HomeMy WebLinkAbout224 1/2 W Lauridsen Blvd - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DWISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000101 Date 3/06/03
Property Address ...... 224 1/2 W LAURIDSEN BLVD
~SESSOR pARCEL NUMBER: 0630095208300000
Tenant nbr, name ...... 2700
Application description . . . RE-ROOF
Property Zoning .......
Application valuation .... 2700
Owner Contractor
CHRISTINA M WESTREM WOOD CONSTRUCTION CO,
10621 WILKINS AVE 334 SUTTER RD.
LOS ANGELES CA 900245817 PORT ANGELES, WA
PORT ANGELES WA 98362
{360} 4~7-6065
...... Structure Information TEAR OFF, SEEET, FELT, METAL ROOFING .....
Construction Type ..... TYPE V NON-~ATED
Occupancy Type ...... SINGLE FAM & CONGREGATES
Permit ...... BUILDING PERMIT - NO PR FEE
Additional desc . . ~
Permit Fee .... 106.75 Plan Check Fee . . .00
Issue Date .... 3/06/03 Valuation .... 2700
Expiration Date . . 9/02/03 ~
Qty Unit Charge Per Extension
BA~E FEE 92.78
1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00
Other Fees ......... STATE SURCHARGE 4.50 ~
Fee summary Charged Paid Credited Due
Permit Fee Total 106.75 106.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00 ~
Gr~d Total 111.25 111.25 .00 .00
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 certif~ that I have read and examined this application and know the same to be true and correct. All provisions of
aws and ordnances governing this type of work w II be comp ed w th whether specif ed herein or not. The grant ng 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
I con.~n ration. ~,
S gnature 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 BU[LD1NG INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCE~4L ANY WOR~ BEFORE INSPECTED AND dCCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE I YEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-1N
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEy
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'a:
WATERLINE / METER
SEWER CONNECTION
SANITARY
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELE'4E:
FINAL INSPECTIONS REQUIRED PR]OR 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 -
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDFNG 41%4815 '~ ~ ¢ ~0"~ t.,,'/ BUILDING
T:\PLANNING\FOEMS\1102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
~ ~////-")~//~ ~'~ Time //; ~ Received byL.~ (..s:)- (phone Pe~_.~
Date
Location of Work to be inspected ~L.~-~,~E_~t /'_J~) ~_ ~_,~,~[-~>,~
Name of person requesting inspection ('"-/~ ~(~'
Address of person requesting inspection Phone No.~
Type of Inspection (circle appropriate one): ~ Permit No. ?~/3 /
Sewer Foundation Framing Chimney Plumbin~Fina}..x~SewerExcav. Other
Inspected: Date -~/~)'~:~--~ Time. By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel ~-]Asphalt []PCC []Other
[] Repaired by City Work Order #
r-I Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
~
.
Site Address:
I:
In'stalled By:
Crmer/Business:
D,wner/Business Address:
o RESIDENTIAL
o COMMERCIAL
0' BASEBOARD KW ~
o I FURNACE KW ~
0: FAN/WALL KW ~
o HEAT PUMP KW ~
o SIGN
DetailslDescription:
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. 5/2. z.0
7/Zt/ff3
. I
DATE
ELECTRICAL PERMIT
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
/l1f'1>u
Phone:
Sq. Ft.
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
~ ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
~~
~~
..J::AJsh9-/1 rY~};, ~
/
.
/
f" ?~r-
I I
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o !Rough-in/cover O.K.
o O.K. to connect service
~t'AFinal O.K.
Notify Port Ang~ City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
---{~
Electrical Inspector
Site Address:
Installer:
.
WHITE - File by address
1.11<<,e /~b'1
Permit/Receipt No.
1zzD
New Meters
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
&4
c30.---
Permit Fee
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYt.!PIC PRINTERS INC.