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HomeMy WebLinkAbout1222 Dutch Dr - Building Electrical Permit 1222 Dutch Dr 12 - 1606 N ELECTRICAL PERMIT t CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00001606 Date 12/11/12 Application pin number . . . 523064 Property Address . . . . . . 1222 DUTCH DR ASSESSOR PARCEL NUMBER: 06-30-01-8-0-0060-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY On your excise tax form Subdivision Name Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY /LOCc�tlOn Code 0502) Application valuation . . . 0 1 Application desc Hot tub --------------------------------------------------------------------'-------- Owner Contractor STEPHEN R & WENDY G SCHMIDT SHAMP ELECTRICAL CONTRACTING PO BOX 1491 PO BOX 383 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 504-2221 (360) 452-1689 - ----------------------- ------------------------------- ---- - ----- J v Permit ELECTRICAL ALTER RESIDENTIAL Additional desc . . ,� q Permit Fee . . . . 110.00 Plan Check Fee 00 'v Issue Date . . . . 12/11/12 Valuation . . . . 0 ` Expiration Date . . 6/09/13 1N Qty Unit Charge Per Extension 1.00 110.0000 ECH EL-SWIMMING POOL/HOT TUB 110.00 ----------------- ----g Fee summaryCharged Paid Credited Due ,----- ---------- ---------- ------- -- Permit Fee Total 110.00 110.00 00 00 Plan Check Total .00 .00 .00 00 Grand Total 110.00 110.00 .00 :,00 1 Z INSPECTION TYPE DATE: RESULTS: INSPECTOR: •DITCH SERVICE ROUGH-IN 3AW FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING °,j°°R'A"�F ELECTRICAL INSPECTION u��a WIRING REPORT RKSS 417-4735 CO �� DATE: PERMIT# INSPECTOR z 1Z 1z� ( 6 OWNER slai CONTRACTOR ADDRESS y2�!-77- `T� JZ- APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . ..):El� ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ! ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: I..,g c SMALL 116-6 E+C.&� ,h 1 L-A-9L-11i N,,KC- (Rb 2 2), '61-1 A Lt- Bls= Lo C.P�rrr, r--> PrLLr W � �c (efo e 2 Z .� 3� ������—�tsw►-r M.v�s�r �3� to c,�`t� 1'I,►�!, i t a, "'t)12:,-M h F— �Gl BgmIzL � y `?VC— V t Z*JF x/41 I n, �`f>�.1�r�yQ�Ns�ark 14&C- 35 Z.-q NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — 12/07/2012 11 :42 FAX 191001/001 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections �t;�f�r'Tw"ILri 321 East Fifth Street—P.O. Box 1150/Port Angeles Washington,98362 Ph: (360)417-4735 Fax: (360)417-4711 Date:lz�12, _1 &2 Single Family Dwelling Plan Review Ma BP uir , PI asmp(ete Electrical Plan Review Information Sheet Job Address; Ion' 1� t�L Building Square Footage Description i ( e Description of above � :.,,� Owner 1ptiprmation Contrac nformation r Name. CName. C'C Mailing dress"' Mallin dress' City: JS al : Zip: City: 51ate: Zip: Phon �_ Phone, License#/Exp. License p I Expo/ / I em Unit Charg oty Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp $120.00 $ Service/Feeder 201-400 Amp, $146.00 $ ServicelFeeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp. $262,00 Service/Feeder over 1000 Amp. $373 00 $ Branch Circuit W/Service Feeder $ 500 $ Branch Circuit W/O Service Feeder $ 63.00 S Each Additional Branch Circuit $ 5,00 S Branch C rcuits 1-4 $ 75.00 S Tamp,Service/Feeder 200 Amp. $ 93.00 $ Temp,Service/Feeder 201.400 Amp. $110.00 $ Temp.Service/Feeder 401-600 Amp. S 149.00 $ Temp,ServicelFeeder 601.1000 Amp S 16800 $ Portal to Portal Hourly S 9600 $ Signal Circuill Limited Energy-1 &2 Family Dwelling S 6400 $ ManufacP,ired Home Connection S120,00 $ 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 S Each Additional 500 Square Fl,or Portion of $ 40.00 5- Each Outbuilding or Detached Garage $ 74.00 5 Each Swimming Pool or Hot Tub $110.00 �_ $ $ , otal 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 296-468,The City of Port Angeles M icipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications Signature of owner,electric ntracior or a ectrical administrator: o caan o Check � /1/,/ /�•t /�// (//?,/1 Dated: ' - � � CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00000051 Date 1/24/12 Application pin number . . . 607748 Property Address . . . . . 1222 DUTCH DR ASSESSOR PARCEL NUMBER: 06-30-01-8-0-0060-0000- REPORT SALES TAX Application type description MECHANICAL APPL. PERMIT on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 3636 Application desc PELLET STOVE FIREPLACE INSERT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ STEPHEN R & WENDY G SCHMIDT PELLET HEAT CO. PO BOX 1491 230C EAST 1ST ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 504-2221 (360) 457-4406 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . PELLET STOVE FIREPLACE INSERT Permit Fee . . . . 60.65 Plan Check Fee .00 Issue Date . . . . 1/24/12 Valuation . . . . 0 Expiration Date 7/22/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- j� Permit Fee Total 60.65 60.65 .00 .00 Plan 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. 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 — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. C. 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 b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date (0' - a Accepted b LV MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W. PW /Eng ineerin 417-4831 Fire 417-4653 Planning 417-4750 - \ Building 417-4815 T:Forms/Building Division/Building Permit PREPARED 6/19/12, 9:16:45 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/19/12 ------------------------------------------------------------------------------------------------ ADDRESS 1222 DUTCH DR SUBDIV: CONTRACTOR PELLET HEAT CO. PHONE (360) 457-4406 OWNER STEPHEN R & WENDY G SCHMIDT PHONE (360) 504-2221 PARCEL 06-30-01-8-0-0060-0000- APPL NUMBER: 12-00000051 MECHANICAL APPL. PERMIT - PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS '-------------------- ---- --— ME99 01 6/19/12 L MECHANICAL FINAL June 18, 2012 2:05:51 PM hcatuzo. WENDY SCHMIDT. 360-790-0685 -------------------------- COMMENTS AND NOTES J 12, 2012 3: 0411M Spa Shop No. 9980 P. 2 BUILDING/PLUMBING/MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received / Permit# _-37/ City of Port Angeles .Please print in ink. Date.Approved Attn: Building Permit Technician Approved by 321 E, 5th St., Port Angeles, WA 98362 �' 360-417-4815 fax: 360-417-4711 Credit card payments are accepted Mon-Fri 8-5 pm (no Amerida press) Hours: Mon through Fri 8-5 pm Cash & checks are accepted Mon-Thurs 8:30-4 pm & Fri 8:30-12:30 pm Contact person: p Phone: e-K w rQ '7^ yA Property owner: S >< fir/ Sa M Phone: Property o ner's mailing addre s: 7-2- D u Br t 4". /, 8 3 6 Contractor's business name: kol_,t Go r Phone: or property owner's name if he/she is doing/overseeing the work) 6 6 U Contractor's mailing address: 23 0 c, Contractor's L&I license number: Expiration date:. iiE 14 C-0 E& M 7- i3 Project Address: Project Type: ;,»Residential Q Commercial o Industrial o Multi-family Project Business Name: (for commercial, industrial, or multi-family projects) 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. Re-roof: o house o garage ❑ other ❑ tear off& re-roof ❑lay over one layer (✓) Licensed contractor: Submit.a copy of your re-roof bid. Project Valuation S * (labor &materials, not including sales tax) Re-side: o house o garage ❑ 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:Form s/Building Ipivision/Building/Plumbing/Mechanical Permit Application-Short Form(Revised 2011) Page 1 of 2 J,�n. 12. 2012 3 : 03PM SPa Shou No. 9980 P. 1 ' Swimming Pool or S a >_ 24" deep): Forprefabricated swimming pool or spa proiects that do not require plan review.- V) eview.(✓) 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? o house ❑ garage o other Note; some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. (✓) Agree to ensure that all utilities are/will be properly turned off(and capped off if needed) prior to demolition. (✓) 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. (✓) Obtain (from the City of PA) a copy.of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application, Contact ORCAA at 360-417-14,66 to discuss whether or not an ORCAA Demolition Permit-will also be needed. C yes o no Will the debris be going to the Regional Ttansfe'r.Station in Port Angeles? d yes m No. If yes, will a licensed contractor be taking R,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 project) Project Valuation - Mechanical Permit: (explain the project) ie o r Plr�c_z' �`,ai3af- •� Project Valuation . 7� I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects, Date1-17,-/2- Signature Print Name�Q/rC Page 2 of 2 - ELECTRICAL PERMIT f N CITY OF PORT ANGELES a 360-417-4735 Application Number . . . . . 12-00000287 Date 3/14/12 w Application pin number . . . 419958 Property Address . . . . . . 1222 DUTCH DR REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-01-8-0-0060-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . to the City Of Port Angeles Property Use . . . . . . . . (LOCation Code 0502) Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 3 circuit kitrchen remodel ----------- ----- -------------- -------------=---------- I Owner Contractor STEPHEN R & WENDY G SCHMIDT OWNER PO BOX 1491 PORT ANGELES WA 98362 (360) 504-2221 - ---------------------------------------------------- Permit ---------Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee . . . . 73.00 Plan Check Fee .00 Issue Date . . . . 3/14/12 Valuation . . . . 0 Expiration Date 9/10/12 Qty Unit Charge Per Extension 2.00 5..0000 ECH EL-BRANCH CIRCUIT W/FEEDER 10.00 1.00 63.0000 ECH , EL-R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due Permit Fee Total . 73.00 73.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.00 73.00 .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 Date: G:\EXCHANGE\BUILDING j}opr..11 �+ CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections l• N 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 i ; - ` C Ph: (360) 417-4735 Fax: (360) 417-4711 ` FF � 1.. .:6 .L /' ` Date: 0/Z 2 Single Family Dwelling *Plan Review May Be Required,,Please Complete Electrical Plan Review Information Sheet Job Address: /a 3 h u TGtt (>kh/45�r t0O.2T /A,16-d:�L-6'S Building Square Footage: Description of above ike'yZ I fQiy wl e–oj t'7 i tc. Pti Owner Information604 tractor Infor / Name: S'T .dh .tit 2 U1.1pid Ct, S-chnWlr ' Name: �Olvl �3G1/Sdv"S Mailin Add res : O o!C / ! Mailing Addre City: die/QS State: W - Zip: 3lAZ City: State: Zip: Phone:SO —a a a l Fax: — P��hoorre ax: License#/Exp,:::� — icense#/Exp. Item Unit Charge Qty Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 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 Feeder $ 63.00 1 $ (4 -5 Each Additional Branch Circuit $ 5.00 2 $ 40 Branch Circuits 1-4 $ 75.00 $ Temp.Service/Feeder 200 Amp. $ 93.00 $ Temp.Service/Feeder 201-400 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 Dwelling $ 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 $ 6 $4 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 . 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 ❑ Check ❑ Credit Card# �1? X �.f Dated: / �26 0110112012 CITY OF PORT ANGELES s� DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION =� 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 11-00000576 Date 6/15/11 Application pin number . . . 245696 Property Address . . . . . . 1222 DUTCH DR REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-01-8-0-0060-0000- Tenant nbr, name . . . . . . STEPHEN & WENDY SCHMIDT on your state excise tax form Application type description RES REMODEL Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 13500 ---------------------------------------------------------------------------- Application desc ENCLOSE A CARPORT INTO A GARAGE ----------------------------------------------------- ------------- Owner Contractor ------------------------ ------------------------ STEPHEN R & WENDY G SCHMIDT OWNER PO BOX 1491 PORT ANGELES WA 98362 (360) 504-2221 --- Structure Information 000 000 ENCLOSE A CARPORT --- ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . ENCLOSE A CARPORT Permit pin number 187252 Permit Fee . i . 263.75 Plan Check Fee 171.44 Issue Date . . . . 6/15/11 Valuation . . . . 13500 Expiration Date . . 12/12/11 ` Qty Unit Charge Per Extension \ BASE FEE 95.75 ,^ 12.00 14.0000 THOU BL-2001-25K (14 PER K) - -- 168.00 --- \YI\ Other Fees -. . . . .-=--STATESURCHARGE 4.50 - - - - - /\\ Fee summary Charged Paid Credited Due Permit Fee Total 263.75 263.75 .00 .00 \ Plan Check Total 171.44 171.44 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 439.69 439.69 .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. i ubs l�,� kienl 8, weir et h m(11 � tY 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 �Z PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS - Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: —7--7-1 1 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 b AIR SEAL: Walls �^ Ceiling FRAMING: ,�\ Joists/Girders/Under Floor \�+ Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling C MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 l v Planning 417-4750 Building 417-4815 _ f ��L p k T:Forms/Building Division/Buildinq Permit PREPARED 8/04/11, 8:54:50 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/04/11 ------------------------------------------ --------------------------------------- ADDRESS 1222 DUTCH DR SUBDIV: TENANT, NBR: STEPHEN & WENDY SCHMIDT CONTRACTOR PHONE OWNER STEPHEN R & WENDY G SCHMIDT PHONE (360) 504-2221 PARCEL : 06-30-01-8-0-0060-0000- - APPL NUMBER: 11-00000576 RES REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTTAT• REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------- —---------------- -------—---- -------——------- - - BLFO 01 7/07/11 JLL BLDG FOUNDATION TIME: 09:00 7/07/11 AP July 7, 2011 8:24:47 AM 1pangrle. WENDY 360-790-0685 "FOUNDATION REBAR PHASE" MORNING July 7, 2011 4:10:52 PM jlierly. BL99 01 8/04/11 L BLDG FINAL August 2, 2011 1:56:07 PM 1pangrle. WENDY 360-790-0685 BUILDING FINAL SHE PREFERS A MORNING INSPECTION (IF POSSIBLE) . -------------------------------------- COMMENTS AND NOTES �o n 1 C� PREPARED 7/07/11, 8:26:02 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/07/11 -------------------------------------— ----- ADDRESS . : 1222 DUTCH DR SUBDIV: TENANT, NBR: STEPHEN & WENDY SCHMIDT CONTRACTOR : PHONE OWNER STEPHEN R & WENDY G SCHMIDT PHONE (360) 504-2221 PARCEL 06-30-01-8-0-0060-0000- APPL NUMBER: 11-00000576 RES REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------ mi ---- BLFO 01 7/07/11 JBLDG FOUNDATION TIME: 09:00 July 7, 2011 8:24:47 AM 1pangrle. WENDY 360-790-0685 dS "FOUNDATION REBAR PHASE" MORNING -------------------------- -------- COMMENTS AND NOTES -------------------------------------- r. BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician jho ate Received (o—q I I 321 E. Fifth St., Port Angeles,WA 98362 ermit# - 6 (360)417-4815 fax(360)417-4711 / ate Approved Applicant �J�e k h 3&0 -7qO � 42&6.5 cell Property Owner S7- h _,56bmW Phone ?foo- 7qe -d 571v Ee/1 Property Owner's Address /gag b41rejj Dm"l 1/,e f P4 Sox 1#9! PA ��3rpa 5dffl t as -ow4m r Phone 3&6 -50 41-- a a s l lc-et l Address P,_0• OK l-0111ja®!' a O AAA License.,# Expires E-mail 1 PROJECT ADDRESS / a lJ(/TGt� lJglvE ' -Ta" beRvA l31u_1fs Parcel Number ®tp-j© G D 17 D & 0 D O Lot Zoning Project Type&Brief Description: Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply I ❑ New Construction y ❑Addition ,Remodel G 5 6!9 R FO 0 x S : C5610 ❑ Repair ❑ Demolition ❑ Re-roof ❑ House ❑garage ❑other ❑tear off&re-roof ❑lay over one layer ❑ Heat System ❑ Heat pump ❑wood-burning stove ❑gas fireplace ❑ pellet stove ❑other ❑Other rAo avrabippi- inexba-hicakG 4.A e_ Floor Areas Existing(so.ft.) Proposed(sa.ft.) Basement _ _ @$ per sq.ft. _$ 1"Floor 21'a Fl8or— Td Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ 13 SOO Total footprint of structures s�.tt. - Lot size sq.ft.�. = Lot cov g� % Site Coverage=the amount of impervious surface on a parcel, including structures, paved driv ys, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) ,b Ghu 9� Site coverage Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths I have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand - that it is my responsibility to determine what permits are required,and to obtain permits prior to riling on pro' cts. Date -/.-/ Print Name�Ih_ZN. (R. 5 C h f�1 fell( Signature T:FormsBuilding Division/Bldg Permit.doc i T,UfI T Tri i I IL CITY FP IR7'ANG LES—GC . I The 1ssu�nce of this hermit base upon then plans,spe f f-i cations e-shall-not -the buil "1— Y'- — T— ( build official ' i.. r — I_ — — fro theireafter requmng the correction of errors m said pip t- aecrficationstand ther data�or from prevents g r bai(ding opera(ions being carnetl on I, Iin I I I vio a.ron lot alli codes andl ordinances of-tfjis-jur�sdieti 1 .+—�o� Z- - -� APprovai DateBy I i -- -- �- i- - -- 41 ✓, r � r r eWay I S� 5 - IIS__-I Il !-- _ _ _- •-_ I _ I_-_. �7 �t h�' - ¢ m - �� tLnC/osP_C��vu��l_�_,ev�l e � } f C — E D ao✓2G� LLiC Ir _DOOR( old --L- --, -�-�- -�-- -- --�-- i �- i -�-- -�-- I ��- - ----•--�-� -�- - ---}- I -- I -ao�� vo� _te - - _—� — —I — — — — ' — - - I i _� l /a •/L la � (- j I �turn ow i 77, --Ll - -- - ' —I— - —*— !- -- --� I I I X -- --- -! 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' ih rkr+u d : }*C4 WIT," L�� �"I. xe'q�Ir , v' "" Y+ti'w,and„ ."�• "a! a -^: ?+" I -a' :`e tea t d s Nfl" a` w Al I ys � ' pirmIX ow d w"m �S am`�' s� a.�"+' � �m,r •r�� C�ppPP',,+�-: 1` y, r „ � "�* E�^�f�? ra'ydvF � at L4 �- �.....v!..,. t , Rf JZ it ELECTRICAL PERMIT ' S CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 11-00000809 Date 8/02/11 Application pin number . . . 370360 REPORT SALES TAX Property Address . . . . . . 1222 DUTCH DR on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-01-8-0-0060-0000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . . . . . (Location Code 0502) Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 circuit shop lights ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ STEPHEN R & WENDY G SCHMIDT OWNER PO BOX 1491 PORT ANGELES WA 98362 (360) 504-2221 ---------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . N Permit pin number . 190231 Permit Fee . . . . 73.50 Plan Check Fee .00 1 Issue Date . . . . 8/02/11 valuation . . . . 0 Expiration Date . . 1/29/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL-BRANCH CIRCUIT WO/FEEDER 73.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited hue -- ----- ---------- Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN SIZ / 11 lAr FINAL L COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of Owner or Electrical Contractor X Date: G:1XCHANGE\BUILDING � s RECEIVED CITY OF PORT ANGELES PERMIT APPLICATION li 2 11 ' Building Division/Electrical Inspections 321 East Fifth Street-P.O. Box 1150/Port Angeles Washington. 98362 ELECTRICRL - Ph: (360) 417-4735 Fax: (360)417-4711 INSPECTIONS Date: I, 2D C 1 1 &2 tngle 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: a D 6U rC H D l VC kT &6&4 S Building Square Footage: Wa- metv5 cQ 2K[S2`in L ^ o Description of above Z — b b O-AJ g5 =X15TW& - G_ILZGUIt .,.T. T H D ®NE OVE T 50 IV6W to AAE 'y REGCPr.46&CS Fog F'DU,e OVERHEAD FGyo(L�scE�(17- 5 DP 1-14ATS, M'q/JE oNE j-0M C ri0M 13o)c, !�lA �C�F Owner Information / Cont ctor Information Name: 5fe0hiYl �BN!! `)�1l i�f Name: Mailing Address: IV 6yk /4 9 f Mailing Address: City: r�er^-r jt e' State: WA' ip: 16 3&Z City: State: Zip: Phone:3lo0-79G-0(®85, 'c'=" 6A�r»� = 3tro-�05/��aa/ Phone: x: Li Lic e#I Exp. Item Unit-Charge Qty Total(Qtv 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. 5 ,s i4hAt $262.20 $ Service/Feeder over 1000 Amp, T^pol- C'Ae1l1 $372.50 . $ Branch Circuit W/Service Feeder W Q $ 2.60 $ Branch Circuit W/O Service Feeder . $ 73.50 i $ 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 $ $ -7-3. 5­0 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 Munici ode, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature f�ner, ectrical contractor or electrical administrator: ❑ cash check nD 4 ❑ Credit Card# X Dated: / al 01101I2010 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION v 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00000773 Date 7/02/08 Application pin number 961112 Property Address 1222 DUTCH DR ASSESSOR PARCEL NUMBER 06 30 01 8 0 0060 0000 Tenant nbr name P A PARTNERS LLC Application type description RE ROOF Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 14030 Application desc TEAR OFF & RE ROOF COM Owner Contractor P A PARTNERS LLC NORTHWEST BUILDERS 705 DONOVAN AVE 1542 DAN KELLY RD BELLINGHAM WA !98225 PORT ANGELES WA 98363 (360) 461 6246 Structure Information 000 000 TEAR OFF & RE ROOF Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF & RE ROOF Permit pin number 129,106 Permit Fee 277 75 Plan Check Fee 00 Issue Date 7/02/08 Valuation 14030 Expiration Date 12/29/08 Qty Unit Charge Per Extension BASE FEE 95 75 13 00 14 0000 THOU BL 2001 25K (14 PER K) 182 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 2,77 75 277 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 282 25 282 25 00 00 V 7 G� 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 uthorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the wok 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 viol to or cancel the provisions of any state or local law regulating construction or the performance of construction 2 or amr AX(-(4 to Print Name S' naiur&of 66rltnrmor or Authorized Agent Signature of Owner(if owner is builder) T.Forms/Building Divis1011/l3uilding Permit(05/1 /08).wpd BIUILDING PERMIT INSPECTION RECORD C, CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS ' CALL 417-4807 FOR PUBLIC WORKS UTILITIES CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS I PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE 11 INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP-PERMIT AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWNSPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLDDOWNS WALLS/ROOF/CEILING v DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR \ INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT N'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 417-47.15 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-46:33 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 3Ll BUILDING F T r. �/R ibl, n, n Ri Yr Pe and(05/13/08).wod \ PREPARED 7/03/08 8 38 09 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/03/08 ADDRESS 1222 DUTCH DR SUBDIV TENANT NBR P A PARTNERS LLC CONTRACTOR NORTHWEST BUILDERS PHONE (360) 461 6246 OWNER P A PARTNERS LLC PHONE PARCEL 06 30 01 8 0 0060 0000 APPL NUMBER 08 00000773 RE ROOF -- -- --- --- ------ -- ----- PHRMIT BNOP 00 BUILDING PERMIT NO PR FEB REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 7/03/08 LL BLDG FINAL July 3 2008 8 25 35 AM 1pangrle KEN 206 235 4839 BLDG FINAL RE ROOF COMMENTS-AND-NOTES- --- --' G{�o�pORT BUILDING PERMIT APPLICATION Print in ink r ��- CITY OF PORT ANGELES For City Use Only: Attn Building Permit Technician Date Received(��7-OZ--08 321 Ej Fifth St. Port Angeles WA 98362 Permit*_09—,7 7S (360)417-4815 fax (360)417-4711 Date Approved Applicant or Agent 4 Phone z 0 E z 3 S 9' Property Owner Porgy- (�,�, l e 5 Phone Property Owner's Address Contractor/Engineer 1 d f✓s Phone Contractor/Engineer's Address tk License # Ne r 4-',, 0 Expires 0 d I PROJECT ADDRESS 2 Z>- Do�� DQ Parcel Number Du�"G Lot Zoning Proiect Type & Brief Description. Residential ❑ Commercial ❑ Multi-family ❑ Industrial Check all that apply ❑ New Construction I ❑Addition ❑ Remodel ❑ Repair Z Re-roof ❑ Demolition ❑ Heat System ❑ Heat pump ❑wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other I i Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @ $ per sq ft. _ $ 1 st Floor 2nd Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ (Iva 30 Total footprint of structures sq ft. _ Lot size sq ft. = Lot coverage % Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be instal Iled? Construction type #of half baths 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date Print Name e Jae r Signature i T Forms/Building Division/Bldg Permit App 2006 Code.doc PREPARED 6/25/08 11 28 49 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/25/08 ADDRESS 1222 DUTCH DR SUBDIV CONTRACTOR PHONE OWNER P A PARTNERS LLC PHONE (206) 235 4839 PARCEL 06 30 01 8 0 0060 0000 APPL NUMBER 08 00000743 PUBLIC WORKS UTILITES PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL99 01 6/25/08 JLL PLUMBING FINAL TIME O1 00 June 25 2008 8 35 58 AM 1pangrle KEN 206 235 4839 PLUMBING FINAL NEW WATER LINE METER TO HOUSE AFTERNOON COMMENTS AND NOTES - Application Number 08 00000752 Date 6/25/08 Application pin number 526176 Property Address 1222 DUTCH DR ASSESSOR PARCEL NUMBER 06 30 01 8 0 0060 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 200 amp undergound service Owner Contractor HOPF VELMA F OWNER 2833 W 14TH ST PORT ANGELES WA 983631114 N Permit ELEITRICAL ALTER RESIDENTIAL ^ ` Additional desc 1�J Permit pin number 128785 Permit Fee 64 00 Plan Check Fee 00 Issue Date /25/08 Valuation 0 Expiration Date 12/22/08 Qty Unit Charge P r Extension 1 00 64 0000 EC H EL R OR RM 0 200 ALT SRV FDR 64 00 Fee summary Charg d Paid Credited Due G Permit Fee Total 64 00 64 00 00 00 J1 Plan Check Total 1 00 00 00 00 Grand Total 64 00 64 00 00 00 T it i INSPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR BITCH SERVICE -7/- ,L�)o OUCH - IN FINAL 7� D oMMENTS: �0f�„^FAN CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00000743 Date 6/25/08 Application pin number 828745 Property Address 1222 DUTCH DR ASSESSOR PARCEL NUMBER 06 30 01 8 0 0060 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor P A PARTNERS LLC OWNER 705 DONOVAN AVE BELLINGHAM WA 98225 (206) 235 4839 Permit PLUMBING PERMIT Additional desc NEW WATER LINE METER TO HOUSE Permit pin number 128793 Permit Fee 7 00 Plan Check Fee 00 Issue Date 6/25/08 Valuation 80 Expiration Date 12/22/08 Qty Unit Charge Per Extension 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 Other Fees SEWER SYSTEM DELV CHARGE 1125 00 Fee summary Charged Paid Credited Due Permit Fee Total 7 00 7 00 00 00 Plan Check Total 00 00 00 00 other Fee Total 1125 00 1125 00 00 00 Grand Total 1132 00 1132 00 00 00 V\ GCP 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. A4 F �--� paTeTPrint Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) I T.Forms/Building Division/Building Permit(05/13/08).wpd BUILDING PERMIT INSPECTION RECORD Col CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS. 09 CALL 417-4807 FOR PUBLIC WORKS UTILITIES CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS ,J 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 AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPEDATE ACCEPTED COMMENTS-7 YES NO FOUNDATION- FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) � Z��o GAS LINE FINAL ATE ACCEPTED BY. BACK FLOW/WATER r-- AIR SEAL N WALLS (�1 CEILING FRAMING `v JOISTS/ GIRDERS SHEAR WALLIHOLD DOWNS C2 WALLS/ROOF/CEILING C DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY FINAL DATE- ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT N's SEPA. PARKINGILIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Q 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 417-4"t50 PLANNING DEPT c BUILDING 417-4815 BUILDING \` T r diz .LG n, n/Ri'Ir PP it(05/13/08).wod BUILDING PEE?leIIIIT APPLICATION Print in Ink �— CITY OF PORT ANGELES For City Use ,?- �; �� Attn Building Permit Technician LDate Received 321 E. Fifth St. Port Angeles WA 98362 �h it# O 167742, Or (360)417-4815 fax (360)417-4711 Approved O &AT Applicant or Agent EeN U�Phone Z66 L)s- g; Property Owner ,) L-6N Phone Property Owner's Address 14 k rti vc ..& tl e 3y 3 Contractor/Engineer Ot,,,,,,,,,_ Phone Contractor/Engineer's Address License # Expires PROJECT ADDRESS 2z2 0,,kt, Parcel Number Lot Zoning I Project Type & Brief Description. esidential ❑ Commercial ❑ Multi-family ❑ Industrial Check all that apply ❑ New Construction ❑Addition ell ❑ Remodel ❑ Repair ❑ Re-roof ❑ Demolition ❑ Heat System ❑ Neat pump ❑wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other Other I Floor Areas Exisl ting(sq. ft.) Proposed(sq. ft.) Basement @ $ per sq ft. _ $ 1s Floor 2nd Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ Total footprint of structures sq ft. — Lot size sq ft. = Lot coverage % Max height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths ---Will-a fire sprinkler system be inst�Iled?-- -- -Construction type -- _—#of Half baths - — -" /have read and completed this application and know it to be true and correct. /am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects Date_! Print Name t"—k, Signature T For:-,s/Building Division/Bldg Permit AP 1. 2006 Code doc Of PORi4*Q .x'11 CITY OF PORT ANGELES PUBLIC WORKS -UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number I 08 00000743 Date 6/24/08 Application pin number 1 828745 Property Address 1222 DUTCH DR ASSESSOR PARCEL NUMBER 06 30 01 8 0 0060 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 i Owner Contractor t HOPF VELMA F OWNER 2833 W 14TH ST PORT ANGELES WA 983631114 Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4 DROP IN WATER METER Permit pin number 128629 Permit Fee 200 00 Plan Check Fee 00 Issue Date 6/24/08 Valuation 0 Expiration Date 12/21/08 Qty Unit Charge Per Extension BASE FEE 200 00 N Permit PUBLIC WORKS RES WATER SERV Additional desc CUT AND CAP Permit pin number 128637 Permit Fee 200 00 Plan Check Fee 00 Issue Date 6/24/08 Valuation 0 Expiration Date 12/21/08 Qty Unit Charge Per Extension BASE FEE 200 00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 128652 Permit Fee 120 00 Plan Check Fee 00 Issue Date 6/24/08 Valuation 0 Expiration Date 12/21/08 Qty Unit Charge Per Extension 1 00 120 0000 EA SAN SEWER HOOKUP 120 00 Other Fees SEWER SYSTEM DELV CHARGE 1125 00 Fee summary Charged Paid Credited Due i Permit Fee Total 520 00 520 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 1125 00 1125 00 00 00 Grand Total 1645 00 1645 00 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 constructio' 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. ! "cr` Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T-\Policies\1102.15R[1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAIFFUL 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 DATEACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING. SIDEWALK, ji, i, 3 CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE ,F F1' . I � u ql' FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE ' RESIDENTIAL DATE' YES NO; COMMERCIAL --'DATE:'- (ACCEPTED YE& NO CONSTRUCTION RW /P_WF' CONSTRUCTION, RW ENGINEERING 417-4807 PW/ENGINEERING `FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T•\Policies\1102.151[1/051; ELECTRICAL WORK PERMIT APPLICATION M5 Installation description Job mired by ❑ Electrical Contractor Owner ❑ Commercial ( Residential Electrical contractor name Liamse number Date Fspacs ❑ New *ltered/Addition Purchaser's mailing address (� City state ZIF 0 t'l y E�� 6r-OU �-j 1� a 'Telephone number FAX number Premises owner's name' A _ (N L/^f/VL v 1 Address of ' r' ttj'n City 9g7c � Phone ryynber,u3rPit�ypi�ction: Ouwer as duftned by RCIV 19.2554.261:(1) On,ner will occupy the .structure fns ma years after this electrical per i.v finalized (2) Owner is required to hire an electrical cantractor if above said pr perp•is for sale, rem or lease. ❑ Cash ❑ Check# After reading the above statement, I hercb}' certify that I am the owner of the above named property or a licensed electrical contractor. t am making the electrical instal- ❑Credit Card Visa Mastercard Discover lation or alteration in compliance with the electrical laws, N.F..C., RCW. Chapter 19.28, WAC. Chapter 296-46R, The City of fort Angeles Municipal Code, and Card# - - - Ulility Specifications. Signature of namer, electrical contractor or electrical administrator Expiration Date Inspection fee X Date: Zr l� ofcard $ pp 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: S_"E_DAYJNSPESTI.0N,_CAI L BEF2E 7:00 ANL369-4-1-4735 ROUGH-IN TRNVp,,11,d SERVICE -Z-Cr-C6 nwo A,,^e d oy Deur Dae Approved ay FINAL FEEDER dp Dam Dae Appru.ed ny Inspection ! Ell Date Area,Buildingor Equipment Ins ected Action Taken Inspector ')s.�8 Alp 6714 OF pORT44,C ELECTRICAL INSPECTION WIRING REPORT e `1wR�s e,F 417-4735 DATE PERMIT» INSPECTOR 7 -674 Z OWNE CONTRACTOR D 7 AD RESS APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . ... . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . ... . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS,NEEDED: 7KL 7 A.,P IZUICI� eaE 2-5-6 (NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS,INC.(360)452-1381