HomeMy WebLinkAbout511 S Vine St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNlTY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
03-00001191 Date 12/15/03
511 S VINE ST
06-30-00-0-1-9740-0000-
RE-ROOF
1200
Owner
Contractor
LESKINOVITCH DELORES J
82 HENRY BOYD RD
PORT ANGELES WA 98362
CLALLAM BUILDERS & EXCAVATION
2353 E 6TH
PORT ANGELES WA 98362
(360) 452-1485
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
ONE LAYER OVER ONE OF SAME
68.35 Plan Check Fee
12/15/03 Valuation
6/13/04
.00
1200
\ .
J1
Qty Unit Charge Per
Extension
47.00
21. 35
\\\J\
-.
BASE FEE
7.00 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 68.35 68.35 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 72.85 72.85 .00 .00
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Separate Permftsare required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void-itworb, or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a pe[jod~of U3Jl'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
constr cti n.
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102,]5 [] ]/]4/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT, SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCClJPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R,W. / PW/ CONSTRUCTION - R.W.
ENGINEERlNG 417-4807 PW / ENGINEERlNG
FIRE 417-4653 FIRE DEPT.
PLA}''NING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 7ii -7-D./..1 J t t." BUILDING
T:\PLANNING\FORMS\I ]02,15 [11/14/2003]
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cr'y OF PORT ANGELES
:.IGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17935
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Port Angeles. Wasb!ngtoll.__m._.__....__....:__...:......mm__m......._.____.... 19_~mm
In accordance with the City Ordinance to regulate the installation. extension. or repair of elec-
trical equipment in. on. or about any building or other structure in the City of Port Angeles. per-
mission is hereby granted to do electrical work as listed below.
~
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:::~s~::::~~~:~::::~::~~i:~~~::i~i:j2i:~::::::::::.:.::~~~~~~;:::~:~:~:~~~::~~::::.:-~:.:::~'::::::::::::::::::::::::.::::::
Light Outletsnmmnmnmn___.nm.nm_.__..
Ruceptacle Outlets..........__..._..._......n...
Dryer, KW._..nnn__.n_....hn_un.__._u___...
Rl nge, KW ___nn....
Water Heater:
KW.hhm._.____h.hhmmm__m__.. .
/7 ' /) r>
/1 ,"1 )/)
Htat: KW........_!..:'..........................._..'u.n...
Motors: size, volts and phase:
Total Load_.....n.____._..._..........
/ "'i ,/ ",I (,.;,:,..
Service, volts ._..;..::....~L...............:.....__
5
No. wires ._......................::;......._u.n
i,' C
Size wlres...__..nL,!::~u___......_..
" ,.> ,) ,..:J..
Main fuse ...~_:-n......:n..._.:___n...........
".
Enclosure m_m.:...___....un___......._.....
Type of wiring:
Entrance Cable ......._....n...............
Rigid Conduit m...._......_................
MetalIic TUbing ..._..........n.......nn
Current transformers:
No. & Size..nu__.n.nnnu...................
Ser. NO.........._............_..._____.n.nnu....'
Ser. NO.,...................._.....n..__..n.........
Ser. NO.'unn...nu..n_...._n_n._.............._
Type of Wiring:
Armored Cable ..h......u....h_......d__.
Non.Metalllc h,'mn','m,'__mmmnm
Knob & Tubemmm.mn.m.h__...._nn.
Rigid Conduit ___..__.m....h.......mm.
Metallic TUbing ................._.........
Raceway ._....................................._
Circuits, Light........._______..______.__.__.__._.._.
Utility n.nmh.nnnhh....__.__..........____.
Heat _____..........................................
Range .__.________._.._.___.______....____.__......
Water Heater ...............................
Motor ..............................__.__...__.....
Dryer ...._..___._........_____________.___.____.__..._
Furnace .........................'_____......_..._.._.
Ser. NO.r.:.h--h.----z}m--hij------
Remarks : u_________:_~__C__!"...:__:::__..._n_.nu::'u___..L_u.__.~_____;::.::!_..~__-::-___~_U..__U__.hn_hn______.n_______u..__.nn.n____u.nun._n~__
Totalnnnn_.nnnn__...................
.---.---------~..-.~------.------.-----.---.~----__.__..______._._~.h..._____.___.___.__._h__._________._._.___.__.____.._.._._...____.__._h___.._______..___.__..___n______
___..._nu_.__n...nuu.h.___nh_nnnnnn...__Uh..nnu_n._nnnuuu.uu.n__n_nnnnu_...nuu.._._uu..u__n..__nnnn_n.__~_....n.nn__.....__n.
Permit Fee Treas. Receipt 1, (/ ' /
I:,,_...~.._ (I ,
.( . ....... . . -J".. - f / ,I /' ~ .
$...ooom.'_....__mmmooo._____.. NOhm__mooo__.........__ooo By -.m__"ooo__"_..ooomooo______mmmoooh__._ooomooooooh:._~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
ce:\led due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 1 7 9 3 5
Acdress.__u______.___......................._____.____.........................._..__.._._........................._u____....................Date.___.........._.__.._......__.._......_......_.______..
O'l: 'ner ......00_____._..._............................_...._..._._...__._.........nn....._.._.n..............nnu..n___.._.... Tenant_.._..hh..nn_n........._n_..nn_.n_._._.._....u.n_.nn...
W_ ring Contractor .........__.............____.__..........._.___.____._..____.__..__.___....__....._......______..____....._......._._____. By.....__u___________......................._................._
NOTICE-Current must n()t be turned on until Certificate of Inspection has been issued. If work Is to be con.
ce:~led due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.