HomeMy WebLinkAbout212 W 5th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
I~UILLIIIV(,5 I'~l-I~lFIII ISSUED: 9/24/2002 PERMIT NO: 13733
OWNER/APPLICANT PROPERTY LOCATION
CHARLES BIBLE 212 5TH ST W
212W 5TH ST Lot: 3
Pod Angeles, WA 98362 Block: 92 [] Long Legal
3601457-3843 Subdivision: TPA
T: S: Parcel No: 06300000920500
CONTRACTOR ARCHITECT
PARENT & SON BUILDERS N/A
215 WEST 5TH STREET
PORT ANGELES, WA 98362-0000 , 98360-0000
360/452-2198 360/000-0000
PROJECT INFO
Project Value: $10,000.00 SFD Units: 0 Commercial: 0
Project Type: ADDITION SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
ADD 8' X 10 LAUNDY ROOM/BATH
RECEIPT#9717
FEES ASSESSMENT
Building Permit: $181.25 Misc Fee 1: $0.00
Plan Check: $72.50 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $337.00
Plumbing: $48.00 AMOUNT PAID: $337.00
Mechanical: $30.75
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits am 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. AIl provisions of
laws and ordinances governing this type of work will be complied with whether specified h~.erein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local I~ regulating construction or the performance of
construction.
Signature of Contractor or Authonzed Agent Date Signature of Owner (if owner is builder) ! ~ate
Tt\PLANNING\FORMS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 /~ 7 '~'~
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
U~DERPLOOR/SLAH ~-Z ?-~2 Z~'/~:
ROUG.-~ /O - l /-/~g z
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS/R00F/CE,L,NG /o,./z./.oZ. /Cc.," 1/
DRYWALL
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING /0 ~/~ ~)~ ~ ~e/
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
STORM
BUILDING 41%4815 t I - ~'~--- 0 ~.~ ~[_~ ~ BUILDING
BUILDING PERMIT - APPLICATION p¢..it#:
Date Approved:
Date Issued:
The Building Permit ,~pplication must be filled out completely.
Please type or print in ink. If you have any questions, please call 417-4815
LEG~ DESCmPTION:/ot:~ ' Ulock: ~'2 Subdivision:
CL~L~ COUNTY PARCEL N~BER:~Credit Card Holder Name:
Billing Address: City:
Credit Card g: Exp. Date: VISA MC
T~E OF WO~: SIZE~UATION:
~ Residential D NewCons~. D Re-roof ~ Wood-stove ~ SF. ~ $.
D Multi-h~ly ~ Addition ~ Move ~ Garage SF. ~ $ /SF. ~ $
D Comercial ~ Remodel ~ Demolition ~ Deck SF. ~ $ /SF. =
D R~air ~ Sign ~ TOTAL VALUATION $
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load:. Construction Type: M/~Z2
No. of Stories: / Lot Size: ---~ 'ff /~ % Lot Coverage: ~, %
Existing Lot Coverage: ~'.~P, /sq. fl. + Proposed Lot Coverage: ~0 /sq. fi. = TOTAL LOT COVERAGE: ~tg;~- /sq. fi.
PLANNING USE ONLY: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESA/Wetland(s): [] Yes,~'No SEPA Checklist required? [] Yes [] 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.
VALUATION OF CONSTRUCTION: In all eases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply w/th 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.
EXPIRATION OF PLAN REVIEW: If no perrmt is issued within 180 days of the date of application, 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.
1 hereby certify that [ have read and examined this application and know the same to be true and correct, and I am authorized to apply for
this permit, l 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 su~h.~_~//~~ / ,~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date /~'~ '~'7- (~) '~' Time Received by [phone, person)
Location of Work to be inspected ~ / '2 ~(~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Permit NO.
Type of In~--~circle appropriate one): ~....~=~
Sewe(Foundati~h Framing Chimney (Plumbin'gJ Final Sewer Excav. Other
~[ffNSPECT[ON. NOTES:._:
7
pected: Date !
__ns ' _~ Time By
Remarks:.
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~]Gravel ~-~Asphalt [~]PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
r-} No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date / 0 '-/L-/. ~ Time Received by ~ ~ (phone, person)
Location of Work to be inspected ~ ~ ~ ~
Name of person requesting inspection t~_~L,~C'~-~ --,~'~ ~. ~ ~
Address of person requesting inspection Phone No../-7/~'~
Type of Inspection (circle appropriate onel: Permit No.
Sewer Foundation ~ Chimney P~ Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date Time By
Remarks:.
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
El No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date [C>~ /~-- ~'~ Time Received by ~/~ L'/'/' (phone, person)
Location of Work to be inspected ~-- /~-- ~. ~- J~ L~
Name of person requesting inspection CJ-,~c~ ~ ~/~,1,~__
Address of person requesting inspection Phone No. Z/~
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date //~ '~/~-~ ~ ~-~ Time By ,~'~'
Remarks:.
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel ~Asphalt ~]PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
~1 No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS ~/~,[
........... INSPECTION REPORT ...........
Date ~/~ ' '''? ~!'~' '~) '~'''
. ,- Time Received by ~-~' (phone, person)
Location of Work to be inspected ~ , .... /~ '
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection {circle appropriate one): Permit No.
Sewer Foundation Framing Chimney'/ Plumbing Final Sewer Excav. Other
INSPECTION NOTES: .__~
Inspected: Date ~" ' ~ '~ Time By ,, '~:
Remarks:.
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel [~Asphalt [~]PCC [~Other
[] Repaired by City Work Order #
I--] Repaired by Permittee [] COMPLETE
~---~No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: ~ _~
Date/?- Time Received by ~ (phone, person)
Location of Work to be inspected / F~. _~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): -~, Permit No.
Sewer Foundation Framing Chimney Plumbing~inal~ewerExcav. Other
INSPECTION NOTES:
Inspected: Date ~ ~' ~ ~
~ ~ '~J~ Time By
Remarks:.
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [:]Gravel I~Asphalt I~PCC [::]Other
[--I Repaired by City Work Order #
E] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
M
0TY OF PORT ANC.%LFS.PFKM.1T APPLICA.110N a0z Io
1juilding fflvigionllrlectrical 1.nsI)ection6 '
32.1. ri ast Fifth Street - P.O. 11oz 'I 1511 / Port Angeles Washington, 9836
Ph: (360) 4174735 Fill: (3611) 417.4711 31... t
E301o'. `! X1 & 2 Single Family Dwelling r -._ 8- �j )
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet �UCTRICAI.
Job Addnw- Z, 7. _u1 5
WON Square Footago.
Doaraiplion of above
Owner Inforrnallon Contractor Informellon
Name_ 6"cliL Q:ir Name.. r U.
Maili Addmm � - - -r_, Malling Addma+. _ { '
ri- A+..rf•s - We Zip f.L City; ►++'y+'. 51ato: _ ip;
PI era - Farr: �� Phone ;— Fog '7 Al 444
Cleanse 6I Exp. Liconso Ill Egg ..
nli Chn a 11 Lft M 111111srd by unit charms)
$ervimfeedsr 200 Amp_ $120.00 ^.......... $ .,.,
9ervlw/F'eeder 201 440 Amp. $146.00 W S
8ervicwFoader 401.600 Amp $ 205,00 $�
ServlWFooder 601.1000 Amp. $ 252 00 _ $�
ServicelFoeder over 1000 Amp. $ 373.00 �_ S
Branch Clrcull W1 Svrrlce Feeder $ 5.00 S ,,,,.,,,,.
Branch Circuit WIC Gorviae Fecdor $ 63.00 _ _ _ $�.�,., ,�
Each Additional Branch Circuit $ 5.00 $
Breach Oroults t4 $ 75.00 $
Temp. Bervloa Feeder 2D0 Amp. $ 93.00 $
Tamp, 8ervlWFoeder 201.400 Amp. $110.00 S _
Temp, ServlcalFeoder 401 4WO Amp.. $149.00 S-
Tomp, 8ervkelFeedw 001.1400 Amp $100.00 — $-
Portat to Portal Hourly $ 96,00 $w,.__..____„
Signal Clrcuitl Limped Energy -1 & 2 Family Dwelling $ 64.00 _ $—
Manufactured Homo Connection $ 120.00 �_ $
Rene vabla Electrical Energy - 6KVA Byatem or lose $ t02.00 $�,_
Themwatat $ 56.00 $
Note $5.00 for each addlllcmal T-Slat
HIM gNOTRUCT.12M
Flint 1300 equere Ft. $12600 ,. $
Each Addltlonal 600 Square FL or Portlon of $ 40..00 _ �,- _ $
Each Outbuilding or Detached Garage $ 74.00 $_- ..,,-- ...-- ,..,,,
Each Swimming pool. or Wet Tub $11o.00 _ _ $
Total
owner as dalined by RCW 19.281611 (1) Owner w111 occupy the structure for two yoara after this electrical permit ie finulixad, (2) Owner is required
to hire an electrical contractor If above said property is for gale, rant or lasso. Permit expires odor six months of Iasi inspection.
After rending the above statement, I hereby cortlfy that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical Installation or altatatlon in compliance with the electrical taws, N.Er,C., RM Chapter 19.28, WAC. Chapter 296468, The City of Part
Angelus Municipal Codo, and Utility Specifications and PAMC 14.05.050 regarding Electrical PormitApplicalions,
slgnature of earner, electrical contractor or electrical edminhstrator: 0 Cub Cl Chad
L - - -- e Wit Cold
F212'd JTLt7 zZt7 092:0j :WcJJ 62 :GT 2T02-)-0 -100
0 ELECTRICAL INSPECTION
u
iiia,p"',
WIRING REPORT
?K9 417-4735
ATE; /
PERMIT INSPEC OR
7 CDVVIALh
CONTRACTOR
ADDRESS
- 2- z-_ -
APPROVED NOT APPROVED
11 . . ............... - DITCH .................... 11
El ................ ROUGH IN/COVER ...............
11 .................... SERVICE ................... 11
0. . ........... ....... FINAL ... ......... 0
ti CORRECTIONS NEEDED:. 141,
1
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number 13- 00001155 Date 10/08/13
Application pin number 118410
Property Address 212 W 5TH ST
ASSESSOR PARCEL NUMRER, 06-30-00-0-0-9205-0000- REPORT SALES T�6X
Application type description ELECTRICAL ONLY on your excise fax form
Subdivision Name . , , . .
Property Use . . . . , , , , to the City of Port Angeles
Property Zoning . . . . , . . RESIDENTIAL HIGH DENSITY (Location Code 0502)
Application valuation . . . . 0
Application desc
HEAT PUMP
----------------------------------------------------------------------------
Owner Contractor
3IELP CHARLES H /RUTH JPE ( JERRY PETERSON.)
212 W 5TH ST 73 EAST LOMA VISTA RD
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 731 -8994
- -- ---------------------------------------------------- -------- - -- - -- 9,
Permit . , . , . , ELECTRICAL HEATPUMP
Additional desc 1 -4 CIRCUITS
Permit Fee 75,00 Plan Check Fee 00
Issue Date 10/08/13 valuation 0
Expiration Date 4/06/14
Qty Unit Charge Per Extension
RASE FEE 75.00
__ ____________ ______ ______. __ -, ---- -- _ -_ -_ -_ �+
Fee summary Charged Paid Credited Due -
Permit Fee Total 75.00 75,00 .00 .00
Plan Check Total 00 ,00 00 .00
Grand Total 75.00 75,00 .00 DO
0
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
. SERVICE
``
rf
ROUGH -IN
FINAL
IOMNMNTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPFf--TION
Signature of owner or Electrical Contra_ ctor X Date:
G:IEXCHANGEISUILDING