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Home My WebLink About4616 Old Mill Rd - Building RECEIV ti r CITY OF PORT ANGELUS PERMIT APPLICATION ION Building Division/Electrical Inspections MAY 2 20 :. >..:. 321 East Fifth Street—P.O.Box 1150/Port Anger Washington,9$362 Ph.(360)417-4735 Fax-(360)417-4711 ELECTRICAL, •, �.:,:F.�° Late:- 1 - t ✓1 &2 single Family Dwelling INSPECTIONS *Plan Review May Be Required,Please Complete Electrical Plan Review Wormation Sheet Jab Address: _ ,t� Oil) tMJ_L.__.,,f 1?QAb T Building Square Footage: nesccipticn 0 above T._ E� A Owner Information Contractor Information Name:_f'rr✓s�� 9�{ Name: �X-k � � "is k C4. Mailing Address: f /5012 hb ll a 1 Ma€Iin Address: Cily;' � - 4ujds State:_�2°:k Ztp� Phnna:_ = Fax: _ Fhona: = LS Fax License'4 l Cxp.T 4 orr?T r a Item Unit Charge TAtat(City Multip ietl by(tryst Cttarraet ServicelFeeder 200 Amp. $120.00 Servicelreeder 701400 Amp. $146.00 -_- ServicelFeeder401-6010 Amp $205.00 ServicelFesder601-1000 Amp. 3262.00 ServicelFeeder over 1000 Amp. $373.00 Branch Circuit Wl Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder EachAdditlonal Branch Circuit $ 5.00 � $ Branch Circuits 1-4 $ 75.00 Temp.Servicel Feeder 200 Amp, $ 03.00 $-- Temp.Service/Feeder 201400 Amp. $110.00 Temp.SerVice1Feeder 401.6(10 Amp. $149.00 Temp.Servicell=eeder 601-1000 Amp. $166.00 - $- Portat to Portal Hourly $ 96.00 $ Signal Circuiti Limited Energy-1$2 Family Dwelling $ 64.00 Manufactured Fiume Connection $120.00 _ $ Renewabte Electrim?l Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 — $, Nate:$5.00 for each addigonal T-Stat NEW CONSTRUCTION ONLY- First 1309 Sgre Ft. $720.(10 _ $ Ea&Additional 500 Square Ft,orPortion of $ 40,00 Each Outbuilding or Oeleched Garage $ 74.00 _ $ Each Swimming Pool or Hat Tub $110.00 $ _Total Owner as defined by RGW.19,28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires after six months of last inspection. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am snaking the electrical installation or alteration in compliance with the electrical laws,N.E.C„ROW.Chapter 19.28,WAC.Chapter 296-46B,The City of fort Angeles Municipal Code,and(Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: 0 cash 0 Check [ f 0 Credit Cart(# �✓ifi N! —gated:, �_ AtfU1}dt92 v ELECTRICAL PERMIT CITY OF PORT ANGELES d 360-417-4735 Application Number , , . , . 14-00000514 Date 5/02/14 Application pin number . . , 739936 Property Address , , , , 4616 OLD MILL RD REPORT SALES TAX ASSESSOR PARCEL NUMBER! 06--30-22-2-2-9090-0000- AppliCation type description ELECTRICAL ONLY on your excise fax form Subdivision Name . . . , . , to the City of Port Angeles Property Use Property Zoning , , . , . . . UNKNOWN (Location Code 0502) Application valuation , . , . 0 Application desc RV outlet on garage Owner Contractor GREGORY G HOPF EXTRA MILE '.TECH & ELECT, , LLC 4616 OLD MILT, RD 418 N. RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 461-3992 (360) 457-5222 --__----------------------°_-------------------_-- ------------------_---__-- Permit , . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 63.00 Plan Check Fee 00 TSsue Date 5/02/14 Valuation . . , . 0 Expiration Date 10/29/14 Qty Unit Charge Per Extension -- 1100 -- 63`0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63,00 Fee summary Charged Paid Credited Due Permit Fee Total 63.00 63.00 .00 'Co Plan Check Total .00 .00 .00 .40 Grand. Total 63.00 63.00 .r INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN . FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGRBUILDING Owner GREGORY G 4616 OLD MILL RD PORT ANGELES (360) 461 3992 INSPECTION TYPE DITCH :SERVICE ROUGH IN COMMENTS Application Number Application pin PropertyAddres ASSESSOR PARCEL 'NUMBER Application type description SubdiViSion-Nate Property USe Property-Zoning Application valuation Qty Unit Charge Per 1 00 .93'7.500 ECH Application desc 200 amp .service change OH to WA 98362 Permit ELECTRICAL .Additional desc Permit pin number 158931 Permit Fee 93 75 Issue 12/3 0/09 Expiration Date 6/28/10 09 00001366 215048 4616 OLD MILL RD 06 30 22 2 2 0125 0000 ELECTRICAL ONLY UNKNOWN 0 UG Signature of owner or Electrical ContraetOTX ELEGTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Contractor EXTRA MILE TECH &ELECT LLC 418 N RACE ST PORT ANGRLES. WA 983:62 (360) 457 0198 ALTER RESIDENTIAL EL 0 200 ERV FEEDER Fee summary__ Charged_. Tel Fee_Total 93 75 93 75 PIsn_Check.Totsl oci 00. Grand Total 93 75 93 75 DATE Plan Check Fee Valuation Credited _Due (0 Oho 00 oo- 00' Date 112/3 00 00 RESULTS 00 0 Extension 93 75 INSPECTOR. °IftitP. Date DEC -29 -2009 11 44 PM E JANSSEN City of Port Angeles Permit Application Bolding DivIelonlEI.etrlaal Inspections 321 last ttlfh Street P.O. Box 1190 Port Angels Weehington. 98362 Ph: (360) 417 -4735 Fax: (360) 417.1711 Date: 12 -2.1 09 /I& 2 Single Family Dwelling Multi- Family or Commercial' Commercial Addition Alteration 1 Remodel Repair" Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 44.1k �9 LL keg Building Square Footage: r ,,p r) o IJ-4 5 ;L _'!oo A W) d cr-A P S1Jcl/ t t °13 ___ASP Description of above Unit Charge 93.75 $113.75 3160.00 3205.00 5291.25 2.00 3 57.50 2.00 72.50 88.26 3116.25 3131.25 75.00 5 69.00 76. 50.00 50.00 S 93.75 80.00 86.25 5 27.50 57.50 86,25 43,75 Natter Information Name: f'0 RE (2 11_0 PE Malin2_Address cap m114_ rep City' 11,4 1 ti► '.7.__3321_2,. r is State: Zip: q,�,b Z Phone: "fib! license Exp, Owner es dented by RCW.19.28.281: (1) Owner rrdN occupy the structure for two years after this electrical permit is finalized. (2) Owner Is required to hire an eMc$o l oonbacter If above said property is for sale, rent or lease. Attar reading the above statement. l hereby certify that 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration In compliance whit the electrical taws, N.EC. RCW. Chapter 19.28, WAC. Chapter 296.488, The City of Port Angeles Municipal Code, Land Utility Specifications. Signature or owner, electrical contractor or electrical administrator Thermostat 13.7$ Total Date: A Fn0 RE END DEC 2.0 2009 ELECTRICAL INSPECTIONS 360 452 2982 P 01 Contractor Information Name: E 'CTt[.1k 1N_11.h 1 �'Q 4 12r fct4a, Mailing Address: L4 L2 ra ..E s T, City P-a&k....A. reJ- State' 42-&-- Zip: 510'74 z Phone: V& o- �ST r?Dy- 46o- 1¢( ..r37B license /Exp. gerR 111 yr 3R(. r3.lars off PAC f 7 -85 Tot I Qty Iti lied by Unit Charge). Servlce!Feeder 200 Amp. Service/Feeder 201-400 Amp. S._._ ServicelFeeder 401 -800 Amp. Service/Feeder 601 -1000 Amp. ServioeJFeeder over 1000 Amp. Branch Circuit WI Service Feeder 5 Branch Circuit W/O Service Feede Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp Temp. ServicelFeeder 201.400 Amp S__ Service /Feeder 401.800 Anip. Temp. Service/Feeder 001 -1000 Amts Portal to Portal Hourly Sign/Outline Lighting 3 Signal Circuit/ Limited Enemy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi -Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5K \iA System or Less First 1300 Square Ft, Each Additional 500 Square Ft. of Portion of Each Ou%bullt6ng or Detached Garage 5 Each Swimming Pool or Hot Tub Application desc Septic tank Owner Contractor Hope Greg 4616 OLD MILL RD PORT ANGELES INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983621911 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number 09 00000124 Application pin number 381468 Property Address 4616 OLD MILL RD ASSESSOR PARCEL NUMBER 06 30 22 2 2 0125 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES WA 98362 (360) 457 0198 `i T2 2t5 7 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 141374 Permit Fee 59 50 Plan Check Fee 00 Issue Date 2/05/09 Valuation 0 Expiration Date 8/04/09 Qty Unit Charge Per Extension 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 57 50 1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 2 00 Fee summary Charged Paid Credited Due Permit Fee Total 59 50 59 50 00 00 Plan Check Total 00 00 00 00 Grand Total 59 50 59 50 00 00 DATE Date 2/05/09 RESULTS INSPECTOR. GAP TAO Signature of owner or Electrical Contractor X Date FEB -04 -2009 11 09 PM E JANSSEN Owner Information Name: _61. rue Mailing ,Address: City :g40 State: JA/ Zip: 1 b 2 Phone tie ...4 j1 Pi Uceneell Exp. Unit chat 93.75 8113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $11825 $131.25 76.00 69.00 75.00 60.00 50.00 93.75 80.00 86.25 27.60 57.60 $86.25 43.75 /fir} n t.L JZoA& 3lgnsesPselsumer, electrical contractor or electrical edminlevator Thermostat S 9.5 Total RECEIVED FEB 5 2009 360 452 2982 Cllr of Port Angeles Permit Application Building Divhdonl8lectriem inspection 321 tiee1P1Rh Street- P.O. Box 1150 Pert Ante* Washington, 96362 Ph: (890) 4174736 Far: (360) 4174711 Date: 1 '1 e T e1 &2 Single Family Dwelling Mull- Family or Commercial' Commercial Addition Alteration Remodel Repair' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 4 /Yell p d R1a L L 4_ Building Square Footage: Description of above 44.NJ"k1s }-o t.J&k J �c... 5 Lpf 44.rol LIGHT DEPT Contractor Information N ame: EKTki.tI.JL rec. ti 0).6 c,1 K.tco t i Mailing Address: 4 LS 1.1 1'2 A .E City 904.4- Ikni State: i.J or- Zip: q s( y' t Phone: $p o 'i_ tea›. ,IG v61 -r376 License Exp. ExTP,12,M 43It g og Total (OW MuIUolled b y Unit Char* A i r P s 6 S Servlce/Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401 -600 Amp. Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W10 Service Feeder 1 Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Servloe/Feeder 201 400 Amp. S Temp. SeMce/Feeder 401 600 Amp. Temp. Servlce/Feeder 601 1000 Amp. Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Eledrieel Energy 6KVA System or Less First 1300 Square Ft. Each Additional 600 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub P 01 Oemer 4a inbred by RCW.19.81.161: ft) Owner will occupy the structure for two years after this electrical /muftis finalized (2) Donner /s required to hire an decided connecterW above said property is for sere, rent or lease. Alter rending the above statement, 1 hereby certify that I am the owner otitis above named property or a licensed electrical contractor. I am making the electrical Installation or alteration In compltance with the electrical laws. N.E.C. RCW. Chapter 1929, WAC. Chapter 296 -4613, The City of Port Angeles Municipal Coda, and uudty 9;lecllkatlons. 0 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T\Policies \1102.15R [1/051 Qty Unit Charge Per Fee summary Charged CLEAR GRADE C/G #06 19 84129 70 00 8/11/06 2/07/07 Permit Fee Total 70 00 Plan Check Total 00 Grand Total 70 00 Signature of Contractor or Authorized Agent CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000842 565448 4616 OLD MILL RD 06 30 22 2 2.0125 0000 CLEARING GRADING UNKNOWN 0 BASE FEE Contractor HOPF GREGORY OWNER 2421 EDGEWOOD DRIVE PORT ANGELES WA 983621911 (360) 461 3992 Structure Information 000 000 C/G SITE SURVEY Plan Check Fee Valuation Paid Credited 70 00 00 00 00 70 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 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 goveming 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 la W regulating construction or the performance of construction. eN-06 Date Signattur(ilof r (if owner is builder) Date Date 8/11/06 00 0 Extension 70 00 Due 00 00 00 PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T•\Policies\ 1102.15R [1/05] KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES 1 NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE RESIDENTIAL CONSTRUCTION R W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 1 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION RW PW ENGINEERING 1 1 I FIRE DEPT 1 I 1 I 1 1 PLANNING DEPT 1 1 1 1 I BUILDING 1 1 1 1 1 1 PREPARED 8/25/06 8 08 44 INSPECTION TICKET PAGE 26 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/25/06 ADDRESS 4616 OLD MILL RD SUBDIV TENANT NBR GREG HOPF CONTRACTOR DUNGENESS PLUMBING PHONE (360) 582 1227 OWNER HOPF GREGORY G PHONE PARCEL 06 30 22 2 2 0125 0000 APPL NUMBER 06 00000794 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 8/04/06 JLL MECHANICAL GAS LINE 8/04/06 AP 08/04/2006 04 18 PM PBARTHOL 08/04/2006 04 20 PM PBARTHOL ME99 01 8/25/06 JL MECHANICAL FINAL TIME 13 00 greg 461 3992 08/24/2006 04 15 PM DYASUMUR COMMENTS AND NOTES PREPARED 8/04/06 16 19 08 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/04/06 ADDRESS 4616 OLD MILL RD SUBDIV TENANT NBR GREG HOPF CONTRACTOR DUNGENESS PLUMBING PHONE (360) 582 1227 OWNER HOPF GREGORY G PHONE PARCEL 06 30 22 2 2 0125 0000 APPL NUMBER 06 00000794 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 8/04/06 JLL MECHANICAL GAS LINE 08/04/2006 04 18 PM PBARTHOL COMMENTS AND NOTES flea qa Application Number 06 00000794 Application pin number 259776 Property Address 4616 OLD MILL RD ASSESSOR PARCEL NUMBER 06 30 22 2 2 0125 0000 Tenant nbr name GREG HOPF Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 280 Owner Contractor HOPF GREGORY G 2421 EDGEWOOD DR PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 DUNGENESS PLUMBING 21 STEVE PL WA 983621911 SEQUIM (360) 582 1227 MECHANICAL PERMIT Fee summary Charged Paid Credited Due Signature of Contractor or Authorized Agent T• \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] Date 8/04/06 WA 98382 83022 60 65 Plan Check Fee 00 8/04/06 Valuation 0 1/31/07 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 10 65 Permit Fee Total 60 65 60 65 00 00 Plan Check Total 00 00 00 00 Grand Total 60 65 60 65 00 00 r/A /A C7 7, etz6/06 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 that4 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 regula)ing construction or the performance of construction. Date Signatt f& f dwn4r owner is builder) Date 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. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE 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 GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T. \Policies \1102_15 building permit inspection record05.wpd [A/4/2005] BUILDING PERMIT INSPECTION RECORD YES I NO I I 1 r V 1 I No I I 1 1 I I I I I I I FINAL DATE ACCEPTED BY. I I I I I I I I I I I I I I I I I I I I I g 4 P- 6 -1-1 1 I I I I I I I I I I I I FIN DATE SEPA. ESA. SHORELINE. V ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT I ..i .4 I ,I IY// zdhyr, I V w CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I I PLANNING DEPT I BUILDING I PROJECT ADDRESS TYPE OF WORK. BUILDING PERMIT APPLICATION 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 6 or Cd Agent: r 4 /407 Phone d Y /7- $'y 7 Owner c 7 r Phone Address _f old /el. City Ar T ASC/l Zip 9i3 6 2_ Architect/Engineer Phone Contractor n9 •ene_55 State License bUW(EPP Exp .S/7 7 Phone V77 773 953/C7 Address 2-1 .cle t/t' t' /Ac t°, City cc.47/tA4 L. Zip 9 •S 8' Z 4 o/d /l, 2o( LEGAL DESCRIPTION Lot: 43 Block Subdivision SUYVey_p$ J nS4#N /SAX4n, CLALLAM COUNTY PARCEL NUMBER 0630 22- 2.2...a b Credit Card Holder Name j /e Billing Address Z4/2/ 6 e *,../eeel dr. De, /Qnyr /rc tsj.j. 91141 Credit Card Type VISA x MC SIZE/VALUATION Residential New Constr Re roof Stove SF /SF Multi- family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Pr Other LP Ti4Nk +P# /✓•sf TOTAL VALUATION y.. QV BRIEF DESCRIPTION OF THE Tn s /,4.// /Z0, Alre✓t 9rnund LP 77emae 4,,n 1/44/9roan.al O ..z S> 'AI' i1/ fr/ „a in heritt 1e li A Eenk� a I 4r- T ..lr,I- FOR OFFICIIAL USE NLY Date Rec. 1 -razz- Date 00 Penn it #•C/R� Approved. 7 7ido o Date Issued: -rh/ ZONING XS 9 COMMERCI L/RESIDE p TIAL Occupancy Group Occupant Load Construction Type: No of Stories: 1i i oSize' 1. S4e/tS Existing Sq Ft. 2350 Proposed Sq Ft. TOTAL Sq Ft. 13.50 Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other y Applicant: r APPROVALS PLAN BLDG DPWU FIRE 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 R105.3 2 of the International Building/Residential Code, 2003) No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. k Date: 7 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5'h Street, Port Angeles, WA 98362 Application Number 06 00000060 Date 1/19/06 Application pin number 033120 Property Address 4616 OLD MILL RD ASSESSOR PARCEL NUMBER 06 30 22 2 2 0125 0000 Tenant nbr name JERMY SAXTON Application type description FIRE ABANDON TANK INSPECTION Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 500 Owner SAXTON PAUL E 4616 OLD MILL RD PORT ANGELES Qty Unit Charge Per WA 983621911 BASE FEE Contractor OWNER Permit UNDERGROUND TANK RES Additional desc Permit pin number 69161 Permit Fee 15 00 Plan Check Fee 00 Issue Date 1/19/06 Valuation 500 Expiration Date 7/18/06 Fee summary Charged Paid Credited Due Permit Fee Total 15 00 15 00 00 00 Plan Check Total 00 00 00 00 Grand Total 15 00 15 00 00 00 Extension 15 00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examinal this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specs d i the permit. 4 9/9 Signature of Contractor or Authorized Agent Date Se owner (if Owner is builder) Date N-r 0 Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS FIRE PERMIT INSPECTION RECORD Call 360 417 -4655 for fire inspections. Please provide a minimum 24 -hour notice It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Type Date Passed FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection I Alarm final LP -GAS Underground piping inspection /pressure test Above ground piping inspection/pressure test Tank (container) inspection Appliance inspection LP -gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Comments Completed by Contractor Test #1 Piping pressure test psi Time initiated Test #2 Piping pressure test psi Time initiated 2/15/00 rte ri Applicant or Agent: Owner Get'4 54 7 L.' Address. gj /I G Gf) ,'yy L /c City Architect/Enb veer Contractor Address. PROJECT ADDRESS LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential Multi- family Commercial New Constr Addition O Remodel Repair BRIEF DESCRIPTION OF THE PROJECT COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stones. Lot Size. Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in LNK. our application and site plan MUST BE COMPLETE to be acceptee Sol 1 C If voLL have an q uestions. call PERMITS (360) 417 -4815 FAX(360)417 -4711 v Re -roof Move Demolition Sign State License Exp City Existing Sq Ft. Block. Subdivision. 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 P emut Coordinator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee as 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 perrmt 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 RI 05.3 2 of the International Building/Residential Code, 2003) No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to deter e what permits are required ,not the City's, and that I must obtain such permits prior to work. TAPolicies\BL 1102_13.wpd Applicant: i i J de L .i.c _I /4 4 Phone Phone yj -2 $3 Zip SIZE/VALUATION Stove SF /SF Garaae SF /SF Deck SF Cu /SF Other TOTAL VALUATION Occupant Load. Construction Type. Proposed Sq Ft. TOTAL Sq Ft. Phone Phone. Zip ZONING FOR OFFICIAi ONLY Dm,. Rec. ff f O Permian vv 04 Date Approved :I f Dal issued. J -0o APPROVALS PLAN BLDG DPWU FIRE OTHER. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 1 77 2 5 . ,41_ /5- POrt Angeles. Washlngton......._,.............._..................................... 19..::....-:'.. _. In accordance with the City Ordinance to regulate the Installation. extension. or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles, per- mission Is hereby granted to dO electrical work as listed below. .d/ of''!r/) "j "'J-' // ((} /7 Address 0..=1.&1. ...~......(?!!'.~~...:....:!.-::;,,,ef<j2/.!:!f,,J:::.:... Occupancy.....,(.!..,~.:.::-::::::........................ ~ J,/ Lb4- . Owner ___nn__~_:__~~.n_nnu__.~:..~~:::._~__o_.n~nun_.nnno Tenant.n_nnnn_unno_nn.n.h_~nn_n___~..n.n_n..n.nonnn_~_ . r Wiring Contractor .....,~,",!~.':::':'................................._... By...................................................................... C LIght oUU.ts....h..m.h73nnmhhhh... Receptacle Outletsm_.m..__m__m___...._... Service, volts ......................._...__n__...... No. wires ..........._.............__._...._..__ Dryer, KW nn......n..__n....____..____.__._..... Size wires.....................________......_.. Range, KW h__h___n_nn._n_..h__. Main fuse ........................__n______...__ Water Heater: Enclosure .................n____n.nmn__.... KW........nm..mn......hhhn..n.n...... Type of wiring: Entrance Cable ......._......__m_____...__ Heat: KW............____.....n__.........._......... Motors: size, volts and phase: Rigid Conduit ...00____00....._..... Motalll. Tubing ....hmmnm Current transformers: No. & Size....m__n.m___.......__... Sec. NO.n.................................._......... Sec. No. .........h....__...................._.._.... Ser. No. ......_...._................__......__....... Typ. ot Wiring: Armored Cable ....mn...._............... Non-Metallic ......._....___.............._.__ Knob & Tub.................................. RIgid Conduit hn........nn...nn........ Metallic TUbing ........................... Raceway .................................._...._ Circuits, Light..........m.mmm...n......____ UtilIty ....m.........................hh.m.h.. lIeat .._n__.____h_.___.._..._............._...... Range .............................._........______ Water Heater ...._mmm_m....._....... Motor ..._.............__..........._............. Dryer ....__n_n..____.............................__ Furnace ..........................~_........n..._.... Total _~ad....;nm._m.m__........ Sec. NO......_....;....._...........h.::mm__:.. T~;al .......;{,..__._;_________.._......._.._._ . /" . r -I r : ~I.",.; ./, I I ,;1"., ~.--", r. Remarks: (_ l~~' ut ;,.. ~ ;" ,: ~ -. ,_' r;,.' t" ....':/' . _..; ~/- &.,.-:~ ':..{o_.( .............'.............................................................7..;....7.....................................................<.............. ...nn.nn.unnu._unnnnnnunnnu.n.nnunnnu..nn.nnn...nnnnhn_--_nu.unOh..._.nooon.nu......nnn.nn.nu.nonnn.un.........nn .;~~;~.;~~.............................;~~~~...~~~~;~~......................................)>:..y...;.....Z.,....;:/........._.~............... f..................................... No............................. By ...!:....:..?:.:.....,......~~.:.:...:...C:..,....":.,,,.......... , NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. If work Is to be con. cealed due notice must be given the Inspector so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT Address .....-........................-...................._................_._............................................n_..._.............. Owner.._..___..........................._.....__.._n...._......_n_.......__......_.__........_________.__.........._._______.Tenant______........_n__________.........___.________.........._._____._. Date..._......_n_.._.._.........._._n.._......_......... N~'17 72 5 \Viring Contractor .n.._..............................................__....._...._........................._............_............_._.. By.._..._..........................._................._...____.. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con. cealed due notice must be given the Inspector so that work may be Inspected before concealment. '. 1M Olympic Printers, Inc.