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HomeMy WebLinkAbout121 E Park Ave - Building ....'1~< c~.. ,,- 'l.. r:r:::::;..J;.. ,,~, ELECTRICAL WORK PERMIT APPLICATIbN oc;;2. - 0tX:> 2- ",~",,,,, . ~trical Contractor Installation descriPti~ . Job wired by .0 Owner o Commercial Residential Electrical contractor name License numbcr Datc Expires ~ Ni)y"" ~"''',''-'-\/\ '0\pc'>;;",,- NO'- \- \,,'f e. "\ 'to(Y\ l.- o Altered/Addition Purchaser's mailing address (:.:~ (' G '-'-'- -\ <::. \\.00 pe... So\-.. \.>..A ~'€..- 'f Ar~ '~ P\" \-erL~ - C-fb v\ State ZIP ~"b'2.>e_ 'b \j.J\ ~"60~3 ;;:)x:-r) '0 X"\ ,( 'f().,~ U:fGr '1c Telephone number FA~m~\_~ <;;, 3~ u.:.,\- n \.Q~ Premises owner's name \'\.~ \\e ~ \ ',::)<::"1'"'\"\ 0- \. \ Address of inspection Yf\~ \C- \ ;A\ ~ City ~ :$"3G '- \Q=,~ ~ Ice \e..--S. ~ Phone number to schedule inspection: '-\-y,,- \ '\ la. u", Owner as defined hy,RCW 19.28.26/:(/) Owner will occupy the strllctllre for twu years after this electrical permit is jinalized. (2) (fiI-'IIer is required to hire all dectrical cOII/ractor if above said property is for sale. rent or lease. 0 Cash o Check# A fter reading the above statement, r hereby certify that I am the owner of the above ~Card named property or a liccnsed electrical contractor. I am making the electrical instal. Visa Mastercard Discover lalion or alteration in compliance with the electrical laws. N.E.C.. RCW. Chapler ~- 19.28, WAC. Chapler 296.468, The City of Port Angeles Municipal Code, and Card # ___ 0_1\...._ - \e...._-____ Utility Specifications. Signature of owner, electrical contractor or electrical administrator Expiration Date X "\'0", '" Q.... \0C-----Date: \-kO"6 of card ( $nspection fee Electrical Load Additions and or subtractions D NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR D Fan-Wall KW L Service Information o Overhead Service o Temp Service o Underground Service Voltage PhaseD 1D 3- Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ~ ROUGH-IN +il5/ ~ Dalc Approvcd By FINAL ,7/~D~lD0 ~ Appro,edBy.../ Inspcction Date THERMOSTAT Dale Approved By / DITCH "- Dale Approved By , SERVICE I),-//a, A~/ t Datl! FEEDER Dale Approved By Area, Building or Equipment Inspected Action Taken Electrical Inspector .,' . ( , \- \ " ELECTRICAL INSPECTION WIRING REPORT 417-4735 -Cm""Z- INSPECTOR ~ ADDRESS 12,1 "E ? 1<:..1< APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . .. . . . . SERVICE.. . . .. . . . .. . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 -' .~ CORRECTIONS NEEDED: '-. lSn1l Q<..,l;UU.ION \)1 S?6S};:" I Lc:oK~ () ll\l _ "E-Y 1\.1 liE. c 3 I L{ ~ 2.[') ~ vc:.c.'E. 'rI p,."C. L- t:.- \1\ i:7E.. 12., '" \ t7 L '("' -hwNbfl'D ( 1$2.0K~N ~tJ:il:~ ~tlJZ:.s:l c~ _ N./'Z..-c- 466.4 p., _ f~,>< ~JZl)~{ t-IffI 1J.~~E 1\l~"3't?,.2.1{ /il.>-\ GLoSE~ ~l""" :;:""= r,.o<;,E( cr NlZ..G '-tlO.8"'Bt GfCI ('~nC1 rL.DO~ I-IJf...AT 1\1~c.. "t2y.~l} (". NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ELECTRICAL PERMIT APPLICATION fOR OFFICIAL USE ONLY: Dalc:R.cc.: P<nnit#: 7 ~ II Dale Approved: Dalewucd: ~/< $-1 Z<l~/ , The Electrical Permit Application must he filled out completely. Please type or print in ink. If you have any questloos, please call (360) 417-4735 Fax number: (360) 417-4711 Applicant and/or Agent: ~km Ih1 ~/c Phone: Property Owner: /If ; II ~ ~ Address: City: Contractor License #: Exp: Fax # 41502 - 7$7y Phone: Zip: Phone: Zip: Address: City: Credit Card Holder Na~~~ [30 b bit. (). C:Jk.nt I/-U BillingAddress: S2Z- w, lIP ..:l.1. Credit Card Number Permit Fee: ~ 9". .:LS CitY. /b,d-,4.,"ric.. Zip:VA'-76Z. . Exp. Date: PROJECT ADDRESS: /~/ t;- p~ r Ie.. ZONING LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: o Residential 0 Mulli-fanlily 0 Commercial 0 Mobile Home Electrical Permit Cees are based on WAC 296-46-910 BRIEF DESCRIPTION OF mE PROJECT: //01 TuB Electrical Heat Load Additions Service InCormation o Baseboard o Furnace o Heat Pump o Fan-Wall KW KW KW KW o Riser o Overhead Service o Temp Service o Underground Service V ollage: Pbase: 0 I 0 3 Service Size: F ceder Size: Comments: I hereby certifY thai I have read and examined Ihis application and know Ihe same to be troe and correcl. and I am authorized to apply for Ihis permit. I understand il is not the City's legal responsibility to determine ltofIat permits are required; it remains the applicants responsibility 10 delermine whal permits are required and 10 obtain suJ.!~ ~ C{t~ PW-l102_23 [=3/.001 Credit Card Holder's Signature: /'L/U,tJ '-1-\. (!.Q. ~ Date: sf; (;,/~O , \\- . ~~ T,~il "<i",';;i5',. t;D '- &' .--- - . . .. -- '..... . -. ....". ", I 1-1'-''' I IV1'o1 "."""'---"1 l'l"IlI1i.., I)'d~ "r'!"""l"'l:_~~,~_._ 1).,( l'\'''d:.~~____.:...- JlTl #97/ . Tltl') E1N7lJiC:lI P(~rmil ^PrIIiC~lion !!~,~~I....Q..c..!ll!~d CUI comDlelelv. Please lyre Or reprint In Ink, It you haw;- ::rnr qUf'sllons. ph~..ase call (360. 4174735 Fa:.: fJUmhF'r: (.'360) 417-4711 ' OW"., 0' Elec. (:onl,"<IOI Agcnl:-1".NGELES_El.ECTIll t' ] NC~ REQUEST INSPECTION 0 ProPP.rt? Owner: Ga;/ /'r);I/er- /'J,.l ~;J~1)r-k Phooe.4 ~7-'12!i1-_ Fax: 4 '\7-'17';<; Cily: \;.:; fJ, . ANGF./'I':IA 60RS Licrlrl~c tt: Exp; Phone: ^"oress: Electrical Conlraclor: Jl.NGELES ELECl'HIC INC, Zip: Address; 524 EAST FIRST > Pt~one . ~ 'D-Q7f>4 Cily PORT ANGT:;1,ES. WA' Zip; 911362 INSTALl.ATION WIRED BY; I.IOWNER. x>f.LF.:CTRIC^L CONTF;^CTOR Credit C8rd Holder N8me:-----.:rp(1 s, "'pSOJl Billing Address: City: Zip: Credit Card Number: Exp. Dal,,: VISA:_MC:_ PROJECT ADDRESS: /;2/ L r.'~c. TYPE OF WORK: Check alllhal apply: . [J New ~esidenlal 0 Multi.family 0 Commercial IDlleralionlAddition . 0 Mobile Home Sq. Ft o Remote Meter 0 Detached garage [] Hol Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 Sign Number of Circuits added or a.ltered: 3 DESCRIPTION OF THE ELECTRICAL PROJECT: ) iLl) 50,-, hy ~"e/ 'J~ err c, I :+S Electrical Heal Load Additions q?'L-rrfj. ServIce Informallon o Baseboard CJ Furnace :J Heal Pump 0'1 Fan-Wall _KW ,---KW _KW I'~KW o Overhead Service o Temp Service LJ Underground Service Voltaae: J ;20/;1'/0 Phase: S 1 '0 3 Service Size: . Feeder Size: I/{) 1+7./ 'AMC 14.05.060(B): F~r industrial. commercial, & residential projecls larger Ihan a duplex: a one -line drawing of Ihe Electrical Service & =eeders, bUilding size (sq. N.j, load calc'Jlalions, and Ihe type & of conductors andlor raceway is required and shall accompany the =Ieclrical Permll applicalion. eM- (del- , hereby certify that I have read Bnd examined (his application and know that same to be true and correct,' and lam lUthorized to apply for this permit. I understand it is not the Cily's legal responsibility to determine what permits ~re reqUirer it remains the applicants responsibility to determine what permits are required and to obtain such. lo/~o) . . . Credit Card ~lo'der'$ Signature:~. J~ .1"_ ~~.t""l J.~ Date: k( - Owner or Ell!c, Cant. Signature: Date: 'W-90;Jo ~ Ili~.-f- w/f:-fec,f tJ-fJ, (f1- 0'& *5- f1NIft,~D ..~((~~_ /0 {./03 . . /'~ S9G6 GSV 09E JNI JldlJ3l3 S3l3~N~ NOd~ (5 4' r;~ .30 NdLS'GL E0G-l0-01 Dee 19 07 10:32a Dave's Heating & Cooling 360-452-0939 p.1 ~.- ..~ .. " ~:~! .....~ ELECTRICAL WORK PERMIT APPLICATION f' . Job wired by lectrical Contractor [J Owner InstOlllalion description o Commercial ~esideDtial Electrical contraclor name eO:, eA-h ~~(;... p7J.b:1ser's mailing addle .0, Ir.ix '-f (-3 Cit 'PoYkkF' T~jl2..nC' numbe 7'::::>~3 p;;J:;;';'~je:;;tim~ 6tLl. f Addrl:S5' or insp~,c:tioD It. 1,;1../ 6. c:<rk Avei"\CA.R... C'fJOrA-- An~ Phonf' number fo scbe ole iaspec:tion: ~S;;;;;- /l-r..:a License number Date Ex ires ~ew o Altered/Addition .5Cv"1I1' ;;;;...c.... 0"'1 .PAVes Kc.q<=( \ ~c /Ot.<.) .ra (+a.~ ~ o.s~=t- WI' State Zf? 01\ C(fG.(,?- FAX number M ,({-er 9 , V\ - Owner as defined by RCH:19.28.16.r:(!) Owner ......m OCCIlPY ,he ~/rUClu"e lor two years after (hi.) electrical permit is finoliud. (2) Owner j~' required Jo flire un electrical contractor if above said property is for Jole. renl or Jeu~e. Aficr r~adinG th~ above slatemcnt, I her~by CCr1if~ thOlt [ am the owner of t.he above nllmcd propert): or a licenscJ electrical contractor. I am making the c)cctricu] instal. lation or aheration in compliance with the electrical laws, N.E.C.. RCW. Chapler 19.28. WAC, Chllptt:r 296-466, Th~ City of Port Angeles Municipal Code, and Utility Sp~ejJ1cations. Signature of oft/net, e1ectrka{ coulraclar or eJe<:trical 3dminislralor o Cash 0 aleck # lil"Sedit Card VISa Card # Mastercard Discover ---------------- x Date: Expiration Date of card Insp~Clion ~ $3:5- Elec r ca load Additions an 0 subtract.ons CJ N LOAD CHANGES CJ Baseboard KW Iil""Jurnace ft KW [lJ'Heat Pump ..;J.. Ton.!:11. LAR :J Fan.Wall KW Service 'nformation CJ Overhead Service o Temp Service o Underground Service Voltage Phase CJ 1 CJ 3 Service Size: Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ( ROUGH-IN THERMOSTAT , SERVICE ~~ Ihle Appro...t;:d Oy Jale N:pro.,td By I' I'lNAL DITCH ) ( FEEDER $~ Dale ^l>pr(wtd By./ " D~lt APJ'lo..."d By Inspection ! Area, Building or Equipment Inspected Electrical Dale Action Taken Inspector CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION !21 F. AfiT 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 6/25/2001 PERMIT NO 7311 OWNER/APPLICANT PROPERTY LOCATION WENDALL MILLER 121 PARK AVE E 121 E PARK Lot: E 1/2 15 & W 1/2 16 Port Angeles, WA 98362 Block: 5 [] Long Legal 360/452-1173 Subdivision: PSCC 2ND ADDN T: S: Parcel No: 063010500560000 CONTRACTOR ARCHITECT COLEMAN ELECTRIC N/A PO BOX 1326 PORT ANGELES, WA 98362 , 98360-0000 360/452-7594 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: Construction Type: HOT TUB Occupancy Group: Zoning Use: RS7 Electrical Heat: ,._ [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 120,240 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3 [] Fan Wall 0 KW Service Size: 0 Feeder Size: 50 PROJECT NOTES FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $44.25 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $44.25 AMOUNT PAID: $44.25 BALANCE DUE $0.00 ( ()MMt.?~T~4/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL ,~ ] 7-~735 FOR ELECTRICAL I]qSPECTIONS. PLF~SE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA It/FUL TO CO INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED~ KEEP PERMIT CARD AND APPROVED PLokNS AT JOB SITE DITCH ROUGH-IN / COVER 7,~//~ t/ ~r~ SERVICE FINAL I ?//~,/ { ,?//h { GENERAL COMMENTS: CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16248 Port Angeles. washlngton......L....Q.:::::...:::t.LP.m.__mmmm..__. 19__.1..:7 In accordance with the City Ordinance to regulate the installation. extension. or repair of elec- trical equipment in. on. or about any building or other structure in the City of Port Angeles. per- mission is hereby granted to dO electrical work as listed below. Address .__m.l.2:.L.m.__.__.__.__j;.m:!.~IfI,_____.._mm____.____ Occupancy___.________C-b,-=m.___.________..____ ~ #' - Owner m=y.#:::~tft..i!~'-_::id!::d___{~'!:!f1'..~~t..'L.:n._.h_____ Tenant..._mmmmm___..n___.______..mu__m_.m.h..._u..___m Wiring C';;n;ac.?o'r __~.s;..__~l)l~/.,1m~.!.~J._:__.__________.____ By.____.m__mm.mmmm__m.______m__..___._____.___________ v ~ ~- fc-1 , . ?- <If) Light Outlets__.....h.__..................._.._._... Service, volts __...______.___............h______.... Receptacle Outlets__..~.Q................. No. wires ..h.......:J......................... D'ye,. KW mm__....__../_~_...__........._..... ::~n ;~::s::~f~~;~~:;:f~::~:: Range, KW ..h__..h__l..L.~._.h___......__ Water Heater: Enclosure .......___..__......__....____...__..__ - KW_............__lL___'!....... Heat: KW....!..3.__~....~.J3.i3.d..;.~h~. , Type of wiring: Entrance Cable ......__m.___m__.._______ Motors; size, volts and phase: 'j . U-'--<J._~I"l_ (fj::::c;.:L:f=::~:::::::::::::::::::::::::: Rigid Conduit __............................. Metallic Tubing ..___...___..... Current transformers: No. & Size....___....______ Ser. No....._..__..____..._..__..._____....__.__..._. Ser. No. ..__..h..........h....................__... Ser. No.__._________..____..__....____............... Total wad......h................h... Ser. No.__..__.__..__.____............____...____._.. ......-J.-1" ~,() l")~"IAAA~ nnnnn.u____~u-_nnuuuh.-n--n-h-h-...-h.u-nnn.--h..nnuu__u--....un.nn.nunnnn____.__...__.n_nu..uu_u..n___n.n.._ Total ......2-...,Q......__............__ Remarks: Type of Wiring: Armored Cable ...__.............__.....__._ Non-Metallic ..................__........_..._ Knob & Tube.__....................__.....__.. Rigid Conduit ............................... Metallic Tubing ........................... Raceway .._...__.........................._..._ Circuits, Light........:.-:S.._.......................... ~. DUlft;- ..........::z'::~:..................._...... I.Icat ..../..::;?...:............................... Range .....~....__....................._.... Water Heater ..___~................. '~ Motor ............_........................._..__.. Drycru_u__..u____.~......................._ F Il rnace .........................,~.__........_....... Permit Fee Treas. Receipt $__n2..__~__~__:__~___m.m. NO.nmmm__m__m__.__.. By nt..U..~!m.s.:.!::..di.~!.-=,.,:'::.~.::::::'_m NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected berore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT Address N? 16248 It " . . Owner h...............__................_......_.._..:...___...._.._............_.___............................__.....__.... Tenant....__......__..__......___.........................h.............. Date..._......._.._.._:._.......__._......_......__.::..... WiringContractor........................._..........._...................._..n...........,._.._.......................................By..............._....................................._........ NOTICE-Current must nDt be turned on until Certlflcate ot Inspection has been Issued. It work i13 to be con- cealed due notice must be given the Inspector so that work may be inspected berore concealment. 1M Olympic Printers, Inc. " . C/;-JU\..~vp 0 '" , "'I ~ (p - 7 q. fA) ~~ CAw..-w<;\, : MEMO: August 31, 1979 TO: Larry Wickersham FROM: T. G. Honnold HE: New Residence, Pi;irk Street, John Wei;ir Following my discussions with Mr, Wei;ir on Tuesday, mee.ting with him On si te Wednesday and my discussions with you on Thursdi;iy, .the followin<;r is i;i summary of the electrical wiring corrections and or i;ilterni;itives being required by the Light Department. Please make corrections, additions and/or deletions in this summary as best you can from memory. 1. Meter Loop: ~A. Replace l;;" thinwall conduit with 3/4" rigid. or l--1IIt~i/ c'pt!-1?.N1fS I;' C,T. cu.-1c1u;f , /10 GMdtt/s Y tl../Vl ~B. Connect conduit to C.T. can with nuts both sides. A/!>D a-l l?1al..-vl .ptJ4-1tds. I-C-; L.B. plate must be accepsible when used. N(JJI tfNrl1?,J/t'd /"q -f'U;'~ CXiS-e., 9?YflC,UG03 Rot pgrmi~tgd is 91tp19cion proof ~r03. ~D: Meter loop not permitted overhead through garage. (15 foot rule for unfused conductors within building, permits longer runs under concrete but not exposed). / 2. Meter base must be of short circuiting ~ plunger type. '-- - 3. Must have plastic bushings on 2-conduits going underground from C.T. can to riser pole. r , Page -2- L4-.- Modify dit9~ so riser can go up North side of pole. i!;i-o:.-ud t9H-", a/So r"ertOred 0'"1-1 pole. i~i( 5. Between Garage and House. To prevent moisture from entering conduit and running into basement and panel. ~A. Install conductors in continuous conduit run. Cl (Hax. 4-90!1 elbOWS).~und wire must then be run external to conduit. OR: VB. Install plastic bushings on 2-conduits going underground from C.T. can and install approved seal on conduits from house. 4-6. Between furnace and panel #2 cu. conductor not rated 125 amps to #/ UL-, match breaker. 6A. Furnace requires /JA:-.- greater than l25A breaker. Install two IV .-"',v' breakers and connect directly to breakers in furnace, abandoning two legs provided. (Carrior - 20kw for future conversion to heat pump - NO,/: /?fV1Yl"d, ,4-vn (JW<7'1 e t>-Yft:i._fJ;J?QC.e- In,sIeQdlnji'". n4'>>1el'ldie dq;/a.. iJ1c/t.ld....> I--:L~/o Fe,.. c;fTI1flhi/&t/$ /(><ld v.t>de. r-e~f/;'emt!vl, Henry Corn - Sequim). . ./ C~f'/d:t.:r V7. In right hand panel, remove Ga&le strap from hot leg. / 8. Low voltage conductors are bundled and held with non-meta lie , sheathed cable clamp. Should use grometdAot cf. stJ.pjJor-funre S /- 1- 0 II e1M t:1I t!/ G Ir,u:v" I ~ City normally does not permit splices in run from service entrance to panel including C.T. can. To accommodate Mr. Wear in not ( I Page Three v9: Cont. having to purchase new conductors, a compression splice will be permitted in the C. T. can. ~ , tA- ~ R)u:..-e.pl/~~. 10. Recommend investigating capacity of transformer serving low voltage lighting. Historically there has been a problem with overloading when one used for more than two panels. >>,,1 Cd' de ,'e.p't/ n/~-B* ~ Mr. Wear has advised that~~~Electric will make the necessary '7gIvVdtti/ . I corrections ..!I'-hursdcty, September ,)3". These notes will be used by Win for follow up inspection. TGH/ls 0';' e }.II" w.et;tv a., u-f'1 ok J fUj ,kr fari- C:/ct'., 3e/INY'7- _ . ~ 5/tvc; t-th// A(~ uJ(7r~- c/~ u1 $I'(?cl-~ vV/// I/(~ ~ OAfd C~'I > aI;.!t/t>;,,/ [3 - 3-/- -7 j' ~~. ~d/-e (JUI;/ /,'f"N'~/r ~r- /~t.7 cltn"'"ye" H~q/ cL~ de. >>1dale c1fkr /Jt>y#!/ '/- 4C//JL:'C4"~~ t?rL ~/eh~, --.- 7 ti/c PREPARED 4/14/08 9 06 34 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/14/08 ADDRESS 121 E PARK AVE SUBDIV TENANT NBR WENDELL MILLER CONTRACTOR BROTHERS PLUMBING INC PHONE (360) 452 3259 OWNER WENDELL D GAIL MILLER PHONE (360) 452 1173 PARCEL 06 30 10 5 0 0560 0000 APPL NUMBER 07 00001413 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 12/18/07 JLL BLDG FRAMING TIME 01 00 12/18/07 AP December 18 2007 8 47 58 AM 1pangrle WENDELL 460 9838 FRAMING AFTERNOON BLI 01 1/08/08 JLL BLDG INSULATION 1/08/08 AP January 8 2008 8 30 24 AM 1pangrle WENDELL 460 9838 INSULATION SMALL EXTERIOR WALLS A. BL99 01 4 14/08 JLL BLDG FINAL TIME 01 00 April 11 2008 4 12 17 PM 1pangrle WENDELL 460 9838 BLDG FINAL AFTERNOON PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 1/31/08 PS MECHANICAL GAS LINE TIME 01 00 1/31/08 AP January 31 2008 8 40 07 AM 1pangrle WENDELL 460 9838 GAS LINE AFTERNOON January 31 2008 4 41 05 PM pbarthol ME99 01 4/_4/0 JLL. MECHANICAL FINAL TIME 01 00 April 11 2008 4 12 57 PM 1pangrle WENDELL 460 9838 MECHANICAL FINAL AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 12/18/07 JLL PLUMBING ROUGH IN TIME 01 00 12/18/07 AP December 18 2007 8 49 08 AM 1pangrle WENDELL 460 9838 ROUGH IN PLUMBING AFTERNOON PLUMBING SHOWER PAN January 22 2008 8 25 28 AM pbarthol CASEY 670 8714 January 22 2008 4 29 05 PM jlierly PL99 01 4/14 08 JLL PLUMBING FINAL TIME 01 00 April 11 2008 4 13 18 PM 1pangrle WENDELL 460 9838 PLSP 01 1/22/08 JLL 1/22/08 AP PLUMBING FINAL AFTERNOON COMMENTS AND NOTES PREPARED 1/31/08 11 18 59 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/31/08 ADDRESS 121 E PARK AVE SUBDIV TENANT NBR WENDELL MILLER CONTRACTOR BROTHERS PLUMBING INC PHONE (360) 452 3259 OWNER WENDELL D GAIL MILLER PHONE (360) 452 1173 PARCEL 06 30 10 5 0 0560 0000 APPL NUMBER 07 00001413 RES REMODEL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 131/08 3 l JLL MECHANICAL GAS LINE TIME 01 00 January 31 2008 8 40 07 AM 1pangrle WENDELL 460 9838 GAS LINE AFTERNOON COMMENTS AND NOTES PREPARED 1/22/08 11 02 49 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ PL2 01 PLSP 01 121 E PARK AVE WENDELL MILLER BROTHERS PLUMBING INC WENDELL D GAIL MILLER 06 30 10 5 0 0560 0000 07 00001413 RES REMODEL PL 00 PLUMBING PERMIT REQUESTED INSP COMPLETED RESULT 12/18/07 JLL 12/18/07 AP 1/22/08 DESCRIPTION RESULTS /COMMENTS INSPECTOR JAMES LIERLY SUBDIV PLUMBING ROUGH IN TIME 01 00 December 18 2007 8 49 08 AM 1pangrle WENDELL 460 9838 ROUGH IN PLUMBING AFTERNOON PLUMBING SHOWER PAN January 22 2008 8 25 28 AM pbarthol CASEY 670 8714 COMMENTS AND NOTES PHONE (360) 452 3259 PHONE (360) 452 1173 PAGE 9 DATE 1/22/08 PREPARED 1 /10 /08 8 43 37 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/10/08 ADDRESS 121 E PARK AVE SUBDIV TENANT NBR WENDELL GAIL MILLER CONTRACTOR DAVES HTG COOLING SRVC INC PHONE OWNER WENDELL D GAIL L MILLER PHONE (360) 452 1173 PARCEL 06 30 10 5 0 0560 0000 APPL NUMBER 07 00001510 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 1 /10/08 J JanuaNICAL FINAL 8IME O1 00 a rC January 9 2008 3 38 29 PM 1pangrle JEANNIE 452 0939 MECHANICAL FINAL AFTERNOON COMMENTS AND NOTES PREPARED 1 /08 /08 10 37 21 INSPECTION TICKET PAGE 16 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/08/08 ADDRESS 121 E PARK AVE SUBDIV TENANT NBR WENDELL MILLER CONTRACTOR BROTHERS PLUMBING INC PHONE (360) 452 3259 OWNER WENDELL D GAIL MILLER PHONE (360) 452 1173 PARCEL 06 30 10 5 0 0560 0000 APPL NUMBER 07 00001413 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 12/18/07 JLL BLDG FRAMING TIME 01 00 12/18/07 AP December 18 2007 8 47 58 AM 1pangrle WENDELL 460 9838 FRAMING AFTERNOON BLI 01 1/08/08 ```'''L BLDG INSULATION 1 January 8 2008 8 30 24 AM 1pangrle WENDELL 460 9838 INSULATION SMALL EXTERIOR WALLS COMMENTS AND NOTES Application Number 08 00000002 Application pin number 146860 Property Address 121 E PARK AVE ASSESSOR PARCEL NUMBER 06 30 10 5 0 0560 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor WENDELL D /GAIL L MILLER 121 E PARK AVE PORT ANGELES WA 983626930 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Fee summary ELECTRICAL ALTER RESIDENTIAL Charged Paid Credited Date 1/03/08 NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477 1764 118372 NORTH PENINSULA ELECTRIC 64 00 Plan Check Fee 1/03/08 Valuation 7/01/08 Due Permit Fee Total 64 00 64 00 00 00 Plan Check Total 00 00 00 00 Grand Total 64 00 64 00 00 00 00 0 Qty Unit Charge Per Extension 1 00 64 0000 ECH EL R OR RM 0 200 ALT SRV FDR 64 00 SPECTION TYPE DATE DITCH SERVICE ROUGH IN FINAL COMMENTS 7 YriW 1D6 4 ELECTRICAL RESULTS INSPECTOR Application Number 07 00001514 Application pin number 273650 Property Address 121 E PARK AVE ASSESSOR PARCEL NUMBER 06 30 10 5 0 0560 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL FAMILY Application valuation 0 Owner Contractor WENDELL D /GAIL L MILLER 121 E PARK AVE PORT ANGELES WA 983626930 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 117986 Sub Contractor DAVE S HTG COOLING SRVC INC Permit Fee 35 00 Plan Check Fee Issue Date 12/20/07 Valuation Expiration Date 6/17/08 Qty Unit Charge Per 1 00 35 0000 EC EL LOW VOLTAGE Fee summary Permit Fee Total Plan Check Total Grand Total Charged Paid Credited 35 00 35 00 00 00 00 00 35 00 35 00 00 Date 12/20/07 DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 Due 00 00 00 00 0 Extension 35 00 INSPECTIOl\ TYPE DITCH SERVICE ROUGH FINAL COMMENTS: ELECTRICAL DATE RESULTS INSPECTOR 3)1S i,Df3 <AY Application Number 07 00001510 Date 12/19/07 Application pin number 677650 Property Address 121 E PARK AVE ASSESSOR PARCEL NUMBER 06 30 10 5 0 0560 0000 Tenant nbr name WENDELL GAIL MILLER Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 7945 Owner Contractor WENDELL D GAIL L MILLER 121 E PARK AVE PORT ANGELES WA 983626930 (360) 452 1173 Permit MECHANICAL PERMIT Additional desc ELEC FURNACE HEAT PUMP Permit pin number 117945 Permit Fee 64 80 Plan Check Fee 00 Issue Date 12/19/07 Valuation 7945 Expiration Date 6/16/08 Qty Unit Charge Per BASE FEE 1 00 14 8000 ECH ME INSTALL 100- FAU Fee summary Charged Paid Credited Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 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. 19-1ri107 6(4(e-rIk0.,,.,,P Date Print Name 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 DAVES HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 Due Extension 50 00 14 80 C c)"' Sign ure of Contractor or Autholized Agent Signature of Owner (if owner is builder) CALL 417 -4815 FOR BUILDING INSPEC CALL 417 -4807 PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT INSPECTED AND ACCEPTED. KEEP PERMIT CARD INSPECTION TYPE DATE FOUNDATION• 1 FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT ft's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING FIRE PLANNING DEPT 1 BUILDING 417 -4807 417 -4653 417 -4750 417 -4815 T Forms /Building Division/Building Permit (10/01 /07).wpd BUILDING PERMIT INSPECTION RECORD TIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS FOR PUBLIC WORKS UTILITIES IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE POST PERMIT IN A CONSPICUOUS LOCATION AND APPROVED PLANS AT JOB SITE. ACCEPTED COMMENTS YES 1 NO FINAL DATE SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT 1 BUILDING DATE ACCEPTED 13Y. FINAL 0 (v DATE J ✓v ACCEPTED BY. ACCEPTED YES 1 NO 0 Dec 19 07 09 Daves Heating Cooling Owner's Address m'Residential o Multi family G Commercial Repair BUILDING PERMIT APPLICATION 360 452 -0939 Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans, specs, and a 8 x 11" site plan MUST BE COMPLETE to be accepted for review. (360) 417 -4815 FAX (360) 417 -4711 Residential projects: submit two sets of plans Commercial projects: submit three sets of plans Applicant or Agent 22& v2 kea41 rte r n m, Phone 4 7`5i -cam 3 9 Owner WanIe 6cx (I t (-er Phone 1 73 ,V I E Park ve,t PO A-h 9S�-kS Contractors laves 4-{ea-t-t State License Z4 V SHC-q (KGExpires ".ServiGrZ c Contractors Address P. G .130,e '4(3 Po,-a- ,4n PROJECT ADDRESS. 1 E Park ,4 ve c.ce. LEGAL DESCRIPTION Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK New Constr O Addition o Remodel o Sign O Re -roof 0 Stove Move 0 Garage Demolition 0 Deck Other S1,6 Phone 4 f5 .9 -og3 ZONING SIZE/VALUATION SF Qa S /SF SF /SF SF a@ /SF TOTAL VALUATION `7. Y H 5. oc, tr -5 rt. ih cicc4.1 A.? v BRIEF DESCRIPTION OF THE PROJECT S-toL Gr`. O-c E'.l ectr 1 G.. -Ft.( G..)c) r k. COMMERCIAL/RESIDENTIAL. Occupancy Group: Occupant Load: Construction Existing Structure(s)basement 1" floor 2 floor 3`d floor Accessory Structures Existing Structure(s) TOTAL LOT COVERAGE Lot size Sq. Ft. Existing Structure(s) Sq. Ft. Footprint Proposed Structure(s) Sq. Ft. Footprint TOTAL Structure(s) Sq. Ft Footprint Total Lot Coverage Sq. Ft. Proposed Structures) basement Sq. Ft. In floor Sq. Ft. 2o floor Sq. Ft 3' floor Sq. Ft Accessory Structures Sq. Ft Proposed Structure(s) TOTAL TOTAL of existing proposed structures Maximum Height of Proposed Structure(s) Are you planning to install.a lawn sprinkler system? (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) p1 FOR OFFICIAL USE ONLY- Date Rec.. 12 I C c 1 Permit it 7 l Ci in Date Approved: Date Issued: Sq. Ft. Sq. Ft Sq. Ft Sq. Ft. Sq. Ft. Sq. Ft. Sq. Ft. Ft VALUATION OF CONSTRUCTION: h all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRCIIBC 2006 105.3.2) 1 hereby certify that 1 have read and examined this application and know the same 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 that i must obtain such permits prior t9 work Date o� !D 1 Applicant •1FORMSIBUILDING DIVISION\BIdgPerm'rtAppl:2006 CODE backup. v d PREPARED 12/18/07 9 07 51 CITY OF PORT ANGELES ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ BL3 01 PERMIT TYP /SQ PL2 01 121 E PARK AVE WENDELL MILLER BROTHERS PLUMBING INC WENDELL D GAIL MILLER 06 30 10 5 0 0560 0000 07 00001413 RES REMODEL BPR 00 BUILDING PERMIT REQUESTED INSP COMPLETED RESULT PL 00 PLUMBING PERMIT REQUESTED INSP COMPLETED RESULT 12/18/07 RESIDENTIAL DESCRIPTION RESULTS /COMMENTS BLDG FRAMING TIME 01 00 December 18 2007 8 47 58 AM 1pangrle WENDELL 460 9838 FRAMING AFTERNOON DESCRIPTION RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV PHONE (360) 452 3259 PHONE (360) 452 1173 PLUMBING ROUGH IN TIME 01 00 December 18 2007 8 49 08 AM 1pangrle WENDELL 460 9838 ROUGH IN PLUMBING AFTERNOON COMMENTS AND NOTES PAGE 9 DATE 12/18/07 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00001413 Application pin number 494813 Property Address 121 E PARK AVE ASSESSOR PARCEL NUMBER 06 30 10 5 0 0560 0000 Tenant nbr name WENDELL MILLER Application type description RES REMODEL Subdivision Name Property Use Property Zoning Application valuation RS7 RESDNTL SINGLE FAMILY 17000 Owner Contractor WENDELL D GAIL MILLER BROTHERS PLUMBING INC 121 E PARK AVE PO BOX 2136 PORT ANGELES WA 983626930 SEQUIM WA 98382 (360) 452 1173 (360) 452 3259 Structure Information 000 000 CONVERT BEDROOM TO BATHROOM /LNDRY Permit BUILDING PERMIT RESIDENTIAL Additional desc BEDROOM TO BATHROOM /LNDRY Permit pin number 116780 Permit Fee 305 75 Plan Check Fee 122 30 Issue Date 12/07/07 Valuation 17000 Expiration Date 6/04/08 Qty Unit Charge Per Extension BASE FEE 95 75 15 00 14 0000 THOU BL -2001 25K (14 PER K) 210 00 Permit MECHANICAL PERMIT Additional desc Permit pin number 116806 Permit Fee 67 90 Plan Check Fee 00 Issue Date 12/07/07 Valuation 0 Expiration Date 6/04/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 2500 ECH ME VENT FAN 7 25 1 00 10 6500 ECH ME OTHER APPL N/R 10 65 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 116798 100 00 12/07/07 6/04/08 T.Forms /Building Division/Building Permit (10 /0I /07).wpd Plan Check Fee 00 Valuation Qty Unit Charge Per BASE FEE 4 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 1 00 7 0000 ECH PL EA INSTALL WATER PIPE 1 00 15 0000 ECH PL- EA BLDG SEWER Other Fees STATE SURCHARGE Fee summary Charged Paid Credited Due Date 12/07/07 0 Extension 50 00 28 00 7 00 15 00 4 50 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. 12. -1 Ed n ELL. /Vt 1 LLg(L t ~/'y\' Q Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 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 d's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT I FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T Forms /Building Division/Building Permit (10 /01 /07).wpd 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. DATE ACCEPTED YES NO I I I I I I I I I FINAL FINAL SEPA. ESA. SHORELINE. 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 FIRE DEPT PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED YES 1 NO o f PORT,�,y irervat.. 11- Page 2 Application Number 07 00001413 Date 12/07/07 Application pin number 494813 Permit Fee Total 473 65 473 65 00 00 Plan Check Total 122 30 122 30 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 600 45 600 45 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. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T Forms /Building Division/Building Permit (10 /0l /07).wpd CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION- FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 T Forms/Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD 1'-O$ -Og I- 3 t -o s PU loLt I YES NO I -o g o� T�� I I I 17 -1$ 3 L•L- I FINAII 1 1 1 -og DATE ACCEPTED 13Y. PLANNING DEPT SEPARATE PERMIT N's SEPA. PARKING /LIGHTING ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT Show ex-- Par 22. -0 8 r(.(_ Li- FINAL 0 1 1 -o !ATE ACCEPTED BY. CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT 1 BUILDING DATE ACCEPTED YES I NO I Applicant or Agent WEt4D L L- M IL LE R Owner (A.YEADL LL MILLER Owner's Address tZ,l kaK AVE. Po i' Arlb .LES Contractor /Engineer r a,R 0 9 N-Et25 QLurnB t4I.D Contractor /Engineer's Address cp o ?)/DX. z t31.0 SEcQuil& License 3Ro n+ P 1 7 Q LA J Parcel Number C to 501 b Soo 5 tpc c oo Project Type Brief Description. (Residential Commercial Check all that apply New Construction Addition )(Remodel Repair Re -roof Demolition Sign Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures 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.) 4. 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 per sq ft. For City Use Only t +ate Received tl —o -07 T pproved Phone (JEL- 539 Phone Lit 5 Cca. bo -ciLa3ci, A. R4 3b� Phone 3too)+52 3259 LA. 9'839;2-- Expires PROJECT ADDRESS 17...t e. P,Q K AVE. ?aQ:i LC 4 LbELES. lit/A• 983(02_ Lot Zoning Multi family Industrial (ADD 4,51 'SA ref EX-IS i IA b jr 0..m (Y\BV1na l ninn,tru heuv lalgrooM mY�'Q wall- mounted projecting freestanding awning other Total sign area sq ft. Maximum allowed sign area so ft. Heat pump wood burning stove gas fireplace pellet stove other TOTAL VALUATION 11,000 sq ft. Lot size sq ft. Lot coverage of bedrooms of full baths of half baths Ok 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. tn n Date Print Name �Erl E U.. MILLER. Signature l� eD. 7YYti-�-- T Forms /Building Division /Bldg Permit Appl. -2006 Code doc ,Y-v■ &A\ i01 5 \,10(c)c -e0 rzx (00\C\ 0 DIC fl (1'- ccu\ c 0 ‘0'1\-crmo\--or uS‘ \I r?olki rryy)`, Co Co 1.14 19l' Vashon Ave— Q i32 1. 4 2624' r J l ti '144 26) li I —Park Ave N 50 EXIST CAR, EX 1ST HOUSE 1 arN R K AVE 121 E AV E l*A L F OF 1.01 lc W HALF O F LW' 1 6 lid LOCK S OF PUGET SOUND COOPERivr COLONY 5 SECOND D'NJ 1:14 ...••••••""J"' xtt 0 3 II 1 3 aa. •1".;"tAist: Y 4404, 4 4 r Cl t to '7`•• ;at A t I A j 0 'FILE I k :ctv, V' Fpfrr AIV..r.s,i1.f.42:.:i .tr„1: „F,,,,tra71c.tpri 111J:frit; ni of :fp ct. Og. rffir:3;,,tEig..--; ;Fre ....4.p af:i4s -ar: :Aix :af? liptl, eialir.:sclit,WA official ....after ipouiNig he :..itie. ..‘rv:itY-7.11Trig' in said 74, .spricification -an .dth,artioC-1:ilr Trorn preventing ;t11.1r, veratioliS 'Suing britried on thereunder when in 4 l' ton of ail codes and ordinances of this jurisdiction. ISECItal 303(c) Uniform titling Code.) A C10 i Approval Date 12- 6 B _ILI \11 14-k 106x 14— 1 t Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation Owner WENDELL D /GAIL L MILLER 121 E PARK AVE PORT ANGELES WA 983626930 T• \PLANNING\FORMS \1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 03 00000971 121 E PARK AVE 06 -30 10 5 0 0560 0000 ELECTRICAL ONLY 0 Contractor ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 Date 10/05/03 WA 98362 Permit ELECTRICAL NEW RESIDENTIAL Additional deac SUB -PNL /W 3 CIR Sub Contractor ANGELES ELECTRIC Permit Fee 76 30 Plan Check Fee 00 Issue Date 10/05/03 Valuation 0 Expiration Date 4/03/04 Qty Unit Charge Per Extension 1 00 76 3000 ECH EL -RM -0 200 1ST SRV FEEDER 76 30 Fee summary Charged Paid Credited Due Permit Fee Total 76 30 76 30 00 00 Plan Check Total 00 00 00 00 Grand Total 76 30 76 30 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date Ft% CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION• FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT if ROUGH-IN PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE /PELLET /CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT N's: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT q's SEPA. PARKING /LIGHTING ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING I FIRE PLANNING DEPT 1 BUILDING T• \PLANNING \FORMS \1 102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD YES 1 NO 417 -4735 J2-Z- ACC) 417 -4807 417 -4653 I 1 I 417 -4750 I I 1 I 417 -4815 I I I ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING I I I