HomeMy WebLinkAbout1215 W Hwy 101 #16 - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:m EAST 5TH STREET. PORT ANGELES. WA 911162
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000942 Date 12/22/04
.555278
1215 #16 W HWY 101
03-63-00-8-8-7160-0000-
WELCOME INN TRAILER PARK
RES MANUFACTURED HOME
UNKNOWN
2910
Owner
Contractor
------------------------
- - - - - - - - - - - - - - - - - - - - - - --
WA 98363
PREFERRED HOMES
61 HOUSE RD.
SEQUIM
(360) 808-1830
896 SF MANUFACTURED HOME
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
SERVICES
WELCOME INN TRAILER PARK
1215 HWY 101 WEST
PORT ANGELES
(360) 457-1553
Structure Information
Construction Type
Occupancy Type
Other struct info
WA 98382
1. 00
1. 00
1. 00
1.00
1. 00
1. 00
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Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
MOBILE / FEEDER
SHAMP ELECTRICAL
78.70
12/22/04
6/21/05
CONTRACTING
Plan Check Fee
valuation
.00
o
"
t.
Qty
1. 00
Unit Charge Per
78.7000 ECH EL-MANF HOME SERVICE & FEEDER
Extension
78.70
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Special Notes and Comments
Placement must maintain min. 14' clearance to other
structures.
The proposal will replace a trailer in an RTP with a
14' x 64 manu~actured home. A 20' separation between units
is required. The site is 40' wide and 3700 sq. ft. in area.
No land use issues are noted.
.......
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Other Fees
STATE SURCHARGE
4.50
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,
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Pe;:mit Fee Total 78.70 78.70 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 83.20 83.20 .00 .00
COMMENTS! ACTION NEEDED
ELECTRICAL PERMIT INSPECnON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEcnON TYPE DATE I ACCEPTED COMMENTS
YES NO
IJI (:H
U II I( TH-IN I CUVER
~t'..K V ILt'..
1....N41 I j.. J. 1',.; I ,.1c-f..71
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GENERAL COMMENTS:
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000942
.555278
1215 #16 W HWY 101
03-63-00-8-8-7160-0000-
WELCOME INN TRAILER
RES MANUFACTURED HOME
Date
10/26/04
PARK
ft~fvl rr ~Xr{~
1 /? /6/
UNKNOWN
2910
Owner
Contractor
WELCOME INN TRAILER PARK
1215 HWY 101 WEST
PORT ANGELES
(360) 457-1553
Structure Information
Construction Type
Occupancy Type
Other struct info
WA 98363
PREFERRED HOMES
61 HOUSE RD.
SEQUIM
(360) 808-1830
896 SF MANUFACTURED HOME
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
SERVICES
WA 98382
;i
1. 00
1. 00
1. 00
1. 00
1. 00
1. 00
)0
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Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BL MANUFACTURED HOME
896SF BROAM 1973 14X64
230.00 Plan Check
10/26/04 Valuation
4/25/05
~
Fee
.00
2910
-:z:
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Qty Unit Charge
Per
BASE FEE
Extension
230.00
Special Notes and Comments
Placement must maintain min. 14' clearance to other
structures.
The proposal will replace a trailer in an RTP with a
14' x 64 manufactured home. A 20' separation between units
is required. The site is 40' wide and 3700 sq. ft. in area.
No land use issues are noted.
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~
Other Fees
STATE SURCHARGE
4.50
{}
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 230.00 230.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 234.50 234.50 .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 ce' that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordjD es verhing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to' give u ority to violate or cancel the provisions of any state or local law regulating construction or the performance of
constructon.
-/
161- 6-6/'/
Date
Signature of Owner (if owner is builder)
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 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: ?jt.lc/.:../iieJJ:M/ Itb J 0 - J.-7 ...c<.t J.J.
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 I I I
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB I
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:
PARKINGILIGHTING 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. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T.\PLANNING\FORMS\1102.15 [11/14/2003]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.:lD -11- G 4
ermit #: i)L-J - q 4 Z.
ate Approved: loIIF,Io{
ate 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
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent:
I))~ L com li"'
jPAl
Phone:
RoN
'157- /::J53
Owner: Phone:
Address: /;lIS' tA), flwy let .Jllf.:, Oty: ~ ~ Zip: "/5'363
Architect/Engineer: Phone:
Contractor ?-re..-\.e.o.e::J k~ S.'e.rlhI.Sfmaicense #: Exp: Phone:
G,..e,q Dec..Ke...-
Address:,) City: Zip:
PROJECT ADDRESS: ~t As k&?f"IC:" ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Subdivision:
V,N 9~L.20SI2~s:S2Y2
. / e. w :'dve...
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
D Residential D New Constr. D Re-roof
D Multi-family D Addition D Move
D Commercial D Remodel D Demolition
D Repair D Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
SIZEN ALUATION:
D Stove SF. @ $ ISF. = $
g 0 v6
D Garage SF. @ $ ISF. = $ I ~
tic
Deck . SF. @ $ ISF. = $
~ther.41&'SJLE'~OTAL VALT,JATION $ 000
EJ.t9C~ - t.~ -7/6 J.8<<9';u
COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stories: Lot Size: Existing Sq. Ft. ~q ~ & Proposed Sq. Ft.
Total lot coverage %
Construction Type:
= TOTAL Sq. Ft. f'lt?
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESNWetland(s): DYes D No SEPA Checklist required? DYes D No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
V ALUA TION 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, 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 RI05.3.2
of the International BuildinglResidential Code, 2003). No application can be extended more than once.
Applicant:
,.,., a. authorized to apply for this permit and
uta ain such permits prior to work.
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 are required ,not the City's, and
T:\RVESS\BLDG- fonns-brochures\2003-Buildingpermit.wpd
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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
04-00000701 Date
.200053
1215 #16 W HWY 101
03_63_00_8_8_7160-0000-
DEMOLITION
8/09/04
UNKNOWN
4000
~R'.V1 [1 pip 12ft:)
~/6ItG
Contractor
Owner
------------------------
------------------------
HEDMAN EVELYN
877 N A-1A STE 1106
INDIANLANTIC
FL 32903
GAGNON BUSHELLING
292 BISHOP RD
PORT ANGELES
(360) 928-2640
DEMO MANUFACTURED HOME
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
WA 98362
----------------------------------------------------------------------------
Structure Information
Construction Type . . . .
occupancy Type . . . . .
permit
Additional desc
Permit Fee
Issue Date
Expiration Date
DEMOLITION
DEMO MANUFACTURED
47.00
8/09/04
2/06/05
HOME
Plan Check Fee
Valuation
.00
o
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Qty Unit Charge Per
BASE FEE
Extension
47.00
----------------------------------------------------------------------------
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, 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 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
ChZ~-1?~ F-?-t/
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\ 1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTJONS. 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
FOUNDA TION 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 T
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF 1 CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
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) SEP ARA TE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
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
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW.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 BUILDING
T:IPLANNINGIFORMSI1102.15 [11/14/2003]
12/17/2004 14:34 FAX
IaJ 002/002
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. L.EI - IC ClOwner ~
'1J: ectrlc. ontr.ctor--
Cl Ann\aal Permit lJ Alarm CJ Carnival 0 Commcrdal ~Resldentla1
F
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ELECTRICAL WORK PERMIT APPLICATION
-d'ReQuest Inspection
,
o Residential Maiot. 0 Signs CJ Thermostat r:J Telecom.
Job wired by
~Iectrical Contractor (:J Owner
Installll.tion description
Electrical contractor name License number
S\..\AMP....fl ~ t.AL rb~-teNA\ 1.\& I ~ l .
'P,~sc:~ maiJiJlg address
...I..U ffi.,L 3 U ~
City State ZIP
~ AI\')~~ wsl. G\<;33b'L
Telephone number
- 0 - -I/.. - ..e-
r~~mlses owner's name
':> W-t \(1 f>'m< Inn
Address of InSpeC(IOn~.
J..:b.J ~ IN - _ ,hW1\.lJ lO \
CI 1
0fuJJ I Lr;: N\ ~ V,t Lk
( lot) ~ P )
Cl Cash Cl Check #
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the firm'~ authorized as-ent) and am makins the elecuical
installarion Of alteration in compliance with the elecu"icallaw, Chapter 19.28 RCW.
o Credit Card VlS<i Mastercard Discover
Card# _Q..~.FllE'" _-____-____
ntractor or electrical adminhtrator
Expiration Dale
of card
x
WALLS
Insulation Only
DA[~ l\cI\lroved By
Cover
1)..1; ^"l'rGvcd By
CEILING
Insulatioll Only
D~IC AjlllI'<lVc(I By
Cover
DlllC A."PI'~:we(1 Ell'
TIlERMOSTAT
DQ'~ APllro"~Bl'
nITeR
Dlle Approv;d 6y
/ SERVICE
1-7-45" 4C6:J
~ D'llle Approvcd Ill'
FEEDER
D1le AslllTUved By
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
1:1 Baseboard _ KW
o Furnace KW
o Heat Pump _ Ton _ LAA
1:1 Fan-Wall KW
SaNies Information
Q Overhead SeNioe
D Temp Service
(J Underground Service
Voltage
Ph..e0103
Servlee SIze:
Feeder Size:
Inspection
Da\e
Area, Building or Eq\Jipmcnt Inspected
Action nken
Eleclrical
Inspector
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