HomeMy WebLinkAbout515 S Chase St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner Contractor
'CARTER JEFF D
988 HIGH VOUNTRY DR
PORT ANGELES
T \Policies \1102.15R [1/05)
WA 983624602
Signature of Contractor or Authorized Agent
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000599
016683
515 S CHASE ST OLD
06 30 00 0 1 9950 0000
JEFF CARTER
PLUMBING REPAIR
COMMERCIAL OFFICE
4200
Permit PLUMBING PERMIT
Additional desc
Permit pin number 80028
Permit Fee 57 00 Plan Check Fee 00
Issue Date Valuation 0
Expiration Date 12/09/06
—.Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 0000 ECH PL- EA LAWN BACKFLOW 7 00
Fee summary Charged Paid Credited Due
Permit Fee Total 57 00 57 00 00 00
Plan Check Total 00 00 00 00
Grand Total 57 00 57 00 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
(z/oN'
SANFORD IRRIGATION
PO BOX 2246
SEQUIM
(360) 683 9807
Date
Date 6/12/06
WA 98382
03/ O
Signature of Owner (if owner is builder) Date
CALL 417 -4807 FOR UTILITY 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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T \Policies \1102.15R [1 /05]
RESIDENTIAL
PERMIT INSPECTION RECORD
YES NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
BUILDING
�Pk1�� H'a 10
BUILDING PERMIT APPLICATION
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
Applicant or Agent: O., a -Cord Gr' I a 7" h
4 C. Phone:
Owner T`Q `('T
Address: 5 S, C/ aS -e J7 City P A
TYPE OF WORK.
Residential New Constr. Re -roof Stove
Multi- family Addition Move Garage
Commercial Remodel Demolition Deck
Repair Sign Other
BRIEF DESCRIPTION OF THE PROJECT X .T14
i v/i g action Sy5 -(ov
CO1VIMERCIAL/RESIDENTIAL. Occupancy Group
No of Stones: Lot Size: Existing Sq Ft.
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checldist required? Yes No Other
STZF/VALUATION
SF /SF
SF /SF
SF /SF
31O 683 9"f0
Phone. 3 CO i` 5-z— 2 76cP
Zip
TO AL VALUATION )C 'f 2 00 00
s i if a c K I' /o a' p` 2 v .en e r
and snap e•
Occupant Load. Construction Type
Proposed Sq Ft. TOTAL Sq Ft.
FOR OFFICIAL UJ ONLY
Date Rec. "��o
Pelt e -b
Da Appro ede:6'. i 2 04
Date Issued.
Architect/Engineer Phone:
ContractorSa n Koo r of i r i 9 d i d4., State License
-S�NFD y q L F� Epp 711 Phone: 5C0 l,3 qJ 7
Address: P. O,, 0 b 2 2 SIC City set tf 1 14 Zip 'l/ 3 8 Z
PROJECT ADDRESS 5 5 5. C 4 S -e S ZONING
LEGAL DESCRIPTION Lot: Block. Subdivision.
CLALLAM COUNTY PARCEL NUMBER.
APPROVALS
PLAN
BLDG
DPWU
FIRE
OTHER.
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 buildmg permit application and construction plans are
submitted. All other permit fees are due at the,time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued withun 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 wntten request by the applicant (see Section
R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that 1 have read and examined this application and know the same to be true and correct. 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. Va T•1FORMS\B1dgPermitform.wpd AppliCan f: -f Date: f
Payment Receipt Page 1 of 1
CONSTRUCTION
CONTRACTOR. Renewal
Receipt of Payment
Receipt Date- 06/12/2006
Valid Until: 07/12/2006
Receipt 221493
Receipt Total: $109 70
Typel Payer
SANFORD
Che IRRIGATION INC
Keep this page as your proof of payment.
License Number SANFOII991LF
License Name- SANFORD IRRIGATION INC
Address: P 0 BOX 2246
City, State: SEQUIM, WA
Zip Code: 98382
Country'
4285
Detail
Status: ACTIVE
UBI: 602 124 497
Structure- CORPORATION
Specialty BV IRRIGATION /SPRINKLINC
SYSTEMS
This is a receipt for payment of the construction contractor registration
and renewal fee and will serve as a temporary registration. The
Contractor Registration Program will mail a renewed registration card to
you
Trans. Id Amount
101316282 $109 70 Print
Outci; and
6;14t rile r 04 £4 Ar
Lit !d: ANFOI1991 LF
it an:_ Ia1 IA -'1662b.d
1 "0
Endors1 Validati
Check Doc.
Print
Finished
http. /quickcards. apps.lm.wa.gov/ Payment /PayReceipt.asp ?G= {E1295FE4- 0068- 4676 -9A. 6/12/2006
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER'
Application type description
Subdivision Name
Property Use
LBR CONST
PORT ANGELES WA 983624602
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
121 EAST 5T1 STREET, PORT ANGELES. WA 98362
05- 00000826
819274
515 S CHASE ST
06-30-00-0-1- 9950 -0000-
ELECTRICAL ONLY
Property Zoning COMMERCIAL OFFICE
Application valuation 0
Owner Contractor
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc SHAMP/ 60A TEMP
Permit pin number 59253
Sub Contractor SHAMP ELECTRICAL CONTRACTING
Permit Fee 42 20 Plan Check Fee
Issue Date 9/06/05 Valuation
Expiration Date 3/05/06
Qty Unit Charge Per
1.00 42 2000 ECH EL -TEMP SRV 0 -60 SRV FDR
Charged Paid Credited
SHAMP ELECTRICAL CONTRACTING
PO BOX 383
PORT ANGELES WA 98362
(360) 452 -1689
42 20 42.20 00
00 .00 .00
42 20 42 20 .00
Date 9/06/05
Due
Extension
42 20
.00
.00
00
00
0
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CO VER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES 1 NO
DITCH
ROUGH -IN COVER
SERVICE
FINAL
GENERAL COMMENTS:
PW -1102 15 [4/96]
09/01/2005 08 53 FAX 12002/002
9/ t/05 ADO
ro..
Job wired by Electrical Contractor 0 Owner
Electrical contractor name License
enuumbberr Date Expires
Cih akar4 Fir= f�; Cq 5 y 0.';
Purchaser s maiiing address
RnX .2Q^,
City State ZIP
Ptxtrt- iNr 1 d_A 9 83 l^'
Telephone num FAX number
(Aid)) `I'c.,, —Ikaj c
Premises owner's name
1 Fi
Address of inspection co- J C r�yj�� it n r .k r�ci e "L
City
a
Phone number schedule Inspection:
Owner as defined by RCN:J9.28.26J y7) Owner will occupy the structure for two
years after thin elecrrkol permit is financed. (2) Owner is required to hire an clew
contractor if above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that 1 am the owner of the above
named property or a licensed electrical contractor. I ant making the electrical instil-
lation or alteration in compliance with the electrical laws, NEC., RCW. Chapter
19.28, WAC, Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
'Signature of owner, electrical contractor or electrical administrator
Expiration Date
X imr t?o, i r L Date: q /i/o_S of card
Electrical Load Additions and or subtractions
O NO LOAD CHANGES
O Baseboard KW
O Furnace KW O Overhead Service
O Heat Pump Ton LAR M Temp Service
O Fan Wall KW 0 Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 417 -4735
ROUGHIN THERMOSTAT
lnspcction
Date
Dole
Approved By
FINAL
as r Ap /ro yy. J/
Date
Approved) Dy
DTTCR
Ddtp Approved By
Arca, Building or Equipment Inspected
ELECTRICAL W( IRK PERMIT APPLICATION
/Inst, larion description
Commercial 0 tesidentlal
0 New
c CM&2Sl .S7f-
0 Cash Check ti
Card
0 filtered/Addition
SERVICE
Sf'l^Y l C P
0 Credit Card Visa Mastercard Discover
inspect on fee
S 2
Service information
Voltage
Phase 0 1 3
Service Size:
Feeder Size:
Dar Approver
FEEDER
Dare
j/z /os 1 99 ZS rll1= "g 05 i I eta C
l f
I Ted ok_ k- .Lir At S r )(1--
Action Taken
Approver a
1
Electrical
Inspector