HomeMy WebLinkAbout231 W 4th St - BuildingBuilding Permit
231 W4 th St
12-1482
PREPARED 12/17/12, 14:37:53
INSPECTION HISTORY REPORT
PAGE 1
PROGRAM BP521L
0/00/00 THRU 0/00/00
CITY OF PORT ANGELES
---------------
APPLICATION PROPERTY ADDRESS
--------- ---------------
ASSESSOR PARCEL NUMBER
-------------------
ALTERNATE ID
STRUCTR PERMIT
------------------------------------------------------------------------------------------------------------------------------------
INSPECTION
RESULT DATE/STATUS
INSPECTOR
12 00001482 231 W 4TH ST
06-30-00-0-0-7150-0000-
063000007150
000 000 BPR 00
BUILDING PERMIT -
RESIDENTIAL
DRW 0001 BLDG DRYWELL
11/28/12 APPROVED
JLL
REQ
COMM:
November 28, 2012 9:20:04
AM jlierly.
REQ
COMM:
ken cozy
RES
COMM:
November 28, 2012 4:21:41 PM jlierly.
RES
COMM:
two drywells are on the left and right of
the sidewalk that
RES
COMM:
approaches the front door one in rear on
sturcture.jll
000 000 BPR 00
BUILDING PERMIT -
RESIDENTIAL
BLl 0001 BLDG FOUNDATION FOOTING
12/07/12 APPROVED
JLL
REQ
COMM:
December 7, 2012 8:15:16
AM pbarthol.
REQ
COMM:
Ken 460-0036
RES
COMM:
December 7, 2012 3:10:36 PM jlierly.
000 000 BPR 00
BUILDING PERMIT -
RESIDENTIAL
BL2 0001 BLDG FOUNDATION STEM WALL
12/12/12 APPROVED
JLL
REQ
COMM:
December 12, 2012 8:10:46
AM pbarthol.
RES
COMM:
December 12, 2012 12:53:18 PM jlierly.
000 000 BPR 00
BUILDING PERMIT -
RESIDENTIAL
BL99 0001 BLDG FINAL
12/14/12 APPROVED
JLL
REQ
COMM:
December 14, 2012 8:33:25
AM pbarthol.
REQ
COMM:
Ken 460-0036
REQ
COMM:
Late afternoon
RES
COMM:
December 14, 2012 4:07:38 PM jlierly.
„tM C161p.
CITY OF PORT ANGELES
d•� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
' 321 EAST 5TH STREET, PORT ANGELES, WA 98362
r►,
Application Number , . . . 12-00001482 Date 11/13/12
Application pin number . . . 903764
Property Address . . . . . . 231 W 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -7150 -0000 -
Application type description RES REPAIR
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 8000
----------------------------------------------------------------------------
Application desc
REPLACE SECTION OF FOUNDATION, SAGGING
----------------------------------------------------------------------------
Owner
------------------------
Contractor
HILKEN LYNN R
------------------------
COZI HOMES CONSTRUCTION INC
231 W 4TH ST
324 E 9TH ST
PORT ANGELES
WA 983622807
PORT ANGELES
WA 98362
----------------------------------------------------------------------------
(360) 452-9906
Permit . . . . .
. BUILDING PERMIT -RESIDENTIAL
Additional desc
FOUNDATION REPAIR
Permit Fee
179.75
Plan Check Fee
116.84
Issue Date . . .
. 11/13/12
Valuation . . .
. 8000
Expiration Date
5/12/13
Qty Unit Charge _ Per
Extension
BASE FEE
95.75
6.00 14.0000
-----------------------------------------------------------------------=----
THOU BL -2001-25K
(14 PER K)
84.00
Other Fees . . .
----------------------------------------------------------------------------
. . . . . . STATE SURCHARGE
4.50
Fee summary
-----------------
Charged Paid
Credited
Due
Permit Fee Total
--------------------
179.75 179.75
--------------------
.00
.00
Plan Check Total
116.84 116.84
.00
.00
Other Fee Total
4.50 4.50
.00
.00
Grand Total
301.09 301.09
.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. �)
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
i:FormslBullding 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 IN CONSPICLIOUS LOCATION. KEEP PERMIT AND APPROVED PLAINS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Fire 417-4653
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 I 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 Pump / 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 / En ineerin 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
THE NGELES
CITY OF
W A S H 1 N G T 0 N, U. S.
321 East 5111 Street
Port Angeles, WA 98362
P: 360-417-481.7 F: 360-417-4711
hcatuzo@cityofpa.us
Building Permit Application
For City Use
Permit # /'Z'
Date Received: /r"3'/0—
Date Approved:�
Project Address:
. f4- C,
, cnrt
Main Contact: -`
Phone #
Property
Owner
Name
� r ��
Phone
r% 8095
Ma► ing Address
Email
City
State Zip
t'ein e n9
t,i� ( /U
Phone
Contractor
Name /l
Mailing Address
Email
3 2 c—
City
State
ZipC�
Contractor License # i
Expiration:
Project V lue: Zoning: Tax Parcel # Lot #
$ Q -a p �j
Type of Residential Commercial ❑ Industrial ❑ Public ❑
Permit
Demolition ❑ Fire ❑ Repair a Reroof (tear off/lay over) ❑
For the following, fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other= 'Fe—, - A -<' F C r A-Wl!
Existing Fire Sprinkler System?
Maximum height of structure
Proposed Bedrooms
Proposed Bathrooms
Yes ❑ No ❑
Project
Description
t�e►vicv� ,
1�F(-,qd & T cyA-, 5 ►') -.a MV c. r
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 working on projects. I understand the plan review fee is not refundable after review has.
occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before
plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the
application will be considered abandoned, and the fees forfeit.
Date
Print Name
Signature
Residential Structures
Area Description (SQ FT)
Existing
Proposed
Minimum $
value
For Office Use
Basement
Appliance Vent
#
Heater (Suspended, Floor, Recessed wall)
#
First Floor
Size:
#
Heating/Cooling appliance
repair/alteration
#
Second Floor
#
Pellet Stove/Wood-burning/Gas
Fireplace/Gas Stove Gas Cook Stove/Misc.
#
Fuel Gas Piping
Covered Deck/Porch/Entry
Ventilation Fan, single duct
#
Furnace/Heat Pump/
Forced Air Unit
Size:
Deck
Ventilation System
#
Garage
Carport
Other (describe)
Area Totals
Commercial Structures
Area Description (SQ FT)
Existing
Proposed
Minimum $
value
For Office Use
Structure (s)
Appliance Vent
#
Heater (Suspended, Floor, Recessed wall)
#
Addition.
Size:
#
Heating/Cooling appliance
repair/alteration
#
Tenant Improvement
#
Pellet Stove/Wood-burning/Gas
Fireplace/Gas Stove Gas Cook Stove/Misc.
#
Fuel Gas Piping
Other (describe)
Ventilation Fan, single duct
#
Furnace/Heat Pump/
Forced Air Unit
Size:
Area Totals
Ventilation System
#
Lot Site Coverage Calculations
Footprint (SQ FT) of all Structures:
Lot Size:
% Lot Coverage
SQ FT Site coverage (all impervious +
structures
Haz/Non-Haz Piping
% Site C_ overage
Mechanical Fixtures
Indicate how many of each type of fixture to be installed orrelocated as part of this project.
Air Handler
Size:
#
Haz/Non-Haz Piping
# of Outlets:
Appliance Vent
#
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
#
Fuel gas piping
# of Outlets:
Water Heater
#
Medical gas piping
# of Outlets:
Water Line
#
Vent piping
#
Sewer Line
#
Industrial waste pretreatment
interceptor
#
Other (describe):
® D E L0a as as Pon nM flula �010 III A 0a00 1 1 00 �Dla
ENTRY SYSTEMS
CITY Or ANGELES ELECTRICAL PERMIT
LIGHT DEPARTMENT 1W �T�o
14 919
Port Angeles, Washington ------ 1----W-l--------------------- --------------------- 191f" !
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address --; - ` r Occupancy -
Owner ------.. =`�� a=' -----'-------------- Tenant -------------------- - -----
Wiring Contractor ---- ✓i • �i
--------------- By ----------------------------------
Outlets................... ............_.._.-...
Receptacle
Dryer, KWJ------------------------------------------
Range, KW --------------------- _.__...___----
Water Heater:
KW.......................... ---------- _-----_.
Heat: RW.._.�t......�..................
Motors: size, volts and phase:
Total
Remarks:
Service, volts ---`. C'� �G
Type of Wiring:
No. wires -------- -'------------- --r-----------
Armored Cable
Non -Metallic ....
Size wlrea...,�L.2._�.-..__......._.
- pc, ii
Main fuse ... .....__...f..] ..............
Knob & Tube....
Rigid Conduit ...
Enclosure ..................................
Metallic Tubing
Type of wiring:
Raceway
Entrance Cable ---
Circuits, Light __.......
Rigid Conduit --------------------------
Utility ------ ---------
Metallic Tubing -------------..............
Heat ....-.-
Current transformers:
Range ------._......-
No. & Size .......................................
Water Heater ...
Ser. No ..............................................
Motor ..._------------
Ser. No ..............................................
Dryer _...--------------
Ser. No .................._---
Furnace
Ser. No ..............................................
Total ...........
Permit Fee Treas. Receipt
t �.
P
$--------------------------------- No ----------- -------- --•---- By . =' T x P =' _ - 1" ' t-------
NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
/,� /lu-r•` )3L?
ELECTRICAL PERMIT N9 14 919
Date called P6r inspection ............. ............. - `-- --
Preliminary inspectlan tdk:! .--- '' - - ---�T �"
Inspection comPleted---_!.._......
:-.._---..._......_.._...._...................._.__-__.._-...-...................-
-.....__...._.............._.----.__----.---_.-.-.-...._
TotalLoad --------------------------- .---------------------------------------------------- .------- --------------------------------- ..............................
t 1M 3-72 Olympic Printers, Inc. -
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 17-00000171 Date 2/17/17
Application pin number . . 911355
Property Address . . . . 231 W 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -7150 -0000 -
Application type description ELECTRICAL. ONLY
Subdivision Name .
Property Use . . .
Property Zoning . . . RESIDENTIAL HIGH DENSITY
Application valuation . 0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application dese
--------------
-
Ductless heat pump
----------------------------------------------------------------------------
DITCH
Owner
Contractor
ZACHARY N SLOTA
BLACK DIAMOND ELECTRICAL CONTR
231 W 4TH ST
502 BLACK DIAMOND RD
PORT ANGELES
WA 983622807
PORT ANGELES
WA 98363
(360) 477-7454
(360) 565-1035
----------------------------------------------------------------------------
Permit . .
ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . .
63.00
Plan Check Fee .
.00
Issue Date . . .
2/17/17
valuation . . . .
0
Expiration Date
8/16/17
Qty Unit Charge
Per
Extension
1.00 63.0000
ECH EL -R-
BRANCH CIR WO/ SER FEED
63.00
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited
Due
Permit Fee Total
63.00
63.00 - .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
63.00
63,00 .00
.00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
t
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
.1 & 2 Single Family Dwelling'fi{
Date: ) — 6 —17
RECEIVib
-
r—
J
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 231 Ut)
qT7^F
Building Square Footage:
Description of above
Owner InformatL ion�
Contractor I�for�ta
'on
Name: �L�
Name: A
Mailing Address:
Mailing Address:
City: State: Zip:
City:
State: Zip:
Phone: 77- 7 Fax:
Phone:
Ear.
License # / Exp.
License # 1 Exp.
Item
Unit Charge Ch
Total (Qtv Multiplied by Unit Charge)
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201-400 Amp.
$146.00
$
Service/Feeder 401-600 Amp
$ 205.00
$
Service/Feeder 601-1000 Amp.
$ 262.00
$
Service/Feeder over 1000 Amp.
$ 373.00
$
Branch Circuit W/ Service Feed
$ 5.00
Branch Circuit W/O Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4 Only
$ 75.00
$
Temp. Service/ Feeder 200 Amp.
$ 93.00
$
Temp. Service/Feeder 201-400 Amp.
$110.00
$
Temp. Service/Feeder401-600 Amp.
$149.00
$
Temp. Service/Feeder 601-1000 Amp .
$168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
$ 64.00
$
Manufactured Home Connection
$120.00
$
Renewable Electrical Energy - 5KVA System or Less
$102.00
$
Thermostat
$ 56.00
$
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$120.00
$
Each Additional 500 Square Ft. or Portion of
$ 40.00
$
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
$ 74.00
$110.00
$
$
$ Total
Owner as defined by RCW.19.28.261: (1) Owner will
occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property
is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or ilteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-466, The City of Port
Angeles Municipal Code, 0 Utilit pecifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of o �r�a , el ical ntractor or electrical administrator: ❑ Cash 71-eaeck
11 Credit Card #
/' /� — /' 02/0612012