HomeMy WebLinkAbout433 W 5th St - Building
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'CITY OF PORT ANGELES
PUBLICWORKS - BUILDING DMSION
321 EAST 5TH STREET,PORT ANGELES, W A 98362
,1
BUILDING PERMIT
OWNER/APPl.ICANT
AL~A'MC DONNELL
,253W. PRAIRIE
SEQUIM, WA 98382
360/683-8026
T:
CONTRACl"OR " .
OWNER
VARIOUS
Port Angeles, WA99360
206/000-0000
PROJECT INFO
Project Value: $500.00
Project Type: PORCH REPAIR
Occupancy Type: RESIDENTIAL
Occup~ncy Group:
Construction Type:
Zoning Use: RS7
ISSUED: 9/04/2001 PERMIT NO: 12928
PROPERTY LOCATION
433 5TH ST W
Lot: 12
Block:, 85 [8J LQng Legal
Subdivision: TPA
Parcel No: 0630000085450..."
S:
o
o
o
ARCHITECT
N/A
SFDUnits:
SFD SQ FT:
Commercial:
Industrial:
Garage:'
o
o
MFDUnits:
MFDSQ FT:
o
o
PROJECT NOTES
REBUILD EXISTING ROOF OVER PORCH
FEES ASSESSMENT
Building Permit:
Plan Check:
State '.Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$23.50
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Misc Fee 1:
Misc Fee 2:
Misc'Fee3:
$0.00
$0.00
$0.00
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Separate PermitS are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements: This permit becOmes
nuUand vOid If work or construction authorized is not commenced within 180 days, If construction or w()rk Is susi*!f;kKt ,fJ!. !l.~ndoned
for a period of 180 days after the Work as commenced, or If required Inspections have not been requested wlthi!118~d. fron'lthe last
Inspection. I hereby certify that I have read, and examined this application and know the same to be true and corr9ct.,AJI provisions of
laws and ordinanees govemlng thislype of work will be complied with whether specified herein or not. The granting of8,~,rmndoes 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
TOTAL FEE:
AMOUNT PAID:
" BALANCE DUE:
$28.00
$28.00
$0.00
~L~~ )op,,+4.(-Ol
Sig!;'atureofOwner (If owner is builcler) r Date
Date
f'(t:'
BUlLDING'PERMft'-ll'rspKcrIONRECORD l'~;if;~i'-_"
\I~,,)ty; rnJ;j.. ?>J,' 'fl,'.' ,:,.iV<; .....' ;i~;4'~;:
CALL 417-4815 FO~ BUlLDfi\<lGINSPEcn:IONSJ:: PI!.EAS'B'PRO}iIDEA:~INIMUM24 HOUR NOTICE. J1;]$JINUWFlJ. ..,.' > ,,~JfER.
INSULATEO/tCONCEAL A1VY WORXBEFOllE'lNSPECTED AND ACCEPTED.::POsTiP~ITINA co~s~icuOl1S LOCi-nON.
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INSPECTION lYrE
~!'r' ~l";DAm';'Df ::'J'1'i? .4.CCEPTED '.'
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FOUNDATION:
FOOTINGS
WALLS
FOUNDATION
ELECTRICAL
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UNDER FLOOR / SLAB
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SHEAR WALL
WALLS /RooF-/ CEILING
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INSULATION' ",i" '.,
SLAB : ". I.
WALL/FLOOR/CEILING .', ,I', .. I
MECHANICAL''''"': ',,~ . .-
HEAT PUMP .... . ;",
WooDSTOVE / PELLET/CHlMNEYi INSERT '.'
HooDIDUcrs .... '.' ""'~';, ....
PW UTILlTIESI SITE WORK';'(EliirDeeri;)g~Visj~p) , SEPARATE PERMIT #'8:'
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PLANNING DEPT. SEPARATE PERMIT. #'s""
PARKlNGlLtGDTlNG
SEPA: '
ESA:
LANDSCAPING' c'. '., . ..... SHOREL~:i.
..... FINAL INSP~ONS REQUIRED PRIOR TO,OCCUP~CVIVSE 'f';/(" .... . ..... '.
..:;;........RES....IDENT.".I.AL.', .,.......(.' "'..1..::]1,)(.' ".,,;,.DATE YES "-'1 NO. ;:,.': 'cnUUIIl'DCUI.",;:,I", 'I' .D.........TE.jt..;;',..'j..,^..G.. U.. DTI>... D... '.: .
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ELECTRIcAiil"UGHfDEPT.""'eiH'J17.!4n5 E- ,. .. ::- lh:} 'i~;'.acAL"':~'~' '.. "1" .~\ ,'j;' ._ I." \;"
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C())\/SnucnoI>i1t.W.l..w; .' '""',, .' ...... 1,'\;,;" 'Cd~WtIl . .>' I". ',>,'hi' ".',' "',h
ENGINEERING!' .;.:C "^':tIi7:.4807,,~ ,.c'. F, ", ;;~i'",,')> {,wr,~~G'~6iV, ,-"y,y':;-",: '.' ,\:' 't:'i\.",;~
FIRE ., 417~3 ;FlREDEPT; '/ .," "'..-
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BUILDING ' .... ";'+;1.u4Iq~SISJil'~~1t. ,)h~m: """ '1fl;':<::I'B11ILI>INGl'.l,:>:::" .O''''I(';;,:;<,;J'. 1:/\;';';'
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f ('ORT ~
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BUILDING PERMIT ...APPLICATION
FOR OFFICIAL. USE QNL Y:
Date be.: <-(-tt -0 (
Permitl#: '2.,Cf ~tJ
Date Approved:
Date Issued:
The Building Permit - Pre-application must be flUed out completely.
Please type or print in ink. Uyou have any questions, please caD 417-4815
Applicant and/or Agent: A H-C<. ~'J ~ c:.. UO"-t\.e..lI
Owner: 5' C<.... \Nt €!-
Address: 1X3 w_P>rn~\-'\1:' ROJ?)o)C:Z30~ City:s;'to~v\~'\
ArchitectlEngineer:
Phone:
Phone:
Zip: '1838'2-
Phone:
Contractor License #: Exp: Phone: Co 8"3- R'O::LCe
Address: City: Zip:
PROJECT ADDRESS:'-t 3 3 LV. 5+4. 'Fc!1\l'""t A",q e-l -e5 lo-t 11. 13loc.I\)( ZONING:
LEGAL DESCRIPTION: Lot: Block: \ _ .,&ybdivision: ( V It-
CLALLAM COUNTY PARCEL NUMBER: (!)(g ~ eTZnJ?roS'91SCredit Card Holder Name:
BiDing Address: City:
Credit Card #: Exp. Date: VISA MC
TYPE OF WORK:
o Residential 0 New Constl'. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
SIZEN ALUATION: __ <#-0
SF.@$ ISF.=$ '--~ 00,-
SF~ @ $ ISF. = $
SF. @ $ ISF. = $
TOTAL VALUATION $
o Woodstove
o Garage
o Deck
o
COMMERCIAlJRJl:SIDENTIAL: Occupancy Group: . OccUpant Load: Construction Type:
.~No. of Stories:. I,. Lot Size: % Lot Coverage: % ;!Ii
:&is~~ Lot Co~erage: Isq. ft. + Proposed~9.. Cov:~rage: Isq. ft. = TOTAL LOT COVERAGa~; Isq.ft
PLANNING USE ONLY:
Notes:
PLAN
BLDG.
DPW
FIRE
ESAlWet1and(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER
BUILDING APPLICATION SUBMITI'AL: Your application and site plan must beJilled out completely to be utXeptedfor review. The
Building Division can provide you with more detailed information on the application and plan submittal requirements.
APPROVALS:
BUILDING PERMIT APPLICATION SUBMITI'AL: Your completed application, site plan (for additions) and building construction
plans are to be submitted to.the Building Division.
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 Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: Your pIan check 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: If no permit is issued within 180 days of the date of appiication, 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 once.
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date / /- I?-c ( Time 11.:o!JftU:t Received by RU (phone, person)
~::::~ ::r:O:";::u:::~:Pi::;e~iO~ 1f5:~GlYn line-II
Address of person requesting inspection PhoneNo.~3'--~
Type of Inspection (circle appropriate one): . . Permit No. J?-(l1.6
Sewer Foundation Framing Chimney Plumbing @sewer Exqav. Other
;;f
~/i<~ ~bl ~ eS~
Time
By
INSPECTION NOTES:
Inspected: Date 1.1; - I ~ - tI1
Remarks:
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC
o Other
o 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)
RECEIVE
CITY OF PORT ANGELES PERMIT APPLICATION
AUG -- 4
Building DivisionlElectrkal Inspections
321 East Fifth Street — P.O. Box 1150 / Port ELECTRICAL
KA
Angeles Washington,
98362
Ph. (360) 417-4735 Fax: (360) 417-4711.
msPECTIONS
Date: ^ Z, & 2 Single Family Dwell Ing
I
*Plan Review May Be Required, Pease Complete Electrgal Plan eview, Information Sheet
Building Square Footage:
Description of above
Owner Information
Name;
Contractor Information
Name: 42
MshingAddrew
Stets: zip:
Makin g Address: -74-2 —&, — " — -
: A Ae6 %T.
01V TA- 8 ta t e: Z I L-1-r T,
Fax:
License V Exp.,-
_--Z—
fax: —AL/ A-
. I& —
Licanse # I Exp'_- E�7 0 ptr-���
Qx MUMP.111ftLyalLftaraff
Service/Feeder 200 Amp. $120.00
Service /Feeder 201-400 Amp. $146.00
ServIce/Feeder 401.600 Amp $206,00
Service/Feeder 601-1000 Amp, $ 262M
ServicelFeader over 1000 Amp, 37100
Branch Circuit W/ Service power 6,40
Branch Circuit WIG Service Feeder 63,00
Each Additional Branch Circuit $ 5.00
Branch Circuits 1-4 $ 75,00
$
Tamp. Service/ Feeder 200 Amp. $ 63'00
Tamp, 5srvice/Feeder201A00 Amp. $114.00
Tamp. ServlceiFeeder401-600 Amp. $140,00
$—
Tamp, Service/Feeder 001-1000 Amp. $160.00
Porl:01 to Portal Hourly 96,00
Signal Circuit) Limited Energy - I & 2 Family Dwelling $ 64,00
Manufactured Home Connection $ 120M
Renewable Electrical Energy - 5KVA System or Lass $102.00
Thermostat $ 68,00
Nola: $6.00 for each addlilonal T-Stat
_NEW CQNSTRUCTIQN ONM
First 1300 Square Ft, $120.00
Each Additional 600 Square Ft. or Portion of $ 40.00
Each Outbuilding or Detached Garage $ 74.00
Each Swimming Pool or Hot Tub $110,00
$
$::F� =.— Total
Owner as defined by RM19.28.261., S1) Owner will occupy the structure for two
years after this electrical permit is finalized, (2) Owner is required
to hire an eieddral contractor if above said property is for sale, rent or tease. 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 electaost laws, KE.C., RCW. Chapter 19,28, WAG. Chapter 296-46B, The City of Port
Angeles Municipal Code, and U04 Specifications and PAMC 14,05.050 regarding Electrical Permit Applications,
Signature of owner, electrical contractor or electrical administrator:
El Cash 0 Check
CmdRCard#
0110112012
ELECTRICAL PERMIT
CITY OF.PORT- ANGELFS . ..... .. ........
360 -417 -4735
Application Number 14- 00000923 Date 0/05/14
Application pin number . . . 270227
Property Address 433 W 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0- 8545 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . , . , , ,
Property Use
Property Zoning , . . , . R37 RESDNTL SINGLE FAMILY
Application Valuation : . 0
Application desc
Temp pole
Owner Contractor
---------------- - - - - - - -- ------------------ - - - - --
ROBERT AND KRISTINA LAWERENCE EXTRA MILE TECH & ELECT_ LLC
430 W 5TH ST 418 N. RACE ST,
PORT ANGELES WA 96362 PORT ANGELES WA 98362
(360) 477 -0681 (360) 457 -5222
Permit . . , . . . ELECTRICAL TEMPORARY SERVICE
Additional deSc ,
Permit Fee . . , . 93.00 Plan Check Fee 00
Issue Date 8/O5/14 Valuation . , , . 0
Expiration Date 2/01/15
Qty Unit Charge Per Extension
1.00 93,0000 ECH EL -TEMP SRV 0 -200 SRV FDR 93,40
--------------------------`-------------------------------------------------
Fee Summary Charged Paid Credited Due
------- ---- - - - - -- ---- - - - - -- ---- - - - - -- --- - - - - --- - --- - - -- --
Permit Fee Total 93.00 93.00 .00 ,00
Plan Check Total .00 .00 .00 .00
Grand Total 93.00 93.00 .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
FINAL
b '"
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
09112/2014 Fri 07:44 Lincoln Wiring � Lincoln Breithaupt 3604178203 ID; #98 Page 2 of 2
RECEIVED,
CITY OF PORT ANGELES PERMIT APPLICATION
,3 EV 12
Building Division /Electrical Inspections
321 East Fifth Street —P.O. Box 1150 /Fort Angeles Washington, 98362 X=.D. CTRItAAL
Ph: (360) 417 Fax: 417
-4735 (360) -4711
Date: 9/12/14 1 & 2 Single Family
Dwelling
' Plan ReI�r3f I y Be Reci ort'Ane e�es qo, tgj� ctrical Plan Review Information Sheet
Job Address:
80ding Square Foota
t-omp
Description of above a Ouse rewire, Inc u Ing new 200A service,
Owner Information
Contractor Informatlon
Name: Bob Lawrence
Name; Lincoln Breithaupt
Mailin Address: 433 W. 5th
oily: wort Angeles es State: Zip; 98362
Mailing Address: 1619 W, 7th 5t.
City; Port M99 ae State: WA Zip: 96363
Phone: (360)477 -0881 Fax;
Phone: (360)806.9 757 FQX 7J5U 7-92Zff
License 01 Exp,
License #1 Exp. LINCOW'901 D6 - 3/26116
Merit Unit Charge_
Total { v Multialied by Unit Q„ arael
Service /Feeder 200 Amp. $120.00
ServicelFeeder 201 -400 Amp. $146.00
ServicelFeeder 401 -600 Amp $ 205.00
Service /Feeder 601.1000 Amp, $ 262,00
Service /Foodor over 1000 Amp, $ 373.00
Branch Circuit WlService Feeder $ 5.00
Branch Circuit W/O Service Feeder $ 63.00
Each Additional Branch Circuit $ 5.00
Branch Circuits 1 -4 $ 75,00
$______
Temp, Servlcel Feeder 200 Amp, $ 93,00
Temp, ServicelFesder 201 -400 Amp, $110.00
Temp, SorvicelFeeder 401 -600 Amp. $149,00
Temp, Servico /Fooderb01-1000 Amp , $160,00
Portal 19 Portal Hourly $ 96,00
Signal Circuit/ Limited Energy -1 &2 Family Dwelling $ 64,00
Manufactured Home Connection $ 120,00
Renewable Ekldcol Energy - 5KVA System or Less $102,00
Thermostat $ 56.00
Note: $5.00 for each additional T -Staff
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00
Each Additional $00 Square Ft, or Portion of $ 400
Each Outbuilding or Detached Garage $ 74,00
l=ath Swimming Pool or Hot Tub $110,00
$ 195,00 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 ar 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 -4613, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Name: Charles H, Brelthaupt
Signature of owner, electrcal contractor or electrical administrator:
❑ Cash ❑ Cheek
' '�
lhGO �J�l �iG t 09/12/14
X Dated:
011111012
0* V'ORT'441,
ELECTRICAL INSPECTION
WIRING REPORT
RKS 1 417-4735
DINSPECTOR
J:2
PERMIT V
INS
OWNER
CCNTRACTOR
L 1044 C&Ltj
ADDRESS
4y
APPROVED NOT APPROVED
El ....... ... DITCH .................... 13
D.. . ... -- ...... ROUGH IN/COVER ............... 0
0 .................... SERVICE ................. E3
............... FINAL .................... p�
CORRECT)ONS NEEDED: 'ercLc> fr Z7 61 h Yf -r7llb ytty-e-ir At
114 ZAD",T� Nmyr-
hu L)b)Ep
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
m violl, Lon *114kyl 16111111
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . . .
14= 00001097 Date 9/12/14
Application pin number
834470
Property Address
433 W 5TH ST
ASSESSOR PARCEL, NUVBER:
06- 30 -00 -0 0- 8545 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . , , .
Property Use
Property Zoning . . , , , , ,
R87 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
Application dept
- - ----- ---- ------
----- ------
.200 amp service and circuits
Owner
Contractor
ROBERT AND KRISTINA LAWERENCE
LINCOLN WTRING
430 W 5TH ST
1619 WEST 7TH STREET
PORT ANGELES WA 98362
PORT ANGELES
WA 98363
(360) 477 -0881
(360) 808 -1757
Permit I , . , . , ELECTRICAL
ALTER RESTDEN7TAL
Additional desc . ,
Permit Fee 195.00
Plan Check Fee
.00
Issue Date 9/12/14
valuation . . . .
0
Expiration Date 3/11/15
Qty dnit Charge Per
Extension
15100 5.0000 ECH EL-
HRAVCH CIRCUIT W /FEEDER
75.00
1,00 120,0000 ECH EL -0
-200 SRV FEEDER
120.00
Fee summary Charged
Pai.cl Credited
Due
Permit Fee Total 195.00
195.00 00
00
Plan Check Total 00
.00 00
.00
Crazid Total 195,00
195,00 q0
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
e
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