HomeMy WebLinkAbout902 S K St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000210 Date 3/06/03
Property Address ...... 902 S K ST
ASSESSOR PARCEL NUMBER: 0630000308000000
A~plication description , . . RES MANUFACTURED ~OMR
Property Zoning .......
Application valuation .... 101148
Owner Contractor
FOSTER SHARON OWNER
902 S K ST
PORT ANGELES WA 98362
...... Structure Information NEW 2187 SQ FT MANUFACTURED HOME .....
Additional desc .
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 Ioca~ law regulating construction or the performance of
construction.
Sign~(ure o~on~ractor or A,,thodze~gent ' Date Signature of Owner (if owner is builder) Date
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
INSPECTION TYPE } DATE IyEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
FOR OFFICiAL USE ONLY:
Date Rec.:~
BUILDING PERMIT- APPLICATION Permit#:
Date Issued:
The Building Permit Application must be filled out completely.
Please type or print in ink. If you have any questions, please call 417~815 ~~ I~
Applic~tor~: '~A" ~ LL Phone: ,Td~
~chitec~ngineer: ~d~ ~ ,'~ ~ ~ ~&~. Phone: OI 7-3,50/
License g: C~C I* O~p Exp: 0 -x ff ~ 0 ~ Phone: ¢ ,~,~-g 7 q j
Contractor C~f F~ C0 6i~ c
LEGAL DESC~PTION: Lot: 1~ ~ Block: Subdivision:
CL~L~ COUNTY P~CEL N~BER: ~ ~ ODbO ~b3fiO Credit Card Holder Name:
Billing Address: City:_
Credit Card ~: Exp. Date: ~SA MC
T~E OF WO~: S~W~UATION:
~ Residential ~ New Consm ~ Re-roof ~ Wood-stove ~ } ~ SF ~ $ ~ ~ ~ B/SF. =$ I 01.
~ Multi-h~ly ~ Addition ~ Move ~ G~age SF. ~ $ /SF. = $
o Co~ercial o Remodel ~ Demolition O Deck SF. ~ $. /SF. = $
~ Repak ~ Sign U ~ ~ TOTAL VALUATION $ J ~ ~&
B~FDESCmPTIONOFTHEPRO~CT: ~ /* ~c' ~ ~ff .5~ O ~ ~,'T
COMMERCI~SIDENTI~: Occupancy Group: Occupant Load: Commotion T~e:.
No. of Stohes: ] LotS~e: /bb.X JO0 % Lot Coverage: ]~, ~ %
E~sting Lot Coverage: 0 /sq. fl. + Proposed Lot Coverage: ~ ] 87 /sq. a. = TOTAL LOT COVE~GE: -~
PLANING USE ONLY: ~PROV~S: PL~
Notes: BLDG.
DPW
ES~etland(s): ~ Yes m No SEPA Chec~ist required? ~ Yes ~ No O~er: OT~ER
BUILDING PE~IT APPLICATION SUBMIIT~: Your application and site plan must be filled out completely to be accepted for
revi~. ~e Bmld~g Division c~ provide you wi~ more detailed i~omtion on ~e application and pl~ subtotal requkements. Your
completed application, site plan (for additions) and buil~ng com~ction plans are to be subdued to the Building Division.
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: Your plan check fee is due at the hme the building penmt application and consn'uction plans are submitted. All other
permit fees are due at the time of permit issuance.,
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by thc applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can bc extended more than once.
I hereby certify that I have read and examined this application and kno/~/e same to be true and correct, and I am authorized to apply for
this permit. I understand it is not the City's legal responsibility tol~qetermine' ' what permits are required; it remains the applicant's
responsibility to determine what permits are required and to obtain s~//
Applicant??~~4~L~ '~ Date:
T:\FORM S~APPSXBuildingpermit
DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION
APPLICANT: ~ ~ ~1 '~ ~ ~/~J FL~'-~-~. PHONE: ~,
PROJECT/DEVELOPMENTADDRESS: ~ ~ ~ T ~ 7
See Page 4 for instructions on completing the site plan. For mo~ information, call 417-4815.
CITY OF PORT ANGELES
321 E. Fifth Street
Port Angeles, WA 98362
(36O) 457-0411
i
,I
pOm:AN ELES
W A S H ] N G T O N, U. S. A.
PUBLIC WORKS & UTILITIES DEPARTMENT
Febmary 25, 2003'
Sharron Foster
1026 Georgiana
Port Angeles, WA 98362
SUBJECT: Underground power line extension to 902 S. K St.
Dear Ms. Foster:
The estimated cost to extend primary power underground to the alley between 9th and 10th
Streets on "K" Street is $5,572.97. This estimate is good for 180 days.
Because secondary power is in place to serve 903 S "K" Street, the existing conduit from 10
to the comer of 903 "K" Street will be used.
You will be responsible for the following:
1. Surveying and staking of the southerly property line of your lot and bringing
the area to final grade.
2. Providing a trench four (4) feet deep fi.om final grade, 24 inches wide
minimum, approximately 120 feet long fi.om the southwesterly comer of 903 S
"K" Street to the southwesterly comer of your lot. The trench must meet the
requirements of WAC Chapter 2956-155N Excavation Trenching and
Shoring. All excavated materials shall be placed no closer than two (2) feet
from the edge of the excavation and any excavation over four (4) feet in depth
will require shoring. Your service wire, TV and telephone may go in this
trench.
3. Excavation for the 44 inch by 32 inch by 36 inch concrete vault.
4. Coordination with Qwest Communications and Northland Cable TV for
installation of their facilities. They may share a trench with the electrical
equipment.
321 EAST FIFTH STREET · P. O. BOX ! ~50 · PORT ANGELES, WA 98362-0217
PHONE 360-417-4805 · FAX: 360-417-4542 · TTY: 360-417-4645
E-MAIL PU BWO R KS~Cl .PORT-ANGELES.WA. U S
5. Installation and future maintenance of the underground wire in conduct fi.om
the transformer/pedestal to your meter base.
6. Required permits: electrical permit and "digging in right-of-way" permit.
7. An authorizing signature below and payment of the estimated mount of
$5,572.97.
The City will be responsible for the following:
1. Providing and installing the conduit, vault, pedestal and padmount transformer.
2. Providing, installing and terminating the primary cable from 10B Street in the
existing conduit.
If the cost of construction exceeds the estimate, there will be no further billing. If the final
cost is less than the estimate, the difference will be refunded to you.
When future customers take service fi.om the new facilities, you or the current owner will be
reimbursed a proportionate amount of the original cost if the connection is made within seven
(7) years of the installation.
Construction will be in approximately five to six weeks after completion of the above items
and receipt of the estimated amount of $5,572.97. Tiffs time is required by Engineering to
complete the work-order and for Operations to order material and schedule construction.
If you have any questions or concerns, please feel flee to contact me at 417- 4708.
Very truly yours,
Gail McLain
Electrical Engineering Specialist
/
Authorizing Signature Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date O~i/~/~/~_/3 ~<~ Time ~/'.' '3 ~_~ ~/~J~ Received by q~-'~ ~-
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer('~oun~ Framing Chimney Plumbing Final Sewer Excav. Other
Inspected: Date ~ -~ ~-~'~ _Time ~ -~/Ov~'~ By
Remarks: /~/~'/-~ /~o,,~ ~//o~
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt ~PCC []Other
[] Repaired by City Work Order #
I--] Repaired by Permittee [] COMPLETE
[--I No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES /
/
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ,'~'- ~ - o ~ Time ?.! O 5 Received by / (p person)
Location of Work to be inspected ~ ~--
Name of person requesting inspection ,_~/?~.,
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. bio ; ~,~
Sewer Foundation Framing Chimney Plumbing/F<lh~l~SewerExcav. Other
INSPECTION NOTES: y~_
Inspected:Date ~!~iO~ Time
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel r~Asphalt r-]PCC [~Other
[] Repaired by City Work Order #
[-] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date d-P~/~-')/~'~'/ Time / C~ ,t.~_~ Receiv e d b y~_.~--~/~ ~,~_~.. (~ph~one'~, arson)
Location of Work ,o be inspected ?~ ~ ~.~' '~" '~
Name of person requesting inspection
Address of person requesting inspection Phone No. ~.~
Type o~ Inspection ~ircle appropriate one): Permit No.
Sew~ Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INS~
Inspected: Date Y'~-~-~ ~ Time By ~//
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel I~Asphalt [~]PCC [~Other.
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
If 90Rt A-1r.
li~o~4-~
~
... -=...
~
~~
CITY OF PORT ANGELES
DEP ARTMENT OF COMMuNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
03-00000385
902 S K ST
0630000308000000
RES DETACHED GARAGE
Date 4/10/03
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property Zoning . . .
Application valuation
8650
Owner
Contractor
FOSTER SHARON
902 S K ST
PORT ANGELES
ROBERTO LOPEZ
212 SANFORD LANE
SEQUIM
(360) 582-1299
576 SF'DETACHED GARAGE
TYPE V NON-RATED
GARAGES, CARPORTS, SHEDS
NUMBER OF UNITS
WA 98362
WA 98382
Structure Information
Construction Type
Occupancy Type . . . . .
Other struct info . . . .
1-.00-
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 190.75 Plan Check Fee
Issue Date 4/10/03 Valuation
Expiration Date 10/07/03
Qty Unit Charge Per
BASE FEE
7.00 14.0000 THOU BL-2001-25K (14 PER K)
76.30
8650
Extension
92.75
98.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 190.75 190.75 .00 .00
Plan Check Total 76.30 76.30 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 271.55 271.55 .00 .00
~
-Q
~
?
- - -
tA
0
,
-;
X
-
-
~
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 c~nstruction 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}now the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether pecified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state 0 local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
~
Signature of Owner (if ~er is builder)
Date
T \PLANN1NG\FORMS\II02 15 (4/2002]
{/IO a3
Date
BUILl)ING PERMIT INSPECTION RECORD
~.
CALL 417-4815 FOR Bl)ILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS l1NLAWFUL 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
,~ r~.""~' INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
\ - - - 1)1' r' 1/-30-03 Ok.
FOUNDATION: ~/VV
"'
FOO'fINGS (/ -
WALLS
FOUNDATION DRAINAGE
ELECTRICAL {LIGHT DEPTj SEPARATE PERMIT: #
ROUGH-IN 1
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 'I 1
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. SEP AKA TE PERMIT #'s SEPA
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
= FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
=
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEI'TED
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 lit? I()o., In,'" Li~ BUILDING
T:\PLANNING\FORMS\1102 15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date (96 -o~-D,3 Time II'/~
I (
Received by .::?;/-'~ e7 personl
l' "
~Ot. SO [<-
S, > h9r? ~~fo r
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. 9-10
Sewer Foundation Framing Chimney Plumbin~~:er Excav. Other
INSPECTION NOTES: ~-erro-~
Inspected: Date
Remarks:
Time
By
O\v
RESTORATION REQUIRED . . . . .. YES
~ VL-wl-...c/L -S -:- 7 d .-0 L.,
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
IDA TEl
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date y -:~ D-D3
/'
Time
Received by
RiJ
(phone, person)
Location of Work to be inspected ---9 02 S6
Name of person requesting inspection
Address of person requesting inspection
Type of Ins . n (circle appropriate one):
Chimney Plumbing
kS;,
Phone No.
Permit No. 385
Final Sewer Excav. Other
INS
Inspected: Date
Remarks:
Time
By
Rv
()j~
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel 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 SLJPERINTFNDFNT
fDATEI
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
Date Rec ~- Z' - <:I.:s
Pennlt# 38=S-
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
Date Approved
Date Issued
Apphcant or Agent:
Owner: :5It.4-K/~_I70 ?"OSreK
Address: q t) 2. t< SIlt! e t:../
Phone:
Phone:
CIty: ,ot:r;- r An; 1 ~.e 'S" ZIp: 9113 6 2-
Archltect/EnAneer: Phone:
Contractor 1(0 !Jete 1"0 Lt; f e "Z- State LIcense #:Loft<. Z e..o.tf"tl>B '!Exp: () (Iz:z!~
Address: '2.("'2- SANFORd 1-4AJe. CIty:J€f(,L("4
PROJECT ADDRESS: <t 0 '2-- 1(. SteeeT
LeOAL I;>ESCRIPTION: Lot:b-'S .' f Z. Block:.."3 oB SubdIvIsion:
" . CLALLAM COUNTY PARCEL NUMBER: DbSDcx::t::J3D ~ODoCt:>O
. - I. : ~ I
PhoneJ6t' ~8'1-1299
ZIp: 9'$ 3 ~ 1.-
R~- rr
ZONING:
,FA
'_ .,~ ,4
" \ 1
.C....e~it-C.ar~.Holder Name:' ~ '~':',~'<;';"" ...: ~':"~- """:','
',' ....J!iJJtl!g,!.\.d~ress: ,; .:; ;', ~',:!,City: ":~':'" ~.,,' .. '
.' Credit,CardType VISA MC" #' . :.,- ,j ,':', '. ,'.':' 'ExP!,Dat~:/~' ~ .
..., :':'iVPE'OF'WORK: '- -~ :.. , ":'^ -~. ... ..... .:'f",':t"..d,' ,. SIZEN ALUATION: 2.,;....; '.' ':". ":; ...... ~c
..;,;~.,:"E1'.R,es~qent]~L ,CV'N~~~Qn~t:r.." q ~~;rQ.Qt~'.~.,.....q'Stpye~";."~",~:,, 2..-'-(' '~s.f..,@$, I, '''/SF.;:=,.$:B,(O$2>..,
'" 0 M~ltI"f~ly C? Addl~cin: : 0 Move ," '4Y"G'anige, ,', " ,.; ,,',' SF. @ $ , .' ': . ISH. =; $ -' .' v; ,-
'..... "'[}',Colnmercial 0, Remodel~-, :,.,' EJ "DemohtlOn,'~','-o"TI>eck..' h:', :-"" '-- '-".~F"@ $'~" ~';...~,-i~ -/SF: ~'$"<: !- <'~. '. . ~_ " .
.., . .. , ... j r
, ~ "_....:'"..-~...,,: ~.~ep.a.1r~,;~_,___::.~_.~i~; .~:.~.>-"'.FLQ!her , >':_1'~rAL'Y~I:.RArtQN..~......$ ~ . . _ .. .. ", ~,_
BRIEF DESCRIPTION OF THE PROJECT:' '; '. i;,,o':/...,'>, .~.-:. ;'/ (,,' :"')~ Jf!/ 7:~--; ,r. .~"-: ,',. .;: ' ..,. ~_:-, . ~: <' ': '.
, ~ ~':~'ii -~" if .i.:fi<;~~ '; ~A' ':;W;.r~" ';. " 5 76 - " ..". "~", <' ,,. .!......' . . '" ..' ~ .. , -..
I . ~ \ ~.. .,~ ~"."'''' ,.._.",~...".~.
... .. "(;-6MMERCIAL/RESIriENTI~:&~j;~iI-cy G~9uP;': .; Occupant Load.' ConstriIdion,:ype:
"No: of Stories: --L- Lot ~;":e: !(}P 1/110 EXlstmg Sq:,Ft. ~(~ & Proposed Sq. Ft. -S7 ~ = TOTAL Sq.Ft. 27~ 5..
Existmg lot coverage -=-- % & Proposed lot coverage ------.:..% = Total lot coverage /.1 I' 7 %
"' . '"7 ~~-'
.:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESNWetland(s): 0 Yes 0 No SEPA Checkhst requITed? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Bmlding DlVlSlOn can provide you With mfonnatIon on the application and
plan subnuttal requirements If you have questlOns.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. This figure WIll be revIewed
and may be revIsed by the Bmldmg DlVislOn to comply WIth current fee schedules. Contact the Pemut Coordinator at 417 -4815 for assistance. .
PLAN CHECK FEE: IF a plan check fee IS due It must be subnutted at the hme the budding pemut applicatlOn and constructIon plans are
submitted. All other permit fees are due at the time of permit Issuance.
EXPIRATION OF PLAN REVIEW: If no pemut is Issued within 180 days of the date ofapphcahon, the application will expire. The
Budding OffiCIal can extend the time for actIon by the applicant up to 180 days upon wrItten request by the apphcant (see Section 107.4 of
the Dmform Buddmg Code, current edition). No apphcahon can be extended more than once.
()
I hereby certify that I have read and examined this application and know jfle same to be troe and co ct. I am authonzed to apply for this permit and
understand that it is my responsibility to determine what permits are reqyfrdcy;6bt the City'S, and tha must optam such permits pnor to work
/ / ' ~ 2-! 0 5-
T \FORMS\APPS\Bulldmgpennlt wpd APPhint. Date: I...,}-- - :J
.. ~. ..
DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION -
APPLICANT:
PROJECT/DEVELOPMENT ADDRESS:
S P 4ft' t f If th it I ~
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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
03-00000503
902 S K ST
0630000308000000
ELECTRICAL ONLY
Date 5/27/03
o
Owner
Contractor
FOSTER SHARON
902 S K ST
PORT ,ANGELES
OWNER
WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
EL-DETACHED GARAGE
46.70 Plan Check Fee
5/27/03 Valuation
11/23/03
.00
o
Qty Unit Charge Per
1.00 46.7000 ECH EL-R-OUTBD/DTCH GAR SEP
Extension
46.70
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00
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 applicftion and .know'th~ same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied iNiJh\wl;)~the[~sr;jeclfi~ l'lE~rein 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 IPLANNlNGIFORMSIl102 15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 4 17 -48 I 5 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
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INSPECTION TYPE DATE ACCEPTED COMMENTS
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
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 DlVlslOn) 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 sf".,j/) 3 AeL) 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
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T \PLANNING\FORMS\1102 15 [4/2002]
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ELECTRICAL PERMIT APPLICATION
FOR OFFlCIAL USE ONLY
~le/ReI::
PcnIIiIIt:
Daze Appnlved;
Date luuaI:
The Electrical Permit Application must be filled out comoletelv.
Owner or Elec. Contractor Agent: ~
Property Owner: ~t1~ H~r..e..e:
Address: q~ z-.- 5P If( t"f
Please type or reprint In Ink. If you have any questions, please call (360. 417-4135
Fax number; (360) 417-4111
.3'~ '?.r#-~!~ cuK.
Phone: ~bSbSI,,~9 Fax:
#"503
Phone:
City:
~H/ Atv'fNe..s
Zip: ~ /J!.3
Electrical Contractor:
Address: ~..e
Ucense #:
Exp:
Phone:
City:
Zip:
INSTALLATION WIRED BY: ~NER 0 ELECTRICAL CONTRACTOR
Credit Card Holder Name: &I;tttetf!d J?:rr-e?/e
Billing Address: ~.e City:
Credit Card Number: ' Exp. Date:
Zip:
VISA: VMC:
PROJECT ADDRESS:
~~
qtJZ-
S. J::
Sf,
TYPE OF WORK;
~sidental
Check all that apply: I1a1IIew
o MerationlAdd~ion
o Mulli-family
. 0 Commercial
o Mobile Home , Sq. Fl.
o Remote Meter rn-oetached garage 0 Hot Tub 0 Swim Pool 0 ~ptic P,wnp 0 Low Voltage 0 Telecom. 0 :
Number of Circuits added or altered: f '., "
DESCRIPTION OF THE ELECTRICAL PROJECT:
oJ-
Electrical Heat Load Additions
J f 6 ,7 (;:J ,Service Information
PLn1CMW f~~
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
SeNice Size:
Feeder Size:
o 6aseboard
o Fumace
o Heat Pump
o Fan-Wall
_KW
_KW
_KW
_KW
PAMC 14.05.060(6): For industrial, commercial, & residential projects larger than a duplex, a one - line drawing of the Electrical SeNice
Feeders, building size (sq. fl.), load calculations, and the type & of conductors andlor 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
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.
Credit Card Holder's Signature:
Date:
Owner or Elec. Cant., Signature:
Date:
PW-9019
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