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HomeMy WebLinkAbout123 Hancock Ave - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner ADKINS A SUZANNE 123 HANCOCK AVE PORT ANGELES Permit Additional desc Permit pin number 60939 Permit Fee 92 75 Issue Date 9/22/05 Expiration Date 3/21/06 Qty Unit Charge 15 00 3 0500 HND Other Fees Per Fee summary Charged Permit Fee Total 92 Plan Check Total Other Fee Total Grand Total WA 983622519 75 00 4 50 97 25 Signature of Contractor or Authorized Agent 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 05 00000915 126110 123 HANCOCK AVE 06 30 09 5 2 9090 0000 REROOF HOUSE GAR RE ROOF RS7 RESDNTL SINGLE FAMILY 2000 Contractor OWNER BUILDING PERMIT NO PR FEE BASE FEE BL -501 2K (3 05 PER C) STATE SURCHARGE Paid Credited 92 75 00 4 50 97 25 Plan Check Fee Valuation 00 00 00 00 Date S1 natu Date 9/22/05 00 2000 Extension 47 00 45 75 4 50 Due 00 00 00 00 -71 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 her- r not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any local law r .gulati construction or the performance of construction. wner (if owner is builder) (D5 Date 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 ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING 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 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T' \Policies \l 102 15 building permit inspection record05.wpd 1/4/2065] BUILDING PERMIT INSPECTION RECORD FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING SEPA. ESA. SHORELINE. FIRE DEPT PLANNING DEPT BUILDING DATE I ACCEPTED I YES I NO I I I I I I I I I BUILDING PERMIT APPLICATION www cityofpa.us Print out form and fill out COMPLETELY in INK. Your application and site plan MUST BE COMPLETE to be accepted for review Questions? Call. PERMITS (360) 417 -4815 Fax (360) 417 -4711 Applicant or Agent: A Suzanne Adkins Owner A. Suzanne Adkins Address. 123 Hancock Ave Architect/Engineer self Contractor self Address. PROJECT ADDRESS LEGAL DESCRIPTION Lot: Credit Card Holder Name Billing Address Credit Card Type VISA TYPE OF WORK Residential Multi family Commercial Repair Sign BRIEF DESCRIPTION OF THE PROJECT State License City 123 Hancock Ave City Port Angeles Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. 30 OBI 9 CR O O000 MC New Constr X Re -roof Addition Move Remodel Demolition Other house 1 hereby certify that 1 have read and examined this application an understand that it is my responsibility to determine what permits www.cityofpa.us Appl Stove Garage Deck City No of Stories 1 Lot Size PLANNING USE ONLY ESA /Wetland(s) Yes No SEPA Checklist required? Yes No Other. Phone: 457 -5070 Phone' 457 -5070 Zip* 98362 Phone 457 -5070 Exp Phone. Zip ZONING ate• Exp. Date: SIZE /VALUATION 1008 SF /SF o?, o D O SF /SF SF /SF TOTAL VALUATION and garage needs new roof /RESIDENTIAL Occupancy Group Occupant Load. Construction Type• FOR OFFIC USE ON ;Y Date Rec. 1 1 /4 4° Permit #:e1 7 Date Approved. Date Issued: -{1 /0 S Existing Sq Ft. I BOO Proposed Sq Ft. TOTAL Sq Ft. Total lot coverage APPROVALS PLAN BLDG DPWU FIRE 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 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 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 Building /Residential Code, 2003) No application can be extended more than once. same to be t -ue and -ct. t am authorized to apply for this permit and t the City's and t t m obtain such permits prior to work. I II 11 ~ -1\ W.Sli No. Service Size Cap~city: D O.K. D Not O.K. Comments D Ditch inspection O.K. . 'I ~ 90ugh-in/cover O.K. .7 . I ftP14 q.K. to connect service ~ ~ llnal O.K. . SitellAddress: II . Instltr: ;JIJ YIJ/llb " Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. - Ib;t <5 ~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ,--::Sf), Q 0 II /Inspec r Amount paid WHII!E - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYM lie PRINTERS. INC. r\ y . . . /~ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. / cj;J 7 DATE /d/~ ~/t' -:J D READY FOR ILL CALL FOR INSPECTION INSPECTION Phone: )j. q24;-']?& ? Phone: -I-A"'-~t1v Ow erfBusiness: Ow 'er/Buslness Address: I I Sq. Ft. 'O,'JO ~. Construction D Remodel D Service update/alter/repair ~head D Underground Vol~e- !2"'1 0' D 3 0' Service size d) 0 DAmps D Temporary Residential Heat KW h Baseboard D Furnace/Boiler Heatpump D Other Commercialllndustrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) D Add/alter circuits D Auxiliary power (list below) D Spedal equipment (list below) Det ilslDescription: I Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending Permit/Receipt No. /(j.37 New Meters Date: I"Z-;)g-~,/ """z.-- CITY OF PORT ANGELES PERMIT APPLICATION BuiWing DIN-WonMectrlcal luspections 321 East FM Street -P.O. Box 1150 / Fort Angeles Washington, 98362 Ph: (30) 417 -473-9 F ) 41.7 -4711 Date,. "`- -- 1$ 2 Single Family [moiling -Z ' Plim Revkrff MAy R eqL-ked, ls� C op E.L%c l Plan Review Information Stet r. 'e i ' 4 Coctor Information Name. &I t fe Q _x444 Mani A �! i�. c✓te� C. n9 ddrm Rr Cdy: _ �� _ ,�,�..�,. State; vies `Z 7 r Phone: 4 5' 7 -L" �- —!a- Fax: ru f At AIM unit ChaEge. Total €r ` 'ed bv unit Char. Smnk-- ee * 200 Amp. $12tOM _..... �._ Serd M14M, . $146,00 a Amp $ 205.00,.... Sm 601-M Amp. $ 262.00 serAce $ 373.00 lam € Ck=,49 IM Serym Fetes $ 6.00 $� 6mrh Cw= M SaMm Feeder $ 13.00 $ Ewh Addtond ana'nh Cwjft $ 5.00 erangt c3r"- 1.4 $ 75.00 T Fa�der2DDAmp. $ 93.00 Tama. Sm vk vFe Wer 201 3 Amp, $110.00 $ Tern; r401-Amp. $149.00 Terrp. �¢ 1r10M Amp . $168.40 $� poea tD € $ ROD $� Sigma CkcuJff Lknked EreW-1 & 2 Farally Owelling $ 64.00 Msf �'. n $120.00 $� RenwaWe Ebctkai Emor y - 5KVA System or less $1 D2.00 " Themc$tt $ 55.00 eech aatknal "T -Stag N My-' First 13M Samm F $ 120.00 ....., Each AdMciW 5M Squze Ft. or Plat= & $ 40,00 E sch OAvi** cc Datmlmd Gee $ 74.00 $ Each or Tub $110.00 $ 7y 'foul Owners5datied try RC `.15.28261: (1) Owner Ml occmapy time structure for twro years alter this electrical permit is finalized, (2) Owner is require to hhs if ah7va sdd property is far sale, rent or lease. Permit Mites after six € amts of last inspection, After- t hareby eaffy that I am the c wrw of the above named property or a licensed electrical contractor. I am makir the compRzoe whh the Sri al laws, N.E.C., RCK Chapter 19.28, WAa Chapter 296468, The City of Poi Arm Wnkipd Cam, and MY SPKfflcaff� and PAMC 14.05,050 regarding Electrical Permit Applications. Signaftua of owr4r, ekztical contmetor or electrical aclrrdM r: © cask © chech ' 1 I �V ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 15- 00000162 Date 2/20/15 Application pin number 907486 Property Address , , , . . . 123 HANCOCK AVE ASSESSOR PARCEL NUMBER: 06-30-09-5-2- 9090 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning , . . . , , , RS7 RESDNTL SINGLE FAMILY Application valuation , . . . 0 -----------------------°__----_-_----------------- --- __-------- ------- - - - - -- Application desc Kitchen remodel Owner Contractor ADKINB A SUZANNE EXTRA MILE TECH & ELECT_ I,LC 123 HANCOCK AVE 418 N. RACE ST, PORT ANGELES WA 983622519 PORT ANGELES WA 98362 (360) 457 -5222 Permit . . . . . ELECTRICAL ALTER RESIDENTIAL - ------ -- Additional desc 1 -4 CIRCUIT5 Permit Fee 75.00 Plan Check Fee .00 Issue Date 2/20/15 Valuation 0 Expiration Date 8119115 Qty Unit Charge Per Extension . BASE FEE 75.00 Fee summary Charged Paid Credited Due Permit Fee. Total 75.00 75.00 .00 ,00 Plan Chock Total 100 .00 .00 00 Grand Total 75,00 75.00 .00 00 Q TIN REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL 42 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: CBFXCHANGEIBUILDING