HomeMy WebLinkAbout1118 W 5th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Lasered'
CED
Appllcatlon Number
Application pln number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type descrlptlon
Subdlvlsion Name
Property Use
Property zoning . . .
Appllcatlon valuatlon
07-00000076 Date
881724
1118 W 5TH ST
06-30-00-0-1-1315-0000-
JOHN HALKETT
RE-ROOF
1/25/07
RS7 RESDNTL SINGLE FAMILY
3428
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Owner
Contractor
HALKETT, JOHN
1118 W 5TH ST
PORT ANGELES
( 36) 452-7573
WA 983632004
TOPNOTCH ROOFING & GUTTER
1235 W. 9TH
PORT ANGELES WA 98362
(360) 457-0066
Permit BUILDING PERMIT - NO PR FEE'
Addltional desc TEAR-OFF, FELT, COMP
Permlt pin number 93955
Permit Fee 123.75 plan Check Fee .00
Issue Date 1/25/07 Valuation 3428
Expiratlon Date 7/24/07
Qty Unit Charge Per Extension
BASE FEE 95.75
2.00 14.0000 THOU BL-2001-25K (14 PER K) 28.00
Other Fees
STATE SURCHARGE
4.50
..........
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Fee summary Charged Pald Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 123.75 123.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4 50 4.50 .00 .00
Grand Total 128.25 128.25 .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.
/ -<.... >....07
Signature of Contractor or Aut oozed Agent Date
Signature of Owner (If owner is builder)
Date
T \Pohcles\l102_15 bUIlding permIt inspectIOn record05 wpd [1/4/2005]
BUll.,DING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLI C 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 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 FINAL DATE ACCEPTED BY.
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (fNTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
ROUGH-IN
HEAT PUMP I FURNACE / DUCTS
GAS LINE FINAL DATE ACCEPTED BY.
WOOD STOVE / PELLET / CHIMNEY
MANUFACTURED HOMES t
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMlT#'s SEPA.
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTIUCAL-UGHTDEPT 417-4735 ELECTRICAL
LIGHTDEPT
CONSTRUCTION R W. / PW/ I CONSTRUCTION - R W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
pLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 I fJ.. 7, 'Llor] '" J ~ BUILDING
T \Pollcles\] 102 15 bUlldmg penn I! mspectlOn record05.wpd [174/2005] , V
PREPARED 2/12/07, 10-21 37
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
8
2/12/07
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1118 W 5TH ST
JOHN HALKETT
TOPNOTCH ROOFING & GUTTER
HALKETT, JOHN
06-30-00-0-1-1315-0000-
07-00000076 RE-ROOF
SUBDIV
PHONE
PHONE
(360) 457-0066
( 36) 452-7573
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
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BUILDING PERMIT - APPLICATION CED
Fill onl COMPLETELY and in lNK, Your application and site plan MUST BE
COMPLETE to be accepted jor review. If you have any qnestIOns, call
PERMITS (360) 417-4815 FAX(360)417-4711
'FOR OFFICJAL USE ONLY
Date Rec, !- )-7-07
Pernut # t9? - 7 h
Dale Appl oved 1- :;"'7 -07
,
Date Issued (-"')...-"7 _0")
Applicant or Agent' J~ i J 1 4J i-l-t-v
Owner O"~ II~
,Address. IJ/~ W. S'(~~
~~
~lty ~/A-
Phone' ~ 1i'" 7 - tJ 0 (, .b
Ph011e. ?! S"L.. -?r- L 1
ZIp: q 8" 5 ~ ,~
ArchitectlEngrneer Phone:
Contractor -rp f IV & ..f-C h It I/O J.Q State License #. Exp:
Address: I p.!J ~ W. t{~ r 7 CItY' 11. (}
PROJECT ADDRESS / / /r; it) $"'A ~ c?9-
LEGAL DESCRIPTION. Lot Block: SubdiVIsion:
CLALLAM COUNTY PARCEL NUMBER:
Phone. ~/(f:rt)(;)t6
ZIp: 'f- ~ 3 (..-+
ZONING:
TYPE OF WORK:
!!lfResIdentml D New Constr. ltW Re-roof D Stove
D MultI-family D AddItIOn D MoveD Garage
D CommercIal D Remodel D Demohnon D Deck
D RepaIr D SIgn D Other
BRIEF DESCRIPTION OF THE PROJECT. -7'" ~ "
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SIZENALUATION:
SF @ $ /SF = $
SF. @ $ /SF = $
SF. @ $ /SF = $
TOTAL VALUATION $ .3~/.:J $'. ,s-C)
olf tOa,d ~~/lA.af.R.. ~ lOaf
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
& Proposed Sq Ft
ConstructIon Type
= TOTAL Sq. Ft
No of Stories: Lot Size'
Total lot coverage
EXlstmg Sq Ft.
%
APPROVALS:
PLAN:
BLDG:
DP\VU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESAIW etland( s): DYes D No SEP A Checkhst required? 0 Yes D No Other
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
Tills figure will be revIewed and may be revIsed by the Bnildmg DIVIsion to comply with current fee schedules. Contact the Penmt
Coordmator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee IS due It must be submitted at the time the buildmg permIt application and construction plans are
subIDltted All other permIt fees are due at the time of permit issuance.
EXPillATION OF PLAN REVIEW: If no permIt IS Issued WIthin 180 days of the date of applicatIOn, the application will expire. The
BUlldmg OffiCIal can extend the t1ll1e for actIOn by the applicant up to 180 days upon wntten request by the apphcant (see SectIOn
R105.3.2 of the InternatIOnal BUllding/Residential Code, 2003). No apphcation 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. J 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.
nFORMS\BldgP~i_ wpd APPliOID>tC?J- U ~ Dat,_ /-:!l 'f - <!)'Z
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CITY OF PORT ANGELES
PUBLIC WORKS . ELECTRICAL DIVISION
12\ EAST 5TH STREET. PORT ANGELES. WA 98162
ELECTRICAL PERMIT
Issued: 12/04/97
Permit No:
6142
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
RALPH STEWART I 1118 5TH ST W
1118 W 5TH ST I Lot: 5
Port Angeles, WA 98362 Block: 113 Long Legal:
360/000-0000 I Sub: tpa
IT: S: I Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
COLEMAN ELECTRIC I
PO BOX 1326
PORT ANGELES, WA 98362 I ,
360/452-4519 I 000/000-0000
I
PROJECT INFO--------------------------------------------------------------------
prj Type: RES. MISC. prj Value: $0.00
Occ Type: Cnstr Type: ADD HEAT
Occ Grp: Occ Load: Land Use: rs7
Electrical Heat Service Type
Baseboard KW: 0 Riser Voltage: 120,240
X Furnace KW: 10 Overhead Service Diameter: X-1 -3
X Heat Pump KW: 5 Underground Service Service Size: 200 AMPS
Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS
PROJECT NOTES-------------------------------------------------------------------
REMOVE ALL BVASEBOARD HEAT, ADD 10KW FURNACE AND 5KW HEATPUMP
PROJECT FEES ASSESSMENT---------------------------------------------------------
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $41.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$41. 00
$41.00
---------------------------------
---------------------------------
TOTAL FEE:
$41. 00
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
tNSPKC'J10N TYPE DATE ACCEPTED COMMENTS
YES I NO
IUUI.;t1
KUUUH:rn7I:IIVHK
1/~7R7q? l'fiJUA I .
,
GENERAL COMMENTS:
PW-II02.UI4I'96)
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000516 Date
.984844
1118 W 5TH ST
06-30-00-0-1-1315-0000-
ELECTRICAL ONLY
6/11/04
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
200A PANEL+CIRCUITS
76.30 Plan Check Fee
6/11/04 Valuation
12/08/04
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RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
HALKETT, JOHN
1118 W 5TH ST
PORT ANGELES
( 36) 452-7573
OWNER
WA 983632004
----------------------------------------------------------------------------
Qty Unit Charge Per
1.00 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER
Extension
76.30
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 76.30 76.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 76.30 76.30 .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 la reg ting constr, ction or the performance of
construction. /'
//
Signature of Contractor or Authorized Agent
Date
~'"
\
T:\PLANNING\FORMS\1102.15 [11/14/20031
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
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
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # r::~ !' tOI~Ai'\
&f - .;sr -'1) r{ I C ;;,. V
ROUGH-IN I' . -3" (.
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH.IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
,
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHJMNEY
I
HOOD 1 DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEP ARA TE PERMIT #' s:
WATERLINE 1 METER
SEWER CONNECTION
SANIT AR Y
STORM
PLANNING DEPT. 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
ELECTRJCAL - LIGHT DEPT. 417-4735 9 -':;";$ ~. (tJle ELECTRJCAL
LIGHT DEPT ~
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ",
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [11/14/2003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000307 Date
.012235
1118 W 5TH ST
06-30-00-0-1-1315-0000-
MECHANICAL APPL. PERMIT
4/14/04
RS7 RESDNTL SINGLE FAMILY
1300
Owner
Contractor
HALKETT, JOHN
1118 W 5TH ST
PORT ANGELES
(360) 452-7573
OWNER '"Tk u..y \l\...-LU"vc....S
WA 983632004
----------------------------------------------------------------------------
57.65
4/14/04
10/11/04
~o~,^e... l\'\-ser t / T ~"I..k)
Plan Check Fee .00
Valuation 0
I , k.~ "5.
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
Qty Unit Charge Per
Extension
47.00
10.65
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BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .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~t"(;ommenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as com need, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have r and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this ty of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violator cancel the provisions of any state or local law regulating construction or the performance of
constru .
\f
-IY-D4
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [11/1412003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
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:
FOOTfNGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DR YW ALL (INTERJOR BRACED PANEL ONLY)
T BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE il-j.,)'-OH ,.j ., ,J-,
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGfNEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 7J -7].:1;-0)./ .),L1. BUILDfNG
T:\PLANNINGIFORMSll102.15 [11/14/2003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000520 Date
.173040
1118 W 5TH ST
06-30-00-0-1-1315-0000-
PLUMBING REPAIR
6/10/04
RS7 RESDNTL SINGLE FAMILY
12000
Owner
Contractor
HALKETT, JOHN
1118 W 5TH ST
PORT ANGELES
( 36) 452-7573
ANGELES PlUMBING
PO BOX 1151
PORT ANGELES, WA
PORT ANGELES
(360) 452-8525
WA 98362
WA 983632004
----------------------------------------------------------------------------
Permit PLUMBING PERMIT
Additional desc WATER LINES INSIDE & OUT
Permit Fee 54.00 Plan Check Fee
Issue Date 6/10/04 Valuation
Expiration Date 12/07/04
Qty Unit Charge Per
BASE FEE
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE
.00
o
Extension
47.00
7.00
----------------------------------------------------------------------------
permi t
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
68.75 Plan Check Fee
6/10/04 valuation
12/07/04
.00
o
Qty Unit Charge Per
Extension
47.00
21.75
BASE FEE
3.00 7.2500 ECH ME-VENT FAN
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 122.75 122.75 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 122.75 122.75 .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 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 constru.~on or the performance of
construction. \
\
Signature of Contractor or Authorized Agent
Date
T:IPLANNINGIFORMSIl102.15 [1111412003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. 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
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
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN {..-I'i-Q4 _jL~
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. 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
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW / ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 I f..i} 1-('77 T..J-. BUILDING
T:IPLANNINGIFORMSI1102.15 [11114/2003]
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PREPARED 9/22/04, 12:41:04 INSPECTION TICKET
CITY OF PORT ANGELES
ADDRESS 1118 W 5TH ST
CONTRACTOR ANGELES PIUMBING
OWNER HALKETT, JOHN
PARCEL 06-30-00-0-1- 1315 -0000-
APPL NUMBER: 04- 00000520 PLUMBING REPAIR
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 _9/22/04
I l
INSPECTOR JAMES L LIERLY
MECHANICAL FINAL TIME: 13:00
JOHN 452 -7593
CONTINUED ONTO NEXT PAGE
SUBDIV:
PHONE (360) 452 -8525
PHONE 36) 452 -7573
PAGE 5
DATE 9/22/04
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ELECTRICAL PERMIT APPLICATION
FOR OfF!Cl.....L usn ON Y
DateIR"c:
I'crmitll:
Date Approved'
Dale Issued-
The Electrical Permit Application must be filled out completely.
Please type or reprint in ink.
Fax number: (360) 417-4711
Owner or Elec. Contractor Agent: ')01- /tJ IMLI(,g.I-.J
Property Owner: 0 () h 11 ) {.-/.A- Lie: a-I-J.-
1(/8; td 5~4 ::sf,
Phone'l~-Z-7S7.::s
Fax: AJ ();iJ e.
Phone: 45"2 - 7 >-7.::";
Zip '18-3 f, :3
City: ;;/0"j ,tk1J .,I.es.
Address:
Electrical Contractor:
C) U1!::l1U eR...
License #:
Exp:
Phone:
City:
Zip:
Address:
INSTAllATION WIRED BY:
X OWNER
o ELECTRICAL CONTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Exp. Date:
VISA: MC:
Credit Card Number:
PROJECT ADDRESS:
((I S- 6U ~I-h '3 r
POI2.J iM./7~-k
M Alteration/Addition
C-V 4-
~S-3b.3
TYPE OF WORK:
Check gill that apply: D New
'liResidential D Multi-family
D Commercial
D Mobile Home
Sq. Ft
lo~o
'Cl;
D Remote Meter D Detached garage D Hot Tub D Swim Pool D Septic Pump
D Low Voltage D Telecom. D Sign
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT: (Liz r""5-=
SelLi?r::e
L) .
G.(,~_
,
~ii1Z..I/J~
fl,(.~e! -:f 6;'-+K4$.5 I t-P f <O1'/1-l..
A-vh9.o 1- BiH-h
<-
10t.&,;.s),0
_KW
KW
TON_ LRA
KW
)It> U>1'1tJ)
(}1hhJb~
o Overhead Service
o Temp Service
o Underground Service
Service Information
Electrical Heat Load Additions and or Subtraction
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
VOltage:d.lfO V ~ Z>>
Phase: It.,i 0/3
Service Size: Zon
Feeder Size:
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature:
Owner or Elec. ConI. Signature:-1~~ .~..c-'
PERMIT FEE: $ 1Jb ,BO
Date:
Date: G (10/ 01
C:/ElECTRICAlPERMIT APPLICATION
!IctJ
&/1/0<1