HomeMy WebLinkAbout1305 E 4th St - BuildingApplication Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner Contractor
SMITH PATRICIA
1305 E 4TH ST
PORT ANGELES
36) 452 8850
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
616080
WA 983624705
Permit BUILDING PERMIT RESIDENTIAL
Additional desc REPAIR FIRE DAMAGE
Permit Fee 148 75 Plan Check Fee
Issue Date 8/27/04 Valuation
Expiration Date 2/24/05
Qty Unit Charge Per Extension
BASE FEE 92 75
4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00
Permit MECHANICAL PERMIT
Additional desc
Permit Fee 61 50 Plan Check Fee 00
Issue Date 8/27/04 Valuation 0
Expiration Date 2/24/05
Qty Unit Charge Per
BASE FEE
2 00 7 2500 ECH ME VENT FAN
Special Notes and Comments
Repair fire damage
remove /replace sheetrock insulate
airseal replace 3 windows add beam to
support second floor install kitchen
bath fans
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Signature of Contractor or Authorizei.AgeSit
T \PLANNING \FORMS \1102.15 [11/14/20031
04 00000690 Date 8/27/04
1305 E 4TH ST
06 30 00 9 1 0110 0000
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
6000
COZI HOMES
324 E 9TH ST
PORT ANGELES
(360) 452 9906
STATE SURCHARGE 4 50
Charged Paid Credited Due
210 25 210 25 00 00
59 50 59 50 00 00
4 50 4 50 00 00
274 25 274 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
fora 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
WA 98362
59 50
6000
Extension
47 00
14 50
bcpi'vq
Date Signature of Owner (if owner is builder) Date
ELECTRICAL LIGHT DEPT
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.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE /DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
PLUMBING
UNDERFLOOR /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
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING I I ESA.
LANDSCAPING I I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I 1 1 I
PLANNING DEPT 417 -4750 I 1 1 I
I BUILDING 417 -4815 116 )g 1 Ex a)
T \PLANNING FORMS \1102.15 [11/14/2003]
FIRE DEPT
PLANNING DEPT
BUILDING
Applicant or Agent: C.C.) UY>7..4
Owner _cfri
Address 1 3 CL_ L
Architect /Engineer
Contractor Co
Address. 9-
PROJECT ADDRESS
LEGAL DESCRIPTION Lot: Block:
CLALLAM COUNTY PARCEL NUMBER.
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC
TYPE OF WORK.
Residential New Constr Re -roof
Multi- family Addition Move
Commercial Remodel XDemolition
fd` Repair Sign
BRIEF DESCRIPTION OF THE PROJECT f lis
Pe
L° CA) i flac 1S N ti it Lfrrsiii t^...,-- i /.'at rt
COMMERCIAL/RESIDENTIAL. Occupancy Group ,t-V P Occupant Load. UM Construction Type:
p f} Existmg Sq Ft. MOCK Proposed Sq Ft. TOTAL Sq Ft. /v 0
Total lot coverage Ind A
No. of Stories: JjLot Size:
PLANNING USE ONLY
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
State License
City
Stove
Garage
Deck
Other
City.
S17,F/VALUATION
LI t lt-911 /SF
'r'7 /SF
SF /SF
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
Phone
Phone
Phone
ff
c Exp
1 A-_
Subdivision.
Exp. Date:
TOTAL VALUATION
FOR OFFICIAL USE ONLY
Date Rec. e d c
Permit 0 69 0
Date Approved.
Date Issued.
'yq
Zip X36:L_
Phone
Zip Q. g.3 6
ZONING
crc
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 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. 1 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 I must obtain such permits prior to work.
TARVESS\BLDG- forms brochures \2003- Buildingpermit.wpd Applicant: -E_ f Date: �0a ^0
ANGELES MILLWORK LUMBER CO. INC
1641 S 'C' St. Port Angeles, WA 98363
Bus. 457 -8581 FAX 457 -8896
CS
Divisions of
LUMBER TRADERS, INC.
HARTNAGEL BUILDING SUPPLY INC
833 E. Front St. Port Angeles, WA 98362
Bus. 452 -8933 FAX 452 -8943
FREE ES TI Mil TES FREE DELIVER Y
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
,.
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000654 Date
.771378
1305 E 4TH ST
06-30-00-9-1-0110-0000-
ELECTRICAL ONLY
7/29/04
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
SMITH, PATRICIA
1305 E 4TH ST
PORT ANGELES
( 36) 452-8850
WA 983624705
DAVE'S HEATING & COOLING
PO BOX 413
PORT ANGELES WA 98363
(360) 452-0939
Permit
Additional desc
Sub Contractor
permi t Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
200ASER+200A. FEED-EL.SERVICE
ELECTRIC SERVICE
102.10 Plan Check Fee
7/29/04 Valuation
1/26/05
.00
o
'-.
~
C)
l1\
Qty Unit Charge Per
1.00 78.7000 ECH EL-RM-0-200 1ST SRV FEEDER
1.00 23.4000 ECH EL-RM-0-200 ADD SRV FEEDER
Extension
78.70
23.40
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 102.10 102.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 102.10 102.10 .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 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:\PLANNINGIFORMS\1102.15 [11/1412003]
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.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AI~ SEAL I
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUP ANCY/USE
RESIDENTIAL , DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 11I-/O-nL) J n ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW I ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
---
T:IPLANNING\FORMSII102.15 [11/14/2003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000654 Date
.7713 78
1305 E 4TH ST
06-30-00-9-1-0110-0000-
ELECTRICAL ONLY
7/29/04
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
SMITH, PATRICIA
1305 E 4TH ST
PORT ANGELES
( 36) 452-8850
WA 983624705
DAVE'S HEATING & COOLING
PO BOX 413
PORT ANGELES WA 98363
(360) 452-0939
Permit
Additional
Permit Fee
Issue Date
Expiration
ELECTRICAL ALTER RESIDENTIAL
desc T-STAT/DAVE'S HEATING
36.40 Plan Check
7/29/04 Valuation
Date 1/26/05
-
Fee
.00
o
ul
o
",
Qty
1. 00
Unit Charge Per
36.4000 ECH EL-LVT-FIRST THERMOSTAT
Extension
36.40
\
Fee sununary Charged Paid Credited
----------------- ---------- ---------- ----------
Permit Fee Total 36.40 36.40 .00
Plan Check Total .00 .00 .00
Grand Total 36.40 36.40 .00
Due
.00
.00
.00
~
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q.
~l
.
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]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDlNG 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.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL -
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHJMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEP ARA TE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
~ .- YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 U.ID.~ IJfIJ- ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW / ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [11/1412003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000362 Date
.951344
1305 E 4TH ST
06-30-00-9-1-0110-0000-
ELECTRICAL ONLY
5/04/04
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
RICHERZHAGEN JUDITH A
~305 E 4TH ST
PORT ANGELES WA 983624705
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
----------------------------------------------------------------------------
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY SERVICE
TEMP SERVICE
ELECTRIC SERVICE
40.90 Plan Check Fee
5/04/04 Valuation
10/31/04
.00
o
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~. ('..
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~~
~~
R'
~ ~.
~~
~ ~,
Qty Unit Charge Per
1.00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
40.90
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40.90 40.90 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 40.90 40.90 .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:\PLANNING\FORMS\1102.15 [11/14/2003]
\
BUILDING PERMIT INSPECTION RECORD
CALL 4]7-48]5 FOR BUILDING INSPECT]ONS. CALL 417-4735 FOR ELECTR]CAL ]NSPECTIONS.
PLEASE PROVIDE A M]N]MUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERM]T CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
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
DRYW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 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 '1ft!) ft,</ L+'T 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\1102.15 [11/14/2003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
)':Pin number . . . .
Property Address
..ASSESSOR PARCEL NUMBER:
',Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000627 Date
.877288
1305 E 4TH ST
06-30-00-9-1-0110-0000-
MECHANICAL PERMIT
7/22/04
RS7 RESDNTL SINGLE FAMILY
7350
. Owner
Contractor
SMITH, PATRICIA
"1305 E 4TH ST
PORT ANGELES
(360) 452-8850
WA 983624705
DAVE'S HEATING & COOLING
PO BOX 413
PORT ANGELES WA 98363
(360) 452-0939
----~'-----------------------------------------------------------------------
Permit . . . .
'Additional desc
Permit Fee
Issue Date
Bxpiration Date
MECHANICAL PERMIT
FURNACE, DUCTS, HEAT PUMP
61.70 Plan Check Fee
7/22/04 Valuation
1/19/05
.00
o
Qty Unit Charge Per
Extension
47.00
14.70
-
BASE FEE
1.00 14.7000 ECH ME- INSTALL 100- FAU
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 61.70 61.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 61.70 61.70 .00 .00
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Sepa'" Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null a.void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a ~d of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspecton. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws a",ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presu,,", to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construCtion.
SignatuM of Contractor or Authorized Agent
OIJ
FI Lr:=
Date
Signature of Owner (if owner is builder)
Date
T:\PLA~G\FORMSIJ 102.15 [11/\4/2003]
~
BUILDING PERMIT INSPECTION RECORD
CALL 4] 7-4815 FOR BUILDING INSPECT]ONS. CALL 4] 7-4735 FOR ELECTRICAL ]NSPECTIONS.
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
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS /1- n I- .., J DIl
PW UTILITIES 1 SITE WORK (Engineering Division) I SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTlNG 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 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 //-/D-D'-/ gk BUILDING
T:\PLANNING\FORMS\1 102.15 [11114/2003]
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.~ROM :Dave's Hea~ing & Cooling Srvc FAX NO. :13604520939
Jul. 20 2004 07:58AM Pi
~L.Jr'7-LJ"J I
.',. pClIIIr~ BUILDING PERMIT - APPLICATION
Yd. out COMPLETELY and in INK. Your application and .ite plan MUST BE
COMPLETE to bp. acc.epted for review. If you have any question., call
(360) 417-4815
FOR OI'FIClAL USE ONL Y:
Dale Rec: 7-Z0...otf .
Pennil 1#..6 'f - b Z '(
Date Approved:
Dafc: Issued:
ArchitectlEngineer: _____00___..
.{)o..ve.\s .fi~Cl..+t~"" '7\ ~
Contractor Cooli"'ll S~I~,-::17\c:..-
Address; fo. &x. L( ('3
PROJECf ADDRESS: { 305
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Applicant or Agent:j)~\le.ls /-ka..41''''?J <>I- cPo I i "'~ 5e.vv t' ~ ~Ph()ne: ~5:J.-o q 39
o L '+' ~ Ybl -crn:1.. Phone: 4f5~~~~6D
Owner:_\ 0.....,..- -S V'V'- \ V'\
Addrcss:-.J 306 .f:'c:ts{- 'ft:b- Sfre.e.-+City: fJo.,,-..f- ~(c...c.JA Zip: "'7'83("~
Phone: .----.
:PAV~6'HC.crcrIKc.. -
State LIcense #: Exp: $(~s Phone: o/S~o'139
City; P6r~ k~~ c.uA Zip: er 8~
G~s..j- '-(-th 5+Y-e-€--f Po-r-+- A,,~\.st.s ZONING:
Block: Subdivision:
Credit Card Hokler Name: e.et",V'\,.2.... P.
IUlIiDI Acldr..: P. c. .aD)(' q t 3
Credit CardType VISA V MC
TYPE OF WORK:
orRc.idential 0 NewConatr. 0 Re~roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Commercial rw'Remodcl 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OJ<' THE PROJECT: ~ c..+ ~ ov~ '
WI'~ e.Je.C:;hrI'~ ~Yn.Cl,,<LlL ci-, ~ fu..VY1 f
COMMERClALlRESIDENTIAL: Occupancy Group~ Occupant Load:
No. ofStaric.: _ Lot Size: Exi.ting Sq. Ft. '" Proposed Sq. Ft
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage
#
- QtHG.-(.s.
City: co
"
SIZEN ALUATION:
__SF.@$ ISF.-S
SF. @$ ISF. - $
SF. @ S ISF. ... S
TOTAL VALUATION $ 7.;: ~C>
i-", s..t-~.d' 0...\. 6 V\ en
CiJ'-I
Construction Type;
= TOTAL Sq.Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
nu:
OTHER:_
PLANNING USE ONLY:
ESAlWedand(s): 0 Yes 0 No SEPA Checklislrequired? 0 Yes 0 No Other:
BUILDING PERMIT APPUCA nON SUBMITTAL: The Building Division can provide you with information on the application au
plan submittal requiremeocs if you have questions.
V ALVA nON OF CON~TRVCTJON: In all cases, a valuation amount must be entered by the applicant This figure will be reviewe
and may be revised h current fee schedules. Contact the Pennit Coordinator at 417-4815 for assistancl
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the lime the building pennit application and construction plans III
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Uno permit is issued within 180 days of the date ofapplication, the application will espire. Th
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 (
the Uniform Building Code, current edition). N(I application can be extended moTe than once.
I hereby certify that' have read and examined this application and know the same to be trw and correct. I am .uthorized to apply for this perrn;t iITl
lIIIdMtIIndlllat, Is my _sib/Iify to _. ."., pemlifs ... """r.\nal ~.. and ~ obIoin such _ pt/ortoWOlt.
T:\FORMS\Af'PS\Buildinapcrmit.wpd Applicant. ~ LOt Date: 7/ ~o /o~
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT
Issued: 10/04/96
Permit No:
5679
OWNER/APPLICANT------------------------PROPERTY .LOCATION------------------------
MARK STRAUAL 1305 4TH ST E
1305 E. 4TH ST Lot: 10
Port Angeles, WA 98362 Block: 3 Long Legal:
360/452-7174 Sub: lutz of sl 17
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
OWNER
VARIOUS
Port Angeles, WA 99360
206/000-0000
,
000/000-0000
PROJECT INFO---------------------------------------------------_________________
prj Type: RES. MISC. prj Value: $0.00
Occ Type: Cnstr Type: SERVICE CHANGE
Occ Grp: Occ Load: Land Use: rs7
Electrical Heat Service Type
Baseboard KW: 0 Riser Voltage: 120,240
Furnace KW: 0 X Overhead Service Diameter: X-1 -3
Heat Pump KW: 0 Underground Service Service Size: 200 AMPS
X Fan/Wall KW: 12 Temp Service Feeder Size: 0 AMPS
PROJECT NOTES--------------------------------------------------------___________
change service/add 12kw-fan heat
PROJECT FEES ASSESSMENT--------------------------------------------_____________
Service: $50.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$50.00
$50.00
---------------------------------
---------------------------------
TOTAL FEE:
$50.00
Balance Due:
$0.00
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 COVE1/,
INSULATE 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 I NO
DITCH
R~~~.1-lN I L-vvt'.R , I
E /tl//tl/tIJ 7i1fl<1
r r
FINAL I/tl/I'I/fh 1/t1U<v I
,
GENERAL COMMENTS,
PW.II02.l'!<V96]
FROM : ,~~
. 'U U
(iMr~.. ~'Vi
6; .._'~ r;;;;;
'1~ . "V
\
FRX NO,
Jul, 21 2004 12:28PM Pi
ELECTRICAL PERMIT APPLICATION
FO~ nf1:ICJ...L US! n"t:_.~
D.tdk=~' ....___. ..,'_
J'enn/.., ___.___
D:IUApptGYood,_._....
D:n,l~ell' _..~~~._____
The E.lectrical Permit Application muse b. f!ll&d out co'nolet8Iv.
Phrase type or reprint in Ink. If you have enyquestions, pleas. call (360) 417-4735
Fill< numbor: (3801417-4711
C)/I-~JL/ tV. iZ-C,
Billing Address:
Owner or Bee_ conlr.et"(,Arn<; ,~ \ <> <' 1: r I (, ~(V; U- I f he... Phon.:
Property 0..'010" t:n..1:i1{' --l '^ , J f'I'r\ .f~ - b
Mo.e.", 1..3..-~ L.), 4.... Ci'>" Ill}
EI.ctr1C.lco"tr.elor;_~\'Or;\-n'c rr:::!lIVio..-, 1flr_ Uconsel/: ~~;~El<jl:
Adoro..~ D.~~. V 4. ['-1 tal City Pod An 3L-I<!s
INSTA~LA1'QN WIRED BY: 0 QWNE" ~E'..ECTRICAL CONTRACTOR
, Ci~~
Exp. Da18:
~ L.[t",-I UuJllC
/
(Q:. Alteration/Addition
n Commercial CJ Mobile Home Sq. Fl
"16 '1-(1 'f2"*'ax: '1 '5 ';).. - ~ I-{ '2 'i
Phone:
Zip: CZ 6 3 (/:, 2....-
q /1'1/~ PhOrI8:'i'5~~b"':J.f
.
Zip: Cjg:3 "'2
CTedil Card Holder Name:
Zip:
\fISA~ Me:
CTBdl1 Card Number:
1306
Do
TO
fllZt-
PROJECT ADDRESS:
TYPE OF WORK:
Check ell that apply:
o New
~Rasidenllal Q Multi-family
i:J Remote Meter Cl Detached garege
U Hot Tub 0 Swim Pool
o Septic Pump
o Low Voltage [j Telecom.
o Sign
Number of Circuits added or eltered:
')fl ~_ ~
or(' eAA }') rt
'~ I T\~ l e,.c
(2Y/-"fl%- ,~'lrlJ~
..t-- ~<D /J ~D --r~ cUr
,
DESCRlPllON OF THE ELECTRICAL PROJECT:
Electric,,' Heat Load Additions and or Subtractions
Service Informallon
~ Baseboard
=:; Furnace
o Heat Pump
o Fa~Wall
_KW
~N_.. LRA
KIN
Xl Overhead Servloe
Memp Service
[) Underground Service
Voltage:
Phase: ~1 0 3
Sarvice Size: ~O,q..
Feeder Slze:--20...b P
~ Credit Card Holder's Signature:
o V.~ ) ^' \\J -\pwnilr or Elec_ Cont. Signature;
/JO,\ \~ .
~:IE LEc.."TRIC/>,lPERMI1'APPl'CA TIQN
I hereby certify that I have read and examined this applicatIon and know that same to be true and correct, and I am
authorized to apply for this permit I understand it is not the Cfty's legal responsibility to determine what permits
are requirsd; ft remains the applicants responSibility 10 determine what permits are required and to obtain ,such,
i:1~~ ::'=
PERMIT FEE: $.
7B. 70 I~
;3 .~o t~
dC;V
-;PsL~
--.--..-- -~_.~-
/ /);0 lOLl ftMkL-
/tJ;z /cJ
-
FROM :Dave's Heating & Cooling Srvc FAX NO. :13604520939
_'_:~ ;I.'~. ~ I .' ,~.i'~ t..jll 13 :'''1 !'LU\; vcrt .~, J'i.", 'l: ,..
Jul. 20 2004 07:56AM Pi
,
~
s
ELECTRICAL PERMIT APPL/CA liON
~ ---------
,..QR.OPPlOA,L.USUOlolL'r
P.....L., ___"__
P_1U. ________.__..m
. tbk"PJ"..u:_
I OIL_ laI~"; ---:
otJ -6S-r
TI'lB EI,u:t~C8i P&rJTIit Appllclltion muct be flUid oul COPIIDlltalV.
PI.ou tyPIl O~ reprint in Ink.. lI)ff;Ju hIlw_'\V4ir..leIo1iQl1l5, plHM.. (380) 417..135
Pa number: (380)417004711
.1'\ 11 .. . . .::>e.-:::\JI'CQ..,-:::rn~
Owno,o,EIo..Contnoot.llfAuonl:.r..V-all.e.lS nea.-I:\I-'\-'lT "1-(,:.0\"':0. .pnon.:~..Dcr.3'r Fax:
~"'POll)~: Po..lr ~th_i+h . co..U. L.{bl-1'i1'ii'~ .Phone:
Add..." /305 6",,:~A~ Siy-ee..-\-._Cily:_ Pc..d:....~~:;",__ "'--'A-
u I . _I :s:;z.,..,,',....., =-'- PAIl'lOSHC'l<J I KC, -I
EI.wtcoICOlltroDtor.~ve.15 -f{e<"-""'D -..-~~_ u..n..tl'; Elcp: 5/05
.......""'_l O. kK ~/ 3 Clly.. lor..f-.4-r>r ( Q "' ~
l>lSTAI.l.ATlON~JIREDBY: oOWl<E.R ~cTRlcAlcomAACTc:m - .... ---- '-'-'..
CntIitCarrlHo/derNama; ",'Je,q,.,..,.e.. I O/d-€.hlsamf- .J::b.v-e'::;' H-e.a.+'~(J
Sll1lngAdrJl8SSI: fo.i5o.k. ~'5 __ctly: jJ6y..r~~: ~ Zip: 988(,;;;,..
CrarDICllnlNumber. .,Exp, Dete: . VISA: ....-/-MC:_
PltOJI!C:TADPRI!SS: /365 b<tS-f-' L(f:h 5-iree..-f / . /:'y-rAnCCP(O${ WA cr8'a(,~
TYPE O~ WORK: Chl!lCk ill! thai apply: [J NIIW (!(A1teralionlAlldnion '.
"f5~-O<J39
~:::1-X'g56
"lJP: .::t.J.36 d
-: -'YS:::>_o"1"'l7'
ZIp: 'ftr3b:d-
I!'l"Reald""t181 0 Multi-family
o Commerc~1 0 Mobile Home
Sq.Ft
o Remote Mel8' 0 O_lId gar91J1l 0 MOl Tub 0 Swim Pool 0 Septic Pump
NumW of Clrculta .dd~ or alloorod:
urCow VoltBge 0 Telecom. 0 S,g,
~O~WI''''c..
DeSCRIPTION 01' TMI ELETRlCAL PRO.JiCT:.
-------..- -----roo ".J
E!eclrlcal ~~';~~;~~-;;-~~:;;:;~'I~'''n8 - ,\. ,-'V'"'\- ----..
. ". ~~ .
[:1 B_bOllI'll _ KW ~I ,-
:rl\lll1llce .JP KW , 0 Overhead Sen.lce
19'fj181 Pu"" ..2. T~~ l.RA 0 "emp Servlce
o Fan-Wall _KW ;J Undelgrounc S&l\'ice
S.rvlCIIl Inform.Uo"
Volllilla:
Ph-= 01 03
Servloa SI>.e:
Feeder Si;to:
ft
~5Jor
o~ ~ J \~ ~\O<-\
Jj "\~
PERMIT FEE: $-35~o ..
" 3fo. Yo
;:JELECTRlCAI.PEIUAITIIPPUC... nON
!
,
F.ROI1: 11
G.1J
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.'"
.
FRX NO.
Rpr. 28 2004 07:3iRM Pi
,
ELECTRICAL PERMIT APPLICATION
PO~ OPPI":I."I, USE ONLY
OIII.~<<:._......._..._
rlJm1l"
u,:e Apprgvcd: ~~_~',.,,_.
Oltl;ba..tll
The Electrical Permit Application MlJst be fUled o\Jt comDletel....
Plaasa typo or reprint In Ink. If you h.... any quesUClns. preas. eel! (360) 417-4735
Fa. numbor: (360) 417-4711
tJ/f-36z.-
~- A I E L,_Al:~ ~-fi"'. '1,. Ph""", l..tSJ-G,4~ax:_I-J.~"'1.-~'+"'::LtJ
ownero'Elec.~nlr.e~ gon:~._;d.- _=_!o!!.. ~ -- --~ ~----T
propertyowne,. "''''~V-''''L.. _ . - '\1 fa~' Phono:
Iuld<e..; \ ~0'5'" L I CIty: ~ _
~I_ 1 . C.~' ~~
Eleetrteal COnlr3Clor~J.$L..1 h.t.- . Uce"".8#: '"3:-1:I~'2on1"P:
Address: &').. D....-"-p.t~ VallLy ~CIIy:_PII..+ J1-n~l~
INSTAL-LA TION WIRED BV; LJ OWNER ~CAL CONTRACTOR
Zip: c:fY3 '-2-
" ) I '1/05' Phone 'i '5 L" CiH"l4.
.
W(T Zlo: q I< '3 "..,
Billing Address:
CredIt Card Number;
O~
~
Credit Card Holder Name:
Exp. Date:
Zip;
V1SA:_ MC:
PROJECT ADDRESS: ) 30S' L
/jI::5 cST,
Check.!ill that apply: 0 New
o Alteration/Addition
C Multi-family
Ci Commercial CJ Mobile Home
Sq. 1"1
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
Number of Circuits added or altered:
n Low Voltage 0 Telecom. Q Sign
"':t .L-.J2#-- ." - ]
- .
F:r-e J>a.IM..O-SQ.J, ~(d~c
DESCRIPTION OF THE ELeCTRICAL PROJECT:
Electrical Heat Load Additions and or Subtractions
4~
Service Information
o Baseboard
o Fumece
Cl Heat Pump
CJ Fan-Wall
_KW
KW
TON LRA
KW'-
o Overhead Service
o Temp Service
~ J Undorground SerYice
Voltage: ~V'f<>
Phase: n 3
Service Size: .L~
Feeder SIZe:
::IELECTRICALPERMIT APPL/CA liON
/ hereby cerlify that i have read and examined Ihis application and know that 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
Bi:e.'!'qUiref.;',it remains the applicants responsibility to determine what ~ermits are required and to obtain such.
o/fi!l,l~ . C"''',""Ho''.'..._re'~".~ D.~, '1M
." I . f) Owner or Elee. Cant. SIgnature: . . .... _ Date: ~/ 2--<:["
Ai rfffitX..L.-J ~\oZ~'k-o - Nl G~\.:f'{;c-+ 'f ~~ec.."J t/nc...,-,p
, Oh.-~ l-<;~ ~PERMITFEE:$ 9'c .7'1'
;t@
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