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HomeMy WebLinkAbout1305 E 4th St - BuildingApplication Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor SMITH PATRICIA 1305 E 4TH ST PORT ANGELES 36) 452 8850 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 616080 WA 983624705 Permit BUILDING PERMIT RESIDENTIAL Additional desc REPAIR FIRE DAMAGE Permit Fee 148 75 Plan Check Fee Issue Date 8/27/04 Valuation Expiration Date 2/24/05 Qty Unit Charge Per Extension BASE FEE 92 75 4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00 Permit MECHANICAL PERMIT Additional desc Permit Fee 61 50 Plan Check Fee 00 Issue Date 8/27/04 Valuation 0 Expiration Date 2/24/05 Qty Unit Charge Per BASE FEE 2 00 7 2500 ECH ME VENT FAN Special Notes and Comments Repair fire damage remove /replace sheetrock insulate airseal replace 3 windows add beam to support second floor install kitchen bath fans Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Signature of Contractor or Authorizei.AgeSit T \PLANNING \FORMS \1102.15 [11/14/20031 04 00000690 Date 8/27/04 1305 E 4TH ST 06 30 00 9 1 0110 0000 RES REMODEL RS7 RESDNTL SINGLE FAMILY 6000 COZI HOMES 324 E 9TH ST PORT ANGELES (360) 452 9906 STATE SURCHARGE 4 50 Charged Paid Credited Due 210 25 210 25 00 00 59 50 59 50 00 00 4 50 4 50 00 00 274 25 274 25 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 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 WA 98362 59 50 6000 Extension 47 00 14 50 bcpi'vq Date Signature of Owner (if owner is builder) Date 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 YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE /DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDERFLOOR /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 (Engineering Division) SEPARATE PERMIT //'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING I I ESA. LANDSCAPING I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I 1 1 I PLANNING DEPT 417 -4750 I 1 1 I I BUILDING 417 -4815 116 )g 1 Ex a) T \PLANNING FORMS \1102.15 [11/14/2003] FIRE DEPT PLANNING DEPT BUILDING Applicant or Agent: C.C.) UY>7..4 Owner _cfri Address 1 3 CL_ L Architect /Engineer Contractor Co Address. 9- PROJECT ADDRESS LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name: Billing Address: Credit Card Type VISA MC TYPE OF WORK. Residential New Constr Re -roof Multi- family Addition Move Commercial Remodel XDemolition fd` Repair Sign BRIEF DESCRIPTION OF THE PROJECT f lis Pe L° CA) i flac 1S N ti it Lfrrsiii t^...,-- i /.'at rt COMMERCIAL/RESIDENTIAL. Occupancy Group ,t-V P Occupant Load. UM Construction Type: p f} Existmg Sq Ft. MOCK Proposed Sq Ft. TOTAL Sq Ft. /v 0 Total lot coverage Ind A No. of Stories: JjLot Size: PLANNING USE ONLY BUILDING 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 State License City Stove Garage Deck Other City. S17,F/VALUATION LI t lt-911 /SF 'r'7 /SF SF /SF ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone Phone Phone ff c Exp 1 A-_ Subdivision. Exp. Date: TOTAL VALUATION FOR OFFICIAL USE ONLY Date Rec. e d c Permit 0 69 0 Date Approved. Date Issued. 'yq Zip X36:L_ Phone Zip Q. g.3 6 ZONING crc APPROVALS. PLAN BLDG DPWU FIRE. 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 R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 1 hereby certify that I have read and examined this application and know the same to be true and correct. 1 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. TARVESS\BLDG- forms brochures \2003- Buildingpermit.wpd Applicant: -E_ f Date: �0a ^0 ANGELES MILLWORK LUMBER CO. INC 1641 S 'C' St. Port Angeles, WA 98363 Bus. 457 -8581 FAX 457 -8896 CS Divisions of LUMBER TRADERS, INC. HARTNAGEL BUILDING SUPPLY INC 833 E. Front St. Port Angeles, WA 98362 Bus. 452 -8933 FAX 452 -8943 FREE ES TI Mil TES FREE DELIVER Y if pORT ~ $....O~~~ rea "-~ ~ ~IC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 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 04-00000654 Date .771378 1305 E 4TH ST 06-30-00-9-1-0110-0000- ELECTRICAL ONLY 7/29/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor SMITH, PATRICIA 1305 E 4TH ST PORT ANGELES ( 36) 452-8850 WA 983624705 DAVE'S HEATING & COOLING PO BOX 413 PORT ANGELES WA 98363 (360) 452-0939 Permit Additional desc Sub Contractor permi t Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 200ASER+200A. FEED-EL.SERVICE ELECTRIC SERVICE 102.10 Plan Check Fee 7/29/04 Valuation 1/26/05 .00 o '-. ~ C) l1\ Qty Unit Charge Per 1.00 78.7000 ECH EL-RM-0-200 1ST SRV FEEDER 1.00 23.4000 ECH EL-RM-0-200 ADD SRV FEEDER Extension 78.70 23.40 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 102.10 102.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 102.10 102.10 .00 .00 ~ .. 1i tI\ 1 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:\PLANNINGIFORMS\1102.15 [11/1412003] 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 YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AI~ SEAL I WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUP ANCY/USE RESIDENTIAL , DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 11I-/O-nL) J n ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW I ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING --- T:IPLANNING\FORMSII102.15 [11/14/2003] ~ pORT ~ ~...O~~~ ~r.~ "=..-- ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 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 04-00000654 Date .7713 78 1305 E 4TH ST 06-30-00-9-1-0110-0000- ELECTRICAL ONLY 7/29/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor SMITH, PATRICIA 1305 E 4TH ST PORT ANGELES ( 36) 452-8850 WA 983624705 DAVE'S HEATING & COOLING PO BOX 413 PORT ANGELES WA 98363 (360) 452-0939 Permit Additional Permit Fee Issue Date Expiration ELECTRICAL ALTER RESIDENTIAL desc T-STAT/DAVE'S HEATING 36.40 Plan Check 7/29/04 Valuation Date 1/26/05 - Fee .00 o ul o ", Qty 1. 00 Unit Charge Per 36.4000 ECH EL-LVT-FIRST THERMOSTAT Extension 36.40 \ Fee sununary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 36.40 36.40 .00 Plan Check Total .00 .00 .00 Grand Total 36.40 36.40 .00 Due .00 .00 .00 ~ ...E:. q. ~l . 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 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDlNG 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 YES NO 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 W ALLIHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHJMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEP ARA TE PERMIT #'5 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 U.ID.~ IJfIJ- ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/1412003] ~ 'PORT ~ $~O~~~ rea "'-~ ~ 'tii-;-v;;i:P CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000362 Date .951344 1305 E 4TH ST 06-30-00-9-1-0110-0000- ELECTRICAL ONLY 5/04/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor RICHERZHAGEN JUDITH A ~305 E 4TH ST PORT ANGELES WA 983624705 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 ---------------------------------------------------------------------------- Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE TEMP SERVICE ELECTRIC SERVICE 40.90 Plan Check Fee 5/04/04 Valuation 10/31/04 .00 o ~\~. ~. ('.. -:i0 ~~ ~~ R' ~ ~. ~~ ~ ~, Qty Unit Charge Per 1.00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40.90 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.90 40.90 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 40.90 40.90 .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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/14/2003] \ BUILDING PERMIT INSPECTION RECORD CALL 4]7-48]5 FOR BUILDING INSPECT]ONS. CALL 417-4735 FOR ELECTR]CAL ]NSPECTIONS. PLEASE PROVIDE A M]N]MUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERM]T CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I 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 DRYW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEA T PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 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 '1ft!) ft,</ L+'T 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 BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] tt''''''' ...'" ',,<:" (.At' l/l if' "'- 'tiic , CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 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 04-00000627 Date .877288 1305 E 4TH ST 06-30-00-9-1-0110-0000- MECHANICAL PERMIT 7/22/04 RS7 RESDNTL SINGLE FAMILY 7350 . Owner Contractor SMITH, PATRICIA "1305 E 4TH ST PORT ANGELES (360) 452-8850 WA 983624705 DAVE'S HEATING & COOLING PO BOX 413 PORT ANGELES WA 98363 (360) 452-0939 ----~'----------------------------------------------------------------------- Permit . . . . 'Additional desc Permit Fee Issue Date Bxpiration Date MECHANICAL PERMIT FURNACE, DUCTS, HEAT PUMP 61.70 Plan Check Fee 7/22/04 Valuation 1/19/05 .00 o Qty Unit Charge Per Extension 47.00 14.70 - BASE FEE 1.00 14.7000 ECH ME- INSTALL 100- FAU Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 61.70 61.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 61.70 61.70 .00 .00 vj ~ (f' \ ", -J:: ':t .....) (f:j ':i Sepa'" Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null a.void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a ~d of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspecton. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws a",ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presu,,", to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construCtion. SignatuM of Contractor or Authorized Agent OIJ FI Lr:= Date Signature of Owner (if owner is builder) Date T:\PLA~G\FORMSIJ 102.15 [11/\4/2003] ~ BUILDING PERMIT INSPECTION RECORD CALL 4] 7-4815 FOR BUILDING INSPECT]ONS. CALL 4] 7-4735 FOR ELECTRICAL ]NSPECTIONS. 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 I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEA T PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS /1- n I- .., J DIl PW UTILITIES 1 SITE WORK (Engineering Division) I SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTlNG 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. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 //-/D-D'-/ gk BUILDING T:\PLANNING\FORMS\1 102.15 [11114/2003] t?ob /~--.Jt?a.S z.-.- .~ROM :Dave's Hea~ing & Cooling Srvc FAX NO. :13604520939 Jul. 20 2004 07:58AM Pi ~L.Jr'7-LJ"J I .',. pClIIIr~ BUILDING PERMIT - APPLICATION Yd. out COMPLETELY and in INK. Your application and .ite plan MUST BE COMPLETE to bp. acc.epted for review. If you have any question., call (360) 417-4815 FOR OI'FIClAL USE ONL Y: Dale Rec: 7-Z0...otf . Pennil 1#..6 'f - b Z '( Date Approved: Dafc: Issued: ArchitectlEngineer: _____00___.. .{)o..ve.\s .fi~Cl..+t~"" '7\ ~ Contractor Cooli"'ll S~I~,-::17\c:..- Address; fo. &x. L( ('3 PROJECf ADDRESS: { 305 LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Applicant or Agent:j)~\le.ls /-ka..41''''?J <>I- cPo I i "'~ 5e.vv t' ~ ~Ph()ne: ~5:J.-o q 39 o L '+' ~ Ybl -crn:1.. Phone: 4f5~~~~6D Owner:_\ 0.....,..- -S V'V'- \ V'\ Addrcss:-.J 306 .f:'c:ts{- 'ft:b- Sfre.e.-+City: fJo.,,-..f- ~(c...c.JA Zip: "'7'83("~ Phone: .----. :PAV~6'HC.crcrIKc.. - State LIcense #: Exp: $(~s Phone: o/S~o'139 City; P6r~ k~~ c.uA Zip: er 8~ G~s..j- '-(-th 5+Y-e-€--f Po-r-+- A,,~\.st.s ZONING: Block: Subdivision: Credit Card Hokler Name: e.et",V'\,.2.... P. IUlIiDI Acldr..: P. c. .aD)(' q t 3 Credit CardType VISA V MC TYPE OF WORK: orRc.idential 0 NewConatr. 0 Re~roof 0 Stove o Multi-family 0 Addition 0 Move 0 Garage o Commercial rw'Remodcl 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OJ<' THE PROJECT: ~ c..+ ~ ov~ ' WI'~ e.Je.C:;hrI'~ ~Yn.Cl,,<LlL ci-, ~ fu..VY1 f COMMERClALlRESIDENTIAL: Occupancy Group~ Occupant Load: No. ofStaric.: _ Lot Size: Exi.ting Sq. Ft. '" Proposed Sq. Ft Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage # - QtHG.-(.s. City: co " SIZEN ALUATION: __SF.@$ ISF.-S SF. @$ ISF. - $ SF. @ S ISF. ... S TOTAL VALUATION $ 7.;: ~C> i-", s..t-~.d' 0...\. 6 V\ en CiJ'-I Construction Type; = TOTAL Sq.Ft. % APPROVALS: PLAN: BLDG: DPWU: nu: OTHER:_ PLANNING USE ONLY: ESAlWedand(s): 0 Yes 0 No SEPA Checklislrequired? 0 Yes 0 No Other: BUILDING PERMIT APPUCA nON SUBMITTAL: The Building Division can provide you with information on the application au plan submittal requiremeocs if you have questions. V ALVA nON OF CON~TRVCTJON: In all cases, a valuation amount must be entered by the applicant This figure will be reviewe and may be revised h current fee schedules. Contact the Pennit Coordinator at 417-4815 for assistancl PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the lime the building pennit application and construction plans III submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Uno permit is issued within 180 days of the date ofapplication, the application will espire. Th 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 ( the Uniform Building Code, current edition). N(I application can be extended moTe than once. I hereby certify that' have read and examined this application and know the same to be trw and correct. I am .uthorized to apply for this perrn;t iITl lIIIdMtIIndlllat, Is my _sib/Iify to _. ."., pemlifs ... """r.\nal ~.. and ~ obIoin such _ pt/ortoWOlt. T:\FORMS\Af'PS\Buildinapcrmit.wpd Applicant. ~ LOt Date: 7/ ~o /o~ 3: >-l 'tl ::;:;;~8~ (')'tl OJ .., ~ H~ '" 'U 'U~ZZt::l >-lOj '- t"i()tIjl-3::tl ..,'U {fJ "" Oj~~Oj ;I> 0 0 ... ZI:" ;I>{fJ O~ f-' @. 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(')0 0 ro OJ OJ OJ ;1>0 I:" '" (') (fJ{fJ 1:"0 Z ;:l :.: c::(') , 8. ~ I:"~ 'U Gl >-lH OJ ro H {fJ'O ~ (') (') '->-l 3: 0 ;I> (')H H H 3: I:" 00 >-l , HZ 3: 3:Z Z{fJ OJ t::l 3: (fJ'U Z c:: OJ 'UOj >-l (') Z OJ(') {fJ "'>-l >-l (')>-l "'{fJ {fJ >-lH ~ H 00 , ~z t::l 0 '" '-o>-l Z " ~8 0 H 'U'U{fJ >-l 88g Oj~ OJ {fJOj {fJ ZZt::l >-l OjOjH I:" <: I:" H OJ '^' '^' ~ "'''' I:" 00 .., "'''' "'''' "'''' , , 000 00'" "''^' 0'" t::l'U ;1>;1> >-lGl OJ OJ " '- '" '" '- 0 "'''' e ~~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ELECTRICAL PERMIT Issued: 10/04/96 Permit No: 5679 OWNER/APPLICANT------------------------PROPERTY .LOCATION------------------------ MARK STRAUAL 1305 4TH ST E 1305 E. 4TH ST Lot: 10 Port Angeles, WA 98362 Block: 3 Long Legal: 360/452-7174 Sub: lutz of sl 17 T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 , 000/000-0000 PROJECT INFO---------------------------------------------------_________________ prj Type: RES. MISC. prj Value: $0.00 Occ Type: Cnstr Type: SERVICE CHANGE Occ Grp: Occ Load: Land Use: rs7 Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 120,240 Furnace KW: 0 X Overhead Service Diameter: X-1 -3 Heat Pump KW: 0 Underground Service Service Size: 200 AMPS X Fan/Wall KW: 12 Temp Service Feeder Size: 0 AMPS PROJECT NOTES--------------------------------------------------------___________ change service/add 12kw-fan heat PROJECT FEES ASSESSMENT--------------------------------------------_____________ Service: $50.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $50.00 $50.00 --------------------------------- --------------------------------- TOTAL FEE: $50.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVE1/, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO DITCH R~~~.1-lN I L-vvt'.R , I E /tl//tl/tIJ 7i1fl<1 r r FINAL I/tl/I'I/fh 1/t1U<v I , GENERAL COMMENTS, PW.II02.l'!<V96] FROM : ,~~ . 'U U (iMr~.. ~'Vi 6; .._'~ r;;;;; '1~ . "V \ FRX NO, Jul, 21 2004 12:28PM Pi ELECTRICAL PERMIT APPLICATION FO~ nf1:ICJ...L US! n"t:_.~ D.tdk=~' ....___. ..,'_ J'enn/.., ___.___ D:IUApptGYood,_._.... D:n,l~ell' _..~~~._____ The E.lectrical Permit Application muse b. f!ll&d out co'nolet8Iv. Phrase type or reprint in Ink. If you have enyquestions, pleas. call (360) 417-4735 Fill< numbor: (3801417-4711 C)/I-~JL/ tV. iZ-C, Billing Address: Owner or Bee_ conlr.et"(,Arn<; ,~ \ <> <' 1: r I (, ~(V; U- I f he... Phon.: Property 0..'010" t:n..1:i1{' --l '^ , J f'I'r\ .f~ - b Mo.e.", 1..3..-~ L.), 4.... Ci'>" Ill} EI.ctr1C.lco"tr.elor;_~\'Or;\-n'c rr:::!lIVio..-, 1flr_ Uconsel/: ~~;~El<jl: Adoro..~ D.~~. V 4. ['-1 tal City Pod An 3L-I<!s INSTA~LA1'QN WIRED BY: 0 QWNE" ~E'..ECTRICAL CONTRACTOR , Ci~~ Exp. Da18: ~ L.[t",-I UuJllC / (Q:. Alteration/Addition n Commercial CJ Mobile Home Sq. Fl "16 '1-(1 'f2"*'ax: '1 '5 ';).. - ~ I-{ '2 'i Phone: Zip: CZ 6 3 (/:, 2....- q /1'1/~ PhOrI8:'i'5~~b"':J.f . Zip: Cjg:3 "'2 CTedil Card Holder Name: Zip: \fISA~ Me: CTBdl1 Card Number: 1306 Do TO fllZt- PROJECT ADDRESS: TYPE OF WORK: Check ell that apply: o New ~Rasidenllal Q Multi-family i:J Remote Meter Cl Detached garege U Hot Tub 0 Swim Pool o Septic Pump o Low Voltage [j Telecom. o Sign Number of Circuits added or eltered: ')fl ~_ ~ or(' eAA }') rt '~ I T\~ l e,.c (2Y/-"fl%- ,~'lrlJ~ ..t-- ~<D /J ~D --r~ cUr , DESCRlPllON OF THE ELECTRICAL PROJECT: Electric,,' Heat Load Additions and or Subtractions Service Informallon ~ Baseboard =:; Furnace o Heat Pump o Fa~Wall _KW ~N_.. LRA KIN Xl Overhead Servloe Memp Service [) Underground Service Voltage: Phase: ~1 0 3 Sarvice Size: ~O,q.. Feeder Slze:--20...b P ~ Credit Card Holder's Signature: o V.~ ) ^' \\J -\pwnilr or Elec_ Cont. Signature; /JO,\ \~ . ~:IE LEc.."TRIC/>,lPERMI1'APPl'CA TIQN I hereby certify that I have read and examined this applicatIon and know that same to be true and correct, and I am authorized to apply for this permit I understand it is not the Cfty's legal responsibility to determine what permits are requirsd; ft remains the applicants responSibility 10 determine what permits are required and to obtain ,such, i:1~~ ::'= PERMIT FEE: $. 7B. 70 I~ ;3 .~o t~ dC;V -;PsL~ --.--..-- -~_.~- / /);0 lOLl ftMkL- /tJ;z /cJ - FROM :Dave's Heating & Cooling Srvc FAX NO. :13604520939 _'_:~ ;I.'~. ~ I .' ,~.i'~ t..jll 13 :'''1 !'LU\; vcrt .~, J'i.", 'l: ,.. Jul. 20 2004 07:56AM Pi , ~ s ELECTRICAL PERMIT APPL/CA liON ~ --------- ,..QR.OPPlOA,L.USUOlolL'r P.....L., ___"__ P_1U. ________.__..m . tbk"PJ"..u:_ I OIL_ laI~"; ---: otJ -6S-r TI'lB EI,u:t~C8i P&rJTIit Appllclltion muct be flUid oul COPIIDlltalV. PI.ou tyPIl O~ reprint in Ink.. lI)ff;Ju hIlw_'\V4ir..leIo1iQl1l5, plHM.. (380) 417..135 Pa number: (380)417004711 .1'\ 11 .. . . .::>e.-:::\JI'CQ..,-:::rn~ Owno,o,EIo..Contnoot.llfAuonl:.r..V-all.e.lS nea.-I:\I-'\-'lT "1-(,:.0\"':0. .pnon.:~..Dcr.3'r Fax: ~"'POll)~: Po..lr ~th_i+h . co..U. L.{bl-1'i1'ii'~ .Phone: Add..." /305 6",,:~A~ Siy-ee..-\-._Cily:_ Pc..d:....~~:;",__ "'--'A- u I . _I :s:;z.,..,,',....., =-'- PAIl'lOSHC'l<J I KC, -I EI.wtcoICOlltroDtor.~ve.15 -f{e<"-""'D -..-~~_ u..n..tl'; Elcp: 5/05 .......""'_l O. kK ~/ 3 Clly.. lor..f-.4-r>r ( Q "' ~ l>lSTAI.l.ATlON~JIREDBY: oOWl<E.R ~cTRlcAlcomAACTc:m - .... ---- '-'-'.. CntIitCarrlHo/derNama; ",'Je,q,.,..,.e.. I O/d-€.hlsamf- .J::b.v-e'::;' H-e.a.+'~(J Sll1lngAdrJl8SSI: fo.i5o.k. ~'5 __ctly: jJ6y..r~~: ~ Zip: 988(,;;;,.. CrarDICllnlNumber. .,Exp, Dete: . VISA: ....-/-MC:_ PltOJI!C:TADPRI!SS: /365 b<tS-f-' L(f:h 5-iree..-f / . /:'y-rAnCCP(O${ WA cr8'a(,~ TYPE O~ WORK: Chl!lCk ill! thai apply: [J NIIW (!(A1teralionlAlldnion '. "f5~-O<J39 ~:::1-X'g56 "lJP: .::t.J.36 d -: -'YS:::>_o"1"'l7' ZIp: 'ftr3b:d- I!'l"Reald""t181 0 Multi-family o Commerc~1 0 Mobile Home Sq.Ft o Remote Mel8' 0 O_lId gar91J1l 0 MOl Tub 0 Swim Pool 0 Septic Pump NumW of Clrculta .dd~ or alloorod: urCow VoltBge 0 Telecom. 0 S,g, ~O~WI''''c.. DeSCRIPTION 01' TMI ELETRlCAL PRO.JiCT:. -------..- -----roo ".J E!eclrlcal ~~';~~;~~-;;-~~:;;:;~'I~'''n8 - ,\. ,-'V'"'\- ----.. . ". ~~ . [:1 B_bOllI'll _ KW ~I ,- :rl\lll1llce .JP KW , 0 Overhead Sen.lce 19'fj181 Pu"" ..2. T~~ l.RA 0 "emp Servlce o Fan-Wall _KW ;J Undelgrounc S&l\'ice S.rvlCIIl Inform.Uo" Volllilla: Ph-= 01 03 Servloa SI>.e: Feeder Si;to: ft ~5Jor o~ ~ J \~ ~\O<-\ Jj "\~ PERMIT FEE: $-35~o .. " 3fo. Yo ;:JELECTRlCAI.PEIUAITIIPPUC... nON ! , F.ROI1: 11 G.1J ,.,.o~'~~.~<. t '~.. \v. ~1i 'f! . .'" . FRX NO. Rpr. 28 2004 07:3iRM Pi , ELECTRICAL PERMIT APPLICATION PO~ OPPI":I."I, USE ONLY OIII.~<<:._......._..._ rlJm1l" u,:e Apprgvcd: ~~_~',.,,_. Oltl;ba..tll The Electrical Permit Application MlJst be fUled o\Jt comDletel.... Plaasa typo or reprint In Ink. If you h.... any quesUClns. preas. eel! (360) 417-4735 Fa. numbor: (360) 417-4711 tJ/f-36z.- ~- A I E L,_Al:~ ~-fi"'. '1,. Ph""", l..tSJ-G,4~ax:_I-J.~"'1.-~'+"'::LtJ ownero'Elec.~nlr.e~ gon:~._;d.- _=_!o!!.. ~ -- --~ ~----T propertyowne,. "''''~V-''''L.. _ . - '\1 fa~' Phono: Iuld<e..; \ ~0'5'" L I CIty: ~ _ ~I_ 1 . C.~' ~~ Eleetrteal COnlr3Clor~J.$L..1 h.t.- . Uce"".8#: '"3:-1:I~'2on1"P: Address: &').. D....-"-p.t~ VallLy ~CIIy:_PII..+ J1-n~l~ INSTAL-LA TION WIRED BV; LJ OWNER ~CAL CONTRACTOR Zip: c:fY3 '-2- " ) I '1/05' Phone 'i '5 L" CiH"l4. . W(T Zlo: q I< '3 ".., Billing Address: CredIt Card Number; O~ ~ Credit Card Holder Name: Exp. Date: Zip; V1SA:_ MC: PROJECT ADDRESS: ) 30S' L /jI::5 cST, Check.!ill that apply: 0 New o Alteration/Addition C Multi-family Ci Commercial CJ Mobile Home Sq. 1"1 o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump Number of Circuits added or altered: n Low Voltage 0 Telecom. Q Sign "':t .L-.J2#-- ." - ] - . F:r-e J>a.IM..O-SQ.J, ~(d~c DESCRIPTION OF THE ELeCTRICAL PROJECT: Electrical Heat Load Additions and or Subtractions 4~ Service Information o Baseboard o Fumece Cl Heat Pump CJ Fan-Wall _KW KW TON LRA KW'- o Overhead Service o Temp Service ~ J Undorground SerYice Voltage: ~V'f<> Phase: n 3 Service Size: .L~ Feeder SIZe: ::IELECTRICALPERMIT APPL/CA liON / hereby cerlify that i have read and examined Ihis application and know that same to be true and correct. and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits Bi:e.'!'qUiref.;',it remains the applicants responsibility to determine what ~ermits are required and to obtain such. o/fi!l,l~ . C"''',""Ho''.'..._re'~".~ D.~, '1M ." I . f) Owner or Elee. Cant. SIgnature: . . .... _ Date: ~/ 2--<:[" Ai rfffitX..L.-J ~\oZ~'k-o - Nl G~\.:f'{;c-+ 'f ~~ec.."J t/nc...,-,p , Oh.-~ l-<;~ ~PERMITFEE:$ 9'c .7'1' ;t@ ~~yI