HomeMy WebLinkAbout512 W 12th St - Building
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,em OF ~RT;'ANGELES '. . .... .' .
DEP ARTMENTOF COMMTJ'NITy DEYEL0}lMENT -13UlLDIl'ITGDIVISION
1321 EAST 5TH STREET; PORT ANGELES, W",98362'" ,1.' f (",':;
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aU'L.UIIYu PERMII
OWNER/APPLICANT
KAREN SHORE
512 W 12TH STREET
Port Angeles, W A 98363
360/000~000
T:
CONTRACTOR
DAVES HOME REPAIR
833 W 15TH ST
PORT ANGELES, W A 0000g.a363
360/452-8335
PROJECT INFO
Project Value: $4,000.00
Project Type: FOUND. REPAIR
Occupancy Type:
: Occupancy Group:
Construction Type:
Zoning Use:
S:
ISSUED: 7/19/~002 <,PJ:RMITNO:f 1~74
'~I'.<PROPER!fY.tOq~TION
. '512 . 12TH ST W
"[ot: 3
Block: "375 D 'Long'Legal'.
Su~diy~IOfl:.,.p'A . ,... .' .......,
~., J~!!r~r.No: 0630000375100QQ
rARCtUTECT
."'.. ,..~;,;...,."..,.':~,.,,';""'~"""<~'>;"
N1A
,;98~0:-g000
, 3E>0/600~000
;}.,..
, .SFD~Units:
SFD sa FT:
o
o
Com!llerclal:
-Industrial:
Garage:
'MFE> Units:
MFDSa FT:
o
o
':\.1t
.-..,"-..-,.~.......,
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PROJECT NOTES
REPLACE SKIRTING, POST
RECEIPT#9452
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FEES ASSESSMENT
Building Permit:
Plan Check:
,. ... ~tateSurcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
MeChanical:
Radon:
$97.25
$0.00
$4..50
$0.00
$0.00
$0.00
$0.00
$0:00
$0.00
. ...,.."",.
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",~:\;.;;.y.;"~',,~,,''';;':;'-- ',..,;;. ,',
..MiscFee1:.
, M,~c:Fee 2: .
. ,:..MiscFee 3:
TOTAL FEE:
AMOUNT PAID:
r ,.~~,BALANCE DUE:
$101.75
$101.75
, $0.00
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Separate Permits are required for electrical \york, SEPA, Sh()rel!ile,:esA"utiliti9s.,pi'ivate and PUbli~iI1lProvementsr~T~isPfl~mlt becomes
null.and.,voldif wt>rk or construction autho'r1tedis not comrflenciedY{itl1lrr1$O dayS, ifconstructlon qrwofkls'tJoipe'nded or abandon~d
fo~.a perlQclqfJ~g,da~a~~r thE3.~r15 as commeQ,S~~,2r,if.r~q~~#1~!~!~9n.! ha\l~ 1l9!b~~Jlr~gU.~s!~~~p1llli1~9..d.!"~~mW~,I~t
Inspection. I hereby certify that I have read and examined thl~.appUcatlon and know the sam~ lobe tJ1JeandGQrr~c:\~,j~lp~y1!;lon~of
lawsand.ordlnances governing this type of work. will be complietfwithwhet!1er specified herein or not. The granting of aperriutdoes npt
~~~~i~n:r~ aUnrity to. vIOlate_or cancel the provisions of any"state or local law regulating ~consti'Uctfon or the peI'f6~ance. of
~ ~ 7-19,-(;)2-
Signature of Contractor or Authorized 'Agent'"':.
T:\PLANNING\FORMS\II02.15 [412002]
Date
. Slgna14re-ofOwner(ifowner is builder)
'"
~
BUILDING PERMI1JINSPECTION RECORD
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CALL 417-4815 FOR BUILDING INSPECfIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. iT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. : POST PERMIT IN A CONSPICUOUS LOCATION;
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE' ACCEPTED COMMENTS " "
YES NO " ,
FOUNDATION: ,
FOOTINGS " f1ERS q.../Or02 L&H
WALLS ,\ ,'. i .
FOUNDA nON DRAINAGE '\ )\: ,
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #. .
ROUGH-IN .' ,
PLUMBING . ','
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
GAS LINE .....
,
BACK FLOW I WATER .
AIR SEAL ,.' ,
WALLS
CEILING
FRAMING , ' . , ..
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING
MECHANICAL
MEAT PUMP '. .
,
WOOD STOVE I PELLET I CffiMNEY
HOOD I DUCTS . <, c\ " " .--:'
PW UTILITIES I SiTE WORK (Engineering Division) SEPARATE PERMIT #'s: . "
WATERLINE I METER
SEWER CONNECTION
SANITARY "
STORM . .. ..' .".:
" ;( : '"
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNGILIGIITING ESA:
LANDSCAPING SHORELINE: "
- ..-", " FINA.LINSPEqI~~SREQ~D PRIOR TpOC~y,,4NCYIUS~' '" " ;-" . "", '. "',:' ..
C , " ,
. ,.~, ~ ,:,DA~ ,-,', ~,V',~ ',- .-!::..l...... ~
, RESIDEN!W. DATE"" YES NO , <:9!'dMERCIAL A~c:Ij:~~". .
"
, " , ?' ,,]; C :' '. .I:. , '.;' " " YES.;:; "',., NO.,
ELECTRICAi ~'L1GHT DEPT. 417-4735 ELEcrnicAL } " ,,'(" . ",,' 'f', 0
, " L1GIalPEPT ' .. ., .,(,
CONSTRUCTION R. W.I PWI ' "~,i' CONSnttJcTION - R. W. ',\:\ C ',' ,',' :,.c,.
ENGINEERING 417-4807 PW I ENGINEERING '. ", ','
.,
FIRE 417-4653 . FIRE PEI'T. '. ,
, . .1. ':
/ J "
P~GDEPT. 417-4750 " PLANNING DEPT. '.,.
BUILDING 417-4815 ~/JbIOIJ- L;:;-U BUILDING '",' .
,. , ,. " "',. , , "C'
T:\PLANNING\FORMS\II02.15 (412002)
FOR OFFICIAL USE ONLY:
_Date Rec.: 7-~}~ "z':-
Permit #: / ~ ?~
Date Approved:
Date Issued:
BUILDING PERMIT - APPLICATION
~~
The Building Permit Application must befilled out completely.
Please type or print in ink. If you have any questions, please call 417-4815
Architect/Engineer: -" Phone: -
Contractor .PA\le's fl6WfE- i€:PAtta License #: PAil4S;&.IR6J1~p: l/f;jfJ3 Phone:'-'70 11'16/
Address: /()'-/O C~~t(;.. City: !"all.,- A-N 6-itt..;~ Zip: 1f.J6Z.
PROJECT ADDRESS:~' 2.. t-o 6-S I , 2. ZONING:
LEGAL DESCRIPTION: Lot: :3 " Block: .375 Subdivision:
CLALLAM COUNTY PARCEL NUMBER~~~O&W.37G.ll)Credit Card Holder Name:
Billing Address: City: .
Credit Card #: Exp. ~ate: VISA MC
Applicant or Agent:
Owner:Ja R 1/1/
Address: .S- I 2-
DtlvlfJ frId If/E
tG J.Jo~
w~~r 12,..
TYPE OF WORK:
o Residential 0 New Constr.
o Multi-family 0 Addition
o Commercial 0 F--em~del
M.eparr
ORe-roof
o Move
o Demolition
o Sign
BRIEF DESCRIPTION OF THE PROJECT:
r ~. "
COMMERCIALIRESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size:
Existing Lot Coverage:
PLANNING USE ONLY:
Notes:
~.
RIj:///kll Phone: t:> 70
~'I
Phone:
City: p~tZr-74t11~ l."
zip:'1tfI63
o Wood-stove
o Garage
o Deck
o
/SF. =.$
/SF. = $
Occupant Load:
Construction Type:
% Lot Coverage:
/sq. ft. + Proposed Lot Coverage:
%
/sq. ft. = TOTAL LOT COVERAGE:
APPROVALS: PLAN
BLDG.
DPW
FIRE
ESAlWetIand(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
/sq. ft.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Divisiontocomply 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
permit fees are due at the time of permit issuance.
i
. 11
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date ofapplication, this application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
J hereby certify that J have read and examined this application and know the same to be true and correct, and J am authorized to apply for
this permit. J understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's
responsibility to determine what permits are required and to obtain tfh. 'n 61 _
ApplIcant: ~ ti~ Date: '7 -l q.... 02-
T:\FORMS\APPS\Buildingpennit
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CITY OF PORT ANGELES
DEPARTMENT OF PUBI.ICWORKS
. . . . . . . . . . . INSPECTION,REPORT . . . . . . . . . . .
REQUEST:
Dateq -/O-D L-
Time
Received by
RlI
(phone, person)
Location of Work to be inspected 51 2... W J ~ +"-'\.
Name of person requesting inspection ):::,e4..,V~
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundatio Framing Chimney Plumbing Final Sewer Excav. Other
P:.e..-s. 7. ~.~
Phone No. 670 -S~b(
Permit No. I ~Sl '-l
f
INSPECTION NOTES:
Inspected: Date 9 -/0 -0 t..-
Remarks:
Time
By
g~~
RESTORATION REQUIRED. . . . .. YES NO
QQ.; \ \ ])~\Je, F-~ V-S+-
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
D Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
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STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
16514
4L -d/ :>p'
Port Angeles, Washlngton__________L:'_____...____n____._..________n______________, 19___....
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment In, on, or about any building or other structure In the City of Port Angeles, per-
:~:::s: 1~._E;;;::~_~~~/.o~:2..~.o.~~..:~-::~~::.-::IO:~cupancy...._~.__...._.....__...._._.__..
~::: ~.~:-:::::~RC~~~:::~~;:::::::::::::...:::~::::::::::=::::::::::::::::==:::::::::::::::=::
Light Outlets..............................._.._..._ Service, volts I..~~.?:r.::<?:.. Type of Wiring:
Receptacle OutletS..n.b........................ No. wires moo.................................. Armored Cable .......00.00.___............_
f)...
Size wiresn............m.._n............_..
Main fuse .../.t?.i!..A..................
Enclosure ....~mn...m.....nm.mm.
Dryer, KW..........................................
Non-Metallic ............b..._............._
Range, KW __..____..."..__.__.__....
Knob & Tube................................_
RIgid Conduit ...............................
Water Heater:
Metallic Tubing ......................__...
KW......... ............,.............. ....m....
Heat' Kw........$.~..?;jfw..~t
Type of wiring:
Entrance Cable 00..........__..........
Motors: size, volts- and phase:
Rigid Conduit ............
Raceway ......................._......___._
Circuits, LighL.................n_m.....m.__..
Utility ...............__...._....................
Ser. NO............nn.......nn.........__.........
If eat ................................._...__......
Range ..............................___............
Water Heater ..........m..................
Motor ..._...................._...................
Metallic Tubing 'm"n
Current transformers:
No. & Slze.............._.....n...n......
Ser. No. ..0000.....00........._.......00..00....00...
Dryer ...00......00.___...........00......__........__
Furnace ...........__...........'......._...........
Ser. No..............................................
Total wad.............n.__n....n... Ser. NO.....n..n.......-...n......-n...fi. I~ Total.......................................
Remarks: n..nnnn___n~.<t..~...,~.___y._._.~4!.d_________n___...______n..n.............___.......
.___.___._____h_.._...._._______._____._____._.........._..____._______..._....._._........._...___.__.._.__._____...........____.._n________.______.........._.............._
;:.:.~~n~::~..~~~~.~~..~__._____n.---....::~.~.~:~~~_~_~_~~~.~~.-~..~~~~------------..--.-:>zJ~:~:2=~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be eon.
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
-,
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
~
.~.,..;
ELECTRICAL PERMIT
N?
16514
Md~s \ Dt
.............---...-....r.....-:-....nn..b..........................._nn..................................n.....................ae..._......_.._.._.._..._____.._.._..._......_......._
,
Owner ..00................__..00.-'......._.........._......_......_.__.............................0000....................00..00 TenanL.......n.._n.n.n.nnn..........................._....n.....
Wiring Contractor .........................._._..........._.............................._................................................. By......_..............................................._._..._
~OTICE--C urrent must n()t be turned on untll Certttfcate ot Inspection has been issued. It work Is to be con-
ce d due notice must be given the Inspector so that work may be inspected betore concealment. .
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