HomeMy WebLinkAbout1011 Eckard AvenueAddress:
1011 Eckard Avenue
PREPARED 7/06/15, 9:15:52 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE .7/06/15
ADDRESS . : 1011 ECKARD AVE SUBDIV:
CONTRACTOR : PHONE
OWNER HOLGER AND BIRTE BOJARZIN PHONE
PARCEL 06-30-14-5-4-0640-0000-
APPL NUMBER: 15-00000387 PLUMBING PERMIT
----------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
PL2 01 4/22/15 JLL PLUMBING ROUGH -IN
4/22/15 AP April 22, 2015 10:38:00 AM jlierly.
775-5049 holder
April 22, 2015 3:48:39 PM jlierly.
parital inspection for tub area to cover/ finish dwv for w/c
and basin/jll
PL2 02 4/28/15 JLL PLUMBING ROUGH -IN
4/28/15 AP April 28, 2015 8:38:58 AM jlierly.
holder 775-5049
April 28, 2015 12:51:17 PM jlierly.
PArtial Rough in for bath on south wall/jll
PL2 03 5/20/15 JLL PLUMBING ROUGH -IN
5/20/15 AP May 20, 2015 8:52:55 AM jlierly.
775-5049
May 20, 2015 4:24:31 PM jlierly.
PL99 01 7/06/15 PLUMBING FINAL
July 6, 2015 9:19:13 AM jlierly.
775 5049
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
15-00000387 Date 4/15/15
Application pin number . . .
744062
Property Address . . . . . .
1011 ECKARD AVE
ASSESSOR PARCEL NUMBER:
06 -30 -14 -5 -4 -0640 -0000 -
Application type description
PLUMBING PERMIT
Subdivision Name . . . . . .
. 85.00 Plan Check
Property Use . .
Property Zoning . . . . . . .
UNKNOWN
Application valuation . . . .
1000
Application desc
--- ---------
RES - BATHROOM REMODEL
----------------------------------------------------------------------------
. 10/12/15.
Owner Contractor
------------------------ ------------------------
HOLGER AND BIRTE BOJARZIN OWNER
7 HUTCHINS ST
TUSON AZ 85712
----------------------------------------------------------------------------
Permit . . . . .
. PLUMBING PERMIT
Additional desc .
. REMODEL MASTER BATH
Permit Fee . . .
. 85.00 Plan Check
Fee
.00
Issue Date . . .
. 4/15/15 Valuation
. . .
.
0
Expiration Date .
. 10/12/15.
Qty Unit Charge
Per
Extension
BASE FEE
50.00
3.00 7.0000
EA PL -PLUMBING TRAP
21.00
1.00 7.0000
EA PL -WATER LINE
7.00
1.00 7.0000
----------------------------------------------------------------------------
EA PL -DRAIN VENT PIPING
7.00
Fee summary
-----------------
Charged Paid Credited
----------
Due
Permit Fee Total
--------------------
85.00 85.00
----------
.00
.00
Plan Check Total
.00 .00
.00
.00
Grand Total
85.00 85.00
.00
.00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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 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
construction.4, rxlg I( J0
,
a
Date Print Name t Signature of Owner (if owner is builder)
r:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
-- 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
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Electrical 417-4735
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date Accepted b
Under Floor / Slab
Rough -in
Water Line Meter to Bldg)
Gas Line
Back Flow / Water
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists / Girders / Under Floor
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall / Floor / Ceiling
MECHANICAL:
FINAL Date Accepted b
Heat Pum / Furnace / FAU / Ducts
Rough -in
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR
TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction - R.W. PW / Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
CITY OF 1
W A S H 1
321 E 51h Street
N"M
V _
N G'T O N, U. S.
Port Angeles, WA 9836
P: 360-417-4817 F: 360-417-4711
Email: permits(@cityofpa.us
For City Use
Permit#
Date Received: /S•% — _
Date Approved
BUILDING PERMIT APPLICATION
Project Address: 16 1
Primag Contact:
Phone: 30'6- x•75-Sv Y q
Email:
Property
Owner
Name�
Phone q6-6 7/-�-Svq cr
M4ilingAddrr
d -GGi/L�?/�U
Email �
/Z2 (� G.ti1 41
City f ry �O . Z
D `�
State
Contractor
Information
Name
Phone
Address
Sc L �—
Email
city
State
Zip
Contractor License#
Exp. Date.
Legal Description:
Zoning:
Tax Parcel #
Project Value: (materials and labor)
Residential , Commercial ❑ Industrial ❑ Public ❑
Permit
Classification
(check
appropriate)
Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) ❑
For the following, fill out both pages of permit application:
New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing 8C Other ❑
Fire Sprinkler System Proposed Irrigation System Proposed or
or Existing? Yes 0 No Existing? Yes 0 NoAgi —
Proposed Bathrooms
Proposed Bedrooms
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
%vivw.stormwaterPcityofpa us
Project Description C10 i 1 A // Nl 7P14,Z--r ,1, may,✓,�G
Is project in a Flood Zone: Yes ❑ N Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
I have read and completed the application and know it to be true and correct. I am authorized to apply for
this permit and understand that it is my responsibility to determine what permits are required and to
obtain permits prior to work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within i8o days of submittal, the application
will be considered abandoned and the fees will be forfeited.
Date
Print Name
Signature
Residential Structures
Area Descriptions (SQ FT)
Existing
Floor area
Proposed
Floor area
Construction
$ Value new area
For Office Use
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck (over 30" or 2 Id floor)
Garage
Carport
Other (describe)
Area Totals
Commercial
Structures
Area Descriptions (SQ FT)
Existing
Floor area
Proposed
Floor area
Construction
$ Value new area
For Office Use
Existing Structure (s)
Proposed Addition
Tenant Improvement?
Other work (describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size (sq ft)
Lot Coverage (sq ft) foot print of
all structures sq ft
%Lot Coverage (Total lot cov _ lot size)
Max Bldg Height
Site Coverage (Sq Ft of all impervious)
% of Site Coverage (total site cov _ lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed
or relocated as part of this project.
Air Handler
Size:
#
Haz/Non-Haz Piping
Outlets:
Appliance Exhaust Fan
#
Heater (Suspended, Floor, Recessed wall)
#
Boiler/Compressor
Size:
#
Heating/Cooling appliance
repair/alteration
#
Evaporative Cooler (attached, not
portable)
#
Pellet Stove/Wood-burning/Gas
Fireplace/Gas Stove/Gas Cook Stove/Misc.
#
Fuel Gas Piping
# of Outlets:
Ventilation Fan, single duct
#
Furnace/Heat Pump/
Forced Air Unit
Size:
#
Ventilation System
#
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps
#
Water Heater
#
Plumbing Vent piping
#
Medical gas piping
# of Outlets:
Water Line
#
Fuel gas piping
# of Outlets:
Sewer Line
#
Industrial waste pretreatment
interceptor Grease Trap)Size
Other describe
.. \.,u.. uu. \� rrut. i aviv rvni.na\wrrenc nr Appucanon\nunaing rermIE 4-1Y-13.aocx
Address:
1011 Eckard Avenue
PREPARED 6/17/14, 13:24:20 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/17/14
------------------------------------------------------------------------------------------------
ADDRESS . : 1011 ECKARD AVE SUBDIV:
CONTRACTOR : PHONE
OWNER HOLGER AND BIRTE BOJARZIN PHONE
PARCEL 06-30-14-5-4-0640-0000-
APPL NUMBER: 14-00000487 RES ADDITION
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------------------------------------
BL3 01 6/06/14 JLL BLDG FRAMING
6/06/14 AP June 6, 2014 8:50:28 AM pbarthol.
Holgar 775-5049
June 6, 2014 4:24:02 PM jlierly.
BL99 01 6/17/14 ftL BLDG FINAL
I LIZ_ June 17, 2014 8:48:01 AM pbarthol.
Holgar 775-5049
------------------------------------- COMMENTS AND NOTES
" CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00000487 Date 5/13/14
Application pin number . . . 220145
Property Address . . . . . . 1011 ECKARD AVE
ASSESSOR PARCEL NUMBER: 06 -30 -14 -5 -4 -0640 -0000 -
Application type description RES ADDITION
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . 1600
----------------------------------------------------------------------------
Application desc
ADD 96 SQ FT DECK TO EXISTING DECK
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HOLGER AND BIRTE BOJARZIN OWNER
7 HUTCHINS ST
TUSON AZ 85712
Other struct info
. . . . . HARD SURFACE AREA
----------------------------------`-----------------------------------------
Permit . . . . .
. BUILDING PERMIT -RESIDENTIAL
Additional desc .
. ADD 96 SQ FT OF DECK TO EXISTI
Permit Fee . . .
. 83.55 Plan Check Fee
54.31
Issue Date . . .
. 5/13/14 Valuation . . . .
1600
Expiration Date
11/09/14
Qty Unit Charge
Per
Extension
BASE FEE
50.00
11.00 3.0500
HND BL -501-2K (3.05 PER C)
33.55
----------------------------------------------------------------------------
Special Notes and
Comments
May 12, 2014 5:00:46
PM sroberds.
The proposal will
add 96 sq.ft. to existing deck for total
lot cov of 27%; site
cov 27%. No land use issues
anticipated.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . STATE SURCHARGE
4.50
----------------------------------------------------------------------------
Fee summary
-----------------
Charged Paid Credited
----------
Due
Permit Fee Total
------------------------------
83.55 83.55 .00
.00
Plan Check Total
54.31 54.31 .00
.00
Other Fee Total
4.50 4.50 .00
.00
Grand Total
142.36 142.36 .00
.00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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 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
construction. i_;11n
Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
-- 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
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Electrical 417-4735
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date Accepted b
Under Floor / Slab
Rough -in
Water Line Meter to Bldg)
Gas Line
Back Flow / Water
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists / Girders / Under Floor
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall / Floor / Ceiling
MECHANICAL:
FINAL Date Accepted b
Heat Pum / Furnace / FAU / Ducts
Rough -in
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s
SEPA:
SHORELINE:
Parkin / Lighting___ESA:
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR
TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction - R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THS ANGE
LESFor City Use
CBTY dF �
Permit#
W A s H i N G s T O N. U.S. Date Received: 3-
321 E 51h Street �n Date Approved _
Port Angeles, WA 9836 E(P 0 P \7
P: 360-417-4817 F: 360-417-471VL l��,JjJ UUU
Email: permits0cilyofpa.us IBUILDING PERMIT APPLICATION('-)�
Pro'ect Address: -bCL W' LK -5,0A u� /40// circ
Prim Contact: . e)&61 Lv AIZZi.1�
Phone:
Email: a Az,A, kftL. Co t. -
Property
Owner
Name `�JL UIt I tl-f
r1'
Phone
;60 7�S SU�c�
Mailing Address-
I o I I CCA -'49 /tmc-_
Email
A'? Zc C Gay it, , cC.-4
City /014
State
Zip �3
Contractor
Information
Name
Phone
Address ��
Email
City
State
Zip
Contractors License#
Exp. Date:
Legal Description:
Zoning:
Tax Parcel #
Project Value: (materials and labor)
$ 1000
Permit
Classification
(check
Residential Or Commercial ❑ Industrial ❑ Public ❑
Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) ❑
For the following. fill put both pages of permit agglication:
New Construction Exterior Remodel ❑ Addition Tenant Im rovement ❑
Mec 'c Plumbing Other
Fire Sprinkler System?
Yes ® No x-
I Irrigation S stem?
Yes ® No
Proposed Bathrooms
/14
Proposed Bedrooms
:: 2/1
Description 7V
Is project in a Flood Zone: Yes ® N Flood Zone Type: 144
If in a Flood Zone, what is the value of the structure before proposed improvement? $ N�(�
I have read and completed the application and know it to be true and correct. I am authorized to apply for
this permit and understand that it is my responsibility to determine what permits are required and to
obtain permits prior to work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within i8o days of submittal, the application
will be considered abandoned and the fees will be forfeited.
Date
Print Name
Signature
Residential Structures
Area Description (SQ FT)
Existing
Proposed
ss value
For Office Use
Basement
First Floor
;
Second Floor
Covered Deck/Porch/Entry
Deck (over 30" or i" floor)
t�
Garage
Carport
Other (describe)
Area Totals
—�
Commercial Structures
Area Descriptions (SQ FT)
Existing
Proposed
ss Value
For Office Use
Existing Structure (s)
Proposed Addition
Tenant Improvement?
Other work (describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size (s ft)
Lot Coverage (sq ft %Lot Cover ge (Total lot coverage + losize)
Site Covera a (S_ Ft of all im ervious) % of Site Coverage (total site coverage + lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler
Size:
#
Haz/Non-Haz Piping
Outlets:
Appliance Exhaust Fan
#
Heater (Suspended, Floor, Recessed wall)
#
Boiler/Compressor
Size:
#
Heating/Cooling appliance
re air/alteration
#
Evaporative Cooler (attached, not
portable)
#
Pellet Stove/Wood-burning/Gas
Fireplace/Gas Stove/Gas Cook Stove/Mist.
#
Fuel Gas Piping
# of Outlets:
Ventilation Fan, single duct
#
Furnace/Heat Pump/
Forced Air Unit
Size:
#
Ventilation System
#
Plumbing Fixtures
Indicate how many of each type of fixture to be installed
or relocated
Plumbing Traps
#
Fuel gas piping
# of Outlets:
Water Heater
#
Medical gas piping
# of Outlets:
Water Line
#
Plumbing Vent piping
#
Sewer Line
#
Industrial waste pretreatment
Interceptor Grease Trap)
Size
Other (describe):
T:\BUILDING\APPLICATION FORMS\Current BP AppUcation\uuuamg rermu 4-i i-is.uocx
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