HomeMy WebLinkAbout525 W 16th St - Building
Separate Pe'rmlts al13fequired forelecbicalwork. SEPA, Shor;ellne. E5A, ~I!ties;privateand pUblicimprovelT)en~)~s~jt"ij.C9riaes
nun~ndvold if work<>r construction authorized Is not commElnyed within 180 days. if construction or'workissus~ijtJ~cI'iiti~andoned
fOl'sperlod of180daYSEifterthe Work as commenced. or If req~lredIQ~p8ctlonshavenot beelirequested~lr,tjl- ".~~~-~ela~t
ins~Ci>>~~tlle~l:lycattffythatl have read and examined-this appllCittlonand .know the same to betrue,an(1'~t~ ""'.' . J pfi,)"lsJonsof
laws andordinancas goveming this type.of work will be complied withWl1ether spec/fledhereln ornolTlieg~pt1rt9:9fi,~;et~!~,~~,~ot
presume to givEl authority to violate or cancal the provisions of any state or local law regulating' construCtionorthEl' perfonnalJcapf
constructiofi. . ...... .... ..... . , . '.' .... .,.-
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CITYOF PORT ANGELES
DEPARTMENT OF coMMUNITY DEVELOPMENT - BUILDING DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 '
APpli~ati6n NUmber
J:'ropeJ:tY 1\ildiess
ASSESSOR ,PARCEL.NUMBER.:
APplication description
S~diyis;QnName . .
Property Use ... .
property Zoning . . .
Application valuation
04-00000020 Date 1/12/04
525 W 16TH ST
0~-30-00-0-4-~565-0000-
MECHANICAL APPL. PERMIT
RS7 RESDNTL SINGLE FAMILY
2400
Owner
Contractor
-------,-----------------
DODDS, ROBERT
525W16TH.
PORT ANGELES
(360)457~8798
WA983627537
PA SWIMMING HOLE & FIREPLACE S
518 W 8T,HST
PORT ANGELES WA 98362
(360) 565-1163
.. - - - -- ;~~~~ - - ~ - ~ - ~ - ~--- --- ~~~~-;;~~;-- - - -- - --- - - - -- - - - - - -- ---- - - --- --
Additional desc PROPANE FRES STANDING STOVE
Permit Fee. ~. . 57.65 Plan Check Fee
Issue Date 1/12/04 Valuation . .
Expiration Date . 7/10/04
.00
o
Qty
Unit Charge Per
1.00
BASS FBB
10.6500 ECH MB-GAB PIPS 1 TO 5
Extension
47.00
10.65
Fee summary Charged Paid credited Due
----~-----------~ ---------- ---------- ---------- ----------
Permit. Fee Total 57.65 57.65 .00. .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
:9~)f:ILc- .
Signatul'8 of Contractor or Authorized Agent Date
.. t:\PLANNING\FORMS\1102.1S (1111412003)
BUILDING.~PERMlT INSPECl10N RECORD
~
. ", I
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECfRICAL INSPECTIONS.
. I
PLEASE. PROVIDE AMINIMUM 24 HOURNOTICE:lT IS UNLAWFUL TO COVER, INSl4ATEJ]R CONCEAL ANY WORK BEFORE
. INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. .
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
.'"7)
,'l.,
.
. INSPECTION TYPE DATE ACCEPTED = coMMENTs .'
'.. YES I NO .'
.
FOUNDATION: '.
~GS ......
W A1.LS .
FOtJNI)AnON DRAINAGEIDOWN'SPOUTS
ELECTRiCAL (LIGHT DEP1) SBPARATE l'BRMlT: ## . I
RQUOJt.IN I I I
PLVMBII'CG .
UNDERFLOORISLAB ...
ROUGH-IN
W ~TERLINE (METER TO BLDG) ..
GAS LDiE -c-
BACK fLOW !WATER ,.
AI1lSrAL .' . !
WALLS I .' '.
CEILING . I I
llRAMING, .,'
J01STS1,' GIRDERS . )
~Wt#JHOLDDOWNS .
,
. - ,- . -
WALLS./kOOP! CEILING ,.
DRYWALL (INTElUOR BRACED PANEL ONLY) . '.,<
.'
T-BAR'
INSULATION ..'
"
SLAB , I c.
: ....
WALL! FLOOR! CEILING I I
MECHANICAL
HEAT PUMP '.' .. ....
,
GASLlNI i..lll -Oil III.
WOOD,STOVE! PELLET! CHIMNEY ,
HOOD! DUCTS .
,PW tJTILI1'RS! SITE WORK ~ri&.DlYision) SEPARATE.PERMIT #I'a:
WATERLINE! METER , .
.
SEWER CONNECTION '.
SANITARY .'
S10JtM .
P~DEPT. SEPARATE PBRMlTr. . SUA:
l'~c:;ILIGJmlIIG ESA:
~. ,...,-.-.....;>
~." c' >!i:~ it o "! ~ .
, ,', FINAL INSPECTIONS ~UIRED P~OR1pp<;c,Urr".!'U:XIUSE,
.., -. DATI: 'NO CO~CIA.L, DATE .' ~CEFtED
RESIDENTIAL va I,;, "
'.' "
, . .' ....... ... ...YES NO
ELECTlUCAL. LIGHT DEPT. 417-473S ELEcTRiCAi."
.'. LlGHTDEPr'
'CONSTRUCTION R.W.! PW! CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW ! ENGINEERING--- -
"
FIRE, 417:-4653 ." FIRE DEn. .....\ ) \ -...., \..,A\..,
.' . ,
PLANNING. DEPT. 417-4750 . PLANNING DEPT.
BUILDING 417-48IS J-Zo~O<"T \ LLJ BUILDING i ....." ,
T:\PLANNING\FORMSll02.IS [111141200 :
3)
.
aUILUIN,~ERMtr: APPtICAfiO~
FOR OFFICIAL USE ONI.Y:
~u: r~~,." j- , 2.. - 6 L{
Permit 11: c'l- ::GO
Datil ApPTOved:_,
Date ls~uc:d:
I
Fill out COMPLETELY and in INK. Your application aDd site plan MUST BE
COMPLETE to be :lc:ee:picd fur review. If you lane /luy ql&QiUuns, call
(360) 4J 7-4815
Applicant or Agent: ~ IJ..)~ lkel.~
OWn~r:Qak--* ~<;
Add"'",:'5;;l..,,- l{). 16~s.J.~City: 16,+ ~e5
Architect/Engineer: Phone:
Contractor114 ~MA.. YJ' rJ.Io!:- It'r. ?, State Licen;~ I.U lS H<t"7~~ Q:-lb-05" Phone:5~-11 ~"?
Address: 5i<t L,) <;)~ City: tb~.. Arne/~ Zip: ~.~
PROJECT ADDRESS: ~,..l ~ to JGf$:L. Sf- ~ ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY P AReEL NUMBER:
Phonp-' ~~O- 4{.O-~6 /'
Phone: q~ -~
Zip: 9r6:S 6~
Block:
Subdivision:
Credit Card Holder Name:
Billing Address: City:
Credit CardType VISA MC, '# Ex-p. Date:
TYPE OF WORK: SIZEN ALUATION:
o Residential 0 New Constr. 0 Re-roof .. Stove SF. @$ ISF. = $_.
D Multi-f:amily 0 Adilitiuu 0 Move D Garage SF. @ $ ISF. = $
o Commercial 0 Remodel c:l Demolition 0 Deck SF. @$ ISF. = $
o Repair 0 Sign 0 Odwt TO~ .::> '1@
BlUE D:RlPT~ONOFT8EPRo.rECT' ~1 !Jet>+. (~'i ~l'- -::
CIAL/RESJD TIAL: Occupancy Group: OCCUPilnt Load: Construction Type:
No. of Stories: Lot Size: F.xiJ:ting Sq. Ft. & Proposed Sq. Pt. = T01'AL Sq.Ft.
Existing lot coverage _ % & Proposed lot coverage: _% = TotaL lot coverage %
Al'I"ROYALS:
PLAN:
BLDG:
DPWU:
FllU;:
O'fHER:_
PLANNING USE ONLY:
ESAlWetlalld(s): 0 Yes 0 No SEPA Checklist required? CI Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division Can provide you with info1'Jnation on the applbnion and
plnD submittal rcqui1'CiliCll~ if YOll have questions.
VALUATION OF CONSTRUCTION: In aU castlS, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fp.e $lrohp.dulell. Con~ct the Permit CoordiulltoT "t 417-4815 !br assistance.
PLAN CHECK FEE: IF a plan check fee is du~ it must be submitted at the time tile building pcnnit application and construction plans are
submitted. All other permit fees are due at the time of permit issuanc~.
EXPIRA:nON OF PLAN REVIEW: IEno penll..il ~ ili,sllCU with1.1l180 days ot tl1e datc ofa
Building Official can extend the time for action by the applicanlllp to 180 days on written
the Unifocm Building Code, current edition). No application can be extende re than nn~ .',
alion, che application will expire. '[he
est by the applicant (see Section 1 07.4 of
I hereby certify that' have react and examined this application and know the sa
understand that it is my rR,r:ponsibiJity fa determine what permit$ arG required
T:\FORMS\Al'I'S\Rui!dillgpcmlit, wpd
Applicant:
e ,I am authonzed to apply for this permit and
ZbtBin SUCh permits prior to work.
fbate: J} -;:)(( --O?
G13 39l;1d
8313 dWl;1HS
689tG9t>139Et
99:813 t>1313G/Gt/t13
PREPARED 1/20/04, 13:11:57
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
7
1/20/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
525 W 16TH ST
PA SWIMMING HOLE & FIREPLACE S
DODDS, ROBERT
06-30-00-0-4-2565-0000-
04-00000020 MECHANICAL APPL. PERMIT
SUBDIV:
PHONE (360) 565-1163
PHONE : (360) 457-8798
I
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6
01
1/13/04
1/13/04
JLL
DA
ME6
MECHANICAL GAS LINE
SETH 460-2807
TAKE PERMIT WITH YOU
JLL MECHANICAL GAS LINE
AP SETH 460-2807 REINSPECT
~L MECHANICAL FINAL
SETH 565-1163
CALL OWNER AHEAD TO SCHEDULE TIME 457-8798
-------------------------- ---------- COMMENTS AND NOTES ---------------------------------_____
02
1/14/04
1/14/04
1/20/04
ME99 01
PREPARED 1/13/04, 12:40:38
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
525 W 16TH ST
PA SWIMMING HOLE & FIREPLACE S
DODDS, ROBERT
06-30-00-0-4-2565-0000-
04-00000020 MECHANICAL APPL. PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6 01
1/13/04 JLL
<D~
MECHANICAL GAS LINE
SETH 460-2807
TAKE PERMIT WITH YOU
SUBDIV:
PHONE (360) 565-1163
PHONE: (360) 457-8798
PAGE
DATE
5
1/13/04
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 1/14/04, 12:26:54
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
525 W 16TH ST
PA SWIMMING HOLE & FIREPLACE S
DODDS, ROBERT
06-30-00-0-4-2565-0000-
04-00000020 MECHANICAL APPL. PERMIT
SUBDIV:
PHONE (360) 565-1163
PHONE : (360) 457-8798
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
MECHANICAL GAS LINE
SETH 460-2807
TAKE PERMIT WITH YOU
1/14/04 ~LL MECHANICAL GAS LINE
SETH 460-2807 REINSPECT
----------------~-------- - ---------- COMMENTS AND NOTES
ME6
ME6
01
1/13/04
1/13/04
JLL
DA
02
~\,
PAGE
DATE
4
1/14/04
ti
,M
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
.Application Number " .
pinnumber ......
Property .Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision N~
property Use
property Zoning . . .
Application valuation . .
04-00001066
..908382
525 W 16TH ST
06-30-00-0-4-2565-0000-
ELECTRICAL ONLY
Date 11/17/04
RS7 :RESDNTL SINGLE FAMILY
o
OWner
Contractor
DODDS, ROBERT
525 W 16TH
PORT ANGELES
( 36) 457-87.98
WA 983627537
BOB'S ELECTRIC me
2293 DEER PARK RD.
PORT ANGELES WA 98362
(360) 457-6887
Permit . . . .
.Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
200 A PANEL CHANGE
BOB'S ELECTRIC INC
,66.90 Plan Check Fee
11/17/04 Valuation . .
5/17/05
.00
o
~
l ~\
Qty Unit Charge Per
1.00 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
66.90
Fee summary Charged Paid Credited Due
-----~----------- ----...----- ---------- ---------- ----------
Permit Fee Total 66.90 66.90 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 66.90 66.90 .00 .00
~
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~
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I,.
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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 goveming this type of work will be compiled 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.
Signature of Contractor or Authorized Agent
"
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNlNG\FORMS\1102.15 [11/1412003)
f,' !,
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.',-:;, :" ',:' -;{~x. . ;;. ;':h '<":~'
'-'-::;'5: >,.0:,.,'
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'..'. - ';' -,'" "-'--':," - ',' ....<',"
BUILDING PERMIT INSPECTION RECORD
>"--'\'O';~-fr;}~,;:;:~{,'::
^;',;'J:<';);~ ',J;)"::'.T;r\,
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CALL 417-4815 FORBUlLDINGINSPECTIONS~CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
.';- ..1. ." '. .
PLEJ\SBPROVIDEA'MlNIMUM24HOUR NOTICE. IT IS UNLAWFUL 'TOCOVER;lNSULATE OR CONCEAL ANY WORK. BEFORE
. .' .. '.' ,. . .. t
INSPECTEDAND,ACCEPTED. ilOSTPERMIT IN A CONSpICUOUS LOCATrON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. .. ....
INSPECTION TYPE . .' DATE 'ACCEPTED COMMENTS ,
'. I YEs J NO I
FOUNDATION: '. ,.,' ,
.'
FOOmiGS ,
, WALLS,
'.
FOUND;.\TION DRAINAGEJDOWN SPOUTS
(LIGHTDEPl) SEPARA1$l'ERMIT:# , ,
, ELEC1'RJCAL ,
.. ROUGH"f!\! .. " T I ,/ ,
PLUMBING . .
. .
UNDER FLOOR I SLAB .
"
ROUGH-IN .
WATERUNE(METER TO BLDG) , "
GASUNE
. BACK FLOW I WATER . ..
. .
AtJt SEAL . .
, -w.ALLS I .' '.' I
'CEILING . I I
FRAMING . :, , .
JOISTS I GIRpERS .. ".
"
SHEAR WALUHOLD DOWNS
.' - ..
'!IALLSI ROOF I CEILING ~
. . .'
.,' " DRYWALL (INTERIOR BRACED PANEL ONLY)
T~BAR '..
INSULATION ..
.
SLAB I
.. WALLIFtooR/CEILING . I 1 I
,<
MECHANICAL "
HEAT!PuMr
c:"IASLiNE
WOOD STOVE! PELLET 1 CHIMNEY
HooD/DUCTS .'. . .
. PW trpLlTIES 1 SITE WORK ' (Enginccrlllg Division) SEPARATE PERMIT #'s: ".
WAl'ERL1NE 1 METER
SEWER CONNECTION ,.'
SANITARY . '.
STORM .
. .
PLANNINC:; DEPT. SEPARATEPERMlT #'s. SEPA:
PARKINGlLIGHTING ~ ESA:
.
\ -- .. . .....,v........,__.....,
LAl'!9~qAf;~G '.j- .. " .-....... SY()RE~INE: " ,',
..'?-;,..... ", .~,... " ';yo" .'.(lINj\LIJIlS~~JONS.REQUIR.ED PRlORTOOCCIJJ.>ANcYlIIS~" .,.;.... ; '. ." ;.:' .', "
.' .... RESIDENTIAL .... , .' ': , DATE' , YES NO .. COMMERCIAL DATE ' ACCEPTED
.
;\O"','j ", YE$
'. NO
ELECTRICAL- UGHT DEPT, 'llZ:;';')"~ .' I ..
417-4735:} .."'" ELECTRICAL . ',.
./?t!l. UGHT DEPT I
"'/09
,CONSTRUCTION R.W. IPWI , , CONSTRUCTION - R. W. I '.
~~INEERlN.G 417-4807 PW I ENGINEERING I
. ,1!?~ '. :..
FIRE . ,::, . FlRE-DEP-i,'" .'. . .
PLANNING DEPT. 417-4750 PLANNING DEPT. ..'
BtJILDING '., 417-4815 BUILDING '.:; I.,,;.;; .r
..;:
T:\PLANNlNG\FORMS\II02.15 [11/1412003]
ELECTRICAL PERMIT APPLICATION
FOk Of'HCL-'.!. us!: O~il... y
I.).l\.lk~, _._..~__._,~._,__ _._'
r~"'lI'," .______..___.___~
lhll; Alll'fovcd _______~_
Ji~lt )~;u~tl __ ____."___~_
The.Eled~-ical Permit Application must be filled out completelv.
Please type or reprint in ink. If you have any questions, please call (360) 417-4735
Fax number: (360) 417 -4711
o bE" d" '-1-. CaseyGvl"z i /; /" (', -.. Ii "l _ 09 ''..7
Owner or Elec. Contractor Agent: 0 0 ~ e /", C JYl C , Phone: lS'7o 8 i1 / Fax: 7 S tJ<. / $C
Property Owner jJo rt;S f)oJ! ) Phone: Lj.s) ~ 8"'/9' J'
Address ,C;9-S /,v/6 is 'c City ft,(J-Yly?~/e..5 c;Jr;I."Jr Zip 7e'3C-?
Electrical Contractor: it bs E{ felt', C License #l3ol1sfCP){ Exp: Phone: rS' ') -COS :>
Addressf!!!1;(fJ.. en ..Peer p</,* M City 10 rJ-1J '2-'K'ks Zip 'lf52.6 ;;(
INSTALLATION WIRED BY:
DOWNER
i1ELECTRICAL CONTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Exp. Date:
VISA:
MC:
Credit Card Number:
PROJECT ADDRESS:
s ~S~.rl:::,J {, t...lL
"...........1'->.._..
TYPE OF WORK:
........t,,;
Check.<ill that apply: 0 Ne~
Mteration/Addition
ifResidential 0 Multl-famiiy
o Commercial 0 Mobile Home
Sq. Ft
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0 Sign
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT: fa (1 -e ( Ch a '! 9 .f
rl-OoCt Vh f?
,
Electrical Heat Load Additions and or Subtractions
Service Information
':l Baseboard
~ Furnace
:J Heat Pump
::J Fan-Wall
_KW
KW
TON_LRA
KW
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
, hereby certify that I have read and examined this application and know that same to be true and correct, and I am
'luthorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
'lre required; it remains the applicants responsibility to determine what permits are required and to obtain such.
~ ~q )' Credit Card Holder's Signature:
1\ .1; Owner or Elec. Cont. Signature: ~ 9 ~
o J \\O\)\
\'-' PERMIT FEE:
:;!ELE CTR I CALPERM IT APPlI CATION
~ //-It, t?'/
Date:
Date: lI'1b '0 t.f
$1 t{;. //0