HomeMy WebLinkAbout525 E 9th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
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
04-00000685 Date
.654795
525 E 9TH ST
06-30-00-0-2-7265-0000-
MECHANICAL PERMIT
8/31/04
RS7 RESDNTL SINGLE FAMILY
5650
Owner
Contractor
SHERWOOD MARY E
14224 73RD AVE NE #A105
BOTHEL WA 98011
PENINSULA HEAT
502 W. 8TH ST.
PORT ANGELES
(360) 457-2775
WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
THERMOSTAT
36.40 Plan Check Fee
8/04/04 valuation
2/01/05
.00
o
Qty Unit Charge Per
1.00 36.4000 EC EL-LOW VOLTAGE
Extension
36.40
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP
Permit Fee 61.70 Plan Check Fee .00
Issue Date 8/04/04 Valuation 0
Expiration Date 2/01/05
Qty Unit Charge Per Extension
BASE FEE 47.00
1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70
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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
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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 violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
oN
F / c C-
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:IPLANNING\FORMSII 102.15 [11/14/2003]
~"
BUILDING PERMIT INSPECTION RECORD
CALL 4]7-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
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 I
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERJOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL (t,rr ?-<J'j }I J1{"V( I}{? J.J..L
HEA T PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417.4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW / ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 Iq~T7-04 Ju-- BUILDING
T:IPLANNINGIFORMSI1102. 15 [11/14/2003]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
Dale Rec. B.s j -6i/
Permit #: (:) 4 - 6175
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
(360) 417-4815
Date Approved:
Date Issued:
Applicant or Agent: tit a r ~-fle 4/~r~
Owner IJ ~ ~ f!:9'~1/d(7d
Address: .:::.J . t..!L
Phone:
ij.t57-/i/ 75-
~5d -9':?JY/
Zip: cJ;:T2;6':A
City:
Phone:
fJo r j- An:feks
Phone:
ArChitect/E&;eer:
Contractor 17t J1 Slt It{ &dT
Address: ~~ W 'if.t.!z.
PROJECT ADDRESS: 5,-;A S
State License #PEr;llIf1t~
City: ;4 j-ffif#~5
E 9':ft
Phone: '-JC57-;a 773.-
Zip: 905b'::;J.
ZONING:
LEGAl DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
~sidential 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:
SIZEN ALUATION:
o Stove SF. @ $ /SF. = $
o Garage SF. @ $ ISF. = $
o Deck SF. @ $ ISF. = $
D Other TOTAl.:YAL)JATION; J $ 6j~ ~
/-tPa7u~ if1f>kt/f4t2pn../_&W 1/c; -3~~
/RESIDENTIAL: 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.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(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 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 ofthe 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.
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
undersland Ihal il is my responsibility 10 delennine whal pennils are ~Ol I CUy's, and :hal / t oblain such pennUs prior 10 work.
T,IFQRMSIAPPSIB';!d;'gp,rm".wpd Applicm" ~ ;,/', 0> 'if /;2.f I~ y
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09/01/2004 14:36 FAX 3604523498
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OLYMPIC ELECTRIC
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ELECTRICAL PERMIT APPLICATION
POIlOf'AaAl. UsaiONLY
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The E lecftjcaj PermIt AppU~fjcn muat ta. #IbM out cem",v.
O'OO-"'I'....eon_Agen~ Olympic Electric
PlQIlertyOwnr. . ~~~II,t"l?va?.?'
'-"''(f..;25" _ _ Z!.J ~
E_eon_ Olympic Electric Co., Inc.
~ 4230 Tumwater
Co. ,
Inc.
Ph....: 457-5303
Fax:
()1-~[JS-
0/ - r/
452-3498
j-
Zip: 7'%7.4./
Phone: 457-5303
ZIp: 98363
P.....twe or ,....nt In Ink. tfyou he"" 8111 QueM.... P..... CIIII (310) "'7"'735
F.x nurn ber: (310) "'7""1 t
Phone:
Clly:
gr-r ~~
._" Q lE",,: 3/31/03
Port Angeles
Clly.
INSTALLATION WIREO BY:
DOWNER
~ I!LE~ICAL CONTRACTOR
CredlfCenlHoldfwName: Charles T. Burkhardt, Olympic Electric Co., Inc.
BIIIIne Ad....: Same
CnIdItCenlNUIJIbw: "1.
PROJECUDDIIE8S: ~2~.-c' f~'
City:
Exp. D....:
Zip:
VISA: X Me:
-
TYPE OF WORK:
Check l!lIlhlIt a~;
~~~ ~r.-~ //1/,7
Cl New ~tlonlAddlllon
F,f"JS.2-
~entIlII 0 Multi-family
o Commercial 0 Mabile Home
Sq.R.
CI Raonola Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump . . 0 l.Dw Voltage 0 Telecom. 0 Slg
Number 01 CIlcultB edded or aller8d: ;:2
OESCRJPTIOllOFTHE ElECTRICAL PRQ.JeCT: j;;-~ }f.t-/Jr P'?/~.P rr h//?,I//?c~
El8C:I~1 , ftAlII 6rIIIltlon. and or .ubtr8ctlon.
/~
o Bll8BbD81l /' _ KW /~
1i)1'\lmBC8 / ..4i... KW ' /
~tPump ....2.... TON_ LAR
OF_W~ ~
PAMC 14.D5.OBli(B): For 100_, cornmarci8l, & _nliBJ prnjectB 18Illor than a dUplex. e 0IlB - Una dtawlng of the EIB<:lriceI Sarvlc:e &
F-.... building alza (Ifl. ft.), load C81culBliona, and the type & of conduclot8 BndJor _.Y Is ""lUIred and ehallllCCom PBJ1Y lha
Elecll1caJ _ appllc8lfon.
11'7--
C-t
<:::
---
Service InforntlltlQn
o OvemBBd Swvioe
oTempS_
o Uncla,ground SeIVloe
Voltage: --2 f( /l
"","se: B"1 0 3
Service Size;
Feeoer 5Ize:__
I hereby ceItify thet I have TfI8d and examined this application and know that ssffleto be tnJe and cof18Ct, and I a,
authorized to apply for this permit. I undenrtand it is not the City's legal responsibility to determine what permits
are required; It I8mains the applicants I8sponslblli determine what permits are required and to obtein such.
1(11/6 h- Cr8dMClrdHolcler,SIg_' /\ Dot.: 9// ///0/
P<1,- aw_orl!lec.Conl.Slgnlture: 01": 9"11/ t:7,/
PIIV-9018I7108 l PERMIT FEE: $ l'i%'. ~
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