HomeMy WebLinkAbout1520 D St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
200 amp service 2 circuits dryer hot water
Owner
HALE ROBERT L
1520 S D ST
PORT ANGELES
Permit ELECTRICAL ALTER
Additional desc
Permit pin number
Permit Fee 125 10
Issue Date 7/30/10
Expiration Date 1/26/11
Qty
2 00
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
Unit Charge Per
2 6000!ECH
119 9000 ECH
WA 983637054
Charged
125 10
00
125 10
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00000799
426875
1520 D ST
06 30 00 0 4 3190 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
125 10
00
125 10
Contractor
SHAMP ELECTRICAL CONTRACTING
PO BOX 383
PORT ANGELES
(360) 452 1689
RESIDENTIAL
Plan Check Fee
Valuation
EL BRANCH CIRCUIT W /FEEDER
EL 0 200 SRV FEEDER
Paid Credited
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
00
00
00
Date 7/30/10
RESULTS
do�P
O.V
WA 98362
0
0
Extension
5 20
119 90
Due
00
00
00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
o
1`A I
tP
Date:
07/29/2010 11 11 FAX
x
City of Port Angeles Permit Appfi ration
Building DlvislonlElectrtcel Inspections
321 East Fifth Street -P.O. Box 1150
Port Angeles Washington, 99362
Ph. (360 17.4735 Fax: (3 0) 417.4711
Date:
Plan Review May
Job Address:
Building Square Footage
Unil,charq
119.90
145 50
204.60
5 262.20
5 372.50
2.60
S 73.50
2.60
92.70
$110.30
148.70
5 167 90
5 95.90
88 20
95,90
63.90
63.90
119 90
102 30
$110.30
S 35.20
73 50
110.30
56.00
Descnplion of above
J o
1 2 Single Family Dwelling
Multi. Family or Commercial'
Commercial Addition Alteration Remodel Repair'
Owner Information
Name:
Mailin A dress,
City Stat 'n
Phone Fax:
Llcens a Exp I
Z^
Check
Owner as defined by RCW.19,28.261 (1) Owner will occupy the structure for two years after this efectrlcel permit Is finalised, (2) Owner Is required to hire an electrical contractor If
above said property Is for sale, rent or lease, Permit expires after six months of last lnspocrion.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I em making the electrical Installation or
alteration In compliance with the electrl .al laws, N.E.C. RCW Chapter 19.28, WAC, Chapter 296.468, The City of Port Angeles Municipal Coda, and Utility Specifications.
Signature or owner electrical contractor or electrical administrator
Date
Al REEITED
2 9 2009
ontracior nfo
ELECTRICAL
INSPECTIONS
a Eleclrica an Revliew information i
77 7 t
Name:
Mailing
City'
Phone
Lcen$e xp
L
£i2I
.11.11
ess•
C
/Mg Of
7L %i
Fax:
P, pi?
�olal (On/ Multiplied by Unit Chargg)
Service /Feeder 200 Amp
S Service/Feeder 201 -400 Amp.
Service/Feeder 401-600 Amp.
Service /Feeder 601.1000 Amp
Service/Feeder over 1000 Amp.
k Branch Circuit WI Service Feeder
Branch Circuit NO Service Feeder
Eacn Additional Branch Circuit
3 Temp. Service/ Feeder 200 Amp
5 Temp Service /Feeder201 -400 Amp.
Temp, Service /Feeder 501 -600 Amp.
Temp, Service /Feeder 601 1000 Amp
Portal to Portal Hourly
5 Sign /Outline Lighting
Signal Circuit/ Limited Energy Commercial Additional 1500 85 00
S Signal Circuit/ Limited Energy 1 2 Family Dwelling
S Signal Circuit/ Limited Energy Mulli-Family Dwelling
Manufactured Home Connection
Renewable Eleclncai Energy 5KVA System or Less
First 1300 Square Ft
Each Additional 500 Square Fl. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or not Tub
Thermostat
TTal
d QveY
rMatinet
Amk- (fV7A,
Cash
a 001/002
gOkr
Credll
a
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
DATE 1 PERMIT It INSPECT
OWNER/CONTRACTOR
N. 1•-1 ELS--
ADDRESS
I5W 1 5
APPROVED NOT APPROVED
1 DITCH
ROUGH IN /COVER
0. SERVICE
FINAL
CORRECTIONS NEEDED: PA P I X P i Z-- i Z P t J Z I P
A) PA)-1 i-1 t`lrl I CD
Qo, Rict c or`tO LX, t'OCZ$- err--3 if-viT'
5i^.rl�iT N t L 11 n-a 5
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBE
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
HALE ROBERT L
1520 S D ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
9 00
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
CITY OF PORT ANGELES
DEP, RTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983637054
BUILDING PERMIT
TEAR OFF AND RE
100818
221 75
5/02/07
10/29/07
Per
07 00000476
094752
1520 D ST
06 30 00 0 -4 3190 0000
BETTY HALE
RE ROOF
BASE FEE
14 0000 THOU BL -2001 25K (14
Charged
221 75
00
4 50
226 25
RS7 RESDNTL SINGLE FAMILY
10700
Contractor
ARMOR ROOFING
2524 RYAN DR
PORT ANGELES
(360) 452 3667
NO PR FEE
ROOF
STATE SURCHARGE
Paid
221 75
00
4 50
226 25
Plan Check Fee 00
Valuation 10700
PER K)
Credited
00
00
00
00
Date 5/02/07
WA 98362
Extension
95 75
126 00
4 50
Due
00
00
00
00
C t�
I
\to
Separate Permits are required fbr 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
fora period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
tificsk-C V
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T \Policies \l 102_15 building permit inspec on record05 wpd [1/4/2005]
r✓
FOUNDATION:
FOOTINGS
SHEAR WALLS W ALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUM 01 NG
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
ROUGH -IN
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
CALL 417-481 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417" -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM z4 HBUR NOTICE. IT IS UALA61F'UL TO COVER INSULATE OR CONCEAL 4NY WORK BEFORE
INSPECTED 4A'D 4CCEPTED. POST PERMIT IN 4 CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED I COMMENTS
CONSTRUCTION R.W PW/ 11
ENGINEERING 417 -48C 7
FIRE 417 -4653 I
PLANNING DEPT 417 -47 0 1
BUILDING 417 -4815 1 t_XP9 t reek
T \Policies \1102 15 building permit inspection record05.wpd [1/4/20 ®5j
YES 1 NO
I I
11 ill in
I br I O
FINAL
FINAL DATE ACCEPTED BY.
SEPA.
ESA.
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL
417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
DATE ACCEPTED BY.
DATE
ACCEPTED
YES I NO
Total lot coverage
PLANNING USE ONLY
r UILDING 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
Applicant or Agent. Bain .L-I noorr?
Owner be -t-k ha:�� J
6
Address.
COMMERCIAL/RESIDENTIAL. Occupancy Group
No of Stories: Lot Size: Existing Sq Ft.
City
Phone:
Architect /Engineer
Contractor APrhor QoofFrl State License A RAo 22 O
Address Z-CZ `e 2y4Ai or City PoV-T o0•^y s
PROJECT ADDRESS 1 2 D AIX S
LEGAL DESCRIPTION Lot: Block.
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
Residential New Constr gt Re roof Stove
Multi- family Addition Move Garage
Commercial Remodel Demolition Deck
Repair Sign Other
BRIEF DESCRIPTION OF THE PROJECT T2cf
lu F 7-41, L ca z R o o
ESA/Wetland(s) Yes No SE PA Checklist required? Yes No Other
Phone
Subdivision.
SIZE /VALUATION
SF /SF
SF a)$ /SF
SF /SF
TO l'AL VALUAl EON
F F Sl, r_a_7 W 03
Occupant Load.
Proposed Sq Ft.
y SR.
Zip
FOR OFFICIAL USE ONLY
Date Rec. 5- 0 Z-0 7
Permit 11 67- 4
Date Approved:3 02.
Date Issued: C.- 0 2 -'157
Phone:
Exp 6l c Phone e-/s 34.6
Zip Q 8 36
ZONING
10∎700
7// fn 12e_ ro O I�
Construction Type.
TOTAL Sq Ft.
APPROVALS
PLAN
BLDG
DPWU
FIRE
OTHER.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and m 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
RI 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 1
must obtain such permits prior to work.
TAFORMS\BIdgPermitform.wpd Applicant: Date: S/ Z -7
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