HomeMy WebLinkAbout1024 W 6th St - Building.... CITY OF PORT ANGELES
"~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
~-.,~.';; ~.~,'-~ r ~,~,. i ISSUED: 5~08~2002 ~'-i'~MI I NU: 1 ;:S41Z
OWNER/APPLICANT PROPERTY LOCATION
1024 6TH STW
JERRY HENDRICKS
1024 W 6TH STREET Lot: 5 & 6
Port Angeles, WA 98362 Block: 156 [] Long Legal
360/452-2253 Subdivision: tpa
T: S: Parcel No: 063000015624000
CONTRACTOR ARCHITECT
PENINSULA HEAT N/A
502 W. 8th Street
Port Angeles, WA 98363 , 98360-0000
360/457-2775 360/000-0000
PROJECT INFO
Project Value: $0.00 SFD Units: 0 Commercial: 0
Project Type: HEAT PUMP ADD 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 HEAT PUMP AND LOW VOLTAGE THERMOSTAT ~
Building Permit: $0.00 Misc Fee 1: THERMOSTAT $34,40
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $68.55
Plumbing: $0.00 AMOUNT PAID: $68.55
Mechanical: $34.15
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
[or a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certif7 that I have read and examined this application and know the same to be true and correct. All provisions of
taws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
Signature of Contractor ,o~?uthorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\ 1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COllOId,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LiNE
BACK FLOW / WATER
AIR SEAL
CEILING
FRAMING
JOISTS ! GIRDERS
SHEAR WALL
WALLS ! ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT St's:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'$ 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 E.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 41774§07 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
BUILDING 417-4815 , BUILDING
T:\PLANNING~FORMS\1102.15 [4/2002]
FOR OFI:ICIA~ ~ ON~Y~
BUILDING PERMIT - PREAPPLICATION
~.~o~
Pime
Address: )
~c~tec~n~eer: Phone:
Contractor ~ ~ t ~ 5~/~
~C~ D~C~ON= ~t: .... BI~:. Su~i~:
TYPE OF WORK: $IT.~'~VALUATION:
o Rcsidcnti~fl o New Conzu-. a Rercof a Woodstovc SF. ~} $ ,]8F. - $
a Multi-family a Addition o Move . n Garage ,,, SF. (~ $ fSF. - $
,~ Conm~-cial n Ren~el n Demolition o Deck SF. @ S /SF.-. $
= Repair n Sign .r~ TOTAL VALUATION
COMMERCIAIdRESIDENTIAI.~ Occupancy Group:. Occupant Load: __ Consu'u.cfion Type:
No. of Stories:, - Lot Size:% Lot Coverage: %
Existing Lot Coverage . "/sq. iL + Proposed Lot Coverage:. /sq. fl. = TOTAL LOT COVERAGE:
PLANNING USE ONLY: APPROVALS: PLAN
P~mits Requir~l:. No~;s: , BLDG
Ivla;c Height S~ib~_ok_,: Z~ming: DPW
Site Plan and Use Approved by: .. Date: FIRE
gSA/Wedand(s): a Y~ ~ No SEPA Checklist r~iuir~d? a Yes ~ No Oth~: OTI~R
PREAPPLICATION SUB~F~;AL: Your app~ and~te, plan mutt befdlzd o~ complete~ to be accepted for review. The
Division can provide you with more dctailod information on tht application and plan submiilal requirements.
BUILDING PERMrr APPLICATION SUBMI1TAL: Your compleled application, site plan (for sdeDJons) and building
plans arc to b~ submitted to Ibc Building Divis{on. Any addition larger than 500 ~q. ft. will ne~d a Pre. application Review.
VALUATION OF CON:~ I'KUCTION: In ~ll c~es, a valuation amount mus~ be mtered by thc appliCanL T~ fi~u~e will b~ ~,'i~ved and
may be revised by the Building Div. to comply with current fee schedules, Contact the Permit Coordinator at 417..4815 for ~
PIAN CI~CK FgE: Yotr plan check fee is due at the time the building peimit application and construction plans arc submitted. All
po-mit fees ar~ duo at the time of pennit
EXPIRATION OF PI,AN REVIEW: ff no ~,,,it is issued wi0~n 180 days of thc date of application, this application will expir~ by
timitatiora. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (~e Section
304(d) of the Uniform Building Code, current edition). No application can be extended more than once.
I hereby cetIify that 1 have ntad and examined this application and know the same to be true and correct, and I am authorized to app~for
tills permit. ! understand it is not the City's legal re$t~ontibili.ty to determine what permit~ are required; it remair~ the appllcant'.~
responsibility to determine what permits are required and to obtain such.
P~.C:~)ATA~WPW~.EPE~LDAPP.FRM
f
.... CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 F. AST 5TIt STREET, PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 5/23/2002 PERMIT NO 7674
OWNER/APPLICANT PROPERTY LOCATION
JERRY HENDRICKS 1024 6TH ST W
1024 W 6TH STREET Lot: 5 & 6
Port Angeles, WA 98362 Block: 156 [] Long Legal
360/452-2253 Subdivision: tpa
T: S: Parcel No: 063000015624000
CONTRACTOR ARCHITECT
COLEMAN ELECTRIC N/A
PO BOX 1326
PORT ANGELES, WA 98362 , 98360-0000
360/452-7594 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: RESIDENTIAL Construction Type:
Occupancy Group: Zoning Use:
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service ~
[] Furnace 15 KW [] Overhead Service Voltage: 120,240 ~
[] Heat Pump 4 KW [] TempService Phase: [] 1 [] 3 ~
[] Fan Wall 0 KW Service Size: 0
Feeder Size: 0
PROJECT NOTES (~
15 KW FURNACE AND 3.5 TON HEAT PUMP, LRA 127
RECEIPT#9023
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: HEAT PUMP $45.50
TOTAL FEE: $45.50
AMOUNT PAID: $45.50
BALANCE DUE $0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLA t. FFUL TO COt/ER,
INSUI~ TE OR CONCEAL AN]' WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DITCH
ROUGH-IN / COVER
SERVICE
GENERAL COMMENTS:
?w-i1o2.15 [4,96]
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,{ CITY: OF~PORT ANOEl:.ES
PUBLIC WORKS .; BUlLDINGDMSION
321JMS.'TSTH STREET, PORT!ANOELES, W A98362
BUILDING PERMIT
12794
4', ';.;",\,.~'_,_!'~:\.;/>_--'-"...,r'.:.'<I;'!?,""" ,.,
OWNER/APPLlOANT
JERRY,HENDRICKS
1 024 'W 6TH STREET
Port Angeles, WA 98362
360/452-2253
T:
ISSUED: '7/16/200'1 PERMIT NO:
.'~"',
'P~OP~RTY'~CATION
,. 10246TH STW
Lot: 5&6
~!~k: :156 D
Subdi,v.ision: tpa '
S: Parcel No: ,063000015624000
C()ti"'BA~T()~
OWNER
VARIOUS
Port Angeles, W A 99360
206/000-0000
PROJECT INFO
Project Value: $11,000.00
Project Type: SFR ADD/REMQ[~EL
Occupancy Type:
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITI!;CT
N/A
, 98360-0000
360/000-0000
t-
, .1
~:I
C::S,'"I
~r
~,
E:.
~I
~j:
~
SFD Units:
SFD sa FT:
o
o
Commercial:
Industrial:
Garage:
MFD Units:
MFDSQFT:
o
o
PROJECT NOTES
ADD 720 sa FT ATTACHED SHOP
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:' ,
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$195.25
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
.MiscFee 1:
Misc Fee 2:
Mlsc Fee 3:
$0.00
$0.00
$0:00
TOTAL FEE:
",AMOUNT PAID:
, BALANCE DUE:
$199.75
$199.75
$0.00'
Sepa~! Pe"!1l,. are required for electrical wo~ISEPA, Shore'i!le,E.S~,lJtillties,prlvate arid pu~lic improvements;~ls~m!lt.~
null.and voldlfwork or construction authorl~ed IS not.comm!nced YJithI~1.80daysllf constructionor.work Is, suspttnC:ljd,or~~ndomkl
for a period bf 180 days after the work as cOmmenced, or If requlr8cf h1spf(:tions have notbeen request8d Wlttil~;1~;I" y '-',,,, ':~ta'st
Inspection. I hereby certify that I have read and examined this l!lpplication and know the same to be true and correa:> . rons;:Of
laWS and ordinances goveming this type of work will beeomplied WlthWh~thElr~peclfied herein or not. The grantingof~' ........~.ci,oes"'ot
presume to give authority to violate .or cancel the provisions of any state or. local law regulating cons 'on orthe"pe .~ 'ance/of
construction.
Signature of Contractor or Authorized Agent Date
ButthlNG PERMIT INSPECTION RECORD
, , ,.
. .'. .,;',>..'
CALL 417-4815 FOR ~,UILDING.INS~~GTI9NS.:PLEASE PROVIDE A~INIMuM24HOUR,NOTICE. .1TISUNUWFUL ig,tC.OVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED: POST PERMIT IN A CONSPICUOUS LOCATION.
- ~~""!~,. "~::'";';';:~:.~~":'.~:;7". ~ .,., _..OFF-_ "i':.-:~,/:->~";~ .",'~ ..,co'
.'~~'! '
iJ'kEEP PE~ C~RD ANp APPROVED PLANS AT JOB SITE'
!-
- ,.., -ACCEPTED .
YES I NO
>;' !f; . DATE'
It, "':','
s'.;',';;, 'j.'::.,
· ", c:c l:(L,ni:()l
, ,
;CO~ME~"i
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INSPECTION TYPE
FOUNDATION:
,
.
.' t.LtA-
'.
FOOTINGS;..;,..
WALLS .>
~
DRAINAGE '.,' ,'" "f' ..",.,
(UGHT DEP1)S~~TEP~:# .,. ..
,'. " 1 ..'
.
FOUNDATION
ELECTRICAL
ROUGH-IN
PLUMBING
UNDER FLOOR I SLAB
. .
,
'" . I
"'.
"',.
I
I
.:.~
';,.;
ROUGH.JN
; WATERLINE
GAS UNE
BACK FLOW I WATER
AIR SEAL
WALLS ...,'
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR WALL ......
WALLS I ROOF I CEILING
DRYWALL
T-BAR
.', ,<
, :,;c'..,,,.'
.
.'
.. .
I '.
i
I
" , , '.
-: --2
.
,.; .~~
I
';.'
!.
~-II-()Z / FJI..
I
T
,
INSULATION
SLAB
WALL I FLOOR I CEILING
MECHANICAL
MEAT PUMP
I
1
I,
,
.
'.
.'
.
.' .
"
WooDSTOVE I PELLET/CHIMNEY'! INSERT
HooD7DUCTS : r: .'
PW UTILITIES I SITE WORK 'J&n!iineering Division) SEPARA TEPERMIT #'5: ;;
WATERUNE I METER - ., <~
'. '.
.
..... ....
SEWER CONNECTION
...:
. .
SANITARY ,;.i)
STORM ........ .<",
PLANNING DEPT. SEPARAte PERMIT #'5 '
PARKlNGlLIGHTING
! ";,.
,'..
,'.
" .
,.--
.;;j~'
>
LANDSCAPING
.
. . '. SHORELINE:
; FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE, . ""
RESIDElql,o\L.... ';J)AV:"" ~,,;./N9 .... :).: '(:pMME~{?~
1'" "''<:, ','.n .... :>('1':,',; :,.; ,Wi ',;,i,!'i\"i:.<" .... I, ...,'. f < ,. '.\.':", 'j,/en'" j."
'ELEcriUCAt':iIc;y6'DEPf:'" 'OB}[}"~H473r I ,"; ~iV.\j k' ~ciL,.., ,
: i,' 'I." ';) . . ..y ":i".' ,n}'> ,'.;" ,} UGHTDEPll ~)'.:.,
CONSTRUcnONR.W../PW/,::-i..". ','" ,.',','" "COpw' N/STRENGu'utriOk"R:.w.'
ENGINEERINGn' '.' " ,417-4807 INEBRING,
FIRE. "",c"'~" 417~3 -', \:. - I
P~GJ)EPT. ---, \~4.1i:'mo), .,,",L' -..L
BUIlDING \. i ," 'itlrf'-43IS '/." "l'I KV-.
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FIRE DEPT. .
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PLANNING DEPT.
BUILI>ING'" \ t.--, A '\(,'Lj,,;.
, '
',C:\APPL.WPO'" .'"
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"\,,~ rhe nllildillK }'el7l1if - }1'Y'tlflfllicarioll ",Il.rt befiJ/i'd Ollt coltll'lctcl)'.
. PkRH' t)'Il(' or print III Ink. 1f;7IR"(' RnJ :ucItIOlU. pl(,R~(, (,RI1417-4H I ~
Applocant nnd/or Agent: ~r- ( /fend rl C k5
Ownn "_ __..m..... __. ':::$;;;>11.. e
Add,css:-L.&.2._i_...~ .6 +t
BUILDING PERMIT - PREAPPLICATION
FOR OFTlQAI. lfSE ON!. Y
O"I~ RN" L'::t.b- ~l...
)'(":unit Ii
Pre.Ap ('''0l"kl~7
D"le Al'l>m\'<'<l._______
Phonet:,t6~ -.:1:2$ :3
Phone -:$G-h"\.. e
City
Q,,'fA ^'Jekf
Zip ..c:7_?f~~~.
Architect/Engineer:
---.--.--< _..~._--
Phone:
.._--~------.__.-
Contractor
License 1/:
Exp:
. Phone:
Address:
Zip:......_____
ZONIN<i ~
---U-----.---__
~ f-'f.~ A 1't9'~k> _
,.
City:
PROJECT ADDRESS: . / CI,;{ ~ t.A 9 & r:{
, -
LEGAL DESCRIPTION: LOI:' ?~ mock,,': I 5~
cbs6CCO )S~ .. 00_
Suhdivision:
TYPE OF WORK:
lJ Rcsidential 0 New Constr. 0 Reroof
o Multi-family X Addition 0 Move
o Conunercial 0 Remodel 0 DClllolition
o Repair 0 Sign
BRIEF DESCRIPTION OF TIlE PROJECT:
SIZEN ALUA nON:
o Woodstove 7). () SF. @ $ ISF = $
o Garage SF. @ $ ISF. = $
o Dcck SF. @ $ ISF. = $
It~' 4;;1r:7JJlf~M $
IICOO~
'"tlY ..A-,~ ,J#...-~
COMMERCIAURESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: ~
No.. ~f Stories: -------L- Lot Size: 2"1 ~(!) (0 % LoI Coverage: I ~ %
EXlshng Lot Coverage: J:1 $ tfJ Isq. ft. + Proposed Lot Coverage: 7t1. 0 Isq. ft. = TOTAL LOT COVERAGE: q (1) 70 Isq.ft
PLANNING USE ONLY:
Pennils Required:
Max. I-Icight: Setbacks:
Sile Plan and Use Approved by:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Ycs 0 No
APPROVALS:
PLAN
BLDG
DPW
FIRE
OTHER
Notes:
Zoning:
Date:
Other:
PREAPPUCA TION SUBMfIT AL: YOllr application and site plan must be fdled out compldel)' to be accepted for review. The Building
Division can provide you with more detailed infonnation on the application and plan submittal requirements.
BUILDING PERM IT APPLICATION SU BM rrr A L: Your complcted application, site plan (for additions) and building constlllction
plaJlS are to be submilled to the Building Division
V AUJATION OF CONSTRUCfION: Inull cases, n vnluation amount mustl>c entered by the applicant. T1iis figure will hc reviewed lInd
III11Y he revised by the Building Div, to comply willi ClIITcnt lee schedules. Contnct thc Pcrulil Coordinator 01 417 -4 X 15 I()!' IIssistllJlcc.
PLAN CHECK FEE: Your pllUl chock foc IS due 01 the tlJllC thc buildiJlg pe/mit applicotioJl and constn\ction plllns IIrc submittcd All other
JH:lll1il fc<:s lire duc at the timc of pcnnit issll/IJI(X
EXI'IHATION OF PLAN HEVIEW: 11'110 pnmil is 1:;slIcd withill fXO duys oflhc Jule (lfnpplicutioJl, Ihis UPl'hCUIII'" will expire hy
111111111110115. 'Ille I iuildillg ()fIicIIII CIIII cxklld 1/w 11111<: "If uet;oll hy the ul'pliclUll up (0 I HO days, 011 wrillcJl request by lbe nppllcalll (:il:e Sectioll
'I()'l(d) ofthc lJllilimll Buildillg Code, CUII..,,1 C,hIIOJl) No IIpphcllllflJI CIIIl hc exlended 11I0lt' llllln ollce
""''''''1' ('(,I1{/l' flr"f} '''I\~' /l'a,{ 0"'/ "HUllil"''/ /111.1 "IJldit:Ofioll tllld I"wll' III(' .{Oll/t' 10 III' (/111' ""d cOln'cf, tllld I tllII 'lI/flwl'l7.l',{ (0 "JlP~l'lor
1111., 1)('Imi( J lII/d"I'.\(tll/,{ il 1.1 '/tIf II", ('i~,,'., "'gol ,-,..Ipol/.\i(,"il)' (IJ ,1t'lt'","il II'/w( JlI'I'I11If.' (J t'('lJllin',{, if ",'lIItlllI.' fir.' "JlIIIiClIllr'J
/'('.I1Ioll.li"lllI)' 10 (It'f'',.,II',1I' Il'llIlf '"'l'lIIif.,' an' n''I/li,.,'.1 awl (0 o(,faill .wdl.
1)/I1('7~ .01____
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City of Port Angeles
Applicant Project Review Sheet
Applicant:
Owner:
~-5 Property address: /t5)A 0/" 0-J ~.-fCJ.
Proposed use: ?$t~lenc ~ Zoning:
~/~
Is the proposed use listed as a. "permitted use" or an "accessorY use" in this zone?
Is this the only use (business, residence, etc.) on this site?
Has there ever been a subdivision, shortplat, or PRO approved for this site, or has one
been submitted and is pending approval? .
Does the proposed use require a new buisness license?
Does the project extend into any required setbacks or cross any lot lines (interior or
exterior)? .
Does the project exceed the permitted height allowance or cause the property to exceed
the allowed lot COverage in this zone?
Does the project require any additional parking or special designllandscape improvements
in this zone?
Does the proj~ eliminate any existing parking spaces?
Is the project lOcated within 200' of the shoreline?
Are there any environmentally sensitive areas on or within 200' of the property,
~~ing: .
, .~.. · wetlands or areas of standing water (year round or seasonal);
i · streams (year round or seasonal);
".', . · . areas with a slope of 40% or greater; or
· areas that have evidence of past ground movement or erosion?
Have all the required submittals been provided by the applicant?
~ Site Plan XConstruction Drawings
o Parking/Drainage Plan 0 Civil Drawings
o Energy Calc 0 Supporting Engr. Calc
o LandscapelLighting Plan 0 Other
~es: ok
Kyes: ok
o yes: requires PO
review
o yes: requires CC
review
o yes: requires PD
review
o yes: requires PO
review
o yes: requires PO
, review
o yes: requires PO
, : :, review
o yes: requires PO .
review
. ' ,
;' ,0 yes: requires PO
0:. ,review
o yes: ok
o no: req,uires PO
reY1ew
o no: requires PO
review
~no: ok
1if no: ok'
ISi\ no: ok
.l\no:o~
.srno:ok:
181.'00: ok
)i{ no: ok!
, ~no:ok;
" ",J:' , 0....
f~j fn
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if'" "~
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% no: nUmc 1:
. ,'required'
item(s)
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If Planning Department review is required, the processing time may be extended. If it is determined a separate Planning
Department permit(s) is needed, the Planning Department permit(s) must be approved prior to the issuance of any other permit.
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if;:',*~2i .. .... ...... ....~ "~.<:!! ..... ",ill01%.
Permit Category #I
(see reverse side)
Building Pennit #I
Route to:
o BD 0 CC 0 FD 0 LD 0 PD 0 PW 0 File 0 Other
S tafT Ini tials
Date
Completion oj this form is required for aI/ category I b, 1 & 3 permits, Completion is not
required for category I a permits unless they result in a potential changeo/use or occupancy.
,
Al'RS.I ('-U.'r 1riII.......1
Master Tracking #I
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CITY PERMITS BY CATEGORY
'":""10,..: ,;; ~. :cateOorvi1 '~.1~':~:'1;P" \%~1.~Cat8cioM~~~"" ., '.~i~CatetioiVi3f15~~!' U~:fi,:~":~'f!~:'f:~!t;>,." ;.CiteaoiV:4:i~f:~,.,~~t'iF';!~.,~
Issued lit BD unless otherwisll noted Issued at BD unless otherwise noted Issued at BuRdng DMsion Issued at Pfanning Department
fNY be issued 0....,. the countsr requires re~w, approx. 7 days requires project mfg, approx. 30. ~ days requires ad17in. re~w, times val)' requires s pubic hearing. times Vary
I': ":FA";;';-::~ ........;;;:$EPA~'PJ:"~:;~...=::=i~ :~~~=ltG)Jl'" . ::.....~$EP....._"r'~
'. c'l itOt .~~, building. addition. (FO. LO & PW) clearing & grading (LO. PO & PW) minor deviation street vacation
-.tit, i~1 @ FO buildina. foundation onlv* (pIN) clemoIitIon (FO, LO, PO & PW) short plat variance
boiler building, new structure. (FO, LO & PW) ; temporary use or structure variance, parking
buiIdi1g, RlI'l* < 75% of bIdg S building. remodel (FO, LD & PW) zoning lot covenant
tun 0 FO bulld1ng or boat, mow (FO, LD & PW)
demolilich. interior cert.()CC new bIda (FO LD PO & PWl
draft stops chimney (LO)
cltywaII clearing & grading. (LO & PW)
eIec::tric::ar deck (LO)
eledrical, temp. service-- clemoIition. (FO, LO & PW)
firepIaceIstow clemoIition resid. chlmnev (Lm
fClUldaticn, repair clemoIition Aieln (LD)
f1.mace, oil dumpster encJosure (FO, LO & PW)
hood & duct elevator (LO)
insuIIlicn fire sprinkler (FO)
marine fueIina 8 FO hood & duct, suppra. system (FO)
pIurnbk1g . r1aht-of-wav. construc:tion (pIN)
roof. re-roof right-of-way, use (FO & PW)
roof,lkyflght roc:kery (PW)
5a\nl utilities (LO & PW)
siding sign (PO)
sli<fng door UST, installation. (FO)
wall relainina (PWl
"'~':';"'" :';:;;;wl$EPA&':17U~~("::
bed & breakfast
ESA approval
home occupation
retail stand
wetlands permit
. .... ... '. "', '.' wI SEPA'& wlO fnt1.i . ..... . ".
rezone, area-wide
zoning code amendment
comprehensive plan amet ldmer't
. .., --::\,,;,' .'" . wI SSPA&~1724.;~;~;
conditional use permit
planned residential de'-idopment
rezone, site specific
shoreline permit
subdIvIslon
.....\..;:,";'
.. B
.'.. .:~: . ~~""
.=::1>?use otlcirm
.....;., ":'.
. "exempt from SEPA per WAC 197-11-800
To quaM}' as exempt, the proposed project combined with any related projects or phases must; 1) not be located on s
property containing an ESA; and 2) be one of the types of projects describfJd below and be equal to or smaIer than the
associated size IIrmatlon:
. constnJctlon, location, or demolition of four residential units;
_ construction, location, or demoftion of any non-residential or non-industrlal buidng(s) with a total of 4,000 sf at
gross ffoor area;
. construc;t;on of a parldng /ot designed for 20 automobies:
_ Instalation or removal of any underground storage tank(s) with s total capacity of 10,000 gaIons:
_ gradng, excavation or filing ot 1) 100 cubic yards of mateliat or 2) as part of an exempt project
_ construction, Instalation, or demoltJon of commercial on-prerrise sq,s, and pubic sq,s and sq,aIs;
. ad<ftJons. modfflcations. or repairs to an existing exempt buidng or facMy, except when such ac1Mty would
asquaBfy Its exemption; "
. Instalatlon. rapalr, or relocation of utilities, except forelectrlcsllnes with more than 55,000 volts or sub$t8tions; or
- open bumlng.
_ eigble for phone-in by icensed contractors @ = Issued st ( ) = review required by CC = Cly CIeri<,
SO = Bufano OMs/on FO = Fire Deoartment. W = Uaht DMsIon PO = Pfannlna Deoartment PW = Pubic Worlcs
awnklgfcanopy
building, repair > 75% of bIdg S
oert-oc:c ~ bIdQ.
helIt paTlp
Ipgas@FD
oaIio CCwr
coren
stairsIramps
UST, removal (@ FO)
welding & cutting (@ FO)
Based on co-use of Applicant Project Review Sheet on reverse side
(;IIls1._ (8-~ lri8I~)
rJ.
CITY Of PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Datet" ..1. '!> -"1 Time Received by
Location of Work to be inspected /tPZ ~ V <:;; ~
Name of person requesting inspection
Address of person requesting inspection
Type of pect. . cle appropriate one):
ndation aming Chimney
(phone, person)
Phone No.
Permit No.
Plumbing Final Sewer Excav. Other
/2.'>.9Y
~o
INSPECTION N~S:
Inspected: . Date. ... ~ 3- ~
Remarks:
Time
By
~
RESTORATION REQUIRED . . . . .. YES NO
.
:
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
D Repaired by City
D Repaired by Permittee
D No .Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
1______
nJ
, CITY<OF,PORT ANGELES
DEPARTMENT OF PUBCICWORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date 4- / 1- 0 ""Z-
Time
Received by
Rt/
(phone, person)
Location of Work to. be inspected / ~?:- _ ~ ~"f-lc.
Name of person requesting inspection I. l' ;-h. 0. IC~S
Address of person requesting inspection Phone No. ~S;>- 9 22.:s
Type of Inspection (circle appropriate one): Permit No. 13'-112-
Sewer Foundation E'i~ Chimney Plumbing Final Sewer Excav. Other
~
INSPECTION NOTES:
Inspected: Date .J./ -I /- ~ '2- Time
Remarks:
C), /(J
By
RESTORA TIONREQUIRED .. . . .. YES NO
CCLII Q/h~q~J
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
D Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERIN'T".ENDENT
(OA TE)
..' .. ~..-.".,--....
/50'
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CITY OF PORT ANGELES - PIaM
The Issuance of this permit based upon these ns, spedfi.
cations and other data shall not preveat tile buiIdIn& officlat
from thereafter requiring the correctiDo et. errpn In Slid
plans, specifications and oIher data. ar _llImelltilll
building operations being carried lID ....... wben Ia
violation of all codes and ordinances III tIIII
(SECTION 303(c)- Uniform BuiIdin& Cade.I
ApprovalDate ~- / b -01._
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F!.R~::NtBER
, ,CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
r ~ElT NUMBER
,.-,
.
TOTAL FEE
5z-~
~
u.
Site Address
CO NT. L1C. NO.
TIME TO COMPLETE NO. STORIES
LEGAL OCCUPANCY
Owner
Owner's Address
Day Phone
Application js hereby made for Permit to install Electrical Eq
tlS-z---
PERMITS WITH WRONG ADDRESSES ARE CANCELLED /:
Installation By Or.'1/J'2~/L L[Ec77ll(
Installers Address
Installers Phone
'beTltle fIvr'T'.
,
fLAJl (. t.
Wiring Method
.'
NUMBER AMP 120V 24QV NUMBER AMP 120V 24QV
USE OF CIRCUIT . PER. 100R FEE -- USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA '0 30 CIRCUITS CIA 10 30
LIGHT I] GN
/ 1'?lLOlTS .
LIGHT lESS ,
CONVENIENCE / . L.<1 ./" MOTOR ..- . -.
CONVENIENCE TlJrr /' MOTOR
APPLIANCE -= 17 MOTOR
,
DISHWASHER / 7 clAE ALAAMS .. , . .'
DISPOSAL -0;:; BURGLAR ALARM
RANGE MISC.
OVEN .
WATER HEATER
LAUNDRY - .
DRYER - REINSTAllATION LIGHT FIXTURE #
FURNACE . SUB TOTAL FEE
GAS - Oil
FURNACE ENERGY FEE
ELECTRIC' BASIC FEE
ELECTRIC HEAT .
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT.BREAKER
.
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
-
SERVICE A.W.G.
- T SUB-TOTAL -
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
-.
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
,19 ~~$//I . .
. ,,_ ( ,'_ _ /" CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do .the above described work, according.to the con~mfons hereon and accordi 9 to .the approved plans and
specifications pertaining there.to, subjec.t .to comP.liance w!,!h !h.~_l?rdinances 'of e~ity of P .t An .oles .'
..' . a
Date Permit Issued It;! zjfi ~CANS _ . ...- _ - -. ~\:.' \~",
No.tify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current .turned on before inspection an~ O.K. for covering or service has been given by Inspector in
Writing on Permi.t Placard. A.. Permits Phone: 457.0411 Ext 158. .
Date Application made
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS. INC.
DATE OF VISIT
l\M~'\
, "./.-//f1',
"
REPORT OF INSPECTOR
MADE BY
'/
tY Sa~l(.t fl.VW't.~t
"1\ \l.-- '
, i \.(] O.K. FOR COVERING "" ~~
L.::-.
J'I/e O.K. TO CONNECT SERVICE
FINAL O.K.
REMARKS
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Ma~ 22 02 09:20a
Bobb~ O. Coleman
360-452-7594
p. 1
Ii
ELECTRICAl PERMiT APPlICATION
:::.::":"~~=--Q2.
fInnM"_~_~
o-~_... _._
The- eledrtcal Pem\it~h must he fillId out celllnWelv.
Please ryp. or 18print i,. inl. "you haW an, qu8SIions. ~ elllI (3&UJ 411-
.,..
Fu number. C36llt 411....711
=~-~~~--
Addr.... /6.:;)# f-f... <AIr.
EIe....... """- a, (J.. - 'A 8/d-fL-
REQUEST'N5PECTK>N 0
........-..:1-?~'?y Fax;
PA
.
".,n."
7ip:
license iI:
&p.: I)hQne"
Address:
CIIy-
DOWNER 0 ELECTRICAl CONTRACTOR
c?""/"-n7 "'''0 ./! /d"Chzl e
Zip;
INSTAlLATIOfI WIRED BY;
CINIt CMdHoJderN_-
BilJingA_' CIly:
~'
/ Exp_ 01>18:
Zip:
WSAd Me-,--
PRoJEcT ADDRESS-
/0;;;..1
tJ hti
~.
S-'-
L (,
TYPE OF WORK: Check !!II thai apply:
~~I OMlJltHamiIy [) Commercial
o AlleralionlAddition
[) Mobae Home Sq_ Ft
RemoteMeter [JOeIachedgarage OHotTub OSwimpaoI o Septic Pump Ou-Vollage o Telecom. DSign
NtunlJe<oICirt:uilsacldedor_; 0
DESCRIPTION OF TlfE ELECTRICAL PRO.IECT; r?,4 ~ j!1o
d-~ 4/ -Yz";':j~
PERMIT FEE: </ s: sO
<""~ ~ /S k~1
~tf!.4
hJ/7 ""A,fl~~
e_Hut."",,-....
Servlee Information
8_
Of"umace
Cl Heal Pump
CJFon-Wall
. KW
RKW .
~TON ()...1lRA
_KW
o 0Yer'-d Service
o Temp Service
o~ Senlice
VoIIage;
Phase; 0 1
Setvke Size;
Feeder Slze;
03
I hereby cettify,Chall have read and examined Chis application and know th8t same 10 be /rue and correct. and I am
authorized If> apply (or this permit_ I understand It is not ItI9 City's legal msponsib;/ity /0 deterrnioo what permits
are req<Jimd; it remains the app/icfHrts responsibifity /0 determine what permits an; required and to obtain such_
CreditCardHolder'sSIgnatun>, .~v ~..
Owner or Elec. ConI. Signature:
C;/ELECTRICALPERMITAPPUCATION
Date: S-;J 'CO-c...
Dale;
FROM: A.P.S. GEN&ELC CONTRACTOR
FAX NO. 360 45;U;753
__-----8P-'""--OO 2J~02_1_1-,-S~AM PJ.__
ELECTRICAL PERMIT APPLICATION
R.~II""'I('I;\.Ll.Sl':jv.;I'
()~,...'ICn.-:__.
f'C'11'\lI",_
th.ltI\VJI'I',,,,'..r.
1);.1,,1_11___
The .Electrical P'ermi1 AWI~1ion must De filled out comDletelv.
tP 7;'0'f
Ptease typo or reprtnt in Ink. If you have any questions. please call (360. 417-4735
Fax number: (360).fl~
'"t11-'-/54;;l REQUEST INSPECTION 0
OMler or Elec. Contractor Agenl: f:JjJ:5 -f C ~ C < c",.,I,G.c,irPhon.' h-J 6>S1 Far S I'J/he.
PlDpertyo..ner:Jtrr r He ,,"/rl c~ /!. Phone: 50"" ;W;3
Address: /c;~o/ L..J Crl._ aty. __d. DP:____',,(
E1ectric.' c:.,_IOr. ~~~ €ECdC..J) :.. )f'r<;e I;' e.p; Phoo~ -.6>.53'
AlI<lr"";S~6 A--"-__,,, __ City: /1i=r//l~/.-C" 7JP:/_'?C?
INSTALU\110N WIRED BY: 0 OWNER ~LECTRICAL CONTRACTOR / _
Cred/tCal'dHoIderName: !f!f: &C:::I\era....{ [ELgc~c..: ( cO/lIr=c::'1fb.r
Bi//ingAddress: Sf'C lSe"gpr-. ,-d City: ~ I I't'!.,Qe .e Zip:"t?X'.353
Credit Card / VlSA=-MC~
. PflCl.IECT ADDRESS; /0 j 'I
~ 6' 1-.(
p(AesidentaJ 0 Mufti-family
o Commercial
~AlterationlAddnion
o Mol>ile Home Sq. Ft.
TYPE OF WORK:
Check i!!! that apply: 0 New
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 low Vonage 0 Telecom. 0 Sign
DESCRIPTION <?F E ELECTRICAL PRo.JECT:
r-C-l.
Number of Circuits added or altered:
. ElectrIcal Heat Load Additions
7cf. 3 tJ
Service Information
o Baseboard
o Furnace
U Heal Pump
1'lFan-Wall
_KW
_KW
_KW
j1LKW
o OVerhead Service
o Temp Service
o Underground Service
Vollage: .) V 0
Phase: .Rl"1~'
Servi..rSize: 0
F_rSlze: ~-rA'('-~
PAMC 14.05.060(8): For indu$lrial. commercial, & residential project. larger lIlan a duplex, a ona . line drawing.of lIle Electrical Service &
FeedetS, building size (sq. fl.), load calculations, and the ljIpe & 01 conduelors and/or raceway is required and shall accompany the
Electrical Permit application.
/ hereby certify that I haVe read and examined this application and know that ssme to be true and correct, and / am
authorized to apply fo, this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
PW-9019
Credit Card Holder's Signature:
Owner or Eleo. Cont. Signature:
Date: f- !"- 0.1
Date.//- g ~qg