HomeMy WebLinkAbout1710 E 4th St - BuildingCITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 05 00001064 Date 10/28/05
Application pin number 065488
Property Address 1710 E 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 -1 8445 0000
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 3693
Owner Contractor
ELLIS LARRY /MARGIE
1817 E 4TH ST
PORT ANGELES WA 983624915
O T M SERVICES
309 S ENNIS
PORT ANGELES
(360) 417 0124
WA 98362
Permit BUILDING PERMIT NO PR FEE
Additional desc
Permit pin number 64014
Permit Fee 120 75 Plan Check Fee 00
Issue Date 10/28/05 Valuation 3693
Expiration Date 4/26/06
Qty Unit Charge Per Extension
BASE FEE 92 75
2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Due
Permit Fee Total 120 75 120 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 125 25 125 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 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
MOA aeu) mbeaq
Signature of Contractor or Authorized Agent Date Signature of O ner (if owner is builder) Date
T \Policies \I 102_15 building permit inspection record05 wpd [1/4/2005]
FOUNDATION
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
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
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
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 A ND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED I COMMENTS
YES NO I
1 1
I,-_ 1
6-74- t-x
()ci 1J1 r
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
SEPA.
ESA.
SHORELINE.
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 4815
T \Pnh s\1102 15 building permit inspection record05 wpd [1/4/2005]
FIRE DEPT
PLANNING DEPT
BUILDING
1 1 I
1 1 I
I I I
4.
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent: &U W. F tho 1 Owner Qn� f 1 (9 F I to
Phone WI
V
Phone. '1/1 ]p ��Qq
Address /'d S city. P61(
Phone.
Zip O f 6 a
Architect/Engmeer•
Contractor f7 m. State License
Address City
PROJECT ADDRESS I W(.) C ?A f
LEGAL DESCRIPTION Lot: Block:
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK. SIZE/VALUATION
Residential New Constr. X Re -roof Stove SF /SF
Multi family Addition Move Garage SF /SF
Commercial Remodel Demolition Deck SF /SF
Repair Sign Other TOTAL VALUATION Q
BRIEF DESCRIPTION OF THE PROJECT
COMMERCIAL/RESIDENTIAL. Occupancy Group
No of Stories. Lot Size: Existmg Sq. Ft.
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other.
T•\Policies\BL 1102_13.wpd Applicant:
Exp
Subdivision.
Phone
0 01 Date /6/0
Phone
Zip
ZONING
FOR OFFICIAL USE O LY
Date Rec. trizty x i
Permit �i'.
Date Approved. ID/W0.6
Date Issued. c
tO �/�P�
666
Occupant Load. Construction Type
Proposed Sq. Ft. TOTAL Sq Ft.
y/7 D1a9
APPROVALS.
PLAN
BLDG
DPWU
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 withm 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.
1 hereby certify that 1 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 that I must obtain such permits prior to work.
'~
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:m EAST 5TH STREET. PORT ANGELES. WA 98361
Lasered
CEO
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
06-00000318 Date
439462
1710 E 4TH ST
06-30-00-0-1-8445-0000-
ELECTRICAL ONLY
5/22/06
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
ELLIS LARRY/MARGIE
1817 E 4TH ST
PORT ANGELES WA 983624915
OWNER
Permit
Additional
Permit pin
Permit Fee
Issue Date
Expirat~on
desc
number
ELECTRICAL ALTER RESIDENTIAL
OWNER / NEW METER AND MAST
74096
36 30 Plan Check Fee
4/07/06 Valuation
10/04/06
00
o
.......
...J
......
~
Date
Qty
1 00
Un~t Charge Per
36 3000 ECH EL-R OR RM REPAIR METER/MAST
Extension
36 30
Fee summary Charged Paid Cred~ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 36.30 36 30 00 .00
plan Check Total .00 .00 .00 00
Grand Total 36.30 36 30 00 .00
m
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COMMENTS! ACTION NEEDED
\
ELECTRICAL PERMIT INSPECTION RECORD
,
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO'COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB Sn'E
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
II I ( :H
IH 111(TH-lN / COVER
l:)r..K vICE
I ~-/~-IJ' .b 1 JI
GENERAL COMMENTS:
PW.II02.1' (41961
"I
ELECTRiCAL INSPECTiON
I
WIR!NG REPORT
417-4735
Pi;'; c& 511V
0-0N EIC...
ADDRESS
17 It)
L
<II{
5
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
O. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
O. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . X
O. . . . . . . . . . . . . . .. . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED:
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2-
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77:> ~""';Oo"-'~
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LCJV-I'T7<~#f
cAu.--
4/7 -'IT?')"
4L
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
o Electrical Contractor 0 Owner
Installation description ./
o Commercial i1J" Residential
Electrical contractor name
License number
Date Expires
o New
a Altered/Addition
Purchaser's mailing address
J?/O !'/J...S{
c~
Or--\ ~A
Telephone number
t.tJj. 51 ~~
State ZIP ,
cJa q~~(,,~
FAX n n~r 11- y
Uu- 77"r 0<:; 7
~!2..ll1'Ui fK\-tIl~
-
R.p p)t1i'{)m~J1t -
Premises owner's name
Address b~e~ f)/is
17/1.> tV>t' 41:1:. sT
CHY'j1 +- Q J
Ph-o~e ~::r to SCh:;U~s~c~on:
Owner m defined by RCW/9.18.26/:(J) Owner will occupy the structure for two
years after this electrical permit is fil/alized. (2) Owner is required to hire an electrical
contractor if abol'c said property is for sale. rent or lease.
After reading the above statement, I hereby certify thai I am the owner of the above
named property or a licensed electrical contmctor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City or Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
x
Date:
Expiration Date
of card
~nspec~ be. :3 V
Service Information
Electri al Lo d Additions and or subtractions
(J NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
(J Fan-Wall KW
o Overhead SelViee
o Temp SelViee
o Underground Service
Voltage
Phase (J 1 (J 3
SelViee Size: _
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUCH-IN /' THERMOSTAT SERVICE
Dale Approved By "- Date Approved By Date ApproH:d By
'1ln FINAL /' DITCH FEEDER
Din L .,kO
'l Vale Approved By/ "- Date ApprovcdHy.-/ '-- Date Approved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
4 -It) - C)& ~.~ ~ .w::' ~
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