HomeMy WebLinkAbout122-124 W 1st St - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,21 EAST 5TH STREET. PORT ANGELES. WA 9R,62
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
05-00000853 Date
574659
122 -124 W 1ST ST
06-30-00-0-0-3215-0000-
ELECTRICAL ONLY
9/12/05
CENTRAL BUSINESS DISTRICT
o
Owner
Contractor
HARPER, CATHERINE/THOMAS TRST
122 WES'l;' 1ST ST
PORT ANGELES WA 98362
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
(360) 452-9264
WA 98362
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
ANGELES/ 1-5 CIRCUITS
59725
ANGELES ELECTRIC
61.30
9/12/05
3/11/06
Plan Check Fee
Valuation
.00
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.........
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Qty Unit Charge Per
1.00 61.3000 ECH EL~COMM ALT <5 CIRCUITS
Extension
61.30
Fee summary Charged Paid
----------------- - ~ - - - - - - -- ----------
Permit Fee Total 61 .30 61 .30
Plan Check Total .00 .00
Grand Total 61 .30 61 .30
Credited Due
't
.00
.00
.00
.00
.00
.00
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COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECflON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER.
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPK DAn: T ACCEPTED COMMENTS
r YES I NO
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GENERAL COMMENTS:
PW-I 102,U 14'96]
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.'21 EAST 5TH STREET. PORT AN(iELES. WA 98,(,2
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
05-00000742 Date
063396
122 -124 W 1ST ST
06-30-00-0-0-3215-0000-
ELECTRICAL ONLY
8/15/05
CENTRAL BUSINESS DISTRICT
o
Owner
Contractor
HARPER, CATHERINE/THOMAS TRST
122 WEST 1ST ST
PORT ANGELES WA 98362
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
{360} 452-9264
WA 98362
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
ANGELES/ 10 CIRCUITS
57646
ANGELES ELECTRIC
87.80
8/15/05
2/11/06
Plan Check Fee
Valuation
.00
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.........
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Qty Unit Charge
1.00 61.3000
5.00 5.3000
Per
ECH EL-COMM ALT <5 CIRCUITS
ECH EL-COMM ALT-ADDTNL CIRCUITS
Extension
61.30
26.50
Fee summary Charged Paid Credited
----------------- ---------- -------- ----------
Permit Fee Total 87 .80 87 .80 .00
plan Check Total .00 .00 .00
Grand Total 87. 80 87. 80 .00
Due
.00
.00
.00
t
,
.........
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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
INSPECTION TYPE
DATE
COMMENTS
NO
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12-/:r ;;2 ;0-Mstt-
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4,4
GENERAL COMMENTS:
PW-II02.IS[4I96]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5THSTREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning , . .
Application valuation
05-00000628 Date
686424
122 -124 W 1ST ST
06-30-00-0-0-3215-0000-
COMM REMODEL
8/09/05
CENTRAL BUSINESS DISTRICT
63250
56309
765.25
8/09/05
2/05/06
Plan Check Fee
Valuation
497.41
63250
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Owner
Contractor
HARPER, CATHERINE/THOMAS TRST
122 WEST 1ST ST
SEBRING
FL
HOCH CONSTRUCTION
4201TUMWATER TRUCK TRAIL
PORT ANGELES WA 98363
(360) 452-5381
Structure Information 000 000 ----------------------
TYPE II ONE HOUR
ASSEMBLY <300 W/O STAGE
Construction Type . .
Occupancy Type
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - COMMERCIAL
14.00
BASE FEE
7.0000 THOU BL-50,001-100K (7.00 PER K)
Extension
667.25
98.00
Qty
Unit Charge Per
Special Notes and Comments
07/25/2005 04:23 PM SROBERDS -- The proposal will
result in a remodel that will result in the addition of
living quarters and office space on the second floor of a
commercial building. 2 permanent off-street parking spaces
must be provided WITH membership in the PBIA for commercial
activities.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
Contractors parking on the street during construction will
require right of way use permit from Public Works.
Other Fees
STATE SURCHARGE
4.50
~
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 765.25 765.25 .00 .00
Plan Check Total 497.41 497.41 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 1267.16 1267.16 .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 ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
pr sume 0 give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construe on.
.----
Signature of Owner (if owner is builder)
Date
T:\Policies\ 1 102_15 building permit inspection record05.wpd [114/2005]
\
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
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 DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WAILS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA TlON
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKINGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.! PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Pohcles\1102_15 bUlldmg penmt mspectlOn record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32] EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00000628 Date
686424
122 -124 W 1ST ST
06-30-00-0-0-3215-0000-
COMM REMODEL
8/17/05
CENTRAL BUSINESS DISTRICT
63250
Owner
Contractor
HARPER, CATHERINE/THOMAS TRST
122 WEST 1ST ST
SEBRING
FL
HOCH CONSTRUCTION
4201TUMWATER TRUCK TRAIL
PORT ANGELES WA 98363
(360) 452-5381
Structure Information 000 000 ----------------------
TYPE II ONE HOUR
ASSEMBLY <300 W/O STAGE
Construction Type . .
Occupancy Type
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 58206
Permit Fee .00 Plan Check Fee .00
Issue Date 8/17/05 Valuation 0
Expiration Date 2/13/06
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
PLUMBING PERMIT
58198
.00
8/17/05
2/13/06
Plan Check Fee
Valuation
.00
o
Special Notes and Comments
07/25/2005 04:23 PM SROBERDS -- The proposal will
result in a remodel that will result in the addition of
living quarters and office space on the second floor of a
commercial building. 2 permanent off-street parking spaces
must be provided WITH membership in the PBIA for commercial
activities.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
Contractors parking on the street during construction will
require right of way use permit from Public Works.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 4.50 4.50 .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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:IPoliciesll102_15 building permit inspection record05.wpd [11412005]
BUILDING PERMIT INSPECTION RECORD 0 S - tP 'J- i
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
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 DATE ACCEPTED COMMENTS
r YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB ~~>A# l/4- rO~
ROUGH-IN t -(g-~ JL-L
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING F~c.-M':d II - ?-']..-~..r- n-~ M
JOISTS 1 GIRDERS pn,.;r"'i
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING l$7-t~ -().t::; ~J L \.-
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB /
W ALL I~ 1 6€iL-tNG ei vi/Os - J.fl.-.-.... 'idJS..,Hl< I~; ,12't(,..c" ,. i ':l/ ~- / , '{- ..Ie. 'J/C
MECHANICAL I /
HEAT PUNWI FURNACE 1 DUCTS Fi-~t tl kA l/4 {0-1,
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKlRTING
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
P ARKING/LIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 4 I 7-4750 , . PLANNING DEPT.
BUILDING 417-4815 I'/t./oe,. l1uI BUILDING
T:\Pohcle5\1 102_15 bUIlding perInlt Inspectton record05.wpd [1/4/2005]
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BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your applicatioB. and site plan MUST BE
COM:PLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
I ~ & r. "'" 1""'-" } h Y)/"U)-r 1=1.~-r. r-"-"hone', 4rn, r /'_1 V"
Applicant or Agent: (.... \ 'lVOe;;>'~ .~ --;;? II' . ~ t-' f-4~~' _V/;;a-" ~ '"
Owner: C p,.-r ~J:'!;)2,\ ~-p; ~~ v-f""F- Phone: 4-- \1- P3 '2 '21.-
Address: J"Z Z tl'~, P I 1?? T .:?T. City:. poP-TAt -I ~ ~1...~S Zip: ~ V';) ,:/l-
Architect/Engineer: L-.\ "..o~\J")7:Q -l oS r'I'I \ w F'iU- ~ I n~-c,:f""'S Phone: -?S:?- ~ I iiR
, ~
Contractor J,-:Dc;.. p. ~+~...rr:z.v. c.--~c: ':l\j State License #: r-lcG ~ ! I ffO k~;r
Address: 4-'2-0 \ 10 yV1 ~\I-AT612- ""TIz:\}.(.,}:..!2i, City: pO~T AN"" 51--~
I
)""""'" ,~\ ~1 ~:'f"" /~-"'"
PROJECT ADDRESS: . '''~.b V.''oJ " . i' -'. r-~i ?: ,
Phone:4-9z.-G?9 J
Zip: '18/~t',a
ZONING: c:.~ p
...::. _~ ~-'F _....:,~..,......"',.,=,_.::: . 7"~.
. :..;....~
LEGAL DESCRlPTION: Lot: Block
CLALLAM COUNTY PARCEL NUMBER:
Subdivision:
.-.- -
Credit Card Holder Name:
Billing .Address: City:
. Credit Card Type VISA MC # Exp. Date:
TYPE OF WORK: SIZENALUATION:
o Residential 0 New Constr. ~Re-TOof 0 Stove 4: 61) SF. @ $ ISF. = $ b \ 1 5' 0, (PI!
o Multi-family 0 Addition 0 Move ' 0 Garage ~' ~ SF. @ $ ?f3 ,OZ> ISF. = $ '2:5, ODo. tI~/ ,
o Commercial X Remodel 0 Demolition )( Deck 4-!2.0 D SF. @ $ 1," \1 /SF, = $ ~ 1 ;. 1:6'0 D I "d /
o Repair 0 Sign 0 Other TOTAL VALUATION $ 1.1 ~ 1...6'0 I ov1
BRIEFDESc:RIPTION OF THE PROJECT: \215" 'I2oD~ IBx !>StT) N~ ~V) 11-0\ fiCA. ~,J I'll )(51.... /
~C;::; 1'J 1:7 ~OO rz :-.2'';2- ~F~~ I 0- 5' 7r:;~ c.,-e;'Af'O At:;;~i'<!;;,?-(r1) bY\/T- ~
CO:MMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stories: 1.- Lo(Slze: "'/IJVO ~ Existing Sq, Ft. 1600 & Proposed Sq. Ft.
Total lot coverage 1h4- %
Construction Type:
0<, = TOTAL Sq. Ft. 1 f1 0 0
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This :figure will be 'reviewed
and JllilY be revised by the Building Division to comply ~ith current fee schedules. Contact the Permit Coordinator at 417-4&15 for assistance.
PLAN CRECK FEE: IF a pl$ cb:eckfeeis due it musrbe"'Submitted at the time the building permit application and construction plans are
submitted, All other perroit fees are due at the time of perroit issuance.
EXPIRATION OF PLAN REVIEW: Ifno perroit 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 Rl 05.3.2
of the International Building/Residential Code, 2003). 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. I am authorized to apply for this permit and
understand that it ismy responsibiJity to determine w: at permits are required ,not the City's, and that f must obtain such permits prior to work.
Date: J ~. } tA\..~. IJ 6'
T:\Policies\BL-ll02_13.wpd Applicant:
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SITE FLAN
r..-.."'" ..-.. -......... -.........,
.
EXI$TING ONE $TORr
$ECTION OF eulLOING
EXI$TING T $T~
SECTIoN elJIL;"l
SO'-O"
FRONT $TfEET A
$IDEWALK
$CALc: I' . 10'-(2
f pORT ~
$"~O~<?~
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'l.&llC~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
05-00000837 Date
538628
122 -124 W 1ST ST
06-30-00-0-0-3215-0000-
MECHANICAL PERMIT
9/07/05
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Appl1cation valuation
CENTRAL BUSINESS DISTRICT
26751
Owner
Contractor
HARPER, CATHERINE/THOMAS TRST
122 WEST 1ST ST
PORT ANGELES WA 98362
ALL WEATHER HTG & COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452-9813
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
MECHANICAL PERMIT
59444
91.10 Plan Check Fee
9/07/05 Valuation
3/06/06
.00
o
Qty Unit Charge Per
Extension
47.00
44.10
BASE FEE
3.00 14.7000 ECH ME- INSTALL 100- FAU
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 91.10 91.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 91.10 91.10 .00 .00
EXPIRED
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. ThiS permit becomes
nu II 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 Owner (if owner is builder)
SEP-07-2005 09:43 AM ALL WEATHER H/C Inc
360 452 5177
P.01
s
BUILDING PERMIT. APPLICATION
FOR OFFICI USE ONLY:
DlIte Ree.. q 7 {)!3
PermIt #. Of;- ? 1
Date Allproved ()l1, ~?1
Date IBilled:
Fill out COMPLETELY and In INK. Your application and site plaD MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
~~:~t~ At ~s:.~~to:/-:;_ Ph:~~~O~5J-9;r /1
Address; tti<<J1 ,f,,~ r fJ lty;?tr- f I1nrfdA z,p:-il3t,;
ArChiteCt!EnAneer: ~ Phone:
Contractor f/ uJJ()tkr lIro/t/4f State License #.JftJWfillt/WJ Exp: q) IJ)(J?
Address: ?;1J.2 Kpt1t Kl rf City: iI/v'J-J4nftlLS (
PROJECT ADDRESS:' 1'bZ,VIJ+ Sm.ll
Phone: 15 Z.9fi-3
zip:~2
ZONING:
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COUNTY PARCEL NUMBER:
Subdivision:
Credit Card Bolder Name:
Billing AddreSl: City:
Credit Card Type VISA MC #
TYPE OF WORK:
o Residential 0 New Const!:. Cl Re-roof
[J Multi.family [J Addition I:l Move
D Commercial [J Remodel 0 Demolition
D Repair 0 Sign
BRIEF DESClUPTION OF THE PROJECT:
(/)/
Exp. Date:
ISF. .. $
/SF. = $
Occupant Load:
& Proposed Sq. Ft.
ConstTuction Type:
= TOTAL Sq. Ft.
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: _ Lot Size: Existing Sq. Ft.
Total lot coverage %
ESA/Wetland(s): I:] Yes I:l No SEPA Checldistrequired? DYes CI No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
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 aSSlStance.
PLAN CHECK :FEE: IF a plan check fee is due it must be submitted at the time the building pennit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no pennit is issued within 180 days of the date of applicatJon, the application wlll expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written l:equest by the applicant (see SectionRlOS.3.2
oftbe International Bullding/R..esidcntial Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the S8me to be true and correct. I am authorized to epply for this permIt and
undsrstand thai it Is my responsibility to determIne what permits ere raqul ,not the City's, and that I m t obtain such permits p~o . to work
T:\RVBSS\BlDG,{ol'mll.brochllrea'lOO4.B\lildlngpennlt.wpd Applicant: Date: q /7 . 5
, ,
'~
"""........,.
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.21 EAST 5TH STREET. PORT ANGELES. WA 98]62
Application Number
Applicatlon pln number
Property Address
ASSESSOR PARCEL NUMBER
Appllcatlon type descriptlon
Subdivision Name
Property Use
Property Zonlng
Application valuatlon
05-00001182 Date 11/30/05
064714
122 -124 W 1ST ST
06-30-00-0-0-3215-0000-
ELECTRICAL ONLY
CENTRAL BUSINESS DISTRICT
o
Owner
Contractor
HARPER, CATHERINE/THOMAS TRST
122 WEST 1ST ST
PORT ANGELES WA 98362
ANGELES ELECTRIC
524 E. 1ST ST
PORT ANGELES
(360) 452-9264
WA 98362
Permit
Addltional desc
Permlt pln number
Sub Contractor
Permlt Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
ANGELES/ 6 ALTERED CIRCUITS
66076
ANGELES ELECTRIC
58 70
11/30/05
5/29/06
plan Check Fee
Valuation
.00
o
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\-.9
~
\
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Qty
1 00
2 00
Unit Charge Per
48 1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
5 3000 ECH EL-R OR RM ALT ADDNT CIRCUITS
Extension
48.10
10 60
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 58.70 58 70 00 00
Plan Check Total ,00 00 00 00
Grand Total 58.70 58 70 00 00
t.
...........
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COMMENTS/ACTION NEEDED
\.
ELECfRICAL PERMIT INSPECfION 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
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES NO
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SERVICE
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GENERAL COMMENTS:
PW-II02.1S (4196)
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name . .
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00001196 Date 12/02/05
063848
122 -124 W 1ST ST
06-30-00-0-0-3215-0000-
HOCH CONST
PUBLIC WORKS UTILITES
CENTRAL BUSINESS DISTRICT
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Owner
Contractor
HARPER, CATHERINE/THOMAS TRST
122 WEST 1ST ST
PORT ANGELES WA 98362
HOCH CONSTRUCTION
4201TUMWATER TRUCK TRAIL
PORT ANGELES WA 98363
(360) 452-5381
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
RIGHT OF WAY
RUP #05-45
66498
70.00
12/02/05
5/31/06
Plan Check Fee
Valuation
.00
o
BASE FEE
Extension
70.00
Qty Unit Charge Per
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70.00 70.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 70.00 70.00 .00 .00
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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 penod 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
constructio
,~
uthonzed Agent
I~
Signature of Owner (if owner is builder)
Date
,....
T.\Pohcles\1102 15R [1/05]
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