HomeMy WebLinkAbout424 E 5th St - BuildingPREPARED 10/08/10 8 54 50 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/08/10
ADDRESS 424 E 5TH ST
TENANT NBR ANNETTE M SMITH
CONTRACTOR DAVE S HTG COOLING SRVC INC
OWNER ANNETTE M SMITH
PARCEL 06 30 00 0 1 9815 0000
APPL NUMBER 10 00001112 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED REST RESULTS /COMMENTS
SUBDIV
PHONE (360) 452 0939
PHONE (360) 452 8003
ME99 01 10/08/10 ��L MECHANICAL FINAL TIME 01 00
'/1 October 8 2010 8 45 16 AM 1pangrle
$I JEANNIE 452 0939
MECHANICAL FINAL HEAT PUMP
AFTERNOON
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 0
Application desc
Ductless heat pump
Owner
ANNETTE M SMITH
424 E 5TH ST
PORT ANGELES
(360) 452 8003
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
ELECTRICAL HEATPUMP
174664
73 50
10 /05 /10
4/03/11
Charged
73 50
00
73 50
_Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00001119
489323
424 E 5TH ST
06 30 00 0 1 9815 0000
Paid
Contractor
EXTRA MILE TECH ELECT LLC
418 N RACE ST
PORT ANGELES WA 98362
(360) 457 0198
73 50
00
73 50
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Credited
00
00
00
Date 10/05/10
Due
RESULTS
f fa
io-3 10
00
00
00
00
0
Extension
73 50
INSPECTOR.
Date:
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
OCT- 04 -201e 11 49 AM E JANSSEN
City of Pori Angeles Permit Application
Building DivielonlElectrIcel Inspections
321 East FINK Street- P,0, Box 1150
Pori Angeleo Weshington.98362
Ph (360) 417-4735 Fox: (3601417.4711
Dale
1 8 2 Single rarruly Dwelling
viul (Or A my or (.omrnerciar
,,onlrnirci;ll Addrh0n Allerabon I kemc 0,n!
ten Novlew May BO Require d, Pleaso omplete Lin:M al NM Review Information Sheet
Joe AOc)reS:, _�..�y.��T S f i'r 4 5
Budding square ool.)ge
eScrtPhon 31 above I4. r,./ C k.!'
Owner Talion (;gniractorinfolmauon
Narne J i1 r ��C h it f r_iice! C Name 6X #/14- M ,L r r 1 C e- CC_ r
laihng Address �2 y r ti fy t Mailing Address: 4 1 1 rd J� S
cit k�/.r_ State _t6i4 Z Y 7 Gay' ;tale
PhOn .y er 2 �X Fax Phone `��-52, 2 Fax `�t'
License y Exp i icense 1 Exp. X71.4 r.
Unit Chary
5 11990
S 14050
!04.60
5 '6220
37250
5 2 80
S 7350
5 2 60
92 73
S 11030
5 148 (0
5 197.90
5 95.90
88.2,
95 06
63 90
5 6306
5 119.06
5 102.36
ti 1103G
S 3520
5 7350
103u
5 5600
CC T 4 2000
ELECTRICAL
INSPECTIONS
cal t c c -€1. 5 :k e*
tits! (Qty Mulliolied by Unit Charge)
Service /Feeder 200 Amp.
Seance /Feeder 201.400 Amp
Servrce)Feeder 401 -600 Amp.
Service/Feeder 601 -1000 Amp
Service /Feeder over 1000 Amp
Branch Circuit W/ Service Feeder
77 5 c./ I1rancli Crrcult W/O Service Feeder
Each Additinnal Branch Circuit
I amp Service/ Feeder 200 Amp
Temp Service /Feeder 201-400 Amp
emp ServlcelFeeder 401.600 Amp
amp Service/Feeder 801 -1000 Amn
Portal to Portal Hourly
Sign /Oudlne Lighting
Signal Circuit/ Limited Energy Commerciai AdrNonal
Signal ClrcuIV t imlted Energy 1 2 Family Dwelling
Sionel CircuiV Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy SKVA System ar a :1
First 1300 Square Ft
F-erh Additional 500 Square Ft. or Portion of
■•ACh Outbuilding or Detached Mirage.
Eacn Swimming Pool or Hot Tub
lherr'ostel
.7 Ss' Total
r.
Owner es defined by f1CW 19.28,261 (1) Owner will occupy the structure for two years alter Ibis electrical permit Is finalized
above said properly rt for gala, rent or lease. Permit expires after uhr months of lost inspection.
U Chi rf
‘7 r4
I Credit Card 8
36 et 452 2982 P 01
r .r.
k�:� _ma •f
tit r
After reading the above statement, I noroby Certify that am the owner of the above named property or licensed electrical contractor ham making the electrical installation Or
alteration In compliance with the electrical laws, N.F.0 ttCW Chapter 19.20. WAC. Chapter 290400, The City of Pon Angelis Munk rn:d Code, and Utility Specifications
Signature or owner, electrical contractor or olectricel anmtnletratni I
S
Aitte
se....41111.11111111111111!)
le.• Is required to 1,110 an nlerttrlcal contractor al
Date
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
INSTALL A DUCTLESS HEAT PUMP
Owner
ANNETTE M SMITH
424 E 5TH ST
PORT ANGELES
(360) 452 8003
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
T:Forms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98362
Qty Unit Charge Per
1 00 14 8000 EA
Fee summary Charged
Permit Fee Total 64 80
Plan Check Total 00
Grand Total 64 80
MECHANICAL PERMIT
INSTALL A DUCTLESS
174581
64 80
10 /01 /10
3/30/11
`a4l n w 1 L /Jla�o,,, ‘..,o
10 00001112
592232
424 E 5TH ST
06 30 00 0 1 9815 0000
ANNETTE M SMITH
MECHANICAL APPL PERMIT
RESIDENTIAL HIGH DENSITY
4020
Contractor
DAVE S HTG COOLING SRVC INC
PO BOX 413
PORT ANGELES WA 98362
(360) 452 0939
BASE FEE
ME FURN /HP /FAU OR 5 TON
Paid Credited
64 80
00
64 80
HEAT PUMP
Plan Check Fee
Valuation
00
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 has commenced or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting 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.
Date 10 /01 /10
Print Name Signature of Contractor or Authorized Agent
00
00
00
00
0
Extension
50 00
14 80
Due
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
oa\
\o/"
Signature of Owner (if owner is builder)
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION-
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough=ln
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
FINAL Date Accented by
FINAL Date 0g A'ccepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Date Accepted By
JL
Sep 30 10 03•01p
owner P the. cowl-kJ Wdbstk is Awie,4 -M Cl/V1
Parcel Number
Floor Areas
Dave s Heating Cooling
3604520939 p 2
BUILDING PERMIT .APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E Fifth St, Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Existina (sq. ft.) Proposed (sa. ft.)
Basement per sq. It
1'` Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Max. height of proposed structures ft Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
For City Use Only
Date Received 30
Permit Ill 1Z-
Date Approved
Lot Zoning
Prefect Type 8 Brief Description: Residential o Multi -family o Commercial o Industrial
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
o Demolition
o Re -roof
6 Heat System
o Other
Applicant D a tl-e S Pf -h r, a Phone 4(5-.--0.1 T
fit Property Owner l1.- e- --f Ron .lug noviLh Phone '5 -goOJ3
Property Owner's Address -(a (4 S r o
Contractor .1)a vim s K .4 a Phone c/5" 72
Contractor's Address 1' 0 .ox e-f(3 POl t e_._(.9_.s. r 0/Tg,�D.
License J V rc .s Kc.� j K C Expires aa (l E -mail
.PROJECT ADDRESS h{,. ds-f S s-fr-e€ -t
o House o garage o other o tear off re -roof o lay over one layer
XHeat pump o wood buming stove a gas fireplace o pellet stove o other
ci(ck-c��
TOTAL VALUATION 7 e,ZD
Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site coverage
of bedrooms
of full baths
of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior tq working on projects.
Date /D D Print Name D (c t kc- D Signature
i
T:Fonns/Huilding Division/Bldg Permit.doc ci
Clallam County Assessor Treasurer Property Details 57655 ANNETTE M SMITH f. Page 1 of 6
Clallam County Assessor Treasurer
Property Search Results 57655 ANNETTE M SMITH for Year 2010 2011
Property
Account
Property ID 57655 Legal Description LT 4 BL 198 TPA
Geographic ID 0630000198150000 Agent Code
Type Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11
Open Space N DFL N
Historic Property N Remodel Property N
Multi Family Redevelopment: N
Township Section
Range
Location
Address: 424 E FIFTH ST Mapsco
PORT ANGELES WA
Neighborhood: Cycle 5 Res Map ID 2
Neighborhood CD 10955130
Owner
Name ANNETTE M SMITH Owner ID 52785
Mailing Address: 424 E 5TH ST Ownership 100 0000000000%
PORT ANGELES WA 98362
Taxes and Assessment Details
Property Tax Information as of 09/30/2010
Amount Due if Paid on. Mr
Exemptions.
NOTE If you plan to submit payment on a future date make sure you enter the
click RECALCULATE to obtain the correct total amount due
First Second
Half Half
Base Base
Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid i fi
2010 40640 ST SCH STATE SCHOOL $140 10 $140 09 $0 00 $0 00 $140 10
2010 40640 CC -GEN COUNTY $74 56 $74 55 $0 00 $0 00 $74 56
2010 40640 PORT PORT $10 48 $10 48 $0 00 $0 00 $10 48
2010 40640 PORT ANG PORT ANGELES $172.61 $172.62 $0 00 $0 00 $172.61
2010 40640 SD #121 SCHOOL DISTRICT #121 $181 46 $181 46 $0 00 $0 00 $181 46
2010 40640 NTH OLY LIB NORTH OLYMPIC LIBRARY $21 66 $21 67 $0 00 $0 00 $21 66
2010 40640 HOSP #2 HOSPITAL #2 $30 58 $30 59 $0 00 $0 00 $30 58
2010 40640 WSMET PK DIST WILLIAM SHORE MET PARK DIST $9 73 $9 73 $0 00 $0 00 $9 73
2010 40640 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $36 00
2010 40640 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $0 82
2010 40640 TOTAL. $678.00 $678.00 $0.00 $0.00 $678.00
2009 576552008 ST SCH STATE SCHOOL $159 60 $159 60 $0 00 $0 00 $319.20
2009 576552008 CC -GEN COUNTY $80 77 $80 76 $0 00 $0 00 $161 53
2009 576552008 PORT PORT $11 44 $11 44 $0 00 $0 00 $22.88
2009 576552008 PORT ANG PORT ANGELES $177 16 $177 17 $0 00 $0 00 $354 33
2009 576552008 SD #121 SCHOOL DISTRICT #121 $197 37 $197 37 $0 00 $0 00 $394 74
2009 576552008 NTH OLY LIB NORTH OLYMPIC LIBRARY $23 47 $23 47 $0 00 $0 00 $46 94
http. /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =57 9/30/2010
Application Number 06 00000202 Date 3/07/06
Application pin number 108806
Property Address 424 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 9815 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 0
Owner Contractor
SMITH ANNETTE
424 E 5TH ST
PORT ANGELES
36) 452 8003
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
OWNER
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc OWNER/ WIRE GARAGE
Permit pin number 71845
Permit Fee 48 10 Plan Check Fee 00
Issue Date 3/07/06 Valuation 0
Expiration Date 9/03/06
Qty Unit Charge Per Extension
00 36 3000 ECH EL R OR RM REPAIR METER /MAST 00
1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS 48 10
Charged Paid Credited
48 10 48 10 00
00 00 00
48 10 48 10 00
Due
00
00
00
INSPECTION TYPE
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DATE
ACCEPTED
YES NO
COMMENTS
DITCH 1_3/ A
ROUGH -IN COVER
SERVICE
FINAL M �1 l� /yi/c 9
PW- 1102.15 1496]
Job wired by
Electrical contractor name
Purchaser's mailing address
City
Telephone number
Premises owner's name
,4,rne i i'n /1
Address of inspection
#24 Pw: 37 r r
City
Y.11._ in, Bx!
s
Phone number to schedule inspectio
360
91'/- 77
77
x
Baseboard
Furnace
Heat Pump
Fan -Wall
Inspection
Date
KW
KW
Ton LAR
KW
Date Appr
FINAL
ri D
Date
State ZIP
FAX number
Rr
at Ira*
Electrical Contractor Owner
License number
Electrical Load Additions and or subtractions
,Mt NO LOAD CHANGES
Date
Date Expires
New
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 an electrical
contractor if above said property is for sale, rent or lease.
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 instal-
lation or alteration in compliance with the electrical laws, N.E.0 RCW Chapter
19.28 WAC Chapter 296 -46B The City of Port Angeles Municipal Code, and Card
Utility Specifications.
/Signature of owner, electrical co actor or electrical administrator Expiration Date
of card
-�6
Overhead Service
Temp Service
U Underground Service
SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360- 417 -4735
ROUGH-IN THERMOSTAT
ed By Date Approved By
Approved By
DITCH
4/2
batf Appr ed By
Area, Building or Equipment Inspected
ELECTRICAL WORK PERMIT APPLICATION
/Installation description
Commercial Residential
s /ze Afreift,
/iv A,. Stiff -Ag?
Cash VCheck
Credit Card
7
Altered/Addition
Visa Mastercard Discover
Date
SERVICE
FEEDER
Action Taken
Inspection fee
/D
Service Information
Voltage 1 46
Phase 1 3
Service Size:
Feeder Size:
Date Appr ed By
Appr ed By
Electrical
Inspector
i
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~ f10RT ~
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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
04-00000763 Date
.322408
424 E 5TH ST
06-30-00-0-1-9815-0000-
RES DETACHED GARAGE
RESIDENTIAL HIGH DENSITY
13280
Owner
Contractor
SMITH, ANNETTE
424 E 5TH ST
PORT ANGELES
(360) 452-8003
Structure Information
Construction Type
Occupancy Type
Other struct info
ALPHA STEEL BUILDINGS
1724 COLE STREET
ENUMCLAW
(360) 825-7768
720 SF DETACHED POLE GARAGE
TYPE V NON-RATED
GARAGES, CARPORTS, SHEDS
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT
720 SF DETACHED
260.75
9/10/04
3/10/05
-RESIDENTIAL
POLE BLDG
Plan Check
Valuation
Qty
Unit Charge Per
12.00
BASE FEE
14.0000 THOU BL-2001-25K (14 PER K)
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
Other Fees
STATE SURCHARGE
9/10/04
WA 98022
24.00
V-N
1. 00
960.00
7000.00
720.00
1680.00
1. 00
...)::
, )-""'>
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Z
,,", t'
"'t"'J"
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~5
~u
~--t
c-... . I
c..
("-
r
Fee
104.30
13280
Extension
92.75
168.00
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 260.75 260.75 .00 .00
Plan Check Total 104.30 104.30 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 369.55 369.55 .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
oon~t;~~ c~~
Signature of Contractor or Authorized Agent
DC) J <'-() D0
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [I ]114/2003]
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 UNLA WFUL TO COVER, INSULA TE 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: I~> tjCJ!V.'H} 10 'K,) - O,-{ I).p j. '"
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 I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING JJ-/ -,.,4 J .J,..
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
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:
PARKINGILIGHTING 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. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNfNG DEPT.
BUILDING 417-4815 I#~ -%-0. c;. .J j..,l BUILDING
T:\PLANNING\FORMS\1102.15 [11/14/2003]
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GEORGE GERG~ P. E.
CIVIL-STRUCTURAL-GEOTECHNICAL
12101 I 11th Ave E
~aIIup~ Wa98314
(253) 840-3398
STRUCTURAL CALCULATIONS
For
ALPHA STEEL BUILDINGS
08/11/04
Engineered by: George Gergis, P.E,
Client: Mr. Bob Smith
Alpha Steel Buildings
Enumclaw, W A
Project: One story structure
24'x30'xlO' metal pole building
4"SOG
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Owner/address: 3t1ITftAEJNE TIE
424 East 5th
Port Angeles, Wa
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Architectural Plans: by client
Code: IBC 2003
"
Roof: DL:5psf ( metal) , LL:25psf
Seismic; Zone D I
Wind: 85 mph, Exp B.
Jurisdiction:. City of Port Angeles
Note:l- These calculations are limited to the lateral and gravity design of the one story
24'x30'xlO' eave, metal Pole Building,
2- They are not valid without an odginal wet stamp.
3- See plan report for details.
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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
L ~~se:' Ai... '7 VO'7').oo
ApplicantorAgentA\~-H-f\- S~L BVd/QI~SPhon( 3,0V) 83-5'/7 ~<t?
Owner: rhIn ~~ S (\1\ '\ --n--r Phone( ~ 10 Q) Lf 5 J... - $? 00 ~
Address: L,.-19-Lj E 5TJ+- City~~( '~'J.{J~~.J Zip:, ') Q 3l..- -~
Architect/Engineer: ~ ~F ~~ S \ \"1>~one( .;;(3) S "-f 0 - 3~SC1 ~
ContractorA-1f~ ~T1?FL l3>L()lo~tate License #:At.?.AA S~xP()Jk-'\ JJ-n1 ~~n(6(P0~5 -" l.
Address:.i I d- '-\ C{:: \..€.. S-, ~- City: E /)...) 1Ylc..\C\ ,-J r...~ Zip: 9~-~ "d- ':l-
PROJECT ADDRESS:Y'd-~ 't:. $,'-n-\- ?c.t.:j k~\..e-~ ZONING:~~~\ ~ I
'-l Block: I q B Subdivision: ,1> A
t\b -=? cx::.rL> I ~ ,.5" C>C>O()
BUILDING PERMIT - APPLICATION
Date Issued:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
j5. Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move .Jli(Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: -'fb l ~
City:
Exp. Date:
SIZEN ALUATION:
SF,@$ /SF.=$
SF. @ $ /SF, = $
7;) 0 SF. @ $ /SF. = $
. rlI. TOTAL VALU~TION $ It ;;)..~O
B':>d.~ \J,.{ ~ (l::"r-J.~ q~ _~ __
COMMERCIAL/RESIDENTIAL: Occupancy Group: 'J2 Occupant Load: Construction Type: t/ .
No, of Stories: Lot Size: ,,?DDO Existing Sq. Ft. 9f.Q & Proposed Sq. Ft. 72 U = TOTAL Sq, Ft. I b aO
Total lot coverage 2. '( %
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BillLDING 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 wiIl 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. AIl 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 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 is my responsibility to determine what permits are required ,not the City's, a d that I must obtain s h permits prior to work.
-
T:\RVESS\BLDG- forms-brochures\2003-Buildingpermit. wpd
Applicant
.~Date: ogas O~
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lite Address
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)wner
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)wner's Address
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lay Phone
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~pplication is hereby made for Permit to install Electrical Equipment as follows:
I
/203
~EE RECEIPT NUMBER
TOTAL FEE
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
77f
PERMVI' NUMBER
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CONT. LIC. NO.
T1METO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
; certify that the work to be performed Undej this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made ~/ r.; f {, ,19 By
~ . . . . CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) .
I Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
reCifications pertaining thereto, subject to compliance with the Ordinances Of~i;it~T~n~.C1'!rHT ~
late Permit Issued r If If C ~CANS APpeL . . L 0 ~
I Notify Department of City Ught by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
I Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
I
~L YMPIC PRINTERS, INC.
(!JHw6f
I WI It. l.
I
I USE OF CIRCUIT
I
, LIGHT
LIGHT
,
CONVENIENCE
I CONVENIENCE
APPLIANCE
DISHWASHER
DISPOSAL
RANGE
OVEN
WATER HEATER
LAUNDRY
DRYER
FURNACE
GAS. Oil
I FURNACE
ELECTRIC
I ELECTRIC HEAT
I ELECTRIC HEAT
A.C. UNIT
I FEEDER
I SERVICE
,
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NSIBILlTY OF APPLICANT
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By
Installers Address
,1'52-
z.Z-~o
Installers Phone
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Wiring Method
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NUMBER
CIRCUITS
AMP
PER
CIR
FEE
240V
100R
30
AMP
PER
CIR
240V
100R
30
"
USE OF CIRCUIT
120V
10
NUMBER
CIRCUITS
120V
10
FEE
SIGN
"50 VOLTS
OR LESS
MOTOR
MOTOR
.
MOTOR
I
1 ,/ 1 I
.L/i 14P11 If'
1/1'1 I
FIRE ALARMS
BURGLAR ALARM
MISC.
REINSTALLATION LIGHT FIXTURE #
SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
AW.G.
I 8UB- TOTAL
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
WHITE. Original
CANARY. Duplicate
PINK. Triplicate
WHITE CARD. Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
A 7Cff O.K. TO CONNECT SERVICE .
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