HomeMy WebLinkAbout1233 W 5th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
~;)~.~.,~vt.,~ r-,-i'T~w~ I ISSUED: 7/18/2002 PERMIT NO: 13572
OWNER/APPLICANT PROPERTY LOCATION
G. HALKETT 1233 5TH ST W
1233 W.5TH ST Lot: 9
Port Angeles, WA 98362 Block: 115 [] Long Legal
360/417-3964 Subdivision: TPA
T: S: Parcel No: 063000011525000
CONTRACTOR ARCHITECT
EMERALD ROOFING N/A
133 LELAND AVE
Port Angeles, WA 98362 , 98360-0000
360/452-4681 360/000-0000
PROJECT INFO
Project Value: $2,000.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS7
PROJECT NOTES
ONE LAYER OVER ONE LAYER OF THE SAME
RECEIPT#9449
FEES ASSESSMENT
Building Permit: $69.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $73.75
Plumbing: $0.00 AMOUNT PAID: $73.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
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
aws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does nol
)resume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance ut
~ignature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) / ' / Date
T:\PLANNING~,FOKMS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
INSPECTION TYPE DATE ] ACCEPTED COMMENTS
YES ] NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT/ SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAg LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering 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
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTPdCAL
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 -)-2q ,- o2_ LC ~'~ BUILDING
T:\PLANNING~FORMS\1102.15 [4/20023
1
eo~r FOR OFFICIAL_USE ONLY ~_~
,-~°~ ~Vo Date Rec.: ~
BUILDING PERMIT - APPLIGATION Date P~it ~:__Dam Issued:Appr°ved:
~ The Building Pe~it ~pplication must be filled out completely.
Please ~pe or print in in~ If you have any questions, please call 41%4815
Owner: ~'- ~,V ~F~ E Phone:
Address: /2~7X ~ ~ City: ~~ Zip:~T~
~chitecffEngineer: Phone:
Contractor License g: Exp:. Phone:
Ad.ess: City:. Zip: ~ ~
PRO~CT~D~SS:~ ~ _A ~ ~NING:
LEG~ DESC~PTION: Lot: Block: Subdivision:
CL~L~ CO~TY P~CEL N~BER: Credit Card ~older Nnme:
Billin~ Address: City:.
Credit Cnrd ~: Exp. Date: VISA MC
T~E OF WO~: SIZEN~UA~ON:
~ Residential ~ New Cons~. ~-roof ~ Wood-stove SF. ~ $ /SF. =~
~ Mulfi-f~ly ~ Ad~on ~ Move ~ G~age SF. ~ $. /SF. = $.
~ Co~ercial ~ Remodel ~ Demoli~on ~ Deck SF. ~ $ /SF. = ~
~ R~a~ ~ Sign ~ TOTAL VALUATION $ ~ ~
COMMERCI~S~ENTI~: Occup~cy Group: Occupant ~ad: Com~ction T~e:
No. of Stories: ~ ~t Size: % Lot Cowrage: %
Existing Lot Coverage: /sq. ff. + Proposed ~t Core,ge: /sq. ff. = TOTAL LOT COVE~GE: /sq. ff.
PLANING USE ONLY: ~PROV~S: PL~
Notes: BLDG.
DPW
F~
ES~etl~d(s): ~ Yes ~ No SEPA Chec~ist requ~ed? ~ Yes ~ No Other: OT~ER
B~LDING PE~IT ~PLICATION S~MITT~: Your a~lieation and Mte ~lan mu~t be~lled out completely to be aecepted for
re~ie~. ~ Bulldog Division c~ provide you ~ more de~iled ~o~tion on ~e a~lication ~d pl~ sub~l requ~ms. Your
co~leted application, site pl~ (for additions) and bulldog com~ction plato are to b~ subdued to ~e Buil~ng Division.
V~UATION OF CONSTRUCTION: In ~11 e~ses, ~ valuation nmount must be entered by ~e applic~t. ~is fig~e will b~ reviewed
and ~y be revised by ~ Bulldog Division m co~ly wi~ c~nt fee schedules. Comact ~e P~t Coord~tor at 417~815 for assistance.
PL~ C~CK FEE: Yo~ pl~ ch~ck fee is du~ at ~e t~e ~e buil~ng pe~t application and cons~cfion plato ~e subdued. All o~r
pe~t fees are du~ at the time ofpe~t issuance.
EXPIATION OF PL~ ~W: If no pe~t is issued wi~ 180 d~y~ of~e date of applica6on, ~is npp~c~tion will expire.
Buil&g O~cial c~ extend ~e ~me for action by ~e applicant up to 180 dnys upon ~i~en request by the applicant (see gecfion 107.4
· e U~fo~ B~lding Code, c~em edition). No application can be extended mor~ ~n once.
1 hereby cert~ that I have read and examined this application and know the xame to be t~e and correct, and I am authorized m apply for
this permit. I understand it is not the Ci~'s legal responsibili~ to determine what permits are required; it r~ains the applicant's
rexponsibili~ to determine what permits are required and to obtain
T:~O~S~PS~uildin~emt ~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date '~- ~- ~--(~)'~/~-~ Time Received by ~ ~(phone, person)
Location of Work to be inspected / ~ ~-~ ~1~
Name of person requesting inspection
Address of person requesting inspection Phone No.~/7~- ~:~
Type of Inspection (circle appropriate one): Permit No. 1
Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date --~ - Z z~. d_> ~ Time. By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
.
.
.
~
- -.- -~.-. -
\
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. ,"5 0 c::, 6
q /n/1'/'
DATE
Site Address:
ELECTRICAL PERMIT
'11
WILL CALL FOR
INSPECTION
Phone:
D READY FOR
INSPECTION
License Number:
LJd
{}33
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
D BASEBOARD KW _
D FURNACE KW
D HEAT PUMP KW_
D FAN/WALL KW _
Q( RESIDENTIAL
b' COMMERCIAL
D NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
~ SERVICE UPGRADE/REPAIR
D TEMPORARY SERVICE
AMPS
AMPS
D RISER
D OVERHEAD SERVICE
D UNDERGROUND SERVICE
VOLTAGE:
D1!11 D3!11
SERVICE SIZE
FEEDER SIZE
DetailslDescription:
,
/tLw-
Nf'
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. D NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D OVERHEAD SERVICE APPROVED
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
D Rough-in/cover O.K.
~O.K. to connect service
~Final O.K. /rQ!,,-- }/9G.
Site Address:
(;%
tJ/d-
/:233
{t
Installer:
New Meters
Notify Port Angeles City Light by Street Address and 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 ~ermit. PHONE 457-0411, EXT. 224.
r'7~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ <. t:; o. () 0
I Electricallnspector Permit Fee
WHITE - File, by address
~-
GREEN - Top: Meter Depl.. Bottom: City Hal ~
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC