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Home My WebLink About1215 W Hwy 101 #44 - Building ~ pORT ~ (Jt:-..J...O~ ,. ... w::::::.:or ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr. name Application description Subdivision Name Property Use Property Zoning . . . Application valuation 03-00001175 Date 12/14/03 1215 W HWY 101 06-30-08-5-1-0200-0000- SPACE #44 ELECTRICAL ONLY RESIDENTIAL TRAILER PARK o Owner Contractor WELCOME INN TRAILER PARK 1215 W HWY 101 PORT ANGELES WA 98363 (360) 457-1553 OWNER Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL SPACE #44 SHAMP ELECTRICAL 76.30 12/14/03 6/12/04 CONTRACTING Plan Check Fee Valuation .00 o t~ ~~ ~t ~~ ~ ~ ~ ~~ '- Qty Unit Charge Per 1.00 76.3000 ECH EL-MANF HOME SERVICE & FEEDER Extension 76.30 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 76.30 76.30 .00 .00 -Plan Check Total .00 .00 .00 .00 Grand Total 76.30 76.30 .00 .00 ?~:::-" ~ ~1t ~ 'F,y-- 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 penod 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. 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 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 FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES I SITE WORK (Engmeenng 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 NO ELECTRJCAL - LIGHT DEPT 417-4735 /Jp~3 AriD ELECTRJCAL LIGHT DEPT CONSTRUCTION R W. / PW/ I , CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T \PLANNINGIFORMSII102 15 [11/14/2003] ~ \ :fl'ORT~ ,",O~;G"'~ ~ . ~ - \ 1J1':. J(i;tP CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 , Appllcation Number pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . Application valuation 03-00001183 Date .477284 1215 W HWY 101 06-30-08-5-1-0200-0000- SPACE #44 RES MANUFACTURED HOME 5/14/04 RESIDENTIAL TRAILER PARK 850 Owner Contractor PARK KEITH/HAESON 3057 NW 63RD ST SEATTLE OWNER WA 98107 Structure Information Construction Type Occupancy Type Other struct info 12 X 50 PARKWOOD 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 1. 00 1. 00 1. 00 1. 00 1. 00 1. 00 Permit Additional desc Permit Fee Issue Date Explration Date BL MANUFACTURED HOME 1969 PARKWOOD MOD #SW2BR 230.00 Plan Check Fee 5/14/04 Valuation 11/10/04 .00 850 ~ - &, )'\ ~~ t- Qty Unit Charge Per BASE FEE Extension 230.00 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 + & or - o Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, pnvate and public improvements. This permit becomes null and void If work or construction authonzed 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 authonty to violate or cancel the prOVIsions of any state or local law regulatmg construction or the performance of construction. Signature of Contractor or Authonzed Agent s- -('I- 20u l..f Date Signature of Owner (if owner is builder) Date T \PLANNING\FORMS\I 102 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 BEFO INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS II YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I I I 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 ';--1 fJ-tj/-/ lJu WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIvISIon) SEPARATE PERMIT #'5 WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'5 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 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 ~ -!). '?J - (::);.J J" l BUILDING T \PLANNING\FORMS\1102 15 [11/14/2003] ') -II' / $cr~ BUILD'ING PERMIT - APPLICATION Fill out CO~PLETEL Y 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 rOR OFFICIAL use ONLY Date l{ec J2~/2-C3 Perrmt # / l B.:3. Date Approved Date Issued ApphcantorAgent: tU&mF t;~ rPhone, ~7-/S-.s-3 Owner: )(CI'TJ./ _-;t;IZK- ~ _ Phone"J /h4? e . Address I'?'~ D tI'r- It9L ~ Crty &u ~6Z--63 Zrp' 1~ 36>3 Archltect/Engmeer. Phone: contractor-i!{ ~t7b State LIcense # Exp. Phone' Address: CIty Zip: PROJECT ADDRESS: I;</..s- //lVjlPl ~ ZONING: LEGAL DESCRIPTION' Lot: Block: (- L/ SubdJVJsJOn: u..V\)Ot.-\.. Add"\.. T CLALLAM COUNTY PARCEL NUMBER: b65tJO~51 0 '2..Do~ II ~-- Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp. Date: TYPE OF WORK: SIZENALUATION: o ResIdentIal 0 New Constr 0 Re-roof 0 Stove G. 72. SF. @ $ /SF. = $ o MultI-farruly 0 AdditIon 0 Move 0 Garage SF @ $ /SF = $ o Commercial 0 Remodel 0 DemolitIOn 0 Deck SF @ $ /SF = $ o Repair 0 Sign 0 Other TOTAL VALUATION $ !.s79, <:90 BRIEF DESCRIP~N OF THE PROJECT. 11<"'= - :~=- -r~ },t7llJ&. (1,111"'- '1'1. xil:?C /.2 )f .s-c:::> _ f~"..kl.(j _ Yhtt:kl 1J;.51AJ 2f;R COMMERCIAL/RESIDENTIAL: Occupancy Group' Occupant Load' Construction Type ~O/~ ~ No of Stones L Lot SiZe: EXIstmg Sq. Ft & Proposed Sq Ft = TOTAL Sq Ft EXistmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONI-Y: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist reqUired? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DlVlslOn can prOVide you WIth mformatIOn on the applicatiOn and plan subrruttal reqmrements If you have questiOns. VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the apphcant. ThIS figure Will be reViewed and may be revIsed by the Buildmg DlvlslOn to comply WIth current fee schedules. Contact the Perrrut Coordmator at 417-4815 for aSSistance PLAN CHECK FEE: IF a plan check fee is due It must be subrrutted at the tune the bmldmg perrrut applicatIon and constructIOn plans are subrrutted. All other perrrut fees are due at the hme of permIt Issuance. EXPIRATION OF PLAN REVIEW: Ifno permIt is issued Within 180 days of the date ofapphcatlOn, the application will expire. The BUlldmg OffiCial can extend the tIme for actIon by the applIcant up to 180 days upon wrItten request by the applicant (see SectIOn 1074 of the Uruform Budding Code, current edItIon). No applicatIon can be extended more an once T \FORMS\APPS\Buildmgpermlt wpd Apphcant ' ~ Date' I;J. - Z -e 3;. I hereby certify that I have read and examined thiS applIcation and know the understand that it is my responsibility to determine what permits are requir: PREPARED 6/23/04, 12,48-03 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 6/23/04 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . APPL NUMBER 1215 W HWY 101 SPACE #44 SUBDIV, PARK KEITH/HAESON 06-30-08-5-1-0200-0000- 03-00001183 RES MANUFACTURED HOME PHONE PHONE PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLHD 01 5/17/04 RV BUILDING FRAMING HOLD DOWNS 5/17/04 AP RON 457-1553 BL99 01 ~;3\J{ ~ ~~~LDING F~~~~1553 ---------------------~:~------------- COMMENTS AND NOTES -------------------------------------- ELECTRICAL PERMIT APPLICATION ['OR OrfJ{:IAL USE=. OHU , D~ttIR"",,: __'__",__","_...n" r'~mrlll": "."..___..'.._._.__.' Dolt APPNVcc!' '_~""_"__.._., >,'... . {JJ'C l:;.ud ~....____.__,. _~__... The Electrical Permit Application must be filled out c:ompletelv. PI..se type or reprint in ink. If you have any que.tians, pl.ase call (360) 417-4735 Fax number: (360) 4174711 ##1 //75' Owner 0' Eloo. Controctoc Ag.n.: 8ffltmP ELECTRI(/t L C DAf Tf'ItCTI Mr., ) IJ 1'. Phone: 4.')2 -/~' yq Fax: ~ ________ Property Own.,: L0.e\(",,---..... In.... Un;-I\\-lft \?-.IS- 0\J . 1+i~u.l"""1 \0\ Pha".:-.1Sl-rss'", Address: Fo fu~ 3'6::' City: 1l0tT A-~f,.!--) p; ) wA :..".___ Zip: '12;)0L , ,:;.fli'rnw ECD2, 0) '." _. " ._ Electrical Contractor:.2t1ItI11Y Glr(lI1'\CAL("\~i'TV\-CnNi. II-J(I. license #: Exp'l.:_',l.1:.12:L_Phone: Lb1..-I,,~'i Address: f'0 IT:;( _0,8 ') City: -P6Q.T A1\..l-r:Le; LvII - Zip: 9 33 ~; Ie. INSTALLATION WIRED BY: U oWNER IJ ELECTRICAL CONTRACTOR Credit Card Holder Name~ NA'~ K W )iJflrI)l' 1011-1 ,Sty',-c!- City: .Pce..T A~6-f;LBS Exp. Oate: ~ ): L,}4 . Zip: "183103 VISA-X Me: __ BI/flng Address: Cj 10 IJV- Credit Card Number:~'?~ KE- ern PAq:. PROJECT ADDRESS: lA k I CDl'f\ -( \ f) VI Check all that apply: ( j(-,+ ~ 41- \;;l,I5' W. \1r\'Jhw~. \0\ TYPE OF WORK: o N.ew o Alteration/Addition o Residential n Multi-family o Commercial 0 Mabile Home Sq. FI o Remote Meier 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage (J Telecom_ 0 Sig Number of Circuits added or altered: DESCRIPTION OF THE ELECTRlCAI_ PROJECT: 01ili. l.t t1~_ <;:'e /1[1 CL'r -:J=-rqJ"v . Electrical Heat Load Additions and <;If Subtractions Service Information o Baseboard [J F umace o He~t Pump tJ Fan-Wall _KW KW TON _KW LRA o Overhead Service o Temp Service o Underground Service VOltage: Phase: 0 1 0 3 Service Size: reeder size: I hereby certify that I have read and examined this application and know that same to be true and correct, and I an authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: /;f/t-______(,~...~ Date: llG- 9/0'3 ~~d' ,( Owner or EJec. Cont. Signature: ,./"? ...--;?~ ,", -~,_ Date: \1--- g -,() ~ ~1[;t2~^~tfO/D.r PERMIT E: $ 'Ib ,rj() 10 39\1d 8313 dl~\1HS 589 T2:SrG9S T 9S:LT EGG2:/R~/~T