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HomeMy WebLinkAbout139 Forest Ave - BuildingPREPARED 2/16/06 12 49 22 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS 139 FOREST AVE SUBDIV TENANT NBA PATTY LLOYD CONTRACTOR PELLET HEAT CO PHONE (360) 457 4406 OWNER GARY D /PATRICIA E LLOYD PHONE PARCEL 06 30 09 5 8 0004 0000 APPL NUMBER 06 00000160 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PAGE 7 DATE 2/16/06 ME6 01 2/16/06 JLL MECHANICAL GAS LINE TIME 13 00 I A 02/15/2006 02 15 PM DYASUMUR iJ1( 1�171�� PATTY 460 8300 COMMENTS AND NOTES HCV iffist sup c ow l�f! Pig emv#,4-r- PREPARED 2/08/06 13 16 48 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/08/06 ADDRESS 139 FOREST AVE SUBDIV CONTRACTOR PHONE OWNER GARY D /PATRICIA E LLOYD PHONE PARCEL 06 30 09 5 8 0004 0000 APPL NUMBER 05 00001031 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 1/18/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00 1/18/06 AP 01/17/2006 03 40 PM DYASUMUR LLOYD 808 1224 REBAR FOR FOOTING WILL POUR CONCRETE AFTERNOON 01/18/2006 03 53 PM JLIERLY BL2 01 1/26/06 JLL BUILDING FOUNDATION WALL TIME 08 00 1/26/06 AP 01/25/2006 02 59 PM DYASUMUR ED 808 1224 REBAR INSPECTION FOR POUR 01/26/2006 01 56 PM PBARTHOL BL3 01 08 0 06 JLL, 0 2/ 0 8/20 6RA 08 AIME S 00 ,/fG//11}FJJ 02/08/2006 08 09 AM DYASUMUR ED 808 1224 COMMENTS AND NOTES PREPARED 1/26/06 9 10 34 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/26/06 ADDRESS 139 FOREST AVE SUBDIV CONTRACTOR PHONE OWNER GARY D /PATRICIA E LLOYD PHONE PARCEL 06 30 09 5 8 0004 0000 APPL NUMBER 05 00001031 RES ADDITION PERMIT BPR 00 BUIL DING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 1/18/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00 1/18/06 AP 01/17/2006 03 40 PM DYASUMUR LLOYD 808 1224 REBAR FOR FOOTING WILL POUR CONCRETE AFTERNOON 01/18/2006 03 53 PM JLIERLY BL2 01 /1 /26/0 6 JLL BUILDING FOUNDATION WALL TIME 08 00 01/25/2006 02 59 PM DYASUMUR ED 808 1224 REBAR INSPECTION FOR POUR dt4 COMMENTS AND NOTES 44, ci& PREPARED 1/18/06 13 16 38 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/18/06 ADDRESS 139 FOREST AVE SUBDIV CONTRACTOR PHONE OWNER GARY D /PATRICIA E LLOYD PHONE PARCEL 06 30 09 5 8 0004 0000 APPL NUMBER 05 00001031 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 1/18/06 BUILDING FOUNDATION FOOTING TIME 08 00 01/17/2006 03 40 PM DYASUMUR LLOYD 808 1224 REBAR FOR FOOTING WILL POUR CONCRETE AFTERNOON COMMENTS AND NOTES REQUES Date Name of person requesting inspection CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT IIV PEv a �a.r. REPORT o 12Y Time Received by Location of Work to be inspected I "Ft712cfT 2-►z4 Type of Ins ion (circle appropriate one) Permit No.0 -"t d 3 Sewer Foundation raming Chimney Plumbing Final Sewer Excav Other Address of person requesting inspection Phone No INSPECTION NOTES Inspected Date Time By Remarks RESTORATION REQUIRED YES NO ee=4.4\ia. 1 ppuve._ SURFACE RESTORATION SURFACE TYPE Unimproved ❑Gravel C Repaired by City Cl Repaired by Permittee No Damage Found Asphalt PCC C. Other Work Order COMPLETE INCOMPLETE (phone person) O54 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor GARY D /PATRICIA E LLOYD 139 FORREST AVE PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983622515 05- 00001031 373323 139 FOREST AVE 06 30 09 5 8 0004 0000 RES ADDITION RS7 RESDNTL SINGLE FAMILY 13000 OWNER TOTAL t LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 64253 246 75 Plan Check Fee 11/01/05 Valuation 4/30/06 Qty Unit Charge Per BASE FEE 11 00 14 0000 THOU BL- 2001 -25K (14 PER K) STATE SURCHARGE Charged Paid Credited 246 75 246 75 98 70 98 70 4 50 4 50 349 95 349 95 Signature of Contractor or Authorized Agent Date T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] 00 00 00 00 Date 11 /01 /05 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 10/31/2005 10 29 AM SROBERDS The proposal is for a covered front porch that extends into the front setback 40 The minor deviation allows the extended porch structure that MUST remain open w /no infilling of walls in the future Electrical load calculations and elctrical permits are required MAINTAIN CLEARANCES FROM SERVICE WIRES Public Works Utility Engineering has no requirements for this plan review 19 60 1 00 1325 00 7000 00 1 00 Due 4 50 00 00 00 00 98 70 13000 Extension 92 75 154 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know th s me to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified rein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local 1 regulates construction or the performance of construction. g 4 z/ a 7/ Signature of Owner (if owner is buildp� Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL Y) T -BAR R INSULATION it A SLAB a WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] 1 10/o6 .7 I I I .S C_L- FINAL FINAL DATE ACCEPTED BY. DATE ACCEPTED BY. PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I Applicant or Agent: RGL-ki G y Owner 9-1 42, GLS ap 1• C Address: 1 Q 6162, City Architect/Engineer L&(4 3 �oYWi'e.v Contractor l State License Address: ki I H City PROJECT ADDRESS: I fo re. ST LEGAL DESCRIPTION Lot: Block: Credit Card Holder Name. Credit Card Type VISA -MC_ Print out form and fill out COMPLETELY in INK. Your application and site plan MUST BE COMPLETE to be accepted for review Questions? Call. PERMITS (360) 417 -4815 Fax (360) 417 -4711 BRIEF DESCRIPTION OF THE PROJECT PLANNING USE ONLY BUILDING PERMIT APPLICATION www.cityofpa.us ogi CLALLAM COUNTY PARCEL NUMBER. h( n' G ESA /Wetland(s): Yes No SEPA Checklist required? Yes No Other Phone: www.cityofpa.us Applicant: Phone: Exp Ctu `e. Subdivision. Phone. ood 4 Z.) 6 e Billing Address. r� ugeS i VI r�!_S (I�?�PC Exp. Date. TYJE OF 'WORK v ATIvN: GI' Residential Re. -rooms Stove SF /SF Multi- famil6" ,Addation Move Gat. e SF /SF Commercial ('Remodel Demolition C.� 0 L) i SF arXXISF 13 000 Repair Sign Other TOTAL ALUATION ivt©- -V1-era Fpcycch QJ44-1`Vi w A FOR OFFICIAL USE ONLY Date Rec. 9-) S Permit 05 G D 3 1 Date Approved: Date Issued: Phone; Zip: ZONING 4 ,GP /-Q.._ Construction Type: Ai etc) V-N Date: 9 ©O g2 Lt. 7! 000 c 3t o `t) a& `737(e t l/ tf Nci a 2S300 e -e1( Zip. v/ ))/36.2 t'`7 a��,'7 r /al d A eVS)o h o as 42_ COMMERCIA/RESIDENTIAL ccupancy Group 'y --4441 lyOccupant Load. tr No of Stories. Lot Size-, 1C Existing Sq. Fr K Proposed Sq. Ft. 5 C.? TOTAL Sq Ft' q w 7 Total lot coverage tra 8 APPROVALS PLAN BLDG DPWU FIRE. OTHER BUILDING PERMIT APPLICATION SUBMITTAL The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building /Residential Code, 2003) No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, not tlye City's, and that t must obtain such permits prior to work. 50 VOSM■MV? 1 Vertical Datum NAVD 88 Daunt NAD 83/91 VSMA.111 440" 2507 Fogarty Ave Area Map 138 t 1-e6 Forest Ave 1 7-- 20, This map is not intended to be used as a legal description. This map/drawing is produced be the City of Port Angeles for its own use and purposes. fl Any other use of this mapldrawing shall not be the responsibilio, of the City. '&; ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 911]62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . Application valuation 05-00001031 Date 12/19/05 373323 13 9 FOREST AVE 06-30-09-5-8-0004-0000- RES ADDITION RS7 RESDNTL SINGLE FAMILY 13000 Owner Contractor GARY D/PATRICIA E LLOYD 139 FORREST AVE PORT ANGELES WA 983622515 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE NUMBER OF UNITS 19.60 1. 00 1325.00 7000.00 1. 00 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER ANGELES, EL./ 10 67231 ANGELES ELECTRIC 79.90 12/19/05 6/17/06 RESIDENTIAL CIRCUITS "- ~ ~ Plan Check Fee Valuation .00 o Qty 1. 00 6.00 Unit Charge Per 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS 5.3000 ECH EL-R OR RM ALT ADDNT CIRCUITS Extension 48.10 31.80 ~ ~ '\ Special Notes and Comments The Fire Department has reviewed the project application and has no comments 10/31/2005 10:29 AM SROBERDS -- The proposal is for a covered front porch that extends into the front setback 40". The minor deviation allows the extended porch structure that MUST remain open wino infilling of walls in the future. Electrical load calculations and elctrical permits are required. MAINTAIN CLEARANCES FROM SERVICE WIRES Public Works Utility Engineering has no requirements for this plan review. ~ Other Fees STATE SURCHARGE 4.50 - - - - - - ~ -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - -- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79.90 79.90 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total, 4.50 4.50 .00 .00 Grand Total 84.40 84.40 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCItPTltD COMMENTS YES NO 1)1 "I 'H WI )I1'y~-IN / CUYhK V.;l-j9-/J ')'" Ik.l") ShK V lCh FINAL I I GENERAL COMMENTS: PW.1102.1~ (4196) :f ~ORT ~ ~~O~~~ ~ 1!:0 -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] 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 06-00000160 Date 257440 139 FOREST AVE 06-30-09-5-8-0004-0000- PATTY LLOYD MECHANICAL APPL. PERMIT 2/15/06 Owner Contractor f1~[~4J3/~ J~ RS7 RESDNTL SINGLE FAMILY o GARY D/PATRICIA E LLOYD 13 9 FORREST AVE PORT ANGELES WA 983622515 PELLET HEAT CO. 230 EAST 1ST SUITE C PORT ANGELES WA 98362 (360) 457-4406 Permit MECHANICAL PERMIT Additional desc Permit pin number 71225 Permit Fee 60.65 Plan Check Fee .00 Issue Date 2/15/06 Valuation 0 Expiration Date 8/14/06 Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60.65 60.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.65 60.65 .00 .00 \)J ...SJ ~ ~~ *-! ~ en 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 orwork 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 uthority to violate or cancel the provisions of any state or local law regulating construction or the performance of constructi ,~ 1 \..../V r Signature of Owner (if owner is builder) Date T:\Policies\1 102_ 15 building permit inspection record05. wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 4]7-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICALINSPECTIONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR W ALL/HOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING I I MECHANICAL HEAT PUNWI FURNACE I DUCTS GAS LINE 7-/74Io~ 'll/L WOOD STOVE I PELLET I CHIMNEY , FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL.INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R. W. I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 I , PLANNING DEPT. BUILDING 417-4815 IJ-I'b Ie;(;? I J1,-v BUILDING T:\Policies\1 102_15 building permit inspection record05.wpd IV4/2<Jl)5] ~ ......__..__.._...__---- _.,u -----.--. ----- ..rr....... ...._-~. r-"-- COMPLETE to be accl/Ipted for r"irw, If you lJa\lc aIry questlonf) call (360) 4i7w4815 I ~:6::;:;=_~ft: 2-10-06; 11 :48AM Appli\:l:lrll or Agent: PliU ~~~ C,o owner:]'tnTY klf.."o . Address: 1(0 t.~tZ.S!"T A"~ Phone: ~ 451- 44C~ Phone: Ciry:~lt..'1" ..A'bJb~ zip:.,.gg3to2_...__ ArchiteollEngillt.:er: Phone: Contrlll.:lOr~ Cl) State UccnlSe ~:i:hI~~mgBx.p:.4 .17-07 Phone:~ 4S7..~(a Addrc:ss:220.'C EA. 1 s. r . . .. ciryj~t::r A).J6rru..l:1J ._ zip:~2 PROJECT .4.DDRESS: I ~ FO ~ A\/~ ZONl~G: LEGAL DESCRIPTION: L\'lt: ~ ~ Blook: Subdivision: .S:>JIn:l:..VJOC.>G> CL.ULA.'\1 COUNTY PARCEL NUMBER; Cb'?CO~ 004~ I Credit Card HoJder NaM6: BlIlu1i' AIl&.lr_: Credit CardType VISA Me IJ TYl'E or wOllK: X. RI.l~ioJt:nLilil a New COl1slt. ::J Re-roof )( St(WC ~ \oblti-f&roily 0 Addition Cl Move 0 Oarase i Cummerclil 0 RumodcJ r.J DeLtlOlitioD 0 Dec~ D Repair::J Sign . 0 Other 8RJ!!:F DESClUP1'lON OF THE PRO,TECT; J~LL City: T .Exp. Date: SIWV ALUATlON! SF. @ $ ISF, - i_____ .... SF, @ $__/~F. =r 3 _____ SF. @ $ ISf. = $ TOTAL VALUATIO~ $ '2.7ct"".:J t'l:J ..- ~ PtU..J2:h ItS. PL*.6 l )J;G2..r' _ ___ C:ownructioD Trpll:.___ ~TOTAL Sq,l'l. G,ll!I COMMERClALIRESIDENTIA1.: Occupe.ncy OriJup: O~:;\lpant Load: No, orStones: _ Lot Si%c: _ Exi.!tin& Sq. Fl. __ It Proposed Sq, Fl. Existing 101 CClv~rase _ % It Proposed lot CCl\'etoge ___~,~ - Totllllot CQYOclge f:~AfW!!t'.9.no(s) 0 y~ C No SEP" CbeckJiGt requirlld? 0 Ye! 0 No Other: APPRO"" .u.S: PLA.'1: .__ BLOC: DPWU;_ 1"lRE:____._...._ OTRER:_ P~ING USE ONLY: Rlln .ONG PEllM.IT APPLlCA. TION SUBMl'fT AL: 'me Buildini DiYi$iorl Ct.r.l provide y\)1.I Ilo'i\ll ;n(Qrmatior. ()n the app1iC<lC10n o11l-l plll!", submittal requirement.'l if you. hll.ve q\lC~ltions, VAl.lJA'l'lOJ\I ur CONSTRUCTION: In all UJes," valUlitlon IImount mUlt be entered by the applic;lUlt, 11tis figure will be re\'lew~u .",d :"luy be reVl~~ by the BulldJng Divhion to eornpl)' with CUIT~l1t fee schedule... COllW:llhll P"rmitCoomim~Ot at 417-4815 foras.~islame. fLA.." CHECK FEE: IF Ii plan check fee: Is ~\u~ It Inust be aubmitted lit the time the buildina permit application wd l:un~lf1lr.tinll plans Uc: 'Submitted. ^ll other ptrmit fco, uc due .t the time ofpennit i~J\"..nce, EXPTRA,'nON OP PLAN REVIEW: It'no permit i" issued withll\ 180 daY3 of till: ulile ofll.pphC:Atton. the IlppUeat.loD will expire, Th~ Ebddin.g Official ClUJ t:K.tend the titm for action b)' {he IIppUOl1lt up to no days upDn written request by the appJil:l1l1l (~ee Section lOr.:!:!] !.he Uniform Buildil1& Code. c;utrent cditioD). No application CAn be extended more than once. 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'0 '0 '">-3 Z ::> 3: 3: ~n 0 3: lO '0'0 cn , >-3 OJ >-3 ;>:;>: fii , OJ,,,, OJ tJ .. '0 '0 tr'O tJH' 00 , cnOj cn >< tn tn '" tn ><3: ZZ tJ , >-3 :r>H:r> :r> Ul :r> :r>Oj OJ OJ H , t' cnw", '" ll> '" cn .. <: , ~.. >-3 >-3 ;l >-3 ~H .. , t' 0;>: ;>: ll> ;>: , H ~og 0 ::> 0 ~~ , OJ t' crt' w , '" 0 '" , t' " 0 0 , >< ". , ::> , Po ... , 0 U1 , " ..., ,;,. , , ... , 0 , '" , , , , , , , , tJ'O , :r>:r> , >-30 , OJ OJ , , , , , ... , '- , 0 , w , '- , 0 , "'00 s "".*"" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET, PORT ANGELES, WA 9R362 ELECTRICAL PERMIT Issued: 3/14/97 Permit No: 5864 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ GARY LORD 139 FOREST 139 FOREST AVE. Lot: Port Angeles, WA 98362 Block: Long Legal: 360/000-0000 Sub: T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- COLEMAN ELECTRIC 522 W. 16TH PORT ANGELES, WA 98362 360/452-7194 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES. MISC. prj Value: $0.00 Occ Type: Cnstr Type: SERVICE CHANGE Occ Grp: Occ Load: Land Use: Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 120,240 X Furnace KW: 10 X Overhead Service , Diameter: X-1 -3 X Heat Pump KW: 5 Underground Service Service Size: 200 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT NOTES------------------------------------------------------------------- INSTALL 200 AMP PANEL REMOVE OIL HEAT, INSTALL 10KW FURNACE AND 5KW HEAT PUMP PROJECT FEES ASSESSMENT-----~--------------------------------------_____________ Service: $55.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $55.00 $55.00 ================================= TOTAL FEE: $55.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED '\ , ! '1' ELECfRlCAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPiCTION TYPE DATE I ACCEPTED COMMF.NTS I YES I NO DITCH RO~ ITrP -r ..../ ,g /q~ FINAL . T;3/ZC701T7ra.-u.... I GENERAL COMMENTS, Pw-Il02.1)(4f961 , ~ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 46/8" S:)I/ ;4;'/ DATE ELECTRICAL PERMIT Site Address: /. o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: if Owner/Business: II Owner/Business Address: !I Phone: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW ~ o FURNACE KW ~ o HEAT PUMP KW o FAN/WALL KW o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS (0 SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER ~ OVERHEAD SERVICE o UNDERGROUf)ID SERVICE VOLTAGE: 120 t<flYO ~1~ D3~ SERVICE SIZE ,;J.c90 AMPS FEEDER SIZE AMPS Details/Description: II :t /JJ~ . (' .a .~ -----1' A1 M-l' I" ~~ @?~ f;c[vit) /I1-f'.i& .~ 1-0 . SJ11-ifi R;uu~ , W.$. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Pitch Inspection O.K. o Rough-in/cover O.K. /fJ,P/:rifp.K. to connect service b Final O.K. Installer: New Meters -- . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not e covered before inspection and OK for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Bu~ermit. PHONE 457-0411, EXT. 224. / ~ NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT $ If.) rC-. , Electrical Inspector Permil Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC ~.- $. . ~ . lit- :,to:! ........ ELECTRICAL WORK PElUWT APPLICATION Job wired by le<:trital Contractor l:J Owner Installation description .-/'" Q CommerciaL llit"Residentisl ~CilJ COlltractor n:;;;" ~~ ~~~K2. Pnrc:ha~cr'~ mailing address S 52'/ ~. h/L<:;'/ I C;IY;;::} ~ S"to ZIP ~ ~~L--~<; , ~AX Ilumbcf '- 4}1;'MLKL!J6t?Pires aNew 1:1 Alle..dl Addition ~/f f'cfY2 f!A~~ In ~~ ~ /0 ~//l~/!;g-.LJ;L " -- 30 / 6 ~. Hi? {p " ~/Ji%2.- /l8'1P- 79 :ltL .m y Teh:ph.on: numhcr ,/ ?.-17Tr ;::;~V'- L~~ Premises o~ .'3m.: ~~ '/# Addl'cSS or illspectlon /:<1 :~ff ()wner a.~ defitlt!ll hy kew /9.28.261:(1) O.,..,*cr wlIl OCC/IPY the stru.cture for two }'('Clf"S after IMs electrical permit is jinaJizc.'(l. (2) Owner i')i rcqlljr,~r1 to "in.' em (fl(~(:;t1'ical {,Qntmclor if ahovr! said properly is for silfe. rt.'nl 0/" h'(l;)((, Afler fe3dillgtbc: <'lbovc :.>l3tcm~nt, I hereby certify that I ;.\m th~ OWl'ler of toe above named prOJ'lcny or a liccnsed elel.:lrical L~onlrac-tor. I :]IH rnakin'{. !he electrical instal- lation o. alteratjon in compliance with the clccfriea.J I.aws. N.c.C.. RCW. Cbaptef J 9.28, WAC. Chapter 296-460. The City of POrt Angeles Municipal Code, am! Utility Specifications. Sign:lture nr II':vncr, electrical contractor ~r electl"kal .3dminidrator X A~-' Date: /2 /~ ~ Electrical Load Additions and or s!!P.1(ac.tiO.OJl 1:1 NO LOAD CI;ii\~S o Baseboard ~KW D ~tJrnace KW D Heat Pump _ ion _ LAA o Fan.Wall KW o Ca,h 0 Check # ~Card Visa Mastercard Di~covcr Card# __.__.__"_oll/_-fi/-E- -______ Expiration Date of card Cl Overhead Service a iemp ServIce CJ UndergfOtJncj Service Servl~J.r,Jformation VOltago ~J."J/zytJ Phase ~3) SalVieo Sizo: y% F~€der Size; 7} : ' SAME DAY INSPECTION. CALl. BEFORE 7:00 AM 360-417-4735 *GH-~p~.O"" FINAL THERMOSTAT SERVICE t ll~le I\pllrovl;<.IDl' 0;1.10 AI'p'o)"';.1 Hy DITCH WEDER ." rY_ A!,DroV(;<J.J)y l)ilte ^~rov,,<.IB) O~to Aps'l:'O\I,,,, ~y InspccliOil Oak Area.. Building or E.quipment Inspcctt:d Action T:::r.kcn Eltct1'ical Inspl.:cto( .;;. - / .- Ob " ., I~ ~wr It-n17bj- ~# .... - , () /.:J. - -0-5 ,- l -d 59<:6 <:5V 092 8NI 8Id~8313 S313~N~ NOd~ Nd60'8 50(:-ll-(:l Application Number . . . . . 22-00000823 Date 7/07/22 Application pin number . . . 349657 Property Address . . . . . . 139 FOREST AVE ASSESSOR PARCEL NUMBER: 06-30-09-5-8-0004-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GARY D/PATRICIA E LLOYD ALL WEATHER HTG & COOLING INC 139 FORREST AVE 302 KEMP ST PORT ANGELES WA 983622515 PORT ANGELES WA 98362 (360) 452-9813 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee . . .00 Issue Date . . . . 7/07/22 Valuation . . . . 0 Expiration Date . . 1/03/23 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us EL1-2 SF 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp.$120.00 $ Service/Feeder 201-400 Amp.$146.00 $ Service/Feeder 401-600 Amp.$205.00 $ Service/Feeder 601-1000 Amp.$262.00 $ Service/Feeder over 1000 Amp.$373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ 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 401-600 Amp.$149.00 $ Temp. Service/Feeder 601-1000 Amp.$168.00 $ Portal to Portal Hourly $96.00 $ Signal Circuit/Limited Energy - 1&2 DU.$64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional)$56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square feet``$40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool / Hot Tub $110.00 $ 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 required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: New Construction Only [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] PREPARED 7/05/22,12:13:51 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00000823 139 FOREST AVE FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 56.00 TOTAL DUE 56.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Heat pump system NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 7/19/2022 22-823 TAP OWNER CONTRACTOR All Weather Heating PROJECT ADDRESS 139 Forest Ave Application Number . . . . . 22-00000835 Date 7/13/22 Application pin number . . . 792350 Property Address . . . . . . 139 FOREST AVE ASSESSOR PARCEL NUMBER: 06-30-09-5-8-0004-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GARY D/PATRICIA E LLOYD BLACK DIAMOND ELECTRICAL CONTR 139 FORREST AVE 502 BLACK DIAMOND RD PORT ANGELES WA 983622515 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 7/13/22 Valuation . . . . 0 Expiration Date . . 1/09/23 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:--------------------------------------­ Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ 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 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ 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 required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 7/06/22, 7:14:47 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00000835 139 FOREST AVE FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 63.00 TOTAL DUE 63.00 Please present reciept to the cashier with full payment