HomeMy WebLinkAbout414 E 6th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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05-00000037 Date
.045433
414 E 6TH ST
06-30-00-0-2-0330-0000-
RE-ROOF
1/14/05
Application Number
PJ.n number
Property Address
ASSESSOR PARCEL NUMBER:
ApplicatJ.on description
Subdivision Name
Property Use
Property Zoning . . .
ApplJ.cation valuatJ.on
RESIDENTIAL HIGH DENSITY
1700
~K P ~ r251?
7 / f?lv~
Owner
Contractor
RICKENBACHER, JOHN
121 E 2ND ST
PORT ANGELES WA 983626206
(360) 457-0467
AFFORDABLE SERVICES
258663 HI - WAY 101
SEQUIM WA 98382
(360) 683-9619
Permit BUILDING PERMIT - NO PR FEE
AddJ.tJ.onal desc TEAR OFF, FELT, COMP
Permit Fee 83.60 Plan Check Fee .00
Issue Date 1/14/05 Valuation 1700
ExpJ.ratJ.on Date 7/13/05
Qty Unit Charge Per Extension
BASE FEE 47.00
12.00 3.0500 HND BL-501-2K (3.05 PER C) 36.60
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 83.60 83.60 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 88.10 88.10 .00 .00
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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 local law regulating construction or the performance of
construction.
(0 AI C Il-t:.
Signature of Co'ntractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T'\Policies\1102_15 bwldmg penml mspecbon record05.wpd [1/4/2005]
JAN-14-2005 06:30 AM 2D673A53.73784237
360 582 9029
P.01
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BUILDING PERMIT - APPLICATION
fOR OFT-ICIAl.. \J. I:. " h:
illt... rue: i -, :L-:. q,S
P,"nit tI:..Q5" - ;3 7
(},la Appl'\lvtd __ _ _
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FlU OLlt ('()I\l(Pu:n~L Y u.d III INK. Your applicatioD IInd "Ue pllUl !In)~'1 BE
COMPLE'TE to be 1\'C'epted fur rlllvle'W. If you bovt. llJ1Y qUelJdPllll. ral~
(3611) 417481!i
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Appl1canlor Agent: ;;Y.1lLJ~ p)' I . '~...f2:.~-- ______ u_ l i,one ....1::1.. '2~ -- .'
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ownl:r:~,;e.'-[).t.u~~~.___M-~ _-_'_ ljhc~)" __.i::.2 -~-_.- :
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contractor~~l1~ State LIcense if..-:..t' L~_.. E)tlC,J:~C6-. .pJ1onc:~~",:~.(0:,t1
Add~":~' 2, I'M-'lJD.\AL - -.- C:!Y"::J:' c...Ll1...J1.:..~--.- Zip:~~2..-7~:. i
rROJECf ADDRlSS,__~~~L~~ 'fi\')tre' ___,___'_N'___"'" N' 7.0NING: -----~~-- I
LEGAl DBSCRIPTI01\: t'JC'_._ Block:___
( C:"ALLAM COUNTY PAFCEl. !'nTMBEf~'
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Cn:dllCardHOld.r~lane:.J..(1.'._jJ: /Q k /J I \lll _-.---- .-- -. ~ -. ---:--.-
Dil11n1 Adcln..,.22Q)~U J:L1-lL. \; ~ i I./.:L..h...:_" " C":y: )~i Ll J.1.L.. ~:VA- q J 5 to '/ - (L[.~<..~_- -
CrecUl CardTypll VXSA..-k:::.MC "___II__~OJ'\ P. I I e~_.____..__._-- hal. Dlle: ...!' - .-
TYPE OFWORK;_L SJZB.NALUATlOJ'l:
o tu&uisntW 0 Nfl'N COOGle IIJ'Re-toof [j St(lVC ..___ SF @ $_ _.__...--/SP.'. 5___._._.
:: Multi-family Cl Addition t.~ ~r.lve 0 CJ:U1lgc ,.___ SE @ :~___.-..JSF. - S___~_ --.
:; CotmMroi.al Cl R.cmodtl ,] Demoliuo.. C1 Deck. .._ Sf',@ L._.-JSf. ...~s
c R.crair :. SIgn :J Other TOTAL V A.LUA TION -
BRIEr DESCllIPTlON OPTHE PROIECT ..~ (J/:::I'-I ff..U:::.I..~p --_.
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CO!'ttMItRC1AL/BI.SIDENT1AL, Oocupa.nc> (Jrt)up, OCCUj)lUlt LOI\(I: _ _.. __ ('anlltructlon Type:_____. --
~o uf Stones: _ Lilt Size' __'. Ex.utinl! Sq. Pt. &. Propollcd Sq. It . ___, _ .. TOTAL Sq.l'\___.
EXISting lot co~cnae _ 0/.. &. ~oposed Iell ,;ov~I"Ee __% · Tomllol ~(Iverage_____~--h . .. - , ,
APPROV ~.I.s'
PLA.~ I
BLl)(; :
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VDl';:_ - :-. - I
OTHER.:.__
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: ESN'Wo:.land{ll): CJ y~ C 1'1) ::;EPA Chcck.lL" n:qtw'cd'i Cl Ye~ CJ -":0 Q\I1=r: _".. ___.__.__
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BULDING PEllMI'r APPLICATION SUBMrr'l'AL: The B\:lldmt Divi.~iDJ'I Cll1"I PTO\'lllo' .11,; Wltb iDfonnatlon OD t111: a.PF,hc:l!l011 t;;~,
plan submittal requiJemetdI J! YOLl have quC&tion.~.
"ALUATION OP CONSTRUC110N. 10 aU cues, II valuation iUDOUJU U1UJt be eJl\er'lld by tiw appl1cmt. Thisfiaurc will be [1:VleWC".:::
ll.nclt1laybunllc:4 by1beBUiJdutg01VlSI.OD to cOl'llply with C.\UTent fee schedules. Comacttb.e PcrlIUt CoordmalDrlt417-481S fora.'1SI.~u.r...~
PLAN CHECK FEE: lP a plan check fee ia dm: it DUlsl be submitted ILl the tl~ ,hi:! tnI11d.loR peram Dppliclti01:l aad COfllltnJc;tu:n r ,1aJ13 ~ 't'
subwttocl. AD otber panmt fe&l are due II ,~ tllu of permit LSluancc.
EXPIRA110N 0' PLAN REVD~W: rf no permit Is iarued wttlun 180 day. (Jflho cla.te ,,1' llpplication. the IPpllcatloD will expire T ~'l
Building otlici&1 cU extend thfl time fl)r &(.1:1on by the apphcDl11 up to 180 !lay. upon wrlttel~ r~lUL".s1 by the applicant (t.OCl SllCtiOC. ~ f)' 4 ,I
'he t.'nlfonnBl111ding Code em':'ent edHlotl) No appl1cGlUCln Clll1 be !l\londed m(J~e tban O[)'!:,
. "&f8by ClJ/ftfy t'lat I ~M I9Bd rind examined thIS application and know Ins same to be true end (j(vrect. / am IIL1horized /tIIPPIy for tt11S PI,W), .1'1:'
.J1~rst,.,d the1./~ my f8SpOIlSlcMy 1(,1 deh,nnilB wtlat ptJfTrtlts a.re r&qul1'9t1 ,not !he CJty'6. ,no thf~ : 'l1l/st obtalllsuch potmlf' pnor 10 IVOrJl,
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! .1'(Il'.MSWI'~~3Ulldl"prmfl \Am I Applicant: ;r'J'::C(-'..L5:=-oc;:;-:;" ~_ Date: . L-'="~L.__. .
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Applicatlon type description
Subdivlslon Name
Property Use
Property zoning
Appllcation valuatlon
06-00000185 Date
545550
414 E 6TH ST
06-30-00-0-2-0330-0000-
ELECTRICAL ONLY
3/10/06
RESIDENTIAL HIGH DENSITY
o
Owner
Contractor
RICKENBACHER, JOHN
121 E 2ND ST
PORT ANGELES WA 983626206
(360) 457-0467
SHAMP ELECTRICAL CONTRACTING
PO BOX 383
PORT ANGELES WA 98362
(360) 452-1689
Permit
Additlonal desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER
SHAMP/ OH TO UG
71621
SHAMP ELECTRICAL
66 90
3/10/06
9/06/06
RESIDENTIAL
CONTRACTING
Plan Check Fee
Valuation
00
o
Qty unit Charge Per
1 00 66 9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
66 90
':S
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 66 90 66.90 00 .00
Plan Check Total .00 .00 00 .00
Grand Total 66 90 66.90 00 .00
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COMMENTS/ ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
CALL 4 17-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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
COMMENTS
NO
GENERAL COMMENTS:
PW-1I02.J5(4'96)
02/20/2006 12:21 FAX
Job wired by
o Electrical Contractor 0 Owner
Liccn5C number Date Expires
SllflMI' t.r OJ-..J, D.'l,
Electrical contractor name
5h"",0 E.lt'"..\r\,.,\
Purchaser's'mailing addre,s
<=>\1 W. 3 -IT. <,+
City
Port !\~<"\ec.,
Telephone numtld
, r:::: ~.
PrEmises owner's R':iIme
p-':,c ,I'll' VI bo.rlll.. r
Addreu of inspection
4\1.\ 1:.., (,,~ st.
Cit)' .
-r1lY'1- f+.OOl" lee.. \tJf\. 'H?'\"A
Phone number 10 reA.edulc Iftspecrion:
Stale ZIP
\~/A q ~?'I,J,.
FAX number
Owner os defined hy RCW.J9.28,J6J:(l) Ow"e." will occupy the $lmCn.lre for two
yef2r~' after Ihis elCClrical per",ir is fj,IQli~f!'d. (2) Owner Lr required tn hire an elec/rlcal
cOMtracror if above .~o.id properly rJ" 1M sale, rem or fea.,fe.
Afb::r reading lhe above statement, f hereby cenify that 1 am the owner of the above
nam~d ptopeny Of a licensed electrical contractor. I am making the electrical instal.
lalioll or alteration in compliance with lhe electrical Jaws, N.E..C.. RCW. Chapter
) 9.28, W^C, Chapter 296.4(58, The City of Port Angeles Municipal Coue. iand
Ulility Specifications.
Signature of owner, ch:ct..-icAI conE..-Acror or eleClrlcal administ..-ll.10r
x
Date:
Electrical Load Additions and or subtraclions
o NO LOAD CHANGES
o B...bo.'" KW
o Furnace KW
o Heat Pump _ Ton _ LAR
o Fan-Wall KW
~ 002/002
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ELECTRICAL WORK PERMIT APPLICATION
Installation description
Cl Commercial ~eSJdentia1
ONe... 0 AlterecllAddllioD
~Y"v'\~~ CII\.l;\\I\J'c:.
o Cash Cl Check #
~redit Card Visa
Mastercard
Card# -O.li\..-~Ue..--'---------
Discover
Expiration Date
of card
Service Information
o Overhead Service
o T"mp Service
o Undergrcvr'ld Service
Vollage
Phase 0 1 0 :3
Service Size;
Feeder Size:
ROUGH-IN
THERMOSIAT
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
OAle ^ppro~.t~ B)"
O;r,tc
DITCH
4d7
A.pJ"ovtdlly
,
DIU~
InspeCtion
DillC
Area, Building or Equipment Inspected
t!-rfVl!:. - /)'-1
NU05....z:o
dL
/ rCf! -
AClloIrovC(l fly
SER"1CE
~
~rovellBy
FEEDER
,
AD
^pprcvllll Or
A.pproved fty
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Action Taken
Electrical
(nspcCIor
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