The URL can be used to link to this page

Home My WebLink About1024 W 10th St - BuildingApplication Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner KOON FLOYD E 922 E 4TH ST PORT ANGELES Permit ELECTRICAL ALTER Additional desc 8 CIRCUITS Sub Contractor ELECTRIC SERVICE Permit Fee 67 50 Issue Date 6/25/04 Expiration Date 12/22/04 Fee summary Permit Fee Total Plan Check Total Grand Total T• \PLANNING\FORMS \1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 04 00000558 956762 1024 W 10TH ST 06 30 00 0 3 1820 0000 ELECTRICAL ONLY WA 983624109 RS7 RESDNTL SINGLE FAMILY 0 Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 RESIDENTIAL Plan Check Fee Valuation Qty Unit Charge Per 1 00 46 7000 ECH EL -R OR RM 1 -4 ALT CIRCUITS 4 00 5 2000 ECH EL -R OR RM ALT ADDNT CIRCUITS Charged Paid Credited 67 50 67 50 00 00 00 00 67 50 67 50 00 Date 6/25/04 WA 98362 0 0 0 Extension 46 70 20 80 Due 00 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 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -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 ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 T- \PLANNING FORMS \1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD DATE ACCEPTED 'ES 1 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING I ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL 60.4(.4 41) ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING COMMENTS DATE I ACCEPTED 1 YES 1 NO of flORT ~ l~\. ". '!:. --- ~;;? 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: Application description Subdivision Name Property Use Property zoning . . . Application va.luation 04-00000843 Date .527416 1024 W 10TH ST 06-30-00-0-3-1820-0000- RES ADDITION 10/05/04 RS7 RESDNTL SINGLE FAMILY 2300 Owner Contractor KOON FLOYD E 922 E 4TH ST PORT ANGELES OWNER WA 983624109 Structure Information Construction Type Occupancy Type Other struct info ADD 44 SF PORCH TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 11.20 V-N 2.00 1535.00 14000.00 44.00 1578.00 1. 00 Permit BUILDING PERMIT -RESIDENTIAL Additional desc 44 SF PORCH Permit Fee 106.75 Plan Check Fee 42.70 Issue Date 10/05/04 Valua.tion 2300 Expiration Date 4/04/05 Qty Unit: Charge Per Extension BASE FEE 92.75 1. 00 14.0000 THOU BL-2001-25K (14 PER K) 14.00 Special Notes and Comments The proposal ~dll result in a small 44 sq. ft. landing and stairs to be added to a residential structure for a total lot coverage of 11%. No land use issues are noted. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 106.75 106.75 .00 .00 Plan Check Total 42.70 42.70 .00 .00 Other Fee T01:al 4.50 4.50 .00 .00 Grand Total 153.95 153.95 .00 .00 - \J f'I ....c. \) Z ..... -<.. r - Q- ~ -}: \N ~ ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work 0Jr 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 c ctio Signature of Owner (if owner is builder) T:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 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 I YES NO FOUNDATION: FOOTINGS jf) - f.rOJ-! J i l WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I 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 WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 I I?. I -.t - (,7~1 J-k- BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] tIl >-l '<l I ~~~8E; O'<l r< >< ~ I H:O , H '<l I 'O:OZZtJ >-It<l , I t"i()trj..,~ ><'0 W H I t<l:O:Ot<l ;!> , 0 10 >-l I Zr< ;!>W 0:0 H .. I ~. OW "1t<l , I >-l tJ , 1Il I tIl 0 '<l , '<l t<l. :0. OH 0:0:0 :0 :00 Ot<l >-l' 3:10 0 , '<lC::0 OO~ H ~~ I r<t<lO "''''0 0 , t<lW I , 0 '" QO , >-l>-ltIl owZ ... t<l... t<lt<lc::: 00 r<- , tJtJH 0' "1 '" t<l , E; oor< W ~ {" 000 H 00 H 00' >< 0 :0 IZ: "'OtJ >-l H Q , r< t<lHGl w, :r: III , r< wZ Wt<l C::W'<l :0 W H , ~~; t<lH >-l '" WOO , '" , H E;';' ~ , >-l , tJo , o.tIl :otJl HO , '" c:: t<lt<l >-l0 ~, , ::> H g]~~ H 0 , r< 0' , ...tJ r<:oW Z , "'H >-lHH HZ W'<lO ~ 0 , Q '>-l~ ~ 0 0 OH H 3: "'''1 00 HZ 3: 1110 3:ZH Zw t<l --.J~ 3: ~ W'O Z t<l 'Ot<l >-l tJ Z t<l0 W ;!> >-l O>-l >-l W >-lH ~ ~ H 00 0 :OZ J: tJ Z '-<>-l Z "1 ~~ 0 0 'O'OW >-l 0 I 1313iii t<l~ t<l >-l <Jlt<l fJ' W z , ZZtJ >-l t<lt<lH r< - . Q < r< ~- H ~ t<l :0 r< >< C- tJ'O ;!>;!> >-lQ t<lt<l H o , o '" , o ...W tIl tIl >-l '<l ~~~8E; O'<l r< r< >< ~ H", '" H '<l '<l",ZZO >-l'" '" '- t"'()tI:lt-3::t:l ><'<l (fJ H "'"'"'''' P 0 0 0 >-l Zr< p(fJ 0"' H H !ii. 0(fJ "'''' >-l 0 III tIl 0 '<l l! '<l ",. ",. OH HH O",~ "' ",0 00 0'" >-l'- '-'- 3:0 H 00 '<lCO OO~ H ~:: "'''' r<"'0 "''''0 0 '-'- "'(fJ , , 0 '" Glo 00 >-l>-llll owz ... "'... ...... "''''C 00 r<- OOH 0 , '" ~ '" e; 00r< (fJH 000 H '" ~ H 00' >< 0 p,,-< "' l2: ...00 >-l ... '<lr< "'HG"J WI ;r: 0 r< (fJZ w'" C(fJ'<l "' , (fJ W Si~~ "'H >-l 0 (fJ00 '" , H pO 1 >-l 0 , , 00 , OtIl::l o.tIl "'01 HO 1 ~8O '" C "'''' >-l0 , ::l H gji!l~ H 0 , r<'O r< 0' , "'OID "'0 r<",oo Z , "'H'i "'H >-lHH -.lZ3 HZ (fJ'<ltj 0 1 Q 1-'- I Gl '->-l~ 0 H ~O OH H 3: "'''' "'''' 00 HZ 3: ,l:>.HQlllO 3:ZH Z(fJ '" "'S;::l-.l~ 3: ~ (fJ'" Z '" '<l'" >-l r<'" 0 Z "'0 (fJ ". P >-l O>-l ~ >-l (fJ >-lH ~ ID H 00 '- 0 ",Z 0 ~. Z ~ "-<>-l Z ~ '" ~8 0 0 "''''00 >-l 0 66lii "'~ '" >-l (fJ'" (fJ H ZZO >-l Z OjOjH r< Gl <: r< H OJ "' r< >< 0'" pp >-lGl OJ OJ H o '- H W '- o H ...0 BUILDING PERMIT - APPLICATION , J'f R OFFlc:.1AL USE ONLY: /fate Rec.: 9-10-01 I oem'" 0':1.- 8~ I {' Date APproved:'1/~ ate Issued: } Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: JJaru'ej ~S. Owner: <-'r:; t6<Je k.OtJlL Address: /6J l{ U), ) () -4. l3u.r-d I cJ( Phone: G~) ~S7-/61(1 Phone: (3~) !;5:<- 8;2.1<( City: ~r4 ~y~/tS Zip: 93' ~ 2 Phone: State License #:!5UIZDIC#t35JiRp: .5"/06 City: fix.:! ~ les W" /61" h,..-I (~e&S Subdivision: Architect/Engineer: Contractor BUrVltk Co/tsi'.fY~I/oJ'( 9 /5 E. Address: /OM IO).L{ Phone: L/57-1/;t;9 Zip: 95302 ZONING: !t5 )/::!e llJfI{t/y PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: C)~ -3()-OD,()-3 -!8;J.,6"()OOO- Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC # Exp. Date: TYPE OF WORK: SIZEN ALUATION: o Residential 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $ o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $ o Commercial 0 Remodel 0 Demolition K Deck 4'1 SF. @ $ /SF. = $ o Repair 0 Sign 0 Other TOTAL v) ALUATION $' BRIEF DESCRIPTION OF THE PROJECT: '/ 'C; :k( . I ge!- U)!!! .Ix af~c/.tJ If) fie /z"ttSe af 14, l~~t.'4' ~/lNy. lltludts ~11t~ M al? ~i;,ks, COMMERCIAL/RESIDENT,fIAJi, ~ancy Group: 5;~J" "{;"'I ")Dccupant Load: Construction Type: lLSiVtIt hql No. of Stories: i Lot Size:ttJ6:'fllf/- Existing Sq~ & Proposed Sq. Ft. '1'1 = TOTAL Sq. Ft. !.JJ78 Total lot coverage_ II. 2. ~ APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BIDLDING 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 at417 -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 pennit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno pel111it 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, cunent 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 understand that ft is my responsibi"y to detennine what pennits a,. requi~t thn c~at ';rust obtain such penn;ts prior:o wo~., L T:\FORMS\APPS\BuiJdingpermit.wpd Appl1cant: ~ ,f{ Date: 9//5/0 r I I / ,. . F--M -I ;,' 'I ':, . . l/" S PH:" ...J , L(xL( d 1j;X! poS'/ )-1 I 1 , Q('{ l{)~)~ (,;, )"1').. (C\,' ,t', em ;}->li ~\;L \ (000c ....J · ').x(, ,)-1 I , IeJaer (/ -..) · /ov..~r !., -f hrOIl~~ ~( ~ / . " ~ I c:--...-..- jm,m I I I I ~ v ---',- . ,- ,"~""'" 1 "~ ] ,'.j J., (, I G/)! b(>);,- - J k i ').. SH,"d:; resi --' O() 3)' (ON. .;; 4;,' · ;J\((' 'f .' ,I'.:' ,I · J;., (, (f()!J r eo )y(- ~h:>" i I cJw.1 '!rro i life cc()u ' ,,, ~ t-:; 1'1 I I I l._~-j ~ .j : ; -~ : -j!p,;"S H,~", <"'T~ I 'k 1;,', pC'>' .. . Y / ,'}:J "j / p,,",~ ,~~ ' !I~),. '1 lI?l r----rr-) ~' o .] \. " ("rl'~ I \ r -I "t \ l,-' ...~..... '~l. . :r ._ I, 't------*-"I<-..~-- ,,:'r,"~ ., FILE --'I -k. . '1' (Ixtl P O$~ e", vr<".. .. T 1 [.(' ~j . , 'J<: \ '3'- . '~ re. i~r r)1 (e~ CCi~t. -.#', \';,' ': ) _, 1 \:: I!:"}r t ~ 'f~ crrv or: P~.~:t'T J\1\~GFLES - GO:1'~'~:'nct~:'\n ~"t~ I '" r~t~1Li1,~- i ' ~I '!zIc --- - ~ rtlb",:-<L ~ " III!!: ! LU ;J.G, j'" 'c'! (,.', ,'f' // -/' \ ~__m__' ~ ~ \2....~: -\ ,J f... -~ t "1-D If '/D" :J I (I . --KQON DEC~< \ /. )"-- > ~ '::- > ',. /, ( .~---_._,-----_.~-,- j)ro.'!)'J ,--,'i .LJ< i.__ 9-9-oL( t D~_ '-\S~1~J~~2_ I A<J~ (!oLt>~,;' 1 ~ ~c;.+~~ ~~~\-s ~O YJ"~~ , ~ppl,~ ( -I,_,~L_~_ \, l; '(; ,. .(,----. ..--7> Pt. )"(,. ,~, . ........- J-x \1 pt Sh:v ( .! %. (0'0' rc\, . l ~_. - --- '0==-'. - I I *LJ~ I -\-0 -1El ~., ',)) , " ! -h~ t-"'~+(1~ 'S>u6~~-c:J- ~'\0' ~ .,J_ ~ c...), +~ [)1M-J. t81 ~ Po<;-\<, .::.:".\ m - Po '::", \ Ie ( " , /. ')Jl ~ \)'\- \e0~l r -to ~OJ'.' r'r. i:o \a().bo~ r' ('- : !,,'1 all( ~N CI1'(drJp.\ .V, 1 y:: ~ 1 1 I '...-( ~ ;: ;; '\ . .. . \., ;; RD.I'\ I ! i I If'~!. .JJ.(!\J t' ! J4D . l -I-~ 11 3')' (Co . . .(00\ ._______._. t .-- . ----..--.1 . ...---------.....---Jf __________.___ ,--:,"___.J.D~.~~.t_~.Ib...-_ \] :\ '~ 0 0 _.' -:> D3 -" ()u '" Qc 0 '"' " u () " \) ~' : ~ r ftt --' , 'jS .\ ~ '\ ~ (.) ~ ': f \ :;1 ..- II.---",,",=~~~(,\)'I'r..." l' C)'C.,.<t, I ' -- " 1 r (.0 ~ i I ! I I I I f I I I L___ 1 ! I \ I I I. Z' .. , \-\0 \J Sc 'f' ! "1 + b' ,.,/.. , ;- I :/ -. ."" '-4'-/ ---- A \ lY<>" ""," - t;t:~" I'- (,'-1 }..).' -1 ') vt.(~ '" Coo' \: :1 f 2,tl + 1" r g8Y~ 'C1 i I Ie. . (,o.l"tl ~e I I -*- .. -r \.(\ .... .....___._._.. ___._._.._.._____.__._...L...l... (.J \. e'i 'ot' 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: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000404 Date .746624 1024 W 10TH ST 06-30-00-0-3-1820-0000- RE-ROOF 5/11/04 RS7 RESDNTL SINGLE FAMILY 7829 Owner Contractor KOON FLOYD E 922 E 4TH ST PORT ANGELES BURDICK CONSTRUCTION 25293 HWY 112 CLALLAM BAY WA 98326 (360) 963-2438 WA 983624109 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE REROOF & TRUSS REPAIR 176.75 Plan Check Fee 5/11/04 Valuation 11/07/04 .00 7829 Qty Unit Charge Per Extension 92.75 84.00 BASE FEE 6.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 176.75 176.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 181.25 181.25 .00 .00 -........ \J ~ ~ 1\ .... t <. ~ , ~; ~ ''1" ~ s ~ 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 pr isions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit es not p. e to ive authority t violate or cancel the provisions of any state or local law regulating construction or the performa ce of onstru tio . " I V' Signature of C 'ntractor or Authorized Agent Signature of Owner (if owner is builder) T:\PLANNING\FORMS\1 102.15 [11114/2003] Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS I. GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (INTERJOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANIT AR Y STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/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. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\I 102.15 [11/14/2003] tIl , >-l '" ~~~8E; 0" r< >< ~ H", '" " "",ZZO >-ltol '" '- t"'()tI:ll-3::t! ><'" UJ H tol"'"'tol ;J> 0 0 >-! Zr< ;J>UJ 0", H !ii. OUJ "'tol >-l 0 ~ tIl 0 '" tol. ",. 0 0",0 "' ",'" Otol'" >-l'- 3:0 '" "'Go oo~trll--' ~~ r<tolo o;~g~~ tolUJ Glo >-l>-ltc QWZt::l,t:::. tol". ". toltolC::: 00 H r<- ~ OOH 0 , "'0"; tol B oot"'~ UJH 000 H '" V'. r H ". ><00 "' iZi 00001-3 ". r<' tolHGl ". , Z:r: 00 ~ r<' UJZ WtolUJ , GUJ'" "', >-lUJ 0 <r-\ 1 ~~~ tolH ",>-l W , , 1 00 G , ",'" 0 , , H 00 >-l , >-l 0' H , "'0 0 t;-- , ".tIl , "'01 0 Z , LnG 1 toltol 0 , -JH 1 UJUJiZi 0 rI : , r< , GOO , HO , r<", ---r--~ LnH 1 >-lH'" "'Z , UJ"'l<l "'Gl , '->-l (0 ~ OH'<I H 0.'" OOt>:! HZ 3: '" H ~Zt>:! ZUJ tol ;:l Z , UJ'" Z ;J> , tol "'tol >-l rtr< Z tolO UJ ;:l' >-l O>-l "" UJ >-lH ~ Ul 00 ",Z 0 ". Ul '-<>-l Z ;:l ~~ 0 '0 ""UJ >-l fl) 55fii tol:>: tol 0 UJtol UJ rt ZZO >-l "" toltolH r< 0 <: ;:l r< H >: tol '" W "' Ul '" r< 0 >< 0 0 .s '" '" H W fl) , rt '" fl) ". W 0 00 ;:l '" '- '" '" '- 0" 0 ;l>;J> ". >-lGl u. toltol H H '" '- '" W '- 0 ".". BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec."5 .- It '- 0 y Permit #: ()L.t '- 7 0 Y Date Approved: Date Issued: 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 Applicant or Agent:~ n &u-d/{i; Owner: -:k;j"dlilt ~6M. Address: IO:Z IA) 1,_-Ht. Phone: ~f&'d QS7-/SL;9 L/5~-~ 1'1 Zip: 9ff3C,2 , City: f1:Jrf Phone: 4:Jeje~ 1A}-1 Architect/Engineer: Contractor i3Urdl'd 9/5 E LEGAL DESCRIPTION: Lot: Phone: StateLicense#:8VRnICJJ35'~p: 01 2)105 Phone: LlS7-151/9 City: /br'1 d-~k~ bJd- Zip: 98'30~ ) tJ 'M, !1Jri ry~ks ZONING: Block: Subdivision: Address: r On <;1-: !oi1r /();(!/ u/ /" PROJECT ADDRESS: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp. Date: TYPE OF WORK: SIZEN ALUATION: o Residential 0 New Constr. IZ'Re-roof 0 Stove 13M SF. @ $ -r;&/ /SF. = $ "7 ~:2/J cJ o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $ D Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign 0 Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: j(p - lbeiP elfh.'re /1/Jll i& , /;1( /1.1),3 >'-H dcldJ1if..t'pJ1 bt /Iew ()Sf:, S),er.tflultj j -tgr>/a. / and e~ {mI121~ in &;P "/.J jy.p ~ Sjr,P~~ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: ~ Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq.Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage ~ % APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING 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 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 understand that it is my responsibility to determine what permits ~re req~i ed ,notje City'S,. a~g t~ T:\FORMS\APPS\Buildingpermit.wpd ApplIcant: . - / ~ orrect. I am authorized to apply for this permit and I must obtain such permits prior to work. Date r;/ II /Oif I 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 d6 electrical work as listed below. Address ./.f2m?_.Xm.J6!n_I.f.J.'--.__n__d.n__nn__n_n_m.____ Occupancym_J!L~...__mmm...__n..__mm Owner.__._~/1/!?."me.,'-'.,j/mm.l~e!__~__Z;:'FehanLd._____mm__oo____d_d________.mmmm___oo__.mm.m.oo Wiring Contra~tor ~__,~4(~g,.."'~~,,~~:r~=--.-m By._______m.mmoo__mmm____m..____oo__._.__m_____m__.__ Light Outlets____m________mmm___________.m. Service. volts /.-P:9>.L:!'::Y.:J!..__. Type of Wiring: 'J' No. wires ..........._....._..........L2... Armored Cable .............--.------......- SI I >f/ 1Jo>.--f/ Non.Metalllc __mm__mm.__.________m__ ze w res___._r-............................_n Main fuse __~~2~?..f1::!.4.__nm_.. Enclosure ....__m__~....__...._..._._...._ CITY OF PORT ANGELES LIGHT DEPARTMENT Receptacle Outlets...__.......................... Dryer, KW uunnn_n................'....._______ Range, KW ___n__'.'_.______________._________...___ Water Heater: KW._mm.nn_____.__.___.______m____ . - /it: IJIJ Heat. KW.....__.~-......._;.-'......2.-...--_n.. Motors: size, volts and phase: Total Load__.....______................ ELECTRICAL PERMIT N? 16220 Port Angeles, washlngtond..m_.m.f:fl_m.mmm__mm._.....m.m.. 1~2 Knob & Tube.......____....................... RIgid Conduit h_________mm.__.________n Metallic Tubing .........__................ Type of wiring; Entrance Cable .____nmO..._..U..... Raceway ................_..............___._ Circuits. LigbL........__..n....__...:............. Utility n_.__m_h.m____n___mm._____._m__. I-Jeat .........................-..--................. Range ....._..__.___.._____.._..............__..._. Water Heater .._..__..__.__.__.............. l\Iotor ____....................____....._.__....... Rigid Conduit _.__...__._....__ Metallic Tubing .'___umn'.. Current transformers: No. & Size.h.................................... Ser. No.............___.....__________..__.__..._____. Ser. No. ............._................._...______.._. Dryer n.h......................__.__..__.__........... Furnace ......._..._.............'_00................. Ser. NO.nnn.n.................................... Remarks: ________u____n________.nn________.____.__;.-:!..~_~:'r-1_..::~::~.~~___UhU..____:u____n_________.___.__nu________n~.n_~n_______.._________u_ Ser. NO........nn.n.n..n.n..__...............n - Total....................................... __d.m_____._d.___d__._ddm__mm__.mm__d__.m___._____m.mmm_______.m___mmm___mm.mm'mm._mm1.mm.m__m.m__mmm.moo p~=it Fee Treas. Receipt q~e.1/fu 1e." ~e.~ $__.____.m.______moommmn_n. NO.n...oo.m______.._.__.... By ___oo_..___oo._.._.m._m__.m.moommoomnmmmnm__oo v . NOTICE-Current must n()t 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? 16220 Address..................._...................................................................................................................Date..._.............._.._.........._......_..._............. Owner ..00..............................._......_.._......_......_.._...........00..............00.......................00..... Tenant....nnn..n..nnnn..nnn..n..n............................ Wiring Contractor ....nn..n......................._............nnn..n_..................................n.............n.....nn. By.................................n.........n...nn..__..n. NOTICE-Current must n()t be turned on unt11 Cert1f1cate 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. \ nl...",y,!,.. Printers. Inc. ELECTRICAL PERMIT APPLICATION FOR OFHC!....L USE ONi. Y Dwdll~;:' Pem~I" DlIlt'^pprov~d Dol:~ bsurd__. --L.o.< . The Electrical Permit Application must be filled out comple~_ Please type or reprint in ink. If you have any questions, please call (360) 41'7-4735 Fax number: (360) 417-4711 o~ - :08 Owner or Elec. CDntraclorAgCnt:~'('''i~, J ~_ Phone: 45 J.G,4'2l/Fax: J.f5 'J--v.Lf2tf Properly owner:----.J r.l C~I-(' ~Ol'\ pnone: L Address-.1.D 24 I;U: i,b\~ CityJor + _ A~~e-s' Zip 9g3.b'3 Electrical conlractorJ;;ltd-nv ~'(VI Cl \1 h <- License If: Ek~, ~ :lDrYf'xp:!1/.1 '-II 05 Phone: l"f? 'L- (d..(-:L~ Address: &').. Dra-(Uv Va k.r 'R.cj City~La.J'~\-L.S> Wf\- Zip q k7 1.,'2- INSTAllATION WIRED BY: DOWNER Q ELECTRICAL CONTRACTOR Credit Card Holder Name:__ o ~ -=IT~ Billing Address: Zip: Credit Card Number: Exp. Date: VISA:_ Me: ill 'llj \..0. W'" PROJECT ADDRESS: TYPE OF WORK: Check alllhat apply: 0 New o Alteration/Addition )i(Residential 0 Multi-family o Remote Meter o Commercial 0 Mobile Home Sq. Ft o Hot Tub 0 Swim Pool o Septic Pump o Low Voltage 0 Telecom. o Sign Number of Circuits added or aitered: R ( y\~~l 'r e \...U 10--( / r - G~..ljJX --S..Q ,u" ~ llO t:Ltr -.j- 0\, M,,," DESCRIPTION OF THE ELECTRICAL PROJECT: ,_n<l\{,"" k) Electrical Heat Load Additions and or Subtractions Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall _KW KW TON LRA KW ---- 1\(Overhead Service lJ Tamp Service o Undorground Service Voltage: i'l "/hSL Phase: ~ 0 3 Service Size:~A Feeder Size: I hereby certify that I have read and examined this application and know that same to be true and correct, and I am authorized to apply for this permit. / understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. dJ. / . Credit Card Holder's Signature: .f.. Date: IoJ'J..t;. 'OY :;:/ElECTRICAlPERMIT AP?L1CA TION PERMIT FEE: $$ b 7.5D ;tiJ ~/Uft'1