HomeMy WebLinkAbout804 E 10th St - Building CITY OF PORT ANGELES
a DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001270 Date 11/09/11
Application pin number 331230
Property Address 804 E 10TH ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 3542 -0000- REPORT SALES TAX
Application type description MECHANICAL APPL. PERMIT
Subdivision Name on your state excise tax form
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0 (Location Code 0502)
Application desc
wood stove insert
Owner Contractor
ARNOLD W DIANA H SQUIRE THURMAN SUPPLY
804 E 10TH ST 1807 E. FRONT ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457 -1129 (360) 457 -8591
Permit MECHANICAL PERMIT
Additional desc WOODSTOVE INSERT
Permit Fee 60.65 Plan Check Fee .00
Issue Date 11/09/11 .Valuation 0
Expiration Date 5/07/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65
Fee summary Charged Paid Credited Due
Permit Fee Total 60.65 60.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.65 60.65 .00 .00
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 kno the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whOier specsf -d herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any Rate or local regulating construction or the performance of
construction,
7 c 7— dre..i.atii ...e..4
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
1
BUILDING PERMIT INSPECTION RECORD
N
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 C>
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 Bldgs.)
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:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T-Bar
I NSULATION: 1
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting 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 5
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 Z' i ■,j I ro
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BUILDING PLUMBING 1 MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.) Date Receive. ►t
Permit H _,.�,..5��e)
City of Port Angeles
Please print in ink. Date Approv
Attn: Building Permit Technician Approved by mar
321 E. 5th St., Port Angeles, WA 98362
360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no AmeV an Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8: 0 -12:30 pm
Contact person: Phone: dir
Property owner: Id
G Pho ne: j 2
Propert own-r's mailing address: E Phone:
Contractor's business name: ��jj� 1/ Ot//t C�
or •ro•ert owner's name if he /sneYs oon•/�overseein• the work) `7i
Contractor's mailing address:
-e of. i! Expiration date:
Contractor's L &I license se number: 5
Iti Project Address:
O sect,.c./ 7 e) -/-i,
Project Type: Residential u Commercial D industrial o Multi- family
Project Business Name:
(for commercial, industrial, or multi family projects)
The following permits are usually issued over the counter immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Re -roof: D house m garage ec other
tear off re -roof lay over one layer
(1) Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re -side: c house garage other
Project Valuation (labor materials, not including sales tax)
Repair: (explain the project)
Project Valuation
*Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
Cost of-materials x 2 Project Valuation
T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011)
Page 1 of 2
Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa protects that
do not require plan review:
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit is needed when an entire building gets demolished.
What will be demolished? house garage other
Note: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
Agree to ensure that all utilities are /will be properly turned off (and capped off if needed)
prior to demolition.
Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
yes no Will the debris be going to the Regional Transfer Station in Port Angeles?
yes No If yes, will a licensed contractor be taking it there?
If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing is needed).
Plumbing Permit: (explain the project)
Project Valuation
Mechanical Permit: (explain the project)
713-0 //rt t
s l- i/J C-
Project Valuation 3� d C'_)
I have read and completed this application and know it to :e true and corre I am authorized to apply for this permit
and understand that it is my responsibility to deter e what permits Nr- required, and to obtain permits prior to
working on projects.
Datef7 7 Signature a//1//
Print Name yd'c/1 w
Page 2 of 2
Clallam County Assessor Treasurer Property Details 59409 ARNOLD W AND DIA... Page 1 of 1
Clallam County Assessor Treasurer
Property Search Results 59409 ARNOLD W AND DIANA H SQUIRE for Year 2012 2013
Property
Account
Property ID: 59409 Legal Description: W16 LOT 8 ALL LT
9 BL 335 TPA
Geographic ID: 0630000335420000 Agent Code:
Type: Real 1
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N m
Multi Family Redevelopment: N
Township: Section: N 44
Range:
Location
Address: 804 E TENTH ST Mapsco: 1
PORT ANGELES, WA
Neighborhood: PA East Res Map ID: 2 t 1
Neighborhood CD: 5001000
r
n
Owe
e /J(\
Name: ARNOLD W AND DIANA H SQUIRE Owner ID: 210734
Mailing Address: 804 E 10TH ST Ownership: 100.0000000000%
PORT ANGELES, WA 98362
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 11/09/2011
Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
Click on "Statement Details" to expand or collapse a tax statement.
E First Half Second Half
1 Year i Statement ID Base Amt. Base Amt. Penalty i Interest Base Paid Amount Due
Statement Details
2011 154020 $1214.00 $1213.92 $0.00 $0.00 $2427.92 $0.00
O' Statement Details
2010 42305 $1162.47 $1162.42 $0.00 $0.00 $2324.89 $0.00
Values
Taxing Jurisdiction
Improvement Building
Sketch
Property Image
Land
I Roll Value History
Deed and Sales History
Payout Agreement 1
This year is not certified and ALL values will be represented with "N /A
Website version: 9.0.32.2200 Database last updated on: 11/9/2011 3:45 AM 2011 True Automation, Inc. All Rights
Reserved. Privacy Notice
http: /websrv8.clallam. net /propertyaccess /Property. aspx ?cid =0 &year= 2012 &prop_id =5 9409 11/9/2011
"!,'''''..''''".....-\..,
Application Number
pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000196 Date
.431400
804 E 10TH ST
06-30-00-0-3-3542-0000-
RE-ROOF
3/10/04
Ii
~.<',
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32\ EAST 5TH STREET, PORT ANGELES, WA 98362
RS7 RESDNTL SINGLE FAMILY
2973
OWner
Contractor
;; ,~>
DICKMAN-TRUST STEVEN/LINDA
804 EAST 10TH
PORT ANGELES WA 983629292
o T M SERVICES
309 S ENNIS
PORT ANGELES
(360) 417-0124
WA 98362
....-~..':..- - - --- - - - - - - - - - - - - -- - - - -- - - - - - - - - - - - - - - -- - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - --
h
Permit BUILDING PERMIT - NO PR FEE
Additional desc TEAR OFF, FELT, CaMP
Permit Fee 106.75 Plan Check Fee .00
Issue Date 3/10/04 Valuation 2973
Expiration Date 9/06/04
Qty Unit Charge Per Extension
BASE FEE 92.75
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 106.75 106.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 111.25 111. 25 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
nultand void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for:~period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
in$Pection. I hereby certify that I have read and mined this application and know the same to be true and correct. All provisions of
la.and ordinances governing thi~ type of ark be complied with whether specified herein or not. The granting of a permit does not
~~~.;~;:;~tl to ive aothori to ~ oc 0 oel prov','o", of aoy "ale oe looal law ce90lati09 oo",'coolioo oc the portoemao," of
'N;// "~~ ~. (/7 ,;7 5-'/D~()/
S' .".. Date
19f,l
Signature of Owner (if owner is builder)
Date
T:\P!JANNTNGlFORMS\] ]02.15 [11/14/2003J
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
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.
r INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUND A TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEP ARA TE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ':J -! L ~/)fl BUILDING
...,,-.- _..-
T:\PLANNTNG\FORMS\1102.15 [11/14/2003]
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~'~" CITY OF PORT ANGELES
~.~.~ PUBLIC ELECTRICAL DIVISION
WORKS
321 EAST 5TH STREET. ~RT ANGELES. WA 983(~2
ELECTRICAL PERMIT iSSUED: 11/13/2001 PERMIT NO 7463
OWNER/APPLICANT PROPERTY LOCATION
804 10TH ST E
STEVE DICKMAN
804 E 10TH ST Lot: W16'LT8ALLLT9
Block: 335 [] Long Legal
Port Angeles, WA 98362
360/452-0992 Subdivision: TPA
T: S: Parcel No: 063000033542000
CONTRACTOR ARCHITECT
ELECTRIC SERVICE N/A
924 DRAPER RD.
PORT ANGELES, WA 98362 , 98360-0000
360/452-6424 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: SERVICE CHANGE
Occupancy Group: Zoning Use: ._1'_.
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service ~rl
[] Furnace 0 KW [] Overhead Service Voltage: 120,240
[] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3
[] Fan Wall 0 KW Service Size: 200
Feeder Size: 0
PROJECT NOTES
200 a. service upgrade. ._~
FEES ASSESSMENT Service: $63.20
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $63.20
AMOUNT PAID: $63.20
BALANCE DUE $0.00
(?OMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASEPROVIl)EAMllqIMUM24 HOURNOT1CE. ITIY/UNLAWFULTOCOVER,
INSULATE On CONCE/IL .4NY II/ORK BEFO. H~ IT IS INSPECTED .4ND .4CCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 7'/t ~ '~
DITCH
ROU~H-m / COVER
SERVICE [ l~/ } /V[ '~ e4~
GENERAL COMMENTS:
ELECTRICAL PERMIT APPLICATION
FOR OFICI..\;_ rsr; U~L i
=):J("IJl~,. __....____.__
?(Pll>:lI _~____..__
Dat,.-\;lpr,"(<L_ ___~.,_
I);Mh~lI("J_~_ ..".______
The Electrical Permil Applj,;ation must be filled out comDletelv.
Please type or reprint in ink. It you haye any questions, please call (360. 417-4735
Fa. number: (360) 417-4711
OwnerorEleC,ContractorAgent: ~~.{lr';'-", \O(\/I~I't./ .1i....1...
Property Owner: S.t..e \I" (/ _ Qd-< fYI.lIt/"\ .
Address€O'-j ~ If: [01... city_pod 11V~}_'
t;;. l' \". _ L UJ"
Electrical Contractor: /0 t "C 1 L- 0 rt 1 Ci ,1.>,( License #: i"""" t;} r"Yl
Address: ,5j''2 Ora.-p.- \h., I!i-l QA .CityPor-i /tnfr"L.,.-
INSTALLATION WiRED BY: 0 OWNER )iElECTRICAl CONTRACTOR
REQUEST INSPECTION U
Phone'1~ 1.-(.,,--1'2 '-I Fax: '-( "'> ") - <.:,t-r 'J. 'f
Phone:~- 0 Df9'2
Zip: 9$:3 (" '2
Exp: <t! i"f/ 0'2- Phone 4 ~ :J - "''-11 '7
Zip; 9.!S~ "'.2...
Credit Card Holder Name:
Billing Address:
Credit Card Number:
City:
Exp. Date:
Zip:
VISA:_MC:_
PROJECT ADDRESS:
!3tJ1 C, /0 -6 .,5r
TYPE OF WORK:
Check all that apply: ::J New
[] Alteration/Addition
C Residental [JMu~i-family
[J Commercial [J Mobile Home
Sq. Ft.
[J Remote Meter C Detached garage [J Hot Tuo [J Swim Pool [] Septic Pump [] Low Voltage [J Telecom. CJ Sign
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT:
'J.fJ(j
llt..-vLijJ
,".€yVI U
Electrical Heat Load Additionb
Service Information
[J 8aseboard
o Furnace
[J Heat Pump
o Fan.Wall
_KW
_KW
_KW
_KW
~Overhead Service
j Temp Service
[; Underwound Service
Voltage: 2.lj-O
Phase: 1ld'1 [J 3
Service Size: :J flG FJ.
Feeder Size: '
PAMC 14.05.060(8): For industriai, commercial, & residential prOJ"ots larger than a duplex, a one - line drawing of the Electrical Service &
Feeders, building size (sq. fl.), load calculations, and the type & of cor,juctors andior raceway is required and shall accompany the
Electrical Permit application.
J hereby certify that J have read and examined this application and kli::>w that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's legall~~sponsibility to determine what permits
are required; it remains the applicants responsibility to determine what pam';ts are required and to obtain such.
Credit Card Holder's Signature:
r;~/.'l:1 (jU
!)ate:
PW-9019
Owner or Elec. Cont. Signature:
Date: