HomeMy WebLinkAbout333 Columbus Ave - Building
~ pORT ~ CITY OF PORT ANGELES
$'4.0~~~
~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
"- -=:;;....:II' 321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number 03-00000616 Date 6/24/03
Property Address 333 COLUMBUS ST
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-3345-0000-
Application description RE-ROOF
Subdivision Name
Property Zoning .
Application valuation 5200
Owner Contractor
------------------------ ------------------------
HIGGINS, DONALD SEAVIEW CONSTRUCTION
333 COLUMBUS AVE POBOX 235
PORT ANGELES WA 98362 CARLSBORG WA 98324
( 36) 417-7544 (360) 457-6697
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Permit BUILDING PERMIT - NO PR FEE
Additional desc TEAR OFF, FELT, COMP
Permit Fee 148.75 Plan Check Fee .00
Issue Date 6/24/03 Valuation 5200
Expiration Date 12/21/03
Qty Unit Charge Per Extension ~
BASE FEE 92.75 oJ
4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00
---------------------------------------------------------------------------- VJ
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ---------- ~
Permit Fee Total 148.75 148.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00 t--
Grand Total 153.25 153.25 .00 .00
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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
presum ive authority to la or cancel the prOVisions of any state or local law regulating construction or the performance of
co structio .
~~ ~...-Zli --0"7
Sig~afdre 01ntractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T \PLANNING\FORMS\l102 15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING 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 I DATE I ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS I
WALLS
FOUNDATION DRAINAGE I
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS I I I
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL I
T-BAR
INSULATION
SLAB I I I
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
I HOOD / DUCTS
111-'
-,.-.
I PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s'
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
I PLANNING DEPT SEPARATE PERMIT #'s SEPA
I PARKING/LIGHTING I I I ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL I DATE ACCEPTED
YES I NO
ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R W / PW/ CONSTRUCTION - R W
ENGINEERJNG 417-4807 PW / ENGINEERJNG
I FIRE 417-4653 FIRE DEPT
l PLANNING DEPT. 417-4750 PLANNING DEPT
BUILDING 417-4815 ~_~'-crl.._,-..) .J.~ BUILDING
T \PLANNING\FORMS\1102 15 [4/2002]
f~i CITY OF PORT ANGELES
~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
"- ..::o...w 321 EAST 5TH STREET, PORT ANGELES, WA 98362
~/
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Application Number 03-00000901 Date 9/15/03
Property Address 333 COLUMBUS ST
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-3345-0000-
Application description ELECTRICAL ONLY
Subdivision Name
Property Zoning .
Application valuation 0
Owner Contractor
------------------------ ------------------------
HIGGINS, DONALD JEFF
333 COLUMBUS AVE
PORT ANGELES WA 98362 SEBRING FL
( 36) 417-7544
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 46.70 Plan Check Fee .00
Issue Date 9/15/03 Valuation 0
Expiration Date 3/14/04
Qty Unit Charge Per Extension
1. 00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS 46.70
Fee summary Charged Paid Credited Due \N
----------------- ---------- ---------- ---------- ---------- W
Permit Fee Total 46.70 46.70 .00 .00 \tJ
Plan Check Total .00- . .00 .00 .00
Grand Total 46.70 46.70 .00 .00
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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 compiled 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 faw regulating construction or the performance of
co:s;z " ~~ y~
ur ~or or Authorized Agent / ate / Signature of Owner (if owner is builder) Date
T \PLANNING\FORMS\1102 15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE I ACCEPTED COMMENTS
YES I NO
FOUNDATION:
I FOOTINGS I
I WALLS I
I FOUNDATION DRAINAGe I
I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. #
I ROUGII-IN I I I
I rLUMlllNG
I UNDER FLOOR / SLAB
I ROUGH-IN
I WATER LINE
I GAS LINE
BACK fLOW 1 WATeR
I AIR SEAL
WALLS I I I
C1:ILlNG
FRAMING
JOISTS / GIRDERS
I SHEAR WALL
I WALLS 1 ROOF ICE1L1NG
DRYWALL I
T-nAR
INSULA TlON
I SLAB I I I
I WALL / n,OOR /CFILlNG I
I MECHANICAL . .
I HEAT PUMP I
WOOD S love 1 rELLET 1 CIIIMNEY
I IIOOD / Duel S I
II'W UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s.
I WATERLINE / METER I
SEWER CONNECTION
I SANITARY I
I STORM I
I PLANNING DEI'T SEPARA TE PERMIT #'s SEPA:
I rARKING/L1GIITlNG I I I ESA:
LANDSCAI'ING SHORELINE
I FINAL INSrECTlONS REQUIRED I'RIOR TO OCCUPANCY/USE
I RESII)ENTIAL I DATE YES I NO COMMERCIAL I DATE ACCEPTEI>
YES NO
I ELECTRICAL - LIGHT DEPT 417-4735 ,!b/I) 3 j-tS?Q E1 ECTRICAL
LIGHT DEPT
I CONSTRUCTION R W 1 PW/ , '/ CONSTRUCTION - R W.
ENGINEERING 417-4807 PW / ENGINEERJNG
I FIRE 417-4653 FIRE DEPT.
I PLANNING DEPT 417-4750 PLANNING DEPT.
I nUll DING 417-4815 .~I_L-?ING I
-
T \PLANNING\FORMS\1102 15 [4/2002]
,
d pORT ~Q CITY OF PORT ANGELES
",,~~<..
:,.....a~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
.~ 321 EAST 5TH STREET, PORT ANGELES, W A 98362
;- ,I
~
Application Number 03-00000551 Date 7/23/03
Property Address 333 COLUMBUS ST
ASSESSOR PARCEL NUMBER: 06~30-09-5-2-3345-0000-
Application description MECHANICAL PERMIT
Subdivision Name
Property Zoning .
Application valuation 8475
Owner Contractor
------------------------ --------~---------------
HIGGI~S, DONALD PENINSULA HEAT
333 OOLUMBUS AVE 502 W. 8TH .sT.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417-7544 (360) 457-2775 ,
I
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Permit ELECTRICAL ALTER , RESIDENTIAL
Additional desc HP /FURNACE FEED
Sub Contractor OLYMPIC ELECTRIC
Permit Fee 46.70 Plan Check Fee .00
Issue Date 7/23/03 Valuation 0
Expiration Date 1/20/04
Qty Unit Charge Per Extension
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS 46.70 \.AI
I
Fee summary Charged Paid Credited Due uJ
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00 uJ
Plan Check Total .00 .00 .00 .00
Grand Total 46.70 46.70 .00 .00
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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 [4/2002]
,
BUILDING PERMIT INSPECTION RECORD
,
CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 I DATE I ACCEPTED COMMENTS
YES I NO
FOUNDATION:
~"
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN,
I WATER LINE
I GAS LINE
BACK FLOW 1 WATER
I AIR SEAL
WALLS " I I I
CEILING
FRAMING I
JOISTS 1 GIRDERS
SHEAR WALL
WALLS / ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION
SLAB I 1 I
WALL 1 FLOOR 1 CEILING
I MECHANICAL
I HEAT PUMP
WOOD STOVE / PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES / SITE WORK (Engmeenng DJV1slOn) SEPARATE PERMIT #'s
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA F'LiJUltIM:. /~ ~
PARKING/LIGHTING I I I ESA-
LANDSCAPING __,_.' SHORELINE
I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
I RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
I ELECTRJCAL - LIGHT DEPT 417-4735 ~/2.S /03- ~ ELECTRJCAL
LIGHT DEPT
,
CONSTRUCTION R W 1 PWI CONSTRUCTION - R W
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
I BUILDING 417-4815 BUILDING
-
T \PLANNING\FORMS\1102 15 [4/2002]
/
3~3 eD/L1 wvb\.l.S ~
PREPARED 8/27/03, 8 57 40 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/27/03
------------------------------------------------------------------------------------------------
ADDRESS 333 COLUMBUS ST SUBDIV
CONTRACTOR SEAVIEW CONSTRUCTION PHONE (360) 457-6697
OWNER HIGGINS, DONALD PHONE ( 36) 417-7544
PARCEL 06-30-09-5-2-3345-0000-
APPL NUMBER 03-00000616 RE-ROOF
---------------------------~-~------------------------------------------------------------------
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL99 01 8/27/03 JLL BUILDING FINAL
__________________~-----~:~:O~fC:::::TS AND NOTES ______________________________________
~~ ~~~~ CITY OF PORT ANGELES
(li
",.- DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
"- -- 321 EAST 5TH STREET, PORT ANGELES, WA 98362
""""""
^r'...J..J.l.:Cl....J.UU NWlWer iJ3-00000837 - -
Date 8/27/03
property Address 333 COLUMBUS ST
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-3345-0000-
Application description MECHANICAL APPL. PERMIT
Subdivision Name
Property Zoning .
Application valuation 1000
Owner Contractor
------------------------ ------------------------
HIGGINS,. DONALD SEAVIEW CONSTRUCTION
333 COLUMBUS AVE POBOX 235
PORT ANGELES WA 98362 CARLS BORG WA 98324
( 36) 417-7544 (360) 457-6697
----------------------------------------------------------------------------
permit MECHANICAL PERMIT
Additional desc PROPANE RANGE, TANK, LINES
Permit Fee 57.65 Plan Check Fee .00
Issue Date B/27/03 Valuation 0
Expiration Date 2/24/04
Qty Uni t Charge Per Extension
BASE FEE 47.00
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 W
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ---------- CJJ
Permit Fee Total 57.65 57.65 .00 .00
plan Check Total .00 .00 .00 .00 lJJ
Grand Total 57.65 57.65 .00 .00
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,
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 a ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
pr um to give authorit 0 iolate or cancel the provisions of any state or local law regulating construction or the performance of
ns ction.
8-Z,7-03
~---
Signatur Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNrNG\FORMS\1102.15 {412002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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
I INSPECTION TYPE I DATE I ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
I FOOTINGS
I WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARA IE PERMIT: II
ROUGH.IN I I I
PLUMBING 1
I UNDER FLOOR I SLAB
ROUGH-IN
I WATERLINE
I GAS LINE
BACK FLOW I WATER
AIR SEAL
I WALLS
CEILING
FRAMING
JOISTS I GIRDERS I
I SHEAR WALL
I WALLS / ROOF I CEILING
DRYWALL
T.BAR
INSULATION
SLAB I I I
WALL I FLOOR I CEILING -, -I I
MECHANICAL
HEAT PUMP
I WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERM:IT #'s: 1
WATERLINE I METER
I SEWER CONNECTION
I SANITARY I
STORM 1 SEPA
I PLANNING DEPT. SEPARATE PERMIT #'s
I PARKINGfLlGHTlNG L _L I ESA:
LANDSCAPING , SHORELINE:
I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
I RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED
YES NO
I ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT I
I CONSTRUCTION R.W./ PW/ CONSTRUCTION - RW.
ENGINEERING 417-4807 PW / ENGINEERING
I FIRE 417-4653 FIRE DEPT.
I PLANNING DEPT. 417-4750 PLANNING DEPT.
I BUILDING 417.4815 BUILDING
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rf'ORT~ CITY OF PORT ANGELES
~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
.. -- 321 EAST 5TH STREET, PORT ANGELES, WA 98362
....c;;;>P
- - -. -
-.-
Application Number 03-00000551 Date 6/06/03
Property Address 333 COLUMBUS ST
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-3345-0000-
Application description MECHANICAL PERMIT
Subdivision Name
Property Zoning .
Application valuation 8475
OWner Contractor
------------------------ ------------------------
HIGGINS, DONALD PENINSULA HEAT
333 COLUMBUS AVE 502 W. 8TH ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417-7544 (360) 457-2775
---------------------------------------------------------------------------
Permit MECHANICAL PERMIT
Additional desc .00
Permit Fee 61. 70 Plan Check Fee
Issue Date 6/06/03 Valuation 0
Expiration Date 12/03/03
Qty Uni t Charge Per Extension
BASE FEE 47.00
1.00 14.7000 ECH ME- INSTALL 100- FAU 14.70
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 61. 70 61. 70 .00 .00 0J
Plan Check Total .00 .00 .00 .00
Grand Total 61. 70 61. 70 .00 .00 ().J
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~
Separate Permits are required for electrical work. SEPA, Shoreline. ESA, utilities, private and public improvements. This permit becomes I
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 of180 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 compiied 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.
oN I- ILc-
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\1102.15 [4/2002]
-
~ FORomcw..usEo~:
BUILDING PERMIT - PREAPPLICATION 0... R.c.:~-"'" ",
Pamit M: co ,,- /
In.Ap Camplcco?
:t:_ The Building Permil - Preappllcallon mJUt befUled oul completely. Oatoi,u' ,:"
~
PJO&Ietype or print ill iIIk. Uyou bave any qU..tiolll, plO&le call417-481S
Applicant and/or Agent: {Jl;urlol-k (In:l~r:.i~ Phone: L/S7- ;;;j'7Z.s-
Owner: !.Jon ~::'jlhJ Phone: 4'/7- :75Vt,/
Address: '3-:S3 ~Ju;n/;//... A/<,""_ City: A rr Ay"",,/# <; Zip: q fl.:{:;;l........
ArchitectlEngineer: Phone:
Contractor ;$ HI 1-1'>1.,/ a.- ..;.J:. d r License #;fFAJI Ajlf!.0~ Phone~,} 77 \-
Address:51);?( kJ'.RtiJ ,City: hrrAr,j~/// <' zip:.9 fIT ~ -2 .
PRonC7 ADDRESS: 3?::; (' ~ m bus AN". , ZONINO
, LEGAL DESCRIPTION: Lot:. Block: Subdivision:
TYPEOFWORK: SlZEIY ALUATION:
o Residential o New Constr. o Reroof o Woodslove SF.@S ISF. ~ S
o Multi-family o Addition o Movc o Garage' SF.@S /SF. g S
o Commercial o Remodel o Demolition o Deck SF.@S /SF. g S
o Repair o Sign '0 TOTAL ::t;fI;.TION S "'1.1.17"-
BRIEF DESCRIPTION OF llIE PROJEC7: ;.1t"chnh//,,,,,j <1- Iou) t 4)iP'
COMMERClAUREsmENTlAL: Occupancy Group: Occupant Load: ConstnJction Type:
No. of Stones: Lot Size: % Lot Coverage: %
Existing Lot Coverage: _ /sq. ft. + Proposed Lot Coverage: /sq. ft. ~ TOTAL LOT COVERAGE: laq,ft
PLANNJNG USE ONLY: APPROV.us: PLAN
PennilS Required: Notes: BLDG -
Max. Height: . Setbacks: 7.omnV' DPW
Site Plan and Use Approved by: Date: FIRE
ESA/WeUand(s): 0 Yes 0 No SEP A Chccldist required? 0 Yes 0 No Other: OllIER
PREAPPUCAnON SUBMlTrAL: Your application and site plmr mJUt bofiJIed oul ccmp/d41 to be accepudfor review. The Building
Division can provide you with more detailed infOlIllation on the application and plan submittal requirements.
BUILDING PERMIT APPUCATlON SU~MmAL: Your compleled application. site plan (for additions) and building construction
plans are to be submitted to the Building Division. Any addition la~er tban SOO sq. ft. will D~d a PrcappUcatloD Review.
V ALUA nON OF CONSTRUcnON: In rJI cases, a valuation amount must be entered by the applicant TIiis figure wiil be reviewed and
may be revised by the Building Div. to comply with CWTent fee schedules. Contact the Permit Coordinator at 4 J 7-4815 for assistance.
P~ CHECK FEE: Your plan chccl; fee is due at the time the building pcnnit application and construction plans arc submincd. All oIhcr
;>cnIUI fees arc due at the time of pamit issuance.
~IRATION OF PLAN REVIEW. Ifno pcnnit is issued within 180 days of the date of application, this application wiU expire by
'=Ialioos. The Building OtIiciaJ can extend u.. time for action by u.. applicant up 10 180 days, on written request by the applicant (see SectiOll
J04(d) of the Uniform Building Code, CWTent edition). No application can be eA1cnded more than once.
, herel1y cmify rhtJll have read and examined Ihls appllcalion and knowlhe same 10 be Irve and correcl, and I am aUlhorized la apply for
his permit. I undersland /I is nOllhe City': legal respollslbllity 10 deltmllne whal pennilS are required: /I remains Ihe applicant':
'..ponsibill/)' 10 delermine whal permllS are required and 10 oblaln such. fJiu' ~
Applieant: - :Hl~ J~"'_ ! Date: ~f,Z'/ l3
.,;C:IDATAIWFlKEEPERSIBLDAPP.FRM P .11O:z.03lnv.~1
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOT1CE. IT IS UNLAWFUL 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 SlTE
INSPECTION TYPE I DATE I ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
I FOOTINGS 1
I WALLS
FOUNDATION DRAINAGE 1 1
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I I
I PLUMBING
I UNDER FLOOR / SLAB
I ROUGH-IN j
I WATERLINE 1
~~ I
BACK FLOW /WATER
AIR SEAL
WALLS I I I
CEILING I
FRAMING I
JOISTS I GIRDERS I
SHEAR WALL
WALLS / ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB I I I
WALL I FLOOR I CEILING
MECHANICAL
HEAT PUMP 1
WOOD STOVE I PELLET I CHIMNEY 1
HOOD / DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM 1-
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING I L I ESA:
LANDSCAPING I ~__.____ __. SHORELINE:
FINAL INSPECTIONS RUju,"w rK,uR TO OCCUPANCY/USE 1
f RESIDENTIAL DATE YES NO COMMERCIAL I DATE I ACCEPTED
YES NO I
ELECTRICAL _ LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
I CONSTRUCTION R.W. / PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
LFIRE 417-4653 F1RE DEPT.
rPLANNING DEPT. 417-4750 PLANNING DEPT. I
I BUILDING 417-4815 Bl'ILDING _=1
T:\PLANNING\FORMS\1102.15 [4/2002]
CITY OF PORT ANGELES Jr9s1's-
LIGHT DEPARTMENT PERMIT NO
C'1'f"'r LlG."'-<" ELECTRICAL PERMIT OAT" ~-/t'-9/
.
I Site Address: ~ o READY FOR o WILL CALL FOR I
333 INSPECTION INSPECTION
I Installed By: R~~ ~'h-. I License Number: Phone: I
I OwnerfBusiness: "K~ ~_ Phone: I
I Owner/Business Address: Sq. Ft. I
)if Residential J:'!' New Construction ~ Overhead
Heat KW 10 o Remodel o Undergroun%~
C Baseboard 0 Furnace/Boiler o Service update/alter/repair Voltage]ZtO :z
C Heatpump q{ Othe~ re10 03'0
o Commercial/lndus1rial load o Add/alter circuits ervice size -2190 Amps
Total Connected load o Auxiliary power o Temporary
(attach breakdown) (list below)
Total Motor load o Special equipment
(attach breakdown) (list below)
Detai I slDescri ption:
.
W.S. No ,Service SiZA nata. Hold for: 0 Easement 0 Letter
Capacity: 0 O.K. 0 Not O.K. Comment~
o Ditch inspection O.K. o Signed up for service/meter
,-rfJ Rough.in/cover O.K. o Meter Department notified for instaliation
~ O.K. to connect service o Fire Departmen1 notified of inspection
Final O.K. o Plan Review approved/pending
I Site A~d;S~ ~ I permit/Re30 N~ j I
Ilnstall~~~ Co.,. AI J ^.V.A'r~ I New M~rs I Da;t_ 1/- '11 I
. Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electricaliy energized before inspection and O.K. for covering or service has been given
by the In~ in Wri1ing on 1he Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
J ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 4 tJ ~
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTE;RS. INC.
r'
/
-
~ VORT 4..",
~o~'" CITY OF PORT ANGELES
.....~ <.... ;;l g ;;;;~
(;11 ,.. ~. -r LIGHT DEPARTMENT PERMIT NO
L-~ ?/~;o
-
. ~~: ELECTRICAL PERMIT DATE
Y LlG
.
I Site Address: 3.3.3 Co ~l/l.L& o READY FOR ~ILL CALL FOR I
INSPECTION INSPECTION
I Installed By: ?:kk;, S~.e I License Number: Phone: 1
I OwnerfBusiness: - Phone: I
I Owner/Business Address: Sq. Ft. I
'I Residen1ial o New Construction )6 Overhead
Heat KW o Remodel o Underground
o Baseboard 0 Furnace/Boiler o Service update/alter/repair Voltagp
o Heatpump o Other 01.0 03.0
o Commercial/Industrial load o Add/alter circui1s Service size Amps
Total Connected load o Auxiliary power )'fTemporary
(attach breakdown) (list below)
Total Motor load o Special equipment
(attach breakdown) (list below)
Detai I s/Descri pt ion:
....-- -
/} t/v1,' P
. / '-1__
----I
W.S. No Service Siz" Dat" Hold for: 0 Easement 0 Letter
Capacity: 0 OK 0 Not O.K. Comment~
o Ditch inspection O.K. o Signed up lor service/meter
o Rough.in/cover O.K. o Meter Department notified for installa1ion
~ O.K. to connect service o Fire Departmen1 no1ified of inspection
. Final O.K. o Plan Review approved/pending
I Site Address: ~-~ ak~ rermit~8':;?'
!Installer: d4U-L ~~....t? I New Me;rs I D1~J?;:1J
.
. Notily 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 1he Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
~_ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ,...:::;) I) W
, Inspector AmounCpaid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
:i-PORT 40\(
",-I..O~~~<,,( FOR OFFICIAl. USE ONLY .
~.t. i\ ELECTRICAL PERMIT APPLICATION Date/Ree
Permit II:
iI 'fNi.~ I~ Dale Approved
~'llL. --1/3 Date Issued;
,.. ~ ~ The Electrical Permit Application must be filled out comoletelv.
.,,~=._~.
..... f.l77t <Jf)/
~ Please type or reprint in ink. If you have any questions, please call (360) 417-4735
AV . Fax number: (360) 417-4711
Owner or Elec. Contractor Agent:" j e ('fA} Iso," 2:1: C Ilfc- Phone: 1~r 7'211 Fax:6tl-lj2[;'!
Property Owner: Sur Vleh,J (''''" ~ f rConirt'i"d",. ) Phone:
Address: 33.:3 G/U'Vh ~u~ .4v~ . n4 ,4vMU<:;
City: I J Zip 7'J'3b2-
Electrical Contractor: l Jeff 4JeIs~h '[:Iec- /,,"'_ \FE fi:.(~7- - I:;ti. Y/J'f Phone: "l~-'t2ql
License #: <'la'l RP Exp: IS -
Address: 7tJ?2 6d:J r:)11J~~)::>1C //'1 City: St'III'h a/r Zip: '715~!J'~
I
INSTAllATION WIRED BY: DOWNER ~ECTRICAl CONTRACTOR
Credit Card Holder Nam'"
Billing Address: City: Zip: -
Credit Card Number: Exp. Date: VISA.~ MC:
-
PROJECT ADDRESS: 33.3 ('.d/,)rvr.hl)~ 411e. H/l..T AN6f.U:S wA 7'J.3'6 ?-
TYPE OF WORK: Check all that apply: '):(New o Alteration/Addition "
)8. Residential o Multi-family o Commercial 0 Mobile Home Sq. Ft ,
o Remote Meter o Detached garage )( Hot Tub 0 Swim Pool o Septic Pump o Low Voltage 0 Telecom. o Sign
Number of Circuits added or altered: 2--
DESCRIPTION OF THE ELECTRICAL PROJECTO ~ slA/!ecl Sc:J I?- hh7 '/ dB tJ/~<J~c-7 .;
I
4.,- "/U'R @ /hS7Jt-d' c/rc;uit-i /.uJr/hq (;;,r Yf/'(:Ol Jr-,(jS~
./
Electrical Heat Load Addition" ..nd or Subt.ractinno; Service Information
o Baseboard _KW Voltage: 2 <10
o Furnace - KW o Overhead Service Phase: (8(1 0 3
o Heat Pump - TON LRA o Temp Service Service Size: "2C'Jol7
o Fan-Wall - KW ~nderground Service Feeder Size: ~ ~
. -
"'f', ~-f ~ "'-71
I 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 lega/ responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature: Date:
~ , 1
D~~:J ti~ Owner or Elec. Cant. Signaturp.' /l~4~~~ Date: ~f63
C//// &/ - .
~ ,\~IO~ PERMIT FEE: $$ t/t I 74)
{JlRICr;::::ATI~~~/o~
"'-"'-~-UL;I1.':~""~I"'i<...I'I" 1.....1-<1 ....t.C:iO::.i....l::.;::, ;...""U.....'/...../11 _. )
~I\ t.i ELECTRICAL PERMIT APPLlCA TlON 1""'''''''--' \- ~
-.....-
0- """"~
l1w E1ectric81 Parm" AppUCl!ItiM mum! bit flU" out lXMftDlMatv. J11r:t;,.
Ptou. tYP' or Nprlnt In Ink. If you hrfe eryy Q~n.. paea.. c:all (~. .11...c73S 05 I
F.~ numbor: (3801417"'71'
Oolne, or E""'. CclnInu:1DI Age"'" Olympic Electric Co., Inc. Phone: 457-5303 FlUO 452-3498
Pn:opofly 0..-, /l;IMA~ p"",,": '/17-7 :>'1 V
)! ;;?~ {ol.....};,,:; CI1y' ZIp,
Adlhos:
6oc1r1ta1 C. .. ,.. H Olympic Electric Co., Inc. Lbo"""" OL YMPEC28:tl.j.; 3131/03 ~: 457-5303
_. 4230 Tumwater CI1y: Port Angeles, WA :lip; 98363
INSTAl.JJ'TIQN WlREO BY, DOWNER i2l ELECTRICAL =NTRACTOR
CredIt C.rd HDIder ~me: Charles T. Burkhardt, Olympic Electric Co., Inc.
BIII/ngA.., .... .. Same City; ZIp:
Ctedlt Card Number: P.xp. D8t/>. \IJSA . X MC;_
p~_ss; 333 D /ffI'1C'"
!XU OF WORK: Check dlnst apply: o New o Meretion/Addltlon
~~denW o Mu~femlly o Commercial o Mobile Home Sq. Ft..
o Aemol8 Meter o De~l!d ganl{ll! o Hot Tub 0 Swim Pool o Septic Porn p o low Voltage 0 Telacom. o S1gr
Numt.r of C1rcul1a Bdd8d or IIItenod: Z h/l'/l?v(" /I;;~
DESCAIPT10N OF llie eLECTRICAL PROJECT' flr6 ( !V"'I/ Iv/nqa
EIA.. I kll!Il Hat LOfId Addltton. Servlee Infamustlon
~board =~ voA . ~~ K-v.> VoIlage: _ ..'10
Fu""",", o Overhflad 58",1oa ~:D1 D:l
~Heat Pump _KW ;101\- ?-/.l'1bN o Temp SeMc4t Serv1ee Size:
o F.,..Wall _I<!N Ui/(IAJ ) o Urdergrourd s..rv;ce F_r Size:
PAMC 14.05.060(8): For Induatrtal, comrnorelal, & IMld8nllal proj_ large, /hen a duplex. a one . line drawing ollNl EleClrlcaJ SeMee &
Feedenl. bulldl"9 BiU ~aq. ft.), lOll(! c.oloul8Uona, an<I tnu ~ &. 0' condUClOtS andIor l1lCeYIlly I~ requll'Od ard 0/\811 BCCCIllpllny!he
Elec:\rlcal Permll9ppllcallOn.
J htJrsby certify that / hBvs ffJ8Ji and examined this application and know thEft same to be true ana corr&Ct, and I an
lJut/IQrfze(1 to apply for this permit. I Und8rstand it is not ttle City'S /eg8J responsibility to c1e/f1mlifU3 W1lat permlT5
Bmlf1quired; it remains tfle appIicanls respcns/bll/ty to determine what permits sr& r8qUir&d anci 10 obtain such.
.J~ ~ 7~Y\r- 7 )t./o.3
o f ~\,rv eNd" c..nf Holder'. Signature, Dale:
IJ (,0 V'/ 71~ 1 I
\-' 0- or EIec. Cont. Sl'ln.,u.., Data.
PW-9019 \.../'''' -
1 !~ "lIe IJ; --r;2/1rJ5t;?,57/11.73(2- ;-1M -Ie, 1/36 vf 1:..-7/2.,4 J96tJ'- !h d'e ST Ie
~u)-(r,LdL<..o 4c~1
tY- C~
'/.2.~JtJ 3 f '/6,70
TO lEi JIHLJala JIdKX10 S6H.S~09C XV.:! ~~:ST COO./ST/LO