HomeMy WebLinkAbout1234 W 10th St - Building
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
04-00000231 Date
.763668
1234 W 10TH ST
06-30-00-0-3-1645-0000-
RES NEW SFR
4/16/04
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RESIDENTAL SF 7000
RS7 RESDNTL SINGLE FAMILY
112000
Owner
Contractor
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parate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
" II and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
pection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
s and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
sume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
stru tion.
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457-5303
NEW 2095 SF SFR W/ATT 567 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
KEDISH ,STEWART AND MARGIE
P.O. BOX 507
PORT ANGELES
(360) 457-5005
Structure Information
Construction Type
Occupancy Type
Other struct info
WA 98362
WA 98363
GARAGE
3.10
V-N
2.00
1. 00
7000.00
2215.00
2215.00
1. 00
-------------------------------------------------------------------------
Permit MECHANICAL PERMIT
Additional desc
Permit Fee 115.85 Plan Check Fee .00
Issue Date 4/16/04 Valuation 0
Expiration Date 10/13/04
Qty Unit Charge Per Extension
BASE FEE 47.00
1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70
6.00 7.2500 ECH ME-VENT FAN 43.50
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65
'"
........: .\a
~l(
-------------------------------------------------------------------------
Permit PLUMBING PERMIT
Additional desc
Permit Fee 146.00 Plan Check Fee .00
Issue Date 4/16/04 Valuation 0
Expiration Date 10/13/04
Qty Unit Charge Per Extension
BASE FEE 47.00
10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 70.00
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
--------------------------------------------------------------------------
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 1084.45 Plan Check Fee 433.78
Issue Date 4/16/04 Valuation 112000
Expiration Date 10/13/04
Qty Unit Charge Per Extension
Signature of Owner (if owner is builder)
102.15 [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, 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 IH-M-oJ../ tL.L
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
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERIOR B~D PANEL ONLY)
T-BAR
INSULATION 1 ~~;
SLAB ~ ,..-/: ~..
WALL / FLOOR / CEILING \"" ..
MECHANICAL . -'l"'l~ttI-;
.
HEAT PUMP .... '-
GAS LINE .,
WOOD ST6vE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 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 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 I
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
Page 2
Application Number 04-00000231 Date 4/16/04
pin number .763668
Qty Unit Charge Per Extension
BASE FEE 1017.25
12.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 67.20
----------------------------------------------------------------------------
Special Notes and Comments
Electrical load calculations and elctrical permits are
required.
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
Down spouts from roof gutters shall be piped to drywells or
may be piped to curbs that flow to strom drains. No
pressurized or pumping to curbs are allowed.
---------------------------------------------------------------------------
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 1346.30 1346.30 .00 .00
Plan Check Total 433.78 433.78 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 3554.58 3554.58 .00 .00
parate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
..... II and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
..r a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
':spection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
....., s and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
""esume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
'. nstruction.
gnature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
'lW'LANNING\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, 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 I'/-~'f -OH ,j. J-..
WALLS A - 10 - 0'-/ .i . L.
FOUNDATION DRAINAGE/DOWN SPOUTS ,c:;- 'l..h -- uti RV
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING F II'" f~L.. i/-Y-O,/ J 1-. A-r
UNDER FLOOR 1 SLAB h _':lJ A-' RV
ROUGH-IN '7_ <(/ DAf \. 1
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS f';/ ,- q - f'J ;..1 J.t,
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS tJ_l, {)1 LL.
WALLS 1 ROOF 1 CEILING I~. tl-(!n.j J L
DRYW ALL (INTERIOR BRACED PANEL ONLY) .
T-BAR
INSULATION
SLAB l5 -~ ''C 1.1 Rv'
WALL 1 FLOOR 1 CEILING P,-/~-O H ..-}f..1-
MECHANICAL ~IH",-i 11- ~,,/..()'1 J'h' M
HEAT PUMP
GAS LINE ~ lo-oH I.J J...L-
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTlNG 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. 1 PWI If JI'-I IDS- 'TP CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 I ' I FIRE DEPT.
PLANNING DEPT. 417-4750 ~il- {-O'-i PLANNING DEPT.
BUILDING 417-4815J "'OJ.-/ ..1.. J- BUILDING
T:\PLANNING\FORMS\1102.15 [11/14/2003]
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pm out COMPLETELV and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. Uyou have any questions, call
(360) 417-4815
FOR OFFICIAL USE ONLY:
Date Rec.:.l- 19 - 6 Y
Permit#:OY -25 I 'j J
Date APproved:~ '1
Date Issued:
BUILDING PERMIT - APPLICATION
Phone:
Phone:
Port Angeles, WA
480-551-7270
Applicant or Agent: KED ISH, Brien
Owner: KEDISH, Brien & Taralee
Address: POBox 601
City:
360-457-5005 (message)
Zip: 98362
Architect/Engineer:
Contractor
BAK Associates
Phone:
State License #:
Exp:
Phone:
Address:
PROJECT ADDRESS: 1234 W. 10th st.
City:
Zip:
ZONING: RS7
LEGAL DESCRIPTION: Lot: 9 Block: 316 Subdivision: Townsite of Port Angeles
CLALLAM COUNTY PARCEL NUMBER: Ob3Dccd? J ~ '15CJ6d
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
rp....-Residential ty New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
SIZEN ALUATION:
SF. @ $2~700 ISF. = $ 17'Z:::::~/
SF. @ $ ISF. = $
SF. @ $ ISF. = $
TOTAL VALUATION $ /~.2. C~C}
COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: ~'" Lot Size: -; O(/() Existing Sq. Ft. 0 & Proposed Sq. Ft. I'1Q{" = TOTAL Sq.Ft... J 'i c;S-
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage '28. S- %
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
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: Ifno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). 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 authorized to apply for this permit and
understand that it is my responsibility to determine what permits are reqUired: n10t th: City's, an~:~a! J ,/yst .obfin such permit~/rior to wQrk .
. ,~/) /1, ? ~~ - A.J.-I]l " , / / V{Je./
T:\FORMS\APPS\BuiIdingpermit.wpd ApplIcant: {/-/" 1...1.6-1;.,/ 0(.f,L.. Date:___'"':; . I "
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date 5"- zG-o L/
,
Time
Received by
RV
(phone, person)
Location of Work to be inspected /2 ~~ (!
Name of person requesting inspection S i e \.J..J
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Plumbin1Final
4~e.v
Slo.:b.~ ,
LU
/0 'f-~
Phone No. 8:.'B --5-/Cj (
Permit No. (:) 4...; Z 'f; /
Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date i; - Z C:::, - 0 y
Remarks:
Time
By
RV
RESTORATION REQUIRED. . . . .. YES NO
A ~~ - lfJ c b
S I <.L ~ :) .." s (:..J ('\, i) (';' \/l
" ("
1>~~~ "" <:.,.f'.'.}...... 't S <b r-~ I JI\'.~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 pcc
o Other
o Repaired by City
o Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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Mar 23 2004 8:39
CLALLAM AUDITOR
360 417-2517
F. 1
~/56<e-5G
Office of County Assessor
REQUEST TO CONSOLIDATE/SEGREGATE
FOR TAX PURPOSES
THIS REQUEST IS TO CONSOLIDATE SEGREGATE X
PARCEL #sR~~(Xf)~ I ~ .1D
~ -=:, L (Y)O - I ~ 4J)
LAND ONLY -'LAJlIY& BUILDINGS /'
LAND ONLY ~ND & BUILDINGS_
LAND ONLY -'LAND & BUILDINGS
LAND ONLY -'LAND & BUILDINGS
LAND ONLY _'LANO & BUILDINGS
. ,
./
'2 )/1..-, J", Jl (Legal Ow~er of Record)
DATE~ PHONE
EMAIL
-------- M____________________________ ... -~.__________________.w
PROCESSED BY
DATE
DATE RECEIVED IN OFFICE
~ORTANGELES
\f e;<V
WAS H I N G TON, LJ. S. A.
/7 /4,'6. (
ru:~
PUBLIC WORKS & UTILITIES DEPARTMENT
July 23, 2004
Stewart Kedish
P.O. Box 507
Port Angeles, W A 98362
SUBJECT: New home - 1234 W 10th St
Dear Mr. Kedish:
The existing transformer that will serve the new house is to capacity, therefore it will require
upgrading. The required aid to construction contribution for upgrading the transformer is
$600.00 which does not include the temporary or permanent electrical permits.
The transformer upgrade will be scheduled for approximately four weeks after receipt of the
estimated amount of $600.00. .
If the actual cost is less than the paid estimate, you will be refunded the difference. If the cost
is more, there will be no further billing.
If you have any questions or concerns, please do not hesitate to contact me at 360-417-4708
or e-mail: gmc1ain@cityotpa.us.
Sincerely yours,
. '-fJ; . //,
(J" , ... --// .
p" . / 1l~,<-eJ
Gall McLam .
Electrical Engineering Specialist
cc: James Harper, Electrical Engineering Manager
Roger Vess, permitting
AI Oman Electrical Inspector
File
321 EAST FI FTH STREET · P. O. BOX 1150 · PORT ANGELES, WA 98362-0217
PHON E: 360-417-4805 · FAX: 360-417-4542 · TTY: 360-417-4645
E-MAIL: publicworks@cityofpaus
GLAZING SCHEDULE
GLAZING SCHEDULE
Kedish Residence
ROOM
MANUF.
(2)
LMNG 2 2.50 5.00 MILGARD VINYL FIXED 5320 112" AIR YES 0.35 25.00 8.750
LMNG 1 5.00 5.00 MILGARD VINYL FIXED 5320 112" AIR YES 0.35 25.00 8.750
LMNG 2 2.50 2.50 MILGARD VINYL FIXED 5320 112" AIR YES 0.35 12.50 4.375
KITCHEN 1 5.00 3.50 MILGARD VINYL SLIDER 5120 112" AIR YES 0.38 17.50 6.650
BATH 1 2.00 2.00 MILGARD VINYL CSMT 5520 112" AIR YES 0.36 4.00 1.440
M. BATH 1 5.00 3.50 MILGARD VINYL FIXED 5320 112" AIR YES 0.35 17.50 6.125
M. BEDROOM 3 1.50 1.50 MILGARD VINYL FIXED 5320 112" AIR YES 0.35 6.75 2.363
BEDROOM 2 1 5.00 5.00 MILGARD VINYL SLIDER 5120 112" AIR YES 0.38 25.00 9.500
BEDROOM 3 1 5.00 5.00 MILGARD VINYL SLIDER 5120 112" AIR YES 0.38 25.00 9.500
FOYER 1 6.00 4.00 MILGARD VINYL FIXED 5320 112" AIR YES 0.35 24.00 8.400
DINING 2 1.50 5.00 MILGARD VINYL FIXED 5320 112" AIR YES 0.35 15.00 5.250
DINING 1 6.00 6.83 MILGARD VINYL S.G.D. 5160 112" AIR YES 0.38 40.98 15.572
UPPER FLOOR
FOYER 1 3.00 3.00 MILGARD VINYL FIXED 5320 112" AIR YES 0.35 9.00 3.150
BEDROOM 2 1 5.00 4.00 MILGARD VINYL SLIDER 5120 112" AIR YES 0.38 20.00 7.600
BEDROOM 3 1 5.00 4.00 MILGARD VINYL SLIDER 5120 112" AIR YES 0.38 20.00 7.600
BEDROOM 4 1 5.00 4.00 MILGARD VINYL SLIDER 5120 112" AIR YES 0.38 20.00 7.600
BATH 1 2.00 3.00 MILGARD VINYL CSMT 5520 112" AIR YES 0.36 6.00 2.160
M. BEDROOM 2 5.00 4.00 MILGARD VINYL SLIDER 5120 112" AIR YES 0.38 40.00 15.200
M.BATH 1 5.00 4.00 MILGARD VINYL SLIDER 5120 112" AIR YES 0.38 20.00 7.600
WND. TOTAL:
373.23 137.585
DOORS WITH MORE THAN 50% GLASS
~M. BEDROOM I 21 4.001 6.83IMILGARD IWOOD IDOOR I 5621 ~I
DOORS WITH MORE THAN 50% GLASS-TOTAL:
AVG. U-VALUE (VERTICAL GLASS):
54.641 18.578'
54.64 18.578
0.365
SKYLIGHTS AND SKYWALLS
M. BATH 1 2.00 2.00 MILGARD ALUM SKYLIGHT 780 3/4" AIR NO 0.54 4.00 2.160
FOYER 1 4.00 4.00 MILGARD ALUM SKYLIGHT 780 3/4" AIR NO 0.54 16.00 8.640
GLAZING % =
TOTAL 1 =
HEATED AREA
UA TOTAL (TOT. 2) =
AREA TOTAL (TOT. 1)
SKYLIGHT TOTAL: 20.00 10.80
AVG. U-VALUE (OVERHEAD GLASS):
AREA UA
I 447.871 166.963'
TOTAL 1 TOTAL 2
= 21.38%
447.87
2095.00
166.96
447.87
S.F. =
S.F.
UA =
A
0.21
AVG. U-VALUE=
0.373
U-VALUE
(1) U-VALUES ARE OBTAINED FROM DCD APPROVED LIST. (OR NFRC CERTIFIED.)
(2) REQUIRED IF USING CHAPTER 4 OR 5 COMPLIANCE OR IF THE INSTALLED GLAZING
DOES NOT COMPLY WITH THE OPTION SELECTED IN W.S.E.C. TABLE 6-1 OR 6-2.
10th Street
Mar 23 200
4 8:50
i~' 11 J CLALLAM AUDITOR
'f-'/I^- ~fJ'v.-
360 417-2517
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Mar 23 2004 8:40
/~~., fJ4' CLALLAM
"'~ AUDITOR
~~
360 417-2517
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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
04-00000231 Date
.763668
1234 W 10TH ST
06-30-00-0-3-1645-0000-
RES NEW SFR
7/30/04
Owner
Contractor
\J
~
\
\J
OJ
RESIDENTAL SF 7000
RS7 RESDNTL SINGLE FAMILY
112000
WA 98362
MAR-KED ENTERPRISES INC
PO BOX 507
PORT ANGELES
(362) 457-5005
NEW 2095 SF SFR W/ATT 567 SF GARAGE
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
..........
KEDISH ,STEWART AND MARGIE
P.O. BOX 507
PORT ANGELES
(360) 457-5005
Structure Information
Construction Type
occupancy Type
Other struct info
WA 98363
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
2662 SQ. FT. SFR.
EXTRA MILE TECH &
143.20
7/30/04
1/27/05
ELECT., LLC
Plan Check Fee
Valuation
.00
o
\-\
"
r "-
^-.J
~ "^'
~
~
8
.........
-....
I --..
~ C)
<J ~
--.c..
~
3.10
V-N
2.00
1. 00
7000.00
2215.00
2215.00
1. 00
Qty
1. 00
3.00
Unit Charge Per
73.0000 ECH
23.4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73.00
70.20
Special Notes and Comments
Electrical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
Down spouts from roof gutters shall be piped to drywells or
may be piped to curbs that flow to strom drains. No
pressurized or pumping to curbs are allowed.
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 143.20 143.20 .00 .00
Plan Check Total .00 .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 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:\PLANNTNG\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
FOUNDA TlON DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # j\ (VAJ--4. ___/ oJ- ~L
ROUGH-IN IX --.2- 0 u I Ui"'7) --4 /)1/
PLUMBING I
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE ?S NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 11- 'Sf- Ci/ kJ~ 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]
2004 09:09 AM
","'"& '..
e?f\ ~/
E...]ANSSEN
360 452 2982
P.01
~
ELECTRICAL PERMIT APPLICATION
'D.O',,",CI4l.USf!OKLY
...... --_..._...~--~
........ "---~'---
D..Anro'OOlld.___
0... bilwd _______
The E:lectrical P8rn,;r Applicitlon mus' b. '1lIed oul comof.telv,
P".I' 'wpe Dr reprint I" Ink. If you hive .ny question., pl.... call (380. "17"135
Fe. numbo" (350) 417-4711
01- ;23/
Own~r Or Eloc. Conlracla, Agont: .e: I< f.....
Prop~nj. Owno, K ......1 ,~ k
~I; 1).....'-1 I() Iv.....
, .
, '
Eloot,le.I Conlrlctar:
, .
, .
ACId'...:
m,I..
..,<.<-1... ~ rlf, "'one: <("7- ).;J;)J
e",,:
F..: 'I >7 _ Jj 5"' S-
Phone: <It. ( - 1"1 J ,
Zip.
Phone:
Zip:
c;,.,
C;l~'
liC8n8t1 II:
INSTALLATION WIRED BY:
CIl)':
: .
Crwd~t!C.rct Holder Nem.:
SUUn'IArIr1",..:
erwd" :C.ff/ Numb.,.:
DOWNER
Cl ELECTRICAL CONTRACTOR
_ CIly:
Exp. Oil.:
Zip:
"'SA: Me,'
- -
PRD.lECT ADDResl:
1;2 'JI./
w
(O?L
~ew
S .j-".<I.. t
o A1teration/Addltlon
~
~e.~entl8' 0 Multi-femlly
::
o Rerr/Ol. Meter
CnBCk II! In at apply:
o Commerciai
o Mobile Home
Sq. Fl
;;'075
!:>-67
''3&O(r(~L;''2--) SQ F,
Cl Low "ol~ge Cl Telecom. CI Sign
o Oelecned garege
Numbe! Df Circuit. 8dd8d or allered:
d Hot Tub Cl Swim POOl
o Septic Pump
DE8C"PTION DF THI!! ELECTRICAL PROJECT:
IJ, ~ .>. .. L.......t 0_ )
I\-).LW
C"'t>1'\..l ~+~~ .c......
"
~'Il Load Addltlon. and or SubtractiDns
;
o BI.etXilra
il'Fumacill
IlI'H..t "lump
OFOtl'V\jiIn
,
_KW
..lf2..KW
~ TON_ ~RA IOK:J..J
_KW
SlrVlc. tn'ann"~n
o Overhead Service
"Temp Service
~Underg",und SeMee
Vailau-: (2.o/z.<I~
PhalIe: ""1 Cl 3
Service Size: -;00 4
Feeder SIZ.; 10
I herebt' certify that I have read and examined this application and know that same to be true and correct, and I am
author/. to apply fo~ tp,is permit. I understand It is not the City's lega/ responSibility to determine what permits
are req Ired; if remaib~ the applicants responsibility to datermine what permits are required and to obtain such.
: {;'I:'
1l.z- '?.p9'V o.)~0, Credit Card Holdor'. Signalure: _ J~ ..rL _ . r tJ Dete: 7. ~-o<f
~ Jlf rf2/ Owner ". EIBc. Coni. $/gnatur.: vi e-.5f) A _ , .J!. Date: 7 _ -;J.t- -c ,"'
~' W:\l-'/ oS
V~~ ~ItP;P' -/ WrLL :?ef'/.D
C:I~l~CT~ICALPER"'TA"PLICATION f} t...e T/6,e..
;1tJO
7/z-vft;l/
J
PERMIT FEE: $ 7' 6/ ~e--
$/Y8,;;:2-0
\
.,
t
.~
~-
IEllEC1rrRl~(cAl ~NSPEC1~ON
W~rRl~NG rRllE~OrRll
417-4735
APPROVED NOT APPROVED
0................... DIT~ ...................0
o .............. ROUGH IN/COVER. . .. . . .. . .. . .. 0
o .................. SERVICE .................. 0
o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0
CORRECT
- ~
?
<l4
~
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (380)452-1381
FROM :Dave's Heatl~g ~ Cooling Srvc FAX NO. :13604520939
X;,': ::':. ",' 1..\1) Ur fr, [1[.1.., 1I1:tl d,.
Jul. 20 2004 07:53AM P1
11'
'". ..
-'
.
.
fi
ELECTRICAL PERMIT APP!..ICATION
POIO'...i\.1^"'USI!Cl'4.\'
I::bl...1\r.~:
"tnr\IIlI, __._'_~..
i [lIleAjtprnri".._
l DIL< :.na.,.___---::
Th& Elacbicai ~Olmlt AI:IPl!ClItton mUllI be tm.d but eOMDlatal\l.
f"lcpe type o~reprtnt in Ink. If)'Ou tuwe .."" que.UQIl:i, Jllc:ara.t:"" (380) 41704n5
Fu.number: (380)417-471' ,
(y-(- .731
. . :;e."..V\<:.c:ll:znc...
O"",e'Ofe.,.contnlotarAgonI;':p"v<e.IS :!i-,,<,et1"<:l '>t.-Go\ '....iJ . p":>,,... -'fS;J--o"f3"lF..:~::#-o"f3'1
P_OOI~Ot;_ S+e.(.,,) .9- t1.~V"~~e~isL .PIlono:_~7- 500s
.-,...; 1.0. 130?L_:::L~--_._._-:-_.Cl~',r,,/"'1i,*~Ei;H7:-"I"I1 ~ ZJp;.~~3b~
E1eoIriCllCon_...::l2f:lve's He,,+..,,~Co<>\."aS< 'tfoen.. ; E>ljI. ~-;-/o~""en.:.<{5;'C>"'7?7
"dclio..: P.o. IX>><. <-(I 3 C11l':~.hcl~"'o~ (0'" <.LJA Zlp:_ <1i";3(,~
~ ..l.. .._,'. .__. ....
lNSTAl.lJ;nON WI~O BV: 0 OWNER .,{l.ECTRIc;.tJ. CONTRACTOR
er.ditCatdHalderName: . ..Je",^!:'.~~ O\9.~~~f- J)",v<...'Si
IJIJJJni1Adru.u: P. 0 Box -TL3 CIty: fov-tt\n~
-{
,
f1~a.+-tVl.~
C<h"r Zip: "'f 83{,;;>-
. \llSA:"/ Me:
- - -
I'II.llJflCTAIIDRJ!Il!: I) 3'-{ Wes.t I (JI:h Stre.e.-\- I COy-t- ~~\.....:;., LJA-. "18.3b~
1YP1!! 0' WORK' Checlt it!! thal "pply: ~_ 0 A1teretion/Addllian
l!!1l:uidenliaJ Cl M ulti-fwnIly 0 Comm ere..1 0 Uobile Mom.. So. Ft
o RAmale Meier :: Oel8ched PBl'agft
Cl Hot T lJb 0 Swim Pool Cl Septic Pump
~WVorb.g.. DTeJlJcom. OS:gr
~"'-V'~.:s-I-,,-{-
Number of Cbcull:o .dded or an.r.d: __----'-
DESCNPTIOHOnHflIIU!~~PROJI!CT;_ \D,^,~\+o.~ ~vn"s+",* w,~
- -._----
__L__.*__E r;Jj_1;2Y_T0-._~ N s ffi._~ r?l.. (
Elecltlcel He. I ""'" Addltlone ..nd or Subtractlone Service InfovnatiQl'
o e...boarrl
!I1'Fum,..",
nJ"fojaat Pump
o Far....Wall
_,,:w
lP_ KW
2Y" TON_lRA
__KW
D O.orh..~ So'"orico
oTOlTlJ'Servlo8
:J Un~orgro""" Service
VoltaQe: _.___
Phaoe: 01 03
S.",Joe Sloe;
Feeder Size: ~-
I herehy certify thai I have read and e)(9min13d this appHcatioM and know thet S"dme tLl be true and correct, 8M I am
authorized to apply for this permit. I understand if is nol the City's lelJal resporJ:iibHily to determine what permits
...!Ir.e.raquimd:..it-r-BJTJsins-tbe-spplicauts ,J;espQnsibl1Jty.ta.dBfBrmirJB.wJ!aLp...rmJts..an.~4V'IlJire
.~. Dete: 7!1'lb.:L
OwnerOrEieG'(;Ont.Slgneture:~i~. Date: 7//'1/01
PERMIT FEE: $ 2-5~-
J 30,~O
;:lE~ECTll'C"LPERMIT"APPUCA'rION
,#00 ~2.~7'
.
l"'.J:.x
" ,I>~ 1'";,,,
~
~
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'0" ~'~~"":"'lJ.:'. ,:,'""" ::,<.f~j
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.' 'i_ ,/~~.'tl:>'
~ORTANGELES
WAS H I N G TON, U, S. A.
PUBLIC WORKS & UTILITIES DEPARTMENT
DATE:
March 24, 2004
To:
Roger Vess - Permit Counter
~~
FROM:
Gail McLain - Electrical Engineering
SUBJECT:
Building Application Review
1. 1234 W 10th Street - SFR with garage for Brien Kedish
Electrical permit required
Electrical load ~'llli d
If the load calcs,jndieate tha the transfolli1er requires upgrading, the estimated cost to the
/-
customer wlIl be $600.00
!
2. 408 Scribner Rd - see John's comments
PW-OIOI.05 [REV" 7/5/2000]
"',,-.'