HomeMy WebLinkAbout1931 W 6th St - Building CITY OF Powr ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections R F I V
32.1 East Fifth Street—P.O.Box 1150/Port Angeles Washington,9&362
Ph:(360)417-4735 F=(360)417-4711 MAR 19 201
Date: 21&2 Single Family Dwell Ing ELECTRICk
MSPECTns
Plan Review May Be Required,Please Complete Electrical Plan Review Information She!ej
Job Address:—4!Z-3
ftilding Square Footage:
Description of above 9 i7d 'iz r-
Owner Information Contractor Information
Name: 9x �
4j"
Malliflg Address:
State. At�-?jp-._4'j uio 7
CRY; clty:'EnL- 44j z state:
Phone: --q ax:
Licanse 4 1 Up.— 2 �' —
U00nas#I Exp— /44
item Unit.charge 2ty Total 10ty 1Vfuitinv44d by tinu rh2mni
Serviceffieccler 200 Amp, $1120100
Service/Feeder 201-400 Amp. $146.00
ServicelFeeder 401.600 Amp $205,00
Servico/Feeder 6011000 Amp. $262.00
Service/Feeder over 1000 Amp. $373.00
Branch Circuit W1 Sarvirs Feeder $ 5.00
Branch Circuit W10 Service Feeder $ 63,00
Each AddWonal 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,Sarvireffeeder 401-600 Amp, $149.00
Temp.ServIceifteder 601-1000 Amp. $168,00
Portal to Portal Hourly $ 90,00
Signal Circuill 1-imited Energy-1&2 Family Dwelling $ 64,00
Manufactured Home Connection $120,00
Renewable Mectrlral Enefgy-5KVA System or Less $102,00 $—.—
Thermostat $ %Q0 $--
$
We:$5.00 for each additional T-Slat —
NEW CONSTRUCTION ONLY-
First 1300 Square Ft, $120.00
Each Additional 500 Square FL or POND"of $ 40.00
Each Culbuitding or Detached Garage $ 74.00
Each Swimming Pool or Hot Tub $110-00
Owner as defined by RCW.19,28.261:(1)Owner will O=py 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 1br 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 oralteraktj in compliance with the electrical laws,KE-C.,RCW.Chapter 19,28,WAC.Chapter 296-46B,The City of Port
Angeles Municipal Code,and Iffility Spedficallorts and PAMC 14.05.050 regarding ElWrical Permit Applications,
Signature of owner,electrical contractor or electrical administrator-, 0 Cash 0 Check
CredftCard#—___
ELECTRICAL PERMIT {
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 14-00000339 Date 3/19/14
Application pin number 679878
Property Address , , . 1931 w 6TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30--00-9-0-0245-0000-
Application type description ELECTRICAL ONLY on your excise.tax form
Subdivision Name . . . . . .
Property Use to the City of Port Angeles
Property Zoning , , , . , , . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . , , , 0
Application desc
Ductless heat pump
-----------------------------------._ __-__-__-----------------------------
Owner Contractor
PERRY MICHAEL S EXTRA MILE TECH & ELECT. , LLC
329 W 14TH ST 418 N, RACE ST,
PORT ANGELES WA 983627608. PORT ANGELES WA 98362
(360) 457-5222
-__ ________________________.-_______-----
Permit . , , . , . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . 68.00 Plan Check Fee 00
Issue Date 3/19/14 Valuation . . , . 0
Expiration Date 9/15/14
Qty Unit Charge Per Extension
1.00 5.0000 ECH K -ECH ADDNT BRANCH CIRCUIT 5.00
1.00 6.3.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63,00
Fee summary Charged Paid Credited Due
-----------_ ------- ---------- ---------- -------- --
Permit Fee Total 68.00 68,00 .00 ,00
Plan Cheek Total 00 .00 ,00 00
Grand Total 68,00 68.00 00 .00
INSPECTION TYPE DATE: RESULTS: .INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL wI
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number , , . , , 14-00000339 Date 3/19/14
Application pin number . . . 679878
Property Address . . . 1931 W 6TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-9-0-0245-0000-
Application type description ELECTRICAL ONLY on your excise tax farm
Subdivision Name , . . , . , to the City of Port Angeles
Property Use
Property Zoning . . , . , , . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
Application desc
Ductless heat pump
____------- -------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
PERRY MICHAEL S EXTRA MILE TECH & ELECT. , LLC
329 W 14TH ST 418 N. RACE ST.
PORT ANGELES WA 983627508 PORT ANGELES WA 98362
(360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee 68.00 Plan Check Fee .00
Issue Date 3/19/14 Valuation . , . . 0
Expiration Date 9/15/14
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1,00 63.0000 ECH EL-R- BRANCH CSR WO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- -----------
Permit Fee Total 68,00 68.00 .O0 00
Plan Check Total .00 .00 .00 OD
Grand Total 68.00 68.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXC ffAN GLIB UI LJ)ING
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000905 Date 10/16/03
..,.-;- 1931 W 6TH ST
06-30-00-9-0-0245-0000-
RES REMODEL
20000
Owner
Contractor
PERRY MICHAEL S
329 W 14TH ST
PORT ANGELES
OWNER
WA 983627608
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
57.10
10/16/03
4/14/04
Plan Check Fee
Valuation
.00
o
'-
~
~
Qty
1.00
2.00
Unit Charge Per
46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS
5.2000 ECH EL-R OR RM ALT ADDNT CIRCUITS
Extension
46.70
10.40
""-
Other Fees
DOUBLE PERMIT FEE
STATE SURCHARGE
344.75
4.50
t
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.10 57.10 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 349.25 349.25 .00 .00
Grand Total 406.35 406.35 .00 .00
~
Il..
~
. \
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 , 80 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. .
Signature of Contractor or Authorized Agent
Date
/O/lb/tJ3
Date
T:\PLANNING\FORMS\1102.15 [4/20021
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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
FOUNDA TION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE
-
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
-
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL - .
HEA T PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 1:1/;J-Io.3 kG ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ / / CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 4 I 7-4750 PLANNING DEPT.
-
BUILDING 4 I 7-48 I 5 BUILDING
T:\PLANNING\FORMS\ II 02.15 [4/2002]
of ~OAT ~Q
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property Zoning . . .
Application valuation
03-00000480
1931 W 6TH ST
0630009002450000
ELECTRICAL ONLY
Date 6/02/03
o
Owner
Contractor
PERRY MICHAEL S
329 W 14TH ST
PORT ANGELES
WA 983627608
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
ELECTRIC SERVICE
99.00 Plan Check Fee
5/20/03 Valuation
11/16/03
.00
o
Qty Unit Charge Per
1.00 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER
1.00 22.7000 ECH EL-RM-0-200 ADD SRV FEEDER
Extension
76.30
22.70
'-
~
~
"'-
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 99.00 99.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 99.00 99.00 .00 .00
l
~
,~
~
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.
Signature of Contractor or Authorized 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. IT IS UNLA WFUL TO COVER,
INSULA TE 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 NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
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
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 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. 4]7-4735 5/;7/oQ .M ) ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ / , CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417.4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002]
.~ .,*r.. CITY OF PORT ANGELES
~"'~'~' DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
~...L~.,~,~ /-r~,~V. I ISSUED: 9/30/2002 PERMIT NO: 13748
OWNER/APPLICANT PROPERTY LOCATION
MIKE PERRY 1931 6TH ST W
1931 W. 6TH STREET Lot: 13
Port Angeles, WA 98363 Block: 2 [] Long Legal
360/457-3151 Subdivision: SUB LOT 35
T: S: Parcel No: 063000900245000
CONTRACTOR ARCHITECT
HENNING ROOFING N/A
72 LEVIG RD
PORT ANGELES, WA 00009-8362 , 98360-0000
360/457-3151 360/000-0000
PROJECT INFO
Project Value: $2,900.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF 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
TEAR OFF / RESHEET / 3TAB
RECEIPT#9742
FEES ASSESSMENT
Building Permit: $112.05 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: $116.55
Plumbing: $0.00 AMOUNT PAID: $116.55
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 certifl/that I have read and examined this application and knowthe 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~ ,,~
Signature of Cont¢C~or or Authorized 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. IT1S UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
INSPECTION TYPE DATE I ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
DERFLOOR/SL^E ]/L4
ROUGH-IN
WATER LINE
GAS LINE
RACK FLOW / WATER
AIR SEAL
WALLS I I
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS ! ROOF / CEILING
DRYWALL
T-BAR
INSIJLATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHI MNEY
HOOD / DUCTS
PWUTILITIES/ SITEWORK (Engin¢¢ringDivision) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ljSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ! ~/~'~--/~)~ , ~ ~.-..~ BUILDING
T:\PLANNING\FOKMS~ I 102,15 [4/2002]
o~ ~ °R r ~4-vc~ FOR OFFICIAL USE ONLY:
~-~, Date Rec.:
~ ' BUILDING PERMIT - APPLICATION Permit.:
Date Approved:
Date Issued:
~ TheBuildingPermitApplication mustbefilledoutComplete[y.
Please type or print in in~ If you have any questions, please call 4174815
Applic~t or Agent: ~{~['~.l)~t~.~ ~ DG¢I~ Phone: ~-~
Owner: ~C~ '~~ ~ 'D Phone:
~chitecffEngineer: ,~ Phone:
Co~ff~6(Yh~C{~ D ~ ~ ~ License ~: Exp:. Phone:
Ad&ess: ~ _'~~ -~ City}~Ok'~ ~[~ ~ Zip:~'
LEG~ DESC~PTION: Lot: ] ~ Block: ~ Subdivision: ~'C'~ ~ ~
CL~L~ COUNTY P~CEL N~BER~ Z~5~redit Card Holder Name:
Billing Address: City:
Credit Card ~: Exp. Date: VISA MC
U Residential ~ New Com~. ~ Re-roof ~ Wood-stove SF. ~ $. /SF. =~ ' I
~ MuM-f~ly ~ Addition ~ Move ~ G~age SF. ~ $. /SF. = $.
~ Co~ercial ~ Remodel ~ Demolition ~ Deck SF. ~ $_ /SF. = [
~ Repair ~ Sign ~ TOTAL VALUATION $
COMMERCIAL/RESIDENTIAL: Occupancy Group:. ~ Occupant Load: __ Construction Type:.
No. of Stories: __ Lot Size: % Lot Coverage: %
Existing Lot Coverage: /sq. ft. + 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 rn No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and siteplan 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 submitted 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 permit 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. 1 understand it is not the City's legal responsibility to determine what permit~ are required; it remains the applicant's
responsibility to determine what permits are required and to obtain such.
Applicant: '~]c~.[~i Date: _DC~/2~ j~)~-~
T:WOKMSXAPPS~ uildingpermit ~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date / Z-/.~--~-P~> 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 ~ewerExcav. Other
INSPECTION NOTES: .
Inspected: Date / ~// ~/% __~ Time ~-/!×, By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [--IGravel [-]Asphalt [-IPCC {--IOther
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
}Continue on reverse side if necessary} STREET SUPERINTENDENT IDATE)
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT "'RESIDENTIAL
INTERIOR BASEMENT ALTERATIONS
344.75 Plan Check Fee
9/15/03 Valuation
3/14/04
BASE . FEE
BL~2001-25K (14 PER K)
Extension
92.75
252.00
MECHANICAL" PERMIT
54; zs-
9/15/03
3/14/04
Plan "Check Fee
Valuation. . .
Per
BASE FEE
7.2500 ECH ME-:VENT FAN
Permit . . . .
Additional desc
Permit Fee
Issue Qate
Expiration Date
" PLUMBING PERMIT
75.00
9/15/03
3/14/04
Plan Check Fee
Valuation
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BUlLDIN~PERMITINSPECTIONRECORD . ,.
; ','r"". .. .' . .... .......,../',Jf,'!p.(' ..... ... ......, . . .....,.i.,
CALL 417-4815 FpRBtnLDING INS~EctIbNS..., PLEA'SE PROVIDE A MINIM{jj.JJ 24ROUR NOTICK{T 1S,l/lf.4 WFPLTi)c"o'JrER,
. INSULJ,71i.J!jl.. €PNC:6flLANY.,,1J"ORJ+!lI!!:;g~.!NS!EqE.g#t!JAffEPJ.#D. . Pc:>>S'f.~~E"lAiS2~~~~~(,)(J~'~~!!gl'l'
. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
',:,,\~, ';:-4_t).-"-
?
INSPECTION TYPE
DATE
I .. A.,CCEPTED,
I YES NO'"
.co~,
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.:..u;;,'
'.,/>: ,,"'. ",
FOUNDA.TION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
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ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: II,.
ROUGH-IN
PLUMBING
.
'. I
..
I
uNDER FLOOR 1 SLAB
ROUGH-IN
WATERLINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING '
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL .,
WALLS 1 ROOf 1 CEILING
DRYWALL
T-BAR
.. J ..
...., e?.f:3./03 :.1 L L--
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'VC' '
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SEPA:
ESA:
. INSULATION
SLAB
WALL 1 FLOOR I CEILING
MECHANICAL .
.
.
".'
';l/n .-42--0; I f. L
,,' "
.
.
HEAT PUMP
WOOD STOVE I PELLET I CHIMNEY
HOOD I' DUCTS
"
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, "
PW UTILITIES' I. SITE WORK' (EngineCring Division) SEPARA T~hiRMrr "'s:
.
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT, . SEPARATE, PERMIT,#!'
.
I
P A.RKlNGlLIGHTING
. ELECTRICAL. LIGHT DEPT.
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CONSTRUCTION It. W.IPWI
ENGINEBRING
'F~., \':~:
PLA.~G DEPT.
"BUIl=DINO,:;j."" .... ..,--,,,,
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417-480,7
417-4653: \'1> ,.' p .
}'4t'7-4750' TNe .:; "./,
"417.48IS' Il.tlS/D"!; ',' .J,LI
FIRE DEPT.
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PLANNIN(JiD,~PT., ,,,.,;';
BUlLDlNG::"',~"--",,,,,, .". '.
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T:\PLANNIJIIG\FOlWS\1102.IS [412002]
, ~l
~ ~~__U~~:~
'jBUILDING PERMIT - APPLICATION
..
FOR OFFICIAL ljSE ONLY:
Date Rec.: to /.' "3 Lo~
Permit #:
Date Approved:
Date Issued:
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
(360) 417-4815
Applicant or Agent-.!1IClfltEL Pe-r?1< '/
.
Owner: 5A-1I1 iF
Address: "3;)... 9' fA) / L/ TH
Phone: 360 - 15"1 - 9776
Phone: 3fa 0 ..... tf 52 - 23 7/ WG~.c:
City: PofL T A.AJG€L.€""s Zip: 9 g 362-
Architect/Engineer: Phone:
Contractor f(A-AJIJ fj (!)tuEAJ.s StateLicen~~~^,PI Og5D~xp: 3//05 Phone:Vn-t/7'1~
Address: faro ( Mt Plea~...f fl-1 City: Pb/LTjJ;)JG/:'-€$ Zip: t:JS!,{,2-
PROJECT ADDRESS: /93/ W" -I-h PA . 98363. ZONING: -R S7
/ -3 Block: ~ Subdivision: AJdw.e.//s g'a bO/fJ 17t
.
CLALLAM COUNTY PARCEL NUMBER: 0 b =3 0 e5C> 900 .;l t.f 5 g t.L/, La"7 . 35
LEGAL DESCRIPTION: Lot:
Credit Card Holder Name: ^" ICt.+A-E: L S .
Billing Address: 32 q lue57 ft.I -rH-
Credit CardType VISA MC #
TYPE OF WORK: SIZEN ALUATION:
J( Residential.: 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $
· 0 Midti-famrry > 0' Addition 0 Move 0 Garage SF. @$ /SF. = $
o Conunercial ;( Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $.
ciRepair 0 Sign MOther .. TOTAL VALUATION $ ~OJoo'o
BRIEFDEscmr'iioN OF THE PROJECT: APJ5 OtLTS/DIE" If/NT/Zj:fAJe.G TO .f3ItSl2MENT ANt? ..
t:I/VISt4- 8Ifs~eN'T. A-bJ> ~/I1A-/,.L. DE:C'::"'OFFb-y.lS7/JJ$ KI,C/H7:}J,
COMMERCIAL~ENT~ Occupancy Group:' Occupant Load: Construction Type: If G: .NI 0 DeL
No. of Stories:.-L Lot Size: 50 "/..1i/OE~sting Sq. Ft. /1>65 & Proposed Sq. Ft.! 93 = TOTAL Sq.Ft, I g58
Existing lot coverage ~ % & Proposed lot coverage 3-% = Total lot coverage. ...'27 %
'Pe-e.R<j
City: P6ILT AfVG~$
9'8361-
Exp. Date:
,
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
.....bTImR:_
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: '
"
"
BUILDING PERMIT APPLICA TION SUBMITTAL: The Building Division can provide you with infonnation on the application and
plan submittal requirements if you haveques~ons.
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 Perinit 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 llt the time of permit issuance.
EXPIRATION OF PLAN REVIEW: :Ifno permit is issued within 180 days of the date of application, the application will expire. The
Building Official-Clan extend the time for action by the applicant up to 180 days upon written request by the applicant (see SectionJ07.4 of
the Uniform Building Code, current edition). No application can be extended more than mice.
..:;.-
I hereby certify that I hav~ read and examined this application and know the same to be true and correct. I am authorizedto"apply for this pe~mit 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 wof/{. i'
BFORMSIAPPSlB,Hd;,gp=;twpd APPli,ant~ ~ Date" b/t~;:" L
;;i'I""~
.. "
t',
APPLICANT: JV1 fcJ.lItE 4-. 'PE R./L~
PROJECT/DEVELOPMENT ADDRE~S: ,1'13/
DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION
"5'1- 77b 1-1
PHONE: tJS'Z- 2~71 ~
lA.JEST ~ Tff Pit- CfF3l:,3
See Page 4 for instructions on completing the sfte plan. For more information, call 417-4815.
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST'
Date $10.3.
~/
Received by
,,---
J "'-.
Time
Y*IV\
~erson)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one): ~
Sewer Foundation Framing Chimney ~ Final
INSPECTION NOTES: L I VU~ 1Mb
Inspected: Date g~nJ Time-f(\1
Remarks:
I b~;J~
\.J
Lt-+i1
Phone No. 4 ~a. ~ .fSd~
Permit No. ~
Sewer Excav. Other q b~
BY~
~
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
IDA TE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date. ~ -q-63
y/
Time
Received by
~ (phone. personl
Location of Work to be inspected /9(){) 8/()(1k W€Si-b+i]
Name of person requesting inspection AVJY) McJ.-h~so~
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
Phone No.
Permit No.
INSPECTION NOTE~
Inspected: Date 'D 7
Remarks:
~
""""'-
-Q
~
'""'--:.
RESTORATION REQUIRED . . . . .. YES NO
\ WoJ'k b~~ d.\A.e.. c..t Pro iY 19z<=i oJ 'G"'L-t 0 r-
,S 6e.1w€e,r. ,C(Z7 a,V\d'192.5
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel o Asphalt DP,CC
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 SUPERINTENDENT
(DATE)
PREPARED 12/15/03, 12:17:31
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1931 W 6TH ST
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
PERRY MICHAEL S
06-30-00-9-0-0245-0000-
03-00000905 RES REMODEL
PERMIT: DF3 00 BUILD PERMIT - RES DBL FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3
BLI
01
10/17/03
10/17/03
JLL
AP
SUBDIV:
PHONE
PHONE :
JLL
BUILDING FRAMING TIME: 17:00
Framing inspection in Basement remodel
Ph# 452-2371
BUILDING INSULATION
BL99 01
~v
---------------------~--------- COMMENTS AND
BUILDING FINAL
Mike Perry 452-2371
NOTES --------------------------------------
01
10/22/03
10/22/03
12/15/03
1
12/15/03
PREPARED 10/22/03, 12:48:07
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1931 W 6TH ST
PERRY MICHAEL S
06-30-00-9-0-0245-0000-
03-00000905 RES REMODEL
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
SUBDIV:
PHONE
PHONE :
PERMIT: DF3 00 BUILD PERMIT - RES DBL FBB
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3
10/17/03
10/17/03
JLL
AP
01
BUILDING FRAMING TIME: 17:00
Framing inspection in Basement remodel
Ph# 452-2371
BUILDING INSULATION
BLI 01 10/22/03 ~
-------------------I-~-~------------
2
10/22/03
COMMENTS AND NOTES --------------------------------------
~ORTANGELES
WAS H I N G TON, U. S. A.
DEPARTMENT OF COMMUNITY DEVELOPMENT
July 24, 2003
Michael Perry
329 W 14th Street
Port Angeles, Washington, 98362
Dear Mr. Perry,
As you know, following a public hearing conducted on July 23,2003, the City's Planning
Commission denied your request for a Conditional Use Permit at 1931 W. 6th Street. The decision of
the Commission is final unless appealed within 21 days to the Port Angeles City Council.
If you have any questions, please don't hesitate to contact this department~
'cQBuilOffig~1f~'fun';i~
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Th ISSUI nee ~ tills I8rmit base<< Upol thllSl plans SpilL n"
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ELECTRICAL PERMIT APPLICATION
FOR OFFICIAL USE ONLY .._-:
DatelRcc;
Pcnnit#;
D...teApproved:
Datels.sue&
The Electrical Permit Application must be filled out comDletelv.
Please type or reprint in ink. If you have any questions, please call (360) 4174735 ~ (()CS
Fax number: (360) 417-4711
Owner or Elec. Contractor Agent:
Property Owner: M I K ~
I "'3
Address:_ ' ~1
M,KE PEfa-j
fPE f?./~-'j
Wesl -/4/ ~
Phone1S7-177b Fax: Y52-'i179g
Phone: tj 5 7- q7/ b
_City POf!-T AIJ6GLES Zip CJY36.Z-
Electrical Contractor:
License #:
Exp:
Phone:
Address:
City:
Zip:
INSTALLATION WiRED BY: ~WNER
Credit Card Holder Name:
o ELECTRICAL CONTRACTOR
Billing Address:
City:
Zip:
Credit Card Number:
Exp. Date:
VISA:_"MC:
TYPE OF WORK:
/93/
WEST
6TH
PoP-I AN6nES
9f3b3
PROJECT ADDRESS:
Check all that apply: 0 New
,Pi( Alterationl Addition
){ReSidential 0 Multi-family
o Commercial 0 Mobile Home
Sq, Ft
o Remote Meter " n Detached garage 0 Hot Tub ,'0 Swim Pool,
: NU~ber of Circuit~ added or altered: 0' , .';
DESCRIPTIO~ OF THE ELECTRICAL PROJECT:, " 1ft!:/nt?tJ-tL-
~. .. ~ ~, .
o Septic Pump
o Low Voltage 0 Telecom,
o Sig
;f/')LJI-TlON. .~
Electrical Heat Load Additions and or Subtractions
Service Information
o Baseboard
o Furnace
o Heat Pump
'~Fan-Wall
~KW
KW
TON
7,'KW
LRA
o Overhead Service
o Temp Service
o Underground Service
Voltage: :2. 'I 0
Phase: ):[1 0 3
Service Size: 200
Feeder Siz!" 90
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
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature:
Date:
Owner or Elec. Cont. Signature:
Date:
. ,
1",. NI'!t-
C:/ELECTRi CAlPERMIT APPlICA nON
1;J.)s;J~ .JcQ
PERMIT FEE: $
FROM' :_ E 1 ectr i c-:-S
~;
FRX NO. : 4526424
May. 16 2003 07:39RM P1 6 Zb
ELECTRICAL PERMIT APPLICATION
fl)[I Oi :'ICIAL :";:i;j.'. u~L y
DKIIII!l.(c: .__.. .u._., ...
I'mn..l~: '_._' ._,
r.:"k A"P1"~<4: _.__ _._
[)&lC~l.ogJ.___ _.__
Tn9 Eleef1ica1 Permit ~p)icatjon mUlt be flllad out com~18h,11I
l.f8o
Pltu. ~ or reprint In Ink. If iDU hive any qUNl!onl, plaU& .IU (3601 417..735
Fa nu",ber: (3llO1417..71,
/.
REQUEST INSPECTION [
OWno' Or Elee. Contr'ctOr Agent: _f7.-lCZL'n? ,,'_ >.:.~... ",'. ;..!.L,- Phone: 4 n-(Pli~" Fax: l\ "~._"~..' /J
ProPOnyOv",or.. b11~Cr. ~e.r'T ~. PC-one: 1-{'~-:<231/
Addro.s:~ '7 I s-+ Cit<: f Od A~~< l' z~ Cf 8'3Co'b
Electrical Contracto'. \2:\.<1 <.',;L'''- ~ J.,_ liOONOti:__, ' fx;' ql,'</... Phone; 4' '--i..,
Ad"rass 1.h.... 'l1'I"L.. '<~ ~& I City: ~~I'/.I Avr ,uJ:...' Zip: '1T~,.,-
INSTALLATION WIRED BY: 0 OWNER ~L CONTRACTOR
Credit Card Holder Name:
(fr 9%/0/:
811ting Address:
Credit Card NumbQf':
Exp_ Date:
Zip:.
VISA: Me
lC)..3 l
LA ). Co M
PROJECT ACCRES$:
TYPE OF WORK:
Check ~ that apply: C New
~esldental 0 Multi-family
Remote Meter 0 Detached garage
Number of Circuits added or altered:
o Commercial
)XAlteratlonfAddition
o Mobile Home Sq. Ft
o Hot Tub 0 Swim Pool
()
o Septic Pump
o Low Voltage 0 Telecom. 0
PERMIT FEEt qq ov
767.30 t- 22 n 0
~. J Sr t'c,w
)(flvemeed Service
a Temp Service
eJ Underground Service
Service Information
Electrical Heat Load Additions
o Baseboard
o Furnace
o HMI Pump
o Fan-Wall
KW
KW
TON
-KW
LRA
VOltage: i') J) ~~-'1D
Phese: 1 3
Servles Size: 'l.c.t Pi
Feeder Size: .L.i'J () A
PAMC 14.05.060(8): For industrial, commercial, & residentlel projects lerger than e duplex. a one -line drawing of the Eiectrical Service
Feeders. building size (sq. ft.), load calculations, and the type & of conductors and/or raceway I. required and shall accompany the Elect.
Permit appiicatfon.
I hereby certify that I have read and examined this epplica/ion and kni)w that same to be tflJe and correct, and I ,
authorized to apply for this permit. I understand It Is not the City's legal ~sponsiblllty to df}termlne what permits
required; It remains the applicants responsibility to determine whet permits are required and to obtain such.
Credit Card Holder's Signature:
Owner or Elee. Cant. Signature:
C:IELECTRICALPERM IT APPLICATION
~~
C;,te:
Date:
ftl.j!t~P
~ C ~ 5"/17/03
of-' Ji J 6\1'\ (i1;