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HomeMy WebLinkAbout1710 E 4th St - BuildingCITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00001064 Date 10/28/05 Application pin number 065488 Property Address 1710 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 -1 8445 0000 Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3693 Owner Contractor ELLIS LARRY /MARGIE 1817 E 4TH ST PORT ANGELES WA 983624915 O T M SERVICES 309 S ENNIS PORT ANGELES (360) 417 0124 WA 98362 Permit BUILDING PERMIT NO PR FEE Additional desc Permit pin number 64014 Permit Fee 120 75 Plan Check Fee 00 Issue Date 10/28/05 Valuation 3693 Expiration Date 4/26/06 Qty Unit Charge Per Extension BASE FEE 92 75 2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Due Permit Fee Total 120 75 120 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 125 25 125 25 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 MOA aeu) mbeaq Signature of Contractor or Authorized Agent Date Signature of O ner (if owner is builder) Date T \Policies \I 102_15 building permit inspection record05 wpd [1/4/2005] FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) 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 WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 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 A ND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED I COMMENTS YES NO I 1 1 I,-_ 1 6-74- t-x ()ci 1J1 r FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO SEPA. ESA. SHORELINE. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 4815 T \Pnh s\1102 15 building permit inspection record05 wpd [1/4/2005] FIRE DEPT PLANNING DEPT BUILDING 1 1 I 1 1 I I I I 4. 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: &U W. F tho 1 Owner Qn� f 1 (9 F I to Phone WI V Phone. '1/1 ]p ��Qq Address /'d S city. P61( Phone. Zip O f 6 a Architect/Engmeer• Contractor f7 m. State License Address City PROJECT ADDRESS I W(.) C ?A f LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. SIZE/VALUATION Residential New Constr. X Re -roof Stove SF /SF Multi family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION Q BRIEF DESCRIPTION OF THE PROJECT COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stories. Lot Size: Existmg Sq. Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other. T•\Policies\BL 1102_13.wpd Applicant: Exp Subdivision. Phone 0 01 Date /6/0 Phone Zip ZONING FOR OFFICIAL USE O LY Date Rec. trizty x i Permit �i'. Date Approved. ID/W0.6 Date Issued. c tO �/�P� 666 Occupant Load. Construction Type Proposed Sq. Ft. TOTAL Sq Ft. y/7 D1a9 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 building 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 withm 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 R105.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once. 1 hereby certify that 1 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 must obtain such permits prior to work. '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 98361 Lasered CEO Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation 06-00000318 Date 439462 1710 E 4TH ST 06-30-00-0-1-8445-0000- ELECTRICAL ONLY 5/22/06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor ELLIS LARRY/MARGIE 1817 E 4TH ST PORT ANGELES WA 983624915 OWNER Permit Additional Permit pin Permit Fee Issue Date Expirat~on desc number ELECTRICAL ALTER RESIDENTIAL OWNER / NEW METER AND MAST 74096 36 30 Plan Check Fee 4/07/06 Valuation 10/04/06 00 o ....... ...J ...... ~ Date Qty 1 00 Un~t Charge Per 36 3000 ECH EL-R OR RM REPAIR METER/MAST Extension 36 30 Fee summary Charged Paid Cred~ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 36.30 36 30 00 .00 plan Check Total .00 .00 .00 00 Grand Total 36.30 36 30 00 .00 m ~ \~ CA ~ COMMENTS! ACTION NEEDED \ ELECTRICAL PERMIT INSPECTION RECORD , 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 IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB Sn'E INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO II I ( :H IH 111(TH-lN / COVER l:)r..K vICE I ~-/~-IJ' .b 1 JI GENERAL COMMENTS: PW.II02.1' (41961 "I ELECTRiCAL INSPECTiON I WIR!NG REPORT 417-4735 Pi;'; c& 511V 0-0N EIC... ADDRESS 17 It) L <II{ 5 APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 O. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 O. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . X O. . . . . . . . . . . . . . .. . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: (}) .orE - OX /f LL- A~~/lv...../l'1 ?<J r ,R..# ('LJj(;,u~~~ @ I t. l3 .s ,!VL}/ #~A..:>v".L) ?Ol? <<jrr-"...~/~ t..--- ~TF/A-J!Kf o i"'''''-<n->/-\6<..s 7?'I-1"'.,L,' (J) ;V v...) ~r<J I? ~ 05 @) ';vpr A,4/'/Z-<, v<".L) ~~I~/7< 2- ;:J8fJIEL . V'Ylov'"F <;(;~h )5 77:> ~""';Oo"-'~ ,5.. . &€.s r ~ &LG.nu. ~-A? LCJV-I'T7<~#f cAu.-- 4/7 -'IT?')" 4L NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ELECTRICAL WORK PERMIT APPLICATION Job wired by o Electrical Contractor 0 Owner Installation description ./ o Commercial i1J" Residential Electrical contractor name License number Date Expires o New a Altered/Addition Purchaser's mailing address J?/O !'/J...S{ c~ Or--\ ~A Telephone number t.tJj. 51 ~~ State ZIP , cJa q~~(,,~ FAX n n~r 11- y Uu- 77"r 0<:; 7 ~!2..ll1'Ui fK\-tIl~ - R.p p)t1i'{)m~J1t - Premises owner's name Address b~e~ f)/is 17/1.> tV>t' 41:1:. sT CHY'j1 +- Q J Ph-o~e ~::r to SCh:;U~s~c~on: Owner m defined by RCW/9.18.26/:(J) Owner will occupy the structure for two years after this electrical permit is fil/alized. (2) Owner is required to hire an electrical contractor if abol'c said property is for sale. rent or lease. After reading the above statement, I hereby certify thai I am the owner of the above named property or a licensed electrical contmctor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City or Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover x Date: Expiration Date of card ~nspec~ be. :3 V Service Information Electri al Lo d Additions and or subtractions (J NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR (J Fan-Wall KW o Overhead SelViee o Temp SelViee o Underground Service Voltage Phase (J 1 (J 3 SelViee Size: _ Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUCH-IN /' THERMOSTAT SERVICE Dale Approved By "- Date Approved By Date ApproH:d By '1ln FINAL /' DITCH FEEDER Din L .,kO 'l Vale Approved By/ "- Date ApprovcdHy.-/ '-- Date Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector 4 -It) - C)& ~.~ ~ .w::' ~ . . .' I