HomeMy WebLinkAbout1403 S Cedar St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 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
07-00001419 Date 12/03/07
636345
14 03 S CEDAR ST
06-30-00-0-4-1835-0000-
STEVEN & CINTY SCHLAFFMAN
MECHANICAL APPL. PERMIT
RS7 RESDNTL SINGLE FAMILY
3514
Owner
Contractor
STEVEN H & LUCINDA SCHLAFFMAN
1403 S. CEDAR ST.
PORT ANGELES WA 98362
(360) 452-7955
EVERWARM
257151 HWY101
PORT ANGELES
(360) 452-3366
WA 98362
Permit MECHANICAL PERMIT
Additional desc GAS FIREPLACE
Permit pin number 116871
Permit Fee 60.65 Plan Check Fee
Issue Date 12/03/07 Valuation
Expiration Date 5/31/08
Qty Unit Charge Per
BASE FEE
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5
.00
3514
Extension
50.00
10.65
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60.65 60.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.65 60.65 .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 orwork 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.
ld(
Date
Signature of Owner (if owner is builder)
T:Forms/Building DivisionIBuilding Permit (10/01/07).wpd
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4 J 7-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
o
--1
-
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE .2. -c;-(') g PB fB
WOOD STOVE / PELLET / CHIMNEY FINAL :2.. -II-oS DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUI'ACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING 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
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T:Forms/Building Division/Building Permit (10/0 1/07).wpd
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Applicant or Agent
Owner 5-re0e~ ~w C-~1J0'1 . Sc....\n\ A- .\--\- MA-~
Owner's Address i 'to 3 S - ( L'e DA-~ S-~.
Contractor/Engineer l=-v't:Q..>-uA-Q-h \+e ~ '\- \\. ~
Contractor/Engineer's Address
License #
BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
For City Use Only:
Date Received \2- ~ - 01
Permit # 0 -, - ,... ,q
Date Approved
Phone
Phone
Y d--'tOzSS
Phone
46.;).. - .3 ~ to j."
Expires
03 .s - teb~
Ptx-f
wA-.
Parcel Number
PROJECT ADDRESS
Lot
Zoning
Proiect Tvpe & Brief Description:
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
oRe-roof
o Demolition
o Sign
lI-Heat System
o Other
Floor Areas
Basement
151 Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
g/Residential
o Multi-family
o Industrial
o Commercial
o wall-mounted 0 projecting 0 freestanding 0 awning
Total si n area s . ft. Maximum allowed si n area s . ft.
o Heat pump 0 wood-burning stove r;ptgas fireplace 0 pellet stove 0 other
o other
Existing (sq. ft.) Proposed (Sq. ft.)
@$
per sq. ft. = $
Jt>3
TOTAL VALUATION $
sq. ft.
Lot size
sq. ft. = Lot coverage
# of bedrooms
# of full baths
# of half baths
%
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Occupancy group
Occupant load
Construction type
ft.
I have read and completed this application and know it 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, and to ~bt 'n pe.
pr0ec~. '~
Date i.J...-) -o~ Print NameS'-re.u~ Sc \\ \f'<-~ 1-t~ Signature'!:./ '
T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc
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ClTY OF PORT ANGELES
PUBUC WORKS - ELECTRICAL DIVISION
.l21 EAST 5TH STREET. PORT ANGELES. WA 9R~62
Application Number
Application pin number .:
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
07-00000775 Date
650250
1403 S CEDAR ST
06-30-00-0-4-1835-0000-
ELECTRICAL ONLY
7/05/07
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
STEVEN H SCHLAFFMAN
3050 GLACIERWOOD DR.
JUNEAU, AK
JUNEAU AK 99801
DAVIS, MONTY J
453 WILLIAMSON RD SQ
PORT ANGELES WA 98362
(360) 683-3842
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
DAVIS/ REWIRE
106005
DAVIS, MONTY J
64.00 Plan Check Fee
7/05/07 Valuation
1/01/08
.00
o
Qty Unit Charge Per
1.00 64.0000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
64.00
.....c.
~
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.00 64.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.00 64.00 .00 .00
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COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECfIONRECORD
j!
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 IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
nTTrH
"D lU(~~-LN I CUYhK
ShRVICb
l<ll\TAT ,..,,1,1/ - I
GENERAL COMMENTS:
PW-II02.l~ (4'96]
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000760 Date
214440
1403 S CEDAR ST
06-30-00-0-4-1835-0000-
STEVEN SCHLAFFMAN
PLUMBING REPAIR
6/27/07
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
RS7 RESDNTL SINGLE FAMILY
50
Owner
Contractor
STEVEN H SCHLAFFMAN
3050 GLACIERWOOD DR.
JUNEAU, AK
JUNEAU AK 99801
CLIFF SMITH CONSTRUCTION
3249 REGENT ST.
PORT ANGELES WA 98362
(360) 457-6950
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
PLUMBING PERMIT
WATER HEATER
105650
57.00
6/27/07
12/24/07
Plan Check Fee
Valuation
.00
o
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UJ
Qty Unit Charge Per
Extension
50.00
7.00
BASE FEE
1.00 7.0000 ECH PL- EA.WATER HEATER
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.00 57.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.00 57.00 .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
construction.
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C";27-07
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\II02_15 building pennit inspection record05.wpd [1/4/2005]
"
BlJU,DING PERMIT INSPECTION RECORD
CALL417-4815 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTRICALlNSPECTJONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINHvlUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WOFJ\ BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE.
INSPECTION TYPE OATE ACCEPTEO COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDA TION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMllING
UNDER FLOOR 1 SLAB
ROUGH-TN
W A TEll. LINE (METER TO BLDG)
GAS LINE FINAL~- 5 ~O3 DATE Pr3 ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS I ROOF 1 CEILING
DRYWALL (TNTERJOR BRACED PANEL ONI.. Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR I CEILING
MECHANICAL
ROUGH-IN
HEATPUMY/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE I PELLET 1 CHlMNEY
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LlGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES. NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. IPWI CONSTRUCTION - RW.
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUlLDING 417-4815 BUILDING
T:\Policies\! 102 15 building pennit inspection record05.wpd [1/4/2005]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: ((J - 2- l - 07
Permit #: 0-' - 7 b 0
Date Approved: h.- z. 7-07
Date Issued: I,
Fill Ollt COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. Ifyoll have any questions, caU
PERMITS (360) 417-4815 FAX(360)417-4711
Address: / cr (/ .3
PhOlle:
!1P1J -e /.eJ
Architect/Engineer: - _ Phone:
Contractor / tit . It, ('o-~J!Btate License #:CJ,'r{5eI2/~t Exp:'.l"/d-Or?' Pbone:'IS7-C9'f:>-rf
Address ~~~ll1~;c" 7 s);ity Pol'1 ;/f/:J'e/-eS Zip J cf.? C -<-
PROJECT ADDRESS:~YO :3 (C ~ c:I ~ tI'" S7; ZONING:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
I Phone:
l/CG-/ICf-<.
?
I
Applicant or Agent:
Zip:
? f 3C 2..
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
o Residential D New Constr. D Re-roof 0 Stove
o Multi-family D Addition 0 MoveD Garage
o Commercial D Remodel 0 Demolition 0 Deck
o Repair D Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: /1I-R v(/
ct. A J~/i) / /<::{ "1 C e s-
" ~
SIZE/V ALUATION:
SF. @$ /SF. = $
SF. @ $ /SF. = $
SF.@$ /SF.=$
C T9Tl(L VALUATION $ " 50 ~ &;
_d ~ I J1 e. "".r fL ;:-;;;;;/'
"p';{)')O\leA. t\ Y'e~(V\s"~UeJ %e SCLtne..
~ \-\0+ Kzp *~-\er
Occupant Load: Construction Type:
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size:
Total lot coverage
Existing Sq. Ft.
& Proposed Sq. Ft.
= TOTAL Sq. Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESAlWetland(s): DYes 0 No SEPA Checklist required? 0 Yes D 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.
EXPffiATION 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
Rl05.3.2 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. (' ,,/J .~ //
T,IFORMS\BldgPonri~~wpd APPliC,",(7~~ Date' C ~ ;2.. / - Cl 7
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
~
,
0.
~
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000006 Date
807186
1403 S CEDAR ST
06-30-00-0-4-1835-0000-
STEVE SCHLAFFMAN
1/03/07
SIDING
RS7 RESDNTL SINGLE FAMILY
9500
Owner
Contractor
STEVEN H SCHLAFFMAN
3050 GLACIERWOOD DR.
JUNEAU, AK
JUNEAU AK 99801
CLIFF SMITH CONSTRUCTION
3249 REGENT ST.
PORT ANGELES WA 98362
(360) 457-6950
Permit BUILDING PERMIT - NO PR FEE
Additional desc
Permit pin number 92809
Permit Fee 207.75 Plan Check Fee
Issue Date 1/03/07 Valuation
Expiration Date 7/02/.07
Qty Unit Charge Per
BASE FEE
8.00 14.0000 THOU BL-2001-25K (14 PER K)
.00
9500
Extension
95.75
112.00
Other Fees
STATE SURCHARGE
4.50
-
-t..
~
~
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 207.75 207.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 212.25 212.25 .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
construction.
/-3-0
Date
Signature of Owner (if owner is builder)
Date
T:IPoliciesIII02_15 building permit inspection recoro05.wpd [1/4/2005]
~
B~DING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTlONS.
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 LOCATlON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I
YES NO
FOUNDA nON:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.l
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
I
WATER LINE (METER TO BLDG)
GAS LINE FrNAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALIJHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (fNTERlOR BRACED PANEL ONI.. Y)
T-BAR .
INSULA nON
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
ROUGH-IN -
HEATP~/FURNACE/DUCTS
GAS LINE FrNAL DATE ACCEPTED BY:
WOOD STOVE 1 PELLET 1 CffiMNEY
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
P ARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES. NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHTDEPT
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 '(17 _ o5',oca Pa. BUILDING
. .
T:\Policies\1102 15 buildmg penmt mspecnon record05.wpd [1/412005]
FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION
Date Rec.:
Permit #:
Date Approved:
Date Issued:
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: S1 ~ Ve.
Address: I 0/ 0 3
C / / ((' 5"'#1 / t ~ C (H'f,s 7-, Phone:
" \' C' 4 / q -f' -(' #1 A J1 Phone:
30, C e/4 Y' City: Po ,,1 4M~PJ{.J
v
J~~ - '1$7-CrSo-
3eo -c.;S-,l. -79$S
Zip: 9 ? .1 C 2.
ArchitectJEngineer: Phone:
Contractorr /;f( ,--Jj,lu'(t, COH...!t'State License #:cl/rrSCIJ 10 I Exp:l.z-ltl-00Phone: 'It7-C r~o
Address: 3 2. ~r ;< ~7J2Jtr S'i. City: jJrJI' t 4;'?~ /-'l-J' Zip: r1' 3 C.2
PROJECT ADDRESS: Ic.j 0 6 '- \'0. Ce/~'" S 1: . ZONING:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
D Residential D New Constr. D Re-roof D Stove
D Multi-family 0 Addition 0 MoveD Garage
D Commercial D Remodel D Demolition D Deck
D Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: /{ C? -
SIZEN ALUATION:
SF. @$ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. =:= $
TOTAL VALUATION $ ~ ,00.011
S. 'c1/ IIV' 6r II r~ ~ J',
COMMERClAL/RESIDENTlAL: Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
T otallot coverage %
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes D 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: 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
RI05.3.2 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. .
T:\FORMS\BldgPennitform.wpd Applicant: ~ ~~ Date: / - 3- 0 7
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
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
06-00000046 Date
182044
1403 S CEDAR ST
06-30-00-0-4-1835-0000-
STEVE SCHLAFFMAN
RES DETACHED GARAGE
2/06/06
RS7 RESDNTL SINGLE FAMILY
19500
Fi1IJ Iff)
i/(crlc&
~
~
l~
~ ~
~ ~
~ ~
~
Owner
Contractor
STEVEN H SCHLAFFMAN
3050 GLACIERWOOD DR.
JUNEAU, AK
JUNEAU AK 99801
CLIFF SMITH CONSTRUCTION
3249 REGENT ST.
PORT ANGELES WA 98362
(360) 457-6950
Other struct info .
TOTAL % LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
25.70
1.00
1023.00
7000.00
780.00
1803.00
1. 00
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit pin number 69880
Permit Fee 347.75 Plan Check Fee 139.10
Issue Date 2/06/06 Valuation 19500
Expiration Date 8/05/06
Qty Unit Charge Per Extension
BASE FEE 95.75
18.00 14.0000 THOU BL-2001-25K (14 PER K) 252.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
69898
57.25 Plan Check Fee
2/06/06 Valuation
8/05/06
.00
o
Qty Unit Charge Per
Extension
50.00
7.25
BASE FEE
1.00 7.2500 ECH ME-VENT FAN
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
69906
85.00
2/06/06
8/05/06
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
50.00
28.00
7.00
BASE FEE
4.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1.00 7.0000 ECH PL- EA.WATER HEATER
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
COa"Z/ ~ .~ \
~ ~-C-cC
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date \
T:\Policies\ 11 02_15 building permit inspection record05.wpd [1/4/2005]
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 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 DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I T
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR 1 CEILING I
MECHANICAL
HEATP~/FURNACE/DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKINGILIGHTlNG 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
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 06-00000046
Application pin number 182044
Page
Date
2
2/06/06
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
01/24/2006 11:26 AM SROBERDS -- Permit is for accessory
structure ONLY - NO RESIDENTIAL OCCUPANCY MAY OCCUR without
a conditional use permit.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks 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 prouring concrete.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 490.00 490.00 .00 .00
Plan Check Total 139.10 139.10 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 633.60 633.60 .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
constructiop.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
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, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
(J
\)"'.
,
INSPECTION TYPE
DATE
ACCEPTED
YES NO
COMMENTS
~
FOUNDATION:
FOOTINGS ~ c..... j ,.J",.,...
WALLS ~~
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GASLlNE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
~ /14 (Of..
~fu~(p
Jl,0
74.-
~ 'Z,~((k
J..I '11..0/ r;6
,
JI-t--
j ;..v
Q ~
~ 0>
H --r/fCi/Ch JV ~ U\
~
G\
~
f D
Ii(>
r
~
<.r'
, ,
IJ/~/()r:- .1w
I I
I
s.f JJ'/~h ,Jj..(..
( 'is 7 (l(... J;J
I
/ ,
I ~ I" loe, \fvv
~~ 1/rq/~ "ft./
PLANNING DEPT. SEPARATE PERMIT #'s
P ARKING/LIGHTlNG
LANDSCAPING
SEPA:
ESA:
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
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 / / PLANNING DEPT.
I
BUILDING 417-4815 //{q IF I..... VV BUILDING
T:\Policies\11 02_15 building permit inspection record05. wpd [1/4/2005]
f~om~
l'O~<(~
,.
-- ~
:-=-
~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES 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
06-00000046 Date
182044
1403 S CEDAR ST
06-30-00-0-4-1835-0000-
STEVE SCHLAFFMAN
RES DETACHED GARAGE
2/06/06
RS7 RESDNTL SINGLE FAMILY
19500
Owner
Contractor
STEVEN H SCHLAFFMAN
3050 GLACIERWOOD DR.
JUNEAU, AK
JUNEAU AK 99801
CLIFF SMITH CONSTRUCTION
3249 REGENT ST.
PORT ANGELES WA 98362
(360) 457-6950
Other struct info .
TOTAL % LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
25.70
1. 00
1023.00
7000.00
780.00
1803.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
ALTER SAN SEWER
69724
40.00
2/06/06
8/05/06
Plan Check Fee
Valuation
.00
o
Qty
1. 00
Unit Charge Per
40.0000 EA SAN SEW REPAIR
Extension
40.00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
01/24/2006 11:26 AM SROBERDS -- Permit is for accessory
structure ONLY - NO RESIDENTIAL OCCUPANCY MAY OCCUR without
a conditional use permit.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks 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 prouring concrete.
Other Fees
STATE SURCHARGE
4.50
Permit Fee Total
Plan Check Total
Other Fee Total
Charged Paid Credited Due
---------- ---------- ---------- ----------
40.00 40.00 .00 .00
.00 .00 .00 .00
4.50 4.50 .00 .00
Fee summary
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 abandon.ed
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.
;2- C - 0 C
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.15R [1/05]
PERMIT INSPECTION RECORD
CALL 417 -4807 FOR UTILITY INSPECTIONS. 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 ACCEPTED COMMENTS
YES I NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
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:\Policies\11 02.15R [1/05]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Grand Total 44.50
06-00000046
182044
44.50
Page
Date
2
2/06/06
.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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102.15R [1/05]
L
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. 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 ACCEPTED COMMENTS
I YES NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRlVEW A Y APPROACH
BACK-FLOW DEVICE
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1/05]
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98~62
,;
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000046 Date
182044
1403 S CEDAR ST
06-30-00-0-4-1835-0000-
STEVE SCHLAFFMAN
RES DETACHED GARAGE
5/03/06
RS7 RESDNTL SINGLE FAMILY
19500
Owner
Contractor
STEVEN H SCHLAFFMAN
3050 GLACIERWOOD DR,
JUNEAU, AK
JUNEAU AK 99801
CLIFF SMITH CONSTRUCTION
3249 REGENT ST.
PORT ANGELES WA 98362
(360) 457-6950
Other struct info ,
TOTAL % LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
25.70
LOO
1023,00
7000,00
780,00
1803.00
LOO
~
\)
\JJ
permi t . , , , .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
DAVIS/ 200A SVC + 200A FEEDER
75200
DAVIS ELECTRICAL
102.10 Plan Check Fee
4/25/06 Valuation
10/29/06
.00
o
Qty
LOO
LOO
Unit Charge Per
78.7000 ECH EL-RM-0-200 1ST SRV FEEDER
23.4000 ECH EL-RM-0-200 ADD SRV FEEDER
Extension
78.70
23.40
Ch
\
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
01/24/2006 11:26 AM SROBERDS -- Permit is for accessory
structure ONLY - NO RESIDENTIAL OCCUPANCY MAY OCCUR without
a conditional use permit,
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is requ~red.
Construct driveway and Sidewalks 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 prouring concrete.
~
~
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 102.10 102.10 .00 .00
COMMENTS/ACTION NEEDED
1
I
ELECfRICAL PERMIT INSPECfION RECORD
..
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC'l10N TYPE DATE I ACCEPTED COMMENTS
YES I NO
11IT( 'H
III 11 1r..1-I_lN I CU V ~.K
SbRVICb
FIN A T I
GENERAL COMMENTS:
PW-II02.1S (41961
S
'\oiiir~
,
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:\21 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Plan Check Total
Other Fee Total
Grand Total
.00
4.50
106.60
COMMENTS! ACTION NEEDED
Page
Date
2
5/03/06
06-00000046
182044
.00
4.50
106.60
.00
.00
.00
.00
.00
.00
f
ELECTRICAL PERMIT INSPECTION RECORD
. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
Jhu~L
GENERAL COMMENTS:
PW-II02.1S (41961
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BUILDING, DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
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Inspector for Building Division
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This map is not intended to be used as a legal description. i~
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BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site planlY11JST B
COlvIPLETE to be act:~pled [or r~vie\;L Ifyuu have any questions, ~al1
PERMITS (360) 417-4815 FA.X(360)417-4711
Applicant or Agent: ('/,-..(.( SW1..t~ CONS t Phone: 3Co - YJ7-C Cj.j(J
Owner: S 1-'<. V.(' ,\r h J A j'J' h1 /4- }') Phone: 3 Co - '1(;,2 -795 ?~
Address: / c.; IJ ,7 So, C e d/l r City: J:t t;- j).;Jtq e /-e51 1M A I Zip: q f J C ;2.
v '
ArchitectlEngineer: /? /,v: E: PIAn n ,'}Jq" \<? r lu'C,J Phone: 3("0 - ~ 6-7 - () 9 S/
Contractor C I ,'ff' SJ.h: J 4 Co n~ j State "License #CI,{:.t'Sc/2./0 iExp: /2 -/O-oC Phone:3CO -'1S7-~9.s-?
Address: 32. Y <7 R Q~.(' J'J! .s i. City: Po f' 1 A I) PI ~ I Q.,J I W.a. Zip: 9 f:] C.2.
PROJECT ADDRESS: v/ i CJ 3 So C e c! <4- 'I' ~
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial D. Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
'] r: I X 3 0 I G A- r A q e W;}&f.. ~H- - ?ewe.~J. W.&q~
v I
~ N 661" .,-0 ~l>1 C, W 111-\-1 N 1t.?o~-r1
COMMERCLL\L€.IDENT~OcCUpancy Group: Occupant Load:. --=. <:o~Ection Type: .
No. of Ston": L Lot Size: 7.""'" Existing Sq. Fc loz.? & Pwposed Sq. Ft.~C TOTAL Sq: Fd00~ ~
Total lot coverage t~, 1 % .
o Stove
)( Garage
o Deck
o Other
SIZEN_L\LUATION:
SF. @ $ /SF. = $
SF. @$ ~C;, /SF. = $~t{, i 00
SF. @ $ /SF. = $
TOTAL VALUATION $=r9 t~O[)
1to
~
ESAIW etland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
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 pernlit 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 R1 05.3.2
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.
T:\Policies\BL.] l02_13.wpd Applicant: (1~ .J/VYl4';d
v ,. ,
Date:
/- /3-0(9
-\
1:>-1-;/
,,-
$,'~
..
'L =-:11.
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.
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
o Electrical Contractor 0 Owner
Installation description ./
D Commercial if Residential
El\(ctrical contractor name License number Date fW";...._<i
.i)~U\~ M'3"~~3 B(l
PU~~ maW~dn:S~ 5' ~ V /
City State ZIP..~ ~
s-6p .7'flyg7/
Telephone number FAX number
o New
~red/Addition
Premises owner's name
S eVc7'V
,f-JI
~. aCtr21'ltj~
~ (e-e./c>c:rf-nJ ~ 'P
~) /10 I UJ/1'(b7L- ~ I R..
I.5Cid 11m I Pi e waif
./;fl(:.,
dO;'"
'.
Address of inspection
PM'? ....C).
ciiy i? 4.
.
sr
Owner as defined by RCw'/9.28.26/:(I) Owner will occupy the structure for two
years after this electrical permit is finalizett. (2) Owner is required to hire an electrical
contractor if above said property is for sale. rent or lea.\'c.
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-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, elect al contractor or electrical administrator
d7~1'>
F-~~LJFf'L
(
78,7-0
2.:? Ho
Loi?, I
Phone number to schedule inspection:
:S,. I.""
o Cash
o Check #
o Credit Card
Card #
Visa
Mastercard
Discover
x
-
Date: 1- z...o 6 G.
Expiration Date
of card
Electrica Load ddltions and or subtractions
D NO LOAD CHANGES
D Baseboard _ KW /:5" ao P'e' t.-Od.ff-
o Furnace KW
D Heat Pump Ton LAR
D Fan-Wall KW
~rhead Service
o Temp Service
D Underground Service
Service Information
Voltage -t...- '30 tI
Phese IUI'1 D 3
Service Size:~ }hMf
Feeder Size: -4/b---
.
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
Date
Approved By
SERVICE
56~h
/0
kO
Approved By
0~~
ROUGH-IN
~~(p~ ~
THERMOSTAT
6
.b,f)
Approved By
FEEDER
0-';;~
A-zD
Approved By
F1NAL
JtQ
, Approved By
DITCH
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
CAJ
t.
f-
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
~~;
ADDREV 03
S~/ I
APPROVED JlpJ;:JOT APPROVED
f"
'Ji . . . . . . . . . . . . . . . . . . . . DITCH .{. . . . . . . . . . . . . . . . . . 0
'lz[ , I fi
"...-' . . . . . . . . . . . . . . . ROUGH I,N COVER. . . . . . . . . . . . . . . 0
);:l". . . . . . . . . . . . . . . . . .DfdERVICE . . . . . . . . . . . . . . . . . . . 0
D. . . . .vt ;'4"/;57. . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
'('
CORRECTIONS~DED: &/t?,.c:L r'/.V4L
/?~~d'~ AL-L A'~JCb(':""S (ij)
'5~A?N' /~47J4!.L -T"" Z- SIAL! -/'A?v~:5
6~ .:5;"'/.3 - /,/-hl,/~.L
//61>/1'1 L'5/...;e.5 >
/C-/~ ..cv-~.k1X
'.
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
-'
OLYMPIC PRINTERS, INC. (360) 452-1381
-
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License number
Date Expires
.
ELECTRICAL WORK PERMIT APPLICATION \)
"'-J
\
~
~
Installation description ~
D Commercial ~sidential
~~~,~
.~
,,-
~'..
\:t-~,f-!
-.....
Job wired by
o Electrical Contractor 0 Owner
I.J\~
Purc aser's mailing address
A5,~ \..O,\~\~~vv...
City D Slate ZIP
---=t:i A. C;---EO u , vJ.1
-
Telephone number FAX number
. - s BA I,.----
Premises owner's name o)oJ
DNew
~tered/Addition
,;2 v? I , 1/ eC_
Address of inspection
/16,,"?
.
J
-s
5'1
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
----------------
x
Date:
Expiration Date
of card
Signature of owner, electric
Electrical L ad Ad tions and or subtractions
o NO LOAD CHANGES
D Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
Service Information
D Overhead Service
D Temp Service
D Underground Service
Voltage
PhaseD 1 03
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
OUGH~
Approvcd By
THERMOSTAT
SERVICE
Dale
Approved By
Hale Approved By
FlNAL
r2/~lfJl
DITCH
FEEDER
~
Approvcd By
Dale
Approved By
Dale Approvcd By
Inspection
Dille
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
.
Mai-31 1506:36a
CITY OF PORT ANGELES PERMIT APPLICATION
Building DivisionfElectrical.Iospections
321 East Fifth Street --P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
18 2 Single Family Dwelling
MAR 3 3. 201
ELECTRU
* Plan Review May Be Requjred, Please Complet Electrica,P an Review Inform9on Sheet
Job Address;
Building Square Footage:
Description of above 4' f � :; �
P.1
. CORT.A.I!
OwnerinforMation !
Name: 5t et [ 5t.�� 14' :E4 lj
ContracorInfonnation
Name: L61S- C�_,Jr' C--I ���•_ c-
Address: __• L Lr� - N
-
Mailing Address: C, c L 1
City: 1' : State; !
city: Slate; i.. `t Zip: `I.'
Phone: " /- F: L Z &
Phone: S;'!U L? 3<` � Fax: ;7)2 `i� e!
License # ) Exp.
License # f Exp. 4-415 6.41 Ck 6? Y
Item
Unit Charge
ON Total (ft Multiplied by Unit Charge)
SarvicelFeeder 200 Amp.
$120,00
$
Servicefeeder 201400 Amp,
$14600
$
ServicaFeeder401 -600 Amp
$ 205.00
5
Service'Feeder 501 -1000 Amp.
$ 262.00
$
ServiomFeeder over 1000 Amp.
$ 373.00
S
Branch Circuit W1 Service Feeder
$ 5,00
S
Branch Circuit W1O Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5,00
$
Branch Ci rcuits 14
$ 75,00
'temp, Serviced Feeder 200 Amp.
$ 9304
S
Temp. ServicelFeeder 201 -400 Amp
$110.03
$
Temp. Sen+WFeeder401 -600 Amp
$149.00
$
Temp, Servoe/Feeder 601 -1000 Amp ,
$168,00
S
Portai to Portal Hourly
$ 96.00
S
Signal Circuity Limited Energy -1 & 2 Family Dwelling
$ 64.00
S
Manufactured Home Connection
$120.40
$
Renewable Electrical Energy - 5KVA System or Less
$102.00
$
Thermostat
$ 56.00
$
Note: $5.00loreach additional T -Stat
NEW CONSTRUCTION ONLY;
First 1300 Square Ft.
$120,00
$
Each Additional 500 Square Ft. or Portion of
$ 40,00
$
Each Outbuilding or Detached Garage
$ 74,00
$
Each Stivimming Pool or Hot Tub
$ 110.00
$
$ 7;7 - Total
Ovzmer as defined by RCWA9.28,261: (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. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licansed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E C., RCW. Chapter 19.28, WAC, Chapter 296466, The City of Pori
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signatur of owner, electrical contractor 'or lectrical administrator: ❑ Cash ❑ Check
Credit Card #
�l 011A9121312
X Dated:
i � � � � �� % ,�i /
5�
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , , . . ,
15- 00000317 Date 3/31/15
Application pin number , , .
198148
Property Address , , , .
1403 S CEDAR ST
ASSESSOR PARCEL NUMBER;
Q6-30-QO-0-4- 183.5 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . , . . . .
Property Use
Property Zoning ..
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
Ductless heat pump
Owner
STEVEN H SCHLAPPMAN
3050 GLACIERWOOD DR.
JUNEAU, AK
JUNEAU AK 99801
Contractor
CASCADE ELECTRIC & VAC INC
PO SOX 369
PORT HADLOCK WA 98339
(360) 379 -5347
--- -_.----------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc i -4 CIRCUITS
Permit Fee 75,00 Plan Check .Fee OQ
Issue Date 3/31/15 Valuation , , . , 0
Expiration Pate 9/27/15
Qty Unit Charge Per ' Extension
BASE FEE 75.00
Fee summary Charged Paid Credited flue
Permit Fee Total 75.00 75,00 .00 00
Plan Check Total 00 .00 ,00 00
Grand Total 75.OD 75.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
t- COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:IEXCHANGEIBUILDING
�3
I
R