HomeMy WebLinkAbout210 S Race St - Building
r:/pORT""",
t~':~
r..a
1!0 --
~~
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
03-00000531
210 S RACE ST BLDG
0630007701000000
ELECTRICAL ONLY
Date 5/30/03
o
Owner
Contractor
CHURCH OF THE NAZARENE
PO BOX 2086
PORT ,ANGELES WA 983620378
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expirat,ion Date
ELECTRICAL ALTER COMMERCIAL
ELECTRIC SERVICE
75.00 Plan Check Fee
5/30/03 Valuation
11/26/03
.00
o
Qty Unit Charge Per
1.00 59.4000 ECH EL-COMM ALT <5 CIRCUITS
3.00 5.2000 ECH EL-COMM ALT-ADDTNL CIRCUITS
Extension
59.40
15.60
~
"'"
\)
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
~
~
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.
Date
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
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 NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: II
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
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT II's:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT II'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 5121o? .1,0 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:\PLANNING\FORMS\1102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000342 Date 3/31/03
Property Address ...... 210 S RACE ST BLDG
ASSESSOR PARCEL NUMBER: 0630007701000000
Application description . . . CO~W REMODEL
Property Zoning .......
Application valuation .... 24921
(360) 452-3155
...... Str~cture Information ADD ADA DATE ROOMS .....
Occupancy Type ...... ASSEMBLY <300 W/O STAGE
Additional desc . .
Issue Date .... 3/31/03 Valuation .... 24921'
Expiration Date . . 9/27/03
Qty Unit Charge Per Extension
............................................................................AdditionalPermit ...... desc . . MECHANICAL PEP~4IT
Per. it Fee .... 68.75 Plan Check Fee . . .00
Issue Date .... 3/31/03 Valuation .... 0
Expiration Date . . 9/27/03
Qty Unit Charge Per Extension
Permit ...... PLUMBING PERMIT
Additional
desc
Issue Date .... 3/31/03 Valuation .... 0
Separate Permits are required for e~sctrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within f 80 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
ntract Auth ed Agent Date Signature of Owner (if owner is builder) Date
T:\PI,ANNING\FORMS\ I 10~,15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~-- ~-- 7'-~ Time Received by /~ ~// (phone, person)
Location of Work to be inspected_ ~/~ ~d~ ~,~ ~
Name of person requesting inspection ~/~// F~
/
Address of person requesting inspection Phone No.
Permit No.
Type of Inspection (circle appropriate one~
Sewer Foundation Framing Chimne~ Plumbing ~inal Sewer Excav. Other
~NSPECT~ON NOTE~ / ~~~ ~
Inspected: Date ~~ Time ~ By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel ~-]Asphalt []PCC []Other
~-} Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
~--I No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
~/ 1/\
FRX NO. : 4526424
Rpr. 16 2003 08:48RM Pi
ELECTRICAL PERMIT APPL/CA TION
Th€' Elec~r?cai Pem:i! Af:pll::ation must be fillS:! our comoler8lv.
i~ll~ 1~;-'l:)nA: I ~I', i',"1 \
(1,llc'k.~, __..
.~'"rr.-,,' .<
l"':""\~'/""(",1_.__ _..
DJI' 1\",,,,, m.. ____..
Please type or reprint i" ink. II )'I~U ns\l'o any Ql.l8stiotlS, please call (360. 417-4735
Fax number: (360) 417-4711
.:tLS.3 /
'?~.,....
REQUESi INSPECTION :.J
P,"c.e: L.t5:J.- ~.J-l2't Fax: ~52- &'<-7'"1. 'I
Phone; .:;,'7 - 'I ~'!.7
Zip: C\ O?i, -.
~
'r- ~Ec..""" J )
l..icElnsc #: ~ I ~ 'J t"J n<I E;.;p; q. 1""< 05'"
City pod" I4n~"r"
u
::O,ElECTRICAl CONTRACTOR
A rH.u.- ~lX.p
SlJJin~ Address; 8:L rh~~, VE1~l RJ
CredIt Card Number: I ./
Owr,er or Else:. Cont}actor Agent: €lOll * r I ~ -" ~ Vl~'. '1l1L.--
PrOper1YOwc.er; ;~ ~R ~(,L~~~_
Address: . "6'''<0 [. "2-~ City:
Electrical Contr;JC1or: J= b~ J ,.. )~ u _\0 rv i of .l,l) .Jj, &
Adare.s: 8'1- O....e.,,)... VClII~ ~
iNSTALLATION WIRED 8Y: == OWNER
Fhone; L.j'i ;; ~"
Zip; 9l<.? ~-;
Credit. Card Holder Name:
Por + An&oL<<
Zip:
9,,;: 3 f,:
Clry:
Exp. Date:
VISA:_MC:_
PROJECT ADDRESS:
~:~ ~ ?_n~
TYPE OF WORK: Check s.!J that apply: :::J New
[j Residental ::::; Multi-family ~rcia;'
~/O .5 J<'kL
(5 LD (;
:::J Alteration/Addition
:~ MObile Home
Sq. Ft
::::; Remote Meter fJ Detached garage c::: Hot Tub [J Swim POol CJ Septic Pump U Low Voltage '::J Telecom. 0 SI
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT:
t5~
.$ 75
E>O
, -5
+s.
c:.l/e_
IN t~"L "/R=€-l(o\ff
Sorvice JnfOrmation~ e... '57 /I~ 7<" -
f
Voltage:
F'nase: 8 1 :....; 3
Service Si2:e: _'....
Feeder Size:
Electrica/Heat Load Additions
o Baseboard
[; Furnace
::: H~al Pump
:".~ Fan.Wall
_KW
_KW
_KW
_KW
CJ Overh,'ad SeNice
= Temp Service
:; Underpound Sel'\lice
PAMC 14.05.060(8): Far ind"Slrial, comm~rcial, &. residential projects larger than a duplex. a one - line draWing Of Ihe Electrical Service &
Feeders. building .ize (sq. fl.). load calculations, and the type 801 conductors and/or raceway is required and shall accompany Ih.
Eiectrical Permit applicalion.
I hereby certify that I ha~e read and examined this application and know that same to betrlJe and correct, and I 81
authorized to appiy for this permit. IlJnderstand it is not the City's legal responSibility to determine what permits
are reqlJlred; it remains the applicants responsibility to determine what permits are reqlJired and to obtain such.
<:/,,-/.3 A/- 0/0- ;;.Z:HO':":::'Mf::L~ ~.
Owner or Elec. Cont. SIgnature: _ __
PW.9019
{)A... C. 0-.. ~lt./os
Date:
6'l
Date:
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~//--/43 ~-- O--~ Time Received by /~'~/ (phone, person)
Location of Work to be inspected
Name of person requesting inspection ~u% ~ O
Address of person requesting inspection Phone No.
Permit No. ~4//~_
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimn~<;P_~u~bi,ng'~ Final Sewer Excav. Other
INSPECTION NOTES: ~
Inspected: Date ~'- //'- (~J---~> Time By /~
Remarks:.
D/{
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)
FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION Dater,s.:
Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved:
COMPLETE to be accepted for review. If you have any questions, call
{360) 417-4815 Date Issued:
Applicant or Agent: (~,1:~-OD ~-~¥,,~j~rbll,,{;Dla 2'u~(. Phone: q~-JJ~ ~-~[[~
~11
O~er: of ~q No2 ~ Phone: ~ ' q~3~
Address: ~ ~$+ ~4 CiW: ~ ~ Zip: ~
~chitectmn~neer: ~_ A ~ ~D~one:
Con~actor~D G~ ~kC State License ~:O~Exp: ~-~ Phone: ~'~l~
Address: 7q ~q~,(~ ~ ~ Ci~: P0~{ ~ ~ ~*~ Zip: ~2
LEG~ DESC~TION: Lot: Block: Subdivision:
CL~L~ CO~Y PARCEL ~BER:
Credit Card Holder Name:
Billing Address: City:
Credit CardType VISA MC __ # Exp. Date:
TYPE OF WORK: SIZE/VALUATION:
[] Residential [] New Consh'. [] Re-roof El Stove SF. ~ $_ /SF. = $
D Multi-family [] Addition [] Move [] Garage SF. ~ $. /SF. = $
[] Commercial ~8~ Remodel [] Demolition E] Deck SF. ~ $. /SF. = $
[] Repair [] Sign [] Other TOTAL VALUATION $
BRIEF DESCRIPTION OF THE PROJECT:
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: ~ Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft.
Existing lot coverage % & Proposed lot coverage % -- Total lot coverage. %
APPROVALS:
PLANNING USE ONLY: PLAN: __
BLDG:
DPWU:
FIRE:
ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other:
OTHER:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with infomaation 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 pernUt 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 application and construction plans are
submitled. All other penmt fees are due at the time of pemUt issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date ofapplicatinn, 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 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 tha~ I must obtain such permits prior to work,
T:XFORMSXAPPS\Buildingpermit.wpd Applicant: ~L~t~... '~ Date: 3--O~k~
Nursery
Janitor Men's
-,J