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HomeMy WebLinkAbout115 W 3rd St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 amp service 60 SP 6circuits Owner COSTA PHILIP G 111 W 3RD ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 6 00 2 00 Fee summary Permit Fee Total Plan Check Total Grand Total Unit Charge Per 2 6000 ECH 119 9000 ECH WA 983622824 ELECTRICAL 179788 255 40 1/05/11 7/04/11 Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 11 00000005 375100 iic yi.T 3RD ST 06 30 00 0 0 5368 ELECTRICAL ONLY UNKNOWN 0 Contractor BOTERO SON ELECTRICAL 940 TAMARACK WAY PORT ANGELES WA 98362 ALTER RESIDENTIAL Plan Check Fee Valuation EL BRANCH CIRCUIT W /FEEDER EL 0 200 SRV FEEDER Special Notes and Comments January 3 2011 4 46 56 PM Brian 417 4708 Extend service mast through roof to obtain clearances over yard and at house Charged Paid Credited 255 40 255 40 00 00 00 00 255 40 255 40 00 INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION DATE. �)i r )c) lcl is 1iiht I Il a ll1 Date 1/05/11 REPORT SALES TAX 0000 on your excise tax form to the City of Port Angeles (Location Code 0502) 4 451 1 -1166 Due RESULTS rkp 0 00 00 0 0 Extension 15 60 239 80 INSPECTOR. Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax. (360) 417 -4711 *Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet Job Address: 1/‹... /a) daft' Building Square Footage: Description of above Owner Information Name: 4'7'7 C Lt_44 i4L07?J f 1 Mailing Address: City State: Zip: Phone: Fax: License Exp. Item Unit Charge Service /Feeder 200 Amp. $119.90 Service /Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service /Feeder 401 -600 Amp. 148.70 Temp. Service /Feeder 601 1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited. Energy First 1500 sf Commercial 95.90 Note $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY. First 1300 Square Ft. 110.30 Each Additional 500 Square Ft, or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 Signature of owner electrical contractor or electrical administrator Qty Check ECE IVED 1 JAN 2 2011 ELECTRICAL INSPECTIONS 254" `t° Total Cash redit Card c 1 va Dated: v 0'I 10112010 Da �{"f 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* K=rtq P2 G/1/) Contractor for ation Name: Y e25 Mailing Address: Of </el %r""A w p /*..,A, Cam City 7 State: /,uA Zip: C G2— Phone: t 2 Fax: ii-c-o 4 /l License Exp. Igc 7 (1 Total (Qty Multiplied by Unit Charge) 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 1 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.0 RCW Chapter 19.28, WAC Chapter 296 -46B The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14 05 regarding Electrical Permit Applications. PREPARED 12/17/10 8 19 51 CITY OF PORT ANGELES ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ BL99 01 115 W 3RD ST EVELYN ANNE PULLMAN FAMILY AFFAIR CONSTRUCTION INC EVELYN ANNE PULLMAN 06 30 00 0 0 5364 0000 10 00000914 SIDING BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 12/17/10 INSPECTION TICKET INSPECTOR JAMES LIERLY BLDG FINAL TIME 01 00 December 17 2010 8 14 12 AM 1pangrle EVELYN 460 6738 BUILDING FINAL RE SIDED TWO SHEDS AFTERNOON PLEASE CALL SUBDIV 1 e1 COMMENTS AND NOTES PHONE (360) 683 1924 PHONE (360) 460 6738 10 MINUTES BEFORE YOU GET THERE PAGE DATE 12/17/10 a \I 40, s ou 0 Q; Owner EVELYN ANNE PULLMAN 115 W 3RD ST PORT ANGELES (360) 460 6736 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Other Fee Total Grand Total T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc RE SIDING THE HOUSE GARAGE SHED Qty Unit Charge 3 00 14 0000 Other Fees Fee summary WA 983622824 BUILDING PERMIT NO PR FEE RE SIDING HOUSE GARAGE SHED 172130 137 75 Plan Check Fee 00 8/25/10 Valuation 5000 2/21/11 Per BASE FEE THOU BL -2001 25K Charged Paid 137 75 00 4 50 142 25 10 00000914 124708 115 W 3RD ST 06 30 00 0 0 5364 0000 EVELYN ANNE PULLMAN SIDING RESIDENTIAL HIGH DENSITY 5000 STATE SURCHARGE 137 75 00 4 50 142 25 Contractor FAMILY AFFAIR CONSTRUCTION INC 375 47 FASOLA RD SEQUIM WA 98382 (360) 683 1924 (14 PER K) Credited Due 00 00 00 00 Date 8/25/10 Extension 95 75 42 00 4 50 00 00 00 00 G,t/I 12WJ 0' REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) a\e-6 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 ,e).__sit Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts 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 Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting l ESA. Landscaping I SHORELINE. T /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Date Accepted By 1'Z -f -I® 1t- Applicant V t q, k.i t' Pu wA_ 4.v\ Phone Property Owner y r vEly P,.1(1.k.vi Phone Property Owner's Address (A rc.( S WO( k\- A e to Contractor A irk' ovvS Fami 64 A FPA. r Coin gone Contractor's Address l 4 F-a.5 of a. vG\ �,ec�:w. uov's License .FAM l A c o (S \O Expires E -mail PROJECT ADDRESS t (iv %(S 6 Qh[k Am eCe Li /A Lot Zoning Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel 2epair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Site Coverage the amount of impervious su and other impervious surfaces (see PAMC 1 Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? 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 Residential Re- 5 <-a 44005 r I�- Heat pump wood- burning stove gas fireplace pellet stove other Existing (sq. ft.) Posed (sq. ft.) 1/ sq ace �!l�lulfi- family Commercial Industrial TOTAL VALUATION S Q 0 J ft. Lot size cq. ft. a parcel including structures ve driveways sidewalks patios 135 for exemptions) Site coverage Occupancy group Occupant load Construction type For City Use Only Date Received 8 -Z4-- O Permit 10- giL1. Date Approved G7 5 LA C' 36 f77 -0A s �S3ga t2 -16.. to PrhietALiek perryul- 1saeA_ 4f D o Bi e l c /wr it v.-es h n y i h e -Fv-17, rye a Vl4 er clxr19 4ineA" ever -n 46 iviciuc a i hsuial c� om tear off re -roof lay over one layer per sq ft. of bedrooms of full baths of half baths 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. Dateoo `1 /ID Print Name �i —(v1A PV I ait a 14 Signature 1 T /Building Division /Building permit application 1 Clallam County Assessor Treasurer Property Details 56097 EVELYN ANNE PULL Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 56097 EVELYN ANNE PULLMAN for Year 2010 2011 ;Property Account Property ID Geographic ID Type. Tax Area. Open Space. Historic Property' Multi- Family Redevelopment: Township Range: Location Address: Neighborhood: Neighborhood CD' Owner Name Mailing Address. Taxes and Assessment Due 56097 0630000053640000 Real 0010 N N N Property Tax Information as of 08/24/2010 Amount Due if Paid on: M. 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property' 115 W THIRD ST PORT ANGELES WA 98362 Cycle 5 Res 10955130 EVELYN ANNE PULLMAN 115W 3RD ST PORT ANGELES WA 98362 2824 Year Statement ID Taxing Jurisdiction ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 WSMET PK DIST WILLIAM SHORE MET PARK 2009 2009 2009 2009 2009 2009 2009 2009 39155 39155 39155 39155 39155 39155 39155 39155 39155 39155 560972008 560972008 560972008 560972008 560972008 560972008 560972008 560972008 CITY STORMWATER CITY STORMWATER WEED CONTROL WEED CONTROL 2010 39155 TOTAL. ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 CITY STORMWATER CITY STORMWATER Legal Description: Agent Code Section. Mapsco Map ID' Owner ID Ownership Exemptions. First Half Base Due $163 91 $87.23 $12.26 $201 96 $212.30 $25 34 $35 78 DIST $11 38 $36 00 $0 82 $786.98 $333 49 $168 67 $23 91 $361.27 $343 69 $49 04 $69.22 $70 93 LOT 16 BL 53 11 N N 194097 100 0000000000% Second Half Base Due Penalty Interest Base $163 91 $0 00 $0 00 $32 $87.21 $0 00 $0 00 $17 $12.26 $0 00 $0 00 $2 $201 95 $0 00 $0 00 $4C $212.31 $0 00 $0 00 $42 $25 35 $0 00 $0 00 $35 79 $0 00 $0 00 $7 $11 39 $0 00 $0 00 $2 $36 00 $0 00 $0 00 7 $0 81 $0 00 $0 00 9 $786.98 $0.00 $0.00 $157 $0 00 $0 00 $0 00 $3: $0 10 $0 00 $0 00 $1€ $0 00 $0 00 $0 00 $2 $0 00 $0 00 $0 00 $3€ $0 00 $0 00 $0 00 $34 $0 00 $0 00 $0 00 $4 $0 00 $0 00 $0 00 $E $000 $000 $000 $7 http. /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =56 8/24/2010 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 30 amp sub panel to garage Owner JOHNSTON SHARON J 115 W 3RD ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98362 147447 93 75 6/03/09 11/30/09 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000540 036960 115 W 3RD ST 06 30 00 0 0 5364 0000 ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 Contractor ELECTRICAL ALTER RESIDENTIAL BOTERO SON ELECTRICAL 940 TAMARACK WAY PORT ANGELES DATE Plan Check Fee Valuation Qty Unit Charge Per 1 00 93 7500 ECH EL 0 200 SRV FEEDER Charged Paid Credited 93 75 93 75 00 00 00 00 93 75 93 75 00 Date 6/03/09 WA 98362 Due 00 00 00 RESULTS 00 0 Extension 93 75 Signature of owner or Electrical Contractor X Date INSPECTOR. City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph. (360) 417-4735 Fax: (360) 4 7.4711 Date: (2 1! 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition I Alteration Remodel I Repair* Plan Review May Be Required, Please Complete Electrical Plan Review In ormation S eet m Job Address: l t.� 7 z -J Roe, e. r: ri Building Square Footage: /'d r7 Description of above 4 /TAN.. -Ind OC) C. 4v /UC /A L-C' Nom., i t i �'l n_ A b J e". Owner Information Contracto).: for lion Name: Name: S n le.— 7 c l/0 Mailing Address: Mailing Address: 9 yr, 7 ,..u. Ac..wrlG City State: Zip City State. Zip _98 Phone: Fax: Phone.Y&/ 9'9.? Fax: 4 ./s v l License Exp License Exp. l3 p% e 5.4 3 -D gam Unit Charge Total (Qty Multiplied by Unit Charge) 93.75 9j Service /Feeder 200 Amp. $113.75 Service /Feeder 201 -400 Amp. $160.00 Service /Feeder 401 -600 Amp. $205.00 Service /Feeder 601 1000 Amp. $291.25 Service /Feeder over 1000 Amp. 2.00 Branch Circuit W/ Service Feeder 57.50 Branch Circuit W/O Service Feeder 2.00 Each Additional Branch Circuit 72.50 Temp. Service/ Feeder 200 Amp. 86.25 Temp. Service /Feeder 201 -400 Amp. $116.25 Temp. Service /Feeder 401 -600 Amp. $131.25 Temp. Service /Feeder 601 1000 Amp. 75.00 Portal to Portal Hourly 69.00 Sign /Outline Lighting 75.00 Signal Circuit/ Limited Energy Commercial 50.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling 50.00 Signal Circuit/ Limited Energy Multi Family Dwelling 93.75 Manufactured Home Connection 80.00 Renewable Electrical Energy 5KVA System or Less 86.25 First 1300 Square Ft. 27,50 Each Additional 500 Square Ft. or Portion of 57.50 Each Outbuilding or Detached Garage 86.25 Each Swimming Pool or Hot Tub 43.75 Thermostat '73 Total Owner as defined by RC W.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 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 Code, and Utility Specifications. Signature of owner electrical ep ntractor or electrical administrator g/(79' Date. RECEIVED JUN 3 2009 LIGHT DEPT. Cash Check &Credit Card PREPARED 4/28/08 9 31 28 INSPECTION TICKET PAGE 15 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/28/08 ADDRESS 115 W 3RD ST SUBDIV CONTRACTOR SOLOMON S KEY CONSTRUCTION INC PHONE (360) 452 4480 OWNER TRACHY CLINTON PHONE PARCEL 06 30 00 0 0 5364 0000 APPL NUMBER 08 00000457 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 4/28/08 J L BLDG FINAL April 28 2008 9 00 35 AM 1pangrle ll JIM 460 7908 BLDG FINAL RE ROOF COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL COMP OVER 3 TAB Owner TRACHY CLINTON 115 W 3RD ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 98362 Qty Unit Charge Per 1 00 14 0000 THOU Other Fees Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand Total T Forms /Building Division/Building Permit (10 /0l /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 INSTALL COMP 124867 109 75 4/18/08 10/15/08 109 75 00 4 50 114 25 08 00000457 294557 115 W 3RD ST 06 30 00 0 0 5364 0000 RE ROOF RESIDENTIAL HIGH DENSITY 2818 BUILDING PERMIT NO PR FEE OVER 3 TAB BASE FEE BL -2001 25K (14 STATE SURCHARGE Paid Credited Due 109 75 00 4 50 114 25 Contractor Date 4/18/08 SOLOMON S KEY CONSTRUCTION INC 214 S LAUREL ST PORT ANGELES WA 98362 (360) 452 4480 Plan Check Fee Valuation PER K) 00 00 00 00 00 2818 Extension 95 75 14 00 4 50 00 00 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 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. ii ?)3 1 4 /f£S iO coo t /l'► Date Print Name Signore of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 IQ INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. 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 FIRE I PLANNING DEPT I BUILDING 417 -4807 417 -4653 417 -4750 I T Forms/Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD YES I ILL- 417 -4815 I i% 7 c I ILL- ACCEPTED COMMENTS NO 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 PLANNING DEPT I BUILDING DATE DATE DATE ACCEPTED BY. ACCEPTED BY. ACCEPTED YES I NO 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 For City Use Onl Date Received 4- -off Permit 3— S7 Date Approved4 -/F3- Applicant or Agent SoLCm !ice y (0NS7 j C Property Owner c_,rn) To i r4 'C O Y Property Owner's Address ti c, 3 R 0 17 e r4 w Contractor /Engineer Contractor /Engineer's Address 2/1i s LA IQ E C 5 l A/, w A e3 P 36 2 License 5'b C ©o'► k C ci ii-L)-A) Expires Pg 9& qk 200 I 4N6. cE- S 1,04 98361 PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair XRe -roof Demolition Heat System Other I N 0, 3RD s i Residential Commercial Floor Areas Existina (sa. ft.) Proposed (g. ft.) Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq ft. Lot size 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 Phone Phone Lot Zoning y 2 9-Y RD 4/57 y-ci O TOTAL VALUATION Multi- family Industrial Heat pump wood burning stove gas fireplace pellet stove other per sq ft. sq ft. Lot coverage of bedrooms of full baths of half baths 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. p Datev� /S/ l 6 8 Print Name d 0 Ro$ Signature ,P/ri U /11'1,01 6 (P5) T Forms /Building Division /Bldg Permit Appl. 2006 Code doc Solomon's Key Construction, Inc. 214 S Laurel St. Port Angeles, WA 98362 (360) 452 -4480 Name Address Clinton Trachy 457 -4910 115 3rd st. Port Angeles, WA 98362 2824 Description Install approximately 15 squares of 30 year pabco mocha colored composition shingles with algae resistance. Labor for installation. Final balance due upon completion. Contract Proposal Total Date I Estimate 4/18/2008 4270817 Project Qty Cost Total 1,500.00 1,500.00 1,100.00 1,100.00 218.40 218.40 $2,818.40