HomeMy WebLinkAbout2123 W 4th St - BuildingFROM : HI -TECH ELECTRONICS
FAX NO. : 360 452 8560
CITY OF PORT ANGELES ftFt,Mrr APPLIcAnON
Building 1Rivis3OnMectrical Inspections
321 East 1111h Street -- P.O. Box 11501 Port Angel" Wasidngton, 9&U2
Ph: (360) 417-3735 Fax: (364) 4717-4711
Date: 9-11-13
-�L- I & 2 Single Family Dwelling
Sep. 12 2013 09:02RM P1
'
RECEIVED
SEP I'as;c• I c7t'
1,2 8 t�, P(3JIf ,9nr w �
(. ♦f V V
ELECTRICAL
limSPECTIONS
"Plan Review May Be Required, Please Complete Electrical Alan Review Information Sheet
Job Addmu 2123 Wesr4th St
Sul (ding SqU ore Footage:"—
QCsarlptlanofabvle Instg� secur' and_aBrveille�{cros �� ..,... .
Owner Information
Contractor Information
Name jnhn Vmclog
Name:
MallingAddress: 21�?Mest4thSt
Miall Ing Ad dress EastFroritSt
City: d Angel— $tpic: WA 2Jp: 983$2
-7_
City. . tf &geles State: WA ap:-OA362...__
Phone 253 740-23,Fax:�,.
Phone: 452-2727
License # (6itp.
_Fele: _452-856Q_, .
license # I Exp.._-_.wjjEcT,e",gEj
Item
11nit CharaeL�Irt
Totali ty Mulblied b2 Unit Char
ServlceJFeeder200 Amp.
$12089
_
SenricelFeederE I-400 Amp.
$14fi.00
_ $^
ServiceJFeeder 481-600 Amp
$ 205. aQ
ServlceFeeder 601-1000 Amp.
$ 26Z 00
ServlcelFeearover 1000 Amp,
$ 373:00
Branch ClrcultW1 Senrloe Feeder
$ 5.00
g
Branch Circuit w/o Service Feeder
$ 63.00
Erach AddHoml Branch Orcuh
$ 5.m
5�
Branch Cirruits 14
$ 75.00
emp. Servlcel Feeder 200 Amp.
$ 93.00
g—_
Temp, SendoWFeeder=-400 Amp.
$110,017
-,-
g
Temp, SOMCAaFEeder4D1 SOQ Amp,
$149.00
g
Temp. SendcelFeeder601-1000 Amp.
$169.00
- g
Portal to Portal Houdy
$ 96.00
9....
”""
Signal ClrculV limited Energy 2 FamllyDwelling
$ RM„-
^
1 � 64 O
Manufacturod Home Connection
$120.00
g
Renewable Electrlcat EnaMy- 5Ki/A System or Less
S 102,00_
g
Therm%lat
$ 55.00Note:
$5,00 for each addle anal T-Stat
NEW C ON ONLY:
First 13005quam FI.
$120,00
$
Each Addltional 503 Square Ft. or Portion of
$ 40.87
g
Each Outbuilding orDetached Garage
$ Um
g
Eech 5wimml ng Pool or HotTub-
� �s.o0 ,Total
Owner as defined by RCW.19.28.261: (1) Owner will
occupy the structure for two
years alter this olectrical permit is finalized. (2) (>xror Is required
to hire an electrical contractor If above said property's
for sale, rent or lease, Permit expires, atersix months of last Inspection.
After reading the above stabement, I hereby ceitf that
I am the owner of the above named property or a licensed electrical cofactor. I am making
the electrical installation or altvation in compliance with theefactrlcal laws, N.E.C.,
RCW. Chapter 19.26, WAC. Chapter N8.46B,The City of Port
Angeles Municipal Code, and UiilitySpec'rfications and PANIC 14.05.050 regarding Electrical Permit ApplIcad Ono.
Signature of owner, electrical contractor or electrical administrator:
❑ clah Q Chock
CroditC#!d 4 nn file
x h+iike Shirley;
9.11-13
G1rDi1xOt2
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
SERVICE
ROUGH -IN
360-417-4735
_
41Q
y, application Number
13--00001041 Date 9/12/13
Application pin number
612079
Property Address
2123 W 4TH ST
REPORT SALES TAX
ASSESSOR PARCEL NUMBER,
06-30-00-9-4-0009-0000
Application type description
ELECTRICAL ONLY
on your excise tax form
Subdivision Name . . . . . ,
to the City of Port Angelr
Property Use
es
Property Zoning . . . . ,
RS7 RESDNTL SINGLE FAMILY
(Location Code 0502)
Application valuation . . . ,
0
----------------------------------------------------------------------------
Application desc
Security system
-----------------------------------------------------------------------------
Owner
Contractor
TOHN W PROCTER &
HI TECH SECURITY INC
DARLENE K HESKETT
723 E FRONT ST
34020 170TH AVE SE
PORT ANGELES WA 98362
AUBURN WA 98092
(360) 452-2727
253 740-2329
.__-_--
y
------------------_-------------------------------------_.-_
Permit . . . , , . ELECTRICAL
ALTER RESIDENTIAL
Additional. desc
Permit Fee 64.00
Plan Check Fee
Issue Date 9/12/13
Valuation , , . . 0
t �1
Expiration Date 3/11/14
Qty Unit Charge Per
Extension
V
1,00 64,0000 ECH EL -SINGLE
CTR LIMITED RES 64.00
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited 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
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
41Q
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number , . . . .
13-00001041 Date 9/12/13
Application pin number . . .
612079
INSPECTOR:
Property Address . . . .
2123 W 9TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -9 -4 -0009 -0000 -
SERVICE
Application type description
ELECTRICAL ONLY
Subdivision Name
ROUGH -IN
Property Use
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . ,
0
COMMENTS:
--------------------------------------------------------------
Application desc
--------------
Security system
----------------------------------------------------------------------------
Owner
Contractor
JOHN W PROCTER &
HI TECH SECURITY INC
DARLENE K HESKETT
723 E FRONT ST
34020 170TH AVE SE
PORT ANGELES
WA 98362
AUBURN WA 98092
[360] 452-2727
12531 740-2329
------------------------------------------------------___--_----------------
Permit . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee 64.00
Plan Check Fee
00
Issue pate 9/12/13
Valuation
0
Expiration Date 3/11/14
Qty Unit Charge Per
Extension
1100 64.0000 ECH EL --SINGLE CIR LIMITED RES
64.00
---------- ------ ----------------------------------------------------------
Fee summary Charged
Paid Credited
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
REPORT SALES TAX
on your excise fax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL 021RE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G EXCHANG1 WUILDING
Electrical Permit
2123 W 4 t" St
12-1474
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
m
DATE:
Application Number . . . . .
12-00001474 Date 11/13/12
Application pin number . . .
723548
Property Address . . . . . .
2123 W 4TH ST
SERVICE
ASSESSOR PARCEL NUMBER:
06 -30 -00 -9 -4 -0009 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
COMMENTS:
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
1-4 circuits garage
----------------------------------------------------------------------------
Owner
Contractor
------------------------
JOHN W PROCTER &
------------------------
OLYMPIC ELECTRIC CO
INC
DARLENE K HESKETT
4230 TUMWATER
34020 170TH AVE SE
PORT ANGELES
WA 98363
AUBURN WA 98092
(360) 457-5303
(253) 740-2329
----------------------------------------------------------------------------
Permit . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 74.00
Plan Check Fee
.00
Issue Date . . . . 11/13/12
Valuation . . . .
0
Expiration Date 5/12/13
Qty Unit Charge Per
Extension
BASE FEE
74.00
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited
Due
---------------------------
Permit Fee Total 74.00
------------------------------
74.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 74.00
74.00 .00
.00
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
i 3 1 Z
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X___ __ Date:
G:\EXCHANGE\BUILDING
Nov 09 2012 03:08PM Olympic Electric Co., Inc 3604523498 page 1
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 Fast Fifth Street — P.O. Box 1150 / Port Angeles 'Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date. 1.11277AL. 01 & 2 Single Family Dwelling
Pian Review May Be Required, Please Complete Electrcal Plan Review Information Sheet
.;ot' a.cdress _. /L G/ e/
c
De,a:nptinr d rabove
---
Owner Info.,mation
Name:
Mari ng Address:
Oily r'ORTnNCELE> Stale: WAZip: jV
-
PhoneZX_7w_Y,Z�Fax:
License 9 i Ex3
Item
Unit Charge
Service/Feeder 200 Amp.
$ 120.00
Se race/Feeder 2J 1-400 Amp.
$ 146.00
Serv;ce/Feeder 4J 1.600 Amp
$ 205.00
Service/Feeder 60'-1000 Amp.
$ 262.00
Service/Feeder over 1000 Amp.
$ 373.00
Branch Circuit W! Service Feeder
$ 5.00
Branch Circuit W/0 Service Feeder
$ 63.00
Each Addilional Branch Circuit
$ 5.00
Branch C rcuifs 1-4
$ 75.00
Temp. Servicei seeder 200 Amp.
$ 93.00
remp. 6ervicelFeeder 201.400 Amp.
$ 110.00
Temp ServiceiFeeder 401.600 Amp.
$ 149.00
T'emt: Service/Feeder 601-1000 Amp.
$ 168.00
mortal ,o portal Hourly
$ 96.00
Sign;d Circuit' Limited Energy - 1 & 2 Family Dwelling
$ 64.00
`,9anuiactured Home Connection
$ 120.00
Renewable Electrical Energy - 5KVA System or Less
$ 102.00
-i ermostat
$ 56.00
Note: $5.00 for each additiona, T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$ 120.00
Each Additional 5C0 Square Ft. or Portion of
$ 40.00
Each Outbuilding or Detached Garage
$ 74.00
Each Swimming Pool or Hot Tub
$ 110.00
Contractor Information
Narne: OLYMPIC ELECTRIC_
Mailing Address: 4230 TUMWATER TRUCK ROUTE —
City. PORT ANGELES State: WA Zip: 9EJ63
Phone: 360.457.5303 Fax: 360452-3408
License # I Exp, oLYMPEc2a5ol
Qty Total (Qty Multiplied by Unit Charge)
$
—�— $ Z 5– ---
a -
$ 7S Total
Owner as defined by RCW.19.28.261. (1) Owner will occupy the structure for Iwo years after this electrical permit is finalized. (2) 0wrer ;s required -
to hire an electrical contractor if above said property is for sale, rent or lease Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contraclor , am "Pa
the electrical installation or alteration in compliance with the electrical laws, N.E.C„ RCVV. Chapter 19.28, WAC. Chapter 296-46B, Th 'Ay W
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: O cash Q Check
ir.;W? / A Credit Card g
" CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 12-00000425 Date 5/25/12
Application pin number . . . 186700
Property Address . . . . . . 2123 W 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -9 -4 -0009 -0000 -
Application type description RES ACCESSORY BUILDING
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 21600
----------------------------------------------------------------------------
Application desc
DETACHED GARAGE
----------------------------------------------------------------------------
Owner Contractor
JOHN W PROCTER & OWNER
DARLENE K HESKETT
34020 170TH AVE SE
AUBURN WA 98092
(253) 740-2329
Other struct info . . . . . HARD SURFACE AREA
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc SINK IN GARAGE
Permit Fee 64.00 Plan Check Fee .00
Issue Date . . . . 5/25/12 Valuation . . . . 0
Expiration Date . . 11/21/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.0000 EA PL -PLUMBING TRAP 7.00
1.00 7.0000 EA PL -DRAIN VENT PIPING 7.00
----------------------------------------------------------------------------
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
April 18, 2012 10:44:41 AM sroberds.
Proposal will result in 460 sf detached garage in the RS -7
for total lot cov of 131. and site cov of 22%. No land use
issues.
Electrical load calculations and electrical permits are
required.
All construction work within the City right of way requires
a separate Right of Way Construction application to be
completed by the contractor and approved by Public Works
Engineering prior to the start of work. A pedestrian or
traffic control plan is to be submitted for approval with
the application as necessary.
-----------------------------'-----------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------`-----------------------------
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 64.00 64.00 .00 .00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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.
0 2 LO4W go
Date Print Name Signature of Contractor or Aut rized gent 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
Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Fire 417-4653
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date Accepted b
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:
FINAL Date Accepted b
Heat Pum / Furnace / FAU / Ducts
Rough -in
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footing / Slab
Blocking 8 Hold Downs
Skirting
PLANNING DEPT. Separate Permit #ts
SEPA:
ESA:
SHORELINE:
Parking / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction - R.W. PW / Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T•Fnrmc/Rnilrlinn nivicinn/Rtiilriinn Parmit
=^� CITY OF PORT ANGELES
�1it'� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
`W 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 12-00000425 Date 5/25/12
Application pin number . . . 186700
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 68.50 68.50 .00 .00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
I:rorms/Builomg Division/Building Permit
iY
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
7Accepted By
Comments
FOUNDATION:
Electrical 417-4735
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date Accepted b
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:
Stab
Wall / Floor / Ceiling
MECHANICAL:
FINAL Date Accepted b
Heat Pum / 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 its
SEPA:
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR
TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction - R.W. PW / En ineerin 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T-Fnrme/Ri diriinn nivicinn/Ri 61riinn Parmit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 12-00000425 Date 4/18/12
Application pin number . . . 186700
Property Address . . . . . . 2123 W 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-9-4-0009-0000- REPORT SALES TAX
Application type description RES ACCESSORY BUILDING on your state excise tax form
Subdivision Name
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 21600
Application desc
DETACHED GARAGE
----------------------------------------------------------------------------
Owner Contractor
JOHN W PROCTER & OWNER
DARLENE K HESKETT
34020 170TH AVE SE
AUBURN WA 98092
(253) 740-2329
Other struct info . . . . . HARD SURFACE AREA
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . DETACHED GARAGE
Permit Fee . . . . 375.75 Plan Check Fee 244.24
Issue Date . . . . 4/18/12 Valuation . . . . 21600
Expiration Date . . 10/15/12
Qty Unit Charge Per Extension
BASE FEE 95.75
20.00 14.0000 THOU BL -2001-25K (14 PER K) 280.00
----------------------------------------------------------------------------
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
April 18, 2012 10:44:41 AM sroberds.
Proposal will result in 460 sf detached garage in the RS -7
for total lot cov of 13% and site cov of 22%. No land use
issues.
Electrical load calculations and electrical permits are
required.
All construction work within the City right of way requires
a separate Right of Way Construction application to be
completed by the contractor and approved by Public Works
Engineering prior to the start of work. A pedestrian or
traffic control plan is to be submitted for approval with
the application as necessary.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----`-----------------------------------------------------------------------
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 375.75 375.75 .00 .00
Plan Check Total 244.24 244.24 .00 .00
Uk
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. 1
Date Print Name Signature of Contractor or Authorized Agenl\, signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
r
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 -T-
Accepted By
Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Fire 417-4653
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date Accepted b
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:
FINAL Date Accepted b
Heat Pum / Furnace / FAU / Ducts
Rough -In
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footing / Slab
Blocking & Hold Downs
Skirting
LANNING DEPT. Separate Permit #s
SEPA:
ESA:
arkin I Li htin
]SHORELINE:
IL
andscaping
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction - R.W. PW / En ineerin 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T-Fnrmc/Riiilriinn nivisinn/Ri0Ir1lnn Parmit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
J ! Other Fee Total
Grand Total
V)
C
. . . 12-00000425
. . . 186700
4.50 4.50
624.49 624.49
Page 2
Date 4/18/12
00 .00
00 .00
REPORT SALES -TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
111null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS —
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Footings
5 Ci
Stemwall
Fire 417-4653
Foundation Drainage / Downspouts
Piers
_
Post Holes (Pole Bldgs.)
�• I Z
PLUMBING:
�t
FINAL Date "a� a Accepted b i
Under Floor / Slab
Rough -In
Water Line (Meter to Bldg)'
Gas Line
Back Flow / Water
AIR SEAL:
Walls
Ceiling
FRAMING:
of ers / Under Floor
e r W IIJ Hold Downs
a oof / Ceiling
ITr-ywall Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall / Floor / Ceiling
MECHANICAL:
FINAL Date Accepted b
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 its
SEPA:
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction - R.W. PW / Engineering 417-4831
Fire 417-4653
Planning 417-4750
_
Building 417-4815
�• I Z
L�
T-Fnrmc/Ruilriinn nivi-inn/Ruilriinn Permit
- G
PREPARED 6/26/12, 8:46:48 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/26/12
------------------- — ------------
ADDRESS . : 2123 W 4TH ST SUBDIV:
CONTRACTOR : PHONE :
OWNER JOHN W PROCTER & PHONE : (253) 740-2329
PARCEL 06-30-00-9-4-0009-0000-
APPL NUMBER: 12-00000425 RES DETACHED GARAGE
-------------------------------- — ----------------------------- — ---- ---- — ------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----- -- — -----------------
BL1 01 5/25/12 JLL BLDG FOUNDATION FOOTING
5/25/12 AP May 25, 2012 8:42:28 AM hcatuzo.
JOHN PROCTOR. 253-740-2329. AM PLEASE
May 25, 2012 4:02:14 PM jlierly.
PW2 01 6/01/12 RV PUBLIC WORKS SEWER CONNECTION
6/01/12 AP June 1, 2012 12:57:37 PM rvess.
June 1, 2012 12:58:01 PM rvess.
BLSH O1 6/12/12 JLL BLDG SHEATHING
6/12/12 AP
June 12, 2012 4:47:25 PM jlierly.
BL3 01 6/12/12 JLL BLDG FRAMING
6/12/12 DA June 12, 2012 9:16:54 AM hcatuzo.
JOHN 253-740-2329
June 12, 2012 4:47:36 PM jlierly.
strap headers over door to top plate/k brace gable ends per
sbci/jll
BL3 02 6/26/12 J BLDG FRAMING
BL7 01 6/26/12J BLDG TRUSSES
June 26, 2012 8:46:08 AM hcatuzo.
JOHN PROCTOR. 253-740-2392
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 9/05/12, 8:48:32 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/05/12
------------------------------------------------------------------------------------------------
ADDRESS . : 2123 W 4TH ST SUBDIV:
CONTRACTOR : PHONE :
OWNER JOHN W PROCTER & PHONE : (253) 740-2329
PARCEL 06-30-00-9-4-0009-0000-
APPL NUMBER: 12-00000425 RES DETACHED GARAGE
------------------------------------------------------------------------------------------------
PERMIT_ BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------____- --
BL1 01 5/25/12 JLL BLDG FOUNDATION FOOTING
5/25/12 AP May 25, 2012 8:42:28 AM hcatuzo.
JOHN PROCTOR. 253-740-2329. AM PLEASE
May 25, 2012 4:02:14 PM jlierly.
PW2 01 6/01/12 RV PUBLIC WORKS SEWER CONNECTION
6/01/12 AP June 1, 2012 12:57:37 PM rvess.
June 1, 2012 12:58:01 PM rvess.
BLSH O1 6/12/12 JLL BLDG SHEATHING
6/12/12 AP
June 12, 2012 4:47:25 PM jlierly.
BL3 01 6/12/12 JLL BLDG FRAMING
6/12/12 DA June 12, 2012 9:16:54 AM hcatuzo.
JOHN 253-740-2329
June 12, 2012 4:47:36 PM jlierly.
strap headers over door to top plate/k brace gable ends per
sbci/jll
BL3 02 6/26/12 JLL BLDG FRAMING
6/26/12 AP June 26, 2012 4:23:13 PM jlierly.
BL7 01 6/26/12 JLL BLDG TRUSSES
6/26/12 AP June 26, 2012 8:46:08 AM hcatuzo.
JOHN PROCTOR. 253-740-2392
June 26, 2012 4:23:13 PM jlierly.
BL99 01 9/05/12 BLDG FINAL
September 5, 2012 8:41:55 AM hcatuzo.
JOHN PROCTOR 253-740-2329
-------------------------- ---------- COMMENTS AND NOTES----------
PREPARED
6/12/12,
9:31:16
INSPECTION TICKET
PAGE 4
CITY OF
PORT ANGELES
INSPECTOR: JAMES LIERLY
DATE 6/12/12
----------------------------------------------------------------------------------------
ADDRESS
. : 2123 W
4TH ST
SUBDIV:
'
CONTRACTOR :
PHONE :
OWNER
JOHN W
PROCTER &
PHONE : (253) 740-2329
PARCEL
06-30-00-9-4-0009-0000-
APPL NUMBER:
12-00000425
RES DETACHED GARAGE
-----------------------
PERMIT=
-
BPR 00 BUILDING PERMIT
-
- RESIDENTIAL
REQUESTED
INSP
DESCRIPTION
TYP/SQ
COMPLETED
RESULT
RESULTS/COMMENTS
---------
BL1 01
— --------------------------
5/25/12
JLL
BLDG FOUNDATION FOOTING
5/25/12
AP
May 25, 2012 8:42:28 AM hcatuzo.
JOHN PROCTOR. 253-740-2329. AM PLEASE
May 25, 2012 4:02:14 PM jlierly.
PW2 01
6/01/12
RV
PUBLIC WORKS SEWER CONNECTION
6/01/12
AP
June 1, 2012 12:57:37 PM rvess.
June 1, 2012 12:58:01 PM rvess.
BLSH O1
6/12/12
JL�
BLDG SHEATHING
BL3 01
6ING
'cl612
LCL -
June 12,2012 9:16:54 AM hcatuzo.
JOHN 253-740-2329
PERMIT_
PL 00 PLUMBING
PERMIT
REQUESTED
INSP
DESCRIPTION
n—_ 'v
'
TYP/SQ
COMPLETED
RESULT
RESULTS/COMMENTS
doff
PL2 01
5/25/12
JLL
PLUMBING ROUGH -IN
5/25/12
AP
May 25, 2012 4:02:14 PM jlierly.
PL6 01
6/05/12
JLL
PLUMBING WATER SUPPLY
6/05/12
AP
June 5, 2012 8:52:54 AM pbarthol.
Dan 460-0776
June 5, 2012 4:09:09 PM jlierly.
Roger vess.inspected this line.
PL99 01
6/it
L/—�,�/
JLL
PLUMBING FINAL
--------------------------------------
COMMENTS AND NOTES --------------------------------------
PREPARED 6/05/12, 9:10:09 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/05/12
------------------------------------------------------------------------------------------------
ADDRESS . : 2123 W 4TH ST SUBDIV:
CONTRACTOR : PHONE :
OWNER JOHN W PROCTER & PHONE : (253) 740-2329
PARCEL 06-30-00-9-4-0009-0000-
APPL NUMBER: 12-00000425 RES DETACHED GARAGE
------------------------------------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
-------------------------------
PL2 01 5/25/12 JLL PLUMBING ROUGH-IN
5/25/12 A May 25, 2012 4:02:14 PM jlierly.
PL6 01 6/05/12 PLUMBING WATERSUPPLY
June 5, 2012 8:52:54 AM pbarthol.
Dan 460-0776
COMMENTS AND NOTES
JCL�)
PREPARED 5/25/12, 8:42:36 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/25/12
----------------------------------------------------------------------------------------
ADDRESS . : 2123 W 4TH ST SUBDIV:
CONTRACTOR : PHONE :
OWNER JOHN W PROCTER & PHONE : (253) 740-2329
PARCEL 06-30-00-9-4-0009-0000-
APPL NUMBER: 12-00000425 RES ACCESSORY BUILDING
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED .RESULT RESULTS/COMMENTS
-------------------------- - ---------------------- ---- — -- ------ — ------------ —------------
BL1 01 5/25/12 J L BLDG FOUNDATION FOOTING
May 25, 2012-8:42:28 AM hcatuzo.
JOHN PROCTOR. 253-740-2329. AM PLEASE
PERMIT: PL 00 PLUMBING RMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
__ ---------------
----- ----------- - - ---
PL2 01 5/2 /12 J PLUMBING ROUGH -IN
----------------------- -- COMMENTS AND NOT ----
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
Property Owner Phone
Property Owner's Address J 1j_.3 LJ, 14 5T �i-i,&,I
Contractor :5g-jyC S / 4)l)a2 Phone
Contractor's Address
For City Use Only:
Date Received L13. 1a
Permit #
Pate Approved
VC/0
A- �'W&i 9
License # Expires E-mail
PROJECT ADDRESS �J�2? 1A AT �X 1.,T
Parcel Number W -C9 Lot t Zoning s"
Profect Type & Br1ef Description; �Residentlal
Check all that apply
Nevi Construction [/IY) %�CGSE
❑ ddition
❑ Remodel
❑ Repair
❑ Demolition
❑ Multi -family ❑ Comm
❑ Re -roof ❑ House ❑ garage ❑ other
❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas
❑ Other
Floor Areas Existinq (sq. ft.) ' Proposed (sq. ft.)
Basement
191 Floor
2nd Floor
3`d Floor
ara .ZoK.z3 q(&a
Carport
Covered Porch
Shed A
• �
Pun - q 2- ., .
1 BUILDING DIVISION
❑ tear oft & re -roof ❑ lay over one lay
ace ❑ pellet stove ❑ other
@ $ per sq, ft. = $
TOTAL VALUATION $
Total footprint of structures 4 0 b sq, ft. T Lot size sq. ft, = Lot coverage 3.3 %
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) �JCO Site coverage l -L ( %
f,40
Max. height of proposed structures
ft.
Occupancy group --'
# of bedrooms
Will a lawn sprinkler system be installed?
Nd
Occupant load
# of full baths
Will a fire sprinkler system be installed?
_Apo_
Construction type
# of half baths
1 have read and completed this application and know it to be true and correct. l 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. ,—
IMX-a -Jol& Print Name
T:Forms/Bullding Division/Building permit application
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
12-00000686
Date 6/05/12
Application pin number . . .
112930
Property Address . . . . . .
2123 W 4TH ST
SERVICE
ASSESSOR PARCEL NUMBER:
06 -30 -00 -9 -4 -0009 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
FINALAhmA
7'�`�- /�
Property Use . . . . . . . .
COMMENTS:
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
90 amp feeder 4 circuits to garage
----------------------------------------------------------------------------
Owner
Contractor
JOHN W PROCTER &
OLYMPIC ELECTRIC
CO INC
DARLENE K HESKETT
4230 TUMWATER
34020 170TH AVE SE
PORT ANGELES
WA 98363
AUBURN WA 98092
(360) 457-5303
(253) 740-2329
----------------------------------------------------------------------------
Permit . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 140.00
Plan Check Fee
.00
Issue Date . . . . 6/05/12
Valuation . .
. . 0
Expiration Date 12/02/12
Qty Unit Charge Per
Extension
4.00 5.0000 ECH EL -BRANCH
CIRCUIT W/FEEDER
20.00
1.00 120.0000 ECH EL -0-200
SRV FEEDER-
120.00
--------------------------
Fee summary Charged
Paid Credited
Due
Permit Fee Total 140.00
140.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 140.00
140.00 .00
.00
r �
k
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
FINALAhmA
7'�`�- /�
fb�'
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:AEXCHANGE\BUILDING
Date:
N
N
W
O'pOR7,4,,, ELECT ICAL NS ECTI -
WORM REPORT
KS 417-4735
DATE:
r
PERMIT #
IN PECT
OWNE
CONTRACTOR
M� I L-
ADDRESS
2-1
APPROVED NOT APPROVED
W - .................DITCH.................... ❑
❑................ ROUGH IN/COVER ............... ❑
❑ ....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
,.L
CORRECTIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHON 15 DAYS
05/31/2012 14:03 FAX 360 452 3498 Olympic Electric Co
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1.150 / Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 417-4711
Date: o5/3112o12
0 1 & 2 Single Family Dwelling
PA CITY INSPECT
c
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 1123 W 4TH
Building Square Footage;
Description of above 90 AMP SUL1 PANCL TO NCW GARAGL
Owner Information
Name; JOHN PRocToR
Mailing Address; 2123 W ATH _
Cjty, PORTANGELES Stale, LA Zip; 90363
Phone; 253-740-2329 Fax:
License # / Exp,
4001/002
Contractor Information
Name; OLYMPIC ELECTRIC
Meiling Address: 4230 TUMWATER TRUCK ROUTE
City: PORTANOELES Stat@, WA zip; 95353
Phone; 300.467.6303 pax: 300.452.31190
License # / Exp. OL-PEC28501
Item
Unit Charge P-ty
Total (Qty Multiplied by Unit Ch,
Service/Feeder 200 Amp,
$120.00 1
$ 12040
Service/Feeder 201-400 Amp,
$146.00
$
Service/Feeder 401-600 Amp
$ 205,00
$
Service/Feeder 601-1000 Amp,
$ 262.00
$
Service/Feeder over 1000 Amp.
$ 373.00
$
Branch Circuit W/ Service Feeder
$ 5.00 4
$ 20.00
Branch Circuit W/O Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 75.00
$
Temp. Service/ Feeder 200 Amp.
$ 93.00
$ _
Temp. Service/Feeder 201-400 Amp,
$110.00
$
Temp, Service/Feeder 401600 Amp.
$ 149.00
$
Temp, ServicelFeeder 601-1000 Amp -
$168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
$ 64.00
$
Manufactured Home Connection
$ 120.00
$
Renewable Electrical Energy - 5KVA System or Less
$102.00
$
Thermostat
$ 56.00
$ _
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$120.00
$
Each Additional 500 Square Ft, or Portion of
$ 40,00 _
$
Each Outbuilding or Detached Garage
$ 74.00
$
Each Swimming Pool or Hot Tub
$110.00
$
$140.00 Total
Owner as defined by RCW,19,28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is requi
to hire an electrical contractor if above said property
Is for sale, rent or lease. Permit expires after six
months of last Inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am mal,
the electrical installation or alteration in compliance with the electrical laws, N,E,C., RCW. Chapter 19.28, WAC. Chapter 296.466, The City of P
Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications,
Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check
11 Credit Card 0
X Dated: 05 131 / 2012 ��� 0110112012
CITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TF1 STREET, PORT ANGELES, WA 98362
Application Number . . . . . 12-00000685 Date 6/04/12
Application pin number . . . 355720
Property Address . . . . . . 2123 W 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -9 -4 -0009 -0000 -
Application type description PUBLIC WORKS UTILITES
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Driveway & Strorm connection RCP#12-19
----------------------------------------------------------------------------
Owner
------------------------
Contractor
JOHN W PROCTER &
------------------------
MORRISON EXCAVATING
INC
DARLENE K HESKETT
P. O. BOX 3051
34020 170TH AVE SE
PORT ANGELES
WA 98362
AUBURN WA 98092
(360) 452-7179
(253) 740-2329
-'---------------------------------------------------------------------------
Permit . . . . . . RIGHT OF WAY
Additional desc . .
Permit Fee . . . . 205.00
Plan Check Fee
.00
Issue Date . . . . 6/04/12
Valuation . . . .
0
Expiration Date 12/01/12
Qty Unit Charge Per
Extension
1.00 150.0000 ECH PW RW
CONST EXCAVTION OTHER
150.00
1.00 55.0000 EA STORM
----------------------------------------------------------------------------
DRAIN C/B
55.00
Special Notes and Comments
Applicant responsible for sediment
control and surface
restoration.
----------------------------------------------------------------------------
Fee summary . Charged
-----------------
Paid Credited
Due
--------------------
Permit Fee Total 205.00
--------------------
205.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 205.00
205.00 .00
.00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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
ALA&"-(Aj FAzlcia� 6 -y Z
re of Owner (if owner is builder) Date
PERMIT INSPECTION RECORD
CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
ACCEPTED
COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEPTED
YES7
NO
CONSTRUCTION R.W. / PW/
ENGINEERING 417-4807
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 4174653
FIRE DEPT.
PLANNING DEPT. 4174750
PLANNING DEPT.
BUILDING 417-
4815
BUILDING
T:Forms/Building Division/Public Works Permit
CITY OF PORT ANGELES
m DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
=� 321 EAST 5TH STREET; PORT ANGELES, WA 98362
1
Application Number . . . . . 10-00001389 Date 11/29/10
Application pin number . . . 888168
Property Address . . . . . . 2123 W 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -9 -4 -0009 -0000 -
Tenant nbr, name . . . . . . DARLENE HESKETT & JOHN P. REPORT SALES TAX
Application type description RES REPAIR
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 1000 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
REPAIR TWO BATHROOMS,
----------------------------------------------------------------------------
FLOORS/CEILINGS/PLUMBING ETC
Owner
Contractor
------------------------
JOHN W PROCTER &
------------------------
OWNER
DARLENE K HESKETT
34020 170TH AVE SE
AUBURN
WA 98092
(253) 740-2329
----------------------------------------------------------------------------
Permit . . . . . .
BUILDING PERMIT -RESIDENTIAL
Additional desc . .
REPAIR TWO BATHROOMS
Permit pin number .
178095
Permit Fee . . . .
65.25 Plan Check Fee
.00
Issue Date . . . .
11/29/10 Valuation . . .
. 1000
Expiration Date . .
5/28/11
Qty Unit Charge
Per
Extension
BASE FEE
50.00
5.00 3.0500
HND BL -501-2K (3.05 PER C)
15.25
----------------------------------------------------------------------------
Permit . . . . . .
MECHANICAL PERMIT
Additional desc . .
TWO VENT FANS
Permit pin number .
178103
Permit Fee . . . .
64.50 Plan Check Fee
.00
Issue Date . . . .
11/29/10 Valuation . . .
. 0
Expiration Date . .
5/28/11
Qty Unit Charge
Per
Extension
BASE FEE
50.00
2.00 7.2500
----------------------------------------------------------------------------
EA ME -VENT FAN (SINGLE DUCT)
14.50
Permit . . . . . .
PLUMBING PERMIT
Additional desc . .
Permit pin number .
178111
Permit Fee . . . .
86.00 Plan Check Fee
.00
Issue Date . . . .
11/29/10 Valuation . . .
. 0
Expiration Date . .
5/28/11
na
Qty Unit Charge
Per
Extension
BASE FEE
50.00
2.00 7.0000
EA PL -PLUMBING TRAP
14.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the'.
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions'
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
I/ --A9-/0 Xarlepte 71te_4&-,r"7
Date Print Name Signature of Contractor or Authorized Agent ignature 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Electrical 417-4735
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date Accepted b
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:
FINAL Date Accepted by
Heat Pum / 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:
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR
TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction - R.W. PW / Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
-, CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET; PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 10-00001389 Date 11/29/10
Application pin number . . . 888168
Qty Unit Charge
Per
Extension
1.00 7.0000
EA
PL -WATER
LINE
7.00
1.00 15.0000
EA
PL -SEWER
LINE
15.00
----------------------------------------------------------------------------
Other Fees . . . . .
. . .
.
STATE SURCHARGE
4.50
----------------------------------------------------------------------------
Fee summary Charged
---------------------------
Paid
----------
Credited
--------------------
Due
Permit Fee Total
215.75
215.75
.00
.00
Plan Check Total
.00
.00
.00
.00
Other Fee Total
4.50
4.50
.00
.00
Grand Total
220.25
220.25
.00
.00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS —
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Construction - R.W. PW I Engineering 417-4831
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Planning 417-4750
Post Holes (Pole Bldgs.)
PLUMBING:
•�
Plui'nb"'V15 Duni lv—zV) 0140'« —JCL,
FINAL Date 1 Accepted by L/1/
Under Floor / Slab
Rough -In 2— —1O :.1.
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:
SQL
Slab
Wall / Floor / Ceiling
MECHANICAL:
FINAL Date ' A• it Accepted by j"w
Heat Pum / Furnace / FAU / Ducts
Rough -In _ o-1
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction - R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
•�
T:Forms/Building Division/Building Permit
M
1n
PROJECT STATUS UPDATE
Permit # 13-1
Date:
I phoned the: plicant be,yW, SEXT at �,53--l�'I'%— 6d 8
Property Owner at
Contractor at
left a phone sage or discuss
Cwillexpire
31—/�The permit (has expired, o 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.
-7 Zg— I 1 Qat
Rv\.aQ,Q_ SavAikU
T:Forms/Building Division/Project Status Update
PREPARED
1/31/11,
8:40:15
INSPECTION TICKET
PAGE 6
CITY OF
PORT ANGELES
INSPECTOR: JAMES LIERLY
DATE 1/31/11
------------------------
ADDRESS
. : 2123 W
— ----------------------------------------------------------------------
4TH ST
SUBDIV:
TENANT,
NBR: DARLENE
HESKETT &
JOHN P.
CONTRACTOR
:
PHONE
OWNER
JOHN W
PROCTER &
PHONE
(253) 740-2329
PARCEL
06-30-00-9-4-0009-0000-
APPL NUMBER. 10-00001389
RES REPAIR
------------------------------------------------------------------------------------------------
PERMIT:
BPR 00 BUILDING PERMIT
- RESIDENTIAL
REQUESTED
INSP
DESCRIPTION
TYP/SQ
COMPLETED
RESULT
RESULTS/COMMENTS
--------------------
BLI O1
1/10/11
— -------------------
JLL
-------- --------
BLDG INSULATION TIME: 01:00
— -----------------------------------
1/10/11
DA
January 6, 2011 2:24:09 PM
1pangrle.
JOHN 253-740-2329
"BUILDING INSPECTION ON TWO
BATHROOMS
- CEILING INSULATION"
AFTERNOON
January 10, 2011 4:53:33 PM
jlierly.
BL3 01
1/10/11
JLL
BLDG FRAMING TIME: 01:00
1/10/11
AP
January 6, 2011 2:22:18 PM
1pangrle.
JOHN 253-740-2329
"BUILDING INSPECTION ON TWO
BATHROOMS"
(FRAMING?)
AFTERNOON
January 10, 2011 4:54:29 PM
jlierly.
BLI 02
1/11/11
JLL
BLDG INSULATION TIME: 01:00
1/11/11
AP
January 10, 2011 4:07:10 PM
1pangrle.
JOHN 253-740-2329
"OUTDOOR WALL INSULATION"
AFTERNOON
January 11, 2011 4:31:01 PM
jlierly.
BLI 03
1/31/11
BLDG INSULATION TIME: 01:00
January 27, 2011 4:47:44 PM
1pangrle.
JOHN 253-740-2329
"INSULATION OF PIPES IN THE
FLOOR"
AFTERNOON
------------------------------------
----------------------------------------
COMMENTS AND NOTES
PREPARED 1/11/11,
9:34:52
INSPECTION TICKET
PAGE 5
CITY OF
PORT ANGELES
INSPECTOR: JAMES LIERLY
DATE 1/11/11
-------------
ADDRESS
-
. : 2123 W
-------
4TH ST
-
SUBDIV:
TENANT,
NBR: DARLENE
HESKETT &
JOHN P.
CONTRACTOR :
PHONE
OWNER
JOHN W
PROCTER &
PHONE
(253) 740-2329
PARCEL
06-30-00-9-4-0009-0000-
APPL NUMBER: 10-00001389
RES REPAIR
------------------------------------------------------------------------------------------------
PERMIT:
BPR 00 BUILDING
PERMIT - RESIDENTIAL
REQUESTED
INSP
DESCRIPTION
TYP/SQ
COMPLETED
RESULT
RESULTS/COMMENTS
_
,
------------
BLI O1
— --- —--------------------
1/10/11
JLL
— —
BLDG INSULATION TIME: 01:00
1/10/11
DA.
January 6, 2011 2:24:09 PM
1pangrle.
JOHN 253-740-2329
"BUILDING INSPECTION ON TWO
BATHROOMS
- CEILING INSULATION"
AFTERNOON
January 10, 2011 4:53:33 PM
jlierly.
BL3 01
-1/10/11
JLL
BLDG FRAMING TIME: 01:00
1/10/11
AP
January 6, 2011 2:22:18 PM
1pangrle.
JOHN 253-740-2329
"BUILDING INSPECTION ON TWO
BATHROOMS"
(FRAMING?)
AFTERNOON
January 10, 2011 4:54:29 PM
jlierly.
BLI 02
1/11/11
iL
BLDG INSULATION TIME: 01:00
January 10, 2011 4:07:10 PM
1pangrle.
JOHN 253-740-2329
"OUTDOOR WALL INSULATION"
AFTERNOON
---------------------
- — — -- COMMENTS AND NOTES --------------------------------------
PREPARED 1/10/11,
8:55:01
INSPECTION TICKET
PAGE 5
CITY OF
PORT ANGELES
INSPECTOR: JAMES LIERLY
DATE 1/10/11
---- — -----
ADDRESS
------------
. : 2123 W
--------------
4TH ST
---------------------------
SUBDIV:
—
-------------------------
TENANT,
NBR: DARLENE
HESKETT & JOHN P.
CONTRACTOR :
PHONE
OWNER
JOHN W
PROCTER &
PHONE
(253) 740-2329
PARCEL
06-30-00-9-4-0009-0000-
APPL NUMBER: 10-00001389
RES REPAIR
------------------------------------------------------------------------------------------------
PERMIT:
BPR 00 BUILDING PERMIT
- RESIDENTIAL
REQUESTED
INSP
DESCRIPTION
TYP/SQ
COMPLETED
RESULT
RESULTS/COMMENTS
-------------------
BLI 01
1/10/ll
-----------------------------------------------------
BLDG INSULATION TIME: 01:00
January 6, 2011 2:24:09 PM
1pangrle.
!
JOHN 253-740-2329
"BUILDING INSPECTION ON TWO
BATHROOMS
- CEILING INSULATION"
AFTERNOON
BL3 01
1/10/11
J L
BLDG FRAMING TIME: 01:00
4o
January 6, 2011 2:22:18 PM
1pangrle.
JOHN 253-740-2329
"BUILDING INSPECTION ON TWO
BATHROOMS"
(FRAMING?)
AFTERNOON
PERMIT:
ME 00 MECHANICAL
PERMIT
REQUESTED
INSP
DESCRIPTION
TYP/SQ
COMPLETED
RESULT
RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME1 01
1/10/11:110
MECHANICAL ROUGH -IN TIME:
01:00
s
f
January 6, 2011 2:25:38 PM
1pangrle.
JOHN 253-740-2329
"BUILDING INSPECTION ON TWO
BATHROOMS"
(ROUGH -IN MECHANICAL?)
AFTERNOON
------------------------------------------------------------------------------------------------
PERMIT:
PL 00 PLUMBING PERMIT
REQUESTED
INSP
DESCRIPTION
TYP/SQ
COMPLETED
RESULT
RESULTS/COMMENTS
----------------------------------------
PL2 01
12/13/10
JLL
------- — -----------------------
PLUMBING ROUGH -IN
— - — - -
12/14/10
AP
December 13, 2010 8:44:07 AM
1pangrle.
-
-
TODD 808-0668 - -_ - -=
-
-
ROUGH -IN PLUMBING
TODD STATED: "WATER IS ON &
THE VENTS
ARE FULL TO THE ROOF"
December 14, 2010 8:23:02 AM
jlierly.
PL2 02
1/10/11
Jr
PLUMBING ROUGH -IN TIME: 01:00
/
(
F
January 6, 2011 2:36:51 PM
JOHN 253-740-2329
1pangrle.
V
"BUILDING INSPECTION ON TWO
BATHROOMS
- PLUMBING" ,
(ANOTHER PLUMBING ROUGH -IN?)
AFTERNOON
-------------------------------------- COMMENTS AND NOTES
PREPARED 12/13/10, 8:46:52 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/13/10
------------------------- — — — ----------------- —-------------------------------------- — --- —
ADDRESS . : 2123 W 4TH ST SUBDIV:
TENANT, NBR: DARLENE HESKETT & JOHN P.
CONTRACTOR : PHONE
OWNER JOHN W PROCTER & PHONE (253) 740-2329
PARCEL 06-30-00-9-4-0009-0000-
APPL NUMBER: 10-00001389 RES REPAIR
------------------------------------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 1 /13/10 PLUMBING ROUGH -IN
December 13, 2010 8:44:07 AM 1pangrle.
TODD 808-0668
4 ROUGH -IN PLUMBING
TODD STATED: "WATER IS ON & THE VENTS ARE FULL TO THE ROOF"
COMMENTS AND NOTES
PORT +,�! BUILDING PERMIT
.�T
�°— CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
I
APPL ICA UON Print in ink
For City Use Only: .
,.� C• Date Received t 1-29-10
Permit # 10L2239
Date Approved
Applicant r-1 e H e_ ( Phone a , 7 !17-4,,0 ! O_
Property Owner Cocfr�hone A 5 3 - .744-A 3 a 9
Property Owner's Address3�o�/ lion E, Az. bK r -r)
Contractor 5 e I Phone
Contractor's Address
License # Expires E-mail
PROJECT ADDRESS A/'=t
Parcel Number Lot Zoning
Project Type & Brief Description: KResidential
Check all that apply
❑ New Construction a
❑ Addition baa(2,6 I
❑ Remodel re-
><fRepair
❑ Demolition 6a4\y_n
❑ Multi' -family ❑ Commercial ❑ Industrial
❑ Re -roof ❑ House ❑ garage ❑ other
❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas
❑ Other
Floor Areas Existing, (sq. ft.) Proposed (sq. ft.)
Basement
1St Floor 10.11
2�d FloorS U bJ�riYl S t^ �hyn e
3rd Floor
Garage Cir- _4Yvciz5�'i�.ir5
Carport .��_ nlatAS
Covered Porch
Deck _ �Ztin
Shed
Other
#"J'nG— rtfnl4ce,uldf-er dol✓e6
Lam[ / 4 i s!-tv of G —
11�i v►q Cot' 11,n 019
❑ tear off & re -roof ❑ lay over oneela e
ireplace ❑ pellet stove ❑ other
M.
per sq. ft. = $
TOTAL VALUATION $
Total footprint of structures sq. ft. T 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
Will a fire sprinkler system be installed? . Construction type # of half baths
t .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 peimits prior to orlcing on prc iects.
Date//—.�29_ !y Print Name�ZlCtrlen a&_.5k e# Signature
T:Forms/Building Division/Building permit application
y I i l A,3 i %! 1 p' ! 5 k e7!`t i %J!'D
FT6
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ilii I Ilrl! i i; i �;11i�� j I i
� I'R., E C E IVE D
DEC 0 612010
� ! I
i ! ! CITY OF PORT ANGELES i I
OIL�-
BUILDING DIVISION , - � ; � � ! - '� , � I t �,= I�
P ,+,' S� ►7� �,� � � I I
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;� ' i _,� i I�_;_;II �I�II�II�!1►'� IIS !�'' 1
ELECTRICAL PERMIT - C7
CITY OF PORT ANGELES
360-417-4735 UJ
Application Number 10 00001371
Application pin number 420340
Property Address 2123 W 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 9 4 0009 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Date 11/19/10
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
9 kw furnace and 2 5 ton heat pump
Owner Contractor
JOHN W PROCTER &
DATE.
OLYMPIC ELECTRIC CO
INC
DITCH
DARLENE K HESKETT
4230 TUMWATER
SERVICE
34020 170TH AVE SE
PORT ANGELES
WA 98363
1 r�
AUBURN
WA 98092
FINAL
(360) 457 5303
(253) 740 2329
COMMENTS
+5Z. 3LAIIo
Permit
ELECTRICAL
ALTER
RESIDENTIAL
Additional desc
Permit pin number
177824
Permit Fee
78 70
Plan Check Fee
00
Issue Date
11/19/10
Valuation
0
Expiration Date
5/18/11
Qty Unit Charge
Per
Extension
1 00 73 5000
ECH EL
BRANCH
CIRCUIT WO/FEEDER
73
50
2 00 2 6000
ECH EL
ECH ADDNT BRANCH CIRCUIT
5
20
Fee summary Charged
Paid
Credited
Due
Permit Fee Total
78 70
78
70 00
00
Plan Check Total
00
00 00
00
Grand Total
78 70
78
70 00
00
V R,s t)n Tnth Anr-s I 1 `711 ) LA>
INSPECTION TYPE
DATE.
RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
1 r�
FINAL
COMMENTS
}
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date-
N
N
W
(S
11/19/2010 07 29 FAX 360 452 3498
City of Port Angeles Permit Application
Building Olvislon/Electrlcal Inspections
321 East FINK Street — P.O. Box 11so
Pon Angeles Weehington, 96362
Ph: (360)417.4735 Fax: (360) 417.4711
Date:
4Z T & 2 Single Family Dwelling
Mulli•Family or Commercial'
— Commercial Addition / Alteration I Remodel / Repair'
Olympic Electric Co i PA CITY INSPECT @ 001/001
Plan Review May Be Required, PI ase Complete Elecincel Plan Review Information Sheet
Job Address:
Building Square Footega:
Description of above
it: LLv 1 idCAL
IKIS PlEC I0NIS
Owner Info matlon
ddress:
Contractor
Informs `
,.-
Name: fA
Mainb
S: ,sCItv
. ?
.T
State:lZip: �? Clty; 1 Slate; 40'1� Zip:
Phone;IlJ 757- . w
Fax:
Phone: Fax: y� �y'gX
License # I Exp,
License # 1 Exp. .-
Unfl ChargeX11
I (Oty Multiplied by Unit C e
$ i l li)X
$145.50
S
SendCelFeeder 200 Amp.
$ 204.60
S
Service/Feader 201.400 Amp.
$ 262.20
S
SeMcelFeeder 401.600 Amp,
S 372.50
$
Service/Feeder 601.1000 Amp.
$ 2,60
S
SeMce/Feeder over 1000 Amp.
S 73.50
$
Branch Circuit W/ Service Feeder
1
S Z7 so Branch Clrcult W10 Service Feeder
$ 2,80
$ r Each Additional Branch Circuit
S 92,70
S
Temp. Servicel Feeder 200 Amp,
$110.30
$146.70
S
Temp. Service/Feeder 201.400 Amp,
$
Temp, Servlce/Feoder 401.600 Amp.
$167,90
$ 85,00
$
Temp. Service/Feeder 801-1000 Amp.
S 66,20
$
$
Portal to Portal Hourly
$ 05,90
Slgn/OullineLlghling
S 63.90
S
Signal ClrculV Umlled Energy — Commercial. Additional 1500 $5,00
S 63.90
$
Signal Circuit/ Limited Energy 1 ti 2 Family Dwelling
S 118,80
$
Signal Clrcullf Limped Energy MultkFemily Dwelling
S
Manufactured Home Connection
S 102 30
$
Renewable Electrical Energy 5KVA System or Less
S 110.30
$
First 1300 Square FL
S 35.20
S 73,50
$
Each Addldonal 500 Square Ft. or Portion of
S 110 30
S_
Each Outbuilding or Detached Garage
$ 56.00
E
Each Swimming Pool or Hot Tub
S
Thermostat
S
Total
Owneras dol/ned by RCW.19.29.261. (1) Owner will occupy the structure far two years after this electrical perm/t Is 11nalized (2) Owner le roqulrad to hire an elecMcal contractor h
ebow Bald property la for sale, rent or lsasa, Permit explms attar elk mcnihs of test Inspecllon,
After reeding the above etatoment, thereby certify that Ism the owner of the above named property ora Ikenaod electrical contractor. I em making the electrical Installation or
alteration In compliance with the electrical laws, N.E.C. RCW, Chapter 19.26, WAC. Chapter 298-468, The City of Port Angelos Municipal Code, and Utility Specifications.
Signature of owner, electrical contractor or electrical administrator ❑ Cash
❑ Check
- Dat '` /CradltCardf
PREPARED 7/29/11 8 37 31 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/29/11
ADDRESS 2123 W 4TH ST SUBDIV
TENANT NBR JOHN PROCTER & D HESKETT
CONTRACTOR PENINSULA HEAT INC PHONE (360) 681 3333
OWNER JOHN W PROCTER & PHONE (253) 740 2329
PARCEL 06 30 00 9 4 0009-0000
APPL NUMBER 10 00001343 MECHANICAL APPL PERMIT
----- -- -- -- - -- -- -- --
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01 7/29/11 L MECHANICAL FINAL TIME O1 00
July 28 2011 2 11 00 PM 1pangrle
DARLENE 460 0731
MECHANICAL FINAL HEAT PUMP
AFTERNOON
I . -,)
COMMENTS AND NOTES
PREPARED 7/29/11
8 37 31
INSPECTION TICKET
PAGE 5
CITY OF
PORT ANGELES
INSPECTOR JAMES LIERLY
DATE 7/29/11
ADDRESS
2123 W
4TH ST
SUBDIV
TENANT
NBR DARLENE
HESKETT &
JOHN P
CONTRACTOR
PHONE
OWNER
JOHN W
PROCTER &
PHONE (253) 740
2329
PARCEL
06 30 00
9 4 0009
0000
APPL NUMBER 10 00001389
RES REPAIR
PERMIT
BPR 00 BUILDING PERMIT
RESIDENTIAL
REQUESTED
INSP
DESCRIPTION
TYP/SQ
COMPLETED
RESULT
RESULTS/COMMENTS
BLI 01
1/10/11
JLL
BLDG INSULATION TIME 01 00
1/10/11
DA
January 6 2011 2 24 09 PM 1pangrle
JOHN 253 740 2329
'BUILDING INSPECTION ON TWO BATHROOMS
CEILING INSULATION'
AFTERNOON
January 10 2011 4 53 33 PM jlierly
BL3 01
1/10/11
JLL
BLDG FRAMING TIME 01 00
1/10/11
AP
January 6 2011 2 22 18 PM 1pangrle
JOHN 253 740 2329
'BUILDING INSPECTION ON TWO BATHROOMS
(FRAMING)
AFTERNOON
January 10 2011 4 54 29 PM jlierly
BLI 02
1/11/11
JLL
BLDG INSULATION TIME 01 00
1/11/11
AP
January 10 2011 4 07 10 PM 1pangrle
JOHN 253 740 2329
'OUTDOOR WALL INSULATION'
AFTERNOON
January 11 2011 4 31 01 PM jlierly
BLI 03
1/31/11
JLL
BLDG INSULATION TIME 01 00
1/31/11
AP
January 27 2011 4 47 44 PM 1pangrle
JOHN 253 740 2329
INSULATION OF PIPES IN THE FLOOR
AFTERNOON
January 31 2011 4 17 57 PM jlierly
BL99 01
7/29/11L
BLDG FINAL TIME 01 00
July 28 2011 1 58 15 PM 1pangrle
ju
DARLENE 253 797 6010
BUILDING FINAL
AFTERNOON
PERMIT
ME 00 MECHANICAL PERMIT
REQUESTED
INSP
DESCRIPTION
TYP/SQ
COMPLETED
RESULT
RESULTS/COMMENTS
MEI 01
1/10/11
JLL
MECHANICAL ROUGH IN TIME 01 00
1/10/11
AP
January 6 2011 2 25 38 PM 1pangrle
JOHN 253 740 2329
'BUILDING INSPECTION ON TWO BATHROOMS
(ROUGH IN MECHANICAL?)
AFTERNOON
January 10 2011 4 54 29 PM jlierly
ME99 01
7/29/11
L
MECHANICAL FINAL TIME 01 00
July 28 2011 1 59 00 PM 1pangrle
DARLENE 253 797 6010
MECHANICAL FINAL
CONTINUED ONTO NEXT PAGE
PREPARED 7/29/11 8 37 31
CITY OF PORT ANGELES
ADDRESS 2123 W 4TH ST
TENANT NSR DARLENE HESKETT & JOHN P
CONTRACTOR
OWNER JOHN W PROCTER &
PARCEL 06 30 00 9 4 0009 0000
APPL NUMBER 10 00001389 RES REPAIR
INSPECTION TICKET
INSPECTOR JAMES LIERLY
SUBDIV
PHONE
PHONE (253) 740 2329
PAGE 6
DATE 7/29/11
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
AFTERNOON
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 12/13/10 JLL PLUMBING ROUGH IN
12/14/10 AP December 13 2010 8 44 07 AM 1pangrle
TODD 808 0668
ROUGH IN PLUMBING
TODD STATED 'WATER IS ON & THE VENTS ARE FULL TO THE ROOF
December 14 2010 8 23 02 AM jlierly
PL2 02 1/10/11 JLL PLUMBING ROUGH IN TIME 01 00
1/10/11 AP January 6 2011 2 36 51 PM 1pangrle
JOHN 253 740 2329
'BUILDING INSPECTION ON TWO BATHROOMS PLUMBING
(ANOTHER PLUMBING ROUGH IN?)
AFTERNOON
January 10 2011 4 54 29 PM jlierly
PL99 01 7/29/11 L PLUMBING FINAL TIME 01 00
July 28 2011 1 59 31 PM 1pangrle
DARLENE 253 797 6010
PLUMBING FINAL
AFTERNOON
COMMENTS AND NOTES
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 10 00001371 Date 7/28/11
Application pin number 420340
Property Address 2123 W 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 9 4 0009 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
9 kw furnace and 2 5 ton heat pump
Owner Contractor
JOHN W PROCTER & OLYMPIC ELECTRIC CO INC
DARLENE K HESKETT 4230 TUMWATER
34020 170TH AVE SE PORT ANGELES WA 98363
AUBURN WA 98092 (360) 457 5303
(253) 740 2329
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 177824
Permit Fee 78 70 Plan Check Fee
Issue Date 11/19/10 Valuation
Expiration Date 7/30/11
Qty Unit Charge Per
1 00 73 5000 ECH EL -BRANCH CIRCUIT WO/FEEDER
2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT
Fee summary Charged Paid Credited
Permit Fee Total 78 70 78 70 00
Plan Check Total 00 00 00
Grand Total 78 70 78 70 00
V&V--r I.,4L- 11-7 /11
00
0
Extension
73 50
5 20
Due
00
00
00
Iii
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
'111-3/11
FINAL
2 `�
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date -
G '\EXCHANGE',BUILDING
WIN,
it
P 01/01
TRANSACTION REPORT
2011/MAY/12/THU 09 47
FAX(TX)
# I DATE START T RECEIVER COM TIME PAGE TYPE/NOTE FILE
01 MAY/12 9 46 96812086 1 0 00 26 1 1 OK ECM 4992
May 11 '11 02.13p PENINSULA HEAT 3606812086 p 1
'May 11 -2011
City of Port Angeles
Public. Works Dept.
ATfN: Linda
Pe�i�sUla [eat
\172LI -72
RE. Mechanical Permit Extension / Heskett-Pract,er
De` r Linda,
I am requesting an extension to the Mechanical permit we purchased .for Darlene
Heskett, located at 2123 West 4th Street.
Our heat pump system for -their home was part of a large remodel project that
has taken longer than expected I spoke with Darlene this rooming and she
anticipates that we should be able to get in to finish our part of the project the
end of July- possibly a bit earlier
If you could please extend our permit until this time -frame, we would greatly
appreciate it
Please call if you have any questions!
Charlotte Anderson
Office Manager
�t�z�vgqh
m
May 11 11 02 13p PENINSULA HEAT
May 11 2011
City of Port Angeles
Public Works Dept.
ATTN Linda
Peninsula Hedt
RE. Mechanical Permit Extension / Heskett-Procter
Dear Linda
3606812086 p1
I am requesting an extension to the Mechanical permit we purchased for Darlene
Heskett, located at 2123 West 4th Street.
Our heat pump system for their home was part of a large remodel project that
has taken longer than expected I spoke with Darlene this morning and she
anticipates that we should be able to get in to finish our part of the project the
end of July; possibly a bit earlier
If you could please extend our permit until this time -frame we would greatly
appreciate it.
Please call if you have any questions!
Charlotte Anderson
Office Manager
1(ZjU 1'1
rn Vvexp
782 Kitchen -Dick Road Sequim, VVA 98392 FAX 360-681 2086 360-681-3333
.; CITY OF PORT ANGELES
of DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
INSTALL A HEAT PUMP
Owner
JOHN W PROCTER &
DARLENE K HESKETT
34020 170TH AVE SE
AUBURN
(253) 740 2329
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
10 00001343 Date 11/15/10
146537
2123 W 4TH ST
06 30 00 9 4 0009 0000
JOHN PROCTER & D HESKETT
MECHANICAL APPL PERMIT
RS7 RESDNTL SINGLE FAMILY
13390
Contractor
Qty Unit Charge Per
1 00
Fee summary
BASE FEE
14 8000 EA ME FURN/HP/FAU < OR = 5 TON
Charged Paid Credited
Permit Fee Total 64 80 64 80 00
Plan Check Total 00 00 00
Grand Total 64 80 64 80 00
00
0
Extension
50 00
14 80
Due
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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 statellocal law regulating construction or the performance of
construction. / I A /Y /
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
PENINSULA HEAT INC
782 KITCHEN DICK RD
SEQUIM WA 98382
WA 98092
(360) 681 3333
MECHANICAL
PERMIT
HEAT PUMP
177451
64 80
Plan Check Fee
11/15/10
Valuation
5/14/11
Qty Unit Charge Per
1 00
Fee summary
BASE FEE
14 8000 EA ME FURN/HP/FAU < OR = 5 TON
Charged Paid Credited
Permit Fee Total 64 80 64 80 00
Plan Check Total 00 00 00
Grand Total 64 80 64 80 00
00
0
Extension
50 00
14 80
Due
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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 statellocal law regulating construction or the performance of
construction. / I A /Y /
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
Comments
FOUNDATION
Electrical 417-4735
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING.
FINAL Date Accepted b
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 / Root/ Ceiling
Drywall Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall / Floor / Ceiling
MECHANICAL.
FINAL Date Accepted b
Heat Pum / 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 Permiit #s
SEPA.
ESA.
SHORELINE.
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR
TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction R.W PW / Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Perrhit
_N
N
11/12/10 09 12 FAX 9606812086 Peninsula Heat Q02
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician For nY Use Only
Date Race 11 [ 5 IT
321 E. Fft SL, Port Angeles. WA 98362 Permit d
(360) 417-4615 fax(360)417-4711 �� ved
Applicant C J1 f r5 DY -7 Phone
Property Owner S Phone ZS
Property er's Address Z / z 3 S
Contractor Phone
Contractor's Address
License # Expires E-mail
PROJECT ADDRESS Z -3 0/ 4 -'j -h S�
Parcel Number Lot Zoning
ProleccttT brief D9506099n. �dendal o Muffi-famlly o Commercial o Industrial
D New Construction
o Addition
o Remodel
o Repair
o Demolition
a R& -roof o House o garage o other o tear off & re -roof o iay over one layer
bp04eat System A Heat pump o wood -burning stove o gas fireplace o pellet stove 4 other
o Other
FloorAreas EdffdnO189J l Proposed
Basement i per sq. ft = $
1' Floor
2nd Floor
3'0 Floor
Garage
Carport
Covered Porch
Dade
Shed
Other
TOTAL VALUA7701V i 3 �D
Total footprint of structures sq. R 'r' Lot size sq. ft. = Lot cov ge %
ioussurface
Site Coverage = the amount of imperyon a parcel, including structures, paved driveways, si Jewalks. patios,
and other impervious surfaces. (see PAMC 17,94.135 for exemptions) Site cove ge
Max. height of proposed structures ft. Occupancy group # of ped
Will a lawn sprinkler system be Installed? Occupant load 8 of fufl ba hs
Will a fire sprinkler system be installed? Consbvcton type d of half the
I have read and completed this applkation arrd brow Il by be &wand oxrea I am authorized ply for ftps and understand
that itis my msparmbsity to determines what its are required, Pnd to obtain permits prror to 9 -an p+v1
Date � Z /dPrint Name Cy Gt /� ignature �
T:FomwlB Aft DivwQ-v laq Peru it-doc
Clallam County Assessor & Treasurer - Property Details - 62772 JOHN W PROCTER A. Page 1 of 6
Clallam County Assessor & Treasurer
Property Search Results > 62772 JOHN W PROCTER AND DARLENE K HESKETT for Year 2010
2011
Property
Account
Property ID- - 62772 - ^}--
Geographic ID-
0630009400090000
Type
Real
Tax Area:
0010 PA 121 PORT ST CNTY H2 L WMP
Open Space.
N
Historic Property-
N
Multi -Family Redevelopment:
N
Township
$000
Range
$882.52
_Location
45337
Address:
2123 W FOURTH ST
Neighborhood:
Neighborhood CD -
Owner
Name
Mailing Address.
PORT ANGELES WA 98363
Cycle 5 M/I
10955131
Legal Description. LOT 3 REPLAT
OF EDGECLIFF
Agent Code
Land Use Code 11
DFL N
Remodel Property- N
Section.
Mapsco
Map ID
JOHN W PROCTER AND DARLENE K HESKETT Owner ID -
34020 170TH AVE SE % Ownership
AUBURN WA 98092
Exemptions*
Taxes and Assessment Details
Property Tax Information as of 11/15/2010
208524
100 0000000000%
Amount Due if Paid on. NOTE If you plan to submit payment on a future date make sure you enter the
click RECALCULATE to obtain the correct total amount due
,First- 'Second
Half Half
! Base Base
Year i Statement ID Taxing Jurisdiction Amt. Amt. Penalty! interest Base Paid
2010 45337 ST SCH STATE SCHOOL _ $358 13 $358.13 $000 $000 $716.26
2010 45337 CC -GEN COUNTY CLALLAM $190 58 $190 59 $000 $000 $381 17
2010
45337
PORT PORT OF PORT ANGELES_ _
$2678
$2679
$000
$000
$5357
2010
45337
PORT ANG CITY OF PORT ANGELES-�
$441.26
$441.26
$000
$000
$882.52
12010
45337
SD #121 SCHOOL ISTRICT #121
$463 88
$463 87
$0-00
$0 00
$92775
'2010
45337
-D ' ^ _
NTH OLY LIB NORTOLYMPIC LIBRARY
$5538
$5538
$000
$000
$11076
2010
45337
HOSP #2 HOSPITAL #2
$78 18�
$78.19
$000
$000
_ $15637
i2010
45337
WSMET PK DIST WILLIAM SHORE MET PARK DIST
$2488
$2487
$000
$0_00
$4975
12010
_ 45337
CITY STORMWATER CITY STORMWATER
$3600
$3600
$000
$000
$72.00
'2010
45337
WEED -CONTROL WEED CONTROL
$082
$081
$000
$000
$1 63
2010 45337 TOTAL.
$167_5.89
$1675.89
$0.00
$0.00
$3351 78
2009
627722008
ST_SCHSTATE SCHOOL _
$4_07 64
$407 64
$000
$000
$815.28
2009
627722008
CC -GEN COUNTY CLALLAM w T
$20630
$20629
$000
$000
$412.59
k2009
627722008
PORT PORT OF PORT ANGELES
$29.22
$2922
$000
$000
$5844
2009
627722008
PORT ANG CITY OF PORT ANGELES
$452.50 -
$452.51
$000
_ $000
$90501
http.//vpn.clallam.net.80841propertyaccessIProperty.aspx?cid=0&year=2010&prop_id=6 11/15/2010
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
T stat
ELECTRICAL PERMIT �, Q
CITY OF PORT ANGELES
360-417-4735
10 00001331 Date 11/15/10
826331 REPORT STATE SALES TAX
2123 W 4TH ST
06 30 00 9 4 0009 0000 on your excise tax form
ELECTRICAL ONLY to the City of Port Angeles
(Location Code 0502)
RS7 RESDNTL SINGLE FAMILY
0
Owner Contractor
JOHN W PROCTER & PENINSULA HEAT INC
DARLENE K HESKETT 782 KITCHEN DICK RD
34020 170TH AVE SE SEQUIM WA 98382
AUBURN WA'98092 (360) 681 3333
(253) 740 2329
Permit ELECTRICAL HEATPUMP
Additional desc
Permit pin number 177329
Permit Fee 56 00 Plan Check Fee
Issue Date 11/15/10 Valuation
Expiration Date 5/14/11
Qty Unit Charge Per
1 00 56 0000 ECH EL LVT THERMOSTAT
Special Notes and Comments
November 15 2010 9 19 06 AM Brian 417 4708 OK
Fee summary Charged Paid Credited
Permit Fee Total 56 00 56 00 00
Plan Check Total 00 00 00
Grand Total 56 00 56 00 00
40 L Vzeb-
00
0
Extension
56 00
Due
00 q
00
00
INSPECTION TYPE
DATE
RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
�7 /
FINAL
1 ZS i
c SOV
p P
1,
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date.
N
w
11/12/10 09 07 FAX 3606812086 Peninsula Heat la02
R PORT �A
CITY OF PORT ANGELES PERmrr APPLICATION or
il
BaldlingD"ion/ElectricalInspections [ �'� 15
r�-j l
321 East Fifth Street — P O. Boz 1150 /Port Angeles Washington, 98362
Ph. (360) 417-4735 Fax: (360) 417-4711 ELECTRICAL
/07-- /,10 INSPECTIONS
Date:
& 2 Single Family Dwelling _ _ MultWamily or Commercial' _ Commercial Addition / Alteration !Remodel I Repair'
Plan Review Mae Required Please Complete Electrical Plan Review Information Sheet
Job Address: Z / h f-
Bullding Square Footage:
Description d above
Owner I tion
Names r 41-e i s �d �l ✓f fI/�
Mailing ' -11� 0 —
ckr- State_ /aCfj: Zip:
Phi ax
—73
Contractor Information
Name*
Mal" AddnTt&;*+#"
car
Li08M V
Item
Unit Charge �L
SeMcelFeeder 200 Amp.
$119.90 _
Servlc&Faeder 201400 Amp-
$145.50
Servic0ooder401-6W Amp
$204.60
SerAcelFeeder 6014000 Amp-
S 262.20
ServicalFeeder over 1000 Amp.
$ 372.50
Branch Circuit W/ Service Feeder
$ 260
Branch Circuit W/O Service Feeder
S 73.50
Each Additional Brandi Circuit
$ 2.60
Temp. Service! Feeder 200 Amp.
$ 92.70
Temp. ServlcelFeeder 201400 Amp.
$110.30
Temp. ServbwFeeder 401-&W Amp.
$148.70
Temp. Service/Feeder 601-1000 Amp
$16790
Portal to Portal Hourly
$ 95.90
4n/OuUU* Lighting
S 88-20
Slgrd Chcult/ Urnited Energy / Fust 1500 sf - Commercial
$ 95.90
Note: $5.D0 for each additional 1500 sf
Signal CkmW United Energy I & 2 Family Dwelling
$ 63.90
Signal Clnxrlt/ Umit6d Energy- MuIU-Family Dwelling
$ 63.90
Manufacdured Home Connection
$119.90
Renewable Electrical Energy- 5KVA System or Less
$10230
Thermostat
$ 56-00
NEW CONMUCTION ONLY:
First 1300 Square FL
$110-30
Each Additional 500 Square FL or Portion of
$ 3520
Each Outbucidirl or Detached Garage
$ 73.50
Eads Swimming Pool or Hot Tub
$110.30
Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for two years after this electrical permit Is finalized_ (2)er is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contr ictor I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 1928, WAC. Chapter 296-46 , The City of Port
Angeles Municipal Code, and Utifcty Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
SiBn�tu or, electrical cc for or electrical administrator O Can O ehaet
G- V Cud a ></ L
--
.• l tame %/ a�m�ao�o
T
Q
l
w
Q3
PREPARED 1/31/11 8 40 15-NSPECTION T-CKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS 2123 W 4TH ST SUBDIV
TENANT NBR JOHN P & DARLENE H
CONTRACTOR PHONE
OWNER JOHN W PROCTER & PHONE (253) 740 2329
PARCEL 06 30 00 9 4 0009 0000
APPL NUMBER 10 00001242 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6 01 11/10/10 JLL MECHANICAL GAS LINE
11/10/10 AP November 10 2010 8 13 01 AM 1pangrle
TODD 808 0668
GAS LINE
November 10 2010 4 35 10 PM jlierly
ME1 01 1/31/11 rMECHANICAL ROUGH IN
d� January 27 2011 4 46 02 PM 1pangrle
�` JOHN 253 740 2329
'GAS FIREPLACE INSERTS
COMMENTS AND NOTES
PAGE 3
DATE 1/31/11
OF.O
P
PREPARED 11/12/10 9 03 10 INSPECTION TICKET PAGE 12
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/12/10
ADDRESS 2123 W 4TH ST SUBDIV
TENANT NBR JOHN P & DARLENE H
CONTRACTOR PHONE
OWNER JOHN W PROCTER & PHONE (253) 740 2329
PARCEL 06 30 00 9 4 0009 0000
APPL NUMBER 10 00001242 MECHANICAL APPL PERMIT
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 11/08/10 JLL PLUMBING ROUGH IN
11/08/10 DA November 8 2010 8 06 43 AM 1pangrle
TODD 808 0668
'WATER HEATER
November 8 2010 4 32 16 PM jlierly
test guage was stuck replace and recall/jll
PL99 01 11/12/10 JLL PLUMBING FINAL TIME O1 00
November 12 2010 8 59 39 AM 1pangrle
DARLENE 253 797 6010
PLUMBING FINAL HOT H2D HTR
AFTERNOON
COMMENTS AND NOTES
PREPARED 11/08/10 8 08 48 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/08/10
ADDRESS 2123 W 4TH ST SUBDIV
TENANT NBR JOHN P & DARLENE H
CONTRACTOR PHONE
OWNER JOHN W PROCTER & PHONE (253) 740 2329
PARCEL 06 30 00 9 4 0009 0000
APPL NUMBER 10 00001242 MECHANICAL APPL PERMIT
PERMIT NH 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6 01 11/08/10 JLL� MECHANICAL GAS LINE
—I ,jam= November 8 2010 8 06 12 AM 1pangrle
t --iv TODD 808 0668
GAS LINE
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 11/08/10 PLUMBING ROUGH IN
November 8 2010 8 06 43 AM 1pangrle
141� TODD 808 0668
"WATER HEATER
COMMENTS AND NOTES
CITY OF PORT ANGELES
i y1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
10 00001242 Date 10/25/10
747342
2123 W 4TH ST
06 30 00 9 4 0009 0000
JOHN P & DARLENE H
MECHANICAL APPL PERMIT
RS7 RESDNTL SINGLE FAMILY
12357
Application desc
TWO GAS FIREPLACE INSERTS & HOT H2O HTR
Owner
Contractor
JOHN W PROCTER & OWNER
DARLENE K HESKETT
34020 170TH AVE SE
AUBURN WA 98092
(253) 740 2329
Permit MECHANICAL PERMIT
Additional desc 2 GAS FRPLCS / TANK / LINE
Permit pin number 176156
Permit Fee 131 95 Plan Check Fee
Issue Date 10/25/10 Valuation
Expiration Date 4/23/11
Qty Unit Charge Per
BASE FEE
2 00 10 6500 EA ME STOVE/FIREPLACE/MISC APP
1 00 10 6500 EA ME FUEL GAS PIPING 1 5 OUTLETS
1 00 50 0000 HR ME INSPECTION MIN 1 HR
Permit PLUMBING PERMIT
Additional desc GAS HOT WATER HEATER
Permit pin number 176172
Permit Fee 64 00 Plan Check Fee
Issue Date 10/25/10 Valuation
Expiration Date 4/23/11
Qty Unit Charge Per
BASE FEE
1 00 7 0000 EA PL -WATER LINE
1 00 7 0000 EA PL -WATER HEATER
Fee summary Charged Paid
Permit Fee Total 195 95 195 95
Plan Check Total 00 00
Grand Total 195 95 195 95
Credited
00
00
00
00
0
Extension
50 00
21 30
10 65
50 00
00
0
Extension
50 00
7 00
7 00
Due
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
of -30t
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.
S- O;:G),o a A,, -
Date Print Name Signature ICo ractor or Authorized AgentSi nature of Owner (if owner is builder)
r 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 7
Date
Accepted By
Comments
Accepted By
FOUNDATION
Construction R.W PW I Engineering 417-4831
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Planning 417-4750
Post Holes (Pole Bldgs.)
PLUMBING
FINAL Date 1 1 — I Z 1OAcce ted b
p
1 B
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.
FINAL Date Q ��ccepted b
Heat Pum / 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.
ESA.
SHORELINE.
Parkin / LightinFg
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR
TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction R.W PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T Forms/Building Division/Building Permit
O
N
Np
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
Applicant
F MIS
• • — ' -
• •Address Y�._ I A.
License # . -
For City Use Only,
Date Received 10-15-10
Permit # 1C) _ f �Z
Date Approved
Phone o?-ifc�D Vic/
Phone
il=* "
S" -Int
NumberPROJECT ADDRESS
Parcel •t Zoning
Project Type & Brief Description. ❑ Residential
Check all that apply
❑ New Construction DMP0ly1G 47x_yi k Se
❑Addition �S ( I yti ro
❑ Remodel Jon-yviond Q
❑ Repair jr) fiiV_000.C9 n Se
❑ Demolition
❑ Multi -family ❑ Commercial
S
❑ Industrial
ZN
❑ Re -roof ❑ House ❑ garage ❑ other ❑ tear off & re -roof ❑ lay over one layer
❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑ Other
Floor Areas
Basement
1 s' Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Existing (sq. ft.)
per sq ft. = $
AL VALUATION $
4'
Total footprint of structures sq ft. - Lot size sq - overage %
Site Coverage = the amount o �mpervio surface on a parcel incl ing structu s paved driveways sidewalks patios
and other impervious surfaces (see AMC 17 94 135 for exemption Site coverage
Max. height of proposed structu s ft. Occupancy gr # of bedrooms
Will a lawn sprinkler system Inst Iled? Occupant I d # of full baths
Will a fire sprinkler syste a install d? Constructi, n type # of half baths
/have read and completed this application and know it to be true and correct. /am authorized to apply for this permit and understand
that it is my responsibility to determine what are re uired, and to obtain permits prior to orki on project
Date XZ - Print Name, Signat
T Forms/Building Division/Building permit application
Contractors or Tradespeople Detail Page 1 of 2
Washington State Department of
Labor & Industries
Contractors or Tradespeople Detail
Return to List > Start a New Search > 0 Printer friendly
Verify Workers Comp Premium Status Check for Dept. of Revenue Account
About General/Specialty Contractor
A business registered as a construction contractor with L&I to perform construction work within the scope of its
specialty A General or Specialty construction Contractor must maintain a surety bond or assignment of account and
carry general liability insurance.
Business and Licensing Information
Name PIPE -RITE PLUMBING INC
UBI No.
602193801
Phone No. (360) 681 2615
Address P O Box 1566
Status
Active
Suite/Apt.
License No.
PIPERP1988OZ
City Sequim
License Type
Construction Contractor
State WA
Effective Date
9/9/2002
Zip 98382
Expiration Date
9/9/2012
County Clallam
Suspend Date
Business Type Corporation
Parent Company
Specialty 1
Plumbing
Specialty 2
J)
Unused
Cj Other Associated Licenses
Specialty Specialty Effective Expiration
License Name Type 2 Date Date Status
PIPE RITE Construction Re -
PLUMBING
Plumbing Unused 2/24/2000 2/17/2004
-- PLUMBING Contractor Licensed
i, -i Business Owner Information F) Hide All
Name Role Effective Date Expiration Date
WITHERELL, LARRY TODD President 09/09/2002
WITHERELL, TAMMY L Treasurer 09/09/2002
(-1 Bond Information
Bond Bond Company Bond Account Effective Expiration Cancel Impaired Bond Received
https.Hfortress wa.gov/lni/bbip/Detall.aspx 10/25/2010
Q%pE Rtre
PLUMBING
Residential -Commercial
687 -2G7 5
October 25, 2010
Proposal. for John Proctor and Darlene Heskett,
Installing Rinnai R98LSEP water heater in a recessed can
Running propane line to (2)Fireplaces, Rinnai, & tank location
Removing existing water heater and piping & connecting hot water to
other half of house
All work to be performed by factory trained technician for the sum of
$3980 00 plus tax ($334 32) $4314 32 with tax. 100% due upon
completion
Respectively submitted
Todd Witherell
Pipe -Rite Plumbing Inc.
UBI # 602 193 801
�" �-- P; Vim- P �$ c� z
Clallam County Assessor & Treasurer - Property Details - 62772 JOHN W PROCTER A. Page 1 of 6
Clallam County Assessor & Treasurer
Property Search Results > 62772 JOHN W PROCTER AND DARLENE K HESKETT for Year 2010
2011
} Property
Account
Property ID- 62772
Geographic ID- 0630009400090000
Type Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L
Open Space. N
Historic Property- N
Multi -Family Redevelopment: N
Township
Range.
Location
Address:
Neighborhood
Neighborhood CD -
Owner
Name.
Mailing Address.
2123 W FOURTH ST
PORT ANGELES WA 98363
Cycle 5 M/I
10955131
Legal Description. LOT 3 REPLAT
OF EDGECLIFF
Agent Code
Land Use Code 11
DFL N
Remodel Property- N
Section
Mapsco
Map ID- 3
JOHN W PROCTER AND DARLENE K HESKETT Owner ID -
34020 170TH AVE SE % Ownership
AUBURN WA 98092
Exemptions.
Taxes and Assessment Details
Property Tax Information as of 10/25/2010
ti
208524
100 0000000000%
Amount Due if Paid on. NOTE If you plan to submit payment on a future date make sure you enter the
click RECALCULATE to obtain the correct total amount due.
Year Statement ID Taxing Jurisdiction
2010
45337
ST SCH STATE SCHOOL
2010
45337
CC -GEN COUNTY
2010
45337
PORT PORT
2010
45337
PORT ANG PORT ANGELES
j2010
45337
SD #121 SCHOOL DISTRICT #121
2010
45337
NTH OLY LIB NORTH OLYMPIC LIBRARY
2010
45337
HOSP #2 HOSPITAL #2
2010 45337 WSMET PK DIST WILLIAM SHORE MET PARK DIST
2010 45337 CITY_STORMWATER CITY STORMWATER
2010 45337 WEED—CONTROL WEED CONTROL
2010 45337 TOTAL.
2009 627722008 ST SCH STATE SCHOOL
2009 627722008 CC -GEN COUNTY
2009 627722008 PORT PORT
2009 627722008 PORT ANG PORT ANGELES
First Second
Half Half
Base Base
Amt. Amt.
$35813 $35813
$19058 $19059
$2678 $2679
$441.26 $441.26
$46388 $46387
$5538 $5538
$78 18 $7819
$2488 $2487
$3600 $3600
$082 $081
$1675.89 $1675.89
$40764 $40764
$20630 $206.29
$29.22 $29.22
$452.50 $45251
Penalty Interest Base Paid
$000 $000 $716.26
$0 00 $000 $381 17
$000 $000 $5357
$000 $000 $882.52
$000 $000 $92775
$000 $000 $11076
$000 $000 $15637
$000 $000 $4975
$000 $000 $72.00
$000 $000 $1 63
$_0.00 $0.00 $335178
$000 $000 $815.28
$000 $000 $412.59
$000 $000 $5844
$0 00 $0 00 $905 01
http.//vpn. clallam.net. 80841propertyaccessIProperty. aspx?cid=0&year=2010&prop_id=6 10/25/2010