HomeMy WebLinkAbout1819 W 5th St - BuildingCITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 03 00000512
Property Address 1819 W 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 4480 0000
Application description RES ADDITION
Subdivision Name
Property Zoning
Application valuation 500
Owner Contractor
CONNER JOHN A OWNER
1819 W 5TH ST
PORT ANGELES WA 983631711
Structure Information 90 SF DECK ADDITION
Construction Type TYPE V NON RATED
Occupancy Type SINGLE FAM CONGREGATES
Other struct info NUMBER OF UNITS
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
Date 7/15/03
1 00
76 30 Plan Check Fee 00
7/15/03 Valuation 0
1/12/04
Qty Unit Charge Per Extension
1 00 76 3000 ECH EL -RM 0 200 1ST SRV FEEDER 76 30
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 76 30 76 30 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 80 80 80 80 00 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 violate or cancel the provisions of any state or local law regulating construction or the performance of
construction
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T \PLANNING \FORMS \1102.15 [4/2002]
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FOUNDATION
FOOTINGS
WALLS
FOUNDATION DRAINAGE
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING 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
ELECTRICAL (LIGHT DEPT) SEPARATE PERM IT
ROUGH -IN
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL
WALLS ROOF CEILING
DRYWALL
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE PELLET CHIMNEY
HOOD DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT 8's:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T \PLANNING \FORMS \1102.15 [4/2002]
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ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
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Appiication Number
. Property ,Address
ASSESSOR. PARCEL NUMBER:
Application description
'f'z:opert~ zoning . . ','
~ 'APpliei;l'tiopu\valuatiqn'..
" " -. t,
, CITYOF PORT ANGELES ~
DEPARTMENT OF COMMUNITY,DEVELOPMENT :. BUILDIl,'lG DIVISION
321 EAST 5TH S~ET, PORT ANG~, LES. W A 98362
. .-'. ,<, ." " ,.' .'
, .
------.' Structure Information. .90
Construction Type . . . . .
Occupancy Type . . . . . .
Other Struct info . . . . .
SF DECK ADDITION
TYPE V NON -RATED
SINGLE FAM&CONGREGATES
,NUMBER OF UNITS
03-00000512
1819 W 5:rHST
0630000144800000
RES ADDITION,
. ~',Dwner
~-----------------------~
WA 983631711
--------~------------~-----~~----------~-----------------------------~------
Permit . . . .
Additional desc
Permit Fee
ISsue ." Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
47.00
5/28/03
11/24/03
Plan Check Fee
Valuation, .
Unit Charge
Per
BASE FEE
". '. . " '" .~
-----~------------------~----------~--------r-------------~-----------------.
STATE SURCHARGE
4.50
Charged Paid Credited Due
~-----.~.-.~---~- ---------- --------"-- ---------- ----------
Permit Fee Total 47.00 47.00 .00 .00
Plan Check Total .00 .00 :00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 51. 50 51.50 .00 .00
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SepahltePermit$ ar~required for electrical work, SEPA, Snoreline,:.~~Autilities, private and public improvements. Thl~ pen:nltbecomes
null and void if work or constrUction authorized is not commen4ed Ijjitfiin''t 80 days, If construction or work is suspertd'ed ~t:ab1ilndoned
.for a period of 180 days after the work as commenced, or ifr:eqUlred.Jnspections have not been reques!ed, withi!l1~Q~~Y1Stmm_th~ last
inspection. I hereby certify that I have read and examined this application and know the sallle to be true and correct..' A1lProvisioils of
laws and ordinances gov.eming this type of work wiUbe complied ~ith ~hether specified herein or not. The granting ota pallidt doesdnot
presume to give authority to violate or cancel the provisions of any state or local law regulating construction ofthepenonnanqe of
constr,uction. ,., .'.
Date
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BUILJ>~G PERMIT INSPECT,IONRECORD <93 ...51 ~ .. i
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CALL 417-4815 FOR BUILDING'rNSrE~J,JQN~i!,f~!:!ASE };)ROVIDEA. MINI~2~;HOtJIt1'101JQE.lITIS UNLA JVJi'1)'LTl!I,€gf{f.~!
INSULATE OR CONCEAL ANY WORK BEFORETNSPECTED AND :lcCEPTED. POST PERMIT INA CONSPICUOUSf.,OCA:TION!'
KEEP PE~J,1' CARD A~DAPPRO~Eb PLAN,s,~TJ2gCSI~B~' ... ..,. .. . .. '" .....f.;~.:; :\.>
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.' . INSPECTION TYPE .... DATE ACCEPTED I;';' . .... \
\'.:..)}f. '.
.' . . .. YES NO'" ~".p'. '.' .,' " .....:..
FOUND~TI()N: '.' '.. . '. f).,_u . ~()S. tlio/~~f'~Y'11()3: J.j...
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FOOTINGS . c. . . '~i"'.:.
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WALLS . ,
FOUNDATION DRAINAGE . , .,..," .
'. .'. .'
ELECTRICAt SEPARATE PERMI'T; /I -,-- '" . ....
(LIGHT DEP1)
ROUGHclN '. . J I 'C , "..."~" . '., .
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PLUMBING .
UNDER FLOORI SLAB '" ..
ROUGH.IN . .' ..
.
WATER LINE
GAS LINE . ''''
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'.
BACK FLOW I WATER .... '. " " .~, .... ..,
AIR SEAL . ; . ,c', ..
. .
WALLS '.. .".c.. .",
CEILING '" .. I '.. f .
FRAMING . "~
.. .
JOISTS I GIRDERS ... .
SHEAR WALL '.,
WALLS I ROOF I CEILING ;, '.
DRYWALL : .
'.
T-BAR i .,
INSULATION ...... T
SLAB .' , I
WALL I FLOOR I CEILING '. ; I I . . ....
MECHANICAL .. .' ~ :
.. '.
HEAT PUMP '..
WOOD STOVE I PELLET I CmMNEY .. 7
HOOD I DUCTS . , .'
PW UTILITIES I. SITE WORK (Engineering Division) SEPARATE PERMIT /I's: '" ....
WATERLINE.! METER C'
.
SEWER CONNECTION ." .
SANITARY
.
STORM .
PLANNING DEPT. SEPARATE PERMIT /I's SEPA:
PARKINGILIGHTING . ESA:
..
LANDSCAPING . . ': SHORELINE: . . '.
"'b'_.,''"'''' FINA~}~~rECTIONSREQ1H~'P~OR'fO OCC.{IPANGYIUSE ..."."..... .......".... .......,...... i.........
h..,.,.;-
RESIDE.NTIAL "."'P}'l 'DATE'" ...n, ~,< 'NO DATE") '...!...:~~ClWFEDi .,;..'
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ELECtRICAL. L1GHTDEPT. . .:..c .i. . . '>>:U:ECnuGAL ,,;J\, ,.... .
417-4735' '(m,: .'
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CONSTRUCTIONR. W.l PWI " ; ..,i wn h'.:. >. : C(}NSfRUGTlON.'R. W.' .. ,,;
.
ENGINEERING 4 I 7.4807 PW I ENGINEERING .... ,.i..:.
FIRE 417-4653 ". FIRE DEPT. ". . .......
PLANNING DEPT. 417-4750 ~.....' '. .' ..... PLANNING DEI!T. ".. '.'
.,
T. ......... 7.f';;'"U>~'tJ 3- .. ~~ BUILDING.. '.' .,: ,',; ,.
BUILDING 417-4815 .
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T:\PLANNING\FORMS\1102.15 [4/2002]
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY aud in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. Uyou have any questions, call
(360) 417-4815
Applicant or Agent: ~ ~ '^^^ {ov...,~
Owner: ~JalV\. (~~
Address: '\'7>\'\ wS"~ City: p.oJ~
ArChiteCt/Engin:~rr SR. ~F
Contractor ~v State License #:
Phone: :? 6 D~ c{ ~ -f, l (g
A Ph. one:
V\J-&t)
Phone:
Zip: C\.'13Ct"3
5'~~
Exp:
Phone:
Address: City: Zip:
PROJECT ADDRESS: l4.l1 W -S--\-.. ZONING:
W!L '7 U U -w-""~
LEGAL DESCRIPTION: Lot: \ 0 11 ;& Block: , -. I Subdivision: ----1...J IT
CLALLAMCOUNTYPARCELNUMBER: Db3 O~ I '-ItfSt>t::X:J6,O
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
~Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
SIZEN ALUATION:
o Stove SF. @ $ /SF. = $
o Garage SF. @$ /SF. = $
o Deck SF.@$ /SF.=$
o Other TOTAL Y~LUATION $ ~~ Qc.1
()~C'^- C1&JOt-fuV\ ql)'P'
COMMERCIAL/RESIDENTIAL: Occupancy Group: '2- Occupant Load: Construction Type:
No. of Stories: _ Lot Size: 1"01&"00 Existing Sq. Ft. /'2. ,e & Proposed Sq. Ft.~ = TOTAL Sq.Ft. 13 t.A..
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage I 3. ~ %
APPROVALS:
PLAN :
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklistrequired? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may 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 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 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 I must obtain such permits prior to work.
T:\FORMS\APPS\Buildingpennit.wpd APPlica~~ (p,,^,~ Date: ~ '7/0 ,?
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ANGELES MILLWORK & LUMBER CO. INC.
1601 5. 'C' 51. . Port Angeles, WA 98363
Bus. 457-8581 . FAX 457-8896
HARTNAGEL BUILDING SUPPLY, INC.
833 E. Front 51. . Port Angeles. WA 98362
Bus. 452-8933 . FAX 452-8943
Divisions of:
LUMBER TRADERS, INC.
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GUARDRAIL HEIGHTS:
COMMERCIAL - 42"
RESIDENTIAL - 36"
GUARDRAIL WITH INTERMEDIA TES
L OCA TED SO THA T A 4" SPHERE
CANNOT PASS THROUGH
FLOOR JOIST SPACING ,t.. II
~ MINIMUM 2"x4" CAP
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FULL DEPTH BLOCKING REOUlRED
WHEN FLOOR JOIST DEPTH
EXCEEDS 8" IN DEPTH
POST CAPS OR T-STRAPS
SEE PAGE 7 FOR STAIR/HANORAIL
OCTAlLS.
CONCRETE FOOTING
~
12/1/95
SEE PAGE 5 FOR FOOTlNG/HEADER/
FLOM JOIST SPANS.
Nt:7a.) 10 BE DECA Y RCS1STANT OR
TREA TED PER 1997 use set: 2'-.12
,
POS T tJ _'1_ O. c.
1" SEPARA TION
POST MINIMUM '1"x'1"
CONCRETE FOOTING
~ APPROVED COLUMN BASES
12" MIN.
WOOD DECK DETAIL -A-
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HEIGH T ..2____
12" MIN.
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INTER. ?/:Lx.1!:L
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MID SPAN BLOCKING
WHEN FLOOR JOIST
EXCEED 12'
FLOOR JOIST
....-"'\
'I
_____ MINIMUM 2" x 4" CAP
GUARDRAIL W/INTERMEDIA TES LOCA TED SO THA T A
4" SPHERE CANNOT PASS THROUGH
*
* GUARDRAIL HEIGHTS:
COMMERCIAL - 42" MIN.
RES/DEN TI AL - 36" MIN
/
4"x4" tI _~ MIN.
, .'
2-1/2" M.B.
EACH POST
LEDGER _;'_xJ_~ e)r",,~~ ~
WITH 3/8"x5" -J
LAG BOL TS tI 16" O.C.
STAGGERED.
~
12/1/95
~'
FLOOR JOIST SPAN
. ,
~_"X_~_"
tI .t~_o. C.
CONCRETE FOOTING
POST CAP OR T-STRAP
POS~'k~NIAlUe
1" SEPARA TlON
SEE PAGE 5 FOR FOO"NG/HEAOER/
FLOOR JOIST SPANS.
SEE PAGE 6 FOR ALL CONNEC"ON
DETAILS.
SEE PAGE 7 FOR STAIR/HANDRAIL
DETAILS.
fft?OO TO BE DECA Y RESISTANT OR
TREA TED PER 1997 USC SEe. 2366.12
WOOD DECK
DETAIL IBI
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. . .. . . . . . . . INSPEC....IONREPORT .>. . . . . . . .. .
REQUEST:\^' \ ' ' ,~
Date ',' l.p ~o'37 Timeg..:ll~ Received by ~ C , (phone, person)
Location .ofWorkto be inspected (!PJ!i
Nameofpers"n, req~esting inspection 1~./.i....t~ . eJ~-;rU · · .... (
Address~f'1e"i~nre~u.esti.ng inspection . . ..' ../ /. Ph~1e'~~':~~~~-~ .
:::e:f'I:::~::!i~~Cir;::::~oP~::::::I: 'PIUT6in~~ Sewer EXC~~r~:~:", CJ.;);
INSPECTIOI\II\IOTES: ~()>c; k--
InspectEtd: Date Time By
Remarks:
..
~k.-
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SURFACE RESTORATION :
SURFACETYPE: DUnimproved o Gra"el o Asphalt OPCC
o Other
o Repaired by City
L1Repaired by Permittee
o No Damage,Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
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51_REET ~lJPE8IN;rj:NQENI ,
(DATE)
,
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date S- 2 9 - 0'3
/
Time
Received by
!2:t/
(phone, person)
Location of Work to be inspected l 8> I q
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer ~~2aming Chimney Plumbing
1- Holes
INSPECTION NOTES: f
Inspected: Date 5\ -:J; ~~
Remarks:
w
s;-fh
Phone No.
Permit No.
Final Sewer Excav. Other
4;"/'2-
Time
f&-..M
By
0L~
RESTORATION REQUIRED . . . . .. YES NO
8,'/5 AfMt
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel D Asphalt D PCC
o Other
D Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
,
L__ (Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
~ 'PORT ~
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~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
05-00000101 Date
.666209
1819 W 5TH ST
06-30-00-0-1-4480-0000-
RE-ROOF
2/11/05
RS7 RESDNTL SINGLE FAMILY
790
Owner
Contractor
CONNER JOHN A
1819 W 5TH ST
PORT ANGELES
OWNER
WA 983631711
permi t . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF, SHEET, FELT COMP
56.15 Plan Check
2/11/05 Valuation
8/10/05
Fee
.00
790
3.00
BASE FEE
3.0500 HND BL-501-2K (3.05 PER C)
Extension
47.00
9.15
CD
\\.:0
Qty
Unit Charge Per
Other Fees
STATE SURCHARGE
4.50
.:z
t~
'1'1
4-
s
Charged Paid Credited Due
Fee summary
---------- ---------- ---------- ----------
-----------------
Permit Total 56.15 56.15 .00 .00
Fee
Check Total .00 .00 .00 .00
Plan
Total 4.50 4.50 .00 .00
Other Fee
Total 60.65 60.65 .00 .00
Grand
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
construction.
Signature of Contractor or Authorized Agent
7'-
j / --
-A V v-,- ~
Date
Signature 0 Owner (if owner is builder)
T:\Policies\\\ 02_\5 building permit inspection record05.wpd [\/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
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
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKlRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 "'3 -JJ.S" -(.'15 ii..J BUILDING
T:\Policies\1102_15 building permIt inspectIOn record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
~
.,l:.
,
Appl~cat~on Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Appl~cation description
Subd~v~sion Name
Property Use
Property Zoning . . .
Appl~cat~on valuation
04-00000156 Date
.846952
1819 W 5TH ST
06-30-00-0-1-4480-0000-
RES ADDITION
9/14/04
-
.~
RS7 RESDNTL SINGLE FAMILY
1000
Owner
Contractor
CONNER JOHN A
1819 W 5TH ST
PORT ANGELES
OWNER
WA 983631711
Structure Informat~on
Construct~on Type
Occupancy Type
Other struct ~nfo
SLAB FOR FUTURE GARAGE
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
19.70
V-N
1. 00
1498.00
10500.00
576.00
2074.00
1. 00
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc SLAB FOR FUTURE GARAGE
Perm~t Fee 62.25 Plan Check Fee 24.90
Issue Date 9/14/04 Valuat~on 1000
Expiration Date 3/14/05
Qty Unit Charge Per Extension
BASE FEE 47.00
5.00 3.0500 HND BL-501-2K (3.05 PER C) 15.25
---
...
~
-
~
Other Fees
STATE SURCHARGE
4.50
~
~
~
~
~
Special Notes and Comments
The permit calls for a 576 sq.ft. foundation for a future
attached garage. The setbacks and lot coverage shown are
fine for the RS-7 zone for the future development. No
structural plans were submitted for height.
MAINTAIN CLEARANCES FROM SERVICE WIRES
Any modifications to the City'S electrical facilities w~ll
be at the customer's expense.
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 62.25 62.25 .00 .00
Plan Check Total 24.90 24.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 91.65 91. 65 .00 .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 authonzed is not commenced within 180 days, if construction or work is suspended or abandoned
for a penod 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 compiled With whether specified herein or not. The granting of a permit does not
presume to give authonty to violate or cancel the proVIsions of any state or local law regulating constructIon or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
~ ~-\.J~ ~ (7) ~~/Ij'oLj
Signature of Owner (if bwner is builder) Date
T \PLANNING\FORMS\1102 15 [11114/2003]
r/
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 LOCA nON
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS rt - Fw -/'J J./ ~~L-
FOUNDATION DRAINAGEIDOWN SPOUTS I'
ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERJOR 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 (Engmeenng DIVISIOn) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE;
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R W. / PW/ CONSTRUCTION - R W
ENGINEERJNG 417-4807 PW / ENGlNEERJNG
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T.\PLANNING\FORMS\1102 15 [11/14/2003]
,.
BUILDING PERMIT - APPLICA"T.ION
FOR OFFICIAL USE ONLY
Date Rec L - 2~ -Oy.
P~"~'IS~
Date APProVed=94 dJ4/
Date Issued
Fill out COMPLETELY and in INK. Your application and site plan Mll.ST BE
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
ApplIcant or Agent: j-vk
Owner: ~'Ok ~V\V
Address:_l1> I OJ W -S-n...
ArchItect/Engineer: 'Se. u=
Contractor '5-e ~ f
(() IItNJ
Phone:
Phone:
CIty:Jc)(~ tkri.t ') WLZIP: 1'F3>G:5
Phone:
State LIcense #:
Exp:
Phone:
Address:
CIty: Zip:
\3 \~ 'Lc) -{;~ PQ(\- A-~el1) .wf\. \<"{'~~l ZONING:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
SubdiVIsion:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WOR!Y ' . SIZE/V ALUATiON:
;;;p Resld('.nl.~ar /~. ~b!e.'\:v:-G-o:rr.rrr:- 0 Re-roof r' Stc"/e SF @ $ !SF. = $
o MultI-farmly ~ AddItIon 0 Move ~ Garage SF. @ $ /~;F. = $
o Commercial 0 Remodel 0 Demohtion 0 Deck . . . ~ SF. @ $ /SF. = $'
o RepaIr 0 SIgn 0 Ot~er. . . r' TOr,AL V ALUf T10~ $ I DD6 ~
BRIEF DESCRIPTION .9F T~E PROJE~T: ~il'1lJ\~ ~~c.l? - ::!Q("~ ~1C<FCI. Cf
City:
Exp. Date:
COMMERCIAL/RESIDENTIAL: Occupancy Group:"'. Occupant Load: . ConstructIOn Type, . . ,
No. of Stories: Jl..... Lot SIze:' i05~ _ ~xistmg Sq. Ft./ i.{ 9, 8 & Proposed Sq. Ft. ~l ~ = TOTAL Sq.Ft. ~-j" .
Existmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage_.1 q 67 -.J::2
APPROWfS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA ChecklIst required? 0 Yes 0 No Other:
BillLDING PERMIT APPLICATION SUBMITTAL: The BUIldmg DIvision can provide you with information on the applIcatIon and
plan subrmttal requuements If you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure wIll be reviewed
and may be revIsed by the Building DiviSIOn to comply with current fee schedules. Contact the Permit Coordmator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the tIme thi bUIldmg perrmt applicatIon and construction plans are
subrmtted. All other permit fees are due at the tIme of perrmt Issuance. ./
EXPIRATION OF PLAN REVIEW: 1fno perrmt 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 wntten request by the applicant (see Section 107.4 of
the Umform BUilding Code, current edition). 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 I must obtain such permits prior to work
T IFORMSIAPPSlBmldmgp=" wpd Apphc""~ oL~ Ii ( ?~ Date: ~
.........
PREPARED 9/20/04, 12 59 31
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1819 W 5TH ST
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
1
9/20/04
CONNER JOHN A
06-30-00-0-1-4480-0000-
04-00000156 RES ADDITION
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
'" " ~ tif-
-------------------------------------- COMMENTS AND NOTES
PAGE
DATE
SUBDIV:
PHONE
PHONE
BUILDING FOUNDATION WALL
JOHN 460-6834
MORNING INSPECTION AFTER MORNING STAFF MEETING
TIME. 10 00
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C!TY OF PORT ANGELES - Construction Plans
T~e Issuance of thiS permit based upon these plans, specifi.
cations and other data shall not prevent the bUlldmg offiCIal
Irom thereafter reqUiTIng the correctIOn 01 errors In said
plans, specificatIOns and other data, or from prevenb~g
bUlldmg operalions belOg earned on thereunder when In
ViolatIOn of ail codes and ordlOances of thiS juri dictIOn.
(SECTION 303(c) . U lorm B nldmg Code.) -
Approval Date ;;. By
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ELECTRICAL PERMIT APPLICATION
FOR OFFlCIAL USE O:o.:L Y
~e/Rn:;
Permil .:
Dale Appruwl1:
~lel.uUl:~:
.fl-:-
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The Electricaf Permit Application must be filled out comDletetv.
tf1?i:- 5'"/2..-
property~
Address: l
Owner or Elec. Contractor Agent: ) 'tl Lv, ^ A-
,"^ ~ (.^~
I)I,:(~ .
Electrical Contractor: <) p {.
Please type or reprint In ink. If you have any questions, please call (360. 417-4735
Fax number: (36Q) 417-4711
(lo~ Phone: ...::.r$'2--6(C~
Fax:
Phone:
City:
Zip:
license #: Exp:
Phone:
INSTALLATION WIRED BY:
'6o.WNER
City:
o ELECTRICAL CONTRACTOR
Zip:
Address:
Credit Card Holder Name:
Exp. Date:
Zip:
VISA:
Billing Address:
City:
Credit Card Number:
MC:_
PROJECT ADDRESS:
~ pl(VI,,~,
Check all fhat apply:
/I.M P
.
.1" '2 ~^ 4-'}A. P.
~AlterationlAddition
l'3[(
v <)+
TYPE OF WORK:
o New
~esidental 0 Multi-family
. 0 Commercial 0 Mobile Home
Sq.Fl.
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic P.ump 0 Low Voltage 0 Telecom. 051g11
Number of Circuits added or altered: .... .
DESCRIPTION OF THEfiiLECTRICAL PROJECT: ."
6,[<. cw't +- ... - (o~it4t.v
...~ '2cXJ-/J~
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
Electrical Heat Load Additions
~.
_K:W
_K:W
_K:W
_K:W
4' '1 Co , 30
_ 'nJulMft"N~--
-,/16r 1Ufj- 00-00 t..<...J
(pi<W
.~
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
"
PAMC 14.05.060(8): For industrial, commercial, & residential projects larger than a duplex. a one. line drawing of the Electrical Service &
Feeders, buildin!l size (sq. fl.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the
Electrical Permit application.
I hereby certify that J have read and examined this application and know that same to be true and correct, and I an
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 applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature: 1\ Date:
Owner or Elec. Cant.. Signature: ~ ,,;\~ t\ ~'^~ Date: .j!r/o?
PW-9019
OJ~ C ~ 7"7-03 D~, J~ 7 /r O~3{, 1h ,1;0
0_. -.. ,. .. - .& .