HomeMy WebLinkAbout523 W 7th St - BuildingCITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
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
Owner Contractor
ROBLAN RONALD
523 W 7TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
2 00 14 0000
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T.FormsBuilding Division/Building Permit
WA 983625807
BUILDING PERMIT NO PR FEE
TEAR OFF /INSTALL COMP
151175
123 75 Plan Check Fee 00
8/05/09 Valuation 3600
2/01/10
Per
BASE FEE
THOU BL 2001 25K
Charged Paid
123 75
00
4 50
128 25
09 00000780
991700
523 W 7TH ST
06 30 00 0 1 6175 0000
RE ROOF
RS7 RESDNTL SINGLE FAMILY
3600
OWNER
STATE SURCHARGE
123 75
00
4 50
128 25
(14 PER K)
Credited
00
00
00
00
Date 8/05/09
Extension
95 75
28 00
4 50
Due
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 fora 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 1 have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinanc• :overning 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 o cancel the provisions of any
state or local law regulating construction or the performance of construction.
I;)& a
1Da {e Print Nrme Signature of Contractor or Authorizedldg r( ignature of Owner (if owner is builder)
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 Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
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
IFINAL Date
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
T.Forms /Building Division /Building Permit
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Accepted by
IFINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
Applicant
Property Owner Aa u Habla
Property Owner's Address w
Contractor
Contractor's Address
License
Parcel Number
PROJECT ADDRESS
Proiect Tvpe Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
wrRe -roof
Heat System
Other
BUILDING PERMIT
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Expires
douse garage other .er'tear off re -roof lay over one layer
Heat pump wood burning stove gas fireplace pellet stove other
Residential
Floor Areas Existing (sq. ft.) proposed (sq. ft.)
Basement
1 Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
A- 3 Pe'r 000 k LA A
Lot Zoning
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
APPLICATION Print in ink
Phone
Phone 1.16g-9
Phone
E -mail
Multi- family Commercial
per sq. ft.
TOTAL VALUATION
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
and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage
I have read and completed this application and know it to be true and correct. t am authorized to
that it is my responsibility to determine what permits
a are required, and to obtain permits prior to wor
Date ;S" 101 Print Name �G A Ah∎., loan Signature
T:Forms /Building Division /Bldg Permit.doc 0'
For City Use Only
Date Received c
Permit ®q 7e6
Date Approved R-S' =-c$
of bedrooms
of full baths
of half baths
Industrial
patios,
r this permit and understand
rojects.
__---'0.- __=-".---
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. 40*
DATE ArR-.1) 1993
Installed By:
ELECTRICAL PERMIT
5 2.3 W. 7n..~ ~t.
A,. LA? A . l<oBL-AN
~AM.e.
o READY FOR
INSPECTION
License Number:
~
Site Address:
Owner/Business Address:
~ RESIDENTIAL
o COMMERCIAL
J<J. BASEBOARD KW ~
.. [j FURNACE KW
[g FAN/WALL KW ~
o HEAT PUMP KW_
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
.DI.. REMODEL
;g.:.ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o OVERHEAD SERVICE
o UNDERGROUN SERVICE
VOLTAGE:. {/
,,&. SINGLE PHA E
o THREE PHASE
SERVICE SIZE 'ZOo AMPS
o SIGN
o SPECIAL EQUIPMENT
(LIST BELOW)
AvDI tJ6, ~~~ BEvl(.coMJ tt- eArn
A/fLU CI~.w7S ) 1- .. /(.w F~ i*A'r rJ- 1- /,,?J!-.W i3B
Details/Description:
&j
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
#f%l. Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Site Address:
523 W. 7TH &t:
otJAU) -A. 12vI:tA/-J
Permit/Receipt No,
404-4>
Installer'
New Meters
Date:
,f- 7- ~3
.
Notify Port Angeles City Light by Street Address and Permit Number when 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 Permit. PHONE 457-0411, EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ .A 21 ~ ~
Electrical Inspector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
-.-'
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. /92'?-
DATE /j/~/t(
Site Address: 5'23 W, 7rH o READY FOR o WILL CALL FOR
INSPECTION INSPECTION
Installed By: ALl3E8' {(Oi',i-/l/V I License Number: Phone:
Owner/Business: RerrERP Phone:
Owner/Business Address: /02f'- E,BrH Sq. Ft.
"ReSidential
Heat KW
1"1- Baseboard D Furnace/Boiler
D Heatpump D Other
D Commerciai/lndustrial ioad
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~ Construction
I3J Remodel
Il9 Service update/alte.rlrepair
~erhead
D Underground
VoljPge
1B'1 0 D 3 RJ
Service size 200
D Temporary
Deta; IslDescription:
D Add/alter circuits
D Auxiliary power
(list below)
D Special equipment
(list below)
%.w- ~ ~ ~ /fej-~ ~.., ~ o!oh o.!/ ~7
Amps
.~
W.S. No. Service Size
Capacity: D O.K. D Not O.K. Comments
D Ditch inspection O.K.
$ Rough-in/cover O.K. ~-.~, '" I i<;~,
_ O~./'I I'c..ot'~_ ':J.aruc,"1
~ . O.K. to connect service 13~+ . ' ,
D Final O.K.
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan Review approved/pending
Installer:
AI-
R 0 N- At./
New Meters
,ff'
Site Address:
523
W 7TH
..
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspec or in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
---s
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
;3f), DO
\
spector Amount paid
WHITE file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLVMPIC: PA''''TFA''_ IN!'