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HomeMy WebLinkAbout535 W 4th St - Building -:s !... -- The Building Permit - Pre-application must be j1JIed out completely. ~A:~ Please type or print in ink. Hyou have any questions, please caD 417-4815 r __,;", Applicant and/or Agent: J:4 i~/.<<-vr- C;' ~c:::.. Owner: f?~ NA.rr1'..r. 1?ke t:u TlJ,- " Address: 5jf tv, </.e:: BUILDING PERMIT-APPLICATION FORO~ USE ONLY: Date ~.: -13.....~ Penmtf#: Date Approved: Date Issued: Phone: 1>f~/2-q S3 '7/7-~ 77r 'IS?-~88~ zip:,.r3'~ Phone: City: t:?,f- ArchitectlEngineer: Phone: , V or.. ~ - , ?.k.(.: /_ Contractor {Zz. f-'f.~1I, r:r . ../~G License#: 1k,1h_~2,'Exp: a:.6"/~Phone: 0/17-' 77r Address: Ul6 S lAt.1/'t!L City: J? /I- Zip:" r3 ~ 2..- PROJECT ADDRESS: 5":J~ W', If rt- ZONING: b.r: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: BiDing Address: City: Credit Card #: Exp. Date: VISA MC TYPE OF WORK: SIZEN ALUATION: o;sidential 0 New Consb'. 0 Re-roof 0 Woodstove ' SF. @ $ /SF. = $ / 3,., (fl)u o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ r'Repair 0 Sign 0 TOTAL VALUATIO~ $ BRIEF DESCJIP!!.ONQF THE PROJECT: .:rN'~L. oz;.,."""AYU~ FH17?1' r~ /(V,tU.. L- P4r~ ~ COMMERCIAL(lJESIDENTIAL: Occupancy Group: . Occupant Load: ;;;;';Construction Type: No. of Stories: I Ji... Lot Size: ' f % Lot Coverage: % Existing Lot Cover!:lgc;::"; /sq. ft. + Proposed Lot Coverage: '" /sq. ft. = TOTAL LOT COVERAGE: Isq.ft PLANNING USE ONLY: Notes: APPROVALS: PLAN BLDG. DPW FIRE ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No, ,Other: OTHER BUILDING APPLICATION SUBMI'ITAL: Your application and site plan must befi/led out completely to be acceptedfor review. The Building Division can provide you with more detailed information on, the application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMI'ITAL: Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation an10unt must be entered by the applicant This figure will be reviewed and may be revised by the Building Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are 'submitted. All other permit fees are due at the time of permit issuance. I EXPIRATION OF PLAN REVIEW: If no permit is issued within "180 days of the date ofappI'ication, this application wiD expire by limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and knqw the same to be true and co"ect, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. APPlican~~~- ? Date: 7f:yG1 PVV-Il02_13[revSJOl] ., City of Port Angeles Applicant Project Review Sheet " Applicant: <' fk~lh~cC!J ~~ ~/#lr I'M!' J Property address: Proposed use: Owner: :. ~5 s- t:./i r ~ Zoning: Is the proposed use listed as a "permitted use" or an "accessory use" in this zone? Is this the only use (business, residence. etc.) on this site? Has there ever been a subdivision. shortplat, or PRO approved for this site. or has one been submitted and is pending approval? Does the proposed use require a new buisness license? Does the project extend into any required setbacks or cross any lot lines (interior or exterior)? Does the project exceed the permitted height aIlowance or cauSe the property to exceed the aIlowed lot coverage in this zone? Does the project require any additional parking or special designlIandscape improvements in this zone? Does the project e1iminate any existing parking spaces? Is the project located within 200' of the shoreline? Are there any environmentally sensitive areas on or within 200\ofthe property. including:" . wetlands or areas of standing water (year round or seasonal); · streams (year round or seasoDal); . · areas with a slope of 40% oq~reater;or . areas that have evidence ofpast ground movement or erosion? Have all th~uired submitta1s been provided by ~licant? I!f Site Plan 1JI"t:0nstIUction Drawings o ParkinglDrainage Plan 0 Civil Drawings o Energy Calc 0 Supporting Engr. Calc o LandscapelLighting Plan 0 Other o yes: ok ~k o yes: requires PO review o yes: requires CC review o yes: requires PO review o yes: requires PO review o yes: requires PO review o yes: requireS PO review Dyes: 'requires PO review o yes: requires PO review ~ok o no: requires PO review o no: requires PO review ~:ok liI"iiO:ok ~ok ~:ok ~:ok ~ok ~:ok '~ok o no: mark . required item(s) If Planning Department review i3 required, the processing time may be extended. Ifit is determined a separate Planning Department permit(s) is needed, the Planning Department pennit(s) must be approved prior to the issuance of any other permit. . .' .... ....i.~.'..',:..... ~\l~;:,,':t.:~~~i,;~~~~~)l;;:l~~~~ Building Permit # Permit Category # (see reverse side) Route to: o BO 0 CC 0 FD 0 LD 0 PD 0 PW 0 File 0 Other Staff Initials Date Master Tracking # Completion oj this form is required for all category 1 b, 2 & 3 permits. Completion is not required for category 1 a permits unless they result in a potential change of use or occupancy. APRS.l (6-:zs.971ria1 .....on) <.1 'H ! .. . " SITE PLAN ..... ~ANP DEPARTMENT OF PUBUC WORKS, BUILDING DIVISION ~ .- .. PHONE: ~/7-6 ') '-7cr APPliCANT: -rz" , H ~ C1 ;i;..J c:.. PROJECTIDEVELOPMENT ADDRESS: 5'55' 41: 'f7l.. See Page 4for instructions on completing the site plan. Formore information, caU 457-0411, extension 125. I~l ~~ ~- , . . .. . . A 2 7.1 a i"' ~' '/ "" " ,\ I ~. . .. , .... 2. ~I I , " - /~ , ,- PAGE 5 , '.- ',",' . ~ ' ;"-'~"~"~~~~,-'~:::.L-S---....---..'- 61N. (152 mm) ONE FLOOR SILL 2 IN. (51 mm) THI . WIDTH NOT LESS THA STUDS 8 IN. (203 mm) TWO FLOORS 121N. (305 mm) ONE FLOOR 18 IN. (455 mm) TWO FLOORS OR BELOW FROST LINE (Table 18-I-C) 1/2 IN. (13 mm) <l> BOLTS 6 FT. IN. (1829 mm) C. TO C. 71N. (178 mm) IN CON ETE NOT MORE THAN 12 IN. (305 mm) FR ENDS (See additional requirements for Seis ic Zones 3 and 4 in Sections 1806.6 and 1806. 61N. r- (152 mmL- 7 IN. (178 mm) TWO FLOORS L\"\\W~\ ~,i'~ 0 6 IN. 00 00 00 00 0 ( .) 0000000 0 152 mm 0 0 0 00 0 W121N. (305 mm) ONE FLoOR 15 IN. (381 mm) TWO FLOORS (Table 18-I-C) 61N. (152 mm) GRADE 81N. (203 mm) MIN. 121N.(305 mm) ONEFLOOR.. 181N. (455 mm) TWO FLOORS 61N. (152 mm) L 14 ' .1 141N. x 141N. (356 mm x 356 mm) PIER ALL FOUNDATIONS TO EXTEND INTO NATURAL UNDISTURBED GROUND BELOW FROST LINE FIGURE 4-FOUNDATJON EXTENSION DETAIL ~ 1997 DWELLING CONSTRUCTION UNDER THE USC o 0 0 0 0 00 0000000000000 0000000000000 o 0000000000000 o 000000 >>>.Y/I)..."\\VAW ,i' 0 ,i' o,i' o,i' 0 0 "\ "\"\~"\"\\ Y// AWl o 0 0 0 (/;//I)"'"\\V 00000000 )5"\"\\\ o 0 0 0 0 0 0 0 0 (///1 ,i' o,i' o,i' o,i' 00 Y- o 0 0 0 ;I o 0 0 0 12 IN. (305 min) ONE FLOOR 15 IN. (381mm) TWO FLOORS (Table 18-1-C) ~IN. --.r78mm) . SOLID GROUTED CELLS 0000000000 }6IN.(152mm) 00 00 00 00 00 ONE FLOOR o 0 0 0 0 o 0 0 0 0 00 00 00 00 00 71N. (178 mm) o 00 00 00 00 0 TWO FLOORS 121N. (305 mm) ONE FLOOR 15 IN. (381 mmr. TWO FLOORS ~. CONCRETE BLOCK ... 63 ~ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Owner/Business Address: ~DENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS "% SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) DetailslDescription: . PERMIT NO. 7'b,;2.:s-- DATE 3///tSff3 Phone: Sq. Ft. )3 OVERHEAD SERVICE o UNDERG~UND~~ VOLTAGE: ?tY, ~SINGLE PHASE' b THREE PHASE ,.., SERVICE SIZE /'tf2D AMPS . Av.L/? ;4tif<;~ 1/1 r.P. W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. ~. O.K. to connect service o Final OK ----- Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work mus 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 B~ding Fermit. PHONE 457-0411, EXT. 224. )#1111 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ Erelctricallnspector Site Address: ~ ~.3S;- 0. t:/e New Meters Installer: .s . WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC ~iJO Permit Fee GREEN - Top: Meter Dept., Bottom: City Hall ELECTRICAL PERMIT CITY OF PORT ANGLES 360-417-4735 Application Number . . .16-00000982 Date 6/17/16 Application pin number . . . 886356 Property Address . : . . . . 535 W 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -7450 -0000 - Application type description ELECTRICAL ONLY Subdivision Name , . . . . . Property Use . . . . . , . . Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 -- ------------------------------- Application desc Circuits ---------------------------------------------------------------------------- Owner Contractor GABRIELLE GLASEN APS ELECTRIC------- -- PO BOX 281 546 BENSON RD. CARLSBORG WA 98324 PORT ANGELES WA 98363 (360) 452-6753 --- ----- ------------- - Permit . . . , , . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . • . . 93.00 Plan Check Fee .00 Issue Date . . . , 6/17/16 valuation . . . . 0 Expiration Date . . 12/14/16 Qty Unit Charge Per-- Extension 6.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 30.00 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 ----- - --------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 93.00 93.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 93.00 93.00 .00 .00 INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL ` COMMENTS: I RESULTS: PERMff WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X CMEXCIIANGEWILDING REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code ©502) I Date: O`paRTqELECTRICAL INSPECTION WIRING REPORT RNS 417-4735 E IPERMIT-�INSPECTOR Z- "' /Zo/lp, OWNEF CONTRACTOR 4� S rm- L-v-::�yz.\ C, ADDRESS APPROVED N APPR ED ❑ ....................DITCH.................... ❑ ❑................ ROUGH IN/COVER ............... ❑ ❑ ....................SERVICE................... ❑ ❑ .....................FINAL................. ORRECTIONS NEEDED: � '» r ►�' Ute' �i NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS -- 00 NOT REMOVE -- 06/16/2016 11:23AM 3604526753 A.P.S. ELECTRICAL PAGE 01/02 C TX OF PORT ANGELES PERwr APPLICATION Building Dhrlslon/Electrical Inspections 321 East Fifth Street — P.O. Sox 11501 Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: -L- «'' ) C X 4 &. 2 Single Family Dwelling Plan Review May Be Required, Please Co Y" Elechiral Plan Review Information Sheet Jab Address: � �i A) 0- SSI ` Building Sure Footage: Desalpilon o4 oboe t'd?✓Ynl1 � e.l °d' Q 4LCL i`.: Owner I onk r� �, P I1& 614 -,;&ri S - � Mailing AMM �9— X W H � Shale: Zip _ 5J2L-•-b 1915LFmr. LbMW # I EKR #tem Unit Corina ServioWeeder 200 Arne. $120.00 S=WFeedef 201-400 Amp. $146.00 ServiMfeeder401-6W Amp $ 205.00 ServicaSooder601-1000 Amp.. $ 26200 Servica Feeder over 1000 Amp, $ 373.00 i3rMI11 grcdtt W1 Servloe Feeder $ 5.00. BranM Cirailt W10 Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 14 $ 75.00 Temp. Servicel Feeder 200 Amp. $ 93.00 Temp. Servk&Feeder 201 400 Amp.. $110-00 Temp. Servic Xsedm401-W Amp. $149.00 Ter[ . Setvi *eerier 601-1000 Amp. $158.00 Portal to Portal H% ty $ 96.00 Signel Ckc tdl Limited Energy -1 & 2 Fw* Dwelling $ 64.00 Manufactured Flom Connection $120.00 Remw8bie Sectiw-Energy - 5KYA Sysm of Less $102.00 TherrrMU $ 56.00 Nota $5.00 for each adMorW T -SW NEW CONSTRUCTION ONLY: First 1300 Square Ft $120.00 Each Addi banal 500 Square Ft or Portion of $ 40.00 Each Oiftfdding or Dotached Garage $ 74.00 Each Swk m inn Pool or Hot Tub $110.00 Naw. -a -p e -c* r, Maifirg Address: ���� Fac i license # / Exp: QAC Total (Cav MUND ted by Unit Charaej $ _ $63.100 $ S a $ I , Ori 'dotal. Owner as deimed by RCW.19.28.261: (1) Owner win occupy the structure for tnu yew atter this electrical permit is finalized, (2) Omw is required to hire an eiecttical eontraaclor if above said property is for sale, rent or lease. Pernilt egires Wier roc mea of last inspection. After reading the move Wit, I hereby MW M i am the owner' of the above named property or a licensed el Wcd contractor- I am making N eleddeW nista Mon or aiterahm in vompbim with the eledwal taws, N.E.C., RGW. Cttapter 19,28, WAC, Ghaptet 29&MB, The City of Port Angeles I&ni*al Code, and Utility Specikations and PAMC 14.05,050 regarding Eledried Perrot Applications. Signature of owner, electrical cdnb=tor or electrical adrninWhator: ❑ Caen+ 13 Chao 9(creat cad 0 ljrdl �&- --� X C �, r & 0116UM12 � earera_ � Naw. -a -p e -c* r, Maifirg Address: ���� Fac i license # / Exp: QAC Total (Cav MUND ted by Unit Charaej $ _ $63.100 $ S a $ I , Ori 'dotal. Owner as deimed by RCW.19.28.261: (1) Owner win occupy the structure for tnu yew atter this electrical permit is finalized, (2) Omw is required to hire an eiecttical eontraaclor if above said property is for sale, rent or lease. Pernilt egires Wier roc mea of last inspection. After reading the move Wit, I hereby MW M i am the owner' of the above named property or a licensed el Wcd contractor- I am making N eleddeW nista Mon or aiterahm in vompbim with the eledwal taws, N.E.C., RGW. Cttapter 19,28, WAC, Ghaptet 29&MB, The City of Port Angeles I&ni*al Code, and Utility Specikations and PAMC 14.05,050 regarding Eledried Perrot Applications. Signature of owner, electrical cdnb=tor or electrical adrninWhator: ❑ Caen+ 13 Chao 9(creat cad 0 ljrdl �&- --� X C �, r & 0116UM12