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HomeMy WebLinkAbout1215 W Hwy 101 #16 - Building "tW '\olr"'--; CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 911162 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000942 Date 12/22/04 .555278 1215 #16 W HWY 101 03-63-00-8-8-7160-0000- WELCOME INN TRAILER PARK RES MANUFACTURED HOME UNKNOWN 2910 Owner Contractor ------------------------ - - - - - - - - - - - - - - - - - - - - - - -- WA 98363 PREFERRED HOMES 61 HOUSE RD. SEQUIM (360) 808-1830 896 SF MANUFACTURED HOME TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS SERVICES WELCOME INN TRAILER PARK 1215 HWY 101 WEST PORT ANGELES (360) 457-1553 Structure Information Construction Type Occupancy Type Other struct info WA 98382 1. 00 1. 00 1. 00 1.00 1. 00 1. 00 ;:; ...... V\ ---------------------------------------------------------------------------- Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL MOBILE / FEEDER SHAMP ELECTRICAL 78.70 12/22/04 6/21/05 CONTRACTING Plan Check Fee valuation .00 o " t. Qty 1. 00 Unit Charge Per 78.7000 ECH EL-MANF HOME SERVICE & FEEDER Extension 78.70 " 'l. r ,. ~ ---------------------------------------------------------------------------- Special Notes and Comments Placement must maintain min. 14' clearance to other structures. The proposal will replace a trailer in an RTP with a 14' x 64 manu~actured home. A 20' separation between units is required. The site is 40' wide and 3700 sq. ft. in area. No land use issues are noted. ....... ~, " ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 '\ " ~ , Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Pe;:mit Fee Total 78.70 78.70 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 83.20 83.20 .00 .00 COMMENTS! ACTION NEEDED ELECTRICAL PERMIT INSPECnON RECORD 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 IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEcnON TYPE DATE I ACCEPTED COMMENTS YES NO IJI (:H U II I( TH-IN I CUVER ~t'..K V ILt'.. 1....N41 I j.. J. 1',.; I ,.1c-f..71 -......... GENERAL COMMENTS: PW-II02.U (4196) . fl"ORT~ t~O~~~ ha "- -==or ~ "t9l,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000942 .555278 1215 #16 W HWY 101 03-63-00-8-8-7160-0000- WELCOME INN TRAILER RES MANUFACTURED HOME Date 10/26/04 PARK ft~fvl rr ~Xr{~ 1 /? /6/ UNKNOWN 2910 Owner Contractor WELCOME INN TRAILER PARK 1215 HWY 101 WEST PORT ANGELES (360) 457-1553 Structure Information Construction Type Occupancy Type Other struct info WA 98363 PREFERRED HOMES 61 HOUSE RD. SEQUIM (360) 808-1830 896 SF MANUFACTURED HOME TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS SERVICES WA 98382 ;i 1. 00 1. 00 1. 00 1. 00 1. 00 1. 00 )0 _. \j) Permit Additional desc Permit Fee Issue Date Expiration Date BL MANUFACTURED HOME 896SF BROAM 1973 14X64 230.00 Plan Check 10/26/04 Valuation 4/25/05 ~ Fee .00 2910 -:z: ~ ~. Qty Unit Charge Per BASE FEE Extension 230.00 Special Notes and Comments Placement must maintain min. 14' clearance to other structures. The proposal will replace a trailer in an RTP with a 14' x 64 manufactured home. A 20' separation between units is required. The site is 40' wide and 3700 sq. ft. in area. No land use issues are noted. \) ~ Other Fees STATE SURCHARGE 4.50 {} Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 230.00 230.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 234.50 234.50 .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 ce' that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordjD es verhing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to' give u ority to violate or cancel the provisions of any state or local law regulating construction or the performance of constructon. -/ 161- 6-6/'/ Date Signature of Owner (if owner is builder) Date 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: ?jt.lc/.:../iieJJ:M/ Itb J 0 - J.-7 ...c<.t J.J. 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 I I I CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB I 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: PARKINGILIGHTING 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 BUILDING T.\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.:lD -11- G 4 ermit #: i)L-J - q 4 Z. ate Approved: loIIF,Io{ ate Issued: 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 Applicant or Agent: I))~ L com li"' jPAl Phone: RoN '157- /::J53 Owner: Phone: Address: /;lIS' tA), flwy let .Jllf.:, Oty: ~ ~ Zip: "/5'363 Architect/Engineer: Phone: Contractor ?-re..-\.e.o.e::J k~ S.'e.rlhI.Sfmaicense #: Exp: Phone: G,..e,q Dec..Ke...- Address:,) City: Zip: PROJECT ADDRESS: ~t As k&?f"IC:" ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Subdivision: V,N 9~L.20SI2~s:S2Y2 . / e. w :'dve... Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: D Residential D New Constr. D Re-roof D Multi-family D Addition D Move D Commercial D Remodel D Demolition D Repair D Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: SIZEN ALUATION: D Stove SF. @ $ ISF. = $ g 0 v6 D Garage SF. @ $ ISF. = $ I ~ tic Deck . SF. @ $ ISF. = $ ~ther.41&'SJLE'~OTAL VALT,JATION $ 000 EJ.t9C~ - t.~ -7/6 J.8<<9';u COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: Lot Size: Existing Sq. Ft. ~q ~ & Proposed Sq. Ft. Total lot coverage % Construction Type: = TOTAL Sq. Ft. f'lt? APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESNWetland(s): DYes D No SEPA Checklist required? DYes D 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. V ALUA TION 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: 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 RI05.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. Applicant: ,.,., a. authorized to apply for this permit and uta ain such permits prior to work. I hereby certify that I have read and examined this application and know the same to be true and understand that it is my responsibility to determine what permits are required ,not the City's, and T:\RVESS\BLDG- fonns-brochures\2003-Buildingpermit.wpd Date: I~-/~ to t" to >-l >-l ...; '0 ...... 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Application valuation 04-00000701 Date .200053 1215 #16 W HWY 101 03_63_00_8_8_7160-0000- DEMOLITION 8/09/04 UNKNOWN 4000 ~R'.V1 [1 pip 12ft:) ~/6ItG Contractor Owner ------------------------ ------------------------ HEDMAN EVELYN 877 N A-1A STE 1106 INDIANLANTIC FL 32903 GAGNON BUSHELLING 292 BISHOP RD PORT ANGELES (360) 928-2640 DEMO MANUFACTURED HOME TYPE V NON-RATED SINGLE FAM & CONGREGATES WA 98362 ---------------------------------------------------------------------------- Structure Information Construction Type . . . . occupancy Type . . . . . permit Additional desc Permit Fee Issue Date Expiration Date DEMOLITION DEMO MANUFACTURED 47.00 8/09/04 2/06/05 HOME Plan Check Fee Valuation .00 o ----- ~ '" '^' \ Qty Unit Charge Per BASE FEE Extension 47.00 ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary 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 ~ ~ ~ ~ ~ -....... ~ -....... Separate Permits are required for electrical work, SEP A, 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 ChZ~-1?~ F-?-t/ 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 BUILDING INSPECTJONS. 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 FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING T FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF 1 CEILING DR YW ALL (INTERIOR 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 1 SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/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 RW.I 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:IPLANNINGIFORMSI1102.15 [11/14/2003] 12/17/2004 14:34 FAX IaJ 002/002 , 'r-'1 - Ke V'lJ, vi ~.:kl ~ . L.EI - IC ClOwner ~ '1J: ectrlc. ontr.ctor-- Cl Ann\aal Permit lJ Alarm CJ Carnival 0 Commcrdal ~Resldentla1 F \ ELECTRICAL WORK PERMIT APPLICATION -d'ReQuest Inspection , o Residential Maiot. 0 Signs CJ Thermostat r:J Telecom. Job wired by ~Iectrical Contractor (:J Owner Installll.tion description Electrical contractor name License number S\..\AMP....fl ~ t.AL rb~-teNA\ 1.\& I ~ l . 'P,~sc:~ maiJiJlg address ...I..U ffi.,L 3 U ~ City State ZIP ~ AI\')~~ wsl. G\<;33b'L Telephone number - 0 - -I/.. - ..e- r~~mlses owner's name ':> W-t \(1 f>'m< Inn Address of InSpeC(IOn~. J..:b.J ~ IN - _ ,hW1\.lJ lO \ CI 1 0fuJJ I Lr;: N\ ~ V,t Lk ( lot) ~ P ) Cl Cash Cl Check # I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm'~ authorized as-ent) and am makins the elecuical installarion Of alteration in compliance with the elecu"icallaw, Chapter 19.28 RCW. o Credit Card VlS<i Mastercard Discover Card# _Q..~.FllE'" _-____-____ ntractor or electrical adminhtrator Expiration Dale of card x WALLS Insulation Only DA[~ l\cI\lroved By Cover 1)..1; ^"l'rGvcd By CEILING Insulatioll Only D~IC AjlllI'<lVc(I By Cover DlllC A."PI'~:we(1 Ell' TIlERMOSTAT DQ'~ APllro"~Bl' nITeR Dlle Approv;d 6y / SERVICE 1-7-45" 4C6:J ~ D'llle Approvcd Ill' FEEDER D1le AslllTUved By Electrical Load Additions and or subtractions o NO LOAD CHANGES 1:1 Baseboard _ KW o Furnace KW o Heat Pump _ Ton _ LAA 1:1 Fan-Wall KW SaNies Information Q Overhead SeNioe D Temp Service (J Underground Service Voltage Ph..e0103 Servlee SIze: Feeder Size: Inspection Da\e Area, Building or Eq\Jipmcnt Inspected Action nken Eleclrical Inspector ?t ,q::; d"'1.1 Ole... tALJ-kJ\ Dd~ 1 / ~..... {) 12 20..{)';-' /l//J ... 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