HomeMy WebLinkAbout1534 W 4th St - BuildingCITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 08 00000701 Date 6/11/08
Application pin number 427322
Property Address 1534 W 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 2625 0000
Tenant nbr name EARL T FOX
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 3900
Application desc
TEAR OFF RE ROOF
Owner Contractor
EARL T FOX TTE
1534 W 4TH ST
PORT ANGELES
(360) 457 5992
AFFORDABLE SERVICES
258663 HWY 101 WEST
WA 983631805 SEQUIM
(360) 683 9619
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF
Permit pin number 128132
Permit Fee 123 75 Plan Check Fee 00
Issue Date 6/11/08. Valuation 3900
Expiration Date 12/08/08
Qty Unit Charge Per
2 00
Other Fees
Fee summary
BASE FEE
14 0000 THOU BL 2001 25K (14 PER K)
Charged
Permit Fee Total 123 75 123 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 128 25 128 25 00 00
G -11-Y6 Gcnk., id-i-ckt w/lA
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 wheth- 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 •cal law regulating construction or the performance of
construction.
T.Forms /Building Division/Building Permit (10 /01 /07).wpd
STATE SURCHARGE 4 50
Paid Credited Due
Jt "BRA
Date Print Name Signature of tract'or or Authorized Agent Signature of Owner (if owner is builder)
WA 98382
Extension
95 75
28 00
ri
FOUNDATION
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE I 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 417 -4735
BUILDING PERMIT INSPECTION RECORD
O
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS RA)
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 ,3
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED
YES I NO
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
I PLANNING DEPT 417 -4750
I BUILDING 417 -4815 I I I eip I
FINAL
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 .PLANNINGT)EPT
I BUILDING
COMMENTS
DATE ACCEPTED BY.
DATE ACCEPTED BY.
DATE
ACCEPTED
YES
I I I
I I I
I I I
NO
T Forms/Building Division /Building Permit (10 /01 /07).wpd I e
Applicant or Agent alroi-nabito 6.eni icp S
Owner Eu 0 T oaf;
Owner's Address L5 3c w L p r i
Contractor /Engineer -4 ,sp (1 I y 5
Contractor /Engineer's Address z54; ttv t
License A'?j/,$ v
PROJECT ADDRESS 15314 U�J- c il i r'
Parcel Number ()(07 -0, r7�25
Project Type Brief Des
Check all that apply
New Construction
Addition
Remodel
Repair
t--Re-roof
Demolition
Sign
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other Rbc5r j-5(Y)
Total footprint of structures
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
criotion. residential
ExistincJ g. ft.) Proposed (sa ft.)
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
Phone 1
Phone Lc Q S 4 Z
�Pc jet t0-1 ;(f(7-
Phone ?iot ge
UV c�( 362 7L 7 l�
Expires el25 l
Lot t_in Zoning
Commercial Multi- family
Tec i gL CflT tD
wall- mounted projecting freestanding awning
Total sign area sq ft. Maximum allowed sign area sq ft.
Heat pump wood burning stove gas fireplace pellet stove other
per sq ft.
TOTAL VALUATION
For City Use Only
Date Received O(o -It 0 R
Permit ('1ST-
Date Approved
sq ft. Lot size sq ft. Lot coverage
of bedrooms
of full baths
of half baths
Industrial
other
cA lJlJEZS
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
Date (2-0 -()5 Print Name ..e...7)141.(1
\I .e V1/l natureQd.i1W3 L1
T Forms /Building Division /Bldg Permit Appl. -2006 Code.doc
ne L Phone #1
uress 53� U.S rr' Phone #2
1( 1 S
AFFORDABLE ROOFING
258663 Hwy 101 West
Sequ m, WA
(360) 683 -9619 (360) 385 -2724
State UJ f Zip Code
Tarp house peruneter to protect landscaping
Remove old roofing and haul to landfill
Install
Instal 1
Install
Install
Install
Install
Install
Install
I nsta.l 1
ns taJ l
In.s tal l
Instal I
Plywood OSB
Roofing Felt
Pipe Flashing
Exhaust Vents
Ridge Vents
Attic Vents
Sun Tube
Skylights
'rnent to full upon completion of project,
L ess other arrangements accepted_
pro pose hereby to furnish matenal and labor
Jmpie in accordance with the above specifications
Instal l
Instal 1
Install
Instal l
Cut In
_Q'Install
Instal l
-1J material is guarantcod to be as specified Any altcration or deviation from the above
pec fixnons mvolvwg extra costs will be ezented only upon written orders and will
ocecxne an extra charge over and above the estimate. All agreements contingent upon
wcs ts, or delays beyond ow control Owner to carry t tornado and other
}axa.sary Imurancr
ptance of Proposal the above pnces, specifications and conditions
e sa n s factory and are hereby accepted. You are authorized to do the
'"Fs as specified Payment will be made as outlined above
D E POSIT
^ornabie Roofing s Representative
Amer s Signature of Acceptance'
[tac h ed Warranty Statement_
(360) 452 -0840
PROPOSAL
4 157-599L.
Drip Edge Metal
Metal W- Valleys
Roof to Wall Flashing
Roof to Wall Step Flashing
Chimney Counter Flashing
Chimney Step Flashing
Skyhght Flashing
Secure Locate Septic Drain Field Losanon
Pnce Includes Building Permit 7D i 3 795 c o flpf4
Customer to Secure Building Permit
scn pUon. Install 3() year Laminated, Hie Wind Shingles, at 6 nails per shingle.
SUBTOTAL 9 ZS
SALES TAX 27, Z,
TOTAL 4 L.'7_ 7
No this proposal may be withdrawn by us it no,
scoepiod within 30 days.
Brand of
Color
10 Year Warranty
Lifetime Warranty
Date ____62/2/0 A
Date lC o g'
Y ear C)
W ork.rnansh J p
Application Number 08 00000671
Application pin number 087963
Property Address 1534 W 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 2625 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
200 amp service change
Owner Contractor
FOX TTE EARL T
1534 W 4TH ST
PORT ANGELES
Fee summary
WA 983631805
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
Qty Unit Charge Per
1 00 64 0000 ECH EL R OR RM 0 200 ALT SRV FDR
Charged Paid Credited
Date 6/04/08
WA 98363
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 127779
Permit Fee 64 00 Plan Check Fee 00
Issue Date 6/04/08 Valuation 0
Expiration Date 12/01/08
Due
Permit Fee Total 64 00 64 00 00 00
Plan Check Total 00 00 00 00
Grand Total 64 00 64 00 00 00
Extension
64 00
IN SPECTIOIN
TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
ELECTRICAL
DATE RESULTS INSPECTOR
6/5 of 914V TAP
ALI loSs
(Jg -Ob 7 (
e
-..
ELECTRICAL WORK PERMIT APPLICATION
ate Expires
Installation description
CJ Commercial ? Residential
o New ~AlteredlAdditiOD
o ~
State ZIP f3t
(/J4- ~ . .~
FAX numbe ~
e..-. -.
~ d "'.,k 5(511 V.I' C-e,
+0 ~'cJ (I-1t/5
~
Premises owner's ua. my-<:
cML-L- r-l5 X
Address of inspectio~ ; 1..J:!J...
::::. ...?; ~:~("';
Owner as defined by RCW/9.28.261:{l) Owner will occupy the SITucturefor two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor if above said property is for safe, 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. 1 am making the electrical instal~
lation or alteration in compliance with the electrical laws. N.E.C.. RCW. Chapter
19.28. WAC. Chapter 296-46B, Th(: City of Port Ang.eles Municipal Code. and
Utility Specifications.
Signatu f owner, electrl I c
I
o
~
JUN 0 4 2008
UGIIT DePT.
o Cash 0 Check #
~Credit Card Q Mastercard Discover
c~#_~~'/~~__~_~__
tractor or electrical adminisfrator
b/oi
Expiration Date
of card
lectrical La Additions an or s tractions
o NO LOAO CHANGES
o Baseboard KW
o Fumace KW
CJ Heat Pump Ton LAA
o Fan.Wall KW
Ii' Overhead Service
.ID Temp Service
a Underground SeNiee
Voltage
PhaseD 1 0 3
Service Size: jLJtJ 4?r-f'
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
,,- ROUGH-IN THERMOSTAT /' SERVICE
t-5-6E ~
"- Dale Appruved By Dale Approved By Dale Approved By
,,- FlNAL DrrCll FEEDER
Dale Approved By Dale Approved By "- Dale Approved By ../
Inspection Area. Building or Equipment Inspected Action Taken Electrical
Date Inspector
(p-'f'O't; ,.10 ec.....R-r Iff . at< 7b J?E.;i!c.<rl' 0./1. 7)1" 7b ,<JE>lT /,otE
w~-r. XFm/i! />1<1sr If DMNU'O.o..r (wf lH80}/o/ w)/o'fSV
7b Cip./t ,R...F 8Y 3t I . IJx.
t.m.... r /h.'T SF 7J4~ AJiJufrl/ ,coll-n"X A7I' .
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 16-00000.014 Date 1/06/16
Application pin number . . . 188656
Property Address . . . 1534 W 4TH ST
ASSESSOR PARCEL.NUMBEfi: 06 -30 -00 -0 -1 -2625 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . _ . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
- - -- ---------------------------------------
Application desc
Ductless heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
FOX, TTE EARL T BLACK DIAMOND ELECTRICAL CONTR
IS34 W 4TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983631805 PORT ANGELES WA 98363
(360) 565-1035
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL -
Additional desc ,
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 1/06/16 valuation . . . . 0
Expiration Date 7/04/16
Qty Unit Charge Per Extension
1.00 63.0000 BCH ISL -R- BRANCH CIR WO/ SER FEED 63.00
- --'-___
Fee summary Charged Paid Credited Due
-
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
1
on ,w- excise tax form
to the UY-of Port Angeles
(Locadon Code osa)
INSPEC'noN TYPE DATE: RESULTS: INSPEf: P
DITCH t .
SERVICE _
ROUGH W
FWAi
PERMm WILL, MME SIX (6) MOMRS FROM LAST INSPECTION
Signatme of owner or Etesc" Contractor X;
G:IEXCH��NE3IL1Bi#Ii.MG
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections JAil
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 ;
Ph: (360) 417-4735 Fax: (360) 417-4711
L�
Date: " 1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 15.3°1 IA'/ q 7*
Building Square Footage:
Description of above r
r
Owner Info tion
Contractor IrIformation
Name: r6 4
Name: 7eln
C
Mailing Address:
Mailing Address:
City: State: Zip:
City:
State: Zip:
Phone: y4!- 2T V, Fax:
License # / Exp.
Phone:
License # / Exp.
Fax:
85 YOL
Item
Unit Charge
City
Total (Qtv MUItiDlied by Unit Charge)
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201-400 Amp.
$146.00
$
Service/Feeder 401-600 Amp
$ 205.00
$
Service/Feeder 601-1000 Amp.
$ 262.00
$
Service/Feeder over 1000 Amp.
$ 373.00
$
Branch Circuit W/ Service Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 75.00
$
Temp. Service/ Feeder 200 Amp.
$ 93.00
$
Temp. Service/Feeder 201-400 Amp.
$110.00
$
Temp. Service/Feeder 401-600 Amp.
$149.00
$
Temp. Service/Feeder 601-1000 Amp.
$168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
$ 64.00
$
Manufactured Home Connection
$120.00
$
Renewable Electrical Energy - 5KVA System or Less
$102.00
$
Thermostat
$ 56.00
$
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$120.00
$
Each Additional 500 Square Ft. or Portion of
$ 40.00
$
Each Outbuilding or Detached Garage
$ 74.00
$ _
Each Swimming Pool or Hot Tub
$110.00
$ /_
$ Total
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. Permit expires after six months of last inspection.
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 installation 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 C , an Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of el r'cal contractor or electrical administrator: ❑ Cash ❑ Check
/C /� Credit Card #
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
16-00000014 Date
1/06/16
Application pin number . . .
188656
Property Address . . . . . .
1534 W 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -1 -2625 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
Ductless heat pump
----------------------------------------------------------------
----------
Owner
------------------------
Contractor
FOX, TIE EARL T
--------------------- - --
BLACK DIAMOND ELECTRICAL
CONTR
1534 W 4TH ST
502 BLACK DIAMOND RD
PORT ANGELES WA 983631805
PORT ANGELES WA
98363
(360) 565-1035
----------------------------- ----------------------------------------------
Permit . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00
Plan Check Fee
.00
Issue Date . . . . 1/06/16
valuation . . . .
0
Expiration Date 7/04/16
Qty Unit Charge Per
Extension
1.00 63.0000 ECH EL -R-
--------------- ----------
BRANCH CIR WO/ SER FEED
63.00
I ---------------------------------------------
Fee summary Charged
-----------------
Paid Credited Due
----------
Permit Fee Total 63.00
---------- ---------- ----------
63.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 63.00
63.00 .00
.00
INSPECTION TYPE DATE:
DITCH
SERVICE
ROUGH -IN
"tm.
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAEXCHANGE\BUfLD1NG
RESULTS:
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
Date: