HomeMy WebLinkAbout122 W 5th 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
P~n number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivis~on Name
Property Use
Property Zon~ng . . .
Appl~cat~on valuation
. . . 05-00000132 ~ Date
.547716 -----
. . . 122 W 5TH ST -=>
06-30-00-0-0-9120-0000-
DEMOLITION
RESIDENTIAL HIGH DENSITY
o
Owner
Contractor
YEO, JOHN C TRUSTEE
13912 KINBROOK ST
SYLMAR CA 91342
OWNER
Structure Information DEMO GARAGE
Construction Type . . . . . TYPE V NON-RATED
Occupancy Type . . . . . . GARAGES, CARPORTS, SHEDS
Permit
Additional desc
permi t Fee
Issue Date
Exp~ration Date
DEMOLITION
DEMO GARAGE
47.00
2/24/05
8/23/05
Plan Check Fee
Valuation
Qty Unit Charge
Per
Extension
47.00
BASE FEE
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
2/24/0~
FlNAiW- ~/'2?/oc;
.00
o
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of-
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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
construction.
-A
~
Date
Signature of Owner (if owner is builder)
T:\Pohcles\1102_15 bulldmg penml mspeCllOn record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
~
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
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 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
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 W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CillMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING ESk
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 1:Z-Q.~e;- I . fLv BUILDING
T:\Pohcies\I 102_15 buildmg peront mspectlOn record05.wpd [1/412005]
BUilDING PERMiT - APPLiCATiON
FOR OFFICIAL USE ONLY
Date-Ree 2 -2'-1 ~ G5'
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
Peml!t #
Date Apploved
Date Issued
ApplIcant or Agent: <oS m - h'?v 11.. T - / r - T'1
Owner: ;:SOHN \~<2.-0
Address: Sr).; Srt-zELT CIty:P,T 11;..)('ySLSS
Phone:
Phone:
ZIp:
ArchItect/Engmeer: Phone:
, .$TA8U.;:-=;t-QiP3m0
Contractor 3m ~PJ() j}.... T- / T - TLj State LIcense #. Exp:
Address: PO. (3nx :~ / C<./ CIty: CfI//'nflCUh?
PROJECT ADDRESS::' _ R' ~~ .srI-! ST;
LEGAL DESCRIPTION: Lot: (0 ~ Block: SubdIVIsIOn:
CLALLAM COUNTY PARCEL NUMBER:
Phone:
ZIp: ?? 3;<S
ZONING:
Credit Card Holder Name:
Billing Address: City:
Credit Card Type VISA MC # Exp. Date:
TYPE OF WORK: SIZENALUATION:
o ResidentIal 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $
o MultI-fanuly 0 AddItIOn ~ Move 0 Garage SF. @ $ /SF. = $
o CommerCial 0 Remodel 0 DemolItIOn 0 Deck SF. @$ /SF = $ ~_
o RepaIr 0 SIgn 0 Other TOTAL VALVA nON $ _ , )
BRIEF DESCRIPTION OF THE PROJECT: 'j)err--.~ ('.,.~~"..a..3-€-) ~..-.vRJ k he.LD 16(,e""J1<ei1tbt
Cu..~ S.~dQ_ (1Jyl-h/) AJd L'--"IAr\ -\\' II d~\AA.p"'IA'~
COMMERCIAL/RESIDENTIAL: Occupancy Group Occupant Load: ConstructIon Type:
No. of Stones: Lot SIZe:
Total lot coverage
EXIstmg Sq. Ft.
& Proposed Sq. Ft.
= TOTAL Sq. Ft.
%
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
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applIcant. Tms figure wIll be reVIewed
and may be reVIsed by the BUlldlllg DIVISIOn to comply WIth current fee schedules. Contact the Perrmt Coordlllator at 417 -4815 for aSSIstance.
PLAN CHECK FEE: IF a plan check fee IS due It must be subnutted at the tIme the bUIldmg perrmt applIcatIOn and constructIOn plans are
submitted. All other perrmt fees are due at the tune of perrmt Issuance.
EXPIRATION OF PLAN REVIEW: Ifno perrmt IS Issued wItmn 180 days oftlle date of applIcatIOn, the application will expire. The
Bmldlllg OffiCIal can extend the tune for actIOn by the applicant up to 180 days upon wntten request by the applIcant (see SectIOn R105 3 2
of the InternatIOnal BUlldlllg/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 authonzed to apply for this permIt and
understand that it is my responsiblltfy to determine what permits ali qwred ,not the City's, and that I must obtam such permits pnor to work.
0(
. Date: .;;l-;) Y~DS
T \RVESS\BLDG-forms-brochures\2004-BUJldmgpermlt wpd
PREPARED 3/23/05, 12 55 11
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
122 W 5TH ST
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
YEO, JOHN C TRUSTEE
06~30~00-0-0-9120-0000-
05-00000132 DEMOLITION
PERMIT: DEMO 00 DEMOLITION
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
BL99 01 ~<~~~ ,~ BUILDING FINAL
~ ., 360-732-0403
-------------------------------------- COMMENTS
SUBDIV
PHONE
PHONE
TIME 17 00
12
3/23/05
AND NOTES -------~~-----------------------------
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411 PERMIT NO.
<!/Py
7/?ff}
DATE
2-c ELECTRICAL PERMIT
CU. ~-Jt,
'SuiI'! tS'~CtU';
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
o RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
DetailslDescription:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
~ SPECIAL EQUIPMENT
(LIST BELOW)
Lj'-IJk X
r
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
Fr'flf
,
/J-/~
.
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.
o Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Site Address:
Instatler:
Permit/Receipt No.
'(/1f
New Meters
.
Notify Port Angeles City Light by Street Address a 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. .4 f5l.()
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THI5 PERMIT $ 115 ~O -
Electrical Inspector
WHITE - File by address
Permit Fee
YELLOW - file by number
GREEN - Top: Meter Dept.. Bottom: City Hall
OLYMPIC PRINTERS INC.
PINK - Top: Eng, Bottom, Customer
'.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. 'Y/7D
~//b/?3
.
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
~ENTIAL
o COMMERCIAL
WBASEBOARD KW ~
o FURNACE KW ~
o FAN/WALL KW
o HEAT PUMP KW ~
o SIGN
o ..TEMPORARY SERVICE
I"'("YERMANENT SERVICE
Rf NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
, ~~~:f
t
7O-I-vr f ~>1 (~~+Cd 86' 0 ~c.U
10 -ho.- ( f:.)Lvvt VtV--"/ /.Q..A- J "38, s- K tV
I'J()VERHEAD SERVICE
o UNDERGROUN SEBVICE
VOLT~E: 'Lt:? ~ V
~NGLE PHAS
o THREE PHASE74
S~RVICE SIZE 'tl DAMPS
Lf-+r.d c~ f4-v1dS /00 t1-wf's,
A tl/-s CrfJO !:-/,u
.
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.
~ ~ O.K. to connect service
J~~ Final O.K.
Site Address:
"
IL-
Installer:
fUc
sfe..
.
Notify Port Angeles City Light by Street Address and Permit Number when 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~mit. PHONE 457-0411, EXT. 224.
/! ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ / C2.s q!?
Electrical Inspector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Halt
OLYMPIC PRINTERS INC
v
e-
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
J9J7/
/.;2?Y/?tY'
ELECTRICAL PERMIT
DATE
Installed By:
/d-d.- W.
e..L~
6- L
'R
~
~
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
~ReSidential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
..8 Remodel
'r-SerVice update/alter/repair
~. Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
lit Overhead
(0' Undergrounb~stD
Voltage ):;Z. 0'-
~ 10 03.0"
Service size LjIl2-<? , Amps
o Temporary
Detai IslDesc~iption:
~tw
kk5
.
J-/({) /rIf ~
:::: :!rZ~:;;
~lL& ~ ~
's~
#
l~~
~/~
-F tS~
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
--t/!IA ~ Rough-in/cover O.K.
1$'IA ~' O.K. to connect service
, Final O.K.
"1-v\.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer: I
Me..
Permit/Receipt No.
Jrcf/
New Meters Date:
::1
Site Address:
I'~ Q.. tv, S-
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically 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 457.0411, EXT. 158 or EXT. 224.
~I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT It' (j;;( !2!?
Inspector Amount paid ,- -
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City! ~
OLYMPIC PRINTERS.. INC. ...
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number 16- 00000526 Date 4/14/16
Application pin number 830298
Property Address . . . 122 W 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0- 9120 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . , . .
Property Use . . . . . .
Property Zoning . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation 0
Application desc
Replace fire alarm panel
Owner Contractor
YEO, JOHN C HI TECH SECURITY INC
190 LOST MOUNTAIN RD 723 E FRONT ST
SEQUIM WA 98382 PORT ANGELES WA 98362
(360) 452 -2727
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee 96.00 Plan Check Fee .00
Issue Date . . . , 4/14/16 valuation 0
Expiration Date . . 10/11/16
Qty Ait Charge Per Extension
1.00 96.0000 ECH '''EL- LIMITED '1ST 1500 SQ FT 96.00
Fee summary Charged Paid Credited Due'
Permit Fee Total 96.00 96.00 1,00 100
Plan Check Total .00 .00 a00 100
Grand Total 96,00„ 96.00 ,00 „00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or'Electrical Contractor X' Date,
G:\EXCHANGE\BUILDING
Page I of I
Si gnature of owner, electrical contractor or electrical administrator: E:, Cash ❑ Check
1� Cradd Card# on file
X Mike Shirley 0*1& 4.13 16
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4
Crri' ou, Poju, ANGELES PERNIrr
APPLWA-FION
Building Dh-ision/Electi-ical Inspections
!,
\j
321 East 1ifth Street — P.O. Box 11501 Port Angeles Washington,
98362
Ph: (360) 4174735 Fax: (360) 4174711
Date 1 3 16
x Mufti-Family or Commercial'
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
J,DaAdd•ess: 1221W.115th
N!i, nr, iSq:�aie I
Owner Information
Contractor Information
Na„ re� Jtjhin 11. Scl()Ut piopeNy
Name: H! Tech Securitv, Inc
Q12W.51hi
Mal'19;l AJJes;: 723 East Front St
OA Z,,, B3(j�
C'4,y Pcifl /41jqpNp's, ',,13�eW
UIY� flur[Ange '9031612
[Nne: � 4U'-2�27, __Fax: 4t"2 t5 6 D
L m nWe4 a lwxrr, I i T t::� u rs 9 5 5B s
Item
_Un Lt She r U e
_TptaU tyA i Unit Char e)
Q_ qftj�ed by ______q-
Service.,'Feeder 200 Amu.
S 13100
S
201-403 Amp.
$160.00
Service!Feecler401-600 Amp
$225.00
Service.(Feedef 601-1000 Amp.
$288.00
ServicelFeeder over 1090 Amp,
$410.00
Branch Circuit W/ Service Feedei
$ 5.00
Branch Circuit WZ Service Feeder
$ 74.00
5
Eac-11 Additional Brafth Ci"i[
5 5.00
l3fanch Circuits 1-4
5 86.00
Tenrp. Service.? Feeder 200 Amp.
$102.00
5...- ....... ..... . . .. ....
Tamp. Service .-Feeder 201-400 Amp.
5121.00
w.
Tamp. Sav)ce' 'Feeder 401-630 Amp,
5 164.00
Temp. ServK;e!Feeder 601-1000 Amp
s 165.00
Portal b Ports) Pburly
$ 96.00
Sign;Ouljine lighting
5 88.00
Si nai CircuiYI-flyfiled Ereigy - Multi-Fan0i
$ 64.00
S
Signal Circuit! Lmled Energy I Fist 1530 sl - Commercial
5 96D0
5 ............
Wle: $5.00 for each addlWirdl 1500 st
ReneivaNe Electrical Energy - 5KVA Sysleni or Less
5 11390
.... $ .. . . . . .......... ..... .
Thermostat
5 5690
S
Note: $5.00 far eachaldiLion3j T-Stat
9 6. 00 Total
Owr.,er as defined by RCW.19.29.261: (1) Owner will
occupy ft structure for Wo years after this electrical permit is finalized. (2) Owner is required
to hire an electrical Contractor if above said property is
for sale, rent or lease, Permit
expires after six months of last inspection.
Si gnature of owner, electrical contractor or electrical administrator: E:, Cash ❑ Check
1� Cradd Card# on file
X Mike Shirley 0*1& 4.13 16
https://www.pdfescape.com/open/RadPdf.axd?rt=c&dk=05CE5CB7U—ZVOkOs5CRKJoEvDW... 4/13/2016