HomeMy WebLinkAbout1414 E 1st St - Building Building Permit
1414 E 1St St
13 - 187
THS
CITY °FORT ANGFLES For City Use
WASHINGTON , U . S .
Permit# /3 " �° 2"
Date Received: 6/7//3
321 East 5th Street
Port Angeles, WA 98362 Date Approved '/V/,3
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address:
14/11 F l 5 f S'- r-a+ �Q(+ illyttkt u S/ (A)/ irito 2-
Main Contact: Phone # 2 O CP - - ° 3 S8'
(.70(fizz E-Mail:
l ve . Coal
Property Name Phone
P GA pr Q2 + 9
Owner Mailing Address Email
2 SLz. 1_, 3u ft-, / S-
City State Zip
Di5 Mo,%IS, 180g
Contractor NamePhone
L� 1,'dcty Lod - -
Mailing Address Email
2 32.2 L 1)-fl‘ A"•{- S
City State Zip
2 s oik.e S, ti t'} ci /11?
Contractor License # Expiration:
Project Value: Zoning: Tax Parcel # Lot#
D
Type of Residential 0 Commercial 0 Industrial 0 Public 0
Permit Demolition 0 Fire 0 Repair 0 Reroof(tear off/lay over) 0
For the following, fill out both pages of permit application:
New Construction 0 Remodel 0 Addition 0 Tenant Improvement 0
Mechanical 0 Plumbing 0 Other 0
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes 0 No 0
Project 'c 5174-4 S 441 4
Description
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 Print Name Signature
D 0 7/2013 �;A r p�z-+ s,1,N5 •
� / i
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions (SQ FT) Existing Proposed $$Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Area Totals
Lot/Site Coverage Calculations
Footprint(SQ FT)of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverage(all impervious+ %Site Coverage
structures)
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 # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System
Forced Air Unit
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):
T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX
F CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number 13-00000187 Date 2/20/13
Application pin number . . 177645
"- Property Address 1414 E 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-6-0095-0000- REPORT SALES TAX
Application type description PLUMBING PERMIT
Subdivision Name on your state excise tax form
Property Use to the City of Port Angeles
Property Zoning COMMERCIAL ARTERIAL
Application valuation . . . 500 (Location Code 0502)
Application desc
REPAIR GALV WATER LINE
Owner Contractor
HOLIDAY LODGE LLC OWNER
23226 30TH AVE
DES MOINES - WA 98198
(206) 384-9388
Permit PLUMBING PERMIT
Additional desc . REPAIR LEAK IN WATER LINE
Permit Fee . . . 57.00 Plan Check Fee . . .00
Issue Date . . . 2/20/13 Valuation . . . . 0
Expiration Date . 8/19/13
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.0000 EA PL-WATER LINE 7.00
Fee summary Charged Paid Credited Due
Permit Fee Total 57.00 57.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.00 57.00 .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 requiredinspectionshave 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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
• BUILDING PERMIT INSPECTION RECORD • 0
/ •
- 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 417-4885
IT IS UNLAWFUL TO COVER.INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT'NN.CONSPIC000S 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 FINAL Date Acod by
AIR SEAL:
Walls
Ceding Y-
FRAWNG:
Joists!Ezra I Under Floor
Shear Wall/ladd Downs
Walls/Roof/Ceig'
11 'Braced Panel Only)
't�
INSULATION:
Slab
Walt!Floor/Ceiling
MECHANICAL:
Heat Pump/Fumace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES: •
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Pormlt#fs SEPA:
Parking/Ltg ESA: ePlb
Landscaping SHORELINE: r�
• RL flVSPLCTIONS R )PRIOR ro OCCUPANCY/USE . .' •
Inspection Type , Date • .• Accepted Sy•
-, I
.Eieciticed • 417-4735
Construction-R.W. PW /Engineering 417-4831
Fire ` • 417-4653 • '
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
.
PREPARED 8/14/13, 13:42:27 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/14/13
ADDRESS . : 1414 E 1ST ST SUBDIV:
CONTRACTOR : PHONE :
OWNER . . HOLIDAY LODGE LLC PHONE : (206) 384-9388
PARCEL . . : 06-30-00-5-6-0095-0000-
APPL NUMBER: 13-00000187 PLUMBING PERMIT
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 2/21/13 JLL PLUMBING ROUGH-IN
2/21/13 AP February 21, 2013 10:08:41 AM permits.
Gurpreet 206-384-9388
February 21, 2013 12:43:55 PM jlierly.
PL99 01 8/14/13 AugusING FINAL
141E?
August 13, 2013 4:22:52 PM jlierly.
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
Sign circuit
ELECTRICAL PERMIT
CITY OF PORT ANGEL
360-417-4735 1
14-00001112 Date 5/11/15
403960
1414 E 1ST ST
06 -30 -00 -5 -6 -0095 -0000 -
ELECTRICAL ONLY
COMMERCIAL ARTERIAL
0
Owner
Contractor
RESULTS:
HOLIDAY LODGE LLC
DITCH
BLACK DIAMOND ELECTRICAL CONTR
23226 30TH AVE
502 BLACK DIAMOND RD
SERVICE
DES MOINES
WA 98198
PORT ANGELES
WA 98363
(206) 384-9388
(360) 565-1035
Permit
ELECTRICAL
ALTER COMMERCIAL
Additional desc
DOUBLE FEE
Permit Fee . . .
. 176.00
Plan Check Fee
QO
Issue Date . . .
9/17/14
Valuation
0
Expiration Date .
9/21/15
Qty Unit Charge
Per
Extension
'BASE
FEE
88.00
1.00 88,0000
ECH EL -COMM
-SIGN
88.00
Fee summary
Charged
-----------
Paid Credited
Due
Permit Fee Total
176.00
176.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
176.00
176.00 .00
.00
N
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502) —j
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR.
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor
G:\EXCHANGE\BUILDING
I
0111,011 milli
Uf l"T' *F FWXY MI UE
360-417-4735 1
Application Number , . . . .
14-00001112 Date
9/17/14
Application pin number . . .
403960
DITCH
Property Address . .. . . . .
1414 E 1ST ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -5 -6 -0095 -0000 -
SERVICE
ROUGH -IN
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . .
FINAL
COMMENTS:
Property Use . . . . . . .
Property Zoning
COMMERCIAL ARTERIAL
Application valuation
0
Application desc
Sign circuit
Owner
Contractor
HOLIDAY LODGE LLC
..........
BLACK DIAMOND ELECTRICAL
CONTR
23226 30TH AVE
502 BLACK DIAMOND RD
DES MOINES WA 98198
PORT ANGELES
WA 98363
(206) 384-9388
(360) 565-1035
Permit ELECTRICAL
----------
ALTER COMMERCIAL
Additional desc
Permit Fee 88.00
Plan Check Fee
Issue Date 9/17/14
Valuation
0
Expiration Date 3/16/15
Qty Unit Charge Per
Extension
1.00 88.0000 ECH EL -COMM
-SIGN
88.00
Fee summary Charged
Paid credited
Due
Permit Fee Total 88.00
88,00 00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 88,00
88,00 ,00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X_., . ..... Date:
G:\EXCHANGE\BUILDING
I
I
ri way (a 'o rFn I 4111ED
��fi M% i I w, r 1
SEI 1 2014
ITY OF PORT ANGELES PERMIT APPLICATION
Buildingb
BuildDivision/Electrical Inspections [p EC"'� "�
Ii IIIIIiiI I.
lam
ted
321 East Fifth Street— P.O. Box 1150 / Port Angeles Washington, 98362 I SI°:w OIi''K
Ph: (360) 417--4735 Fax: (360) 417-4711
Date: ' 6 — / � _ Multi -Family or Commercial*
* Plan Review May Be Required Pleise "ornplete Electrical Plan Review Information Sheet
Job Address:._ �S r
Building Square Footage: -
Description of above
Owner Information
Name:
rv(
Mailing Address: !`t 11 .'. re- 1 ,
City: State: Zip
Phone: Fax:
License # / Exp
Item
Service/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 WI Service Feeder
Branch Circuit WIO 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. Service/Feeder601-1000 Amp .
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy - Multi -Family
Signal Circuit% Limited Energy / First 1500 sf- Commercial
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each additional T-Stat
Contractor Inf ation
Name:
Mailing Address:
City: State: Zip:
Phone: Fax
License # / Exp...
Unit Charg oty
$132.00
$160.00
$ 225.00
$288.00
itIr�il` r,�,w
$410.00
$ 5.00
$ 74.00
t.I.If IRIC„1;,
$ 5.00
$ 86.00
O
$102.00
$121.00
$164.00
r w(b u1
$185.00
$ 96.00
$ 88.00
$ 64.00
$ 96.00
$ 113.00 $
$ 56.00 $
$ 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 Code, and Util` y Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of ower, Iele�rioay�ntractoror electrical administrator: ❑ Cash C heck
❑ Credit Card #
_X IVrated: 0110112012
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ELECTRICAL INSPECTION
%
WIRING REPORT
90 MKS 4 1 5
I 'A 1 4,. PUIPAI T dt
2 -
OWNER
CONTIRAC . TOR
ADDRESS
APPROVED �1�110T AI,"Prll(
0 DITCH,
0, ROUGH INICOVER 13
SERVICE.. ...... 0
0... FNAI
CORRECTIONS NEEDED:
-f-t> SFroi v --F
--� -57-
Tki C).
NOTIFYINSPECT011 WliIEN CORRECTIONS
AF111E COMF-UE"T"ED W!"T"I HN 15 DAYS
. ............ . DO 140T FIEMOVE . . ..........