HomeMy WebLinkAbout1709 S O St - Building
~ FROM
FAX NO.
Dec. 06 2004 10:58PM P2
1
~ Contractor
s
o Owner ~~..~
ELECTRICAL WORK PERMIT APPLICATION
o Request Inspection
Job wired by
o Alum a Carnival D Comrtler~isl ~ Resldeatla1 Ma..inL CJ Signs 0 Thermostlit l:J Telecom.
.~ Contractor 0 Owner
In!>lllllation description
(J ADD.ual Permit
License number
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Telephone number
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o Cash 0 Check #
r hereby certify that I am the owner of the above named property or a licensed ~ ~. Mastercard Discover
electrical contrdclor (or the firm's authorized agcnc) and am making me electrical
installation or alteration in compliance with the electrical law, Chapter 19.2& RCW. Card # -""'E' ~ ~ ~ ___ _ _ _ _ _ __ __
Signature of 0
Expiration Date
of card
Inspection fee
$
x
CEILING
THERMOSTAT
WALLS
-Jn9ulation Only
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FUDER
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Electrical Load Additions and Dr subtractions ;Q I,), - /,J-~ '{
D NO LOAD CHANGES /.J/i'-47
Q Baseboard _ KW ."
l:J Furnace _ KW h ~ 0 Overhead SBMCQ
(J Heat Pump Ton l.AR tJ _ \0 a Temp Service
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Service Information
,
Voltage
PhassD103
Service Size: _
F=eeder Size:
Inspection Area, Building or Equipment Inspected Electrical
Date I Action Tskcn
, Inspector
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ADDRESS
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735
INSPECTOR
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APPROVED NOT APPROVED
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D. . . . . . . . . . . . . . . . . . .. SERVICE. . . . . . . . . . . . . . . . . . . 0
D...... ():/~.. .;;;~)...............)(
CORRECTIONS NEEDED: H~ /N ~~
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
IElIECTmC~L ~NSfPlIEC1l"IOINI
W~IRING RlEfPlORlT
417-4735
PERMIT .
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ADDRESS
INSPECTOR
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APPROVED ;^tD ~05/-~1.? ~~~ ~ APPROVED
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o .................. SERVICE .................. 0
o ....... 'l)~ . . . . . FINAL. . . . . . . . . . . . . . . . . . .. 0
CORRECTIONS NEEDED: /1?#.5/Ji3-rC &3-00 ~ H~4r
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
OLYMPIC PRINTERS, INC. (360) 452.1381
- DO NOT REMOVE -
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[EILIEClrRl~c4 ~NSl~IE(cT~(Q)N
W~IRl~~G 1Rl1E!P>(Q)Rl
417-4735
DATE
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ADDRESS
17() 5,
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PAINTERS, INC. (360) 452.1381
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
04-00000098 Date
.996932
1709 S 0 ST
06-30-01-5-5-0030-0000-
RES NEW SFR
4/09/04
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
71523
Owner
Contractor
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES WA 983626710
OWNER
Structure Information
Construction Type
Occupancy Type
Other struct info
NEW 1180 SF SFR W/ATT 520 SF
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
GARAGE
19.00
V-N
1. 00
1. 00
9007.00
1700.00
1700.00
1. 00
Permit MECHANICAL PERMIT
Additional desc
Permit Fee 76.00 Plan Check Fee
Issue Date 4/09/04 Valuation
Expiration Date 10/06/04
Qty Unit Charge Per
BASE FEE
4.00 7.2500 ECH ME-VENT FAN
.00
o
...:::I
~
-Q
Extension
47.00
29.00
11
Z
~
r
u.
o
Permit PLUMBING PERMIT
Additional desc
Permit Fee 132.00 Plan Check Fee .00
Issue Date 4/09/04 Valuation 0
Expiration Date 10/06/04
Qty Unit Charge Per Extension
BASE FEE 47.00
8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 56.00
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00
1. 00 7.0000 ECH PL- EA.WATER HEATER 7.00
\j
~
permi t . . . .
Additional desc
Permi t Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
~
821.25
4/09/04
10/06/04
Plan Check Fee
Valuation
.00
71523
Qty
Unit Charge Per
BASE FEE
Extension
667.25
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
constr 'on.
Signature of Owner (if owner is builder)
Date
T:\PLANNINGIFORMS\1102.15 [11/14/20031
BillLDING 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:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN 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
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 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) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LlGHTING 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.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:\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
Application Number
pin number . . . .
04-00000098
.996932
Page
Date
2
4/09/04
Qty Unit Charge Per
22.00 7.0000 THOU BL-50,001-100K (7.00 PER K)
Extension
154.00
Special Notes and Comments
The site is within the Madrona Woods Subdivision. The
residential structure may NOT be finaled until required
infrastructure for the subdivision is improved and
installed.
Electrical load calculations and elctrical permits are
required.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1029.25 1029.25 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2803.75 2803.75 .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:\PLANNINGIFORMS\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
YES I NO
FOUNDATION:
FOOTINGS 1/. / 1-cJ.f ~ f
) /.....
WALLS n -9-3-0Jf J"J.-.
FOUNDATION DRAINAGE/DOWN SPOUTS / - M-vi-f ,1. J.,..
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING 1'LVHB FINf\L '-1-25 -of;; .J LL "i P
UNDER FLOOR 1 SLAB
ROUGH-IN J C . 1. )-1""/...1 J,L.
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS I f}.-O?-o4 .i I
,I..
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS j 11 - 0<.(-'0,", j, l...,
WALLS / ROOF 1 CEILING 1/1\ -c 7-o.J J.1-.. I
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING 14 -/3-0"j J.L
MECHANICAL t-'\e~lt FltJA; L. 4- 25 -OS. JLL 4F
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/LlGHTING 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.I PWI ~., - Ao--os . iF CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 4 -25"-05 ,Jd... BUILDING
T:\PLANNING\FORMS\1102.15 [11/14/2003]
'-
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~
"l.t\1C~
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
04-00000098 Date
.996932
1709 S 0 ST
06-30-01-5-5-0030-0000-
RES NEW SFR
10/25/04
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
71523
Owner
Contractor
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES WA 983626710
OWNER
Structure Information
Construction Type
Occupancy Type
Other struct info
NEW 1180 SF SFR W/ATT 520 SF
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
GARAGE
19.00
V-N
1. 00
1. 00
9007.00
1700.00
1700.00
1. 00
..j
o
J)
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
FIRE SPRINKLER RESID
KNIGHT FIRE
.00
10/25/04
4/24/05
PROTECTION INC
Plan Check Fee
Valuation
.00
o
\{\
C1
Special Notes and Comments
The site is within the Madrona Woods Subdivision. The
residential structure may NOT be finaled until required
infrastructure for the subdivision is improved and
installed.
Electrical load calculations and elctrical permits are
required.
o
J\
--1
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 1774.50 1774.50 .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 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
co ction.
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\I 102.15 [11/14/2003]
BillLDING 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:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
W (\ TER 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 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) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANIT ARY
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.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:\PLANNINGIFORMS\I 102.15 [11/1412003]
PORT ANGELES FIRE DEPARTMENT
102 East 5th, Port Angeles, WA 98362
360-417-4653
Fire Sprinkler System Plan Review
Project Name: Self-Help Housing Address: South 0 Street
Installer: Knight Fire Protection Telephone: 360-417-0505
Type of System: 13D R-3 !Xl R-1 D Com D
Date: October 19, 2004 Permit #04-12
We have checked this plan and find that it conforms to the requirements of our ordinance.
Additionally:
1. All systems including underground mains, shall be installed by a state licensed and
certified company. The system shall be installed as per NFP A 13D.
2. All electrical components shall be compatible with the fire alarm system voltage and as
per P AMC and Washington Administrative Codes.
3. All systems will require witness underground flushing, hydrostatic tests for system, and
underground pipe schedule inspection by the Port Angeles Fire Department prior to being
covered. (R-3 and R-1 requires design sprinkler flow.)
4. Before final acceptance of the system, an inspection will conducted by the Port Angeles
Fire Department to ensure the system installation complies with NFP A 13D.
D Contractor
~ Building Department
D Fire Copy
Reviewed by
~~
Date
\0. \"0' rt:JL(
FP - 9
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
.~ ~
Date RIle.: ~ ~ ':;z -D .
Pennit#:~_. .'
Date Approved: . C l
Date Issued:' .
FiB out COMPLETELY and in INK. Your applieatioD and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, eaII
(360) 417-4815
Applicant or Agent: /10\)5/11)(;.. AiJ'fHOlllyt C(){JN"rY ()FC~ Phone: 'IS"J.,-763/ l.>t-r: l.( I
Owner: //O(J:;/,.)? 1It/7Hof(1}7 tJr()u<.WrI crc~ (/lff/(/c} S) Phone: YSd- 7(,3/.
Address: ;tc3 5""0, R2./-YJ<2IS Sf City: fo~-( 4rJ6-U~.S . tv/! Zip: ?83~;(
/
ArchitectlEngineer: LIND 13 ~R6- IJ/(C/1/rf,C, S Phone: 4, \~;)..- (II (,
.
Contractor )/ he C- State License#: Exp: Phone: ih{;; -7~ 3/
.
Address: :J.. {,63 S~ rl2/J-71(!/5 sr. City: I'oRri /Wc::u~<; t.f/4. Zip: JR'3 C 2
I
PROJECf ADDRESS: 170 J 50(/1'1:1 b~ sr flOl<cf Anl6-EJ..~~ ZONING: te:s - 9
LEGAL nE8CRIPllON: Lot: :iJ:3 Block: ~t!/ "5r: Subdivision: /I'1t9JDlOJrI It W (!) at> S
CLALLAM COUNIY PARCEL NUMBER: 0 t :5 0 c::> I J J' - OD "3 0
Credit Card Holder Name:
BJJIing Address: City:
Credit CardType VISA Me # Exp. ~te:
TYPE OF WORK: SJ.ZEIV ALUATlON: ..'
.RaIideDtial K'NewConstr. 0 _roof 0 S10ve ~ SF,@$. 'n3J!Sp.=$ ~~ ;1:
C Multi-family C Addition. . C Move. )rGamge _ _ SF. @ $ '. 30 ~o ISF. = $ __ _ _
C Commercial C Remodel .' .0 Demolition DDeck SF. @ $ - . .1SF. = $
C Repair D Sign C Other TOTAl. VAUIATJQN $ 71.)"? ~
BRIEFDESCRIPTIONOF't.BEPR~JECr: NE..w \')/ItI?J..'t, FA7Y1/J..Y!<'E6I1:if7{<Z,& - '.'/
. tvJ i.. $'CRy W}11f;'hT1i4'C:Hl-() ':J. - eAfl ~24
. . . .. ,. . -
COMMERCJALlRESIDENTIAL:. OcCUpancy Group: OcroPantLOad:". .; ,". CoiistIUCtiOJi Type:
No. of Stories: -'- Lot Size: ? 00"7 Existing Sq. Ft. . t:J & Proposed Sq. Ft. I? 00 . = TOTAL Sq.Ft. I? C C>
BxistiDg lot coverage --12..- % & Proposed lot coverage --LL% = Total lot covera~ /9 %
. APPROVALS:
PLAN:~' ..'
BLDG: .
DPWU:
FIRE:
OTHER.:_
PLANNING USE ONLY:
ESAlWetJand(s): eyes 0 No SEPA Olecldistrequired? 0 Yes 0 No Other:
BUD..DING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions. .
"-
VALUATION O~ CONSTRUCl'ION: In aD cases, a valuation amount must be eDtered by the applicant. This figure Will be reviewed
and maybe revised by the Building Division to complywith current fee schedules. Comact the Permit Coordinator at417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it IJ1QSt 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 applicatioD 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 Uilifonn Building Code, current edition). No application can be extended more than o~ce.
I hereby celtify 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
--~'b~~to~_~:::_~o1Ble~andl a/1:~:~Z~~!l: ,
.. ....~..;.1:.:...........'..~.~....:~..:.::............,<......;,-_:.':'.~~..,~...:..::....:....'~..~.. .','...;..,.~...'.,..~...'...,.:..::.'..;,.:.. . . . . ..", ~'"" ~ . -.. .. .
"~"" '. - . .. :-}~:r~;~~7:-'};(:\;.";"~'';c.X->;;
:-.:l;!-"" ~'-. . . .-.' ..: . . .. _ '. .
I
I
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, "'-.. ,- /" ~ :
It "--./, :
/ / / I 262---../: I
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~-----------------------~T~--------~-~----------J
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--------------~ "- ~ :------
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______________.J
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(
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----. ~
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. . '.
.--.. ..-..-
6tJ C900 F
--
-260
--
C"'"..
;l.{ , Cv
---A~~-;~;~l---------: I
'1 (> 5"'ri~ ~ i:-(
l
..
~i- - - -
"- --. SCALE: I" = 20'
-- t-.. I I
o -
I
30
, T1TlE:MADRONA WOODS SUBDIVISION SCALE: '"
lOl3 1" = 20'
JOB NO:
02030
CliENT: FilE:
HOUSING AUTHROITY OF THE COUNTY OF CALLAM LOT3.DWG
2603 S. FRANCIS STREET DATE:
"- PORT ANGELES, WA 98362 11- 25- 03...J
~ Il'ORT ~
$"'O~~~
".
"- -=--
~
'l.ti~
CITY OF PORT ANGELES
DEP ARTMENT 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
04-00000291 Date
.249450
1709 S 0 ST
06-30-01-5-5-0030-0000-
ELECTRICAL ONLY
4/12/04
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES WA 983626710
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
----------------------------------------------------------------------------
Permit . . . .
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Da.te
ELECTRICAL TEMPORARY SERVICE
60A
ELECTRIC SERVICE
40.90 Plan Check Fee
4/12/04 Valuation
10/09/04
.00
o
,
~
~
~
Qty Unit charge Per
1.00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
40.90
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40.90 40.90 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 40.90 40.90 .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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\FORMS\1102.15 [I I1I4120OJ]
BillLDING 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:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
W A.fER LINE (METER TO BLDG)
f'~AS LINE
~ ~K FLOW / WATER
A1'i ~EAL
1 ~LS
Cil.r.ING
Fit ~ING
, Jil'STS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
IJRYW ALL (INTERIOR BRACED PANEL ONLY)
lIa"AR
INSt1LATION
St..w
WALL / FLOOR / CEILING I I
. MECHANICAL
HeA T PUMP
,4tJAS LINE
-WOOD STOVE / PELLET / CHIMNEY
~POD / DUCTS
P~UTILlTIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
W-A. TERLINE / 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 .JiLJ-kf /It!t'" 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 [11114/2003]
tJ'
;'.pf
M
.,>
'5
"IOir..?
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
"l21 EAST 5TH STREET. PORT ANGELES. WA 98162
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000098 Date
.996932
1709 S 0 ST
06-30-01-5-5-0030-0000-
RES NEW SFR
12/10/04
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
71523
.,
."
"
. ,
Owner
Contractor
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES WA 983626710
OWNER
Structure Information
Construction Type
Occupancy Type
Other struct info
NEW 1180 SF SFR W/ATT 520 SF
TYPE V ~ON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
GARAGE
19.00
V-N
1. 00
1. 00
9007.00
1700.00
1700.00
1. 00
"
~
\)
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
1800 SQ FT SFR.
ELECTRIC SERVICE
96.40
12/10/04
6/09/05
Plan Check Fee
Valuation
.00
o
,,~
Qty
1. 00
1. 00
Unit Charge Per
73.0000 ECH
23.4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73.00
23.40
~
Special Notes and Comments
The site is within the Madrona Woods Subdivision. The
residential structure may NOT be finaled until required
infrastructure for the subdivision is improved and
installed.
Electrical load calculations and elctrical permits are
required.
('\
\J
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
~.
:'\
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total. 96.40 96.40 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 1870.90 1870.90 .00 .00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPEgJON RECORD
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 IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
...._.~
GENERAL COMMENTS:
PW.II02.U (4'96)
FROM :
FAX NO. :
Aug.
05 2003 08:03PM P2 ~';~~
fOP-OFFICIAl. vsfo..W
-,
,.... .: ..
....-,
--
Ii
ELECTRICAl. PERMIT APPLICATION
The Eloctllc8I Permit ,"ppUoallcm m~1It b. flllad Cl\It coma_Iv.
P I.... type .... ..print In Ink. If ~ DU Ilava ..~ ""...Ion., p_. call (380) .,1-41.
F. numb." (3")411-4111
P,op.,ty Owner:
Add......: 11
i..t -)2.. (./12. '1Fax; 'i 6 'l- (., '1 ?. Lj
Phon.: ~
, e CT
EI_IConlr8alor: E-l u.:--tnl..- kv; c...I,. ,1ht..- ~i_..#:S~ 1'1", "....,
Addres&: ,R' ~ ~..- V c./ ~ r RJ CHy. PDr1 f\.1~...,tL~-
INSTALLATION WIRED BY; Cl OWIolER ~ICA~ CONTIUoCTOR
Credit Card HoId8l' Name:
elCp: "1
t-s
ZIp: ~ >
Pnon.:';',.. -i,,'f
Zip: '7 g," i,'
*CHy.
~ ' , Exp, Date:
On
PROJECT ADIIlU!!S$: Iii I .5. CJ, s r. / n 1/ /
/
2" WORK: Check ill that apply. 0 New
" esldenllal 0 Multl-famHy '0 CommiIrCial
.
Ct8dIf Canl NumbB:
Zip:
VISA:
Blllln, A....:
.::5.
O. ST; / /7.09
/
o A1lera1lorJAddltlon
.5_ a.Sr-,.
. Cl McblleHome
Sq.Ft.
o Remote Meter 0 Detached gBrage , d Hot Tub .0 Swim Pool' 0 Septic Pump" ." 0 L-o\.vVollage CJ Telecom.
Number ar Cln:ulll added lll' ,bred:
~~. ~' '~:o.'_
,(P&~
DeSCRIPTION OF TH~ ELECTR,IC-!\L PROJECT:
EIIetrIcaI L"...t Additions and or SUblractlCll1ll
SaNle. Informatlan
o Overlle/ld Service
o Temp Service
o Underground Servlc:e
Vollilgu;
Pheee: 0 1 0 3
Servlcl! Size:
Feeder Sin:
o BlI88bOlrd
o Furnece
o H...t Pump
o Fan-Wall
KW
KW
_TON_~R
KW
PAMC 14.05.060(8): For Induetrlal. commercial. & resldentIBl projectllarger lllan e lIuplex, 8 Dna. line d.-Ing arlhe Electrical Serv
Feede.,., building sin (sq. II.), load calculations. and the type & ofconductolS 8ndI0r raceway is required and shall accompany tha
Electrical Permit application.
I hereby certify that I have read and eJtamlntJd this application and know that samtJ to be true and correct, sn(
authorized to apply for this permit. I understand II is not the City's legal responsibilIty to determine whet perm
SftJ ftJquJrtd; it remains the applicants re5/Jonsibility to determine what permits BftJ required and to obtain SUe,
OWner or Ell;' C;om. SlgnidUr.:
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Ci.dVv.f.j.AiCi.48 Oat" ~/q (..y
:/,1.",J' 17 ~ ,.tI Dal.: ') t, JOY
PERMIT FEE: $ ~.90X.3
Credit Cud Hol.~. Slgn.tUN:
PW..Q01Im03
MAR 26 2004 13:32
HOUSING AUTH CLALLAM
3604577001
p. 1
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2603 S. Francis Street'
Port Anfleles, WA 98362
(360) 4S~~-7631 . (360) 457-7001 Fax
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MAR 26 2004 13:32
HOUSING AUTH CLALLAM
3604577001
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M!l\lIr',1 RR SURVEYlNG .! MAPl'lNO en
f 330 !:AST FIRST ST.. SUIT,; 10
.PORT ANGELES. .WASHlNGTON 98362
(360) 457-9600
FAX (380) 487-9556 .
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