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HomeMy WebLinkAbout726 W 5th St - BuildingPREPARED 7/15/08 10 51 22 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/15/08 ADDRESS 726 W 5TH ST SUBDIV TENANT NBR ADAM C CHITTICK CONTRACTOR PHONE OWNER ADAM C CHITTICK PHONE (415) 308 9045 PARCEL 06 30 00 0 1 0030 0000 APPL NUMBER 08 00000642 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 7/,15/08 JLL BLDG FINAL TIME 01 00 July 15 2008 8 45 17 AM 1pangrle ADAM 415 308 9045 BLDG FINAL AFTERNOON COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00000642 Date 6/17/08 Application pin number 381554 Property Address 726 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 0030 0000 Tenant nbr name ADAM C CHITTICK Application type description RES ADDITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 800 Application desc ADD 64 SF OF UNCOVERED PORCH TO EXISTING PORCH Owner Contractor ADAM C CHITTICK OWNER 726 W 5TH ST PORT ANGELES WA 98363 (415) 308 9045 Structure Information 000 000 ADD 64 SF UNCOVERED PORCH Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc ADD 64 SF UNCOVERED PORCH Permit pin number 127449 Permit Fee 59 15 Plan Check Fee 23 66 Issue Date 6/17/08 Valuation 800 Expiration Date 12/14/08 Qty Unit Charge Per Extension BASE FEE 50 00 3 00 3 0500 HND BL -501 2K (3 05 PER C) 9 15 Special Notes and Comments The Fire Department has reviewed the project application and has no comments June 16 2008 12 45 12 PM sroberds The proposal is an uncovered addition to an existing front porch in the RS 7 zone for total lot coverage of 17% No land use issues anticipted Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary Permit Fee Total 59 15 59 15 00 00 Plan Check Total 23 66 23 66 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 87 31 87 31 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 has 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. t 1MU/ Z 4I AM C Os 1"I`rl C4- Date Print Name T.Forms /Building Division/Building Permit (10 /01 /07).wpd STATE SURCHARGE 4 50 Charged Paid Credited Due Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION FOOTINGS SHEAR WALLS 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 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417• -47.50 I BUILDING 417 -4815 T Forms /Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD YES I NO I I I 17 -ice OK I Pk I FINAL FINAL PLANNING DEPT SEPARATE PERMIT H's SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED 09 N YES I NO I v I I; R r Applicant or Agent e CA..t ITT i Property Owner km-, C Q.44, v-ro P� Property Owner's Address 72.,c, 5v c Contractor /Engineer QI\ o Contractor /Engineer's Address License PROJECT ADDRESS 72I, w 5 Si No /10cALGs, (AA c 183 Lot laic ig Zoning KS 1 Parcel Number 4)6 34) $4) kW '34) Project Type Brief Des Check all that apply New Construction XAddition Remodel Repair Re -roof Demolition Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures i I h CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 a Max height of proposed structures X 7 ft. Will a lawn sprinkler system be installed? NIA Will a fire sprinkler system be installed? BUILDING PERMIT APPLICATION Print in ink cription. X Residential Commercial Multi- family Industrial u r. Cove. EkicNclo,) 10 F 94k11 PO 2G4 6,41 sa F- &A.AflE 1D c.3at.,1■e scft.FrtaC.A 15 4 Heat pump wood- burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (g. ft.) NIA NIA at 6 Nip Nln N(A NIA 44— 2.5 .V 9 A DPiTiOri/JL O /44, ►L.cS NIA Occupancy group Occupant load Construction type sq ft. Lot size 71 0 sq ft. For City Use Only Date Received (5- 2-3.63 Permit ate Approved Phone Phone (4t5130. sic.)) 30Y 9eitt Phone (4tS) Sitg Qo9Z Expires per sq ft. TOTAL VALUATION $Q (1 Lot coverage 11" of bedrooms of full baths of half baths I have read and completed this application and know it 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, and to obtain permits prior to working on projects Date L Tilly Pt Print Name IQM I I Signature T Forms /Building Division /Bldg Permit Appl. 2006 Code doc I (.CELL) r i \1 6 t 1 Sth St 1\ T 05P. 1 Rp!b Ai�c t. S i \)6 10 ,50 i 1 Peo4 -13_ lf4& Fit CITY OF PORT p.NGE4.ES Construct ion Plans The Issuance ofIthis permit based upon these plans, specifi- cations and other data shall' not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being..carried on thereunder when in violation of all codes and ordinances of this jurisdic ppproval-Date° By 04X L4-10(2-4e— So$J 1 1---, Afportuip-- 31 NG- 5izo 141 O Extension to be built onnecting porch In his side. c joOrv nne q CPL g s a-TH -warNi rsi q' 2122t 1 K 0 I cr-1 N 7 I LJ IL eV 117 I -9(11 rh LO 1j 1 vs?,_ np vrilis-51srri0 Id 1 *-5 ralrd 15 'Im d L wv0 31413 -sgf■isi L I i C 5 c -J r p 1 Li I .04til9 crD iot 1 f 21- __1472±t r I 14 ELL I -r- I I I I I I I I I I I 7 L CITY OF PORT ANGELES °~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DWISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 OWNER/APPLICANT PROPERTY LOCATION 726 5TH ST W DEBORAH CLEVENGER 726 W. 5TH STREET Lot: 7 Port Angeles, WA 98362 Block: 100 [] Long Legal 360/417-5110 Subdivision: TPA T: S: Parcel No: 063000010030 CONTRACTOR ARCHITECT owner N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $10,000.00 SFD Units: 0 Commercial: 0 Project Type: ADDITION SFD SQ FT: 0 Industrial: 0 "~ Occupancy Type: RESIDENTIAL Garage: 0 I~d Occupancy Group: MFD Units: 0 ~ Construction Type: MFD SQ FT: 0 Zoning Use: ~ PROJECT NOTES ALTERATION OF EXISTING AND NEW ADDITION L/ RECEIPT g'9180 FEES ASSESSMENT Building Permit: $181.25 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: $185.75 Plumbing: $0.00 AMOUNT PAID: $185.75 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 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 Signature oCldContrabc/t/?/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. K EPPERMITCAR AND ^PPROVED PL^NS ^T JOB SITE INSPECTION TYPE ] DATE ACCEPTED COMMENTS YES } NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUG.-IN Rag Ooq, LEI4 WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL DRYWALL T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHILLY HOOD / DUCTS PWUTILITIES/ SITEWORK (Enginee~ngDivislon) SEPA~TEPE~IT~'s: WATE~INE / METER SEWER CONNECTION SANITARY PLANNING DEPT. SEPA~TE PE~IT ~'s SEPA: PARKING/LIGHTING ESA: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY~SE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEDED YES NO ELECT~CAL - LIGHT DEPT. 417-4735 ELECT~CAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. FOR OFFICIAL USE ONLY: & e°Rr~t'e Date Rec.: BUILDING PERMIT - APPLICATION Pe~it~: Date Approved: Date Issued: The Building Pe~it Application must be filled out completely. Please type or print in in~ If you have any questions, please call 417-4815 Applicant or Agent: ~.~ k~ Q UEug 6 Phone: ~l~ ~ltO Owner: ~ C,~E~ Phone: ~1~ ~]/~ Address: ~ ~ ~ City: ~T~~ Zip: ~ ~chitecffEngineer: Phone: Contractor ~ 1~ -¢~ ~ License~: Exp: Phone: ~t~ ~il O Address: City:'P~~ [~ ; ~ Zip: ~'~ G ~ PROJECT ~D~SS: 7~ & ~/ '~ ~ % ~NING: LEGAL DESC~PTION: Lot: Block: Subdivision: CL~L~ COUNTY P~CEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card $: Exp. Date: VISA MC TYPE OF WO~: S~UATION: ~ Residential D New Cons~. a Re-roof D Wood-stove SF. ~ $ /SF. =~ ~ Multi-hmly D Addition D Move ~ Garage SF. ~ $. /SF. = $. ~ Co~ercial ~ Remodel D Demolition O Deck SF. ~ $ /SF. = $ D Repair D Sign D ~TAL VALUATION $ /O/~ ~ COMMERCI~SIDENTI~: Occupancy Group:. Occup~t Load: ~ Cons~cfionT~e: No. of Stories: / Lot Size: % Lot Coverage: % Existing Lot Coverage: /sq. fl. + Proposed Lot Coverage: /sq. ~. = TOTAL LOT COVE~GE: /sq. fi. PLANING USE ONLY: ~PROV~S: PL~ Notes: BLDG. DPW FI~ ESMWetI~d(s): D Yes ~No SEPA Checklist required? D Yes ~ No Other: OTHER B~LDING PE~IT ~PLICATION SUBMITT~: Your application and site plan must be filled out completely to be accepted for review. The Building Division c~ provide you wi~ more detailed ~omtion on the application and plan sub~al requirements. Your completed application, site plan (for additions) ~d building cons~ction plans are to be sub,Red to the Building Division. V~UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed andmybe rcvisedby~e Building Division to comply~th cu~ent fee schedules. Contact~ePe~tCoord~atorat417-4815 for assistance. PL~ C~CK FEE: Your pl~ check fee is due at ~e time the building pemt application and cons~ction plans are sub,Red. All other pe~t fees are due at the time ofpemt issuance. EXPIATION OF PL~ ~VIEW: If no pe~t is issued within 180 days of the date of application, this application will expire. The Build~g Official can extend the time for action by the applicant up to 180 days upon ~i~en request by the applicant (see Section I07.4 of the Unifom Building Code, c~ent edition). No application can be extended more than once. I hereby cert~ that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. 1 understand it is not the Ci~k legal responsibili~ to determine what permits are required,- it remains the applicant's res~onsibili~ to determine what permits are required and to obtain such. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQU~_~T: Date ~'-~--~- C~'~-- Time Received by ~'~)1,/ (phone, person) Location of Work to be inspected ?~-,~J 4: . ~ '-//~ Name of person requesting inspection '[~)~'/~ Address of person requesting inspection Phone No. ~7'/'~ --~-// Type of Inspection (circle appropriate one): Permit No. Sewer Foundatl~m~ Framing-~Ch~mney Plumbing Final Sewer Excav. Other _ INSPECTION N~S~' ' ate By nspected' D ' i Time Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved I--IGravel [~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 ........... REQUES~T: . ~ Date ~ Time Received by (phone, person) Location of Work to be inspected -~ 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 ~; ~' ·:~ INSPECTION NOTES: ~, Inspected: Date ~., 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) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~,-/'///'/"~ //d'~-~ Time // ',~--~-~ Received by _~TL~.~ h~_on~ person) Location of Work to be inspected q]~o~ Name of person requesting inspection ,- Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Plumbin : Final~ewer Excav. Other Sewer Foundation Framing Chimney Inspected: Date Time Remarks: RESTORATION REQUIRED .... .~~ NO~ SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [~Asphalt []PCC [~Other [] Repaired by City Work Order # I--I 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:I Date ~~_ ~::> Time" .Received by ~-~-'~ ~hone, person) LocationofWorkto beinspected ~ Name of person requesting inspection Address of person requesting inspection ~i~-~'--~ Type of inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing ~Sewer Excav. Other INSPECTION NOTES:.{ i inspected' Date ~ I ~f~ Time Remarks:' ' ~ ~/~'~..--~ ~// ~ By ~..~..~.~ RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel ~-~Asphalt [~PCC ~]Other [] Repaired by City Work Order # I--} Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) .~*?~,.,.: ...~ CITY OF PORT ANGELES ~(~' PUBLIC W ORKS-B UILD IN GD W IS ION \~J~ 32I EAST 5TH STREET, PORT ANGELES. WA 98362 BUILDING PERMIT ISSUED: 3/12/2001 PERMIT NO: 12526 OWNER/APPLICANT PROPERTY LOCATION 726 5TH ST W DEBORAH CLEVENGER 726 W. 5TH STREET Lot: 7 Port Angeles, WA 98362 Block: 100 [] Long Legal 360/417-5110 Subdivision: TPA T: S: Parcel No: 063000010030 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $2,500.00 SFD Units: 0 Commercial: 0 Project Type: FOUNDATION SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES ADD FOUNDATION TO EXISTING AND EXTEND FOUNDATION FOR FUTURE ADDITION FEES ASSESSMENT Building Permit: $83.25 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: $87.75 Plumbing: $0.00 AMOUNT PAID: $87.75 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 las inspection. I hereby cedify that I have read and examined this application and know the same to be tree and correct. All provisions o 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 ~ontractor er ^uthohzed A~ent ~ate Signature of ~wner Of awner is~uildeO ~ate BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BU1LDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ,4NY WORK BEFORE INSPECTED AND .4CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE t I~,~ INSPECTION TYPE DATEI ACCEPTED COMMENTS I YES I NO FOUNDATION: WALLS - v-vt FOUNDATION DRAINAGE ELECTRICAL ILIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Engineenng Division) SEPARA1E PERMIT #*s: WA I'ERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING I)EPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHOREI_INE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCT/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRiCAL - LIGHT DEPT 4]7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW. / PW/ CONSTRUCTION - P,.W. ENGINEERiNG 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT Pt. ANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 ~'~ '2~ ~"~ ~. ~,~- ~ BUILDING C:LAPPL WPD BUILDING PERMIT - APPLICATION D,,c Permit Date A~: ~ The ~uiMin~ P~mJt - Prea~Hcation must b~d out co~lete~. Oa~ Please ~pe or print la In~ If you have any qu~fions, pl~se call Pbo : ~c~tcc~n~ccr: ~ ~ ~ ~ . Phone: Contractor rJ 7 ~ ~e ~: '~'~ *~:, '~ ~One: LEGAL DESCR~ION: Lot:. ~ Block: ~"'~ .... ~ _ TYPE OF WO~: ' ~ S~AT~ i.,~ ~ Multi-~ily ~Add~on m Move a O~ge ~ ~S~$~=~ ~ Commercial m R~el a Demolition ~ ~ck ~ SF. ~ $~SF. = CO~RCI~S~E~L: Occup~Gre~p: ~ O~upantLoad: ~ Cons~c~onT~: No. of Stones. ~ LotS~. ~ B~t.~vemge: 1~, i' / % Exi~g Lot Coverage: .~ c~ ~ /sq. ~ + ~s~ ~t C~v~ge: ~ ~ ~ /sq. · = ~TAL LOT CO~GE: /sq.R PL~N~G USE O~Y: ~PROVA~: PL~. Pe~i~ Requked: Notes: BLDG M~. HeiSt: Setback: Zun~g: DPW. Site PI~ ~d Use Approved by: Date: F~. ES~etl~d(s): ~ Yes m No SEPA Chec~ist requked?~m Yes ~ No ~er: OT~ B~D~G ~PLICA~ON S~: Yo~r a~ltcation and *~e plan ~st belled out completely to ~e Build~g Division c~ provide you wi& more de~iled ~fomaion on ~e application ~d plm submi~ ~en~. BUILDING PER_MIT APPLICATION SUBI~u'I-I'AL: Your completed application, site plan (for additions) and bfiildlng construction plans are to be submitted to the Building Division. VALUATION OF CONSTRU~ariON: In all cases, a valu~ation amount must be entered by the applicant. This figdre will be reviewed and may be revised by the Building Div. to comply with cur~e, nt f~e schedules. Contact the Permit Coordinator at 417-4815 for essistance. PLAN CHECK FEE: Your plan check fee is due at the time thc building permit appl~ tion and construction plans are submitted. All other permit fees are due at the time of permit issuance, i 0./'~':" s EXPIRATION OF PLAN REVIEW: If no permit is isaned, within 180 days of the i~n~ j~f application, this application will expire by limitations. The Building Official can extend the time for aqion by the applicant up to'l~days, on written request by the applicant (see Section 10'7.4 of the Uniform Building Code, current edition). No application can be exlended more than once. ' 1 hereby certify that I have read and examined this application and know the same to~'ue and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine wha~ermits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. ~. '* ~ J ~ ,/} /i _], ;~-- //'i ?' PW-1102 13[rev.2/99] ~ - V/ ' - ' SITE PLAN DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION PAGE Applicant Project Review Sheet Applicant: IS the Pr°p°sed use listed as a "Ix~mit~d us~" or an "ac~ss°~ us~" in this z°~e? ]~yes: ok ~ no: r~q.ui~s PD H~s there ~ been a subdivision, ahoflp]at, or PRD apl,.~,n~d for this site, or h~ one been submitted and is pending approval? [] yes: req.uires PD x~no: ok Does the proposesl use require a new buisness licen.~? [] yes: req.ufl'es CC J~no: ok Does the pwject extend into any reqtin'ed setbacks or oross any lot ~ (interior or vz~arior)? [] yes: r~q.ui~s PD ,~ no: ok Do~s the proj~t ~xceed the pennittecl height allown~ or caus~ th~ prolix~ ~o me_,ted_ [] yes: ve, q.ui~s PD [~no: ok the allowed lot coverage in this zone? Does the proj~t requi~ any additional parkin~ or special desi~n/hu~lsC~l~ improvon~nts [] yes: ~qui~s ?D ~g~ no: ok in this zone? . Do~s the project elim/nate any existing parking spe~s? VI yes: ~l?fi~s ?D ~no: ok Is the project located within 200' of the shoreline? [] yes: req.uires PD ~no: ok Are thara any environmonmlly sensitive ar~s on or within 200' of th~ ~a,~:t~y, [] yes: ~cluires PD including: ok  wetlands or areas of slanding w~t~ (year round or seasonal); streams (year.round or seasonal); areas with · slope of 40% or great'; or ar~s that I~v~ evid~n~ of pest ~ound mox~n~nt or ~rosion? Have all the requital submi~is ~ provided by th~ applicant? ~yes: ok [] no: ma~k [] Site Plan r~ Constn~ti~ DrawinSs roquir~l [] ParkinNDrainage Plan t~ Civil Drawin~ item(s) ~ En~rg] Cal¢ r~ Supporti~ En~r. [] Lands,:ape/Lightin~ Plan D Other ent permtt(s) ~s need~l, the PIw~mMg Dtparvme~ l~rmit(s) must Iw opproved prior to the issuance of ony other permit. ~ i, nf~or~onp.n~leda.~.., t~ ~ to th~,~,r od'my ,~..,e. ff .~. ..~?~_ that in rht~Ventthatany ofrhi~ information ia dat#rminnd by, the t. tty,to be m~, ct~ thts proJect:will_ b~ ~opp~. until Inwh tim# the ClO, d~ttrmin~s lhe correct information is provided and any suosequentty r~qutrea rewew ana appromlt art comptattd and grant~d. Permit Category N (see rewr~e ~ide) Building Pmmit # Mest~ Tracking # Route to: ~ BD D CC r~ FD t~ LD ~ PD ~ PW ra File ra Otlgr ~teffh~tial$ D~te CoM~lttion OJ thief otto i* r~?~td for all vat,gory lb, · & 3 ln~'rnit~ Complttion is not r~quir~d for cat~gory I a penmtt unle~ they rssu[t in a pomntial changt of v~ or occupancy. INSTRUCTIONS FOR WORKING ~)RAWINGS: FOUNDATION PI_AN The Foundation Plan is used to determine how - Vents. the weight of the building is distributed over the land on which it sits. (Note: If you are not adding - Grade and type of lumber used. on to any structure, you may omit this drawing.) - Floor joist sizes, spacing, direction and length The Foundation Plan should include: of span, support, hangers, solid blocking, and floor sheathing. - Shape and size of foundation, footing, walls, and reinforcing steel (rebar). - Slab insulation and vapor barrier. -Location and size of beams, posts, and intenor footings. :2' SLAB ON GRADE (EXAMPLE - NOT TO SCALE) Page 5 INSTRUCTIONS FOR WORKING DRAWINGS: WALL SECTIONS Section Drawings show a cross-section - Grade and ~pe of materials used (Douglas through the building to show construction details, fir, etc.). Your drawings need not be complex, but they should include the following: - Minimum distance of 18" from wood joists to dirt. - How wall frame connects to the foundation. - Ceiling heights. - How walls connect to ceilings/roof. - Insulation locations and R-values. Roof/slope. Size of framing members (rafters, studs, joists, etc.). (EXAMPLE - NOT TO SCALE) Page 6 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQ.~_ / Date'/ -! ' Time Received by (phone, person) Location of Work to be inspected ~'~'7_~ ~ ~ ~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Ins~circle appropriate one): Permit No./~/-~'"-~--~ Sewer//Foundati/dh Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NO~I~.S: ~. ~'"// Inspected: Date '-7 ~ ,.~ , 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) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /~ -/0 --~/~) / __Time Received by ~'~ person) Location of Work to be inspected ~ ~ ~ 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 INSPECTION NOTES: Inspected: Date q'~Ol _Time ~;~O~n 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) /0: J/L- om ;9)<..) {1 ELECTRICAL PERMIT APPLICATION FOR OFF1C~ us; ONLY _ DaleIRcc: - 2....=:J~~ Pcnnit#: Dale Approvc:d: Datc:Issuc:d; The Electrical Permit Application must be filled out comDletelv. Please type or reprint in Ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 REQUEST INSPECTION 0 Owner or Elec. Contractor Agent: J:);;8~ 171 C~GFL Phone: 3G,()(j ('7~ IILYex: Property Owner J)7 'P,oOZ(i H C L~V6 NG,€UL Phone:SCd:) (jl /~ I ( Address: 10.(,-, 1.-.) ::::;~ City ~fWc.e:-LE5,' t.()A, ZiP:Cf<??C,:3 Electrical Contractor: license #: Exp: Phone: Address: INSTALLATION WIRED BY: }(OWNER Credit Card Holder Name: City: o ELECTRICAL CONTRACTOR Zip: Billing Address: City: Zip: Credit Card Number: Exp. Date: VISA: MC PROJECT ADDRESS: 1"2.0 U-J S'7"L TYPE OF WORK: Check all that apply: ~ew o AlterationlAddition ~Residental o Multi-family o Commercial o Mobile Home Sq, Ft /8L{'1f Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 ~ Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: tJ .e.W S t= R -- fQ -f 01) 6v(<'IIJ.IG O/lJO/J ltii. Electrical Heat Load Additions PERMIT FEd' ? o. 80 o Baseboard o Furnace o Heat Pump Van-Wall KW KW TON 'tWJ lRA llf-Overhead Service o Temp Service o Underground Service Service Information ~2-140 Voltage: lm,; ~ Phase: . - _1 1 3 Service Size: cD~p Feeder Size: PAMC 14.05.060{B): For industrial, commercial, & residential projects larger than a duplex, a one -line drawing of the Electrical Service B Feeders, building size (sq. It.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the Electri. . Permit appiication. I hereby certify that I have read and examined this application and know that same to be true and correct, and I a authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits, required; it remains the applicants responsibility to determine what permits are required and to obtain such. tfZ- 7ft< ~110 0'< Yf"rJ1f'- 01: 6/r'i)IOA . .P"'<2-- f' 1'- ~ ~rJfl (JLuAQ~/ Date: Date: 0- ;:2-0-;;;' Credit Card Holder's Signature: Owner or Elec, Cant. Signature: C:/ELECTRICALPERMIT APPLICATION ~ c &L,- IJ-/L(-O'L Application Number . . . . . 22-00001527 Date 12/12/22 Application pin number . . . 321724 Property Address . . . . . . 726 W 5TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0030-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CLEVENGER DEBORAH L CASCADE ELECTRIC & VAC INC 726 W 5TH ST PO BOX 369 PORT ANGELES WA 983632248 PORT HADLOCK WA 98339 (360) 379-5347 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee . . .00 Issue Date . . . . 12/12/22 Valuation . . . . 0 Expiration Date . . 6/10/23 Qty Unit Charge Per Extension BASE FEE 75.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us EL1-2 SF 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp.$120.00 $ Service/Feeder 201-400 Amp.$146.00 $ Service/Feeder 401-600 Amp.$205.00 $ Service/Feeder 601-1000 Amp.$262.00 $ Service/Feeder over 1000 Amp.$373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp.$93.00 $ Temp. Service/Feeder 201-400 Amp.$110.00 $ Temp. Service/Feeder 401-600 Amp.$149.00 $ Temp. Service/Feeder 601-1000 Amp.$168.00 $ Portal to Portal Hourly $96.00 $ Signal Circuit/Limited Energy - 1&2 DU.$64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional)$56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square feet``$40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool / Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: New Construction Only [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] PREPARED 12/08/22, 7:43:20 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001527 726 W 5TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 75.00 TOTAL DUE 75.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: DHP NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 12/13/2022 22-1527 TAP OWNER CONTRACTOR Cascade Electric PROJECT ADDRESS 726 W 5th St