HomeMy WebLinkAbout126 W 4th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
ANDY ROSE
131 W 2ND STREET
PORT ANGELES
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
WA 983622807
Charged
75 00
00
4 50
79 50
COMMENTS/ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
721 EAST 5TH STREET PORT ANGELES. WA 98362
06 00001345
815830
126 W 4TH ST
06 30 00 0 0 8820 0000
RES ADDITION
RESIDENTIAL HIGH DENSITY
10350
Contractor
OWNER
HARD SURFACE`AREA
ELECTRICAL NEW RESIDENTIAL
APS /REWIRE+ SVC
104885
75 0'0 Plan Check Fee
7/17/07 Valuation
1/13/08
Qty Unit Charge Per
1 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER,
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
12/29/2006 01 26 PM SROBERDS The site is located in
the RHD zone The proposal will add approx 42 sq ft of
area to the s f res for total lot coverage of 9% No land
use issues are anticipated
Electrical load calculations and elctrical permits are
required
MAINTAIN CLEARANCES FROM SERVICE WIRES
Public Works Utility Engineering has no requirements for
this plan review
Other Fees STATE SURCHARGE
Paid Credited
75 00
00
4 50
79 50
00
00
00
00
Date 7/17/07
Due
00
0
Extension
,75 00
4 50
00
00
00
00
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
DITCH
ROUGH IN COQ
SERVICE
FINAL MLD/ 9/n�t
COMMENTS
PW -I 102.1514961
ELECTRICAL WORK PERMITAPPLICATIQN ss
,Installation description
Residential
Job wired by 'Electrical Contractor Owner
Electrical contractor name Lse n bcr Date Ex ires
A -P5 l er✓ cal u t om i G a r p
Pure aser s maili ad s
U Ltf dres s o
State ZIP 4 4 1 c 363
City
Teletoc g nu bsr 6163 FAX number
5o niti-e__—
'Premis s ow is ua
II L` QS e.---
Addres of lnspectiou
w Lot
C ity
Pot* A N9 /k
/Slguat owner
X
JUN 1 2007
Electrical Load Add' 'ons and or subtractions
O NO LOAD CHANGES
O Baseboard KW
Furnace KW
Heat Pump Ton LAR
X Fan -Wall KW
Due Approved By J
IINAL
0 /1 3 /0
D 7 JiiiQ Date
LIGHT DEPT
Td WUPS L0 L00Z TT
•ur,r
Inspection Area, Building or Equipment Inspected
Commercial
New
w 6e.rO 1 c
Par A /kg '-teS
Pho e n tnber to schc u lc i eet'
Owner as defined by RCW 19.28,261 (1) Owner will occupy the siruciure for two
year after this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor if above said property is for sale, rent or lease.
After reading the above statement, 1 hereby certify that I am the ownt:r of the above
named property or a licensed electrical contractor. 1 am making the electrical instal- 0 Credit Card Visa
lation or alteration in compliance with the electrical laws, N,B,C, RCW Chapter
19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Card
Utility Specifications,
O Cash
elacrpica I5pn)ract or electrical administrator Expiration Date
Date '2°° jof
c ard
Overhead Service
Temp Service
Underground Service
SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735
ROUGH IN C.— THERMOSTAT
Date App u cd By
DITCH
Apptvv, d By J
t Altered/Addition
re, kJ i re—
t
Check ca- cije
Date
Date
Mastercard Discover
Inspection fee
5°°
Service Information
Voltage 0
Phas4I 1 CI
Service Size42
Feeder Size;
SERVICE
Action Taken
Approved By J
FEEDER
Approved By J
Electrical
Inspector
J
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
1/03/07
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Application Number
Application pin number
property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
ANDY ROSE
131 W 2ND STREET
PORT ANGELES
Other struct info .
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
06-00001345 Date
815830
126 W 4TH ST
06-30-00-0-0-8820-0000-
RES ADDITION
RESIDENTIAL HIGH DENSITY
10350
Contractor
OWNER
WA 983622807,
HARD SURFACE AREA
BUILDING PERMIT -RESIDENTIAU
1
92700
176.00
1/03/07
7/02/07
plan Check Fee
Valuation
88.70
10350
Qty
Unit Charge Per
Extension
50.00
126.00
...........
~
~
BASE FEE
14.0000 THOU BL-2001-25K (14 PE~ K)
9.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
92726
79.00 Plan Check Fee
1/03/07 valuation
7/02/07
.00
o
~
Qty Unit Charge Per
Extension
50.00
29.00
BASE FEE
4.00 7.2500 ECH ME-VENT FAN
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
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92718
92.00
1/03/07
7/02/07
Plan Check Fee
Valuation
.00
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BASE FEE
7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
7.0000 ECH PL- EA.WATER HEATER
Extension
50.00
35.00
7.00
Qty
Unit Charge Per
5.00
1. 00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments .
12/29/2006 01:26 PM SROBERDS --The site is located 1n
the RHD zone. The proposal will add approx 42 sq.ft. of
area to the s.f. res for total lot coverage of 9%. No land
use issues are anticipated.
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
pre me to give authority 0 violate or cancel the provisions of any state or local law regulating construction or the performance of
c nst ction.
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
BUll,DING PERMIT INSPECTION RECORD
-., ~~
CALL417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICALINSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
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 NO
FOUNDATION:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDA nON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDGl
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERlORBRACED PANEL ONLYl
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING I
MECHANICAL
ROUGH-IN -
HEATP~/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE I PELLET I CHIMNEY
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT#'s SEP A:
P ARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECT-IONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES. NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL- LIGHT DEPT. 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTIONR.W./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:\PoJicies\l102 15 building pennil inspection record05.wpd [1/4/2005]
,---
<J..'OftT~
--e
~ --
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 06-00001345
Application pin number 815830
Page 2
Date 1/03/07
Special Notes and Comments
Electcical load calculations and elctrical permits are
required.
MAINTAIN CLEARANCES FROM SERVICE WIRES
Public Works Utility Engineering has no requirements for
this plan review.
Other Fees
STATE SURCHARGE
4.50
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
permi t Fee Total 347.00 347.00 .00 .00
Plan Check Total 88.70 88.70 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 440.20 440.20 .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. 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 goveming 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:IPolicieslI102_15 building pennit inspection record05.wpd [1/4/2005]
I
BDaDING PERMIT INSPECTION RECORD
-r/' "\.".
CALL417-4815 FOR BUILDING INSPECTIONS. CALL 417-4,73,5 FOR ELECTRICALlNSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
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 LOCAT10N.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
~
~
I.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I
YES NO
FOUNDATION:
FOOTINGS I fJ...!JJ,l"., ') \tooL
SHEAR WALLS 1 WALLS IfJf i+t;/07 \ LL.
FOUNDA TJON DRAINAGE 1 DOWN SPOUTS I ,
PIERS
POST HOLES [POLE BLOGS.) ,
PLUMBING
UNDER FLOOR 1 SLAB .
ROUGH-IN I~ 7{f (p 107 j",J,..
WATER LINE [METER TO BLDG) ,
GAS LINE ~{)~q ~Ql DATE '"'JLL-- ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL 1.o/20/0-=r jl..(.-
WALLS
CEILING
FRAMING eollq 10"1- JU.;
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA nON -=r /05 lOr ..:tt...t
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
ROUGH-IN I
HEAT PUMP /FURNACE / DUCTS I
GAS LINE ~o- q--ol DATEJL-L. ACCEPTED BY:
WOOD STon 1 PELLET 1 CHIMNEY
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT#.s SEPA:
P ARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECT-IONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL.. LlGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI CONSTRUCTION.. R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 4J7-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 lo-q-'or ~lA-- BUILDING
~.
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T:\PoJicies\1102 15 building permit inspection record05.wpd [1/4/2005]
\
1-
FiU 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
FOR OFFICIAL SE ONLY:
Date Rec/ ' ~
permit#~/. ~~
Date Approved: , . .
Date Issued:
BUILDING PERMIT - APPLICATION
Applicant or Agent
Owner: Af\.ID Y R 0 5 G
Address:~ 3 I W 2 NO ST
Phone:
Phone:
City: PaR? AN(;GLGS
/fS 7 -0 OJ 28
Zip: '!JB 3 , 2
Architect/Engineer:
Contractor
Phone:
State License #:
Exp:
Phone:
Address: City:
PROJECT ADDRESS: f 2" W J..f!1:l ST
LEGAL DESCRIPTION: Lot-.1 Block: 8 B Subdivision:
CLALLAM COUNTY PARCEL NUMBER: 0(,3000008820
Zip:
ZONING: /7./5
7J>A
RJ./D
TYPE OF WORK: SIZEN ALUATION:
J( Residential D New Constr. )l Re-roof D Stove SF. @ $ /SF. = $
D Multi-family )( Addition D MoveD Garage SF. @ $ /SF. = $
D Commercial ~ Remodel D Demolition D Deck SF. @ $ /SF. = $
D Repair D Sign l! Other FoVNOA7/0N TOTAL VALUATION $ /() I 35"'0
BRIEF DESCRIPTION OF THE PROJECT: RFNJODEL E'X/ST/N6, HouSE J IN.sUJ.A7G t RElUlRtI
AnD) TtaN 01=' APPIUJX If 2 s~ I=T) RERoof: H(jT)SE) RePAIR FcvNuA7/(TJ()
JJJS7Af...l... uEw ~r/N9 tS7EMWAll A~uJJJ) HOUSE IRESIDE ..
COMMERCIAL/RESIDENTIAL: Occup cy Group: Occupant Load: ConstructIOn Type:
No. of Stories: ~ Lot Size: 7.000 S'QE1'Existing Sq. Ft. 578 & Proposed Sq. Ft. ~ Z. = TOTAL Sq. Ft. '20
Total lot coverage ~.. 8 . %
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
ESAlWetIand(s): DYes D No SEPA Checklist required? DYes D No 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 Building 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: Ifno 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 written request by the applicant (see Section
RI05.3.2 of the International BuildinglResidential 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 y responsibility to determ' e what permits are required, not the City's, and that I
must obtain such permits prior to work.
T:\FORM S\BldgPennitAppl.. wpd
Applicant:
Date:
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CITY OF PORT ANGELES - Construction Plans
The Issuance of this permit based upon these p!Jns, spedfi.
cations and other data .ihall not prevent the building official
from thereafter requiring the correction of errors in said
pla~s, specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of this juriSdiction.
(S:[CTlO~1 JO.3lJmnif(ll BUildiRg Cgde.) 02ctJ~
Approval DatJ ~ L> By ~ Vf'
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Lasered
CEO
App11cat1on Number
App11cat1on pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subd1v1s1on Name
Property Use
Property Zoning . . .
App11cation valuation
06-00001030 Date
107510
126 W 4TH ST
06-30-00-0-0-8820-0000-
ANDY ROSE
DEMOLITION
9/19/06
Owner
Contractor
~
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RESIDENTIAL HIGH DENSITY
1200
ROSE-TRST ANDREW
131 W 2ND ST
PORT ANGELES
OWNER
WA 983622807
Perm1t
Additional desc .
Permit pin number
Permit Fee
Issue Date
EXp1rat1on Date
DEMOLITION
87221
50.00
9/19/06
3/18/07
Plan Check Fee
Valuation
.00
o
Qty Un1t Charge Per
BASE FEE
Extens10n
50.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm1t Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .00 .00
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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-l-f:lave-read-and examined this application and know the same to be true and correct. All provisions of
laws and ordinances goveming 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 st e or local law regulating c truction or the performance of
construction.
Signature of Contractor or Authorized Agent Date
,
T:\Pohcies\1102_15 budding penmt mspecUon record05.wpd [1/4/20051
BUll.DING PERMIT INSPECTION RECORD
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
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL(INTE~ORBRACEDPANELONL~
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEATPUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMlT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE'
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELEC~CAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W./ PW/ !', CONSTRUCTION - R. W.
ENGINEE~G 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
.
PLANNING DEPT. 417-4750 I \ PLANNING DEPT.
BUILDING 417-4815 f/J.IJ~/o 1 \L~ " BUILDING
. . 1 2 15 bUlldin It inS non record05 1/412005 "
T.\Pohcles\1 0
g penn pee
wpd[
PREPARED 2/15/07, 9.11 48
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR. JAMES L LIERLY
PAGE
DATE
10
2/15/07
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER
126 W 4TH ST
ANDY ROSE
SUBDIV
ROSE-TRST ANDREW
06-30-00-0-0-8820-0000-
06-00001030 DEMOLITION
PHONE
PHONE
PERMIT: DEMO 00 DEMOLITION
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~~~~-~~----;/fj/~;---~--~-- ----~~~f~~~i:~~~i~~~~~~:~--::~~:~:----------------------------------
v, Andy 460-4590
-------------------------- ----------- COMMENTS AND NOTES --------------------------------------
Lasered
CED
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\ l:""- 'J!if'-----"!i.,i j
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Lasered
CED
"
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your appl1cation 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
Applicant OJ Agent
Owner AND Y
Address -L3J W
Phone
R05;r;
21JO 5T
Phone' 45 7-0 ~ 2B
Cny: FbRT AN~ELES ZIp. ~83 ~ Z
Archl1ec1/Engmeer
Contractor
Phone'
State LIcense #.
Exp
Phone'
CIty:
LjT!l ST
Block B 8
0'3000
Zip
ZONING: f/r~'B€tfJrf.~~/7>
SubdivlSlOn: 1: P 4,
008820 0000
Address'
PROJECT ADDRESS. / 2' VJ
LEGAL DESCRIPTION: Lot 7
CLALLAM COUNTY PARCEL NUMBER:
TITE OF WORK:
o ResIdentml 0 New Constr. 0 Re-roof 0 Stove
o Multl- family 0 AddItlOn 0 Move 0 Garage
o CommercIal 0 Remodel !( DemolItlOn ~ 0 Deck
o Reparr 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT n=A R.
SIZEN ALUATION:
Lj/~ SF.@$ /SF =$ J,200,<'0
SF. @ $ /SF = $
SF. @ $ /SF = $
TOTAL VALUATION $
Do \)</N EXIST/Nrj qAR.14 G&
COMMERCIAL/RESIDENTIAL: Occupancy Group
No of Stones' Lot Size: EXlstl1lg Sq. Ft.
Total lot coverage %
Occupant Load
& Proposed Sq. Ft
ConstructlOn Type'
= TOTAL Sq Ft
APPROVALS:
PLAN:
BLDG:
DPVVU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESA/Wetland(s) DYesDNo SEPACheckllstrequrred?D Yes 0 No Other.
VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the apphcant.
Tills figure will be reviewed and may be revised by the Buildmg DlVislOn to comply with current fee schedules. Contact the Permit
Coordmator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due It must be subrmtted at the twe the building perIDlt apphcatlOn and constructlOn plans are
subl1l1tted. All other pennit fees are due at the twe of pennit Issuance.
EXPIRATION OF PLAN RKVIEW: rfno pennit IS Issued Wltlun 180 days ofthe date of apphcatlOn, the application will expire. The
BUlldmg Official can extend the twe for action by the apphcant up to 180 days upon written request by the applIcant (see Sectlon
R105.3.2 of the International BUlldmglResidential Code, 2003). No applicatlOn can be extended more than once.
I hereby certify that I have read and exammed this applicatIOn and know the same to be true and correct. J am authorized to
apply for this permit and understand that it is my responsibHity to determine what permits are required ,not the GUy's, and that I
must obtain such permits prior to ~. . ~ . ~ "0....
T'>ORMS\BldgP_~o= ""d Applicant/} }~ I-V"" ~ Dot" ~ f / i / CJ (p
.
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,12\ EAST 5TH STREET. PORT ANGELES. WA 9R]62
ELECTRICAL PERMIT
Issued: 2/16/99
Permit No:
6566
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
126 4TH ST W
Lot:
Block:
Sub:
Parc No:
Port Angeles,
360/000-0000
T:
WA 98360
Long Legal:
S:
CONTRACTOR-----------------------------DESIGNER---------------------------------
OLYMPIC ELECTRIC
1805 TUMWATER
PORT ANGELES, WA 98362
360/457-5303
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES. MISC. prj Value: $0.00
Occ Type: Cnstr Type: SERVICE CHANGE
Occ Grp: Occ Load: Land Use:
,Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
X Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
100 AMPS
o AMPS
PROJECT NOTES-----------------------------------------------------______________
REPLACE PANEL ONLY, 100 AMPS
I
I
PROJECT FEES ASSESSMENT-------------------------------------____________________
service:. $59.25
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$59.25
$59.25
-------------~-------------------
---------------------------------
--------------------------
TOTAL FEE:
$59.25
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCItl'TEll COMMENTS
YIS T NO
Rllll{yH_1N I CUVER
~E t
, ,
'-l Z /1(,/ P'(? I
,
GENERAL COMMENTS:
PW.II02.15(4I96J