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Home My WebLink About131 Forest Ave - Building Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00001338 Date 10/22/08 977726 131 FOREST AVE 06-30-09-5-8-0000-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Application desc Mast and Meter repair Owner Contractor ROBERTS DAVID A/SHARONA 131 FORREST AVE PORT ANGELES WA 983622515 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457-9270 WA 98363 Permit ELECTRICAL ALTER RESIDENTIAL UJ Additional desc Permit pin number 136689 Permit Fee 64.00 Plan Check Fee .00 ..-...-.... Issue Date 10/22/08 Valuation 0 Expiration Date 4/20/09 Qty Unit Charge Per Extension 1. 00 64.0000 ECH EL-R OR RM 0-200 ALT SRV FDR 64.00 Fee summary Charged Paid Credited 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 C1\ ~ 1J ~ -\ D <. r ,- ~ SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: From: To: Date: Subject: cc: Becky, Kathy Emery Becky Horton 8/22/2006 10:31 AM Building Permit Void David Yasumura; Sue Roberds Please credit $54.50 to acct #001-0000-239-9000 for Building Permit #2006-778 for Dave Roberts, customer canceled roofing permit. I have voided the receipt in cash receipts. Sue will be issuing an FPO for the refund check. Thank you. Kathy - To ~ v-e- Date ~-IJ-oG lime;?:as- ~~ WHILE VOU WERE OUT :jl:~F;;cfolt;~~ Phone Numbers Office 6 70- 3~1 Ani. Code Nurriler Voicemail En. o Telephoned ~ Please call o Returned your call o Called to see you o Wants to see you o Will call again o URGENT FAX Pager Mobile e-mail . "of.ORr~ tw~.. 'L ~ .~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, WA 98362 06-00000778 Date 979256 131 FOREST AVE 06-30-09-5-8-0000-0000- DAVE ROBERTS RE-ROOF 7/20/06 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation RS7 RESDNTL SINGLE FAMILY 500 Owner Contractor ROBERTS DAVID A/SHARONA 131 FORREST AVE PORT ANGELES WA 983622515 OWNER Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE 82826 50.00 7/20/06 1/16/07 Plan Check Fee Valuation .00 500 Qty Unit Charge Per Extension 50.00 BASE FEE Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 54.50 54.50 .00 .00 ~e:fvV\A~ ~ \ ~ ~ ...--,.. \j ~ i ~ ~ 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. ~-- ~ t)frl}'Z- ~~ , Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] l /do (0 to J Date 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 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 SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF I CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR I CEILING MECHANICAL HEAT PUNW I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. I PWI CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING ~ \ ~ ~ ~ ro\)J ('t '- ~ ~ 1 ~ ~ ~ T:IPoliciesl1102_15 building pennit inspection record05.wpd [1/4/2005] ~4 l". . nu. "I!~{". ,':~' .%"';;:"(!j4,..:;;;;:~/<, ~=\ '!"~J \~,.-~Yiy ~~ ~ BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in IJ\'K. Your application and site plan lVruST BE COMPLETE to be accepted for review. IfYOll have any questions, caU PERMITS (360) 417-4815 FAX(360)417-4711 'J.n City: I. tv . ~ (;76.~~~5\" . Phone: ~ s: 7- -J- (fw (JJw Zip: qg 3Cc, 2- , dJoJ Applicant or Agent: . >(OV>'ller: ~~ K6f)?:.~ Address: . 13' h C.20 \" ;~ ,I, ArchitectlEn gineer: Contractor Phone: State License #: Exp: Phone: ~'o 3~ 2- Zip: ZONING: Address: City: '> 'PROJECT ADDRESS: ( 3l 70e2,-::rr Au. ?,A ' LEGAL DESCRIPTION: Lot: CLALLA.M COUNTY PARCEL NUMBER: Block: Subdivision: TYPE OF WORK: SIZEIViI,LUATION: o Residential 0 New COliStr. 0 Re-roof 0 Stove SF. @$ /SF. = $ o Multi-family 0 Addition 0 MoveD Garage SF. @ $ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign 0 Other TOTAL VALUATION .1<$ ~a ~ )s BRIEF DESCRIJ>TION OF THE PROJECT: . ~Jo i" ftv-ICfJ.?'L (fl'iTfl4.T;L)J) {/--I-D0"&-L. - I COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft. Coru;truction Type: = TOTAL Sq. Ft. No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No 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 CRECK 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. EXPlRATION OF PLAN REVIEW: lino 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 Rl05.3.2 of the International BuildinglResidential 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 itis my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to vtprk. ." ... T:\FORMS\BldgPennitform.wpd Applicant: T) P.-Ji.- ~551...~1'~ Date:7!lct ) () l 10/19/2008 21:49 SIMPSON ELECTRIC 4579270 ~IECE~"E[Q) 08-1336 . OCT 2 ~CALWORKPERMITA1'l'LICATJON Job ..irrd by ~ Eleetril!lll Contractor 0 Owner u lulon dacript;on a Coon.......AI ]4 R..._AI S 1Jn'frSit'.. w Elt!ctrlcol ~Qnl\';3.C[O" tl"''"~ ,,-,' m1'J~e.dk.jc. ~;;~; rMUiftlt .MJdrcsB . <5)1-/-303& fJWj /01 cl/Jo1ff f!Jn.ge1~s TeIC{l~OJ"~umb~ FAX Du,n~ ~ '-t=:. 7 -., ~ 70 e7'"" p..ml.., mrJ i.'ifD...b.~.fs ^ddre'~ of tn",edlotl ~ . 13. I n7r(e..s-t A II€.J CUr .p. Pr . Ph.D~ lumber II) Itheelule Iftlpectlo S Owner a.~ defiNed by RCWI9.28.26J:(I) Owltet' will m:!CIIPY file n,'Uclll1'efor two ymr.t ql'te tills (f1<<r:tt'it..'fI/ p~jt is flntlltutL (2) Owrr.pr ;~ f'ft/rtired '0 "'re an eJectriClill tJ.oJttrtJCl6r if nbovlt stlld property Lr for .Mll!, roe"t or ll!tUl!.. After readin(t the abo...c !ItatCmeTlt,. I hcrcby certify m.l I am .lte ('l~ of t?te abov~ ~ pra~ or a liCtnlled clcll:n1eal COIltl'aC(t\1, I fIrT\ ma.kinR die tlcc:trkal Instal- lalion Of altet.,tolt i'ft compliance with thl!! eleetr'ical lawR, N.S.C., RCW. ChBt'tcr 19.28, WAC, Cbaptet 296....68. T 'ty of Porl Angeles Municipal COdDI end Uli1it)' S}JcCI tiftll!l, SIIl"Jlta 0 owner, c)el:trfce aNew ~AIIo"""AddUl.n PAGE 01 ~ \ ~ \N 24 S..", ZIP Wp '1~3~3 l(~--17Ja.sf- ......I11Ct-EIe.. "f~ ::z:nr~~ o Ca.,b 0 Check /I pll Credit Card (fjii) Ma;'terc....d Di9C~ver C~#___~__~~___ Expillllion Date ofean! . Date: /t?-.2tJ-08 Inspec.linn fee $ &:> If. 0"0 ntractor or eleCCrlul A.dmJnl1tntor Electric,,' loA\! ~ a NO LOAD CHANGES a B8.8boBJ'd _ KW I:) F"mf!ce _ KW a Hse,t Pump _ iM _ LAR a Fan-Wall _ KW Sorll1C8 Infonn8tlan o OvemeBd S''''''OA o Temp Set'VfCB a Undelll"OUnd _ VolUlge Pha...a,03 Servk:e SIZe: _ Fsedet Slze: SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417-4735 . - . JlOUGH..1N r 'I1IERMOSfA't SERVlCE bAle ^"pN"'e~ l.\y :---ir.'o IO(?-'1/o;>, "fW " ....Dfl:n"Cd _, \. lJIIte' A~18)' FlNAL r DITCH ftEDER ID{2<-f/d;, ~Oy/ "I" -""/ " "''' ""'" ^..-~ "" Inipectin" A1"'C:a. 8uilding Of Eqlliprnent Inspected Electrical D.ftle Aetion Taken Inspector 10/.1I/dI IJ' uJvJ,,. cl~ L,ft. , , Itf (3:r-,f Olrlr - /4.,.., ,.1I1f11 . -c F- I , - - I _. - :j