HomeMy WebLinkAbout1318 W 4th St - Building
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
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Appl~cat~on Number
Appl~cat~on pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr, name
Appl~cat~on type descr~pt~on
Subdivis~on Name
Property Use
Property Zon~ng .
Application valuat~on
07-00000689 Date
973702
1318 W 4TH ST
06-30-00-0-1-1920-0000-
MRS ANN TODNEM
RE-ROOF
6/12/07
RS7 RESDNTL SINGLE FAMILY
7489
Owner
Contractor
TODNEM, TTE WILLARD L
1318 W 4TH ST
PORT ANGELES WA 983631830
WESSEL CONSTRUCTION
PO BOX 1514
PORT ANGELES,WA
PORT ANGELES WA 98362
(360) 457-8544
Permit
Add~t~onal desc .
Permit p~n number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF AND RE-ROOF
104372
179.75 Plan Check Fee
6/12/07 Valuat~on
12/09/07
.00
7489
Qty Unit Charge Per
Extens~on
95.75
84 00
\N
BASE FEE
6 00 14 0000 THOU BL-2001-25K (14 PER K)
-'
Other Fees
STATE SURCHARGE
4.50
OQ
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 179 75 179 75 00 00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4 50 4 50 00 00
Grand Total 184 25 184 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
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 ordmances governmg 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 regulatmg construction or the performance of
construction
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Signature of Contractor or AuthOrized Agent
(J,- /2.. ~D~
Date
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Signature of Owner (if owner IS builder)
Date
T \PohclCs\1102_15 bUlldmg pennlt II1spectlOn recmd05 wpd [1/4/2005]
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BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDlNG lNSPECTlONS CALL 417-4735 FOR ELECTRJCAL lNSPECTlONS
CALL 417-4807 FOR PUBUC WORKS \JTlUTlES
PLEASE PROVIDE A !v1lNU,,]UIv124 HOUR NOTJCE IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WORE BEFORE
LNSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON
KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE
INSPECTION TYP!: DATE ACCEPTED COMMENTS
I YES NO
FOUNDA nON
FOOTINGS
SHEAR WALLS; WALLS
FOLJNDA TION DRAINAGE; DOWN SPOUTS
PIERS I I
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR; SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY
BACK FLOW I WATER
AIR SEAL
WALLS
CEILlNG
FRAMING
JOlSTS; GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS; ROOF; CEILING
DRYW ALL (lNTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING
MECHANICAL
ROUGH-IN
HEATPUMY/FURJNACEIDUCTS
GAS LINE FINAL DATE ACCEPTED BY
WOOD STOVE I PELLET I CHIMNEY
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT SEPARATE PERMJT#'s SEPA
P ARKINGILIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTJONS REQUIRED PRJOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LlGHT DEPT 417-4735 ELECTRJCAL
L1GHTDEPT
CONSTRUCTION R W I PW; CONSTRUCTION - R W
ENGINEERING 417-4807 PW ; ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
417-4815 (j - " TL-I.,.. BUILDING
BUILDING 'v,
? 1 UJldm ' enmt illS eetlOn TeeOl d05 w d 1;4;2tJ05
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PREPARED 6/20/07, 8 41 58
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
16
6/20/07
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER:
1318 W 4TH ST
MRS ANN TODNEM
WESSEL CONSTRUCTION
TODNEM, TTE WILLARD L
06-30-00-0-1-1920-0000-
07-00000689 RE-ROOF
SUBDIV
PHONE
PHONE
(360) 457-8544
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~~~~-~~----~/;~:.~;---~---~i~!;~~!~~::;;-:~--:~--~:~~~~:---------------------------------
1~ BLDG FINAL - RE-ROOF
-------------------------------------- COMMENTS AND NOTES --------------------------------------
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
Date Rec b"-I Z-C> 7
Penmt# C'1 - b 8'1
DateApproved br \7 ~D)
Date Issued I \
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
ApplIcant or Agent:
Owner.J"'.lf"~. ~ .~ J.~~
Address' \3r$'S W. 4-~ ~
Phone:
Phone: 45"2- '=:>0.3.8
City.~ j.vlll1_q" Zip: ~ q 6 3b z..
Phone'
State L1cens~ #:W"'Cs6~3sr(J ..ExP:'i~Slo7 Phone: 4S'1"'S5*
,-
C~ Z~.
ZONING:
Archltect/Engineer:
Contractor \.,J~$$c?..J CoY\..>{.
Address:
PROJECT ADDRESS: r?l ~ W. ~
--1
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block.
SubdIVIsion:
)(Re-roof 0 Stove
o Move 0 Garage
o DemolitlOn 0 Deck
SIZEN ALUATION:
SF. @ $ /SF = $
SF. @ $ /SF = $
SF. @ $ /SF = $
TOTAL VALUAT~ $ ~4-g9. ~
UI ~-h-,
No. of Stones: Lot SIZe:
Totallat coverage
EXlsting Sq. Ft.
= TOTAL Sq. Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetIand(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be revIewed and may be revised by the Buildmg DivIsion to comply with current fee schedules. Contact tIle Permit
Coordmator at 417-4815 for assistance.
PLAN CHECK FEE: ]}' a plan check fee IS due it must be subillltted at the time the building permit application and constructlOn plans are
subillltted. All other permit fees are due at the tlme of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is Issued WIthin 180 days of the date ofapplicatlOn, the application will expire. The
Buildmg Official can extend the time for actlOn by the apphcant up to 180 days upon wntten request by the applicant (see Section
R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same 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 ,not the City's, and that 1-
must obtain such permits prior to work.
T:\FORMS\BldgPenmtformwpdApplicant: ~~__ ""- ~ _Date: C:::.... l2-ory
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. .3 S'T cf'
sk-hz:
,
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
tll'WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
~ RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW LI2-
o FAN/WALL KW _
o HEAT PUMP KW ~
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
1Sl REMODEL
~ ADD/ALTER CIRCUITS
1"l' SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~ OVERHEAD SERVICE
o UNDER~~VICE
VOLTAGE:
~ SINGLE PHA E
o THREE PHASE
SERVICE SIZE ::2&'0 AMPS
Details/Description:
.v~
~
2ra/ ~
./
/.J~
I
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ Rough-in/cover O.K.
~ O.K. to connect service
o Final O.K.
Permit/Receipt No.
.;}090'
Site Address:
Installer: Av......
New Meters
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. k
~ NO OCCUPANCY OR USE ESfABUSHED UNDER THIS PERMIT $ if' 10 t!!2
Electricallnspeclor Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16307
Port Angeles. wa&h1ngtonn_______ns=-.-=..l..______..n_....._.__.___n___. 19~::?"Z
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 .___./.3.L.Z_____n.~.L~_nn_J2.~hccup~cy---------~~----n.------.----n
Owner _____.:n~An___1:~.<'d.in___nn_________._nn_ - TenanLnnnnnnnn______.n____.__n.___.______n_.n______.___.n__n
Wiring Contractor.___n'2t.&:!.:~_r/.---.m~J!!.~----- By---n--------n---------n---------.---n----.n-------------.----..--
Light Outlets....t.?9...._nn________________. Service, volts ---,./-?fL:J..:~!..--...... Type 01 Wiring:
Receptacle Outlets..~4)~...__......... No. wires .......~~..................~.......... Armored Cable ....mm..m...............
K c;. SI i ~/,/t1!1V Non-Metallic .........m.m.................
n'ye,_ 'W mm__.______m__m_____nn__nnnn ze w res...._1.:.-'-__._n____--:____..._____
Range, KW m_m/P:n___nm_nmmnn___ Main luse :':.~nq2e..,f.-------,---,-
Water Heater: ,,-
y; .~
KW.__m.nnmnC:_7nm_m___nn
Heat' KW....____./n[;)nnnlJ.lJn
S
Enclosure ........'ummm...m....m....m
Type of wiring:
Entrance Cable m..........................
Motors: size. volts and phase:
/~:7
--TZn-?;--------.........----......----...
'7 ..........::-.............--.........................
Rigid Conduit .......................:.......
Metallic Tubing ...._......................
Current transformers:
No. & Size.......................................
Ser. No...............................................
Ser. No. .............................................
Ser. No..............................................
Knob & Tube........n......................_
RIgid Condnlt ______n.......m______....___
Metallic Tubing ......................__...
Raceway ...............................__..._
Circuits, Llght.....c;.m.................m...._
Utllity__n__nL_...__......_____________nn
/0
Heat ..._..:..............................__......
Range :.~.....................................
Water Heater&.......m...............
Motor ....................n.......................
Dryer ...._~.....u...............................
Furnace ............n.__........'_...................
3d
Total Load..................._......... Ser. NO.............................._n............ Total.......................................
Remarks: _h__Un~~~..._~.....~_.._!=nn.__nC.~"!_;:'.~t..__h..__.________nnn...u.nnnn_nnnn...n.____n__n...n.uu.o_o___.u.n_n__
,r --
-;F=i~~::.-.::._--_:::-__...:---.-nn::~.~.~:::~.~.~.~~~.~-_.:--.~----------..----..:~-jlfZ~l::;:l~=--.:
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
ELECTRICAL PERMIT
N?
16307
Address..................._...................................................................................................................Date..._......_.._.._.._.........._......_......_.......__
Owner ..................................._...n......................._._........................................................... Tenant.........................................................n.........
Wiring Contractor ........................................._.................n............................................................. By ............................................................h
NOTICE-Current must not be turned on until Certificate ot 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. -.
"
1M Olympic Printers, Inc.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
REQUEST:
Date ::5 -(L( '-07
Time "7::; <) /1"",- Received by l'Je",-,^" ~ E- (phone, person)
......
Location of Work to be inspected I 3 i .8 iJ, 't--f0:.
Name of person requesting inspection .De.~...... ~... ~.
Address of person requesting inspection 4:>,~P' Y.:u~.J
I
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
17 'f- i5
Phone No. 'fl 7 -4 :?"i..9
Permit No.
Sewer Excav. Ote-",--+~?
INSPECTION NOTES:
Inspected: Date 3-(4 -07
Remarks:
Time 9.! 50 /J......... By Lle~~,.'> €.
RESTORATION REQUIRED. . . . .. YES X NO
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(Continue on reverse side if necessary) I
i.( X. 0'
pa Asphalt 0 PCC 0 Other
Work Order # 30','1(,"157
~ COMPLETE
o INCOMPLETE
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\ ) 0\0",., \y~r u,J
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
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