HomeMy WebLinkAbout1028 W 7th St - Building
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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:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000739 Date
720512
1028 W 7TH ST
06-30-00-0-2-4125-0000-
RE-ROOF
7/11/06
RS7 RESDNTL SINGLE FAMILY
900
Owner
Contractor
BUSSELL JAMES A
916 S LINCOLN ST
PORT ANGELES
OWNER
WA 983627825
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
BUILDING PERMIT - NO PR FEE
RE-ROOF
82198
62.20 Plan Check Fee
7/11/06 valuation
1/07/07
.00
900
Qty Unit Charge Per
4.00
BASE FEE
3.0500 HND BL-501-2K (3.05 PER C)
Extension
50.00
12.20
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 62.20 62.20 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 66.70 66.70 .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 Jaw regulating construction or the performance of
construction. , ~
Signature of Contractor or Authorized Agent Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
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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 1 WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKlNG/LlGHTlNG 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. 1 PWI CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW I ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-48\5 BUILDING
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T:IPoliciesIII02_15 building permit inspection record05.wpd [1/4/2005]
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BUILDING PERMIT - APPLICATION
Date Rec.: .
Permit #:
0' , ..... 'VI'"
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FOR OFF1C
Fill out COMPLETELY and in INK. Your application and site plan MUST B .
COMPLETE to be accepted for review. If yon have any questions, caU
rEr~ITS (360) 417-4815 FA.X(360)417-4711
Date lssued:
Applicant or Agent: ::::fi
Owner:
Phone:
Phone:
%~-Z577
1'6/- -71Zg6
Zip: 7!"36B
Address:
St/A,Nt.l,.-
175 /)/~d t/;iuJ br
4I'ht&
# t?71{~
City:
jJt?ff /hldlU
ArchitectlEn gineer:
Phone:
Contractor
State License #:
Exp:
Phone:
Zip:
ZONING:
Address:
City:
PROJECT A..DDRESS: /tpZ,8 ut 7~
LEGAL DESCRlPTION: Lot: 74- J3. 12 IN Block:
LPf8
CLALLAM COUNTY PARCEL NUl'vffiER:
2ft
O~3600 Ol.LfIZS CJooo
Subdivision:
TYPE OF WORK: SIZErv ALUATION:
Jt Residential D New Constr. ~ Re-roof D Stove SF. @$ /SF. = $
o Multi-family D Addition D MoveD Garage SF. @$ /SF. = $
o Commercial D Remodel D Demolition D Deck SF. @ $ /SF. = $ 9a:?
o Repair D Sign D Other . C TOlAL V ALU~TION ~
BRIEF DESCRIPTION OF Till PROJECT: /In r~ Ll(/Mitj ~ J +e4 r~
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
No. of Stories: Lot Size:
Total lot coverage
Existing Sq. Ft.
%
ESAlWetland(s): DYes 0 No SEP A Checklist required? D YesD No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
VALUATION OF CONSTRUCTION: In aU 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: IT 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.
EXPffiATION OF PLAN REVIEW: If no permit is issued within 180 days ofthe 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
R105.3.2 of the mternational Building/Residential 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. J am authorized to
apply for this permit and understand that itis my responsibility to determine what permits are required ,not the City's, and that J
must obtain su ch permits pri~r to~r ~ /) /J/J ~:. L
T:\FORMS\BJdgPemritform.wpd Applicant: _ i5J1.L~ Date: 7/1(jt)f
/
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000t65
PERMIT NUMBER
t93SF
.
TOTAL FEE 11.00 LECTSI340B7 / /I aNtliL
CONT. L1C. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
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Site Address
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
APPLICANT
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Electric Service
li68 Nt. -Pleasant
457-5010
Inc.
Owner Installation By
Owner's Address Installers Address
Day Phone 1<l-9'--'? '7'71 -'7fIdlVd 6" c"", 1/ Installers Phone-
Application is hereby ma~e for ~ermit to install Electrical Equipment as follows:
Rd.
Wiring Method
A! /oJ\.
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE ~ . MOTOR .
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS - ,
DISPOSAL BURGLAR ALARM
RANGE MISC_
--
OVEN
WATER HEATER
LAUNDRY
DRYER V- ~6 ;j REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT . , /L.oo
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER -
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB:TOT AL lIt, (XJ 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 with th .E.C. Electrical Code.
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Date Application made A.. ~ If ,19 ~ By
.
ONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given. to~do 'he above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
?,_;..(I_ <f r- By fllt- 7 - ~Z' C~ ~ITY LIGHT
Date Permit Issued 0 J ~ ~
PLANS AP R VED
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be. covered or current 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. .
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WARNING
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS. INC.
'.
1 ' ; \ ~ i i t
: . \.r '" t .
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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1-:1 II-r{s h., . O.K. FOR COVERING
I ;l.- /1 -~5- 7' 1'/, jl., O.K. TO CON~ECT SERVICE .
?--f/ ' c/..:: ) 0 FINAL OK , .
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