HomeMy WebLinkAbout1022 E 4th St - BuildingApplication Number 08 00001256 Date 10/01/08
Application pin number 649472
Property Address 1022 E 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7720 0000
Tenant nbr name KEITH JOHNSON
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 2400
Application desc
TEAR OFF AND RE ROOF
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Owner Contractor
KEITH JOHNSON OWNER
1022 E 4TH ST
PORT ANGELES WA 983624111
(360) 452 7307
Structure Information 000 000 TEAR OFF RE ROOF
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF
Permit pin number 135640
Permit Fee 109 75 Plan Check Fee 00
Issue Date 10/01/08 Valuation 2400
Expiration Date 3/30/09
Qty Unit Charge Per
BASE FEE
1 00 14 0000 THOU BL -2001 25K (14 PER K)
Other Fees
Fee summary
Permit Fee Total 109 75 109 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 114 25 114 25 00 00
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the
last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not The granting of a permit does
not presume to give authority to violate or cancel the provisions of ny state or local law regula� ,construction or the performance of
CV 1 ///t
construction.
Sign kire of Owner (ifdwner is builder)
Date Print Name
Charged
STATE SURCHARGE 4 50
Paid Credited Due
Extension
95 75
14 00
Signature of Contra or or Authorized Agent
T Forms /Building Division/Building Permit
Expiq
16 -20
T /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4807 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION.
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water 1 FINAL Date:
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 I FINAL Date:
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping 1 SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
RESIDENTIAL DATE Accepted By Commercial Date Accepted By
Electrical 417 -4735 I I I Electrical 1 I
Construction R W Construction R:W
PW Engineering 417 -4807 PW Engineering
Fire 417 -4653 I 1 'Fire I
Planning 417 -4750 I 1 r (Planning I
Building 417 -4815 I 16 I Building I I
Accepted by
Accepted by
0
09
1 f/ A
ScY
W1e7
'1 6 22 I
Contractor /Engineer 6 P
Contractor /Engineer's Address
License
Applicant or Agent
Property Owner
Property Owner's Address
Proiect Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Re -roof
Demolition
Heat System
Other
Floor Areas
Total footprint of structures %ed
Max height of proposed structures /b
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(390),417 -4815 fax 60)7I7-4711
T Forms ?P,iilding Division /Bldg Permit Apoi 2006 Code doc
Residential
PROJECT ADDRESS /o l,2 e
Parcel Number
Commercial
ar 4 7
���Pj li �1'
Heat pump wood burning stove gas fireplace
Existing (sq. ft.) Posed (sq. ft.)
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
sq ft. Lot size
ft. Occupancy group
Occupant load
Construction type
Phone
Phone
Phone
Expires
Lot
For City Use Only
Date Received l6
Permit
Date Approved
r'- 7507
Zoning
Multi- family Industrial
pellet stove other
per sq ft.
el 4
TOTAL VALUATION "r4/ 1 c e
sq ft. LC cever-ag U
of bedrooms
of full baths
of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
projects
understand that it is my responsibility to determine what permits are required, and to obtain r is rlor t orking on
1 p
Date iV Print Name V 4 V %Id Signature r�
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
14954
-> - y ?f'
Port Angeles, Washingtonu_mmunnu_____u________________________n_____m_m, 19oo___n_
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 _/9.oo.'?2___E_u_oo'(ti..mmmoooo___oo_______n_____________.___oo OccupancY___n~~oonn___oo___..____n____oo..
~:::~:~:~~::::::~=':~::~~~-~~::~~;:::::::::::::'-'-'.'.'-~::::::::::~::::~::::::::::::~:::::::::::::::::::
Light Outlets________________.__________.__._____.___..
Service, volts .______.______._____...................
Receptacle Outlets__n__.........................
(;,
Dryer, KWj........................n......n....._..
No. wires ........................__......____n.
Size wires..............................____._..
Range, KW.__.__....
Water Heater:
Main fuse .............................___.___...
Enclosure ___..___...___________.._____..........
KW..________h_____hh____________.h__________
Type of wirIng:
Entrance Cable ......______.................
Heat: R W .............__..............................
Rigid Conduit ..__mn__.....__.....__...__.
Metallic Tubing ....m......___....m__n
Current transformers:
No. & Size___..._________....___...___.......__..
Motors: size, volts and phase:
Ser. No......__....__..____...____...................
Ser. No......._......____...__.__............____....
Ser. NO.,....._.........._.............n...........
Total Load..................._........
Ser. No.................._..........................
Type of Wiring:
Armored Cable ...................___m..__
Non-Metallic .__.......__________....___......
Knob & Tube___..............................
Rigid Conduit .___m....___......___........
Metallic Tubing ._____......______.___.....
Raceway ____...d.......__......................_
Circuits, Light___......_______.....___....___......__
Utility ______.________________________________h___.
Heat
Range ..................__....____.__d__..__..____
Water Heater .___mnn______..............
Motor .............................................
Orycr................................................_
Funlace ______...__....________..'__u..n........
Total .....n__................______.....__.
r;. f) <",
Remarks: ---.nn._n__~-c:.~__n_n_e<...!..d.1.,c"t<1-----I.nm.------.n--___---___._________oo___.oooo___u._oo..u.moon_U__UooUn'___oo
"i~.:_~~_~~~~~..~~~~~~-...~~~~~~-oo~oo---.----~~.~_~~~~~_~~~_~~~_-~~~~-.n--.---.m---.:~-::LIZ~~:~~Z~~Z:::::::-:::-:
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If 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
ELECTRICAL PERMIT
N?
14954
Date called for tnspection.............................................................._.................nd.................................................................n._.....................
Preliminaryinspectiondates..........................._.............................~.................................................................................._....._..............._
Total Load .......................................n......................__
Inspectioncompleted..._n_.._.._......_.._.........._........................_....._...................................................................__.................._.........._.........
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