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HomeMy WebLinkAbout1417 A St - BuildingApplication IRRIGATION Owner ALAN /LISA PARTRIDGE 1417A ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T:Forms/Building Division/Building Permit A pplica t ion Number Application pitT numbet Property' Address ASSESSOR PARCEL Tenant iibr name„ ti m Appl .cation tj pe description S u11division Name Property U s er. Property Zgri rig Application valuation SYSTEM DOUBLE' C .BACKFLOW DEVICE bkv 4 4 WA 983637241 Fee summary Charged Permit Fee Total 57 00 Plan Check Total 00 Grand Total 57 00 PLUMBING PERMIT IRR DBL -CHK BACKFLOW 144675 57 00 4/22/09 10/19/09 :2.1 „Ei1S1"5TH: ST 0.9” 000'd03'59 458 78. t *:;;31��'',1 °µins �Sh 06 O:La;lr6'66 '0000 ;i a 7. ALAN' /`LISA ,P PLUMBING' REPAIR 'v...,. a „z. RS SINGLE�FAMZLY •1 xy k— OSTERBERG LANDSCAPING INC 1521' 'S O ST PORT ANGELES WA 98363 "13'60). 452'9511 57 00 00 57 00 Contractor Qty Unit Charge Per BASE-FEE 1 00 7 0000 EA PL -LAWN SPRNKLR BCKFLW PREV e.n;'T T <.AN,GE'LES Iwo Q F POR. ON;07v1IC:DE'V,E P MENT ?ET PORTANGELES ``VI!A ".98362`; Plan Check Fee :1,-Valuation Paid Credited 00 00 00 Date 4/22'/09 *1% Due 00 00 00 00 0 Extension 50 00- 7 00 r 6k.?, Rar\ <eir 4)sec_7\-e. da-rrrov4 P2?-17 gektrro *o L ny Le Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned fora period of l80 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 1 w regulating const cfionorthe "er rmance of constructiio #2_ 0c( 4 Dale Print NameSig ature of Contractor or Authorized Age! t S gnature of Owner (if owner s 'u Ider) NAME OF PREMISES SERVICE ADDRESS LOCATION OF DEVICE. ASSEMBLY v C //175 Manufacturer Initial Test Repairs Details Final Test AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO COMMENTS CHECK VALVE #1 Leaked Held at 5 Cleaned Replaced Held at? C psi tf( 'r 6: r Initial Test Repairs Final Test I Date /Time Tester Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division J 4 C 4 A 4 A l /7 if /f 5 iits A' A/ /if f'/, GS'C /G 4/Gl' 956x T l IS THIS AN APPROVED ASSEMBLY? YES @'NO IS ASSEMBLY INSTALLED CORRECTLY'' YES c NO DATE OF INSTALLATION At' ,0/ UNKNOWN Model Size Serial No REDUCED PRESSURE PRINCIPLE ASSEMBLY DOUBLE CHECK VALVE ASSEMBLY 4 Gl e; "fe x e l 7 1ckt i' CHECK VALVE #2 Leaked Closed Tight Held at psi Cleaned Cleaned Replaced Replaced Closed Tight Held at (2 <psi Opened at psi Signature q.7 RELIEF VALVE Did Not Open Opened at 3 psi Butler YES NO Cert. ps Test Kit WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY /N5 TtgeEpG G AN0S6-4e/A/ Assem.# Received ,25 27/ RP RPDA DC DCDA PVB Air Gap SVB AVB Replaced PVB /SVB AIR INLET Did Not Open Opened at psi CHECK VALVE Leaked Held at psi REPAIRS Cleaned AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES TYPE OF HAZARD Z. 41 Line Pressure 7 ,5 s i Held Backpressure YES I3K NO #2 Shutoff Held YES CY NO Relief Valve Exercised YES NO Official Use Only Passed Failed g -v O v Ai!P,t,t( CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000359 Date 4/22/09 Application pin number 458778 Property Address 1417 A ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 1666 0000 Tenant nbr name ALAN /LISA PARTRIDGE Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1500 Application desc IRRIGATION SYSTEM DOUBLE CHECK BACKFLOW DEVICE Owner Contractor ALAN /LISA PARTRIDGE 1417 A ST PORT ANGELES Permit PLUMBING PERMIT Additional desc IRR DBL -CHK BACKFLOW Permit pin number 144675 Permit Fee 57 00 Plan Check Fee 00 Issue Date 4/22/09 Valuation 0 Expiration Date 10/19/09 WA 983637241 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL -LAWN SPRNKLR BCKFLW PREV 7 00 Fee summary Charged Paid Credited Due Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local 1 w regulating const ction or the nerfnrmance of cnnstrnctin .0 z2 oq 6 T:FormsBuilding DivisionBuilding Permit OSTERBERG LANDSCAPING INC 1521 S 0 ST PORT ANGELES WA 98363 (360) 452 9511 Date Date Print Name Si ature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes' (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow/ Water AIR SEAL Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking &I Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. 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 Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Comments FINAL Date9 Accepted by IB FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By For City Use Only Date Received 4 -22 -C9 Permit Oq— 51 Date Approved Applicant tk :f (94,-6,-.6e Phone .66 22? 0 Property Owner f3 d e, A Phone Property Owner's Address /4.( S, t i-- 5 7- 4 z ete5 4ha, A?/_ Contractor ,e, 6 c4c..„,0 2 Phone cro) 7Q Contractor's Address s', A) i{�.,� License Expires E -mail PROJECT ADDRESS 4/7 r /1. 4 q 3 Parcel Number Lot Zoning Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1St Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Site Coverage the amount of impervious and other impervious surfaces. (see P Max. height of proposed struct Will a lawn sprinkler syster se installed? Will a fire sprinkler sy m be installed? Date Prnt Name T Forms /Building Division /Bldg Permit.doc (A1aA 115 e) wfer A Ian `LiSe. Q ari h -fJ Or Co Ln.ilj (Ak) 4e- 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 •Residential r t 4 o0v1 .5t is (4, Multi- family Commercial House garage other tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove other %xistinq (sq. ft.) Proposed (sq. ft.) Signature per sq ft. TOTAL VALUATION C79 €6 sq ft. T Lot size q Lot coverage s ace on a parcel including structures paved driveways sidewalks patios C 17 94 135 for exemptions) Site coverage Occupancy group of bedrooms Occupant load of full baths Construction type o calf baths Industrial I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it fs my responsibility to determine what permits are required, and to obtain permits prior to working on projects. CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 36'0)/ 0'~c DATE ELECTRICAL PERMIT Installed By: o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) lQ--6\/ERHEAD SERVICE o UNDERG'OUN~E \,IOL~E: .2& .' ~INGLE PHAS~ o THREE PHASE-, SERVICE SIZE ...5..;2.0 AMPS . 9 IA/IR f W.S. No. CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE /1 ~ ry/~ f? ~- Jlts;4/1 AtJU5? /1;;J~ /I1-e7L-r ~. SERVICE SIZE Q) If-JP- Details/Description: DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. I 1.f.i^ ~Rough-in/cover O.K. (~ I,) ~i) ~ O.K. to connect servic , _'_ o Final O.K. Installer: t:Sw ~. Il-. ~~(tA New Meters - Site Address: / ifl? .' Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. (J.O T ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ YfJ - Electrical Inspector Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meier Dept., Bottom: City Hall OLYMPIC PRINTERS INC. , . Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT \./ ELECTRICAL PERMIT PERMIT NO. JCJr7' r/30.;'t/ DATE Site Address: o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. 'liIf Residential r Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair "'rJt: Add/alter circuits [] Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground Voltage 01003.0 Service size o Temporary Amps DetailslDescription: tu t'fl L 1~t Wlyd cJj, . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. ~ Rough-in/cover O.K. o O.K. to connect service o Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: Permit/Receipt No. J(),J Site Address: New Meters . Notify the Department of City Lig by Street Address and Permit Number when ready for inspection. Work must not be covered or eiectrically energized before inspection and O.K. for covering or service has been given by the In~eclor in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT cQO r!:!' Inspector Amount paid WHITE - fife by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall \ OLYMPIC PRINTERS. INC. ELECTRICAL PERMIT CITY OF PORT ANGELES 364- 417 -4735 Application Number . . , , , 15- 00000086 Date 2/04/15 Application pin number . . . 366838 INSPECTOR: Property Address , . . 1417 A ST ASSESSOR PARCEL NUMBER: 06-30- 00-0- -4- 1666 -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 200 amp service and master bedroom ,remodel ___°---------------------------------------------- ------------- - - -. -. - _.. - -- Owner Contractor PARTRIDGE AT,AN /LISA APS ELECTRIC y 1417 S A ST 546 BENSON RD, PORT ANGELES WA 983637241 PORT ANGELES 1�7A 98363 (360) 452 -6753 _.._____- __--- --___. ------------------------------------------------------- Permat . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee 140,00 plan Check Fee .00 Issue Date 2/04/15 Valuation 0 Expiration Date 6/03/15 Qty unit Charge Per Extension 4,00 5.0000 ECH EL- BRANCH CIRCUIT W /FERnER 20.00 1.00 120,0000 BCH EL-0 -200 SRV FEEDER 120.00 --------------------------------------------------'------------------------- Fee summary Charged Paid Credited Due -- ----- -- -- -- - --- ---- - - - - -- .Permit Fee Total 140,00 ---- - - - - -- ---- - - - - -- ---- 140.00 ,00 - - - - -- DO Plan Check Total ,00 .00 ,00 OD Grand Total 140.00 140.00 .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 i ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGETUILDING I- �JS S FROM : A.P.S. ELECTRICAL CONTRACTOR FAX N0. : 360 452 6753 CITY OF PORT ANGELES PERMIT APPLICATION Buillding DIVision/Electricol Inspections 321 East )E±tfth Street—P.O. Box 11501 Port Aageles Washingtna, 98362 Ph: (360) 417 -4735 Fax, (360) 417 -4711 mate : .9 3� �0I G At I & 2 Single Family Dwelling Feb. 03 2015 09:06AM P1 RECEIVED 1 FEB _ 3 2015 ;, 4, r'•" aQ .ti w�r plan ,Revlei M y R mired, Alease ample to Eir?ctrical Plan Revietu information Sheet Job Address; " ►.t h �� " BuikliAg Square Footage; Description of above 1— - , Q Owner lgformjan L� Name: _.-. `.. �a �` t Mailirm d mss: City, Slate, -.- Zip: Phone: -L _ Fax: Lloenae #1 Exp, ,,,,,, AD ordl.Charge Sets to /Feeder 200 Amp. $120,00 ServlcelFeeder 201 -400 Amp, S 146,00 SwidWFedder 401.500 Amp $ 205.00 Serv'loa$oeder 601 -1000 Amp. $ 262.00 ServicelFseder over 1000 Amp. $ 373.00 Branch Circuit W/ Service f=eeder $ 5.00 Bimch Ci rdl Wfo Service Feeder $ 63,00 Eaoh Addillorral 9ranch Circuit 8 5.00 Branch Circuits 1.d S 75.00 Temp. Service! Feeder 200 Amp. $ 93.00 Temp. ServI6&Fr�ar201-40DA*, $110.00 Temp. ServioelFeeder 401.600 Amp. $148,00 Temp. SarylceXoodor601.1000 Amp . $168.00 Portal to Portal Hourly $ 96,00 '$ignaf CircuW Limited lrnergy- 1 &2 Farrrlly D,viVN S 64.00 Manufactured Home Connection $ 120.00 Renewable Electrical Energy - 5KVA System or Less $ 1102,00 Thermostat $ 56,00 Nola: $5, 00 tnr each addl0anal T-Stat NEW GONSTRUCTION.ONLY. First 1300 Square Ft. $120.00 Each Addltionai 560 Square Ft. or•Poftn of $ 40.00 Esoh OothuiW!r% or Dotpchod GAMgo $ 74.00 Each Swimming Poal or Hot Tub $ 910.00 Contra or f orrnatio teem? J 1� M 2 iNal! }tlgAddress:. nn Phone: ,,,,,,,,,Fax: License # 1 Exp. My. Total (0tx 1A.QAIP.Iled by Un# Chorus) c $ $ $ $ 4 Total ouwter as detirmd by ROW. 99.28,261: (f) Owner will co0upy the stPv&m far buo years after this etc 4cal permit is Razed, (2) Owner is requfre0 to hire an electrical contraatar if above said properly is for sail, rent or lease. Permit expires after six months of last inspection. After reading the above siaternent, l hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making the eleclncat installation or alteration In compliance Wth iho elaftai laws, N,E.C„ ROW, Chapter 19,28, WAG. Chapter 295.465, The City of Dart Angeles Municipal Code, and Utility Specificasons and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, eWrlcal contractor or electrical adtnlntstrator: ❑ cam 11 Chad X ��1n ,&.Creditcm* M IG- arrtad: M �) o�taarzas2 ELECTRICAL INSPECTION 6. WIRING REPORT 0 417-4735 � RKS &' llATE: / -71111 1T PI INSPECTOR OWNER CONTRACTOR ryry tkl��-2 ADDRESS NOT APPROVED D ... ........ -.. DiTCH ....... ............ 0 ROUGH INJCOVER . ............. . D SERMCE .......... ....... D ............. RNAL. ... I ......... I - - D CORRECTIONS NEEDED, v;- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS