HomeMy WebLinkAbout808 W 5th St - BuildingApplication Number 09 00001171
Application pin number 263634
Property Address 808 W 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 0110 0000
Tenant nbr name SUSAN K LEE
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
INSTALL A WOOD BURNING STOVE
SUSAN K LEE
953 WASANKARI RD
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
10 6500 EA
T:Forms/Building Division/Building Permit
WA 98363
Per
Charged
60 65
00
60 65
RS7 RESDNTL SINGLE FAMILY
2500
Owner Contractor
EVERWARM INC
257151 HWY101
PORT ANGELES
(360) 452 3366
BASE FEE
ME STOVE /FIREPLACE /MISC APP
Paid Credited
60 65 00
00 00
60 65 00
l /-/2- q Lzn (A)4 t o&Dk f i)
Date 11/12/09
WA 98362
MECHANICAL PERMIT
WOOD BURNING STOVE
156372
60 65 Plan Check Fee 00
11/12/09 Valuation 0
5/11/10
Due
Extension
50 00
10 65
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 has 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.
Date Print Name Signa uJe of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
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 Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION.
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood /Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping 1 SHORELINE.
T Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
Inspection Type
Date Accepted By
Comments
FINAL Date Accepted by
O
00
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
Electrical 417 -4735
Construction R W PW Engineering 417 -4831 I
Fire 417 -4653 I
Planning 417 -4750
Building 417 -4815 1 EXV Y5-9'' (e)
C>
Nov 06 09 07 49a
Applicant or Acent EA) LC A,2,vy
Owner c�. Lam S tv
Owner's Address 9_6 Luc? K
Contractor /Engineer o r l pr,),.10,,A
ontractor/Engineer's Address .,7 5 "7 1, i vJv
License i f t i qC ;JL
PROJECT ADDRESS 8'o 5 s t- Oa—
Parcel Number
Project Type 8 Brief Description. )(Residential
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
o Re -roof
o Demolition
o Sign
o Heat System
o Other
Floor Areas
Basement
1 Floor
2 "6 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Ever warm
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
BUILDING PERMIT
CITY OF PORT ANGELES
Attn Building'Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
o wall mounted o projecting )freestanding o awning o other
Total sign area so, ft. Maximum allowed sign area sa ft.
Heat pumpAwood- burning stove o gas fireplace .0 pellet stove c other
Existina (sq. ft.) Proposed (sq. ft.)
Total footprint of structures sq ft. Lot size
ft.
L.
Pc. c,
Occupancy group
Occupant load'
Construction type
3604523367 P 2
APPLICATION Print in ink
For City Use Only
Date Received lI- Oti-O9
Permit U ik t
Date Approved
Phone 452 E3
Phone
53
Phone 2 /52 3
Ioi aG Cth c Ig362.
Expires s t 7
o Commercial
Lot Zoning
o Multi- family o Industrial
per sq. ft.
`7d 3L.3
TOTAL VALUATION _95
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
I have read and completed this application and know it to be true and correct. t am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and t obtain permits.pr'or to working on
projects. I,
cy 1 f�
Date r P rint Name ..ii,, Signatu e .,t. ei(.7. 1.4.—/ ;�t.(�
T.Forms /Building Division/8Idg Permit Appl. -2006 Code:doc
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
Application Number 04 00000897
Application pin number 323016
Property Address 808 W 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 0110 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
SIMONDS TIMOTHY S
PO BOX 2757
PORT ANGELES
WA 98362
OWNER
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc OWNER/ 1 4 CIR
Permit pin number 62505
Permit Fee 48 10 Plan Check Fee 00
Issue Date 10/20/05 Valuation 0
Expiration Date 4/18/06
Qty Unit Charge Per
1 00 48 1000 ECH EL -R OR RM 1 4 ALT CIRCUITS
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
COMMENTS/ACTION NEEDED
Date 10/20/05
Extension
48 10
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES 1 NO
DITCH
ROUGH -IN COVEk
SERVICE 1 I I
FINAL 1 7- ILI 0 5 I /1-60
1 1
1 1
1 1 1
1 I
PWI102.1514961
Job wired by
Telephone number FAX number
'Premises owner's name
c /?72.0/I a S
Address of inspection
City
J�' NO LOAD CHANGES
Baseboard KW
Furnace KW
Heat Pump Ton LAR
Fan -Wall KW
Inspection
Date
Date
10 11 6 14
FINAL
Appr ed By
Date Approved By
Electrical Contractor Owner
Electrical contractor name License number
Purchaser's mailing address
FsO' ta.�57 5 4- 5 r
City State
ZIP
Date Expires
Date Lvh S'
Electrical Load Additions and or subtractions
Date
7
DITCH
\,Installation description
Commercial Residential
8 kJ' A T C5
P017 -c less Z r06' 3
Phone number to schedule sp �n� y
3 ri,11-- J�Z. s6t q Z L Zgf
Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor if above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter
19.28, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
/Signature of owner electrical contractor or electrical administrator
Expiration Date
f card
Overhead Service
Temp Service
Underground Service
SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735
ROUGH-IN 7 THERMOSTAT
Date Appr ed By
Area, Building or Equipment Inspected
ELECTRICAL WORK PERMIT APPLICATIOI1
New Altered /Addition
Cash Check
Credit Card Visa
Card
Approved By
Date
Date
Mastercard Discover
C Inspection fee
4-,q ,e /0
Service Information
Voltage
Phase 1 3
Service Size:
Feeder Size:
SERVICE
FEEDER
Action Taken
Appr ed By
Appr ed By
Electrical
Inspector
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
SIMONDS TIMOTHY S
PO BOX 2757
PORT ANGELES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98362
04 00000897
323016
808 W 5TH ST
06 30 00 0 1 0110 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Owner Contractor
OWNER
Date 10/05/04
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc REPLACE SVC REWIRE
Permit Fee 66 90 Plan Check Fee 00
issue Date 10/05/04 Valuation 0
Expiration Date 4/04/05
Qty Unit Charge Per Extension
1 00 66 9000 ECH EL -R OR RM 0 200 ALT SRV FDR 66 90
Fee summary Charged Paid Credited Due
Permit Fee Total 66 90 66 90 00 00
Plan Check Total 00 00 00 00
Grand Total 66 90 66 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 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 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 1 NO
FOUNDATION:
FOOTINGS 1 1 1
WALLS I 1
FOUNDATION DRAINAGE/DOWN SPOUTS 1 1
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN V D- /9 a t f I Cif 1 11 11-tl e._ f .P- d9 ■61detr
PLUMBING I J
UNDERFLOOR /SLAB I I I
ROUGH -IN I I I
WATER LINE (METER TO BLDG) I I I
GAS LINE I I I
BACK FLOW WATER 1 1 I 1
AIR SEAL
WALLS 1 I
CEILING 1 1
FRAMING
JOISTS GIRDERS I I I
SHEAR WALL/HOLD DOWNS I I I
WALLS ROOF CEILING I 1
DRYWALL (INTERIOR BRACED PANEL ONLY) I 1 I
T -BAR 1 1 I
INSULATION
SLAB I I I
WALL FLOOR CEILING I I I
MECHANICAL
HEAT PUMP I I I
GAS LINE I I II 1
WOOD STOVE PELLET CHIMNEY I I
HOOD /DUCTS I I
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER I 1 1
SEWER CONNECTION I 1
SANITARY I I
STORM 1 1
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARIUNG/LIGHTING I I 1 ESA.
LANDSCAPING I 1 1 SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
1 YES 1 NO
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T• \PLANNING\FORMS \1102.15 [11/14/2003]
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT.
I PLANNING DEPT
1 BUILDING
1 I I
I I I
1 1 I
Owner or Elec. Contractor Agent: i rit 0/1.) Phone 360 `X Fax:
Property Owner
PROJECT ADDRESS:
r
m nN a3
Address RO g" r t_S S i City
Electrical Contractor'
Address r City
Electrical Heat Load Additions and or Subtractions
/ELECTRICALPERMITAPPLICATION
ELECTRICAL PERMIT APPLICATION
The Electrical Permit Application must be filled out completely
Please type or reprint in ink. If you have any questions, please call (360) 417 -4735
Fax number (360) 417 -4711
565-3///
-i52- 692.6
S 6 5rrr
Credit Card Holder's Signature
r[� ci /rilC. kS
V
License
INSTALLATION WIRED BY OWNER ELECTRICAL CONTRACTOR
Credit Card Holder Name. 'ern OT 1 ni o A C O _r
Billing Address So u-c S i 5 S City 1 a r•r 4- C le i 4 Zip q
Credit Card Number '5 Exp. Date.
TYPE OF WORK. Check all that apply" New a Alteration /Addition
Exp.
/fr
FOR OFFJ OF C *.L
Date/Re
Fc. gut
G
App
Da Is
Phone 36)0 4- /SZ Oz
2
Phone.
Zip
XResidential Multi family Commercial Mobile Home Sq Ft 6.50
Oa
Remote Meter Detached garage Hot Tub Swim Pool Septic Pump Low Voltage Telecom Sign D
Number of Circuits added or altered.
DESCRIPTION OF THE ELECTRICAL PROJECT Rer( -e And C_Itzkya QkL t7N t° terra 1s t (t
Gge 6 VI l u i?• S l c C o P- }-1 C1 U.{ c LA-4-1 (C9 .L 7 -W-Le oopt rs be ors ct s [c-tG f
PERMIT FEE
Service Information
0 Baseboard KW Voltage
Furnace KW Overhead Service Phase 1 3
Heat Pump TON LRA Temp Service Service Size
0 Fan -Wall KW Underground Service Feeder Size
Date c i' f7 /o y
Owner or Elec. Cont. Signature Date
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. I understand it is not the City's legal responsibility to determine what permits
9re required it remains the applicants responsibility to determine what permits are required and to obtain such
ELECTRICAL PERMIT SUBMITTAL REQUIREMENTS
INSPECTOR OFFICE HOURS 8 9am AND 1- 2pm
NO INSPECTIONS WILL BE MADE UNTIL PLANS HAVE BEEN
APPROVED AND A PERMIT HAS BEEN ISSUED!
IEN IS AN ELECTRICAL PERMIT REQUIRED?
BEFORE ANY ELECTRICAL ADDITIONS OR ALTERATIONS HAVE BEEN STARTED
WHO MAY APPLY FOR AN ELECTRICAL PERMIT?
1) ELECTRICAL CONTRACTORS OR THEIR REPRESENTATIVES
2.) OWNER OF A BUILDING; UNLESS THE BUILDING IS NEW AND FOR RENT OR SALE
.a 4
WHEN ARE PLANS REQUIRED?
1 ALL NEW SINGLE AND MULTI FAMILY RESIDENTIAL PROJECTS.
2.) ADDITIONS AND REMODELS WITH ANY NEW ELECTRICAL WIRING, REQUIRING MORE
THAN FOUR BRANCH CIRCUITS
3) ALL COMMERCIAL AND INDUSTRIAL PROJECTS.
4 PROPERTY OWNERS PERFORMING THEIR OWN WIRING'
WHAT IS REQUIRED FOR A COMPLETE ELECTRICAL PERMIT SUBMITTAL?
1 AN APPLICATION FILLED OUT IN ITS ENTIRETY
2) FEE PAYMENT IN FULL
3 PLANS MUST CONTAIN THE FOLLOWING
a.) WIRING PLAN (SHOWING THE LIGHTING, RECEPTACLES, PANEL
DISCONNECT LOCATIONS, SERVICE LOCATION SIZE)
b.) PHASE(S), VOLTAGE, AMPERAGE
c.) LOAD CALCULATIONS PANEL SCHEDULES (COMMERCIAL, INDUSTRIAL
RESIDENTIAL REMODEL AND ADDITIONS)
d.) DETAILED RISER DIAGRAM (COMMERCIAL INDUSTRIAL) SHOWING
BREAKER, CONDUIT WIRE SIZE AND TYPE
WHEN ARE PLANS REQUIRED TO BE PREPARED BY AN ELECTRICAL ENGINEER?
1 EDUCATIONAL, INSTITUTIONAL, OR HEALTH CARE FACILITIES AND OTHER
BUILDINGS PER WAC 296 -46A -140
2 COMPLEX INSTALLATIONS AND /OR LARGE FACILITIES, AS REQUIRED BY INSPECTOR
HOW MUCH DOES AN ELECTRICAL PERMIT COST?
REFER TO THE ELECTRICAL PERMIT FEE SCHEDULE FOR APPROPRIATE FRF,S FOR YOUR
PROJECT COSTS FOR PERMITS VARY DEPENDING ON THE SCOPE OF WORK.
[TOW LONG DOES IT TAKE TO GET AN ELECTRICAL PERMIT?
IF PLANS ARE REQUIRED, PERMIT ISSUANCE FOR MOST RESIDENTIAL PROJECTS WILL
NORMALLY TAKE LESS THAN THREE WORKING DAYS. COMMERCIAL PROJECTS MAy
TAKE LONGER DEPENDING ON THE COMPLEXITY OF THE PROPOSED INSTALLATION
'HEN AND HOW ARE ELECTRICAL INSPECTION SCHEDULED?
1 BEFORE COVER AND AGAIN WHEN ALL DEVICES AND EQUIPMENT ARE INSTALLED
2.) INSPECTIONS ARE SCHEDULED BY CALLING 360 417 4735 BY 7.00am
\\ f
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
D W . 2.001- ~?(p
/
REQUEST
Date C; - /8 - ot)
Time 9 30 // eVl Received by l7el1.Vt (S C (phone, person)
Eo (/ t~ " ~-f_i..
Location of Work to be inspected 0 v /
Name of person requesting inspection VetA I/t, S 1:::-.,
Address of person requesting inspection L<J {f V ~ (' d
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
~
~
~
e.
Phone No \r
Permit No \ ~
Sewer Excav Other tJa--;6--1.... 5-e (,v't'(~
INSPECTION NOTES
Time By
( ;vu> -rro~ (O'r 10
Inspected
Remarks
Date
R ?"
(? yt.e.u.J ':::>/-f St2r vi (-'2-
3/../ (f f?E._ 7u bi f:~
t"--te te ,,-
,-u,--tL
RESTORATION REQUIRED
YES
NO X
~
".~
~
111 ~ III , ...J VJJ
.A" f ~
AD (.. ---
\JJ
*
~DB W 5 -
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
CI No Damage Found
Work Order # 1&-~9~,
~ COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
City of Port Angeles
Public Works Department
Water Distribution Repair Report
Qw -~o 1 -/'1t,
'Work Order No: /6 c; c..
Reported' ~I /71 tJC)
Repaired' !LJ 18100
'Crew: DeV(t(l5 t4<<-lJy Rtc..lc..rl le'.'r
Condition.
Source
Emergency Routine
Citizen Complaint X
Leakage Survey _ Other
Repair Location.
Address
8()'3 W,5111
Pe,fu/ et_/,t.. IA/~+e c M~ 1- v\. ~- f Vl€_T e ('
Loc Description.
Component Repaired:
Main Line IDH'
Main. Joint Cir Break
Long. Break: _ Hole
Split Bell _
Clamp _
Other
Service:
Line Valve:
Hydrant:
Other:
Tap _ Corp Stop ~
Flange Nuts, Bolts
Bnmch V~~
3/</ II' &/ V.!.\K..ze4 PI fC
Pipe _ Curb Stop _
Stem Bonnet
Barrel
.+ r--o L'^- b"<V.. l't/\.. -10 lIue.+e{
Other fJE. Tuh ("~
Gravel Roadway _ Asp~t Street _ Sidewalk
Top Soil Area _ Soil Type _
Dresser
Repair Type: Clamp _
Site Condition: Surface
Curb
Damage:
Cuts: Street Cut: Ft.
Curb Cut: Ft.
Sidewalk Cut: Ft.
Main Condition. Diameter- Inches 3
"
Materi~. Ac
,. <
Depth of Cover' Ft. ~I Joint Type:
Internal Lining: External Prot:
.c...
Tuberculation. N/A ~ Minor Severe
External Corrosion. N/A-X- ~ized Extensive
Speci~ Conditions. Bedding: /lk1i,/i... So ( (
Other Structures:
Samples Taken. Pipe Section _ Coupon _
Water Off: From ~ / (( /IJO To~fM '7# tlOUses OJt I it('
From 7 1 (7 / CO To ~ PM
1 ~ C~T "'-oux. out 1'5 A,-S
Apparent Cause or Leak: kU5-teJ 6~,-(v I/(I'e (5<:,.-11'1 ~~ li~ ')
I I -
5/19/98
Page 1
PW-902.09
rJ ~""T ""Q
,,~~~'"
~~~
~--
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
SIMONDS TIMOTHY S
PO BOX 2757
PORT ANGELES
Permit . . . . .
Additional desc .
Permit pin number
permi t Fee
Issue Date
Expiration Date
10/14/05
04-00000925 Date
758700
808 W 5TH ST
06-30-00-0-1-0110-0000-
RES REMODEL
~Xpt~
4/rZ-fV&
RS7 RESDNTL SINGLE FAMILY
800
Contractor
OWNER
WA 98362
f~
~c
~j
;-~
~
1-
1-
~
~
~~
BUILDING PERMIT - NO PR FEE
RENEW PERMIT 1/2 FEE
62406
77.50 Plan Check Fee
Valuation
.00
1500
4/12/06
Qty Unit Charge Per
Extension
47.00
30.50
BASE FEE
10.00 3.0500 HND BL-501-2K (3.05 PER C)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
62448
56.15
Plan Check Fee
Valuation
.00
800
4/12/06
Qty Unit Charge Per
Extension
47.00
9.15
BASE FEE
3.00 3.0500 HND BL-501-2K (3.05 PER C)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
SIDING WINDOWS FRONT PORCH
35709
106.75 Plan Check Fee
10/08/04 Valuation
7/04/05
42.70
3000
Qty Unit Charge Per
Extension
92.75
14.00
BASE FEE
1.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
9.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 240.40 240.40 .00 .00
Plan Check Total 42.70 42.70 .00 .00
Other Fee Total 9.00 9.00 .00 .00
Grand Total 292.10 292.10 .00 .00
Separate Permits are required for electncal 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 authonty 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
T \Pohcles\1102_15 bUlldmg penmt mspectlOn Tecord05 wpd [1/4/2005]
of. "ORT ~Q
^~~~-..
(}~~
"-~
~
~~
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:
App11cat1on description
Subd1vision Name
Property Use
Property Zoning . . .
Application valuation
04-00000925 Date
.758700
808 W 5TH ST
06-30-00-0-1-0110-0000-
RES REMODEL
10/08/04
RS7 RESDNTL SINGLE FAMILY
3000
Owner
Contractor
SIMONDS TIMOTHY S
PO BOX 2757
PORT ANGELES
OWNER
WA 98362
Permit
Additional desc
Permit Fee
Issue Date
(I Expiration Date
BUILDING PERMIT -RESIDENTIAL
SIDING WINDOWS FRONT PORCH
106.75 Plan Check Fee
10/08/04 Valuation
4/07/05
42.70
3000
co
o
CO
Z
Qty Unit Charge Per
Extens10n
92.75
14.00
BASE FEE
1.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee surrunary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 106.75 106.75 .00 .00
Plan Check Total 42.70 42.70 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 153.95 153.95 .00 .00
fJ)
+-
J
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
T.\PLANNING\FORMSIII02.15 [11114/2003]
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
YES 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 '71 ~/_ (c- _!)c1 J ~
CEILING ..)I' ,
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING /j-/JI-/-eU ~J L.
DRYWALL (INTERIOR BRACED PANEL ONLY) I
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING J1'-,I,.-_d)t.....1 J'~ I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKINGILIGHTlNG 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]
PREPARED 11/04/04, 13 16 36
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
11/04/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER
808 W 5TH ST
SUBDIV
PHONE
PHONE
SIMONDS TIMOTHY S
06-30-00-0-1-0110-0000-
04-00000925 RES REMODEL
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3
01
10/15/04
10/15/04
JLL
DA
BUILDING FRAMING
461-2915 / 461-6078
1nter1or frame ok f1nsh sheath1ng per eng des1gn on
~1 0 04 -Afl-L exter10r and repa1ce washers to code/]ll
BL3 02 BUILDING FRAMING
a perm1t lS on front porch/]ll
------------------ ------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 10/15/04, 12 46 21
CITY OF PORT ANGELES
808 W 5TH ST
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
SIMONDS TIMOTHY S
06-30-00-0-1-0110-0000-
04-00000925 RES REMODEL
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
10/15J~ Jt)L~
It/iS"
-------------------------------------- COMMENTS AND
BL3
01
BUILDING FRAMING
461-2915 / 461-6078
NOTES --------------------------------------
r-~~Cl^'tOyC,
T~e
'\
(
l,\rl) 'S. ~ M., ..s
DU
SUBDIV
PHONE
PHONE :
b)~
ro+
PAGE
DATE
ht--lf S ~
~ZW
TLt
5
10/15/04
S ke~)h;'\j
PREPARED 1/06/05, 10 20 07
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
1/05/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
808 W 5TH ST
SUBDIV
PHONE
PHONE
SIMONDS TIMOTHY S
06-30-00-0-1-0110-0000-
04-00000925 RES REMODEL
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3
01
10/15/04
10/15/04
JLL
DA
BUILDING FRAMING
461-2915 / 461-6078
1nter1or frame ok f1nsh sheath1ng per eng des1gn on
exter10r and repalce washers to code/Jll
11/04/04 JLL BUILDING FRAMING
11/04/04 AP 'ir'~ perm1t 1S on front porch/Jll
BAIR 01 ~ ~/1 BUILDING AIR SEAL
BLI 01 I/~L~5 ~~BUILDING INSULATION
I/slo-S- ~ TIM 461-6078
-------------------------------------- COMMENTS AND NOTES --------------------------------------
BL3
02
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date 1'- 5.... oS-
Time
Received by
(phone, person)
Location of Work to be inspected 808 W
I
Name of person requesting inspection I J N\
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation ~~ Chimney Plumbing
:l:) 't- ~
Phone No. Lf6/- bD'7B
Permit No.
Final Sewer Excav. Other A ,\1 S e~1
INSPECTION NOTES:
Inspected: Date J--~ ......C<)
Remarks:
/11", ~.aC A .tnlr5v?;q;-t')o~ ok
-t'1'1J;(K ,.; Y"I. :f ~n1/.\ ~hA ~
l\~l/k.. f/V;'/,ey../ R.....-{4~y
t?0
~
By -;;:::~ ~ ~
;J ~ 1A.JAU.. .. 0 Ie 'k
&. tf)~J..vh t'),.,J
Time / 1:'2 /) AN\.
RESTORATION REQUIRED. . . . .. YES
NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel o Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
..'
BUILDING PERMIT - APPLICATION
G
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
Apphcant or Agent:~ I....C:;; /mollds
,'; rr m E
Address: <So ex- \V~( 8ft,. 8" r
ttllt
f
Contractor c.,\,u/l..e/ dalllJ \.t.Jo.{.: State License #:
tt/A-
I
PROJECT ADDRESS:
Owner
Phone: 3&;0 -''1.':)Z-GCZZ-b (ho~
Phone: 36o~Sr;S '-3111 (worD
PO/I MUkt' Zip: 9'63(,3
Clty.
Archltect/Engmeer:
Phone:
l-f/I+
Exp:
Phone:
Address'
Clty:
<6 0 g 'Vv e-~ ( S-t~ ?:,'/
Zip:
ZONING:
-
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
SubdivlSlon:
Credit Card Holder Name: --r-: n1 ()-rH'r! .<) ,,,,,'0/1 ctr ,
Billing Address: %08" u.,e.J r Sf-.. S r- ~ City: ~r~ ~&.1
Credit Card Type VISA >< MC #
I
No. of Stories. i. Lot SIZe:
EXlsting Sq. Ft.
Total lot coverage
& Proposed Sq. Ft.
= TOTAL Sq. Ft.
%
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
BUILDING PERMIT APPLICATION SUBMITTAL: The Bmlding DIvision can provIde you WIth infOrnlatlOn on the application and
plan subrmttal requrrements If you have questions.
VALUATION OF CONSTRUCTION' In all ca
errmt fees are due at the trme of perrmt Issuance.
EXPIRATION OF PLAN REVIEW: Ifno perrmt is Issued WIthin 180 days of the date ofapphcation, the application will expire. The
BuIlding Official can extend the trme for achon by the apphcantup to 180 days upon wntten request by the applicant (see SectlOnRl05.3.2
of the International Buildmg/Resldential Code, 2003). No apphcahon 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 it is my responsibility to determine what permits are reqUIred ,not the City's, and that I must obtain such permits prior to work.
T-IRVESS\BLDG-fo=-lrroclru~\2003-Bm1dingp~'wpd APPli"nt--::;;;7~ 4- D'te, wr
\~
FILE
Location: 808 West 5th Street
Applicant: Tim Simonds (owner)
Phone:
360 452-6926 (home)
360 565-3111 (work)
360461-2915 (cell)
CITY OF PORT ANGELES - Construction Pla'1s
The Issuance of this permit based upon these plans. speclfi.
catIOn,; and other data shall not prevent the bu':dmg official
from theredfter requiring the correction of errors In said
p/?ns, specificatIOns and other data, or from ore'lcnt.ng
bllllcimg operatIOns DClng camed on :herclJndcr .,.,hen In
'IWI,tion oi ail GOd", ,nct Q'dlnances of this JUrISdictIOn.
lSt:;'IIGN 303(c) . Unl!~rn Bwldmg Code ~
l\p~[lJval Dace to b IrJL( By lC
I I
Tvpe of work:
All work will occur on the front (north) side of the residence.
Work will consist of removing and replacing existing windows, door, siding
and front porch. There will be no additional building space constructed or
added.
Work that will be done: (All work occurring on front (north) side)
Remove two windows. Replace with Milgard wood clad windows to fit
existing space.
Replace front door jamb.
Remove porch decking, railing, steps, porch sills and mud plate. Replace all
with new material on the existing concrete foundation. Sills are 6' long and
on 16" centers.
Remove two pillar porch roof supports. Replace with new 6"x 6" wood
posts which will be anchored into the existing concrete foundation. ~
anchor bolts embedded and epoxied 6" into the existing concrete foundation.
Tie posts to foundation and roof using metal brackets
Remove outside siding and trim of house down to studding. Replace with
7/16" OSB, Tyvek vapor wrap, flashing and concrete lap and shingle siding.
Replace trim and rake fascia.
Install a 10' concrete footing to support north bearing wall. Concrete
footing will measure 10' long X 12" wide and 12" deep. Footing will be tied
into the existing foundation by drilling two 6" holes in each side of the
. '.
existing foundation and expoxing in # 4 rebar that will run the full length of
the footing. Three 'l2" x 6" anchor bolts were installed.
Remove outside supporting floor joist on North bearing wall next to porch.
Replace with two 2"x 10". Floor joist will be supported by the new concrete
footing with a mud sill and 2"x 4" on 16" centers.
~ 24'-0" 5'-3,,~i
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Remodel for Remodel
Structural Design
for-
Tim Simonds
808 W. 5th St.
Port Angeles, WA 98362
.~
EXPmES: 1--05
4 SEASONS ENGINEERING, INC.
619 SOUTH CHASE STREET
PORT ANGELES, WA 98362
.
4SEASONS
ENGINEERING, INC
(360 J 452-3023. Fax (360 J 452-3047
619 S. Chase Street. Port Angeles, WA 98362
September 27,2004
Jim Lierly
City of Port Angeles Building Official
PO Box 1150
Port Angeles, WA 98362
Subject:
Scope of Engineering for:
Structural Design
Tim Simonds
808 W. 5th St.
Port Angeles, WA 98362
Enclosed is the structural design of the Remodel for Remodel for Tim Simonds.
At this time, portions of this structure that have been reviewed by the engineer
include:
1. Lateral Forces on front wall.
Please give me a call if you need any additional information.
Sincerely
Q~-
~- 06~~
Structural Design
Tim Simonds
808 W. 5th St.
Port Angeles, WA 98362
DESIGN CRITERIA
DESIGN STRESSES
ELEVATION LESS THAN 625 FT
DOUGLAS FIR/LARCH #2- 2 & 4 X
Fb = 900 PSI
Fv= 95 PSI
E= 1.6 (10)6 PSI
SNOW LOAD GROUND= 25 PSF
LIVE LOAD = 40 PSF (FLOOR)
DEAD LOAD = 10 PSF (FLOOR)
DEAD LOAD = 15 PSF (ROOF)
DEAD LOAD = 7 PSF (CEILING)
DOUGLAS FIR/LARCH #1- 2 & 4 X
Fb = 1200 PSI
Fv= 95 PSI
E= 1.8 (10)6 PSI
3 SEC GUST, V3S = 100 MPH
HEM FIR #2- 2 & 4 X
Fb = 850 PSI
Fv= 75 PSI
E= 1.3 (10)6 PSI
GLU-LAM BEAMS 24F-V4
Fb= 2400 PSI (T) BOTTOM
Fb= 1850 PSI (T) TOP
Fv= 165 PSI
E= 1.8 (10t PSI
WIND SPEED, VFM = 80 MPH
EXPOSURE C
SEISMIC ZONE D2
SOIL BEARING = 1500 PSF
REFERENCES
(1) INTERNATIONAL BUILDING CODE 2003
(2) INTERNATIONAL RESIDENTIAL CODE 2003
(3) TIMBER CONSTRUCTION MANUAL 3RD ED by AITC
(4) CONNECTORS FOR WOOD CONSTRUCTION by SIMPSON STRONG-TIE
(5) WESTERN WOODS USE BOOK by WESTERN WOOD PRODUCTS
ASSOCIATION MAY 1996
(6) NATIONAL DESIGN SPECIFICATION FOR WOOD CONSTRUCTION 1997
(7) ROSBORO-APA WOODCAD, VERSION 1.1 by ROSBORO GLULAM
RESOURCES 2000
(8) RISA-2D RAPID INTERACTIVE STRUCTURAL ANALYSIS - 2-DIMENSIONAL
VERSION 5.5 2001
General Notes
1. Ground snow load = 26 PSF
2. Maximum soli bearing capacity = 1600 PSF
3. Seismic Zone 02.
4. Wind, 80 MPH, Exposure "C".
6. Notations on drawing relating to framing clips, joist hangers and other connecting devices refer to catalog
numbers of connectors manufactured by the Simpson Strong-Tie Company, San Leandro, CA. Equivalent devices
by other manufacturers may be substituted, provided they have ICBO approval for equal load capacities.
6. Roof Trusses: Trusses shall be designed by the manufacturer and design calculations shall be submitted for
approval prior to fabrication. Each wood truss shall carry a grading stamp. Top chord members shall be sized to
accommodate 26 psf snow load and appropriate snow drifts as noted In the UBC. No field modification of trusses
will be allowed without the engineer's approval. Live load truss deflection shall be limited to U360. Total load
deflection will be limited to U240.
7. Girder trusses shall be attached to wall framing with Simpson LGT2, minimum 2000 pounds uplift, or equal.
8. Contractor shall provide temporary bracing and shoring for the structure and structural components until all final
connections have been completed In accordance with the plans.
9. Contractor shall be responsible for all the required safety precautions and methods, techniques, sequences or
procedures required to perform his work.
10. Contractor Initiated changes shall be submitted In writing to the structural engineer for approval prior to
fabrication or construction.
11. Drawings Indicate general and typical details of construction, where conditions are not specifically Indicated but
are of similar character to details shown, similar details of construction shall be used.
General Concrete Notes
(The Following apply unless shown on the plans)
1. All materials and workmanship shall conform to the requirements ofthe drawings, specifications, and the 2003
International Residential Code.
2. Concrete shall attain a 28 day strength of F'c= 2600 psi, 6 1/2 sacks of cement per cubic yard of concrete.
3. Reinforcing steel shall conform to ASTM A616-76A, Grade 40, fy= 40,000 psi.
4. Reinforcing steel shall be detailed (Including hooks and bends) In accordance with 30 bar diameters or 2'-0"
minimum. Provide corner bars in all wall Intersections. Lap corner bars 30 bar diameters or 2'-0" minimum.
6. Lap adjacent mats of welded wire mesh one full mesh at sides and ends.
6. No bars partially embedded In hardened concrete shall be field bent unless specifically so detailed or approved by
the structural engineer.
7. Concrete protection (cover) for reinforcing steel shall be as follows:
Footings and other unformed surfaces:
earth face 3"
Formed surfaces exposed to earth, walls below ground, or weather:
#6 bars or larger 2"
#6 bars or smaller 1-1/2"
Walls Interior face 3/4"
8. Footings shall bear on solid unyielding natural earth free of organic material
Single story structures
Two story structures
Three story structures
12" below original grade
18" below original grade
24" below original grade
9. Slabs shall be placed upon compacted granular fill, 2" minimum thickness.
Wood Framing Notes
(The Following apply unless shown on the plans)
1. All wood framing details not shown otherwise shall be constructed equal to or better than the minimum standards
of the 2003 I.R.C.
2. Minimum nailing requirements: Unless otherwise noted, minimum nailing shall be In accordance with Table
R602.3(1) of the 2003I.R.C.
3. All structural framing lumber such as 2x_ Joists, and rafters to be Douglas Fir No.2, Spruce/Pine/Fir No.2, or
Hem/Fir No.2 kiln dried.
4. All 2x_ studs and blocking to be Douglas Fir construction, Spruce/Pine/Fir construction, or Hem/Fir construction
grade.
6. All structural posts to be Douglas Fir No.2.
6. All structural headers to be 4x_ Douglas Fir No.2.
7. All Glu-Iam beams to consist of Douglas Fir kiln dried 24F-V4 standard grade unless noted otherwise on plans.
8. All 2x framing lumber exposed to weather, and/or moisture shall be Hem-Fir No.2, pressure treated In accordance
with the American Wood Preservers Association standard for above ground use.
9. All 4x and 6x structural lumber exposed to weather, and/or In ground contact shall be Hem-Fir No.2, pressure
treated In accordance with the American Wood Preservers Association standard for ground contact use.
10. Framing connectors, nalls, bolts, and other fasteners In contact with pressure treated wood shall have the
following finishes:
Wood Treatment Finish
CCA-C and DOT Sodium Borate (SBX) Galvanized, 0.60 ozltr
ACQ-C, ACQ-D, CBA-A, CA-B, Other Borate Post Hot-Dip Galvanized, ZMAX galvanized,
(Non-DOn 1.86 ozltf', or SST300-Stalnless Steel
Steel Ammoniacal Copper Zinc Arsenate (ACZE) SST300-Stalnless Steel
and other pressure treated woods.
11. When using Stainless Steel or hot-dlp galvanized connectors, the connectors and fasteners should be made of the
same material. Stainless Steel fasteners shall not be use In applications where contact with Galvanized and Post
Hot-Dip Galvanized metals will occur.
12. Individual members of built-up posts and beams shall each be attached with 16d spikes at 12" o.c. staggered.
13. All columns In framed walls to be well nailed Into adjacent framing In order to resist lateral movement
14. Provide solid blocking for wood columns and multiple studs through floors to supports below.
16. Provide 4x10 headers, or double 2x10 headers over and double studs each side of all openings In stud bearing
walls not detailed otherwise.
16. Provide 4x8 headers, or double 2x8 headers over and double studs each side of all openings In non-structural stud
walls not detailed otherwise.
17. At Joist areas: Provide solid blocking at bearing points. Provide double Joists under all load bearing partitions.
Provide double Joists each side of openings unless detailed otherwise.
18. Provide double Joist headers and double joists each side of all openings In floors and roofs unless detailed
otherwise
19. Toenail Joists to supports with 2-16d nalls, 2-10d box nails for T JI joists. Attach all beams at the roof exceeding
S'O" In length with Simpson ST 292 strap each end.
20. Attach Joists to flush headers and beams with Simpson "U" series metal joist hangers to suit the Joist size.
21. All wood stud walls shall have lower wood plate attached to wood framing below with 16d nails at 12" o.c.
staggered, unless otherwise noted In the shearwall schedule.
22. Plywood roof and floor sheathing unless otherwise noted on plan shall be laid up with face grain perpendicular to
supports and nailed with Sd nails @ 6" O.c. to framed panel edges and over stud walls shown on the plans @ 12"
O.c. to Intermediate supports. Provide approved plywood clips @ 16" o.c. at unblocked roof sheathing edges.
Provide solid blocking at lines of support at floors. Toenail blocking to supports with 16d @ 12" o.c., unless
otherwise noted In the shearwall schedule.
23. Provide continuous solid blocking at mid-height of all stud walls over 10'In height unless wallis blocked per shear
wall note.
24. Plywood wall sheathing for noted shear walls shall have solid blocking at all sheathing panel edges. See shear
wall schedule for further notes.
~v ~p to.. \..I WPl.o/'..\t;;. ~~
. .... '2::.. ~ \.:.:) .
I' 24'.a'
I" 14'~ T &'-111'
rB'~ 11'-3' II'-6"T4'-r 11'-3'
PORCH
13'.7" x 5'.11"
REPI.ACE
52<<> <D
<D
~ <D
I
~
I
::
=
~ ~ =
EXISTING RESIDENCE
NO INTERIOR WAllS
SHOWN ~
23'-5" x 31'-10"
,
!!
~
~
L
Lr-r
I.
....
...
B'-3'Lr.1.
.1.
11'-1"
11'-111'
12'~
.1
FLOOR PLAN
SCALE 1'-Q" = 118"
847 sq II
(0 ~ ~ \::::. ~~ t4 E.;'::..~. W A l.. L Sc.. \~ ~ 0 U \.. f::
.
I' 24'-0' 'I
14'.;z' 8'-111'
'\ 1 I
I I EXI8l1NG PORCH FOUNMTION I I ~
I I ill I I
I L
II I
I I I I
I-T'
I L IJ I
NEW 12'X12" CONCRETE FOOTING I I II I
(2)" REIIAA COIIT1NIOUB I
_ CRIPPLE WAU.O 111" ON CENTER r~i
(3)112111AJ.TYPE ANCHOR 1IOl.18 I I L I~ I
I II I
3lI" ACCESS if 1 I
I _It--'
==~~/: II I b
It 1 I ~ ~
I _ ILl I
~II
I I-'h I
EXIST _BEAM I ~
I ;l:L:1 I
I Ifj I I
I EXIST 24"lC24" L : t--' I I
I CONCRETE FOOTING I I I
'-TI
I L IL ___I I
I II
I
I I I
I I I
I L 0\
J I
E,,- I 12'.;z'
FOUNDATION PLAN
SCALE 1'..()" = 1/8"
940 sq II
o ~'E.:E. ~r\ t: A.\..I." ~/~ Ll... S~I-f EDt) Lt:.
SHEAR WALL SCHEDULE I 7
Mark Sheeting Fastener spacing Intermediate Framing l:1onam p,ate nailing 6l Anchor Bolts M.t;lxl~mum Notes
doubled stud sol/clna allowble
o all edges framing nail backing Sheeted Sheeted Sheeted Sheeted shear
(Blocked) spacing size one side both sides one side both sides
7/16- 058 8d 06" OC Sd 0 6" OC " 2x 240 PLF 2, J, 6
0 OR for stud framing 0 24 2-16d 0 2-16d 0 1/2" XIO" 5/S" XIO- 480 PLF
Sd 0 12- OC
IS GA 04" OC for stud framln 0 16" 12-OC S"OC 048" O.C. o JO- O.C.
7/16- OSB 8d 04" OC Sd 06 OC 2x J50 PLF 2. J, 5, 6
OR for stud framing 024" 2-16d 2-16d 0 5/S" XIO" 5/S- XIO" 700 PLF
(}) Sd 0 12" OC
15 GA OJ" OC for stud famlng 0 16" o 10"OC 5"OC 040" O.C. 020- O.C.
1/2- COX Sd OJ" OC 8d 0 6" OC Jx 490 PLF 2,J,4,5,6
0 plywood OR for stud framing 024" or 2-16d 2-16d 0 5/S- Xl0- 5/S- XIO" 9S0 PLF
Sd 0 12" OC
15 GA 02-1/2" OC for stud framing 0 16" DBL2x o 7"OC J-1/2"OC o 2S- O.C. 014- O.C.
1/2- COX 10dOJ"OC 10d 06" OC Jx 600 PLF 2,J,4,5,6
0 plywood for stud ~mlng 024- or 2-16d 2-16d 0 5/S" Xl0" 5/S- Xl0" 1200 PLF
10d 0 12 OC DBL2x o 6"OC J-OC 024" O.C. 012- O.C.
for stud framing 0 16"
1/2" COX 10d 02" OC 10d 06" DC Jx 770 PLF 2, J. 5, 6
(]) plywood for stud taming 024- or J-16d J-16d 0 5/S- Xl0- 5/S- XIO- 1540 PLF
10d 0 12 DC DBL2x o 6-0C J"OC o IS" O.C. 09" O.C.
for stud framing 0 16-
0 1/2" G~ 5d COOLER 0 4" DC 5d coa/er 04- DC 2x 2-16d 0 5/S- XIO" JOO PLF J,6
both sides OR OR
5dG~04-DC 5d G~ 04- OC 12-0C 048" O.C.
0) ~I.S"G~ 6d COOLER 0 4 OC 6d coa/er 0 4 OC 2x 2-16d 0 5/S" Xl0" J75 PLF J,6
both sides OR OR
6d G~ 04- OC 6d G~ 04- OC 10"OC o J6- O.C.
Notes:
1. ALL NAILS SHALL Be GALVANIZro BOX NAILS OR COMMON NAILS, FASTE:RNeRS SHAI4..MffT THe f.QJ..LOWlNG CRITERIA:
Sd cammon -O.IJl-dla X 2-1/2"mln. 5d cooler -0.OS"6 dla X 1-5/P min.
_ _ 5d G~ -0.OS6 dla X 1-5/S min.
10d common -.0.148 dla X ~ min. 6d cooler -0.092"dla X 1-7/S" min.
Sd box -O.l1J"dla X 2;1/2 min. 6d G~ -0.092"dla X 1-7/S" min.
10 box -0.12S dla X J min. 16d common -0.162"dla X J-I/2- min.
15 GA. staple -0.072-dla X 1-1/2" min.
2 PROVIDe APA RA TE:D SHeA THING PL YWOOD OR OSB APA RA TE:O SIDING JOJ OF INNeR SE:AL 058 RA TE:D PANeL SIDING ON ALL
. eXTE:RIOR WALLS AND NAIL PeR NOTE: I.
SPeCIFIeD SHeATHING AND SIDING PANeL roGeS SHALL Be BACKeD WITH 2" OR J- FRAMING (pm THe TABLe) INCLUDING
J. FOUNDATION SILL PLA TE:5, Vf:RT/CAL FRAMING. AND BLOCKING. PANas MA Y Be INSTALLro DTHm HORIZON TALL Y OR
Vf:RT/CALL Y (Sff NOTE: 4 FOR eXCEPT/ON). NAILS SHALL Be STAGGeRED FOR J- FRAMING.
7/16" 058 MAYBe SUBST/TUTE:D FOR 1/2- COX PLYWOOD IF FRAMING IS SPAceD AT 16- ON CeNTE:R, OR PANas ARe APPuro
4. WITH LONG DIMmSlON ACROSS STUDS FOR FRAMING SPAceD AT 24- (BLOCKeD).
'MIme PANas ARE APPUeD ON BOTH FAceS OF A WALL AND NAIL SPACING IS LeSS THAN 6 INCHeS ON ceNTER ON DTHm
5. SIDe, PANa JOINTS SHALL Be OFFSE:T TO FALL ON DIFffRmT FRAMING MeMBeRS OR FRAMING SHALL Be J-INCH NOMINAL AND
NAILS ON eACH SIDe SHALL BE STAGGeRro.
6. NAILS TO Be DRI\IeJ FLUSH WITH SHeA THING. DO NOT O~R DRI~ NAILS.
7. ALL SHEAR PANeLS SHALL Be BLOCKED.
SIMONDS
SHEAR WALL
NOTES
4SEASONS
ENGINEERING, INC. (J60) 452-J02J
619 S. Chase St. Port Angeles, WA 98362
DA TE: SEPTEMBER 2004
SCALE: NONE
DRA WN BY: DJP
CHECKED:
SHEET: 6 OF
CONTINUOUS DOUBLE TOP
PLA TE. SPLICE PER DETAIL
FLOOR OR ROOF
FRAMING ABOVE.
SEE PLAN
3X OR DOUBLE 2X FRAMING
REQUIRED A T ALL PANEL
JOINTS FOR TYPE 3.4. AND 5
SHEAR WALLS. LAP DOUBLE
STUDS AND PLA TES PER
SHEAR WALL SCHEDULE
END STUD PER
HOLD DOWN
SCHEDULE
HOLD DOWN PER PLAN
FLOOR FRAMING OR
FOUNDA TlON
BELOW, SEE PLAN
CONTINUOUS RIM OR SHEAR
BLOCKING. SEE DETAIL
PERFORA TED SHEAR WALL
NO SCALE
HEADER PER PLAN
EDGE NAILING PER
SHEAR WALL
SCHEDULE A TALL
PANEL EDGES
PL YWOOD OR OSB
SHEA THING PER
SHEAR WALL
SCHEDULE
HOLD DOWN PER PLAN
BASE PLA TE
NAILING OR
ANCHOR BOL TS PER
SHEAR WALL
SCHEDULE
4SEASONS
ENGINEERING, INC. (360) 452-3023
619 S. Chase St. Port Angeles, WA 98362
DA TE: SEPT 27, 2004
SCALE:
DRAWN BY: DJP
CHECKED:
SHEET:
.. Residence
Tim Simonds
808 W. 5th St.
Port Angeles, WA 98362
2003 IBC WIND ANALYSIS
BUILDING DESCRIPTION
FIRST FLOOR =
SECOND FLOOR =
Yo ROOF HEIGHT =
AVERAGE HEIGHT OF BUILDING
A 2.4
WIND EXPOSURE C
WIND SPEED 80MPH
ROOF PITCH
WIDTH
LENGTH LEAST DIM 2003 IBC SEISMIC ANALYSIS - SIMPLIFIED BASE SHEAR
S1 0 50
~ 1~
SITE CLASS 0
~ 1W
~ 100
Sm1 075
Sms 1 25
~1 QW
Sds 0.83
SEISMIC USE GROUP 1
SEISMIC DESIGN CATEGORY 0
LC1,Ps = LC2,Ps3o = LC2,Ps = RESPONSE MODIFICATION FACTOR 61/2
24.08 19.9 2408 SEISMIC BASE SHEAR COEFFICIENT 0154
3.87 3 2 3.87 CONNECTION OF SMALL ELEMENTS
17 42 14.4 1742 SHEAR COEFFICIENT= 0 111
3 99 3.3 399 HORIZONTAL DIAPHRAGMS
-1065 -34 -4.11 SHEAR COEFFICIENT= 01667
-14.52 -66 -7.99 BEARING AND SHEAR WALL
-7.74 -0.9 -1 09 OUT OF PLANE WALL FORCES
-11.74 -4.2 -508 SHEAR COEFFICIENT= 0.3333
-19.97 -16.5 -1997 MASONRY AND CONCRETE OUT OF PLANE
-1694 -14 -16.94 SHEAR COEFFICIENT= 06667
3
P s = i..lwPs3o
P s = i..lwPs3o
AREA A, Ps30 =
AREA B, ps30 = 1.21
AREA C, ps30 = 1 21
AREA 0, ps30 = 1 21
AREA E, ps30 = 1.21
AREA F, ps30 = 1 21
AREA G, ps30 = 1 21
AREA H, ps30 = 1 21
E oh 1 21
G oh 1 21
LC1, Ps30 =
19.9
3.2
144
33
-8.8
-12
-6.4
-9.7
-16.5
-14
Residence
Tim Simonds
808 W. 5th St.
Port Angeles, WA 98362
r
MAIN LATERAL FORCE RESISTING SYSTEM - WIND LOADS SEISMIC LOADS
(AREA)(PRESSURE)/LENGTH = SHEAR BASE DESIGN
WALL TRIB WIDTH HEIGHT PS FORCE LENGTH SHEAR TRIB WIDTH DL SHEAR SHEAR SHEAR SHEAR
Main AREA FT. FT. PSF LBS FT PLF AREA AREA PSF COEFF. LBS LBS PLF
1 A , w\%'~; 2408 ROOF
B .--'{I " 387 FLOOR ~~,: ~Jlt0
",' 6'O~ ">' > l<lO
1M-~' .& oW,!.",
C 17.42 WALL * ,
" '.
0 399 21853 ~ 911 ETC " If:{f> "':' 0154 1020,2 7141 29.8
PERFORATED SHEAR WALL DESIGN WALLDLROOF~FLOORD~
Upper ~ CjS,,'
Level
WIND SEISMIC OVERALL MINIMUM PIER RESISTANCE DESIGN SHEAR TRIB TRIB
WALL SHEAR SHEAR HEIGHT WIDTH HEIGHT WIDTH MAX OPENING % OF WALL % OF FULL ADJUSTMENT SHEAR WALL ROOF FLOOR UPLIFT
PANEL PLF PLF FT. FT. FT. FT. HEIGHT (FT.) HEIGHT HEIGHT SHTHG. FACTOR PLF TYPE FT. FT. LBS.
1 91 1 29,8 24
A 1214 397 ~ - 83 - 194,0 1 ~ 1073.7
':if?1~;1i
'b~ e.~I~ ft<Df0T \vALl V/'~l/ b~O Bel 1\)8H~~ e LRl\ o,C.,
,
\2\1 FIt::'L-f.JJ (~LDC\(E.D)
~, ~
A-t HiS.\~ ~Oi.)k)DAilO;V1 :E'X\t:t~O 0r\EAI~ It~~ To '?:r. 6\LL PLATt:. I
~\ o'Pt:~'lfV&\ A\....Lov.:>t.Q fi>~ c...~A~ .Ac.c..EC~~1 tvR\L c:;~eAT1-\ti\)q
/:.) ~ ~'\ t.. A &:.) A 'f..;;DV €. '
t d C~f c~ )
,J
--
PREPARED 7/14/05, 13 04 57
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
810 W 5TH ST
THE FINISH CREW
MEDLEY HARVEY
06-30-00-0-1-0115-0000-
05-00000519 RES FOUNDATION REPAIR
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFR 01
7/14/05 If:L()
lflc.ff& ~
SUBDIV
PHONE
PHONE
(360) 457-1670
BUILDING FOUNDATION REPAIR TIME 17 00
07/13/2005 04-06 PM DYASUMUR
LEE 457-1670
PAGE
DATE
5
7/14/05
-------------------------------------- COMMENTS AND NOTES --------------------------------------
0' rORT -'1\'
;..~~t.
0.... ~<4'
~.:;.
t'......~'ili
\~;
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
DateRec /tJ'14~Os-
Perrmt #
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
Date Approved
Date Issued
ApplIcant or Agent: -r-;- m .....S', 1710 /l d~
Owner: .---r-; 171 ~51171 011 cl, )
Address: $(08" \,va I c5 k S"- City:
ArchItect/Engmeer: ~ I A-
I'
PI+-
Lf.5"Z-692-6 HoP'&.(.
Phone: S 6S -:31' t wt.,dt-
Phone: 1-/6t- 6079- Ct'il
Zip: '1R.J6.5
Phone:
Contractor
State LIcense #:
Exp:
Phone:
Address:
CIty:
7f"C) 8- web"( 0 -k. c c::; (
Zip:
ZONING:
PROJECT ADDRESS:
LEGAL DESCRlPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
SubdlV1sIOn:
O~3~ - 00-(9-[ - (7) lIb -~
TYPE OF WORK: i-lo SIZEN ALUATION:
~esidentIal 0 New Constr. 0 Re-roof 0 Stove tII( ~ '50 SF. @ $ /SF. = $
o MultI-family 0 AddItIon 0 Move . Garages-Itl,'i -7 S19(!) SF. @ $ /SF. = $
o CommercIal . Remodel 0 DemohtIon 0 Deck SF @$ /SF. = $
o RepaIr 0 SIgn 3" Other ~...,;... ~ld/l'1 TOTAL VALUATION $ ~ z:.
BRIEF DESCRIPTION OF THE PROJECT' Pue NP,u 5 d I NJ pn GAr'Y-<- A---~ ~ \,vlrll.s 0 +- h <'OJ'\..
i:{p L P PAfllld WI If b.L DIMe (!)v(!,.-- €-klclli7' O/y"'-'Ooc! .s,c:lII'-!J 0'1 3 w.4-/& of-
f I
r:A-I'"'1JIL. C-EDA-- .sk~k.s WI.t{ Or p(A-u... O/J wIJ-IJ~..f.- hco$t- A<.d.. ertF-f"c5"dc..o+8A4f/(.d..~or'
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load. ConstructIon Type:
No. of Stones. Lot SIZe: EXlStlng Sq. Ft & Proposed Sq Ft. = TOTAL Sq Ft.
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:
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 subrmtted at the time the buildmg penmt application and construction plans are
subrmtted. All other penmt fees are due at the trme of permit Issuance.
EXPIRATION OF PLAN REVIEW: Ifno penmt IS Issued WIthin 180 days of the date of application, the application will expire. The
BUIlding OfficIal can extend the trme for actIon by the apphcant up to 180 days upon wrItten request by the applicant (see Section RI05.3.2
of the International BUIldmg/ResIdentIal Code, 2003). 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 authonzed 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
T\Pohcles\BL-1102_13wpd Applicant: ~~~ate: lof:?/OJ
S#l s (- 1-
r-8'rr-ri/J./
~~ --5'_5M -:;;~6._g..~'~' 0
14'-0'
G 1t/l':tJ ~
~
.'
~
1--'
I I
-+7'~'~: _ _ _ _7~0~U
I-I 'N~N. H
. -24'.0' ~ S'-3'-{
, f'~'~I' ~ . 1 . ."~-".' --~"
',~S~- $ V I'
~ .
~ 0
4 10 11"1
I 0:+-11'-11'
- 1.-B:l'--6'-S.-------f-3'-10.-
€;=Io~-~- =
1 J r-rrf/-WPO
........ '
~V I
r t ~--4'-S.- - ~ r'
~ --S'-4~~ = -6'-2'-- l'jB.r-----::- 5 -------f-3-10 .
::: ~""~6'~I1'CO r-rrf/1Ir r-r"na-p()
. I=~i: ~
J l 811-( S€;= ~
'[ f f::1 S€;=
-~ ~
.I
'"
~
-s
-8'rll~'-3.-S.- ,
~ ===
19 =e
\~~ j
"" "'B'6'-L8C3'.,r'
.r--- - ,n
-I
.----r~.L4'
6'-1' -----:r 6'-I.------,r
:::!'c;f-- I
t
),
Sf 070 t--{ DJ
'"
C!
"l
00(5 \;v E0 ( Sl-I,.s ,-
PotL-/ 4~e/es, \;vA-
3bO - 457- G)'zc
360 - 565.. 3 I' ( ~otZ.lt.)
l\E<i
1--1 c.E 0 t)-rc... :sJr;(J {C0
LP Pfil1l1e( sid/'\; fL s/'c..
H/l pL~.ceD OV(..... ~1.s711J fDL~wc,,~
VA411' II I.....
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
~77?
"//1",,1,0
.
ELECTRICAL PERMIT
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
""WILL CALL FOR
INSPECTION
Phone:
OwnerfBusi ness:
Phone:
OwnerfBusiness Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o UndergrOUndk~
Voltage /Ol.o
M 10 o3h
Service size r:P9D Amps
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
DetailslDescription:
-
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
A J1111 is.. O. K. to connect service
I'()r' O"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
.
Site Address: ~
8o~ W, ~
Installer: C ~
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 ~ ~
~or A~u';paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
PermitfReceipt No.
New Meters
OLYMPIC PRINTERS. INC.
Application Number . . . . . 23-00001187 Date 11/07/23
Application pin number . . . 926384
Property Address . . . . . . 808 W 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0110-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
NORMAN AND CLARENCE VICTORIA BLACK DIAMOND ELECTRICAL CONTR
PO BOX 484 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(361) 945-9988 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 11/07/23 Valuation . . . . 0
Expiration Date . . 5/05/24
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool/ Hot Tub $110.00 $
TOTAL $
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
'"'CJ CD