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HomeMy WebLinkAbout216 S Francis St - BuildingPermit ©c t G 33 T Forms /Building Division/Notes rmmy S) I ,n r e C orr, Yn I SS o1' e'r- (5�' 'ce CO L yl'�1� 411 -2383 ecOA, g(lZ� icy hav12rik "e_ w ;11 arm occ-u y ©u aunov €4^e, A.0 \wig SiVA ele.c4riced SV Lal1 3'irn a-cvei►n NOTES 417 -2383 1e' s Tami &Ok\ 5( I ►n e,` It o ve v) Kos 5 1 i to aA s 1/ v-e,s4- 4 •poi (so -%Ind Co y- i s Sew irrt Ler- L (g--10 c-- ■nice, (wkh v �A 1 1� �axrmM o c-Io-ne_ 6y% 4t1IS 01721 P,r7 So 60-e, Pia V ej 0x prp, *IS Qerm t+. V5 X 0,Oul 1 sala or C bce_ l s F.2c i he 0 BUILDING DIVISION ,1 �3 CI to ck 4 Job Located at F S L CA Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction f a 15 or 0 di Air(' 7 CITY OF PORT ANGELES Correction Notice i t V Inspector for Building Division f1A MAT DCIIAAVC TLIIC TAf2 6 .1 /..5 4(1 f ,1 EAR- ?OL A l r 7 ,b/J ye- O 0-01,0 r aiic J i 01,,_, These corrections must be made and are not to be covered until reinspection is made When corlections have been made, please call y/ 7 1 /I/ c or- inspection gOg" O C.& Ul Date fc? 17- Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 3 circuits work spaces office cubes Owner CLALLAM COUNTY PORT ANGELES Fee summary Permit Fee Total Plan Check Total Grand Total WA 98362 Charged 78 70 00 78 70 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 10 00000719 780794 216 S FRANCIS ST 06 30 00 7 7 0215 0000 ELECTRICAL ONLY PUBLIC BUILDINGS PARKS 0 Contractor ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 169086 Permit Fee 78 70 Plan Check Fee Issue Date 7/12/10 Valuation Expiration Date 1 /08 /11 Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT Paid Credited 78 70 00 78 70 SJ H 1z3 7i a INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 711T h 00 00 00 Date 7/12/10 RESULTS WA 98362 00 00 00 00 0 Extension 73 50 5 20 Due INSPECTOR. w Date REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) 07/09/2010 08 58 FAX 360 452 9265 City of Port Angeles Permit Application BUlldIngDMsbnlEMdbtal bispaytlona 321 :EastP91h street =P.O. Box 1150 Port Angels. Washftlfttoll, 99362 Ph: (380)4174735 Fatc.(360) 4174711 Date: -1�D Unit Charge $119.90 $145.50 1 204.80 28220 1372.50 8 280 .8 73.50 2.80 92.70 S 110.30 $148.70 167.90 9590 88.20 95.90 63.90 83.90 119.90 102.30 $110.30 35.20 i 73.50 58310 1 2 Single FamigrDweWrtg amity or Commerdar erdal Addition Alteration Remodel Repair' 'Plan Review May Be Reqti use ere lectrsal Plan Review Ind Vie Job Address: 5 Building Square.Footege: `,mc 3 c e 4 5FA(s To ti 'rEWS'iav eon. NI Description of above Uwner a n Name: AtT Malting ress: 72 z 0. L,r City: rAr State: r Zip: 9.$;:u3g. Phone: 6/7- 235/x2 Fax License* Exp. ri.- 741 S S S S S "7'.srt S S S S S 1 S S S S S S S signature of Omer, electrcal contractor or electrical edminlshator Angeles Electric 0001/0002 R'ECENE1 oy Kin JUL 9 2009 r ELECTRICAL INSPECTIONS ontrablor lniorm Name: Melting A mess City: L_DS.,.i_; i fate: dart Zip Phone: 4ftc2 max: 2. License Exp. 4 f r (I2. i Total (Qtr Multiplied by Unit Charnel Service/Feeder 200 Amp. SwinelFeeder201.400 Amp. Service/Feeder 401400 Amp. Service/Feeder 801 -1000 Amp, Service/Feeder over 1000 Amp. Branch CtcuitiN/ Service Feeder Brands Circuit W/0 Service Feeder Each Addlbmral Brandy Clrah Temp. Sales/ Feeder 200 Amp. Temp. Service/Feeder 201400 Amp. Temp. SenrbelFeeder 401400 Amp. Temp. Service/Feeder 6014000 Amp. Portal to Portal Hourly Sign/Ouftnre Lighting Signal Circuit/ Limited Energy Commercial. Additional 1500 On Signal ChculV Limited Energy 13 2 Redly Dieelring Signal ChadV Limped Energy MAIIFFWd y Dwe6ng Manufactured None Conned ion Renewable Bedded Energy %VA System or Less Feat 1300 Square FL Each Additional 500 Square FL a Patton of Each Outbuilding or Detached Garage Each Swlmndn PONoclbtTub Thermostat Total be re4.5' reside AlJr Cash Den eru defined by 281: (I) Owner will occupy** structure for two ysus after shit electrical permit Is finalised. r4 Owner le Aqubpd to him an electrical contractor K show setd properly .islet sals, Ant orleam Prnnt expires aftersb r months of last Inspection. After reading the above streamer* I hereby certify that I am the owner of time above named properly ors licensed electrical contractor. I am making the electrlalinebllatlon or alterationin=mphance with the electrical lama, N E.0 RCW. Chapbr 1928, WAC. Chapter 295468, The Coy of Port Angeles Municipal Code, 4a Utility SpecMatiane. MAY -11 -2010 03 43P FROM May 11, 2010 DISABLED ALV/ C ELKVARIJ VETERANS Clarence Caskey Chapter 9 Post Office Box 971 Port Angeles, WA 98362 City of Port Angeles Building Permit Technician Linda Pangrle 323 E. 5th Street Port Angeles, WA 98362 09.033 02. S Sf I am writing regarding application pm 185331 We are approaching the expiration date of this permit and have not completed the renovation to the Disabled American Veteran (DAV) service office. We would like to request a 90 -day extension to complete the work. To Whom It May Concern. We have run into difficulties with materials and labor as all of these items are being donated from local vendors to support the veteran community We anticipate that the work will be complete no later than the middle of August, 2010. Thank you for your consideration, 4f4A0A M RECEIVED Karen M Key MAY 1 1 2010 Disabled American Veterans (DAV) TO 4174711 P 2'2 CITY OF PORT ANGELES BUILDING DIVISION Zo or .-s(N‘co°'S a 2 \o MAY -11 -2010 03 43P FROM FAX COVER SHEET DATE 5/11/2010 NO PAGES 1+ Cover TO Linda Pangrle FAX NUMBER. q ii 7/ f FROM Karen Key, DAV DSO OFFICE PHONE 360 -417 -2630 FAX NUMBER. 360 417 -5562 MESSAGE 1 Request for Extention on City Permit for Annex Remodel TO 4174711 P 1 2 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 09 00001033 Date 11/17/09 Application pin number 185331 Property Address 216 S FRANCIS ST ASSESSOR PARCEL NUMBER 06 30 00 7 7 0215 0000 Tenant nbr name VETERANS CENTER ANNEX Application type description COMM REMODEL Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS PARKS Application valuation 5000 Application desc CONVERT A STOREROOM INTO TWO OFFICES Owner Contractor CLALLAM COUNTY OWNER 223 E 4TH ST PORT ANGELES WA 98362 (360) 417 2383 Structure Information 000 000 CONVERT STOREROOM TO TWO OFFICES Construction Type UNKNOWN Occupancy Type BUSINESS OFF /PRO /MED /REST Permit BUILDING PERMIT COMMERCIAL Additional desc TWO NEW OFFICES Permit pin number 154716 Permit Fee 137 75 Plan Check Fee 89 54 Issue Date 11/17/09 Valuation 5000 Expiration Date 5/16/10 Qty Unit Charge Per BASE FEE 3 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments November 12 2009 5 19 55 PM sroberds The proposal will result in an interior remodel to the Veteran s Center Annex resulting in two interior office areas No land use issues are anticipated Electrical load calculations and electrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense Public Works Utility Engineering has no requirements for this plan review Extension 95 75 42 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 137 75 137 75 00 00 1 i 1 M Y,etl Date T:FormsBuilding Division/Building Permit Print Name Signature of Contactor or Authorized Agent 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, lacy regulating construction or the performance of construction. Signature of Owner (if owner builder) FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor I Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water 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 MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirling PLANNING DEPT Separate Permit #s Parking Lighting Landscaping T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS 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. Inspection Type Date Accepted By Comments Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Accepted by Date Accepted By CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Page 2 Application Number 09 00001033 Date 11/17/09 Application pin number 185331 Plan Check Total 89 54 89 54 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 231 79 231 79 00 00 T:FormsBuilding Division/Building Permit 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 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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. 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 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 MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T:Forms /Building Division /Building Permit Inspection Type FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 J .n 15. y v ,s r Construction R.W PW Engineering 417 -4831 I _'�(3 a ttr` Fire 417 -4653 bV> ANi-61 Op D Planning 417 -4750 I -5/ °3 I 1 t �0 Building 417 -4815 I vT' k V2'%0 r ,,,,,,-10 O 5 ft c'e Applicant A (A Q (1 r v C I1& Property Owne Gia q 1 Y� COL! Property Owner's Address 2,23 t$ 's Contractor `1 Contractor's Address License PROJECT ADDRESS 21,6 v\ CAS 'mo t Parcel Number Check all that apply New Construction Addition lam' emodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1st Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Date ID I Print Name_ T Forms /Building Di•ision /Bldg Permit doc BUILDING PERMIT APPLICATION Print in ink For City Use Only 0 Date Received 10 Permit Oct to Approved CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 9836 (360) 417 -4815 fax (360) 417 -4711 Expires Phon Phone FD fi'` f A0J2,\ p9 /,c J Phone E -mail Project Tvne Brief Description. Residential Multi- family XCommercial J o _GL t o f23cel.) 9Ro -e_a.i 3(o2- L/ 17- 2-/ 3O 3b0 -'-i 17- Z.8 3 4c.>F)i6_ /06.962J 7 Lot Zoning Industrial Stos2e 0 M wit- 0.7 c� s Iy -Qk or Yee motieJ1 of e, V P4r-ahs Ce iier A it ex S-ee et{4Ac held 1 i n !-k rige-s1 House garage other tear re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Posed (sq. ft.) ft. Occupancy group Occupant load Construction type per sq ft. br�> TOTAL VALUATION ,0 Total footprint of structures sq ft. T Lot size sq ft. Lot coverage ok 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 of bedrooms of full baths of half baths 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 working on projects. :P-In ALL Signature a 218 C /6V Es G� one, ex or bihoo W MA a W0. n Si C1- e ex I S4- door 11 a n j door exH- door wi I V r�mai h )70+ hof be us a.b(,� �1e. sli�lin 9 (ockej, b an I vi.or coa.l1) TV rh l h s4-o1'_ IrnO 0'1 (010 o o .J R ces L I) M a�-h� a_c_c-e sS C Q w av,s 00 �s No P heCc q 5 s r r1 e ~~ORr~ o~ L -- "",,",,, CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 BUILDING PERMIT OWNER/APPLICANT CLALLAM CO. VETERANS 216 SO. FRANCIS Port Angeles, WA 98362 360/000-0000 T: S: ISSUED: 9/20/2002 PERMIT NO: 13706 PROPERTY LOCATION 216 FRANCIS S Lot: 6-2 Block: 2 D Long Legal Subdivision: CAINS SUB LOT 21 Parcel No: CONTRACTOR OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 PROJECT INFO Project Value: $7,500.00 Project Type: REMODEL Occupancy Type: COMMERCIAL Occupancy Group: Construction Type: Zoning Use: RS7 ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: SFD SO FT: Commercial: Industrial: Garage: o o o o o N - ~ MFD Units: MFD SO FT: o o Jj\ \) PROJECT NOTES REMODEL BATHROOM ADD 2 EXTERIOR DOORS RECEIPT#9703 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: PfqlA~<' $153.25 $91.95 $4.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 b-g 11 1 S> ; (> ~ , VI Mise Fee 1: Mise Fee 2: Mise Fee 3: $0.00 $0.00 $0.00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: $249.70 $249.70 $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and pubiic improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work Is suspended or abandoned for a period of 180 days after the work as commenced. or if required inspections have nol been requested within 180 days from the last inspection. i hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancei the provisions of any state or local law regulating construction or the performance of construction. QN FIL~ Signature of Contractor or Authorized Agent T:\PLANNING\FORMS\1I02.15 [4/2002] Date Signature of Owner (if owner is builder) Dale fji ~~ BUILDING PERMIT - PREAPPLlCA TION 41':\ -V12 ., The Buildmg Pennit . Preapplication must be fUkd out completely. Please type or print In Ink. If you bave my question.. ple.ue caD 417-4815 Applicant and/or Agent <J O€~ 9' \0'N~ Owner GINI~ ~'tl Address: z.~ ~ CA."'?, 4' ~ <;T. ArchitectlEngineer ILctJ f-\""-(t? Contractor \' v p-> 11:::> Phone: Phone: ' I City: ~~ ~~ License #: Exp: Address: City: \S"tCtzhJ~ u:>['O ''''.0....- PROnCfADDRESS: l.11D 4. F~IL., &;\, f".,e.....tI.\#I. f LEGAL DESCRIPTION: Lot BlocIc: Subdivisioo: .'~".' \-., . TYPEOFWORK: o' Residential 0 New Coostr. d4..Reroof o Multi-family 0 Addition 0 Move ~Commercial (J(.Remode:l 0 DemoIitioo o Repair 0 Sign BRIEF DESCRIPTION OF TIlE PROnCf: SIZEIVALUATIO~...--- _ 7Soo-;:? ANllft/ SF.@$~ /SF-$ "'^ SF.@$ /SF. =$ rt,' 2:) <= HA-IA.J SF @ $ /SF. = $ TOTAL V ALUA nON $ I~~~~ iO ~,~ ~lI'> At.l1Lo/ t'3Lnr~. . ',' ':"0' . , ~}',' o Woodstove o Garage o Deck o A.f'\A.. . COMMERClAURESIDENT'lAL: Occupancy Group: No. of Stories Lot Size: % Lot Coverage: Existing Lot Coverage: Isq. tl + Proposed Lot Coverage: Occupant Load Construction Type: % Isq ft. ~ TOTAL LOT COVERAGE: Isqt\ PLANNING USE ONLY: -. '10lCS APPROV Al.S: PLAN BLOG DPW FIRE OTIlER \ i~SNWeUand(s): 0 Yes 0 No SEPA ChecIcIist required? 0 Yes 0 No Other. PREAPPUCA110N SUBMITfAL: y_~1..4_pIsn "";'befi//ed _~to be <U:CqJtedfor ,mew. The Building i),visioo can provide you with more detailed informatioo on the applicatioo and plan subminal requirements. , .;~ I, BUn.DING PERMIT APPUCA110N SUBMfITAL: Your completed awlicauon. site plan (for additions) and building constructioo "Ians are to be subnuned to the Building Division. , "/. . f' ~ . V ALVA TION OF CONSTRUcnON: In all cases, a valuation amount must be entered by !he applicant. This figure will be reviewed and nay be revised by !he Building Div. to comply wi!h current fee schedules. Contact the Permit Coordinator at417 -4815 for assistance. f'LAN CHECK FEE: Your plan qx:clc fo: is due at the lime the buikfu,g pemu. apphcatJon and construction plans are submitted. All other 'ermit fees are due al!he time of peRnit issuance. lXPIRATION OF PLAN REVIEW: If no pemullS Issued witlun ISO days of the da.e of application, this applicatioo wil~expire by mutations. The Building 0fficiaJ can extend the time for aclJon by the applicant up to ISO days. on written request by the applicant (sey Sectioo :04(d) of the Urufonn Buildin8 Code. current edition). No applicauon can be extended more!han once hereby certify lhaJ i have read and f!.~mjned this application and know the saine 10 be tnlt! and correct. and I am authorized 10 apply for :IIS permit. I understand il ;.1 not ,he City's legal responsibility to determine what permiu are requind: it remains the applicant's ,'spofUibiliry 10 delennine what permits are required and 10 obtain such. 'w -1102__1 J(rev.2/96J :~ Applicant. Dale~ ~,ORT """ (;:...O~~.. C,.. L -=-- ~ ....C"'" Bti;LBI;U5 ~~I\;AIT CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 ISSUI::LJ: t't:t<.1V111 I".U: IJIUO 9/20/2002 OWNER/APPLICANT CLALLAM CO. VETERANS 216 SO. FRANCIS Port Angeles, WA 98362 360/000-0000 T: CONTRACTOR S: PROPERTY LOCATION 216 FRANCIS S Lot: 6-2 Block: 2 0 Long Legal Subdivision: CAINS SUB LOT 21 Parcel No: owner VARIOUS Port Angeles, WA 99360 206/000-0000 PROJECT INFO Project Value: $19,125.00 Project Type: REMODEL Occupancy Type: COMMERCIAL Occupancy Group: Construction Type: Zoning Use: RS7 ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 Commercial: 0 SFD SO FT: 0 Industrial: 0 Garage: 0 MFD Units: 0 MFD SO FT: 0 <D G" \j\ \) p 10. vv:; 1") <, ~ {\ Gr PROJECT NOTES REMODEL BATHROOMS ONE UNISEX HANDICAP, INSTALL DOORS RECEIPT#9703 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $321.25 $192.75 $4.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 .b -cr Mise Fee 1: Mise Fee 2: Mise Fee 3: $0.00 $0.00 $0.00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: $518.50 $518.50 $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, privale and public improvements. This permit becomes null and void if work or construction aulhorized is not commenced within 180 days, if construction or work is suspended or abandoned fora 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. oM FILl? Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\PLANNING\FORMS\1102.15 [4/2002] ~ ~ORr ~ lO~%:":, rea 1L a;;;;..a' ~ "Iol-;--~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00000745 Date 11/14/05 581470 216 S FRANCIS ST 06-30-00-7-7-0215-0000- RE-ROOF PUBLIC BUILDINGS & PARKS 16000 Owner Contractor CLALLAM COUNTY OWNER PORT ANGELES WA 98362 Permit BUILDING PERMIT - NO PR FEE Additional desc Permit pin number 57687 Permit Fee 392.00 Plan Check Fee .00 Issue Date 11/14/05 Valuation 16000 Expiration Date 5/13/06 Qty Unit Charge Per Extension BASE FEE 196.00 14.00 14.0000 THOU BL-2001-25K (14 PER K) 196.00 Other Fees 4.50 STATE SURCHARGE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 392.00 392.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 396.50 396.50 .00 .00 \-\ (:0 :: (tJ ~r ~ ,'0 ~r) ~ 11 N - r . J {jJ (-~ ~ ~ ?-- ~ - V' 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 10~CI.aw regulating construction or the performance of construction. ~ -- Signature of Contractor or Authorized Agent Date Signatu e of Owner (if owner is builder) T:\Policies\1102_15 building permit inspection record05.wpd [1/4/20051 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 UNLA WFUL TO COVER, INSULA TE 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 ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) 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 I I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERlOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEATPUNW/FURNACE/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 ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R- W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 11-, ~~tO:::, ...H..V BUILDING T:\PoJicies\1102_15 building permit inspectIon record05.wpd [1/4/2005] BUILDING PERMIT - APPLICATION ~ www.cityofpa.us Print out form and fill out COMPLETELY in INK. Your application and si . plan MUST BE COMPLETE to be accepted for review. \. Questions? Call: PERMITS (360) 417-4815 Fax (360) 417-4711 Applicant or Agent: ~be: \ G... \ j,ll-.l.\?L~ 0 .. '" Cov",-~,"", \ fe....~~ ~ Owner: c \ l),j l A.J...A. 2- \ 't=' .:? . Phone: ~(..o- 4\ '\ - Z. 4. 2...,\ Phone: &.:.AwE- Address: City: ~O\2=\ J:>.v..:::.(,.2"l~c.., Architect/Engineer: L\ to.!. P. ~-vl.. G Contractor ~)~\L- ~\I? Address: ~-AI~~\? State License #: Phone: Zip: 'J::f\ ? I.:> '2:> t\ C; 1... - (.. (Ho Exp: Phone: City: C, . f"~,..) '-'- s - \J e1: C. '"-l \:G;J2.- Block: Subdivision: Zip: ZONING: PROJECT ADDRESS: 7_ \ ~ LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: ~~O2.\~ Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: o Residential 0 New Constr. "liCRe-roof o Multi-family 0 Addition 10 -Move ~ommercial 0 Remodel 0 Demolition ( 0 Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: f.s-ov€ City: MC # Exp. Date: SIZE/VALUATION: o Stove 27G:.oo SF. @ $ o Garage SF. @ $ o Deck SF. @ $ TOTAL VALUATION 60t ~I ~ \'-'>Fa"* /SF. = $ /SF. = $ /SF. = $ $lll.e>{~C> 0>'....-........, ~~ " 1\" l~ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage & Proposed Sq. Ft. = TOT AL Sq. Ft. % APPROV ALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICA TION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. V ALUA TION 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 at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno 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 Rl 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. www.,ityofp.... ~ Dol" --i..,~,\ \ \" I ~ tJj >-l 'tl ::;:;;~8tH; n'tl t-< >< ~ H", \D "" ""~ZZZO >-l01 \D ...... t-<[;l~;J~[:; ><"" Ul H :.> 0 0 ... Zt-< :'>>-lUl O~ H !j1. n- Ul "'01 >-l 0 ~ tJj OZ "" ~ 01, ~ tJj. 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'-" \ pphcation m\.un be 1111.0 oot comD&el!lt't', ;# 9755 P(UQ.IMI t')'pO or'8 11 yoU ttavliI en., Questlon5. plOOSCl ColI" {360. .17..4733 F,.. numbl!lr; (361;1) 411-4711 2) (p ( ~; is' """ororEI.c.Conl"'ClorA~.nc Olympic El ,,, P'opertyo-..r: ~r!. I/l-{.t';lU1$ ~ I., .',' ~~res.s: E 3'.,( +- S n-t:lncIS Sf rl~t""" Conlr.=r Olympic Electric CD. r Inc. 4230 Tumwater Co., Inc. PMne; 457-5303 Fa.:.:; 452-3498 'f 17 -q 1.('1- <I z'p: 9f31., Z- Phone: ClLy: f,Li ,konse, OL YHPEC28~. Port Angeles, WA 3/31/03 PtlcI'U!,: 457-5303 98363 INSTALLATION WIRl:O BY: C~/t Card Halder Nsme: Char les T. I.,' L\ , ~Jijflng Address; Same fr.~'l Card Number: EJtp. Data: {; 3~ r Pra"'u~. 5:+ DOWNER CI1y. 'X ELECTRICAL CONTRACTOR Burkhardt, Olympic Electric Zip, Adclrotili: "...1 Co., Lnc. c:: V/SA:~:_ CIty: e~8J~CT ~~ss: ;2.1 (; ..5 r,o!;fNc,/s ST, TYr~ OF WORK: ChecK il! IMt apply: -1 Ne~ . J . '. ~l1lirationl Addition := AesidentDl :::: Mulll-family " -:i Comn'\l:!reial ,-\ Mobile Home Sq. FI. N~mbet of Circuits added or ar18red: __._ OIOSCFlIPTlON OF THE ELECTRICAL PROJECT: fja.Hr,:!?!:,n. rt,..o,,{e/, - "e ~l1I;(ferl ;J. ja./lo.. f/of WAfer +a.nk, 2- h<tn.4 d"fu-s ::: Detached garage C' Hot Tub 'I- .:.; SWim F"ool ::.. Septic F"ump [.J Low Vo~age = Tele<:orn. C Sigr = Aemote Meter ~f'fQ.<f! "" e to a f:e I." .. r..e. ~I~ctrlcal Heat '-oed Addltione .f1t, 70 f.<<. iF 't 785 SaNk.. Intormatlon G 8aseboa-d P furna(;.Ej R Heat Pump H Fan-Wall _KIN _KW _K:W _KW o Ovsmead 5ervIC8' r Temp Service o UnCler;round Service Voluige: .._ Ph...: .:: 1 :.J J SeNlce Size:__ Feeder SIze: F1~C 14..05.000{S): For induitrial, commercial, & res;.idential proieets i.e.rger1nat'l a duplex. Bone - line drawing or the Eleclrlcal Service edl!lrs. building "':le (sq. tq,load calculallonll, and me.type & o"(;.onductors anator l'11eeway r, fequlntd and shall Bccompe.n., the ~1~:Clrical Permit application. I (Hueby certify thar I have read and examinoo this application and know that sarna to be trlJe ana correct, and ( an f ~~(horlzed to apply for this permit. I understand It is not the City'S legal rasponsibiliry fO delermine what permits ~r", required; it remains the applicants responsibility to determine what permits are rsquirBd and to obtain SlJch. Owner or Elec. Cont. Signature: Date: /0/31/02- I V. Oste: 1013/ D Z. I / "J fir PW-~19 ' f" A)- t>~ f-c, ~/~ Credit Card Ho/""r'. SIgnaturo: i t.) ---i-I.-1J- /o/]/~ 2- 10 IPi .'1TH.T..'1:;:('l:.r .'1T..tWX"Tn ('n('~ J C'!"nnl' V'\LJ n~' I T ~....n.. 1Tn ,....... .~'~ "Ql CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. WA 98:162 ELECTRICAL PERMIT PERMIT NO 6770 ISSUED: 10/11/1999 OWNER/APPLICANT CLALLAM CO. VETERANS 216 SO. FRANCIS Port Angeles, WA 98362 360/000-0000 T: S: ARCHITECT N/A CONTRACTOR ANGELES ELECTRIC 524 E. FIRST ST. PORT ANGELES, WA 98362 360/452-9264 PROPERTY LOCATION Lot: 6-2 Block: 2 Subdivision: Parcel No: o Long Legal CAINS SUB LOT 21 , 98360-0000 360/000-0000 PROJECT INFO Project Type: COML. MISC. Occupancy Type: Occupancy Group: Electrical Heat: o Baseboard o Furnace o Heat Pump o Fan Wall Project Value: $0.00 Construction Type: FEEDER Zoning Use: RS7 o KW OKW o KW o KW o Riser 0 o Overhead Service o Temp Service Underground Service Voltage: 0 Phase: 0 1 Service Size: Feeder Size: 0 o 3 .0 PROJECT NOTES REPLACE 40 AMP FEEDER TO ANNEX WITH 100 AMP FEEDER FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Misc Fee: TOTAL FEE: AMOUNT PAID: BALANCE DUE COMMENTS/ACTION NEEDED $42.50 $0.00 $0.00 $0.00 $0.00 $42.50 $42.50 $0.00 ELECfRICAL PERMIT INSPECfION RECORD 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 IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DATE T ACCEl'TEll COMMENTS r YES T NO u --o7"\T" u-IN / COVER SERV'R"F ~ ' , I ItP!I/!';>Q I -?&#f.T GENERAL COMMENTS: PW.II02.1'(4-'96)