HomeMy WebLinkAbout415 N Liberty St - BuildingPREPARED 8/20/10 8 15 17 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/20/10
ADDRESS 415 N LIBERTY ST SUBDIV
TENANT NBR HOLLY JOHN LOCKE
CONTRACTOR PHONE
OWNER HOLLY JOHN LOCKE PHONE (360) 477 6668
PARCEL 06 30 00 7 8 0320 0000
APPL NUMBER 10 00000832 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR PEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 8/20/10 JL BLDG FINAL
August 19 2010 1 15 58 PM 1pangrle
V JOHN 477 6668
BUILDING FINAL RE ROOFED THE HOUSE GARAGE
COMMENTS AND NOTES
Application Number 10 00000832
Application pin number 397632
Property Address 415 N LIBERTY ST
ASSESSOR PARCEL NUMBER 06 30 00 7 8 0320 0000
Tenant nbr name HOLLY JOHN LOCKE
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 2500
Application desc
TEAR OFF RE ROOF THE HOUSE GARAGE
Owner
HOLLY JOHN LOCKE
415 N LIBERTY
PORT ANGELES WA 98362
(360) 477 6668
Structure Information 000 000
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Qty Unit Charge Per
1 00
Other Fees
Fee summary Charged
Permit Fee Total 109 75
Plan Check Total 00
Other Fee Total 4 50
Grand Total 114 25
9- 01 I O N/ u9c
T:Forms /Building Division /Building Permit
Contractor
OWNER
RE ROOF THE HOUSE GARAGE
BUILDING PERMIT NO PR FEE
RE ROOF THE HOUSE GARAGE
171074
109 75
8/09/10
2/05/11
BASE FEE
14 0000 THOU BL -2001 25K (14 PER K)
Paid Credited
109 75 00
00 00
4 50 00
114 25 00
Date 8/09/10
Plan Check Fee 00
Valuation 2500
Extension
95 75
14 00
STATE SURCHARGE 4 50
Due
00
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
6 .0(k\e-A
-1
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 regular g construction or the performance of
construction
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
1
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
FINAL Date Accepted by
FINAL Date Accepted by
1
1
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
r
z
t D
1
lo
1'
T.Forms /Building Division /Building Permit
Applicant JC L kC-
Property Owner j U0
Property Owne 's Addfess' U \C A/ e,d
Contractor
Contractor's ddr es
License
PROJECT ADDRESS
Parcel Number
Project Tvoe Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
e -roof
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
r
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Expires
L-6e.1 y S�
House ygarage other Year off re -roof lay over one layer
Heat pump wood burning stove gas fireplace pellet stove other
Residential Multi- family
ExistinaJ g. ft.) Proposed (sq. ft)
ccupancy group
0 upant load
Con ruction type
l have read and completed this application and know it to be true and correct. 1 ar4ithorized t
that it is my responsibility to determine w hat are required, and to obtain permits pri
Date 8- -\(1 Print Name Xcn./1 f,L(1 1 Q Signature
T Forms /Building Division /Building permit application
For City Use Only
Date Received
Permit# tD
Date Approved
Phone j_lx �1 ebb
Phone
/4
Phone
E -mail
Lot
Zoning
Commercial Industrial
per sq ft.
mcd J ctl 5 l2-5()
I,co r I Z. 50
TOTAL VALUATION 2.5 Q 0
Total footprint of structures sq ft. Lot size sq ft. Lot coverage
Site Coverage the amount of impervious surface on a parc- including structures aved driveways sidewalks, patios
and other impervious surfaces (see PAMC 17 94 13 fo xemptions)te coverage
of bedrooms
of full baths
of half baths
pp for this permit and understand
ing rojects.
Clallam County Assessor Treasurer Property Details 62459 HOLLY /JOHN LOCKE Page 1 of 6
Clallam County Assessor Treasurer
Property Search Results 62459 HOLLY /JOHN LOCKE for Year 2010 2011
Property
Account
Property ID
Geographic ID
Type
Tax Area:
Open Space.
Historic Property'
Multi Family Redevelopment: N
Township
Range.
Location
Address 415 N LIBERTY ST
PORT ANGELES WA
Neighborhood.
Neighborhood CD
Owner
Name
Mailing Address.
62459
0630007803200000
Real
0010
N
Cycle 5 Res
10955130
HOLLY /JOHN LOCKE
415 N LIBERTY ST
PORT ANGELES WA 98362
taxes and Assessment Due
Property Tax Information as of 08/09/2010
Amount Due if Paid on. 2.
PA 121 PORT ST CNTY H2 L Land Use Code 11
DFL N
N Remodel Property' N
Year Statement ID Taxing Jurisdiction
2010 45067 ST SCH STATE SCHOOL
2010 45067 CC -GEN COUNTY
2010 45067 PORT PORT
2010 45067 PORT ANG PORT ANGELES
2010 45067 SD #121 SCHOOL DISTRICT #121
2010 45067 NTH OLY LIB NORTH OLYMPIC LIBRARY
2010 45067 HOSP #2 HOSPITAL #2
2010 45067 WSMET PK DIST WILLIAM SHORE MET PARK
2010 45067 CITY_STORMWATER CITY STORMWATER
2010 45067 WEED_CONTROL WEED CONTROL
2010 45067 TOTAL.
2009 624592008 ST SCH STATE SCHOOL
2009 624592008 CC -GEN COUNTY
2009 624592008 PORT PORT
2009 624592008 PORT ANG PORT ANGELES
2009 624592008 SD #121 SCHOOL DISTRICT #121
2009 624592008 NTH OLY LIB NORTH OLYMPIC LIBRARY
Legal Description
Agent Code
Section
Mapsco
Map ID
Owner ID
Ownership
Exemptions:
First Half
Base Due
$208 51
$110 97
$15 60
$256 91
$270 07
$32.24
$45 52
DIST $14 48
$36 00
$0 82
$991 12
$238.75
$120 83
$17 12
$265 02
$295.26
$35 11
CAIN SUBD OF LOT 36 LT
A BLA SURV 52 -25 BL3 LTS
14 -15 PTN 16
2
Second Half
Base Due
$208.51
$110 95
$15 59
$256 91
$270 08
$32.25
$45 52
$14 49
$36 00
$0 81
$991 11
$238.75
$120 82
$17 11
$265 03
$295.25
$35 11
37508
100 0000000000%
Penalty
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$0.00
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
Interest
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$000
$0 00
$0.00
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
Base
$2C
$11
$1
$2E
$27
$Z
$4
$1
$9E.
$47
$24
$5C
$5f
$7
http. /vpn.clallam. net. 8084/ propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =62459 8/9/2010
PREPARED 4/01/09 8 42 07 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/01/09
ADDRESS 415 N LIBERTY ST SUBDIV
TENANT NBR HOLLY A LOCKE
CONTRACTOR PHONE
OWNER HOLLY A LOCKE PHONE (360) 452 4560
PARCEL 06 30 00 7 8 0320 0000
APPL NUMBER 07 00000767 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLI 01 9/11/07 JLL BLDG INSULATION
9/12/07 DA 09/10/2007 03 46 PM LPANGRLE
JOHN 477 6668
INSULATION
09/12/2007 09 00 AM JLIERLY
no answer at door or phone recall when available/j11
BL3 01 9/11/07 JLL BLDG FRAMING
9/12/07 DA 09/10/2007 03 45 PM LPANGRLE
JOHN 477 6668
FRAMING
09/12/2007 09 00 AM JLIERLY
no answer at door or phone recall when available/j11
BAIR 01 9/12/07 JLL BLDG AIR SEAL
9/12/07 AP 09/12/2007 09 34 AM LPANGRLE
JOHN 477 6668
AIRSEAL
CALL FIRST NEEDS 10 MINUTES LEAD TIME TO GET HOME
09/12/2007 04 38 PM JLIERLY
BLI 02 9/12/07 JLL BLDG INSULATION
9/12/07 AP 09/12/2007 09 36 AM LPANGRLE
JOHN 477 6668
INSULATION
CALL FIRST NEEDS 10 MINUTES LEAD TIME TO GET HOME
09/12/2007 04 38 PM JLIERLY
BL3 02 9/12/07 JLL BLDG FRAMING
9/12/07 AP 09/12/2007 09 35 AM LPANGRLE
JOHN 477 6668
FRAMING
CALL FIRST NEEDS 10 MINUTES LEAD TIME TO GET HOME
09/12/2007 04 38 PM JLIERLY
4/01/09 JLL /1 BLDG FINAL TIME 01 00
BL99 01
March 31 2009 11 06 05 AM 1pangrle
9/ JOHN 477 6668
BUILDING FINAL REMODEL
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME1 01 9/11/07 JLL MECHANICAL ROUGH IN
9/12/07 DA 09/10/2007 03 47 PM LPANGRLE
JOHN 477 6668
ROUGH IN MECHANICAL
09/12/2007 09 00 AM JLIERLY
no answer at door or phone recall when available/j11
ME1 02 9/12/07 JLL MECHANICAL ROUGH IN
9/12/07 AP 09/12/2007 09 36 AM LPANGRLE
JOHN 477 6668
CONTINUED ONTO NEXT PAGE
PREPARED 4/01/09 8 42 07 INSPECTION TICKET PAGE 2
�r+,I CITI'OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/01/09
ADDRESS 415 N LIBERTY ST SUBDIV
TENANT NBR HOLLY A LOCKE
CONTRACTOR PHONE
OWNER HOLLY A LOCKE PHONE (360) 452 4560
PARCEL 06 30 00 7 8 0320 0000
APPL NUMBER 07 00000767 RES REMODEL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 4/01/09
JLL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ROUGH IN MECHANICAL
CALL FIRST NEEDS 10 MINUTES LEAD TIME TO GET HOME
09/12/2007 04 38 PM JLIERLY
MECHANICAL FINAL TIME 01 00
March 31 2009 11 05 07 AM 1pangrle
JOHN 477 6668
MECHANICAL FINAL REMODEL
AFTERNOON
PL2 01 9/11/07 JLL PLUMBING ROUGH IN
9/12/07 DA 09/10/2007 03 47 PM LPANGRLE
JOHN 477 6668
ROUGH IN PLUMBING
09/12/2007 09 00 AM JLIERLY
no answer at door or phone recall when available/j11
PL2 02 9/12/07 JLL PLUMBING ROUGH IN
9/12/07 AP 09/12/2007 09 37 AM LPANGRLE
JOHN 477 6668
ROUGH IN PLUMBING
CALL FIRST NEEDS 10 MINUTES LEAD TIME TO GET HOME
09/12/2007 04 38 PM JLIERLY
PL99 01 4/01/09 JLL PLUMBING FINAL TIME 01 00
March 31 2009 11 05 40 AM 1pangrle
JOHN 477 6668
PLUMBING FINAL REMODEL
AFTERNOON
COMMENTS AND NOTES
PREPARED 4/01/09 8 42 07 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/01/09
ADDRESS 415 N LIBERTY ST SUBDIV
TENANT NBR JOHN LOCKE
CONTRACTOR PHONE
OWNER HOLLY JOHN LOCKE PHONE (360) 452 4560
PARCEL 06 30 00 7 8 0320 0000
APPL NUMBER 08 00000223 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 4/01/09 JLL MECHANICAL FINAL TIME 01 00
A� March 31 2009 11 01 49 AM 1pangrle
j f_j JOHN 477 6668
MECHANICAL FINAL WOOD BURNING STOVE
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
o ,o Tq 1 'G
1
wc:0
Application Number 08 00000223 Date 2/25/08
Application pin number 295812
Property Address 415 N LIBERTY ST
ASSESSOR PARCEL NUMBER 06 30 00 7 8 0320 0000
Tenant nbr name JOHN LOCKE
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 750
Application desc
INSTALL WOOD BURNING STOVE
Owner Contractor
HOLLY JOHN LOCKE
415 N LIBERTY
PORT ANGELES
(360) 452 4560
Permit MECHANICAL PERMIT
Additional desc INSTALL WOOD BURNING STOVE
Permit pin number 121442
Permit Fee 50 00 Plan Check Fee 00
Issue Date 2/25/08 Valuation 750
Expiration Date 8/23/08
Fee summary
Date
Qty Unit Charge Per Extension
1 00 50 0000 ECH ME WOOD BURNING APPL 50 00
Print Name
WA 98362
T forms /Building Division/Building Permit (10 /01 /07).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
OWNER
Charged Paid Credited
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
Permit Fee Total 50 00 50 00 00 00
Plan Check Total 00 00 00 00
Grand Total 50 00 50 00 00 00
Due
Signature of Contractor or Authorized Agent ignatur`d of Owner (if owner is builder)
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
FOUNDATION•
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -1N
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT N's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE
PLANNING DEPT
I BUILDING
417 -4815 I n Ot o I ra 1
417 -4653
417 -4750
T Forms /Building Division /Building Permit (10 /01 /07).wpd
ACCEPTED
YES 1 NO
FINAL DATE
FINAL DATE
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
DATE
ACCEPTED BY.
ACCEPTED BY.
ACCEPTED
YES I NO
Applicant or AgenN.
Property Owner
Property Owners Address U N (i WA .1_ 4tArA
Contractor /Engineer
Contractor /Engineer's Address
License
PROJECT ADDRESS ,,,.kj -Pd+v
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Re -roof
Demolition
Sign
Heat System
Other
Floor Areas
Basement
1St Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Existing (sq. ft.) Proposed (sq. ft.)
Total footprint of structures sq ft. T Lot size
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
Lot
)0esidential Commercial
Phone
Phone Vk f LAs bp
Phone
wall- mounted projecting freestanding awning other
Total sign area sq ft. Maximum allowed sign area sq ft.
Heat pump wood-burning stove gas fireplace pellet stove other
Expires
TOTAL VALUATION
For City Use Only
Date Received 2 -Z5 -Oa
Permit O 7_2_3
Date Approved
Zoning
Multi family Industrial
per sq ft.
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
'2)
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, o to o rmits prior to working on
projects.
Date.
y 9 ,4_ Print Name ��r1 �(�Ci�f Signatur-�
T Forms /Building Division /Bldg Permit Appl. 2006 Code doc
PREPARED 9/12/07 10 35 10 INSPECTION TICKET
CITY OF PORT ANGELES
ADDRESS 415 N LIBERTY ST
TENANT NBR HOLLY A LOCKE
CONTRACTOR
OWNER HOLLY A LOCKE
PARCEL 06 30 00 7 8 0320 0000
APPL NUMBER 07 00000767 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLI 01 9/11/07 JLL
9/12/07 DA
BL3 01 9/11/07 JLL
9/12/07 DA
BAIR 01 9/12/07 JLL
BLI 02 9/12/07 JL
BL3 02 9/12/07 JL
BLDG INSULATION
09/10/2007 03 46
JOHN 477 6668
INSULATION
09/12/2007 09 00
no answer at door
BLDG FRAMING
09/10/2007 03 45
JOHN 477 6668
FRAMING
09/12/2007 09 00
no answer at door
BLDG AIR SEAL
09/12/2007 09 34
JOHN 477 6668
AIRSEAL
CALL FIRST NEEDS
BLDG INSULATION
09/12/2007 09 36
JOHN 477 6668
INSULATION
CALL FIRST NEEDS
BLDG FRAMING
09/12/2007 09 35
JOHN 477 6668
FRAMING
CALL FIRST NEEDS
ME1 01 9/11/07 JLL
9/12/07 DA
ME1 02 9/12/07
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 9/11/07 JLL
9/12/07 DA
INSPECTOR JAMES LIERLY
SUBDIV
PHONE
PHONE (360) 452 4560
PM LPANGRLE
PM LPANGRLE
AM LPANGRLE
AM LPANGRLE
AM LPANGRLE
PLUMBING ROUGH IN
09/10/2007 03 47 PM LPANGRLE
CONTINUED ONTO NEXT PAGE
AM JLIERLY
or phone recall when available/j11
AM JLIERLY
or phone recall when available/j11
10 MINUTES LEAD TIME TO GET HOME
10 MINUTES LEAD TIME TO GET HOME
10 MINUTES LEAD TIME TO GET HOME
MECHANICAL ROUGH IN
09/10/2007 03 47 PM LPANGRLE
JOHN 477 6668
ROUGH IN MECHANICAL
09/12/2007 09 00 AM JLIERLY
no answer at door or phone recall when available/j11
MECHANICAL ROUGH IN
09/12/2007 09 36 AM LPANGRLE
JOHN 477 6668
ROUGH IN MECHANICAL
CALL FIRST NEEDS 10 MINUTES LEAD TIME TO GET HOME
PAGE 1
DATE 9/12/07
PREPARED 9/12/07 10 35 10 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/12/07
ADDRESS 415 N LIBERTY ST SUBDIV
TENANT NBR HOLLY A LOCKE
CONTRACTOR PHONE
OWNER HOLLY A LOCKE PHONE (360) 452 4560
PARCEL 06 30 00 7 8 0320 0000
APPL NUMBER 07 00000767 RES REMODEL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 02 9/12/07
JOHN 477 6668
ROUGH IN PLUMBING
09/12/2007 09 00 AM JLIERLY
no answer at door or phone recall when available/j11
PLUMBING ROUGH IN
09/12/2007 09 37 AM LPANGRLE
JOHN 477 6668
ROUGH IN PLUMBING
CALL FIRST NEEDS 10 MINUTES LEAD TIME TO GET HOME
COMMENTS AND NOTES
PREPARED 9/11/07 9 56 56 INSPECTION TICKET PAGE 18
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/11/07
ADDRESS 415 N LIBERTY ST SUBDIV
TENANT NBR HOLLY A LOCKE
CONTRACTOR PHONE
OWNER HOLLY A LOCKE PHONE (360) 452 4560
PARCEL 06 30 00 7 8 0320 0000
APPL NUMBER 07 00000767 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLI 01 9/11/07
BL3 01 9/11/07
ME1 01 9/11/07
PL2 01 9/11/07
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
COMMENTS AND NOTES
BLDG INSULATION
09/10/2007 03 46 PM LPANGRLE
JOHN 477 6668
INSULATION
BLDG FRAMING
09/10/2007 03 45 PM LPANGRLE
JOHN 477 6668
FRAMING
MECHANICAL ROUGH IN
09/10/2007 03 47 PM LPANGRLE
JOHN 477 6668
ROUGH IN MECHANICAL
PLUMBING ROUGH IN
09/10/2007 03 47 PM LPANGRLE
JOHN 477 6668
ROUGH IN PLUMBING
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 07 00000767 Date 7/16/07
Application pin number 208112
Property Address 415 N LIBERTY ST
ASSESSOR PARCEL NUMBER 06 30 00 7 8 0320 0000
Tenant nbr name HOLLY A LOCKE
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 7150
Owner Contractor
HOLLY A LOCKE
415 N LIBERTY
PORT ANGELES
(360) 452 4560
WA 98362
OWNER
Permit BUILDING PERMIT RESIDENTIAL
Additional desc FINISH 1/2 STORY
Permit pin number 105833
Permit Fee 179 75 Plan Check Fee 71 90
Issue Date 7/16/07 Valuation 7150
Expiration Date 1/12/08
Qty Unit Charge Per Extension
BASE FEE 95 75
6 00 14 0000 THOU BL -2001 25K (14 PER K) 84 00
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 105858
Permit Fee 93 05 Plan Check Fee 00
Issue Date 7/16/07 Valuation 0
Expiration Date 1/12/08
Qty Unit Charge Per Extension
BASE FEE 50 00
3 00 7 2500 ECH ME VENT FAN 21 75
2 00 10 6500 ECH ME OTHER APPL N/R 21 30
Permit PLUMBING PERMIT
Additional desc
Permit pin number 105841
Permit Fee 100 00 Plan Check Fee 00
Issue Date 7/16/07 Valuation 0
Expiration Date 1/12/08
Qty Unit Charge Per Extension
BASE FEE 50 00
4 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 28 00
1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00
1 00 15 0000 ECH PL- EA BLDG SEWER 15 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 372 80 372 80 00 00
17'0
o
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
constructi
Lc-Li?
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T- \Policies \I IO2_15 building permit inspection record05 wpd [1/4/2005]
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
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
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
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
I FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
I BUILDING 417 -4815 I
T \Polici es11102 15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
ACCEPTED COMMENTS
YES NO
FINAL
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW /ENGINEERING
I I
I FINAL DATE ACCEPTED BY.
SEPA.
ESA.
SHORELINE:
FIRE DEPT
I PLANNING DEPT
BUILDING
DATE ACCEPTED BY.
DATE
ACCEPTED
YES I NO
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
Application Number 07 00000767 Date 7/16/07
Application pin number 208112
Plan Check Total 71 90 71 90 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 449 20 449 20 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
fora 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 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]
INSPECTION TYPE
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING 8_ HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W /PW/
ENGINEERING 417 -4807
FIRE 417 -4653
I PLANNING DEPT 417 -4750
BUILDING 417 -4815
T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -473 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINLMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, IA'SULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
DATE ACCEPTED
YES NO
1-1Z-0
�L-L-
I
q- 12 -01 JLL
IZ -01 3L-L-
9 -o 1 1
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
I I I
1 0`i O1-Ot j r' I
FINAO I Oi DATE PB
FINAL° 1 1 0 C I DATE Pe
SEPA.
ESA.
SHORELINE:
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
DATE
ACCEPTED BY.
ACCEPTED BY.
ACCEPTED
YES I NO
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and hi INK. our application and site plan MUST .,3E
COMPLETE to be accepted for review If you have any questions. call
PERMITS (360) 417 -4815 FAX(360 417 -4711
Applicant 1 orr Agent: OTl"J I�r e. Phone:0 T3 6(96Q)
Owner 1Iy 1- oc-Ke, Phone. LAR-L1..960
Address IAA 5 /NI 1,- Ai21l 51 City -ArO ie5 Zip JSO"
Architect/Enmeer \-1nnr 0 Phone:
Contractor State License Exp Phone:
Address: City Zip
PROJECT ADDRESS -GIMP ZONING
LEGAL DESCRIPTION Lot: Block. Subdivision.
CLALLAM COUNTY PARCEL NUMBER.
0 r reimoaeA
FOR OFFICIAL USE ONLY
Date Rec. 06 '2-9-- 0
Ygnnii w•(`j 7 y
fate 6 pproved:
ate Issued:
TYPE OF WORK. SIZE/VALUATION
Residential New Constr Re -roof Stove SF /SF
Multi family Addition Move Garage SF /SF
Commercial 'X Remodel Demolition Deck SF 5 i /SF
Repair Sign Other TOTAL V U TIpN (4.2e BRIEF DESCRIPTION OF THE PROJECT nrJ '>L 4L-e tArici Ni 5LeA S-i-or ,p, 1A 41-Cn■ r Porn, 1,
brvid(e, kOOM ti•'/a, 43w r cik, Nc r For -toy lei, i -5 e 1 I o t v O Sl As, Remot ,'NO)
dOw6 L1 4 6 en vitN/6 9-0-o i Ak ;N C\4» h l ec 4 S✓ h. -kt +o
COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type
No of Stones: 6- Lot Size. Existing Sq Ft. loS Proposed Sq Ft TOTAL Sq Ft.
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit apphcation 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 a pplication ill expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
RI 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I
must obtain such permits prior to work.
L 'r.\W iv S\BldgPermitform.wpd Applicant: Date: �'c
Lot.
Option Glazing
Area
of Floor
Unlimited
III Group R 3
Occupancy
Only
Prescriptive Approach Simple Form
For the Washington State Energy Code 2003 Edition
Climate Zone 1
Building Department Use Only.
Permit 1 l /0
Site Information
Address. IA 15 1, 10F.n+ 1 44
City Oc r JOz. \e5
State: W Zip:G 0o
Contact: cDL,,-1
Phone: 0 (6 (47'0
Phone 2 Lt5 �QO
FAX.
Table 6 -1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
Unlimited Glazing Option Only
Glazing U- Factor Door Wall
U- Vaulted Above
Vertical Overhead Factor Ceiling Ceiling Grade
0 40 0.58 0.20 R 38
This Project complies with the following:
The Project is a single family residence or duplex.
The Project is wood frame OR all of the insulation is mtenor or extenor of the framing
✓All building components meet the requirements hsted m Table 6 -1, Option III.
The Project will meet all other provisions of the WSEC and VIAQ
The Project will take advantage of the following exceptions to the prescnptive option
602.6 Exception 1 One door, that is 24ft. Or less, that does not meet the standards allowed.
Location of the door taking this exception
602.6 Exception 2. Doors with a U- Factor of 0.40 allowed without calculations, Option III only
Location of
sC'
the Door (s) taking exception
Type of Heat Source:CO 1 k)(,a.�' P cd€' S
EXHIBIT A
Notes
R 30 R21
Wall
Intenor
Below
Grade
Wall
Extenor
Below
Grade
Slab
on
Floor Grade
R21 R10 R30 R1.0
Applicant:
Owner
Cite of Port Angeles
4pplicant Project Review Sheet
Is the proposed use listed as a permitted use or an accessory use m th
Is this the only use (business, residence, etc.) On this site?
Has there ever been a subdivison, shortplat, or PRD approved for this site, or has one
been submitted and is pendmg approval?
Does the proposed use require a new business license?
Does the project extend into any required setbacks or cross any lot lines (interior or
exterior)?
Does the project exceed the permitted height allowance or cause the property to
exceed the allowed lot coverage m this zone?
Does the project require any additional parking or special design/landscape
improvements m this zone?
Does the project eliminate any existing parking spaces?
Is the project located within 200 feet of the shoreline?
Are there any environmentally sensitive areas on or within 200 feet of the property
including•
Wetlands or areas of standing water (year round or seasonal)
Streams (year round or seasonal)
Areas with a slope of 40% or greater or
Areas that have evidence of past ground movement or erosion?
Have all the required submittals been provided by the applicant?
Site Plan Construction Drawings Parking /Drainage Plan
❑Civil Drawings Energy Calculations Supporting Engineers Calculations
❑Landscape/Lnghtmg Plans Others.
If Planning Department review is required, the processing time may be extended. If it
is determined a separate Planning Department permit(s) is needed, the Planning
Department must be approved prior to the issuance of any other permit.
The n formation provided above is true to the best of my knowledge, I understand that in the event that any of this information is
determined by the City to be incorrect, this project will be stopped until such time the City determines the correct information is
pr :r ed and subsequently required review and approvals are completed and granted.
In
Date
Property Address
Proposed Use
2 415 N. Cibek S(
I es Ok
Yes. Ok
Yes requires PD
review
Yes: requires CC
review
Yes requires PD
review
Yes. requires PD
review
Yes. requires PD
review
Yes: requires PD
review
Yes requires PD
review
Yes Ok
Zoning:
No requires PD
review
No requires PD
review
No Ok
No Ok
No Ok
No Ok
X No Ok
YS No Ok
No Ok
No Mark
required item
Borrower/Client LOCKE. Holly A.
Prooertv Address 415 N. Liberty St.
I City Port Anaeles
Lender America One Finance
County CIIalam
Site Map
State WA Zip Code 983624226
Form MAP.SIte 'TOTAL for Windows" appraisal software by a la mode, inc. 1-800-ALAMODE
(File No. 6A66291 Pape #13I
Borrower/Client LOCKE. Holly A.
Property Address 415 N. Liberty St.
City Port Anaeles
Lender America One Finance
Courtly ClIallam
Subject Interior Photo Page
State WA ho Code 98362-4226
Form PIC3x5.31 'TOTAL for Windows appraisal software by a la mode, inc. 1-800-ALAMODE
Mstr Bdrm: Dated
415 N. Liberty St.
Sales Price 127,500
Gross Living Area 1,056
Total Rooms 4
Total Bedrooms 2
Total Bathrooms 1
Location Urban
View Neighborhood
Site 8,300 Sf
Quality Average
Age 59 Ac/ 25-30 Eff
New master bath
tele No. 6A6629l Page #101
Family room over garage
Borrower /Client LOCKE. Hotly A
Prooertv Address 415 N. Liberty St.
City Port Anaeles
Lender America One Finance
County Cllallam
FLOOR PLAN
21'
2 Car Carport
Dining Kitchen
area
Living
Alley
Gross Living Area 24.0 x 44 0 1,056 0 Sf
24'
State WA Zo Code 98362 -4226
Bdtnn
12' 1-•
1 Car
Garage
Utility
1
44'
6
Form MAP.LOC "TOTAL for Windows appraisal software by a la mode, inc. —1. 800- ALAMODE
O
28'
LOCKE
Not Scale
!File Np. 6A66291 Page #12.1
1
Y e
2 y
I
1
3
1
a.� 1
O
2'
LJ
,i
I n
J
u
i r MCy^A M M
Bh x e�
1 Cnop�v, j r____
x
YtX' T
3
1 111
2
FILE
O
0
f 3
l
1
CIIy OF PORT ANGELES Constr iction Plans
The lfsuance of this permit based upon thes pfans, specifi-
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors in said
and, specifications and other data, or 1'om preventing
ci operations being carried on their under when in
ation of all codes and ordinances of his jurisdiction.
(SECTION 303(c) Unifor n Building Code.) 2Gp 3
Apprval Date -7 `git) By
13-1
I '17-2o'r,-4,J-
Outline of work to be done corresponding to the drawing.
A. Replacing existing windows on both the north and South sides
Existing dimension are 32 "X48" new dimensions will be 43 "X60" with a new 4 "x6"
header
B New non load beanng separation wall with door separating bedroom from bathroom.
C 12" deck with Tub /Shower and Toilet. Deck built to create opportunity for adequate
dram elevation requirement with 6" step
D Standard closet
E New wall for sink plumbing dual sink to be put in.
Indicates where new roof vents will be located
1 for new bath
1 for existing bath downstairs and
1 for stove /oven downstairs
F New half wall for stairway
It
,'9
.~~
. . CI'rY.OFJ~QRT ANGELES
PUBLIC WORKS ~. ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES.WA 98J()2
Application Number
Appiication pin number
Property Address . . .
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning .
Application valuation
Owner
LOCKE, JOHN & HOLLY
415 N LIBERTY
PORT ANGELES WA 98362
06-00001112 Date 11/14/06
144696
415 N LIBERTY ST
06-30-00-7-8-0320-0000-
ELECTRICAL ONLY
RS7 RESDNTL SI'NGLE 'FA~IILY
o
Contractor
APS ELECTRIC
546 BENSON RD.
PORT ANGELES
PORT ANGELES
(360) 452-6753
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL' .
APS/ MOVE SVC TO NW GAR:':'" ..,..e>.
88583
APS ELECTRIC
66.90
11/14/06
5/13/07
Plan Check Fee
Valuation
Qty
1. 00
Unit Charge Per
66.9000 ECH ELcR OR RM 0-200 ALT SRV FDR
Fee summary
Charged
Permit Fee Total
Plan Check Total
Grand Total
66.90
.00
66.90
COMMENTS/ACTION NEEDED
Paid
<;redited
'1 , . ~q66. 90.'-- -""~.-"'":O(j--- -
. 00 .00
66.90 .00
...l-'S C.il;~CTK.IC ,
..... ---t...,~6;"'81~'"N'SON'~1ZD~. .
1 ':
. .
'. ~ .
~. ---~ ~~1"lI.:
.... . ~.-- ~-- -r- - ---tt'":y",..~-
\ .
.~,~., ~
-~_l~ -<~___~__
WA 98363
.00
o
~
"'-
~
Extension
66.90
~
...
Due
T.' ,~
----------.
.00
.00
.00
\'
"
tA
~
(\
,{
U
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTID COMMENTS
. I YES I NO
1JITCti
1l11l1(~~_lN I' .IIV....K
-.... .......... .....
SERVICE . .
r-INAL l.l~- -//, nh I ../h ir-}
-
.
GENERAL COMMENTS:
PW-Il02.15(4I96l
5-
< '
(t~ f"'" -=..l~t"
~ .-
......."
~
,', ELECTfICAL WORK PERMIT APPLICATlON
~c..%~ i>ou 1 C) - ~ -0(.,:, ·
Job wired by
DOwner
Tll$t.1.11al;on clescripti(ln
o COWlmerci.:l1 't8c.Residentlal
iCcD' number
Date Expires
o New
~ Altered/Addition
Ptlt't; m~~:~ t::.&
)> o{ir ~
TCW n~T)Sd- ~ 0 G3
ol/ L,00k
AdtfSj 5 i'spAt. L; ~It :!
~tf:'D t+- A, .(Jl~ -;
rlt~q.e/..nllmbet' to SCh~'i insc..ec::tjon:
"tQO- -111'37. "bf.:,
Owner a.f defined by RCW/.9.28.26J:(I) Owne.r will occupy the 5tructure for twu
years ajll.:/' Ihis electrical permit ls ji/lafjzed. (2) OWftcr is reqllir('d 10 hire an clCClri.ca/
Cnllll'aClnr if ah(Jv,~ .taid prop(~"ty 4101' s(l)e, re/1.t or lease.
Atter readin& tbe above sra{ement. l h~by certify that.1 am the Dwner of the above
named properly O{ a licensed electrical conlr.lcl(Jr. I am making the electrical instal-
1<<lion or 1I.1tcration in compliance with the electricallaw:s, N.LC., RCW. Chapter
19.28, WAC. Chapter 296-46D. The Cily of }lort Angeles Municipal Code, .and
UIIlity Specificaliuns.
Slgnntllre 01 owner, electrical contractor or eleclric2ll1dminii5trator
Sl"COIP ~ .
l'AX number
CC$'61:?3
~~=~
~
p~hw~r'~3
Locke Zd1 <A Ie:?
o Cash 0 Check #
0'Jl~
o Credit Card
VISa
Mastercard
Discover
Card #
x
Date;
ExpirationD8te
of card
$n,pct~c . q 0
Service Information
ectrical Load Addillons and r
o LOAD CHANGES
CJ Base:board KW
CJ Furnace KW
Q Heat Pump _ Ton _ LAR
(J Fan-Wall _ ~
'ons
M. Overhea.d Service
o TGmp SSlVicc
D Underground Service
Voltag~ ~O_
Phasel.ll. 1 0 3
Service Size: .;200 A
Feeder Size: 11771
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
/' ROUGH-IN TIlERMOS1'AT SERVICE
IlMe ^ppro...-ed Hy D~IC Approved Hy Dille Approv"J Bv
/,., /" 1.'J7AL DITCH FEEDER
D.. ~ D.., Aoproved 8y Dale Arllrtwed. By
Inspe.:tj().rl Area. Building or Equipment Inspected Action Taken Elcdncal
Date InspeClor
----
-.
,
-
A /"\ I -
~ ;'~~f b .
WI:! :, 900c t>0 'PO [SL9 CSt> 09[ 'ON Xl:!cj ~OlJI:!~lNOJ l1:!JI~lJ3l3 'S'd'tJ WO
~cj
.'
.,."'l!!!""
8: ELECTRICAL WORK PERMIT APPLICATION
>;-~~< ~ lea&- scf1dtl r 4i 3-/3-O~'
Q'l3b3
Jnstall:.tion dcscriPtiow~
Q CQtt1.mercia\ ~esjdential
o New ~ter'd/AddltiOn
(,ili~ , /"'4
I
DOwner
Pbo c number .tp schedule inspection:
'-I~ -
Ownt:r as defined by RCw'19,l8.261:(1) Ower will occupy the structure Jor two
years after Ifm eh'ctric:al permit is .rmalized. (2) OwlIer is ret}fJin:d to Irfre an ele,'trical
contractor if above: .faid !J"Opcl'ty is for ~'(Jk. relit or lease.
-Afier ~ading tnc a1)QVl;: statement, t 'hereby cl::rLify that.l am the owner of the aoove
named property or 3. licensed clcctric.11 contractor. I am making the electrical instal-
lation or alteration in compliance with the eledrical laws, N.B.C., RCW. Chapter
19.28, WAC. Chapter 296-468. The City of Porl Angeles Municipal Code, and
Utility Sped C3t10nS,
,'Sig
fS ~5:J -(75.3
a Cash
Q Check II
C1L
,~
a Credit Card
Card #
VIsa
Mastercard
Discover
- - -
----------------
-7-;200
Expiration Dale
of card
Inspee iOI' fee
$ g, 10
Service Information
VOlta~ :2110
Phas 103
Service S;z.:~ocril.
Feeder Size: ~
EI tri IL d tin an r
I:l NO LOAD CHANGES
I:l Baseboard KW
o Furnace KW tf;( Overhead Service
CJ Heat Pump Ton LAR 0 Temp Service
o Fan-Wall KW 0 Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 Ai\1360-417-4735
ti n
ROUGH-IN rnERMOSTAT SERVICE
1-1' !t,< //14 ,-k-D /l..ppru"~I.l,By D~l'" ^ppro,,~(ll\y
> . A&lp"I\"~d 8y D~I':
r FINAL DITOl FEEDER
D~l': A/lprOVCd Ry
Vue ApproVed ~y O~, Apllf'lVCO iy
Inspcction .Area,. Building or EquipTTlc:nt In~pcctcd Action Taken Electrical
n"te Ins~ecto"
,
,
,
- =t= "
.' .
-
&0 ~/ 8,,/.'0
1d Wd [:p0 900c ~0 '~ew
[S~9 CSP 09[
'ON xtJeJ
~O~JtJ~~NOJ ltJJI~~J3l3 'S'd'tJ
WO~eJ
"fi
'\f,;..~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.nl EAST 5TH STREET. PORT ANGELES. WA 98~62
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
06-00000226 Date
984752
415 N LIBERTY ST
06-30-00-7-8-0320 0000-
ELECTRICAL ONLY
3/10/06
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
LOCK, JOHN/HOLLY
415 N LIBERTY
PORT ANGELES
(360) 452-4560
WA 98362
APS ELECTRIC
546 BENSON RD.
PORT ANGELES
PORT ANGELES
(360) 452-6753
WA 98363
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER
APSj 1-4 erR
72355
APS ELECTRIC
48.10
3/10/06
9/06/06
RESIDENTIAL
Plan Check Fee
Valuation
.00
o
Qty
1. 00
Unit Charge Per
48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
Fee summary Charged Paid Credited
--~~~~-~~~-~~~-~~ ~~~~~~~~~~ ---------- ----------
Permit Fee Total 48. 10 48.10 .00
Plan Check Total .00 .00 .00
Grand Total 48 .10 48.10 .00
Due
.00
.00
.00
COMMENTS/ACTION NEEDED
Application Number . . . . . 24-00001092 Date 10/31/24
Application pin number . . . 499776
Property Address . . . . . . 415 N LIBERTY ST
ASSESSOR PARCEL NUMBER: 06-30-00-7-8-0320-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Run circuit to shed
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
Victoe Jessica Smith OWNER
415 N LIBERTY
PORT ANGELES WA 98362
(360) 460-7179
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 10/31/24 Valuation . . . . 0
Expiration Date . . 4/29/25
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-R- BRANCH CIR 1-4 95.10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.10 95.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.10 95.10 .00 .00
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN / COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
1.) Securing MC cable within 12” of every box and at intervals not exceeding 6ft
thereafter. NEC 330.30 (B)
2.) GFCI protection required for all outlets in shop. NEC 210.8 (A)
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
10/31/2024 24-1092 TMC
OWNER
Vic Smith
Contractor
ADDRESS
415 N Liberty St.
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN / COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/5/2024 24-1092 TMC
OWNER
Vic Smith
Contractor
ADDRESS
415 N Liberty St