HomeMy WebLinkAbout1925 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
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
5/18/04
04-00000394 Date
.446858
1925 W 7TH ST
06-30-00-8-5-0134-0000-
RE-ROOF
RS7 RESDNTL SINGLE FAMILY
1800
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Owner
Contractor
DEROUSIE MICHAEL V
1925 W 7TH ST
PORT ANGELES
AFFORDABLE SERVICES
258663 HI - WAY 101
SEQUIM
(360) Hil iJl:!-
WA 983631615
WA 98382 c:; I . q
~ 8"3 - 1 0 I I
Permit BUILDING PERMIT - NO PR FEE
Additional desc TEAR OFF, FELT, COMP
Permit Fee 86.65 Plan Check Fee .00
Issue Date 5/18/04 Valuation 1800
Expiration Date 11/14/04
Qty Unit Charge Per Extension
BASE FEE 47.00
13.00 3.0500 HND BL-501-2K (3.05 PER C) 39.65
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 86.65 86.65 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 91.15 91.15 .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 construction or the performa e of
construction.
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Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:\PLANNING\FORMS\l102.15 [11/14/2003]
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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA T10N DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERlOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
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
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERlNG 417-4807 PW / ENGINEERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 h_ Q...-O,-/ j,r BUILDING
T:\PLANNINGIFORMS\l102.15111/14/2003]
MAY-07-2004 08:39 AM 2D673A53.73784237
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360 582 9029
P.01
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BUILDING PERMIT - APPLICATION
POR Ol'F1C1AL USE C";LV
0... RI1:.:5::.:1.:..- 0.:1
Permit': Q 4 - 3'8._
o.t. "'pr'II....s:_____
o."IIIlMd:__
rul Ollt COMPLrfltL Y and 1ft INK. YOIU appllutioa anet .it. plUl M'lIS'I' BE
COMPI.ET! to be acceptn for rn1.~, If you bin lilY qUeltlD1II1 call
(360) 41'-4S15
Applieant or Aaent:.A:fEarrlrA f~ ~{J} j (0 <; '___.' Phone: . 31 if) h ~S -Q hlCl _._
Owner:./lJJ.tJ..'lP({ I lJe_~o l'S it:' - . Phorlc: ~1r2d-5Z 3 (-Itj?'f:; _..
Addreu:Jqz..s iAJ. '-;~ s-. City: p{5Y+lfnj-P(-PS U)f6..Zip;~~ ~
Arcbitlx:tl&l~r: ~PC:-OfL,,*~Jj.J:~C6... ~-;.~
Contractor~ "i 5. K eA..(_./'\6.J.. ~l.\. State Licenae ft':___':'!!xP:_1?1 .phone: .4 _-I47.t
MD:e.., 'L,,>~ 2, l-i'ffb-iC}1 w.... _ _ City; ~{" M /AI k. Zlp:~' -1~
PROJECJADDIU:SS: __S ~W, 1't--- ;'n,-.-e-C.- _- .___ZONING:
LEGAL DBSClUPTION: Lot: Block:. Subdivision:
CLA.I..LA.M COUNTY PARCEL NUMBER: __~__
Credit Card Holder NUDe:~~' ~ t ~ Lt.-\.
BlIIiDc Ad..... Z ~Q,f96 ~ lot IAJ '"( , DI /.iU ~ CUy: ~~ I J i 1M Wfr q 05'0 :> -7(,1 z~
C""I CardType VJSA ~ Me _ N Ol' i=. I e- ~. "'P' D...: ~
TYJIIt OF 'WORK: \.J1I"" SIZE/VALUATtON:
C RaaLdntiaI C New CCJDItr. Ir Re-roof 0 Stove. S1I. @ $_ /sP. - S
Cl Multi-rimily C Addirion C Move C Gange __SF.@S /Sf.-S
Cl eon.m.ew c RaDoclel C Demolition C' Deck Sf. @ S /SF.... S
C 1lI:palr C Sip CJ 0Uw . TOTAL VALUATION $ ftxV,f.D__
BIlIIP DltSClUPI'JON OP THE PR.OJBCT: ''f en r' 0 ~ J 0 It / ( /In-tp
I t
-
COMMI.RC1ALIUSID~NnAL: Occup&l1cy Group: OCc:upIn\ Load:
No. of StoriCl: _ !Dr Size: Bxl.UDg Sq. Pt. '" Prvpoiecl Sq. Ft.
Bxisting lot cCMDp _ % it Propoecd lot coYorl&e _ % · Tow lot cavcnse
1 PLANMl'lG USE ONLY,
i ESAlWotlllld(.): C Yea 0 No SErA Checklist rcquirtd? 0 Yes D No Other:
ConaInlCUOD Type:
-TOTAL Sq.Pt__
ti
AfPRO"ALS!
PLANa
BLOG: :==
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IlUlLDING PERMI'f APPLICA.TION SUBMITTAL: The Buildi.n& Division cm proYide you with iIlfOr'llllliOD OD the appliGatlOll and
plan fU'bmiuaJ cequiraamll it you have qIUlIUOdl,
VALUATION 0' CONSTaUC'nON: lD aD cua, I valqadon IUDDwat mwe be entered by the app)JClDt. ThiI fJpn will be rlWiowcc1
ud ayb. miled by Ibe B1I1IdiD&Diviliaa to comply with CUlrllnt roe Icbduln. ComIcttbe Pormit CoonlmalDt .t~17 481.5 tOr UIIi8tance.
PLAN CHECl( FEE: IP I pia c:h=k t'l:e La due it DUIIt be ,ubmillad I! the tin lbc builclills permit IppliCltioa ad CC*ltruCtlClD t1lans are
Nbmittod. AD ok pamit f.. are r,t,...1 the tUna ofpcrmit illlIIDCt.
EXPIRATION 01' PLAN uvmWI It DO permit b iuucd witbm 180 day. of the date of appuolldou. tha Ippllatl.D wiD apl~e. Th.
Buildiq OBidal cu exta4 tb. time for aotaaa by tb8 IppliGNl' up to 180 uY' upoa wrtlteD requal by the appliolJlt (ue SectiOll 101.4 of
the UQitonn Bul1diDt Code, currtlII.t eOition). No apJlli~atioll can bo al8ncled mDre than cmcl.
I "''''''y Clltfry 11I1 I 11M ftId and .~tltd this .ppJJca~o(l fIfId know tho seme to be fnIe .nd canct. I"", .&1horlzerllo .~ for tti. PlIII'M end
lIIdtrlfBnd /tret t If my fNPDIII/blllty 10 delermine what permits n ttqUl19a ,not Ill. CAy', .nd fllft I mu.t obtai! 3ud1 pemt/tl pt10r 10 IIOtt.
T:\PO~WPS\8ulldhlpmdLWpd ApphcaDl: !JIlt ktt~ ___ Date: L~ -.-'7 -t)4 ____
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17506
3-// F/
Port Angeles. Washington..mm...mmm_...mm.nmm...nn,m...mm... 19mnm
In aC{lordance with the City Ordinance to regulate the installation. extension, or repair of elec-
trical equipment in. 01;1. or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do el~ work as listed below.
Address ._/Z.~m.Ln..~_<::~~---oo-.mnm--oo-n Occupancyn__~..mm--..nm--.nn
~::~ contr~~~o~~-.nm m.n .n-n-n::::~~~~;:::--:::::::::-:::...~::::::::::=:::::::::::::::::::::::::::::::::::::::
Light outlets.__.....!..:.?................_..... Service, volts ..L.~;;!...!::.~.. Type or Wiring:
Receptscle Outlets..1.Q................... No. wires ......::J.;;..;,;;.....7"J..... Armored Cable .............................
D KW C Size ires ~v ~ Non.Metallic .........m___......___.........
ryer, 000000/..''300......00----.......-. w ..... "........."/b.....-.
Knob & Tube.......__..........___............
Range, KW.___.___..___.......______._________..____ Main fuse ___......._.m m.....; -----........
S
Enclosure ....__.............................__..
Water Heater: /
KW......__~..~._........._..........
Heal KW.../.l...!..2..2...t3.~.........
Type of wiring:
Entrance Cable ......m......m...........
Motors: size.. volts and phase:
-I~.............................
/~--=-..............................
Rigid Conduit ........__................
MetalUc Tubing _m__m_......__..
Current transformers:
No. & Slze..........._..._......._.._...n....._.
Ser. NO..._........n...............n__n_......._._.
Ser. NO....__nn...........................__.......
Ser. NO.......nn............__..................__.
Rigid Conduit ...............................
MetalUc Tubing ...__m___.....___m_....
Raceway -........V................-.-...-
Circuits, Ligh~.........n.........nmn.......
~ :~ti ty ..~~2__.....~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Range __..~.___.....______.....________.....
&1.,
Water Heater .....000000....................
Motor ..._........__....__.__.........___...._....
Dr}'er__....~........._........_._._.............
Furnace ........._............._..._....._......_00..
,;py
Total :Load......__nn_..........__.... Ser. NO._.......____n...__........nnn........... Total ...--.-..........--.0000.......--00-...
Remarks: __nnmm_oo.mmr~.-n--~.~L.nnoo-n.mmm-__nmnn--n.oo.mm.nnmmm--nm.___.0000
u..n.n...__..nun.n......u.nn.....nn.nnn...n.nn.n...uunnh_uuu.n....u..nu..n__..n.nn.n....n.nnn....._....nnnnn..nnnnn.u...nu.
-:~1~fi.~.:::...____.___::..._..----.m.::~:.~::.:.~.~~~~~::_____oonmm------.:~-.q~l/i~~
NOTICE-Current must not be turned on until Certificate ot 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 INSPEC'!:9..R BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 17506
Address....___.____..............................................................__.__.............._..........._........................__....Date..._....._____.._........-.....-.........-....-.........
Owner ......__.__.00.....................__..._._.._......_00........_00.....00_0000........0000_................._.......00..... Tenant....h..........____nn........._.....nn..............nnnn...
Wlr,..contractor ........................_.................................._............................................................. By..............................................................
/~O:rICE-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.
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Olympic Printers, Inc.