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Home My WebLink About1022 Madrona St - BuildingPREPARED 6/02/05 12 58 33 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/02/05 ADDRESS 1022 MADRONA ST SUBDIV CONTRACTOR PHONE OWNER PURSLEY DANIEL /CONNEMARA PHONE (360) 452 0787 PARCEL 06 30 08 5 8 1312 0000 APPL NUMBER 04 00000865 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 5/31/05 JLL BUILDING FINAL 5/31/05 DA 05/27/2005 03 55 PM JLIERLY DAN PURSLEY 452 0787 CLAIMS TO HAVE HAD ALL INSPECTIONS DONE NOTHING RECORDED 05/31/2005 04 25 PM JLIERLY move heat source from behind door or change swing of doorway /j11 BL99 02 6'02 05 JAL BUILDING FINAL TIME 17 00 06/02/2005 09 23 AM DYASUMUR DON 452 0787 CONTINUED ONTO NEXT PAGE PREPARED 6/02/05 12 58 33 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/02/05 ADDRESS 1022 MADRONA ST SUBDIV CONTRACTOR PHONE OWNER PURSLEY DANIEL /CONNEMARA PHONE (360) 452 0787 PARCEL 06 30 08 5 8 1312 0000 APPL NUMBER 04 00000865 RES REMODEL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 6/02/05 JLL MECHANICAL FINAL TIME 17 00 06/02/2005 09 24 AM DYASUMUR CONTINUED ONTO NEXT PAGE PREPARED 6/02/05 12 58 33 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/02/05 ADDRESS 1022 MADRONA ST SUBDIV CONTRACTOR PHONE OWNER PURSLEY DANIEL /CONNEMARA PHONE (360) 452 0787 PARCEL 06 30 08 5 8 1312 0000 APPL NUMBER 04 00000865 RES REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 6/02 05 JLL PLUMBING FINAL TIME 17 00 10 06/02/2005 09 25 AM DYASUMUR COMMENTS AND NOTES PREPARED 5/31/05 13 43 13 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS 1022 MADRONA ST SUBDIV CONTRACTOR PHONE OWNER PURSLEY DANIEL /CONNEMARA PHONE (360) 452 0787 PARCEL 06 30 08 5 8 1312 0000 APPL NUMBER 04 00000865 RES REMODEL PAGE 1 DATE 5/31/05 PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 5/31/05 JLL BUILDING FINAL 05/27/2005 03 55 PM JLIERLY DAN PURSLEY 452 0787 CLAIMS TO HAVE HAD ALL INSPECTIONS DONE NOTHING RECORDED COMMENTS AND NOTES OF pORi,k,Q -N MGV \w Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor PURSLEY DANIEL /CONNEMARA 1022 MADRONA ST PORT ANGELES WA 98363 (360) 452 0787 Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE 1 00 7 2500 ECH ME VENT FAN Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per Signature of Contractor or Authorized Agent 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 00000865 403925 1022 MADRONA ST 06 30 08 5 8 1312 0000 RES REMODEL MECHANICAL PERMIT PLUMBING PERMIT 54 00 9/27/04 3/27/05 RS7 RESDNTL SINGLE FAMILY 2000 OWNER 54 25 Plan Check Fee 00 9/27/04 Valuation 0 3/27/05 Plan Check Fee 00 Valuation BASE FEE 1 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP Permit BUILDING PERMIT RESIDENTIAL Additional desc CONVERT GARAGE TO LIVING SPACE Permit Fee 92 75 Plan Check Fee Issue Date 9/27/04 Valuation Expiration Date 3/27/05 Fee summary Charged Paid Credited Due Date 9/27/04 Permit Fee Total 201 00 201 00 00 00 Plan Check Total 37 10 37 10 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 242 60 242 60 00 00 Extension 47 00 7 25 0 Extension 47 00 7 00 37 10 2000 Qty Unit Charge Per Extension BASE FEE 47 00 15 00 3 0500 HND BL -501 2K (3 05 PER C) 45 75 Other Fees STATE SURCHARGE 4 50 Date Signature of O r (if owner is builder) o(,&' 0 (0 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. 11/1/01 Date FOUNDATION: FOOTINGS I WALLS I FOUNDATION DRAINAGE/DOWN SPOUTS 1 ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN 1 I PLUMBING UNDER FLOOR SLAB I ROUGH -IN I WATER LINE (METER TO BLDG) GAS LINE I BACK FLOW WATER 1 AIR SEAL WALLS I CEILING FRAMING JOISTS GIRDERS I SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING I DRYWALL (INTERIOR BRACED PANEL ONLY) I I T -BAR I INSULATION SLAB I WALL FLOOR CEILING 1 I MECHANICAL HEAT PUMP I GAS LINE I WOOD STOVE PELLET CHIMNEY I HOOD 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 (0/ s \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 1 1 1 1 1 1 1 YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417-4735 ELECTRICAL LIGHT DEPT Plumy rot Fcl' etc f peApp' JUi n(ndt.ntc4 F c /7-/05 App- 7L(i SEPA. ESA. SHORELINE. CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING Applicant or Agent: Owner c-r1 Qv-5i eq Address 1 Oda- rtvti– Architect/Engineer Contractor Address. Fill out COMPLETELY and in INK. Your application and site plan MUS COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Credit Card Holder Name: v-rl i e Billing Address: 1 O 3 a- r- Credit Card Type VISA X MC TYPE OF WORK. *Residential New Constr Re -roof Multi family Addition Move Commercial l Remodel Demolitio Repair Sign BRIEF DESCRIPTION OF THE PROJECT PLANNING USE ONLY BUILDING PERMIT APPLICATION City. Port An State License City PROJECT ADDRESS LEGAL DESCRIPTION Lot: 5 Block: T CLALLAM COUNTY PARCEL NUMBER. Stove Garage n ❑'Deck Other ✓`asc AL(i da ,f l� in� ti° 1 n5.(a•3r� e COMMERCIAL/RESIDENTIAL. Occupancy Group ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other. T•\RVESS\BLDG- forms- brochures\2003- Buildingpermit.wpd Applicant: Phone Phone USa-- v7 Zip St)67... Exp Subdivision. SF SF SF Phone Phone Zip ZONING C� 1t' f'i Ill /SF /SF /SF FOR OFFICIIAL USE ONLY Date Rec. q Permit Date Approved: Date Issued: A Pi Mk/ City• Pr t'= i'fT'? lrt nth Exp. Date: SIZE/VALUATION TOTAL VALUATION OP z_ 1 U)O c1 Occupant Load. Construction Type: No. of Stories: Lot Size Existing Sq. Ft. Proposed Sq Ft. TOTAL Sq. Ft. Total lot coverage BUILDING 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 If no peiniit 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 R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 1 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 the City's, and that I must obtain such permits prior to work: APPROVALS. PLAN BLDG DPWU FIRE. OTHER. Date. ic11 9 1 1 38 1 Madrona St in32 m.• a 4 5 tiindaar 1022 1 ti OIR This map is not ended be ed legal de rapt This map/drawing s produ ed by the ON of Po r Angeles fo use nd purposes. Any the of this map/dr ng shall t be the sponsibilog of the City. f ,6 ,8 ,Z /I. 0• 99 o m U h w m 0 0 0 CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the bu :ding official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances q+f jurisdiction. (SECTION 303(c) IJ ;form ildi Cod Approval Date 4 /,E-,0 6 w By :Y pORT ~ ~~O~....~ ~ha~ '- ~ ~ ~~ 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 04-00000792 Date .555920 1022 MADRONA ST 06-30-08-5-8-1312-0000- ELECTRICAL ONLY 9/13/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor PURSLEY, DAN 1022 MADRONA ST. PORT ANGELES (360) 452-0787 OWNER WA 983620160 permi t ELECTRICAL ALTER RESIDENTIAL Additional desc 2- CIR. Permit Fee 48.10 Plan Check Fee .00 Issue Date 9/09/04 Valuation 0 Expiration Date 3/09/05 Qty Unit Charge Per Extension 1. 00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS 48.10 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .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 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 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 DRAINAGElDOWNSPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # \; 0, ~ ~\ ROUGH-IN I CJ-:J..... 4}(j' t'Jt... I c...f.-><J. . n /\AA h ,,~ [IlL (I /I~!L/ PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CillMNEY 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 OCCUPANCYIUSE RESIDENTIAL . DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 I?h /r;L/ ~ 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] .. . I I: CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO .3039- ~-/t?-9/ DATE Sit~ Address: Installed By: i o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: O~ner/Business: Phone: Owher/Business Address: I: I ~Residential /_ .. Heat KW lP tJ Baseboard 0 Furnac~oiler o Heatpump ~ Other~ o Commercial/Industrial load Ii Total Connected load I (attach breakdown) , Total Motor load (attach breakdown) Sq. Ft. '1cJ-V ~New Construction o Remodel o Service update/alter/repai r o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) "'g" Overhead b Undergro!:!n~ /z ,/D Voltage ~~ 'f" \F'10 03.0 /Service size ;;L(fJ..O Amps o Temporary Detai I slDescri ption: If} ~ ~--e. .' I W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. 1f1I'lf'. Rough.in/cover OK 'If":~ O.K. to connect service 'f'1J Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: Permit/Receipt No. .:Jf)39 Site Address: Date: l/-/fl-'I ~:-- WHITE - file by address YELLOW - file by number Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 'If) rJ,() Amount p:: ;: PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector. Bottom: City,?, ~ OLYMPIC PRINTERS. INC. .. t o:~~~_~._~~;'~{'C ~.'" If... ,,--,, t /. -- < -,~. i~- ~m' f!J ~c- ;:;:- '/D~:<''''- ~{I(SA.\'l.?\l ELECTRICAL PERMIT APPLICATION rDlt OFl'ICl."'.L USE Ol'P_ ';.' D"ldRt:c "enniltl; DneApproved Our: h<ucd . The Electrical Permit Application must be filled out comoletelY. Please type Dr reprint in ink. If you have any questions, please call (360)r17-4735 f Fax number; (360) 417-4711 .. ()J-( - 7'12.- Owner or Elec. Contractor Agent Property Owner; D~ ~v(',>I(" I Address; 1 0 ;tor h ....J'1),,'- Electrical CDntraclor:_~ I cLr.-J... V"€''l J,,-, t, Phone: Fax: City_Purf-- ~'if-J.(,,:> Phone; 4 s ~ - 0731 , Zip '7 ;) '>6 \ Address: License #: Exp: City; ? "', f A-,';)A L <., Phone; 't;i ("1 ~:v Zip 1 11\0... INSTALLATION WIRED BY; )4 OWNER Credit Card Holder Name: '(,-7\,,<.""......... ~LECTRICAL CONTRACTOR 'M - ?vf ') l~" 1 Billing Address: 10).-)- M,-Jr\)r-<- City: hrf 4,'5"1.) Zip: 'l~ 1, b.l.- Credit Card Number:'? Date: VISA:_ MC: '" h. h -...t: PROJECT ADDRESS~O;}J- h.....Jru-... <:,L TYPE OF WORK: Check all that apply: 0 New ElI"Alteration/Addltion I#Residential 0 Multi-family o Commercial o Mobile Home Sq. Ft I~ (>')1. o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump Number of Circuits added or altered; l.. o Low Voltage 0 Telecom. 0 Sign DESCRIPTION OF THE ELECTRICAl PROJECT: A )'.1.,,,'(; 5~ e l-ecjr:<.."-\ 0" -\- Lct'J ./-c t:- ':)'--1'''''>-( VeM.0J~'- AJJ.~ ~ .(->1." /.-" IN "'"\ h.e _ Y. AJ..J. '-- w<-\\ F,-~ Electrical Heat Load Additions and or Subtractions Service Information o Baseboard o Furnace o Heat Pump 6fFan-Wall _KW KW TON ,;l..l.WKW LRA o Overhead Service o Temp Service o Underground Service Voltage; ~ Lj tJ Phase: 51.1 0 3 Service Size: d..cD ,c\MP Feeder Size: , hereby certify that I have read and examined this application and know that same to be true and correct, and I am 3uthorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits 3re required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: c~~/ Ll \f1~ Date: Ii hi r,lj 'j-l--0~ Owner or Elee. ConI. Signature: Date: PERMIT FEE: $ /j& /0 ; ;/ELECTRI CALPERMIT APPLI CATION A60 ~~~.