HomeMy WebLinkAbout2716 S Laurel St - BuildingApplication Number, 08 00001294
Application pin number 125052
Property Address 2716 S LAUREL ST
ASSESSOR PARCEL NUMBER 0.6 30 16 5 0 0400 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Detached garage
Owner Contractor
BETTE J /BRIAN W SLACK
2716 S LAUREL ST
PORT ANGELES WA 983626907
Permit Fee Total
Plan Check Total
Grand Total
46 00
00
46 00
OWNER
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 136135
Permit Fee 46 00 Plan Check Fee 00
Issue Date 10/09/08 Valuation 0
Expiration Date 4/07/09
Qty Unit Charge Per
1 00 46 0000 ECH EL R OUTBD /DTCH GAR SEP
Fee summary Charged Paid Credited Due
46 00
00
46 00
00
00
00
Date 10/09/08
Extension
46 00
00
00
00
r
IN SP h
TYPE DATE
DITCH
SERVICE
ROUGH II�T
FIB
AL
COMMENTS:
ELECTRICAL
RESULTS IN SPECTOR
p c���N ELECTRICAL INSPECTION
0._ WIRING REPORT
417 -4735
cK' °aKS aS
DATE PERMIT INSPECTOR
ibh to D OS ,jZc L4
OWNER /CONTRACTOR
13 R r4 1 PrC_
ADDRESS
2- 1 LC L./1411Z
APPROVED
0
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED* PLAt I.,�LA l S C� 1 r?
Wit$ 140L.£s Va. c l- 1..1837 W L i H, 1'N c V 1�
5 1-1 Al
Ti -Tc. N To 1? !R P P I2 N d F
Co►.I.c 2r�' co 11 Z-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
OLYMPIC PRINTERS, INC. (360) 452 -1381
NOT APPROVED
0
LIGHT D: stallation description
Job wired by Electrical Contractor Owner Commercial Sitesidential
Electrical contractor name License number Date Expires
Purchaser's mailing address
City
Telephone number FAX number
Inspection
Date
State ZIP
ise owner's name
riaa
Address of inspection
t7Z7U, S I LQItife..1
ci
G'- vac �s
Phone number to schedule in 3 66
RECEIVED
Dat Appr Date Appr ved By
FINAL DITCH
Siy (a'
Date Ap ed By Date Appr ved By
Area, Building or Equipment Inspected
OCT 0 9 20 k ECTRICAL WORK PERIVIIT APPLICATION
New Altered /Addition
De
Tot F ra 1nr,c.
a t U U f-S
3 14 4
Owner as defined by RCW 19 28 261 (1) Owner will occupy the structure for two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor if above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal- la Credit Card sa Mastercard Discover
lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter
19.28, WAC Chapter 296 -46B The City of Port Angeles Municipal Code, and Card
Utility Specifications.
/Signature of owner, electrical contractor or electrical administrator Expiration Date
'0126AA- of card R' 'ee
aQatoLI� Date /0 O g,\ d
Electrical Load Additions and or subtractions
NO LOAD CHANGES
Baseboard KW
Furnace KW Overhead Service
Heat Pump Ton LAR Temp Service
Fan -Wall KW Underground Service
Cash Check
SAME DAY INSPECTION. CALL BEFORE 7.00 AM 360- 417 -4735
ROUGH -IN THERMOSTAT SERVICE
Date
Date
Voltage
Phase 1 3
Service' Size:
Feeder Size:
FEEDER
Service Information
Appr ed By
Appr ed By J
J
Action Taken
Electrical
Inspector
PREPARED 8/1 /0 9 46 40
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/12/08
ADDRESS 2716 S LAUREL ST SUBDIV
TENANT NBR BRIAN PAM SLACK
CONTRACTOR PHONE
OWNER BRIAN PAMELA SLACK PHONE (360) 452 3114
PARCEL 06 30 16 5 0 0400 0000
APPL NUMBER 07 00001098 RES DETACHED GARAGE
PERMIT
TYP /SQ
BLFS 01
BL3 01
PERMIT
TYP /SQ
PL2 01
BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS /COMMENTS
3/03/08 JLL
3/03/08 AP
BLDG MONO SLAB
March 3 2008 8 49 12 AM 1pangrle
BRYAN 452 3114
CONCRETE MONO POUR SLAB
March 3 2008 4 19 50 PM jlierly
8/12/08 JL f/ BLDG FRAMING
August 12 2008 8 59 45 AM pbarthol
BRIAN 452 3114
PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS /COMMENTS
8/12/08
INStE"'T CN TICKET
PLUMBING ROUGH IN
August 12 2008 9 00 20 AM pbarthol
BRIAN 452 3114
COMMENTS AND NOTES
E 1
PREPARED 3/03/08 9 22 19
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/03/08
ADDRESS 2716 S LAUREL ST SUBDIV
TENANT NBA BRIAN PAM SLACK
CONTRACTOR PHONE
OWNER BRIAN PAMELA SLACK PHONE (360) 452 3114
PARCEL 06 30 16 5 0 0400 0000
APPL NUMBER 07 00001098 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLFS 01 3/03/08
INSPECTION TICKET PAGE 6
BLDG MONO SLAB
March 3 2008 8 49 12 AM 1pangrle
BRYAN 452 3114
CONCRETE MONO POUR SLAB
COMMENTS AND NOTES
When recorded return to
Z 9Ob Sv
I/WE the undersigned owner(s) of the following described property
Insert legal description here) f_ -,/Z e C
3o 1 5 qo0 t' F T' �f
s
2007 1213389
Page 1 of 1 Protct Covenant
Michael Haggerty
Clallam County Washington 12/12/2007 11 14 15 AM
■111 M.I iiilililif11iffithLliaIPi Mill 11111
ZONING LOT COVENANT
do hereby covenant that said property shall be designated as one zoning lot as defined in Section
17 08 130 "Z" of the Port Angeles Municipal Code. This covenant creates one inseparable
buildmg lot which may only be removed through compliance with Chapter 58 17 RCW
(subdivision regulations) and /or the City of Port Angeles short subdivision regulations
(Ordinance No 2222, as amended)
This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) m
interest and shall be filed with the County Auditor's Office. Tins covenant is for the mutual
benefit of said owner(s), heir(s), assign(s), and successor(s) in interest and is for the further
purpose of compliance with state and local land use and building regulations. This covenant may
be enforced by injunction or other lawful procedure and covenant by the recovery of any
damages resulting from non compliance.
DATED this Z day of
Print Name: /��G Print Name
(Owner Si !re) f
Phone —s�god
Phone.
STATE OF WASHINGTON
COUNTY OF CLALLAM
I� A) Ze- S Notary Public in and for the State of Washington, do hereby
certify that on this /7 of 2007, personally appeared before me
,cw-a r° known to me to be the individual(s) described in and
who executed the within instrument and ackn that signed and sealed the same as
free and voluntary act and deed for the purposes herein mentioned.
GIVEN UNDER MY HAND AND OFFICIAL SEAL this /2 day of A 20)7
0111111i%
iQ �OTAA` S
CO :EXP 02 Z
7 40 e LAG
9o
(Owner Signature)
NOTARY PUBLIC in and for the State of
Washington residmg at Port Angeles.
RECEHE,
DEC 1 :9 2007
Dept. O
of Community e
Development
p 'f r 20 7
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 07 00001098 Date 10/22/07
Application pin number 964242
Property Address 2716 S LAUREL ST
ASSESSOR PARCEL NUMBER 06 30 16 5 0 0400 0000
Tenant nbr name BRIAN PAM SLACK
Application type description RES DETACHED GARAGE
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 6614
Owner Contractor
BRIAN PAMELA SLACK OWNER
2716 S LAUREL ST
PORT ANGELES WA 98362
(360) 452 3114
Structure Information 000 000 576 SF DET GARAGE 110 SF FRNT DECK
Other struct info HARD SURFACE AREA
Permit BUILDING PERMIT RESIDENTIAL
Additional desc DETACHED GARAGE ADD DECK
Permit pin number 111575
Permit Fee 165 75 Plan Check Fee 66 30
Issue Date 10/22/07 Valuation 6614
Expiration Date 4/19/08
Qty Unit Charge Per
BASE FEE
5 00 14 0000 THOU BL -2001 25K (14 PER K)
Extension
95 75
70 00
Permit PLUMBING PERMIT
Additional desc WATER LINE TO GARAGE
Permit pin number 111658
Permit Fee 57 00 Plan Check Fee 00
Issue Date 10/22/07 Valuation 0
Expiration Date 4/19/08
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
October 1 2007 1 16 59 PM sroberds
Proposal will result in detached garage and front deck
addition for total lot coverage of 17% No land use issues
noted
Construct unimproved driveways to City Standards No
concrete with exposed aggregate allowed in the City road
right of way An inspection by Public Works Engineering is
required prior to pouring concrete
Electrical load calculations and elctrical permits are
required No connection fee required
09/26/2007 09 32 AM GMCLAIN
Other Fees
\v\
STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
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 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.
/v Z /52 rFrie...t csi S(c.e.-?C
bate Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T.Forms /Building Division/Building Permit (I0 /01 /07).wpd
,F
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
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE /PELLET /CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I
I BUILDING 417 -4815
T Forms /Building Division /Building Permit (10 /01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
YES I NO
FINAL
FINAL
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
I BUILDING
DATE ACCEPTED BY.
DATE ACCEPTED BY.
DATE ACCEPTED
I YES I NO
I
of Ponr,�,y
rUf
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 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.
Date
Application Number
Application pin number
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Print Name
T.Forms /Building Division/Building Permit (10 /01 /07).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
07 00001098 Date 10/22/07
964242
222 75 222 75 00 00
66 30 66 30 00 00
4 50 4 50 00 00
293 55 293 55 00 00
Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
CALL 417 -4815 FOR BUILDING INSPEC
CALL 417 -4807
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT
INSPECTED AND ACCEPTED
KEEP PERMIT CARD
INSPECTION TYPE DATE
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT l's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING
I FIRE
PLANNING DEPT
BUILDING
417 -4807
417 -4653 I
417 -4750
417 -4815 I
T Forms /Building Division /Building Permit (10 /01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
1 2 o$ Zrt_i_
t 2 -08 L.L,
TIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
FOR PUBLIC WORKS UTILITIES
IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
POST PERMIT IN A CONSPICUOUS LOCATION
AND APPROVED PLANS AT JOB SITE.
ACCEPTED COMMENTS
YES NO
('onosoL6 St3los 7Lt.-
FINAL DATE
FINAL
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
DATE
DATE
ACCEPTED BY.
ACCEPTED BY.
ACCEPTED
YES I NO
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
BRIAN PAMELA SLACK
2716 S LAUREL ST
PORT ANGELES WA 98362
(360) 452 3114
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Other Fees
Fee summary
T•\Policies \1102.15R [1/05]
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
07 00001098
964242
2716 S LAUREL ST
06 30 16 5 0 0400 0000
BRIAN PAM SLACK
RES DETACHED GARAGE
RS7 RESDNTL SINGLE FAMILY
6614
Contractor
OWNER
RIGHT OF WAY
DRIVEWAY APPROACHES
112789
50 00 Plan Check Fee
10/22/07 Valuation
4/19/08
Special Notes and Comments
The Fire Department has reviewed the project, application and
has no comments
October 1 2007 1 16 59 PM sroberds
Proposal will result in detached garage and front deck
addition for total lot coverage of 17% No land use issues
noted
Construct unimproved driveways to City Standards No
concrete with exposed aggregate allowed in the City road
right of way An inspection by Public Works Engineering is
required prior to pouring concrete
Electrical load calculations and elctrical permits are
required No connection fee required
09/26/2007 09 32 AM GMCLAIN
Structure Information 000 000 576 SF DET GARAGE 110 SF FRNT DECK
Other struct info HARD SURFACE AREA
Qty Unit Charge Per
1 00 50 0000 ECH RIGHT OF WAY PERMIT
Date 10/22/07
Extension
50. 00
STATE SURCHARGE 4 50
Charged Paid Credited
Permit Fee Total 50 00 50 00 00
Plan Check Total 00 00 00
Other Fee Total 4 50 4 50 00
Grand Total 54 50 54 50 00
Due
00
00
00
00
00
6614
Separate Permits are required forelectrical 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
fora 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. y
ll Gc9/ 1�
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T•\Policies \1102.15R 1/05]
PERMIT INSPECTION RECORD
CALL 417 -4807 FOR UTILITY 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 I NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
F R OFFICIAL USE ONLY
BUILDING PERMIT APPLICATION /I ate Rec. t vim
Permit 6377— ip 9e
Fill out COMPLETELY and in INK. Your application and site plan MUST B Date Approved
COMPLETE to be accepted for review If you have any questions, call 'I
PERMITS (360) 417 -4815 FAX(360)417 -4711 j Date Issued:
Applicant or Agent: 6 r I .Ct
S `Q.. Phone: 3 („,et "Asa 31 1 g
Owner ,L) r i GUN n �u Pam �1 C..0 Phone: n ,2
Address. c°_� City P 1 LC3C Af1G(Plic<. Zip q -3 6
Architect/Engineer n l P 1 R JJ Phone:
Contractor Se State License Exp• Phone:
Address: S City Zip.
c2
PROJECT ADDRESS 7 Ji Q u_r 6 PC C AlA �Plio S ZONING R 7
LEGAL DESCRIPTION Lot: 0? Block:e2 7 111 Subdivision. Rl c°f'(.J` Cfr Ct.'_ tS
CLALLAM COUNTY PARCEL NUMBER. d I, i, U
TYPE OF WORK. SIZE/VALUATION
Residential New Constr Re -roof Stove SF /SF
Multi family Addition Move EiC Garage 7G SF 4 /SF 53 I
Commercial Remodel Demolition Deck 110 SF i /SF 1 L 'S I
Repair Sign Other TOTAL ViLUATION
BRIEF DESCRIPTION OF THE PROJECT 024 ne Ct vA
FM DP.nl( Gei rr2 e_ IA) uaxvp I�ri NN b Ltd- l�%I� Lau Gt
j1 b cy. �-1� r r_r^ l iE3k-l6 (AM_ �,��`e
COMMERCIAL/RESIDENTIAL. Occupancy Group. Occupant Load: Construat Type. 35°6
;kg zo
No of Stories. I Lot Size:0,2 4 Existing Sq Ft. Proposed Sq Ft. c', Cc: TOTAL Sq. Ft.
Total lot coverage
Z Nose g i bb v h 3 area 5e 2x-I�r-i o r(E a. s+ side)
l eCk C∎4y Gara_oie -46 ^mo or 4,eai-irui n 41 Ar&4Z-
PLANNING USE ONLY W th re. 04l.`1 APPROVALS.
PLAN
BLDG
DPWU
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other FIRE.
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 If no 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 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. 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.
TAFORMS\BIdgPermitform.wpd App t \c10/4 7 07
licant: Date:
-Park Ave-
120
2720
()`Cq N ■Aed
276
614
r
1- 1 1 .2 6 20
27.6.
2802
J
2621 ...I
102
10
2717
i1
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33
27I'
1 40
(f■ Co vs\
5 1
Gar-6k
02$
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21'
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e 121I_11
V aCIC
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 05 00000521
Application pin number 707568
Property Address 2716 S LAUREL ST
ASSESSOR PARCEL NUMBER 06 30 16 5 0 0400 0000
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 1000
Owner Contractor
BETTE J /BRIAN W SLACK
2716 S LAUREL ST
PORT ANGELES WA 983626907
OWNER
Date 6/24/05
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR -OFF RESHEET FELT COMP
Permit pin number 52902
Permit Fee 62 25 Plan Check Fee 00
Issue Date 6/24/05 Valuation 1000
Expiration Date 12/21/05
Qty Unit Charge Per Extension
BASE FEE 47 00
5 00 3 0500 HND BL -501 2K (3 05 PER C) 15 25
Other Fees STATE SURCHARGE 4 50
Fee summary Cha rged Paid Credited Due
Permit Fee Tot al 62 25 62 25 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 66 75 66 75 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
T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
nn c
/l
Signature of Owner (if owner is builder) Date
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
FOUNDATION•
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE /PELLET/ CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
BUILDING PERMIT INSPECTION RECORD
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
417 4653
FIRE
PLANNING DEPT 417 -4750
I BUILDING 417 -4815
T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
YES I NO
SEPA.
ESA.
SHORELINE.
FIRE DEPT
PLANNING DEPT
I BUILDING
~
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
PERMIT NO. SO? 0
Y/2P~..5
DATE
~
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
~ FAN/WALL KW...t..r2---
ff RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
/ SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
DetailslDescription:
(~Ie ~~p :;;7
(;J MJ fJ/IA.-, ~o J. f
e
Phone:
Sq. Ft.
o RISER
'Ji'l' OVERHEAD SERVICE
o UNDERGRO~D SERVICE
VOLTAGE: /;:> 0. .;2 yO
I ,
,319\ D3111
SERVICE SIZE &;2,&0 AMPS
FEEDER SIZE AMPS
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Site Address:
I
I
NotifY Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
befo~e inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on: the ~Permit. PHONE 457-0411, EXT. 224.
I' /~ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT $ ,#' ..5()
I 8ectricallnspector Permit Fee
WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN _ Top: Meter Dept., Bottom: City Hall
:
,
OLYMPIC PRINTERS INC
Installer:
(~
Permit/Receipt No.
So7{)
New Meters
", ..
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
~-(-c{S . /J1f?~ .Jpe (II eLL 1.N5J.j( L I? .",vte ~ ~OK_
LAV' Gl(o't--r1J r II'I,r", t''''''~L HMO rAPt>
IhtJ ~i /l-e G- ;leeIV' J:/f,t 5"- J-'t^S-
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K.
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. CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000260
,
PERMIT NUMBER
FEE RECEIPT NUMBER
1,
.~... 'rr
, I~
TOTAL FEE ~(.--0- r!)C<J tV (' r?. V- I IfoNt .e
I CONT. L1C. NO. TIME TO COMPLETE NO. STORIES lEGAL OCCUPANCY
Site Address
')7 It
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE,ESTABLlSHED UNDER THIS PERMiT
5'"" I- IIIA~e L ~
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
Owner ;:rANt? ToNe5
Owner's Address 1... -r f (, So
Day Phone if ' .::l. - T I -, .,
, .
Application is hereby made for Permit to install Electrical Equipment as follows:
: ('AANc..e Se~v'lce
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
L Aut<.e L
)nstallation By
Installers Address
Installers Phone
~) ,r I /? .0
/Y^'''-
Wiring Method
f?( f ~
i.... '.{."
'. l;-
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PEA 10 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 ' CIR 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIAE ALAAMS
DISPOSAL BUAGLAA ALAAM
RANGE MISC.
OVEN
~ ..
WAT~R HEATER
lAUNDRY .
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS ~ Oil
FURNACE ENEAGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELEdTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE .~ 100 V ~(J( A.W.G,
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH "
I certify that the work to be performed u'nder this permit will he done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made '4- ~ ,).. (, ,19~S- By ~~" ~
J..... CONTRACTOR OR'OWNER (OR AUTHORIZED AGENT) .
P~rmission is hereby given to do the above described work, according to the conditions tl'e{eon and aC~Ording to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of/Port Angeles'~J
IRECTOR OF'CITY LIGHT
~
.,
If rJ(,.c 'tr
By
PLANS APPROVED
~.'
Date Permit Issued
WARNING
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 _
WHITE - Orlgina! CANARY - Duplicale PINK. Triplicate WHITE CARD. Inspector's Report
"1 VUPII' PI:II"IT~QC:: INr.
REPORT OF INSPECTOR
DATEOFVISfT MADE BY REMARKS
O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINA.lO.K.
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