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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 u_ eNk T- cnrmIRi iminn nivisinn /Ruildina Permit N H H W W OH <KC 0 a q N V- CO H H 1 o m x o 0 U 1.0 00 W a 1 1 0 N O o t m 0 \0 0 W N m m C rt a a w W 0 x H H H W W W (0 P5 0 0 1 0 0 x w O x x a H H N a a (0 Z Hh a W q Z N x �a 0a H O V] CO HE H (0 W W W N Q Z a a o 0 2 W 0 0 HH z 00 H ,E H H 00 a iO W O al w i H o H H F. W (0 01 H V1 a 7 m q 0a 00m Q rnxH o ff w w a 7 H 0 o 0C4 waX 0 0 o w E rx H U N N H H O W a.4 a Nth. I Vl 0 cn m z 0) N OZ N 4617 O x o 0 V1. a U o o a a (0 X o oo 0 C.114 H H W >+m0 MPH H H O m 0 W 0 (-n N04c_noH 0Z 04 o� o O E a a a aa w U o a zo a w w W cn -0 a W z (a 00 0 H a o OH gzzzaa a m (N U 01403<a F-.000 W H m 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 fI'ORT~ $~O~~~ rea ~ -=:;;..>r ~ ~~ 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 \:) ~ \'\ \ \JJ - -C V. ~ "" ~ I ~ fA ~ .. I ~) 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 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 ~ lO~~~ h;a "-~ ~ "lol,,~ 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 'f> .-- ~ )1 ~ ~ ~ \' 1;- ~ ~ t'l ":'f 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., " J, 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, . .. .. . . , . .. .. .. . - . .' . , .. '. , -c- .. " . , /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" " ,~ I , . ~ .. , , ~ I , . z CI a:: c( :E !!! J: I- Z W ~. l- e z e c . ;3eO"17~711 1m 01 .. 2,/ .2.. 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 ~ \jV~ 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