HomeMy WebLinkAbout419 I St - BuildingApplication Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
04 00000339
414841
419 S I ST
06 30 00 0 1 2630 0000
RE ROOF
RS7 RESDNTL SINGLE FAMILY
640
Owner Contractor
SORENSON KENNETH 0 TWO BROTHERS ROOFING
419 S I ST 1081 RIVER RD
PORT ANGELES WA 983631728 SEQUIM
(360) 670 6440
Date 4/26/04
WA 98382
Permit BUILDING PERMIT NO PR FEE
Additional desc ROOF OVER ONE LAYER
Permit Fee 53 10 Plan Check Fee 00
Issue Date 4/26/04 Valuation 640
Expiration Date 10/23/04
Qty Unit Charge Per Extension
BASE FEE 47 00
2 00 3 0500 HND BL -501 2K (3 05 PER C) 6 10
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 53 10 53 10 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 57 60 57 60 00 00
64Lk
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
constn (Ilion.
ntractor or Authori Agent Date Signature of Owner (if owner is builder) Date
T• \PLANNING \FORMS \1102.15 [11/14/2003]
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE /DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
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
GAS LINE
WOOD STOVE PELLET CHIMNEY
HOOD DUCTS
PW UTILITIES SITE WORK
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s
RESIDENTIAL
ELECTRICAL LIGHT DEPT
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
(Engineering Division) SEPARATE PERMIT #'s:
YES NO
SEPA.
PARKING/LIGHTING I ESA.
LANDSCAPING I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION LW
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT
PLANNING DEPT 417 -4750 y r 1J' p I PLANNING DEPT
BUILDING 417 -4815 I 4 16;Z: 1 -7-64- 1 I BUILDING
T• \PLANNING \FORMS \1102.15 [11/14/2003]
I I I
I I I
I I I
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
SUMMER PRO PERTIES LLC
2270 PLACE ROAD
PORT ANGELES
(360) 457 8895
WA 98363
Permit
Additional desc
Permit pin number 54403
Permit Fee 715 00
Issue Date 7/20/05
Expiration Date 1/16/06
Other Fees
Fee summary Charg ed
Permit Fee To tal 715 00
Plan Check Total 00
Other Fee Total 1025 00
Grand Total 1740 00
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
05 00000611
105529
1419 S I ST
06 30 00 0 4 0850 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
PUBLIC WORKS RES WATER SERV
Qty Unit Charge Per Extension
1 00 715 0000 EA PW W/M 1 SERV 5/8 METER 715 00
PW WATER SYSTEM USE FEE 1025 00
Paid Credited
715 00
00
1025 00
1740 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 vio te or cancel the provisions of any state or local law regulating construction or the performance of
cons cti n
7/
Signature of Contractor or Authorized Agent
J
T \Policies \1102.15R [1/05]
os
Plan Check Fee
Valuation
Date
00
00
00
00
Date 7/20/05
Due
00
00
00
00
00
0
Signature of Owner (if owner is builder) Date
V
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T \Policies \1102.15R [1/05]
RESIDENTIAL
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/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I FIRE DEPT
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT
BUILDING 417 -4815 I I BUILDING
I I
I I I
I I I
I I I
I I I
v
CITY OF PORT ANGELES
LIGHT DEPARTMENT
N? 16167
3-r ;>;:-
Port Angeles, Washlngtonooo.nn..ooo....ooo_..ooo.nooon.ooooooooooooooo.ooo...n.., 19noooooo
ELECTRICAL PERMIT
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 d6 electrical work as listed below.
Address ...1f..f...n4s::.mcf/."'...m....n.nnnn.nnnn.___n..m...n..... Occupancyn...L!.A?~.'g{_...___n..___...nooon
Owner ..n.~d~""<!.~..>.R...{l~...~~ ITenant...................n_.n...~ooo_noooooooooooon_.n........ooo.ooo...
Wiring Contractg. ...!./Jd..0ooo.C"!@<:C~\r.y:...___..n..n By..............nooo..........oooooon.ooo.___...nn....n..n...__...
Light outlets........./..?.~........_.._..... Service, volts ...../.::~~~6....... Type 01 Wiring:
Receptacle ouuets...__n}...q............. No. wires hh::?................_,~......... Armored Cable ................._m.........
KW ~ SI . %0/L--t/ Non.Metalllc .................................
Dryer,' ..........__/......"..................... ze wlres#..~o...;...)j........_..
.-I-- / .,;, l:) H- Knob & Tube.................__m_...........
Range, KW.._.___..___..._.__.___.....____u_. Maln fuse .....;-:.................:___u........
S
Enclosure __..........................._._.......
Water Heater: /"
KW___........1:','..~............... ......
Hea', KW.../Y../J.-.8................
, .
Type of wiring:
Entrance Cable ............________......._.
Motors: size, vo,lts and phase:
....../~...........................
,
.......I~rr.-"".-.........................
Rigid Conduit hm__...___....
Metallic Tubing ...m__
Current transformers:
No. & Sizem...._....___._
Ser. No.._____.......................................
Ser. No. __._..__..__.h........._________............
Ser. No.....u.____...................................
Rigid Conduit ...............................
Metalllc Tubing h_..............__.__.....
Raceway .......__._.__................._....._
Circuits. Light...C........................h.....
Utillty......~.....___..........................
/~C)
II eat ..._..........................................
.P-
Range ..,i!::....................................
:J.
Water Heater .............__..__............
Motor ..................____.......______..........
::;L
Dryer.._........_______._..................._._.._.....
Furnace .........................._......_......_.._.
~r
Total Load___..__...................... Ser. NO.____._h..........hh....._.............____ Total.......................................
Renlarks: .uuu..__uu..uu.~~_e_:!._~_r.__~n~h..~nun..u.n..un.u..nn..nuun.un.uun...uun..._n...________.__...
.;:~~i~:.............................;~:::...;:~:;~~............--....................!?r.?ft::;);;:J2...~,
$....................mooomooom... NO.mm...ooommooo....... By .7--....m..m.Lvooo..ooo.......__..........ooo..ooo.n..~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspe~d before concealment. _.~
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16167
Address................_.._........._.............._................................................................................_...._....Date..._......____.:~......................_......_.........
Owner ..........__h...___n.u___h....._un..__._...._.........__._.__....................__.._..............__.......____.... Tenant.._..........................__....hh......h_____.....U_........
Wiring Contractor....__..h_____.........................._..________........._______.n.........__.__..___._______..........._.._.._n_.__ Byh..h...h....__.._______...............___._._....__........
NOTICE-Current must n()t be turned on until CertifIcate of Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
,
1M Olympic Printers, Inc.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date :3 " 7 - 0 7
Time l : ()V I) m Received by
III
(PhOne,€"rs~
/I/q sg ,- '7i
Location of Work to be inspected 7 L
Name of person requesting inspection (~a t e f (J, v'
Address of person requesting inspection 17u3 S ~ (? sl Phone No. '--//7 -'-I f/<f?
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. c9 L-JCl-l-er
Inspected: Date
Remarks:
INSPECTION NOTES:
'3 '-7-Qf
Time /0; {IV /J 111 By7 / 7
;;Z " c.J ,fia,,\- b r eet k
(eOc/l/~ 2. "viiI.. ba.,J
I
RESTORATION REQUIRED . . . . .. YES X NO
* ,
"
\:;.\ ..,.,.
I-t ,;
...k....
lj''' S'..'
j th.
"
IP
J.- ~ h .r
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt OPCC ]:ZJOther Tup-5o'"/
Work Order # 3o:Jt:j).. - /3/
o COMPLETE
~ INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT (DATE)