HomeMy WebLinkAbout822 W 14th St - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Cat
Application Number 11- 00001258 Date 11/08/11
Application pin number 532300 REPORT SALES TAX
Property Address 822 W 14TH ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-4- 1520 -0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name Location Code 0502)
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
2 circuits remodel
Owner Contractor
STEVENS, KAY S OWNER
822 W 14TH ST
PORT ANGELES WA 98363
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1
Permit Fee 76.10 Plan Check Fee .00
Issue Date 11/08/11 Valuation 0
Expiration Date 5/06/12 lv
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
1.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 2.60
Fee summary Charged Paid Credited Due
Permit Fee Total 76.10 76.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 76.10 76.10 .00 .00
q
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS: Ek.T112 P 6/7 f—
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
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Signature of owner or Electrical Contractor X Date:
G: \EXCI- IANGEIBUILDING
4:, 0F P OR 44N, ELECThIC 2 1 IINSPECTION
REPORT
-W ®ms' 417-4735
DATE: PERMIT R INSPECT
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OWNER
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CONTRACTOR
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ADDRESS
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APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDEDdcL) l ICf 8£ I
NOTIFY INSPECTOR WHEN CORRECTIONS
RE COMPLETED WITHIN 15 DAYS
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WIPREING
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DATE PERMIT INSPECTOR
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OWNER /CON RA OR
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ADDRESS
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APPROVED NOT APPROVED
DITCH 11
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: rU _T1Z)C -AL LM 1T
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019 101!5 (JTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
OLYMPIC PRINTERS, INC. (360) 452 -1381
11/04 /2011 09:55 FAX 13604173626 POE PA OFFICE Z 001
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CITY OF PORT ANGELES PERMIT APPLICATION i c,
Building Division/Electrical Inspections 4
321 East Fifth Street —P.O. Box 1150 Port Angeles Washington, 98362 1 aY a i` 7_0 r
Ph: (360) 417 -4735 Fax: (360) 417 -4711 RICAL
ELECT
Dat 1/ �/lI INSPECTIONS
V 1 Single Family Dwelling Multi Family or Commercial' Commercial Addition Alteration 1 Remodel Repair"
Plan ReviewMay Be e u ir d, Please Complete Electrical Plan Review Information Sheet
Job Address: y� f -7
Building Square Footage: 1K
Description of above
Owner I formatio/ Contractor Information
Name: .41 0 Name: f
Malin ddress: AWAS I� Mailing Address:
City: '0 'ice' State:1f.4Zip: Z City: State: Zip
Phone: 6� r r Fax: kft7 5l.Ne Phone: Fax:,
License 0/ Exp. License 0/ Exp.
It Unit Charge Qty Total (Qty Multiplied by Unit Charged
Service/Feeder 200 Amp. 119.90
Service /Feeder 201.400 Amp. $145.50
Service/Feeder401 -600 Amp 204.60
Service/Feeder 601 -1000 Amp. 262.20
Service /Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60
Branch Circuit W/O Service Feeder 73.50 ..._i___ —13Lrb
Each Additional Branch Circuit 2.60 ___L Zba
Temp. Service/ Feeder 200 Amp. 5 92.70
Temp. Service /Feeder 201.400 Amp. 110.30
Temp. Service /Feeder 401 -600 Amp. $148.70
Temp. Service/Feeder 601 -1000 Amp $167.90
Portal to Portal Hourly 95.90
Sign /Outline Lighting 5 88.20
Signed Circuit/ Limited Energy First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi Family Dwelling 63.90
Manufactured Home Connection 119.90
Renewable Electrical Energy 5KVA System or Less $102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. 110.30
Each Additional 500 Square Ft, or Portion of 35,20
Each Outbuilding or Detached Garage 73,50
Each Swimming Pool or Hot Tub 110.30
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 46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Si nature of owner ectrical contractor or electrical administrator: CI Cash I! Check
0 Credit Card
Illi Dated: ll/7k 01/0112010
ELECTRICAL PERMIT
CITY OF.PORT ANGELES
360-417-4735
Application Number 11- 00001258 Date 11/08/11
Application pin number 532300 REPORT SALES TAX
Property Address 822 W 14TH ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -4- 1520 -0000- the type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name (Location Code 0502)
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application'desc
2 circuits remodel
Owner Contractor
STEVENS, KAY S OWNER
822 W 14TH ST
PORT ANGELES WA 98363
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 76.10 Plan Check Fee .00
Issue Date 11/08/11 Valuation 0
Expiration Date 5/06/12
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
1.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 2.60
Fee summary Charged Paid Credited Due
Permit Fee Total 76.10 76.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 76.10 76.10 .00 .00
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 Dale:
G: \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
CT
Application Number 11- 00001067 Date 9/27/11
Application pin number 027942 REPORT SALES TAX
Property Address 822 W 14TH ST On your excise ta form
ASSESSOR PARCEL NUMBER: 06- 30- 00- 0- 4- 1520 -0000- y
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
2 circuits furnace
Owner Contractor
THE BANK OF NEW YORK MELLON BLACK DIAMOND ELECTRICAL CONTR
C/O BANK OF AMERICA 502 BLACK DIAMOND RD C.K
400 NATIONAL WAY PORT ANGELES WA 98363
SIMI VALLEY CA 93065 (360) 565- 1035 1 \v'\
Permit ELECTRICAL ALTER RESIDENTIAL
r\--)
Additional desc
Permit pin number 193375
Permit Fee 76.10 Plan Check Fee .00
Issue Date 9/27/11 Valuation o
Expiration Date 3/25/12
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
1.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 2.60
Fee summary Charged Paid Credited Due
Permit Fee Total 76.10 76.10 .00 .00 CJ
Plan Check Total .00 .00 .00 .00
Grand Total 76.10 76.10 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 3
FINAL 3 /14 7 4„
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X c Date:
G: \EXCHANGE \BUILDING
REf:,EllvEri 1 17C1R7 11. ee
CITY OF PORT ANGELES PERMIT APPLICATION 0
if Building Division/Electrical Inspections J
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL '4111111
Date: 1` 2- 1 INSPECTIONS
1(' 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 82Z 60• Ha
Building Square Footage:
Description of above FigNA-cAL i2f H-fooy (LL c.wl!Lc M ur Sf zQ-b ?A-of t so Pv cLet.sO 6./e.v�
Owner Information Ncw ?o, ,..(e.. ContractoLinformation
Name: 4/,641.-0,..) [A'1 aF Name: .CS1:.4-c1 l 64 +c LE-6-77t-(td
Mailing Address: Mailing Address: S6 2 2?CAcc_ f �'4 E) '0
City: State: Zip: City: Pa t r, a) State: C. 4 Zip: ''/dr..96 7
Phone: Fax: Phone: SFG ✓F7 Fax:
License Exp. License Exp. j'f,4C,_F t I
Item Unit Charge Qty Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 119.90
Service /Feeder 201 -400 Amp. $145.50
Service /Feeder 401 -600 Amp 204.60
Service /Feeder 601 -1000 Amp. 262.20
Service /Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60
Branch Circuit W/O Service Feeder 73.50 1
Each Additional Branch Circuit 2.60
Temp. Service/ Feeder 200 Amp. 92.70
Temp. Service /Feeder 201 -400 Amp. 110.30
Temp. Service /Feeder 401 -600 Amp. 148.70
Temp. Service /Feeder 601 -1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign /Outline Lighting 88.20
Signal Circuit/ Limited Energy First 1500 sf- Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi Family Dwelling 63.90
Manufactured Home Connection 119.90
Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square -Ft. 110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
76 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 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owni, ele rical contractor or electrical administrator: Cash Check
Credit Card
X 1 Dated: 7 1 01101/2010
ELECTRICAL PERMIT r .6
CITY OF PORT ANGELES
360- 417 -4735
0
Application Number 11- 00001064 Date 9/27/11
Application pin number 786064 REPORT SALES TAX -C
Property Address 822 W 14TH ST your excise tax form
ASSESSOR PARCEL NUMBER: 06- 30- 00- 0- 4- 1520 -0000- 017 y
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
t stat new Heat Pump
Owner Contractor
THE BANK OF NEW YORK MELLON ALL WEATHER HTG COOLING INC
C/0 BANK OF AMERICA 302 KEMP ST �1
400 NATIONAL WAY PORT ANGELES WA 98362
SIMI VALLEY CA 93065 (360) 452 -9813
IS 51 77
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc J
Permit pin number 193342
Permit Fee 56.00 Plan Check Fee .00
Issue Date 9/27/11 Valuation 0
Expiration Date 3/25/12 j
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00
Fee summary Charged Paid Credited Due
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
TH )o /18 (t)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN `O ``1 io
FINAL Jb l G[ r 7 C 1�Y. 7
COMMENTS: 0 `1 K �1�
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
09/26/2011 14:01 13604525177 ALL WEATHER HEATING PAGE 02/04
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CiT OF PORT ANGELES PERMIT APPLICATION SEP 2 m 2011 G
Building Division/Electrical Inspections L lg`' Q1.If�iigIt 1 l D! 1
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL
Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS
Date: 9/26/17.
x 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition 1 Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:- 822 W 14th St
Building Square Footage: 1 4 n 1
Description of above Tnaeal l .._a. I hi, 4
Owner Information Contractor Information
Name: The Bank Of New York Mellon Name: All Weather Heating Cooling
Mailing Address:4 0 0 National Way Mailing Address: 3U2 Kemp St
City: Simi Valley State: WA Zip: 93065 CIty;Port Angeles State; WA Zip: 98362
Phone: Fax: Phone: 452 -961.3 Fax: 452 -51.77
License 0/ Exp. License ftlExp, aT.t.WRwT -1o' aMir nq /1,
Item Unit Charge gty Total fQty Multiplied by Unit Charge)
Service/Feeder 200 Amp. 119.90
Service /Feeder 201.400 Amp. $145,50
Service /Feeder 401 -600 Amp 2204,60
Service/Feeder 601 -1000 Amp, 262.20
Service/Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60
Branch Circuit W/O Service Feeder 73.50
Each Additional Branch Circuit 2,60
Temp. Service/ Feeder 200 Amp. 92.70
Temp. Service /Feeder 201 -400 Amp. 110.30
Temp. Service /Feeder 401.600 Amp. 148.70
Temp. Service /Fender 601.1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign /Outline Lighting 88.20
Signal Circuit/ Limned Energy First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal CirculU Limited Energy -1 2 Family Dwelling 63,90
Signal Circuit/ Limited Energy Multi Family Dwelling 63.90
Manufactured Home Connection 119.90
Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat 56,00 1 56.00
NEW CONSTRUCTION ONLY
First 1300 Square Ft 110.30 5
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110,30 5 6 0 0 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 46B, 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: cam, 12 Check
Credit Cerd 4
X 14/11/14/714/4 Opted: 912fIL1 1 0110112010
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001061 Date 9/26/11
Application pin number 257476
Property Address 822 W 14TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4- 1520 -0000-
Tenant nbr, name THE BANK OF NEW YORK MELL on your state excise tax form
Application type description MECHANICAL APPL. PERMIT
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 4270
Application desc
INSTALL AN AIR HANDLER
Owner Contractor
THE BANK OF NEW YORK MELLON ALL WEATHER HTG COOLING INC
C/O BANK OF AMERICA 302 KEMP ST
400 NATIONAL WAY PORT ANGELES WA 98362
SIMI VALLEY CA 93065 (360) 452 -9813
Permit MECHANICAL PERMIT
Additional desc INSTALL AN AIR HANDLER
Permit pin number 193300
Permit Fee 60.65 Plan Check Fee .00
Issue Date 9/26/11 Valuation 0
Expiration Date 3/24/12
Qty Unit Charge Per Extension BASE FEE 50.00 1
1.00 10.6500 EA ME -AIR HAND <OR= 10,000 CFM 10.65
Fee summary Charged Paid Credited Due
Permit Fee Total 60.65 60.65 .00 .00
\P
P
117Y\
lan Check Total .00 .00 .00 .00
Grand Total 60.65 60.65 .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 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.
dll l t, Y-t n mac
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD I
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 6'
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 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 VY
Ceiling
FRAMING: fj
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
1
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line l
Wood Stove Pellet Chimney jo 1 P R /1
Commercial Hood Ducts FINAL Date V I Accepted by 1 .Y
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
Inspection Type Date Accepted By p
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750 P--
Building 417 -4815
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T:Forms /Building Division /Building Permit
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09/26/2011 14:01 13604525177 ALL WEATHER HEATING PAGE 03/04
BUILDING PLUMBING /MECHANICAL, PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.) 9-2-(0-t
Date Received
Permit 1\ 1061
City of Port Angeles Please print In ink. Date Approved
Attn: Building Permit Technician Approved by
321 E. 6'" St., Port Angeles, WA 98362
360 -417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Frl 8:30 -12:30 pm
Contact person: Don Edgmor 1 Phone: 360 460 0204
Property owner: Th Sank of New York Mellon
Phone:
Property owner's mailing address: 400 National Way Simi. Valley, CA 93065
Contractor's business name :A7.3. Weather Heating Cooling Phone: (360) 452 9813
Iv :property owner's name if he /she Is doing /overseelag, the work)
Contractor's mailing address: 302 Kemp Street
Contractor's L &I license number! ALLWExc150KU Expiration date:
9/01/12
Project Address: 5 Z w (4
Project Type: rm Residential o Commercial o Industrial o Multi- family
Project Business Name:
(for commercial, Industrial, or multi- family protects)
The following permits are usually Issued over -the- counter immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Ile-roof: o house a garage t: other
o tear off re -roof a lay over one layer
(1) Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Ra -side: a house a garage a other
Project Valuation (labor materials, not including sales tax)
Repair (explain the project),
Project Valuation
"Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property,
Cost of materials x 2 Project Valuation
T:Forms BuildIng Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011)
Page 1 of 2
09/26/2011 14:01 13604525177 ALL WEATHER HEATING PAGE 04/04
Swimming Pool or Spa M 24" deep): Forprefabricated swl nmino Pool or see proiects that
do nQUequire pigQleview;
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit Is needed when an entire building gets demolished.
What will be demolished? a house o garage other
Note: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
(I) Agree to ensure that all utilities are /will be properly turned off (and capped off If needed)
prior to demolition,
(I) Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
(,i) Obtain (from the City of PA) a copy of the Olympic Region Clean Alr Agency ORCAA)
Demolition Permit Application.
Contact ORCAA at 360 -417 -1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
CI yes to no Will the debris be going to the Regional Transfer Station in Port Angeles?
yes No If yes, will a licensed contractor be taking It there?
If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later If asbestos testing Is needed).
Plumbing Permit: (explain the prolect1
Project Valuation
Mechanical Permit: ex lain the project)
Installation. of Air Handler
Project Valuation 4,270.96
I have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit
and understand that it is my responsibility to determine whet permits are required, and to obtain permits prior to
working on projects.
Date 9/ 26/11 Signature
Print Name Karen McKeown
Page 2 of 2
Clallam County Assessor Treasurer Property Details 60316 THE BANK OF NEW Page 1 of 1
Cla County Assessor Treasurer
Property Search Results 60316 THE BANK OF NEW YORK MELLON for Year 2011 2012
Property
Account
Property ID: 60316 Legal Description: LOT 6 BL 415 TPA
Geographic ID: 0630000415200000 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: 822 W FOURTEENTH ST Mapsco:
PORT ANGELES, WA 98363
Neighborhood. PA West Res Map ID: 2
Neighborhood CD: 5151000 r/
Owner
Name: THE BANK OF NEW YORK MELLON Owner ID: 180418
Mailing Address: C/O BANK OF AMERICA Ownership: 100.0000000000%
400 NATIONAL WAY
SIMI VALLEY, CA 93065
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 09/26/2011
Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
Click on "Statement Details" to expand or collapse a tax statement.
First Half Second Half
Year Statement ID I Base Amt. Base Amt. Penalty Interest Base Paid Amount Due
Statement 11 ement Details
2011 154905 $818.02 $817.97 $0.00 $0.00 $818.02 $817.97
Statement Details
2010 43188 $783.82 $783.79 $0.00 $0.00 $1567.61 $0.00
Values
Taxing Jurisdiction
Improvement Building
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Payout Agreement
This year is not certified and ALL values will be represented with "N /A
Website version: 9.0.32.2200 Database last updated on 9/26/2011 3:45 AM 2011 True Automation, Inc. All Rights
Reserved. Privacy Notice
http: /websrv8.clallam. net /propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =60316 9/26/2011
PREPARED 12/18/06 11 56 58 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/18/06
ADDRESS 822 W 14TH ST SUBDIV
TENANT NBR RHONDA ROSE
CONTRACTOR DOUBLE S CONST PHONE (360) 452 0824
OWNER ROSE RHONDA L PHONE
PARCEL 06 30 00 0 4 1520 0000
APPL NUMBER 06 00001196 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 11/15/06 JLL BUILDING FRAMING TIME 13 00
11/15/06 AP STEVE 460 9423 CALL TO MEET AT JOB
11/14/2006 03 38 PM DYASUMUR
11/15/2006 04 25 PM JLIERLY
BUILDING FOUNDATION DRAINAGE TIME 13 00
DALE NO
11/21/2006 03 41 PM PERMITS
11/22/2006 01 50 PM JLIERLY
BLI 01 1206 BUILDING IN5U8ACION RITE 13 00
BRIAN 477 1508 CALL FIRST HOME E OCCUPIED
12/15/2006 02 06 PM PERMITS
BLED 01 11/22/06 JLL
11/22/06 AP
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
ROSE RHONDA L
822 W 14TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
WA 983637223
ELECTRICAL NEW
S &J/ PNL+ CIR
91850
S J ELECTRIC
78 70
12/14/06
6/12/07
Charged
78 70
00
4 50
83 20
i 1
COMMENTS /ACTION NEEDED ou
x 5 4 50
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
06 00001196
755016
822 W 14TH ST
06 30 00 0 4 1520 0000
RHONDA ROSE,
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
16000
Paid
Contractor
DOUBLE S CONST
PO BOX 1386
PORT ANGELES
(360) 452. 0824
RESIDENTIAL
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 78 7000 ECH EL RM 0 200 1ST SRV FEEDER
STATE .SURCHARGE.,...
78 70
00
4 50
83 20
C Contra s for
Credited
'S'
00
00
00
00
Date 12/14/06
12/14/ VolueltionT 0
WA 98363
4 50-
Due
Extension
78 70
00
00
00
00
00
00
0
DATE
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FINAL
INSPECTION TYPE
DITCH M
ROUGH -IN COVER 1
SERVICE '1- o
k
GENERAL COMMENTS:
ACCIPT®
YES NO
1 1
1 1
1 1
1 1
1 1
COMMENTS
-x tD 5' oa
rW- 1102.131M1
PREPARED 11/22/06 10 44 21 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/22/06
ADDRESS 822 W 14TH ST SUBDIV
TENANT NBR RHONDA ROSE
CONTRACTOR DOUBLE S CONST PHONE (360) 452 0824
OWNER ROSE RHONDA L PHONE
PARCEL 06 30 00 0 4 1520 0000
APPL NUMBER 06 00001196 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 11/15/06 JLL
11/15/06 AP
BLFD 01 11/3 06
t4-
BUILDING FRAMING TIME 13 00
STEVE 460 9423 CALL TO MEET AT JOB
11/14/2006 03 38 PM DYASUMUR
11/15/2006 04 25 PM JLIERLY
BUILDING FOUNDATION DRAINAGE TIME 13 00
DALE NO
11/21/2006 03 41 PM PERMITS
COMMENTS AND NOTES
PREPARED 11/15/06 12 06 46 INSPECTION TICKET PAGE 16
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/15/06
ADDRESS 822 W 14TH ST SUBDIV
TENANT NBA RHONDA ROSE
CONTRACTOR DOUBLE S CONST PHONE (360) 452 0824
OWNER ROSE RHONDA L PHONE
PARCEL 06 30 00 0 4 1520 0000
APPL NUMBER 06 00001196 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 11/],x/06
BUILDING FRAMING TIME 13 00
STEVE 460 9423 CALL TO MEET AT JOB
11/14/2006 03 38 PM DYASUMUR
COMMENTS AND NOTES
Application Number 06 00001196
Application pin number 755016
Property Address 822 W 14TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 1520 0000
Tenant nbr name RHONDA ROSE
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 16000
Owner Contractor
ROSE RHONDA L
822 W 14TH ST
PORT ANGELES
Qty Unit Charge Per
Qty Unit Charge Per
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
327 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983637223
BASE FEE
1 00 7 2500 ECH ME VENT FAN
Signature of Contractor or Authorized Agent Date
T \Policies 102_]5 building permit inspection record05.wpd (]/4/2005]
DOUBLE S CONST
PO BOX 1386
PORT ANGELES
(360) 452 0824
Date 11/03/06
WA 98363
Permit BUILDING PERMIT RESIDENTIAL
Additional desc
Permit pin number 90118
Permit Fee 291 75 Plan Check Fee 116 70
Issue Date 11/03/06 Valuation 16000
Expiration Date 5/02/07
BASE FEE
14 00 14 0000 THOU BL -2001 25K (14 PER K)
Extension
95 75
196 00
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 90134
Permit Fee 57 25 Plan Check Fee 00
Issue Date 11/03/06 Valuation 0
Expiration Date 5/02/07
Permit Fee Total 420 00 420 00 00 00
Plan Check Total 116 70 116 70 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 541 20 541 20 00 00
Extension
50 00
7 25
Permit PLUMBING PERMIT
Additional desc
Permit pin number 90142
Permit Fee 71 00 Plan Check Fee 00
Issue Date 11/03/06 Valuation 0
Expiration Date 5/02/07
Qty Unit Charge Per Extension
BASE FEE 50 00
3 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 21 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
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.
Signature of Owner (if owner is builder)
Date
N
BUILDING PERMIT INSPECTION RECORD
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
YES 1 NO
FOUNDATION:
1 FOOTINGS
1 SHEAR WALLS WALLS
F OUNDATION DRAIN DOWN SPOUTS
I PIERS
POST HOLES (POLE BLDGS.)
I PLUMBING
1 UNDER FLOOR SLAB
I ROUGH -IN
1 WATER LINE (METER TO BLDG)
SHOWER PAN
MEDICAL GAS LINE
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
I TEAR
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
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 1
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T \Policies \1 102_15 building permit inspection record05.wpd 1/4/2005]
FINAL
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING ESA.
1 LANDSCAPING 1 J SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE
417 -4735 ELECTRICAL
LIGHT DEPT
DATE ACCEPTED BY.
FINAL DATE ACCEPTED BY.
1
CONSTRUCTION R.W
PW ENGINEERING
1 FIRE DEPT
1 PLANNING DEPT
1 BUILDING
ACCEPTED
I YES I NO
1 1 1
1 1 1 1
1 1 1 1
1
Applicant or Agent e D 00 p L S (1 0$4
Owner R. OD ■S&
Address:
Archttect/Engmeer•
e2_NtJ 144
Credit Card Holder Name
Billing Address:
Credit Card Type VISA MC
TTP OF WORK.
R esidential New Constr Re -roof
Multi- family Addition Move
Commercial li�model Demolition
Repair Sign
BRIEF DESCRIPTION OF THE PROJECT
COMMERCIAL/RESIDENTIAL. Occupancy Group.
No of Stories: Lot Size: Existing Sq Ft.
Total lot coverage
PLANNING USE ONLY
T'\Policies\BL 1102_13 wpd Applicant:
FOR OFFIC
BUILDING PERMIT APPLICATION DateRec. 1
t Permit
Fill out COMPLETELY and in INK. Your application and site plan MUST B Date Approved: to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711 Date Issued.
cit 4.A,
Phone 411 45
Phone. 4 Z— 7); L3
Zip �f4
City
ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other
Phone
Contractor_0rbAl& S TAX State License qcalle q,(,b xp 1 Lf ?o /ol Phone 44 4f
Address Pa CSr1, 1 3 p City ?A Zip 4 P,(al.
ZONING
PROJECT ADDRESS 6'1_2 ■I q'
LEGAL DESCRIPTION Lot: Block: Subdivision.
CLALLAM COUNTY PARCEL NUMBER. 2d 0 4- 1'/120
Exp. Date:
STZE/VALUATION
Stove SF /SF t (0) abo.O.
Garage SF /SF
Deck SF /SF
Other TOTAL VALUATION 5
As41.- .Lets,•.-- fro fgft.e
Occupant Load. Construction Type:
Proposed Sq Ft. TOTAL Sq Ft.
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 pernut 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 apphcant up to 180 days upon wntten 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.
Date: 1,1 1- Co
ONLY
fe LW/
APPROVALS.
PLAN
BLDG
DPWU
FIRE
OTHER.
TIC)
N1d t
c13
'IN-At 1 r\zc
Q 3
sift d.1-53()
8 h
FILE
CITY OF PORT ANGELES Construction Plans
The Issuance of this permit based upon these plans, specifi-
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors in said
plans, specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction.
2-45r0
Approval Date 1 3t 0(9 By it-
f9-1 WeQit--1 WSJ d' 4 PP
.Dci= a\crQC,
1 1 71���9�'8
Axed
1
rJ'OIIT~..
l:V~f,o
r,.-
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ELECTRICAL WORK PERMIT APPLICATIO,N
Job wired by
I!l Electrical Contractor 0 Owner
Installation description
o Commercial r& Residential
License number
Date Expires
o New
~ Altered! Addition
11J1'~
~
/3.. ^- /.,.-..
o
State ZIP
w., 113t "
FAX number
- {,IJ3
~ IJJ' CL---
c """" vl--
(/
prem}(~:s namil,s.<.
Addr~'i2ns7:)""J ~b-
Cily (Jo/) +kJ
Phone number to schedule inspection:
Owner as defined by RCWI9.28.261:(l) 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.
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 instal-
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
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
x
Date: jl-t-6f,
Expiration Date
of card
Electrical Load Additions and or subtractions
D NO LOAD CHANGES
Cl Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
D Fan-Wall KW
o Overhead Service
o Temp Service
Cl Underground Service
Voltage
PhaseD 1 D 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN / THERMOSTAT SERVICE
/.n~6 kAJ /-"-<{-O] .~
'" Approved By "- Date Approved By Dale Approved By ./
FINAL S--z;-~/ DITCH FEEDER
ftp I rL-€-<?'''''d By "- Dale Approved By Date Approved By -'"
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
.
Lh/) H J /"J
., / -/