HomeMy WebLinkAbout1026 W 5th St - BuildingPREPARED 6/12/09 9 22 25 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/12/09
ADDRESS 1026 W 5TH ST SUBDIV
CONTRACTOR WIKER WIKER CONSTRUCTION INC PHONE (360) 681 4800
OWNER MCKAY HANNA K PHONE
PARCEL 06 30 00 0 1 0830 0000
APPL NUMBER 09 00000468 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 6/12/09
BLDG FINAL TIME 01 00
June 11 2009 3 23 44 PM 1pangrle
SUSAN 417 5342
BLDG FINAL RE ROOF
AFTERNOON
PLEASE SIGN THE PERMIT SUSAN STATED THE PERMIT IS TAPED TO
THE FRONT DOOR
COMMENTS AND NOTES
T.FormsBuilding Division/Building Permit
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
TEAR OFF /INSTALL COMP
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
09 00000468
939808
1026 W 5TH ST
06 30 00 0 1 0830 0000
RE ROOF
RS7 RESDNTL SINGLE FAMILY
5985
Owner Contractor
MCKAY HANNA K WIKER WIKER CONSTRUCTION INC
1026 W 5TH ST 43 SENZ RD
PORT ANGELES WA 983632115 SEQUIM WA 98382
(360) 681 4800
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF /INSTALL COMP
Permit pin number 146431
Permit Fee 151 75 Plan Check Fee 00
Issue Date 5/19/09 Valuation 5985
Expiration Date 11/15/09
Qty Unit Charge Per Extension
BASE FEE 95 75
4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 151 75 151 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 156 25 156 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 any
state or local law regulating construction or the performance of construct'
r 1 (Sell �)�k� ti/.44
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
Date 5/19/09
A
6 72_
9
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 4831 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
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION.
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T.Forms /Building Division /Building Permit
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping SHORELINE.
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
0
i
63_12:69
Applicant A)I2P'd- il, iCPv
Property Owner c5iizgn
Property Own is Add
Contractor 4)'' ti/IEer
Contractor's Address y3 iz Rot
License ar e"lPGi)C98/ M
PROJECT ADDRESS
Parcel Number
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
�l> Sues 4)'
Phone
,mss Phone
(026 x) 5
/D26 A) 5/4 s/-
Existing (sq. ft.) Proposed (s. ft.)
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
Phone
St0ut Gi,/, 982
Expires J i eoio E -mail
Project Tvpe:& Brief Description. Residential Multi- family Commercial
Check all that apply I
'/t 3-
New Construction T 0h fi /16,0 M 141r yie I /5 /h yr
Addition
Remodel 'Y dr ra kit fi .-PA mV ad/ ql i j r �j 12�
Repair
Demolition
p e -roof House garage other tear off re -roof lay over one layer
Heat System Heat pump wood- burning stove gas fireplace pellet stove other
Other
Total footprint of structures sq ft. Lot size sq ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures paved driveways sidewalks patios
and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage
.1 have read and completed this application and know it to be true and correct. I am authorized�o apply for this permit and understand
that it is my responsibility to determine what permits arq required, and to obtain permits prior to orking on )ro
r
Date J ..649 Print Name Sveo Re'' Signature
T Forms /Building Division /Bldg Permit.doc
TOTAL VALUATION
For City Use Only
Date Received
Permit D i/9
Date Approved 4
Lot Zoning
per sq ft.
of bedrooms
of full baths
of half baths
Industrial
4141#1 3di t
ROOFING SPECIALIST
Sven Wiker, Owner
Wiker Wiker Construction, Inc.
43 Senz Road
Sequim, WA 98382
Phone (360) 681 -4800
Bid Proposal
Contractor WIKERWC981 LM
54C-I Pt 5)
Date: I January 18, 2007 (7'i °l4
Location. 1 1026 w 5 st. Port Angeles Wa. 9839 l
Owner I Susan McKay 7 ch l-- 21111
Contact Person. I Susan McKay 417 -5342 5/Q r ams R 3 4
flvt G►vl�,.
Description
Main House.
Tear off existing 3 -tab shingles (one layer)
Apply 151b underlayment
Use Ice Watershield around pipes and hoods
Replace old pipe flashings and hood vents
Apply 30 Year Laminated Shingles Color
Six nails to each shingle (helps prevent wind damage)
Dispose of tear off to transfer station
Clean Up
Note:
Ridge venting recommended Add $290 00 to Sub -Total
City of Port Angeles permit required Cost of Permit
i
Sub -Total ($5985 00 $6485 00) I $5985 00
(Subject to WA St. Sales Tax)
WIKER WIKER CONSTRUCTION 5 YEAR WATERTIGHT WARRANTY
30 YEAR MANUFACTURER'S WARRANTY
Accepted By Date
Amount
PREPARED 7/11/06 12 30 51
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/11/06
ADDRESS 1026 W 5TH ST SUBDIV
TENANT NBR HANNA MCKAY
CONTRACTOR MICHAEL RIVERS CONST PHONE (360) 452 9292
OWNER MCKAY HANNA K PHONE
PARCEL 06 30 00 0 1 0830 0000
APPL NUMBER 06 00000402 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BAIR 01 7/11/06
I
BL3 01 7/11/06
L(
INSPECTION TICKET PAGE 7
BUILDING AIR SEAL TIME 13 00
07/10/2006 11 04 AM DYASUMUR
BUILDING FRAMING TIME 13 00
MIKE 460 0046 CALL FIRST FOR ENTRY
0 /10/2006 11 04 AM DYASUMUR
COMMENTS AND NOTES
PREPARED 7/06/06 12 32 49
CITY OF PORT ANGELES
ADDRESS
TENANT NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
PERMIT
TYP /SQ
PL1 01
1026 W 5TH ST
HANNA MCKAY
MICHAEL RIVERS CONST
MCKAY HANNA K
06 30 00 0 1 0830 0000
06 00000402 RES REMODEL
PL 00 PLUMBING P ERMIT
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS /COMMENTS
6/07/06 JLL
6/08/06 AP
PL2 01 7/03/06 JLL
7/03/06 DA
PL2 02 7/06/06 LL
/r
PLUMBING UNDER
JOEL 461 1863
06/08/2006 07
PLUMBING ROUGH
JOEL 461 1863
06/30/2006 11
07/03/2006 05
DOG TIED UP AT
NUMBER
PLUMBING ROUGH
JOEL 461 1863
07/05/2006 09
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
SUBDIV
PHONE
PHONE
SLAB TIME 13 00
06/06/2006 03 12 PM DYASUMUR
53 AM PBARTHOL
IN TIME 13 00
56 AM DYASUMUR
04 PM PBARTHOL
FRONT DOOR NO ANSWER AT CONTACT PHONE
IN TIME 13 00
16 AM DYASUMUR
COMMENTS AND NOTES
(360) 452 9292
PAGE 13
DATE 7/06/06
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
MCKAY HANNA K
1026 W 5TH ST
PORT ANGELES
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
WA 983632115
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 FAST STH STREET PORT ANGELES. WA 98362
06 00000402
967696
1026 W 5TH ST
06 30 00 0 1 0830 0000
HANNA MCKAY
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
30000
Owner Contractor
MICHAEL RIVERS CONST
P 0 BOX 4074
PORT ANGELES
(360) 452 9292
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc EL SVC 1 4 CIRCUITS REMODEL
Permit pin number 81646
Sub Contractor ELECTRIC SERVICE
Permit Fee 48 10 Plan Check Fee 00
Issue Date 7/05/06 Valuation 0
Expiration Date 1/01/07
Qty Unit Charge Per
1 00 48 1000 ECH EL -R OR RM 1 4 ALT CIRCUITS
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
Electrical load calculations and elctrical permits are
required
STATE SURCHARGE 4 50
Charged Paid Credited Due
48 10 48 10 00
00 00 00
4 50 4 50 00
52 60 52 60 00
Date 7/05/06
WA 98362
Extension
48 10
00
00
00
00
DITCH
'ROUGH -IN COVER
SERVICE
MR A
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 COMMENTS
YES I NO
I I I
I I I
I I I I
PW- I102.131 1
PREPARED 7/03/06 9 48 32 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/03/06
ADDRESS 1026 W 5TH ST SUBDIV
TENANT NBR HANNA MCKAY
CONTRACTOR MICHAEL RIVERS CONST PHONE (360) 452 9292
OWNER MCKAY HANNA K PHONE
PARCEL 06 30 00 0 1 0830 0000
APPL NUMBER 06 00000402 RES REMODEL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL1 01 6/07/06 JLL
6/08/06 AP
PLUMBING UNDER SLAB TIME 13 00
JOEL 461 1863 06/06/2006 03 12 PM DYASUMUR
06/08/2006 07 53 AM PBARTHOL
PL2 01 7/03/06 JLL PLUMBING ROUGH IN TIME 13 00
JOEL 461 1863
7( (6j 06/30/2006 11 56 AM DYASUMUR
Vim COMMENTS AND NOTES
Job wired by
tor
Purchaser's mailing addre.s
City
Telephone number
'Premi
Addre
City
,X
s lwner's name
an q
s of inspect' n
Phone number to scheylnlq inspection Ax
ry Y
fr
Owner as defined by RCW 19 28.261 (1) Owner wi {l occupy the structure for two
years 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, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter
19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
/Signature of er, electrical c actor or electrical administrator
Electrical Load Additions and or subtractions
NO LOAD CHANGES
Baseboard KW
Furnace KW
Heat Pump Ton LAR
'A Fan -Wall 3 KW
SAME DAY INSPECTION, CALL BEFORE
ROUGH-IN
Inspection
Date
M Ala
1) 5 -4%
AL
L
%gall
%Am AO
Electrical Contractor Owner
License number Date Expires
ELF.: a Si"
i V
State ZIP
c'a 3G2
FAX number
Approved By
Overhead Service
Temp Service
Underground Service
7.00 AM 360 -417 -4735
THERMOSTAT
Date
Approved By Date
DITCH
Area, Building or Equipment Inspected
a
ELECTRICAL WORK PERMIT APPLICATION
I
/Installation descriptio
Commercial
New
Cash
Credit Card
Card
Expiration Date
of card
Approved By
Appr ed By
X 1' Altered/Addition
reia
T C -1 rtiV 4
Check
esidential
ti
Visa Ma tercar fl Discover
SERVICE
Date Approved By
FEEDER
Date Appr ed By
Action Taken
Inspecti fee
/9
Service Information
Voltage
Phase 1 3
Service Size:
Feeder Size:
Electrical
Inspector
I
PREPARED 6/07/06 12 31 49 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/07/06
ADDRESS 1026 W 5TH ST SUBDIV
TENANT NBR HANNA MCKAY
CONTRACTOR MICHAEL RIVERS CONST PHONE (360) 452 9292
OWNER MCKAY HANNA K PHONE
PARCEL 06 30 00 0 1 0830 0000
APPL NUMBER 06 00000402 RES REMODEL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL1 01 6/07J06
JLL
PLUMBING UNDER SLAB TIME 13 00
JOEL 461 1863 06/06/2006 03 12 PM DYASUMUR
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
MCKAY HANNA K
1026 W 5TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Other Fees
Fee summary Charged
WA 983632115
76018
468 25
11/08/06
MECHANICAL PERMIT
77354
57 25
1
Qty Unit Charge Per
BASE FEE
1 00 7 2500 ECH ME VENT FAN
PLUMBING PERMIT
77362
71 00
11/
T•\Policies \1102 15 building permit inspection record05 wpd [1/4/2005]
06 00000402
967696
1026 W 5TH ST
06 30 00 0 1 0830 0000
HANNA MCKAY
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
30000
Contractor
MICHAEL RIVERS CONST
P 0 BOX 4074
PORT ANGELES
(360) 452 9292
BUILDING PERMIT RESIDENTIAL
Qty Unit Charge Per
BASE FEE
5 00 10 1000 THOU BL 25 001 50K (10 10 PER K)
STATE SURCHARGE
Paid Credited Due
Date 5/12/06
WA 98362
Plan Check Fee 187 30
Valuation 30000
Extension
417 75
50 50
Plan Check Fee 00
Valuation 0
Extension
50 00
7 25
Plan Check Fee 00
Valuation 0
Qty Unit Charge Per Extension k�l
BASE FEE 50 00
J�
3 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 21 00
Special Notes and Comments
Fire Department has reviewed the project application and
has no comments
Electrical load calculations and elctrical permits are
required
4 50
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.
i
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING 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 I 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
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
I I
I I I
I I
I I
I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
1 1 I
I I I
I I I
I I I
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
417 -4735 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 I I I PLANNING DEPT
BUILDING 417 -4815 I I I I BUILDING
T• \Policies \I 102_15 building permit inspection record05.wpd [1/4/2005]
DATE ACCEPTED BY.,
DATE ACCEPTED DY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I I
I I I
I I I
Application Number
Application pin number
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
596 50
187 30
4 50
788 30
06 00000402
967696
596 50
187 30
4 50
788 30
T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005]
Page 2
Date 5/12/06
00 00
00 00
00 00
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.
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
UNDER FLOOR 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 I 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
BUILDING PERMIT INSPECTION RECORD
1 I I
I I
1 I
I I
I I
I I
I I
I I
I I
I I
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I FIRE DEPT
PLANNING DEPT 417 -4750 I II I PLANNING DEPT
BUILDING 417 -4815 Expired I� z.C) i1I n 1 BUILDING
T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005]
I I I
I I I
I I I
�/i�y/ 7 'k
IA) St City. dfoi 6 /r,,i?
err rU.�.� ow c117 A
Contractor A( 6 41 i/f
Address 516 1/1 Sf
Applicant or Agent:
Owner
Address /D :Z /4'
,4roclutc^.thnnn neer
PROJECT ADDRESS
LEGAL DESCRIPTION Lot: 7 Block. I OS Subdivision.
CLALLAM COUNTY PARCEL NUMBER. Of c moo (3 1 c) 7
TYPE OF WORK.
Residential New Constr
Multi- family Addition
Commercial 1K Remodel
Repair
Total lot coverage
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE ri ,ETE to be accepted for i eview If you have an3 questions, call
PERMITS (360) 41'7-4815 FAX(360)417 -4711
State License Exp
City ez o Wet
/0 .Zb f J 6 S 4 f i U 14
Re -roof
Move
Demolition
Sign
BRIEF DESCRIPTION OF THE PROJECT
41 h0-- Porno bctIVi
w hew an), clS(1� d60 r waS' L N 1 hlAl— tb
ti
COMMERCL4L/RESIDENTIAL. Occupancy Group
No of Stories. Lot Size. Existing Sq Fti-.J
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
T 1102_13.wpd Applicant: %2V4 79
Phone 3 &P '7( 7
Phone
Occupant Load. f2. Construction Type:
Date:
Zip
ZONING
A
FOR OFFICIAL US ONLY
bate Rec. 5A /06
Pemtit Oho
ate Approved
TiauedS
'i7 5 3 4'z,
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SIZE/VALUATION
Stove SF /SF
Garage SF /SF
Deck SF /SF
Other TOTAL VALUATION DDo
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APPROVALS
PLAN
BLDG
DPWU
FIRE
0 TIER.
d(O
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 Divisionto comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK PEE IF a plan check fee as 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 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.
1 hereby certify that 1 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.
t 1 1 Link 'birvlziks►
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Nip
CITY OF PORT ANGELES Construction Plans
The Issuance of this permit based upon these plans, specifi-
cations and other data shall not prevent the building official
from thereafter requirif4 ttn �e¢tion Orr 'i n g
plans, specifications an Ufa, or troll* en m
building operations being carved on t ereunder when in
violation of all codes andiordinances -iof this juri dicction. T /w
Approval Date DO By t I
j 4,
J 1 F*tee 4 Sp vwse
4r'I
T
XiTN
4
4-
SA\ I—\ N tsi LAy
Y
A
1034
25
Feet
I
Vertical Datum NA VD 88
Ha nazi Data NAD 83/91
1030
,a
Ii
1026
014:
11
1020
/se
025
1'
Tin ap at intended to be used as a legal description.
Th ap/dr ig m oducea' by the Citi of Port Angeles fo its m use id purposes 6
An other of th map/d, lg shall ot be the respon ibilitv of the Ott
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411 PERMIT NO.
Site Address:
ELECTRICAL PERMIT
-r;;
6
D READY FOR
INSPECTION
LLcense Number:
~WILL CALL FOR
/\ INSPECTION
Phone:
Installed By:
Owner/Business
, .
,
" )
Owner/Business Address:
ELECTRIC HEAT
~ASEBOARD KW ~
FURNACE KW~.....
. EAT PUMP KW ~~
FAN/WALL KW ~
.Kf RESIDENTIAL
(0 COMMERCIAL
~ NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D TEMPORARY SERVICE
Details/Description:
DATE
tJ6~~~
5/.;1<1/93
Phone:
Sq. Ft.
D RISER
~OVERHEAD SERVICE
D UNDERGROUND SERVICE
VOLTAGE:
D1~ D3~
SERVICE SIZE .:) 00 AMPS
FEEDER SIZE AMPS
.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. D NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D OVERHEAD SERVICE APPROVED
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
Ja ''''.. Rough-in/cover O.K.
O.K. to connect service
~.i; Final O.K.
Site Address:
Permit/Receipt No.
.3
.
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 either the Wiring Report
or on the Building P m'l. PHONE 457-0411, EXT. 224.
~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
5D,00
Permit Fee
GREEN - Top: MeIer Dept., Bottom: City Hall
"/
,-. . to
t:. .- //' .
'J"1 /_!
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
o 0 0 0 '~' ;.;;
'.
PERMIT NUMBER
CO NT. ue. NO
TIME TO COMPLETE
TOTAL FEE
1CJ2--
f!7
o-<-,u
(.
() [, :CTRICAj P~R}'T ~Y N!:...OcgzNCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address 'J../ LA- ---
/ __ ~ CORRECT ~DD IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner /1'Z://^ ti 1--.- ~ .h) rl <; ~ Installation By
'I ,I-. " ( I'" .c"' I-Ii
Owner'sAddress // /-::::>'-~. II '. _~/IY Installers Address
Day Phone ,4 'f ~57 ") 7 /,1 ~ Y5;;v>e3!,!stallers Phone
Application is hereby made for Permit to install Electrical S~~pment as follows:
/a .'J
-
/\
Wiring Method If {\'Y\ t/./
f / '
AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT NUMBER PER 100A FEE USE OF CIRCUIT PER 100A FEE
CIRCUITS 10 CIRCUITS 10
CIR 30 CIR 30
LIGHT _1- - SIGN
50 VOLTS
LIGHT OR LESS
CONVENIENCE / .--- MOTOR
CONVENIENCE I - MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE If
FURNACE SUB TOTAL FEE
GAS 4 OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G
I SUB-TOTAL l6-0!.. SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance wit
I {J ------- f- ~ '19-&.!j- By I
Permission is hereby given to do the above described work, according to the conditions ereo and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRECTOR OF CITY LIGHT
~ ~C1?o-
Ah . . 7_.~A "/. ,/ /' .'
By_~/e:tf!f:G A ?l~~/j(;J
PLANS APPROVED ,"'---'
Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not
be .c~vered or cu~rel1t turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
the N.E.C. Electrical Code.
c:7' '"
. , ~ /~
Date Application made
Date Permit Issued
/51/fv
WARNING I
PERMIT PLACARD MilST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. L~olicate PINK. Triplicate WHITE CARD. Inspector's Report
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