HomeMy WebLinkAbout503 W 4th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000167 Date 2/16/12
Application pin number 046318
Property Address 503 W 4TH ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -0- 7490 -0000- REPORT SALES TAX
Application type description RE -ROOF on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 5265
Application desc
TEAR OFF /INSTALL COMP
Owner Contractor
REID JANICE E LARRY'S. ROOFING
503 W 4TH ST 352 AVIS ST.
PORT ANGELES WA 983622221 PORT ANGELES WA 98362
(360) 452 -2215
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF /INSTALL COMP
Permit Fee 151.75 Plan Check Fee .00
Issue Date 2/16/12 Valuation 5265
Expiration Date 8/14/12
Qty Unit Charge Per Extension
BASE FEE 95.75
4.00 14.0000 THOU BL- 2001 -25K (14 PER K) 56.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid 'Credited Due
Permit Fee Total 151.75 151.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 156.25 156.25 .00 .00
iP1,L22' 12
.7
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 applicatio and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with w ethe pecified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of a stat .r lo..l law regulating construction or the performance of
construction. oNt)4e.:f S I a l oat `C
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 Backfiow Prevention Inspections 417 -4886
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
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 1 FINAL Date 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 -47.35
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 /1 4''t 1 2 3
T:Forms /Building Division /Building Permit
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0, BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Permit Technician For City UsP only i
Attn: Building Date
321 E. Fifth St., Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711 Permit
Date Approved /lo�;�
Applicant off aotle6 Phone IT
Property Owner q'grryjct, (2i 0 Phone
Property Own is Adtgres SQ3 C. '4
Contractor gets V,. Dii I Phone
Contractor's Address S,62 4 Vs 5t.
License 4girnifora Expires pD E -mail
PROJECT ADDRESS o3 0. 4
Parcel Number Lot Zoning
Project Type Brief Description: `1( Residential Multi -famil Commercial Industrial
Check all that apply 3
New Construction q l eXi Tfl �5 11 '30 t r rger
o Addition 13
Remodel
o Repair
o Demolition
XRe -roof House garage other tear off re -roof lay over one Payer
Heat System Heat pump wood- burning stove o gas fireplace pellet stove other
Other
Floor Areas Existing (sa. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor
2 "d Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other TOTAL VALUATION SZ o3
Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage °/o
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 r- •f full baths
Will a fire sprinkler system be installed? Construction type 7 alf baths
t have lead and completed this application and w it to be true and correct. t am authorize f i appl 't hi permit and understand
that it is my responsibility to determine pe are required, and to obtain permits prior to irking a pro
Date
I5 12,.. Print Name 10(4 ,;47 Signature er
T:Forms /Building Division/Building permit application
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'O
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16937
1- ;1;-
Port Angeles. Washlngtonm........m...m...............m..mm........m...... 19....000.
In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec-
trical equipment In. on, or about any building or other structure In the' City of Port Angeles, per-
mission Is hereby granted to dO eIECc,t~al work as listed below.
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Address .000.................000000.........000...000........................__........000.....__. Occupancy....--................---...............m.....
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Light Outlets.............__.....m.......__......... Service, volts ---....3..........h............. Type of Wiring: . "
Receptacle Outlets..............__............... No. wires ....--..(.77.;;-...........h..... Armored Cable .............m............_
81 1 //'" Non.Metalllc ........__h.....................
Dryer, KW.......................__................. ze w res../~~7f............._..
Knob & Tubeuumuuu.ummuuu.mu
Range, KW n.................n......__....u Main fuse .m............................m....
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Enclosure __.....____.........__.......__..__....
Water Heater:
Rigid Conduit mu.u.mu.umuuu_U
Metallic Tubing mm.uuumumm.u
HentK:~..::::.P..:.'?:..7::::u:::::.:::.::.u
Motors: size, volts and phase:
Type of wiring:
Entrance Cable ....u__h...mm___.._____
Ser. NO.....................h..........__...........
Raceway ..............................._.__._
Circuits, Light.......................................
Utlllty umu.umm,um._m.umummm
Ileal ......................................._......
Range .............__nn_..............._.........
Water Heater h...U..........__.......__...
Motor ..._...........__......................__n.
...........................................................
Rigid Conduit ummummmU'U'UUU
Metallic Tubing .h....__
Current transformers:
No. & Size.....__..........
Ser. No.....__....__.._..........__..........____....
Dryer ....................._.......................__
Furnace ..........._.nn.......'_...................
Ser. No...__.....____......._........................
T~tal ::=~u.. ~No/X"9fU~uu Total u.mmumUuummu.uumu.
Remarks. .000.....000...__.000.000.__................................___...............................000.......000..000.........000....000......000....000....000..
.....................................-...........-..................................-....................................-..................................-..................
.:~.=~.~.::~.::......:..::...:.~........---...::~:.~::.~.~.~~:::..........m...m......--~y.....Q{g9li~~~~
,.
NOTICE-CUrrent must not be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
"'....t
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
(
,
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ELECTRICAL PERMIT
N?
16937
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Address....~..............._...................................................................................................................Date..._......_.._......_..........-......-......-.........
Owner..................................._......_.._......_......_.._..................."........................................Tenant........................................................---........
Wiring Contractor........h..................h..........................h................................................................. By..............................................................
NOTICE-Current must not. be turned on untn Certificate ot Inspection has been issued. If work is to be con.
'.~ealed-due notice must be given the Inspector s, that work may be Inspected belore concealment.
, 1M Olympic Printers, Inc.