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112 1/2 E 1st St Suite 204 - Building
Fire Permit 1121/2E 1St St #204 12-760 Ui i Y UP ruxi ANlihLhJ °'- FIRE DEPARTMENT PERMIT -- .. 321 East 5`h Street, Port Angeles, WA 98362 E Application Number . . . . . 12-00000760 Date 6/18/12 Application pin number . . 540880 REPORT SALES TAX Property Address . . . . . . 112 1/2 E 1ST ST 204 ASSESSOR PARCEL NUMBER: 06-30-00-5-1-3125-0000- on your state excise tax form Application type description FIRE SPRINKLER SYSTEM to the City of Port Angeles +;> Subdivision Name . . . . . . Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 2500 ---------------------------------------------------------------------------- Application desc SPRINKLER NEW RESIDENTIAL UNIT 1� ---------------------------------------------------------------------------- �fr (~"d Owner Contractor ..6 ------ - ----------------- ------------------------ DONALD & SANDRA BETTGER'TTES INNOVATED FIRE SPRINKLERS r� 517 E 6TH ST 81 NEWHAVEN LANE r PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 928-3475 (360) 452-7583 ---------------------------------------------- : . . . . . . FIRE SPRINKLER RESIDENTIAL Additional desc . . SPRINKLER NEW RES. UNIT Permit Fee . . . . .00 Plan Check Fee .00 Issue Date 6/18/12 Valuation . . . . 2500 Expiration Date 12/15/12 ----------------- Special Notes and Comments Owner is responsible fOr ongoing fire sprinkler system inspection and testing per the current addition of NFPA 25. A full acceptance test will be required for the fire sprinkler system. Call for cover inspection for all sprinkler installations. Public Works Utility Engineering has no requirements for this plan review. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be f f'1 true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit. 6 2— Signature of Contractor oruthorized A entDate Signature of Owner (if Owner is budder) Date FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire' inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate 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 I Date Passed Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested IInterior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM I Rough -in inspection IAlarm final LP -GAS IUnderground piping inspection/pressure test Above ground piping inspection/pressure test Tank (container) inspection IAppliance inspection LP -gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS: Completed by Contractor: Test # 1 Piping pressure test psi Time initiated Test #2 Piping pressure test psi Time initiated 2/15/00 BUILDING PERMIT CITY OF PORT ANGELES ^^ Attn: Building Permit Technician 321 E. Fifth -St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 � toZt APPLICATION Print in ink For City Use Only: Date Received • 1 Permit # Date Approved Applicant or Agent V V_t C,-p� Q e k y' Phone L/ S2 - 7S �9 3 Owner e,-L� C! /V`6, v'� Phone Owner's Address I 1 p A/, cnt— �-, �, �i �1/� �- v.e ✓ � , Lv Contractor/Engineer )j/A/U3 11,4�,�r7 Phone Contractor/Engineer's Address -,w C, t1 e ix License # n,/ O 1/';y' Orq b Expires/i2 i s � �%Z �z �� �S _. ... ......._. PROJECT ADDRESS ,t � �- S tr-e-e,-1- Ste; Parcel Number Lot Zoning a ' Protect Tvpe &Brief Desc_.......__.._.---....... ...._._.. .__. . _. _. _...__ _._ ......__ ... _._... .. -. . riation: -12esidential ❑ Commercial o Multi -family o Industrial Check all -that apply ❑ New Construction ❑ Addition *emodel �S'f� �� /�[/✓'�2 S��''�`� ��✓` �t—i S 7�� ❑ Repair W CA 4.V1 1 l %1.2l g o Re -roof f ❑ Demolition D Sign a wall -mounted D projecting o freestanding o awning o other Total sign area sq. ft. Maximum allowed sign area sq. ft. ��CJ Heat System ❑ Heat pump o wood -burning stove o gas fireplace o pellet stove o other i D Other ( Floor Areas ._ .. . - Existing (sg. ft.) __. Proposed... . -----------..._._....._.....__...__...__ ._..--a (sq. ft.) Basement @ $ 1 s Floor 2nd Floor 3rd Floor Garage I Carport CITt of PoRrAr4en [€ N Covered Porch Deck j Shed Other TOTAL VALUATION $ RSO G cT 6 Total footprint of structures sq. ft. - Lot size sq. ft. = Lot 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 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on ro ects.1 Dae / /Z Print Name V i ►�C �'��� I! '�� Signature ,frt� T Forms/Guilding Division1l3ldg Permit Appl.-2006 Code.doc PREPARED 4/04/13, 14:22:12 INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF PORT ANGELES ------------------------------------------------------------------------------------------------------------------------------------ APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR ------------------------------------------------------------------------------------------------------------------------------------ 12 00000760 112 1/2 E 1ST ST 204 06-30-00-5-1-3125-0000- 000 000 FSPK 00 FIRE SPRINKLER RESIDENTIAL FFNL 0001 FIRE FINAL 4/03/13 APPROVED KDD REQ COMM: April 3, 2013 3:57:12 PM kdubuc. RES COMM: April 3, 2013 3:57:27 PM kdubuc. RES COMM: fire final CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 11-00000462 Date 3/09/12 Application pin number . . . 400252 Property Address . . . . . . 112 1/2 E 1ST ST 204 ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -3125 -0000 - Tenant nbr, name . . . . . . DONALD & SANDRA BETTGER Application type description CONVERT COMMERCIAL TO RESIDENTIAL Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 1500 ---------------------------------------------------------------------------- Application desc CONVERT PART OF UPSTAIRS TO AN APARTMENT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DONALD & SANDRA BETTGER TTES INNOVATED FIRE SPRINKLERS 517 E 6TH ST 81 NEW HAVEN LANE PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 928-3475 (360) 452-7583 --- Structure Information 000 00b CONVERT PART OF UPSTAIRS TO APT. Construction Type . . . . . UNKNOWN Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . CONVERT TO UPSTAIRS APT Permit Fee . . . . 80.50 Plan Check Fee 52.33 Issue Date 3/09/12 Valuation . . . . 1500 Expiration Date 9/05/12 Qty Unit Charge Per Extension BASE FEE 50.00 10.00 3.0500 HND BL -501-2K (3.05 PER C) ---------------------------------------------------------------------------- 30.50 Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 57.25 Plan Check Fee .00 Issue Date . . . . 3/09/12 Valuation . . . . 0 Expiration Date . . 9/05/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 7.25 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 86.00 Plan Check Fee 00 Issue Date . . . . 3/09/12 Valuation . . . . 0 Expiration Date . . 9/05/12 Qty Unit Charge Per Extension BASE FEE 50.00 2.00 7.0000 EA PL -PLUMBING TRAP 14.00 1.00 7.0000 EA PL -WATER LINE 7.00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) rlrxa 'C' $ 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 —— 2— t1 a Vie, tet' a� A 1� Date Print Name Signature of Contractor or Authorized Agent 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 I Date Accepted By FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow / Water I FINAL Date 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 I FINAL Date MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking / Lighting ESA: Landscaping I I SHORELINE: Comments Accepted by Accepted by 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 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 11-00000462 Date 3/09/12 Application pin number . . . 400252 Qty Unit Charge Per Extension 1.00 15.0000 EA PL -SEWER LINE ---------------------------------------------------------------------------- 15.00 Special Notes and Comments A full acceptance test will be required for the fire alarm system. This project will require a seperate permit and fire alarm plans for review. A full acceptance test will be required for the fire sprinkler system. This project will require seperate permit and fire sprinkler plans for review. May 26, 2011 9:09:50 AM kdubuc. This project will be a change of use and a change of occupancy. In order to meet the requirements of the International Building Code and International Existing Building Code, a full, monitored fire alarm system will be required throughout the entire building, including the basement. In addition, a sprinkler system will be required in the area that involves the change of use. In this case, a residential fire sprinkler system will be required in the new apartment area. May 24, 2011 12:40:09 PM sroberds. the proposal will result in conversion of an office to a residential use, 2nd floor, in the CBD zone. No land use issues anticipated. Electrical load calculations and electrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. 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 223.75 223.75 .00 .00 Plan Check Total 52.33 52.33 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 280.58 280.58 .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 T:Forms/Building Division/Building Permit Signature of Owner (if owner is builder) 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 I Date I Accepted By Comments FOUNDATION: Footings Stemwalt � Foundation Drainage / Downspouts Piers I Post Holes (Pole Bldgs.) PLUMBING: II Under Floor / Slab I Rough-In (p • (l(. I a �VV Water Line (Meter to Bldg) I Gas Line I rr Back Flow / Water I FINAL Dat '72f!�' I'Xcepted byl/✓ AIR SEAL: Walls I �,,. 14. 17)- ,T l� I Ceiling FRAMING: Joists / Girders / Under Floor I Shear Wall / Hold Downs I Walls / Roof / Ceiling / 1 Drywall (Interior Braced Panel Only) I T-Bar I INSULATION: Slab I I I Wall / Floor / Ceiling + (0,(Ll IV' c "Q A i MECHANICAL: Heat Pump / Furnace / FAU / Ducts I Rouqh-In I Gas Line I Wood Stove / Pellet / Chimney Commercial Hood / Ducts (FINAL Date R•2_0-5° 1;;k6cepted by MANUFACTURED HOMES: Footing / Slab I I I Blocking & Hold Downs I Skirting I PLANNING DEPT. Separate Permit #s SEPA: Parking / Lighting ESA: !1 Landscaping I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE `� Inspection Type Date Accepted By 1 I Electrical 417-4735 41 Construction - R.W. PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit PREPARED 8/28/12, 8:55:13 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/28/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 112 1/2 E 1ST ST 204 SUBDIV: TENANT, NBR: DONALD & SANDRA BETTGER CONTRACTOR INNOVATED FIRE SPRINKLERS PHONE (360) 452-7583 OWNER DONALD & SANDRA BETTGER TTES PHONE (360) 928-3475 PARCEL 06-30-00-5-1-3125-0000- APPL NUMBER: 11-00000462 CONVERT COMMERCIAL TO RESIDENTIAL --------------------------------------------------------------- -------------------------------- PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BAIR 01 6/14/12 JLL BLDG AIR SEAL 6/14/12 AP June 14, 2012 9:02:51 AM hcatuzo. KEN. COZI HOMES. 460-0036 June 14, 2012 4:30:27 PM jlierly. BLI 01 6/14/12 JLL BLDG INSULATION 6/14/12 AP June 14, 2012 4:33:15 PM jlierly. June 14, 2012 4:33:36 PM jlierly. BL3 01 6/14/12 JLL BLDG FRAMING 6/14/12 AP June 14, 2012 4:30:27 PM jlierly. BL99 01 8/28/12 JLL BLDG FINAL August 28, 2012 8:49:18 AM hcatuzo. VINCE BETTGER 461-9635 AFTER 2 PM. FIRE SPRINKLER INSPECTION AT 2. PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------' ME99 01 8/28/12 J L MECHANICAL FINAL -------------------- ------------------------------ -------------- PERMIT: PL 00 PLUMBING IT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------ PL2 01 6/14/12 JLL PLUMBING ROUGH -IN 6/14/12 AP June 14, 2012 4:30:27 PM jlierly. PL99 01 8/28/12 JhL --PLUMBING FINAL ---------------------'---- COMMENTS AND NOTES -------------------------------------- Qty J PREPARED 6/14/12, 9:14:52 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/14/12 ---------------- —--------------------------- ---- --------- -- — — -------------- — --------- — -- ADDRESS . : 112 1/2 E 1ST ST 204 SUBDIV: TENANT, NBR: DONALD & SANDRA BETTGER CONTRACTOR INNOVATED FIRE SPRINKLERS PHONE (360) 452-7583 OWNER DONALD & SANDRA BETTGER TTES PHONE (360) 928-3475 PARCEL 06-30-00-5-1-3125-0000- APPL NUMBER: 11-00000462 CONVERT COMMERCIAL TO RESIDENTIAL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -- - —g-- — ----- — — ------— ---------— ---------------------------------------- BAIR 6/14/ 2im , BLDG AIR SEAL June 14, 2012 9:02:51 AM hcatuzo. IV KEN. COZI HOMES. 460-0036 BL3 01 6/14/12 JLL BLDG FRAMING ---------------L ----- ---------- ----------------------------------------- PERMIT: PL 00 PLUMBING ERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS — --------- — ------------- --- - ----------------- - ----- PL2 01 6/14/12 J L PLUMBING ROUGH-IN Ali -------------------------------------- COMMENTS AND NO"ES -------------- —------- — ------ "( 4 /pF.OA-4 PREPARED 6/15/12, 8:26:17 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/15/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 112 1/2 E 1ST ST 204 SUBDIV: TENANT, NBR: DONALD & SANDRA BETTGER CONTRACTOR INNOVATED FIRE SPRINKLERS PHONE (360) 452-7583 OWNER DONALD & SANDRA BETTGER TTES PHONE (360) 928-3475 PARCEL 06-30-00-5-1-3125-0000- APPL NUMBER: 11-00000462 CONVERT COMMERCIAL TO RESIDENTIAL ------------------------- PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------------------- — ------------------------------------- ----_- BAIR 01 6/14/12 JLL BLDG AIR SEAL 6/14/12 AP June 14, 2012 9:02:51 AM hcatuzo. KEN. COZI HOMES. 460-0036 June 14, 2012 4:30:27 PM jlierly. BLI 01 6/14/12 JLL BLDG INSULATION 6/14/12 AP June 14, 2012 4:33:15 PM jlierly. June 14, 2012 4:33:36 PM jlierly. BL3 01 6/14/12 JLL BLDG FRAMING 6/14/12 AP June 14, 2012 4:30:27 PM jlierly. BLI 02 6/15/12 LL BLDG INSULATION June 15, 2012 8:23:32 AM hcatuzo. KEN-COZI HOMES. 460-0036 -------------------------------------- COMMENTS AND NOTES -------------------------------------- ,��A.pattrgb�t 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 k ✓tc io ,_ Property Owner S e, ..t r4 „10 J .e -4+Q t,- Property Owner's Address C G; Contractor Contractor's Address / For City Use Only: Date Received 5 -Ig -q Permit # (- ? Date Approved i P nePho,�- q�3S �i7s Phone SVS 2 — 7S ,53_ License # i,vvav;-- sa--/yDR_ Expires -7//ell Emai5✓-�K//►� 0 PROJECT ADDRESS 2 "`y/ -c zaL�,Qzas Parcel Number V P s 1-t�,r5 Lot Zoning Proiect Tvpe & Brief Description: Residential ❑ Multi -family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction ❑ Addition %4,d C�iL,_3 1 %!��` �� 4 3 Lzvw -Q v' �lRemodel C�Q�w� do...�c 1 Q 4., ❑ Repair ❑ Demolition "A Loc�krz9orn vevt.f -Fv h ❑ 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 151 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Existinq 6Lq. ft. Proposed (sq. ft.) per sq. ft. = $ TOTAL VALUATION $ /.SO 0, a D Total footprint of structuresX . ft. T Lot size sq. ft. = Lot c rage % Site Coverage,= the amount of impe on a parcel, incl ng ructures, paved drivew s, si walks, patios, and other impervious surfaces. (s94.135 for exe ions) Ite covers e % 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 /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 permits are required, and to obtain permits prior working on projects. ,I < Date S�Z/// Print Name T:Forms/Building Division/Building permit application NOTES Permit # h — -1 L ZI dVince- -2,(0 1�1 C.e- S cti i 21h Lu a I( Ui 5 n rr : -- ` 4, 5.2(0 - 200 1 asks %s b.. CAA"GE. OF Q% (S 6 F © cx Q PNNc,-( �o't MCOkD ��o�Ts , -P FU LA-, I-Coa-AED FS lsTeK UJtLL- p'C lG �U iLl��o.�G, IN Gwb %t, -G ZPLe Flew— LZILL. r�.F- PJEMUt9k5b T:Fonns/Building Division/Notes i . � � '"far y" � '� N � • .� �';;, � y"�'„c'” �s 3? �'•, �%;Fr; �3�a � .. s',w F� � '"r,�t"".,x<y�i + �'v :•.3ws ,.;:r •��'k..�p� ` �: '+i, 'k"" y"Y � ^,��•`" 4i X�wrq '"1.+:;r==.'n M;'a..t •gym,,. .�,,„E �, i, e— ���, ” .d�:',�} a�.� `n+t�r�,' 4�,a ,a„�,,, r.'. `nes °..?S'},, •.S , »s; " " !s .�v-a� �'3T; a ''� • "°ba �'d° ,:' '.'Ra,," .a. 6 "��L': � •'arc'; 1 .w`q•.l•• ems.-. 4!r '{9ry h �jy i:•e� " i „ " c sem• �.�,^f "� �.I. �. :v.,� ��"'.".t, `�a� .;.; �i:.s ,�YM�'a�w: "R WAN OR Not- , 'j([c •' ,sem �• ,O '� r`,; '''' T� � t' .. ,. is ;q`C�`s�,.. a ar"�A is ' 'h"• 0,MIT .a.a 46 '44 "' � a.'' "��•Y .`�, .. '3 /. •"^ arm. � „ iti��:+.,�„+ � �.y . IN cl WAS mg ".ym " .. r V .."A°u ii ,+J{i, a:. ,,•,�', w^r"y�'a` >n� ' b•ed .m .. ., ,+'A' ,.rr :' � ( � 'b h�" eA' ' 4, k'�Wph.•�'>'p'' �.�AYJ,i (' y' /° 5 �1 rF",',:' tea. ``fin} ,wy,,.'�. t• � �rrb: . „�y /Old ., � .,f`:�'��p. ,i.. , g:;a3*`-`,'�:. ..�x�c�'."�,. �-'ei"�'•>r;; r r • ,.,,,'."." • �:r`';''' -r"" , +:'a; ^fie., ?•�' .,,'Y" ,�!' ya9`• `n:'` ' "�?"L r v'!� ' �,% r � '.��, ;. w.�x;;� , � : ,,"�:a.": +. ""}: �,,', • ° yy '�) .fir T", „ d'8• x",'gli '�',.ta'^ `_ .. 1`�..:;^`"� rte, .I•�':�'���.a" °y'","•F'a.;•"NA.`I,.. •,,l 'o�.a(.^. '� ..4 Pd„. `';ri .:,�„mq"*'�'3�,� „r{ m�;. ".��?�., r.:,,� `mpaw,,« .•^��X "�� a— "�/ '” 'i` �'T ~ �.�^” n;F d��: iY'�,'-• :?: v�,o a�;'�;.�.,�*.y }>r. ` •�rw,a�x"��r,,.<��r`,^�'*.�,;. �.�+' „ 'e,',*' <� Y7"'',��'.� :;' ,I`,,. L+•" vr>r ...„ar",�, ",.'•": '33 '••r�. d'ay` ;f: ".,..r•a; '..y xs"�.�a r•�" re..�'., \" Y'c:�.�„...0 a. ".�'».�,. AC,, `�.EL .yr ;F,.� � ,w SaaJ 'Re�. ,Ar,l.. •' a.. �'��,:'q,„ ••'�"�,${, u V7^ � +1'^w„�e2„ .�a „c !'• J •„�', .:.' .,'?, ",,..;.i,• :: a^Z a r..., =r"a "�. C9 .. h"#'X$n„aR?'•* ,..?,?' •'`w•`�", .4y>7•, °, s, .: �,'.",m_.�y'��* . op :'`A`g',vi•m=?itG:,3a+w,tMAI .�vy`•o;a4^�,t �, J, .. , ' �,'i'.:1� �s}�",.�s�d�:"•"; ,r gN 1 1....00 R PLA4/\/ o t- P RCS PriS E o A pARTt�,7c�t ; FM CITY OF PORT ANG' LES — Construciion Plans The issuance of this permit based upon these pians, speulfi• j cations and other data shall not prevent the building official i v from thereafter requiting the correction of errors in said p?acs, specifications and other data, or ��:4 from preventing = building operations ging carri$d+nn thereunder when in violation of all cones anu uiuhiarwcr��isciicli4tt- J _ a49 4 BC 0 Approval Date By �— x. . k 2 a 0 rn 7 Zr 30.. � y c� uC31r 30 ��3 ao• 4 � 13�.:�� 1 �7 Y. • ^ t 4 .... _ . F3 �A DEF T. DA. 'E: 5.26 .f -dfi eery lumber company To , z r Z A Century of Performance +integrity _:7®- f graylumber.corn From Date3k,//Z. d OF PORT ANG-IES — CQnsc";"eEion Plans he Issuance of this permit based upon these plans, splcifi- _ x. . .. cations and other data shall not pr-"Int the building of,icial from thereafter requiring the, correc ;on of errors in said p .'ons and other data, or from preventing qan., spspecifications�� building operations being carried 'o.; therein+der when in violation of ail codes and ordieances of this jurisdiction. -LC0O j.Lti _.1 O By Approval Date / 0 j" fit � T Via 10� - ut r,j (•;J L �ra ftiY� fit n rT' 1 LI J �- 1 1 2- dW 9 —, 4F qr�^ x I0x r 1 sS i G z: on b. 0 ffl": tative LIE)STAKN'T M ENGINEERED !N®®D PRODUCTS da ber,corn - CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00000761 Date 6/14/12 Application pin number . . . 652118 Property Address . . . . . . 112 1/2 E 1ST ST 204 ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -3125 -0000 - Application type description CONVERT COMMERCIAL TO RESIDENTIAL Subdivision Name . . . . . . • Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 3860 ---------------------------------------------------------------------------- Application desc ADD DECK & DOOR TO RESIDENTIAL UNIT -------.--------------------------------------------------------------------- Owner Contractor ------------------------ DONALD & SANDRA BETTGER TTES COZI HOMES CONSTRUCTION INC 517 E 6TH ST 324 E 9TH ST �•r, PORT ANGELES WA 98362 PORT ANGELES WA 98362 i (360) 928-3475 (360) 452-9906 ----------- ---------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . ADD DECK/DOOR TO UNIT Permit Fee . . . . 123.75 Plan Check Fee 80.44 Issue Date . . . . 6/14/12 valuation . . . . 3860 Expiration Date . . 12/11/12 Qty Unit Charge Per Extension BASE FEE 95.75 2.00 14.0000 THOU BL -2001-25K (14 PER K) 28.00 Special Notes and Comments -------- June 14, 2012 1:27:46 PM sroberds. The proposal will result in a new door and deck to a second floor residential unit in the CBD. No land use issues anticipated. June 14, 2012 10:48:46 AM banders. OK 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 123.75 123.75 .00 .00 Plan Check Total 80.44 80.44 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 208.69 208.69 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 0 0 ncl,l & 2o - i'27 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 I Date FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab I Rough -In Water Line (Meter to Bldg) j Gas Line Back Flow / Water AIR SEAL: Walls Ceiling FRAMING: Joists / Girders / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling -t l Y' /d - Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall / Floor / Ceiling MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT. Separate Permit #s Parking / Lighting Landscaping Accepted By 177-C— c'rLL-- I FINAL Date FINAL Date SEPA: ESA: SHORELINE: Comments Accepted by Accepted by 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 B Planning 417-4750 Building 417-4815 T-Fnrmc/Rnilriinn nivicinn/Ri ildinn Permit PREPARED 8/28/12, 8:55:13 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/28/12 --------- ------------- -'- --__ _- — ------------- — -------------- ADDRESS . : 112 1/2 E 1ST ST 204 SUBDIV: CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452-9906 OWNER DONALD & SANDRA BETTGER TTES PHONE (360) 928-3475 PARCEL 06-30-00-5-1-3125-0000- APPL NUMBER: 12-00000761 CONVERT COMMERCIAL TO RESIDENTIAL ------------------------------------------------------------------------------------------------ PERMIT= BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------- — ---------------- — -- — ------------'- BL3 01 7/18/12 JLL BLDG FRAMING 7/18/12 AP July 18, 2012 9:26:56 AM hcatuzo. KEN W/COZI 460-0036 July 18, 2012 4:27:46 PM jlierly. August 28, 2012 8:47:42 AM hcatuzo. BL99 01 8/28/12 J BLDG FINAL August 28, 2012 8:48:05 AM hcatuzo. VINCE BETTGER 461-9635 ----------------------------------- COMMENTS AND NOTES ------------- PREPARED 7/18/12, 10:05:41 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/18/12 ------------------------------------------------------------------------- — ---------------— -- — ADDRESS . : 112 1/2 E IST ST 204 SUBDIV: CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452-9906 OWNER DONALD & SANDRA BETTGER TTES PHONE (360) 928-3475 PARCEL 06-30-00-5-1-3125-0000- APPL NUMBER: 12-00000761 CONVERT COMMERCIAL TO RESIDENTIAL ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS, '------------- —- ------ BL3 01 7/18/12 J BLDG FRAMING July 18, 2012 9:26:56 AM hcatuzo. KEN W/COZI 460-0036 ----------------------------- COMMENTS AND NOTES CITY OF -'"30RTNGELES WASH I N G T O N, U.S. 321 East S`h Street Port Angeles, WA 98362 P: 360-417-4817 F: 360-417-4711 hcatuzo@cityofpa.us Building Permit Application Project Address: 11atl�- a Is� 5� Main Contact: el � - cOz� RnY(� S Property Name Owner � ���� Mailing Address -�f i o, J w aV K City RT v'&Y- v ► ` Contractor Name, G' (� Y ► ti 7 Mail Z4r6 Coln► '5-T, City �PC) Y+ A r\ e)e{e-5 Contractor License # CM Rc, l o 03 For City Use Permit#la"� N LU LU wo oZ Date Received: (D - 1!:> ` 1-a- ® CV Q � CCC 0. z Date Approved: c9' l `f' (� UJ z m Phone # 4&o -cc z Phone Email State A Phone Email State WA - Expiration: Zip Project Value: Zoning: Tax Parcel #I Lot # $ X0&0' 0Co3ocx� 5 3 1/aS- Type of Residential. Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) ❑ For the following, fill out both pages of permit application: New Construction ❑ Remodel Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure I Proposed Bedrooms Proposed Bathrooms Yes ❑ No ❑ Project (.b yl veXS t U n -( YZnq C'O m 1'1 e -r u at � I -P,5 Description A-dd otec*- d00 4o pY-gCC* C, Re,,rrn t.{- -*- l 4 -VA I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned, and the fees forfeit. Date Print Name l Signature L -- � Ll - ! 7— !'1.L rC.j i� G-.�%}L� /.fiA' �/ JiG-✓1 L-- � �7.i'�•`° Residential Structures Area Description (SQ FT) Existing Proposed Minimum $ For Office Use value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck Garage Carport Other (describe) Area Totals Area Description (SQ FT) Structures) Addition Tenant Improvement Other (describe) Area Totals�.� Footprint (SQ FT) of all Structures: SQ FT Site coverage (all impervious + structures) Commercial Structures Existing Proposed Minimum $ For Office Use.— value lI' � Lot/Site Coverage Calculations Lot Size: % Lot Coverage Mechanical Fixtures % Site Coverage Indicate how many of each type of fixture to be installed or relocated as part of this proiect. Air Handler Size: # Haz/Non-Haz Piping # of Outlets Appliance Vent # Heater (Suspended, er-recessed wall) # Boiler/Compressor Size: # Hea : 1 coling appliance # repair/alteration Evaporative Cooler (attached, not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping # of Outlets: Ventilation Fan, single duct # Furnace/Heat mv/— Size: # Ventilation System # ForcedAir nit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel ga fpiff g-- # of Outlets: Water Heater # Medical gas piping # of Outlets: Water Line # Vent piping # Sew�L" a---, # Industrial waste pretreatment # interceptor Other (describe): r f of "- •IntegrIty To 4� 9- V - J A p `- graylumber.com From Date tlt?'Ma!t based UpOil iii.;se Nt;: �• Sti':�..il. ... ., - ... - .. he issuance at NS G iGriS anis ltni 44ut3 SJ 2 f said gni ;r-mn- i°i2 b!"ildb':r C2 G'!IGla) trc' n t V°rva? 8i r8qulr4"3 iliP, CO{{8 •" 3n .G. f- i G{S said a;r� Gi.:fr '1'{!z{:a. rr t;Ci'f ..'anttng c 2..IfICaiIGnS G12n `G, Cajrt.,1 't;; t1@{,'. wider Then in — - .- --- ---- --- . balding Gera bans v V1G;aa.iGn of ^ntl CGL�e' Cf this JliiiSGlCilGf1. ! b ;,$ tr� _ an; {Gaal �3iE Q�p(: �iGt� 01* & V! I 1. x k � pct l'ti s' ' t� _ l ' T, — ZX Sir k t,J l - )eoO u on . Sa - tative IDSTART(D 0 - e.;, _2 = 00 ENGINEERED WOOD PRODUCTS da I r gmber,com Cn7j J@iAZ' CONSTRUCTION 334 lE. 9th PORT M-GELES, ViA M,52 1A f JUN a202 R. f ANGELES CITY Of: P0 D BUILDING CITY OF PORT ANGELES — Constructio,1 rl.,ns The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in ,,illation of ail codes and or,inances of this jurisdiction CC) -76 C S�j I X�Q CO21 HOMES CONSTRUCTION 334 E. 9th PORT ANGELES, VIA 983S2 $'X -1 M E NS -CCk! Itt -3 CU STRUCTION 334 E. 9th FORT AINCELES, INA 93362 "Arl . . ... ..... �,/� "�f� _L�- _._ Imo'-��- l? �'�- r� �`: Wit-. FLOORS bolts shall be staggered from the top to the bottom along the horizontal run of the deck ledger. -The on -center spacing of the fasteners is the closest spacing for the two cases of deck ledger lumber tested as referenced in the commentary . for Section R502.2.2.1. In deck construction, a joist hanger or an- gle connector is commonly installed at the end of the ledger board to support the deck rim joist. Often these members are double 2x members (3 inch (76 mm) nominal width). The spacing of 2 inches to 5 inches (51 mm to 127 mm) from the ends will. allow the installer flexibility to locate the lag screw or bolt so that it does not interfere with the installation of the joist hanger or structural connector. Five inches (127 mm) will accom- modate an inverted flange double 2x joist hanger. R502.2.2.2 Alternate deck ledger connections. Deck ledger connections not conforming to Table R502.2.2.1 shall be designed in accordance with accepted engineering practice. Girders supporting deck joists shall not be supported on deck ledgers or band joists. Deck ledgers shall not be supported on stone or masonry veneer. -.*-This section clarifies when an engineered design is re- quired for the deck connections. Deck ledgers or band joists must not support the girders supporting deck joists. The deck ledger is prohibited from being sup- ported by stone or masonry veneer. R502.2.23 Deck lateral load connection. The lateral load con- nection required by Section 8502.2.2 shall be permitted to be in accordance with Figure R502.2.2.3. Hold-down tension devices shall be installed in not less than two locations per deck, and each device shall have an allowable stress design capacity of not less than 1500 pounds (66721). -:• The code requires decks that are supported by attach- ment to an exterior wall to be positively anchored to For SI: I inch = 25.4 mm. the primary structure, and be designed for both vertical and lateral loads. The vertical and lateral loads re- ferred to are code -prescribed loads such as dead, live, wind and seismic loads. The magnitude of the lateral loads to be resisted is not specified and must be deter- mined in accordance with accepted engineering prac- tice. Attachment only to the band joist may not be suffi- cient for the lateral loads. Positive anchorage of the deck joist to the floor framing addresses'this potential failure. Figure R502.2.2.3 shows a typical hold-down device that provides a positive connection to the floor framing for the lateral loads. This figure is based on a similar figure from FEMA 232. The required number and actual design of the connection to resist the lateral loads must be determined in accordance with ac- cepted engineering practice. A minimum of two hold-down devices, with a design capacity of 1,500 pounds (6672 N) each, are required for each deck. R502.2.2.4 Exterior wood/plastic composite deck boards. Wood/plastic composite deck boards shall be installed in accor- dance with the manufacturer's instructions. ❖ Wood/plastic composite deck boards are permitted for exterior decks. This section requires installation of these wood plastic composite products in accordance with the manufacturer's instructions. Installation in ac- cordance with the manufacturer's instructions is the best way to ensure that wood plastic composites per- form to the required design loads, and installation in- structions are an integral part of the manufacturer's la- beling program (also see commentary, Section R317.4). R502.3 Allowable joist spans. Spans for floor joists shall be in accordance with Tables 8502.3.1(1) and R502.3.1(2). For HOLD-DOWN OR SIMILAR TENSION DEVICE FLOOR SHEATHING NAILING AT 6 IN. MAXIMUM ON CENTER TO JOIST WITH HOLD -DOWNY III i �+ + ` + 1 + + + I; IFLOOR JOIST DECK JOIST Y FIGURE R502.2.2.3 "DECK ATTACHMENT FOR LATERAL LOADS ❖ See the comment6ry,f6r Section R502.2.2.3. 5-6 2009 INTERNATIONAL RESIDENTIAL CODE'® COMMENTARY ELECTRICAL PERMIT ` CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00001064 Date 8/15/12 Application pin number . . . 464152 Property Address . . . . . . 112 1/2 E 1ST ST 204 REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-1-3125-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use (Location Code 0502) Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Fire alarm trim ---------------------------------------------------------------------------- Owner RESULTS: Contractor DITCH DONALD & SANDRA BETTGER TTES HI TECH SECURITY INC 517 E 6TH ST 723 E FRONT ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 928-3475 (360) 452-2727 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL _ Additional desc . . Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . 8/15/12 Valuation . . . . 0 Expiration Date . . 2/11/13 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL -LIMITED 1ST 1500 SQ FT 96.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X _ _ _ Date: G:\EXCHANGE\BUILDING Pqi■ i ('rn. f'OR AUG 3 C) 29112 o1: ANGUES E1N t : 0N 13trflilirtri iidisarrn!€j:ia�cerittll ir!sgtect4can.s ELECTRICAL` 321 East Fifth st r-eei - 11.0. Box 11501 Port :i 98362INSPECTIONS Ph: (J60) 417-471; Fa -x: (37711) 417-471 i --�. Data — ,: z Mtfili-1-amiiy or Commercial' Plan: five-view May 28- Required, Please Con, plete PloctHq.-d dip. 1�,view Information Sheet JOb A ,kr **,—F- -ilw- AST � I [.�.L'P (Jil>:`,n Ci ?G4-Jc: 'va xbv-r 5�^n •.:x,r.,sa_ra , . wxcya ty +rvss --._v�,.,.. - ..... _ ._ .. Owner lnfcrmatieriCorttr�rytor lAorma�rrin, ��t3t1inC1 P',th"3f?-5S 't.z �� Fr..t F.'iatlal;r� i!.(fGi�Sa ^'s c?Rarr ",t Zip phe7ne s�oav: - : 3t tae-+�t .�K^ t,f�er254:.ro" � �Y-+.k t_sir_liSc: n f cX°3 "�iL`= sFiSir3:. Item unit c1-rargr~ tTty Toi r4 i ty inti sliecl by U" -;t 2ff9j srvicclFeeder 200 A=p 4 132,00 _ 5 Senricf,JFeeder 201400 Arria- a 180.00 _ _ __.. S SerricetFaeder 401-60 Anip S225.00 Servicei eeeer 60? -1000 Ami). $ 28x3.00 5 F--NiWIFeed ; direr SGW Amp- r -.r' Branch Cimuit W SeMop Fra S 5.00S Branch Cirtt,st VP0 Service Feeder S 74.00 S Each fditcnal B.n-cn Circuit S 5.00 �. S Branch Circuits r-4 a 85.00 _. $ 'temp. Service{ Feeder 200 Amp. 5102.00 S Terni? Service+Feeder 201-400 Amp, 3 121,00 _..-_ S Temp. Servicer`Fer-der 401.60D Amp. S 184.00 $ Temp. Service)F--et -r 601-1000 Amp S 385.00 portEri to Pottaf a•iva.t S 95.00 Sir3rVOwilne L:rghfing 11 88,00 _ _ _ _ c Sigrui CirctW Luritted E-Y'A y - ilii -Family S 63.00 Signal Olt& L rrited Energy f First 1500 sf - Commercial $ 96.00 Nate.: x5.00 for each additional 1500 sf Renewable Elec+,rirA Energy - 5YVA System or Leas $ 313.00 _- S Thevnuatat S 56.00 Nott. 55.00 for Sze; additiovs! T-Stat S Total Owner as defined by RCV1,19,28,261: (1} Owner will occupy the structtr,e for two years after ihia permit is finalized. (2) Oviner is required to hire an Oectiical contrarian if amara said property is for sale, rent or lease. Permit respires after six rrmonfhs of last bspec6brr. After reading the amore sta;emerat, I hereby certify that ffi ani tfie owrnet of the above Flamed pro ny or a licensed eiecWcat contractor, i am rmliing the electr-isal installa5on or alteration in compliarfce WM the electrical laws, IJ.E.C,, RCW. Chapter 19:28; WAC, Chapter 296-468, The City of Port Angeles k1unicipal Cine, and Utility Specifications and PAh+tC 14,05.050 regarding Electrical Permit applications, Signature of owner, electrical contractor or electrical adrninisirator: 0 carr 0 .r :t* U Credit CzrV ^:, a Mile Shirley f Gary r olibka � � X t�r:�t: ---- _l � 1 _r _�.. Oril12 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-47_35 Application Number . . . . . 12-00000780 Date 6/18/12 Application pin number . . 978720 511X, Property Address . . . . . . 112 1/2 E 1ST ST 204 COMMENTS. ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -3125 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Low voltage alarm ---------------------------------------------------------------------------- Owner Contractor DONALD & SANDRA BETTGER TTES ANGELES ELECTRIC 517 E 6TH ST 524 E. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 928-3475 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . 6/18/12 Valuation . . . . 0 Expiration Date . . 12/15/12 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL -LIMITED IST 1500 SQ FT 96.00 ---------------------------------------------------------------------------- Fee summary Charged ----------------- ---------- Paid Credited ---------- ---------- ---------- Due Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 t 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 511X, FINAL COMMENTS. PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION "4 . f Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING .0O3,*pO,w�F! ELECTRICAL INSPECTION WIRING REPORT - 417-4735 DATE: OWNE CONTRACT R ADDRESS 12 PERMIT # IN CT iMITf5o APPROVED NOT APPROVED ❑ DITCH .................... ❑ ROUGH IN/COVER ............... ❑ ' ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ .ti CORRECTIONS NEEDED: L_ r tA-1�PJfiZt'� 2--) NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - VPS, ry 06/15/2012 10:02 FAX 360 452 9265 Angeles Electric rr 100001/0001 Ir JUN 18 2�11111'21 �r CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL Building Division/Mectrical Inspections INSPECTIONS 321 East Fifth Street — P.O. Bou 1150 / Port Angeles Washington, 99362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: Multi- anvil or Commercial* _Commercial Addition /Alteration /Remodel /Repair* * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet �� Job Address: Building Square Footage: r Description of above ,�� may. �rr�, �l etc. - ✓c�i Owner InforM;tion Contractor Information Name: !N ?r _ Name: L � Mailing Address: City: !�� State: w p: dF 6Z Phone: Fax: Mani Add S &--A 1�Sr City: tr� State: ZiPi=360 Phone: LA -0 — n,6!/ Fax: Y4 A —4 License # / Exp. License # / Exp. Item Unit Charlie gty Total IG& Multiolled by Unit Charael Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201400 Amp. $160.00 $ Service/Feeder 401-600 Amp $ 225.00 $ Service/Feeder 601-1000 Amp. $ 268.00 $ Service/Feeder over 1000 Amp. $ 410.00 $ Branch Circuits 1-4 $ 86.00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Temp. Service/ Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201400 Amp. $121.00 $ Temp. Service/Feeder 401-600 Amp. $164.00 $ Temp. Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ SignlOutline Lighting $ 88.00 $ Signal Circuit/ Limited Energy — Multi -Family $ 64.00 $ Signal Circuit/ Limited Energy I First 1500 sf — Commercial $ 96.00 l $=• Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 $ Thermostat $ 56.00 $ $ 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. Signature of owner, electrical contractor or electrical administrator: ❑ Ccsm Chock _ nCard # W FILE- x Dated: 0110112012 ELECTRICAL PERMIT` CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000735 Date 6/12/12 Application pin number . . . 177195 Property Address . . . . . . 112 1/2 E 1ST ST 204 REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-1-3125-0000- on our excise tax form Application type description ELECTRICAL ONLY y Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . (Location Code 0502) Property Zoning CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 feeder 8 circuits ---------------------------------------------------------------------------- Owner DATE: RESULTS: Contractor DITCH ------------------------ DONALD & SANDRA BETTGER TTES ------------------------ ELECTRIC SERVICE ROUGH -IN 517 E 6TH ST 82 DRAPER RD PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 928-3475 (360) 452-6424 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 160.00 Plan Check Fee .00 Issue Date . . . . 6/12/12 Valuation . . . . 0 Expiration Date . . 12/09/12 Qty Unit Charge Per Extension 8.00 5.0000 ECH EL -BRANCH CIRCUIT W/FEEDER 40.00 1.00 120.0000 ECH EL -0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged ---------- Paid Credited -------------------- Due ----------------- Permit Fee Total ---------- 160.00 160.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 160.00 160.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X r `� Date: G:\EXCHANGE\BUILDING "` JAN -19-2004 0i3:46A FROM:ELECTRIC SERVICE 4526424 I� j� CITY OF PORT ANGELES PERMIT APPLICATION + Building Division/Electrical Inspections 321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 91%2 Pb: (360) 417-4735 Fax: (360) 417-4711 ! i�tI� Date: / _ 4�ngle Family Dw tring TO:4174711 Plan Review May Be Requited, Please Compete Electrical Plan Review Info ation Sheet Job Address: i ! Z t'+ �3T Building Square Footage: Sao Ei U i� Description of above t I +I Wt ,r � ^^• 11 �! ELECTRICAL INSPECTIONS P.1/1 Owner info stion tract r nformatlon Name: V�� N -C- , y lC J� _ Maiiing,$ddress• M N Address: City: o+- State: _�~ Zip: Cl R-1 G t� C State: Zlp: Phone: 6 ' %S ex: P o ia. Fax: Ueense # / Exp L ise # / tarp. Item Un ha a �.ty Totat Riau Multiplied by Unit Charao) Service/Feeder 200 Amp. $120.00 i $ t .J- o Servlce/Feeder 201.400 Amp. $146.00 $ Service/Feeder 401-600 Amp $ 205.00 _ $ Service/Feeder 641.1000 Amp. $ 262.00 $ Service/Feeder over 1000 Amp, $ 373.00 $ Branch Circuit Wf Service Feeder $ 5.00 _ $ Branch Circult W10 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 S Temp. Service/Feeder 601.1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/ Umited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 5G.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 S 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ t rao z Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two ye after this electrical pemdt Is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sate, rent or lease. PermV i�pires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above I! red property or a licensed electrical contractor. i am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., I W. Chapter 19.28, WAC. Chapter 296468, The City of Port Angeles Municipal Code, and UU11ty Speciticalions and PAMC 14.05.050 regarding t I ctrical Permit Applications. Signature of own eiec0, I wntractor or electrical administrator: i ❑ cnh ❑ Check j ❑ credit CaM0 In - 24 r - L` -`_ R" 4rtrfd: 24 r 1 011011012 I JAN -24-2004 07:03A FRON:ELECTRIC SERVICE 4526424 �I 1 \ V.,,- F- c- " ;''Lr � cv- TO:4174711 P.1/1 I q u% 3oflp Gl ldv% 300,D 33 til@ 3r 7c, i All k !i t —I 3-4-60 Gr 06 V-606 r 00 1®ob I 6000 i , -7-00