HomeMy WebLinkAbout1317 E Lauridsen Blvd - Building Building Permit
1317 E Lauridsen Blvd
12- 1267
Prepared 11/27/12,16:05:53 Application Inquiry-(BPN200I001) Page 1
Program HTDFTAL Screen detail for Program: BP BPN200I, Inspection history
User ID PBARTHOL Application 12-00001262
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Property Information
Address: 1317 E LAURIDSEN BLVD
PORT ANGELES, WA 98362
Location ID: 104976
Owner name: DOYLE JERRY L
ASSESSOR PARCEL NUMBER: 06-30-11-5-5-0180-0000-
ALTERNATE ID: 063011550180
Zoning: RS7 RS7 RESDNTL SINGLE FAMILY
Subdivision:
Application Information
Application desc: REMOVE AND REPLACE EXISTING DECK
Application status: COMPLETE
Status Date: 11/01/2012
Application type: RES REPAIR
Application date: 9/26/2012
Valuation: 4800
Square footage: 0
Public building: NO
Reviewed by: PB PAT BARTHOLICK
Pin number: 741524
Entered by: PERMITS
Contractor Information
Contractor Name: ARTISAN CABINETRY & RENOV LLC
Contractor Number: 832
Type: GENERAL
Status: ACTIVE
Contractor Requirements Doc Number Exp Date
------------------------------ --------------- ----------
STATE
-------
STATE LICENSE ARTISCR897N3 8/23/2013
BOND 8/23/2013
LIABILITY INSURANCE 8/23/2013
Outstanding Inspections
Insp Schedule Confirmation Permit Pmt
Type ID Date Number Description Seq Min Max
--- ---- ---------- ------------ -------------- -- ----- -----
No
---
No outstanding inspections exist
Work Description
Code Description Quantity
------ ------------------------- --------
CO Information
CO Issue
Str/seq Date Status Description
------- ---------- ------ --------------------
Str/Seq Permit/Seq Inspection type Insp Seq Inspector Schedule date Results Results date
Confirmation Nbr
000 000 BPR 00 BLDG FINAL 0001 JLL 10/23/2012 AP 10/23/2012
383513
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT-BUILDING DIVISION
r 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 12-00001262 Date 9/26/12
Application pin number . . . 741524
Property Address . . . . . . 1317 E LAURIDSEN BLVD REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-11-5-5-0180-0000-
Application type description RES REPAIR on your state excise tax form
SubProperty
Name . . . . . . to the City of Port Angeles
Pro ert Use s .,I �f
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Local/on Code O$O2)
Application valuation . 4800
-------
Application desc
REMOVE AND REPLACE EXISTING DECK
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DOYLE JERRY L ARTISAN CABINETRY & RENOV LLC
1317 E LAURIDSEN BLVD PO BOX 602
PORT ANGELES WA 983626617 CARLSBORG WA 98324
(360) 417-9227
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT, -RESIDENTIAL .
Additional desc . . REPLACE EXISTING DECK
Permit Fee . . . . 137.75 Plan Check Fee 89.54
Issue Date . . . . 9/26/12 Valuation . . . . 4800
Expiration Date 3/25/13
Qty Unit Charge Per Extension
BASE FEE 95.75
3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00
--------------------------------------- -------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 137.75 137.75 .00' .00
Plan Check Total 89.54 89.54 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 231.79 231.79 .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 has 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 Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 ,
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts +
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-in
Water Line Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts -FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking I Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date . Accepted By `
Electrical 417-4735
Construction- R.W. PW /Engineering 417-4831
Fire 417-4653 v
Planning 417-4750
Building 417-4815
TCnrmc/Q nilriinn Ilivicinn/Rnilrlinn Dormit
THE ORTTGEL�
CITY OFP A
For City Use
W A S
Permit # � ? -� z
H I N G . T O N , U . Q
Received: ?s
321 East 51h Street '
Port Angeles, WA 98362 Date A roved:
P: 360-417-4817 F: 360-417-4711
hcatuzo@cityofpa.us
Building Permit Application
Project Address:
317 L4ub 5CA/
Main Contact: C h, , 1e— � ; i Phone # 34o -(,7o- 9t SG
Property Name �� ( Phone
j
Owner 3(o0 1/57 3 417(0
Mailing Address Email
(30 LA4.41k%'bse^4 �lvd.
State
c it Zip
Contractor Name Phone
Ck 66% C' k ,4,,,, 3(00-
Mailing Address Email
30. D2, 6A�� Ot
City2 ( 1 b Q State, '1
CA Zip ? 3 2- cl
Contractor License # ,J Expiration:
917 Al 3 3- 1 3
Project Valu Zoning: Tax Parcel # Lot#
$ '�11g00, S- 0(o,30 1S4;0 !SO
Type of Residential ❑ Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
For the following,fill out both pages of permit application:
New Construction a Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other P1 V e G K
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No ❑
Project
Description /
I have read and completed the application and know it 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,and to obtain
permits prior to working on projects.I understand the plan review fee is not refundable after review has
occurred.I understand that I will forfeit 20%of the review fee if I cancel or withdraw the application before
plan review has occurred.I understand that if the permit is not issued within 180 days of receipt,the
application will be considered abandoned,and the fees forfeit.
Date PrintNameSignature
Page 1 of 1
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CITY OF PORT ANGELES—Const-tactib;►Ftan3
The Issuance of this permit Msed upon these plans,spezi,i-
catio is and other data sh,il not ri"'?nt the building official
from thereafter requiring the correction of errors in said
plans, specifications and other data, or from preventing
building operations being carried on thereunder when in
viclation of all cedes and or:'i B;fCeS of this jurisdiction
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Approval Date y
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Ledger Connection — When an exterior wall is used to support a deck, it must be attached by a
minimum of two rows of 1/2" minimum diameter galvanized lag screws and washers. They must
penetrate a minimum of 1% inches into a wooden header band or rim joist which must bear directly
on foundation wall or wall framing. Through bolting or other approved alternate fasteners* may be
substituted. If there is no header, band or rim joist, fasteners must connect to the wall framing or
foundation. The lag screws or bolts shall be placed 2" in from the bottom or top of the deck ledgers
and between 2" and 5" in from the ends. The lag screws or bolts shall be staggered from the top to
the bottom along the horizontal run of the deck ledger. The lag screws or bolts must be sized and
spaced to resist both vertical and lateral loads, this connection must be available for inspection; if it is
not, this method of support is not permitted and the deck must be self supported. Existing exterior
coverings (siding) must be removed so that the ledger connects directly to the rim joist or wall
framing. The ledger must be continuously flashed and sealed to prevent water from entering the wall
assembly. Ledgers that attach to cantilevered floor systems must be approved and stamped by a
licensed AK P.E. or be constructed according to an approved listed design, it is the builder's
responsibility to provide these calculations for review.
*Alternate ledger fasteners must be labeled and listed for such use. It is the applicant's
responsibility to provide product documentation that includes installation procedures, spacing
and pattern requirements that apply to the loading values of the deck.
Ledger cut view
Exterior wall covering
must be removed from
Interior wall framing behind ledger and
flashing.
Rim or Ledger flashing
band joist Behind and over
the ledger for full
length t
Deck joist • •
Interior floor joist f °
,:mak
•
Lag
screws screws or
COLoad bearing through
O wall or bolts Exterior wall
foundation. w/washers
Q0— Rim joist must sit Wall framing
directly on load
bearing framing or not shown for
foundation system. clarity
I:\FORMS\BLDGFORM\2006Forms\Residential Deck handout.doc Revised: March 2, 2011
Page 5 of 6
o OR�&Q,
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES,WA 98362 I
`O>
vl
Application Number 07 00000605 Date 5/29/07
Application pin number 792710
Property Address 1317 E LAURIDSEN BLVD
ASSESSOR PARCEL NUMBER 06 30 11 5 5 0180 0000
Tenant nbr name JERRY DOYLE
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 4700
Owner Contractor
DOYLE JERRY L LARRY S ROOFING
1317 E LAURIDSEN BLVD 352 AVIS ST
PORT ANGELES WA 983626617 PORT ANGELES
PORT ANGELES WA 98362
(360) 452 2215
Permit BUILDING PERMIT NO PR FEE
Additional desc REMOVE & INSTALL ROOFING
Permit pin number 103002
Permit Fee 137 75 Plan Check Fee 00
Issue Date 5/29/07 Valuation 4700 .---
Expiration Date 11/25/07 (�
Qty Unit Charge Per Extension
BASE FEE 95 75
3 00 14 0000 THOU BL-2001 25K (14 PER K) 42 00
Other Fees STATE SURCHARGE 4 50 l `1
Fee summary Charged Paid Credited Due
Permit Fee Total 137 75 137 75 00 00
Plan Check Total 00 00 00 00 I
Other Fee Total 4 50 4 50 00 00
Grand Total 142 25 142 25 00 00 \ / C�-
Q J
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 1 here ify that I have read and examined this application and know the same to be true and correct. All provisions of li
laws and ordinances gov ruing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume give th ri to violate or cancel the provisions of any state or local law regulating construction or the performance of
constructi
S X91_o —h
Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date
T\Policies\1102_15 building permit inspection record05 wpd[1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-451 5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL.INSPECTIONS.
CALL 417-4507 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDES MINI RUM 24 HOUR NOTICE. ITIS UNLAH FUL TO COVER,JAISULATE OR CONCEAL ANI'6i'OPK BEFORE
LA'SPECTE'D 4ND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT.]OB SITE.
INSPECTION TYPE -7 ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS/WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
I
PIERS
POST HOLES(POLE BLDGS.)
PLUMBING
UNDERFLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY.
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
ROUGH-rN
HEAT PUNT/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY.
WOOD STOVE/PELLET/CHIMNEY
MANUFACTURED HOMES
FOOTING/SLAB
BLOCKING&HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT#'s 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 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 V k4kI 1 t T 1 BUILDING
T•\Policies\1102 15 building permit inspection recmd05 wpd[1/4/2005]
ox' .- '4C
SNA '%' fn's FOR OFFICIAL USE ONLY
w
BUILDING PERMIT - APPLICATION Date Rec. —2q—C)
Pennit#'CI— (0 0'
rill out COMPLETELY and in INK.Your application and site plan MUST BE
Date Approved:O5_Zg-07
COMPLETE to be accepted for review If you have any questions,call
PERMITS (360)417-4815 FAX(360)417-4711 Date Issued: OGi-?,I-G
Applicant or Agent: 1 um 4 Phone: ))` "I��
Owner Kc J Phone.`[J� ��to
Address: 211 US I i Cite Zip
Architect/En nlneer• Phone: 1,'
Contractor ��� S �� State License#• '011 Exp Phone:4SZ
CIL
Address:- i_e, Cit • G5 Zip
P
PROJECT ADDRESS "U�1 ZONING
LEGAL DESCRIPTION Lot: Block. Subdivision.
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK. SIZE/VALUATION
A Residential ❑ New Constr ❑ Re-roof ❑ Stove SF @;$ /SF =$
❑ Multi-family ❑ Addition ❑ Move❑ Garage SF @$ /SF =$
❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF @$ /SF =$
❑ Repair ❑ Sign ❑ Other TOTAL VALUATION 1$ 71—m-—
BRIEF DESCRIPTION OF THE, PR CT
COMMERCIAL SIDENTIAL. Occupancy Group Occupant Load. Construction Type
No. of Stones:_ Lot Size: Exlstmg Sq.Ft. &Proposed Sq Ft. =TOTAL Sq Ft.
Total lot coverage %
PLANNING USE ONLY APPROVALS
PLAN
BLDG
DPWU
ESA/Wetland(s) ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other FIRE.
OTHER.
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 application and construction 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,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
R105.3.2 of the International Building/Residential Code,2003). No application can be extended more than once.
I hereby certify that/have read and examined th' lication and know the same to be true and correct. I am authorized to
apply for this permit and understand t it ism resp risibility to determine what permits are required not the City's, and that 1
must obtain such permits prior to work.
T•\F'ORMS\B1dgPermitform.wpd Applicant: Date:
S -o1
i
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION Q
321 EAST 5TH STREET PORT ANGELES,WA 98362
Application Number 03 00000568 Date 6/12/03
Property Address 1317 E LAURIDSEN BLVD
ASSESSOR PARCEL NUMBER 06 30 11 5 5 0180 0000
Application description MECHANICAL PERMIT
Subdivision Name
Property Zoning
Application valuation 7425
Owner Contractor
DOYLE JERRY L ALL WEATHER HEATING & COOLING
1317 E LAURIDSEN BLVD 302KEMP ST
PORT ANGELES WA 983626617 PORT ANGELES WA
PORT ANGELES WA 98362
(360) 452 9813
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 35 30 Plan Check Fee 00
Issue Date 6/12/03 Valuation 0
Expiration Date 12/09/03
Qty Unit Charge Per Extension
1 00 35 3000 EC EL-LOW VOLTAGE 35 30 W
Fee summary Charged Paid Credited Due .�
Permit Fee Total 35 30 35 30 00 00
Plan Check Total 00 00 00 00 A
Grand Total 35 30 35 30 00 00
1
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 typef work will be complied with whether specified herein or not. The granting of a permit does not
presume toAfive authority to violat r cancel the provi ions f any state or local law regulating construction or the performance of
cons Sti
Signatu of Cont ctor Authorized Agent Date Signature of Owner(if owner is builder) Date
T: LANNTNG\ ORMS\I102.15[4/2002)
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 INA 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 #
ROUGH-IN
PLUMBING
UNDERFLOOR/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
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 SEPARATE PERMIT#'s 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 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\l 102.15[4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION
< <_' 321 EAST 5TH STREET, PORT ANGELES,WA 98362
IaV
Application Number . . . . . 03-00000568 Date 6/12/03
Property Address . . . . . . 1317 E LAURIDSEN BLVD
ASSESSOR PARCEL NUMBER: 06-30-11-5-5-0180-0000-
Application description . . . MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Zoning . . . . .
Application valuation . . . . 7425
Owner Contractor
------------------------ --------
DOYLEJERRY L ALL WEATHER, HEATING & COOLING
1317 H LAURIDSEN BLVD 302KEMP ST.
PORT ANGELES WA 983626617 PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 452-9813
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 61.70 Plan Check Fee .00
Issue Date . . . . 6/12/03 Valuation . . . . 0 V
Expiration Date . . 12/09/03
Qty Unit Charge Per Extension
BASE FEE 47.00 �I
1.00 14.7000 ECH ME- INSTALL 100- FAU 14.70
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ---------
Permit Fee Total 61.70 61.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 61.70 61.70 .00 .00
T
S
C�
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permitbecomes
null and void if work or construction authorized is not commenced within 180 days,if construction orwork 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 ordin nces governing this typ f work will be complied with whether specified herein or not. The granting of a permit does not
presume o e auth ity to viol r cancel the provisions of ny state or local law regulating construction or the performance of
cons u 0 .
ignatur f Contr r or Authorized Agent DSte Signature of Owner(if owner is builder) Date
T:\PLANNING\FORMS\1102.15(4/20021
FROM : PLL WEATHER HEATING & COOLING FAX NO. : 360 452 5177 Jun. 09 2003 10:a5AM F1
Dam P,
BUILDING PERMIT - APPLICATION points,.,
Date A"rw4ed:
Dow leered"
Ae Building Permit -Pre-application mug be ftW ertt eomplelely.
Please type or print in inL IIf you ha a any questions jplease call 4174815
Applioaat Agmt: 7t' 16�9 f Phone: L1, 5 ti
Phone: ZJ577-3LIZU
/3�y'_ city: i ryi lqn_�f _ zip:-aL '
AlGhitt�at/En®near Phone:
Contractor / �� W IGi 'tC6� License#:f�'IR✓(�ffCIS6E64lp: 110 Phone:
Adilmm >D z L kn tD S-L City: t�(Yfi F '�vltr'fPs Zip:
I �l t, LciGti�l Set] 01 UUI _ZONING.
LEGAL VZSCRIMOlti: Lor Block: Subdivision:
CLALLAMC01INTY PARCEL NUMMM' Credit Card Holder Name:
111111iL Address; City:
Craft Card/: Exp.Date: VL%&,—MC
TYPE OF WORK: SIZE/VALUATION:
a Residogd o New C)nw. O Rbroof 0 Woodstove SF. @$ /SF.-$
a Multi-litmily a Addition a Move O Garage SF. aQ$ /SF._$
O Commercial a Remodel 0 Demolition O Deck SF.Qa S JSF. -$
o Repair a Sign L0 TOTAL VALUATION S
SAF OCKPOPTION OF THE PROJECT:
COMIylgRC1AIJRE.RIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No.of SOttrics: Lot Size: %Lot Coverage: % .
Existing Lot Coverage: /sq,ft.+Proposed Lot Coverage: /Sq, ft.-TOTAL LOT COVERAGE: /sq.ft
PLANNING USE ONLY: APPROVALS: PLAN
Nota: BLDG
DPW
FIRE
ESA/WodanAs): o Yes O No sEPA Checklist required? O Yes a No Other: OTSER
SUILIMG T'AMi.ICATION SUNbU TAL: Farr apphesdon and site plat seri t be)Wed aid eaasp4hd as be aeamgmedfor
review, The Building Division can provide you with mora detailed information on the application and plan submittal requirements.Your
completed application,site plan(for additions)and building construction plans are to be submitted to the Building Division.
VALUATION OF CONSTRUCTION: Its a0 eases,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 417-0815 for assistance.
PLAN CHECK FEE: Your plan cheek fee is due at the time the building permit application and Construction plans an 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 VVM 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 catofy that I have read and examined this application and brow the same to be true and correct, and I am avAorised so apply for
this permit I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's
responsibility to determine what permits are required and to obtain such.
Applicant CS Date:
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CITY OF PORT ANGELES N0 1 7 8 8 2
LIGHT DEPARTMENT ELECTRICAL PERMIT c
Port Angeles, Washington------- .•.-_ ..----•--------------------------- 19
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby/granted tt000 doc electrical work as listed below.
Address n ` �---- - --_----- -------_---------- Occupancy------- ��----------------------
O wner =tGc_f z_?f------- /a- P --------------- )Te an - -- -- - -
Wiring Contractorn P--7-�z,t�-s.� �? .
�l .... - ------------------------------------
/� ...-_.._..,_ Service, volts .._ .'`. u! Type of Wiring:
Light Outlets.............._.....--.... .....
F // ?
Receptacle Outlets.....A62............... No, wires ......_.:2......................... Armored Cable ..............................
Dryer, KW............e: --------------- --------- Size wires._��.... L.rir/n).1... '6-'` Non•Metallle .................................
�v� ��'�� /7 ........ Knob & Tube................................_
Rnnge,KW----'---'---------------------- Main fuse -----�`-'-'--•-�.''.'-..._.
�
., ---...----' Rigid Conduit ..............................
Water Heater: ,r Enclosure ..............
Metallic Tubing ...........................
KW------------------.SC ... Type of wiring: Raceway
Hear. KW.r,:
FROM : ALL WEATHER HEATING & COOLING FAX NO. 360 452 5177 Jun. 09 2003 10:05AN R1
Dam tts.:c ._ c _O
F� BUILDING PERMIT • APPLICATION Pe*^°to:
Dote Appoved:
Dab Isaiw
77se Building Permit -Pre-applicatton must beJWtd our eotnplelefy.
Please type or print in,ink. �If you have any questions,please call 417-UIS C
Applicant o Agent:
�� YV�r�/ 'cyl� � /d L �)/�/M l J Phone: 5y -IrO G
Owner. Phone:
d'
Addresa: % 1 L-l�Z�tf-,;&1 p g/V city: PWG qijqe(es _ zip: ^�
A=hiteatBn9W Phone:
Contractor / /� w,(oar- License#:E�(l✓GftCIS�Xp: 01o,
Add..' 21 tkP{Li'l12 S L City:�G�Y 1/ S Zip:
�l7 LL(C4.f i��eti tAf 1� ZONING•
Lg�g N: 1,oc�G Block: Subdivision:
C LA LLAM COUNTY PARCEL NUMBER: Credit Card Holder Name:
BlIft Adtrm; City:
Cradtt Card M. Exp.Date: VISA.MC
TYPE OF SIZE/VALUATION:
a Rendomial ❑ Reroof ❑ Woodstove SF. @ S /SF.s S
to MuBI- o Addition Move o Oarage SF. @ S
o C) D ti C) eck SF JSF. m$
p ❑ Si TOTAL VALUATION S ::77
BRIISF W6aWnON OF THE PR CT:
COMlt9IRCIAr RES1DENTLAL: Occupancy Group: Occ oad: Construction Type:
No.of Statics: Lot Size: %Lot Coverage: % .
Existing Lot Coverage: /sq. ft, +Proposed Lot Coverage: /sq. ft. =TOTAL LOT COVERAGE: /sq.ft
PLANNING USE ONLY: APPROVALS: PLAN
Nags BLDG.
DPW
FIRE
FSA/Wedand(s): a Yes❑No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER_
JiMMING PZ]O lQl"APPLICATION SUBMITTAL: Your appaeddon and siteplan must be jWM out coxq%4t &AP be scoapWfor
reulew. The Building Division can provide you with more detailed information on the application and plan submittal requirements.Your
completed application,site plan(for additions)and building construction plans are to be submitted to the Building Division.
VALUATION OF CONSTRUCTION:.In all caft,6 a valuation amount must be entered by the applicant. This figura will be reviewed
and may be revised by the Building Division to comply with careen[fee schedules. Contact the Permit Coordinator at 4174815 for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building peanut application and construction plans ate submitted All other
permit fccs arc due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within Igo 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 the applicant(see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby carr(fy that I have read and examined this application and Imow the same to be true and correct, and I am authorized to apply for
this permit. I understand it is not the Clry's legal responsibility to determine what permits are required, It remains the applicant's
responsibility to determine what permits are required and to obtain
nssuuch-
/
Applicant:� Datc:
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