HomeMy WebLinkAbout620 E 4th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
DAVIDSON RODNEY
610 E 5TH ST
PORT ANGELES
WA 983623412
T• \Policies \1102 15 building permit inspection record05 wpd [1/4/20051
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000807
922343
620 E 4TH ST
06 30 00 0 1 7320 0000
ROD DAVIDSON
RE ROOF
RS7 RESDNTL SINGLE FAMILY
200
Contractor
OWNER
Date 7/25/06
Permit BUILDING PERMIT NO PR FEE
Additional desc HOME OWNER DOING PROJECT
Permit pin number 83360
Permit Fee 50 00 Plan Check Fee 00
Issue Date 7/25/06 Valuation 200
Expiration Date 1/21/07
Qty Unit Charge Per Extension
BASE FEE 50 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 50 00 50 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 54 50 54 50 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last
inspection -l- hereby- certify-that -I- have -read d- examined- this application and- knowthe_same_to_be_ true _and_correct._Allprovisionsof
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 re lating construction or the performance of
construction.
7 12 f I F)C
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
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
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
T• \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
1 1
1
1 1
I 1
Y 1 1
I 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 I
YES 1 NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT
PLANNING DEPT 417 -4750 I �y I 1 1 PLANNING DEPT
BUILDING 417 -4815 1 to -a -09 1 kyni f BUILDING
DATE ACCEPTED BY.
p
1
Applicant or Agent:
Owner
Fill out COMPLETELY and in INK. I our 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
c Kay
Address:
Architect/En weer
Contractor
Address:
PROJECT ADDRESS G 20
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER.
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
City P/4
State License 4
City
4 1.e 4 5-f
Block:
TYPE OF WORK.
Residential New Constr pRe roof Stove
Multi- family Addition Move Garage
Commercial Remodel Demolition Deck
Repair Sign Other
BRIEF DESCRIPTION OF THE PROJECT
COMMERCIAL/RESIDENTIAL. Occupancy Group.
No of Stones: Lot Size: Existing Sq Ft.
Total lot coverage
ESA/Wetland(s) Yes No SEPA Checkhst required? Yes No Other
Phone:
Phone.
Phone:
reI tCAr f7tC 4Exp
f a-a2
Subdivision.
STZF/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION
APA
a tn.w ✓e 9 (Qycr< (2.•C i ie i -r.uLJ 4
l
T•\FORMS\B1dgPermitform.wpd Applicant: Date:
t( 7 08ts
Zip e7( 2
Z
(c)7 Phone:
Zip
ZONING 2 s
Occupant Load. Construction Type
Proposed Sq Ft. TOTAL Sq Ft.
FOR OFF
SE ONLY
Date Rec 29 06
Permit# .29- 6
LC/
Date pproved: 7 S (/�O
Date Issued: 7 I2/'
7
APPROVALS
PLAN
BLDG
DPWU
FIRE
OTHER
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Buildmg Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued 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 wntten request by the applicant (see Section
R105.3.2 of the International Building/Residential Code, 2003). 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 required not the City's, and that I
must obtain such permits prior to work.
,
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
OwnerfBusiness:
Owner/Business Address:
~ECTRIC HEAT
~ BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WALL KW
.
~ RESIDENTIAL
tJ COMMERCIAL
o NEW CONSTRUCTION
"& REMODEL
{J' ADD/ALTER CIRCUITS
? SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
DetailslDescription: R~ AL. ~7L
J..1V5~11 ~ ~ Si~
ItJo ~ IteJ- /~
PERMIT NO r y rf S--
2../i.Fhs
. I
DATE
Phone:
Sq. Ft.
o RISER
1iKOVERHEAD SERVICE
t:J UNDERGRO~ SERVICE
VOLTAGE: /w, Z-yV
0(19\ 039\
SERVICE SIZE ~ AMPS
FEEDER SIZE AMPS
WS. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
l~~,
Installer:
C". <I~
u 'cU-()vt
Permit/Receipt No.
efrgS-
New Meters
-
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and o.K, for covering has been given by the electrical inspector in writing on eitherthe Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
---:-- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~
/~ $ ,rr .<)0
Electrical Inspector Permit Fee
.
WHITE - FUe by address
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
GREEN - Top: Meier Dept., Bottom: City Hall
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