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Home My WebLink About123 W Forest Ave - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Nua~er ..... 03-00000340 Date 5/05/03 Property Address ...... 123 W FOREST AVE ASSESSOR PARCEL NUMBER: 0630095226520000 Application description . , . RE-ROOF Property Zoning ....... Application valuation .... 2600 Owner Contractor Additional desc . . Expiration Date . . 11/01/03 Separate Permits are required for electrical work, SEPA, Shoreline. ESA, utilities, private End 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 ordinar'?ces~overning this type of work will be complied with whether specified herein Or not. The granting of a permit does not presuroe%to giv4~ authority to violate or cancel the provisions of any state or local law regulating construction or the performance of co.str on. ,/ [ 'J~'~ ,n~horlzed A en~t --~'-~O~Da~ete ~ Date Signature of Co ' g 'g (' ' ' -- T:\PLANNING\FORNIS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEFT) SEPARATE PEILMIT:# PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT WATERLINE ! METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION ILW. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 pLANNING DEPT. B ,L ,NO ..¥- C .-03 U DUIL ING T:\PLANNING\FOP. MS\I 102.1 $ [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date :3~ / ~.{-/C ~ Time ~ ,~ '~ {~r Received by ~, ,~- (phone, er~n~ V Location of Work to be inspected / ~.~ C~ -~ r~-~'7 ~ Name of person requesting inspection / (P Address of person requesting inspection Phone No. U~ ~' ~/.? Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbin~ewer Excav. Other Inspected: Date ~- ~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [~Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~ pORT -4: ......4.0~~<?: V - ~~ ~ "-~ ~ ~~ 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 04-00000767 Date .527907 123 W FOREST AVE 06-30-09-5-2-2652-0000- RE-ROOF 8/31/04 RS7 RESDNTL SINGLE FAMILY 500 Owner Contractor LARSEN, KRISTINA 123 FOREST AVE PORT ANGELES (360) 452-1724 OWNER WA 983622515 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT TEAR OFF, FELT, 47.00 8/31/04 2/28/05 - NO PR FEE COMP Plan Check Valuation Fee .00 500 Qty Unit Charge Per Extension BASE FEE 47.pO -------------------------------------------------------------------------~-- 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 ~ (jJ " C :<: ~ \) \ () "i (>J f,J1 '-\ ~ <:::. r 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. I i/ I K70 ;;{jw;t "jdj?J6{ Signature of Owner (if owner is builder) Signature of Contractor or Authorized Agent Date fO?(-71j (j ,) C/ Dat~ T:\PLANNING\FORMS\1102.15 [11/14/20031 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, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION 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 CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERlOR BRACED PANEL ONLY) T.BAR INSULA TION 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: PARKING/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL . LIGHT DEPT. 417-4735 ELECTRlCAL 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 III) 'li-c~1 ..t. L - BUILDING T:\PLANNING\FORMS\I 102.15 [11/14/2003] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.:8 - 3/-0 H Pennit #: 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 Date Approved: Date Issued: Applicant or Agent: Phone: Owner 1f;s" ! t:: l;=; ~ Phone ;-g; J-- /7 'J-If Address: 19-:'3 ~;P:Sf- 1f/~ City: Vor! J)/J reS Zip: 9 Y56 9- Architect/Engineer: Phone: Contractor Dr.J) y') e V State License #: Exp: Phone: Address: City: I 'd-.3 ~r.esr /+-v--€- Zip: ZONING: PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit Card Type VISA Me # TYPE OF WORK: tf Residential 0 New Constr.~ Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: o Stove o Garage o Deck o Other SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @$ /SF. =$ TOTAL VALUATION $ ,~~ 0-0 COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(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 RI 05.3.2 of the International Building/Residential Code, 2003). 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 rm.Jst obtain such permits prior to work. T:\RVESS\BLDG-fonns-brochures\2003-Buildingpennit.wpd Applicant: ~:;(;;; Ii- .~~ Date: g./ 81-- 01 , tJj , , I:" , '" , '" , , 0 , f--' , :fJ ' 0 , '- , 0 , "" , , 0 , "" , ~.-- tI n tJj :ore: \f' 'i H "" I:" {Il tJ l"TH ". Z .. n ;:l Gl -R 0 0> ~ 3: .." 3: ""H " '" "'Z Z Nl> >--3 'I:" ~ CfJ f--' '" ~ ~ N "" tJ .. . Z C., 0 >--3 '" CfJ t >--3 'll :;;~~8E; , n'U >< ~ H~ 'U 'U~ZZtJ >--3'" '- I:"n"'>--3~ ><'U CfJ H tI:l::OidtI:l l> 0 ..; ZI:" ;PcfJ O~ !ji. nCfJ ..,,'" >--3 tJ ~ tJj 0 'U ",. ~. Of--' n~o ~ ~o O"''ll >--3'- 3:0 0 'de:o 001:" f--' ~.:: 1:""'0 """'l> N "'cfJ , , ~ W GlO >--3>--31%l OWcfJ "''''' "''''c::: 00'" :os 1:"- tJtJH 0 , Z '" S 00- .." Ulf--' 0'" 0 "" H '" ?< ~ ~ 21 "''''~ '" 0 "'HGJ '" , H cfJ '" cfJZ NUl >--3 e:CfJ'll ~ , >--3 '" ~~; "'NH :< ro ",Z ~",;p '" H ON ..; 0 , ""0 ~tJ , 0 "'''' 0 CfJCfJ2i 0 e:no , I:"~ >--3H'll CfJ'd!O '->--3 nH'<l H OOt>:l HZ 3:Zt>:I ZcfJ 3: CfJ'U '" 'U'" Z "'n >--3 n>--3 cfJ >--3H 00 ~Z '-<>--3 'U'UcfJ ~:=; [3[351 "'?< cfJ'" ZZtJ >--3 "''''H I:" < I:" H '" W ~ '" , I:" 0 >< "" '" N , f--' '" N "" tJ'd ;Pl> >--3Gl "'''' f--' o '- o "" '- o ""'" . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. -35.s 2- DATE A e e-r L-- '3 ELECTRICAL PERMIT "1k' " Site Address: I '2- ;:, 1~1 6 o READY FOR INSPEcrlON License Number: o WILL CALL FOR INSPEcrlON Phone: Installed By: G Phone: Owner/Business: L.- OwnerfBusiness Address: Sq. Ft. o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS jiQ SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) J G\N' M 1"'37 r02-- P.:> 4-s,6 . ( I "}/){) 'I-- Zt:C>D A. "1'1 o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ ~ FAN/WALL KW _ o HEAT PUMP KW_ Details/Description: z...- !" ).,1)6r<, 'I- PArJr:=L I JJIP71 . " W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. ~ Rough,in/cover O.K. ..t'\P O.K. to connect service iff b Final O.K. Site Address: Permit/Receipt No. 35 "Z..- Installer: New Meters 10 . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permi!. PHONE 457-0411, EXT. 224. Electrical Inspector NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 4-D EE-. Permit Fee 11 WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC .' ,. ,.. ELECTRICAL WORK PERMIT APPLlCATl'ON Electrical contractor name License number Dale Expires Installation description o Commercial .JtReSidential .~ew 0 Altered/Addition i tfLSTlA-lL{(;'-t:j 5" fVt1 IVett/-; (tiZC{ G0atr16 Job wired by o Electrical Contractor .,A(Owner Purchaser's mailing address City State ZIP Telephone number FAX number ~ Phone number to schedule inspection: ' C)-/'7 . ~ A 5VC. OWller as defined by RCWJ9.28.26/:(J) Owner will occupy the slructure for (wo years after this electrical permit is jinali:::ed. (2) Owner is required to hire all electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that' am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alleration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. ~gna,p'rztf/;;k~ca' ~7j€i;t~':;: adminis',ato, Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton o Fan-Wall KW o Cash )(Check # o Credit Card Visa Mastercard Discover Card # Expiration Date of card Service Information LAR o Overhead Service o Temp Service o Underground Service Voltage PhaseD1D3 Service Size: Feeder Size: , SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 . ROUGH-lkD ~ A"",,,dOy THERMOSTAT SERVICE :>- 17-00 Dale Appro,.ctl By Dale k.D Appro'cd By tj, . FINAL AtO AI'Pwv<:d By DITCH FEEDER Do< Date Appmve'! Hy Date Apprnvcd By Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector cA' - Ck , lElECTRiCAlINSPEC.TION WiRING REPORT 417-4735 Pa;: 98 OV/ll~R- ADDRESS I 1.;23--;:' ~~~ST five... APPROVED NOT APPROVED o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DITCH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Do 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ROUGH IN/COVER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Do 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SERVICE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 )Co 0 oPibtJiJ/Nbo 0 0 0 FINAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CORRECTIONS NEEDED: o ft'&>vl[ ~""')C /?~&.. h"'e.f'J ~/} ~hO ~fI(.. , r!A6'/""~ - hV f /fr~-r-.~ ~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PAINTERS, INC. (360) 452-1381 "'Utm-!-Li i' II II'H' "i I I. H+ I i ---1-+ _ . , _I__c-_ I I 1 ELQ~g.~~.sob IT 1 1 I I I l I i 1 tJ I (.), I 1 I I LI I I I I l1~rp-;-r~~--lbt~1 '['=1 i it"' ,-, ~irrIr: T ~j ~hd'}r+--+n /ort-. d~-I-+i: I. 1 I - L-l-++~ I I -L+tL' 1 2.j 1 1 -L I 1 I -L 1 i-fok:.€fTi- ~ ~ I I I ---LTi L__~. I_I 1 I II T, 1- I i-I: I -tt II I ! I I I -~-H=\ R- I I I rT-t-, I . I . t ,-L-LL-L-4-rf.:F1. i~~J ~-4~ -l~~. I L1-1- ~~ "lAo A >-'_<"- L I TLLI I ; 1_ I " I I 1 ----- , \ IT 1 1 1 I 1 flit 1 iTj:, I 1 1 1 I 1 I I~~ I I I I' 1 U_t,,_ 1 :Vf I ! I' I I I I I - l-fL"t~ I I 1 I 1\[1 1 -H 1 I-td - --~ --r1-=~-~ 1 ~S-'~ ~ I T-- ~I/-l-f---I I eo_LL I I t j-f--- Tn I I -\1 ' I ,-=t=H + . I ~!---111 I I I I I J__ __ I -- - +J -- ~_kL +----- I 1 1 ! H=' Lf-l-f- __L -r-- _ _~___ __LJ T-m-r II I~