HomeMy WebLinkAbout820 W 12th St - BuildingCITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 05 00000986 Date 10/19/05
Application pin number 962818
Property Address 820 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 -00 0 3 7222 0000
Application type description MECHANICAL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 3900
Owner Contractor
CYNTHIA A HUGH D CARINO PELLET HEAT CO
PO BOX 7521 230 EAST 1ST SUITE C
OLYMPIA WA 98507 PORT ANGELES WA 98362
(360) 457 -4406
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 62703
Permit Fee 50 00 Plan Check Fee 00
Issue Date 10/19/05 Valuation 0
Expiration Date 4/17/06
Qty Unit Charge Per Extension
1 00 50 0000 ECH ME WOOD BURNING APPL 50 00
Fee summary Charged Paid Credited Due
Permit Fee Total 50 00 50 00 00 00
Plan Check Total 00 00 00 00
Grand Total 50 00 50 00 00 00
EXPIRED
a /n /c6
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 as 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 construction or the perforrtvnce of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
Q-1;
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
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
FOUNDATION: 44111 'mai '4 i
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL /=FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -48I5 I
T. \Pni,ri \1102 15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
DATE
ACCEPTED
YES I NO
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SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I I I FIRE DEPT
I I I PLANNING DEPT
I I I BUILDING
COMMENTS
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CYNTHIA A HUG H D CARINO
PO BOX 7521
OLYMPIA
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98507
Permit
Additional desc
Permit pin number 62083
Permit Fee 97 00
Issue Date 10/18/05
Expiration Date 4/16/06
Qty Unit Charge Per
1 00 50 0000 ECH
Fee summary Charged
Permit Fee Total 97 00
Plan Check Total 00
Grand Total 97 00
MECHANICAL PERMIT
T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
05 00000986
962818
820 W 12TH ST
06 30 00 0 3 7222 0000
MECHANICAL PERMIT
RS7 RESDNTL SINGLE FAMILY
3900
Contractor
PELLET HEAT CO
230 EAST 1ST SUITE C
PORT ANGELES WA 98362
(360) 457 4406
Plan Check Fee
Valuation
BASE FEE
ME -WOOD BURNING APPL
Paid Credited
97 00 00
00 00
97 00 00
Date 10/18/05
Due
00
00
00
00
0
Extension
47 00
50 00
EXPIRED
4 ///61(-2
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 as 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 construction or the performance of
const' i 'qn- n
11A Mg 0
Signature o ontractor or Authorized Agent Date Signature of Owner (if owner is builder)
Date\
N
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
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
4 YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL,/ -FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION LW I PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T-\Pnli a\1 102 15 buildine vennit inspection record05.wpd 11/4/2005)
BUILDING PERMIT INSPECTION RECORD
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I I I
I I I
I I I
I I I
I I I
I I I
SEPA.
ESA.
SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I I
I I I I
10- 7 -05 1
1
Applicant or Agent: PR WV" )-4020- .CCU
Owner- 1, .//sloe i,li CP 12 4 is/g._
Address alarjs__252.1 City 0404.12/A___
Architect/Engint:cr 4IF Phone.
Contractor a Stete License isf;
Address C. City' liNtr I lc
PROTECT ADDRESS, \1Y 1.24
LEGAL DESCRIPTION Lot. t Block 'S'7 Subdivision.
CLALLAM COUNTY PARCEL NUMBER. .6 2 22 cow
'radii Card Holder Name,
Illlltig Add retaa
radii CardTTpe VISA M
y'PE OF WORK,
`Resideralial 0 New Constr.
I Multi family Addition
Commercial O Remodel
C] Repair
RIEF DESCRIPTION OF THE
PLANNING USE ONLY
39PM
PHI out COMPLETELY and In Mk Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
(340) 417 -4815
C q
Re -roof
O Move
Demolition
D Sign
PROTECT
City'
SA/Wetland(a): t7 Yes C No SERA Checklist required? O Yea C No Other
1 001 wi r I 111
Phone, 4
Phone'
ZONING
Daly Rec. 1 p /"t /1-2
Permit s ry S 9'n
Duke Approved.
Dale ianuej,
Zip: 2
Phone 457 -44e2Q,
Zip _Maga.
Exp. Date
SIZE/VALUATIONt
Stone SF 3 /SF 5
C erage SF /5F 3
Cl Decd SF all 3 /SP x S
0 Other TOTAL VALUATION S
1 111/41<37 ALL LET Vq
OMMERCIAL/RESIDENTIAL Occupancy Croup. Occupant Load: Construction Type
0 of Stories. Lot Sic: Existing Sy. Ft. Proposed Sq. Ft, r TOTAL Sq.Ft.
dating lot coverage Proposed lot coverage 'iii Total lot coverage
360 492 0503
APPROVALS.
PLAN.
BLDGt
DPWU
FIRE
OTHER.
rn .nrNG PERMIT APPLICATION SUBMITTAL. The Building Division can provide yuu with information on the application and
in subm:aal requirements if you have queations,
U. U ATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be revicwej
may be revised by the Building Division to eumply with current fee schedules, Contact the Permit Coordinator at 417 4815 for assistance
,A's CHECK FEE. IF n plan check tee Is due It must be submitted at the time the building permit application and consirucrino plans are
amirted. All other permit fees are due at the time of permit issuance,
Xi RATION OR PLAN REVIEWt lt'no permit is issued within ISO days of die date n"applla stion, the application will expire, The
.ldr."tg Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section IV 4 •1
Uniform Building Code, current edition), No application can be extended more than once
tnsby certify roar I have read aid examined this application and know the same to be true end correct. I em authorized to apply for this permit and
ierstend that d Is my responsibility to determine whet permits are required ,not the City's, an at I List obtain such permits prior to work
OR N.5 \APY ;Milli idI permItwpd Applicant: Date _14. ��a
~~OII'~_
~
'~'i"a'ion N~mbe'
Appl~cat~on ~n nu
y ress
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
CITY OF PORT ANGE~ES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 F.AST 5TH STREET. PORT ANGELES. WA 91l~(,2
05-00000612 Date 7/18/05
I
I
820 W 12TH ST
06-30-00-0-3-7222-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
KOESTER DAVID D
820 W 12TH ST
PORT ANGELES
WA 983637211
SEQUIM ELECTRIC
325 E WASHINGTON ST. #111
SEQUIM WA 98382
\(60) 681-3794
---------~------------------------------------------------------------------
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
SEQUIM ELEC/ METER REPAIR
54437
36.30 Plan Check Fee
7/18/05 Valuation
1/14/06
.00
o
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ll~
()
~ -
\ ~
""'
0<\
Qty
1. 00
Unit Charge Per
36.3000 ECH EL-R OR RM REPAIR METER/MAST
Extension
36.30
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 36.30 36.30 .00 .00
Plan Check Total .00 .00 ..00 .00
Grand Total 36.30 36.30 .00 .00
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COMMENTS/ACT10N NEEDED
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'is- CAcJ W \ d- t\r\ ~Rf:E\
~~ ~C9EL~S) W1\ q~~03
00<04-)" //(617
'ILED FOR RECORD f.T THE REOUEST
U ~\ ,~L "'"
.1t_-L\t)~~_~ ___
'ECORDED ir, i,.C:'."':~':'/L~;'..l ,~r1 CO
Ill! /1 ~m lIllI/I II 11/lIlIIll
2003
1111364
Clallam
County
2003 JUN 26 PI, I: I 3
(J)
ZONING LOT COVENANT
I1WE the Wldersigned owner(s) of the following described property:
('n':;'~5;? #/c>e-/: "5 /'2- T?d
do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08.032
"Z" of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which may onlY
be removed through compliance with Chapter 58.17 RCW (subdivision regulations) and/or the City of Port
Angeles short subdivision regulations (Ordinance No. 2222, as amended).
~
~
&
This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and
shall be filed with the COWlty Auditor's Office. This covenant is for the mutual benefit of said owner(s),
heir(s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and loca
land use and building regulations. This covenant may be enforced by injWlction or other lawful procedure
and covenant by the recovery of any damages resulting from non compliance.
DATED this ~ day of ~t) f0E;
,,01/00. /J ~65#K.
(Owner)
~
,2~. ~
~~~
(Owner)
(Owner)
(Owner)
STATE OF W ASHlNGTON )
COUNTY OF CLALLAM )
55
........... .. ()
I,.L..c\\0.... ,=", ~c\.:')'.f'\.d :""
that on thil!:2lL.: day of ,~)-t J r''\ c" _
\)" Y\("(' <.:, -T co \ and
to me known to be the individual~ desribed in and who executed the within instrument and acknowledged that
\ 'Ie" signed and sealed the same as \'<, <" free and voluntary act and deed for the purposes herein
mentioned.
, Notary Public in and for the State of Washington, do hereby certify
. 20(:.:5, personally appeared before me ::L;c\...\...:, ,I
GIVEN UNDER MY HAND ~\~\!JJ~.iJ.EAL this . -;~ lr day of
S-,,,, ~~ae-~C ~
:t y;.c:,. - IS' ~
~" "'" .'\t."" ...\
:::: jjf 0 ttd'... -=
:: 0 ~., fil..'ZJ ' 0::
g'~. ,'-' " t; ~
~PU9~ ~ ~
~ cJ'l,;. ~ ~
~ -fJ-. ...10 ~
~ ~ OF ~ r ~~
AUDITOR'S CERTIFICAfs-IIIt"III"'R\\\\'\ '.J 1-
Filed for record at the request of L'LlU ld n. KO~l e('
" }lA V\.e 20 0').
;P~L
v1 Q
20 03
~. \)" -
NOTARY PUBLIC in a for the State of
Washington residing at Port Angeles.
this ~ day of
Jul 13 05 01: 571"
josh
360-681-3784
1".1
Q
\~;
........
ELECTRICAL WORK PERMIT APPLICATION
Job wired by )Z(.tlectrical Contractor 0 Owner _"'7
6-;1.7--00-
Electrical contractor name License number Dale Expires
SeoL<.:'" F'/..-c .f.r:, 0..( SF-ptL II=. J.. 9r;~ ,(:t
Purc~aser's mailing address J...i.
?,;;;.-C; r=",t u...o.,~/' i..x,lo.v frill
ell) V SIOllc ZIP
S:eflt ;'VI <Nil.. qflj8 &1
Telephone number FAX number
360 360 - 6
Installation description
o Commercial j)Z(ReSidcntial
.
o ~e\\'
o Altered/Addition
/11 e-tr r R)'"", ~,-
Premisc~ owner's name
Jl}O
/.1.;.1 ;,f,~
or J;j frr...fc ,,J)
cH~
Address or inspectinn
8l.D \,(.'<, ~ -t
C;r, fb,..f 1/'1/
I :< rl.. dr-ee'T
dulc inspection:
t '1- 37f/'
Owner as deji/lt!d by I(ew J Y.28.26/:(J) Owner will occupy the ,\'/rIIClIIre In,. two
year,l" after ,hi,l" electrical permit i.1 flnaliz('tf. (]) OWllcr i.\ rc'qr/ir('d 10 hire WI dec/rical
corrtrac/or If ahm'c .\aid properly i~ for .tak rent or 1f!(l.'H'. .
After rending the o.bovc statement, I hereby certify that I ;1m the ownt::r of lhe above
named propeny Ot a licensed electrical contractor. 1 .un makint;: the elcctrical instal-
lation or alteration in compliance with the electrical law!!:. N.E.C., Re\\'. Ch:lptcr
19.28. WAC. Chaplet 296.468, Thc City of POT! Angeles :'vlunicipal Codc. and
Utility Specifications.
~.n'lurc of~:n/,'frtrf~ tractor or cl~t:;;: .dm;nl"'.lor
v...,tlf11 Fj ?-l3-o_r;
lectrica oad A ditions and or subtractions
o NO L AD CHANG ES
o Baseboard KW
o Furnace KW
o Heat Pump Ton
o Fan.Wall KW
o Cash ()(.Chcck #
o Credit Card Visa
Card #
Mastercard
Discoy.cr
----------------
Expiration Date
of card
Service Information
1..f/7- 'i711
Voltage .R 'f C'
Phase~ ' 0 3
Service Size: ~
Feeder Size: "f ~
LAR
o Overhead Service
o Temp Service
o Underground Service
SAME DAY INSPECTION CALL BEFORE 7 00 AM ~60 417 473~
, : . - - . W ~E~VIID
ROUGH-IN THERMOSTAT
~ /9.. -OJ ~~
D"le Appr(l,,~,l By ./ (),IIC "\~l'ru'.l'<J II}' ~ Un'~ ApP'(lVW B)'
FINAL DITCH \ FEEDER ,
]
"- (laic ^pp'"v~d lJy "- l)UIC ,\pprovc<JIJy \)ale I\I'P....\cd Oy
Inspection Area, Building Dr Equipment Inspected Action T;lkcn Elcclrical
Datc In~tor
2~.I'9)-[)S Pv~Y rP~ , r d( f( if h
(laC
7// '/05