HomeMy WebLinkAbout536 W 10th St - Building.... CITY OF PORT ANGELES
°~ DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000104 Date 2/03/03
Property Address ...... 536 W 10TH ST
ASSESSOR PARCEL NUMBER: 0630000323420000
A~plication description . . . RE-ROOF
Property Zoning .......
Application valuation .... 4300
Property owner ....... SMITH RUSSELL M
Owner address ........ 536 W 10TH ST
PORT ANGELES WA 983627305
()
Contractor ......... L~2RIAT CONSTRUCTION
...... Structure Information TEAR OFF, TORCH DOWN
Construction Type ..... TYPE V NON-RATED
Occupancy Type ...... SINGLE FAM & CONGREGATES
Permit ...... BUILDING PERMIT - NO PR FEE
Additional desc .
Permit Fee .... 134.75 Plan Check Fee . . .00
Issue Date .... 2/03/03 Valuation .... 4300
Expiration Date . . 8/02/03
Qty unit Charge Per Extension
BASE FEE 92.75
3.00 14.0000 THOU BL~2001-25K (14 PER K) 42.00
Other Fees ......... STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 134.75 134.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 139.25 139.25 .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 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.
Sig~a~e-of ~.~ntraCr or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FOKMS\ 1102.15 {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.
PERMIT CARD*ND APPROVED PLA S AT SITE
INSPECTION TYPE DATE { ACCEPTED COMMENTS
I
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DPOkINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS I
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR. WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PWUTILITIES/ SITEWORK (Engin¢¢ringDivi$ion) SEPARATE PERM1T #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEFT. 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 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 ~ ~7--O~ t~ BUILDING
T:\PLANNING~FORMS\I 102.15 [4/20021
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS ~
........... INSPECTION REPORT ...........
REQUEST: //
Date .~' / ' 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[~Fi~na_l.~!SewerExcav. Other
INSPECTION NOTES:
Inspected: Date ~ ~ ~ ~ -~' ,.~ Time By ~
Remarks:~
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel ~-~Asphalt I~PCC []Other
[] Repaired by City Work Order #
~-] Repaired by Permittee [] COMPLETE
I'-] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
14962
d-// . )S-'
Port Angeles, Washlngtonh_h_n___h_h__n___mnnnmm__mm_mm____nh, 1900000000
In aocordance 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 J.?~~/J?..--0!:.-oom---mm-m------nooo-oom-mm Occupancy___1-!k~m___m___oo_oo_h____oooo___
Owner m~_oo______'___oo_mm_:\""'mm__oo_________oo______nh_____ Tenant_oo________oo___n______n_____________h____oom_m___ooo________h__
Wiring Contractor _~~~_~"Ck_?::f::fme_4:__;::_Er~____ooo By__oooooo______oooo__hoooh___mm_h________n___nnm_______oo__
_ /~c/ dye:>
Service. volts _....___._.:.....................__....
3
No. wires .........n_.n_..__nn_.............
Y/oof- .
Size wires___n.____...n__...__.................
Main lnse m~A.uu_mnun___
S
Enclosure ......_........................_.__..__
Light Ontlet8..-uu______________mn__n___________
Receptacle Outletsn______..._.............___._.
Dryer, KWloou____u__oo_______nn____n__n_______
Range, KW.__.m__...___m.___
Water Heater:
Kw___n_n_n_nunnn__n__n_n_noo_______
Heat' RW _m.llj}/l._m__muum_u_u
Type of Wiring:
Entrance Cable .n......__.n..______..___n
Rigid Condn1t u____uu_u_u_____Uu_n_u
Motors: size. volts and phase:
Metallic Tubing _____n..___.....m.......
Current transformers:
No. & Size....................nn...__.n.....n
Ser. NO.____n____._...._.........._..n.n.....__...
Ser. NO..nn.__....n________nnn_.._...nn_....
Ser. No.......__.........._........................._
Type of Wiring;
Armored Cable _____
Non.Metallic ___._.____________n.n..........
Knob & Tube_.___...n..................___._
Rigid Conduit _u_________u__nmn_m____
Metallic Tubing ......__.n.....____m.___
Raceway __.___.__n_....nnnn_n............._
Circuits. LighLm.................__.....___nm...
Utility ____mmnn_m_n_____nU___U_________
Heat
Rang", ....._..__._...________.____..___._._.__..___
Water Heater ...n.....n....._..._......n.
Motor _.._....._..............__....._....____nn.
Dryer_..__.....__.__...__._..._n_nn__nnn...._.._
Furnace _._nn.__.n__n..___n.'_n_nmn..._nn
Total Loadnn___nn__nn________n_ Ser. NO.n___......n..........n......_.._nn.__.._ Total ........_..._.............__.._..__.___
Remarks: _n__'~"'L.A~____~_~d___'hnn=nGf_:i?/2____~)i_nh_hn___n___n_______m__m_hoo__mmoom_oooooommm
"0 ,
By ___2Ln_:___-./I.~_Ji,~~L~,/:,!;""':_~_______n___
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
Permit Fee
$________000_________000___00___00____
Treas_ Receipt
NO.m________moom_______
/III~ fJB
;;;0 tJ ,A--
ELECTRICAL PERMIT
N?
14962
Date calle~~r ~Ctlolcdn.l9..t.l-------u.u--n---mm----u--u--u-----------m-----um_m_u___u_cj/___~!.~n=_?C.u___________n_m__
;Ale. y;/ [:
Prelimlnaif'!J lo'h.~eBik......---.........i=}...(.-~..n...-...n..nh--__n--n..............-.._..............._.___............._...___._..U....nn_____..._nn..._......._
~~.......P-x.~. "
IDspectloncompleted.n__._.__....___...____.__:........._.~......-............................_.._._______._...........___.___._.........._n_____..n......._.._______._n.....n........._.........
Total Load _......n__...___n._n____..n____.__...n_.n.._.n...___n_....___n_.__......__....._....
..4""""'""'r~;..3:.12. Olympic Printers, Inc.