HomeMy WebLinkAbout817 S Laurel St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
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
04-00001113 Date
.202163
817 S LAUREL ST
06-30-00-0-2-6845-0000-
RES REMODEL
12/06/04
RS7 RESDNTL SINGLE FAMILY
15000
Owner
Contractor
S GALLEGOS-OROZCO/S A WOODWARD
424 S EUNICE ST
PORT ANGELES WA 98362
OWNER
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 274.75 Plan Check Fee 109.90
Issue Date 12/06/04 Valuation 15000
Expiration Date 6/05/05
Qty Unit Charge Per Extension
BASE FEE 92.75
13.00 14.0000 THOU BL-2001-25K (14 PER K) 182.00
Special Notes and Comments
Building Division has no requirements.
The Fire Department has reviewed the project application and
has no comments
The proposal is restoration of a fire damaged accessory
structure. No habitation is permitted of the structure. No
land use issues are noted for the accessory use.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
Public works utility engineering has no requirements for
this plan review.
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Other Fees
STATE SURCHARGE
4.50
t
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 274.75 274.75 .00 .00
Plan Check Total 109.90 109.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 389.15 389.15 .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 performance of
con$ uction.
Signature of Owner (if owner is builder)
Date
T:\PLANNlNG\FORMS\1102.15 [11/1412003]
BillLDING 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
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAlNAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I I
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 W ALUHOLD DOWNS
WALLS / ROOF / CEILING t -,t,)..lJ.-r~ J . L.
DRYW ALL (INTERIOR BRACED PANEL ONLY) I'
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE \yORK ' (Enghl~eri{'g Division) SEPARATE PERMIT #'s:
WATERLINE / METER . -,
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNG/LIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [11/14/2003]
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: (1- J.-7:t-fJ4
Permit#: (')rf -II is
Date APproved:~
Date Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: "S'~R G 10 GI'9 / / E c; OS
Owner: S~~ ~ i 0 G~/ / ~c-o..5
Address: g/7 S~~ ~~P.( .-;-r City:~.RT .42A./~-~Lb"Y'
Phone: ~<5:2 - b r S-?
Phone: ~.:J-;l- f=. j" '5~ ~,
Zip: ~~.3~.2
,
Architect/Engineer:
Contractor S e I-/,
Phone:
State License #:
Exp:
Phone:
Address: City:
PROJECT ADDRESS: c:?/ 7 S ~ L4L'~~L
Zip:
ZONING: R4!i.? (
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address: City:
Credit Card Type VISA MC # Exp. Date:
TYPE OF WORK: SIZENALUATION:
o Residential 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $
o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $
o Commercial 0 j.,emodel 0 Demolition 0 Deck SF. @ $ /SF. = $ ,..f)
~epair 0 Sign 0 Other TOTAL VALUATION $,}'S'.:.9oLi-
BRIEF DESCRIPTION OF THE PROJECT: /pp,pq;r Q;lcl RC""..$ ~;--g F/A:~- O~/11R~-
70 G.4RA-r..,b ) c-'5'ro/?A.~.~) ~N~ ~~y nREA-
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft.
Total lot coverage %
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetIand(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
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 RI05.3.2
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,\RV6SS\BLDG-fo=-bro,h~~003-B"ildi"gperm;,.wpd Applio"," .<2_ d ~ -vJ-- Date, L 1_ [<1- 01
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. W ^ 91l~62
Appl~cation Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00001113 Date
202163
817 S LAUREL ST
06-30-00-0-2-6845-0000-
RES REMODEL
5/18/05
RS7 RESDNTL SINGLE FAMILY
15000
Owner
Contractor
S GALLEGOS-OROZCO/S A WOODWARD
424 S EUNICE ST
PORT ANGELES WA 98362
OWNER
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
JEDI/ ALTER CIRCUITS
48306
JEDI ELECTRIC
66.90
5/18/05
11/14/05
Plan Check Fee
Valuation
.00
o
~
-...
'-.i
Qty
1. 00
Unit Charge Per
66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
66.90
(j\
Special Notes and Comments
Building Division has no requirements.
The Fire Department has reviewed the project application and
has no comments
The proposal is restoration of a fire damaged accessory
structure. No habitation is permitted of the structure. No
land use issues are noted for the accessory use.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
Public works utility engineering has no requirements for
this plan review.
1'.
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~
Other Fees
STATE SURCHARGE
4.50
(J
1
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 66.90 66.90 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 71.40 71.40 .00 .00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPEg.lON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED . COMMENTS
YES NO
DITCH I
Ill)T TGH-IN I COVER I
~h.K. VJCh
l<ThJ AT .z;/ /"--<//1'-;-' I ~-..,
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GENERAL COMMENTS:
PW.II02.t~ (41'96)
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. SSO?
sA;Ht
. ~
DATE
ELECTRICAL PERMIT
Sit Address:
81 ~? LClAA.-u..Y
~sl!'- iLLJL
o WILL CALL FOR
INSPECTION
Phone:
o READY FOR
INSPECTION
License Number:
In tailed By:
o ner/Business:
Phone:
o ner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o fURNACE KW
o HEAT PUMP KW
o FAN/WALL KW
o RISER
~'OVERHEAD SERVICE
o UNDERGRO~ SERVICE
VOLTAGE: / ZtfJ. zyO
~q5 D3S1\ ._
SERVICE SIZE /,;25-
FEEDER SIZE
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
AMPS
AMPS
Det i1s/Description:
(}2.."'1
C2
w. . No. SERVICE SIZE
CA ACITY:
o O.K. 0 NOT O.K.
A ION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o itch Inspection O.K.
o ,.Tough-in/cover O.K.
p.;f.K. to connect service --;f'W"!--/
o Final O.K.
Sit Address:
So Lct.-~I
flo. (" !
Permit/Receipt ~o.
S5"O,/
Installer:
I
e/7
fLJ}~
New Meters
t
Notify Port Angeles City Light by Stre t Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for CoVeRR has been given by the electrical inspector in writing on either the Wiring Report
or n the Buildi g-Permit. PHONE 457-0411, EXT. 224. ~.
., NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~1
~ $ '0U
Permit Fee
WHI E - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMP C PAINTERS INC
t
Noli y the Department of City Light by Street Address and Permit Number when ready for inspection. Work
mus not be covered or electrically energized before inspection and O.K. for covering or service has been given
by t e Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
~?O ~
Inspector Amount paid
WHIT - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
.
Site ddress:
Inst lied By:
Own r/Business:
o 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)
Det
ilslDescriP~ '
~.t?
.
_I
W.S. No. Service
Cap city: 0 O.K. 0 Not O.K.
o 0 tch inspection O.K.
o R ugh-in/cover O.K.
o O.K. to connect service
b<r F. nal O.K.
Jitrc
Site
Inst lIer:
.
OLYMPI PRINTERS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. do Cj 4-
DATE..f-.,2...2 -F.r
ELECTRICAL PERMIT
\
Sq. Ft.
o New Construction
g Remodel
)1Q.. Service update/alter/repair
~rhead
o Underground /
Voltage I 2/.J 2-
W"10 0 3 RJ
Service size C2/J f)
o Temporary
Amps
Yo
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
t4p-
"- "I..... C"- 'L ~
Size ;rtJ (/
Comments
Date :?-,,2.J-J"'f 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
Permit/Receipt No.
New Meters
~~~gg'
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
"/
Apr 01 05 09:24a
Jed Kimzey
(360) 565-1178
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o Owner ~....
ELECTRICAL WORK PERMIT APPLICATION.
o Request Inspection
j51 Electrical Contractor
D Annual Permit 0 Alarm
Cl Carnival 0 Commercial
Reiidential 0 Reddential MaiDt. 0 Signs 0 Thermostat D Telecom.
Elec.lric:al contractor name
Jf:DI Elee/rlc.
Purchaser's ma~g address
PO. OX 355'
City .
YC\l fh\~C/d
Tele;h.one number
;)hS - I
Premises owner's
S;(j)CrJC
License number
~DIEE. ""CjS1C;Z.
Installation descriplion
n e,,; <; c ([;iC e 77:
to.r~e ,'Joe c-,.,..,p
...'
~I r IfilL
Job wired by
,BfEleclrical Contractor Q Owner
State ZIP
L.JC-..
q P ., . -)
() ,:> I: <7"'
FAX number
~c.''I'1e
name
(5<.>f<).'e ) C':"c;./I tj 05
Address or in~pection
R/7 j;C"'lT~ 1-4~,rei
City!> __
\ 0\ I
Q Cash 0 Check #
I hereby certifY that I am the owner of the above named property or a licensed
electrical contractor (or the firm's authorized agent) .and am making the electrical
installation or alteration in compliance with the c1ectricallaw. Chapter 19.28 ReW.
o Credit Card
Card #
Visa
Mastercard
Discover
Due Applo>..-.:I8)'
Co....er
Dale ApptD~ny
Cover
DITOI
FEEDER
11/
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Expiration Date
of card
WALLS
Insulation Only
CEllJNG
lnsulation Only
TIlERMOSTAT
SERVICE
D:lle
Approval By
Dilte ApptD\Cd By
D~t" APJlT.;>v"d By
nil" Approved By
01,,,
Appro'."d o~
Dilt;
~l'U"cdBy
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
o Overhead Servtce
o Temp Service
~ Underground Service
Service Information
Voltage i")..c!:).'-{'C
Phase'QA 103
Service Size: ~
Feeder Size:
Inspection
Date
Area, Building or Equipment Inspected
AClion Taken
Electri~al
InS~!CIOT
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IEllECTIFUCAl iNSIPIECTI~~/
WiRiNG RIEPORT
417-4735
PERMIT #
INSPECTOR
AcO
ADDRESS
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8/7
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APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . . . . . . . . .. . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED:(j)
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~LAL$ -~#-'i:<7
(\'M)J~ eX
U:OTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381