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Home My WebLink About230 E 5th St - Building ! NOV~25-2003 08:26 AM 2D673A53.73784237 360 582 9029 P.01 # s ...~. :,';~,~j~:r::'1,'~\7i'~,~~~~~~~~" ..~...,.::,,,, . \<. . I BUILDING PERMIT.. APPLICATION 1'01\ Ol'JllClAL USB ONLY' Daile Roe.: i/ /2/'-:03 Plll'll'tiIRl: ll40 Dr.ieApprovecli___ o.to lIIIU~ 1 I FUI Ollt COMl'LETEL Y and In INK. Your applicaUoll and site plan MUST D COMPLETE to be Itl:cpted for review. It you have II1Y ql1elltiQal, call (360) 417-4815 Applicant Qr A~t: !tFt=,-jY;(QJ:>lP ~O} J '(p S ____ Phone: ~O bfJ.s -:Cf ~'Cl Owner:_ b t' r-(.l '( ltA:. '3D 11 11 ~--x''/'("\ .._. Phone: i_/~ 2- 2.Z/CL {I . I (,~" f ,1 I)..~ . Jill '(_'" /:)"' "', AddrelS: ,3() 'u O./i1'7r1 ,'J' - City:-Y'C1'~' nn; .~'lI'(; (,~Zjp;~. 1 yrX'tIC::_. ArchitcctlEnginecr: I+:. ~hone; FC 1Z..s.k7h~P~ . . Contractor~'i b. Kekhu.. tb.,. StBwticense #: () :1!xP:_' (,.y~ -PhDDC:~~q4?4 Address: ~~.~ f-JuJ~/()/IN . Ci~: 3~1' /M JJ.J.Jr zip:qA~~;-1~ .....2. ' r- c...../ ' PROJEer ADDRESS;_) t;> t;;. ,) h<")+_ __ ZONINGI LEGAl DBSClUPTION: Lot: Block: Subdivision;' __ CLALLAM COUNTY P AReEt NUMBER: _..._.___ Cred11 Cud Holder NIJIIe:~~' ~ ,~-111 l '1t\ BIlU.tl.aMdrws Z~Q,~(i,~ ~~JlJl.ll D~ OCt> , C1ty: ~~/lil1A 'wfi.qIJJ5~?-7(j~.6" cncUt Cud1'ype VJSA....k::::"'_MC _ Ii (5)'\ F= I (e, 11\1. Date: TYPE OF WORK: ~ SIZlWA.LUATJONI. /, I:l RNidentlaJ 0 New Ccm8tr. iii: IU-fO()f Cl StOYCl' SF. @ S /'SF.. S Cl Multi._ c AddiUon 0 Movtl 0 GlIrIIg= SIl. @ S /SF. _ $ . D Comaurreial C Remodel C DemolitiolJ n Deck. SF, @ S JSP..~ $ , o RqWt C SiF rJ Othllt TOTAL VALUATION. $iIDO'tA.J BRIEF DESCRIPTION OF THE PROJECT: COMMERClAI.JRi:S(DENTIAL, O~lIlcy Group:_ OC~lWl Laid: COIllItruction Type: No. of StoriM: _ tolSize: Ex.iJt~ Sq. Pt. ok PToposod Sq. Ft.__ _ TOTAL Sq.Ft B:cisting lot c~sap _ % &: Prapo$Cd lot c:oveng~ _% .. Tomllot covCRge ~ ~ PLANNING USE ONLY I _.._ APPROV Al.B: PLA.NI__ BLQG: DPWuI-= llIlU:: 011Dm.;--= I -- T ESAlWollaM{a): a YCll a No SHPA ChecklL&t required? I:l Yes CI No Otb=: BUll.DING PEllMI'f APPLICATION SUBMnTAL: The Buildlni Division CIJ] ptovide you with infonnatioll OIl tbe application and plan 111ba:1itW roquitemerm 11' you have q\UllUollS. VALUATION OF CONSTRUCTION: In.u eUeI, a valuatton amount lDWIt be entered by the appliclDt, Thla1/.gqR wlll be reviewt:d an.d may be m'Uecl by tbd.iuUdlq Divilkln to comply with current fee ~chedule.. Collblctthe Permit CC1ordlnar.otlt 417 -481 S f'oua.~. PLAN CHECK FEE: JlI. plan ~ fee i. due it mwt be .ubmluDG at tha tiw lbo building permit llppliOltlou 4Dd oOllStIu\:tia:n plans are IUbmtttllld. All otba' pem:dt ftel are dua ..t the tim8 ofpcrmit lu~e. EXPlRA nON or PLAl'{ REVIEw: It DO permit IIll&N.cd witbiD 180 day. of tho da.tCl of application. the ...,UcaUoo will elplre. The Buildil18 0fDcia1 OIUl exteJui tho timJ: for ,Cl1ion by the llpp&lUlt up to 180 day. upon Yttittm requat by Cho appUow (1IH SecUoll107.4 of tile Ucitonn 13ul1ding Coda, cuman ecUtlon). No applicll.tiQIl can bo extwdcd more than oac:e. I hereby Cfiltlf'y that I IIsw Ifid ilia (/xam~6d this app/lcaUon and know thlJ $sm" to be tru" .fId conect. I fIfTl aiJhorlzed Ie .pply for t1l1s pemv't end lI1deflf.,d 1tI!/, Ie my lNpOtI:s.ibilify to detftnnlne wf1a/ plUm/fa 8f8 requlrs4 ,not the ctys, 'M ttllt, mU4t obtain auch permHa prior 10 IVOrl<. nroltMSWI'S\3ulldlllpnnlt.Wpd Applicant: c;atf:(:ftL _ ___Date: /I-;'..t-I-.() 3, J Owner Contractor .00 1100 s ~;:;iil" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUTI..DING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number PropertyAddress . ASSESSOR. PARCEL NUMBER: Application description . . SUbdivision NlUlle .. Property zoning . . . . .. Application. valuation 03-00001140 Date 11/26/03 230 B 5TH ST 06-30-00-0-2-0003-0000- RB-ROOF COMMONITY SHOPPING DISTR 1100 -~---------------------- . . JOHNSON GERARD A 430 VASHON ST PORT ANGELES NA983626313 AFFORDABLE SERVICES 258663 HI - NAY 101 SBQUIM SEQUIN WA 98382 (360) 452-5264 \ ---..----------------------------------------------------------------------- Permit .. . . Additiollal desc . Permit Fee . . . 'Issue Date . . . ~iration Date . BUILDING PERMIT - NO PR FEE OVERLAY ONE LAYER COMP 65.30. Plan Check Fee 11/26/03 Valuation . . 5/25/04 unit charge Per Extension 47.00 18.30 BASB FEE 6.00 3..0500 BND BL-501-2K (3.05 PER C) -~~~.-------~---------------~----------------------------------------------- other Fees . . . . STATE SURCHARGB 4.50 Pee. swDmary Charged Paid Credited Due ----------------- ----..----- ---------- ---------- ---------- Permit Fee Total 65.30 65.30. .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 69.80 69.80 .00 .00 SeparatePer.t.ltsare required for electrical work, SEPA,Shoreline, E~A,.utilities, private and public improvements.1"I1i$.P.~..~itll~cc:ml~s nullandvoidif work or construction authorized is not commenced within 180 days, if construction or work Issuspe9~id.'or~a'ndon~(:f for a period of180days after the work as commenced, or if required Inspections have not been requested within ~~Ulda~frornthelas~ Insp.ectlor.l~e~eby certify that I have read and examined this'applic~tionand know the same to be true and cOI1"~.A1lpipvjsio.nsof, laws,anclordinances governing this type of work will be complied\vithwhether specified herein or not. Tile graIWn9;;(jf~.peith,I~.~q!3snol presume to give authority to violate or cancel the provisions otany state or local law regulating construction- oi'~the'perfoni1ance of . constrUction. ' . . ,. .6/V .PI61:7- Signatureot COntractor or Authorized Agent Date T:\PLANNING\FORMS\I 102.lS[1 1114120031 BUll..DING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECflONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,INSULA.!P OR CQ~CEAL.t11V! Jf({R!\!JfFO~ INSPECTED AND ACCEPTED.: POST PERMIT IN A CONSPICUOUS LOCATION. "" . i .'- KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. ; 0 ; INSPECTION TYPE DATE' ACCEPTED COMMENTS '. '.' YES I NO . ...>. ....,;, '. .', .". .'. FOUNDATION: ..' FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN 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 i .. .... .' AIR SEAL '. . WALLS i CEILING I FRAMING -;- i JOISTS! GIRDERS SHEAR W ALLlHOLD DOWNS WALLS! ROOF! CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) '. T-BAR . INSULATION SLAB WALL! FLOOR! CEILING I -.- ... __n ....... .- ,. .. .~ .- ._- "-- ,~ ~ MECHANICAL HEAT PUMP GAS LINE WOOD STOVE! PELLET I CHIMNEY HOOD! DUCTS : PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE! METER SEWER CONNECTION , SANITARY . 1 STORM PLANNING DEPT. SEPARArE PERMIT #'s SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: . . '.. . FIN~:lNSI'E,CTI(),NS REQUIRED PRIOR TO OCCllPAI'lCYIUSE ... RESIDENTIAL DATE .. YES NO COMMERCIAL DATE ACCEPTED " YES "I."NO , I,' ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL I, '. :' ! . LIGHT DEPT , CONSTRUCTION R. W.! PW! , CONSTRUCTION - R. W. '. ENGINEERING 417-4807 PW IENGINEERING , . ~. FIRE 417-4653 : FIRE DEPT. "." ',' PLANNING DEPT. 417-4750 J i PLANNING DEPT. . BUILDING 417-4815 '1 /7L/A ~ 'k-1'/ BUILDING ,: " \ / T:\PLANNING\FORMS\II02.15 [1111412003] 17113 / / - .;). 6" '>,,9' Port Angeles, Washlngton..mm.mLm._.._....mm..m.mm.m.........., 19/.m. CITY OF PORT ANGELES LIGHT DEPARTMENT ,...."\. ELECTRICAL PERMIT Nl! 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 elep work as listed below. f'. Address .a?~..~~u.......mm Occupancy__m..L1/.~e.r..~........_.u...m.__. ~:::~.~:;~~~~q..&2<;;:~~~;:;~~:::~~;:::::::::::::::.::.~~:::::::::=::::::::::::::::::=::::::::::::::::::: LIght Outlets..u...J!::.-;j..~.._.._..... Service, volts ...<'::'..9/-?f5!I Type of Wiring: R t I Outlets T No wires ...;) "'""" Armored Cable .............................. ecep ae e ....n_d............__........ Sl . I .....0/0.#.... Non-Meta1l1c ..........._....__............... Dryer, KW.....n.mu........._____n___._..__ ze w resh~~n()_......-d......-.. ~ L.r Knob & Tube..nm____...._................_ Range, KW h__....n_.____....__._____...._____ MaIn fuse hnm_....____....... ............... S Enclosure ................h.n..nnn.......... Water Heater: .-,,<"' Kw.--uu....~..'~n...n.'L;.~. Heat: Kw..~)r.""~'>'I" Motors: size. volts and phase: Type of wIrIng; Entrance Cable .............m.....m..... Rigid Conduit ....................m........ Metal1lc Tubing ....m.................... Current transformers: No. & Size..............hu..................... Ser. No..............:................................ Ser. No. ................................_............ Ser. No............................................... RIgid C()ndult .______.........___............ Metalllc TubIng ______..___................ Raceway ......-r.......-......--.-- CIrcuIts. Llghtr.......................... Utility ...................n___.....___............. I-Ieat ...~............................_.._ Range ............................................. Water Heater ............mmu........... Motor .............................................. Dryer ..............n_.............................__ Furnace .........................'_................... ..;'lo Remark:~t~:m~~~....~.~.;;1i--~n~.~::.:~~.....:..:....:.:::::::.:..:...:.:..::.nm.m.n.....mn~'~~.~:..:.::...::::::::::'~::::::::.:...:': -----.__________~__~_._________._~______jn_n_.___n________n_.._.____.nn___....___..__.__.__n_.__....__._____...._______n______..._n__.______..______________._..Unn_ ;:~.7i.~E~::...n....::.:nn...n::~~.~::::~.~.~~~.~:.:~..........m...n.n~;n::~llJl~jj~~;.~ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due notice must be glven the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION \ ELECTRICAL PERMIT N? 17113 - --.- I Address....................................................__..................................................................................,Date..._......_:..:....!.._.................._................. Owner..............................................._.............._.._...........................................................Tenant.................................................................... Wiring Contractor....................................... ...................................................................................By.........................................................._... "NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work 1~ to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. \ 1M Olympic Printers. Inc. ./