HomeMy WebLinkAbout110 E 10th St - Building
Application Number . .
,Property Address, . . ','
ASSESSOR. PARCEL NUMBER:
Application description
PropertycZoning . ..
Application valuation
Property owner
Owner address
03-00000080
110 E 10TH.!3T
0630000328300000
RES FOUNDATION' REPAIR
'Date
1/29/03
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CITYPF;Pc;R.'fMlGELES . '. .' .; .' '.,
DEPARTMENT qF COMMUNITY I>EVELOPMENT. - BUILDING DIVISION
321 EAST 5TH 'STREET,' PORT ANGELES, WA 98362
'.t.H;
COntractor " . . . .
5645
JOHN/EVELYNWESTREM, TRUSTEES
WESTREM REv L:I:VmG TRUST '
NEWPORT BEACH .". CA92661
( ) ,
. . . . WOOD CONSTRUCTI9N Co.....,
Structure Information -------------------~-----
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
Construction. Type . .
Occupancy. ~e . . .
--------.-------~-----------------------------~---~~-~----------------------
Permit . . . .
Additional desc
Permit Fee . . .
Issue Date . .
Expiration Date
BUILDING PERMIT -RSSIDENTIAL
148.75
1/29/03
7/28/03
Plan. check Fee
Valuation ..
.00
5645
'""'-
""""-
BASE FEE
.00 14.0000 THOU BL-2001-25K (14 PER K)
Extension
92.75
56.00
"C)
Qty Unit Charge Per
Other Fees
STATE SURCHARGE
4.50
--------------------------------------------~----~~----------~--------------
Fee . sununarY Charged Paid Credited Due
----------------- ---------- ----...----- ---------- ----------
Permit Fee Total 148.75 148.75 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 153.25 153.25 .00 .00
Slgrlature QfOwn~r (if owner is.....b. uilde. r)
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Separate ~~rmlts are required for electrical work, SEP A,Shoreline; ESA,utilltles. private and public impro"~I1l~nts. T~is'permlt'b8C,c)I'I1e,1t
null and voldjf work or construction authorized is. not commence~ withi?180 days, if construction orwork Is suspended ora~c:fQn~
for apE!~od 011 ~O days after the ""ork as commence~1 or if re91.11~~.I?sPtl.~~(ms have not been requestedwithin 180 cj~ys tr;c?mth~~la~t
Inspection. I hereby certify that I have read and eXamined iliijj'applicalio~and know the SBl1le to be true and correct. All Bf9'Vislonsqf
lawsan~ or:dinances governing this type of work will be compli~d with whether specified herein or not. The granting of a permlt'doesi19t
presume to give , authority to viblatecir cancel the provlslons.of'anystate or local law regulating construction ortheperf6rmaneeiof
constru . n. .
T:\PLANNING\FORMS\II02.15 [412002]
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BUlLDINGPERMIT;~~:rltCTION RECORD
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CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASEPROVIDBAMINlMUM 24 HOUR NOTICE.'rr IS lJlI{LAWFJ/L TOCOYjR,
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
" I YES NO
, ,
FOUNDAU()I"l: ,
FOOTINGS .,
J
WALLS -
FOUNDATION DRAINAGE , . ,
ELECTRICAL (UGHTDEPT) SEPARATE PERMIT: II , " '. .
. ROUGW:IN '....'. '.. . I " 1.",/.,', ,-'., .:
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PLUMBING ,ii. . ",
UNDER FLOOR 1 SLAB " .' :
ROUGH-IN ,-,C
.
WATER LINE F .
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GAS LINE
BACK FLOW 1 WATER J. ~-, " ,
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, ~ " , : , ' " ,.
AIR SEAL " ," .
WALLS ", ..
CEILING "
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FRAMING I
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JOISTSI .GlRDERS " ,
SHEAR WALL -:;-:.
.
WALLS 1 ROOF 1 CEILING !' .,
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DRYWALL ',.
T-BAR c
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INSULATION ',,'
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SLAB I .
.
WALLI.FLooRi CEILING T .
MECHANICAL '"
HEAT PUMP
WOOD stoVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS '",' '" " ,
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PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER ,
SEWER CONNECTION "
SANITARY
,
STORM " ,,' ,
PLANNING DEPT. SEPARATE PERMIT.#'s SEPA: ,.
PARKlNGmtGHTING . ESA:
"
LANDSCAPING , SHORELINE:
<!- ,: ' "'H;,;~ : '..'. 'jC:'E', " ' . f FI~!'\f lI"!~t~ION~REQU!RE~ rRl()~ 1'9 ot;QjPi\NCY1IJSE' '. , .'. , ,,'
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,.;'! ":j':v':~ mlDENTrAL DJ\rE, YES NO COMMERCIAL .,DATE " ,. ..;ACCEPl'ED
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ELE91I9CAi.-:LIGW DEPT. 4~7-47~5 ELECTRICAL ~~'r .
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CONSTRUCTl8N R. W./ PW/ CONstRUctION - }(W:
ENGINEERIN 417-4807 . PW 1 ENGINEERING "
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FIRE 417-4653 .. FIRE DEPT. \,
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= ':li';;:.'...... "'rL PLANNINGpEPT. '. A.,,)"
PLAblNING DEPT. . , 417-4750.
,
BUILDING 417-4815 "~--J-j~ ... RV BUILDING "
.., ...
T:\PLANNING\FORMS\1 102.15 [412002]
.........
BUILDING PERMIT - APPLICATION
FOR OFFICIAl.' l<::t:: r.",.. ":
Date Rec.:-J ....r::;~"'!:~3
Permit #: 9
Date Approved:
Date Issued:
'tii{1CWCfi'~
The B . . g Permit Application must be filled out completely.
Please t e or print in ink. Uyou have any stions, please call 417-4815
Phone: 4 ~ 7-~a5
,
Owner:
Phone:
Address:
City:
Zip:
Architect/Engineer: Phone:
Contractor a,"~ ('.&.t.8T1'2 . License #:~t ./62Mp: 'o/uaf Phone: 4G 7~?
Address: ?3tf ~12d.. City: ~ I!tug~ Zip: QfJ3i6'Z
PROJECT ADDRESS: / "t!:J e;- I ~ -rt? ' I
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COUNTY PARCEL NUMBER:
Billing Address:
Credit Card #:
ZONING:
Subdivision:
Credit Card Holder Name:
City:
Exp. Date:
VISA
MC
TYPE OF WORK:
o Residential 0 New Constr.
o Multi-family 0 Addition
o Commercial 0 Remodel
)t Repair
ORe-roof
o Move
o Demolition
o Sign
o Wood-stove
o Garage
o Deck
o
SIZEN ALUATION: '=
SF. @ $ /SF. = ~ ~ /-4-f?
SF.@$ /SF. $
SF. @ $ /SF. = $'
TOTAL V ALUA TION $
BRIEF DESCRIPTION OF THE PROJECT:
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,
Ll2pd!L~
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
Construction Type:
%
/sq. ft. = TOTAL LOT COVERAGE:
APPROVALS: PLAN
BLDG.
DPW
FIRE
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be acceptedfor
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
No. of Stories: Lot Size:
Existing Lot Coverage:
PLANNING USE ONLY:
Notes:
% Lot Coverage:
/sq. ft. + Proposed Lot Coverage:
/sq. ft.
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: Your plan check fee is due 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: Ifno permit is issued within 180 days of the date of application, this 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.
I hereby certify that I have read and examined this application and kna 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 0 det rmine what ermits are r. quired; it remains the applicants
responsibility to determine what permits are required and to obtai s. ch.
Applicant.
Date;l/~r~:?
I
T:\FORMS\APPS\B uildingpermit
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15347
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Port Angeles, Washlngton______n__c'__________?::________________________________.___, 19.~_.__
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure In the City of Port Angeles, per-
mission is hereby granted to d;belectrical work as listed below.
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Wiring Contractor __....,.?t"!.___~:'_:!:_::___n_:~__::___~:_"O__.n_____n By_nn________n_n_______nn____________n___________________________
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Service, volts ..m.mmm.mt.n:.-:.....:..::.....
-,
No. wires m.::___nm..m...._:..:.mm...
Size wires...._t!.._t2.~~_Ln............
-'];'(',1
Main fuse m__nonnm.''''''''''__mm__.n
S
Enclosure _..._nn.n........._n____....n..._.
Light Outletsn..........._nnnnn___........_.....
Receptacle Outlets._..___mnmn..m__.......
Dryer, K\Vj .....n_.........._.n__._________u______
Range, KW __umn...mnmm
Water Heater:
KWnn 00_ 00______00______00 n___mnnnmm
y !3/?
Heat: RW,.mm__:n..._mm..-=nmum__m_
Type of wiring-:
Entrance Cable n.......n......m.mn...
Motors: size, volts and phase:
Rigid Conduit nnnnmnnm....n______.
Metallic Tubing .._mm._on_..m..__._.
Current transformers:
No. & Size_n.____._.._........n...n.nn__._..
Ser. NO............_nn_.._.............._....n_...
Ser. NO._nn..n____..nn........n_.......n_n....
Ser. NO._nn_..nnnn__n..nn_n__........_.....
Type or Wiring:
Armored Cable .......n...__nnnmmm.
Non.Metallic .m__nnmmmnnmn.....
Knob & Tube...n__mn.n.............m..
RIgId ConduIt m.mm__m_nnm.m_n_
Metallic Tubing mmmm.....___.......
Raceway .....__n____...nnnnnnn.nn.......
Circuits. LighLm..nm.m.nnm....m..._.m
UtilIty mnnmnnn__n__n.............._m__.
Heat
Range ............................u......__.......
Water Heater ....m........................
Motor ..._..........__......_.....................
Dryer....nnn.....__...............n......n.__.....
Furnace .......nn._.n....__n.._.mnm.nnm.
Total Load..nnnnnn__nn.n__n.. Ser. NO.___n..__.nnnn.n._n__nn__............ Total ..000000000000000000_00..000000__00....
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Remarks: _r-4d.__EL_.;;___~_.o____-'!:.f?__1.n__uo_on_l..____.~~__.!.":_~_nn_o..unuu..uhnn_nnnnnn....unnn.unnn.....n_nu....__u.
i~_:_~~_:~~~-_::::::::-_-::-::--_:m-m---i~~_~~:~~_~~~_~~~_-__::-_:----------------..:~-::-~t~~~::::Z:::~:~~:2_::::_;-:~~
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NOTICE--Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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ELECTRICAL PERMIT
N~
15347
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~:.~;~::::: ~:~~:::~:~~~~~::~~~~::::::::::::::::::::::::::::::::::::::::n:::::::::::::::::::::::::~>:::::::::::::::=::::::::~:::::::~
Total Load .............__._._._______.______________u________...__._._.__.
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