HomeMy WebLinkAbout1109 E Park Ave - Building
04/30/2004 03:04 457g270
5IMPSON ELECTRIC
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FROM BOB'S Electric
FAX NO. : 1 350 452 9943
May. 17 2004 03:45PM P1
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ELECTRICAL PERMIT APPLICATION
The EleCtrical Pennlt Appli"j'lIon musl be IIIled oul eomol,lelv.
Plea., type or reprlnlln Ink. II you have any questlon$, pl. a.. coli (360. 417-4735
Fox number: (360) 417-4711
.
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Phone~-"""'7~.w7Fo", g(.c, -4!::2 .<:(-<;<,/f
Property Owner:
Addr...: ///19 E /b-<,..?- CIty:
EI..lIlcat CootraclOr: It I. 1, f/ pp. ~r ~ Co. l~~~ z.~xp: q VI
Acldres.: A;t;s J.fJ" 1'",,,,1(' . Cl.y: ../hi- 14tUc:" /... c &)a
INSTALLATION WIRED BY: 0 OWNER ~lECTRICAl CONTRACTOR
Credit Card Holder Name: O"'LJA'-' ~/A~' tl
BIlling Address: 2~f. ~ ~t?',e 4.< City; .,4,,,r
Credit Card Number: ~ Exp. Date'
I4tVcr~ {p ~
PROJECT ADDRESS:
//t? t? ~;1-4 L. -
TYPe OF WORK:
Check all that apply: 0 New
o AlleralionfAddlllon
o Resldenlal 0 Multl.family
o Commercial 0 Mobile Home
Sq. Fl.
Zip:
PhM.:4S7_t,Rf(
Zip: <; f~"L
ZIp: ItJc:. 'if?.
V1SA:~MC:_
o Remole Moler 0 Detached garage 0 Hot Tub 0 Swim Pool IJ Seplic Pump 0 Low Vollago 0 Telecom. 0 Si,
Number 01 Clrculls added or allored:
DESCRIPTION OF THE ELECTRICAL PROJECT:
ElectrIcal Heal Load Additions
lL-z.-
Service Inlormatlon
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
Voltage:
Pha.o: 0 1 CJ 3
Service Size:
Feeder Size:
~~
-~
-~
-~
o Overhead Service
o Temp Service
o Underground Service
PAMC 14.05.060(B): For Industrial. commercial, & resldenUal proleets larger Ihan a duplex. a one . line drawing o'lhe Eleclrieal Service &
Feedors. buDding size (sq. 'I.), load caleulallons. and the type & of conductors anellor raceway is required and shaD accompany !he
Electrical Permit appDcallon.
I hereby certify that I have read and examined /hIs application and know that same to be true and correct. and I a~
authorized to Bpply for this permit. I understand it is not the City's legal responsibility to determine what permits
Bre required; It remains the ae' responsibilily /0 de/ermIne what permits are required and 10 obtain such.
<ill 1/.4 /l ~.,' ",","re, 0 ",..~ r;;xz:;~~r'-
:.~"t tl. ~?t;::'i~'l:"v.t'~~;;P
;1:0. 5}e/tl1 ~(~~ c-,{<7 (S TLr ~/L
Dale: .,/ r:
Date: ~}/t)f
f'lh.'3V
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
04-00000354 Date
.053130
1109 E PARK AVE
06-30-11-5-1-0640-0000-
MECHANICAL PERMIT
4/30/04
RESIDENTIAL MEDIUM DENSTY
8545
b(l{.~
[lllSl04
Owner
Contractor
Me CARTNEY MARIE
1109 E PARK AVE
PORT ANGELES
WA 983622740
ALL WEATHER, HEATING & COOLING
302KEMP ST.
PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 452-9813
~
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
61.70 Plan Check Fee
4/30/04 Valuation
10/27/04
.00
o
--
---
Qty Unit Charge Per
Extension
47.00
14.70
D
"-0
BASE FEE
1.00 14.7000 ECH ME- INSTALL 100- FAU
Permit
Additional
Permit Fee
Issue Date
Expiration
ELECTRICAL ALTER RESIDENTIAL
desc
Date
35.30
4/30/04
10/27/04
Plan Check Fee
Valuation
.00
o
~,
Qty
1. 00
Unit Charge Per
35.3000 EC EL-LOW VOLTAGE
Extension
35.30
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 97.00 97.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 97.00 97.00 .00 .00
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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
constr tion.
Signature of Owner (if owner is builder)
Date
T:IPLANNINGIFORMSII102.15 [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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
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 WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEA T 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 #'s SEPA:
PARKINGILIGHTlNG 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.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 [11/14/2003J
FROM : ALL WEATHER HEATING & COOLING
S
~~
FAX NO. : 360 452 5177
Apr. 30 2004 11:22AM P2
BUILDING PERMIT .. APPLICATION
n. Building P....~, - he-dpplicatilm .". k .fI/ktI_1II cO"'pl<<4fy.
PIeue type or prbat ID iIlk. If you bave aD)' queltiou, pleue cab 417....15
AppJicaDt or Apnt:
o-r~t:k1~
Addreaa:~~vk Ave..
An:biteot/.BqiDocr. N J t1
. .I
Contrlctpr. t' .
Addnu~. '30?' ~.
..~~AlMIPr...Ll~ €. Hu/i.fJve,.
....At. DaeauTlON: Loc: Block:
CL6.11.~COVN'I'Y.AIlCIL ~
... Add....
CndIt Card .:
City: A, j tks~0
Phone: (jI..oO) ~SL -=-9 ? 13
Phonc::C~&~ LjJ1 ,. 7_'1?1-
Zip; CJf?&JZ
Phone:
License #:EtnJEIi<US'O ~u Exp; 9 J, 10,",
} . . r '
City; M~ ~ 0 \t.s
r
Pbone{!'-O) 4)l' ~
. Zip: c:r<(3~ 7-
ZONING:.
VISA
Me
TYIS orwou: SlZElVALUAnON:
c '~11 C New Couu-. C lle-roof c Wooc:ll1ove SF. @ S ISF. = S
a N.......&IIIily C ~dditloD 0 Movc C Garagc SF..@S /SF. _ $
C .~ .,.-R.amadcl a Demolition c Deck ~.JgU. /SF. -= S "
C Repair 0 Sip C TOTAL VALUATION S~S"L.JS.~
_~OnDI'8OBCT: r:;.... iIP: Q"s~fl'rkJ(1 t:l5 t;,\Iow..'. ~p \~ro\~ ""Il-V w~~;,
.. . :+;..... ,~\Pt\
CO~ENTIAL: Oc;:~ Group: Occupant Load: CoDStnlCUOD Type:
No. ofStDd.oa: _ Lot Silo:.' % Lot Coveraae: % .
ExiatiqLot Cownie:. Isq. ft. + Proposed Lot CovClage: Isq. ft. = TOTAL LOT COVERAOE: Jeq.ft
~G USE ONLY: APPIlOV ALS: !'LAN
No.,: . ~
DPW
J'JRE
ESAlWedud(.): C Yea 0 No SBPA Cbecldist required? C Y~ C No Other: OTBER
. ".; -
.': ~ BtJILDDIG:JI:IIMr.r'AP.I'I.iICATlONSIJBMlTl'~ F..,. ~ .u.."." .... IMjl/lMlo"'"""",,,,, <<f If*J1-
rtnllN. 1be1bq1~ Division CIa pzovide you with more detaikd WOtIDatiOD OD the application lUId plan submittal rcquiremc:Dts. Yow
completed applicaticm, lite pJau (for additions) and buiIdiDg construction plaDS are to be aublDittcd to the Bui1diD3 Division.
V.u.UA.'DONOPCONSDlUcnON: .. d ~..wluaeD amouat awat be eatered by the applic:aDt. 'l1U8 fiaun will be mviBwed
IIld may be revised by the BuiJdiQg Dm-ion to comply with cuncnt fee sc:hedulea. Contact b Pmnit CoordiDator at 4174815 for usistmce.
PLAN~'DJ:: Your plea cbcck fee is due at the time the building permit llpplicatiollaDd coutI:ucticm plaDl ~ submitted. AU o1hcr
pmait toea are due at the time of permit isswmcc.
EXPJRA170N OF PLAN REVIEW: If DO permit is iasued within 180 daYI ot the date of application. this .appUed_. will Gpire. 1be
BuildiDg 0f6cia1 CD extend the time for action by the applicant up to 180 da)'1l upon wriaeo request by the applicant (see Section 107.4 of
the UIlifonn Buildiq Code, curreat edition). No application can be extended more thaD once.
1 ~ ClII'f(.1;'''. / IttDe r<<lll tmtl emlllilled "II; applk4tio.,. and know ,he same 10 be he and coN'eCt, and lam auUtorlzet/ 10 dpply /Or
this pDMil. J ulUl",,'aM it i.r 110' Me Cily's legal ruponsibiJilJ!, to determine whflt permits are requtred; /, rematns the applicant's
T~Mibil;ty 10 determitu! wllat permw are required and t~ obtain such. J _
:T~__ AppIkatilmgJ'1f"~ Dale, 'f/36f3.
'.;i
FROM. ALL WEATHER HEATING & COOLING FAX NO. 360 452 5177
Apr. 30 2004 11:21AM P1
FAX TRANSMISSION
ALL WEATHER HEATING & COOLING INC.
302 KItMF STRI!:l!:'r
PORT ANGE~, WA. 983e2
c3eOl 452-96 I 3
F'AX: C3eO) 452-5 I 77
To: t;~ 6 f ~., UJ<<,o/ 1<-7 Date: '-Ij'iu /0.;
Fax #:~O) 4l '1- 41 t \ Pages: 2. ) including this cover sheet.
From:~'1 vJ{ V\Lt W~ ~e".J-t~ ~ ~075l.\~
Subject: ~ V' ~ +
COMMENTS: ~
. ~ '{ ~ U-e-~ +-1 6() So \? ~o-.- s.-e. CO f\ \vct- f ~ L\ So l- - '1 ~ 13
.,-
n.... ~ORT ~G
8~ ~~~
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'l.Si:lC~
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
04-00000070 Date
.192710
1109 E PARK AVE
06-30-11-5-1-0640-0000-
RES ADDITION
2/20/04
RESIDENTIAL MEDIUM DENSTY
29880
wp(~t;;]::)
:r~ l/oS
Owner
Contractor
MC CARTNEY MARIE
1109 E PARK AVE
PORT ANGELES
OWNER
WA 983622740
Structure Information
Construction Type
Occupancy Type
Other struct info
RES 360 SF ADDNT
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
23.10
V-N
1. 00
1894.00
9750.00
360.00
2254.00
1. 00
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 465.25 Plan Check Fee
Issue Date 2/20/04 Valuation
Expiration Date 8/18/04
186.10
29880
-
1\0-~ ~ 0
J)
G~ n(
11
-..
7\
----------------------------------------------------------------------------
Qty Unit Charge Per
Extension
414.75
50.50
BASE FEE
5.00 10.1000 THOU BL-25,001-50K (10.10 PER K)
------------------------------------------------------------
Special Notes and Comments
Electrical load calculations and elctrical permits are
required.
Any-modifications to the City's electrical facilities will
be~at the customer's expense.
----------------------------------------------------------------------------
Other Fees
STATE SURCHARGE
4.50
Fee swmnary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 465.25 465.25 .00 .00
Plan Check Total 186.10 186.10 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 655.85 655.85 .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.
,/
'2,9' Fop b 'd/j
orized Agent Date
Signature of Owner (if owner is builder)
Date
T:\PLANNINGIFORMSI1102.15 [1 11 14/2003 J
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417 -4 735 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 I NO
FOUNDATION:
FOOTINGS -'2.-lh -01-/ T.J-
WALLS ~ -lei --OJ.! I ~ L
,
FOUNDATION DRAINAGEIDOWN 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 I{~ ../- 0 ~ \,1
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF / CEILING ;;"-/-V)./ .\. I
;"f
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I 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 #'s 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.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:\PLANNINGIFORMS\1102.15 [11114/20031
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
ate Rec.: J - 2' . 6> '-}
ermit#: ~ 64 -70,1
ate APProVed:~~
ate Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
Applicant or Agent:
Owner:
Gene H. Un,g;er
Phone:
Phone:
J60-452-2098
J60-417-2957
Zip: 98J62
J60-452-2098
Address:
Narie McCartney
1109 E. Park
Ci~: Port Angeles
Architect/Engineer:
Contractor
Gene H. Unger
Owner
Phone:
State License #: Exp:
Phone:
Address:
Ci~:
Zip:
ZONING:
RfiiD
PROJECT ADDRESS:
LEGAL DESCRIPTION: LotTX#8550
CLALLAM COUNTY PARCEL NUMBER:
1109 E. Park
Block: Exc. EJ OBLS 8&9 Subdivision: Cambel's Add. to P. A.
063011 - 510640
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
J0: Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family ~ Addition 0 Move 0 Garage
o Commercial ~ Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: 2 bedroom
No plumbin,g; changes. 2 internal walls
City:
SIZEN ALUATION:
J60 SF. @$ 83 /SF. = $ 29,880
SF.@$ /SF.=$
SF.@$ /SF.=$
TOTAL VALUATION $ 29,880
addition to North side of House.
to be removed.
Exp. Date:
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: V-N
No. of Stories: L Lot Size: 97S0 Existing Sq. Ft. 1894 & Proposed Sq. Ft. J60 = TOTAL Sq.Ft. 2254
Existing lot coverage ~ % & Proposed lot coverage ~% = Total lot coverage 2J. 1 %
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICA TION 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 conshllction 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 ofthe 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 Applicant! A~ tl ~~ Date: ;z.b r ~ .04
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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
04-00000072 Date
.102320
1109 E PARK AVE
06-30-11-5-1-0640-0000-
RES ACCESSORY BUILDING
2/20/04
RESIDENTIAL MEDIUM DENSTY
16256
~P(lZ6tJ
7/1/05
Owner
Contractor
MC CARTNEY MARIE
1109 E PARK AVE
PORT ANGELES
OWNER
WA 983622740
Structure Information
Construction Type
Occupancy Type
Other struct info
608SF ADDNT TO EXISTING GARAGE
TYPE V NON-RATED
FENCES, TOWERS
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
29.30
V-N
1. 00
2254.00
9750.00
608.00
2862.00
1.00
y\o-V\ s -
-
0
~
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G/
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7C
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 302.75 Plan Check Fee .00
Issue Date 2/20/04 Valuation 16256
Expiration Date 8/18/04
Qty Unit Charge Per Extension
BASE FEE 92.75
15.00 14.0000 THOU BL-2001-25K (14 PER K) 210.00
Other Fees
STATE SURCHARGE
4.50
Fee_s1.UlUllary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 302.75 302.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 307.25 307.25 .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
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.
G/J ;: I L~
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
Date
Date
T:\PLANNING\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 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 I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS t. -/- 0 I-i
CEILING I
FRAMING _~~1V1A:1 ~.... /-01./ ..J /_ ,
JOISTS 1 GIRDERS . 'j'
SHEAR WALL/HOLD DOWNS n-~q -f)H \ i I
WALLS 1 ROOF 1 CEILING .,,_f\ ,.... ",. PI!
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I 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 #'s SEPA:
PARKINGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTiON R.W.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 [11/14/2003J
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: I ~<~-OL..~
Permit #: <y-/ '\. 7 z..,
Date Approved:
Date 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
(360) 417-4815
Applicant or Agent: Gene H. Unger
Owner: Marie McCartney
Address: 1109 E. Park
Architect/Engineer: Gene H. Unger
Phone:
Phone:
Port Angeles
)60-452-2098
)60-4l7-2957
98362
Zip:
360-452 -2098
City:
Phone:
Contractor
owner
State License #:
Exp:
Phone:
Address:
PROJECT ADDRESS: 1109 E. Park
LEGAL DESCRIPTION: LotTs#8550
CLALLAM COUNTY PARCEL NUMBER:
City:
Zip:
ZONING: R1'1D
Block:Exc.E)OBLS8&9 Subdivision: Cambell's Add. to P.A.
063011 - 510640
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:
Off north side for starage.
City:
Exp. Date:
SIZEN ALUATION:
_ 320 SF. @ $ 40 /SF. = $ 12,800
2eg- SF. @ $ 12 /SF. = $----"-~ 4S;;;'G
SF.@$ /SF. =$_ 0
TOTAL VALUATION $ I b 2>0 ...,
to Garage for work space & Storage. Shed
N~w ~grp
o Stove
~ Garage
o Deck
o Other
Addition
No Plumbing
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: V-N
No. of Stories: 1 Lot Size: 9750 Existing Sq. Ft. 2.2';4 & Proposed Sq. Ft. ~c'8 = TOTAL Sq.Ft. 28 (;,2
Existing lot coverage 19.4 % & Proposed lot coverage 7.) % = Total lot coverage :2 <j ,3 %
APPRO V ALS:
PLA1~ :
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 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: 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, 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\Buildingpermit.wpd Applicant'.!.. ~ 7d"" r~ Date: :)!'6.1.-LJA f.6.Jj
Feet
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This map is not intended to be used as a legal description.
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Al1v other use of/his maoldrawim! shaJl not be the reslxmsibilirv of/he Cirv.
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Marie McCartney
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P.O. Box 2066
SEouiM, WA 98}82
(no) U},2012
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Mitch Mantooth
12/04/03
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Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. 333..s-
DATE /6) - /P-<;,/
Site Address:
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
OwnerfBusiness:
Phone:
Owner/Business Address:
j
Sq. Ft.
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(iist below)
~ Overhead
;ol~~::~~rZllPtfo
~10 030
Service size;;J2tfJ() Amps
o Temporary
~ Residential 0
1 Heat KW /
o Baseboard?!.. Furnacel8e+lef
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
~ Remodel
r;t: Service update/alter/repair
Detai islDescription:
1?l(~)iR.. ~
~ .c:: L--
,
~ 6..)(./4
2'.4ob'
.
RlfkF
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
;wIlJ Rough-in/cover O.K.
.-Ii=! O.K. to connect service
o Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for instailation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
L
A
G NEE-
permitl:?::f:10s
Site ~ddress:
New Meters
.
Notify the Department of C, Light by Street Address and Permit Number when ready for Inspection. Work
must not be covered or electricaily energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411JXT. 158 or EXT. 224.
-rM NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ,. dO!!!!
Inspectbr A-t~nt paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPlt: PRINTE;RS. INC.
H a,1.U11 ♦Y U1LIDCL
Pin number`
Property A$dress
ASSESSOR P CEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
MC CARTNEY MARIE
1109 E PARK AVE
PORT ANGELES
Other Fees
Signature of Contractor or Authorized Agent
T- \PLANNING\FORMS\ 1102.15 [11/14/20031
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
U4 uuuUUU /U
192710
1109 E PARK AVE
06 30 11 5 1 0640 0000
RES ADDITION
Owner Contractor
WA 983622740
RESIDENTIAL MEDIUM DENSTY
29880
OWNER
Structure Information RES 360 SF ADDNT
Construction Type TYPE V NON RATED
Occupancy Type SINGLE FAM CONGREGATES
Other struct info 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
Special Notes and Comments
Electrical load calculations and elctrical permits are
required
Any modifications to the City s electrical facilities will
be at the customer s expense
Lace S /17/U4
23 10
V N
1 00
1894 00
9750 00
360 00
2254 00
1 00
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc CIRCUITS 200A PNL
Sub Contractor BOB S ELECTRIC INC
Permit Fee 76 30 Plan Check Fee 00
Issue Date 5/19/04 Valuation 0
Expiration Date 11/15/04
Qty Unit Charge Per Extension
1 00 76 3000 ECH EL -RM 0 200 1ST SRV FEEDER 76 30
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.
Date Signature of Owner (if owner is builder) Date
No
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELEOTRICAL (LIGHT DEPT) SEPARATE PERMIT
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 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 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
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 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 ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO 1
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
1 BUILDING
CIO! J.Ui LCJ1J 11. L r ooCJJo "J:JJ.7J rMr-Dr-ClVY\=lJill LLCI1I M-1 1"Hur- rill Kil
CITY OF .PORT ANGELES PERMIT APPLICATION
SN01131dSffi
I T Or
Dididing D11 +51onr /Elect•4•tcal. 111.4pections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washingtotit, 9836413AI333H
Ph: (360) 417 -4735 Fax: (360) 417 -473.1
r)alel�e_ /�y �O1,3 I & 2 Single Family Dwelling
" Plan review May Be Reaquirnd, Pleoss Qamplote leatrfc„ P review Information Shoot
Job Address: _ . .l / a 9 X
150dinp Rill rootago:
Description of above x1/1s .1 _ rBxEft — 1 1•rJ n. "gypc� � s`?✓ Z -_-
Owner Information ,p
Nome: - j22A'z, t'
Mailing Address _
City:. r ,t T'q t1c SItaIQ, _u� Zip:.,: G..,, ,k .
Rhone:!+,-k5a -
i..icense #! Exp.�___ —__ —,_
Item Unit Charne
$orvicolFevdor200Amp, $120,00
SenricofFeeder201.4110 Amp. $146.0
ServicelFeedor A01.600 Amp $ 205.00
Sorvicafronder 601 -1000 Amp. 1262.00
ServiceTeeder over 1000 Amp. $ U3100
Branch Circuit W1 Service feeder $ 5,00
Rranoh CircuitWlO Servrca Feedor $ 53,00
Each Additional tOmW) Circuit $ 5.00
Branch Cirri ;ili 1.4 $ 75.00
"temp. Svrvicel Feeador 200 Amp $ 93.00
Temp. ServlcaiFeedar 201.400 Amp. $110,00
Tornp. SanrirelFooder 401.600 Amp $ 1"19,00
Temp, SanrlcelFeeder 601.1000 Amp . S 168,00
Portal to Portal Moudy $ 96.00
Signal C ircuitl limited Energy • 1 & 2 Family Dwelling $ R00
h4anulaclured t•Icme, Connection $ 120.00
Ranewoble Electrical Enorgy - 5KVA Sy5tom or Lass $102.00
Thormostat 3 56.00
Note: $5 00 for each add3lionAl T -Stal
NEW CONSTRUCTIb_NONLY:
icirst 1300 $quaro Ft. $ 120.00
Each Addilionol 600 Squarr3 Ft. or Portion of $ 40.00
Each Outbuilding or Detnchad Gangs $ 74,00
Each Swimming pool or Hot "Tula $110.00
Contractor lnformatio
hfrarlinpAddm, s PPU�+�.:'ze.WB —_
Clll' J err. wr �l State, -. -Zo, ;i ..7.rp:..-....._
Phone:�icr_'�B5��„�Fnx: .,.:,•i"8S-
License 01 Exp. W Gd�j ±V 1_ i
Qtv Total (12ty Multiplied by Untt Cl,aaej
— .....,....,,...., $..., -,,,, - - --
- --
Total
Owner as defried by RCW,19,2r3,76,1; (1) Owner will occupy the strurlure for Iwv yrars after (his electrical permit is rmalired, (2) Owner 1s required
to hire an electrical contractor if above said property is for sale, rent or Ieose. Permit expires after six months ai last inspection,
Miter rending the above slatenaent, I hereby certify Ihnl I am the owner of Ilse above named properly or n licensed electrical corrlraobr. I am making
the elr ctrirei installation or olkoratiorr fn rompNiance with tho nleotrical laws, N. ,C., ROW.. Chapirr 19,20, WAC Ghafaler.79Q ABf3, Tt:e Ghly of Pori.
Angeles Municipal Code, and Utility Specilieations and PAMC 14.06.050 regarding Elpclrlcal Permit /lpplicelions,
Signature of owner, electrical eantrantor or eloctrlcAl administrator: ❑ cooh ❑ cheek {/c-'CA
CrodlkcArd #,..,
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
Application Number . . • • ,
13- 00000640 Date
6111113
Application pin number
546560
DITCH
Property Address
1109 E PARK AVE
ASSESSOR PARCEL NUMBER:.
06-3D-11-5-1-0640-0000-
Application type description
ELECTRICAL ONLY
Subdivision Name , , . . • ,
Property Use
FINAL
Property Zoning . . . , , , .
RESIDENTIAL MEDIUM DENSTY
Application valuation , , , .
0
Application desc
1 circuit bath tan and J -hox
Owner
Contractor
MC CARTNEY MARIE
FREPERICKSON ELECTRIC
INC. PC
1109 E PARK AVE
PO BOX 2148
PORT ANGELES WA 983622740
PORT TOWNSEND
WA 983680269
(360) 385 -1395
Permit , . . , . . ELECTRICAL
ALTER RESIDENTIAL,
Additional desc . ..
Permit Fee 63.00
Plan Checic Bee
00
Issue Date 6/11/13
valuation . , , .
0
Expiration Date 12/08/13
Qty Unit Charge Per
Extension
1.00 63,0000 ECH EL -R- BRANCH CIR WO/ SER FEED
63,00
Fee summary Charged
paid Credited
Due
Permit Fee Total 63,00
63,00 .00
.00
Plan Check Total ,00
.00 ,00
,00
Grand Total 63.00
63.00 00
.00
vJ4 U2h1,-2,
M
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTI4S PROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANORBUILDING
G"
N'd