIon. .net or .ubtnactlana
12- ;-,or
Service InfDmaa&n
o BIIIIobD8lll
ID1'um8ce
QI'Aoat ,"-p
OF_ell
_KW
~KW
.,Z%l. TON _ tAR
KW
o CNertleed Service
oTempSeMce
o Underground Service
Vohage: ;Zq/?
"""se: lll'1 03
Service Size:
Feeder Size:
.
PNItC 14.05.011O(8): Forlnd.-. commerciel. & resldenlilll projecllll~er then e dupielc . e Ofte . line dtlIwlng of the EIectnClll8erv1ce &
Feeden.1luiIdIng 8lZe (Bfl. II.), IQlICI c8lculllllona, end 1118 I)' pe & of condU<:lDnl enJIor racew ey is required end shalleccom peny the
EleclrIc:8I PernlIt 1IlPPI1c8\Ion.
/ h.19by certify that I have f'fHJd EJfId examined this application and know thet same to be true and correct, and I 8f
IIUthorizsd to apply for this permit. I understand it Is not the City's legal m$pOflsibility to determine what penn/t$
8'" required; it f8mains the applicants f8sporJslblllty to determine what pennlts are required and to obtsJn such.
q/14 f4--
A( ~
PW-9Ot8IT1llI ro r=- It
.,JA-.J
Credit Cud _,.. '18_:
o.t8: 7;1 j' by
Oal.: 7//)' by
PERMIT FEE: $ Lf,r!!!....
0._ or 1!1ec. CanL ......tu..:
M
tt!~J/)<I
Q
~
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I
ELECTRICAL PERMr APPLICATION
The E laclr1c:1i1 Permit A~plll;.a!ltm must oe flll.d aul (;QmP(~lv.
I
p lo...e type or reprint in Ink. If y ou have: 0"'1' Q\oIetllfona, plellJilI!' 1:.11 (360) .'7.4735
F:ax nul'Tl b,,' IJeO) 4t7"'111
I
Cn., Inc. Pne"" 457-5303
~
FO" ornCLU us.E. 0", L '(
""'""-< .
fIoona,b.: =:_ -:.-:==:_
r.,................,..<<l._.__~"_
~.b.~___
o...ner Of' Eleoc ContulI'c1Ol Agenl: (] 1 ymp icE 1 e c t r i c
RON sNWt::
36 3;;" Hwd~ aide
E'_Cono.etor. Olympic Electric Co., Inc.
4230 Tumwater
F'a",:
652-3LJ98
l/J7 - tJ'(3 if
Zlo q g36 2-1
PI"t:~C'rty Oftnar:
I
P4
Pnonl'l:
Addreu:
City:
Ciry:
L,eo,,.e" QYM'fC2I3:DlE<o, 3/3l!03
Port Angeles
Phone: Ll57-5303
AoCftu;
Zip: 98363
,NSTAl.U\~'O.' W"'EO BY;
i::iOWNER.
l':l ELECTRICAl CONTRI\CTOR
CmdftC.rrJHolderN.m.; Charles T. Burkhardt, Olympic Electric Co., Inc.
BIHln; Address:
Same
City:
Zip:
CnuJ/t Cam Nvmber.
E>t.p.Dator
VISA: x Me:
PROJECT AOORE9S,
SI,-U[.
rYPE OF WORK, Check ilIlltlBl apply: 0 New )(AJtera\I"",Addillon
XResid&ntlsl 0 MultI-family 0 Commercial II Mobile Home SQ. Ft.
~ Remote Meter 0 Detach~ garage 0 Hot Tub 0 Swim Pool 0 Septic Pump . [l Law Voltage C Telecom. 0 SIll
Nll'f'Tlber 01 Circulte added or sttera<l;
DESCRIPTION of THE ELECTRICAL PROJECT:-----ftf'Q +
Pt/lr>1 D / f1Arn4o
, 'f
~0II~
Sarvice IntcrmatJon
EIKtrk:al L ""If Addltlon. and or .ubtn..;tJons
Co" Baseboard
~umBCe
~e11IPum"
.= Fan.Wall
KW
10 KW
:lY2... TON ~ cAR
KW
o Qrerheea Service
c T~mD Sel'Vlce
L'1 Underground Service
Voltl>ge: 120('-" 0
F'ti.S.' X, C 3
Service SJze:
Feeder Size'
PAMC 14.05.050(6): FOI" iMUStrial, commQrti81, & r8Sioontie.1 proj8l;1s larger than a dUO-lex, a one - line dravwing oftn9 E~cnical Sarva &.
Food"",, bulk:llng .Ize (sq. ft,), Iood celculaUon.. and 1I1e typa & of conduclorll anellor r3CBWay I. Mqulred .ne! 8nallaccom pany me
Electr'\C81 Pll(mif eppllCBMon.
f hereby certify thai I have read and examined this applk;ation and know Ihat same 10 be Will and correct, and I 81
author/zed to apply for this permit I understand it is 1101 the City's legal responsibility to determine what permits
are nKluirad; It remains the applicants responsibility to determlna whal permits art; vlred and to obtain such.
t:~ P l ~O'l--G(.- Q..~II Card Holder.SIg...'....., D..,,, I0)3'}05
~/ I I
! OAf 10:3 O..n., Of E'.e, CQ.', SlgnOI"'" ~ 0.'.' 10/ JO/iJ3
""-~'9f7103 ...... I I _ PERMIT FEE: $ 41., '?O
I'1K ~ .(-(,e--:f- ~ t~(~+ J.{, :~ - ~ ~ IS ..
PLEASE INSPECT ~
10~
JIH1Jala JldNX10
R6tr.~gto~r. YVA Qr:~T rnn71or/OT