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Home My WebLink About1701 S O St - Building -... ~ FROM FRX NO. Oct. 25 2004 07:25RM P3 Qj"'J-~~", ~ ~r ~..~ " "'iiIif(&J>~:o' ELECTRICAL PERMIT APPLICATION ? "'>d'" I'O~ (WI'ICl...:. !)fi!;O"lJ.Y lW..."''' ..... ......-.-. h:'''Ji. ~ ~ ..'. _. ..__ l.i~lc-"l'I\..>..1:l! . .__.____ liate w,.""tl .~, .....~_.___ "'j'"rJe =!edric:::a.: PelrT'iit Appiicalion m!J~ bc.fiUeg p.!'Lc:2qJ..2,let&..u:.: Please t)/P" o( ~epriot in ink.. If iO~ hava. Dny questions. ple-8se call (3SD) 417-4735 FlI~ number: (360) 417-4711 ::~'::'Co;r~.~~;t&"'~; -H5HH~".:.: Add,'.ss: 2.(,1)3 TT...;:. cuy: A EI~Cb1""lcontraClor'$la..Jrl0 )o.of'lf\'r.L/ t1->('-_ L,,""SC#. ~~!i"r-fJql ,11Jf{()5: /I IO^- · Address.~\f^,/I'r' 82", CI!y......J--:". INSTA~LATION WIRED BY: ,:; OWNER ~~L CONTRACTOR Ltf"> :L-~ '-f,2..Y' 4S "}......i;.(..'1) Zip: 'tY1 '.. Phone:.!:J52- '-h'2!7 Zip: 9~3 Go ':2",_ Credit Card Holder Name: Billing Address:_ Credit Card Number: em ~ ' , I:tk Zip: vtSA:_ Me: c- \<0 " PROJECT ADORESS:.....-~ 0\ :> TYPE OF WORK: Check all thal apply: 0 New o A1terationlAddItion \J ~ o Residential ::J Multi-family "Commercial ::i Mobile Home Sq. Ft lA.()O o Remote Meier 0 Detached garage u Hot TiJb C; Swim Pool ::I Septic Pump o Low Vollage 0 Telecom. '-S o Sign "' ~ Number of Circuits added or alterod:__ DESCRIPTION OF THE ELECTRICAL PROJECT: ~ ~ ~ h-A :J Beseb:>ard :J Furnace ::J tieat Pump "'!'Fan-Wall _KW KW TON LRA =:iKW - l.:' Overhead Service [) Temp Service . Q underground Service Service Inforrr>..ldi!;m Vcltage: I....P/......O Phase: ~CJ 3 Service 5i>e: 2co~ Feeder 51>e: Electrical Hoet Load Addition.. and or Subtractions ~ i , hereby'certify that I have read arld examined this application and know that same to be true and correct, and I an; 3i.11;horized to apply for this pemlit. I understand it is not the City's legal responsibility to determine what permits 3re required; it remainS the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Si9nature:~~QJJ' J DBte:-*- Ownor or Elec. Cont. Signature: ~,J" >> (j?JJ' ~ Dete: lolzh , PERMIT FEE: $ ~ :/ElECTR,CALPER MIT APPLlCA 7JON >- ,..-., IEI!ECrlRl~CAIL ~INIS~ECr~OINl W~IRlH\!IG IRllElPORl 417-4735 PERMIT" tYI- 978 ;(b.fA'A'J?AG ~'/f~_ A.DDRESS L7tJ( .:5, O. .::5/_ APPROVED NOT APPROVED o ................... DITCH .... .............. 0 D .............. ROUGH IN/COV .. .. .... ...... D D..................~~~..................D D .................... FINA .................... 'let CORRECTIONS NEEOEO@ Oi- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) <452-1381 _.""'il:';~_ CI~'Y OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000101 Date .486634 1701 S 0 ST 06-30-01-5-5-0040-0000- RES NEW SFR RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 69610 Owner Contractor PAULSEN, SHAWN 1214 COLUMBIA ST PORT ANGELES (360) 452-5203 Structure Information Construction Type Occupancy Type Other struct info OWNER WA 98362 NEW 1199 SF SFR W/ATT 524 SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit . . . . Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 76.00 Plan Check Fee 4/09/04 Valuation 10/06/04 Qty Unit Charge Per 4.00 BASE FEE ME-VENT FAN 7.2500 ECH Permit Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 132.00 4/09/04 10/06/04 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER 1. 00 7.0000 ECH PL- EA.WATER HEATER Permi t . . . . Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 807.25 4/09/04 10/06/04 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 4/09/04 GARAGE 19.00 V-N 1. 00 1. 00 9007.00 1723.00 1723.00 1. 00 - -.......J \:) .00 o - Extension 47.00 29.00 't1V\ - c :2:' ::t:. I -; \) .00 o : Extension 47.00 56.00 7.00 15.00 7.00 flfi. :i .00 69610 Extension 667.25 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 constr n. Date T:IPLANNINGIFORMSI1102.15 [11/14/2003] Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPLANNINGIFORMSII102.15 [11/14/2003] ~ VORT ~ lO~%:\t, ~ "-~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property zoning . . . Application valuation 04-00000101 Date .486634 1701 S 0 ST 06-30-01-5-5-0040-0000- RES NEW SFR 11/17/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 69610 Owner Contractor PAULSEN, SHAWN 1214 COLUMBIA ST PORT ANGELES (360) 452-5203 Structure Information Construction Type Occupancy Type Other struct info OWNER WA 98362 NEW 1199 SF SFR W/ATT 524 SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS GARAGE 19.00 V-N 1. 00 1. 00 9007.00 1723.00 1723.00 1. 00 -- permi t . . . . Additional desc Permit Fee Issue Date Expiration Date FIRE SPRINKLER RESID .....::I ~ - .00 11/17/04 5/17/05 Plan Check Fee Valuation .00 o Special Notes and Comments The site is located within the Madrona Woods Subdivision. The residential structure may NOT be finaled until infrastructure improvements for the subdivision are installed and approved. Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. (f\ I:) -:: ~ " Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1774.50 1774.50 .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. (J /\1 j:: I 1- ;- Signature of Cont~actor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNINGIFORMS\1102.15 [11114/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN W fo- TER LINE (METER TO BLDG) dAS LINE BACK FLOW 1 WATER AIRIsEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGILIGHTING 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.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNINGIFORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 4]7-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 CO~SPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN 'N A TER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF 1 CEILING DR YW ALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. 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V I Owner: SHA-/;f)rV PkVJ..-s ~J i_Phone: '-!S'd - 5.~C '3 , Address: /')../Y CO/"'u/l1I3;/1 ~y City: [>6R..f' !JrJG-U-f.$. Zip: Ig'3l A Architect/Engineer: /"'I/V j) {)?,u,. A1?c It, .,ecrrs Phone: ~ '5 r/. - t'1 f t Contractor If /r <2 C. State License #: Exp: Phone: ~ 5';; - 7(,:5 { Address: (7oi <)OUTH '6" S7tCf:P:rr' City: Po/fq ./b1JGeL~/~ Zip: JS3{2, PROJECf ADDRESS: I 7(;) J -$ 0 v"(f/ 'b # ~ 1 P-€ t"'r ;? ~ . ZONING: ~..s - ? 1/ It' /J_ _J LEGAL DESCRIPTION: Lot: JJ;. 'I Block: 0 5<T12~~-r Subdivision: MASJ)K.,.uvlt WooD S CLALLAM COUNfY PARCEL NUMBER: 0 t.3 OC) /5' ,:> .~ 00 Lj C Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp. ~ate: TYPE OF WORK: SIZE/V ALUATION: , ~ Residential KNew Constr. 0 Re-roof 0 Stove If. ?? SF: @ $ 'LJ'; !Ii /SF. = $ o Multi-family 0 Addition 0 Move )lr"Garage ,:J ;). t.; SF. @ $ 3 0 *~ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ ./SF. = $ o Repair 0 Sign. , 0 Other TOTAL VALUATION $ BRIEF DESCRIPTION OF 11IEPROJECT: NEw l "51 "'f-J..'f,. 'F/PY1JJ..Y t<e5Fb'VV<!.-&. - oAt. 5"TORy W)'1}f'hr'fA-C,ifEO ~-~ ~~~ COMMERCIALlRESIDENTIAL: Occupancy Group: Occupant LOad: " CoIistruCtion Type: No. of Stories: -.L Lot Size: 90 C) / Existing Sq. Ft. e;J & Proposed Sq. Ft. /7:). :3 = TOTAL Sq.Ft. I 7;Z 3 Existing lot coverage -52- % '& PropOsed lot coverage -'..1-% = Total lot coverage If % ~r'" 3. '78' S.... c" / oJ I g ;,(s- tf 6/0 , PLANNING USE ONLY: . APPROVALS: PLAN: BLDG: DPWU: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: FIRE: OTHER:_ BUILDING PERMIT APPLICATION SUBMI1TAL: 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 at417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building pennit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifnopennitis 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 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 be true and correct. I am authorized to apply for this permit. and understand that it is my responsibility to determine w~at permits are required , T:\I;B~~)~B\BuiIdj~t~" -: :: J. :;'-?_/f;i;';1~~:\;W:it~-~~\;.:,;::~,:, -- :_ .:-':..,:;,:~; j' ,co, :-~..<-,,::: :'--;-:-.: --"" ;~:::"'-~~:'.:::"~('\-' -: .';': '{:\~: ,N~_m~7;Z:;A"L ~:#i'"~_':::':i~1.'.:.,' '."_';"'{ :'::. ---,,~,;; ~ ~. >;-f' o S"\~zC'l 5 "" It J.. f.. 1) (lA I "A-(;.-~ . bo' '. ....... . . , , ..-.. ..~ . . tV. .';'~..'_:.--;.' "b- Y " t:'. v'. '" p ~------------------, I I I I I I I I I p -- '-- 260 Jj' 1\ ...--\_ nnnL___n__n \ J 1199 ( : ,.4 __ i /V-J.. VfUt/NA6-(. 11 1"0 S r('(l.!-tf. f I ___ - 262 1/ , I J-O 1/ : /'l/"r:{ I ii I I I I l~~ : Hf. I . I L-----------r------------:----------------------- __J ~ -~ - -~r-.?6<" " ~ ,..----. I I 'c; . I). , ,.... ..c I ()..oof( j.{.'1.:J.~ ~ I ~ T8l I :\ I .{'f' -262~ , I I I I I I I I I I I '-----. ~------------------~ '----- '<64--..... --....... 12' --- -- SCALE: I o '" "- 1" = 2~ I _" I , 30 ~I i) - -...--- r TITlE:MADRONA WOODS SUBDIVISION SCALE: ~ pI}UL52.N lOl4 1" = 20' JOB NO: 02030 CLIENT: FilE: HOUSING AUTHROITY OF THE COUNTY OF CALLAM LOT4.DWG 2603 S, FRANCIS STREET DATE: "'- PORT ANGELES, WA 98362 11-25-03...) <J''''''~. .s(i~~ D8 "'" r .......1'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 91n62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning , . , Application valuation 04-00000978 Date ,949514 1701 S 0 ST 06-30-01-5-5-0040-0000- ELECTRICAL ONLY 1/21/05 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY o Owner Contractor PAULSEN, SHAWN 1214 COLUMBIA ST PORT ANGELES (360) 452-5203 WA 98362 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL NEW RESIDENCE ELECTRIC SERVICE 96.40 Plan Check Fee 10/26/04 Valuation , , 4/25/05 ,00 o Qty 1. 00 1. 00 Unit Charge Per 73,0000 ECH 23.4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 5QO Extension 73.00 23.40 Fee summary Charged Paid Credited Due ----------------- ~--------- ---------- ---------- ---------- permi t Fee Total 96 ,40 96 .40 ,00 .00 Plan Check Total ,00 .00 ,00 .00 Grand Total 96,40 96 ,40 ,00 .00 ~ '-..... ~ <0 ............. \'. ~ ~ ~ lA. \ '\, >- '- \ r ~ \~ COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPE~f.lON 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 INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02.1S (4196) !f'PORT~ $.J,.O~~~ ". "-~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning , , . Application valuation 04-00000290 Date .145500 1701 S 0 ST 06-30-01-5-5-0040-0000- ELECTRICAL ONLY 4/12/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY o Owner Contractor PAULSEN, SHAWN 1214 COLUMBIA ST PORT ANGELES (360) 452-5203 WA 98362 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 permi t . . , . Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE 60A ELECTRIC SERVICE 40.90 Plan Check Fee 4/12/04 Valuation 10/09/04 ,00 o , ~ " Qty Unit Charge Per 1.00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40,90 , .14 a jI~ ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40,90 40.90 .00 .00 Plan Check Total ,00 .00 .00 .00 Grand Total 40.90 40.90 .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 Signature of Owner (if owner is builder) Date T:IPLANNlNG\FORMSllI02.15 [11114/2003] BUILDING 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, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. 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 FOUND A T10N DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING ~bER FLOOR 1 SLAB ~GH-IN ~A TER LINE (METER TO BLDG) ,~s LINE i IIMK FLOW 1 WATER Ad ~AL V. lt1..LS C Il'UNG I FjI ~ING JOISTS 1 GIRDERS ..sHEAR WALL/HOLD DOWNS ~;}LLS 1 ROOF 1 CEILING ~ 'IIf:YW ALL (INTERIOR BRACED PANEL ONL Y) -LAR IN~TION ?SLAB W ~L 1 FLOOR 1 CEILING I MECHANICAL fiEA T PUMP . "'~S LINE ~OD STOVE 1 PELLET 1 CHIMNEY HfOD 1 DUCTS P>>, UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT, SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTlN'::; ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 :Y/z~~i/ Ac:O ELECTRICAL LIGHT DEPT CONSTRUCTION R,W, 1 PWI , / CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT, PLANNING DEPT. 417-4750 PLANNING DEPT, BUILDING 417-4815 BUILDING T:\PLANNING\FORMSII 102,15 [11/1412003] ** . ~........' "".. . Ill'. ,\ . ..."11 t " . . ~., 0< 111 ... , ~ FROM : FAX NO. : Aug. 05 2003 08: 03PM P2 .... ;~:A I'Ok OFI'ICIAl. IJoo1'o..l DoW'." ~,: --, -- t>> ELECTRICAL PERMIT APPLICATION The E lectJtcaI PermIt AppUl:atJcm mUM b. fllled N com alat8lv. P ,.... type or "pMlln Ink. "y DU """. .ny llIl_""". pi.... c.1I (3ID) .11-41. F.. numb.r: lHII411-4111 4 ')'2. (.lj~ 'iFax:. 'i 6 'l- ~) '-j ?. Lj Phon.: ~ PropOlty Owner. Add""",: \1 . e CT EI_IConlraalar. E.!" [..h-Lt.. k~" c..lo I~t.-. ~i_'.#:SJ: /32...... E1cp: "1 AddresS: . R"~ 0-~.- Vc< I lJ.., RJ Clly:~ f\L18.,J.-L~ INSTALLATION WIREP 8Y; Cl OWI\4ER ~ICA~ CONTRACTOR Credit CarTI HoldSI' Name: Zip: ~) :"$ pRone:",,, 'I.'f Zip: 7' g~ ~. &rCHY- ~ . , Exp. Date: On PROJECT AllCHIESS: Iii I 5. CJ. oS T. / n 1/ / / 2 WORK: Check ilIlhlt apply: 0 New . esldentiaf Cl MultI-family . 0 CommitlCial . CnJdIf earTI Num"": Zip: VISA: Billing AddNBB: .5. O. Sr; / /709 / o Alteration/Addition ..:s. a. S r-.. .0 MobJIeHome Sq.Ft. o Remote Meter 0 Detached gEll'Bge'" cj Hol Tub .0 Swim Pool' 0 Septic Pump' ," 0 L-o\IlI VoIlege CI TeleccrT1. Number of Circuits addtd or altered: DESCRIPTION OF TH~ ELEC'TRIC,o,L PROJECT: ~~. t' "::.(- .(Q&~ .EI~ Lft..... additions and or subtnlctiDnll service Informatlan o Overl\eed Service oTempSlIIVlce o Underground Service VoltSge: Phne: CJ 1 0 3 Service Size: Feeder S~: . 0 8_board o Fumece o Hoat Pump o fen-WeU KW _KW _TON_~R KW . PAMC 14.05.060(8): For IndUlltrlel. com lII8<CIal. & residential projects larger than a duplex, a one. line drwwlng of the Electrical SenI Fetder$. building slz e (sq. ft.). load calculations, and the ty pe & of conductolS and/or r8cew ey is required and sh8IJ accorn pany the Electrical PlIIII1l1 application, I hereby certify that I have read end examined this application and know that same to be true and correct, anc authorizad to apply for this permit. I understand II is not the Clty's legal responsibility to determine whet perm are requJr&d; It remains the applicants responsibility to determine what permits are required and to obtain SlJc. OWn.r or lillC. ,om. slgniltur.: ('J 0./7) j CJ:dVlAf,JAiCu.4R Pat.' ...('1 (.." ;?A~' 97 c2 ,~c1 Det.: ~ /1 (oy PERMIT FEE: $ +'1;.90)(.3 Credll Card HoIder'a Slgn.ture' PW.so1G17103 MAR 26 2004 13:32 HOUSING AUTH CLALLAM 3604577001 p.l . ~ 2603 S. Francis Street Port ~Ieles. WA 98362 If, " .,' Housing ~uthority: of the County o~ CI~lIarr":.::" t~.;. ~, (360) 45~~.7631 . (360) 457-7001 Fax Fax !!:.. A L.. o/'Y/4111 Fax: 0//7 - . '1711 Phor* '/1 7 - '173 S- He: "IUvif. pow E:te. From: (31:1.1<:. E- fYl c e ",ofJV1/ p..... J... Date: 3-;&-6'( " CC: ft o Urpnt ~ar RevIew o Please Comment 0 Please Reply -AL - If fA E.. lS A m;rP 5fI<J ""I I'll ~ c:;// 12 Tln1,o, Ii l.oJ ffi... _/" ~ 1:1 Pole. )..OCA-rlonJ.5 ~N 0 s-,.,'llur; J,..or.<; ;)'-'I-C e:/kN .J:i.fl-5 A st,- t-(J AND ADa~.ss~ AIU <5J./owrl. I~ Yo V t:!.1..&O /nollE. INrOl2fYJ-4-T/ON //..E~€. C#.L l6.dck @ !i.L~-7t~1 C-r-r'll DrAa' ~77- /7..'13 cat.. ( -rH4lfks J3l2uc~ I The hlonnallan _4ooh..d In 1he facsimile mes&aglIls IegIIIy ptIvIIeged and confidenllaJ Inlormallan InlenCIed only for the use of the IndMdual or entlly to whom the fax 18 addressed. If the reader of this messuge Is not the Intended reclplent, you .. notified that ..y dlssemlnallon, distrl>utlan or copy of this teIecopy Is lIlrIdIy pmhIbIt8d. If you haw received this lelecopy In error, please Immediately noliIy 118 by lllIepl10ne and l!Ilum the original mnngeto US at the addnI8s 8bove ~a the UnIt8d Slales PosIlI'SGrvk:e. 'TlIaN: )'llU. ~ ~,'- ,NIb ~~ (...;if'/::. ,~Z 17'1""---- ~ '~I' 'I ~ I' ~ Y vJ f c..;nJ PItY fOl2. fY/f,--rt.(Z 0;0./ t.,O'litl{ jVor.J WI'7tt ~ /<<<-S;1" (0 poLJ,..oLJ I"'; h30vi:r' fl.- W'l.'l.KS, ~.~ MAR 26 2004 13:32 HOUSING AUTH CLALLAM 3604577001 p.2 " .\ ..<; /PM if @fFM,fiJ!iJ!f!@!N/JJ W@@!iJ$ BE!Jll//@ Al !P@!f!i1!/@N @fF $/!JB/!J!f!BAlN /1,@if71@71, if@WN$1/'lm @/F //~@!f!if AlN@/EILIE$, CUlLUM C@/!J1IUY'f, WAJ$H/lN@if@N FDII:77f6_~DI'77f6~DI'CI~rl'f1 ~.~ SEE NOTES ON SHEET 2 .AUDITDR'S C~RTIF'1~ ! 1UlI_.om:llII\lIIW__CIlfG' ..., AI~ "''''___'''~~'''''NC_ 1.ICD.IDllIlll't'S ,.",...... '''1NE'IDILII''OI'IIDlCUIII~Alll~CIll Io'tI'VfTWUN"lr,ouuIlUIC -tVtII" ~WIIM<<~Nll:U" ,....../f&~..r l , ~ i / / '".10' t". JO " """" 1m I I U ,.. -- -. i . . .. - u " .. .. .. .. " .. .. -- ......- "" "" "" "" "" -. "" .... .... .... .." ..,. 'lU Ut. uln '"1 .... "" .... .m ___ C\IIl '-"--, J. r MIl. tiN' lIItlllllH' MI:MIiIOIr ::~'CCU~~ -;;::I/'IDM.YN fI'UILC' _TMn'..... 0IDCHlI ... ClIIlItlIIID JO ". en..,. "'~_"'_lIUIT. 11'1'___ nil ..,.,. "0"' .... nCl'_-O-_ ""1__.-0-_ lA' IOnlI "'0" IWIAl lG1~__ .... ..,. ... 'fU ..-nI ... ''''1JlIIIIID IMI IQ1U1lPft11---. 2US DIOftIlI ... IU'''''''''''' 1400' uaraII 1MB UO'UIll'I'IlIUIlI IWAII\IIlIttMI I~zg u.mD ,.... Id..alIIWinW ... 16>>...- ,.. 'UOaBnW_ UII__ LEGEND o . = SHEET 1 OF 2 WII1Nr'.1 PR SCJRVBY1NG 4 MAPPING en f 330 &AST FIRST ST.. SUITE JO .PORT ANGELES. .WASHINGTON 98362 (380) 457-9600 FAX (380) 4:57-9558 . SURVFYrJR'S CFRTJFTCATE "_~~A___"M'lW IW~"~_M--'-'''_ ___crPM"IIIllUIITO'''-__