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Home My WebLink About730 W 14th St - Building '; rc"ORT~ 8.J..o~~~ r..... ....~ ~ 'l,\,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 03-00000524 730 W 14TH ST 0630000416500000 RE-ROOF Date 5/30/03 2885 Owner Contractor REID JASON / TAMMY 730 W 14TH ST PORT ANGELES WA 983637532 WESSEL CONSTRUCTION PO BOX 1514 PORT ANGELES,WA PORT ANGELES WA 98362 (360) 457-8544 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT TEAR OFF, FELT, 106.75 5/30/03 11/26/03 - NO PR FEE SHAKE 24" #1 Plan Check Valuation Fee .00 2885 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 4.50 '"'J \)J ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 106.75 106.75 .00 .00 Plan Ch~ck-Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 111. 25 111. 25 .00 .00 ~ """'- ~ ;t (II) "i- 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. -a~ \-- )q~~ Signature of Contractor or Authorized Agent q,.-:3cJ ~ 0:]. 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 UNLA WFUL 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 DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT' # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATERLINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP 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 PARKING/LIGHTING ESA: LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYiUSE 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 1t;/fJ.../o'?> J .J,~ BUILDING T \PLANNING\FORMS\1102 15 [4/2002] ~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY Date Rec ~- /bl- 'I h ~ PermIt # S 2 ~ Date Approved Date Issued Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. !fyou have any questions, call (360) 417-4815 Applicant or Agent: W e..?<;;.e. \ CeV\~l Owner: J ~C:;C V\ ~"\ ~ VVLj R~ d Address: '13. 0 "rl. \ 4-~ ~t... Phone: 45/~S44 Phone: Architect/Engineer: Contractor Wl..~..\ Co~t. Address: l,qq Dv-~ rd. PROJECT ADDRESS: ? ~ 0 LEGAL DESCRIPTION: Lot: 8 ,,~ '=t CLALLAM COUNTY PARCEL NUMBER: CIty: Po..---\- ~e.I.e.:s Zip: l1v.3f>.2- Phone: State License #:\Jf9:;~c..r'o~p: CIty: Per-\- ~=,2-fe.~ LU I "I f11 Block:~ SubdiVIsion: Phone:45"~- 6544 ZIp: C) f1..3 "" :2 ZONING: Credit Card Holder Name: Billing Address: Credit CardType VISA TYPE OF WORK: o Residential 0 New Constr. ~ Re-roof o Multi-family 0 AdditIon 0 Move o Commercial 0 Remodel 0 DemolItion o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: rr I, r.:.J..~IW /~ r Seavo'\"T ~S-h~ .slt\~~ ~V-<-IrOt>~T" Vl/~ V\O. COMMERCIAL/RESIDENTIAL: Occupancy Group: City: Exp. Date: MC # o Stove o Garage o Deck o Other SIZEN ALUATION: SF. @ $ /SF. = $ SF.@$ /SF. =$ SF.@$ /SF.=$ TOTAL VALUATION $ '2-J ~65. g;!.. Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existmg lot coverage _ % & Proposed lot coverage _% = 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: BUILDING PERMIT APPLICATION SUBMITTAL: The Buildmg Division can provide you With irIformatIon on the applIcation and plan subrmttal 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 Buildmg DIVision to comply with current fee schedules. Contact the Permit Coordmator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due It must be submitted at the tIme the bUlldirIg permit application and constructIon plans are submitted. All other perrrut fees are due at the time of permit issuance EXPIRATION OF PLAN REVIEW: Ifno perrmt IS issued withm 180 days of the date of applicatIOn, the application will expire. The Buildmg 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 Umform Buildmg 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 authonzed to apply for this permit and understand that it is my responsibility to determme what permits are required ,not the City's, and that I must obtam such permits pnor to work. T \FORMS\APPS\BUlldmgperrnlt wpd ApplIcant:~1..\t Jl,..l t'l~ Date: 5-2q ~03 ; CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 5 -~5>o .- OS? / Time Received by ~ V /'1'10 (phone, person) INSPECTION NOTE~f^1 ~ Inspected: Date ~ Remarks: Location of Work to be inspected /30 Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing ~sewer Excav. Other l<e-~ Time-ijJVVl l/J 5/. S/ By5~ (~ RESTORATION REQUIRED . . . . .. YES NO 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 (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) : f ~ORT ~ l"O~~~ ,. ....~ ~ ~C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 03-00000524 730 W 14TH ST 0630000416500000 RE-ROOF Date 5/30/03 2885 Owner Contractor REID JASON / TAMMY 730 W 14TH ST PORT ANGELES WA 983637532 WESSEL CONSTRUCTION PO BOX 1514 PORT ANGELES,WA PORT ANGELES WA 98362 (360) 457-8544 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT TEAR OFF, FELT, 106.75 5/30/03 11/26/03 - NO PR FEE SHAKE 24" #1 Plan Check Fee Valuation .00 2885 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 4.50 '::l Fee summary Charged Paid Credited Due ~ ----------------- ---------- ---------- ---------- ---------- ~ Permit Fee Total 106.75 106.75 .00 .00 Plan Ch~ck-TQtal .00 .00 .00 .00 O"Eher Fee Total 4.50 4.50 .00 .00 Grand Total 111. 25 111.25 .00 .00 ~ -- ....3::: ;t (11) -:t- 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 C;~~--o3 Date Date Signature of Owner (If owner is bUilder) T IPLANNINGIFORMSIII02 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, 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 WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DlvlSIon) 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 OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT 417-4735 ELECTRlCAL 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 C./fJ...IO~ J.t. BUILDING I T IPLANNING\FORMS\1102 15 [4/2002] ~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY Date Rec S /bl- 'I h ~ Penmt# S2~ Date Approved Date Issued: 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 (360) 417-4815 ApphcantorAgent: We-?s~\ Ce~4- ~L. Phone: 45/--<9S4-4 Owner: ..:::J').~oV\ \- \~VVlj R~ d Phone: Address: '1.3.0 W. \ 4-~ City: Po...--\- ~tZ.I~ ZIp: l1S3 k..2- Phone: Architect/Engineer: Contractor W €.-~\ Co~t. Address: f.cor e.t Dv-~ " .d. PROJECT ADDRESS: ? ~ 0 LEGAL DESCRIPTION: Lot: a &.~ i CLALLAM COUNTY PARCEL NUMBER: State License #: \J .t5GJ;;c.ro~p: City: Par+- ~j2-{e.~ UJ IJtf'1 Block:~ SubdIvIsion: Phone:45'ry- 6541- Zip: C)~.3 b 2- ZONING: Credit Card Holder Name: Billing Address: Credit CardType VISA TYPE OF WORK: o Residenttal 0 New Constr. ~ Re-roof o Multi-family 0 Addition 0 Move o CommercIal 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: r ('" I, r _ .~J.. ~ l\.(/ ~ r -reav o'l'T ~S-h ~ .s1tt'"2\.~ .t V-<--Irt>t>~,.- V 1/2 V\O. COMMERCIAL/RESIDENTIAL: Occupancy Group: City: MC # Exp. Date: o Stove o Garage o Deck o Other SIZEN ALUATION: SF.@$ /SF.=$ SF.@$ /SF.=$ SF. @ $ /SF. = $ TOTAL VALUATION $ '2J ~65. g;t Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. EXisting lot coverage _ % & Proposed lot coverage _% = 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: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provIde you With informatton 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 Perrmt Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the ttme the buIlding perrmt application and constructton plans are subrmtted. All other perrmt fees are due at the tIme of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit IS issued withm 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 Budding 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 ,not the City's, and that I must obtam such permits prior to work T'\FORMS\APPSIBUlldmgpenmt wpd Applicant:~_~.Jjt ~.l C'l~ Date: 5-2'1 ~o.3 ; CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 5 -30 .... OS? ~ Time Received by ~ V 1,/'10 (phone, person) Location of Work to be inspected 730 Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney ~:~2ewer Excav. Other 1<. ~- BY~~ LA) :5/<y INSPECTION NOTE~f^l~ Inspected: Date ~ Remarks: Time--4JM (e\t RESTORATION REQUIRED. . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City [] Repaired by Permittee D No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 1t"ORT~ l"O~~~ r'Ciii 1!:. -- "ti;:lC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 03-00000524 730 W 14TH ST 0630000416500000 RE-ROOF Date 5/30/03 2885 Owner Contractor REID JASON / TAMMY 730 W 14TH ST PORT ANGELES WA 983637532 WESSEL CONSTRUCTION PO BOX 1514 PORT ANGELES,WA PORT ANGELES WA 98362 (360) 457-8544 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT TEAR OFF, FELT, 106.75 5/30/03 11/26/03 - NO PR FEE SHAKE 24" #1 Plan Check Valuation Fee .00 2885 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 4.50 ~ Fee summary Charged Paid Credited Due ~ ----------------- ---------- ---------- ---------- ---------- C) Permit Fee Total 106.75 106.75 .00 .00 Plan Ch~ck-TQtal .00 .00 .00 .00 Ocher Fee Total 4.50 4.50 .00 .00 Grand Total 111.25 111. 25 .00 .00 ~ -- ~ ;t (1;) "1- 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. ~~-" )q~~ C;;--~..- 03 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, 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 WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYW ALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP 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 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 4 I 7-4750 PLANNING DEPT BUILDING 417-4815 it:./fJ.../o3 J .J.~ BUILDING I T \PLANNING\FORMS\1102 15 [4/2002] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY Date Rec S /~r h 3 PermIt # S 2 L/ Date Approved Date Issued: 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 (360) 417-4815 Apphcantor Agent: We-?:;~\ Ce~l ~c.... Phone: 45"1.-<r:,S4-4 Owner: J:).~oV\ \- \~VVlj R~ ~ Phone: Address: '130 W. \4-~ City: por-\- ~/Z.l~ Zip: C}~.3f,,2.. Phone: Architect/Engmeer: Contractor 'We..~\ Co~i. Address: l.c,cy q Dy-~ rd. PROJECT ADDRESS: ? ~ 0 LEGAL DESCRIPTION: Lot: 8 &.~ '1 CLALLAM COUNTY PARCEL NUMBER: State LIcense #: \J .t9:;~cro~p: City: Par-\- ~j.e-fe~ Uj 11tf11 Block----!ll h Phone:45'~- 6541 Zip: ~~.3 '" 2- ZONING: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA TYPE OF WORK: o Residential 0 New Constr. ~ Re-roof o Multi-family 0 Addition 0 Move o CommercIal 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: Jeav of-~ ~~-h ~ .sV\C).~ ~ V-<"-IrtrO~1,( V 1/7- ~ V\oJ COMMERCIALIRESIDENTIAL: Occupancy Group: City: MC # Exp. Date: o Stove o Garage o Deck o Other SIZEN ALUATION: SF.@$ /SF.=$ SF. @ $ /SF. = $ SF. @ $ /SF = $ TOTAL VALUATION $ '2-J ~e~. 902. Occupant Load: Construction Type: No. of Stories' Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _ % = Total lot coverage APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESNWetland(s): 0 Yes 0 No SEPA Checklist requITed? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Budding Division can proVIde you With information on the apphcatlOn and plan subrmttal 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 Perrmt Coordinator at 417 -4815 for aSSIstance. PLAN CHECK FEE: IF a plan check fee IS due It must be submitted at the tIme the budding perrmt application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno perrmt 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 apphcation 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 co"ect. I am authorized to apply for thIS perrmt and understand that it is my responsibility to determme what permits are required ,not the City's, and that I must obtam such permits prior to work. T \FORMS\APPS\BulldmgpenTIlt wpd Apphcant:~L\t ~.1 ~~ Date: 5-2q ~03 ; CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . / REQUEST: Date s-3o.-a? Time Received by ,/;) V 1,/'10 (phone, person) Location of Work to be inspected /3 () Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbin~ewer Excav. Other 'Re- oc{2 fA) :5/7/ INSPECTION NOTE~f ^ I r>t-J Inspected: Date ~ Remarks: Time--4JM By5~ (~ RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Asphalt OPCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Site Address: Installed By: Owner/Business: Owner/Business Address: r$ 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 '18= Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Detai I s/Descri ption: PERMIT NO. 02 7~? !? ?3;?O DATE ~READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. }1C Overhead o Underground~~O Voltage /./~ ~10 03 Service size ~J(U') Amps o Temporary . s~ r~1-e. W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. I? Rough-in/cover O.K. '-p O.K. to connect service l\1-f Final O.K. 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 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-~11, EXT. 158 or EXT. 224. - / rOA/v1 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT If J 0 tt!! ~c\or ~ount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall Site Address: "?: . OLY"'PIC PRINTERS. INC. Permit/Receipt No. ;;;l7t? New Meters -