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HomeMy WebLinkAbout126 W 4th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner ANDY ROSE 131 W 2ND STREET PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total WA 983622807 Charged 75 00 00 4 50 79 50 COMMENTS/ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 721 EAST 5TH STREET PORT ANGELES. WA 98362 06 00001345 815830 126 W 4TH ST 06 30 00 0 0 8820 0000 RES ADDITION RESIDENTIAL HIGH DENSITY 10350 Contractor OWNER HARD SURFACE`AREA ELECTRICAL NEW RESIDENTIAL APS /REWIRE+ SVC 104885 75 0'0 Plan Check Fee 7/17/07 Valuation 1/13/08 Qty Unit Charge Per 1 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER, Special Notes and Comments The Fire Department has reviewed the project application and has no comments 12/29/2006 01 26 PM SROBERDS The site is located in the RHD zone The proposal will add approx 42 sq ft of area to the s f res for total lot coverage of 9% No land use issues are anticipated Electrical load calculations and elctrical permits are required MAINTAIN CLEARANCES FROM SERVICE WIRES Public Works Utility Engineering has no requirements for this plan review Other Fees STATE SURCHARGE Paid Credited 75 00 00 4 50 79 50 00 00 00 00 Date 7/17/07 Due 00 0 Extension ,75 00 4 50 00 00 00 00 GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES 1 NO DITCH ROUGH IN COQ SERVICE FINAL MLD/ 9/n�t COMMENTS PW -I 102.1514961 ELECTRICAL WORK PERMITAPPLICATIQN ss ,Installation description Residential Job wired by 'Electrical Contractor Owner Electrical contractor name Lse n bcr Date Ex ires A -P5 l er✓ cal u t om i G a r p Pure aser s maili ad s U Ltf dres s o State ZIP 4 4 1 c 363 City Teletoc g nu bsr 6163 FAX number 5o niti-e__— 'Premis s ow is ua II L` QS e.--- Addres of lnspectiou w Lot C ity Pot* A N9 /k /Slguat owner X JUN 1 2007 Electrical Load Add' 'ons and or subtractions O NO LOAD CHANGES O Baseboard KW Furnace KW Heat Pump Ton LAR X Fan -Wall KW Due Approved By J IINAL 0 /1 3 /0 D 7 JiiiQ Date LIGHT DEPT Td WUPS L0 L00Z TT •ur,r Inspection Area, Building or Equipment Inspected Commercial New w 6e.rO 1 c Par A /kg '-teS Pho e n tnber to schc u lc i eet' Owner as defined by RCW 19.28,261 (1) Owner will occupy the siruciure for two year 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. After reading the above statement, 1 hereby certify that I am the ownt:r of the above named property or a licensed electrical contractor. 1 am making the electrical instal- 0 Credit Card Visa lation or alteration in compliance with the electrical laws, N,B,C, RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Card Utility Specifications, O Cash elacrpica I5pn)ract or electrical administrator Expiration Date Date '2°° jof c ard Overhead Service Temp Service Underground Service SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735 ROUGH IN C.— THERMOSTAT Date App u cd By DITCH Apptvv, d By J t Altered/Addition re, kJ i re— t Check ca- cije Date Date Mastercard Discover Inspection fee 5°° Service Information Voltage 0 Phas4I 1 CI Service Size42 Feeder Size; SERVICE Action Taken Approved By J FEEDER Approved By J Electrical Inspector J 2SL9 ESV 092 '0N XHd 2:1010db1N00 1l 3I eLD313 'S d 'd 14021d ... Nr- o ....... 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E-< <Il , ~;fi ~""r~ ~ lIli::...~ [VI 'ltt,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 1/03/07 ~, ~ , ...... ~ ). - '" Application Number Application pin number property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner ANDY ROSE 131 W 2ND STREET PORT ANGELES Other struct info . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 06-00001345 Date 815830 126 W 4TH ST 06-30-00-0-0-8820-0000- RES ADDITION RESIDENTIAL HIGH DENSITY 10350 Contractor OWNER WA 983622807, HARD SURFACE AREA BUILDING PERMIT -RESIDENTIAU 1 92700 176.00 1/03/07 7/02/07 plan Check Fee Valuation 88.70 10350 Qty Unit Charge Per Extension 50.00 126.00 ........... ~ ~ BASE FEE 14.0000 THOU BL-2001-25K (14 PE~ K) 9.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 92726 79.00 Plan Check Fee 1/03/07 valuation 7/02/07 .00 o ~ Qty Unit Charge Per Extension 50.00 29.00 BASE FEE 4.00 7.2500 ECH ME-VENT FAN permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT ~ ~ 92718 92.00 1/03/07 7/02/07 Plan Check Fee Valuation .00 o 1?" -7 /0 C(~ ,~ ~ '? en 'f BASE FEE 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 7.0000 ECH PL- EA.WATER HEATER Extension 50.00 35.00 7.00 Qty Unit Charge Per 5.00 1. 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments . 12/29/2006 01:26 PM SROBERDS --The site is located 1n the RHD zone. The proposal will add approx 42 sq.ft. of area to the s.f. res for total lot coverage of 9%. No land use issues are anticipated. 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 pre me to give authority 0 violate or cancel the provisions of any state or local law regulating construction or the performance of c nst ction. Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] BUll,DING PERMIT INSPECTION RECORD -., ~~ CALL417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICALINSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDA nON DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDGl GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERlORBRACED PANEL ONLYl T-BAR INSULATION SLAB WALL I FLOOR I CEILING I MECHANICAL ROUGH-IN - HEATP~/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE I PELLET I CHIMNEY MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT#'s SEP A: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECT-IONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES. NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL- LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTIONR.W./PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PoJicies\l102 15 building pennil inspection record05.wpd [1/4/2005] ,--- <J..'OftT~ --e ~ -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 06-00001345 Application pin number 815830 Page 2 Date 1/03/07 Special Notes and Comments Electcical load calculations and elctrical permits are required. MAINTAIN CLEARANCES FROM SERVICE WIRES Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- permi t Fee Total 347.00 347.00 .00 .00 Plan Check Total 88.70 88.70 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 440.20 440.20 .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 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 law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:IPolicieslI102_15 building pennit inspection record05.wpd [1/4/2005] I BDaDING PERMIT INSPECTION RECORD -r/' "\.". CALL417-4815 FOR BUILDING INSPECTIONS. CALL 417-4,73,5 FOR ELECTRICALlNSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCAT10N. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. ~ ~ I. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS I fJ...!JJ,l"., ') \tooL SHEAR WALLS 1 WALLS IfJf i+t;/07 \ LL. FOUNDA TJON DRAINAGE 1 DOWN SPOUTS I , PIERS POST HOLES [POLE BLOGS.) , PLUMBING UNDER FLOOR 1 SLAB . ROUGH-IN I~ 7{f (p 107 j",J,.. WATER LINE [METER TO BLDG) , GAS LINE ~{)~q ~Ql DATE '"'JLL-- ACCEPTED BY: BACK FLOW I WATER AIR SEAL 1.o/20/0-=r jl..(.- WALLS CEILING FRAMING eollq 10"1- JU.; JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA nON -=r /05 lOr ..:tt...t SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL ROUGH-IN I HEAT PUMP /FURNACE / DUCTS I GAS LINE ~o- q--ol DATEJL-L. ACCEPTED BY: WOOD STon 1 PELLET 1 CHIMNEY MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT#.s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECT-IONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL.. LlGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION.. R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 4J7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 lo-q-'or ~lA-- BUILDING ~. v.l ~\ ~ ~ t: ..J::. ~ T:\PoJicies\1102 15 building permit inspection record05.wpd [1/4/2005] \ 1- FiU 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 FOR OFFICIAL SE ONLY: Date Rec/ ' ~ permit#~/. ~~ Date Approved: , . . Date Issued: BUILDING PERMIT - APPLICATION Applicant or Agent Owner: Af\.ID Y R 0 5 G Address:~ 3 I W 2 NO ST Phone: Phone: City: PaR? AN(;GLGS /fS 7 -0 OJ 28 Zip: '!JB 3 , 2 Architect/Engineer: Contractor Phone: State License #: Exp: Phone: Address: City: PROJECT ADDRESS: f 2" W J..f!1:l ST LEGAL DESCRIPTION: Lot-.1 Block: 8 B Subdivision: CLALLAM COUNTY PARCEL NUMBER: 0(,3000008820 Zip: ZONING: /7./5 7J>A RJ./D TYPE OF WORK: SIZEN ALUATION: J( Residential D New Constr. )l Re-roof D Stove SF. @ $ /SF. = $ D Multi-family )( Addition D MoveD Garage SF. @ $ /SF. = $ D Commercial ~ Remodel D Demolition D Deck SF. @ $ /SF. = $ D Repair D Sign l! Other FoVNOA7/0N TOTAL VALUATION $ /() I 35"'0 BRIEF DESCRIPTION OF THE PROJECT: RFNJODEL E'X/ST/N6, HouSE J IN.sUJ.A7G t RElUlRtI AnD) TtaN 01=' APPIUJX If 2 s~ I=T) RERoof: H(jT)SE) RePAIR FcvNuA7/(TJ() JJJS7Af...l... uEw ~r/N9 tS7EMWAll A~uJJJ) HOUSE IRESIDE .. COMMERCIAL/RESIDENTIAL: Occup cy Group: Occupant Load: ConstructIOn Type: No. of Stories: ~ Lot Size: 7.000 S'QE1'Existing Sq. Ft. 578 & Proposed Sq. Ft. ~ Z. = TOTAL Sq. Ft. '20 Total lot coverage ~.. 8 . % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: ESAlWetIand(s): DYes D No SEPA Checklist required? DYes D No 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: Ifno 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 RI05.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I 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 y responsibility to determ' e what permits are required, not the City's, and that I must obtain such permits prior to work. T:\FORM S\BldgPennitAppl.. wpd Applicant: Date: IZ/ZC/O ~ , I , w I-f -r:r-( or f ~t 5<:)' LoT 8 1-0 T 7 BlK 88 TPA. " ~ ...... , ,-1 ---+- 1 ( 'fMoSEO ADDI7{(){I/ ~ tIl 'i/~'" A. LLEY loT 7 t3LI( 88 TP/~ -PJ-OTPLAN I 2G, W L./ Tf-( ~ 1-o7t; ~11:1 - II') CITY OF PORT ANGELES - Construction Plans The Issuance of this permit based upon these p!Jns, spedfi. cations and other data .ihall not prevent the building official from thereafter requiring the correction of errors in said pla~s, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this juriSdiction. (S:[CTlO~1 JO.3lJmnif(ll BUildiRg Cgde.) 02ctJ~ Approval DatJ ~ L> By ~ Vf' -:r;..,L ~. t W6IJL \AX,tl- ~ Vl'~ .--- ~ .:J--i ~ ~\.O~ . I TA)( P /J KeEL :tF "~300000 88Z0 scALE: ,lfo: 20' DR A WN BY: A..J"' R DA,7E: IZ/ZO/O ~ _~=-c---- '.' r..... Ir------ . ! lE..=li I I '-J I ; _ _ .~~~~::~-_ ... i I ,.I.rr. -"I! ! I ~ \ 1__-1 " !\ , ,i I f: ii I i II '. \ i . I ~_=~-- h WGS T ~\....~ VA T/O i...J 5 C ~ ~ C If e II ~ I I I==:==.~:::.... I _L== fFli EJ-"'"-'~ .1 ~"~ lL=~=41 I . [.__J =.--:.--"'\, r,~41~11 t 1 1: I -~ - \1-1000._ S'~IR7m 9- I _.~--~ f;.p.ST S.....eVATloN -SCAl( Y8"~I' ) 2 6 V\./ t...[ T2! S T: :0 AT t:: : 0 E C 20 i 200 & DV--.A-WI\I 8 y : A....rR ~ a3 ~--~ I ! nil I i frm. I II-J] II~I I - I , ___l.. ___ NOP,TH ELi: VAT/oN (FRo I" T) " (fWf.-_ ! --.J I ~~l' .I..l.-_..; I-- I LJ ,r....li I , 1 ---; l'it~ll I !. f i'-: i I ! iJ I \ ' I I i 1'1 ~._~"'. i'~'7=~.:::4 I .souTH h:Lt V/~TION ( B A C k) - EX I STil'I (7 .- 11/" J SCf\..lE', 1& -:.-1 Gr.\ s n N<~ HOUS E --p, r. ,)({3 F~AN\fO WJtLl @ /&"oc. ?:, I Ii /4 p, T. Pt...'/UJOOO BOTh' SlOES ,~"- 'h"rjJ Rk13f1.R. (. c:: t... C()N'rrN'jOv~ " t/l."?"/... (.,11 ]' \3>Ol!5 (~ '-f13'; oc NE0j F o UI'-ID AT/ otl OETAI L. -, No $ ( f\ ,- 6"-.' / C 6 VV if 7// S 1, DATE; DGc 20 200~ I j) R 4 wAf 13 'f ,I /JJ"iZ ..(. ?> ~v 1-- c> p f",..r ~~'/.i1 . [/02,(1/ 2 -8 )( Go -$ '3~(,"" . _ '10011\ pe;tJl"- i -(,~ ~ ~(, '~'"."c":"};:;.:"I!1 .._._>l....., _"."". , g,OotJ\ 'IN0 l)V I I I I' I I II I I L ~-. -_. pR.o}J()')f;D D \1( ON A~ ~ s~;'7 G'l--I5 I/A/ Cr I-IOVSj; o -pA1rl [}9 I 1 (rl8f-' v... \ ~. ~ "tl tA VfJU ::3 -0 )1.3 -0 2. - B')(~-8 C<.. iYf'..J o~, I 81j:.. P01{ Ui t U I t 7'(P'/..'1 (p o o 3 -0 y..?,-O fP:'\ L 1 5 -0 'I- 4 J) ~ I 2 (p V-J '-/ 7i-( . " . I Sc.A L fE.' '/J-t' :/ D J). /-) \.^'/1- f 13 'I :4.JI~ J t 3~YJ.{", I I ",I ---i I i ~I I i I r----- I I I ~! ,....1 1 ~I ""~ ~ ~ I I i ~i ,I 11 O! ,! '1 I 1 1" I i \ I '\ ~I f\ BP-7H RooM . I~ 5 'X 9' <-B ~ G. - S ~(QJ 2. ~/ x {, -8 ' _ -C)pEN - FRoN1 Po'~oi I~01.::rO , . ';, ,(.. "'''''...: p____ i: Z-J(" ~t.. L - CLosE7 , =::J ,--o)(y.8 e I FOf_D . t . .;;' " ~ ~jJ\ {31./ ' / / '1.. I / I ~ .... 'I._......,~......... .-..w.-.-~ .... WJotl\ . \\,,\. t:l ' \".) \" \; IIIX/C)' ?-\toXLf4 Wl~ .( (jtb# IL) ( , 8x/l' : ", yQ..\\..i'0 LAvNDR f C,'x.8' ~sl{ oRY \' 1\.- 7-(,xH~" 3-O,c,-o I l~ l'a I I I' !IV) i...... I I i I I I i I --.i. !" i j ~ ~ t"') I , '- '- ~ fj ~ . \S ....: '\ 1 3-0~>-O --~ .5 '- o(:;-*'~------"--Z':'fir PROPOSt:'D R~NIOOEL I 3. 0 X (; .8 1.;0 i- ~..() --+-------c: ' - ?i7T ~ 2-0 jZf, W t{7~( S cA'Lf: Y, t.{1t ~ I' e o PEI\{ PO;'?U/ tl PRA Wf".f 13'1 " 1/-47{ ti ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Lasered CEO App11cat1on Number App11cat1on pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subd1v1s1on Name Property Use Property Zoning . . . App11cation valuation 06-00001030 Date 107510 126 W 4TH ST 06-30-00-0-0-8820-0000- ANDY ROSE DEMOLITION 9/19/06 Owner Contractor ~ \ , ~ \S) RESIDENTIAL HIGH DENSITY 1200 ROSE-TRST ANDREW 131 W 2ND ST PORT ANGELES OWNER WA 983622807 Perm1t Additional desc . Permit pin number Permit Fee Issue Date EXp1rat1on Date DEMOLITION 87221 50.00 9/19/06 3/18/07 Plan Check Fee Valuation .00 o Qty Un1t Charge Per BASE FEE Extens10n 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm1t Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 1'i o /7cr~ C/ ~ ~--S' /0> i: ~ ~ ~ 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-l-f:lave-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 st e or local law regulating c truction or the performance of construction. Signature of Contractor or Authorized Agent Date , T:\Pohcies\1102_15 budding penmt mspecUon record05.wpd [1/4/20051 BUll.DING 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 NO 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 FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS WALLS / ROOF / CEILING DRYWALL(INTE~ORBRACEDPANELONL~ T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEATPUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMlT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE' FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELEC~CAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W./ PW/ !', CONSTRUCTION - R. W. ENGINEE~G 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. . PLANNING DEPT. 417-4750 I \ PLANNING DEPT. BUILDING 417-4815 f/J.IJ~/o 1 \L~ " BUILDING . . 1 2 15 bUlldin It inS non record05 1/412005 " T.\Pohcles\1 0 g penn pee wpd[ PREPARED 2/15/07, 9.11 48 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR. JAMES L LIERLY PAGE DATE 10 2/15/07 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . . APPL NUMBER 126 W 4TH ST ANDY ROSE SUBDIV ROSE-TRST ANDREW 06-30-00-0-0-8820-0000- 06-00001030 DEMOLITION PHONE PHONE PERMIT: DEMO 00 DEMOLITION REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ~~~~-~~----;/fj/~;---~--~-- ----~~~f~~~i:~~~i~~~~~~:~--::~~:~:---------------------------------- v, Andy 460-4590 -------------------------- ----------- COMMENTS AND NOTES -------------------------------------- Lasered CED {"~ 0' : -~~:':l!\'~.... L..~-~'W~~~Ft..:;t.wJ ,I....s !fl;;;~ \ l:""- 'J!if'-----"!i.,i j '( . ~' Lasered CED " BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your appl1cation 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 OJ Agent Owner AND Y Address -L3J W Phone R05;r; 21JO 5T Phone' 45 7-0 ~ 2B Cny: FbRT AN~ELES ZIp. ~83 ~ Z Archl1ec1/Engmeer Contractor Phone' State LIcense #. Exp Phone' CIty: LjT!l ST Block B 8 0'3000 Zip ZONING: f/r~'B€tfJrf.~~/7> SubdivlSlOn: 1: P 4, 008820 0000 Address' PROJECT ADDRESS. / 2' VJ LEGAL DESCRIPTION: Lot 7 CLALLAM COUNTY PARCEL NUMBER: TITE OF WORK: o ResIdentml 0 New Constr. 0 Re-roof 0 Stove o Multl- family 0 AddItlOn 0 Move 0 Garage o CommercIal 0 Remodel !( DemolItlOn ~ 0 Deck o Reparr 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT n=A R. SIZEN ALUATION: Lj/~ SF.@$ /SF =$ J,200,<'0 SF. @ $ /SF = $ SF. @ $ /SF = $ TOTAL VALUATION $ Do \)</N EXIST/Nrj qAR.14 G& COMMERCIAL/RESIDENTIAL: Occupancy Group No of Stones' Lot Size: EXlstl1lg Sq. Ft. Total lot coverage % Occupant Load & Proposed Sq. Ft ConstructlOn Type' = TOTAL Sq Ft APPROVALS: PLAN: BLDG: DPVVU: FIRE: OTHER: PLANNING USE ONLY: ESA/Wetland(s) DYesDNo SEPACheckllstrequrred?D Yes 0 No Other. VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the apphcant. Tills figure will be reviewed and may be revised by the Buildmg DlVislOn to comply with current fee schedules. Contact the Permit Coordmator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due It must be subrmtted at the twe the building perIDlt apphcatlOn and constructlOn plans are subl1l1tted. All other pennit fees are due at the twe of pennit Issuance. EXPIRATION OF PLAN RKVIEW: rfno pennit IS Issued Wltlun 180 days ofthe date of apphcatlOn, the application will expire. The BUlldmg Official can extend the twe for action by the apphcant up to 180 days upon written request by the applIcant (see Sectlon R105.3.2 of the International BUlldmglResidential Code, 2003). No applicatlOn can be extended more than once. I hereby certify that I have read and exammed this applicatIOn and know the same to be true and correct. J am authorized to apply for this permit and understand that it is my responsibHity to determine what permits are required ,not the GUy's, and that I must obtain such permits prior to ~. . ~ . ~ "0.... T'>ORMS\BldgP_~o= ""d Applicant/} }~ I-V"" ~ Dot" ~ f / i / CJ (p . aft '\tii....." CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,12\ EAST 5TH STREET. PORT ANGELES. WA 9R]62 ELECTRICAL PERMIT Issued: 2/16/99 Permit No: 6566 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ 126 4TH ST W Lot: Block: Sub: Parc No: Port Angeles, 360/000-0000 T: WA 98360 Long Legal: S: CONTRACTOR-----------------------------DESIGNER--------------------------------- OLYMPIC ELECTRIC 1805 TUMWATER PORT ANGELES, WA 98362 360/457-5303 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES. MISC. prj Value: $0.00 Occ Type: Cnstr Type: SERVICE CHANGE Occ Grp: Occ Load: Land Use: ,Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser X Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: 120,240 X-I -3 100 AMPS o AMPS PROJECT NOTES-----------------------------------------------------______________ REPLACE PANEL ONLY, 100 AMPS I I PROJECT FEES ASSESSMENT-------------------------------------____________________ service:. $59.25 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $59.25 $59.25 -------------~------------------- --------------------------------- -------------------------- TOTAL FEE: $59.25 Balance Due: $0.00 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 SITE INSPECTION TYPE DATE ACCItl'TEll COMMENTS YIS T NO Rllll{yH_1N I CUVER ~E t , , '-l Z /1(,/ P'(? I , GENERAL COMMENTS: PW.II02.15(4I96J