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Home My WebLink About1019 S I St - Building Ii'~ORT ""'" ".J..O~~ (; 't'iriii'" ~~ ---- 'ttii:,,~ 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 03-00000267 1019 S I ST 0630000313500000 ELECTRICAL ONLY Date 3/12/03 o Owner Contractor BENOFF JERRY A 1019 S I ST PORT ANGELES OWNER WA 983635313 Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL ,- 99.00 3/12/03 9/08/03 Plan Check Fee Valuation .00 o o -' Qty 1.00 1.00 Unit Charge Per 76.3000 ECH 22.7000 ECH EL-RM-0-200 1ST SRV FEEDER EL-RM-0-200 ADD SRV FEEDER Extension 76.30 22.70 .~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 99.00 99.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 99.00 99.00 .00 .00 CA c \-\ .. ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection, I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T: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 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 (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 YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 5.11"'03 lkr-O 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:\PLANNlNG\FORMS\1102.15 [4/2002] () r1 ,ORT ~"'..t-. t~ ~ ....~ c-=- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 03-00000476 1019 S I ST 0630000313500000 RES REMODEL Date 5/16/03 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 200 Owner Contractor BENOFF JERRY A 1019 S I ST PORT ANGELES OWNER WA 983635313 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 47.00 5/16/03 11/12/03 Plan Check Fee Valuation .00 200 Qty Unit Charge Per Extension 47.00 BASE FEE Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 51.50 51. 50 .00 .00 ~ - \) -G w o -::: \--\ ::. ~ 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.\PLANNINGIFORMSII102 15 [4/2002] -- /0 -0 Date BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING 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 I YES NO . FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE 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 I 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 ,C;- -:;)-0 -O~ _\ L. BUILDING T \PLANNING\FORMS\I102 15 [4/2002] BUILDING PERMIT - APPLICATION FOR OFFIC},AL 6 ONLY Date Rec. ," - cf? Penmt # L/7 r;.., Date Approved Date Issued "tiii1C ~ The BUIlding Permzt application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent: ~Te \r {' 'J 5eJ Y> 0 (-=' (2 I :r ~ V''f' Y 6e Vl 0 f= ~ Phone: L J 019 SorA"., T. City: fDv-t - A 1'>9 ~I-e S i W J4- Phone: Phone: ~57-0;)..~<g l-(57 - 0;).. 5g Zip: Qrr,0? Owner: Address: Archi tect/Engineer: Contractor License #: Exp: Phone: Zip: Address: PROJECT ADDRESS: I 0 I '1 LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Billing Address: Credit Card #: City: 5 C.Htt "" Block: :r s-fY"ee\ SubdIvIsIon: Credit Card Holder Name: City: Exp. Date: ZONING: VISA MC TYPE OF WORK: SIZEN ALUATION: )I( ResidentIal 0 New Constr. 0 Re-roof 0 Wood-stove SF. @ $ /SF. = $ o Multi-fannly 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $ o Commercial 0 Remodel 0 DemolItion 0 Deck SF. @$ /SF. = $ ~ Repair 0 SIgn 0 TOTAL VALUATION $ 2G:t:>G)c;J BRIEF DESCRIPTION OF THE PROJECT: T'Yl5}qll :rVl51.1IGt:".,-!0 U/~~+rSoJih WCt[/ o~ LCt.vnJy"y~cOVJ1 l..ns:JPi II 'lb)(;).'-!,f uJlVlrft\uJ l~ SOtJ-4 ~ w~11 ,,"-'" .' fl~' I ~ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: /sq. ft. = TOTAL LOT COVERAGE: APPROVALS: PLAN BLDG. DPW FIRE ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must befilled out completely to be acceptedfor review. The BUIlding DiviSIon can provIde you with more detaIled Information on the application and plan submittal requirements. Your completed applIcation, site plan (for addItions) and bUIldmg constructIon plans are to be submitted to the Building DiVISIOn. No. of Stories: Lot Size' Existing Lot Coverage: PLANNING USE ONLY: Notes: % Lot Coverage: /sq. ft. + Proposed Lot Coverage: % /sq. ft. 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 Coordmator at 417 -4815 for assistance. PLAN CHECK FEE: Your plan check fee IS due at the time the bUIldmg permit application and constructIOn plans are subnntted. All other pernnt fees are due at the tIme ofpernnt Issuance. EXPIRATION OF PLAN REVIEW: Ifno pernnt IS Issued WIthin 180 days of the date of applicatIOn, thIS. 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 Uniform BUlldmg Code, current edition). No application can be extended more than once. I hereby certzfy that I have read and examzned thIS applicatzon and know the same to be true and correct, and I am authOr/zed to apply for this permit. I understand It is not the Czty's legal responsibzlity to determzne what permIts are requIred; It remazns the applicant's responsibzllty to determine what permzts are requIred and to obtazn such 4- Apphoa"" G." "i _ D.te- 'i-I t) - 0 3 T \FORMS\APPSIButldmgpenmt -r CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date (Ol~ - I Cf - 03 / Time '{' ')-S ;jtll.Received bY~ Bpersonl " " location of Work to be inspected t 0 ~ ~ I Name of person requesting inspection \.. J /f' } VI e~ Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final Phone No.? -O~ Permit No. I/? .b INSPECTION NOTE Inspected: Date 5' Remarks: {)Jlvt Time~ Df-{ ~ q; By RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt 0 PCC D Other D Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) \\.0 1-,.'\'" 0\ r, cld:L_ ELECTRICAL PERMIT APPLICATION '----,- The Electrical Permit Application must be filled out comDletelY. FOR OFFlCIAL USE ONLY ~1eJRa-: Permit.: " Dale AppnlvaJ: OarelUued: Please type or reprint In Ink. If you have any questions, please call (360. 417-4735 Fax number: (360) 417-4711 -1/ 2 (; '1 Owner or Elec. Contractor Agent: ==r e Y' I' 'I R e Yl 0 ~ ~ / Properly owner. ::Te yo ~ " i3 e', Y1 (\ I: ~ / Address: 10 J 9 S",,+\.,.I S-+...~eT' City: Phone: 1.1 <))-0;)-58 Fax: -1//4 , Phone: L) 5;- 0).. 5" 8 Po...--1- AV1~e\e5 Zip: 9EfJ63 Electrical Contractor: Ucense #: Exp: Phone: City: o ELECTRICAL CONTRACTOR Zip: Address: INSTALLATION WIRED BY: ?OWNER Credit Card Holder Name: Zip: VISA: City: Exp. Date. Billing Address: Credit Card Number: MC:_ PROJECT ADDRESS: 10 \ q .s {) \ I--\- \., ..J:'d vo>e ~.n, ",--I rA ",:t' (e~1 L1./ /I.. C; 'if '?(.., 1 Check all that apply: 0 New \)( Alteration/Addition TYPE OF WORK: ~Residental 0 Multi-family . 0 Commercial 0 Mobile Home Sq. FI. o Remote Meter !;liDetached garage 0 Hot Tub 0 Swim Pool 0 SeplicP.ump 0 Low Voltage 0 Telecom. 0 Si o Baseboard o Furnace o Heat Pump o Fan-Wall Number of Circuits added or altered:".'. '" ..~..', "." . DESCRIPTION OF THEELEcTRI~~l PROJECT: R ep I",d', )-) 11 USP C ;1:~ u;-/' b vaJa v Po VIe) U JI-IL-Jl\Jf u) . )...() 0 fJlM(J -,0 <;/lc ~eSQ'J<'V'<" .f) MO'Me JocuJlre...-h:v 'T",,,, Ie, If Il/eu.J C,vVUt'f h ,re" ,,~v . I l' -:r v\ \ G-c; '. - l- () ... 'if _ loc, t e....k (' S; 1<", IVetJ. LulY-e.. ~I' "'^" Jt~ "~"'''''~5G ;)..- '# ?-C~. ~ q,w,t I 11''1 [~. 'fliva"dl/{.~JY-()llYJ tVJ.-e. 0-, v.., Wl'~'I" I V\ I 'A ~~ t-(;I, r 1- f"'~e. 1.-l_~v' I-\ovse. 'Fe k5Ctr(,,~ Electrical ea'tLOiI Additions '\"...0"""1<>00<;<::'. J -, , . 5ervlt:e In ormation ~t-'t?,,4 {.. ~/, CftJ /1/0,4 _t(MI f?b,.30 t .):;".70 -=11.00 _ t(MI 0 Overhead Service _ t(MI 0 Temp Service _ t(MI 0 Underground Service Voltage: "2.LfO/' z. "" Phase: 9l.'I I 0 3 SeNice Size: :;2.(,:jl"'? Feeder Size: I 0-0 PAMC 14.05.D60(B): For industrial, commercial, & residential projects larger than a duplex. a one -line drawing 01 the Electrical Service! Feeders, building size (sq. ft.), load calculations, and the type & of conductor.s and/or raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I 8 authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. O~ . 0( . ~ ~\l?n J/.// Credit Card Holder's Signature: Owner or Elec. Cont.. Signflture: f J\ ^1 Date: gP A~1f Date: 'J -::1.)'-0} PW-9019 ~CV~ 3- '1-0"$ 5-i9-03 ~I ,.J~ Ctt'C'C/!. i-FolHe :7ilc r ' /' I I I , , , I I I o .QG I , . , . . " , I ,"": I(n r",hp.,t.(..s "f$ 1{.:1 rn I d V\"'r.lO , -1 ~~ '~r- lcr"tlO Jb l:_ I I I ~ \A!ty\ l>A7ddOj h i1= ~ I ~ "I~ ~-Jdo -;) -c. #= - f I I I ~l"S1A1 '?~fl.t I "JAa . , IIi 0/,1 I ! \~~J. 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