HomeMy WebLinkAbout1232 1/2 E 4th St - Building
CfFYOFPJlR:IfANGELES
PUBLIC WORKS -BUllDING DIVISION
i321EASTSTHS;rQEET. PORT ANGELES;'WA98362
CONTRACTOR
. ,',-,. 'c.,
OWNER
VARIOUS
Port Angeles, W A 99360
206/000-0000
PROJECT INFO
Project Value: CF$3,OOO.00
Project Type: SFR ADD/REMODEL
Occupancy Type:
Occupan,cy Group:
.Construction Type:
Zoning Use:
OWNER/APPLICANT'
.RICHARD HEDRICK
915 GLENBROOK CT
Port Angeles, W A 98362
360/457-1232
T:
ISSLJED~~" 7/13/2001 12788
PROPE~TY LOCATION
12321/24TH ST E
Lot: 2
Block: 179 0 Long Legal
.Subdivision: TOWNSITE
Parcel No: 063000017905000
SFDUnits:
SFD'SClFT:
Commercial:
Industrial:
, Garage:
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MFDUnits:
MFD SO FT:
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PROJECT NOTES
ADD 6080. FT. BATH ROOM ADDITION
Separate PelllJltsarerequired for electrical work, SEIi'A,Sh'oreline,ESA.utjlities. private and public improvementS;'''Tft~'pe ...
nuU.andvold if work or construction authorized is nolcoml1'len99d \Yithin1aO daYlS' if construction or work Is sUs . bandoned
for a period of 180 days after the work as commenCed;orifrequi'i1KIinspec:tions h'avenot been requested witiifn. .... .... ..... .... .. .... . nHhelast
Inspection. I hereby certify that I have read and exami~~thi$applicatiop and knowthe same to be true and'~6n:ect:AIlr?rovislonsof
laws and ordinances governing this type of work wUl be'Cd'Jjipli9d WIth whether specified herein 0 ot. e . ran~ngo . a permit does not
presume to give authority to violate or cancel the provisions of any s te r local law reg tin co cti or 'eperfOrmance of
conslrucllon. ~
Signature of Contractor orAuthorized. Agent Date Slgnatur:eof OWner (If owner is buildf'tr).
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$83.25
$0.00
$4.50
$0.00
$0.00
$0.00
$34.00
$30.75
$0.00
Misq:Fee1:
Misc Fee 2:
Mise Fee 3:
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. B1JU:J)INGPERlIDT'INSPECnONRECORD
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KEEP PERMrrCARDANDJ\PPROVED PLANSATJO. B SITE
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. INSPECnONTYPE"I.,DATE 'I','ACCEPTED
. . I," '. . '. .,.r r YES I NO
.' FOUNDATION:. '~'. ',~
.'FooTINGS .,<': .' . .1.1'Z"'7:-::Q.t'::.; . coli
WAl.LS . . " .' .... .:.: ',' o' .>,
· FOUNDATION' DAAINAGE "'.. T . . "',, . '" ""': ,
. ELEqau~4' JUqHTDEPT) !)EPARAIEPElWIT:# ..,' ... .
.' ROUGH.IN .. . I ',';):'.1';, i; j;., I
. PLUMBING.'. . ',r
UNDER FLOOR I SLAB '. .
RQUGH~iN . .
WATERLINE . '.
GAS LINE .
PACK fLOW I WATER
AIRSEAL . ......'....
WALLS ' .: .
CEILING . , ,
FRAMING .
JOlSTS I GIROEltS
SHEAR WALL
. .' WALLS I ROOF 1 CEILING
I)RyWAU, '.
T!BAR
INSVLATJON '. . ' . '. .'
SLAP." . . ..
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WALL' fLooR' cEILING ...
MECJt\NICAL. .
HEA"TPl.1MP . . .
'WOQDSTOVE/PELLEtlCHIMNEYHNSERT .' .'
. HOODIDUCTS')''/'' . . ... .',
pw. U'J'llJTIES' SITE WORK (EA81Oeerlng Division) gEPARA TE PBRMrl't#'t: ,'. .'
, . WATERLINE I METER. .
SEWERg)NNECTION ;. ,::'. .,:... .~; .'. '. ,;.
SANITARY ',". .. 1~: j I" ,,\
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PLANNING DEPT. SEl>ARA TE PERMIT #'s ." "
PARKlN9fLlGHTING .
LANOS(;APlNG., .
. '
" . ~.. ,A... ..RESIDENTIAL
'; "', . '-:, ':'., ,',~.. '. ..,.',' .... ".
ELECTIUCA1:i.;irdH:r6Bl'1': '417-4135 .
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SEPA:
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ESA:
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FIRE
, P~GDEPT.
BUILDING .'
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SHORELINE: '. .' . .
FINAL INSPECTIONS REQUIRED PRIOR TO OCC\lPANCY/VSE . .
.. ;,'Pf.TE -ie' ...YES. NO,' i ..~MMERCIAt. .' '. D,ATE'. ;:;fI'.tACC&mD '
.;, ,.i<t' '''11'' .' ,. ..... /~'I'.".;',. .,.,',.:.'.'." ..' ,'.' ." "'YES .NO."
. ,':..' . (;.<>.: , "EtECTRi6\L';'~; ;lj"Vf:; : . ',.' .'. :.:., . .
'"A'::~f' . ,.,. . ,";"; . 'L1GHT:DEPl': ,',.''h :;';, '. . ,
417..4801" .,": > ' : \ ,.: '~mw~~~\\f::{:. '.. I':'> I
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FIRE DEPT. '. . I .' " I ... '.' I
. . PLANNING DEPT. '. '.
'..1."'. 'BlflLDING. -.;, ',; .+. . .'; .".' . :, . .',
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411-46S3
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.> 417-4150
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411-4815;
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The Building Permit - Pre-app/icati(Jn nIust be jilled olltcompletely.
~: and/or ::t: r ~:C:~ r" '''ZJ;;-;/::: caD 417-481:hone:
~..j)..:::"",':r
FOR OFFICIAL USE ONLY:
Date ReG.: j -/2'-0 I
Pennit II: ,', 2 '7 ~
, Date Approved:
Date Issued:
BUILDING PERMIT - . APPLICATION
Owner:
Address: 9 \ ~ (6( Llot.bV'cWK: C:v city:_?A
Phone:
Zip: '1 e ~:z
ArchitectlEngineer:
Contractor <;"E t... r:.-
Phone:
License #:
Exp:
Phone:
Address: City:-=-~ Zip:
PROJECf ADDRESS: (cJ~~ r;::J. E. ~ - ZONING:
LEGAL DESCRIPTION: Lot. '2 :L Block: J '77' Subdivision:_' t p~.
CLALLAM COU,~ !,ARg:L NU}\fBER:~ C>~Ct::(Jlr?'f~ll1lJPld,er Name:' . .
Billing Address: ~ ill (l~~)~ ~ City: r H-
Credit Card #: Exp. Date: VISA MC
TYPJi: OF WORK:
Cir'Residential 0 New Constl'. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJEcr:
o Woodstove
o Garage
o Deck
o
SIZEIV ALUATION:
l.....oSF.@$ ~O ISF.=$ ~c (!)Q90
SF.@$ ISF.=$
SF. @ $ ISF. = $
TOTAL VALUATION $ .:s, 6C)c::::)
COMMERClAURESIDENTIAL: Occupancy Group: Occupant Load: Cons1mction Type:
No. of Stories: I Lot Size: 7 Q::)C % Lot Coverage: 2. 7. S %
Existing Lot Coverage: I Ab3 Isq. ft. + Proposed Lot Coverage: ,~ Isq. ft. = TOTAL LOT COVERAGE: /923 Isq.ft
PLANNING USE ONLY:
Notes:
APPROVALS:
PLAN
BLDG.
DPW
FIRE
ESAlWet1and(s): OYes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER
BUlLDmG APPLICATION SUBMlTfAL: YOllr application ana site plaia 1IUISt bejilled Ollt completely to be accepted/or review. The
Building Division can provide you with more detailed information on the application and plan submittal requirements.
BUILDING PERMIT APPLICATION SUBMITIAL: Your completed application, site plan (for additions) and building construction
plans are to be submitted to the Building Division. .
VALUATION OF CONSTRUCfION: In all cases, a valuation aniount must be entered by the applicant This figure will be reviewed and
may be revised by the Building Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are'submItted. All other
pennit fees are due at the time of permit issuance.
EXPUlATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, this application wiD expire by
limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see
Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. and I am authorized to apply for
this permit. 1 understand it is not the City's legal responsibilityt rmine what Bits e requi,., d; it remaiJrs the applicant's
responsibility to determine what permits are required and to obtain su .
Date: ' 7 -(~,.CJ (
PVV-II02_13[revSJOI)
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Kt'ted t'N
CITY OF PORTANGElES- Construction Plans
The Issuance of this permit based upon these plans, specifi.
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors In said
plans, specifications andother data, or from preventing
building operations being Carried on thereunder wben In
violation of aU codes and ordinances of fNs jIIrIdction.
(SECTION 303(4 . Uniform lkilding Code.I. /) \ /
Approval Da.. 7 ~/3- 6/ 8r ~
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
I L -b-O~-(
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer ~';(;on\ Framing Chimney Plumbing
('2- So l. i 2-
~~C 1<-'
Received by 2. ~
4
.....----
~person)
Date
Time
Phone No. '-Is,- J "l..$ ~
Permit No. I z.. 71J9
Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date / Z -7 .... 01_
Remarks:
Time
By
~
O~f:
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel D Asphalt D PCC
D Other
D Repaired by City
o Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DA TEl
CITY Of PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
,
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date ~- 3- 03
~
Time
Received by
RV
(phone, person)
.t - /j'fh
Location of Work to be inspected /2.S'~ ~ c..,. .
Name of person requesting inspection '1(. ~brJ..
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundatio Chimney Plumbing Final Sewer Excav. Other
Phone No. ~57-12SC:-
Permit No. 1~7~~
INSPECTION NOTES:
Inspected: Date ~- '-1-03- Time
Remarks:
RESTORATION REQUIRED . . . ... YES NO
~- \ +(
-PDV ..Q45pecfl D€I\ I vne....
C~\l
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET.SUPERINTENDENT
(DATE)
~
.tV
~jjlll
ELECTRICAL PERMIT APPLICATION
FOR OFFICIAL USE ONLY
0al0'Ra::
Pamitll:
Date Approved:
Date 1SNCd:
'.
The Electrical Permit Application must be filled out comaletelv.
Owner or Elec. Contractor Agent:;;? ~... b
;s ~,N\e.
Address: 'II s: a.lru..t........, k elf'
Please type 0' rep,lntln Ink. If you have any question., please call (360) 417-4735
Fax number: (360) 417-4711
/ I REQUEST INSPECTION [
A.. Htf,Q. all' , c. 1< Phone8~ 7.../.JU Fax:
#--7e13
Properly Owner.
Phone:
q8~~
City:M
Zip:
Electrical Contractor:
license #:
Exp:
Phone:
Address: City:
INSTALLATION WIRED BY: ~ER r 0 ELECTRICAL CDNJfj^CTOR
Credit Card Holder Name: _--::r< I ~ "',," d A tl..- ~ Q d V ; c- (<.
8ifflngAdrlress:S,S ~l (j..l....~ -K Cv City: ~ A
\ Credit Card Number: ~< p. Date:
PROJECT ADDRESS: 'f d 3J. /~ ~ If '- \o~T Y'h<f<r. ("s..
~ration/Addition
Zip:
Zip: <;'A~
VISA: G
LUtA
C(~ ~ ;;z.
TYPE OF WORK: Check all that apply: 0 New
~idental 0 Multi-family 0 Commercial
o Mobile Home
Sq. Ft
$;;/0
Remote Meter o Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0
Numbe, of Circuits added or altered:
. -to
DESCRIPTION OF THE ELECTRICAL PROJECT:
D
rV..Q;w
... .
l' ,Pft().. .' }tf9. 7lJ7l1Z-$"/:2 7, 86
PERMIT FEE!' 6A/ It' 0 ,I .' ;fervlce Information.. .".
~ail 9716 /!lUll 173</
Voilage: .).;l 0
Phase: 0 1 0 3
Service Size: //OJ'f"")
Feeder Size:
~OVerhead Service
o Temp Service
o Underground Service
'.l~
Electrical Heat Load Additions
,
o Baseboard
o Furnace
D.Heat Pump
'Ijl1.J;an-Wall
KW
KW
~~N
LRA
PAMC 14.05.060(B): For industrial, commercial, & residential projects larger than a duplex, a one -line drawing of the Electrical Service
Feeders, bui~ing size (sq. ft.), load calculations, and the type & of conductors and/or raceway is required and shall accompany the Electr
Permit application.
I hereby certify that I have read and examined this application and know that same to be true and correct, and I i
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permi
s ,the ap etermipe what permits are required and to obtain such.
-A:L-I,i,Jk.u(.IN:J{(1f.,t..- ~1/'a5-bz.1~; LAxAt1c.~. ~ (f . As f5r ,
. -rc.~~W ~/~/o' . O~ I
Credit Card Holder's Signature: Date: I ~ ... 0 I
Owner or ~14~ Cent 5ignatlll"e: Date!'- ~ -cJ":
C:/ELECTRICALPERMIT APPLICATION
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