HomeMy WebLinkAbout1425 W 7th St - Building
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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
04-00000319 Date
.996722
1425 W 7TH ST
06-30-00-0-1-5267-0000-
RES ADDITION
RS7 RESDNTL SINGLE FAMILY
25000
Owner
Contractor
SCHROEDER, JANICE L.
1425 WEST 7TH STREET
PORT ANGELES
(360) 452-9430
Structure Information
Construction Type
Occupancy Type
Other struct info
COZI HOMES
324 E 9TH ST
PORT ANGELES
(360) 452-9906
241.E SF ADDITION
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
WA 98363
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
1-4 CIRCUITS/ BEDROOM
ELECTRIC SERVICE
46.70 Plan Check Fee
6/20/04 valuation
12/17/04
Qty Unit Charge Per
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS
6/20/04
WA 98362
29.90
..........
~
~
V-N
1. 00
1851. 00
7000.00
241.50
2093.00
1. 00
~
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Extension
46.70
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Site is located in the RS-7 zone. The project will add
241.54 square feet to an existing residence for a total
lot coverage of 1852squarefeet or 30% lot coverage. No land
use issues are noted. Setbacks are good.
Electrical load calculations and elctrical permits are
required.
Other Fees
STATE SURCHARGE
~
,\
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 51.20 51.20 .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
T:\PLANNJNG\FORMS\1102.15 [11/14/2003]
Signature of Owner (if owner is builder)
Date
,---
--- - - ---- -- - .-.---
CALL 417-4815 FOR B:::::~:S::=.I::~~~7T::~F::::RJCAL 1NSPECT10N~---~
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
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN (g ~ 1<' -/) c..f .k'--JI
"
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
DR YW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHJMNEY
HOOD / DUCTS
PW UTILITlES/ 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 ?181o~ Jf{) ELECTRICAL
LIGHT DEPT
/ / , ~.
CONSTRUCTION R.W. / PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNINGIFORMS\1102.15 [11/14/2003]
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erry OF PORT ANGELES
DEP ARTMENT 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
04-00000319 Date
.996722
1425 W 7TH ST
06-30-00-0-1-5267-0000-
RES ADDITION
4/27/04
RS7 RESDNTL SINGLE FAMILY
25000
Owner
Contractor
29.90
~
,
to
SCHROEDER, JANICE L.
1425 WEST 7TH STREET
PORT ANGELES
(360) 452-9430
Structure Information
Construction Type
Occupancy Type
Other struct info
WA 98363
COZI HOMES
324 E 9TH ST
PORT ANGELES
(360) 452-9906
241.E SF ADDITION
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
WA 98362
V-N
1. 00
1851.00
7000.00
241.50
2093.00
1. 00
_.
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'1?
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-------------------.---------------------------------------------------------
permi t BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 414.75 Plan Check Fee 165.90
Issue Date 4/27/04 Valuation 25000
Expiration Date 10/24/04
Qty Unit. Charge Per Extension
BASE FEE 92.75
23.00 14.0000 THOU BL-2001-25K (14 PER K) 322.00
----------------------------------------------------------------------------
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Site is located in the RS-7 zone. The project will add
241.54 square feet to an existing residence for a total
lot coverage of 1852squarefeet or 30% lot coverage. No land
use issues are noted. Setbacks are good.
Electrical load calculations and elctrical permits are
required.
Other Fees
STATE SURCHARGE
4.50
~"'J
~?
~
~
\'
----------------------------------------------------------------------------
Fee summary Charged Paid Credi ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 414.75 414.75 .00 .00
Plan Check Total 165.90 165.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 585.15 585.15 .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 cons~tion or the perf~mance of
construction. / /1 // \
~\ ',.~~ .~ / /{ --.J L 2 -, ()
/ ,; /./. /1 /(){J../-~ -'
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is build r) Date
T:IPLANNINGIFORMSII 102.15 [11114/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4 I 7-4735 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.
I
INSPECTION TYPE
DATE
ACCEPTED
YES NO
COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUND A TlON DRAINAGE/DOWN SPOUTS
1K-'A.1-DH
L~- ::+7 - OJ-I
Ill,
kJ'J..1
ELECTRICAL
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB ..
ROUGH-IN ... .....
WATER LINE (METEP. ~~,W-DG)
GAS LINE
(LIGHT ~PT) SEPARATE PERMIT: #
"""....
I
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
,
" ""Ii
(,~- }17 -O;.J .J.)"~
I
FRAMING .'
JOISTS / GIRDERS i}'...
SHEAR W ALLlHOLI1Dg.wN~
WALLS/ROOF/C~~~
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
-C,-I'7-tJH J,l.
I
I
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
SEPA:
ESA:
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 ij' - r:. () ...J J j)..r BUILDING
T:\PLANNINGIFORMSI1102.15 [1111412003]
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date C; - I g - 0 I-f
Time <t
I), 11'1.
Received by S-p~
<<\
F.n.. e)person)
..../../
....~--"
rIP>
of- C:05 I J-lo /n ~..
Phone No. J.j f,O --0636
Permit No. CP ~ - ") I q
I
Sewer Fo,undation Framing Chimney Plumbing Final Sewer Excav. Other ,
l)JoulcL. (iILe.... &oyLlj j.'J,1()t'yjll~(1. In5j1-ec;.fror1 ,$./VlC~ )'1SvlcA..fc;r)'
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INSPECTION NOTES: .' . . . / ',' ~. .,' . "
,S/Jp-€ r roc...J::-ercy lvi II he <.~'foY+P,~ Q",..,Y cL.!4-
Inspected: Date Time By ( (. C/
Remarks:
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
11~ LV
J<~V\
RESTORATION REQUIRED. . . . .. YES NO
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
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D Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, calI
PERMITS (360) 417-4815 FAX(360)417-4711
FOR OFFIClAL USE ONLY:
Dale Rcc. 'i-II./-ot/
Permit # C-l{ -- 31 c:r
DaleAPp~
Date Issued:
BUILDING PERMIT - APPLICATION
Owner:
Phone:
L. Phone:
YOrl- /f~~ks
y 5 ;)c- 7 ~() h
4 5?- 91{ ?,()
Zip: / g.~b ~
Address:
eity:
Architect/Engineer:
Contractor C 0 71
Phone:
..--
Address:
3;;Jy
State License #: ~ Rlc Exp:
City: p A
-r--
Phone: \.(5d .- 9~~
Zip: '7' w;] E:- '2-.
ZONING:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
~Residential 0 New Constr. 0 Re-roof
o Multi-family ~ Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
A d.,L i-h c--,.)
SIZEN ALUATION:
.2 '-II. S- SF. @ $ /SF. = $ 0-5)000
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
-fa G';.<C tS+ JUYV s-e..
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Constmction Type:
No. of Stories: _ Lot Size: ]dDO Existing C:n H't /g51.. q- & Proposed Sq. Ftd41..5 = TOTAL Sq. Ft.,;J..D "3,.3 'Y
Total lot coverage ~ 9~ %
ESA/W etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with infonnation 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 CUlTent fee schedules. Contact the Pennit 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: Ifno 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, CUlTent 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
undecstand that' is my responsibilffy to determine what perm's are required, nol Ihe City's, and that I must obtain such permits prior '~ ~
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
pp ~cat~on Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000048 Date
1425 W 7TH ST
06-30-00-0-1-5267-0000-
ELECTRICAL ONLY
1/23/04
1
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
SCHROEDER, JANICE L.
1425 w 7TH ST.
PORT ANGELES WA 98363
(360) 452-9430
OWNER
----------------------------------------------------------------------------
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit Fee 76.30 Plan Check Fee
Issue Date 1/23/04 Valuation
Expiration Date 7/21/04
.00
o
"
~~,
~'\
~t
~~
~\~
~~
~-l
Qty unit Charge Per
1.00 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER
Extension
76.30
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 76.30 76.30 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 76.30 76.30 .00 .00
~
C)
~
~
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 r~a~ and examined this application and know the same to be true and correct. All provisions of
laws and ordinances g9verning this type' of ,+,ork will be complied with whether specified herein or not. The granting of a permit does not
~ ~'ve .7rity to v'Vcel the pmvlslons of any state 0' local law mgulating construction 0' the pe"o,mance ot
. ..'. ,/ ,/ .If 1/"'/1 ( I ;Z(/ 0 rj
Signature of ntra tor or AUttioriz ent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\I102.15 [11114/2003]
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: # I
ROUGH-IN '2./IGI/OI/ A"U ) I
PLUMBING I
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKINGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIVSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
417-4735 I I /ifIJ ELECTRICAL
ELECTRICAL. LIGHT DEPT. ,'j /j P /,) 1/ LIGHT DEPT
CONSTRUCTION R. W. 1 PW 1 / / CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:IPLANNINGIFORMSI1102.15 [lllI4/20OJ]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DWISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
App11cation descr1pt1on
Subdivis10n Name
Property Use
Property Zoning . . .
Application valuation
04-00000775 Date
.819200
1425 W 7TH ST
06-30-00-0-1-5267-0000-
MECHANICAL APPL. PERMIT
9/01/04
RS7 RESDNTL SINGLE FAMILY
7000
Owner
Contractor
EXPIRED
~/z/o(
SCHROEDER, JANICE L.
1425 WEST 7TH STREET
PORT ANGELES WA 98363
( 36) 452-9430
PA SWIMMING HOLE & FIREPLACE S
518 W 8TH ST
PORT ANGELES WA 98362
(360) 565-1163
Permit
Additional desc
Perm1t Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
1-F/P INSERT&l-F/
57.65
9/01/04
3/01/05
STAND STOVE
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
47.00
10.65
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand ' Total 57.65 57.65 .00 .00
..:r:
~
t,
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~
to
"":i
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate and public improvements. This permit becomes
null and void if work or construction authorized IS not commenced wlthm 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 complied with whether specified herem 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 regulatmg construction or the performance of
construction.
oIU FIG (:;-
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T \PLANNlNG\FORMS\1102 15 (11/14/2003]
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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND A CCEPTED. 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
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 I
AIR SEAL I
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS ,
WALLS / ROOF / CEILING
DRYW ALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE Cf-3-cH J J.-l---
WOOD STOVE / PELLET / CHJMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISion) SEP ARA TE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKINGfLlGHTlNG 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
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T IPLANNINGIFORMSII102 15 [11/14/20031
#
BUILDING PERMIT ~ APPLICATION
FII~: ()HIt'I.".1. liSl. O~I.)'
1>.lI~ I~,... 'dv3t....ol/
1"'I1M;' '. lJ!L -:?2S
Fill (Jul ('OI\1PLE'l EL Y and ill IN K. Your :lppUcatioll .Uld site l'h\Jl MUST BE
COl\lPLETl<: to he an:epttd for review. Ifyuu h:.lvc an)' questions, call
(360, 417-481 S
DaIL' AflPrllWU._
DalL b~l\cJ
.J
Appli~ilnt Or /\g,l:.nl..cfd..~_._J.{l}j~_________ Pbone. . S-6~-1 /63
owner:..~k..c::.~~,~cLt~d~ _ Phone: Elf) ~ -C;q:s 6
Addrt:s~: )1{::l.b' ..1!2-2~ Clly:-E.e.~1=..~'eJe5 _,__Lip:_~~3
Archi\l!cl/EnginL'l:r'_~ Phone'
Contraclor PA 5LtJ}MM~/I t Wo/c St:He Lj(~en~e #:'(MW/S t.m~~ )~/?/t:6'" Phon~:~S-....)/~5
Address: STc6 ~ .q;~ Cny: "M Zip:. ~3iG...t
PROJECT ADl)lU~SS' /t{)..~ u) 76. ZONING:
LEGAL DESCRrPTION, Lot. Bluclc Subdivision:
CLALLAlVJ ColfNTY T'Al<.l.l~L NUlVU31~R: ~ c;OOC>O/ ,s-'C2~ "7tD~!.)cDC)_
Credit Card Holder "'~ml::
RUling AddreSS: _.__._
Credit CardType VISA Me __ #
TYPE OF WORK: SIZ~:/VAL(JATION:
o Rr"<:irlt-ntial 0 Nf'W (-Ilm,tr 0 'R"-rnnf ~IClV" ...." ((J) 'Ii ISF - ~
o Mulh-Janllly 0 Addltllll1 0 Move 0 Garag~ SF. @ $ /Sf ~'$
o Cornmerclal (J Rc:motltl 0 DemolItion 0 J)t:l:k , SF. @ $ (SF ::: $
o RLpaJl 0 Sign LJ Other , TOTAL VAL~~TION $ 7coO
BRIEf DE:C~P;~N D.;"" PROJECT ~~~~: (~u~::':J ~q+.-t~"'i: j"ctS-.f'lf ~
Uj)if1 L, I ~ qe4Sa.-u:;~ "i=,(?_ ~{iJ qf"lc:.~_ _ _ _I-'(+~.s:;.. "--'''''_'nM'~.~
COMMERCIALIRESnn:NTIAL: O':cLJpanl:Y (Iwup: (h'Cllp.llIl f,(J:.ld: _ Ct{n~tructJC)n l'ypc'_____
No, of Stones: i nt SI7C: Existlllg Sq Ft. & Propo!:ed Sq. Ft. =-= TOTAL Sq. Fr.
Existi.n~ tut l..ovt:l"'..1ge ___ % & Pruplll.cd IOl (OVt'lagc ~% "" Totalloll'ovcragc: 'X,
__ Cit~':_
.1!;xp. DatL:':
APPROVALS:
Pl.AN:
8LDG:
J)I)WfJ:
FIf(E:
()'I'll"~I~:__
'-.
PLANNING lJH(t~ ONI.Y:
- ------_._-~
US..6JWc:llllml(S)' 11 y~... LJ;...!" :-il- P i\ Chcck.last I'cqum;d'! 0 Ye) 0 No O(h~c
nr far ,nINe': PI(I~M IT .~ 1'1)1 If: .\TION ,\;[.1 Hl\l1TT A.L: The Dlllld1l1g Di"i...IUIl L'al\ plOvlde you \J, Itll 1Il101'l1l:ltml1 l)(1lh<: ,'pph~:.J11()1I and
pl.m SUbnlJttill (equin:HIClll~ il'YlllI have 4Ul:~lilln~:
VALUATION OF CONSTnUCTION r"..1I cas~s, ~, valuatiun alllOllllC rnu~t be I;!lItl:rcd by the appl1calK T!u~ ligUle: w1l1 hI: revl\:'weu
(!lld may be rcvbt:d by rill.: BUlllhng TJ J \'i:i10fl en cllnJply willI Clll'l'elH rh~ 5Cll(:L1llle~. l:ulHaL:llhc Pcrmll ('oLlrrlul.lrOr m 41 7-.....11 'i for .1~$I:.I.mc~.
l'LAN CHECK FEE' IF :J piau d),;ck fCll IS due It musl be subllllcted ar the lune tb~ building permil Jpp(i~a[i()n ~nd l'UIl.~lrucljon plall~ :m-
submitted. All other pt:rllll( J~<;:s ;~r<;: du~ :~I Iht.: 1m'll: or pennit !SSllal1C~.
EXPIRATiON 01<'IJ(,AN lu:vn;w: If no permlt.s IS$llCd within 180 tlltys urthc d.lle ofappJic:ltlull, the :lpph(':ltion will ~xpire. Tlte
UIlildUlg Official con C~[l'nU [he lJrl1l; 1"'1' :.ll:llllll by lhL' appUcant up l(l IRO ,hays llpUI1 Wl'lttel1 re~luc:;t by tht: ilppltL::llll (S\:LJ Sel:tiol\ 107.4 of
[h,; Uniforn'! BUIlding Code, ':1111'';:1\1 cditlLOIl), Nfl ;.ppl,.-:1110(1 ,(Ill b... ,xt...mkd llIOC... lhall om:....
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 pemllt and
understand that If IS my rC'sponslbrhty to drtormine what psrn7lts are required ,not the City's, and that I must obtain such permits prior to work
r IFOI<I'vl<;\M'I'SIALlIJdll';;P"O""1 "I\d
L\prli('ant _~ __'M_
nail"
E0 39'v'd
8313 dW'v'HS
6891Z:SP09E1
PS:E1 P00Z:/1E/80
PREPARED 9/03/04, 12:33 05
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER.
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
1425 W 7TH ST
PA SWIMMING HOLE & FIREPLACE S
SCHROEDER, JANICE L
06-30-00-0-1-5267-0000-
04-00000775 MECHANICAL APPL PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
SUBDIV
PHONE
PHONE
ME6 01 ~/ 3/04 'fL{) MECHANICAL GAS LINE
~ BRENDA 452-1689
------------------~------------------- COMMENTS AND NOTES
TIME
(360) 565-1163
( 36) 452-9430
17 00
PAGE
DATE
10
9/03/04
FROM :
b~
FRX NO.
Jun. 14 2004 11:41RM P1
~~
4.
If
~
ELECTRICAL PERMIT APPLICATION
FOJll OFAc:r~l.llSE ON.L:V
o..cI1l~: ___.,__
1'enr1i~ II;
DilCApprClvell:
IJate1:Jlld
rr.e Electrical ~ermit Application Jt1lJ!!It be filled out comgletelv.
Please type 0,. reprint 'n Ink, tfyou have any questions. please cull (360) 417-4735
Fax numbor: (360) 417.01711
tJi( -3/?
OW"8'or Elec. CO"lr.eIOrAgOnl~~~ :'f'lia, k- Phone; l.fS J-(LJ4~..; 15 '2:~'f':l~
Property Owne' ()~ 0 _ Phon.; f ~ 9~
Addr.,,_l Lrz..S UJ 7f'h City: ~vt ffJ1~~ ZIp; 9,3
Elecllical conlraCIOr~rL~ wvi ct 11 ~r - Ucense #; ~1: ~: q) I '1/05 Phone; Ii? '2 - ~~
Add,e..: 8'l- Dr:(A.p.-t~ Va It.; 'Rei C;ty:_PIl.....+ It...~\~ WI\- Zip: q fi'11n"J
INSTALLATION WIRED BY:
DOWNER
o ELECTRICAL CONTRACTOR
BJ/llng Add,ess:
Credit Card Number: .
()~
~
Credit Card Holder Name:
Exp. Date:
Zip:
V1SA:_ MC:
PROJECT ADDRESS:
[..0 '1 TV\..,
Ch eck ill that apply: J'\ New
D Multi-family [j Commercial
) L.j 7-S
X Alteration/Addition
:J Mobile Home SQ. Ft
TYPE OF WORK:
C Reslderltial
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
CI Low Voltage 0 Telecom. 0 Sign
Number 01 Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT:_~~"V O{') VY1 ~\ 0
'1
.
Electrical Heat Load Additions and or Subtractions
ServIce Information
o Baseboard
o Furnace
o Heet Pump
o Fan-Wall
_KW
KW
TON__ LRA
KW
o Overhead Service
Q Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service S~.:
Feeder Size: "--
I hereby certify that I have reaci anci examined this application and know that same to be trlle and correct. Bnd t am
iJUthorlzeci to apply for this permit. I understand it is not the City's tegat responsibility to determine what permIts
are r;:J}!1red; it remains the applicants responsibility to determine what permits are required and to obtaIn such.
~ ~' . c,.., c.",".,......."....... fi}I,.J rz DO<., (pr I'f/D'(
rtr: ~i . $ - n Owner or elec. Cant Signature: (d;;Ji;. __ Date: CoIILf.,hc..;
~" ~ It .
f;/I PERMIT FEE: $ Lj~ 7!J
::IElECTRICAlPER~I~A~PllCATION -
A1tJ 6)5/0f
ELECTRICAL PERMIT APPLICATION
FORomCiALUSEONLY .~
Dale/Rec: ,
f'ennit ~ '"
Dale Approved
Dale ISsued"
The Electrical Permit Application must be filled out completely.
\l> t\P
Please type or reprint in ink. If you have any questions, please call (3601417-4735
Fax number: (360) 417-4711
eLf. ~b
Owner or Elec. Contractor Agent: ~a...V\ ~ ( p
Property Owner: S'r2 /\/1( 0
Address_14-;;J,S- W.77!i.
L, S..-\., UJ e d'P ..
Phone3bQ- 'is;! -9 ./'10 Fax:
--
Phone:
Electrical Contractor: /J7~7 0
Ci~t ,411 YpJe5
License #;
Wa..
Zip:q R 3(", 3
Exp:
Phone:
Address:
City:
Zip:
INSTAllATION WIRED BY:
)otOWNER
o ELECTRICAL CONTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Credit Card Number:
Exp, Date:
VISA: MC:
PROJECT ADDRESS:
/4). $'
tV,
7d
S'f,
TYPE OF WORK:
Check.e!! that apply: 0 New
){l AlterationlAddition
9(Residential 0 Multi-family
o Commercial 0 Mobile Home
Sq. Ft
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0 Sign
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT: C-1/. . ..r-'
L, AA'-.J:::!d.7"Ej
~ /"
~ 6-of [ (J){VrrX i;; .Ao-k~ \~o~
,10f7 I1mt-g/} 1iA.-R~ 4
Electrical Heat Load Additions and or Subtractions
))1",L-< 6&A!'. A4 ~~pc:;, w/dL
. l
L.t:i4 o. /Clt;t;udp td-rif e i-J/ /Jr.-e4J
/
Service Information
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
KW
TON_LRA
KW
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
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 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:
oy ~~\,,:l;{ "., Coo, S;9"""~
~~/,/Z~~
Date:
Date:/ -,21- oEj"
,
C:/E lE CTR I CAlP ERMIT AP PLI CA TI ON
PERMIT FEE: $
7(P . '30
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