HomeMy WebLinkAbout1021 E 2nd St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDlNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
A~plication Number ..... 03400000069 Date 1/31/03
Property Address ...... 1021 E 2ND ST
ASSESSOR PARCEL NUMBER: 0630006290100000
Application description . . , ELECTRICAL ONLY
Property Zoning .......
Application valuation .... 0
Property owner ....... HAGUEWOOD JAMES T
Owner address ........ 705 CHRISTMAN PL
PORT ANGELES WA 9836~4926
()
Contractor ......... S}{~Z4P ELECTRICAL CONTRACTING
Permit ...... FIRE AI~kRM SYSTEM
Additional desc. .
Permit Fee .... 100,00 Plan Check Fee . . .00
Issue Date .... 1/31/03 Valuation .... 0
Expiration Date . . 7/30/03
Qty Unit Charge Per Extension
1.00 100.0000 ECH FIRE INSPECTION & TESTING 100.00
Fee summary Charged Paid Credited Due
Permit Fee Total 100,00 100.00 .00 .00
Plan C°neck Total .00 .00 .00 ~00
Grand Total 100,00 100.00 .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 certify that I have read and examined this application and know the same to be true and correct. AIl 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.
Signature of Centr~'or or Authorized Agent Date Signature of Owner (if owner is builder) Date
I:\PLANNING\FORIvlS\ 1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A M1N1MUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEYIL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 1N 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: #
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
PLANNING DEPT. 417-4750 PLANNING DEPT
PORT ANGELES FIRE DEPARTMENT
Fire Alarm System Plan Review
Project Name: Ha~ucwood 6-plex Address: 102~ E 2nd
Installer: Federal Fircsafcty Telephone: 457-3308
Type of System: Extended R-3 [] R-1 [] Com []
Date: January 21, 2003 Permit #03-01
We have checked this plan and find that it conforms to the requirements of our ordinance.
Additionally:
1. All systems shall be installed as prescribed in NFPA 72.
2. Fire alarm wiring to be done in accordance with PAMC and Washington Administrative
Code.
3. A final field acceptance test will be conducted before final approval is given.
[] Contractor Reviewed By ~(~ ~'"~
[] Building Department
[] Light Department
[] Fire Copy Date ~. 7 I . ~3
FP-6 Pagelof I
FOR OFFICIAL USE ON~Y:
Building/Utility/Electric/Fire Permit Application pcm it #:
Please fill out completely. Type or print in ink. If you have questions Pre-AppI Complete:
5HB1724: Y N
please call (360) 4174815 or Fax: (360) 4174711 L~tt*r of Completeness:__
Bldg. Permit Appl:
e-mail: www.ci.port-angeles.wa.us B.P. Issued:
Applicant and/or Agent: ~_ ~/~ ]~, F~ Phone: z~ ~ 7 -~
~chit~En~n~i~:
Phone:~
ao cx v ss:: zomu
LEG~ DESC~TION: ~t: Bl~k: Su~dsion:
CL~ CO~TY P~C~ ~ER: C[~it Card B~der Name'
Billing Addr~s: Ci~: ] Zip:_~
Cre~t Card ~ .Exp. Date: VISA MC~
T~E OF WO~: SIZ~ALUA~ON:
~ R~id~ti~ ~ N~ Constr. n Rffoof ~ Stov~s~ SF. ~ $. /SF. = $.
~ulti-f~ly ~ Ad~fion m Move ~ Gmage SF. ~ $ /SF. = $
~ Comm~ci~ ~ R~odel ~ Dmolition ~ D~k SF. ~ $. /SF. = $.
u El~c~ ~ LP-g~ ~ Si~ ~ UST TOT~ VALUATION $
o sc Io P O CT:
CO~ERC~S~ENT~: ~p~ Group:. ~mp~t ~: Cons~ction T~e:.
No. of Stori~: ~ ~t Size: % ~t Cov~age: %
Exis~g ~t Covmage: /sq. fl. + ~o~s~ ~t Covmage: /~. fl. = TOTAL LOT COVE~GE: /~.~
PLANN~G USE ONLY: ~PROV~S: PL~.~
P~its R~uir~: Not~: BLDG
M~. Hfi~t: S~backs: ~ning: DPW
Site PI~ ~d Use Approv~ ~:. Date:
ESMW~d(s): ~ Y~ ~ No SEPA Ch~ist r~r~? D Y~ ~ No ~m: OT~ER
P~P~CA~ON S~MITTAL: Your application a~ site plan must be filled out completely to be accepted for review.
Building Di~sion c~ pm~de ~u ~ more d~ml~ infom~ion on ~e appli~tion md pl~ submi~
B~D~G P~ ~PLICA~ON S~'I'I'~: Yo~ mmplO~ ~pli~on, sfle pl~ (for ad~fions) ~d b~ld~g cons~ction
pl~s ~e to be sub~tt~ to ~e B~ding Dihsion.
V~UA~ON OF CONS~UC~ON: h ~ ~, a ~uafion ~t mint be ~tm~ ~ ~e applic~t. ~is fi~e ~11 ~ rm~
~d m~ ~ r~s~ ~ ~e ~l~g ~v. to ~mply~ ~mt f~ ~m. ~nt~ ~e Pff~t C~rd~ator at 4174815 for msist~ce.
P~ C~ECK ~E: Yo~ plm ~k f~ is due at ~e time ~e buil~ng p~it application ~d mns~ction pl~s ~e submitt~. All
o~ff p~t f~ me due at the time ofp~t issu~ce.
EXP~TION OF PL~ ~W: If no pm~t is is~ ~ 180 ~ys of~e date of ~plication, ~is application ~11 expire
by l~t~ons. ~e ~g ~d~ ~ ~tmd ~e time for action ~ ~e applic~t up to 180 days, on ~ r~u~t by ~e ~plic~t
(s~ S~ion 107.4 of~e Unifom B~ld~g C~q c~mt ~ition). No application c~ ~ extmd~ more ~ once.
I hereby cert~y that I have read and examined this application and know the same to be true a~ correct, andl am authored to
apply for this pe~i~ I understand it is not the Ci~s legal responsiblli~ to dete~ine what pe~its are require& it remains the
applicant's resp°nsibili~ t° determine what pe'its are rDand~72
PW-II02 13[~.6/00] Applic~t: x~l~J ~- ~ Date:
FEDERAL FIRESAFETY, INC. ~[~~ (~[~ ~[~[~[~1~:
2032 South '0' St.
PORT ANGELES, WA 98363
DATE / ~0 I JOB NO.
(360) 457-3308 ~ I ~
FAX (360) 457-5612
A~E~TIO~
WE ARE SENDING YOU [] Attached [] Under separate cover via the following items:
>
[] Shop drawings [] Prints [] Plans [] Samples [] Specifications
[] Copy of letter [] Change order []
COPIES DATE NO. DESCRIPTION
THESE ARE TRANSMITTED as checked below:
or approval [3 Approved as submitted [] Resubmit copies for approval
[] For your use [] Approved as noted [] Submit copies for distribution
[] As requested [] Returned for corrections E] Return corrected prints
~for review and comment []
[] FOR BIDS DUE 19 [] PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED:
CITY OF PORT ANGELES
D EP AR TMENT O FCO MMUNIT Y DE V EL O PMENT - BUILD IN G D IVISI O N
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 9/30/2002 PERMIT NO: 13716
OWNER/APPLICANT PROPERTY LOCATION
JIM HAGUEWOOD 1023 2ND ST E
705 CHRISTMAN Lot: 15-19 SP91-05-04
Port Angeles, WA 98360 Block: 125 [] Long Legal
360/452-3540 Subdivision: DW MORSE
T: S: Parcel No: 0630006202100
CONTRACTOR ARCHITECT
DISTINCTIVE DESIGNS BY JULIE INC. N/A
705 CHRISTMAN PL
PORT ANGELES, WA 98362-0000 , 98360-0000
360/452-3540 360/000-0000
PROJECT INFO
Project Value: $250,000.00 SFD Units: 0 Commercial: 0
Project Type: MFR/NEW SFD SQ FT: 0 Industrial: 0 ',.3
Occupancy Type: COMMERCIAL Garage: 0
Occupancy Group: MFD Units: 6
Construction Type: MFD SQ FT: 5,010
Zoning Use: RS7 ~r~
PROJECT NOTES
CONSTRUCT 5010 SQ. FT. 6 UNIT APARTMENT
RECE,PT#9743 &9
FEES ASSESSMENT
Building Permit: $1,833.75 Misc Fee 1: $0.00
Plan Check: $1,100.25 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $3,274.00
Plumbing: $225.00 AMOUNT PAID: $3,274.00
Mechanical: $110.50
BALANCE DUE: $0.00
Radon: $0.00
ISeparate 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 f 80 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 re§ulating construction or the performance of
I constr~ction.
I Sig(at~re of Contra'~t0r o~ ,~h~rized Agent Date ~g n'~u r~-of ~e~s ~ Date
T:~P~GXFO~SXl 102.15 [4/200~]
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 I No
FOUNDATION:
~OOTINOS /V-~B-OZ /_~:
WALLS ~O-i~-OZ. /~ V~
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
WATER LINE
GAS LINE
BACK PLOW / WATER
AIR SEAL
WALLS ~ ',ta'~O* I X~4 I
FRAMING
JOISTS / GIRDERS
WALLS, RooP, CEiLmO '~--/tT-O 3
DRYWALL
T-BAR
INSULATION
SLAB [
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEy
HOOD/ DUCTS
PWUTILITIES/ SITEWORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANBSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL BATE 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 41,-4815 g.,~ ~ -,~'2~ J'~ BUILDING
I FOROFFIC U E~ON y'
°~ ~°Rr~Ye I
Date Approved: ' I
Date Issued:
~ The Building Permit ~pplication must be filled out completely.
Please type or print in inL If you have any questions, please call 417-4815
Applic~t or Agent: ~gd~t5~ ~~ Phone: ~
Owner: ~ e ~.~ ~t ~ Phone: ~2
Address: ~f d~tg~t~ ~L. City: ~*~r ~L~ Zip:
~chitecffEngineer: Phone:
Con,actor D~S~h ~.~ 0c~?~n~ ~ Xul~i~c. License ~:~ Exp: tO[Lq]~ Phone: q~g
Address: 30g f~Ot. City: ~O~,L~: ~ ~, . ? Zip:
LEGAL DESC~PTION: Lot: [~-ff* Z ~ Block: Subdivision: ~0~ ~
CL~L~ COUNTY P~CEL N~BER: P&~O>btoO~a Credit Card Holder Name: '~t
Billing Address: 70C <[~r~ dC' City: ~t~-
Credit Card g: ~ ~0~ ~q/7 6~ Exp. Date: ~o~ VISA ~ MC
T~E OF WO~:/ SIZE~UATION:
~ Residential ~NewCons~. ~ Re-roof ~ Wood-stove 50~O SF.~$ ~.90 /SF.=$ ~)
~ Mulfi-fa~ly ~ Addi~on D Move ~ G~age SF. ~ $ /SF. = $
~ Comercial ~ Remodel ~ Demolition ~ Deck SF. ~ $ /SF. = ~
~ Repair ~ Sign ~ TOTAL VALUATION $ g ~
B~EF DESC~PTION OF T~ PROJECT: ~ ~X/f~ ~~7~ - ~ ~ n t~
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: ConstmctionType: ~&.~ ~g
No. of Stories: '~ Lot Size: _~[ % Lot Coverage: ~ I ,~ %
Existing Lot Coverage: JP/] ? /sq. ft. + Proposed Lot Coverage: ~'[.,C,O /sq. ft. - TOTAL LOT COVERAGE: //,, 2,~ ~' /sq. ft.
PLANNING USE ONLY: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESA/Wetland(s): [] Yes tn No SEPA Checklist required? C3 Yes [] No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application ond site plan must be filled out completely to be accepted for
review. 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 subm/tted to the Building Division.
VALUATION OF CONSTRUCTION: In all 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 417-4815 for assistance.
PLAN CHECK FEE: Your plan check fee is due 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 ofapplication, 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 certify that I have read and examined this application and know the 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 to determine what permits are required; it remains the applicant's
responsibility to determine what permits are required and to obtain such.
T:WORMSL~PPS\Buildingpermit Applicant~///// r[ / Date: ~fi'.///~//~/.~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date/0 ~ ~ ~) ~, Time Received by -~ (phone, person)
Location of Work to be inspected--/0
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of In~ircle appropriate one): Permit No.
Sewe ~~ ~,u~,n,~ Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date i 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
El 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 ~/~,)'--~'~-- (:~)~--- Time__ Received by . .x~_/.~J (phone, person)
Location of Work to be inspected /~.~_~ ~ ~. .~_ c._ J
Name of person requesting inspection ~) I '-"lA.._ ~/t~,~.,.,.,,~,.~
Address of person requesting inspection Phone No. ~7/~/~ -~---~'/'
Type of Inspection (circle appropriate one): Permit No.
Sewer~l~(~U~'d"~ti~ Framing Chimney Plumbing Final Sewer Excav. Other
~NSPECT~ON NOTES:
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--I No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
FOR OFFIC
BUILDING PERMIT - APPLICATION /
The Building Pemit ~pplication must be filled out completely.
Please t~e or print in in~ If you have any questions, please call 417-4815
~c~tecffEngineer: Phone:
Contractor D~%h ~ ~ ~?~ ~ 7ulk~c. License ~:~ Exp: I0~[~ Phone: ~f
LEG~ ~ESC~PTION: Lot: [~(~ * ~ · Block: Subdivision: ~4~ h ~,
Credit Card Holder Name: ~ ~
Credit Card g: ~ ~ m~/7 6&~ Exp. Date: ~/o~ ~SA ~ MC
~E OF WO~ SIZEN~UATION:
~ ~csidenaal mNewCom~. ~ Re-roof ~ Wood-stove $0~O SF.~$ ~.~0 /SF.=$ ~
~ Mulfi-fa~ly ~ Ad&hon D Move ~ G~age SF. ~ $ /SF. = $
~ Co~crcial ~ Remodel ~ Demolition ~ Deck SF. ~ $ /SF. = ~
~ Repak D Sign ~ TOTAL VALUATION $
BmEFDESC~TIONOFT~PRO~CT: f~E ~ f~g/I~ ff~Z~- ~
COM~RCI~SIDENTI~: Occup~cy ~oup:. Occupant ~ad: C0~cfion T~e:
No. of Stories: ~ Lot Size: ~t 3~/ % Lot Coverage: ~ I ~ %
Exisfing Lot Coverage: ~/Y~ /sq. fi. + Proposed Lot Coverage: ~/~ /sq.~.=TOTALLOTCOVE~GE:///2~ /sq. fi,
PLANING USE O~Y: , , ~PROV~S: PL~
Notes: BLDG.
DPW
ES~etland(s): ~ Yes o No SEPA Chec~ist requked? D Yes ~ No O~er: O~R
BUILDING PE~IT ~PLICATION S~TT~: Your application and site plan must be filled out completely to be accepted for
r~iew. The Build~g Division c~ provide you wi~ more detailed hfomtion on ~e application ~d pl~ sub~l requke~n~. Yo~
completed applicafio~ site pl~ (for additions) and building cons~ction pl~ ~e to be sub,Red to ~e Building Division.
V~UATION OF CONSTRUC~ON: In all eases, a valuation amount must be entered by ~e applic~t, T~s fi~ will be reviewed
and ~y be revved by the Buil~g Division to comply wi~ c~ent fee sched~es. Con, ct ~e Pe~t Coordimtor at 417-4815 for ~sistance.
PL~ CHECK FEE: Yo~ pl~ check fee is due at ~e ~e ~e building pe~t application ~d cons~ction pl~ are sub,Red. All o~er
pe~t fees are due at ~e ~e ofpe~t issuance.
EXP~TION OF PL~ ~V~W: If no pe~t is issued with~ 180 days of~e date of applica~on, ~s application will expire. ~e
Build~g Official can extend ~e t~e for action by ~e applic~t up to 180 days upon ~i~en request by ~e applic~t (see Section 107.4 of
the Unifo~ Building Code, c~ent edition). No application can be extended more ~ once.
I hereby cert~ that I have read and examined this application and know the same to be ~e and co~ect, and I am author~ed to apply for
this permit. 1 understand it is not the Ci~'s legal responsibili~ to determine what permits are required; it remains the applicant's
responsibili~ to determine what permits are required and to obtain such.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: ~
Date / 2 ~ ~-~ ~ O~-~ Time Received by (phone, 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. ~ ; ~.,
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~~r
INSPECTION NOTES: .... .~
Inspected: Date !'J /' ~,' "' Time By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved ~-IGravel []Asphalt I--]PCC [~Other
[~1 Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
El No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
....... INSPECTION REPORT ....
Date -- Time Received b phone, 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. ~ ' /~
Sewer Foundation Framing Chimney, Final Sewer Excav. Other
INSPECTION NOTES: , ..~
/
Inspected: Date I" /~ 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
r-[ 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,~-~ ~/~-~ ~(~ ~ Time Received by ~ ~// (phone, person)
Location of Work to be inspected /~ ~ 2 ( ~ ~/~__~
Name of person requesting inspection bx, [~'-~_
Address of person requesting inspection Phone No. 2
Type of Inspection (circle appropriate one): Permit No. /'~
Sewer Foundation ~Chimney Plumbing Final SewerExcav. Other ~'/~'~
INSPECTION NOTES: ".?
Inspected: Date ~-//~- C'~__~ 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
~lNo Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~-- Time Received by (phone, person)
Location of Work to be inspected E 2 /~ ~-~ ///?~*~/ ~.~-~,
Name of person requesting inspection ~) c~._~ ~P..~
Address of person requesting inspection Phone No..z//~_~-~
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date ~-~'l~'-~3"~ 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
El 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 C~/'~ ~ ?~.?- C~ ~ Time /(~9.~/'/ ~ Received by ~_ /pphon arson)
Location of Work to be inspected
£
Name of person requesting inspection ~ , .~ -,Z_ , _-,, ~._, ,~. ~ ,'~,-,~
Address of person requesting inspection ~/ Phone No. ~-
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbln~Final~SewerExcav. Other
INSPECTION NOTES:
Inspected: Date /7/~<~-~'~--~ Time By
Remarks: ~-l(:~-~/<:~ / //-~'~'~ ~.~-~c:7_C~.~ ~',~ ~ ~//'~ X~)~(~ ~'~[~
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel ~lAsphalt []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 -~'~--'~'~- Time Received by /~ [/// (phone, person)
Location of Work to be inspected //~',~ [~ ~'- ~
Name
of
person requesting inspection
Address of person requesting inspection 'O --Phone No..~~'~
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing ~l~na~) Sewer Excav Other
INSPECTION NOTES: ~'~*'
Inspected: Date ,~'~---~(~*--~'~-~--~ __Time By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gr~v'ei~ r~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)
~v ~% CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Nu~er ..... 03-0000 0~065 Date 1/30/03
Property Address ...... 1021 E2~D ST
ASSESSOR PI~RCEL ~OMBER: 0630006290100000
Application description . . . FIRE SPRINIELER SYSTEM,
Property Zoning .......
Application valuation .... 7500
Property owner ....... HAGUEWOOD JAMES T
Owner address ........ 705 CHRISTM3%N PL
PORT ANGELES WA 983624926
()
Contractor ......... INNOVATED FIRE SPRINF~LERS
.......................... Structure Infoz~nation .....................
Construction Type ..... TYPE V NON~RATED
Occupancy Type ...... HOTELS, APARTMENTS
Permit ...... FIRE SPRINKLER RESID
Additional desc . .
Permit Fee .... 276.75 Plan Check Fee . . 70.70
Issue Date .... 1/30/03 Valuation .... ,7500
Expiration Date . . 7/29/03
Qty Unit Charge Per Extension
BASE FEE 92.75
6.00 14.0000 THOU BL-2001-25K (14 PE~ K) 84.00
1.00 100,.0000 ECE FIRE INSPECTION & TESTING 100.00
Fee summmary Charged Paid Credited Due
Permit Fee Total 276.75 276.75 .00 .00
Plan Check Total 70.70 70.70 .00 .00
Grand Total 347.45 347.45 .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 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
con~struction.
Signature of Contractor or AuthoriL~d Agent ~ I~'ate Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS~ I 102.15 [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 IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE ACCEPTED COMMENTS
I
YES I NO
FOUNDATION:
FOOTINGS ~t
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: g
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS I
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF /CEILING
DRYWALL
T-BAR
INSULATION
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATEKLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHOP~ELINE:
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
PLANNING DEPT. 417-4750 PLANNING DEPT. I
I
BUILDING 417-4815 BUILDING
T:~LANN1NG\FORMS\I 102.15 [4/2002]
FOR OFFICIAL USE ONLLY:
a.°~ ~,o,r,%~ Date Rec.: [ -
BUILDING PERMIT - APPLICATION
Date Approved:
Date Issued:
~ The BuiMing Permit Application mu~ be filled out completely.
Please ~pe or print in in~ If~ou h~ve any questions, please call 417-4815
ApplicmtorAgent: I~ O ~ ~ T~ O ~t ~ Z & ) ~I d//C ~ ~ ~ G Phone: C/~ --
Owner: ¢~ & G~{2~ 14~%~ ~ooq4 Phone:
Address: City: Zip:
MchitecffEngineer: Phone:
Contractor/~O ~ ;Z~ ~/~3icense ~:/~O~3c'~xp: ~j/~/~ Phone: c/(2
Address:~/ A/.~ ~dt~ ~ City: ~br~~ ~ Zip:
PRO'CT ~D~SS: /O ~ ~ ~ 3 ~O 0 ~4 S P- ZONING:
LEGAL DESC~PTION: Lot: Block: Subdivision:
CL~L~ COUNTY P~CEL NUMBER: Credit Card Holder Name:
Billing Address: City:
Credit Card g: Exp. Date: VISA MC
T~E OF WO~: SI~UATION:
~ Residential ~ New Cons~. ~ Re-roof ~ Wood-stove SF. ~ $. /sr. =~
~ Multi-fa~ly ~ ~ sr. $. /sr. = $
Addition
Move
Garage
~ Comercial ~ Remodel ~ Demolition ~ Deck SF. ~ $. /sr. = g
D Repak ~ Si~ D TOTAL VALUATION $
BmEF DESCmPTION OF THE PRO.CT: ~3~l{ Cr~ ~2~)~/c/X~
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: __ Lot Size: % Lot Coverage: %
Existing Lot Coverage: /sq. fi. + Proposed Lot Coverage: /sq. ft. - TOTAL LOT COVERAGE: /sq. ft.
PLANNING USE ONLY: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for
review. 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 submiited 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 4174815 for assistance.
PLAN CHECK FEE: Your plan check fee is due 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 perm/t 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 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 ! have read and examined this application and know the 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 to determine what permits are required; it remains the applicant's
responsibility to determine what permits are required and to obtain~uch_ ,,}~, __ ,
Applicant: [/.w~.o~--/, + dt ~-.'~,~' Date: ///~/(~'~
T:~FO RM S~APPS\B uildin gpermit I ~
PORT ANGELES FIRE DEPARTMENT
102 East 5th, Port Angeles, WA 98362
360-417-4653
Fire Sprinkler System Plan Review
Project Name: Haguewood 6-plex Address: 1023 E 2"d St
Installer: Innovated Fire Sprinkler Telephone: 452-7583
TypeofSystem: 13R R-3 [] R-I [] Corn []
Date: January 21, 2003 Permit #03-02
We have checked this plan and find that it conforms to the requirements of our ordinance.
Additionally:
1. All systems including underground mains, shall be installed by a state licensed and certified
company as prescribed in WAC 212-80 and the system shall be installed as per applicable
NFPA 13R.
2. All systems will required witness hydrostatic test by the Port Angeles Fire Department prior to
being covered. (R-1 requires design sprinkler flow.)
3. Before final acceptance of the system, an inspection will conducted by the Port Angeles Fire
Department to ensure the system installation complies with NFPA 13R.
[] Contractor Reviewed by
~' Building Department
[] Fire Copy Date
FP-9 Pagelof 1
[ ~0ger ve~ [ ~uewood ~i~:plex Page 1 ]
From: Ken Dubuc
To: Roger Vess
Date: 5/1/03 9:29AM
Subject: Haguewood six-plex
Roger,
I completed the fire sprinkler acceptance test on 2-6-03.
The fire alarm acceptance has not been completed.
I'll let you know when it is done.
Thanks,
Ken
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000069 Date 2/23/03
Property Address ...... 1021 E 2ND ST
ASSESSOR PARCEL NUMBER: 0630006290100000
A~plication description . . . ELECTRICAL ONLY
Property Zoning .......
Application valuation .... 0
Owner Contractor
~AGUEWOOD JAMES T SHAMp ELECTRICAL CONTRACTING
705 C}[RISTMAN PL ~O BOX 383
PORT ANGELES WA 983624926 PORT ANGELES WA 98362
(360) 452-1689
Permit ...... ELECTRICAL NEW COb~4ERICAL
Additional desc . .
Sub Contractor . . HI TECH ELECTRONICS
Permit Fee .... 63.10 Plan Check Fee . . .00
Issue Date .... 2/20/03 Valuation .... 0
Expiration Date . . 8/19/03
Qty Unit Charge Per Extension
2.00 11,1000 ECN EL-LVT-ADD THERMOSTAT 22.20
1.00 40.9000 EL-LOW VOLT SYS <=2500 SQFT 40.90
Fee summary Charged Paid Credited Due
Permit Fee Total 63.10 63,10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.10 63.10 .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 cer[ify 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
~resume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
:onstruction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:~PLANNI NG\FOKMS\I 102.15 [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 I DATE } YEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR ! SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW ! WATER
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
WATEKLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERJvIIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
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:\PLANqNING\FORMS~1102.15 [4/2002]