HomeMy WebLinkAbout2321 S Francis St - BuildingBuilding Permit
2321 S Francis St
12 -1572
Owner
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
1.00
1.00
1.00
Other Fees
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:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
ADD DOOR SINK EXIT SIGNAGE
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES
Permit BUILDING PERMIT COMMERCIAL
Additional desc NEW DOOR CLASSROOM- BATHROOM
Permit Fee 59.15 Plan Check
Issue Date 12/03/12 Valuation
Expiration Date 6/01/13
Qty Unit Charge Per
BASE FEE
3.00 3.0500 HND BL- 501 -2K
Qty Unit Charge Per
7.0000 EA
7..0000 EA
7.0000 EA
Fee summary Charged
WA 983626710
PLUMBING PERMIT
INSTALL NEW SINK
71.00
12/03/12
6/01/13
130.15
38.45
4.50
173.10
12- 00001572
162064
'2321 S FRANCIS ST
06-30-10-5-1- 0900 -0000-
COMM REMODEL
RESIDENTIAL MEDIUM DENSTY
750
Contractor
OWNER
(3.05 PER C)
BASE FEE
PL- PLUMBING TRAP
PL -WATER LINE
PL -DRAIN VENT PIPING
STATE SURCHARGE
Plan Check Fee
Valuation
Paid Credited
Fee
130.15 .00
38.45 .00
4.50 .00
173.10 .00
Date 12/03/12
38.45
750
Extension
50.00
9.15
.00
0
Extension
50.00
7.00
7.00
7.00
4.50
Due
.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 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 w regulating construction or the performance of
constr ctio I
1 tai 6(gttA
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
.D ate Print Name Signature of Contractor 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 Stab
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
Watts Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
FINAL Date
Accepted by
Heat Pump Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
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 INSPECT IONS
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:
Main Contact:
I
X41 4 s b
Phone tO �O5 2&
E -Mail: a, e.„.
Property
Owner
Name d (I 1 i I L
1
A(
Phone i
Vii)gd r� s
�A�,
Email
City
1
State
Zip
Contractor
Name
X, /70(45-e.
Phone
Mailing Address
Email
City
State
Zip
Contractor License
Expiration:
Project Value:
Zoning:
Tax Parcel
Lot
Type of
Permit
Residential Commercial Industrial Public
Demolition Fire Repair Reroof (tear off /lay over)
For the following, fill out both pages of permit application:
New Construction Remodel czi Addition Tenant Improvement
Mechanical 1 Plumbing Other
Existing Fire Sprinkler System?
Yes No a
Maximum height of structure
Proposed Bedrooms
Proposed Bathrooms
Project
Description
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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.
ate i
3 I (2'
Print Name
0 Niqt-- tg1001,
Signa
ire
i i 1
I
THE
CITY OF
W A S
ORT ANGELES
321 East 5th Street
Port Angeles, WA 98362
P: 360 417 -4817 F: 360- 417 -4711
permits @cityofpa.us
H I N G T O N, U.S.
Building Permit Application
For City Use
Permit# l,2 —(1
Date Received:
Date Approved
l� 3'
3 /a--
Mechanical Fixtures
Residential Structures
Area Description (SQ FT)
Existing
Proposed
value
For Office Use
Basement
Heater (Suspended, Floor, Recessed wall)
Boiler /Compressor
First Floor
Heating /Cooling appliance
repair /alteration
Evaporative Cooler (attached,-not
portable)
Second Floor
Fuel Gas Piping
of Outlets:
:Ventilation Fan, single duct
Covered Deck /Porch /Entry
Size:
Ventilation
4#
77
Deck
sg/ 4'
Other (describe):
1Al S
l Ai et
s!�✓� Wt i N r !K7` :/fl7 J- -W»
Garage
Carport
Other (describe)
1 t-
r
•Area'Totals
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler
Size:
'Haz /Non -Haz Piping
of Outlets:
Appliance Vent
Heater (Suspended, Floor, Recessed wall)
Boiler /Compressor
Size:
Heating /Cooling appliance
repair /alteration
Evaporative Cooler (attached,-not
portable)
Pellet Stove /Wood- burning /Gas
Fireplace /Gas Stove /Gas Cook Stove /Misc.
Fuel Gas Piping
of Outlets:
:Ventilation Fan, single duct
Furnace /Heat Pump/
Forced Air Unit
Size:
Ventilation
;Commercial; Structures;
Area Descriptions (SQ FT)
1 `fi
Existing
Proposed
t
$$,Value, ,F
1 For•Office Use
r
Existing Structure (s)
Proposed Addition
Water Heater
Tenant Improvement?
Medical gas piping
#•of Outlets:
Water Line
Other work (describe) f /Apai otN
ha.
4109:11
le 3
0A/k
g.O
F 0c9
�S�
Area Totals !.4,5 ,ff p
4 19 4 42 4/ Ale..../
Lot/Site Coverage Calculations
Footprint (SQ FT) of all Structures:
Lot Size:
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps
Site Coverage
Fuel gas piping
of Outlets:
Water Heater
Medical gas piping
#•of Outlets:
Water Line
X
Vent piping
Sewer Line
4#
77
Industrial waste pretreatment
i '1 t
sg/ 4'
Other (describe):
1Al S
l Ai et
s!�✓� Wt i N r !K7` :/fl7 J- -W»
Lot/Site Coverage Calculations
Footprint (SQ FT) of all Structures:
Lot Size:
Lot Coverage
SQ FT Site coverage (all impervious
structures)
Site Coverage
T: \BUILDING \APPLICATION FORMS \BUILDING PERMIT 081212.DOCX
O C,
3
FILE
e e 641
x( I sly A
r/4“
R AI
�Gvti
1Q e
3 o c l o t" f
CITY OF PORT ANGELES Constra:rtiu7 Ph- :13
The lssuance of this permit tr ^:f upon these plans, sp;ci
cations-and other data shell not prevent the building official
from thereafter requiring the correction of errors in said
plans, specifications and other data, or from preventing
building operations byzing carried on thereunder when in
iolation of all codes and ordinances of this jurisdiction.
.Appr
7.
Issue Date
Parcel Number
Property Address
Subdivision Name
Legal Description
Property Zoning
Owner
Contractor
Application number
Description of Work
Construction type
Occupancy type
Flood Zone
Special conditions
Approved
C E R T I F I C A T E
OCCUPANT:
CITY OF PORT ANGELES
321 E 5TH STREET
P.O. BOX 1150
PORT ANGELES WA 98362
P E R M A N E N T
1/28/13
O F O C C U P A N C Y
06-30-10-5-1- 0900 -0000-
2321 S FRANCIS ST
PORT ANGELES
DANN!S PARK ADDITION ALL BL 9
RESIDENTIAL MEDIUM DENSTY
HOUSING AUTHORITY OF CLALLAM
12- 00001572 000 000
COMM REMODEL
TYPE V NON -RATED
EDUCATIONAL
FLOOD ZONE C
OLYMPIC COMMUNITY ACTION
803 W PA'.R- -AVE u__.._.
PORT NSEND„
Buildi Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
WA 98362
PREPARED 4/01/13, 100752 INSPECTION HISTORY REPORT PAGE 1
PROGRAM BP521L 0/00/00 THRU 0/00/00
CITY OF PORT ANGELES
APPLICATION PROPERTY ADDRESS
STRUCTR PERMIT
12 00001572 2321 S FRANCIS ST
000 000 BPC 00 BUILDING PERMIT COMMERCIAL
REQ COMM:
REQ COMM:
REQ COMM:
RES COMM:
000 000 PL 00 PLUMBING PERMIT
000 000 PL 00 PLUMBING PERMIT
ASSESSOR PARCEL NUMBER ALTERNATE ID
INSPECTION
RESULT DATE/STATUS INSPECTOR
06-30-10-5-1-0900-0000-
BL99 0001 BLDG FINAL 1/28/13 APPROVED
January 28, 2013 84109 AM pbarthol.
Cressy 582-3712
*******************Between 2-4
JLL
PL2 0001 PLUMBING ROUGH-IN 1/15/13 APPROVED JLL
REQ COMM, January 15, 2013 90925 AM pbarthol.
REQ COMM, Mark 452-8525
RES COMM, January 15, 2013 41646 PM jlierly.
PL99 0001 PLUMBING FINAL 1/28/13 APPROVED JLL
REQ COMM: January 28, 2013 8:4133 AM pbarthol.
REQ COMM: Cressy 582-3712
RES COMM:
Electrical Permit
2321 Francis St
12 -1263
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
i /13
w
FINAL
41,C
COMMENTS:
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
1 -4 circuits HP
Owner
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES
WA 983626710
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
12- 00001263
645727
2321 S FRANCIS ST
06-30-10-5-1- 0900 -0000-
ELECTRICAL ONLY
RESIDENTIAL MEDIUM DENSTY
0
Contractor
OLYMPIC ELECTRIC CO INC
4230 TUMWATER
PORT ANGELES
(360) 457 -5303
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 86.00 Plan Check Fee
Issue Date 9/27/12 Valuation
Expiration Date 3/26/13
Qty Unit Charge Per
Special Notes and Comments
September 27, 2012 4:24:44 PM tamiot.
old furnace was 15kw heat, new 10kw with heat pump.
minimal load change
September 27, 2012 4:23:26 PM tamiot.
old furnace had 15kw each new heat pump and 10kw.
minimal load change.
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
86.00
.00
86.00
BASE FEE
Signature of owner or Electrical Contractor X
G:\EXCHANGE\BUILDING
Paid Credited
86.00
.00
86.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
.00
.00
.00
Date 4/30/13
WA 98363
Due
.00
0
Extension
86.00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Date:
09/26/2012 12:09 FAX 360 452 3498.
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) 417 -4711
Date: C a 14 XMulti-Family or Commercial'
Owner Information
Name:
Mall' Address: D 1P4,( X ag. 0 M 11
City: Shale: V 14.21p:
Phone: Fax:
Cleanse 4 Exp.
X17 bb s15 a f] I
Item
Servios/Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service/Feeder 401 -600 Amp
Service /Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4-
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201 -400 Amp.
Temp. Service/Feeder 401 .600 Amp.
Temp. Servlce/Feeder 601 -1000 Amp
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy- Multi- Family
Signal Circuit/ Limited Energy First 1500 sf
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy 5KVA System or Less
Thermostat
Note: $5.00 for each additional T-Stat
Unit Charne
132.00
$160.00
225.00
268.00
410.00
5.00
74.00
5.00
86.00
102.00
121.00
164.00
185.00
96.00
88.00
6(00
Commercial 96.00
$1
56.00
Signature of owner, electrical contractor or electrical administrator:
Olympic Electric Co. 19001/001
gti
r
Plan Review May Be Required, Please Complete Electrical Plan Review Info ion Sheet
Job Address: J- 3 P- r. CA c .3 -IJD �'S ►'�,r 1A) "1:)
Building Square Footage:
Description of above 41----to .tit. .1 r..
Liso 4(.0 3:71L
Contractor nformatlon
Name: 0 CJ e to v
Marlin. Address:
City: r 1S'97! lam: p: 3
Phone:! Fax: N S Z. °l'� e
Lferee r LY MP _C,..'0..?..)S M
Total (Qty Multiplied by Unit Choreal
6B 33 ;3
1.0 w
s 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.
ARer 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 and PAMC 14.05.050 regarding Electrical Permit Applications_
Cash Cl Chock
(31 Crxdll Cling
01101/2012