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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:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
1/28/05
05-00000066 Date
.348968
III E 9TH ST
06-30-00-0-2-6855-0000-
CHRISTINA WILLIAMS
SIDING
RS7 RESDNTL SINGLE FAMILY
350
Owner
Contractor
WILLIAMS CHRISTINA M
III E 9TH ST
PORT ANGELES WA 98362
CUSTOM VINYL SIDING INC
PO BOX 1025
PORT ANGELES
PORT ANGELES WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
VINYL SIDING
47.00 Plan Check Fee
1/28/05 Valuation
7/27/05
.00
350
Qty Unit Charge Per
Extension
47.00
BASE FEE
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 47.00 47.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 51.50 51.50 .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 v' late or cancel the provisions of any state or local law regulating construction or the performance of
cons uctio. f /J/~.
f./ / /1. 1- Z..t? /O,?
. '/} at
Date
Signature of Owner (if owner is builder)
T:\Policies\1102_15 building permit inspection record05.wpd [114/2005]
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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CIDMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 '2.-If-lX' JLL BUILDING
. .
T:\Policies\1102_15 building permIt InspectIOn record05.wpd [1/4/2005]
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BUILDING PERMIT - APPLICATION
Date Rec.: I - 9-58'-05-
Pennit #: (95- (;,6
m:J
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
Date Approved:
Date Issued:
C /,(,~+On1ll;~r/ S/?/'-JI -..lJIC
Applicant or Agent: II/leA HCf/1/tJOC;-)1 &---5,
Owner: c'hrt'S+'-",o\.. W;// I&VY\ .s
It I t. qrh.
Phone: "15"'7- fI:-J3,b
Phone:
Address:
City:
f:A.
Zip: 1J>36Z-
Architect/Engineer:
ContractorCt<-sJom ttnil/Si/;n~f}Lc.
, v'
Address: PO. Box /02:;-
PROJECT ADDRESS: III E. 9+1-1
cu.srol/5
State License #: 96 r'tp I(
City: /?/I,
i?r I 1/;:fek5 Wa-
Phone:
Exp: /I)<../Oh
, "
Phone: ,,/5'7-'-133(,
Zip: 7"J?362-
7P3b2... ZONING:
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COUNTY PARCEL NUMBER:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
VResidential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other s"/d I'.'" q
J
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $ '3S-D-
COMMERCIALfRESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size:
Total lot coverage
Existing Sq. Ft.
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESA/WetIand(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
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: Ifno permit is issued within 180 days of the date of application, tIle 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 RI05.3.2
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. City's,>>:! )pat I must obtain such permit~prior t~ work.
T:\RVESS\BLDG-forms-brochures\2004-Buildingpermit.wpd APPlican~ ~ ~~ '/e5, Date: / zR O.s-
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nl!
16962
Port Angeles, wasblngtonm..___i:.__:1.1~m_m__.._.._._._m_m__m, 19-21!'
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-
~~::;~~~~:~~;~~:::==-::_=
Light Outlets...._______________............______... Service, volts __/tt.://.-.:f.:5fJ.<?... Type of Wiring:
Receptacle Outlets......._._______________....... NSiO. wiries ---..~'~----j'7;;P ~::::al~~bl_~__:::::::::::::::::::::::::::::
Dryer, KW.............n.....un......__h........ . ze w res......_~... ..__u.__~__......_..
. a. A Knob & Tube.___............._.....__.......~
Range, KW................h.._ _hmUUUU ~ain fuse ..--~- ...... ...,.. .........
Water Heater: Enclosure __....S............_____.___.....
Rigid Conduit .___________.........._...__...
MetallIc Tubing ..__.................__....
KW......-------m--'Zmmmm- __m__
Heat' KW.--~l.' ~:'.,!!,:".~.!...----.---
Motors: size, va s and phase:
Type of wiring:
Entrance" Cable ...___..__..
Ser. No...______......._____........______............
Raceway ....._.........................__..._
Circuits, Light._.......___.............__.._..._.....
Utility...._______.____..............__________...__
I-Ieat ..._.........__.__...................._......
Range ....................._____..___..........nn
Water Heater h.____..._..........___.......
Motor .___........__.........____._____...........
Rigid Conduit ._......___._____
Metallic Tubing ________moo
Current transformers:
No. & Size............................_........_.
Ser. No. --....____.._________.____....._...____......
Dryer.........._________________.............__..__.._
Furnace ._........................_.....__._._.__.._..
Ser. No..._._....__________._______.._____....._____._
Total wad.........._..................
Ser. No.._.....__.~...,~:'":....----.---...-----.
Total.....__.____.______.____...............
Remarks: _____..___________..___._______:7\;;;.7~~m-m___.--m-....--..---m-.--.--mmm--mmm_mh__....__
_;~~;~-;:~--------------m---..-m--.;~~~~:~~~~~;~~-..mmm--m----m--..m__m_(=>.~~y~--m--m--m-mm,~
$_______..___.________,_______________. No.__..____._.________.___.___. By__.;g.:_.________~~~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If 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
ELECTRICAL PERMIT
N?
16962
Address....._..__...............................___....____.....__......___.....___........._______._..._._.___________._____._.___.._.____....Date..._......__._.._.._.........._......_....__________..
Owner..........__......_.____.___......._.....__..._.....____...._.._.......______..____________..._.._.__._.___._._____..._....Tenant....._...___.__..______.....____....___..___.____.._____.._.___.....
WlringContractor.........__............................_.__.__.._.._......._..............................._..........._..........___.._.By._______._.._________...___......__........_........_.._.___..
\?~-\ l NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work i!J to be eon.
. cealed due noUce must be given the Inspector So that work may be inspected before concealment. .
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1M Olympic Printers, Inc.
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