HomeMy WebLinkAbout114 W Front St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DiVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000569 Date 6/12/03
Property Address ...... 114 w FRONT ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1509-0000-
Application description . . . MECHANICAL PERMIT
Subdivision Name ......
PrOperty zoning .......
Application valuation .... 549
Owner Contractor
Expiration Date . . 12/09/03
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 certi~ that I have read and examined this application and know the same to be true and correct. All provisions of
aws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
)resume to o~ve authority to violate/~r cancel the provisions of any state or local law regulating construction or the performance of
horized Agent / Date Signature of Owner (if owner is builder) Date
~G~'02.' 5 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE [ YEsACCEPTEDI NO COMMENTS
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
FROM : ALL WEATHER HEATING ~ COOLING FAX NO. : 360 452 5177 Jun. 10 2003 02:S1PM Pi
BUILDING PERMIT - APPLICATION
Pi~ ~ or p~t ~ ~ If you ~ve ~y qumfio~ ple~ c~ 41~]5
B~l~!~ ~ ~ ~4 ~ fi~ foF ~fion by ~ applic~t up ~ 180 da~ upon ~ ~que~ by
~ Um~ B~ ~, ~t e~fion). No application can ~ exten~d more ~ o~e,
Ik~~l~~th~a~aa~owthesametobe~eand~t, andl~~yfor
th~ pe~t. I u~m~ tt ~ ~t the Ci~'s legal ~po~lli~ to d~temlne what pemla are ~qul~; it ~ma~ the appl~nP~
BUILDING DIVISION
CITY OF PORT ANGELES
Correction Notice
Job Located at / i ~ //~ '~-'~~
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
These corrections must be made and are not to be
covered until reinspection is made. ~ ben corrections
have been made, please call
for inspection. ~ i '~/
DO NOT REMOVE THIS TAG
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date (-~' ! ~ - 6_~ Time Received by ~'/ (phone, person)
Location of Work to be inspected /'/~"?/ ~/ /-~/"~ ~'c
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 ,~/~"~z'cJ~
INSPECTION NOT, ES:
Inspected: Date LP[l?-~l o~ Time__ ~¢)k~/ By
Remarks:
'RESTORATION REQUIRED ...... YES, NO
SURFACE RESTORATION:
SURFACE TYPE: [ :Ur:improved ~Gravel L__~i !Asphatt ~'iPCC ~lOther
~[ [~paired by City Work Order #
~] Repaired by Permittee [] COMPLETE
~1 No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
.\,~....
o'f ~ORT ~G'
, A,..J..~~(I":
~~\II
iI~
~ -=..::.
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000569 Date 6/12/03
114 W FRONT ST
06-30-00-0-0-1509-0000-
MECHANICAL PERMIT
549
Owner
Contractor
WHALLEY CRAIG S
114 W' FRONT ST
PORT ANGELES
WA 983622607
ALL WEATHER, HEATING & COOLING
302KEMP ST.
PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 452-9813
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
59.40
6/12/03
12/09/03
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1.00 59.4000 ECH EL-COMM ALT <5 CIRCUITS
Extension
59.40
'""'"
'-
~
Fee swnrnary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 59.40 59.40 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 59.40 59.40 .00 .00
t
~
~
'\
~
.
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 gi authOrity to violate r cancel the prOVisions of any state or local law regulating construction or the performance of
constr ct n.
Signature of Owner (If owner is bUilder)
Date
~~i '.
BUILDING PERMIT INSPECTION RECORD
CALL417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVfR,
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
r YES I NO
FOUNDATION. ,--
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING
DRYW ALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engmeenng DIvIsIOn) SEPARATE PERMIT #'s
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARA TE PERMIT #'5 SEPA
PARKING/LIGHTING ESA-
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL (,/J&~3 k()
LIGHT DEPT
CONSTRUCTION R W.I PWI CONSTRUCTION - R W J
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T \PLANNING\FORMS\1102 15 [4/2002]
~f>ORT~
$4.0~~~
".
"-~
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000662 Date
.398944
114 W FRONT ST
06-30-00-0-0-1509-0000-
SIGNS
7/27/04
CENTRAL BUSINESS DISTRICT
600
~~tGW
4/ 'Z1 j/J~
Owner
Contractor
WHALLEY CRAIG S
114 W FRONT ST
PORT ANGELES
OWNER
WA 983622607
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
SIGN
15' X22' WALL
85.00
7/27/04
1/24/05
MOUNTED SIGN
Plan Check Fee
Valuation
.00
600
Qty Unit Charge Per
1.00 85.0000 PER S- SIGN WALL 25 SF+
Extension
85.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 85.00 85.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 85.00 85.00 .00 .00
-1:.
~
't1
"')
G
~
-+
V)
';-f.
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 Owner (if owner is builder)
Date
Signature
T:\PLANNING\FORMS\1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKINGILIGHTlNG 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 R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\ 1102.15 [1 1/1412003]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.J.J7 - 27- 0 ~
Permit# 04 - 4fi3
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Date Approved:
Date Issued:
Applicant or Agent:
t ~It \ ~
I blo i-!/lA/(.OUc.
Owner:
"3 tf."(I.'f (()~,V( lL
W>>ALLEY'
Phone:
Phone:
'1 {,i) -I7J/
Address:
City:
P.;4.
Zip: Cj !fJ~2
Architect/Engineer:
Contractor
Phone:
State License #:
Exp:
Phone:
Address:
City:
JI'1 W r; /C UN r
~ Block: jf
Zip:
ZONING:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
C8TJ
Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
<H30D()OO j)O~O()VO
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair g Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: 6t- OU:.
'fio ' " , '{' -,- (' i ) /1 I;
B,^I(..()IV~ .f Is /~.;-) )u j'r Tr . in",
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
Total lot coverage
City:
Exp. Date:
SIZENALUATION:
.-:::(" SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
1.,[ TTUU "DIY >>iY IJC~t<.f g C; o:n-' I} rTIKIt[v
I, '
,/'e,... )J" ( e " I ~' 'f-r ) , ') ''1
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
%
iPROMV S:.'
. AN: ~ . 11(
:\~ .,' -
LDG:
DPWU:
FIRE:
OTHER:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
V ALUATION 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 cunent fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other pem1it fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno pem1it is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, cunent edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are require ,not the City's r~nd that I must obtain such permits prior to work.
~ !
T\FORMS\APPS\Buildingpennit.wpd Applicant: Date: 7 - 2. 7-01
CITY OF PORT ANGELES
LIGHT DEPARTMENT
N~
17915
ELECTRICAL PERMIT
:5- -,;;/ Fs
Port Angeles, Washlngtoll.m.m..m__m__....__mmm___m_mm..__._____m_. 19________
~
In accordance with the City Ordinance to regulate the installation. extension. or repair of elec-
trical equipment in, On. or about any building or other structure in the City of Port Angeles. per-
mission is hereby granted to do electrical work as listed below.
Address _!.__~__<:::._.__n~_,~:!!!:~2L.Y..__n____c:.____ooomm___n__ ocCUpanCy__m_-~f--~--.----n------ooo--n.
~:~:~~:~~~~-~(2~~i~~~~:~~~;::~::::~~:::::.--.----~~~::::::::=::::::::::::::::::=:::::::::::::::::::
C/
Light Outlet"---._______.____________________n__n.. Service, volts n___!.f:2._';/--!i._!'..'::.___ Type of Wiring;
Receptacle Outletsmn___hn.___.....___....... No. wires ......~._........u..m__._mn.. Armored Cable .h___.......n.m_um_....
SI 1 1fJf5< /le-)-( Non-Metalllc ------------------------_________
ze w re"---~_<..__'!,.______________..__
,f"cJO/j
Main fuse ....__..n_.....................h.....
Enclosure __..n<;!/../..:.~.:?...nn...___.
Dryer, KW........__n_____....._____n________
Knob & Tube................._.............._
Range, KW m.hm___nmm___.._
Water Heater:
Rigid Conduit n____________________n______.
Metallic TUbing .m_n_...m...nnm._.
KW._______n____________________________
Type of wiring:
Entrance Cable ......um_____.............
Raceway ......................................._
Circuits. LIght.___.________n._____________.________.
Utility hn..u_n_......__nn.n..n.n._..._..._.
Heat: KW...........hn_......nnuunn_nnn___
Motors: size, volts and phase:
RIgid ConduIt ___________..___.
Metall1c Tubing .m_m__n_
Current transformers:
Heat __.__.................................._......
Ser. NO.n..__.__..nn._.............__...........u.
Range ....._____............._____....___..........
Water Heater ....n_mm___.....h........
Motor .............._...............n.............
No. & Size.............._
Ser. No. .._n__.nnn_..........._..........n...n_
Dryer ._....n_n........n...__n........_..n_...._..
Furnace .........__n_........._.,____.._..........._.
Ser. NO...._nnu...nn__.nn_n__.................
/
Remarks: _____hu.::2!".c:.mm.!..L_~~~_"'?~~~;.._m(~...~u~..:~.mhC.::...(m~.:.:.r...~h_..__.:!:.(.~:.:..~_m..oo....m...oo.m...h..
Total Loadu.nnu..n___.............
Ser. No. .......n.........._nnn.n_____n._.......
Total ........_..............................
.......--...-..--.-.-....._...._......._____._..._.............__...._.__..___.._._._...h._..___.._.__..___...~._..._..__.....__._._....____.__.._..__..~_..__.___.._.~.~..*...
__u__n___.n___..._u..oo__oo...oo__uo..______________..oo_....h..h_________n-----o.--___....._._.__n_n_n_._...___..oo...oo..._____..____.oooo......h______h.dunn
Pe=it Fee
Treas. Receipt
No._______.....__...........___
By __)ly:/ki~.L../..~/.~.L..__
$____________________m__n_______ooo_
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
N~ 1 79 1 5
ELECTRICAL PERMIT
Address._..__._._............_.......__.___._.___._____..................._......._.____...__________...................._____..............._.Date..._....______.._.._.__....._......_....__.__......
Owner _n........................_......._....n_____..._.__.....__.__..n...._n_....._....n_............nun_unn___nu. Tenantnnn...u.nnnnu.....n_..nn_.....n.nnnnun___.n_....
WiringContractor_________._.___.___.._....._......................._._...__..___.._.._________._..___.___................_____.._.._......By_____._.............._...__......_................._._._.___..
NOTICE-Current must not be turned on until Certlflcate of Inspection has been issued. If work Is to be con.
cealed due notice must be given the Inspector so that work may he Inspected before concealment.
/"
1M
Olympic Printers, Inc.
^'
'\
L ....
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt?
17411
Port Angeles, washlngton......~.::;(.~mm__.....m._.......mm, 19J:!?
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment In, on, or about any building or other structure In the City of Port Angeles, per-
mission Is hereby granted to do electrical work as listed below.
Address //~..~__df~~.--m--oo.oo.....--. OCCUpanCy.n.,'"~t..~m____..__m__..m.__
~:~:~~:~~~~:;~~J!....~~:~~~;:::::::::..:::...~~...~~:::::::::=:::::::::::::::::::::::::::::::::::::::
Light Outlets.___...__...__.........__...___..___... Service, volts ./.-?::.~Ld__f.<!!.... Type of Wiring:
;-
No. wires ..__..:ii?..............__...;;........ Armored Cable ..........--..;.............-.
SI I U /ttJA.'jj;/ Non.Metallic .................--..............
ze w resm.Z.....L-=..........._..
'/~ .4
Main fuse .......~.~...T..........
-sr
Enclosure ....__..__....................___......
.
\
Receptacle Outlets...._....__....................
Dryer, KW __....._....................___...........
Range, KW _n.................................
,/
Water Heate1t., ~
Heat~:~::7i..:;gli:1;t..;;p
Motors: size, volts and phase:
/.m..............................mm__mm____
I
/
Type of Wiring:
Entrance Cable ................__...........
Rigid Conduit .....................
Metallic Tubing .................
Current transtormers:
No. & Size............__......____...............
. .~\
Ser . No... ...--.-.......~....-.-.--..-..--....~r.....
\
Ser. No......._..__...............__..._____.........
\
Ser. No.........__............................__...__.
Knob & Tube............m.......,....__...
RIgid Conduit .........--.......----.........
Metal1lc Tubing .mm.......__...........
Raceway ....................__.....___._
Circuits, Ltght...................._._............_..
UtIIlty........m.........::..:..__............____
Heat ......................................._..__
Range .........................._..._.......;......
water Heater ...............................
Motor .__.:~........:..m_.::...:....;~__.....
Dryer ..........__..............n._................__
Furnace .........................._......_...........
Total Load............____..__..__..... Ser. No.............._____.......................... Total ..............--.................--....
Remarks: _______~_?-;.~---oooo.--.----.--.oo----.....--.--..m.m----.--...--m.m--m---..mm..m._.m______m.m__
...---------------.--.----.-------------------.--------.-----.--------..----------.-----.--------.----.------..--.--.-...--------------------.....-....---.-.----------........
.;~;::;~--;~~oo.mm.m---------.m---;~~~~:.;~~~;~~m.mmn--.--umu-.--m---d4/;71..m:.~.m2mm...---
$..mmmm__m.m..mm..oo.__ NO.m..__m.................. By u,1/E-..~.;;~.~.~!i<:.::.....m.d&',..:!.~,,----'
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
~ /
Address.........~....................................__........_........................:~........__..__..................._...................
";l~. ,
~
.';
,
N?
17411
>',
Owner ..:......................____........__.........._......_......_.._.......................................................... Tenant.............................................._.....................
Date...~_.....:"':"_._.._.__._.__....._.._.._......_......._
Wiring Contractor h......................_......_.._..................._.._......................................._..................... By ................................................_..........._
NOTICE-Current must not: be turned on until Certificate of Inspection has been issued. If work Is to be COD-
\ealed'due.nottce must ,be given the Inspector so that.. work may be inspected before concealment. -.
r A
r
iM Olympic Printers, Inc.
n.. \
\
...,roo
,
,.
FROM : RLL WERTHER HERTI flG & COOL! f~G
cJP_oAt~
~
FRX NO. : 360 452 5177
JCln. 10
2003 02:51PM Pi
~ ~;.~';. n.':6~
Permi. .: .C> t:;. ~
O-^""""",,'
0... 1Auod,
BUILDING PERMIT - APPLICATION
Applicant or Agent:
Owner: ()d ~r;~ l3(;()tc;h of
Addras: (( '-f lU p-rJrUt 7}---
A_,"'_tll:lft,wft Phone:
=;;;i~~-Ht cJt 111 License #: A/1ft !q/f15lJ/LExp:~ Phone: ~-1!t 1
~: ~;: ~p~r:sr 10 ArM City:~(Iie~ ZONlN~:: f/t11(J2-
_, l'J'~~ ~.~, t..S:t S bdi . .
, LEG:.\L DESCRIPnON: Lot. Block: \I Vl.!lIOO:
('l.u I -'M COUNTY PARCEL NUMBEll: Credit Card Holder Name:
BiWII&~: City:
Credit ClU'd II: Exp. Dllte:
TIle Building Permil - I're-Dpplication "...st H fl/Jed tlut COlltp/elefy,
Pleue cype or print ill IDa.. If you ban any qu..dons, plclOSe caU 417-4815
, C Phone: 452--t]8r7
Phone: 451-/(r'-l5
Zip:q~Z.
City: -?W+-4nr:'f~
VISA
Me
. TYPJ; OPWORK: SIZEIV ALUATION:
o p~~.1 0 New OmsII'. 0 R.e-roof 0 Woodatove SF. @ S ISF. = S
o Muili-Umi!y 0 Ac\ditiOD 0 Move 0 Garage SF, @S /SF. - S
If ('n.--.:W c Remodel 0 Demolition 0 Deck SF. @S ISF. - S
C"'" 0 Repair 0 Sign 0 TOTAL VALUATION S
IQUDDESCIUP'l10N OFTBE PROJECf: 1YarA2. 5f(l(f Vef1), laftffr\
'7110/ Of)
CoMME~ENTlAL: Occupancy Group:
No. of Sttlrica: Lot Size: '10 Lot CovCIage:
ExistiDg Lot Coverage: Isq. ft. + Proposed Lot Coverage:
PL.o\NNING USE ONI. Y:
No..." '
OcCUPilllt Load:
CoDStruction Type:
%
Isq. ft, = TOTAL LOT COVERAGE:
APPROVALS: PLAN
BLDG.
DPW
FIRE
~
1"'I,ft
ESAlWetIIlnd(.): 0 Y.. 0 No SEl' A Checklist required7 0 Y os 0 No
Other:
~" "'BtllLDlNGPERMlT'APPLlCATJON SUBMlTI'AL: YourqplkGJDlllUfllsit&pJ.an ..ust HftIk<IolII '"""'F'- ~ .b<I<<q r tfiw
",""",. The BuildiDi Division can provide you with more detailed information on the application and pian wbmittal requirements, Your
completed application, site pian (for additions) and building construction plans are to be submitted to the Building Division.
v ALVATJON 01" CON5ntUcnON: III aU _'. VIliuatIou amount mUll be entered by the applicanL This fillurc wiIll>e n:viewed
and may be revised by the Building Division to comply with current fee schedule., Contact the Permit Coordinatnr at 4174815 for assisrance,
PLAN CBJtCK F.KJt : Your plan cbecl: fee is due at the time the building pennit application and construction plans mllllbmilll:d. AU other
pernUt fees an: due .r the time of permit issuance.
EXPIRATION OF PLAN REVIEW: lfno permit is issued within 180 dayo of the dale of application, lhisappllcatloD~ aplre. The
Building Official can exteud the time for action by the applicant up to 180 days upou written request by the applicant (see Section 107.4 of
the Uuiform Building Code, ewTCIlt edition), No applicatioo ean be extended marc than once,
1 h~ehy <<rlify tluU llul... I'fUUi tmd ezJJIIlilled this applicatio" and know the same 10 be true and correct, and I am uudtorlud 10 apply for
thu pemUI, I understand II is IIOr rhe City's legal responsibility 10 derennlne what permils o~e re ulred; It remaw the appltunl"
responsibility 10 detlfrrni"" whar permits are required and 10 obtai ch. r /, 1 It
, Applicon Date: tell () !f!) ,
, i:\FORMS\APPS\BuildifL&pc:rmit
Application Number . . . . . 23-00000146 Date 2/13/23
Application pin number . . . 026720
Property Address . . . . . . 114 W FRONT ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1509-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Water heater
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
APRIL BELLERUD KIRSCH ELECTRIC INC.
473 PENNELL RD P. O. BOX 3396
SEQUIM WA 98382 SEQUIM WA 98382
(360) 565-6006 (360) 683-6819
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee . . .00
Issue Date . . . . 2/13/23 Valuation . . . . 0
Expiration Date . . 8/12/23
Qty Unit Charge Per Extension
BASE FEE 86.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
PREPARED 2/10/23,13:41:03 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000146 114 W FRONT ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 86.00
TOTAL DUE 86.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Water heater circuit
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
2/14/2023 23-146 TAP
OWNER
CONTRACTOR
Kirsch Electric
PROJECT ADDRESS
114 W Front St