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Home My WebLink About1022 E 5th St - BuildingPREPARED 5/09/07 12 14 17 INSPECTION TICKET PAGE 15 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/09/07 ADDRESS 1022 E 5TH ST SUBDIV TENANT NOR WARREN MILLS CONTRACTOR REDI CONSTRUCTION PHONE (360) 452 4582 OWNER MILL WARREN S III /NANCY PHONE 36) 452 6830 PARCEL 06 30 00 0 1 9215 0000 APPL NUMBER 07 00000436 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL8 01 5/09/07 al d DL O ROOF 7 05/08/2007 01 04 'PM LPANGRLE MARK 460 9491 ROOF 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 Owner Contractor MILL WARREN S III /NANCY 1025 E 6TH ST PORT ANGELES WA 983624115 36) 452 6830 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF AND INSTALL ROOF Permit pin number 100255 Permit Fee 109 75 Plan Check Fee 00 Issue Date 4/25/07 Valuation 2200 Expiration Date 10/22/07 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL -2001 25K (14 PER K) 14 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 109 75 109 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 114 25 114 25 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 clays after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give autho_ to violate or cancel the provisions of any state or local law regulating construction or the performance of construc n. ignature of Co ractor or rized Agent Date Signature of Owner (if owner is builder) Date T \Policies \I 102_15 building permit inspection record05 wpd [I/4/2005i CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000436 882896 1022 E 5TH ST 06 30 00 0 1 9215 0000 WARREN MILLS RE ROOF RS7 RESDNTL SINGLE FAMILY 2200 REDI CONSTRUCTION 1032 E 4TH PORT ANGELES (360) 452 4582 Date 4/25/07 WA 98362 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAP WALLS WALLS FOUNDATION DRAINAGE/ DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -1N WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS 1 F SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE FINAL DATE ACCEPTED BY. WOOD STOVE /PELLET /CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING &HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT /Ps SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W 1 PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BUILDING 417 -4815 r� 5 q o I 43 Li-- BUILDING T \Policies11102 15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION .ECOkD C> CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -473 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER, INSULATE OR CONCEAL 4NI' N''ORli BEFORE INSPECTED 4ND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. O N N m PLANNING USE ONLY APPROVALS PLAN BLDG DPWU ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other. F. OTHER Applicant or Agent: R DI C6v, S c_ IL) c wta 1 1 A 41 6 Phone. City p j it)* Zip 9836 2 Architect/Engineer. Phone: State License REO Llitt 6dfVvillExp 7 74" Phone. 416 -9 4' 9 Owner Address. Contractor P rfl r -Co)hn, Address: PO, go( (27 PROJECT ADDRESS (b 2. Z Phone. YLb 9 5' 9 Cit P.14 1.x`4 Zip elg3G Z ZONING LEGAL DESCRIPTION Lot: Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Re -roof Stove Multi family Addition Move Garage Commercial Remodel Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT COMMERCIAL/RESIDEN T Occupancy Group No. of Stories. Lot Size: Total lot coverage T\FORMS\BldgPermitform.wpd Applicant: BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Existing Sq. Ft. SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION 720P v`? VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit apphcation and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of apphcation, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 1 hereby.certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that 1 must obtain such permits prior to work. Occupant Load. Construction Type Proposed Sq Ft. Date: Z' o FOR OFFICIAL USE ONLY Date Rec. 04-25 -o7 Pennit q 3 6 Date Approved: 04 2-55 -61 Date Issued: o y -i--�7 TOTAL Sq Ft. 61c.ig6,1 47# nitr:,44 4 3 7 i14:74- ■M) 44* Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning Application valuation Owner DAVIDSON LYNNE E 1022 E STE ST PORT ANGELES T:\PLANNING \FORMS11102.15 C1TY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 4/2002] WA 983624115 03- 00000150 1022 5TH ST 0630000192150000 FIREPLACE/ INSERTS /FREESTANDING 2800 Contractor PELLET HEAT. CO. 230 "C B. 1ST PORT ANGELES (360) 457- 4460 to 2/18/03 WA 98362 Permit MECHANICAL PERMIT Additional +dear Permit Fee 50.00 Plan Check Fee .00 Issue Date 2/18/03 Valuation 0 Expiration Date 8/17/03 (qty Unit Charge Per Extension 1.00 50.0000 BCH ME -WOOD STOVE 50.00 Fee Summary Charged Paid Credited Due 1 Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public im rovements This perriiit becomes null and void if work or construction authorized is not commenced within 180 days, if construction Or work is wisps► std or a# ndoned for a period of 180 days after the work as commended, or if required inspections have not' been requested within q80 days frolic the last inspection. 'I hereby certify that I have read and examined this application and know the same to be true and carved, AlLprcoditions 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 bf 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 CAUL 417 -4815 FOR BUILDING INSPECTION& PLEASE PROVIDE :A MINIMUM 24 HOUR‘NOTICE: IT IS UNLAWFUL TO COVER, INS I ATE'DR CONCEAL ANY WORK BEFORE INSPECTED ANA ACCEPTED: FOST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FOUNDATION: FOOTINGS WALLS FOUNDATION ELECTRICAL ROUGH—IN PLUMBING UNDERFLOOR ROUGH -IN WATER'I.INE GAS LINE BACK FLOW WATER AIR SEAL INSPECTION TYPE DRAINAGE HT DEPT) SEPARATE PERMIT: WALLS CEILING 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 UTW T1FSY SITE WORK (Engine ng Division) SEPARATE PERMIT #'s: WAS METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING R ES I DE N TI A L ELECTRICAL LIGHT DEPT. 4)7-4735 CONSTR CTI N LW. PW/ ENGINEUM 417 -4807 FIRE PLANNING 417 -4653 417-4750 4174815 DATE $FTI(1A1$ WOE= PRIOR TO OCCUP*ICYAJSE ACCEPTED YFS 1 NO NO SEPA: ESA: SHORELINE: COMMERCIAL, DATE PW TI2N W FIRE DEPT. PLANNING DEPT. BUILDING T :\PLANNINGWORMS \1102. [4/2002] BUILDING PERMIT INSPECTION RECORD Jf-� 2- 13 -03; 7 :04PM FROM SPA SHOP- PELLET HEAT CO FAX NO. 3604520503 BUILDING PERMIT APPLICATION TYPE OF WORK: Reildnetial Multi- familif n Commereid The Building Permit Pre-application dust befitted out Completely. Please type or print in Ink. If you base any questions, please call 417 -4815 PROJECT ADDRESS- l O LEGAL DESCRIPTION: Lot Block CLALLAM cumin AR Bitting Addrwre• �3o e. l�sf Frrsfi .5�. Credit Csrd tN D Al Fr LL 3604520503;# Feb. 13 2003 06:18PM P1 FOA OFFICL4L U§S ONLY: Pemilt Data A�psmowed: Dam issues; Applicant and/or Agent /'f7� Y oLZt'� �Pc �-q�► Owner-..t Address: f r2 2 Z C S TTS Si". City: l ms ile Architect/Engineer. Contractor R.) to a License F i1 E NGo $ro"+ Ex g 4' 3 Phone: 340 4'5 7 4 Vat Address: 30 a.sf 'r iL City o n A.. .7,o/`A f 4/ P Zip: cj 3 z G r Phone: Y '7 o4 Phone: 5! S z Zip: 5 S 3 Phone ZONING: Y Subdivision PARCEL CradoCardRaiderName: M.chac.L [14. iege4-3 roe City: P42-S- /30%-re./...4 i.s/h Sap. Date: MC J SIZE/VALUATION: o New Constr. a Ro-roof a Woodstove SF. S ./SF. a S 0 Addition 0 Move Omega SF. S /SF. S 0 Remodel o Demolition Deck SF. a(Q S ISF. o RoPair 0 Sign QV TOTAL VALUATION 5 V o o, o o BRIEF DESCRIPTION OF THE PROJECT: S 1-o `4e. COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load:, No. of Stories: Lot Sim •.4 Lot Coverage: dating Lot Coverage: /sq. +Proposed Lot Coverage: PLANNING USE ONLY: Notes: APPROVALS: Coltstru Type: /sq. ft. TOTAL LOT COVERAGE: lsq.ft PLAN BLDG. DPW O Yes O No 31?PA Checklist required? o Yes No other OTHER BUILDING APPLICATION SuBMI.TTAL: Yaw application and site plait mast be filled ota completely to be accepted fat review. The Building Division can provide you with more detailed Information on the application end plan submittal requirements. BUILDING. PERMIT APPLICATION SUBMI'TT'AL: Your completed application, aite plan (for additions) and building constructio plans are to be submitted to the Building Envision, VALUATION OF CONSTRUCTION: In all eases, a valuation amount must he emend by the applicant. This figure will be reviewai and may be revised by the Building Div. to comply with current fee schedules. Contact the Permit Coordinator at 417 4515 for assistance. PLAN CHECK FEE: Your plan check fee is dna at the time the building permit application, and construction plans are 'submitted. All other permit fees are due at the time of portrait iesua ice. EXPIRATION OF PLAN REVIEW: if no permit is issued within 180 days of tic date of application, this application will expire by Limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than mice. I hereby cort6 that 1 have rend and cumtbted this applteafion and know the came to be true and correct, and I am authorized to apply for this permit. I understand it is not the Clty''s legal responfibillry to determine what permits are requires 11 remains the uppitcant'.r responsibility to determine What permits are required and to obtain such pw 10Z_ i3irers/o ll Applicant Date: PREPARED 4/08/04, 12:48:15 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/08/04 ADDRESS 1022 E 5TH ST SUBDIV: CONTRACTOR PELLET HEAT CO. PHONE (360) 457 -4460 OWNER DAVIDSON LYNNE E PHONE PARCEL 06-30-00-0-1- 9215 -0000- APPL NUMBER: 03- 00000150 FIREPLACE/ INSERTS /FREESTANDING PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 9/16/03 JLL MECHANICAL FINAL 9/17/03 DA final pellet stove 452 -8505 no answer at door left card and message at 452 -8505 to call and re- schedule /jim ME99 02 9/17/03 .in MECHANICAL FINAL 9/17/03 ME99 03 4/ 8/Q4 JLL MECHANICAL FINAL PELLET STOVE COMMENTS AND NOTES PREPARED 9/16/03, 12:25:00 INSPECTION TICKET CITY OF PORT ANGELES PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 9/16/03 JLL MECHANICAL FINAL b final pelle sto 452 -8505 INSPECTOR JAMES L LIERLY ADDRESS 1022 E 5TH ST CONTRACTOR PELLET HEAT CO. OWNER DAVIDSON LYNNE E PARCEL 06-30-00-0-1- 9215 -0000- APPL NUMBER: 03- 00000150 FIREPLACE/ INSERTS /FREESTANDING COMMENTS AND NOTES SUBDIV: PHONE (360) 457 -4460 PHONE a 0 101111 (12_,D PAGE 3 DATE 9/16/03 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 04- 00001081 Date 1/12/05 Pin number 649916 Property Address 1022 E 5TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 9215 -0000- Application description MECHANICAL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 5450 Owner Contractor MILL, WARREN S III /NANCY 1025 E 6TH ST PORT ANGELES WA 983624115 (360) 452 -6830 PENINSULA HEAT 502 W. 8TH ST. PORT ANGELES (360) 457 -2775 WA 98362 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit Fee 60.70 Plan Check Fee .00 Issue Date 11/19/04 Valuation 0 Expiration Date 5/19/05 Qty Unit Charge Per Extension BASE FEE 47.00 1.00 13.7000 ECH ME- REPAIR /ALTER /ADD APPL. 13.70 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc THERMOSTAT Permit Fee 36.40 Plan Check Fee .00 Issue Date 11/19/04 Valuation 0 Expiration Date 5/19/05 Qty Unit Charge Per Extension 1.00 36.4000 EC EL -LOW VOLTAGE 36.40 Fee summary Charged Paid Credited Due Permit Fee Total 97.10 97.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 97.10 97.10 .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 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 [11/14/2003] INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: ROUGH -IN 1 1 1 PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY SEPA: ESA: SHORELINE: STORM PLANNING DEPT. SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 4815 30-05 j 1-- L- BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL 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. T:\PLANNING\FORMS \1102.15 11/14/2003] Fill out COMPLETELY and in INK. Your application and site,plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417 -4815 Applicant or Agent: 014 1 644e 1TWJ f ?il' Owner: V it a r i-e✓l N t t 5 Address: 2-2_ t-- 1 h Architect/Engineer: Phone: Contractor Pen Ly/1 Si Ai L(, PF,TA t License 1 th j Phone: LI 5 a 72 Address: 502 I/l. D e- City: P) 4Ylt1/ S Zip: 36 PROJECT ADDRESS: 1 622 fr 6 J ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit CardType VISA MC TYPJ OF WORK: C1Residential New Constr. Re -roof o Multi- family Addition Move Commercial Remodel Demolition p Repair Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: SIZE/VALUATION: Stdve SF. /SF. Garage SF. /SF. Deck SF. /SF. 0:4-15 TOTAL ALUATIO 1'e a PI.L (,p 1>1 s?LU GL 7e5{) l nv'lVD i COMMERCIAL/RESIDENTIAL: Occupancy Group: Existing lot coverage Proposed lot coverage T :\FORMS\APPS\Buildingpermit.wpd Applicant BUILDING PERMIT APPLICATION City: Po t �/tYtCa��S Total lot coverage 1 hereby certify that t have read and examined this application and know the sa e to be true a understand that it is my responsibility to determine what permits are requi d ,n the City's an FOR OFFICIAL USE ONLY: Date Rec.: 1 —O)-/ Permit I 0 8 Date Approved: Date Issued: Phone: 1 .46 7---2 7 75 Phone: L16 2 <c Z7 Zip: q2) 2-- Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. Proposed Sq. Ft. TOTAL Sq.Ft. PLANNING USE ONLY: ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other: ate: /I /Z APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. correct. I am authorized to apply for this permit and t I usf o in such permits prior to work. 0 H r t 4 r r r 0 3 q� u) n 3 r r rr 0101 01 0 o t1 r 01 H cr, 7i H H ro r 3 01 n o•• H co H 0 z 0 0 0 0 0 01 0 z n ro K ro CD H g o0 0 00 0 0 o t*1 0 H H CO 3 VI H cn ro H ti i H 0 H b1 d1 O CO 0 H H 0) 0 H 3 2 3 z z H C/3 0 0:6 0 0 0 7i H N 03 C H o g r n o 0 m o 01 x H H z C V) 3 rH b1 ioO n x H H H H O 03 ro 00� Z Z 0 V1 p1 0 w w o 0 0 0 a u10 N 1 03 N m-3 w -3 O V1 H 03 z03 01 03 03 n 0 0 00 x 4 H 0101 01 01 0101 H P1 0) r Application Number Pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning Application valuation Owner DAVIDSON LYNNE E 1022 E 5TH ST PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Fee summary 04- 00000926 801720 1022 E 5TH ST 06-30-00-0-1- 9215 ELECTRICAL ONLY WA 983624115 Permit Fee Total 133.80 Plan Check Total .00 Grand Total 133.80 T:\PLANNING \FORMS\ 1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 RS7 RESDNTL SINGLE FAMILY 0 Contractor OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457 -5303 133.80 .00 133.80 .00 .00 .00 Date 10/11/04 WA 98363 ELECTRICAL ALTER RESIDENTIAL ALTER SVC. 133.80 Plan Check Fee .00 10/11/04 Valuation 0 4/10/05 Qty Unit Charge Per Extension 2.00 66.9000 ECH EL -R OR RM 0 -200 ALT SRV FDR 133.80 Charged Paid Credited Due .00 .00 .00 r Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date N V 1 BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL 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. 1 INSPECTION TYPE FOOTINGS WALLS FOUNDATION DRAINAGE /DOWN SPOUTS DATE ACCEPTED YES I NO FOUNDATION: ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: COMMENTS 7 ROUGH -IN 15 [11/14/20031 rea 1 1 .T lal�:✓lfi�j.l Y 1 GI. 1 G PLUMBING -Clt1 (J UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY SEPA: ESA: SHORELINE: STORM PLANNING DEPT. SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT. 417 -4735 /P I Z ``C 17/C ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 .r•\ PT A NIATTXT/_\C/lo A ACS 1 n't BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL 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. 1 INSPECTION TYPE FOOTINGS WALLS FOUNDATION DRAINAGE /DOWN SPOUTS DATE ACCEPTED YES I NO FOUNDATION: ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: COMMENTS 7 ROUGH -IN 15 [11/14/20031 rea 10/08/2004 14:20 FAX 3604523498 OLYMPIC ELECTRIC PURr ANGELES Credit Card Number, Leda Card Holders Signature: Owner or Elea Cant Signature: ELECTRICAL PERMIT APPLICATION The E lecbtcei Permit Application must be Mite out com ofetelY. P lean type or reprint In 1nR If you have any questions, please sell (300) 417 Fax num bet (300) 417 4711 Owner w ewe_ ConeacmrApent Olympic Electric 0 0 Inc Phone: 457 -5303 Fez 452 -3498 r ertyOmer. Lynn r.- Pr1 r /S t /5 0/7 t1 Phone: 7 7 tt7 j /Address: 7 F S /4 City 1?"/ ///f filar ZIP .rr..CX.Z Electrical Contractor: Olympic Electric Co., Inc. Litersoe (diWE 1 Exp: 3/31/03 Phone: 457 -5303 Ashen: 4230 Tumwater Ply. Port Angeles ap: 98363 INSTALLATION WIRED BY: 0 OWNER b ELECTRICAL CONTRACTOR Croat Cord Holder Name: Charles T. Burkhardt, Olympic Electric Co., Inc. Wiling Address: Same City: Zip• PROJECT ADDRESS: O n j 27r f rr4f TYPE OF WORK: Check all that apply: 0 New NterelloNAddltton lfesidenttal 0 Multi-family 0 Commercial Mobile Home Sq. Ft. C 0 Rm eote Meter Wetached garage 0 Hot Tub Swim Pool 0 Septic Pump o taw Voltage 0 Telecom. 0 Sig -4 of Circuits added or altered: �J L, DESCRIPTION OF THE ELECTRICAL PROJECT: 2 2 P,, J /riir. /L r '4' *'rr— J' 7;7‘22 a yr7r. -r; /:iii, 7 75 Pei' -2 fiir/J ,-Tic Electrkel Load Additions and or subtractions Service Information 0 Baseboard KW Voltage: 5 plumate ja KW IB'6erheadService Phase: 0 3 onset Pump TON LAR O Temp Service Service Size: 1PlJ Fan -Wall KW 0 Underground Service Feeder Size: PAMC 14.05.080(B): For industrial, coin merv4al, residential praiects larger than a duplex, a one line drawing of the Electrical Service Feeders. building faze (sq. 8.), load calculations, and the type of conductors and/or raceway is required and shall accompany the Electrical Permit application. i hereby certify that t have reed end examined this application and know that same to be true and correct, and 1 al authorized to apply for this permit l understand it is not the City's legal responsibility to determine whet permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Exp. Date: ;35O41747r) Date: �O� Pate: L7/ /e9 4 Pw- abtsnros PERMIT FEE: 1 /0 l 1 21 �Z.01 POR OmCLLL USE ONLY Permit O.r. wfmre. D. t least VISA: X MC: