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HomeMy WebLinkAbout2716 S Laurel St - BuildingApplication Number, 08 00001294 Application pin number 125052 Property Address 2716 S LAUREL ST ASSESSOR PARCEL NUMBER 0.6 30 16 5 0 0400 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Detached garage Owner Contractor BETTE J /BRIAN W SLACK 2716 S LAUREL ST PORT ANGELES WA 983626907 Permit Fee Total Plan Check Total Grand Total 46 00 00 46 00 OWNER Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 136135 Permit Fee 46 00 Plan Check Fee 00 Issue Date 10/09/08 Valuation 0 Expiration Date 4/07/09 Qty Unit Charge Per 1 00 46 0000 ECH EL R OUTBD /DTCH GAR SEP Fee summary Charged Paid Credited Due 46 00 00 46 00 00 00 00 Date 10/09/08 Extension 46 00 00 00 00 r IN SP h TYPE DATE DITCH SERVICE ROUGH II�T FIB AL COMMENTS: ELECTRICAL RESULTS IN SPECTOR p c���N ELECTRICAL INSPECTION 0._ WIRING REPORT 417 -4735 cK' °aKS aS DATE PERMIT INSPECTOR ibh to D OS ,jZc L4 OWNER /CONTRACTOR 13 R r4 1 PrC_ ADDRESS 2- 1 LC L./1411Z APPROVED 0 DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED* PLAt I.,�LA l S C� 1 r? Wit$ 140L.£s Va. c l- 1..1837 W L i H, 1'N c V 1� 5 1-1 Al Ti -Tc. N To 1? !R P P I2 N d F Co►.I.c 2r�' co 11 Z- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 NOT APPROVED 0 LIGHT D: stallation description Job wired by Electrical Contractor Owner Commercial Sitesidential Electrical contractor name License number Date Expires Purchaser's mailing address City Telephone number FAX number Inspection Date State ZIP ise owner's name riaa Address of inspection t7Z7U, S I LQItife..1 ci G'- vac �s Phone number to schedule in 3 66 RECEIVED Dat Appr Date Appr ved By FINAL DITCH Siy (a' Date Ap ed By Date Appr ved By Area, Building or Equipment Inspected OCT 0 9 20 k ECTRICAL WORK PERIVIIT APPLICATION New Altered /Addition De Tot F ra 1nr,c. a t U U f-S 3 14 4 Owner as defined by RCW 19 28 261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- la Credit Card sa Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC Chapter 296 -46B The City of Port Angeles Municipal Code, and Card Utility Specifications. /Signature of owner, electrical contractor or electrical administrator Expiration Date '0126AA- of card R' 'ee aQatoLI� Date /0 O g,\ d Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Overhead Service Heat Pump Ton LAR Temp Service Fan -Wall KW Underground Service Cash Check SAME DAY INSPECTION. CALL BEFORE 7.00 AM 360- 417 -4735 ROUGH -IN THERMOSTAT SERVICE Date Date Voltage Phase 1 3 Service' Size: Feeder Size: FEEDER Service Information Appr ed By Appr ed By J J Action Taken Electrical Inspector PREPARED 8/1 /0 9 46 40 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/12/08 ADDRESS 2716 S LAUREL ST SUBDIV TENANT NBR BRIAN PAM SLACK CONTRACTOR PHONE OWNER BRIAN PAMELA SLACK PHONE (360) 452 3114 PARCEL 06 30 16 5 0 0400 0000 APPL NUMBER 07 00001098 RES DETACHED GARAGE PERMIT TYP /SQ BLFS 01 BL3 01 PERMIT TYP /SQ PL2 01 BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 3/03/08 JLL 3/03/08 AP BLDG MONO SLAB March 3 2008 8 49 12 AM 1pangrle BRYAN 452 3114 CONCRETE MONO POUR SLAB March 3 2008 4 19 50 PM jlierly 8/12/08 JL f/ BLDG FRAMING August 12 2008 8 59 45 AM pbarthol BRIAN 452 3114 PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 8/12/08 INStE"'T CN TICKET PLUMBING ROUGH IN August 12 2008 9 00 20 AM pbarthol BRIAN 452 3114 COMMENTS AND NOTES E 1 PREPARED 3/03/08 9 22 19 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/03/08 ADDRESS 2716 S LAUREL ST SUBDIV TENANT NBA BRIAN PAM SLACK CONTRACTOR PHONE OWNER BRIAN PAMELA SLACK PHONE (360) 452 3114 PARCEL 06 30 16 5 0 0400 0000 APPL NUMBER 07 00001098 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFS 01 3/03/08 INSPECTION TICKET PAGE 6 BLDG MONO SLAB March 3 2008 8 49 12 AM 1pangrle BRYAN 452 3114 CONCRETE MONO POUR SLAB COMMENTS AND NOTES When recorded return to Z 9Ob Sv I/WE the undersigned owner(s) of the following described property Insert legal description here) f_ -,/Z e C 3o 1 5 qo0 t' F T' �f s 2007 1213389 Page 1 of 1 Protct Covenant Michael Haggerty Clallam County Washington 12/12/2007 11 14 15 AM ■111 M.I iiilililif11iffithLliaIPi Mill 11111 ZONING LOT COVENANT do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17 08 130 "Z" of the Port Angeles Municipal Code. This covenant creates one inseparable buildmg lot which may only be removed through compliance with Chapter 58 17 RCW (subdivision regulations) and /or the City of Port Angeles short subdivision regulations (Ordinance No 2222, as amended) This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) m interest and shall be filed with the County Auditor's Office. Tins covenant is for the mutual benefit of said owner(s), heir(s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. DATED this Z day of Print Name: /��G Print Name (Owner Si !re) f Phone —s�god Phone. STATE OF WASHINGTON COUNTY OF CLALLAM I� A) Ze- S Notary Public in and for the State of Washington, do hereby certify that on this /7 of 2007, personally appeared before me ,cw-a r° known to me to be the individual(s) described in and who executed the within instrument and ackn that signed and sealed the same as free and voluntary act and deed for the purposes herein mentioned. GIVEN UNDER MY HAND AND OFFICIAL SEAL this /2 day of A 20)7 0111111i% iQ �OTAA` S CO :EXP 02 Z 7 40 e LAG 9o (Owner Signature) NOTARY PUBLIC in and for the State of Washington residmg at Port Angeles. RECEHE, DEC 1 :9 2007 Dept. O of Community e Development p 'f r 20 7 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00001098 Date 10/22/07 Application pin number 964242 Property Address 2716 S LAUREL ST ASSESSOR PARCEL NUMBER 06 30 16 5 0 0400 0000 Tenant nbr name BRIAN PAM SLACK Application type description RES DETACHED GARAGE Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 6614 Owner Contractor BRIAN PAMELA SLACK OWNER 2716 S LAUREL ST PORT ANGELES WA 98362 (360) 452 3114 Structure Information 000 000 576 SF DET GARAGE 110 SF FRNT DECK Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc DETACHED GARAGE ADD DECK Permit pin number 111575 Permit Fee 165 75 Plan Check Fee 66 30 Issue Date 10/22/07 Valuation 6614 Expiration Date 4/19/08 Qty Unit Charge Per BASE FEE 5 00 14 0000 THOU BL -2001 25K (14 PER K) Extension 95 75 70 00 Permit PLUMBING PERMIT Additional desc WATER LINE TO GARAGE Permit pin number 111658 Permit Fee 57 00 Plan Check Fee 00 Issue Date 10/22/07 Valuation 0 Expiration Date 4/19/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments October 1 2007 1 16 59 PM sroberds Proposal will result in detached garage and front deck addition for total lot coverage of 17% No land use issues noted Construct unimproved driveways to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to pouring concrete Electrical load calculations and elctrical permits are required No connection fee required 09/26/2007 09 32 AM GMCLAIN Other Fees \v\ STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due 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. /v Z /52 rFrie...t csi S(c.e.-?C bate Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T.Forms /Building Division/Building Permit (I0 /01 /07).wpd ,F 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 FOUNDATION: FOOTINGS SHEAR WALLS 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 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I I BUILDING 417 -4815 T Forms /Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD YES I NO FINAL FINAL PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED I YES I NO I of Ponr,�,y rUf 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 Application Number Application pin number Permit Fee Total Plan Check Total Other Fee Total Grand Total Print Name T.Forms /Building Division/Building Permit (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 07 00001098 Date 10/22/07 964242 222 75 222 75 00 00 66 30 66 30 00 00 4 50 4 50 00 00 293 55 293 55 00 00 Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) CALL 417 -4815 FOR BUILDING INSPEC CALL 417 -4807 PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT INSPECTED AND ACCEPTED KEEP PERMIT CARD INSPECTION TYPE DATE FOUNDATION: FOOTINGS SHEAR WALLS 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 l's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING I FIRE PLANNING DEPT BUILDING 417 -4807 417 -4653 I 417 -4750 417 -4815 I T Forms /Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD 1 2 o$ Zrt_i_ t 2 -08 L.L, TIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. FOR PUBLIC WORKS UTILITIES IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE POST PERMIT IN A CONSPICUOUS LOCATION AND APPROVED PLANS AT JOB SITE. ACCEPTED COMMENTS YES NO ('onosoL6 St3los 7Lt.- FINAL DATE FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE DATE ACCEPTED BY. ACCEPTED BY. ACCEPTED YES I NO Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner BRIAN PAMELA SLACK 2716 S LAUREL ST PORT ANGELES WA 98362 (360) 452 3114 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Other Fees Fee summary T•\Policies \1102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00001098 964242 2716 S LAUREL ST 06 30 16 5 0 0400 0000 BRIAN PAM SLACK RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 6614 Contractor OWNER RIGHT OF WAY DRIVEWAY APPROACHES 112789 50 00 Plan Check Fee 10/22/07 Valuation 4/19/08 Special Notes and Comments The Fire Department has reviewed the project, application and has no comments October 1 2007 1 16 59 PM sroberds Proposal will result in detached garage and front deck addition for total lot coverage of 17% No land use issues noted Construct unimproved driveways to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to pouring concrete Electrical load calculations and elctrical permits are required No connection fee required 09/26/2007 09 32 AM GMCLAIN Structure Information 000 000 576 SF DET GARAGE 110 SF FRNT DECK Other struct info HARD SURFACE AREA Qty Unit Charge Per 1 00 50 0000 ECH RIGHT OF WAY PERMIT Date 10/22/07 Extension 50. 00 STATE SURCHARGE 4 50 Charged Paid Credited Permit Fee Total 50 00 50 00 00 Plan Check Total 00 00 00 Other Fee Total 4 50 4 50 00 Grand Total 54 50 54 50 00 Due 00 00 00 00 00 6614 Separate Permits are required forelectrical 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 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. y ll Gc9/ 1� Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T•\Policies \1102.15R 1/05] PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY INSPECTIONS. 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 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING F R OFFICIAL USE ONLY BUILDING PERMIT APPLICATION /I ate Rec. t vim Permit 6377— ip 9e Fill out COMPLETELY and in INK. Your application and site plan MUST B Date Approved COMPLETE to be accepted for review If you have any questions, call 'I PERMITS (360) 417 -4815 FAX(360)417 -4711 j Date Issued: Applicant or Agent: 6 r I .Ct S `Q.. Phone: 3 („,et "Asa 31 1 g Owner ,L) r i GUN n �u Pam �1 C..0 Phone: n ,2 Address. c°_� City P 1 LC3C Af1G(Plic<. Zip q -3 6 Architect/Engineer n l P 1 R JJ Phone: Contractor Se State License Exp• Phone: Address: S City Zip. c2 PROJECT ADDRESS 7 Ji Q u_r 6 PC C AlA �Plio S ZONING R 7 LEGAL DESCRIPTION Lot: 0? Block:e2 7 111 Subdivision. Rl c°f'(.J` Cfr Ct.'_ tS CLALLAM COUNTY PARCEL NUMBER. d I, i, U TYPE OF WORK. SIZE/VALUATION Residential New Constr Re -roof Stove SF /SF Multi family Addition Move EiC Garage 7G SF 4 /SF 53 I Commercial Remodel Demolition Deck 110 SF i /SF 1 L 'S I Repair Sign Other TOTAL ViLUATION BRIEF DESCRIPTION OF THE PROJECT 024 ne Ct vA FM DP.nl( Gei rr2 e_ IA) uaxvp I�ri NN b Ltd- l�%I� Lau Gt j1 b cy. �-1� r r_r^ l iE3k-l6 (AM_ �,��`e COMMERCIAL/RESIDENTIAL. Occupancy Group. Occupant Load: Construat Type. 35°6 ;kg zo No of Stories. I Lot Size:0,2 4 Existing Sq Ft. Proposed Sq Ft. c', Cc: TOTAL Sq. Ft. Total lot coverage Z Nose g i bb v h 3 area 5e 2x-I�r-i o r(E a. s+ side) l eCk C∎4y Gara_oie -46 ^mo or 4,eai-irui n 41 Ar&4Z- PLANNING USE ONLY W th re. 04l.`1 APPROVALS. PLAN BLDG DPWU ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other FIRE. OTHER. 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. 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. TAFORMS\BIdgPermitform.wpd App t \c10/4 7 07 licant: Date: -Park Ave- 120 2720 ()`Cq N ■Aed 276 614 r 1- 1 1 .2 6 20 27.6. 2802 J 2621 ...I 102 10 2717 i1 1.0 33 27I' 1 40 (f■ Co vs\ 5 1 Gar-6k 02$ 47 G 21' p )c.}-0-4- /CF ppoRT e 121I_11 V aCIC CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 05 00000521 Application pin number 707568 Property Address 2716 S LAUREL ST ASSESSOR PARCEL NUMBER 06 30 16 5 0 0400 0000 Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1000 Owner Contractor BETTE J /BRIAN W SLACK 2716 S LAUREL ST PORT ANGELES WA 983626907 OWNER Date 6/24/05 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR -OFF RESHEET FELT COMP Permit pin number 52902 Permit Fee 62 25 Plan Check Fee 00 Issue Date 6/24/05 Valuation 1000 Expiration Date 12/21/05 Qty Unit Charge Per Extension BASE FEE 47 00 5 00 3 0500 HND BL -501 2K (3 05 PER C) 15 25 Other Fees STATE SURCHARGE 4 50 Fee summary Cha rged Paid Credited Due Permit Fee Tot al 62 25 62 25 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 66 75 66 75 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 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 Signature of Contractor or Authorized Agent Date T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] nn c /l Signature of Owner (if owner is builder) 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 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 BUILDING PERMIT INSPECTION RECORD FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING 417 4653 FIRE PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] YES I NO SEPA. ESA. SHORELINE. FIRE DEPT PLANNING DEPT I BUILDING ~ CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: PERMIT NO. SO? 0 Y/2P~..5 DATE ~ o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Owner/Business Address: ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ ~ FAN/WALL KW...t..r2--- ff RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS / SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE DetailslDescription: (~Ie ~~p :;;7 (;J MJ fJ/IA.-, ~o J. f e Phone: Sq. Ft. o RISER 'Ji'l' OVERHEAD SERVICE o UNDERGRO~D SERVICE VOLTAGE: /;:> 0. .;2 yO I , ,319\ D3111 SERVICE SIZE &;2,&0 AMPS FEEDER SIZE AMPS W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service o Final O.K. Site Address: I I NotifY Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered befo~e inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on: the ~Permit. PHONE 457-0411, EXT. 224. I' /~ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT $ ,#' ..5() I 8ectricallnspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN _ Top: Meter Dept., Bottom: City Hall : , OLYMPIC PRINTERS INC Installer: (~ Permit/Receipt No. So7{) New Meters ", .. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS ~-(-c{S . /J1f?~ .Jpe (II eLL 1.N5J.j( L I? .",vte ~ ~OK_ LAV' Gl(o't--r1J r II'I,r", t''''''~L HMO rAPt> IhtJ ~i /l-e G- ;leeIV' J:/f,t 5"- J-'t^S- , S--7-&'5 /f! f JI /JK'o I<er <:>Ne CI or ......t. 1/ 5e ~tll c'"" I,,{e'( . /Pea lJe (~Wt;.I/V? 5etet/lcR c."r'/f'R... . .- . O.K. FOR COVERING O.K. TO CONNECT SERVICE FINAL O.K. . z Cl a: <I: :E !!1 :J: I- Z W I- a ,.. I- o Z o c . ~'''''''':,,''\l'''''''''''';\'''''''~-<~_'''~''''':,I'i'''l'' .,"'r ......-.rr -'~""<.r:-''''-~~'~'-''-1 ~:...-~.-........,. -nr'?/'........;.w.if.;t~...i';';,<--~.J,-\..";~t_I}F":---.,VJr;' ..~~'y......n~--~~~;."!:!t: . " - ", ".'~ . '. J " '; .i;;::_~, ~,_. ~J!~, . CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 000260 , PERMIT NUMBER FEE RECEIPT NUMBER 1, .~... 'rr , I~ TOTAL FEE ~(.--0- r!)C<J tV (' r?. V- I IfoNt .e I CONT. L1C. NO. TIME TO COMPLETE NO. STORIES lEGAL OCCUPANCY Site Address ')7 It ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE,ESTABLlSHED UNDER THIS PERMiT 5'"" I- IIIA~e L ~ CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT Owner ;:rANt? ToNe5 Owner's Address 1... -r f (, So Day Phone if ' .::l. - T I -, ., , . Application is hereby made for Permit to install Electrical Equipment as follows: : ('AANc..e Se~v'lce PERMITS WITH WRONG ADDRESSES ARE CANCELLED L Aut<.e L )nstallation By Installers Address Installers Phone ~) ,r I /? .0 /Y^'''- Wiring Method f?( f ~ i.... '.{." '. l;- NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PEA 10 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE CIA 30 ' CIR 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIAE ALAAMS DISPOSAL BUAGLAA ALAAM RANGE MISC. OVEN ~ .. WAT~R HEATER lAUNDRY . DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS ~ Oil FURNACE ENEAGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELEdTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE .~ 100 V ~(J( A.W.G, I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH " I certify that the work to be performed u'nder this permit will he done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made '4- ~ ,).. (, ,19~S- By ~~" ~ J..... CONTRACTOR OR'OWNER (OR AUTHORIZED AGENT) . P~rmission is hereby given to do the above described work, according to the conditions tl'e{eon and aC~Ording to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of/Port Angeles'~J IRECTOR OF'CITY LIGHT ~ ., If rJ(,.c 'tr By PLANS APPROVED ~.' Date Permit Issued WARNING Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext.158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE - Orlgina! CANARY - Duplicale PINK. Triplicate WHITE CARD. Inspector's Report "1 VUPII' PI:II"IT~QC:: INr. REPORT OF INSPECTOR DATEOFVISfT MADE BY REMARKS O.K. FOR COVERING O.K. TO CONNECT SERVICE FINA.lO.K. . . z CI a:: <C :E !!! J: I- Z W - I- o Z o Q .