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HomeMy WebLinkAbout1237 W 16th St - Building 0 s"-t CITY OF PORT ANGELES i DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000242 Date 3/18/11 Application pin number 360984 Property Address 1237 W 16TH ST ASSESSOR PARCEL NUMBER: 06- 30- 99 -0 -4- 3220 -0000- REPORT SALES TAX Tenant nbr, name BILLIE JEAN OLSON on your state excise tax form Application type description MECHANICAL APPL. PERMIT Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1192 Application desc INSTALL AN ELECTRIC FURNACE Owner Contractor BILLIE JEAN OLSON ALL WEATHER HTG COOLING INC 1237 W 16TH ST 302 KEMP ST PORT ANGELES WA 983637007 PORT ANGELES WA 98362 (360) 452 -9813 Permit MECHANICAL PERMIT Additional desc ELECTRIC FURNACE Permit pin number 182766 Permit Fee 64.80 Plan Check Fee .00 Issue Date 3/18/11 Valuation 0 Expiration Date 9/14/11 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Fee summary Charged Paid Credited Due r e A Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 6„ (31\ Grand Total 64.80 64.80 .00 .00 cl,:5 EXPI 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. 3/a5/1/ 141,ctn ent,Veown ilk/A.614- y &1 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 ,mil Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls 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 v Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Ctl Fire 417 -4653 Planning 417 -4750" Building 417 -4815 e r (y4 T:Forms /Building Division /Building Permit EX 'RED PROJECT STATUS UPDATE Permit c; t i 2 eG .,Sd 0 \S° b\e mar Date: phoned the: Applicant ®Y\ 0 1sa n at `"12 ---L Property Owner at Contractor at I (left a phone message, •r discussed): The permit (has expired, or ill expire soon). hat is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. doll _Al 101? i LL/ _1 �1JLPJ JZ/Z Aaei`�i IA I �1 S•� `V17 ^L e v) As)__ 9 30 -1I .21 s a rz-nima' T:Forms /Building Division/Project Status Update k) pour,14, BUILDING PERMIT APPLICATION Print in ink -,1 te 0 CITY OF PORT ANGELES For City Use Only: A ttn: Building Permit Technician Date Received 1— 15-1 r- 3 21 E. Fifth St, Port Angeles, WA 98362 Permit t 1- 47.- (360) 417 -4615 fax (360) 417 -4711 Date Approved Applicant k it K) Ck .Q.r ins 0OhnO Phone Q( 1 `rttZ Property Owner ln 1 ii lj Phone r A�. irk f o r Property Own -r's Address `1R�16 1 20lt i Contractor k i I 1 M :I 1I j r Phone Contractor's Address Nom. V 1 'L! License ill 17MS M IM 1 E -mail 8 PROJECT ADDRESS es \W!'3 5 Parcel Number Lot Zoning Project Type Brief Description: >QResidential o Multi- family Commercial o Industrial Check all that apply an a New Construction kw. Vi tat 1 artI Ii 1 i t' i .l GI 'l Addition Remodel n Repair u Demolition D Re -roof o House o garage o other o tear off re -roof o lay over.one layer eat System o Heat pump ❑.wood- burning stove o gas fireplace 'o pellet stove oth a Other A A air ii1 Floor Areas Existing (sg, f) Proposed (so. ft.) Basement per sq. ft. 1'` Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other .TOTAL VALUATION i 1 1 C/�, i4 f Total footprint of structures sq. ft. "7. Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be Installed? Occupant load of full baths WIII a fire sprinkler system be Installed? Construction type of half baths 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 w at permits are r quired,and to obtain permits prior I rking n rojects. Date 3) t4I 1 Print Name r� Signature T:Forms/Bullding Division /Bldg Permit.doc b0 /Z 39vd 9NIIt H d3HlV3M 11v LLTSZSV09Et EV :Or ttOZ /8t /E0 ACt Weathot \HEPIINCODLWU INC. Fax Transmission 302 Kemp S ere L t: ■77. f:. TO pp,_ FromAein Fax; Pagos (Including Cover Page) Phone: IDVtG: ill I j■ Ra peArmLiot cc: Urgunt L For ReviOw 0 Please Coninvc..nt Plense Reply Pleciso R( Comment; M1 VObt. &LW (LkeLO OW LI-lu rY 1 W-oir of 60,u Jun ec 3 D n 0 \ptii passed Jul Lir Of' --I'LL holt() 1?I3/TEI 39Vd SIALLV3H e13-11V31 1 1V 2. ISZSVOSET EV :Oi til3213 Tina Clallam County Assessor Treasurer Property Details 70516 BILLIE JEAN OLSON Page 1 of 5 C9allam County Assessor Treasurer Property Search Results 70516 BILLIE JEAN OLSON for Year 2011 2012 Property Account Property ID: 70516 Legal Description: TPA SHORT PLAT #85 -9 -6 V16 P62 LOT B -BL 432- .16A Geographic ID: 0630990432200000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location Address: 1237 W SIXTEENTH ST Mapsco: i PORT ANGELES, WA Neighborhood: Cycle 5 Res Map ID: 3 Neighborhood CD: 10955130 `\1 Owner Name: BILLIE JEAN OLSON Owner ID: 44095 Mailing Address: 1237 W 16TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98363 -7007 Exemptions: SNR /DSBL i Taxes and Assessment Details Property Tax Information as of 03/18/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. First 'Second' 1 Half Half Base Base 1 Year Statement ID I Taxing Jurisdiction Amt. Amt. Penalty i Interest Base Paid Amount Due 2011 163302 ST SCH STATE SCHOOL $0 00 $0 00 $0.00 $0.00 $0.00 $0.00 12011 163302 CC-GEN COUNTY CLALLAM $0.00 $0.00 $0.00 $0.00 $0.00 $0.00' 2011 163302 SD #121 SCHOOL DISTRICT #121 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00'; 2011 163302 CITY PORT ANG CITY OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2011 163302 PORT PORT OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2011 163302 NTH OLY LIB NORTH OLYMPIC LIBRARY $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2011 163302 HOSP #2 HOSPITAL #2 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2011 163302 WSMET PK DIST WILLIAM SHORE MET PARK DIST $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2011 163302 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $0.00 $72.00 2011 163302 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.00 $1.63 2011 163302 TOTAL: $36.82 $36.81 $0.00 $0.00 $0.00 $73.63 2010 51606 ST SCH STATE SCHOOL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 51606 CC -GEN COUNTY CLALLAM $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 51606 SD #121 SCHOOL DISTRICT #121 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00' 2010 51606 CITY PORT ANG CITY OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00'' 2010 51606 PORT PORT OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 51606 NTH OLY LIB NORTH OLYMPIC LIBRARY $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 51606 HOSP #2 HOSPITAL #2 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 51606 WSMET PK DIST WILLIAM SHORE MET PARK DIST $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 f 2010 51606 CITY STORMWATER CITY STORMWATER• $36.00 $36.00 $0.00 $0.00 $72.00 $0.00 http: /websrv8.clallam. net/ propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop id =70516 3/18/2011 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 700 Application desc ABANDON 350 GAL HEATING OIL TANK IN PLACE Owner BILLIE JEAN OLSON 1237 W 16TH ST PORT ANGELES Qty Unit Charge Per Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 983637007 Permit UNDERGROUND TANK RES Additional desc ABANDON TANK IN PLACE Permit pin number 183004 Permit Fee 15 00 Issue Date 3/25/11 Expiration Date 9/21/11 15 00 00 15 00 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5t Street, Port Angeles, WA 98362 11 00000263 Date 3/25/11 599228 1237 W 16TH ST 06 30 99 0 4 3220 0000 BILLIE JEAN OLSON FIRE ABANDON TANK INSPECTION BASE FEE Contractor R J SERVICES INC 514 ERVING JACOBS RD PORT ANGELES WA 98362 (360) 457 1420 Plan Check Fee 00 Valuation 700 Paid Credited 15 00 00 00 00 15 00 00 Due Extension 15 00 00 00 00 'Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) ;2-iv 6 77 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 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 recognized standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel of state or local law regulating the work specified in the permit. Date FIRE PERMIT INSPECTION RECORD Call 360 -417 -4655 for fire inspections. Please provide a minimum 24 -hour notice It is unlawful to cover, insulate V 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 Passed I Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP -GAS Completed by Contractor- Underground piping inspection /pressure test Test #1 Above ground piping inspection/pressure test Piping pressure test psi Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test psi Time initiated LP -gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final 3-31-fl KM) PERMIT OTHER (specify) permit final J 5 GENERAL COMMENTS 2/15/00 CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 Building Division (360) 417 -4711 Fax Applicant or Agent 0 e_r Property Owner ocz Property Owner's Address f a 3 2 Contractor Contractor Address License PROJECT ADDRESS Type of liquid stored in the tank Tank size (in gallons) Total project valuation Reauirements Limitations. 1) Abandonment or Removal of a Residential Fuel Storaae Tank (1.100 Gallons or Less) Permit Aoolication Phone 34D i-/S2 /y ,po Expires /0- /6 54-e- o C _5/ y r(./ ti s rep For City Use Only Date Received 3 I I Permit# Phone Xo //59 /Ya0 Phone Issuance of a permit is subject to compliance with the listed requirements and field inspection approval by the Port Angeles Fire Department 360- 417 -4653 All tanks must be completely pumped out. Remove all flammable and combustible liquid from the tank(s) and connecting lines Use a hand pump where practical Residential underground storage tanks may be abandoned in place or removed There shall be no welding cutting or other source of ignition in the area while abandoning operations are in progress Welding or cutting tanks requires a separate permit from the Port Angeles Fire Department 360- 417 -4653 If the tank is removed and stored temporarily on -site it shall be placed in a secure location and be blocked to prevent movement. The tank shall be made inert prior to transporting The hole created by removing the tank shall be filled with suitable material (earth sand etc Check which ootion will be used to abandon the tank. Tank fill vent piping and tank completely removed 2) Tank fill vent piping removed Tank filled completely with an inert mixture such as sand slurry Page 1 of 2 Site Diagram. Show the number size and location of the underground storage tank(s) with reference to the existing home and nearby street(s) -k 1 I have read and understand the requirements of this application Date /l Print Name 155 qe-r' 7" Applicant's Signature Gc t 5 I -TA o c vc«,C s e�c_e_ To be completed by the Fire Department Method of abandonment: Tank removed f Tank filled with inert mixture T Forms /Building Division /Abandonment or Removal of a Residential Fuel Storage.Tank Permit Application.doc Page 2 of 2 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Application desc t stat for 15 kw furnace Owner BILLIE JEAN OLSON 1237 W 16TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summar' Permit Fee Total Plan Check Total Grand Total WA 983637007 182782 56 00 3/22/11 9/18/11 Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 11 00000244 630532 1237 W 16TH ST 06 30 99 0 4 3220 0000 ELECTRICAL ONLY Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Contractor ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 1 00 56 0000 ECH EL LVT THERMOSTAT Plan Check Fee Valuation Special Notes and Comments March 21 2011 4 14 50 PM Brian 417 4708 OK Charged Paid Credited 56 00 56 00 00 00 00 00 56 00 56 00 00 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION y I II! Ry 1 4N? Date 3/22/11 ALL WEATHER HTG COOLING INC 302 KEMP 'T PORT ANGELES WA 98362 (360) 452 9813 2- 5rri Due RESULTS 00 0 Extension 56 00 00 00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date: (PI City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Ft th Slreet P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 4 7.4735 Fax: (360) 417.4711 Date: A. 2 Single Family Dwelling Multi- Family or Commercial' Commercial Addition Alteration Remodel Repair" Plan Revie Be Re u ed, le C prr t (g ete _EIe ical Plan Review Information Sheet Job Address: fTlh Building Square Footage: q M 2 Description of above 10��, 71 Ji i 1 L em ae" f C G Y n a Owner ation Name: t11.. Maili Addre City' Phone:I License #1 t xp. Unit Charge _Qty 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 66.25 43.75 Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit 1s fbralized, (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, l 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 1928, WAC. Chapter 296.468, The City of Port Angeles Munldpal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator 00 /120 39Cd State: Fax: 4 tl L Pr_ 4: nat/ 9NI±CBH '13H1V3M 11V Contractor Inform Name: Mailing City' Phone: License Exp. ress: D Cash D Check D Credit Card ti RECEIVED MAR 21 2011 on ELECTRICAL INSPECTIONS State: Fax: W tt' t Total (QV Multlolied by Unit Channel Service /Feeder 200 Amp. ServlcelFeeder 201 400 Amp. ServicelFeeder~401 -600 Amp. Service /Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly Sign/Outllne Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi -Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square FL Each Additional 500 Square FL or Portion of Each Outbuilding or Detached Garage I3 Each Swimming Pool or Hot Tub t- j Thermostat 4576 Total MLI t r tkik t <0. CIA 11Y4P ''rtr cLit LLISZ91709ET Eb 0T 110 /8Z /E0 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 15 KW furnace No load change Owner OLSON BILLIE JEAN 1237 W 16TH ST PORT ANGELES Fee summary Charged Permit Fee Total Plan Check Total Grand Total "Q N 3 INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983637007 Permit Additional desc Permit pin number 182303 Permit Fee 76 10 Issue Date 3/10/11 Expiration Date 9/06/11 ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 76 10 00 76 10 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 11 00000212 923800 1237 W 16TH ST 06 30 99 0 4 3 20 0000 ELECTRICAL ONLY Paid Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 76 10 00 76 10 DATE. Plan Check Fee Valuation Credited 00 00 00 RESULTS 37/L/0 4P ��lb 1 Date 3/10/11 WA 98363 0 0 Extension 73 50 2 60 Due 00 00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) d76Z INSPECTOR. Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division/.Electrical Inspections 321 East Fifth Street P.O. ox 9 2Ot Date: Ph. (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL 1 n B 1150 Port Angeles Washington 98362m 1 2 Single Family Dwelling Multi- Family or Commercial* Com ion 1 Alteratior Remodel 1 Repair* Plan Review May Be Required, Please Cgm t electrical Plan Review Information Sheet Jab Address: -,R re (�r"►� i- Building Square Footage: �7J Description of above r (�./,cl..� -r��'� r a °'e Owner Inforrnat or3 Name Mailing Add C ense ft Exp. j /Li S) 98 56 Item Unit Charge Service/Feeder 200 Amp. 119.90 ServicelFeedor 201 -400 Amp. 145.50 Servico/Feeder 401-600 Amp 204.60 Service /Feeder 601.1000 Amp. 262.20 Service/Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service/Feeder 201 -400 Amp. 110.30 Temp. Service/Feeder401 -600 Amp. 148.70 Temp. Service/Feeder601 -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 Nolo: $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 FJectrlcal 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 r State: Fax: ECEVE) 0 Caah Cheek DAted: ,3 /9/, credit cord 0 Sig y; of owner, electrical co ctor or electrical administrator Contra information 'It Name: i 6 c LLB Malting Address: o a City' iv A State:ld. T Phone: Fax: License d Exp. 0 r ciq Tot L1 Y-Mu l (plied by Unit Chard, g 7 (Q Thotai Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalize (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 Inspect )n. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical ontractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC Chapter 2! i-16B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. J PREPARED 10/02/09 10 00 22 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/02/09 ADDRESS 1237 W 16TH ST SUBDIV TENANT NBR BILLIE JEAN OLSON CONTRACTOR PHONE OWNER BILLIE -JEAN OLSON PHONE (360) 457 1743 PARCEL 06 30 99 0 4 3220 0000 APPL NUMBER 09 00000832 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 10/02/09 BLDG FINAL October 2 2009 9 59 15 AM jlierly COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000832 Date 8/18/09 Application pin number 713728 Property Address 1237 W 16TH ST ASSESSOR PARCEL NUMBER 06 30 99 0 4 3220 0000 Tenant nbr name BILLIE JEAN OLSON Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3000 Application desc TEAR OFF RE ROOF THE HOUSE Owner Contractor BILLIE JEAN OLSON OWNER 1237 W 16TH ST PORT ANGELES WA 98363 (360) 457 1743 Structure Information 000 000 TEAR OFF RE ROOF THE HOUSE Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF RE ROOF HOUSE Permit pin number 151886 Permit Fee 109 75 Plan Check Fee 00 Issue Date 8/18/09 Valuation 3000 Expiration Date 2/14/10 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL 2001 25K (14 PER K) 14 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 109 75 109 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 114 25 114 25 00 00 Ph 4, 09 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 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 performan of construction. atiAd ,�Qo���� 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. Inspection Type Date Accepted By 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit Inspection Type Comments FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 6 7 —AO I �TLL- Applicant "Tect.,v. C Property Owner Soh o /S !al-- Property Owner's Address 1 Z. 3 7 Contractor Sec _d /3 er. J Contractor's Address t 3 s fah /Itev s License Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition )(Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Date Fr q Print Name 6 Max. height of proposed structu Will a lawn sprinkler system Will a fire. sprinkler system 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 s installed? e installed? PROJECT ADDRESS Z 37 w /6 f /1> wi9 7C7 z. %Residential X House garage other gear off re -roof lay over one layer "0 pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) N V N Total footprint of structures ft. Lot size sq. ft. Lot rgverage Site Coverage theamount of im• -rviou urface on a parcel including structures p: ved driv- ._ys sidewalks and other impervious surfaces. (se e MC 17 94 135 for exemptions) Site coverage ft A. 1 d geA Phone crs i y Phone Ph ys-7 -i 20r 4 a. 4 r p d -s w'✓ 9 X366 Expires E -mail ❑Multi- family Occupancy group Occupant load Construction ty T Fo /Building Division /Bldg Permit.doc v 2* 4 Signature For City Use Only Date Received g— i -0`t Permit S32- Date Approved Lot Zoning Commercial Industrial per sq ft. M `atS I 500 nLto o TOTAL VALUATION 3., (700 of bedrooms f full baths o If baths patios I have read and completed this application and know it to be true and correct. 1 am authorized to apply for this p-rmif and understand that it is my responsibility to determine what pe, nits are required, and to obtain permits prior to orkinon project C`Jr'1°iC QF FORT ANGnZS PICT A "MCA'P] N RECEIViE,- 9 2014 13uadit ] D,nvidauA iccuiml Inspeetioas 321 iAt Fjftb Street —P,0. B" 1150 1 Port Angeles W"h1 rgtc+n, 95361 1.I CTRIG Ph: (360) 417- �173SP*: (350) 417 -4711 �S E ITIO S IDatH � 9 a 2 S Salle Fm* DwelIn Plan Review May Be ltquaecl, Pleese Eietlrical Plan Review Informaton Sheet .lob Address "TH Brili&W 8Wme FowteW Desutp m cgobw o S d r 14 RNAArt M"QAdft= ") . J , ff.. '-Ec -rots c,*(- 9-C t.too M V _ MAIM $. 8WAWftKW201- UArrlp. $146.0D 5 Servf�8o1-1000 Amp. $ 20M SWVkWFGWsraver 10oD Amp. $ 373,b0 Stanch CImoil W/ Seraoa Fad S 5.00 Broach CIMVd w►O Feeder $ 63,00 EaaMAdUaW MmM a=g $ so BranchClr L&1-4 $ 75.00 Tomp. Sary W FMW200 Mqx $ Sam Temp. Smv%elFeeder2D1400Amp. $110.0D Temp.,%WbA %adar4W- f00Amp. $149.00 TW* &0kWFeo*6Di-1000Amp • $168.00 ' &2 r-ry 20m I $120.00 BBCWW Ewa - 5KVASy�m w'iesd rawrMu 5102.00 IVY $5.00 W each aftdo W T-SW $ W FW 1300 Square Ft. $120.00 Each Addio W 500 Square Ft or Pod= of S 4D.00 F0o1 ub $110.00 ruromudw ff.. '-Ec -rots c,*(- 9-C . _ I�nse #1 •� � 9bc ISM [f (ANu!jWiod by Uerk Cha ft 5 s� �. f f —Total Omer as deBrW by RCIN 19.28.281: (1) [owner va occupy the sberrWM for ho years WW!his e6cbW permit is fma%d. C?wner is 10 hiro an � Mtr N above said M p" is fur sue, Afflt or Ieaw Pemu1 c�i regWmd After Meaft e,�ines after six months of lastinspeciior +. Ow above MWML I hereby cuffyy that I am the mW of #Q above named property Ora Umsed ele fir. I am making AngWW Muni io anrnpl r= with #10 el l laws, N.E-C., RCW. Chapter 18.28, WAC. Map1$r 29&MB. The City of Fort Y -9POdkdO,►s and PAMC 14.05.050 rega*g Ekbical PemR Applies. Slgnab neof owner, *c4lcal caMradDr or etedricar aftnlebdor. 1=1 Gss3lr D chid TO 39VJ SAS 'iD3-13 N ASC-1V 666SZGV09C 8T :Z1 bTOZI6TIZT �1 N ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 14 00001523 Date 12/22/14 Application pip number 011852 Property Address . . , 1237 W 16TH ST ASSESSOR PARCEL NUMBER; 06-30-99-Q-4-3220-0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning , . . , , . , RS7 RESDNTL SINGLE FAMILY Application valuation , . , . 0 Application desc Not water tank Owner Contractor JACIENE L BRYANT ALASKAN ELECTRIC 1237 W 16TH ST 237 ROBERSON RD PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 582 -3874 Permit , , , . , , ELECTRICAL ALTER RESI13ENTIAL Additional desc 1 -4 CIRCUITS Permit Fee 75.00 Plan Checic Fee .00 Issue Date 12/2.2/14 Valuation , . , , 0 Expiration ]late 6/20/15 Oty Unit Charge Per Extension BASE FEE 75,40 Fee summary Charged Paid Credited Due Permit Fee Total 75.00" 75.00 00 04 Plan Check Total •00 .00 .00 ,00 Grand Total 76.00, 75,00 .00 Q0 T) � . \ I I -Z,,;?, I I,),;- REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENT'S: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ ctor X Date: GAEXCHANGE UILDING c