HomeMy WebLinkAbout311 W 6th St - Building R 't CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000157 Date 2/13/12
Application pin number 742212
Property Address 311 W 6TH ST q c q
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -0- 9355 -0000- RE'POR T SALES TA
Application type description RES REPAIR on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RESIDENTIAL HIGH DENSITY (Location Code 0502)
Application valuation 13975
Application desc
foundation repair
Owner Contractor
ADOLPHSEN GLENN OWNER
318 W 6TH ST
PORT ANGELES WA 983625902
Permit BUILDING PERMIT RESIDENTIAL
Additional desc FOUNDATION REPAIR
Permit Fee 263.75 Plan Check Fee 171.44
Issue Date 2/13/12 Valuation 13975
Expiration Date 8/11/12
Qty Unit Charge Per Extension
BASE FEE 95.75
12.00 14.0000 THOU BL- 2001 -25K (14 PER K) 168.00
Fee summary Charged Paid Credited Due
Permit Fee Total 263.75 263.75 .00 .00
Plan Check Total 171.44 171.44 .00 .00.
Grand Total 435.19 435.19 .00 .00
140 Z‘ 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 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 provisions of any state or local law regulating construction or the performance of
construction,
1- 12- Z<'ee)--e-‘ 4-4
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
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.
In Type Date Accepted By Comments
FOUNDATION: NN-r
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
Was Roof,/ Ceiling
D all (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Roue h-ln
Gas Line
Wood Stove,/ Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blockin. Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parkin 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 7 ler J-1✓ti
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X rs FOR OFFICIA USE ONLY:
BUILDING PERMIT APPLICATION DateRec.: 2 /A /9t
Permit
ty1 Fill out COMPLETELY and in INK. Your application and site plan MUST B.P Date Approved: i I
COMPLET=E to be accepted for review. if you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711 Date Issued:
I
A licant or Agent: I P g ).elfj ---6.'__Z �-�%a Phone: r-f. �C�3�
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Owner: 7 Phone: -1 e
j, <fJ j c
Address: City: Zip:
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4rchitect /Engi 1 7 r 47-7
Phone: Contractor r r;, 2 2. !J ,7, State License
r r j E; Phone: W ()OS
Address: f l f _7��.. City: P l Z 7
PROJECT ADDRESS: L--e' it ZONING:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK: SIZE/VALUATION:
Residential. New Constr. Re -roof Stove SF. /SF. 5
Multi- family Addition Move Garage SF. /SF.
Commercial Remodel Demolition Deck SF. /SF.
<liepair Sign Other OTAL VALUATION 0 `iq..5.
Ill t_IEF DESCRIPTION OF TEE PROJECT: i A` J.- ti l l^ r; a) i g.-e r ),,;4)
C OMMERCIAL/RESIDENTIAL Occupancy Group: Occupant Load: Construction Type:
Ne. of Stories: Lot Size: Existing Sq. Ft. Proposed Sq. Ft. TOTAL Sq. Ft.
Total lot coverage v
1
"TANNING USE ONLY: APPROVALS:
PLAN:
BLDG:
DPWU:
ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other: Fes'
OTHER:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
Tb:s 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.
EX PIRATION 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
RI 05.3.2 of the International Building /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 my responsibility to determine what permits are required not the City's, and that I
must obtain such permits prior to work.
T:IFORMS\BIdgPennitfonn.wpd Applicant: l�f t "f ,c 1 �j— /2
Date:
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The issuance of ths permit based upon these plans, spcifi-
frm this permit based upon these plans, specifi-
cations and oth
plans, specifications and other data, or from preventing
violation of all codes and ordinances of this jurisdiction.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15039
," ~ '\ ' ...
Port Angeles, WasWngton_m__m__:_mm__n:m_~:_moom_m____mm__mm, 19_m_m'
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 electrical work as listed below.
. .
Address __m____:-------:n:~--:-::--~--:-m-m-mmm-mm--m----moooo-nm-_mm Occupancy________oo__oon"L___oo___n___oo_noon____
,
Owner
Wiring
hnnh___...nnhnn.unn.uh_:.U:__h___n~_nn_~_nn_n_nn Tenant_nn________.u....n__U.U_hnn_n_nn__nnnn__n_n__hUn___u
Contracto~ ____:__n:__:_:_:_,."_:____:m:mLL:_:_oo____:n~,__~__'_ By_mnn__mn_n__m_______m_oo__nm__oon__oo___moo_m___n
Light Outlets..._..........._..............__.._.....
Service, volts m.__.on.......h...nmmmm...
Receptacle Outlets............................___
Dryer, K\Vlnnuu.........._..........n......
Range, KW........................
Water Heater:
No. wires ....hhhn..nn.._.n......h.....n
Size wiresm._m....mm..............nnm
Main fuse m..m....hm..mn___.......h...
Enclosure ........._.......nm..mmmm...
Type of wiring:
Entrance Cable __hn'''_.n_nm___m____
KW.n..__.._____.______._;.c:;_______.__._______.
Heat: RW '.m_____I_~...:~___._..~_:.._...._...._nmonm
Rigid Conduit m_.m.mmm..n___.m_.
Metall1c Tubing .._mm..m__m_m....
Current transformers:
No. & Sizemm_.m___mm........____n.....
Motors: size, volts and phase:
Ser. NO..._....h_.............n.n___n_.nn.._..
Ser. NO.'n____nnnn__n._.._____............n__n
Ser. NO..nn__nn_nnn_._..______.........._n____
Type of Wiring:
Armored Cable "00.
Non-Metall1c .._......
Knob & Tube
Rigid Conduit mm_....n__.
Metall1c Tubing .__m......._
Raceway _..n_n..._............n...._...h...._
Circuits, LighLnnn...mmnnnmmnnm.n
Utility..n.n.....___.
Heat
Range ___________.___._._____.____________.________
Water Heater mm_..._mmmmmm..
Motor _____________.._____________...........____..
Dryer...._______...._______________..______________..__
Furnace 00..0000___.000000_......'_.....
Total Loadm.mm.mn_______...... ,r"; Ser. No. ___._._mn___...........__...__.m__.__... Total """hmnnnm___nnn__nmm
Remarks : n__n.___nn~X_:'_:..~!...~______h~~~:~_!'..n~~i_n_______=_nn.n:.__~~.~_L____.__;._l:!,.t'..'..1.~__'::__!n__._:::_~:~h__..mmnmu.mmmnm
u
v
/
Permit Fee Treas. Receipt
$m____moo_________________________. NO._____m__________________ By .oo____'-___,______..____:_____:______m__oo_:.______.m_____.......
NOTICE--Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice 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?
15039
Date called for inspection___________________.____________....____.....--...........-.-----...-........._______........_._____...__...____.....____....__..__________._._....__...___n____........___..
Inspection completedn__..____..._n__h___n._nn_.n____._.n.............h_.....h..n.........n......n_.nn
Prel1minaryinspectiondates_________.__________.__._._..................__...__..___..____.......______........_...._........___.__._._......._...........________........_...__.....................
Total Load __.._.n_._.._..........................h_...._h_n__..____nm..........nn...n____ ..._
1M 3-72 Olympic Printers, Inc.