HomeMy WebLinkAbout840 W 5th St - BuildingpORT..
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Property Address
ASSESSOR PARCEL NUMBER
Application description
Property Zoning
Application valuation
Owner
MIKE LEVINE
840 W 5TH ST
PORT ANGELES
(360) 452
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Permit Fee Total
Plan Check Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
T• \PLANNING \FORMS11102.15 [4/2002)
WA 98362
Qty Unit Charge Per
1 00
Fee summary Charged
ELECTRICAL
64 90
3/12/03
9/08/03
64 9000 ECH EL
64 90
00
64 90
Ui U0000173
840 W 5TH ST
063 0000101450000
ELECTRICAL ONLY
64 90
00
64 90
0
Contractor
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452 6424
ALTER RESIDENTIAL
Plan Check Fee
Valuation
OR RM 0 200 ALT SRV FDR
Paid Credited
00
00
00
Date 3/12/03
WA 98362
Due
00
00
00
00
0
Extension
64 90
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
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING 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
INSPECTION TYPE DATE
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
YES I NO
FOUNDATION.
FOOTINGS I I I
WALLS I I I
FOUNDATION DRAINAGE I I I
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN I I I
PLUMBING
UNDERFLOOR /SLAB I I
ROUGH -IN I I
WATER LINE I I I
GAS LINE I I I
BACK FLOW WATER I I I
AIR SEAL
WALLS I I I
CEILING I I I
FRAMING
JOISTS GIRDERS I I
SHEAR WALL I I I
WALLS ROOF CEILING I I I
DRYWALL I I I
T -BAR I I 1
INSULATION
SLAB I I I
WALL FLOOR CEILING I I I
MECHANICAL
HEAT PUMP
WOOD STOVE PELLET CHIMNEY
HOOD/ DUCTS I
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T• \PLANNING \FORMS \l 102.15 (4/2002]
ELECTRICAL LIGHT DEPT 417 -4735 rq
I I
I I
I I
I
I I
I I
ACCEPTED COMMENTS
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
DATE ACCEPTED
YES I NO
I I I
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 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
05-00001180 Date 11/28/05
109960
840 W 5TH ST
06-30-00-0-1-0145-0000-
RE-ROOF
RS7 RESDNTL SINGLE FAMILY
2420
Owner
Contractor
------------------------
THORNBURG LISA K
840 W 5TH ST
PORT ANGELES
------------------------
WA 98362
GARLAND CONST. & MAINT.
1117 E 2ND ST
PORT ANGELES WA 98362
(360) 457-5186
----------------------------------------------------------------------------
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF AND INSTALL COMP
66035
109.75 Plan Check Fee
11/28/05 Valuation
5/27/06
.00
2420
Qty Unit Charge Per
Extension
95.75
14.00
----------------------------------------------------------------------------
BASE FEE
1.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
. . . . . . . . .
STATE SURCHARGE
4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 109.75 109.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 114.25 114.25 .00 .00
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Separate Permits are required for electrical work, SEP A, 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 governi!ilg this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume .to jJive,/~t )ri,W y5 vi ate or cancel the provisions of any state or local law regulating construction or the performance of
constr~tl~. /, /;' /.. /
'J If? / - -/jr;
Signature of Contractor or A ate Signature of Owner (if owner is builder) Date
T:\Policies\] 102_]5 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,
I ]NSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT, 4]7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 4]7-4807 PW I ENGINEERING
FIRE 4] 7-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT,
BUILDING 417-48]5 i ~/,7t J /' TiL BUILDING
icie \] 102 ]5 bui]din ermit ins ction recordOS. d 1/4/20lf5
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BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be ac.c.epted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711 I Dalelssued
Applicant or Agent:
O\\Tner: J--r Sd-
(-1/1/t'{ ;47'-'- 0if? lf7/ift L
1/lr:r;vL'~ UF4j.
Phone:
Phone:
Address:
City:
Zip:
Architect/Engineer:
Contractor tlM t-f't' F::' (!~Pl 'f;( fill..,.' -, State License #:
Phone:
Exp:
Phone:
Address:
0(('1
~l/
City:
5~
Zip:
ZONING:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COUNTY PARCEL NUMBER:
Subdivision:
TYPE OF WORK:
o Residential 0 New Constr. pe-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
o Stove
o Garage
o Deck
o Other
SIZENALUATION:
SF. @ $ /SF. = $
SF, @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
7-f2e:
(1:
-
COMMERCIALIRESIDENTIAL: Occupancy Group:
No, of Stories: Lot Size: Existing Sq, Ft
Total lot coverage %
Occupant Load:
& Proposed Sq, Ft.
Construction Type:
= TOTAL Sq. Ft
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. Tins 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 tinle of permit issuance.
EXPIRATION OF PLAN REVIEW: !fno permit is issued within 180 days oftlle date of application, the application will expire. The
Building Official can extend tlle time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2
of the International BuildinglResidential Code, 2003). No application can be extended more than once,
I hereby certify that J have read and examined this applicati
understand that it is my responsibility to determin w at r. It
T:\Policies\BL-ll 02 _13.wpd Applicari
a d no the same to be true and correct, I am authorized to apply for this permit and
r re ired, not the City's, and that Just obtain such permits prior to work,
Date:
,[7
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"~,~., ; _ ,v~;~.. dff ;.M, \>t~:.~_ ,if ,_;,:'~:_:\~_ ~;:__~WYflti$r;1J~
PLUMBING
TRAPS:
WATER HEATER:
SEWER:
WATER:
MECHANICAL:
VENTS:
FURNACE:
FIREPLACE:
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1117 E. 2nd St.
451-5186 Port Angeles, WA 98362
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& MAINTENANCE
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1117 E. 2nd St
457-5186 Port AngeleS, WA 98362
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FROM : Electric~S
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FRX NO. : 4525424
ELECTRICAL PERMIT APPLICATION
Feb. 18 2003 08:45RM P1
~ ~ Tho Erec!rical Po,,,,i; Appl,,,,tion mu.' bo fill.. oul o.mol.t.fv
Ploase type or r'prlnt in Jnk. If you hay. any qUlfstJonl, plUMe call (380) 417...735
Fb num..r: (360) 417-4711
FOR. OFPIc::JAL iJSE C1Nl't
O'h:/,HQ" ,.""9?,;;). _ ..
run'ullI': --f-...L..::;} ,
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Lev/",E..
Phone:
REQUEST INSPECTION
i.tQ__I."/~)' F8JC: 4....-(.,<;.:..'1-
Ownsr or Else. Ccntraclor Agent:
Property o..;,.,r. M \ ~L_
Po:.'f..'r
Phone:
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City; P ~ Il-",tl. . IN.,
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o ELECTRICAL CONTRACTOR
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Electrlcal Con~aC1or; IZ.~.:. q- il-\ c...
Addres" 82.. J},",,-(->-, 16./2
INSTALLATION WIRED BY: Q 0 NER
Credit Card Halder Nillme:
Phone: 4T l.,~. 'd.'~
Zip: 'h.: 2...
BIJ/ing Adaress;
Credit Card Number:
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_ City:
Exp. Date:
Zip:
VISA: Me;
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PROJECT ADDRESS;
8~o tV
:5.,-{.
~F WORK- Check Wi that apply; [j Naw
Resldental 8 MultI-family 0 Commercial
~lionlAddltion
o Mobile Home Sq, Ft
Remote Metar 0 Detached garaga 0 Hot Tub 0 Swim Pool 0 Septic Pump
Number of Circuits added Or altered:
Cl Low Voltage 0 Telecom. 0 1
DESCRIPTION OF THE ELECTRICAL PROJECT:
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Dd~ (&.
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Eleetric:al Heat load AddltJons
PERMIT FEEl (:,4, C; 0
Service 'nformatlon
o Sa.aboard
o Furnace
o Heat Pump
:J Fan-Wall
fWV
TKW
rON
-KW
LRA
~ead Sarvlell
IJ Tamp Service
C Underground Service
Voltage; l.,p/~~.
Phase: Ilrf"' :] 3
Servico Size: 2-<'0
Feeder Size: "Ic
PAMC 14.05.060(8); For industrial, commercial, & residential p'ojac!S larger than a duplex, a one -line drawing of tha Electrical Sarvice 8
Feeder.. building size (sq. ft.), load calcuiations, and the type & of conduetoro and/or raceway" required and 'hall eccompany the Electril
Permij application.
/ hereby certify that / have read and examined this application and know thlll same to be true and correct, and / a
author/zed to apply for this permit. / understand it is not the City's leBal responsibility to de/arm/nu what permits ~
reqUired; It remains the applicants responsibility to determine what permits are requir9d and to obtain such.
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Credit Card Holdur'lI Signature:
"2- - /8'~D3
Date; 1.. (1"fJ (D~
Date: '--I' t/03
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Owner or Ele!:. Cant Signature:
C:/ELECTRICALPERMIT APPLICATION
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