HomeMy WebLinkAbout822 W 15th St - Building
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CITY OF PORT ,wGELES
DEPARTMENT OF COMMUNITY DEVELOPMENf - BUILDING DMSION
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
06-00000654 Date
247354
822 W 15TH ST
06-30-99-0-4-2820-0000-
JOHN RALSTON
RE-ROOF
6/20/06
RS7 RESDNTL SINGLE FAMILY
5930
Owner
Contractor
RALSTON JOHN M/GAIL T
PO BOX 1405
PORT ANGELES WA 983620259
RAINMASTER ROOFING
1205 S. 0 ST.
PORT ANGELES WA 98362
(360) 452-3213
Permit BUILDING PERMIT - NO PR FEE
Additional desc
Permit pin number 80630
Permit Fee 151.75 Plan Check Fee .00
Issue Date 6/20/06 Valuation 5930
Expiration Date 12/17/06
Qty Unit Charge Per Extension
BASE FEE 95.75
4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 151.75 151.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 156.25 156.25 .00 .00
I: ApI/V
/2/
/ -<0;06
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 requ~sted 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.
~- ';'O-()c
r or Authorized Agent Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1 102_ 15 building permit inspection recordOS. wpd [114120051
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 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 I ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDOS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
,
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
I I
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF I CEILING
DRYWALL(INTE~ORBRACEDPANELONL~
T-BAR
INSULATION
SLAB
WALL 1 FLOOR I CEILING , I
MECHANICAL
HEAT PUMP I FURNACE 1 DUCTS
GAS LINE
WOOD STOVE I PELLET 1 CHIMNEY FINAL . DATE ACCEPTED BY: Ib
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES 9
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
P ARKINGILIGHTING ESA: \\
LANDSCAPING SHORELINE:
FINAL.lNSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELE~CAL - LIGHT DEPT. 417-4735 ELE~CAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEE~G 417-4807 PW I ENGINEE~G
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
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BUILDING PERMIT - APPLICATION
Date Issu
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent:
Owner: ;To1."'4 1<alsfoN
Address: 822 W. I Cj-t!J
Architect/Engineer:
Contractor k:4/N -I\.fAsT~~ "Root:INf.<
. ,
Address: /20 S' S DUd. 0
Phone:
Phone: 45;),- 8'1105
City: Arl A AJJ~ t~<; Zip: <183 '3
Phone:
State License #: 7<IIINM~ -r.-Ofi 1l-1\\ k Exp:
City: P A
Phone: i..( <;2 .3213
Zip:
ZONING:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COUNTY PARCEL NUMBER:
Subdivision:
TYPE OF WORK:
o Residential 0 New Constr. v'Re-roof 0 Stove
o Multi-family 0 Addition 0 MoveD Garage
o Commercial 0 Remodel 0 Demolition D Deck
D Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT:
SIZEN ALUATION:
SF. @$ /SF. = $
SF.@$ /SF.=$
SF. @ $ /SF. = $
TOTAL VALUATION $ ~q...dO~
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
Total lot coverage %
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
APPROVALS:
PLAN:
BLDG:
DPWU:
FmE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? DYes 0 No Other:
VALUATION OF CONSTRUCTION: In all 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: IF 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.
. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the 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 International BuildinglResidential 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. I 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. .
T,IFORMS\BldgP~id~wpd APPlican~16~-
Date:
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17930
c - '5 F?
Port Angeles, Washlngton..m.n..::'mm...........::'.m.mm...nm...n...._., 19mn_co-'
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment In, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to dO electr~work as listed below.
Address .m.E.":'?::n;-3ml.~.Lnn/~mLn.~nnnnm.n___nnm.mn. Occupancynnn_.nm___.____.___m_______.nnmmn
~::;~.~~~~~~~~-:~;.:;.::;.:f;;i.:~:;~:~:::g~:;&;:::::::::::::::..:..~::::::::::=:::::::::::::::::::::::::::::::::::::::
Light Outlets.........__.__................._.._..... Service, volts ....................................... Type ot Wiring:
Receptacle Outlets......._.......................
No. wires ..........__............__........__.__
Dryer, KW...n.......n............................
SIze wlres.............__...................._..
Range, KW....__...................
Water Heater:
Main fuse ..__.__........................__......
Enclosure ._...................................__
KW.n_m._____n_____.____.__n_.n_.nn._.
Type of wiring:
Entrance Cable ...__........................
Heat: KW..__........................_......__.._........__.
Motors: sIze, volts and phase:
Rigid Conduit ___________nnn__________nn
Metallic Tubing ..__.......................
Current transtormers:
...--.----....--..........--..........--.--..........---...
...............................-..........................
No. & Size.......................................
---.--.....................................................
Ser. No..............................................
................--..--.....--.............--........--.....
Ser. No...._______.....................____..........
.........................................................-
Ser. No.__......__..........__....__.................
Armored Cable ....__........................
Non.Metall1c ............____.................
Knob & Tube........___...........____......_
RIgid Conduit n_n......n...n______n...n
Metallic Tubing .................._........
Raceway ......................................._
CIrcuits, Light................._.....................
Utility .__n.....n....___n...______________.......
Heat ...............................................
Range ..........__._..................____.........
Water Heater .........__.__.................
Motor .............................................
Dryer....____..................___...........____......
Furnace .........................'_...................
Total J..oad......................__..... Ser. No. .....................__...................... Total ...____.......__.._..............__....
~;;,~:.:2.;::;.?;/!f!d2~==:::(J~;,~:::~:d1:.~:::==:~~::~=:~::~~::0!:::::~::::~:~:~::~~~
nnnnm------nm--n.:2.n___mn____n__n___.~nC!mn___nnnL____m______m__mmn.__mn--mmn___mn__m.m__mn___mm____m__mn__
Permit Fee
Treas. Receipt
NO.nm_nnm.....n..n....
By .,(z~..J;.~~h:.~.k;.:~~:.L.~
$.nnn.nmm__m.m__nmm...
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work fa to be con.
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
L.....-
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 1 7 9 3 0
Address.........._........_........................................................_..........................................................Date..._......_.._.._.._.........._......_......__........
Owner ...............................nn........_.._......_.._..._.._........................................................... Tenanl....................................................................
Wiring Contractor.......................................................................................................................... By..............................................................
NOTICE--Current must not be turned on until Certiflcate at Inspection has been issued. It work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
1M Olympic Printers, Inc.
-,
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date )-/O-oC
lit
8ersonl
Time r; ; 00 /J,r\. Received by
f
'3;<' /. J jcTt...
Location of Work to be inspected 0<. {./l./ _>.2
Name of person requesting inspection tJ",--tt>r a 1/.
Address of person requesting inspection .I 7 () s .s 0 13 5/
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
Phone No. (//7 - E./~'/1
Permit No.
Final Sewer Excav. 61 C/\/Pl f ~ r
INSPECTION NOTES:
Inspected: Date t:;- 10 - 0 (;
Remarks:
Time '?'; c7V 0;-1// By 7 17
/
;?l \I CJ /na;"" hIe"' i/ -e ~L1llv e-e! not/. !f"a-or b4vzd
I ,
(OO'YSIUe rA//'6 teiJire-ed?e,7f l7e~J.eJ )
I I
RESTORATION REQUIRED . . . . .. YES NO V
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved j2(Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # J 0 -XC; ;< - DC( I
~ COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)