HomeMy WebLinkAbout205 S Chambers St - BuildingPREPARED 2/08/07 13 08 03 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/08/07
ADDRESS 205 S CHAMBERS ST SUBDIV
TENANT NBR KONNIE BRAND
CONTRACTOR PHONE
OWNER BRAND MARTIN /KONNIE PHONE (360) 640 2842
PARCEL 06 30 00 5 4 0420 0000
APPL NUMBER 07 00000037 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 2/08/07 JLL BUILDING FRAMING
02/07/2007 01 54 PM PERMITS
d CONNIE 360 640 2842
ME1 01 2/g8/07
P ERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
MECHANICAL ROUGH IN
02/07/2007 01 58 PM PERMITS
P ERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PLUMBING ROUGH IN
02/07/2007 01 58 PM PERMITS
COMMENTS AND NOTES
CITY OF PORT ANGELES
Vi DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 07 00000037 Date 1/17/07
Application pin number 812147
Property Address 205 S CHAMBERS ST
ASSESSOR PARCEL NUMBER 06 30 00 5 4 0420 0000
Tenant nbr name KONNIE BRAND
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 150
Owner Contractor
BRAND MARTIN KONNIE
205 S CHAMBERS
PORT ANGELES
(360) 640 2842
WA 98362
Permit BUILDING PERMIT RESIDENTIAL
Additional desc ADD SHALL BATHROOM
Permit pin number 93351
Permit Fee 50 00 Plan Check Fee 20 00
Issue Date 1/17/07 Valuation 150
Expiration Date 7/16/07
Qty Unit Charge Per
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
BASE FEE
MECHANICAL PERMIT
Qty Unit Charge Per
BASE FEE
1 00 7 2500 ECH ME VENT FAN
PLUMBING PERMIT
Qty Unit Charge Per Extension
BASE FEE 50 00
3 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 21 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 178 25 178 25 00 00
Plan Check Total 20 00 20 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 202 75 202 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.
A 117/07
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
OWNER
Extension
50 00
93435
57 25 Plan Check Fee 00
1/1\7/07 Valuation 0
7/16/07
Extension
50 00
7 25
93443
71 00 Plan Check Fee 00
1/17/07 Valuation 0
7/16/07
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.
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
I JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
I HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
BUILDING PERMIT INSPECTION RECORD
INSPECTION TYPE DATE ACCEPTED
r
P- /Sl it, '7
YES I NO
ENGINEERING 417 -4807
FIRE 417 -4653 I I I I
PLANNING DEPT 417-4750 I 4. �u I
BUILDING 417 -4815 I I 1
T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005]
FINAL DATE ACCEPTED BY.
FINAL
SEPA.
ESA.
I SHORELINE:
COMMENTS
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTIONRW PW/ CONSTRUCTION RW
PW ENGINEERING
FIRE DEPT.
PLANNING DEPT
BUILDING
Applicant or Agent:_- L. P c-
Owner SQ_
Address. o`,C) r) S C
Architect/Engmeer
Contractor
Address:
City
PROJECT ADDRESS 2. OS SD C h a,0 6 e.. rs
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
•14 Residential New Constr Re -roof
Stove
S
Multi- family Addition Move Gar
Commercial Remodel Demolition
Repair Sign Other
BRIEF DESCRIPTION OF THE PROJECT
IPn��.
COMMERCIAL/RESIDENTIAL.
No. of Stories. Lot Size: Existing Sq. Ft.
Total lot. coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes 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
R105.3.2 of the International Building/Residential Code, 2003). No apphcation 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. 1 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.
TA\FORMS\BIdgPermitform.wpd Applicant:
BUILDING PERMIT APPLICATION
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
City
State License
Block:
Phone:
Exp Phone:
Zip
T ZONING
Subdivision.
SIZE/VALUATION
age S F @A /SF
/SF
Deck SF /SF
TOTAL VALUATION
I
4-
Occupancy Group Occupant Load.
Proposed Sq. Ft.
Phone: (DO Y 0 2.81-/
Phone:
Ar"
Date: d-r- 7 _2,o0
FOR OFFICIAL USE ONLY
Date Rec.
Permit IP
Date Approved:
Date Issued:
Zip
Construction Type.
TOTAL Sq Ft.
O
APPROVALS
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001064 Date
133568
205 S CHAMBERS ST
06-30-00-5-4-0420-0000-
KONNIE L BRAND
RES REMODEL
9/24/07
RS7 RESDNTL SINGLE FAMILY
500
Owner
Contractor
MARTIN & KONNIE BRAND
205 S. CHAMBERS ST.
PORT ANGELES WA 98362
(360) 640-2842
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
LARGER BASEMENT WINDOW
111005
50.00 Plan Check Fee
9/24/07 Valuation
3/22/08
20.00
500
Qty Unit Charge Per
BASE FEE
Extension
50.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total 20.00 20.00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 74.50 74.50 .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.
Signature of Contractor or Authorized Agent Date
T:IPoliciesIII02_15 building pennit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 4] 7-48] 5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTION S.
CALL 4 I 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL AN!' 11"OFJ\. BEFORE t
I.NSPECTED AND ACCEPTED. POST PERMIT IN A CONSPJCUOUSLOCAT10N. --
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. 0
6'
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INSI'ECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA TlON DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.) I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDGl
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (fNTERJOR BRACED PANEL ONLY)
T-BAR
INSULA TJON
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
ROUGH-IN
HEATP.UMY/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOYE / PELLET / CHIMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT#'s SEPA;
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LlGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUTLDING 417-4815 '"1- ,-()~ ~ BUTLDING
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BUILDING PERMIT - APPLICATION
Date Approved:
I Date Issued:
. Fill out COMPLETELY and in INK. Your application, prescriptive ener~
form, plans, specs, and a 8 W' x 11" site plan MUST BE COMPLETE to e I
accepted for review. (360) 417-4815 FAX (360) 417-4711 I
. '
I
Residential projects: submit two sets of plans I
Commercial projects: submit three sets of plans
Applicant or Agent-1<oV\.I'V~!.. L R~d
Owner KaY\. ""/ { L Br~
Owner's Address aos s. ~6.e,.r:S Sf.
Contractor/Engineer
Contractor/Engineer's Address
PROJECT ADDRESS:.206 5/ CivJ.."",, hers sl.
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COUNTY PARCEL NUMBER:
Phone (j" 0 ') ~ yo - 2.. 'i 4 2-
Phone ~l
State License #
Expires
Phone
ZONING:
Subdivision:
TYPE OF WORK
]!i Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: 1/1
--.-U.p la...ee..- h~ ~ -^*- IJJ~ ~/'\IAJ l~ ~ 'f~
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COMMERCIAL S ENTIAL: Occupancy Group: Occupant Load: Construction Type:
Existing Structure(s) basement Sq. Ft. & Proposed Structure(s) basement Sq. Ft.
}'I floor Sq. Ft. & }'I floor Sq. Ft.
2nd floor Sq. Ft. & 2nd floor Sq. Ft.
3,d floor Sq. Ft. & 3rd floor Sq. Ft.
Accessory Structures Sq. Ft. & Accessory Structures Sq. Ft.
Existing Structure(s) TOTAL Sq. Ft. & Proposed Structure(s) TOTAL Sq. Ft.
TOTAL of existing & proposed structures Sq. Ft.
Maximum Height of Proposed Structure(s) Ft.
SIZEN ALUATION
SF.@$ /SF.=$
SF. @ $ /SF. = $
SF.@$ /SF.=$
TOTAL VALUATION $
500
r rovel ( ,U (, Wl- err ehCiJfX-
LOT COVERAGE
Lot size Sq. Ft.
Existing Structure(s) Sq. Ft. Footprint
Proposed Structure(s) Sq. Ft. Footprint
TOT AL Structure(s) Sq. Ft. Footprint
Total Lot Coverage %
Are you planning to install a lawn sprinkler system?
(Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
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 currentfee schedules. Contact the Permit Coordinator at 417-4815
for assistance.
PLAN CHECK FEE: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180
days after the date of filing unless such application has been pursued in good faith or a permit has beeri issued; except that the building
official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006105.3.2)
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, and that I must obtain
such permits prior to work. ..4/ I .
Date APPlicant~~.
UILDING DIVISION\BldgPermitAppl.-2006 CODE - backup.wpd
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 983()2
Appl~cat~on Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER.:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000037 Date
812147
205 S CHAMBERS ST
06-30-00-5-4-0420-0000-
KONNIE BRAND
RES REMODEL
2/06/07
RS7 RESDNTL SINGLE FAMILY
150
Owner
Contractor
BRAND MARTIN/KONNIE
205 S. CHAMBERS
PORT ANGELES WA 98362
(360) 640-2842
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
APS/ OWNER WIRED
94706
APS ELECTRIC
46:00 Plan Check Fee
2/06/07 Valuation
8/05/07
.00
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Qty Unit Charge Per
1.00 46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.00 46.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 50.50 50.50 .00 .00
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COMMENTS/ACTION NEEDED
ELECfRlCAL PERMIT INSPEcrI~N'RECORD
. ,
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC110N TYPE DATE ACCEPTED COMMENTS
YIS NO
Ill'n:H
IUlIl{yH.INll,;UVbK
~~.K V ll,;b
...INAI I;l. -7 - 0'7 ,I ..LC::;:")
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GENERAL COMMENTS:
PW.II02.1' (4'961
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll..,DING DIVISION
32\ EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000768 Date
837568
205 S CHAMBERS ST
06-30-00-5-4-0420-0000-
RE-ROOF
7/18/06
RS7 RESDNTL SINGLE FAMILY
1439
!=/(f! If Let?
1/1/06
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Owner
Contractor
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BRAND MARTIN/KONNIE
205 S. CHAMBERS
PORT ANGELES WA 98362
(360) 457-6284
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
BUILDING PERMIT - NO PR FEE
TEAR-OFF, FELT, COMP
82644
80.50 Plan Check Fee
7/18/06 Valuation
1/14/07
.00
1439
Qty Unit Charge Per
Extension
50.00
30.50
BASE FEE
10.00 3.0500 HND BL-501-2K (3.05 PER C)
Other Fees
STATE SURCHARGE
4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 80.50 80.50 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 85.00 85.00 .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.
PI
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Signature of Contractor or Authorized Agent Date
T:\Policies\1102_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.
'\:)
V)
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDA nON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALLfHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 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
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 Cf/7/()~ ...:J::z.-..- BUILDING
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
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SALE~T
HARTHAGEL lRUE UALUE
833 E FROHT
PORT AHGELES, WA 9836'l
MERCHAHT" : 430134'l688137844
lERMIHAL 10 : 88888883
ACCOUIH " : ************1888 AM
BATCH: 169 TIME' 15'39
DATE : 97/14/96 "
AUl H CODE : 519159
REFM
CLERK
AMOUHT
: 035
: 25
$1560.91
KOHHIE L BRAHD
... lHAHK VOU.
PLEl\SE COHE l\Gl\IH.
*** CUST OHER CDPV ***
6 6
7 1
10
9 "'1
10 2
11 2
12 1
13 17
14
15
16
17
18
19
20
21
22
23
24
25
26
27
TOT WT: 4010.00
.r
J
SKU
'-T
lK
EA AF50BK
EA CR2DGAL
RL ASTM30
BX A1l38
EA 2GNCF
EA 112GNCF
EA 3GNCF
EA RTOP
HARTNAGEL BUILDING SUPPLY INC.
833 E. FRONT ST.
PORT ANGELES, WA 98362
TOLL FREE 1-888-452-6252
PHONE: (360) 452-8933
VISIT US ONLINE AT WWW.HARTNAGELS.COM
WE APPRECIATE YOUR BUSINESS
Reference
Terms
CASHICHECKIBANKCARD
Ship To:
KONNIE BRAND
205 SO CHAMBERS
DESCRIPTION
ELK 30 SABLEWOOD [3JY
ELK STARTER BUNDLES (120')
ELK Z-RIDGE*SABLEWOOD Y
W-VALLEY 24" BLACK
STYLE G BLACK DRIP EDGE 1-1/2"
AF50 BLACK LO PLAS ROOF VENT ( 12 )
BOSTITCH 1" GALV COIL ROOF
ASTM 2 SQ 30# FELT
STAPLES,3/8,5M,F/A11 TACKER
2" GALV NO CAULK FLASHING
1-1/2 GALV NO CAULK FLASHING
3" GALV NO CAULK FLASHING
ROOF TOP DELIVERY PER SQ.
VERIFY ROOF PITCH AND ACCESS,
CUSTOMER MUST PROVIDE TOE
BOARDS FOR ROOF PITCH OF 4/12
OR GREATER, OR HOOKS AND
BOARDS FOR ROOF PITCH 8/12
OR GREATER. OR WE WILL
PROVIDE FOR THE COST OF
MATERIAL PLUS $40.00 PER
HOUR! STEEP PITCH A}ID UNUSUAL
ACCESS CONDITIONS WILL BE
BILLED ON AN INDIVIDUAL BASIS
REFLECTING OUR INCURRED COST
NOT SURE OF PITCH - POSSIBLY
5/12 OR 6/12
SLSPR:
TAX
SUGG
PAGE NO
Clerk
25
Time
3:33
DOC# J25852
TERM#561
*************
INVOICE
25 Glenn McFall
H4 HARTNAGELS-CASH RETAI
*************
UNITS PRICE PER EXTENSION
51 16.16 lEA 824.16
1 24.23 lEA 24.23
33.21 lEA 132.84
30.99 lEA 30.99
3.99 lEA 15.96
6 7.49 lEA 44.94
1 51.99 lEA 51. 99
10 22.99 IRL 229.90
1 4.99 IBX 4.99
2 5.99 lEA 11. 98
2 5.49 lEA 10.98
5.99 lEA 5.99
17 3.00 lEA 51. 00
** PAYMENT RECEIVED ** 1,560.91 TAXABLE 1439.95
** PAID IN FULL * * NON-TAXABLE 0.00
SUBTOTAL 1439.95
BANKCARD PAYMENT 1,560.91
BKCRD#l008 TAX AMOUNT 120.96
TOTAL AMOUNT 1560.91
X
Received By
l
BUILDING PERMIT - APPLICATION
FOR OFF1ClAL USE ONLY:
Date Rec.:
Permit #: t'JCJ, - ?68
Date Approved:
Date lssued:
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. !fyou have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
City: Por-t ArLcw40
(/
Phone:
Phone: 36, 0 - y 57 - c:, 2...! y
Zip: 9 f 3 (, -z...
Applicant or Agent:
Owner:j{o(\..r'-"t e-. ~ Or~
Address: !).O S S. cha--~ 5+.
Contractor
()W~
State License #:
Phone:
Exp:
Architect/Engineer:
Phone:
Address: City:
PROJECT ADDRESS: ':205 S. Gh~bt-r-s ~+-.
Zip:
ZONING:
LEGAL DESCRlPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
TYPE OF WORK: SIZEIV ALUATION:
)s: Residential. D New Constr. ~ Re-roof D Stove SF. @$ /SF. = $
D Multi-family D Addition D MoveD Garage SF. @ $ /SF. = $
D Commercial D Remodel D Demolition D Deck SF. @ $ /SF. = $
o Repair D Sign D Other TOTAL VALUATION $ I a=; 3 9 ~
BRIEF DESCRIPTION OF THE PROJECT: t-eo..r 0# ('){d. r-croHh-J to r~(O-c.e. i.-vi~ J'U'.u.)
Construction Type:
= TOTAL Sq. Ft.
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
& Proposed Sq. Ft.
No. of Stories: Lot Size:
Total lot coverage
Existing Sq. Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 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.
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
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. J am authorized to
apply for this permit and understand that itJs my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
T:\FORMS\BldgPermitfonn.wpd Applicant:-;r:~ Date: ~~ I r?, Q..o-D ~
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. SOcS'?
S/cf~.s-
DATE
ELECTRICAL PERMIT
,tc;er.
Sire Address:
I
In~talled By:
Owner/Business:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
':@ FURNACE KW ~
o HEAT PUMP KW_
o FAN/WALL KW
Details/Description:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
~RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
% OVERHEAD SERVICE
o UNDERGROU,N9-SERVICE
VOLTAGE: I ZL/ ~
~1rjJ D3rjJ
SERVICE SIZE ..zLJD AMPS
FEEDER SIZE AMPS
.--y;:-^)~( ~K-f,
.
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
/1;J;I'~ Ftal OK
Site Addre~ {).s;- ~.
Installer:
,
I
,
NotifYl Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on 'the Building Permit. PHONE 457-0411, EXT. 224. JIfL
I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT rr- 2D
, .' $
\ Electrical Inspector
WHITE. File by address
.
OLYMPIC P~INTERS INC
Permit/Receipt No.
S089
New Mete~
Permit Fee
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
<.~--..;..-
",--
-
.
cq'f If)
FEE reEIPT NUMBER
1
TOTAL FEE
I
- I'
Site Address
I
Owner'
. CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000230
PERMIT NUMBEf!
"3 (), ()6J .
res.;dl >\(4--
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Owner's AdClress
I
Day Phone .L.j 5 ) - "03:1 Installers Phone
App~ica~ion is~t'!ereby made for Permit to install EI~c~ric~1 Equipsnent as follo~s: ~fl t)
!fL-f'LACU((; Itc AMf
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
ehll""bt'l">
DRESS IS RESPONSIBILITY OF APPLICANT
. Inst~I'~iqn By
e<l q,'r 0(
~nstall rs Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
A.. R I;: I~Ari<,
5:\(, E. -, ....
l.j57-7~f('1
a",p SU-VlL-l'.
Wiring fv!ethod
j7/Pe....
.'
NUM8ER AMP 120V 240V NUMBER - AMP 120V 240V
USE OF CIRCUIT' PER 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
50 VOLTS -
LIGHT OR LESS
CONVENIENCE .. - MOTOR
CONVENIENCE MOTOR
APPUANCE - - MOTOR.
DISHWAStiER . <..- F'IRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC. .
.- .. .
OVEN
WATER HEATER
LAUNDRY ..
DRYER REINSTALLATION LIGHT FIXTURE # -
FURNACE . SUB TOTAL FEE
GAS -:ole
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
EL~CTRIC HEAT TOTAL FEE - ~tJ, DO
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
- - .
A.C. UNIT '2.0(1 AMP~ PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
7 ~oc . V 11.9.00 Lj 10
SERVICE AL . AW.G,
. I SUB-TOTAL 1~().oC SIZE OF GROUND 1...1. SIZE OF ENTRANCE SWITCH ,) f)1'I
..
Date Permit Issued
. I
I
-. . - _..-
I certify that the work to be performed under this permIt will be done by the Installer and In conformance with the N E.C. Electrical Code.
Date Applieation made Apt". I' .- ,19 gS . By ~rtAJ; 21 ~
4 CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
, P.ermission is hereby given to do the above described work, according to the conditions hereon and according to t~e,approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles." .'.
If_ /_. ~. S, ".p By ':(fj~:r~~. I ~
{ PLANS A P VED
Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not'
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457.0411 Ext. 158.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD -Inspector's Report
OLYMPIC PRINTERS, INC.
II--J-c()'
t;-- .5 - r< ?- //lEY
Lf-3-"Is ./
~
OATEOFVISIT
I
MADE BY
REPORT OF INSPECTOR
REMARKS
.
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Cl
II:
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!a
:E:
I-
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.
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Q
O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K.
.
s
Job wired by [J Electrical Contractor \:i Owncr
Eltct~al contractor namf t. I f'\ Ltcc~.e n\l~ J2F Exj>ires
ftl-'S 51-e.cAf\rtA.. l-OV\.\('a'-101'1-P,c...
pU'"5'L!b m'i1it~n'"~ /\ . RoQ~
Cityf'a r=t .t\nq<iJol~
Tele~1:i5""b~ 6~ _ b'l 63AX number
~\'4"J.
Addre5-~15pe"&c.el7h ~h&tvt<b€t$
eil, ~M- .A.l\q~/e~
Statkr~
19'563
3S owner's ~ame
<:) <(\1'\ \.e,..
Phone number to schedule iDSpcctioo:
~hO-(,YO-;<3'LfQ
Owner as d(1f.rlcd by RCWI9.28.26J:(!J Owner will OCCltpy the smlctllre for two
ye(J.l'S ufler l/iis elecn"ical permll is finalized. (2) Owner is 'e(JfJired 10 lzire WI electrical
conrractor if above ,faid property is for sale. rem 01' lease,
ACta reading the above slatement, l hereby certify Ihat I am the owner of the above
ll3.Jned property or a licensed electrical contractor. I am making the electrical instal-
latiOn or altC1':3.tiOll in' compliance with the (:Ieclncal laws, N.E.C.. RCW. Chapter
19.28, WAC, Chaplcr 296-46B. The Ci.ty of Port Angeles Munlcipal Corle, .and
Ulility Specifications.
Signat
x
eCl5:LlrD}{"ctOl ~r elcl':tril:al admfuistrator
f--~ Date: I-~q -07
i:1!>ctrical load Additions and or ~~btractlons
o NO LOAD CHANGES
o Baseboard KW
o Furnace _ ~
o Heat Pump _ Ton _ LAR
o Fan-Waif KW
ELECTRICAL WORK PERMIT APPLICATION
TTlst:dlution descripti~""
a Commercial A Reslden.tial
ClNew
~tcred/AdditiOD
LJoJ::.
I
Cl Cash Cl Check #
tSYl?k
[J Credit Card
Card #
visa
Mastercard
Discover
. -
----------------
Expiration Date
of card
$",p~t~ [;e7 0
Service Information
Voltage ;;2.11 6
Phase Gt 1 0 3
Service Size: QO<3'A,
~eeder Size: ~
.. OVG(head Service
1:1 Temp Service
Cl Underground Service
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360.417-4735
ROUGH.IN THERMOSl'AT F SERVICE
D~t~ A$lprov~try DlItc .pp...."\.... Dr O~lc ^1lpmve\1l:!y
r FEEDER
. .L/ FINALk . DITCH
;)j-{ff) , C)
, , Appro_,;,! Dy ./ o~. ....ppro""'d By """ ^JlPmve<l8y
InspectlOTl Area. Building or Equipm~nt Inspected ACtion Tilkcn Elcctrical
Dale Inspcctor
.
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u__... . .-. . ..'-
. ,
1icz22.-(5'jo?
Td ~6[:TT LOOG
SO 'q""
>:SL9 GSt> 09>: : 'ON Xtl"
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