HomeMy WebLinkAbout508 W Lauridsen Blvd - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PERMIT NO:
13773
ISSUED: 10/11/2002
PROPERTY LOCATION
508 LAURIDSEN BLVD W
Lot: 1-4
Block: 2 0 Long Legal
Subdivision: FOGARTY & DOLAN'S ADDNT.
Parcel No: 063009520200000
OWNER/APPLICANT
PATRICIA ROBLE
1305 E WHITE CREEK DR.
Port Angeles, WA 98362
360/000-0000
T:
S:
CONTRACTOR
DIAMOND CONSTRUCTION
9141 OLD OLYMPIC HWY
SEQUIM, WA 98382
360/683-2257
ARCHITECT
N/A
, 98360-0000
360/000-0000
PROJECT INFO
Project Value: $500.00
Project Type: DRYWELL
Occupancy Type:
Occupancy Group:
Construction Type:
Zoning Use:
SFD Units:
SFD SQ FT:
o
o
Commercial:
Industrial:
Garage:
o
o
o
MFD Units:
MFD SQ FT:
o
o
PROJECT NOTES
INSTALL DOWN SPOUT DRAINS AND CURTAIN DRAIN
RECEIPT#9810
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$23.50
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Mise Fee 1:
Mise Fee 2:
Mise Fee 3:
$0.00
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
$28.00
$28.00
$0.00
Separate Permits are required foreiectrical 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 an rdinances governing this type of work will be compiied with whether specified herein or not. The granting of a permit does not
presum give a hority to violate or cancel the provisions of any state or local law reguiating construction or the performance of
cons ti n.
Signature of Owner (if owner is builder)
T:\PLANNING\FORMS\IIOZ.15 [4/2002]
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Date
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 A T JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAiNAGE
ELECTRICAL (LIGHT DEPT) SEP ARA IE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I
CEILING T I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
I-BAR
INSULATION
SLAB I I
WALL I FLOOR (CEILING I T I
MECHANICAL
HEAT PUMP
WOOD STOVE I PELLET / CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARA IE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARA IE PERMJT #'5 SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417A735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PWI CONSTRUCTION. R.W.
ENGINEERJNG/ 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 It) -/T- 0"2- k--'J/ BUILDING
T:\PLANNrNG\FORM$\II02.15 [4/2002]
. . . . .
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT . . . . . .
REQUEST:
Date ~O- t (- C)~
Time
Received by
I?\J
(phone. person)
Location of Work to be inspected :)~6e {}J
Name of person requesting inspection ~
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
/NJ-u.V'd~ ~~ '^
~85~Z2S--'
Phone No'- ~
Permit No.
t \ 1\ ,
Sewer Excav. Other Ci-IV'"nu ~h'().'V\
holJ->\A s,ocu. 1-:5
INSPECTION NOTES:
Inspected: Date /0 - / /- Q Z
Remarks:
Time
By
RL/
RESTORATION REQUIRED."... YES NO
-----
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 pcc
o Other
[] Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Installed By:
SCJ8 Nr
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ELECTRICAL PERMIT
c:... t1-C-t(2 ic!sC -1
PERMIT NO. 917 Y
t; 1..2 2/173
I /
DATE
Site Address:
Owner/Business:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Owner/Business Address:
Sq. Ft.
---
Lc( RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW
o FAN/WALL KW _
o HEAT PUMP KW
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
~ SPECIAL EQUIPMENT
r (LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
Delails/Description:
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ZeYvtE{;
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.
.--1tfi1A ~ Rough-in/cover O.K.
o O. K. to connect service
.~1J Final O.K.
"
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Installer:
t!.4&vods VvI-
~.
New Meters
Site Address:
,)0& W,
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.
,
Notify Port Angeles 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 Buildi~Permit. PHONE 457-0411, EXT. 224. ..{/
------Pnl NO OCCUPANCY OR USEESTABLlSHED UNDER THIS PERMIT $ /I -30 ,!O
Electricall~spector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
.
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. )//.3/
DATE .5k~3
, ,
Site Address:
sve tv,
7~
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Owner/Business Address:
'1"l RESIDENTIAL
(O COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o READY FOR
INSPECTION
_ license Number:
Phone:
Sq. Ft.
o TEMPORARY SERVICE
~ PERMANENT SERVICE
),"! NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o
frsct<!-
o OVERHEAD SERVICE
lUNDERGROUN~S~ICE
V LTAGE: I=-,UI
SINGLE PHASE
o THREE PHASE.......-; ~
SERVICE SIZE ,<".;::zS AMPS
DetailslDescription:
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~
11.
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7& in- / /.k-I 3("t) -<tV
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
Notify Port Angeles 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
Installer:
s-O:f (A,),
T~
L,Y'/-<<..erc/:s &'\
.;fu0
permltf~;'J i
New Meters
.~
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,;;)00-
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPJt; PRINTERS INC.
Permit Fee
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Site Address:
Installed By:
Owner/Business:
OwnerfBusiness Address:
o .RESIDENTIAl
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
Details/Description:
PERMIT NO. 'JI017
DATE .s II 2/9' J
, /
ELECTRICAL PERMIT
o READY FOR
INSPECTION
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
.~. TEMPORARY SERVICE
)fr PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
(!)~~4J
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
~ OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
~
.
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection 0. K.
o Rough-in/cover O.K.
~ O.K. to connect service
o Final OK
Sile Address:
Notify Port Angeles 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 Buil~ Permit. PHONE 457-0411, EXT. 224. &0
.~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ;::::) () -
Electrical Inspector Permit Fee
.
OLYMPIC PRINTERS INC