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Home My WebLink About1621 E 4th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1500 Contractor SLIPPER JESSICA OWNER 193 LAKE DAWN RD PORT ANGELES Owner WA 983629402 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR -OFF FELT COMP Permit pin number 84327 Permit Fee 80 50 Plan Check Fee 00 Issue Date 8/03/06 Valuation 1500 Expiration Date 1/30/07 Qty Unit Charge Per Extension BASE FEE 50 00 10 00 3 0500 HND BL 501 2K (3 05 PER C) 30 50 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 80 50 80 50 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 85 00 85 00 00 00 it A r Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes ,pull 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 goveming 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 aw regulating construction or the performance of construction. Signature of Contractor or Authorized Agent T•\Policies \I 102_15 building permit inspection record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000853 404630 1621 E 4TH ST 06 30 00 6 9 0435 0000 JESSICA SLIPPER RE ROOF Date 8/03/06 Date Signature/Owner (if n r is builder) Date 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 PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING ELECTRICAL LIGHT DEPT T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005) 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 AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO I 1 1 i 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 I 1 1 FINAL FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I 1 1 I FIRE DEPT PLANNING DEPT 417 -4750 I I 1 1 PLANNING DEPT BUILDING 417 -4815 1 in-26-09 1 T... 1 1 BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. I I I I I I 1 1 1 1 NEW 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 orAgent:JeSSteG_ S aoc.a'L Owner i SSICG.. S\ ?�Dc✓' Address. iU27--1 E. 14 S4- Architect/Engineer Contractor Address. PROJECT ADDRESS I (.Q Z LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. PLANNING USE ONLY BUILDING PERMIT APPLICATION City State License TYPE OF WORK. Residential New Constr co -roof Stove Multi- family Addition Move Garage Commercial Remodel Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT AJ-c w COMMERCIAL/RESIDENTIAL. Occupancy Group. No. of Stories. Lot Size: Existing Sq. Ft. Total lot coverage Phone. 3(40 4 S I J (p 9 Phone e p ArlriGk% City nn r t- L ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other Subdivision. Occupant Load: Proposed Sq. Ft. Phone. Exp Phone Zip ZONING SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION 1, 5 C 9 e_O FOR OFFI44S,ONLY Date Rec.• Construction Type: TOTAL Sq. Ft. Permit it 0� Date Approveed: Date Issued: *V" zip. 'MSC° 2- 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 within 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 I 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. T•\FORMS\B1dgPermitAppl. wpd Applicant: V Date: e . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 Site Address: ELECTRICAL PERMIT Y-t, o REAOY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Owner/Business Address: o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION ';I'} REMODEL .~ ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) Details/Description: PERMIT NO. 4/,;;' t/ / /0//2/y3 . , DATE Phone: Sq. Ft. o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS (~ ~ ~~ ~ . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER AN1D Ditch Inspection O.K. /fV ~ROUgh-in/cover O.K. o O.K. to connect service /Y' ~ Final O.K. Site Address: Notify Port Angeles City L ht 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 Building Permit. PHONE 457-0411, EXT. 224. ~ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT $ Elec ricallnspeclor Installer: [. . WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC Permit/Receipt No. ,/.3t/1 New Meters .,..- ~, 30~ Permit Fee GREEN - Top: Meter Dept., Bottom: City Hall :; . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. 3~.3 .s~Z/Y? . ' DATE Installed By: /&~ ~ o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address; OwnerfBusiness: Phone: OwnerfBusiness Address: Sq. Ft. ~ RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE ~ PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) ;&J OVERHEAD SERVICE o UNDERG"OU~~BVICE VOLTAGE: ~~ Z- U g SINGLE PHA E 15 THREE PHASE SERVICE SIZE :;leaD AMPS Details/Description: Ctl /c96J . W.S. No. CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. . A O.K. to connect service j'JI d Final O.K. Site Address: PermitfReceipt No. 3t 2:J InstaIJer; . Notify Port Angeles City I!ight by Street Address and Permit Number when 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 Building Permit. PHONE 457-0411, EXT. 224. b< NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ff ~O qp Electrical Inspector Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom; City Hall OLYMPIC PRINTERS INC. Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. 33.::).3 DATE /O-Lt/-tfl Site Address: o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: OwnerfBusiness: Phone: Owner/Business Address: Sq. Ft. D New Construction D Remodel )':t Service update/alter/repair D Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) ~verhead D UndergrOun~,stV Voltage 7Zq .2 ;X-10 D 3.0 Service size :?fOD Amps D Temporary D Residential Heat KW D Baseboard D Furnace/Boiler D Heatpump D Other D Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Details/Description: C .;J.()() )J . 1iJ Iw I ~ /1 "tV /1J"cU II, '>s- 1:0 Lfrs-tCr.u 7.3,lw W.S. No. Service Capacity: D O.K. D Not O.K. D Ditch Inspection O.K. D Rough-in/cover O.K. , ... ~ O.K. to connect service )Jf"fJ Final O.K. Size Comments Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending Site Address: (, PermitfReceipt No. J-:; "2 3 New Meters ,....- Date: ~ . Notify the Departme t 01 City Light by Street Address and Permit Number when ready lor inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. r-f7t. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT '::::2(!;) ~ -"~ctor Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLY!"lPIC PRINTERS, INC.