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Home My WebLink About1920 W 5th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor ROSS JAN MARIE 1920 W 5TH ST PORT ANGELES WA 983631606 OWNER Fee summary Charged Paid Credited Due Signature of Contractor or Authorized Agent Date T \Policies \1102_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 00001115 166490 1920 W 5TH ST 06 30 00 9 0 0215 0000 RE ROOF RS7 RESDNTL SINGLE FAMILY 2250 Date 10/10/06 Permit BUILDING PERMIT NO PR FEE Additional desc TEAROFF /INSTALL COMP Permit pin number 88781 Permit Fee 109 75 Plan Check Fee 00 Issue Date 10/10/06 Valuation 2250 Expiration Date 4/08/07 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL -2001 25K (14 PER K) 14 00 Other Fees STATE SURCHARGE 4 50 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 /9- /2q 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 .w regulating construction or the performance of construction. nature of Owner (if owner is builder) Date 0-) 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 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) SHOWER PAN MEDICAL GAS LINE 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 I 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 RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD ACCEPTED YES I NO FINAL FINAL DATE ACCEPTED BY. SEPA. ESA. SHORELINE. COMMENTS DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE I ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT ENGINEERING N CONSTRUCTION R.W PW/ 417 -4807 I i PW ENGINEERING FIRE 417 -4653 I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I I PLANNING DEPT BUILDING 417 -4815 I i Q 2-6 OI A I 1 1 BUILDING T \Policies \1 102_I5 building permit inspection record05.wpd [1/4/2005] 1 I I 1 I I I I I 1 I I I 1 Applicant or Agent: c.,./f S S Owner Address: 4/X0 /A Architect/Engineer Contractor Address: PROJECT ADDRESS LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. BUILDING PERMIT APPLICATION 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 cit .`4 State License Block: City Phone: 5/5- 2 Phone: 4 7.5 Zip rs Subdivision. Phone: Exp Phone: Zip ZONING STZF/VALUATION 3 Stove SF /SF Move Garage SF /SF Demolition Deck SF /SF Other TOTAL VALUATION S'O 6 0 BRIEF DESCRIPTION OF THE PROJECT TYPE OF WO residential Multi- family Commercial Repair RK. New Constr Addition Remodel Sign COMMERCIAL/RESIDENTIAL. Occupancy Group. No. of Stones: Lot Size: Existing Sq Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other IZ_ r r L rf tc9O Occupant Load. Construction Type: Proposed Sq. Ft. TOTAL Sq. Ft. FOR OFFICIAL USE ONLY Date Rec. 401/40 Permit Date Approved. Q /1Q f0 Date Issued: O�b 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 afthe 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 Buildmg/Residential 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�a►i y respo,Isibility to determine what permits are required not the City's, and that I must obtain such permits prior to work. Date: 10 /6 0 TAFORMS\BIdgPermitform.wpd Applicailf: CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll..DING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Lasered CEO Appllcatlon Number Applicatlon pin number property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Appllcation type descrlptlon Subdivision Name Property Use Property Zoning . . . Appllcation valuation 06-00000746 Date 060338 1920 W 5TH ST 06-30-00-9-0-0215-0000- JIM ROSS RE-ROOF 8/21/06 RS7 RESDNTL SINGLE FAMILY 1147 ~ IWCJC, ~ , ~ ~ Owner Contractor ROSS JAN MARIE 1920 W 5TH ST PORT ANGELES OWNER WA 983631606 Permlt Addltional desc . Permit pin number Permit Fee Issue Date Expiratlon Date . BUILDING PERMIT - NO PR FEE 85233 71.35 8/21/06 2/17/07 Plan Check Fee Valuatlon .00 1147 ~ Qty Unlt Charge Per Extension 50.00 21.35 BASE FEE 7.00 3.0500 HND BL-501-2K (3.05 PER C) Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 71. 35 71.35 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 71.35 71.35 .00 .00 r ~~ ~~ ~~ "} if) T 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 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 s ecified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any sta r I cal law regu ing construction or the pertormanc, of construction. , \ ( 'I ~~ \ Date \ \ Signature of Contractor or Authorized Agent Date ~ Signature of Owner (if owner is builder) T IPohclesl 11 02_15 bUlldmg penmt mspectlOn 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 ACCEPTEDo POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. o. INSPECTION TYPE . DATE ACCEPTED COMMENTS 0 . YES NO FOUNDATION: .'!t",\) ...... . ., , . FOOTINGS "'- .. \ . SHEAR WALLS 1 WALLS . , FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLOGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING - PLANNING DEPT SEPARATE PERMIT #'s SEPA P ARKING/LIGHTING ESA LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT 4 I 7-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R W. 1 PWI CONSTRUCTION - R W. ENGINEERlNG 417-4807 PW 1 ENGINEERlNG FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T IPohCleslll02 15 bUlldmg penmt inspectIOn record05 wpd [1/4/20051 PREPARED 10/25/06, 9 48 19 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 11 10/25/06 ADDRESS TENANT, NBR, CONTRACTOR OWNER PARCEL APPL NUMBER 1920 W 5TH ST JIM ROSS SUBDIV, ROSS JAN MARIE 06-30-00-9-0-0215-0000- 06-00000746 RE-ROOF PHONE PHONE PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION ::~~':;.--;;;l:;::O-.~---;r;:;j~~;l~::':,- "--",",,, ::::::::-::::::::::::::::::_----- -------------------------------------- COMMENTS AND NOTES -------------------------------------- Lasered CED PREPARED 10/25/06, 9,48 19 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 15 10/25/06 ADDRESS CONTRACTOR OWNER PARCEL _ _ APPL NUMBER 1920 W 5TH ST SUBDIV PHONE PHONE ROSS JAN MARIE 06-30-00-9-0-0215-0000- 06-00001115 RE-ROOF Lasered CEO PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 fr BUILDING FINAL J~m 460-7514 10/24/2006 09-15 AM PERMITS ---------------------------- ------------------------- ----------- COMMENTS AND NOTES -------------------------------------- 10/25{r6 Lasered CEO BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted tor review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-471J ApplIcant or Agent: Phone' ~6c1 7:\/; y- . Owner: Address' OJ S-( CIty. ~r Phone: A~7~{<:'5 ZIp: I )Y.3t L ArchItect/Eng:ineer: Contractor Phone: PROJECT ADDRESS' /9:< f!) State LIcense # Exp: Phone. CIty: ZIp: W , ~-I-~ ZONING: Block: SubdIvIsIOn Address' LEGAL DESCRIPTION: Lot CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: o ResIdentIal 0 New Constr. ~e-roof 0 Stove o MultI-family 0 AdditIOn 0 Move 0 Garage o CommercIal 0 Remodel 0 DemolItIOn 0 Deck o Reparr 0 SIgn 0 Other BRIEF DESCRIPTION OF THE PROJECT. L ~ Ie t.tY ^' J!h", COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stones: Lot SlZe. EXIstmg Sq Ft Total lot coverage % Occupant Load. & Proposed Sq Ft Construction Type = TOTAL Sq. Ft PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWV: FIRE: OTHER:_ ESAlWetland(s): 0 Yes 0 No SEPA ChecklIstrequrred? 0 Yes 0 No Other. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applIcant. Tills figure will be reviewed and may be reVIsed by the Buildmg DIVISIOn to comply with current fee schedules Contact the Penrut Coordmator at 417-4815 for asSIstance. PLAN CHECK FEE: IF a plan check fee is due it must be sublllltted at the time the building perllllt applIcatIOll and COllstructIOn plans are sublllltted. All other permit fees are due at the trme of permit issuance. EXPIRATION OF PLAN REVIEW: If no perllllt is Issued wIthm 180 days of the date of applicatIOn, the application will expire. The Buildmg Official can extend the trme for action by the applIcant up to 180 days upon written request by the apphcant (see SectIOn R105.3.2 of the International BUlldmg/Residential Code, 2003). No apphcation 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 't is my onsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to ork Date: r .2 ( ot T'\FORMS\BldgPennitform wpd Applicarr . , CITY OF POtl.T ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15751 Port Angeles, Washlngtonmmm~m......3:.~......m...mm....m_m., 19.~~ 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 elec rica! work as listed below. Address /1.;).Q__..__~: __m___________..____.____..______m__. Occupancy_~...____________.____________. ~::~~~~~:~~ket~~.--:::::::::::---.~~:~~~;:::::::::::::::..::~::::::::::=::::::::::::::::::=::::::::::::::::::: Light OUtletB......___.......~.~... .f.r~!.:t:l..t;s ..../;2..c?'.I.?..Zc;... Type of Wiring: Receptacle Outletsm........._m.__............ No. wires nn......!....--m.---n.7J...... Armored Cable ........---..---.........-.-_. Dryer, KW...muhnu...__.____..______....__.___ Size wires....:X/.C!.f:P...f:~:..._.. Non-Metallic .---..-..........------........-. ~, A Knob & Tube.......____..............._....... Main fUBe ---.O"""......C1...---........ Enclosure n.....:.?__..._______..__......... Range, KW __________m__nm" Water Heater: KW........._____....... Type of wiring: Entrance Cable ...._....___...............__ Heat: KW....._...__nn.....__n__................_. Motors: size, volts and phase: Rigid Conduit ................__... Metallic Tubing ..n.n.......... Current transformers: No. & Size......__.___________________........... Ser. No.__._._____..............___.___..____...__... Ser. No..__.___....._.........._..___.._____.___...._. Ser. No.....__......__...._.._____...__..__........... RIgid Ccmdult ...._.........___...........___ Metallic Tubing .....___..___..........___. Raceway __..._..__..................__._......_ CIrcuits, Light..._............__m___............._. Utillty..........___..............___............___ Heat _______......______............_...._.......... Range ._.._______..........____......._.._._.______ Water Heater ....._0.....______............. Motor ............___.........________........_._.. Dryer__.._......___._____...........___.___............ Furnace ............__._.........._.....__..__..m... Total Load.__......___........_...__... Ser. No.___._.___..................___.._.____.._____ Total ..._________._............._.._......._ ~~=~.~~~:---::::::::::::::::::::~~~:=::~:::~:=:::::::~~::~:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Permit Fee Treas. Receipt No.____..________________ooo__. By __.m.____mooo______________________m__mooomooooooooo_______. $______ooom____ooo.ooo_________...__. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15751 Address___________._.._____..__......................_....._.__.....................__..____n_____.....__.................._..................Date...___.___________.._.........._._....____............._ Owner..........._..................____._.........._......_......_.._........__._...........__._...._.___________.__.__._.___.__Tenant.....___.__._...........__..._..______._________.._____..._......... Wiring Contractor.........______.______________......____.__.______....._........___............_......._._................__.____._._____. By ._.____...__._..................____._..________._............ NOTICE-Current must not be turned on until Certificate of Inspection haa been issued. It work il:l to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc.