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Home My WebLink About1612 S O St - Building CITY OF PORT ANGELES °~' OF COMMUNITY DEVELOPMENT BUILDING DIVISION DEPARTMENT 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000254 Date 3/13/03 Property Address ...... 1612 S O ST ASSESSOR PARCEL NL~4BER: 0630004403200000 Application description . . . RES MANUFACTURED HOME Property Zoning ....... Application valuation .... 61869 Owner Contractor ...... Structure Information NEW MANUFACTED HOME 1173 SQ. FT. - .... Additional desc . . ......... STATE SURCHARGE 4,50 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 graf)ting 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. Sign~tu~We~ ~ntractor or ^~thori~ed ^gem ~ ~te Signm~re o~ ~ W ~ ~ ~0 ~ T:~PLA~ING~FO~S~ 1102.15 [412002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVEI~, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. K~EP PERMIT CARD AND APPROVED PLANS AT JOB SITE WALLS PLUMBING WATER LINE BACK FLOW / WATER O~, FOR OFFICIAL USE O_~Y: BUILDING PERMIT - APPLICATION *,..il#: Dale App~ed: Date ~sucd: The Building Pe~it ~pplication must be filled out completely. Please ~pe or print in in~ If you have any questions, please call 417-4815 ~o~'~.,- ~,~ ~~ Phone':~l-~7 Address: q~ LI nk~uS~tt~X _ Oe, City:~ Zip:~ ~chitecffEngineer: ~a~g~ ~m~S Phone: , , Contractor ~m~ -~ ,~ ~ome_s License ~:~ Exp:~ Phone:~ Address: ~5~0~ ~S~ ' X~ Ci~: ~u'~ ~ Zip: Su~ivision: ~ ~ ~ LEG~ DESC~P~ON:Lot:~ B~ck: ~[ La., ._ - W- CL~L~ CO~TY P~CEL ~BE~~Credit Card Holder Name: Billing Address: Ci~: Credit Card g: Exp. Date: VISA MC ~E OF WO~: SI~N~UA~ON: ~ Residential ~NewConsff. U Re-roof u Wood-stove ~ SF.~$~O.31 /SF,~$ D Mul~-f~ly D Ad~on U Move D Garage SF. ~ $ /SF. = $ ~ Co~ercial ~ Remodel ~ Demolition ~Deck ~SF.~$ ~1,~ U R~a~ D Si~ ~ TOTALV~0ATION $ CO~ERC~8~ENT~: Occup~cy Group: Occupant Load: Com~cdo~ T~e: No. o¢StoHe~: ~ ~t S~e: ~ % Lot CoveraRe: ] ~ % EMst~ Lot Coverage: ~ /sq~ ff. + Proposed ~t Cow,Re: ~/sq. ~. = TOT~ LOT CO~6E:~/sq. PL~G USE ONLY: ~PROV~S: PL~ Notes: BLDG. DPW ES~etland(0: ~ Yes u No SEPA Chec~ist re~ked? D Yes ~ No O~: O~R B~D~G ~E~IT ~PLICATION S~: Your application ~d site plan must be~ied out completely to be accepted for review. ~e Bulldog Di~sion c~ provide you ~ mo~ derailed ~omhon on ~e applica~on ~d plan sub~l requbme~s. Yo~ co~leted application, site plan (for addition) ~d building com~cfion pl~ ~ to be subdued to ~ Build~ Division. V~UATION OF CONS~UCTION: In ~1 cases, a valuation amount must be entered by ~e applic~t. ~a ~e ~11 be re~wed and my be revved by ~e Building Division to co~ly ~ c~em fee sched~es. Contact ~e Pe~t Coordinator at 417-4815 for assis~ce, PL~ C~CK ~E: Yo~ pl~ ch&ck fee is due at ~e ~e ~e bulldog pe~t a~lica~on ~d co~c~on pla~ ~e subdued. All o~ pe~t fees ~e due at ~e ~e ofpe~t iss~ce. E~I~T1ON OF PL~ ~W: If no pe~t is issued wi~ 180 days of~e date of applica~o~ ~s application will expire. Th~ Building Official c~ ext~d ~e ~e for action by ~e a~licant up to 180 days upon ~en request by the applic~t (see Sec~on 107.4~f the Umfo~ Building Code, c~ent e~tion). No application can be extended mo~ th~ once. · I he.by ce~ that [have read and ~amined th~ application and ~ow the same to be ~e and co~ect, a~ [ am author~ed to apply for th~ pe~it, l understand a is not the Ci~'s legal respo~ibili~ to determine what permits are required; it remains the applicant's r~ponsibili~ to determine what pe~its are required and to obtain such. Apphcant: ~ , . FROM KIRSCH ELECTRIC FRX NO. 3606830869 Rpr. 01 2003 11:17RM Pi """'::',:1" (j ",6' 'i ELECTRICAL PERMIT APPLICATION oS& FOR O!>l'lCl.\t. l'Sfi (,M.'V ~~~. ~~.~===~ [lllI,~,__ D....Io~_~~_~._.... The Elactrie61 Permit AppllctltJon mu!-t bft f1U6~ 2j,1t cDItlDJatelv. "1f 3b~ PI~typlil or hi print in Ink. I(you hew IiIny ql.ie~tlQl'l", pje.1" call (36D) 417041:S5 FIIr: number: (360) 417....711 Owner or e:l:lC. c.ontraclQr A~Eml: ~ ~,r,,--<:;~ p,~ ON".,- \hn DyKuJ ,Add",.." \lo\;). ::5. "0" ~'Tre..e.::t CI~: D9(-G ~~ Zi~: Q35~ EloclricolC<lnlroctor: hir~fi-., t\f'C+--\Q~ UC<<lS."')',ll15e,e/~X? ~~/tl5Ph<m.. (o~(oglq ,Add.....: I1:::,fux ::::;;::/'/(; C"y ,"'>e.goll'Y) ZIp' q~82 rNSTALl.ATlON WIRED BY: 0 OWNER ~aECTRICAl CONrnACTOR ,Cred/tCardHofderNamG: 3ClVlYl ~. 'A\C"',("JrJ B/II/ngAddress: 9680:::1 ,?;j9(P City: s.O~O;1Y) . Credit Card Numb&r: '- ()&p. Date: REQUEST INSPECTION 0 ?none: (015",-- (DR I q Fax: CI! '03- ()g(o q Pt,cno: Zip: _905'tSd., VISA: ^ Me: - - ,PROJECT ADDRESS: \ L.c I ~ :",." 0' ,"'\'tIee::t:-- lYPE OF wQRl>; Check Jl!J that .P~IY: "jJ...New 0 Alteration/Addition o Resident.1 0 Multi-famIly ::J Commercial )( Mabile HOll1o, Sq. Ft R;,mote Mater 0 Detached garage !' HctTutt 0 SwimPoai 0 Septic PU'TIP .Number of CirC'JilB addod or altered: CESCRlPTION OFTHE ELECTRICAL PROJECT: :tn ""'ba..U m.r, bt.l.L tbYNL m O-rP rhz."O , o low Voltage 0 Telecom. 0 Sigr, -r1_.30_ PERMIT FEE: I UJ Ser/fco lnformatlon €W;trl",,' Haat lo~ Addll!"". o Baseboard ~ L.J Fu~ ~w 0 Ollarhead Service o H..I Pump - TON LRA (J Temp SorvIce o Fan-Wall -- tw<I ---- (1 Underground Service. ctfn.-eo ~p~< ro~ UJ40s 0/03-4L PAMC 14.05.060(8): For industrial. commerclol, &, reslderrtla! projects lerger than a "'iple>;, . aoe -line d'awing of the Elactrk:ol Sarv;"" & F"I2.Bd~. building size- (sq. ft.), load cab_j~at1on~. snd the type B. Dr conductors ~d/or r&;sway [s; rEquired illId shan ~ccompany ~e Bectncal PermIt appHcatlon, VoItago: Phase: 0'1 0 ~ Service Size, Fead9r Size:-=--=- \ / hereby certify that I have read arid examined this application and know tf,a/ same to be tru9 and COlTect. and I am authorized ro apply for this permit ~he City's rasponsibllity to d"term/ne what permits are 'required; it remains the applicants responsibility to dstennir.8 what permits are required and to obtain such. J' " , !J ~ -"'a7' CrodllCard HOldor'sSlgnatur$:~c~~/ , ' Own" or Ellle. Cont. Slgn~tul'll: [7 '___ C:IELECTRICALPERI.IiIT APPUCA TION Oate: ~"j, I. Date: 07 O{:-, (2; '-d~ ~/J/o~ t& C~ 0/03 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-~'-- /3-d..~----~ Time Received by {phone, person) Location of Work to be inspected / _~> / ~ ~ ~ ~T Name of person requesting inspection ~/~ ~ ~ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer ~n~ati~Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: [~o ~ ~A~ ~ Inspected: Date :~-/?-:~'~: Time By ~,.F ,_ ' Remarks: /~,~/ /~ ', :' '' ', '.. - -,~. -' , _ ' RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [-I Repaired by Permittee [] COMPLETE qNo Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /"/ -' /'/-~ - ~--~ Time Received by /~ (phone, person) Location of Work to be inspected /~==J~- ~ (~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other r'~,5,~L INSPECTION NOTES: ~ f.~ Inspected: Date /-~£~-~ Time ~ ~ Y~-~ By Remarks: .~. 64~ RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved {~Gravel []Asphalt I--]PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /7/- --~ - d_~*.~ Time Received by {phone, person) Location of Work to be inspected /~:)/~-~ ~'~) 0 -~'~' Name of person requesting inspection J~c:~'~'~4, y Address of person requesting inspection Phone No. ~;~)J - Type of Inspection {circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other '7-/'~ INSPECTION NOTES: ~// Inspected: Date ~' 7'c,)-'-> Time I~- z~c.: By ~"~/ Remarks: /L3~4"z ~:A".,.~'.~ /.~/(~:;~.~' ~.-3~'.~,-~ "~%**3~,~.,~_~)~ RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~]Gravel r-lAsphalt r~PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC,~,ORKS. · ........... INSPECTION REPORT ........... REQUEST:, ~ · ~, ___-- , . Received by (phone, person) Location of Work to be inspected J/-~J ,~ ~ ~ /! Name of person requesting inspection ~--~3~/~ ~/ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one):/~ Permit No. ~_~'ff Sewer Foundation Framing Chimney~SewerExcav. Other INSPECTION NOTES: Inspected:Date ~)?f~ll~//~) _~ Time '~ By~ Remarks: RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [~]Asphalt [~]PCC [~Other [--I Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) '. I:', .: " \' > "',',,:>: :;:-,"i. .~, : I -, " " ' " ISection: J ' ; ,:- /".':' lI'ownship: ?i) L: ,': !R2:" (f;W'-'~~:;: . , ." ;.'"'. '.t:/ ~ .<. L".' ,;'. , ,:,::,,-,., :.:',\<i: cele!Jf1one se[vice 'yir~'"t9t:,P a ~.. ,~~~/:.,~:'~t0i ":,:',:'/"),1 APR 03 2003 14:42 FR TRAFTON B 253 471 1324 TO 13604174709 QweSt Job # W(Y()?()\ (o~3 - YScC__' 9 t 1'~ , - ~- .~ / "Z :.~" .,,,;: .'::10 , , , ----~ - - ~,~~ ..~ _c.~~'" P.03 ';;E'~ """, " '",; _"'r~~:~ JU"". , .~~" t.~",' , ,'':''1''': \,\ II .. .", .' '," ',';'.l\',:~: . ~;,i,;<'\ ,', .... ", ; '\,~ ,~ ,,; ,<,:.,:\I~' " 1:'/,'; ., ,," J' ,'\ ,', ;i,".:-!, " :':-?/~~~:; ',','; "'\,'., ':',l:";;'",,; '/.';"F" <",' " ,'/'i',t'," ,', ::;t". ;\ :,.,,'}O k',:':.'"': !(I;i~ Of",:,!:;; :~~,n" . ~~Q. .~Ia ~~ -,. ': "'\oln~~I. ::II"'Q'I.-.eo. l:1ilWF"... -~?;:~L :?~$~~NC JE;AI~ ::r.JI"'CI "10" U"iiI!IoIIO r.. I.e..'" :"'OOlI ...."'"'.G 1"I.Cl!"" ~/W ,.,. . ~"~..,,,r."'. This ~ec_....ie~[ for ?errr::[ is for ~he :::acemen[ of underground our '2usro;ner Q[ :he foilowing ",dc.:-ess: j&/Z 07.;iI ThIS '.vcri: -.vill require: Trer-chir::g in [he R/W (total footage) / /5 Push or ':Jore 2 inch PVC or SIP under roadway (total footage} C1J o Push or ":Jore 2 inch PVC or EIP under driveway (tOtal footagej Push or bore 2 inch PVC or SIP under multiple drivewavs (total footage) 0 ".".11 crosSl;-UZS =0 ROW work al 36 inches. 'AI! :oi" =d ,renching rec;uircs seleCl fill. ~ , . " ** TOTAL " " ': "~' :', : :7~ , <', ~ ::,; ,';\ .' ~ ,,' "'( , \ (,';,,'. ", ',:~(:~~ :,~ ", '. ,:1, ;:,',;, I,,"':,::;;,\i, , ' .:: ',,:(:)/{ PAGE.03 ** APR 03 2003 14:41 FR TRAFTON B 2534711324 TO 13604174709 Fs'x..... , . . . , ,'. .', Cover sheet April 3. 2003. . Sender info Local Network 7850-8 S, Trafton. Tacoma, WA 98409. Office: (253) 471-1324. Fax: (253) 597-5136 TO. City of Port Angeles COMPANY, FROM: Dona Thaut QWEST cc: FAX NUMBER: 360-417-4709 RE: PHONE NUMBER; TOTAL NO. OF PAGES INCLUDING COVER: 2 Comments: Permit Application W0301683-452M JOB ID Q~;st:-2 P.Ol "" J'>J ',: 'ok'';; ;;,