HomeMy WebLinkAbout1528 W 4th St - Building g CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000873 Date 8/15/11
Application pin number 399107
Property Address 1528 W 4TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 2615 -0000-
Tenant nbr, name TODD M DAVIDSON on your state excise tax form
Application type description RE -ROOF to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 2600
Application desc
TEAR OFF RE -ROOF THE HOUSE
Owner Contractor
TODD M DAVIDSON OWNER
1528 W 4TH ST.
PORT ANGELES WA 98363
(360) 452 -5014
Structure Information 000 000 RE -ROOF THE HOUSE
Permit BUILDING PERMIT NO PR FEE
Additional desc RE -ROOF THE HOUSE
Permit pin number 191031
Permit Fee 109.75 Plan Check Fee .00
Issue Date 8/15/11 Valuation 2600
Expiration Date 2/11/12
Qty Unit Charge Per Extension
BASE FEE 95.75
1.00 14.0000 THOU BL- 2001 -25K (14 PER K) 14.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 109.75 109.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 114.25 114.25 .00 bitprreszi
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 constructio o the performance of
cons
tii
ction.
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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 00
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.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Btdgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING: N
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T-Bar
INSULATION:
Slab I
Wall Floor Ceiling
MECHANICAL: ---E.
Heat Pump Furnace FAU Ducts
Gas Line Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES: U 'r
Footing Slab
Blocking Hold Downs
Skirting —t-4.
PLANNING DEPT. Separate Permit #s SETA:
Parking Lighting I ESA.
Landscaping
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831 t
Fire 417 -4653
Planning 417 -4750 LL
Building 417 -4815 rcpt r.L .4- t °5 1 4)
T.Cnrrrc /R1 iilriinn nivisinn /Ruildina Permit
PROJECT STATUS UPDATE
Permit
(t—q1-3
Date: 4.5.
1 phoned the: Applicant TOM 1 Gison at L—1 )Z'" 04
Property Owner at
Contractor at
I (left a phone message, or discussed):
The permit (has expired, or will expire soon). What is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
w Let me know if the project is abandoned.
E/Lpw e p e sk v v at r i 2 f A pp 1(\aS y r e
4 1 6/1 Tnc�r�1 cat t eol C tpf -+v-� 23S' U•-r -For (e
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T:Forms /Building Division/Project Status Update
0,r0„,,,1 BUILDING PERMIT APPLICATION Print in ink
j',+.0- CITY OF PORT ANGELES
Attn: Building Permit Technician For City Use Only:
Date Received 15 I
321 E. Fifth St., Port Angeles, WA 98362 Permit it—
(361) 41 :15 fax (360) 417 -4711 Date Approved
Applicant id\r) Phone �►�.ANJ
Property Owner Li. Phone a r—A 0 0(.8' 61(
Property ner's Address (3i
Contractor 10i1/ Phone
Contractor's Address
License Expires E -mail
PROJECT ADDRESS 8 GJ --I
Parcel Number Lot Zoning
Project Type Brief Description: Residential Multi family Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
,Re -roof louse garage other tear off re -roof lay over one layer
H
eat System Heat pump wood burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement f =II
per sq. ft.
1st Floor
2 Floor
3 ftl Floor v
Garage (�L1 a,. (4
jJ Carport s
Covered Porch Ledo() r'
Deck
Shed
Other
i
TOTAL VALUATION 24 C)
Total footprint of structures ft. Lot size sq. ft. Lot coverage
Site Coverage the amount of impervi. s s ace on a parcel, including str• tur- paved driveways, sicewalks, p- los,
and other impervious surfaces. (see PAV I' 17.94.135 for exemptions) Site cover: •e
Max. height of proposed structures Occupancy gr. ,p of bedroo► s
Will a lawn sprinkler system be insta -d? Occupant lo•. of full •:ths
Will a fire sprinkler system be inst- ed? Construc '•n type of f baths
I have read and completed this application and know it to be true and correct. I am authori apply for t permit and understand
that it is y I� ?t&vi/e)v' espo sibility to determine at permits are required, and to obtain permits prio 'ng on pr ts 1 /1 Print Name Signature (�L,
T:Forms /Building Division /Building permit application
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property U e
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
200 amp service
Owner
TODD M DAVIDSON
1528 W 4TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summar
Permit Fee Total
Plan Check. Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98363
188359
119 90
6/29/11
12/26/11
Signature of owner or Electrical Contractor X
G \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
11 00000659
050159
1528 W 4TH ST
06 30 00 0 1 2615 0000
ELECTRICAL ONL
Contractor
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 119 9000 ECH EL 0 200 SRV FEEDER
OLYMPIC ELECTRIC CO INC
4230 TUMWATER
PORT ANGELES
(360) 457 5303
Charged Paid Credited
119 90 119 90 00
00 00 00
119 90 119 90 00
DATE.
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
41251 I 44<c
biz"( -Q
Date 6/29/11
WA 98363
`5Z 314.1f3
Due
RESULTS
00
00
00
0 0
0
Extension
119 90
INSPECTOR.
Date
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
06/27/2011 08 23 FAX 380 .452 3498
City of Port Angeles Permit Application
Building EIvieIon ►Electrical Inspections
321 East Fifth Street- P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417.4735 Fax: (360) 417.4711
Dale AIM/
•1 2 Single Family Dwelling
Mulll•Femily or Commercial'
Commercial Addition Alteration Remodel Repa r'
Plan Review May Be Requir Please Lomplele Elec c I Plan Rev w Information Sheet
Job Address; S
Building Square Footage:
Description of above
NA ce-
i, y Owner Infer +�etl9(' Contractor Informal
Name: E j Air Name: /I
i.
Mailing Address: S g_ 141 Al* Maiiin9 Ad
City State: Zip: CIIy:A 774 Slate r .17 Zip; 9,1P.,4 r
Phone: Fax. Phone: 4/4 i 4,T Fax:
License Exp. License Exp. CJ, Jf r�rfi�
Unit Charge r o) i [Q(v Multlolied by Unit Charoel
S 119.90 5 fI 9 0 Service /Feeder 200 Amp.
5146.50 9 Service /Feeder 201 -400 Amp.
5 204 60 ServicelFeeder 401.600 Amp.
262.20 9 Service /Feeder 601.1000 Amn.
S 372 50 5 Service /Feeder over 1000 Arno.
2.60 Branch Circuit WI Service Feeder
73.50 9 Branch CIrcuii W10 Service Feeder
2 60 S Each Additional Branch Circuit
5 92 70 Temp, Service/ Feeder 200 Amp.
5 110 30 5_._ Temp Service /Feeder 201 -400 Amp.
5 148 70 Temp ServicelFeeder 401 1 00 Amp.
167 90 Temp Service /Feeder 601. 000 Amp.
95 90 Ronal to Portal Hourly
5 58 20 5 Sign /Outline Lighting
95 90 Slg ial Circuit/ Limited Ener •y Commercial, Additional 1500 55.00
5 63 90 5 Signal Circuit/ Limited Ener ,y 1 8 2 Family Dwelling
63.90 Signal Circuit/ Limbed Ener ly Multi-Family Dwe0ing
119 90 S Manufactured Home Conn; ction
9 102 30 Renewable Electrical Enen,y SKVA System or Less
5 110.30 5_ First 1300 Square Ft
35.20 Each Additional 500 Square FL or Portion of
.9 73 50 5 Each Outbuilding or Detached Garage
110 30 3 Each Swimming Pool or Hot Tub
5 56 00 .5 Thermostat
Total
Owner ea defined by RCW.19.28.261 (1) Owner will occupy the structure for two years alter this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if
above said property Is for sale, rem or lease. Permit expires after six months of lest Inspection.
Attar reeding the above etatemen61 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 taws, 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 contractor or electrical administrator
Ch
Ae— Date:
Olympic Electric Co PP CITY INSPECT 001
Son/i to sr
Credit Card
ECEiVE
0 ?Mr
JUN 2 8 2011 ti F
AP
ELECTRICAL
INSPECTIONS
Cash
DATE:
k 2
f f l
OWN R
t VP, rztic-�
CONTRACTOR
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
ADDRESS
PERMIT INSPECTOR
ut Iz
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED 19L M C r- K If 1-04.5 !JD 1
Arrr re tr l &z .t Z
J2.. C_c,4*-1A n_, 2..“"e ,OLSCI WeAT' rr
_UpP
cvA Ce.,.- PLY -t4' WrSC
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
Date: 1
Electric Meter
Meter Number
Address:
Owner Name:
Installation Technician:
Problem Description:
(by Installer)
A. Electric Repairs Authorized Permit
Repairs Required
Socket Replacement
Conductor Socket to Masthead
Other Socket Repair
Other Riser and Weatherhead Replacement
Other
Description:
Ai 7 dr C( e>a7_Igi
Al Sp A 1 6r r r. l.i1f
Other Time Materials Form Attached:
Repair Total Cost
Owner's Cost (if Repair Total Cost exceeds $750)
Repairs Completed Satisfactorily
B. Water Repairs Authorized
Repairs Required
Replace Meter Box
Replace Lid
Other Setter Repair
Other Connection Repair
Other Pressure Reducing Valve Repair
Other (Time Materials)
Description:
Other Time Materials Form Attached:
Repair Total Cost
Owner's Cost (if Repair Total Cost exceeds $750)
Repairs Completed Satisfactorily
Owner Authorization
Based on the extent of repairs required, is owner consent required?
Consent to proceed with City required repairs
and Owner's Cost (if any identified above)
to the Owner
Distribution MSC
A. Database Date /Initials:
Mueller SErvicB Co.)
ASSESSMENT MAINTENANCE INSTALLATION
LR o2(019
C) 1
E LI !74�1�I %12
n1 r,'t' o ai<et) co (t 417c;
A S 1 t ""7
Yes
No
Print Owner Name
Owner
WORK ORDER
Location Number.
I 2 Lc lve'7_.Gd\kLV*
2607= ra .l
No If no corrective action required
Inspector Signature
check
Inspector Signature
Water Meter
If no corrective action required
Yes
No
Owner Signature
Project Manager Electrical Inspector
B. Database Date /Initials:
Mueller Service Company
2032 0 Street
Port Angeles, WA 98362
360 565 -7250
wkfce
City Representative:
Unit price Ext Price
$265.20
$318.00
Z)
1� —DC) P,
cI rr, IP, u r „t
1 i.5t
5010 t"i
City Representative:
Unit price Ext Price
$55.00
$5.00
Owner consent required
Vendor may proceec( with repairs
)ip -t L I p 2- +ll
Date
Date:
Date:
Telky
Water Superintendent
1f~1
't
CITY OF PORT ANGELES
DEP ARTMENTOFCOMMIJNITY DEVELOPMENT.- BUlliDING DIVISION
321. EAST 5TH~TREET,PORT ANGELES, WA98362 . '
MFDUnits:
MFD sa FT:
o
o
S:
ISSUED:,. ..8/15/2002' PERMIT'NO: 13635
'.PROPERTYLOCATION
1528 4TH ST W
'Lot: 7
BloCk: 126 0 Long Legal
Subdivision: TPA
Parcel No: 096300001261500
, "..,,,- ^" _,_> . ",., . "," ..'.. .. .. ...-.,' - ,- " -.. -\1,~~' '". ,- ..,
OWNER/APPLICANT
,;,CHARLES.SCHWARZROCK
1528 W. 4TH STREET
Port Angeles, WA 98363
360/000-0000
CONTRACTOR
PENINSULA ROOFiNG
1216 s. H ST
Port Angeles, W A 98363
360/411-1039
PROJECT INFO
.Pr.ojectValue: $2,000.00
Project Type: RE-ROOF
Occupancy Type:. RESIDENTIAL
""OcCt.l,:);;mcy Group:
Construction Type:
Zoning Use:
, 98360:0000
360/000-0000
,.SFD Units:
SFD sa FT:
Commercial:
Industrial:
; Garage:
-
- :Ef!~;':~~i.::j*
U\..'
('J
\})....
PROJECT NOTES
TEAR OFF / REFEL T /3T AB ONNORTHSIDE
j:- -,J. E-.
~':,""""I:-;;"'-'-.:""'~'" "
C:'
J:
+
s
FEES ASSESSMENT
'. Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$69.25
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$O:~()
$0.00
Misc Fee 1:
Misc Fee 2:
....,.Misc Fee 3:
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
Separate Permits are required for electrical work, 5Ej:>A,$hbhihrie,E5A,uti!itie~, private and public improvement~"1lJ,i~8ftrmt~Etc~mes
nun and. void if wo.rk or construction authorized is not c?mlTlence~\Yithirt180 ~~ys; ifconstruction or work is suspe~d~~;.()r~~~l1doned
for a period.o,f180, d~ysaft~~ the work.,~s~rnlTl~n~~~,p~~ifJ!9~~>ie.~1~~pec.tl9J1s. ~~x~..not beery reguest~dwitl1t~l, ~.p.. "',' '0' .~,qj,,~El J.~.st
inspectlo~. I hereby certifY that I have read and Elxamlned thIs applrcationand know the same to be true and cop,;ec. . . J:~~(~.lonsof
laws and ordinances govemingthis type of work will be complied With whether specified herein or not. The gran~rigo.ti)pel111itdbes not
presume to give authority to violate or canceltheprovisiOhs'6fai'iy state Qr local. law regulating construction o(tlje'AArtol1l1ance of
construction. . " . .' ,
T:\PLANNING\FORMS\II02.IS [412002]
.',.:;>.};"-,~J'-
':Oate
p- 15..,..0 '2..
51 nature of Contractor or Authorized Agent Date
5Ign~ture'of.Owner (if ()WI'ler is builder)
I-
I
I
':"",f,,,"-
''t.
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INS}lEGTION~. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFULTOCq~ER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
C\
INSPECI10N TYPE ',/ DATE ACCEPTED COMMENTs " '1.',,'
.f I ,:.
YES NO "" ,:,
FOUNDATION:
FOOTINGS , 4
" ,j.'i
WALLS "
FOUNDATION DRAINAGE '",;? : as; t; " . , . ;U' ", " ;,,~ , ,
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: II. ,
ROUGH-IN ~ " ,
PLUMBING ?::
UNDER FLOOR I SLAB
ROUGH-IN .'
WATER LINE , <,0
GAS LINE ,
BACK FLOW I WATER ,', ." .. , '
AIR SEAL ,
;
WALLS
CEILING I I
, .,< , ",'.. "
FRAMING
"
JOISTS I GIRDERS
SHEAR WALL
W ALLS'I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING I I ,
MECHANICAL
HEAT PUMP ,
"
WOOD STOVE I PELLET I CHIMNEY
-
HOOD I DUCTS ,.." .-" . "
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT II's:
WATERLINE I METER "
SEWER.CONNECTION f. ''\ ,
SANITARY ,,"'::";; ',' , ,
STORM , " , "If., >,',
"
PLANNING DEPT. SEPARATEPERMrrll's SEPAl
PARKlNGILIGHTING ESA:
LANDSCAPING SHORELINE:
, ' "- " '~: FI1!~,~SPECI10NS'REQUIR.ED PRIO~ r<r,()CCu~J\riq.!t1SE,
i--(--- ',,' . , c..' q", , ,,',;
, RESIDENTIAL
. DATE ~-~ YES NO COMMERCIAL ,DATE; ;::"'~CERl~." Ie
"
" " ';, : .,." ,. , I ,',', '"C)',." ", , '" <'ili .,,", 'yEs;) I'NO' "
ELECTRICAL - LIGHT DEPT. 417-4735 l' . ELEci1uCAL' , :, ", , 1,.1i,"'" " I'"
, . LIGHT DEPT I "
CONSTRUCTION R. W.l PWI ' , :r. " coN'fuOcTIoN - R. W. . " "
ENGINEERING 417-4807 PW I ENGINEERING "
FIRE 417-4653 FIRE DEPT. ,
, - ' , ,
PLANNING DEPT. 417-4750 ~o"....~' PLANNING rim: .' """ "" .""
" .: 7'1 1'~:;'i' , .' ,
BUILDING 417-4815 1-.:- ^___ BUILDING
'" -
~+-
T:\PLANNlNG\FORMS\1102.15 [412002)