The URL can be used to link to this page

Home My WebLink About1124 E 4th St - Building•PREPARED 2/05/10 8 46 08 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/05/10 ADDRESS 1124 E 4TH ST SUBDIV TENANT NBR PATRICIA FLOOD CONTRACTOR PELLET HEAT CO PHONE (360) 457 4406 OWNER PATRICIA FLOOD PHONE (360) 460 6946 PARCEL 06 30 00 0 1 7815 0000 APPL NUMBER 09 00000657 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 7/15/09 JLL MECHANICAL GAS LINE TIME 01 00 7/20/09 AP July 15 2009 9 00 25 AM 1pangrle MIKE 457 4406 GASLINE AFTERNOON July 20 2009 3 50 19 PM jlierly ME99 01 2/05/10 JLL MECHANICAL FINAL TIME 01 00 S /9 February 2 2010 3 21 23 PM 1pangrle t PAT 460 6946 MECHANICAL FINAL GAS FIREPLACE AFTERNOON PLEASE INSPECT BETWEEN 12 00 2 45 PM OR AFTER 4 00 PM PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES ocyz L-5 )(in (D PAAe'r °°fr\i PREPARED 7/15/09 9 07 46 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/15/09 ADDRESS 1124 E 4TH ST TENANT NBR PATRICIA FLOOD CONTRACTOR PELLET HEAT CO OWNER PATRICIA FLOOD PARCEL 06 30 00 0 1 7815 0000 APPL NUMBER 09 00000657 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 7/15/09 SUBDIV PHONE (360) 457 4406 PHONE (360) 460 6946 MECHANICAL GAS LINE TIME 01 00 July 15 2009 9 00 25 AM 1pangrle MIKE 457 4406 GASLINE AFTERNOON COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL A GAS FIREPLACE Owner PATRICIA FLOOD 1124 E 4TH ST PORT ANGELES (360) 460 6946 Permit Additional Permit pin desc number 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 WA 98362 09 00000657 533437 1124 E 4TH ST 06 30 00 0 1 7815 0000 PATRICIA FLOOD MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 2882 Contractor MECHANICAL PERMIT INSTALL A GAS FIREPLACE 149559 121 30 7/14/09 1 /10 /10 Plan Check Fee Valuation BASE FEE ME STOVE /FIREPLACE /MISC APP ME FUEL GAS PIPING 1 5 OUTLETS ME REINSPECTION FEE Date 7/14/09 PELLET HEAT CO 230 EAST 1ST SUITE C PORT ANGELES WA 98362 (360) 457 4406 Permit Fee 00 Issue Date 0 Expiration Date Qty Unit Charge Per Extension 50 00 1 00 10 6500 EA 10 65 1 00 10 6500 EA 10 65 1 00 50 0000 HR 50 00 Fee summary Charged Paid Credited Due Permit Fee Total 121 30 121 30 00 00 Plan Check Total 00 00 00 00 Grand Total 121 30 121 30 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 fora period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting ofa prr?.:t does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the perforrnar ce c4nst u, ion. "l tel 9 _u �A� Date Print Name Signature of Contractor or Authorized Agent i 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 Date Accepted By I Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING 'Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water 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 Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping I SHORELINE. FINAL Date Accepted by 0Z 0q 10 FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE PB Date Accepted By 07/01/2009 01 28 13604520503 SPA SHOP PELLET HEAT *Heat System a. Other Floor Areas 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) 4174711 Applicant or Agent 2_0 PipE.c:t,:i' 14.61-7 Co Owner P4r FL_ooil• Owner's Address i 12 y L `IC Contractor/ mime!' 3&.t.ix Cb Contractor /Euginee s Address 23o--- 64.5-r AR- r ST_ License 6&Omj' PROJECT ADDRESS /124 g Parcel Number aeo3 1 7'/.)0000 Prolect Tvoe Brief Description. Check all that apply o New Construction o Addition o Remodel o Repair o Re -roof o Demolition o Sign o Residential o wall- mounted a projecting o freestanding o awning o other Total sign area sq, ft. Maximum allowed sign area sq ft. o Heat pump o wood- burning stove Itif.gas fireplace o pellet stove o other Existiriq (sq. ft.1 Posed (sq. ft.) Basement Floor 2nd Floor 3` Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq. ft. Lot size Max, height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft. a Commercial Occupancy group Occupant load Construction type Phone 3t7o (6') -ysroG Phone o (4 3(L( i/goc• Expires N =0-// Phone For City Use Only Date Received L„1 —O`. Permit 09 (S7 Date Approved Lot 7 Zoning Multi family o Industrial per sq ft TOTAL VALUATION 2 p p2.. sq ft. Lot coverage of bedrooms of full baths of half baths PAGE 02 I have read and completed this application end 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 permi to rk a on projects. Date' -1 O Print Name Mid- P-0t-6/6- Signature ,,,i,,, T Form, /Building Division/61dg Permit Appl -2006 Code.doo s~ . ~r~ 1 ' , mb App lcatlon Nu er CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~2' EAST 5TH STREET. PORT ANGELES. WA 983(,2 er 05-00000448 895616 1125 E 4TH ST 06-30-00-7-9-0315-0000- RES REMODEL Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation RS7 RESDNTL SINGLE FAMILY 7700 Owner Contractor GRALL, RENNE' TTE 710 E SCRIVNER RD PORT ANGELES (360) 457-1000 OWNER WA 983628922 ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL SIMPSONI 200 SVC + REWIRE 53744 SIMPSON ELECTRIC 78.70 - Plan Check Fee 7/08/05 Valuation 1/04/06 .00 o '- """'-.. Other Fees STATE SURCHARGE 4.50 ~ ~ Qty 1. 00 unit Charge Per 78.7000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 78.70 ---------------------------------------------------------------------------- ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 78.70 78.70 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 83.20 83.20 .00 .00 ~ '. '- \~ V\ :\ 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 INSPEC110N TYPE DATE COMMENTS NO 1(1.11-0'1-' GENERAL COMMENTS: PW-I 102.1' 141961 OS/29/2005 22:53 4579270 SIMPSON ELECTRIC PAGE B1 0~\ ~ ~l l Electrical Contractor 0 Owner ........."" o Annual Permit D AIDrm 0 Carnival t:J Commercial ELECTRICAL WORKl'ERMlT APPLICATION 1:1 ReQuestInspection 6" 3 0 -0 5 ,., Residential CJ Re~ldential Malnt. CI SilP's (J Thermostat [J Telecom. Job ",ired by JA Electrloal Contractor C Owner Electrical contTaclor name Licen!\c numbCf ; en FJ'f'c:Hz"C ;)j~L Cf7.3 fC(jJ Purch3ser mailin.lt addres!l , ~4.3caL. -IJwLi (()J Ld City (J Stale ZlP PtJP..+ fJ~.e-/~ IAJA- tftf3t._~ Telephone number 0 FAX numbel' f!I= Installation description F\ 1.-<A. ) . '5"e 1"0" C -c..... J~, . '* }U I.,; ,.~ Lf<:J-77CJb r elec:trical administrator , o Cash C Check # ~Crcdit Card ~ Mastercard Discover Card # _ _ _ $6?\ F------------ Efxpiradtion ate Inspection fee? 0 o.car $~_ ov t '\) I hereby certify that I Am the owner of the above named property OT a licensed electrical contractor (or the firm'!; authorized agent) and am making the cJectrical insrallation or alterabon in compliance with the electrical taw, Chapter 19,28 RCW. x r CEIU"'G Jnsuli\tion Only Datc "pprovell Ay . /, ;{,.!ovcr .{7:...-O ~ ~~ ' ^11rfftved By "- ./ THERMOSTAT D~t~ ^pprovcd Ay 6~~ .;0 /"-II-O~ ~ OGle ^Alroved 9y r SERVICE 7/;~!o.r "UN " l'7ll1r ^Df'fO"lld By./ FEEDER ] '- O"t ^l'flf'Oved Dy WALlS Insulation Only .Dale ^1"r'l'tIved &y . Ii. /0 ...Cover A--w J ~, ^"~".y / IDe&.\tlcal Load ~ddl\lons Slld or 9ubtrac.llons o NO LOAD CHANG ES o Baseboard KW D Furnace KW CI Heat Pump Ton LAR o Fan.Wall _ KW t/7 S.ervlce Info=.8llon Q Overhead Service D Temp Service D Underground Service Voltage PhaseOl03 Sorvlce Size: .;;}po 1l"'fO Feec:ter Size: ln~pcction ID~tc "11<, I Area. Building or Equipment Inspected Aetlon Taken Elcl;trico.l In"pcetor C,10fA f'e.\ OG-A-t'M ~{.e.r "fo ,~ n1e..{.r:2.J c",-.,,.so-/ k. ~ Cerv e,reJ( A,wtc ~ ~S~ ~ () ~U" '''{,. f'l m..- c.r ~{) ~uPJ - /fa} 7-3-05" f ~ORT ~ ~4.0~~~ rea "-~ ~ ~lC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation Property owner Owner address . . . . 03-00000055 1124 E 4TH ST 0630000178150000 RES REMODEL Date 1/30/03 Contractor 2500 FLOOD PATRICIA/CARDIFFJEANINE 1124 E 4TH ST I, PORT ANGELES WA 98362 (360) 417 . OWENS PACIFIC Structure Information ------------------------- TYPE V NON-RATED SINGLE FAM & CONGREGATES Construction Type . . Occupancy Type Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 64.90 1/30/03 7/29/03 Plan Check Fee Valuation .00 o Other Fees STATE SURCHARGE 4.50 "- '""'-.. ~ ~ Qty Unit Charge Per 1.00 64.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 64.90 Fee swnmary Charged . Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.90 64.90 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 69.40 69.40 .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 atter the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [4/20021 I BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA T~ 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 ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN I WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 1&.D,eW ~ ELECTRICAL LIGHT DEPT CONSTRUCTION R. W./ PW/ . CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\I 102.15 [4/2002] <1VORr~ 1i ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number .. . Property Address ASSESSOR PARCEL NUMBER: Application descriptiOn Property Zoning . . . Application valuation Property. owner Owner address . . . . 03-00000055 U24 E 4TH ST 0630000178150000 RES REMODEL Date 1/22/03 Contractor 2500 0 \J-ea.hut-<<. co.....d,~~ fJo.ofr.ic..,'e--f'lood.. IIIJ.I/ 6. J.I'f" ( ) . . . . OWENS PACIFIC Structure Information ------------------------- TYPE V NON-RATED SINGLE FAM & CONGREGATES Construction Type . . Occupancy Type -----------~------------_._-----~-------------~---~-------------~----------- Permit . . . . Additional desc Permit Fee Issue Date Expiration Date BUIWINGPE~IT -RESIDmITUffi 106.75 1/22/03 7/21/03 Plan Check Fee Valuation .00 2500 ~.. ~ 1.00 BASE FEE 14.0000 THOU BL-2001-25K (14 PER K) Extension 92.75 14.00 ')J' -:t:.. Qty Unit Charge per ---------------------------------------------~------------------------------ Permit . . . . Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 54.25 Plan Check Fee 1/22/03 Valuation 7/21/03 .00 o \1i ... Qty unit Charge Per Extension 47.00 7.25 ~., 'f-.:' ~... BASE FEE 1.00 7.2500 ECH ME-VENT FAN __________~---M-------~-------_________________________________________~___~ Permit . . . . . Additional desc Permit Fee :Issue Date Expiration Date PLUMBING PERMIT 68.00 1/22/03 7/21/03 Plan Check Fee Valuation .00 o C/L ..:....1..\ .. F-) Qty Unit Charge Per Extension 47.00 21.00 BASE FEE 3.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP ..................... - -... ----,-;-- -... - - -- -------.--- ---......... -.-'" -.;. --.- ------ --... -- ----- -~ ------- ---- Other Fees STATE SURCHARGE 4.50 Fee summary Chal;ged Paid credited Due -_..~------------ ---....----- ---------- ---------- ---------- permit Fee Total 229.00 229.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 233.50 233.50 .00 .00 Separate Permits are required for electrical work. SEPA. Shoreline; ESA, utilities, private and public improvements. This permit becomes null and vold.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 inspeotlon. 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 goveming 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. CJJ\j ht-~ Signature'of Contractor or Authorized Agent Date Date Signature of Owner (if owner is builder) T:\PLANNING\FORMS\l102.1S {412002] I I -;<:~i ;.,:~\.( ':'"it'?''' ,_. "~.l BUIT..DING PERMIT INSfECTION RECORD "r" '''I'rver;; ,',;' ,',',' 'F ,,"" " CALL417-4815 FOR BUILDING INSPgCTIONS. PLEASE PROVIDE'AMlNIMUM24 HOUR NOTICE. IT'ISlfi'fIt4'fl?lJLl'ptGJjYER, INSU~TE ORCl!NCEAL :fHY..'!o.ilfBEf,ORE INSPECTED AND ACCEPTED. ',POST,PERMIT IN A CONSPICJ1;C:),USLQCA~p~N. "'-,, ~ "" ",' " ,,, "~"';;1:'h..l'""., "', KEEP PE~ITCARD AND APPROVED PLAN,S 4! JOB SITE, ;'{),l:,[,.:-:i?:/~"':B ,:/;;;uL;:,: .....,.....<; ,"., ,_, '.C~ ',_ ~z;..:,.'t:;.: ' INSPECTION TYPE , DATE ACCEPTED ,i" ;fi'."-"."",, -,: .;"..,.,,;.;'; I '" '""r,-, YES NO ,""i, ',F ",,,', FOUNDATION: " X ,,;qf;:,/,J'T';B;','i>; ,'7 FOOTINGS, ,,!Y:!;.G! ,--:;.;, ,,'es I ;,'l-,"r.e ~ ; 'j ,r 1-4'-'':':, ' " '('N' ';' , " ....... WALLS -.,:- , t"\- ..., FOPNDATlON DMlNAGE : , '" c,,', (LIGHT DEPT) SEPARATE PERMlT:ft .i, ',: -.,:- , ,,' ELEgRlCAL , ROUGH-IN , , I I ' I :, ,;,; , ", , " PLUMBING, ,,', '," , , UNDER FLOOR I SLAB " ROUGH-IN , (}l. '1-fA UI-) , , .',...., WATERLINE , GAS LINE " BACKFLOW I WATER , ,;:' ',:', ,', "" AIRSEAL ", - -c:- ,., WALLS CEILING " , " , FRAMIN(; ;; , ,j JOiSTS r GIRDERS , SHEAR WALL ":;>,;) " WALLS I ROOF I CEILING / '':"~I-07 J. J;c H DRYWALL " ,,',' ", T-BAR " , ' " , " INSULATION "; ,,' " "',!:,J'" SLAB I ,'" , WALL I FLOOR I CEILING I , MECHANICAL .; ," .; ,... HEAT PUMP "f' ,'ce. t WOOD STOVE I PBLLET I CHIMNEY " HOOD/ DUCTS , 'r " PW UTILITIES I ,SITE,WORK (Engineering Division) SEPARATE PERMIT #'5: .,. ',' " WATERLINE I METER , '. SEWER CONNECTION ,,' SANITARY ,.' , STORM .... '. PLANNING DEPT. SEPARATE PERMlT#'s SEPA: PARKlNGILIGHTING ESA: LANDSCAPING . " SHORELINE: . , '.~.._, I', , ,\,''0\',f " ,'; , , T FI)I{AJ..INSP~PT!ONS REQUIREI),PRI9lHR 9CCUP~fV:Il/SE,'; "-'i;"-i;o.,',-, , "C ..;:' """; i' 'i)' 'RESII)ENTIAJ.; :', '" ." DA.TE';' , ., YES NO:. COl\fME~CIA~ . ':', /~};~~(,1C;;EP1'ED . i', Ih " I,,, ,:"::'d: :'-'':?:, ", 'f" i~'/ ......,. .'t'VES': NO '. L " ,,'-,,- ---c :, ,,"". .EI.E2nlitXt':.,,,,; . ',)\ ...y ""':1'1 """ ELECl'RICAL:-;.LIGH1;DEPT. :". 417-4735 ",. ."iL '+'; ." '.' .,: ~,)._~/:;", " ~,. " tIGHT DEPT:;::, ?. . CONSTRUCTION R. W.I PW/' , CONSTRUCTlONtR.W. : .' ; 'i ENGINEERING 417-4807 PW I ENGINEERING : .... 7 -,;;;:-, " \ . ,":\ FIRE ..' 417-4653 . FIRE DEPT, " "~\ 1-\ ~"~:"'."'''' PLANNING DEPT. 417;4750 c;t#.II...... . '';I,: PLANNING DEPT. "'--- ". ',",1, ',.. .~. ",,' ., .,..":, '.,' " BUILDING '. ..Mo. I. : I 1 f1I<' ,i ." 417-4815 BUILDING . .,..,...,..- -r -z::. T:\PLA.NNING\FORMS\1102.IS [4/2002J BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: I ~~ 3 Permit #: 5S Date Approved: Date Issued: ~~ The Building Permit Application must beftlled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent: Owner:Je4nl~~ Address:~ E. Jed.~ H\ at. Car~ ,-J.t '+~ Ca'd'.U .. l-i..m'CIA.. E.J80~ City:-'pA- Phone: ---.911-- 8 i ':1--0 (w) Phone: ., Zip:-1 ~ 31.2.. Architect/Engineer: Contractor <R4t\a~ nWGt\J Address: PROJECT ADDRESS: ~ to LEGAL DESCRIPTION: Lot: 4- CLALLAM COUNTY PARCEL NUMBER: Billing Address: Credit Card #: ~~~c' Phone: Exp: Phone: City: 4~~ ZONING: RS-::J. Block: I:a. ~ Subdivision: T P A 0" 3 000 t) 11 Ill5 Credit Card Holder Name: ~An i' ",e L-. c.rd....fJ: City: Exp. Date: Zip: VISA MC SIZEN ALUATION: SF. @ $ /SF. =.$ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ ~~. o.c TYPE OF WORK: )( Residential 0 New Constr. o Multi-family 0 Addition o Commercial :Bl Remodel o Repair ORe-roof o Move o Demolition o Sign o Wood-stove o Garage o Deck o BRIEF DESCRIPTION OF THE PROJECT: AtlA \)A.+hrooM. l.J,s.tao,~~ COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: % /sq. ft. = TOTAL LOT COVERAGE: APPROVALS: PLAN BLDG. DPW FIRE ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must beftlled out completely to be accepted for review. The Building Division can provide you with more. detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. No. of Stories: Lot Size: Existing Lot Coverage: PLANNING USE ONLY: Notes: % Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. 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: Your plan cIieck fee is due 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: Ifno permit is issued within 180 days of the date of application, this 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 107.4 of the Uniform Building Code, current edition). 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, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. APPliCMtr HI! Date: V22./03 . , I T:\FORMS\APPS\8uildingpermit CITY OF PO~T ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: ~ Date I - / t - () 3 Time Received by C7\ (phone, person) location of Work to be inspected / / L- C{" b ~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate on~ Permit No.! Sewer Foundation Framing Chimne.~ ;:~I ;~er Excav. Other INSPECTION NOTES: ... Inspected: Date 1- /7-~ -=s Time By R l/ Remarks: -6- 6 '2.-,,0 RESTORATION REQUIRED . . . . .. YES NO /Jo 117U1/r V~ RcJH8 O.uv6CY CJfC f2;wD( ~ ---- --- SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel 0 Asphalt 0 PCC o Other D Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) , f CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS L- . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date / - :3 / -6'5 Time Received by (phone, person) Location of Work to be inspected 1/2 V' E.. Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle a ropriate one): Sewer Foundatio Chimney Plumbing ~ Phone No. Permit No. Final Sewer Excav. Other ~ ~ INSPECTION NOTES: Inspected: Date I - .:3/- 0 .3 Remarks: Time By @),~ ,., RESTORATION REQUIRED . . . . .. YES NO -.? , __ \ t- , . 1.JC)/U-1 ' SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City D Repaired by Permittee D No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DA TEl 1-2.1-203 1, 15PH L1;"-J \ FROH ANGELES ELECTRIC INC 360 .152 9265 ELECTRICAL PERMIT APPLICATION P,l The Elecl!ic;;:)1 PeHnil ApplicDtlon must bCL!!lll!d out completely. I'OR OH1(1AI. \IS!; ONLY' V~'~/Rt\': r.,m~ .: VJlf'i\N",,".tI:_____. I)llt 1~~\ll't1' -, Please type or reprint 'fllnk, If you have ROY qu{'stjon~, pJea$e call (360. 417-4735 Fax number: (300) 417-4711 03 - s-S- REQUEST INSPECTION 0 O~"er or Elec, Con".clor Agen!: II NCELES-,EI.I'T'I'IUC-l Nr Prope"y'owner:, 'JtMJIN~ ~~.(~ Address: J J t 'I 13, <+---.s-r. . Phone:4S7-1l)(,4 Fax: 4S7-1l)('S !.f17-m~ Zip: 'j~b 'J... 10 0.\ \ q Electrical COrllraclor: IINGELES ELECTRIC INC. . Phone: Cily_roa- A0~) ~ l\NGF:[,!':14 60RS Lkenso II: Exp:_ Phone' 4C;7_Q1r.4 Address; 524'EASl' FIRST CilyLQRT l\NGEL,f.S. WA Zip: 98362 INSTALLATION WinED BY: UOWNER X\<'LECTRICAL CONTRACTOR Credit Card Holder Name: Tr.><l-Simps.cw c"'Q a ' , , , Zip: VISA:_MC: V" Billing Address: ' , PROJECT AOORESS, li'2~ ~ LJ-\.. '" f]~ o Resldenlal 0 Multi,family 0 Co ercial' 0 Mobile, Home Sq. Ft. o Remole Meier 0 De~hed g~ag n ot Tub [1 Swim Pool 0 Septic Pump 0 Low Voltage Number of CirCUIts added J,. aller __ ! . DESCRIPTION OF THE ELE 'Ii ICAL PR CT: ;2o....I_'O,L.;<<; ~" a~:'<./1"Y>A,j;,. - ..4-e-IAI~P ~~I . (~ TYPE OF WORK: ' Check alllhat app o AlterationlAddition o Telecom, 0 Sign 1[; 'f 2.Q.. Electrical Heal'Load Additions c161. qo Service Informatlon o Baseboard o Furnace o Heal Pump LJ Fan,Wall _KW KW _KW _KW ~;)ead Service o Temp Service o Underground Service Vollage: ~</2 Phase: " Service Size: ~/. Feeder Size: ~- 'l'~ -?f DAMe 14.05.060(8): F~r industrial. commercial. & residential projects larger than a duplex, a one M line drawing of lhe Electr1cal Service & =-eeders. building size (sq. ft), load calc"Jlalions. end the type & of con due lots and/or raceway is required and shall ~ccompany the :.Ieclrical Permit application. L , hereby certify thai I have read and flxamined this application and know that same to be true and correct, and I am lUlhorized 10 apply for this permit, I understand it is not the City's legal responsi o determine what permits Ire required; il remai nd to obtain such. 'F~,~ J\,;qM eI"",R><o- G..c-N~ ~ F/.d ~? 6b 4<;:;' ""'~ , Credll Card Holder's Signature: JW. J~ ~ Jr,n J ,~ Date, Owner or EII,e, ConI. Signature: Date: W-9019 diPa~cO~ '/-?<"-/'l?