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Home My WebLink About910 E 5th St - Building 'S "-'r;" CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 9R]62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000099 Date .397671 910 E 5TH ST 06-30-00-0-1-9325-0000- ELECTRICAL ONLY 2/15/05 RS7 RESDNTL SINGLE FAMILY o Owner Contractor FIRST CHURCH OF GOD OF PA 505 S RACE ST PORT ANGELES WA 983626436 OWNER ---------------------------------------------------------------------------- Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL HALVORSEN / SER~ICE CHANGE HALVORSEN ELECTRIC 66.90 Plan Check Fee 2/15/05 Valuation 8/14/05 .00 o Qty Unit Charge Per 1.00 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66.90 ~ ". ,-J Fee summary Charged Paid credited Due ----------------- ---------- ---------- ---------- ---------- permi t Fee Total 66.90 66.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 66.90 66.90 .00 .00 ~ ~ V\. '1 COMMENTS/ACTION NEEDED ~ ELECTRICAL PERMIT INSPE~r.ION 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 ACCEFrED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DATE ACCEPTED COMMENTS I YES I NO IITI :H ROUuH-IN7 COVER ~hK V ICh / j 2 Ii .,/h<" I 7ft't[.J / , GENERAL COMMENTS: PW-lI02.U [4'96) c! pORT ~G: ~~~~.... ~rGiii~ ~ -- ~.,~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 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 05-00000125 Date .577875 910 E 5TH ST 06-30-00-0-1-9325-0000- MECHANICAL PERMIT 2/23/05 RS7 RESDNTL SINGLE FAMILY 3125 Owner Contractor FIRST CHURCH OF GOD OF PA 505 S RACE ST PORT ANGELES WA 983626436 PENINSULA HEAT 502 W. 8TH ST. PORT ANGELES (360) 457-2775 WA 98362 ---------------------------------------------------------------------------- Permit ELECTRICAL ALTER RESIDENTIAL Additional desc THERMOSTAT Permit Fee 36.40 Plan Check Fee Issue Date 2/23/05 Valuation Expiration Date 8/22/05 .00 o Qty Unit Charge Per 1.00 36.4000 EC EL-LOW VOLTAGE Extension 36.40 Permit MECHANICAL PERMIT Additional desc Permit Fee 61.70 Plan Check Fee Issue Date 2/23/05 Valuation Expiration Date 8/22/05 Qty Unit Charge Per BASE FEE 1. 00 14.7000 ECH ME- INSTALL 100- FAU .00 o -i> - o -:y, ~ IT( r lfl + 5 ---------------------------------------------------------------------------- Extension 47.00 14.70 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 98.10 98.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 98.10 98.10 .00 .00 ~ ~ ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. uN FILE Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date \ Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] 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 NO FOUNDATION: FOOTINGS I WALLS FOUNDA nON DRAINAGE / DOWN SPOUTS 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 I FRAMING JOISTS / GIRDERS SHEAR W ALUHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE 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 PLANNING DEPT. BUILDING 417-4815 9'- / '? -(") , S-- -' r l-- BUILDING T:\Policies\/102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: '2 - 2. S'ot.;; Permit #: oS ..~ (1. S Date Approved: Date issued: Fill out COMPLETELY and in INK. Your application and site.plan MUST BE COMPLETE to be accepted for review. !fyou have any questions, call (360) 417-4815 Applicant or Agent:.1l.t1lA1YiofJe ArvJ~ . Phone: Owner: ff,..:Sf-{}hu.r~;' L:J-I- 6J~ /1lt1'$bI'1"9~ Phone: Address: ClIO E 15fJJ ST- cityAl'f An~'-'s ArchitectJEngineer: Phone: ContractorYeVl,:"Vrt 5i~ 1-State License #:$AJIJJ H1~ Address: 5()2 W '8 t!Z- . City:Jo ri;- ~jP lP OS PROJECT ADDRESS: qlo E. 6-i:JJ s+. '-1-67-2 77S- L./.6;l-7"78 Zip: ?Yl3~2. Phone:Lf ~7-d77Df- Zip: q <?3b' ?- ZONING: LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA _ MC # TYPE OF'WORK: 'f o Re&idential 0 New Constr. 0 Re-roof 0 o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o. ~air ,0 Sigv BRI DESCRIPTION OF THE PROJECT: E Ie,. iA.m"u Mile ni~ City: Exp. Date: ~.JZ~~ . , r1. ,I! ,- t,.. COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage Construction Type: = TOTAL Sq.Ft. % APPRO V ALS: 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 infonnation 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 Pennit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it mQst be submitted at the time the buildingpennit application and construction plans are submitted. All other pennit fees are due at the time of pennit issuance. EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. Applicant correct. I am authorized to apply for this permit and tI us! 0 in such pamirs prior :?-Ol1<o ate: ,}/I) {1;- , I T:\FO RMS\APPS\Buildingpermit. wpd 3: >-3 '" i;;:;;~8El n'U OJ ><: ~ H:U \D 'U 'U:UZZt:I >-3 OJ \D '- I:'n OJ >-3:U ><:'U ID .... 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DITCH ................... 0 o .............. ROUGH IN/COYER... .. .. .. .. ... 0 O.................~~~..................O o .................... FINAL. . . . .. . . . .. . .. . . . . " 0 CORRECTIONS NEEDED: @ ~~I"i"': LJ~;O / //J ~u,~ /1'///\/. 7Z:J bbU_O. ~ F~~-71U<,- PH7v:1./, ~,/,,_ ;;NZC>~::Pj';::~1~V~ :~ O.....,.......,r:J"'~ rF~/J;bb DK:T (!l"J~/f...r1~1o..J c.. {'.A'Z< _ #;-9v,;_ ~J 7 - q'l3-S: He !1 nA... &"~"'nDJ.J ~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE _ OLYMPIC PAINTERS, INC. (360) 452.1381 o Electrical Contractor B Q,...~~ r=..> ' ~.-... DOwner ""iii;"",,;t ELECTRICAL WORK PERMIT APPLICATION o Request Inspection . . o Annual Permit 0 Alarm 0 Carnival 0 Commercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. Job wired by )llS Electrical Contractor 0 Owner Installation description Electrical contractor name I JjALVMS'FA/ S 13LIiC'T1Vc.. Purchaser's mailing address, 244? P//}(,'F. R D License number MAJyGF <;/?RVld' FRPM 70 A 7V P~I?A flA/ V~;::"lt541e.L City Ppl?T AAI/;FLEC: Telephone number State ZIP 3~,~~2 FAX number Premises owner's name CIh<Rt.U (7F' (;0 D Address of inspection 9/D 1iiflJs.r.!5" City > ~ I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the e1ectrieallaw, Chapter 19.28 RCW. o Cash 0 Check # )l( Credit Card @ Mastercard Discover Card# _J2ALJ~__-____-____ Signature or owner, electrical contractor or electrical administrator X ~~;v Expiration Date of card o SERVICE 57,,:;' /fccQ ale Approved By WALLS CEIUNG Insulation Only Insulation Only Dale Approved By Dale Approved By Cover Cover Dale Approved By Dale Approved By THERMOSTAT Date Approved By DITaI FEEDER Date Approved By . Dale Approved By Electrical Load Additions and or subtractions )ll. NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAA o Fan-Wall KW Service Information o Overhead Service o Temp Service o Underground Service Voltage I Z tJ /e./f/J Phase:!il' 0'3 Service Size: 2(JtJ A Feeder Size: Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector 5 ..5. 1CIL- /'iM Co, ." I . ELECTRICAL WORK PERMIT APPLICATION o Request Inspection . J o Electrical Contractor 0 Owner o Annual Permit 0 Alarm 0 Carnival 0 Commercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. Job wired by 0 Electrical Contractor 0 Owner Installation description Electrical contractor name License number Upc.;.eADIIX;. RbM (<<0170 AMP ~~I(~ To 2i:.c~ SEeYlCE Purchaser's mailing address City State ZIP Telephone number FAX number Premises owner's name ^ \5-1" C~U\2rH OF GOD Address of inspection q 10 E sn-\ "S~ Cit~ ~ECE> W . o Cash 0 Check # I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the finn's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. o Credit Card Card # Visa Mastercard Discover Signature of owner, electrical contractor or electrical administrator Expiration Date of card x ~P. o.,.~ / WALLS Insulation Only Dale Approved By Cover Dale Approved By \. / CEIUNG Insulation Only Dale Approved By Cover Dale Approved By THERMOSTAT Dale Approved By DITCH Dale Approved By / SERVICE \. Dale Approved By / FEEDER Dale Approved By Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton lAR o Fan-Wall KW J?V Service Information <S' ()"\ I lr- ~ o 'Overhead Service o Temp Service D Underground Service Voltage PhaseD 1 03 Service Size: Feeder Size: Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector ~ tV oJ e. ,,+, n... F-e ~ U..UUl.k'\ c.E:... ~o ;A 'f L!W7.J ) j" 1_- .