HomeMy WebLinkAbout628 Victoria St - BuildingBuilding Permit
628 Victoria St
13 -091
Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 13- 00000091
Application pin number 220667
Property Address 628 VICTORIA ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-1- 3510 -0000-
Application type description RES REPAIR
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 4500
Application desc
INSTALL FOUNDATION ANCHORAGE
Owner
ANGELICA OVIEDO
628 VICTORIA ST
PORT ANGELES
Qty Unit Charge Per
Other Fees
Fee summary Charged
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Print Name
T:Forms /Building Division /Building Permit
WA 983623326
137.75
89.54
4:50
231.79
137.75
89.54
4.50
231.79
Contractor
Permit BUILDING PERMIT RESIDENTIAL
Additional desc FOUNDATION ANCHORAGE
Permit Fee 137.75
Issue Date 2/12/13
Expiration Date 8/11/13
BASE FEE
3.00 14.0000 THOU BL- 2001 -25K (14 PER K)
Paid Credited
.00
.00
.00
.00
Date 2/12/13
EARTH TECH CONSTRUCTION
505 FRESHWATER BAY RD
PORT ANGELES WA 98363
(360) 670 -8811
Plan Check Fee 89.54
Valuation 4500
Due
Extension
95.75
42.00
STATE SURCHARGE 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 he°same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether speoifi d herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or p4.law regulating construction or the performance of
construction.
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of Contrester- or"Authorized Agent Signature of Owner (if owner is builder)
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Electrical
Footings
Stemwall
PW Engineering
417 -4831
Foundation Drainage Downspouts
Fire
Piers
417 -4653
Planning
Post Holes (Pole Bldgs.)
417 -4750
PLUMBING:
FINAL Date
Accepted by
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:
FINAL Date
Accepted by
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
FINAL REQUIRED PRIOR TO OCCUPANCY USE
SEPA:
ESA:
SHORELINE:
Inspection Type
Date
Accepted By
Electrical
417-4735
Construction R.W.
PW Engineering
417 -4831
Fire
417 -4653
Planning
417 -4750
Building
417 -4815
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parking Lighting
Landscaping
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
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.
T:Forms /Building Division /Building Permit
Project Address:
LQ ZS
Main Contact:: P
Phone
Property N
Name P
Mailing Addre §s E
City S
State Z
Zip
Contractor N
Mailing Address E
Emai
Cit �Q S
State Z
Zip 7
Contractor License E
Project Value: e2z Z
Zoning: T
Tax Parcel L
Lot
Type of R
Residential I:. Commercial Industrial Public
Demolition Fire Repair Reroof (tear off /lay over)
For the following, fill out both pages of permit application:
New Construction Remodel Addition Tenant Improvement
Mechanical Plumbing Other
Existing Fire Sprinkler System? M
Maximum height of structure P
Proposed Bedrooms P
Proposed Bathrooms
Project 1
L-61-1\ v N
1
1
.r -e-
i
I have read and completed the application and know it to be true and correct. I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. I understand that the plan review fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. I understand that if the permit is not issued within 180 days of receipt, the application will be
considered abandoned and the fees forfeit.
Date P
Print Name S
Signature
U.S.
321 East 5h Street
Port Angeles, WA 98362
P: 360- 417 -4817 F: 360- 417 -4711
permits @cityofpa.us
Building Permit Application
Permit#
For City Use
Date Received: 3
Date Approved
o 9/
Residential Structures
Area Description (SQ FT)
Existing
Proposed
value
For Office Use
Basement
Medical gas piping
of Outlets:
Water Line
First Floor
Vent piping
Sewer Line
Second Floor.
Other (describe):
Covered Deck /Porch /Entry
Deck
Garage
Carport
Other (describe)
Area Totals
Commercial Structures
Area Descriptions (SQ FT)
Existing
Proposed
Value
For Office Use
Existing Structure (s)
Medical gas piping
of Outlets:
Water Line
Proposed Addition
Vent piping
Sewer Line
Tenant Improvement?
Other (describe):
Other work (describe)
Area Totals
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps
Fuel gas piping
of Outlets:
Water Heater
Medical gas piping
of Outlets:
Water Line
Vent piping
Sewer Line
Industrial waste pretreatment
interceptor
Other (describe):
Lot/Site Coverage Calculations
Footprint (SQ FT) of all Structures:
Lot Size:
Lot Coverage
SQ FT Site coverage (all impervious
structures)
Site Coverage
Indicate how many of each type of fixture to
Air Handier
Appliance Vt
Boiler /Compressor
Fuel Gas Piping
Furnace /Heat Pump/
Forced Air Unit
Size:
Size:
Evaporative Cooler (attached, not
portable)
Size:
Mechanical Fixtures
be installed or relocated as part of this project.
of Outlets:
Haz /Non -Haz Piping
Heater (Suspended Floor, Recessed wall)
Heating /Cooling appliance
repair /alteration
Pellet Stove /Wood- burning /Gas
Fireplace /Gas Stove /Gas Cook Stove /Misc.
Ventilation Fan, single duct
Ventilation System
of Outlets:
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PREPARED 4/01/13, 114757
PROGRAM BP521L
CITY OF PORT ANGELES
APPLICATION PROPERTY ADDRESS
STRUCTR PERMIT
INSPECTION HISTORY REPORT
0/00/00 THRU 0/00/00
ASSESSOR PARCEL NUMBER ALTERNATE ID
INSPECTION
13 00000091 628 VICTORIA ST 06-30-00 5 1 3510-0000-
000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL99 0001 BLDG FINAL 2/14/13 APPROVED
REQ COMM: February 13, 2013 113839 AM pbarthol.
REQ COMM: Jason 670-8811
RES COMM: February 14, 2013 120720 PM pbarthol.
PAGE 1
RESULT DATE/STATUS INSPECTOR
PB
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street — F.O. Box 1150 / Fort Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: -3 `/
Ki & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: A V tC 7-b o
Building Square Footage:
Desc#tlon of above DV cT`2_G�1
Owner Information
Name: t N G
Mailing Address:
City: Slate: Zip:
Phone: Y V7- 4F-YY9 _ e. q 1,2 t !( N�
License 41 Exp.
Item
Unit Charge
ServicelFeeder.200 Amp,
$120.00
ServicelFeeder 201.400 Amp.
$146.00
Service /Feeder 401 -600 Amp
$ 205.00
ServicelFeedor 601 -1000 Amp.
$ 262.00
ServicelFeeder over 1000 Amp,
$ 373.00
Branch Circuit Wl Service Feeder
$ 5.00
Branch Circuit W!0 Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 5,00
Branch Circuits 14
$ 75.00
Temp, SerVicel Feeder 200 Amp,
$ 93,00
Temp, ServfcelFeeder 201.404 Amp,
$110,00
Temp. ServicelFeeder401.600 Amp.
$149.00
Temp, ServicelFeeder 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
Contract fRr ation
Name: cU
Mailing Address:
City: Slate: zip:
Phone: Fax:
License # f Exp.
z—z-
Qty Total (Qtv Multiplied by Unit Charge)
$
$
$
$
$
$
$
$ 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 alter tlon in compliance with the electrical laws, N.E,C,, RCW. Chapter 19.28, WAC. Chapter 298 -46B, The City of Part
Angeles Munici al Co , a d tility Specifications and PAMC 14.05.050 regarding Electrical Permf Applications,
Signature ner eEe r' l contractor or electrical administrator: ❑ Cash Check
❑ Credit Card f#
X Dated: 0110112012
1
Application Number . , . . .
Application pin number . , .
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name , . . , ,
Property Use . . . . , . . ,
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
14- 00001192 Date 10/06/14
921832
626 VICTORIA ST
06-30-00-5-1- 3510 -0000-
ELECTRICAL ONLY
Application valuation . . . . 0
Application desc
Ductless heat. pump
Owner
Contractor
RESULTS:
RICHARD E CLARK
DITCH
BLACK DIAMOND ELECTRICAL CONTR
628 VICTORIA ST
502 BLACK DIAMOND RD
SERVICE
PORT ANGELES
WA 983623326
PORT ANGELES
WA 98363
ROUGH -IN
(360) 565 -1035
Permit , . , , . ,
ELECTRICAL ALTER RESIDENTIAL
Additional desc .
COMMENTS:
Permit Fee
63.00
Plan Check Fee
00
Issue Date
10/06/14
Valuation . . . .
4
Expiration Date
4/04/15
Qty Unit Charge
Per
Extension
1.00 63.0000
ECH EL -R-
BRANCH CIR WO/ SER FEED
63.00
Fee summary Charged
Paid Credited
'
Due
Permit Fee Total
63,00
63,00 QO
00
Plan Check Total
.00
.00 .00
.00
Grand Total
63.00
63.00 .00
,00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
/D 11
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING