HomeMy WebLinkAbout211 W 14th St - Building(3/17/2010) Linda Pangrle Permit Extension Granted Through 09 -17 10 Page 1
From Linda Pangrle
To: sblood @wavecable.com
Date: 3/17/2010 8 39 AM
Subject: Permit Extension Granted Through 09 -17 10
Hi Shawn,
Our building inspector, Jim Lierly, granted your request to extend your permit #09 -822. There is no charge for this
extension. It is extended through 09 -17 10
I hope your project turns out well.
Linda Pangrle
Permit Technician
City of Port Angeles
321 E. 5th St.
Port Angeles, WA 98362
360 417 -4815
360 417 -4711 FAX
Ipangrle @cityofpa.us
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3 I (i9
PREPARED 9/14/09 10 03 45 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/14/09
ADDRESS 211 W 14TH ST SUBDIV
TENANT NBR SHAWN BLOOD
CONTRACTOR PHONE
OWNER SHAWN BLOOD PHONE
PARCEL 06 30 00 0 3 8888 0000
APPL NUMBER 09 00000822 SIDING
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED TNSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 8/17/09 JLL BLDG FRAMING TIME 01 00
8/18/09 CA August 17 2009 9 07 40 AM 1pangrle
SHAWN (IF YOU NEED TO CONTACT HIM HE REQUESTED YOU USE
E MAIL BECAUSE HE IS HARD -OF HEARING
FRAMING
AFTERNOON
August 18 2009 9 13 17 AM jlierly
this was an inspection for determination of the damage and
scope of work to be performed/j11
BL3 02 8/19/09 PB BLDG FRAMING
8/20/09 AP August 19 2009 1 08 22 PM 1pangrle
CODY 460 7451
FRAMING
August 20 2009 12 48 18 PM pbarthol
west wall framing only
BL9 01 //��9/ /09 JLL BLDG SHEARWALL TIME 01 00
September 1 2009 3 54 41 PM 1pangrle
1 CODY 360 460 7451
SHEETING WALLS NAILING
AFTERNOON
COMMENTS AND NOTES
PREPARED 8/19/09 13 09 48 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/19/09
ADDRESS 211 W 14TH ST SUBDIV
TENANT NBR SHAWN BLOOD
CONTRACTOR PHONE
OWNER SHAWN BLOOD PHONE
PARCEL 06 30 00 0 3 8888 0000
APPL NUMBER 09 00000822 SIDING
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 8/17/09 JLL BLDG FRAMING TIME 01 00
8/18/09 CA August 17 2009 9 07 40 AM 1pangrle
SHAWN (IF YOU NEED TO CONTACT HIM HE REQUESTED YOU USE
E MAIL BECAUSE HE IS HARD -OF HEARING
FRAMING
AFTERNOON
August 18 2009 9 13 17 AM jlierly
this was an inspection for determination of the damage and
scope of work to be performed /j11
BL3 02 8/1,9/09 JLL BLDG FRAMING
August 19 2009 1 08 22 PM 1pangrle
CODY 460 7451
FRAMING
TS AND NOTES
PREPARED 8/17/09 9 24 48
CITY OF PORT ANGELES
ADDRESS
TENANT NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
BL3 01 8/17/09
211 W 14TH ST
SHAWN BLOOD
INSPECTION TICKET
INSPECTOR JAMES LIERLY
SUBDIV
PHONE
SHAWN BLOOD PHONE
06 30 00 0 3 8888 0000
09 00000822 SIDING
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLDG FRAMING TIME 01 00
August 17 2009 9 07 40 AM 1pangrle
SHAWN (IF YOU NEED TO CONTACT HIM HE REQUESTED
E MAIL BECAUSE HE IS HARD -OF HEARING
FRAMING
AFTERNOON
COMMENTS AND NOTES
c70 vt
palit
.V`N` w r v1/4
t ki
PAGE 8
DATE 8/17/09
YOU USE
Date
CITY 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
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
NEW SIDING
SHAWN BLOOD
1324 E 1ST ST
PORT ANGELES
WA 98362
Structure Information 000 000 NEW SIDING
1
1
09 00000822
678108
211 W 14TH ST
06 30 00 0 3 8888 0000
SHAWN BLOOD
SIDING
RS7 RESDNTL SINGLE FAMILY
5000
Owner Contractor
1 OWNER
Permit BUILDING PERMIT NO PR FEE
Additional desc NEW SIDING
Permit pin number 151712
Permit Fee 137 75 Plan Check Fee 00
Issue Date 8/14/09 Valuation 5000
Expiration Date 2/10/10
Qty Unit Charge Per Extension
BASE FEE 95 75
3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Date 8/14/09
Permit Fee Total 137 75 137 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 142 25 142 25 00 00
T:Forms/Building Division/Building Permit
Print Name Signature of Contractor or Authorized Agent
eA
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 wor dl
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 ',f any
state or local law regulating construction or the performance of construction.
B (4- oR g w k( BtQ ®c. Q
Signature of Owner (if owner is builder)
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 WallpHoId 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
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
T Forms /Building Division /Building Permit
FINAL Date Accepted by
-09 West Walt Fi-a,rnin5 e 3
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Eire 11 7,3•r- to
Accepted By
BUILDING PERMIT
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. -Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 411 -4711
Property Owner
Property (:).7's Address
�v�/
Applicant
Co ntractor
Contractor's Address
License
PROJECT ADDRESS
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
epair
Demolition
Re -roof
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Site Coverage the amount of imp
and other impervious surfaces. (se
Existing (sq. ft.)
Max. height of proposed structu s ft.
Will a lawn sprinkler system installed?
Will a fire sprinkler system installed?
-Residential
Expires
I.
House garage other
Heat pump w,00d- burning stove
P (sq. ft.)
J
Occupancy group
Occupant load
Construction typ
have read and completed this application and knolv it to be true and correct. I am autho
that it is visibility resp. sibility to determin hat permits are required, and t btain permits p
Dal 0 1 Print Name Q.uur,4 Bin° e- Signature
T Forms /Building Division /Bldg Permit.doc
APPLICATION Print in ink
For City Use Only
Date Received y 0 q
Permit Y?— �2?�
Date Approved
Multi family
Phone con l mtA 6 (n e -►gnat
one 1■_ ti
Phone\
E -mail s LOCO k, ,t''C ayQble
tear off re -roof lay over one layer
gas fireplace pellet stove other
Lot Zoning
b Commercial o Industrial
per sq ft.
TOTAL VALUATION 56QQ
sq ft. T Lot size sq ft. Lot coverage
s surface on a parcel including structur pave driveways- sidewalks patios
AMC 17 94 135 for exemptions) Site coverage
of bedrooms
of full baths
of half baths
o apply for this permit an nderstand
n..n projects.
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
SWEET JR JAMES E /JOY L
2950 E OVERLAND RD
MERIDIAN
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
T \PLANNING FORMS \1102.15 11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
04 00000522
870612
211 W 14TH ST
06 30 00 0 3 8888 0000
SHAWN BLOOD
MECHANICAL PERMIT
ID 836426612
RS7 RESDNTL SINGLE FAMILY
9506
Contractor
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 15KW FURNACE /2 1/2 TON HP
Sub Contractor SIMPSON ELECTRIC
Permit Fee 46 70 Plan Check Fee 00
Issue Date 6/29/04 Valuation 0
Expiration Date 12/26/04
Qty Unit Charge Per
1 00 46 7000 ECH EL -R OR RM 1 4 ALT CIRCUITS
Charged Paid Credited
46 70 46 70
00 00
46 70 46 70
ALL WEATHER HEATING COOLING
302KEMP ST
PORT ANGELES WA
PORT ANGELES WA 98362
(360) 452 9813
00
00
00
Date
6/29/04
Extension
46 70
Due
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
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 I COMMENTS
YES I NO 1
FOUNDATION•
FOOTINGS
WALLS
FOUNDATION DRAINAGE /DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT 4
ROUGH -IN
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
I 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
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 I I I ESA.
LANDSCAPING I I I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T•\PLANNING \FORMS \1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
0y AltO
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I I
I I I
<#..,"r~
fj
CITY OPPORT ANGELES ,
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Pinnumber . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
04-00000522 Date
.870612
211 W 14TH ST
06-30-00~0-3-8888-0000-
SHAWN BLOOD
MECHANICAL PERMIT
RS7 RESDNTL SINGLE FAMILY
9506
Owner
Contractor
SWEET JR JAMES E/JOY L
2950 E OVERLAND RD
MERIDIAN ID 836426612
ALL WEATHER, HEATING &: COOLING
392KEMP ST.
PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 452-9813
Permit . . . .
Additional desc'
Permit Fee
Issue Date
Expiration Date
,ELECTRICAL ALTER RESIDENTIAL
35.30
6/11/04'
12/08/04
Plan Check Fee
Valuation
Qty Unit Charge Per
1.00 35.3000 EC EL-LOW'VOLTAGE
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
61.70 Plan Check Fee
6/11/04 Valuation
12/08/04
Qty Unit Charge Per
BASE FEE
1. 00 14.7000 ECH ME- INSTALL 100- FAt]
Fee'summary Cha~ed Paid, Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 97.00 97.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 97.00 97.00 .00 .00
6/11/04
.00
o
Extension
35.30
.00
o
Extension
47.00
14.70
~
~
--
~~
~
,-
..s:.
+
S
Separate Permits are required for electrical work.SEPA. ShorElline, ESA, utilities. private and public improvernents.II:Ils,P',nnit b.ecomes
null and void if work or construction authorized is notcommenced within 180 days, if construction or work IS~!Jsper,tded or abandoned
for a period of 180 days after the work as commenced, or irrequired'lnspectlons have not been requested within 180 days from the last
Inspection. I hereby certify that I have read an~ examll')ed this application and know the same to be trUe and correct All provisions of
laws and ordinances govemlng this type of wOrk will be complied with whether specified herein or not. The granti~gofapermit does not
presume 0 give authoritY to violate or cancel the, provisions of any state or local law regulating construction or the performance of
cons on.
uti I Joy
Date
Signature of Owner (if owner is builder)
T:\PLANNlNG\F0RMS\1102.1S [11/1412003)
Date
, \ '~.- ,("
BUll.DlNG PERMIT INSPECTION RECORD
CALL 417-4815 FOR Bt:JILDING INSPECfIONS. CALL 417-4735 FOR ELECfIuCAL INSPECfIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE: IT IS UNLAWFUL TO,COf/ERrINSllL4TE OR CONClJAL ANY WORK BEFORE
INSPECTE[)AND ACCEPTEJ). POST PERMIT IN A CONSPlCUOtJS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE ,~ DATE ACCEPTED COMMENTS
YES l NO
FOUNDATlOP;,: .
FOOTINGS,
WALLS
FOUNDATION DRAINAGEIDOWN SPoUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # .'
ROUGH4N . I " I
PLUMBING
UNDER FLOORJ SLAB
ROUGH.IN
WATER LINE (METER TO BLDO) .
GAS LINE .'. '. .'.
BACK FLOW J WATER
AIR SEAL .
WALLS .
CEILING 't.,
FRAMING .
.
JOISTS I GIRDERS .
SHEAR WALLIHOLD DOWNS ,
WALLS J ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY) '.
T-BAR '; ..... .; '. '.'
INSULATION -r .
SLAB .
WALL I FLOORJ CEILING I "
MECHANICAL ..
HEAT PUMP .','
. GAS LINE
.
WOOD STOVEJ pELLET I CHIMNEY .
HOOD.! DUCTS .. ". , .'
PW UTILlTIESJ SITE WORK (Engineering Division) , S~ARATE PERMIT #'5:
WATERLINE I.METER ..
SEWER CONNECTION , '. ";'.
SANITARY .
.
STORM . .;
PLANNING DEPT.. SEPARA~ PERMIT #'5 SEPA;
PARKINGILIGHTlNG ESA:
LANDsc,u'ING ." .! . SHORELINE:
...~J
.' .....' FIl'1.4f INSPECJ'IONS ~.uIRED'PRlOR TO ~CUPANCY{lISIt '.
,. ., RESIDENTIAL .."'; DATE ." YES NO COMMERCIAL D~TE ..... . '. AC(,;E:PTED.
,. ',' . - .' . " " . , :: YES' I;"NO ,'.
'.'
- $" " " 'J . .~,..." '.' .' '.: .' ".
ELECTRI<;AL - LIGHT DEPT. 417:4735 ELECTRICAL
LlGHTDRPT
CONSTRUCTION R.W. J PWI . C
CONSTRUCTION - R. w.
ENGINEERING 411-4801 PW I ENGINEERING
FIRE . 411-4653 , FIRE DEPT. .' "','
PLANNING DEPT. 417-4750 PLANNING DEPT. ' ";' "
:. ~-OI .../;;J. , . I.....
BUILDING 4174815 BUILDING
T:\PLANNlNG\FORMS\II02.15 [11/1412003]
PREPARED 6/24/04, 12:57:58
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
8
6/24/04
ADDRESS . .
TENANT, NBR:
CONTRACTOR
OWNER . . .
PARCEL . . :
APPL NUMBER:
211 W 14TH ST
SRAWN BLOOD
ALL WEATHER, HEATING & COOLING
SWEET JR JAMES E/JOY L
06-30-00-0-3-8888-0000-
04-00000522 MECHANICAL PERMIT
SUBDIV:
PHONE
PHONE
(360) 452-9813
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~~~~-~~---~(-~-~~~~-~---~~-~_:_-:~~:~~~~:-::~-:~::::::~~::------------------------------
------------ -------~---- -- COMMENTS AND NOTES --------------------------------------
I-
I
FROM : ALL WEATHER HEATING & COOLING
fl.,.oAt ~
\I
FAX NO. : 360 452 5177
Jun. 10 2004 02:45PM P1
BUILDING PERMIT .. APPLICATION
FOR OFfICIAL USE O~
n. "'~:(r;;t D -C
Permit t. ... ~
DatllAppmved:........
DIr. JIaIed:
n.. Building Permit -l'rNJpplicattoPl .... 6eft/Jd .IIt CtJlllpletely.
Pleue type or pr1Dt m iDle. H)'ou have aay questiolll, please call 417~815
,AppIioat d_Jh \ ~1l~0>' \\~(.\ l.-; ~ ;, C he) l \ ~ ,Tw, Pbcme: ~'l.- . ') ~I ~
Owucr: G,~f.\ "" l\ ~\ cod Phone: .
Addrou: '1,11 W. IY{h..g.. City: ~ Mt ~~~4
AltbitcctlED8iDocr: 1'!Jf)
CoDtrIctpr..Gn \\\~(\.~ ov \:t,~ ~ LI\ ~
., '~;. 9ly2. ~~ ~t.
.:... .QfICJ:4I8I~.',
LBGUo DUCIlIP110N: Lot
CU1.T.WCOUln'Y PARCEL Nl1MBER:
IIIIIaI Addrw: .
Credit Cant,:
Zip:.,:1%;6" 2..
Phone:
Liccnsc #:AlI}l\;H(',I~)LlJ Exp:..s.J I! 04 Phone:~ 1- - '1 ~) 3
City:~,L). .: Zip: gg.~/"z
ZONING:.
Block:
VISA
Me
rD. QJ"WOIlK:
1l ....;..~aI c Now Cou1r.
o MuIIi-faDUJy C Additioa
C 'O"'IdI.~ C RaIaodel
C Repair
SID:IV ALVA110N:
SF.@$ ISF. =$
SF..@ S /SF. - S
Sf.;@'S' . ISF. - S
TOTAL VALUATION S ~1s:aD ~
C R.roof
o Move
c Demolition
o Sip
C Woodatuve
o Garage
cDcck
c
IIUD P~ON OF TBI PROJECf: ');:Il: \\? : b~l~t\ ~ o.s. ~ \\ts\o\S;. H" I ^$ \rk\ \ wIt-V v-./, (~~
. , . . t;,,.. \<;iflT
CO~ClAIJJJ.ESIDENTIAL: Occupancy Group: Occupant Load:
No. ofStariol: _ Lot Size; , '% Lot Coverage:
Exiatiq Lot Coveaae: Isq. ft. + Proposed Lot Coverage:
PUNQNG .,ONLY:
N"'~
CoDStruction Type:
%.
Isq. ft. = TOTAL LOT COVBRAGE:
APPROVALS: PLAN
BLDG.
DPW
I'JU
OTJmti
laq,ft
E$AlWct1and(.): C Yea 0 No SBPA Cbec:k1ist required? c y~ C No
Other:
,
. " . .
i. BiJJLDJNG~'AftLJCATlONstJBMITI'AL: Y""'.""".""".""._./lllMltHlteo..;' r ~'''--H1,.mt,.,
,..... 1be UUndiDa Divilicm CIIl provide you with ~ cIetaiIccI information OD the application and pJan aubmiuaI rcqui=acnu. Your
completed appJicaticm. lite plan (for additions) and building CODStruction plans arc to be submitted to the Building Division.
" V ALUA110.. OJ' CONSTRVcnop(:. Ia aU a-,.. Ylbldoa IIIIOUDt ..lilt be elltered by the applicant. This fipre will be n:viowed
and may be mriIed by the BuildiDg Division to comply with cwrcm lee schedules. Contact the Pcnnit Coordinator at 417-4815 fonssistlmcc.
PLAN~RE: 'Your p1m cbeck f. iI due at the time the building permit appJicatioa IDd CObStructioa piau ue aubDDttI!d. All olber
permit!_ are due u the time of permit issuance.
EXl'IRAUON OF PLAN REVIEW: If DO permit is issued within 180 day. of the date of application, this .appUelltIoll:WIII uplr," Tbe
Bu~ Ofticial can extend the time for action by the applicant up to 180 days upoD written request by the applkant (lee Section 107.4 of
the UDifonn 8uUdiDg Code, curreat edition). No application em be extended more tbaA ODCC.
I IIflIfby W11ify dull 1 #uJw reGti GIld crtImi1ted this application tmd bow the SGme to be true and cowed. aNd 1 GIll authDriud 10 appb' fo~
this permU. I wuJ",tMJd It is "01 tile Clty's legGI re.rpo1l3ibilitg to determine what permits a,.e required; It remahu 'he "Pplkant's
re.sponsibility tD det"",ine what pumits ar,! required and to obtai,. such.
, , " AppIicat ~If Ji fA -: "'"
, T:\fO~WPS\8l1ilclillJp8rmit (
Date:
~/I 0 Jt) Lf
.
. . ~'. .. ". ,:" ,no.' "/. '.'
,i
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 2/14/2002 PERMIT NO: 13232
OWNER/APPLICANT PROPERTY LOCATION
211 14TH ST W
CAROL REALTY PROPERTY MGMT.
809 EAST 1ST Lot: 18
PORT ANGELES, WA 98362 Block: 388 [] Long Legal
360/457-1111 Subdivision: TPA
T: S: Parcel No: 063000038888000
CONTRACTOR ARCHITECT
LARRY'S ROOFING N/A
352 AVIS ST
Pod Angeles, WA 98362 , 98360-0000
360/452-2215 360/000-0000
PROJECT INFO
Project Value: $3,520.00 SFD Units: 0 Commercial: 0
Project Type: REROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS7
PROJECT NOTES
TORCHDOWN OVERLAY OVER 1 LAYER HOT MOP --~
RECEIPT #8764
FEES ASSESSMENT
Building Permit: $97.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $101.75
Plumbing: $0~00 AMOUNT PAID: $101.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 ordinanc~,es-,9oveming this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give?uth~dty to violate or cancel the provisions of any state or local law regulating construction or the performance of
const ,n~ion. i ~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. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCE~4L ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE I YEsACCEPT~DI NO COMMEI~rI~
FOUNDATION:
FOOTFNGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB [
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOODfDUCTS
PW UTILITIES / SITE WORK ( Englneering Divislon) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKI NG/LIGHTI NG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
i CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
I ENGINEERING 4174807 PW / ENGINEERING
c4
CITY OF PORT ANGELES
LIGHT-DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. .;;] CJ.s- 3
y /o?V/9I
DATE
Installed By:
D READY FOR ILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
f)( Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
'1st Add/alter circuits
tJ Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
010 03.0'
Service size
o Temporary
Amps
Details/Description:
W If<.. t--
~ nl4l!.&OI11
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
'f Rough-in/cover O.K.
1rtJJ. 0 O.K. to connect service
'P Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
Installer:
Permit/Receipt No.
.3 OS- 3.
New Meters
.
Notify the Departmen 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 Inspector in Writing on the Wiring Report or the Building Permi!. PHONE 457-0411, EXT.158 or EXT. 224.
~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ {) tJl..:O
, Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Half
OLYMPIC PRI~HERS. INC.
r
(')~~O
FEE RECEI NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A rJi'"})O ~~
PERM T N MBER
.
TOTAL FEE ~d/~ At{ELfC.Il:5BA - I J??,. -
CO NT. Lie. NO. TIME TO COMPLETE NO. STORI ES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address -.211 W. l!jr~
._1 CORRECT ADDRESS IS RESPON1:iIBILlTY OF APPLICANT. PEAMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner ------'J"....c\d I\/nrtrwu(> Jr . Installation By A.. R E.\... <tV-l't,
OWner's Address :2 II W.' 14'" . , Installers Address oS '"1 (, E. , I"
OayPhone Lj57-7'",~q . . Installers Phone ~~/-l'3~~
Application is hereby made f~r Permit to install Electrical Equipment as follows: :.l 00 a ~P(" r.~ J
- c:M;I tP-v., ..... WIT!, re c. rw-.
(11/ 1?t1})-
Wiring Method
.
AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT NUMBER PER 120V 100A FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR '0 30
LIGHT I I~ "- SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE I .')n )<. MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE -
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT I '10 y
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT '100 AMP I PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE I..J/O AW.G.
I SUB-TOTAL SIZE OF GROUND L./- SIZE OF ENTRANCE SWITCH ~r'J
/
Date Permit Issued
.
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
DateApplicationmade aLl 30 ,19 ~4 By ~.J!h. Qwd
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the 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.
DIRECTOR OF CITY LIGHT'
By ~/4<f'#~~
PLANS APPROVED
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.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
REPORT OF INSPECTOR
~
, ~,
DATEOFVIS1T MADE BY REMARKS ~
,
/0 .J ~ -'i?fC (./, djJ7\ /ULA J. J- . 4-'" ~ - . . ./f1::;:;-,
1'1" t// -
..
(;2-I{-'i:!f '1// ,.Y $7DI/'UJ 13 y ''Tu C,( l-L./(' YI/Y',8L.. Hoo(( -f' 9\
(IiAlN ,/fIC- ,)'e~/liCe- fif2 QUa -j,J/,"AU c;. A /I'~- -.
L..e-FT (1(0 Te r-('J~ IV {) t'? 7.{ /( l,jP ro ~
/ltrL.L (,'/'1' (f-lLL FoR. hl'l.-'J!. Ifoeft of
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,
,
I ()/ ':/ 0/ 'Y<i ~ ) O.K. FOR COVERING
lDhl~ 4.'-f \1 Y O.K. TO CONNECT SERVICE
d.. '-f'-14: 1/1$ FINAL O.K.
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06/22/2004 06:20 4579270
SIMPSON ELECTRIC
PAGE 01
,
,~ VI
Q 1/ ELECTFlICAL PERMIT APPLICATION
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