HomeMy WebLinkAbout726 W 5th St - BuildingPREPARED 7/15/08 10 51 22 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/15/08
ADDRESS 726 W 5TH ST SUBDIV
TENANT NBR ADAM C CHITTICK
CONTRACTOR PHONE
OWNER ADAM C CHITTICK PHONE (415) 308 9045
PARCEL 06 30 00 0 1 0030 0000
APPL NUMBER 08 00000642 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 7/,15/08 JLL BLDG FINAL TIME 01 00
July 15 2008 8 45 17 AM 1pangrle
ADAM 415 308 9045
BLDG FINAL
AFTERNOON
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 08 00000642 Date 6/17/08
Application pin number 381554
Property Address 726 W 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 0030 0000
Tenant nbr name ADAM C CHITTICK
Application type description RES ADDITION
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 800
Application desc
ADD 64 SF OF UNCOVERED PORCH TO EXISTING PORCH
Owner Contractor
ADAM C CHITTICK OWNER
726 W 5TH ST
PORT ANGELES WA 98363
(415) 308 9045
Structure Information 000 000 ADD 64 SF UNCOVERED PORCH
Other struct info HARD SURFACE AREA
Permit BUILDING PERMIT RESIDENTIAL
Additional desc ADD 64 SF UNCOVERED PORCH
Permit pin number 127449
Permit Fee 59 15 Plan Check Fee 23 66
Issue Date 6/17/08 Valuation 800
Expiration Date 12/14/08
Qty Unit Charge Per Extension
BASE FEE 50 00
3 00 3 0500 HND BL -501 2K (3 05 PER C) 9 15
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
June 16 2008 12 45 12 PM sroberds
The proposal is an uncovered addition to an existing front
porch in the RS 7 zone for total lot coverage of 17% No
land use issues anticipted
Public Works Utility Engineering has no requirements for
this plan review
Other Fees
Fee summary
Permit Fee Total 59 15 59 15 00 00
Plan Check Total 23 66 23 66 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 87 31 87 31 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.
t 1MU/ Z 4I AM C Os 1"I`rl C4-
Date Print Name
T.Forms /Building Division/Building Permit (10 /01 /07).wpd
STATE SURCHARGE 4 50
Charged Paid Credited
Due
Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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 AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION
FOOTINGS
SHEAR WALLS 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
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
I PLANNING DEPT 417• -47.50
I BUILDING 417 -4815
T Forms /Building Division /Building Permit (10 /01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
YES I NO
I I I
17 -ice OK I Pk I
FINAL
FINAL
PLANNING DEPT SEPARATE PERMIT H's SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
DATE ACCEPTED BY.
DATE ACCEPTED BY.
DATE ACCEPTED
09
N
YES I NO I v
I I;
R
r
Applicant or Agent e CA..t ITT i
Property Owner km-, C Q.44, v-ro P�
Property Owner's Address 72.,c, 5v c
Contractor /Engineer QI\ o
Contractor /Engineer's Address
License
PROJECT ADDRESS 72I, w 5 Si No /10cALGs, (AA c 183
Lot laic ig Zoning KS 1
Parcel Number 4)6 34) $4) kW '34)
Project Type Brief Des
Check all that apply
New Construction
XAddition
Remodel
Repair
Re -roof
Demolition
Heat System
Other
Floor Areas
Basement
1 Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures i I h
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
a
Max height of proposed structures X 7 ft.
Will a lawn sprinkler system be installed?
NIA
Will a fire sprinkler system be installed?
BUILDING PERMIT APPLICATION Print in ink
cription. X Residential Commercial Multi- family Industrial
u r. Cove.
EkicNclo,) 10 F 94k11 PO 2G4 6,41 sa F-
&A.AflE 1D c.3at.,1■e scft.FrtaC.A 15 4
Heat pump wood- burning stove gas fireplace pellet stove other
Existing (sq. ft.) Proposed (g. ft.)
NIA NIA
at 6
Nip
Nln
N(A
NIA
44— 2.5 .V
9 A DPiTiOri/JL O /44, ►L.cS
NIA
Occupancy group
Occupant load
Construction type
sq ft. Lot size 71 0 sq ft.
For City Use Only
Date Received (5- 2-3.63
Permit
ate Approved
Phone
Phone
(4t5130.
sic.)) 30Y 9eitt
Phone (4tS) Sitg Qo9Z
Expires
per sq ft.
TOTAL VALUATION $Q (1
Lot coverage 11"
of bedrooms
of full baths
of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects
Date L Tilly Pt Print Name IQM I I Signature
T Forms /Building Division /Bldg Permit Appl. 2006 Code doc
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CITY OF PORT p.NGE4.ES Construct ion Plans
The Issuance ofIthis permit based upon these plans, specifi-
cations and other data shall' not prevent the building official
from thereafter requiring the correction of errors in said
plans, specifications and other data, or from preventing
building operations being..carried on thereunder when in
violation of all codes and ordinances of this jurisdic
ppproval-Date° By
04X L4-10(2-4e— So$J 1
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Extension to be built
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CITY OF PORT ANGELES
°~ DEPARTMENT OF COMMUNITY DEVELOPMENT -
BUILDING
DWISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
OWNER/APPLICANT PROPERTY LOCATION
726 5TH ST W
DEBORAH CLEVENGER
726 W. 5TH STREET Lot: 7
Port Angeles, WA 98362 Block: 100 [] Long Legal
360/417-5110 Subdivision: TPA
T: S: Parcel No: 063000010030
CONTRACTOR ARCHITECT
owner N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $10,000.00 SFD Units: 0 Commercial: 0
Project Type: ADDITION SFD SQ FT: 0 Industrial: 0 "~
Occupancy Type: RESIDENTIAL Garage: 0 I~d
Occupancy Group: MFD Units: 0 ~
Construction Type: MFD SQ FT: 0
Zoning Use: ~
PROJECT NOTES
ALTERATION OF EXISTING AND NEW ADDITION L/
RECEIPT g'9180
FEES ASSESSMENT
Building Permit: $181.25 Misc Fee 1: $0.00
Plan Check: $0.00 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: $185.75
Plumbing: $0.00 AMOUNT PAID: $185.75
Mechanical: $0.00 BALANCE DUE: $0.00
Radon: $0.00
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
Signature oCldContrabc/t/?/or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FOKMS\1102.15 [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.
K EPPERMITCAR AND ^PPROVED PL^NS ^T JOB SITE
INSPECTION TYPE ] DATE ACCEPTED COMMENTS
YES } NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUG.-IN Rag Ooq, LEI4
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
DRYWALL
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHILLY
HOOD / DUCTS
PWUTILITIES/ SITEWORK (Enginee~ngDivislon) SEPA~TEPE~IT~'s:
WATE~INE / METER
SEWER CONNECTION
SANITARY
PLANNING DEPT. SEPA~TE PE~IT ~'s SEPA:
PARKING/LIGHTING ESA:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY~SE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEDED
YES NO
ELECT~CAL - LIGHT DEPT. 417-4735 ELECT~CAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
FOR OFFICIAL USE ONLY:
& e°Rr~t'e Date Rec.:
BUILDING PERMIT - APPLICATION Pe~it~:
Date Approved:
Date Issued:
The Building Pe~it Application must be filled out completely.
Please type or print in in~ If you have any questions, please call 417-4815
Applicant or Agent: ~.~ k~ Q UEug 6 Phone: ~l~ ~ltO
Owner: ~ C,~E~ Phone: ~1~ ~]/~
Address: ~ ~ ~ City: ~T~~ Zip: ~
~chitecffEngineer: Phone:
Contractor ~ 1~ -¢~ ~ License~: Exp: Phone: ~t~ ~il O
Address: City:'P~~ [~ ; ~ Zip: ~'~ G ~
PROJECT ~D~SS: 7~ & ~/ '~ ~ %
~NING:
LEGAL DESC~PTION: Lot: Block: Subdivision:
CL~L~ COUNTY P~CEL NUMBER: Credit Card Holder Name:
Billing Address: City:
Credit Card $: Exp. Date: VISA MC
TYPE OF WO~: S~UATION:
~ Residential D New Cons~. a Re-roof D Wood-stove SF. ~ $ /SF. =~
~ Multi-hmly D Addition D Move ~ Garage SF. ~ $. /SF. = $.
~ Co~ercial ~ Remodel D Demolition O Deck SF. ~ $ /SF. = $
D Repair D Sign D ~TAL VALUATION $ /O/~ ~
COMMERCI~SIDENTI~: Occupancy Group:. Occup~t Load: ~ Cons~cfionT~e:
No. of Stories: / Lot Size: % Lot Coverage: %
Existing Lot Coverage: /sq. fl. + Proposed Lot Coverage: /sq. ~. = TOTAL LOT COVE~GE: /sq. fi.
PLANING USE ONLY: ~PROV~S: PL~
Notes: BLDG.
DPW
FI~
ESMWetI~d(s): D Yes ~No SEPA Checklist required? D Yes ~ No Other: OTHER
B~LDING PE~IT ~PLICATION SUBMITT~: Your application and site plan must be filled out completely to be accepted for
review. The Building Division c~ provide you wi~ more detailed ~omtion on the application and plan sub~al requirements. Your
completed application, site plan (for additions) ~d building cons~ction plans are to be sub,Red to the Building Division.
V~UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
andmybe rcvisedby~e Building Division to comply~th cu~ent fee schedules. Contact~ePe~tCoord~atorat417-4815 for assistance.
PL~ C~CK FEE: Your pl~ check fee is due at ~e time the building pemt application and cons~ction plans are sub,Red. All other
pe~t fees are due at the time ofpemt issuance.
EXPIATION OF PL~ ~VIEW: If no pe~t is issued within 180 days of the date of application, this application will expire. The
Build~g Official can extend the time for action by the applicant up to 180 days upon ~i~en request by the applicant (see Section I07.4 of
the Unifom Building Code, c~ent edition). No application can be extended more than once.
I hereby cert~ 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. 1 understand it is not the Ci~k legal responsibili~ to determine what permits are required,- it remains the applicant's
res~onsibili~ to determine what permits are required and to obtain such.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQU~_~T:
Date ~'-~--~- C~'~-- Time Received by ~'~)1,/ (phone, person)
Location of Work to be inspected ?~-,~J 4: . ~ '-//~
Name of person requesting inspection '[~)~'/~
Address of person requesting inspection Phone No. ~7'/'~ --~-//
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundatl~m~ Framing-~Ch~mney Plumbing Final Sewer Excav. Other _
INSPECTION N~S~' '
ate By
nspected' D ' i Time
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved I--IGravel [~Asphalt I-~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 ...........
REQUES~T: . ~
Date ~ 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 ~; ~' ·:~
INSPECTION 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
[] 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 ~,-/'///'/"~ //d'~-~ Time // ',~--~-~ Received by _~TL~.~ h~_on~ person)
Location of Work to be inspected q]~o~
Name of person requesting inspection ,-
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one):
Plumbin : Final~ewer Excav. Other
Sewer Foundation Framing Chimney
Inspected: Date Time
Remarks:
RESTORATION REQUIRED .... .~~ NO~
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel [~Asphalt []PCC [~Other
[] Repaired by City Work Order #
I--I 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:I
Date ~~_ ~::> Time" .Received by ~-~-'~ ~hone, person)
LocationofWorkto beinspected ~
Name of person requesting inspection
Address of person requesting inspection ~i~-~'--~
Type of inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing ~Sewer Excav. Other
INSPECTION NOTES:.{ i
inspected' Date ~ I ~f~ Time
Remarks:' ' ~ ~/~'~..--~ ~// ~ By ~..~..~.~
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel ~-~Asphalt [~PCC ~]Other
[] Repaired by City Work Order #
I--} Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE)
.~*?~,.,.: ...~ CITY OF PORT ANGELES
~(~' PUBLIC W ORKS-B UILD IN GD W IS ION
\~J~ 32I EAST 5TH STREET, PORT ANGELES. WA 98362
BUILDING PERMIT ISSUED: 3/12/2001 PERMIT NO: 12526
OWNER/APPLICANT PROPERTY LOCATION
726 5TH ST W
DEBORAH CLEVENGER
726 W. 5TH STREET Lot: 7
Port Angeles, WA 98362 Block: 100 [] Long Legal
360/417-5110 Subdivision: TPA
T: S: Parcel No: 063000010030
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $2,500.00 SFD Units: 0 Commercial: 0
Project Type: FOUNDATION SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
ADD FOUNDATION TO EXISTING AND EXTEND FOUNDATION FOR FUTURE ADDITION
FEES ASSESSMENT
Building Permit: $83.25 Misc Fee 1: $0.00
Plan Check: $0.00 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: $87.75
Plumbing: $0.00 AMOUNT PAID: $87.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
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 las
inspection. I hereby cedify that I have read and examined this application and know the same to be tree and correct. All provisions o
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 ~ontractor er ^uthohzed A~ent ~ate Signature of ~wner Of awner is~uildeO ~ate
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BU1LDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ,4NY WORK BEFORE INSPECTED AND .4CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE t I~,~
INSPECTION TYPE DATEI ACCEPTED COMMENTS
I
YES I NO
FOUNDATION:
WALLS - v-vt
FOUNDATION DRAINAGE
ELECTRICAL ILIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK (Engineenng Division) SEPARA1E PERMIT #*s:
WA I'ERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING I)EPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHOREI_INE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCT/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRiCAL - LIGHT DEPT 4]7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW. / PW/ CONSTRUCTION - P,.W.
ENGINEERiNG 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
Pt. ANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 ~'~ '2~ ~"~ ~. ~,~- ~ BUILDING
C:LAPPL WPD
BUILDING PERMIT - APPLICATION D,,c
Permit
Date A~:
~ The ~uiMin~ P~mJt - Prea~Hcation must b~d out co~lete~. Oa~
Please ~pe or print la In~ If you have any qu~fions, pl~se call
Pbo :
~c~tcc~n~ccr: ~ ~ ~ ~ . Phone:
Contractor rJ 7 ~ ~e ~: '~'~ *~:, '~ ~One:
LEGAL DESCR~ION: Lot:. ~ Block: ~"'~ .... ~ _
TYPE OF WO~: ' ~ S~AT~ i.,~
~ Multi-~ily ~Add~on m Move a O~ge ~ ~S~$~=~
~ Commercial m R~el a Demolition ~ ~ck ~ SF. ~ $~SF. =
CO~RCI~S~E~L: Occup~Gre~p: ~ O~upantLoad: ~ Cons~c~onT~:
No. of Stones. ~ LotS~. ~ B~t.~vemge: 1~, i' / %
Exi~g Lot Coverage: .~ c~ ~ /sq. ~ + ~s~ ~t C~v~ge: ~ ~ ~ /sq. · = ~TAL LOT CO~GE: /sq.R
PL~N~G USE O~Y: ~PROVA~: PL~.
Pe~i~ Requked: Notes: BLDG
M~. HeiSt: Setback: Zun~g: DPW.
Site PI~ ~d Use Approved by: Date: F~.
ES~etl~d(s): ~ Yes m No SEPA Chec~ist requked?~m Yes ~ No ~er: OT~
B~D~G ~PLICA~ON S~: Yo~r a~ltcation and *~e plan ~st belled out completely to
~e Build~g Division c~ provide you wi& more de~iled ~fomaion on ~e application ~d plm submi~ ~en~.
BUILDING PER_MIT APPLICATION SUBI~u'I-I'AL: Your completed application, site plan (for additions) and bfiildlng construction
plans are to be submitted to the Building Division.
VALUATION OF CONSTRU~ariON: In all cases, a valu~ation amount must be entered by the applicant. This figdre will be reviewed
and may be revised by the Building Div. to comply with cur~e, nt f~e schedules. Contact the Permit Coordinator at 417-4815 for essistance.
PLAN CHECK FEE: Your plan check fee is due at the time thc building permit appl~ tion and construction plans are submitted. All
other permit fees are due at the time of permit issuance, i 0./'~':" s
EXPIRATION OF PLAN REVIEW: If no permit is isaned, within 180 days of the i~n~ j~f application, this application will expire by
limitations. The Building Official can extend the time for aqion by the applicant up to'l~days, on written request by the applicant (see
Section 10'7.4 of the Uniform Building Code, current edition). No application can be exlended more than once. '
1 hereby certify that I have read and examined this application and know the same to~'ue and correct, and I am authorized to apply
for this permit. I understand it is not the City's legal responsibility to determine wha~ermits are required; it remains the applicant's
responsibility to determine what permits are required and to obtain such. ~. '* ~ J
~ ,/} /i _], ;~-- //'i ?'
PW-1102 13[rev.2/99] ~ - V/ ' - '
SITE PLAN
DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION
PAGE
Applicant Project Review Sheet
Applicant:
IS the Pr°p°sed use listed as a "Ix~mit~d us~" or an "ac~ss°~ us~" in this z°~e? ]~yes: ok ~ no: r~q.ui~s PD
H~s there ~ been a subdivision, ahoflp]at, or PRD apl,.~,n~d for this site, or h~ one
been submitted and is pending approval? [] yes: req.uires PD x~no: ok
Does the proposesl use require a new buisness licen.~? [] yes: req.ufl'es CC J~no: ok
Does the pwject extend into any reqtin'ed setbacks or oross any lot ~ (interior or
vz~arior)? [] yes: r~q.ui~s PD ,~ no: ok
Do~s the proj~t ~xceed the pennittecl height allown~ or caus~ th~ prolix~ ~o me_,ted_ [] yes: ve, q.ui~s PD [~no: ok
the allowed lot coverage in this zone?
Does the proj~t requi~ any additional parkin~ or special desi~n/hu~lsC~l~ improvon~nts [] yes: ~qui~s ?D ~g~ no: ok
in this zone? .
Do~s the project elim/nate any existing parking spe~s? VI yes: ~l?fi~s ?D ~no: ok
Is the project located within 200' of the shoreline? [] yes: req.uires PD ~no: ok
Are thara any environmonmlly sensitive ar~s on or within 200' of th~ ~a,~:t~y, [] yes: ~cluires PD
including:
ok
wetlands or areas of slanding w~t~ (year round or seasonal);
streams (year.round or seasonal);
areas with · slope of 40% or great'; or
ar~s that I~v~ evid~n~ of pest ~ound mox~n~nt or ~rosion?
Have all the requital submi~is ~ provided by th~ applicant? ~yes: ok [] no: ma~k
[] Site Plan r~ Constn~ti~ DrawinSs
roquir~l
[] ParkinNDrainage Plan t~ Civil Drawin~ item(s)
~ En~rg] Cal¢ r~ Supporti~ En~r.
[] Lands,:ape/Lightin~ Plan D Other
ent permtt(s) ~s need~l, the PIw~mMg Dtparvme~ l~rmit(s) must Iw opproved prior to the issuance of ony other permit.
~ i, nf~or~onp.n~leda.~.., t~ ~ to th~,~,r od'my ,~..,e. ff .~. ..~?~_ that in rht~Ventthatany ofrhi~ information ia dat#rminnd
by, the t. tty,to be m~, ct~ thts proJect:will_ b~ ~opp~. until Inwh tim# the ClO, d~ttrmin~s lhe correct information is provided and any
suosequentty r~qutrea rewew ana appromlt art comptattd and grant~d.
Permit Category N (see rewr~e ~ide) Building Pmmit # Mest~ Tracking #
Route to: ~ BD D CC r~ FD t~ LD ~ PD ~ PW ra File ra Otlgr
~teffh~tial$ D~te CoM~lttion OJ thief otto i* r~?~td for all vat,gory lb, · & 3 ln~'rnit~ Complttion is not
r~quir~d for cat~gory I a penmtt unle~ they rssu[t in a pomntial changt of v~ or occupancy.
INSTRUCTIONS FOR WORKING ~)RAWINGS: FOUNDATION PI_AN
The Foundation Plan is used to determine how - Vents.
the weight of the building is distributed over the
land on which it sits. (Note: If you are not adding - Grade and type of lumber used.
on to any structure, you may omit this drawing.)
- Floor joist sizes, spacing, direction and length
The Foundation Plan should include: of span, support, hangers, solid blocking, and
floor sheathing.
- Shape and size of foundation, footing, walls,
and reinforcing steel (rebar). - Slab insulation and vapor barrier.
-Location and size of beams, posts, and
intenor footings.
:2'
SLAB ON GRADE
(EXAMPLE - NOT TO SCALE)
Page 5
INSTRUCTIONS FOR WORKING DRAWINGS: WALL SECTIONS
Section Drawings show a cross-section - Grade and ~pe of materials used (Douglas
through the building to show construction details, fir, etc.).
Your drawings need not be complex, but they
should include the following: - Minimum distance of 18" from wood joists to
dirt.
- How wall frame connects to the foundation.
- Ceiling heights.
- How walls connect to ceilings/roof.
- Insulation locations and R-values.
Roof/slope.
Size of framing members (rafters, studs,
joists, etc.).
(EXAMPLE - NOT TO SCALE) Page 6
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQ.~_
/
Date'/ -! ' Time Received by (phone, person)
Location of Work to be inspected ~'~'7_~ ~ ~ ~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Ins~circle appropriate one): Permit No./~/-~'"-~--~
Sewer//Foundati/dh Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NO~I~.S: ~. ~'"//
Inspected: Date '-7 ~ ,.~ , 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
[]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 /~ -/0 --~/~) / __Time Received by ~'~
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
INSPECTION NOTES:
Inspected: Date q'~Ol _Time ~;~O~n By ~
Remarks: ~ , ~
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[--} No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
/0:
J/L-
om ;9)<..)
{1
ELECTRICAL PERMIT APPLICATION
FOR OFF1C~ us; ONLY _
DaleIRcc: - 2....=:J~~
Pcnnit#:
Dale Approvc:d:
Datc:Issuc:d;
The Electrical Permit Application must be filled out comDletelv.
Please type or reprint in Ink. If you have any questions, please call (360) 417-4735
Fax number: (360) 417-4711
REQUEST INSPECTION 0
Owner or Elec. Contractor Agent: J:);;8~ 171 C~GFL Phone: 3G,()(j ('7~ IILYex:
Property Owner J)7 'P,oOZ(i H C L~V6 NG,€UL Phone:SCd:) (jl /~ I (
Address: 10.(,-, 1.-.) ::::;~ City ~fWc.e:-LE5,' t.()A, ZiP:Cf<??C,:3
Electrical Contractor:
license #:
Exp:
Phone:
Address:
INSTALLATION WIRED BY: }(OWNER
Credit Card Holder Name:
City:
o ELECTRICAL CONTRACTOR
Zip:
Billing Address:
City:
Zip:
Credit Card Number:
Exp. Date:
VISA: MC
PROJECT ADDRESS:
1"2.0
U-J
S'7"L
TYPE OF WORK:
Check all that apply: ~ew
o AlterationlAddition
~Residental
o Multi-family
o Commercial
o Mobile Home
Sq, Ft
/8L{'1f
Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0 ~
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT: tJ .e.W S t= R
-- fQ -f
01) 6v(<'IIJ.IG O/lJO/J ltii.
Electrical Heat Load Additions
PERMIT FEd' ? o. 80
o Baseboard
o Furnace
o Heat Pump
Van-Wall
KW
KW
TON
'tWJ
lRA
llf-Overhead Service
o Temp Service
o Underground Service
Service Information
~2-140
Voltage: lm,; ~
Phase: . - _1 1 3
Service Size: cD~p
Feeder Size:
PAMC 14.05.060{B): For industrial, commercial, & residential projects larger than a duplex, a one -line drawing of the Electrical Service B
Feeders, building size (sq. It.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the Electri.
. Permit appiication.
I hereby certify that I have read and examined this application and know that same to be true and correct, and I a
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits,
required; it remains the applicants responsibility to determine what permits are required and to obtain such.
tfZ- 7ft<
~110 0'< Yf"rJ1f'-
01: 6/r'i)IOA
. .P"'<2-- f' 1'-
~ ~rJfl (JLuAQ~/
Date:
Date: 0- ;:2-0-;;;'
Credit Card Holder's Signature:
Owner or Elec, Cant. Signature:
C:/ELECTRICALPERMIT APPLICATION
~ c &L,- IJ-/L(-O'L
Application Number . . . . . 22-00001527 Date 12/12/22
Application pin number . . . 321724
Property Address . . . . . . 726 W 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0030-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLEVENGER DEBORAH L CASCADE ELECTRIC & VAC INC
726 W 5TH ST PO BOX 369
PORT ANGELES WA 983632248 PORT HADLOCK WA 98339
(360) 379-5347
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 12/12/22 Valuation . . . . 0
Expiration Date . . 6/10/23
Qty Unit Charge Per Extension
BASE FEE 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charge Quantity Total (Quantity x Unit Charge)
Service/Feeder 200 Amp.$120.00 $
Service/Feeder 201-400 Amp.$146.00 $
Service/Feeder 401-600 Amp.$205.00 $
Service/Feeder 601-1000 Amp.$262.00 $
Service/Feeder over 1000 Amp.$373.00 $
Branch Circuit W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp.$93.00 $
Temp. Service/Feeder 201-400 Amp.$110.00 $
Temp. Service/Feeder 401-600 Amp.$149.00 $
Temp. Service/Feeder 601-1000 Amp.$168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy - 1&2 DU.$64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional)$56.00 $
First 1300 Square Feet $120.00 $
Each Additional 500 square feet``$40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool / Hot Tub $110.00 $
TOTAL $
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
PREPARED 12/08/22, 7:43:20 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001527 726 W 5TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 75.00
TOTAL DUE 75.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
DHP
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
12/13/2022 22-1527 TAP
OWNER
CONTRACTOR
Cascade Electric
PROJECT ADDRESS
726 W 5th St