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Home My WebLink About413 E Lauridsen Blvd - BuildingCITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 03 00000972 Property Address 413 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 00 0 3 8370 0000 Application description ELECTRICAL ONLY Subdivision Name Property Zoning Application valuation 0 Owner BRONSINK ROBERT 915 W 17TH ST PORT ANGELES Contractor Date 10/08/03 OLYMPIC ELECTRIC 4230 TUMWATER WA 983637433 PORT ANGELES WA 98363 (360) 457 5303 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc PRIVATE INSPECTION REPAIRS Sub Contractor OLYMPIC ELECTRIC Permit Fee 64 90 Plan Check Fee 00 Issue Date 10/08/03 Valuation 0 Expiration Date 4/06/04 Qty Unit Charge Per Extension 1 00 64 9000 ECH EL -R OR RM 0 200 ALT SRV FDR 64 90 Fee summary Charged Paid Credited Due Permit Fee Total 64 90 64 90 00 00 Plan Check Total 00 00 00 00 Grand Total 64 90 64 90 00 00 T\PLANN[NG\FORMS \1102.15 [4/2002] Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date Separate Permits are required forelectrical 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. FOUNDATION. FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH-IN PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY 1-100D DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T• PLANNING \FORMS \1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING 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 YES NO SEPA. e,x,p I (2O ESA. Q R SHORELINE: L D v FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE I DATE YES NO COMMERCIAL DATE ACCEPTED I YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING COMMENTS ~r',"rA.iv ~..o."0<" ()~'" '" 'EiII L~ ~ ""<~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000461 Date .473622 413 E LAURIDSEN BLVD 06-30-00-0-3-8370-0000- MECHANICAL APPL. PERMIT 6/15/04 RS7 RESDNTL SINGLE FAMILY 1400 Owner Contractor THOMAS, JAY 413 E LAURIDSEN BLVD PORT ANGELES WA 98362 PA SWIMMING HOLE & FIREPLACE S 518 W 8TH ST PORT ANGELES WA 98362 (360) 565-1163 Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 50.00 Plan Check Fee 6/15/04 Valuation 12/12/04 .00 o -C - v.I Qty Unit Charge Per 1.00 50.0000 ECH ME~WOOD BURNING APPL. Extension 50.00 III Fee surrunary Charged Paid Credited Due ----------------- ---------- ---------- ---------- -----~---- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 ""1\\ - p .:z:. ~ '1' i \ _r (Y \]I fJ I bd ~ -( P= Separate Permits are required forelectrica[ 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. J 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 [ocallaw regulating construction or the performance of construction. ...\ I Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 II 1/]4/2003] 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 UNLA WFUL 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 I NO FOllNDATION: FOOTINGS WALLS FOUNDA IrON DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPY) SEPARATE PERMIT: # ROUGH-TN I I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO SLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS I I I CEILING I I I FRAMING JOISTS I GIRDERS SHEAR W ALLIHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BR..A.CED PANEL ONLY) I-BAR INSULATION SLAB I I I WALL I FLOOR I CElLING I I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES! SITE WORK (Enj,>ineering Division) SEPARA IE PERMIT #'s: WATERLINE I 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 ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGmEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4]7-4750 PLANNING DEPT. BUILDING 417-4815 r{- 1f'?-OJ..j J /-1- BUILDING T:\PLANNING\FORMS\ 11 02.15 [11/] 4/2003 ] o~ I'CJHLtVr. ,y-\_,,""';~~Z':,~,"I,r;r ~.;=- ~ lU{...----...:..~ BUILDING PERMIT - APPLICATION FOR OFFICiAL USE ONLY, Date Rec.'. ,,- fJ-6-01:/ P"mit#, ,-o~,:H&1 Fill out COMPLETELY and in INK. Yonr application and site plan MUST BE COMPLETE to be accepted for review. Uyou have any questions, call PERMITS (360) 417-4815 FA.X(360)417-4711 Date Approved' Date Issued: Phone: 300417~Z6<J I 0lo()~\,-7~081 Zip: cr63w2 Applicant or Agent:m(i'{)'\(U) <:v ~ 'J rur owner:~~ t t Address:.!:i\ U' ~N\ t>\\/d City: ?()It ArtjPJO/\ Architect/Engineer: Contractor?A c;w,mmi'rll~ HlreP~ License #: Address: City: L 1.(U~Jl..id<;"..I\ DlvtL Phone: Phone: Exp: Phone: Zip: ZONING: J?P"il~hItO PROJECT ADDRESS q \-; LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA TYPE OF WORK: o Residential 0 New Constr. 0 Re,roof l!: Stove o Multi, family 0 Addition 0 Move 0 Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: ~ .<;hwe.;' City: Exp. Date: MC # SIZEN ALUATION: SF. @ $ /SF. ~ $ SF. @ $ /SF. ~ $ SF. @ $ /SF. ~ $ , },OTAL VALUATION $ \'1U 0 fr\S~ COMMERCIALIRESIDENTlAL: Occupancy Group: No. of Stories: J..-- Lot Size: Existing Sq. Ft. Total lot coverage Occupant Load: & Proposed Sq. Ft. Construction Type: ~ TOTAL Sq. Ft. % APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s): 0 Yes DNa SEPAChecklistrequired? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Divisiou can provide you with informatiou au the application aud plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount mnst be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with CUlTent fee schedules. Contact the Perrrut Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the tin,e the building pellnit application and construction plans are submitted. All other pennit fees are due at the time of pennit issuance. EXPIRATlON OF PLA.,"i REVIEW: Ifno pemoit 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 Unifoffi1 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 th me 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 require ,n t the 'and that I must obtain such permits prior to work. Date: 5/210118 T:\FORlv1S\APPS\Buildingpermi t. wpd PREPARED 8/18/04, 12,20,04 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/18/04 ----------~-------~--- -~--------~---------- ---~ ADDRESS 413 E LAURIDSEN BLVD SUBDIV, CONTRACTOR PA SWIMMING HOLE & FIREPLACE S PHONE (360) 565-1163 OWNER THOMAS, JAY PHONE , PARCEL 06-30-00-0-3-8370-0000- APPL NUMBER, 04-00000461 MECHANICAL APPL. PERMIT -~----------~------------------~-----------------~----------------------------~-- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/cOMMENTS ~~~~-~~--~";';;';;"'~~~' ~;~~;~~';;~~~"';;~;;';;;;;""""""""'" TOM 461-2188 NEEDS TO BE CALLED BEFORE DOING INSPECTION -- ----- COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . , Application valuation 05-00000663 Date 650035 413 E LAURIDSEN BLVD 06-30-00-0-3-8370-0000- RE-ROOF 1/27/06 RS7 RESDNTL SINGLE FAMILY 500 ~Al t/p~~ Owner Contractor THOMAS, JAY 413 E LAURIDSEN BLVD PORT ANGELES WA 98362 OWNER Permi t . . , . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR-OFF, FELT, COMP /12 ROOF 55814 47.00 Plan Check Fee 7/25/05 Valuation 1/21/06 .00 500 ~ - \JJ . {01 ~i '\' ~ ~ Z~ w € .\) BASE FEE Extension 47.00 Qty Unit Charge Per 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 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes nu II 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 1)2-7 o~ Date T:\Policies\ll 02_15 building permit inspection record05. wpd [1/4/2005J BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRlCAL 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 YES I 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 I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CElUNG DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUNW 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LlGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE 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 / f PLANNING DEPT. BUILDING 417-4815 Y3oLOr;. 1L1/ BUILDING T:\Policies\1102_15 building pennlC inspectIOn record05.wpd [1/4/2005J 01 , >-3 'd :;;;';~8~ O'd t" , >< ~ H", '" , 'd 'd",ZZt:J >-3l'l '" , -.. t" Ol'l >-3", ><'d , (f) .... l'l",",l'l " 0 , 0 >-3 "'It" "(f) 0", H , ~o O(f) ",l'l , >-3 t:J , ~ 01 0 'd , l'l' ",0 0 , 0",0 " ",H , Ol'l'd >-3-" ~ , :;:0 w , 'dCO 00>-3 .. ~~ , t"l'lO ",,,,;r: H , l'l(f) , , 0 w GlO , >-3>-3t1:1 g~~ l'l'" . '" , l'll'lq l'l t"- , t:Jt:J.... 0 , (f) l'l , ~ o a- t" (f)H , 00 " '" , .... '" , '" ~ , "' Z "'0" '" , l'lHQ W , >< H -.I , (f)Z w t:J , C(f)'d " , (f) .. , ~tO; l'l00 l'l 00 , , w "'I , ",-.I , .... 00 01 , >-3 0 , t" , "'A <: >-3001 , "'t:J , 0 t:J ;r:HC , l'll'l 0 O-..H , (f)(f)Z 0 S;"'t" , COO , -.It:J , t"", (J)-..H , >-3H'd "''''I , (f)'d", 0 ..oGl , -..>-3 0 HO , OH'<! H H :;: -.I"'", , OOt>:l "'1"'1 :;: , H , ~Zt>:I (f)(f) l'l '" "'I , 'd'd "'I 00" , l'l l'll'l >-3 oowt" , "'I 00 (f) H .. , >-3 >-3>-3 '" , (f) OH ~ .. , ",0 >-3 , 00 "'I t:J H , 'd:;: , "'>-3 "'I :;:l'l , ~:=; 0 .. , 'd'd(f) >-3 , 5553 l'l:O< l'l t:JH , (f)l'l (f) ><w , zzt:J >-3 ".. , l'll'lH t" (f)0 , <: ~o , t" , H , l'l , " , t" , >< , , , , , , , , , , , , , , , , , t:J'd , "" , >-3Gl , l'll'l , , , , , H , -.. , w , 0 , -.. , 0 , "'''' Thomas Jay 413 East Lauridsen Blvd. Port Angeles, W A 98362 360-417-2081 January 27,2006 Attn: Mr. Jim Lierly City of Port Angeles Department of Community Development- Building Division 321 East 5th Street Port Angeles, W A 98362 360-417-4815 Dear Mr. Lierly, I am writing to respectfully request for an extension for my roofing permit (#05- 00000663). My permit expired on January 21,2006. The work for this permit has been completed and I would like to schedule a final inspection. The reason for the extension is for a final inspection. I apologize for any inconvenience this may cause you or the city of Port Angeles. bby -c ~ pORT ~~ ".J...O~~~ ~r-Gii ~ ~ -- "u8;-;;-v;;t" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name property Use property Zoning . . . Application valuation 05-00000663 Date 650035 413 E LAURIDSEN BLVD 06-30-00-0-3-8370-0000- RE-ROOF 7/25/05 RS7 RESDNTL SINGLE FAMILY 500 Owner Contractor ------------------------ ------------------------ THOMAS, JAY 413 E LAURIDSEN BLVD PORT ANGELES WA 98362 OWNER ---------------------------------------------------------------------------- Permit BUILDING PERMIT ... NO PR FEE Additional desc TEAR-OFF, FELT, COMP /12 ROOF Permit pin number 55814 Permit Fee 47.00 Plan Check Fee Issue Date 7/25/05 Valuation Expiration Date 1/21/06 .00 500 Qty Unit Charge Per BASE FEE Extension 47.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 -:t. ---------------------------------------------------------------------------- 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 (j\ \t', )- ~ -r 0- (II ~ ... ...:. - 0. ....... a 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 Date T:\Policies\IJ02)5 building permit inspection record05.vo'pd [1/4/2005] 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 YES NO FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) 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 DRYW ALL (INTERlOR BRACED PANEL ONLY) T,BAR INSULA TION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COM,\.1ERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING 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. IPWI CONSTRUCTION, R. W. ENGINEERING 4] 7,4807 PW 1 ENGINEERING FIRE 4] 7,4653 FIRE DEPT. PLANNING DEPT. 417,4750 PLANNING DEPT BUILDING 417-4815 BUILDING - T:IPoliclcsl I 102_15 building permit inspection record05.wpd [1/4/200) ] FOR OFFIC~ USE ONLY' ~" C" r.~:,"\'.\'G(, -". ......~..,I:od..... '-' /~~~ Ir:=~) ('.'. --....' \(. ~. " BUILDING PERMIT - APPLICATION Dale Ket.: Pemlil #: Date Approved: Date Issued: Fill out COMPLETELY and in LN'K. Your applicatior. and site plan MUST BE CO:MPLETE to be accepted for review, IfYOll have any qnestions, caD PERMITS (360) 417-4815 F_4.X(360)417-4711 Phone: 111 7 ~20g I L{ \'7~ ).o~ l Zip: o;G;6C, 2- ,--(11 (J ^ /\ A-t. AppliCallt OT Agent: 'n IV n;:; L..-- Owner:m~ L--- Address: 4 \3 Z-. /....o.MV\.(,t~lV\ --S,A-'( ()'/("( ~ivJ.. City: Phone: (JUv1- ~ 4~j Architect/El1gineer: Contractor {"t} W J ] ~ Phone: State License #: Exp: Phone: PROJECT ADDrillSS: City: Y I:) L., ~r'\ d. vtN\.. ~;.Jc9.. Zip: ZONING: Address: LEGAl DESCRJPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # T1.'PE OF WORK: o Residential 0 New Constr. ~e-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCl'Jl'TION OF THE PROJECT: City: Exp. Date: o Stove o Garage o Deck o Other SIZE/VA.LUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ JSF. = $ TOTAL VALUATION $ S ocJ ;.ad-- No. of Stories: _ Lot Size: Total lot coverage Construction Type: = TOTAL Sq. Ft. CO:MJ.\fERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft Existing Sq. Ft. % APPROVALS: PLAN: BLDG: DYWU: FIRE: OTHER:_ pLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Chec1dist requITed? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, 2 valu2tion amollnt 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 checkfeeis due it musthe.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 RKVIEW: If no permit is issued within 180 d2YS ofthe 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 R1 05,3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. J hereby certify that I have read and examined tNs appJjcation and know the same to be true and correct. J am authorized to apply for this permit and understand that it is my responsibility to determine what perf'!lit are required ,not the City's, and th.at I must btain such permits prior to work. T:\Policies\BL-l102_13.wpo Applicant: Date: Q. W' .,1." .. ; _ c. :-:.~ I . -l - . . , ELECTRICAL PERMIT APPLICATION ,If)R OITlCIAL USE ONLY ~'-_.. - Jlcn.a_,___ n.nllt""""'w:d' -..- The E I~c;:al PtllTflit Applicalion mu~l be filled c:luf com ~fy. P 18UIfI typo Dr" reprint In InIL ~ you hl!!lve Clny l:Iuel)tlorls, plOllll1!!: c...1I(360) ..'7....735 . F;u nurn tI",; (3eD) .411....,11 )M 11:97;2., Owrw l;lI" floe. Con!r8lr:tar Agont: 01 m P~gerty Ownea: Ad<I.....: (If J 'E. el~ C~tr~or; "'Odrno, ~ 230 Lena.. Ja Uw.,.;(ke.n 131..tt, Olympic ~lectric Co., Inc. Tum<;ater PI'10l'te: ~57-5303 Fe);: 452-3496 . -r PhQne: 'f17-20~1 Cit)c Z1g: "'/33 ,{, 2- Licenge D: D....YM=ECZBSJle.p: 3/31103 Pilon.: 457-5303 C;Iy: Port Angeles ZlD: 98363 INSTAlLA710N WI~e.D e....: o OVVNeFL ~ ELECTRICAL CONTRACTOR C'fKfflc.n1HoJd,.,.NlJme: Charles 1. Burkhardt, Olympic Electric Co., Inc. 811"1>9 Address: S~me Credit Citro Number. PROJECT ADOIlESS: TYP!: OF WORP\' )(Residenlial City: Exp. Dalfl: Zip: lflSA: X Me: -, (1/3 l: L.utn~~) Check i!1! that apply: 0 New X"JterallOPJAddilion U Mobile Home Sq. Fl D Mum-mmily o Commercial CJ Remote Meter 0 Detached gerege 0 Hot Tub. 0 $lMm Pool 0 Septic Pump . 0 lDw Voltage C Telecom. 0 Slg Number of Clrcutbi added or altered: DESCRIPTION OF THE ElECTRICAL PR9JECT; PerforM _ ~rre(}:Mms ern /t1specfJl>>I ~ E1l1Clrlcal Load Additions and or subtractlon. ;;'. C; Basebosr<l [::i Fumaee ':..! "feut Pump := Fan.Wall Selvlca Information KW KW TON KW Vol1age: Phase:)'(1 C 3 SeNior! SIze:Z""A F eeoE!r Size: LAR L.J Overhead Service [] Temp Service 'C'1 Undergrou"d Service PAMC 14.05.060(8): FOf indusll1al. commerd8l, & resklen~..' projecl!llarger tl1an "duplB>t, a one _ Un<> 1l1'!lW1ng Oftl1e Electrical Service & F..-n.. building sIZe (511, II,). load calculatlons. and the type & of o;mdudonl andfor "",_ay 19 requited aM _ attOm1l8'1)' file Elecl1lcBJ Permit 8ppllc8flon. I hereby certify that I have road end examined tIlis application and know that same to be fruit and corract, and I al authorized to apply for thIs permit, I undarstend it is not the City's legal responsibility to determine what pennits are roqvirw; it romains the applicants /"9sponsibl to aetermina what permits are f'l!Jquirt1d and to obtain such, t.9 of) \ 0-- 'V t..-'f-'~ v.,/')j ?V\I.go19ri1D3 ~~c~ CrodJt C~rd Holder'5 Signature: "'-ta (/..I '~-k-- l /--, /"" , \ /. ') ',.~ ./ ( PERMIT ;EE: $ Own.r or e:lac. Cont. SIO"Df.ure: Dolo: IV flf) 3 011tO: lolL-Io.3 , ( b'f,90 IO/z-/03 JI~LJ313 JldNX10 S6tCGSt09C XYd CS:91 COOG/GO/OI