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HomeMy WebLinkAbout1419 S Cedar St - Building Electrical Permit 1419 , -S.,, Cedar St 12- 1139 ELECTRICAL PERMIT 1` CITY OF PORT ANGELES 360-417-4735 AD Application Number . . . . . 12-00001139 Date 9/04/12 Application pin number . . . 416182 REPORT SALES TAX Property Address . . . . . . 1419 S CEDAR ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-1845-0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . . . . . Property Use . . . . . . . . Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc New circuits 2 bathrooms ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------ KURT HENDRICKSON/TINA VANAUSDL JEDI ELECTRIC 1419 S CEDAR ST 331 FORS RD. PORT ANGELES WA 983627517 PORT ANGELES WA 98362 (360) 460-0556 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc 1-4 CIRCUITS n Permit Fee . . . . 95.00 Plan Check Fee .00 v\ Issue Date . . . . 9/04/12 Valuation . . . 0 Expiration Date . . 3/03/13 Qty Unit Charge Per Extension BASE FEE 75.00 4.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 20.00 ----------------------------------------------------------------------------- Fee summary Charged Paid- Credited Due ----------------- ---------- ---------- Permit Fee Total 95.00 95.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 95.00 95.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 12.- FINAL �© C COMMENTS: PERMIT.WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING °Fp°RT��� ELECTRICAL INSPECTION -� WIRING REPORT RKS 417-4735 ° 6 DATE: PERMIT# INSPECJQA s1Z OWNER CONTRACTOR ADDRESS M 1 APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ �, . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: Ko v4 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical InspectionsUJ` 321 East Fifth Street-P.O.Boz 1150/Port Angeles Washington,98362.E .� Ph: (360)417-4735 Fax: (360)417-4711 2 19 Date: - 1 _1 &2 Single Family Dwelling ELECTRICAL INSPECTIONS *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: i q k� S. C e-D A R Building Square Footage: Description of above 2 &OiTt} 2m R e monel-5 - Re I o c,a-r'n 0, -e Add"tl u CW Cu I7 5 Owner Information Contractor Information- Name: ANlNepw -1 RAChoLe.l IMCC cka�q Name: ;Teak t✓.1eCt2%C Mailing Address: 14 G S. CC'OA Mailing Address: X31 FQ0-5 City e A State:_W Zip: 9T(3(.--2j City. PPF State: Phone: Fax: Phone:gbolC55� Fax: License#I Exp. License#/Exp. i e O i e.e—4( T12; q SS 1 Item Unit Chame (,qty Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/Service Feeder $ 5.00 $. Branch Circuit W/O Service Feder $ 63.00 $ Each Additional Branch Circuit $ 5.00 �— $ 2 0 Branch Circuits 1-4 $ 75.00 _�_ $ '75- Temp.Service/Feeder 200 Amp. $ 93.00 $. Temp.Service/Feeder 2014W Amp. $110.00 $. Temp.Service/Feeder 401-600 Amp. $149.00 $ Temp.Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/Limited Energy-1&2 Family Duelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft.or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ $ q 5 Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-4613,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ Cash p check /� ❑ cre rt cam r# d•w'"''� CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 FAST STH STREET PORT ANGELES.WA 98362 Application Number 05 00000920 Date 11/15/05 Application pin number 299920 Property Address 1419 S CEDAR ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 1845 0000 Application type description RES ADDITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 35000 Owner Contractor KURT HENDRICKSON/TINA VANAUSDL R & N BUILDERS 1419 S CEDAR ST 171 CEDAR GLEN LN PORT ANGELES WA 983627517 PORT ANGELES WA 98362 (360) 460 0979 Other struct info TOTAL % LOT COVERAGE 13 70 NUMBER OF STORIES 2 00 EXISTING LOT COVERAGE 1435 00 LOT SIZE 14000 00 PROPOSED LOT COVERAGE 486 00 TOTAL LOT COVERAGE 1921 00 NUMBER OF UNITS 1 00 Permit ELECTRICAL NEW RESIDENTIAL Additional desc ELECTRIC SVC 200A PNL+ REWIRE Permit pin number 65094 Sub Contractor ELECTRIC SERVICE Permit Fee 78 70 Plan Check Fee 00 Issue Date 11/15/05 Valuation 0 Expiration Date 5/14/06 Qty Unit Charge Per Extension 1 00 78 7000 ECH EL RM 0 200 1ST SRV FEEDER 78 70 Special Notes and Comments 09/29/2005 11 30 AM SROBERDS The proposal will result in a 486 sf addition in the RS 7 zone for total lot coverage of 14% No land use issues are noted Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total, 78 70 78 70 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 83 20 83 20 00 00 ` n V, a COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MDUMUM 24 HOUR NOTICE. IT JS UNLAWFUL 710 COVE& INSULATE OR CONCEAL ANY WORK BEFbREIT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE WSPEMONTYPS DATE ACC8r7YD COMMfNiS YZS NO DITCH ROUGH-IN/COVER 1.2 SERVICE FINAL 15 ;2:S v GENERAL COMMENTS: Pw:11os13141 . 5 "¢ ELECTRICAL WORK PERNUT APPLICATION ❑Request Inspection O Electrical Contractor L3 Owner ���'` ❑ Annual Permit ❑ Alarm ❑ Carnival ❑ Commercial Y Residential ❑ Residential Maint. ❑ Signs ❑ Thermostat ❑ Telecom. Installation description Job wired by Electrical Contractor ❑Owner Electrical co tractor name License number C1 C:I 1z, Ca,rv�eeT��_ EL kfi l -&113 20 M y'4 Purchaser's mailing ling addr s Q ,:� CIA Ul City State ZIP t r WA .-0/_L,�2 Telephone number FAX number Premises owner's na ,`1 � `I iaCd�r0�`. C®n Address of inspection d Ji City ❑ Cash ❑ Check# I hereby certify that I am the owner of the above named property or a licensed electrical contractor(or the firm's authorized agent) and am making the electrical ❑Credit Card Visa Maste rd Discover installation or alteration in compliance with the electrical law Chapter 19.28 RCW Card# Signature of owner, electrical contractor or electrical administrator Expiration �.. X of card Inspection fee 06�_Of 'a q WALLS CULING ETHERMOSTAT SERVICE Insulation Only Insulation Only Date Approved By at Approved By Date Approved By Date Approved By DITCH FEMER Co er oved By CoverBy Dat Approved By D '/�tr•�' Approved By Date Appr ed By Date Appr ved By Electrical Load Additions and or subtractions Service Information ❑ NO LOAD CHANGES LJ Baseboard _KW Voltage El Furnace _KW LJ Overhead Service Phase❑ 1 Ll3 Ll Heat Pump _Ton LAR El Temp Service Service Size: ❑ Fan-Wall _KW ❑ Underground Service Feeder Size: Inspection Area,Building or Equipment Ins ected Action Taken Electrical Date Inspector v J PREPARED 5/25/07, 8:50:47 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/25/07 ----------- ----------------------------- ------------------------------- ADDRESS . : 1419 S CEDAR ST SUBDIV: CONTRACTOR R & N BUILDERS PHONE (360) 460-0979 OWNER KURT HENDRICKSON/TINA VANAUSDL PHONE PARCEL 06-30-00-0-4-1845-0000- APPL NUMBER: 05-00000920 RES ADDITION ----- ---------------------------------------------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION CD ISI TYP/SQ COMPLETED RESULT RESULTS/COMMENTS Q 1 -------------------------------------------------------------------------------- --------- BL1 01 11/08/05 JLL BLDG FOUNDATION FOOTING 11/08/05 AP 11/07/2005 01:52 PM PBARTHOL --- ------ RYAN 460-0979 11/08/2005 04:56 PM JLIERLY ---------------------------- B12 -- ---- ---- BI2 01 11/10/05 JLL BUILDING FOUNDATION WALL 11/10/05 AP 11/09/2005 11:52 AM PBARTHOL RYAN 460-0979 MORNING 9:30 A.M. PREPOUR 11/10/2005 04:40 PM JLIERLY ---------------------------- BL9 01 11/28/05 JLL BLDG SHEARWALL 11/28/05 AP 11/28/2005 08:33 AM PBARTHOL ---- RYAN 460-0979 11/28/2005 04:00 PM JLIERLY ---------------------------- BL3 01 12/09/05 JLL BLDG FRAMING 12/09/05 AP 12/09/2005 07:50 AM PBARTHOL - ---- RYAN 460-0979 12/09/2005 04:50 PM PBARTHOL ------------------ BLI 01 12/13/05 JLL BLDG INSULATION 12/14/05 AP 12/12/2005 02:59 PM PBARTHOL -------------- RYAN 460-0979 12/14/2005 09:22 AM PBARTHOL ------------------- BL99 01 5/25/07 LL BLDG FINAL 05/25/2007 08:06 AM LPANGRLE TINA 460-7449 FINAL BLDG CALL FIRST - PREFERS LATE AFTERNOON INSPECTION -------------------------------------- COMMENTS AND NOTES -------------------------------------- May 24, 2007 PERMIT NO. 05-920 RECEIVED 1419 SOUTH CEDAR STREET PORT ANGELES, WA 98362 MAY 2 4 2007 CITY OF PORT ANGELES BUILDING DIVISION BUILDING DEPARTMENT: WE ARE REQUESTING TO EMEND OUR BUILDING PERMIT SO WE MAY APPLY FOR A FINAL. THIS WAS OUR FIRST TIME DEALING WITH ANY BUILDING MATTERS FOR THE ADDITION OF OUR HOME AND WERE UNDER THE IMPRESSION THE CONTRACTOR WOULD BE HANDELING THESE MATTERS. WE WERE ALSO TOLD THAT THE PERMIT WAS GOOD FOR TWO YEARS. THANK YOU, Tina Hendrickson PREPARED 12/13/05, 12:59:04 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 12/13/05 ----------------------------- -------------------------------------------------------- ADDRESS . : 1419 S CEDAR ST SUBDIV: CONTRACTOR R & N BUILDERS PHONE (360) 460-0979 OWNER KURT HENDRICKSON/TINA VANAUSDL PHONE PARCEL 06-30-00-0-4-1845-0000- APPL NUMBER: 05-00000920 RES ADDITION ---------------------------------------------------------------------------------- PERNIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------------------------------------- -- BL1 01 11/08/05 JLL BUILDING FOUNDATION FOOTING 11/08/05 AP 11/07/2005 01:52 PM PBARTHOL --------------------------- RYAN 460-0979 11/08/2005 04:56 PM JLIERLY ---------------------------- BI2 01 11/10/05 JLL BUILDING FOUNDATION WALL 11/10/05 AP 11/09/2005 11:52 AM PBARTHOL RYAN 460-0979 MORNING 9:30 A.M. PREPOUR 11/10/2005 04:40 PM JLIERLY -------------7-------------- BL9 01 11/28/05 JLL BUILDING SHEARWALL 11/28/05 AP 11/28/2005 08:33 AM PBARTHOL --------------------------- RYAN 460-0979 11/28/2005 04:00 PM JLIERLY -------------- ------ BL3 01 12/09/05 JLL BUILDING FRAMING 12/09/05 AP 12/09/2005 07:50 AM PBARTHOL ------------------ RYAN 460-0979 12/09/2005 04:50 PM PBARTHOL --------------------------- BLI 01 12/1 JLL BUILDING INSULATION 12/12/2005 02:59 PM PBARTHOL ------------------ RYAN 460-0979 -------------------------------------- COMMENTS AND NOTES ---------------- PREPARED 12/09/05, 12:35:00 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 12/09/05 ------------------------------------------------------------------------------------------------ ADDRESS . : 1419 S CEDAR ST SUBDIV: CONTRACTOR R & N BUILDERS PHONE (360) 460-0979 OWNER KURT HENDRICKSON/TINA VANAUSDL PHONE PARCEL 06-30-00-0-4-1845-0000- APPL NUMBER: 05-00000920 RES ADDITION ------------------- - --- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------------------------------------------------- ------ BL1 01 11/08/05 JLL BUILDING FOUNDATION FOOTING 11/08/05 AP 11/07/2005 01:52 PM PBARTHOL -- ------------ RYAN 460-0979 11/08/2005 04:56 PM JLIERLY ---------------------------- BI2 01 11/10/05 JLL BUILDING FOUNDATION WALL 11/10/05 AP 11/09/2005 11:52 AM PBARTHOL RYAN 460-0979 MORNING 9:30 A.M. PREPOUR 11/10/2005 04:40 PM JLIERLY --------------- BL9 01 11/28/05 JLL BUILDING SHEARWALL 11/28/05 AP 11/28/2005 08:33 AM PBARTHOL --- RYAN 460-0979 11/28/2005 04:00 PM JLIERLY -------------- BL3 01 12/r/0.9 JLL BUILDING FRAMING ZZ-041-I An, —fQ�l�— 12/09/2005 07:50 AM PBARTHOL -- RYAN 460-0979 ---------------'---------------------- COMMENTS AND NOTES ------- PREPARED 11/28/05, 12:40:14 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 11/28/05 ------------------------------------------------------------------------------------------------ ADDRESS . : 1419 S CEDAR ST SUBDIV: CONTRACTOR R & N BUILDERS PHONE (360) 460-0979 OWNER KURT HENDRICKSON/TINA VANAUSDL PHONE PARCEL 06-30-00-0-4-1845-0000- APPL NUMBER: 05-00000920 RES ADDITION --------------------------------------------------------------------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 11/08/05 JLL BUILDING FOUNDATION FOOTING 11/08/05 AP 11/07/2005 01:52 PM PBARTHOL --------------------------- RYAN 460-0979 11/08/2005 04:56 PM JLIERLY ---------------- - BI2 01 11/10/05 JLL BUILDING FOUNDATION WALL 11/10/05 AP 11/09/2005 11:52 AM PBARTHOL RYAN 460-0979 MORNING 9:30 A.M. PREPOUR 11/10/2005 04:40 PM JLIERLY ----- -------- BL9 01 11 28 QS 7O BUILDING SHEARWALL I 11/28/2005 08:33 AM PBARTHOL ------------ RYAN 460-0979 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 11/10/05, 11:50:52 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 11/10/05 --- - --- - ADDRESS . : 1419 S CEDAR ST SUBDIV: CONTRACTOR R & N BUILDERS PHONE (360) 460-0979 OWNER KURT HENDRICKSON/TINA VANAUSDL PHONE PARCEL : 06-30-00-0-4-1845-0000- APPL NUMBER: 05-00000920 RES ADDITION ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 11/08/05 JLL BUILDING FOUNDATION FOOTING 11/08/05 AP 11/07/2005 01:52 PM PBARTHOL --------------------------- RYAN 460-0979 11/08/2005 04:56 PM JLIERLY ---------------------------- BI2 01 1 /10 05 JLL///'''��� BUILDING FOUNDATION WALL p 11/09/2005 11:52 AM PBARTHOL RYAN 460-0979 MORNING 9:30 A.M. PREPOUR -------------------------------------- COMMENTS AND NOTES ----------- i PREPARED 11/08/05, 13:03:42 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 11/08/05 ------ --------------- --------- ADDRESS . : 1419 S CEDAR ST - SUBDIV: CONTRACTOR R & N BUILDERS PHONE (360) 460-0979 OWNER KURT HENDRICKSON/TINA VANAUSDL PHONE PARCEL 06-30-00-0-4-1845-0000- APPL NUMBER: 05-00000920 RES ADDITION ------- ---------- -------- PERMIT: SPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------/--��----------------------------------------------------------------------- BL1 01 / ( JL(/' \\ BUILDING FOUNDATION FOOTING 1 `l 11/07/2005 01:52 PM PBARTHOL --------------------------- RYAN 460-0979 -------------------------------------- COMMENTS AND NOTES of poRt,µ,C CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 ' Application Number . . . . . 05-00000920 Date 10/05/05 Application pin number . . . 299920 Property Address . . . . . . 1419 S CEDAR ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-1845-0000- Application type description RES ADDITION Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 35000 Owner Contractor ------------------------ ------------------------ KURT HENDRICKSON/TINA VANAUSDL R & N BUILDERS 1419 S CEDAR ST 171 CEDAR GLEN LN `- PORT ANGELES WA 983627517 PORT ANGELES WA 98362 (360) 460-0979 Other struct info . . . . . TOTAL o LOT COVERAGE 13.70 NUMBER OF STORIES 2.00 EXISTING LOT COVERAGE 1435.00 LOT SIZE 14000.00 �- PROPOSED LOT COVERAGE 486.00 TOTAL LOT COVERAGE 1921.00NUMBER OF OF UNITS -------- 1.00 ------- ---------- �t Permit . . . . . . BUILDING PERMIT RESIDENTIAL p Q� Z Additional desc Permit pin number 61812 ISJSJ Permit Fee . . . . 515.75 Plan Check Fee 206.30 Issue Date . . . . 10/05/05 Valuation . . . . 35000 Expiration Date . . 4/03/06 Qty Unit Charge Per Extension BASE FEE 414.75 1 10.00 10.1000 THOU BL-25,001-50K (10.10 PER K) 101.00 --1 ---------------------------------------------------------------------------- Special Notes and Comments 09/29/2005 11:30 AM SROBERDS -- The proposal will result in a 486 sf addition in the RS-7 zone for total lot coverage of 14t. No land use issues are noted. Electrical load calculations and elctrical permits are required. Public Works Utility Engineering has no requirements for this plan review. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 515.75 515.75 .00 .00 Plan Check Total 206.30 206.30 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 726.55 726.55 .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 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. V),_s6 9 Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd[1/4/2005] c BUILDING PERMIT INSPECTION RECORD q d Z-D 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. ITIS 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 YES NO FOUNDATION: FOOTINGS WALLS I FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS /r a)' CEILING FRAMING JOISTS/ GIRDERS SHEAR WALLIHOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB /,:X-// WALL/FLOOR/CEILING /'X- /3 o 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 SEPA: PARKING/LIGHTING 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 CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 a 5 BUILDING T:\Policies\1102_1 5 building permit inspection record05.wpd[1/4/2005] r Vll Vrr1l..ltiL UZ. Z V1VL1 pU1:T�Ir\ E UILDING PERMIT - APPLICA T ION Date - r � - / �.�. Permit#�: Fill out COAJPLETELY and in INK.Your application and site plan MUST BE Date Approved: COMPLETE to be accepted for review. If you have any questions,call Date Issued: PEP.NIITS (360) 417-4815 FAX(360)417-4711 Applicant or.Agent: Phone: Owner: '�Ci 1Vk-P.- - -/ Phone: {� Address: 1 q S . CeU C�✓" Cit3': l55 -Zip: X �- Architect/Engineer: L4_tA Lo<k? e �` Phone: - l2N Contracto. _R k.1-4• �tU tWF,-" —State License#: g16 n4 Exp: -74/07 Phone: Address: City: Zip: PROJECT ADDRESS: _t -�' J ZONING: Rj_7 „LEGAL DESCRIPON: Lot: Blocic: Subdivision: TI CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC # Exp.Date: TYPE OF WORK: SIZE/VALUATION: .0' Residential ❑ New Constr. 0 Re-roof ❑ Stove L\ t SF. @$ /SF.=$ ❑ Multi-family P Addition ❑ Move ❑ Garage C oc SF. @$ /SF.=$� C LLMC 1 ❑ Commercial Ia Remodel 11 Demolition ❑ Deck SF. @$ '/SF.=$ ❑ Repair ❑ Sign ❑ Qtl=�--�-- TOTAL VALUATI N $ 4000 BRIEF DESCRIPTION OF THE PROJECT: G � COAD ERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of.Stories: — Lot Size: _ Existing Sq.Ft� Proposed Sq.Ft. _ =TOTAL Sq.Ft. Total lot coverages - 7 APPROVALS: PLANNING USE ONLY: per: ---- - -- ---—-. ..- — BLDG: DPWU: FIRE: ESA/Wetland(s): ❑Yes❑No SEPA Chec1dist required? ❑ Yes ❑ No Other: 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 bytheBuilding Division tocomply with current fee schedules. Contact the Permit Coordinator at 417-4815for assistance. PLAN CIIECR FEE:IF-a plan cherkfee is due itmustbe submitted at the time the buildingpermit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EVIRATION 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. 1 hereby certify that I have read and eyamined 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,ermi(s are required,not the City's, and that I must obtain such permits prior to work. TA�PoliciesM-1102-13.wpd ApplicanJ- �t. _ 1— Date:T� [ Sl Z i # ;Z t 1430 ' £ 3403 "s. NNI �j . lee e "i H« Why � r ;, ��<; zn, . A Vqj '11� ell q le ifs 1419 1P- i , „ f o = 527 y � of" . 7St Ae' 521 n t 540 / 536 47 53 " J 5J8 40 Vertical Datum NA88 This map is not intended to be used as a legal description. r�' x = ND tJ Horizontal Datum=NAD 83N1 Area Map This map/drawing is produced by the City ojpart Angeles.for its own use and purposes. Feet Anv other use o(this map/drawing shall not be the responsibiliy,ofthe Citv. Y r _ S � i N S� ,a 30 At 4 cw -------------� ELECTRICAL WORK PERMITAPPLICATION Installation description Job wired by electrical Contractor ❑Owner ❑ Commercial /If.�1jResidential Electrical contractor name License number Date Expires �K4rU5 /Z-1(:_: El New Itered/Addition Purchasp;mailing addr 5 O City State ZIP XL w"ot- 1y�3(o7� LC//lTGtc_� Telephone number FAX number Premises owner's/name Address of inspection city Phone number to schedule inspection: Owner as defined by RCIV,19.28.261:(I) Owner will occupy the soucture for teo pears goer this electrical permit is finalized. (2) Owner is required to hire all electrical contractor if above said property is for sale, rent or lease. ❑ Cash ❑ Check# After reading the above statement, 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- ❑Credit Card Visa MasterCard Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Card# ____--- ---——— Utility Specifications. Signature of ne , ele i I c n[ractor or electrical administrator Expiration Date of card Inspection fee /O X Date: S� —0� Electrical Load Additions and or subtractions Service Information ❑ NO LOAD CHANGES ❑ Baseboard KW Voltage ❑ Furnace _KW ❑ Overhead Service Phase❑ 1 ❑ 3 ❑ Heat Pump _Ton LAR ❑ Temp Service Service Size: ❑ Fan-Wall _KW ❑ Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE Dale Appmved By Dam ApprovN By Dmc Approved By FINAL DITCH FEEDER Dale Appry-1 uy ume nppm,ed By Dale npproxod By Inspection Area,BuildingorEquipment[ns ected Electrical Date P Action Taken Inspector t�Ri urk IiNi4 CITY PORT ANGELES , PUBLIC WORKS - ELECTRICAL DIVISION 321 FAST STH STREET, PORT ANGELES.WA 98362 Application Number . . . . 06-00000474 , Date 5/12/06 i Application pin number 353644 Property Address . . .- . . . 1419 S CEDAR ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-1845-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY ' Application valuation . . . . 0 - Owner Contractor ------------------------ ------------------------ HENDRICKSON, TINA THORNES REFRIGERATION 1419 S CEDAR ST PO BOX 991 PORT ANGELES WA 983627517 PORT ANGELES . . WA 98362 . (360) 460-7449 (360) 461-0158 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . THORNES/ T-STAT WTR HT Permit pin number 77131 Sub Contractor THORNES REFRIGERATION Permit Fee 48.10 Plan Check Fee .00 Issue Date . . . . 5/11/06 Valuation . . . . 0 Expiration Date 11/07/06 . Qty Unit Charge Per Extension 1.00 48,1000 ECH EL-R OR RM 1-4 ALT CIRCUITS 48.10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 COMMENTS/ACTION NEEDED