The URL can be used to link to this page

Home My WebLink About1114 Columbia St - Building n CITY OF PORT ANGELES 1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000515 Date 5/26/11 Application pin number 112225 Property Address 1114 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-3- 0525 -0000- Tenant nbr, name STEVEN LEAH FORD on your state excise tax form Application type description RE -ROOF Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL OFFICE Application valuation 6000 Application desc TEAR OFF RE -ROOF THE HOUSE Owner Contractor STEVEN LEAH FORD ARMOR ROOFING 1114 COLUMBIA ST 2524 RYAN DR PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -9350 (360) 452 -3667 Structure Information 000 000 RE -ROOF THE HOUSE Permit BUILDING PERMIT NO PR FEE Additional desc RE -ROOF THE HOUSE Permit pin number 186445 Permit Fee 151.75 Plan Check Fee .00 Issue Date 5/26/11 Valuation 6000 Expiration Date 11/22/11 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 1 Permit Fee Total 151.75 151.75 .00 .00 q 0,0 \11 Plan Check Total .00 .00 .00 .00 O ther Fee Total 4.50 4.50 .00 .00 \(1, J Grand Total 156.25 156.25 .00 .00 U CO /k 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. 672t,r1 1 t I-0W 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 c..S`c PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS Building Inspections 417 4815 Electrical Inspections 417 4735 UN 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. 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 1 Wall Floor Ceiling a MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs v 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 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417-4815 (p14 L T:Forms /Building Division /Building Permit H H w C7 F a a q N 0 SD M M O1 N N Ll1 Lf1 d d w 0 N 0 0 o H O VD SD N x M M to a H m W R F F H j H W a H w w q q 7 F q zz wrz cn wt.!) m oo Z o >-t F H y a s 0 w 0 Z F h H x w W F W 0 -o x a z z H O H 5 F F F 0 0 0 ww w 0 0 7 z m0 p 0 0 Z o r `n iHOH E H W O O a N m w 0 0 F\ z •N0 W KC U a F w- z a H R: a 0 W o u 0 0 v x a a a 0 z w w q a t w 0 0 o 1 0 0 W h a 0 F U o W 0 am 0 0 H o o w Ln a F M 0w 00.1,1 H H Q Z a m a a 0 N 0 0 H 0 0 OHO H a CC') a 00 0 0 0 q too H W 0 0 0 F 0. 0 1 FF H HO H0014 U1 W HN a.F LOH owa ,rpc Hcnr1)cno, -1 oaa H F 0 0 0 o •w .w zau Z m w W cn u 0 H a 0 OE a z EEE a o a H q O 0 0 0 1) a W N aU g FU04 ,Q W F W KAI"a BUILDING PERMIT APPLICATION Print in ink L. ,,'.,tie CITY OF PORT ANGELES For City UsP only, Attn: Building Permit Technician Date Received 5-7-6-1( 321 E. Fifth St., Port Angeles, WA 98362 Permit ►1 515' (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant Eve Fv/L.p Phone 4 sz -13 So Property Owner s LE JAN Fog2 Phone Property Owner's Address t, 14 cox-um g,A s,. Pore ArJG,E1kS, 1,4'1 6 10 (0 Z Contractor 2ANIco-r +vloorz _A2mo2 eooc Phone .46 -ot gZ Contractor's Address License Expires Email PROJECT ADDRESS II i 4 CoLAmtv A SIs eat s,,,.w a rab Parcel Number Lot Zoning Project Type Brief Description: N Residential Multi family Commercial Industrial Check all that apply New Construction Addition Remodel Repair Demolition Re -roof XHouse garage other x tear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. if 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION Total footprint of structures sq. T Lot size ft. Lot coverag- Site Coverage the amount of impervious s• rf. e on a parcel, including struct paved driveways, sl.ew., os, and other impervious surfaces. (see PAMC •.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy gro p of bedroom Will a lawn sprinkler system be installed Occupant to of full bat's Will a fire sprinkler system, be install-4? onstructi• type of half '.ths I have read and completed this application and know it 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, and to obtain permits prior to wor ing on projects. Date /7.(411 Print Name ED1 Signature T:Forms /Building Division /Building permit application Clallam County Assessor Treasurer Property Details 61802 STEVEN AND LEAH Page 1 of 2 Clallam County Assessor Treasurer Property Search Results 61802 STEVEN AND LEAH FORD for Year 2011 2012 Property Account Property ID: 61802 Legal Description: P S CO-OP COLONY SUBDIVISION LOT 6 BL 5 Geographic ID: 0630005305250000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: 1 0 \L Location Address: 1114 E COLUMBIA ST Mapsco: PORT ANGELES, WA Neighborhood: Cycle 5 Res Map ID: 2 Neighborhood CD: 10955130 Owner Name: STEVEN AND LEAH FORD Owner ID: 24956 I\ .i Mailing Address: 1114 COLUMBIA ST Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: 1 Taxes and Assessment Details Property Tax Information as of 05/26/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and 7,- click RECALCULATE to obtain the correct total amount due. I First Second Half Half Base Base Year Statement ID i Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid Amount Due 2011 156217 ST SCH STATE SCHOOL $210.24 $210.24 $0.00 $0.00 $210.24 $210.24 2011 156217 CC COUNTY CLALLAM $116.08 $116.04 $0.00 $0.00 $116.08 $116.04! 2011 156217 SD #121 SCHOOL DISTRICT #121 $274.83 $274.82 $0.00 $0.00 $274.83 $274.821 2011 156217 CITY PORT ANG CITY OF PORT ANGELES $267.95 $267.92 $0.00 $0.00 $267.95 $267.921 2011 156217 PORT PORT OF PORT ANGELES $16.34 $16.33 $0.00 $0.00 $16.34 $16.33 2011 156217 NTH OLY LIB NORTH OLYMPIC LIBRARY $48.68 $48.67 $0.00 $0.00 $48.68 $48.67 i 2011 156217 HOSP #2 HOSPITAL #2 $47.65 $47.64 $0.00 $0.00 $47.65 $47.64 i 2011 156217 WSMET PK DIST WILLIAM SHORE MET PARK DIST $14.48 $14.48 $0.00 $0.00 $14.48 $14.48 2011 156217 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $36.00 $36.00 1 12011 156217 WEED_ CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.82 $0.81 L 2011 156217 TOTAL: $1033.07 $1032.95 $0.00 $0.00 $1033.07 $1032.95 2010 44494 ST SCH STATE SCHOOL $208.14 $208.14 $0.00 $0.00 $416.28 $0.00 2010 44494 CC-GEN COUNTY CLALLAM $110.78 $110.75 $0.00 $0.00 $221.53 $0.00 12010 44494 SD #121 -SCHOOL DISTRICT #121 $269.60 $269.58 $0.00 $0.00 $539.18 $0.00 2010 44494 CITY PORT ANG CITY, OF PORT ANGELES $256.46 $256.46 $0.00 $0.00 $512.92 $0.00 2010 44494 PORT PORT OF PORT ANGELES $15.57 $15.57 $0.00 $0.00 $31.14 $0.00 2010 44494 NTH OLY LIB NORTH OLYMPIC LIBRARY $32.18 $32.19 $0.00 $0.00 $64.37 $0.00 2010 44494 HOSP #2 HOSPITAL #2 $45.44 $45.44 $0.00 $0.00 $90.88 $0.00 2010 44494 WSMET PK DIST WILLIAM SHORE MET PARK DIST $14.46 $14.46 $0.00 $0.00 $28.92 $0.00 2010 44494 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00 2010 44494 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 2010 44494 TOTAL: $989.45 $989.40 $0.00 $0.00 $1978.85 $0.00 http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=61802 5/26/2011 1fVORT~ l"O~~~ ~ "-~ ~ "l.,\~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 04-00000749 Date .686790 1114 COLUMBIA ST 06-30-00-5-3-0525-0000- MECHANICAL APPL. PERMIT 8/24/04 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Applicat10n descript10n Subdivision Name Property Use Property Zoning . . . Appl1cation valuat10n COMMERCIAL OFFICE 1500 Owner Contractor FORD STEVEN/LEAH 1114 COLUMBIA ST PORT ANGELES EVERWARM 257151 HWY101 PORT ANGELES (360) 452-3366 WA 98362 WA 98362 Permit MECHANICAL PERMIT Additional desc PROPANE FIREPLACE INSERT Permit Fee 57.65 Plan Check Fee .00 Issue Date 8/24/04 Valuation 0 Expirat10n Date 2/21/05 Qty Unit Charge Per Extension BASE FEE 47.00 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.65 57.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .00 .00 "'"" --- - ~ ~S: _1___ ~ C ~ ~ \ <!> P (J) 'f Separate Permits are required forelectncal 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 inspection ave ot been requested Within 180 days from the last inspection. I hereby certify that I have read and examined this application and now the same to be true and correct All provisions of laws and ordinances governing thiS type of work Will be compiled with whether sp cified herein or~t The granting of a permit does not presume to give authonty to Violate or cancel the prOVISions of any state or loc I law r ulatl g co tructlon or the performance of construction. f; 11. '1loy Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is bUilder) Date T \PLANNING\FORMS\1102.15 [11/14/20031 BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS 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 INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA T10N DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER I AIR SEAL I WALLS CEILING I 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 GAS LINE ICf_J /,,-(1)4 ~\ L J......- WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeermg DIVISion) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA: PARKINGILIGHTlNG ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W. ENGINEERING 4 17-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 II . 0'-/ I., BUILDING T \PLANNING\FORMS\I 102 15 [I 1/14/2003] PREPARED 11/01/04, 12 50 07 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR ROGER VESS PAGE DATE 11 11/01/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1114 COLUMBIA ST EVERWARM FORD STEVEN/LEAH 06-30-00-5-3-0525-0000- 04-00000749 MECHANICAL APPL SUBDIV: PHONE (360) 452-3366 PHONE : PERMIT PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 9/16/04 9/16/04 JLL AP TIME 13.00 MECHANICAL GAS LINE Bob 683-9029 Gas 11ne for upstalrs, pressurlzed. ~:::_::__~__~___:::~~~::~:::::L:::IN::::r:_~:~_~:______________________________ PREPARED 9/16/04. 12 48 22 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 9/16/04 ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER 1114 COLUMBIA ST EVERWARM FORD STEVEN/LEAH 06-30-00-5-3-0525-0000- 04-00000749 MECHANICAL APPL. PERMIT SUBDIV PHONE (360) 452-3366 PHONE . PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ~;;--O;--~~-~---~~:::::::::::::<"':::"::'::d--------------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- ,,-'l ~ ,- '>, ' ,~,,-. s ~~ . " CITY OFP0RTANGELES DEPARTMENT OF COMMUNITY D~LOPMENT-Bun.nING DIVISION . 321 EAST 5TH STREET, ;POlttANGELES, WA 98362 -.,' ..... ApplicationNumber.. . Pin number .. . . : . Property Address ASSESSOR PARCEL NUMBER: Application description SUbdivision Name. . Property ,use . . '. . . Property zoning . . . . . Application valuation . . 04~00060839 .928309 1114COLUMBIAST 06':30':OQ,,5-3,"0525;"0000- ELE~ICAI..ONLY Date 9/23/04 , ' -----~---~-------~-~---~ COMMERCIAL OFFIcE o OWner Contractor FO~STEVEN/LEAH 1114 COLUMBIA ST PORT ANGELES WA 98362 BOB 'SELli:~ICpiC 2293 DEER PARK 'RD. PORT ANGELES WA98362 (360) 45,?;"6887 ------~-----~-~---~---------------,--~------~--.--~~-----~------------------~-- Permit '. . . . Additional desc Permit Fee . .. Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 48.10 9/23/04 3/23/05 Plan check Fee ValUation . . ,,'. .00 o Qty Unit ChS.rge Per l.00 48.1000 ECH EP-R OR RM,1-4 ALT CIRCUITS Extensio.n 48.10 ~ Charged Paid Credited Due .--.------------- ---------- -~_..------ ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 . .00 .00 Grand Total 48.10 48.10 .00 .00 '" ~ W -..0" J "'- ........ Jl)......... \~ \J ~ ~ ....c;:; Separate Permits are required for electrical WOrk, SEPA;ShoreU ..SA, utiUties,private and,p!JbJl<; improveml1l.n~~/JJj~,2!,!"i9~~om.s null and voldifwork or constructionauthorlzed Isnat comrnen~E!, .' ,1'80 days,. If com~triJption orworlcllS.lISpen'~~(.f;~r:alfandone~ for a perioc!of 1.~0 days after the work as commenced, or ifrequir~'inspectlonshavenot been requestedWithIO,18Q:d~Jromthelast Inspectlon~I,.hereby certify thatlhave read and eXamined this application and know the same to be true and c;o,rrec;t.' ~lproVisions of laws and ordirances govemingthls type of work will be complred,Witti\;Yhe~er specifi~d hereinornol Thegran.~ng'of~f>Elnnlr:does not presume to give authority to violate or cancel the provlslonsofanystat,e or J6calla\l"tregulating construction Of ' the petfonnance of construction. " Signature of Contractor orAuthorlzed Agent : Date T:\PLANNlNG\FORMS\1l02.1S [1II141200J) ':' , 1 BUILDING PERMIT INSPECTION RECORD , , , , CALL 417-4815.FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIqNS. .P:LSI\SE PROYIDEAMINIMUM24HOURNOTICE. IT IS UNLAWFUL TO COVER, INSULAT.EORCoiiCEAL.ANY 'fORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. . KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ir\~;~ . , .... INSPECTION TYPE DATE ACCEPTED . . .'. COMi't1ENTS .... r. . . YES I . NO '. ..' .: '. . . FOUl'mATION: '. . .. ..' FOOTINGS '.' .' ' " WALLS . FOUNDATION DRAINAGEIDOWN SPOt.Tl'S '. '. ,. ELECTRICAL (LIGHT DEPT) SEPAltATEPERMIT;i# . 1 ROUGH-IN , . 1 I .' I . ',' '. . ..' PLUMBING .' UNDER FLOOR I SLAB , . ROUGH-IN .,....... WATER LINE (METER TO BLOG) .' GAS UNp . i BACK FLOW I WATER .' , '.. AIR SEAL ," T ..' I, WALLS I .'," " ',. .' CEILING I , .' I . . FRAMING . . ", .' '. ii,(,'j JOISTS I GIRDERS > io ..' ... I; .'. SHEAR W ALUHOLD DOWNS < if ". '..,.......... (, .' WALLS I ROOF I CEILING > IY,; :" DRYWALL (INTERIOR BRACED PANEL ONLY) ., ".,' T~BAR . '. . INSULATION - . SLAB " I I , . .' WALL Il'LooRI CEILING I I I , 1/ MECHANICAL . .... . .' " . .... HEAT PUMP '" .'.... ..... I" GAS LINE I. ..' WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS . . '. . '. . PW UTILITIES I 'SITE WORK ' (Engineering Division) SEPARATE PERMIT #'5: .. > WATERLINE I METER . ........ . SEWER CONNECTION SANITARY ..' STORM ... . .. .' PLANNING DEPT. SEPARATEPERMITi#'s ' .' SEPA: 'i' PARKlNGlLIGHTING ESA: .' LANDSCAPING '. '.. SHORELINE: J , ," ..' "'FINAL INSPECTIONSllEQUIRED PRIOR TO OCCU"ANCYIU~l.."', ~ ~T ", '.".," '. . .' RESIDENTIAL , DATE '. YES NO . COMMERCIAL DATE ACCEPTED '.' .. "'. , . .'YES' "'NO' ~. .~...t\ {/!<C " ~ ~ " ELECTRICAL" UGHT DEPT. 417-4735 '.' ELECTRICAL UGHTDEPT .' - """-Y . '" CONSTRUCTlONR.W.I PWI '" . CONSTRUCTlON- R.W. ... ENGINEERING ... ' 417-4807 ','. . PW I ENGINEERING . '. '.. '. ..' ." '. FDUWEPT. FIRE 417-4653 . , . , PLANNING DEPT. '., PLANNING DEPT. ~ '.," " 417-4750 BUILDING 4.17-4815 Bt.JILBlNG " T:\PLA.NNING\FORMS\1102.15 [1111412003] CITY OFPORTANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Property Address ...... 1114 COLL~4BIA ST A~SESSOR PARCEL NUMBER: 06~30-O0-5-3-O5RS-OOOO- Tenant nbr, name ...... STOVE INSERT PROPANE Application description . . . FIREPLACE/ INSEETS/FREEST~/qDING Subdivision Name ...... Property Zoning ....... Application valuation .... 2640 owner Contractor PORT ANGELES WA 98362 LIBERTY MO 64068 (360) 683-9029 Permit ...... MECHANICAL PERMIT Additional desc . . Pe~it Fee .... 57.65 Plan Check Fee . . .00 Issue Date .... 8/0?/03 Valuation .... 0 Qty Unit Charge Per Extension BASE FEE 47.00 1.00 10.6500 ECB ME-GAS PIPE 1 TO 5 10.65 Fee summary Charged Paid Credited Due Permit Fee Total 57.65 57.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .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 da) s, 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 ordinanc(~s governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give ab~ority 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:\PLANNrNG\FORMS\1102,15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR EUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOURNOTICE. ITI$ 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 I DATE I YE~ACCEPTEOI NO COMME~T~ FOR OFFICIAL U E ONLY: BUILDING PERMIT - APPLICATION Date Rec.: Permit - '9 b-o Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved: COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Date Issued: Applicant or Agent: .5,'7~ flog0 Phone: O~er: 5~ Izo~ Phone: Address: ~[ I~l ~o~ ~ CiW: ~o~ ~5 ~ Zip:q MchitecgEngineer: Phone: Con,actor lw&: ~ ~ c ~ ~ ~ State License ~: Exp: Phone: Ad&ess: ~ ~ 5- ~ ~<. CiW: ~ Zip: PRO~CT~D~SS: It I q Co~'~O,A 55 ~.A. ~3b~ ZON~G: LEG~ DESC~TION: Lot: Block: Subdivision: CL~L~ CO~ P~CEL ~MBER: Credit Card Holder Name: Billing Address: City: Credit CardType VISA__MC __ # Exp. Date: TYPE OF WORK: SIZE/VALUATION: [] Residential [] New Constr. D Re-roof ~Stove SF. ~ $. /SF. = $. [] Multi-family [] Addition [] Move [] Garage SF. ~ $. /SF. = $ [] Commercial [] Remodel [] Demolition [] Deck SF. ~ $. /SF. = $ [] Repair [] Sign [] Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: ?',G~{7 s-', ,J ~'~ f)c0-4 ~- t r,,o e COMMERCIA~L/RESIDENTIAL: Occupancy Group:_ Occupant Load: __. Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. - TOTAL Sq. Ft. Existing lot coverage __ % & Proposed lot coverage % - Total lot coverage. % APPROVALS: PLANNING USE ONLY: PLAN: BLDG: .. DPWU: FIRE: ESA/Wetland(s): [] Yes t3 No SEPA Checklist required? [] Yes D No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all eases, 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: If no pernmt 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 writlen request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to ~ 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~ and that I must obtain such permits pdor to work. T:~FORMStA?PS\Buildingpcrmit.wpd Applicant:~/'T~'N{ I\~ Date: ~/L, / O ~ ern OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16005 Port Angeles, washlngtonnm..,!.em:=l..2:-.m...m....n......m.m.. 19n:.?? 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- ml:sion is hereby grant~d e do electri:al work as listed below. Address nm/jl.!t..na..?:~<'!~_hnmn.____nnm__.__m Occupancyh,,4L.<rz-___.m..nn__.mm__.____ Owner mnC1d2z.~~?i!,.~_"~'nL.n-\W-e; TenanLnnnmmnmn_...h_.n___.___hnnmm._.m..n__m.m... Wl\-ing Contractor m.f1ia:lJ:::.~-2___e.&,~d::m_n__t..._h____ By...n_hmm_.m.hm.nm.m.m.._________._mnmn.___.._. Llgl>t Outlet...........!..?...___.___.............. Service, volts .L...j..c)/--!?:..r.~... Type 01 Wiring: Reaept... cle OUtI:ts.._..__f.....~.........._. No. Wlr.es ..-....!!..-:;;...----7J.....--- Armored Cable .....0..._...............0.... '" SI Y / V ~ Non.Metallic .............................--.. DrYQr, KW nnn..............__.............___.... ze wlres....~4..:....................-.. /:2 . 'f ~ ~ A Knob & Tube....................._........._ Range, KW ____0.0.___0.....____0.____0._ Main luse .._....Sr............. .............. .s Enclosure ...m..mm___mm.n............. Water Heater: lCW.____...r.:r...h:....___...._.n_... Heat Kw.........L2.....M........___...___ Type of wiring: Entrance Cable ....................n....... Mot,rs: size" volts and phase: ::7..~:r::::::~:::::::::-:::::.:::::::: Rigid Conduit ......................... Metallic Tubing ..____.....____.___.. Current transformers: No. & Size..n........n.....n........__.. Ser. NO..n................................n........ Ser. NO.....n....................................... Ser. No. ...nn............__........................ RIgid Conduit .__..._..____..._...0......0.0. Metallic Tubing ..____________............. Raceway ..............................._._..._ 6 Circuits, LlghL:;y-..............___...__hhh Utility ....._____......0..................0.0...._._ Heat __/..0...._.._.....__..................... Range ....:!?...._h......._..h............__..... Water Heater ;;;L....n................. Motor ..._.............n......................n. Dryer ....2fl::...............n...................._ Furnace .........................'_................... 3tJ Total Load............................. Ser. NO...n__....................................... Total ...n.n..n...n....n................ ReIU(lrks: __n_hnn__n_~~n-.nn~-.:mnnnmm.nmmnnn.mm-nmnnmnn-.nnm..m.n______....n .._.n_....n.nnn.nn_nnn_nn_nn_nn...nnnn..nnu.uu.n.._.nn.unu.nn...n....n...._..nnnnn_n.nn.nnn.nnnnnn_n...nuunn_nn_un ___hn__.__h_____n.n__________nnn___nmnm.mnmmm.mnmmm.nnmm_m.mn_._nmn_n~--;;--------------:-n.-----------n--.---.....n :-e_:3.(~O'n_nnmnm ::~_~.~:..~.~.~.~~~.~m_... By _{[....r....ltd...~~~___ 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? 16005 I , AddresE.........................................................................................................................................Date..._.........._.._.._.................._................. Owner ..h..h.__nn.__nn..nn......._......_.._nnn_n...._.._.............h............................................ Tenantn.n.......n.......__........nn..........................n..... Wiring Contractor.............h...............n.................................n...............nn..n................................ By.nn.n.....n.........n......__...................nn.__.. NO'1l'ICE-Current must not be turned on until Cert1f1cate 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 betore concealment. at Olympic Printers, Inc. FROM 04-939 BOB'S Electric FRX NO. : 1 360 452 9943 Sep. 21 200409:14RM Pi ,. ELECTRICAL PERMIT APPLICATION flOI.OfT'IC1ALUSroU.".'r OI1tJV,~,; hmlil_: o.r.A,...."".... o.t~: The Eleclrtcal Permll Applicalion must be IlIIed oul comolel.lv. please type or reprint In Ink. If you havo any qucsUons, please call (360. ..17-4735 Fe. number: (JGO) 417-4711 PIOporty Owner. Phon.~- -</~7~ P'l7 Fax: g{,() -4f'!::2. qt;</E Owner or Elec. Conltactcr Phone:: Address: Elec\llcal Conlrac'or./t I, b P 1"/'!. Ur.r .J;)./ c... Address: ~~ /OJ" PAP/(' Clly: .4i- 14AJci" (" c INSTALLATION WIREO BY: 0 owNER )l(ELECTRICAL CONTRACTOR f) ~A-' ~/A~/ f! '[X;-e-R &11::::"' City: IJ,I'T I'ltU,;'" {p '\ ZIP:~ VISA:1L-MC:- PROJECT ADDRESS' r//~ _ rh-t.. . . 1."" .t.. ., ""'~.) o Remole Meier 0 Delached garage 0 ~Iol Tub 0 Swim Pool t:J Seplic Pump Number 01 Clrcull$ added or aile red: I u..t,,~ it'> -p D~SCR1PTION OF THE ELECTRICAL PROJECT: o Low Voltago 0 T el"com. ('.: ...c \ d ~ -..! OS TYPE OF WORK; Check allthal apply: 0 New o Alteration/Addilion o Residenlal 0 Mulli-lamily o Commercial 0 Mobile Home Sq.FI. Electrical Heat Load Addlllons Service Inlormal1on o Overhead Service o Temp Service o Underground Service Vollage: Phase: 0 1 0 3 Service Size: Feeder Slzo: o Baseboard o Fumace o Heat Pump o Fan-Wall '_KW _KW _KW _KW PAMC 14.0S.060(B): For Induslrial, commercial, & re$ldenllal projecls larger than a duplex. a one. line drawtng 01 the Electrical Service Feeders, building size (sq. fl.), load calculallons. and the Iype & of conduclors and/or raceway Is required and $hall accompany the Eleclrtcal Permll eppllcatlon, I hereby certIfy that I have read and examined this application and know thaI same to be true and correct, and I. avlhorized 10 apply (or thIs permit, I vnderstand il is not the City's legal responsibility to determine what permiTs are required; /I remains the applicants responsibility to de/ermine what perml/s are requIred and /0 obtain suCh. PW.9019 Credll Card Holder's Signature: O#utt..tJ ~ Aj /./ Owner or El FOR OFFICIAL USE ONLY: Date Rcc.: Pcnnit#: 7 ~ 3 J Date Approved: Date Issued: '0'/ ,. " 1,-, I , , ELECTRICAL PERMIT APPLICATION The Elec/rical Permit Application must he filled out completely. Please type or print in ink. If yon have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 Applicant and/or Agent: 3oh's ;!.kclteic:JI/C, Phone: 9'S7-~g.$'7 Fax# 'SIsz' 9?5-'J Property Owner: Phone: Address: Contractor City: License #: City: Exp: Zip: Phone: Zip: Address: Credit Card Holder Name: c.rI-'R ()L Gud (j ~ / Billing Address: .:2c::l. 9. ':; D$"s:'~ PM k. ~ d'. CitY. Btd ~E/J~ Zip: ~M>.?6 c.. Credit CardN'fmber ~ VlSALMC_ Permit Fee: I( ,?..l. tYO PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: ///C/ . C C) I rd. VlA. L ," a. ZONING Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: rlesidential 0 Multi-family 0 Commercial 0 MobiJeHome Elcctrical Pcrmit fees are based on WAC 296-46-910 BRIEF DESCRIPTION OF THE PROJECT: ~f- ~L3 ~'dC- J</f a n~ , ~~ St.-'- /~ Elcctrical Heat Load Additions o Baseboard KW o Furnace KW o Heat Pump KW o Fan-Wall KW o Riser e15verhead Service o Temp Service o Underground Service Service Information Voltage: (z pie! r Phase: IW'f 0 3 Service Size: 2- <:TO Feeder Size: Comments: I hereby certifY that 1 have read and examined this application and know Ihe same 10 be lrue and correcl, and lam aUlhorized 10 apply /01' this permit. I understand it is no/the City~ legal responsibility to determine what permits are required; it remains the applicant~ responsibility /0 determine what permils are required and to obtain such. ~W_~ lD2_%.J [IIClfJJ.tlOJ CnditConlHoldcr"S~..-~~ -~~cr""Dri.: ~/2J/~