HomeMy WebLinkAbout805 W 8th St - Building CITY OF PORT ANGELES
i DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000222 Date 3/18/11
Application pin number 236298
Property Address 805 W 8TH ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 3990 -0000 REPORT SALES TAX
Tenant nbr, name ANGELA STRONG on your state excise tax form
Application type description MECHANICAL APPL. PERMIT
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 5935
Application desc
HEAT PUMP INSTALLATION
Owner Contractor
ANGELA STRONG PENINSULA HEAT INC
805 W 8TH ST 782 KITCHEN -DICK RD
PORT ANGELES WA 98363 SEQUIM WA 98382
(360) 460 -6350 (360) 681 -3333
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP INSTALLATION
Permit pin number 182469
Permit Fee 64.80 Plan Check Fee .00
Issue Date 3/18/11 Valuation 0
Expiration Date 9/14/11
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80
Fee summary Charged Paid Credited Due
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00 A a
Grand Total 64.80 64.80 .00 .00
1
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 pre vi ions of any st- t or local I- regulating construction or the performance of
construction.
V
3 /8" d.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 1
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by Q
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date I� Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 3
T:Forms /Building Division /Building Permit v
M H
H
d'
01
COW
CD
H
a o H
H
a
w
a
M O 0
M o H
M M
M a H
U
00 0,1
00 t 0
oa rnz
H
m W
00 P
ri O
("Oro H
rx o00
w ••aw
H 0 20
H a H 00 Z 00 003 CO
00 W 00 ••0 w
x w 0 x x W 0 a H H
H< 0 a s H N KC W Z
H Hd'Ux
0a
0
HE H H FC 00 0
W W 0 Z Z -01H H Z
0 0 0 0 0 W W 0
Z 00 a 0a
0 0 H U 1i l0 r z 0
a H- 0W000 u
a a 0 H A r z H z O
0 0 0 U 0 x 0
o a
00 U QH CD 0 E.
o 0 E-1(21( 0 o 4 0 r
O H H
U
z o z d
H M CO2 1
U QH E" Nilli .....00
to H Mw as
Cr a 0 0 cn a r' z 2M
E Z 0 M 0 x 0 N 0 014
0 a 300 H a
m E u) 4 CCO00 LA H 0 3 wHw 00 Q E
H O 0 CO 2 00
0 0 2 0 0 0
00 000H 0411-1 d'
d'< O a o ff o a a H
H a£
F
WO CO
o+a a a a
as at i
W W CO u H 4 U W a w z H a o
wH a d a 0
W 0 F U U 0 a Q 0 E 0
Mar 11 11 03:52p PENINSULA HEAT 3606812086 p.2
F vaer,�.
mfr BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
W ikrVICI For City Use Only:
Attn: Building Permit Technician
321 E. Fifth St, Port Angeles, WA 98362 Date Received 3 114 1
Dat
(360) 417 -4815 fax (360) 417 -4711 e 11,-
Date Approved
Applicant C c�r f j'S dY1 Phon G /---333 3 3
Property Owner ,4- qP /a .S` rl q Phone Zf D .�53
Property O er's Address `3-CS 1,f/.. l c ee
Contractor 1--P i n Ste GL-` i Phone 4 s 1 3 3 3 3
Contractors Address 7 =-i,k j r7 4,c_k mac/ -t=
License l
��/IIJ�F�ff /�2S Expires E-mail E =m �"A P r /pc:' Q )Y,d.€4/
PROJECT ADDRESS 6O /V- 8 S ee_
Parcel Number Loth 23oning
Project Type Brief Description: o gaitaldential o Mula family a Commercial o Industrial
Check all that aP*
o New Construction
o Addition
o Remodel
Repair
o Demolition
o Re -roof a House o garage o other a tear off 8 re -roof o lay over one layer
(yaleat System o Heat pump wood burning stove gas fireplace o pellet stove fn.other
't Other tit ni st //1- At &-7. fa��
Floor.Areas Existlntt (so. ft) Proposed (se. ft)
Basement (42 per sq. ft.
1 r Floor
2 Floor
3`" Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION S� 0 .S
Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load t of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this applicabor and know it to be trite and correct I am authorized to pty for this permit and understand
that it is my r e onsbr7ity b determines whhaat permits are required, nd to obtain permits prior to goon pm
Date ,7/ Print Name C:..=�-4a Y /d I.SOYgignature zg-
T:FormsJBultdiry Divisionl81dg PerrniLdoc
DATE. PERMIT
l) h s
OWNER
141.1 ✓�"6�1Z r�1`l
CONTRACTOR
ADDRESS
APPROVED
0
0
0
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: OATC a�1 -4
/S ZO At3
u+ 2/0
INSPECTOR
NOT APPROVED
°16) :7rr
bw N 1.tz Qr'Q 2,i 1 .c cs 4s.14 A
it__\ 2 Z't. Viz.c. 0 LDS t,.KD a•LC
1 g_c I Cb
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
Application desc
Ductless heat pump
Owner
ANGELA STRONG
805 W 8TH ST
PORT ANGELES
(360) 460 0350
Permit
Additional desc
Permit pin number 182865
Permit Fee 76 10
Issue Date 3/23/11
Expiration Date 9/19/11
Qty
1 00
1 00
Unit Charge
73 5000
2 6000
Fee summar' Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 98363
ELECTRICAL ALTER RESIDENTIAL
76 10
00
76 10
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property U e
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
11 00000251
604371
805 W 8TH ST
06 30 00 0 2 3990 0000
ELECTRICAL ONLY
OLYMPIC ELECTRIC CO INC
4230 TUMWATER
PORT ANGELES WA 98363
(360) 457 5303 c i5Z 5 1- 0g
Per
ECH EL BRANCH CIRCUIT W0 /FEEDER
ECH EL ECH ADDNT BRANCH CIRCUIT
Paid
Contractor
76 10
00
76 10
Plan Check Fee
Valuation
Credited
00
00
00
Date 3/23/11
Due
RESULTS
3 f3J /j) 47
3 t 1 12
Extension
73 50
2 60
00
00
00
00
0
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
c7
Date:
d
03/22/2011 06 48 FAX 360 452 3498
City of Pon Angeles Permit Application
Building Division /Electrical Inspections
321 East Filth Street P.O. Box 1150
Port Angeles Washington, 98382
Ph: (360) 417.4736 Fax: (360) 417 -4711
Date: 5/724/
8.2311191e Family Dwelling
Multi- Family or Commercial'
Commercial Addition Alteration Remodel Repair'
Plan Review May e Required, Please Complete Electrical Plan Review Information Sheet
Job Address: j?
Building Square Footage:
Description of above az, /I/ (c P
Unit Charoe
119.90
145,50
204.60
5 262.20
372,50
2 60
73.50
2.60
92 70
110,30
5 148.70
E 167.90
E 95.90
68.20
95.90
63.90
5 83.90
5 119.90
102.30
5 110 30
35,20
73.50
110,30
56.00
r
catY
O Check
Delo:
Olympic Electric Co PA CITY INSPECT Il 001/001
E E VED
MAR 2 2 2011
Credit Card 4
ELECTRICAL
INSPECTIONS
Owner Inforr]Ietlo5,ry Conlraclor Informa
Name: 9.' 577 4 Name:
Mailln
Mailing Addriss:
City Stale: Ge/a Zip: GF City:
Phone:y.0- T _J Fax; Phone' s --‘179 Fax: —eie d e
License Expo License Exp. /')''/Z
Total (Otv Multlolled by Unit Charnel
Service/Feeder 200 Amp.
Service/Feeder 201.400 Amp.
5 Service/Feeder 401.600 Amp
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/D Service Feeder
7 Each AddlUonel Branch Circuit
Temp. Service/ Feeder 200 Amp,
S Temp. Service /Feeder 201.400 Amp.
5 Temp Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 1000 Amp,
3 Portal to Porte) Hourly
Sign /Outline Lighting
Signet Circuit/ Limited Energy Commercial. Additional 1500 55.00
Signal Circuit/ Limited Energy 1 8 2 Family Dwelling
5 Signal Circuit/ Limited Energy Multi-Family DWeling
Manufactured Home Connection
3 Renewable Electrical Energy 5KVA System or Less
First 1300 Square FI
Each Additional 500 Square FI, or Portion of
5 Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
7/ Total
Owner as defined by RCW.19.26-261: (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 sold property la for Bale, rent or tease. Permit expiate alter Or months of last Inepecflon.
After reading the above etatement, 1 hereby certify that I am the owner of the above named property or a llcenead electrical contractor. I am making the electrical Inetellatton or
alteration In compllence with the electrical )ewe, N.E.C. RCW. Chapter 19.2e, WAC, Chapter 296488, The City of Pon Angeles Municipal Code, and Utllfty Specllleedone,
Signature or owner, electrical contractor or eleetrleei administrator Cash
~ 'PORT ~
tO~~~
rea
"-~
~
"l;it,,~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32\ EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Appl~cat~on pin number
Property Address
ASSESSOR PARCEL NUMBER.
Tenant nbr, name
Appl~cation type descr~ption
Subdivis~on Name
Property Use
Property Zoning . . .
Applicat~on valuation
07-00001032 Date
232864
805 W 8TH ST
06-30-00-0-2-3990-0000-
TORRENCE
RE-ROOF
9/06/07
Lasered
CEO
-,tL
f!J5W,g-
() 7-/03~
RS7 RESDNTL SINGLE FAMILY
2361
Owner
Contractor
ELIZABETH TORRANCE TTEE
TORRANCE CREDIT TRUST
31423 MARINE DR.
RANCHO PALOS VERD CA 90275
RICKENBACHER HOME REPAIR
121 E 2ND STREET
PORT ANGELES WA 98362
(360) 457-0467
Permit
Add~t~onal desc .
Perm~t pin number
Permit Fee
Issue Date
Exp~rat~on Date
BUILDING PERMIT - NO PR FEE
TEAR OFF AND RE-ROOF
110544
109 75 Plan Check Fee
9/06/07 Valuation
3/04/08
00
2361
Qty Unit Charge Per
Extension
95.75
14 00
BASE FEE
1 00 14 0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4 50
Fee summary Charged Paid Cred~ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 109 75 109 75 .00 .00
Plan Check Total 00 .00 00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 114.25 114 25 00 00
fihq led
~
1210)
Signature of Owner (if owner is bUIlder)
Date
BUll,DING PERMIT INSPECTION RECORD
o
,..j
\
CALL 417-48]5 FOR BUILDING INSPECTIONS CALL 4] 7-4735 FOR ELECTRJCAL INSPECTJONS
CALL 4] 7-4807 FOR PUBLIC WORKS UTILlT1ES
PLEASE PROVIDE A Iv1IN1MUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANl' IFORA BEFORE
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPJCUOUS LOCA TlON
KEEP PERMIT CARD AND APPROVED PLANS AT lOB SITE
,-
o
vJ
f'1
INSPECTION TYPE DATE ACCEPTED COMMENT!'
YE~ NO
FOUNDATION
FOOTINGS
SHEAR WALLS / WALLS
FOlJNDA TJON DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMllING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS I ROOF / CEILING
DRYWALL (fNTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR / CEILING
MECHANICAL
ROUGH-IN
HEATPU~/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY
WOOD STOVE / PELLET I CIDMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT SEPARATE PERMlT #'5 SEPA
P ARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTIUCAL- LlGHTDEPT 4] 7-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R W I PWI CONSTRUCTION - R W
ENGINEERING 4] 7-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEFT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 '1/12Jnl -:r L. t..- BUILDING
4/~1
\:IJ
D
U)
~
0()
~
~
(t)
(6
,
g
'-D
r \Po11cle5\] 102 IS bU1ldmg penmt m5pectlOn recOld05 wpd [1/ 1_005]
1--
PREPARED 9/12/07, 8,52,28
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR,
CONTRACTOR
OWNER
PARCEL
APPL NUMBER.
INSPECTION TICKET
INSPECTOR, JAMES LIERLY
805 W 8TH ST
TORRENCE
RICKENBACHER HOME REPAIR
ELIZABETH TORRANCE TTEE
06-30-00-0-2-3990-0000-
07-00001032 RE-ROOF
SUBDIV
PHONE
PHONE
(360) 457-0467
PERMIT, BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01
9/12(07
t/
Pf
BLDG FINAL
09/11/2007 01,31 PM LPANGRLE
JEFF 457-0467
BLDG FINAL - RE-ROOF
PAGE
DATE
17
9/12/07
-------------------------------------- COMMENTS AND NOTES --------------------------------------
I
-,., 13 (If',
./
.. -~-
R~~~::~j~~I~~~;i\
. - - ~-'f~~--'-- _'e~_ ~- - "'--~<~ 1:-' "c' >.
...-',~\~~i~-;;;;j~
~-,-...
--~-~- --
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8 W' x 11" site plan MUST BE COMPLETE to be
accepted for review. (360) 417-4815 FAX (360) 417-4711
FOR OFFICIAL USE ONLY:
Date Rec q- 6 - o~
PermIt # 0"1 - 10 Z
Date Approved q --Co - 0 7
Date Issued l ,
Residential projects: submit two sets of plans
Commercial projects: submIt three sets of plans
Applicant or Agent
Owner To r rt' 1'1 C (!~
Phone
Phone
Owner's Address
ContractorlEngineer ::::r;.h VI CJ 1(, J. _.b~~Jr State License #/? Ie k IJ/RQ1Zg6- Expires I 1t,/0'1
ContractorlEngineer's Address J 2. J [. 2~.1 ~'r -fori- ~f'/r.J W 11 7J-362 Phone /
PROJECT ADDRESS: 80 S- u B'""" ZONING:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK
o Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF T PROJECT:
ec-r c f e.>r i'JT!VI
SIZEN ALUATION
SF, @ $ /SF. = $
SF. @ $ /SF. = $
SF.@$ /SF.= $_
TOTAL V ALUA TION $_ 2 3 r;; C
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
Existing Structure(s) basement Sq. Ft. & Proposed Structure(s) basement Sq. Ft.
1st floor Sq. Ft. & 1st floor Sq. Ft.
2nd floor Sq. Ft. & 2nd floor Sq. Ft.
3,d floor Sq. Ft. & 3'd floor Sq. Ft.
Accessory Structures Sq. Ft. & Accessory Structures Sq. Ft.
Existing Structure(s) TOTAL Sq. Ft. & Proposed Structure(s) TOTAL Sq. Ft.
TOTAL of existing & proposed structures Sq. Ft.
Maximum Height of Proposed Structure(s) Ft.
LOT COVERAGE
Lot size Sq. Ft.
Existing Structure(s) Sq. Ft. Footprint
Proposed Structure(s) Sq. Ft. Footprint
TOTAL Structure(s) Sq. Ft. Footprint
Total Lot Coverage %
Are you planning to install a lawn sprinkler system?
(Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
V ALUA TION 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: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180
days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building
official is authorized to grant one or more extensions oftime for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause de onstrated. (IRC/IBC 2006 105.3.2)
I hereby certify that I have read and examined this application
apply for this permit and understand that it is my responsibili
such permits rior t work.
Date Cj Applicant
T:\FORMS\BUILDING DIVISION\BldgPermitAppl -2006 CODE - ~ac
same to be true and correct. I am authorized to
what permits are required, and that I must obtain
IBfrYR.fl!iiJiJX~S51$,~lI!1.~~~W~lIW~
PLUMBING
TRAPS:
WATER HEATER:
SEWER:
WATER:
MECHANICAL:
VENTS:
FURNACE:
GAS FIREPLACE:
WOOD FIREPLACE/STOVE:
MECH APPLIANCE:
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 4/15/2002 PERMIT NO: 13353
OWNER/APPLICANT PROPERTY LOCATION
805 8TH ST W
DANIEL / ELIZABETH TORRANCE
805 W. 8TH STREET Lot: 19
Port Angeles, WA 98363 Block: 239 [] Long Lega~
360/000-0000 Subdivision: TPA
T: S: Parcel No: 063000023990000
CONTRACTOR ARCHITECT
LARRY'S ROOFING N/A
352 AVIS ST
Port Angeles, WA 98362 , 98360-0000
360/452-2215 3601000-0000
PROJECT INFO
Project Value: $2,200.00 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:
PROJECT NOTES
TEAR OFF / INFILL SKIP SHEETING / 3TAB
RECEIPT# 8954
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: $0.00
ISeperate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a pedod of 180 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last
inspection. I here,by,,cerU~ that I have read and examined this application and know the same to be true and correct. All provisions of
laws a~d ordinances ~veming this type of work will be complied with whether specified herein or not. The granting of a permit does not
presun~ to give ~utl-~rity to violate or cancel the previsions of any state or local law regulating construction or the performance of
constru~ion. / J A tx
Signature of Contractor or Authorized Agent Date Signature of Owner {if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSUL4TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PEILMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS [
CEILING
FRAMING
JOISTS / GIKDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-DAR
INSULATION
WALL / FLOOR / CEILING
MECItANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'$:
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 ELECTRICAL
LIGHT DEPT
CONS~I~UCTION 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 5~ "Z ~ - ~'~- ~-~-/~ I BUILDING
C:~APPL WPD
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQU.Ey~T: ~ ~
Date-J-~ - ~- 7- -~ "-~_ 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. t
Sewer Foundation Framing Chimney Plumbing ~rt~,~Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date __Time By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel I--IAsphalt []PCC [~]Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)