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Home My WebLink About810 W 5th St - BuildingPREPARED 6/27/06 13 47 59 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/27/06 ADDRESS 910 W 5TH ST SUBDIV TENANT NBR HARVEY MEDLEY CONTRACTOR PHONE OWNER MEDLEY HARVEY PHONE PARCEL 06 30 00 0 1 0115 0000 APPL NUMBER 06 00000032 RES REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 6/27/06 JLL PLUMBING ROUGH IN TIME 13 00 STEVE 457 1962 06/26/2006 11 25 AM DYASUMUR COMMENTS AND NOTES Application Number 06- 00000032 Application pin number 958496 Property Address 810 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 -0 1 0115 0000 Tenant nbr name HARVEY MEDLEY Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 350 Owner MEDLEY HARVEY 810 W 5TH ST PORT ANGELES Permit Additional desc Permit pin number 68700 Permit Fee 50 00 Issue Date 1/17/06 Expiration Date 7/16/06 Qty Unit Charge Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 3 00 1 00 3 00 Other Fees 7 7 7 Permit Fee Total Plan Check Total Other Fee Total Grand Total WA 983632111 BUILDING PERMIT RESIDENTIAL Per Fee summary Credited 149 00 20 00 4 50 173 50 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 clays 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. PLUMBING PERMIT Signature of Contractor or Authorized Agent BASE FEE BASE FEE 0000 ECH PL- EA FIXTURE ON ONE 0000 ECH PL- EA INSTALL WATER 0000 ECH PL- EA REPAIR/ DRAIN STATE SURCHARGE Charged Paid T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor OWNER 149 00 20 00 4 50 173 50 Plan Check Fee 20 00 Valuation 350 00 00 00 00 68692 99 00 Plan Check Fee 00 1/17/06 Valuation 0 7/16/06 TRAP PIPE VENT Date 1/17/06 Extension 50 00 Extension 50 00 21 00 7 00 21 00 4 50 Due 00 00 00 00 if (q /7 D Date Signature of Owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL FINAL FINAL SEPA. ESA. SHORELINE. ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 1 1 1 I FIRE DEPT PLANNING DEPT 417-4750 1 PLANNING DEPT BUILDING 417 -4815 16 -27- 0 C. I P E3 I I BUILDING T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] ZT 6 DATE PB ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO -.3i-cue c yet or- ,7 (CJ U d`e Phone .z7. 7- /9 r(.53-fs$< <,924170) Owner_ i p- Oeu (Kars Lev Phone Address b_ 5 City kit 44 e zip RR 3 (9 Phone Applicant or Agent: Arclutect /EnGinter Fill out COMPLETELY and in INK. lour application and site plan MUST B COMPLE E to be aeuepted to 1 eve i If 1 :011 ha e an j ~qucstio n can PERMITS (360) 417 -4815 FAX(360)417 -4711 Contractor State License Exp Phone Address. �i City Zip PROJECT ADDRESS N `OO )0' Si ZONING LEGAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. TAPolicies\BL 1102_13.wpd Applicant: BUILDING PERMIT APPLICATION Subdivision. CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations anti other data shall not prevent the building (Alicia, L t Date: �Ols TYPE OF WORK. SIZE/VALUATION `i Residential New Constr Re -roof Stove SF /SF Multi- family Addition Move Garage SF 8 /SF Commercial Remodel Demolition Deck SF /SF Xf Repair Sign Other TOTAL VALUATION 3'5) t On BRIEF DESCRIPTION OF THE PROJECT Xei/ .o r3) COMMERCL4L/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type: No of Stories. 1 Lot Size. Existing Sq Ft. 1.2-567 Proposed Sq Ft. TOTAL Sq Ft. Total lot coverage FOR OFFICIA USy ONLY Date Rec. L i 46 Permit n v�" ate Approved a issueu PLANNING USE ONLY APPROVALS PLAN BLDG 'a DPWU Mans. snecificatiens and other data, or from preventing FIRE ESA/Wetland(s) Yes No SEPA Checl h 4i f$9smeingega¢iedi\pg iget rider when in OTHER violation of all codes and ordinances of this jurisdiction. 3 1 1 2 4 UPC_ Approval Date O UP By L. 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 apphcation and construction plans are submitted. All other permit fees are due at the tulle of permit issuance. EXPIRATION OF PLAN REVIEW If no 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 apphcant up to 180 days upon written request by the apphcant (see Section R105.3. of the International Building/Residential Code, 2003) No application can be extended more than once 1 hereby certify that 1 have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that if is my responsibility to determine ]What permits are rewired ,not the City's, and that 1 must obtain such permits prior to work. s~ "I.Ii r..'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 98]62 Applicat10n Number Application pin number_ Property Address ASSESSOR PARCEL NUMBER Appl1cation type descr1ption Subd1vision Name Property Use Property Zoning Appl1cation valuat10n 06-00000035 Date 635535 810 W 5TH ST 06-30-00-0-1-0115-0000- ELECTRICAL ONLY 1/18/06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor MEDLEY HARVEY 810 W 5TH ST PORT ANGELES OWNER WA 983632111 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc OWNER/ 1-4 CIRCUITS Permit pin number 68643 Permit Fee 48 10 plan Check Fee 00 Issue Date 1/18/06 Valuation 0 Expiration Date 7/17/06 Qty Unit Charge Per Extension 1 00 48 1000 ECH EL-R OR RM 1-4 ALT CIRCUITS 48 10 (j) - G Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48 10 48 10 00 00 Plan Check Total 00 .00 00 .00 Grand Total 48 10 48 10 00 00 [ q r~: ~ COMMENTS! ACTION NEEDED \ ELECfRICAL PERMIT INSPECfION RECORD 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 IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO I1ITC'H lH U IC';'I-I.lN / COVER ShK V lCh J4Tl\T Ii T I~ 11..- Ob -Jdj.T GENERAL COMMENTS: PW-lI02 U (4196) ELECTRICAL WORK PERMIT APPLICATIQN Electrical contractor name License number Date Expires Installation description 1:1 Commercial ~eSidential o New )( Altered! Addition Job wired by o Electrical Contractor J!,Owner Purchas.er's mailing address City State ZIP )fJt'~-u,'('t:. 00JIQ'je.. fe) ,'is f)dJn ~) NlJ<-i t- . f(ew; r e &iJ-h f'Wl)fVJ +0 ,'+'5 otDf1 e; ru fktri tV 6a.ek. pYch J.'C)A-t Rt'IL);te .+0 0ri!.,~ ~ kH(..het1 &x.d--e-r J? I t-L"1S -+0 / ~ . Telephone number FAX number Premises owner's name !fa r I ,(" ~ JVlfii/e If Address of inspectiorl 1:::11 ~-L 8'/ D WtJ ,~i 5 ,Yv C"t I '-j){)('"T IInCJe..Ie. s J W A. qf?:?F,:).. Phone number to schedule inspection: -194> r' rJ2 3-8& ...cJ. 0 Owner as defined by RCIV./9.28.261:(I) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale. rent or lease. After reading the above statement, r hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature tractor or electrical administrator o Cash 0 Check # o Credit Card Card # VIsa Mastercard Discover x {, Date: /, II - ot Expiration Date of card Electrical Load Additions a D NO LOAD CHANGES D Baseboard KW o Furnace KW o Heat Pump Ton LAA D Fan-Wall KW ti ns Service Information o Overhead Service o Temp Service o Underground Service Voltage Phase D 1 D 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE Dale Approved By Dale Approved By ,,- DITCH FEEDER "- Date Approved By "- Dale Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspcctor /! (/; iL. , ffL;( ) I Dale Approved By FINAL -1, ~ Approved By '""" . CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . .. . INSPECTION REPORT. . . . . . . . . " REQUEST: ~O';'-~ Date ~~ ", Time <f : '1 S- fJ<A.- Received by iJe.'lV\.' '::, L (phone. person) Location of Work to be inspected 'if to t1J. S- ~ s +-. Name of person requesting inspection 0<-",-"" ,'5 G... Address of person'reqUesting inspection ~ rf tiLLrJ2. l'7 'f-!$ Type of Inspection (circle appropriate one): Phone No. "'" '7 -'f&<{"\ Sewer Foundation Framing Chimney Plumbing Final Permit No. Sewer Excav. Oth~A.+e~ INSPECTION NOTES: Inspected: Date 10--3 -Of, Time e; CD PI-V\.. By f)eo'loA.~C; ~. Remarks: ;<eVl.;cJ".A ~J( c.€- I ;'v<...e.- .{:-.ro........ V"'-A.~''^- 'i<:l ~"'-1"- w,r+k. '3/../" P-r=.. a.....-.d. r-e.t? t"ce.d.. ~er x..tf-<2.f. , RESTORATION REQUiRED...... YES NO X {-, .C V) tq ~i-~ :S -t- . , lAJ . , 0(J; ~ ( , , . g"AL. 1< I G)I..( l . <l z:z: ().u-P \) V1 0 if) '5' SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Repaired by City D Repaired by Permittee o No Damage Found o Asphalt 0 PCC 0 Other Work Order # 303'-((., - 2'2.'9 o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) !;:T.REE.T.!;:' JPI'RINT.I'NnI"'" InA:T.~'