HomeMy WebLinkAbout2152 W 4th St - BuildingCITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 07 00000836 Date 7/16/07
Application pin number 405012
Property Address 2152 W 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 9 4 0066 0000
Tenant nbr name PETERSON
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 5009
Owner Contractor
JEANNE C PETERSON
2152 W 4TH ST
PORT ANGELES
(360) 457 6342
WA 983631402
TOPNOTCH ROOFING GUTTER
1235 W 9TH
PORT ANGELES WA 98362
(360) 457 0066
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF AND RE ROOF
Permit pin number 107235
Permit Fee 151 75 Plan Check Fee 00
Issue Date 7/16/07 Valuation 5009
Expiration Date 1/12/08
Qty Unit Charge Per Extension
BASE FEE 95 75
4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 151 75 151 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 156 25 156 25 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
fora 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 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
7-1 ^0Z
Signature of Contractor or Auth ized Agent Date Signature of Owner (if owner is builder) Date
T \Policies \l 102_15 building permit inspection record05 wpd [1/4/2005]
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CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORE BEFORE
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. tre
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDF TION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
W ALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
ELECTRICAL LIGHT DEPT
INSPECTION TYPE DATE
CONSTRUCTION R.W PW/
ENGINEERING 417-4807
FIRE 417 -4653
I PLANNING DEPT 417 -4750
I BUILDING 417-4815
T: \Policies \l 102 15 building permit inspection record05 wpd [I/4/2005]
BULLDLNG PERMIT INSPECTION RECORD
YES
ACCEPTED
I I In
I(4-20—P' I1
NO
FINAL
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
RESIDENTIAL DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW I ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
DATE ACCEPTED BY.
I FINAL DATE ACCEPTED BY.
DATE 1 ACCEPTED
I YES I NO
I I I I
I I I
1 I
y
Address: W City
Archltect/Engineer
Contractor
Address: 22 3 T 4"
PROJECT ADDRESS
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUlvIBER.
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 �r Agent: 719PNJ 4r
3 Quu erG s. 5 0,✓
BUILDING PERMIT APPLICATION
TYPE OF WORK.
Residential New Constr dOP roof Stove
Multi- family Addition Move Garage
Commercial Remodel Demolition Deck
Repair Sign Other
BRIEF DESCRIPTION OF THE PROJECT 2 fir
-C. i.CJ 4/ 2/(.1 S 1 Ley
No of Stones Lot Size: Existing Sq Ft.
MF'ORMS\B1dgPermitform.wpd Applicant:( Q L..
Gam# e r Phone: 5 7 4,- C.
Phone. .4/5 Z 3 y
Pop f ��5 Zip 9ss34
r
Phone:
State License -7 4/f/Ar.d, 6 xp ,1 OV Phone 7--&-o-z.g
City Zip c3?o-
Wes 4 141 M X 5%3 ,6 ZONING
Block: Subdivision.
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
FOR OFFICIAL USE ONLY
Date Rec. (n 7
Permit a7 8 3 Co
Date Approved:0 1 D 7
Date Issued: I t
ST7F/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION r, 001 00
COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type:
Proposed Sq Ft. 7 TOTAL Sq Ft. 7 7'O
Date: 7- /6 0 7
APPROVALS
PLAN
BLDG
DPWU
FIRE.
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 Building Division to comply with current fee schedules. Contact the Permit
Coordmator at 417 -4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted 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 permit is issued within 180 days of the date of application, the 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
R105.3.2 of the International Building/Residential Code, 2003). No apphcation 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 I
must obtain such permits prior to work.
5/18/06
TOPNORG994DA EXPIRATION DATE: 5/18/08
Company signature Gam Date 5-- eC r c G
Bid prices are subject to reasonable increases due to any necessary alterations, additions, increases in material and /or labor
to complete work. Homeowner will be notified of any necessary changes, which may affect cost.
Prooerty owners are responsible for obtaining any permits reouired for work and materials descripgd herein. TOPNOTCH is hapnv to provide
permit,but will add the cost to the final bill.
Bid prices are applicable for 30 days* from date below, unless otherwise stated or agreed to Please feel welcome to call if you
have questions concerning this estimate /bid. If bid is accepted, please sign one copy and.return it to TOPNOTCH ROOFING GUTTER, at the
address above. Work is scheduled upon receipt of sinned bid. Verbal agreements will not guarantee scheduled work.
References are available!
topnotchroofinga gwest.net
ESTIMATE AND BID PROPOSAL CONTRACT
TO. Mrs Peterson 2152 W 4 St Port Angeles WA 98363 457.6342
FOR. Re -roof same address.
Tear off existing roofing. Clean up and disposal included. Roof with 30 -year laminated, architectural
composition over 30# felt Install starter course composition, 110' of ridge vent 110' of ridge cap
2 -1" neos 2 -2" neos 1 -3" neo 2 AF -50 vents chimney flash skylight flash 70' W valley Estimated cost of
tear off and re -roof using the materials specified herein labor to complete work as described and sales
tax
CO 0y s ue'
.2$364840 if
29 .72
54-2'. 7
$72 6l Three-thousand eight hundred -fifty eigb +.�._a_nd_l2/100
Gutter installation. Remove old gutter system. Install 5" aluminum continuous gutter downspouts and
accessories Materials labor and sales tax
904.
07
$979 57 Nine hundred seventy nine and 57/100
Authorized party to accept bid 1-41.,P
il.Lt'r'1�/ Date `e, c 1 7
MATERIAL WARRANTY BY MANUFA(B$RER, WORKMANSHIP GUARANTEED BY LICENSED, BONDED, INSURED CONTRACTOR
PAYMENT TERMS: ONE HALF TO START WORK. BALANCE DUE IN FULL WHEN WORK IS COMPLETED ALTERNATIVE PAYMENT ARRANGEMENTS
MUST BE DISCUSSED AND AGREED TO PRIOR TO THE START OF THE JOB
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Official Use Only
A"ell1 #
Recelvcd
Backflow Assembly Test Report
City of Port Angeles
Public Works and Utilities Department
Water/Wastewater CollectIOn DIvIsIon
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NAME OF PREMISES:
SERVICE ADDRESS
LOCA TION OF DEVICE
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ASSEMBLY
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Manufacturer
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Model
Size
Senal No
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IS THIS AN APPROVED ASSEMBLY) YES 0 NO 0 IS ASSEMBL Y INSTALLED CORREE:TL'V') :YES"D- 1)10 0
DATE OF INSTALLATION .7"v I"f. IV! ~ UNKNOWND '_ /
REDUCED PRESSURE PR-;~{<(!~Lf AS S.gMBL Y
DOUBLE CHECK VALVE ASSEMBLY
RP 0 RPDA 0
DC ~ -/Dc'DA 0
PVB 0 All "G.lh 0
SVB 0 A VB 0
PVB/SVB
CHECK VALVE#I
CHECK VALVE #2
RELIEF VALVE
Imtlal
Leaked 0
Leaked 0
Closed TIght 0
Held at ).. I pSI
Opened at _ p~1
DId Not Open 0
AIR INLET
Did Not Open 0
Test
I ,
Held at ~ pSI
Opened at _ pSI
Repan;,
Cleaned 0
CHECK VALVE
Leaked 0
Cleaned 0
Cleaned 0
Held .II _ P,I
Replaced 0
Rcplaced 0
Repldced 0
REPAIRS
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Cleaned
DetaIls
Repldced 0
3 pSI Buffer YES 0 NO 0
Filial
Closed Tight 0
Held .It ). ( pSI
AIR INLET Opened at _ pSI
CHECK VALVE Held at _ pSI
BACK PRESSURE NO 0 YES 0
Test
Held at ~ pSI
Opened .It _ P'"
AIR GAP INSPECTION
REQUIRED MINIMUM SEPARATION
TYPE OF HAZARD
'::"/VVN
YES 0 NO 0
COMMENTS
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Lme PressUle ~ pSI
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Held Backpressure YES B"""NO 0
#2 Shutoff Held
YES e("NO 0
Rehel' Valve ExerCIsed YES 0 NO 0
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SIgnature
Failed
Cert #
Test KIt
Passed
Date/TIll1e
Testel
Imtlal
Test
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YELLOW - PURVEYOR COPY
PINK - TESTER COPY
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F E RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
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PE Mil NUMBER
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TOTAL'FEE ~6/0? "~,, 'A_ .,:>a:<:J1 ,I ~.41, ,A:u~
, ~ .< CONT. LIC. NO. TI~E'TO C9MPLETE NQ:STORIES LEGAL OCCUPANCY
-- .
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
SileAddress2J};7 W 4# . ... " . . .
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner ;:?&H LAR.<;,,)/ , Installation By /!,4LV'tJI<S€,uS ELEC7R I C
Owner's Address 2i~2 jAf4!;t installers Address /4za W- //d .
Day Phone 1/;'2 ._,-g"1/(~ Installers Phone 4,t:;'/)-/)JkJ3
Application is !1,ereby made for Per~it to irJstall Electrical Equipm~nt as follows:,
.- ~'.
,Wiring Method
.1
AMP 240V , ~ . ,. ,', AMP 24QV
NUMBER .120V .. NUMBER 120V
USE OF CIRCUIT -PER - 10QR FEE USE OF CIRCUIT PER 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE .. MOTOR
APPLIANCE. , MOTOR
DISHWASHER . . FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER , REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC ..
BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
..
A.C. UNIT AMP PHASE
FEEDER t IEJOA V SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE , A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made
MfiRcf/
19,
,19 1>'5
By
'.
Date Permit Issued
3f9/4>S
WARNING I
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the aJ:?ove described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRECTOR OF CITY LIGHT
By ~~/_ ~1r1
_ PLANS PPROVED .
Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158.
4-f'
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - Original CANARY - Duplicate PINK - Triplicate WHITE CARD -lnspectofs Report
OLYMPIC PRINTERS, INC.
.......
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
3 :ltH5 s- /J! /t? O.K. TO CONNECT SERVICE
FINAL O.K.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
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15101
(., -/x " v
Port Angeles, Washlngton__uu,_'-nmu_m:_nu_n_m_mmumnunu____uu, 19_mm_
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 eledrical work as listed below.
Address :;?L'~m_~~muJ!Z.:.___?;;{Ud___________ummmnn____nmm Occupancy_____,:L?n:'.md____U___nmm_m___.
I. ,/
Owner ______.~~.;i__r~_n_____~~~:.'t:1!_~_~:.-_~____n__unuh.___________ Tenant_......__._____nu_______.n__n__n__h____.____n_~.______________n_.
Wiring Contractor md~:f;'!:_'_L_':_J:_I:'__m_{:X?_::_~r_____d By_n_nnmnn____________dd_________n____n_____muu______n__
I})
Light Outlets__________:_________._____________________
?-o
Receptacle Outlets______m.........__...._______
C-
Dryer, KWi n..._'__h..._.___.______un______,_____
("
Range, KW mmnuo.:mmm..._
Water Heater:
C!I "
KW.__________________:__
/'" "
Heat: RW.--------1----!!../?m~-~-~:!.~_
) x/3 (J~ tel
Motors: siz~ vo1.ts an{f phase:
../tS:.<./.:.k.__.______________________._______
j__f.:-r.~:c_____________.________________._____
Total Load........___u____m__._.__..
Service, volts m.L.:.__~.~_!...?__~.~:___....
"
N~. Wff.es .--n~_---~~;-;;;l.......-
:::: ;~::s.~:.~5;.;Q::2{:..._...-:
Enclosure _m___~___;i...____.___________.___
Type of wiring:
Entrance Cable ...___nmum_m.
Rigid Conduit
Metallic Tubing b_mm__mum_un___
Current transformers:
No. & Size_____________________un__,____.....n
Ser. No............_____..._____.____......____......
Ser. No.___._________________________.________________
Ser. No..__________........__........._____.______.___
Ser. NO....nn....................__...........__.___
Type of Wiring:
Armored Cable nnnnn
Non.Metallic ................___m___.___....
Knob & Tube__
Rigid Conduit ______nhm__nnn________n
Metallic Tubing nmmnmn_
Race\vay ____unnun_'..___.._____,.._.._,____."
Circuits, Light..___@-m_._.._mnn___u...._mn
Utility _..P_____________________...______________
tJ
Heat ../_____.__.............____....___.____.__
Range .~.__________________________________..__
\\Tater Heater .2.........___________m_____
Motor h....._un_..u__'uuu..uuuu......._.
~
Dryer,......____....,.n____.u_____"_...__________.._
Furnace .nn....__.....u._..n.._.._.___....nm..
Ju
Total n........_.n...........n......nnn
Remarks: _u_nnn::l_~.~:d_.:-l:"_:.u._u.C~~!.!.:.n..L.:_~.-.n~_n.._nnnhn__nn.nnnunu_nnnUhn_n_..nn.n.._.n."__._n.n_..___n..h.
.n.__.n__.nnh.'_hhn...u.n..uunnn_unn._..nn._._...n.n.n._nh___Uhn.n.___n_nn.__n.n..__..____uu_______n...n______..nn.._._....__.n____hn
~~-~~~ii~-:-:::--::---::-:----uu-----i~~-~-~:::~~-~~~-~~~::_::-_:---m-n---m---:~--:;ll:::-ii~~;:~~:2~:::=:.::___:
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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ELECTRICAL PERMIT
N~
15101
Date ca\led2(ln~~~oi:l...---f.--i-m--m-----m---umuum--mumum-__ummm___uummu__------_______~u.:i~m=_:::~'__~mu___m______
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::;~::::yc~~:~~:~::;:::~}~~:::C~~::;-~l.::::.:.:::::.::.-::::::::::::-_":::::':::::-:::::::::::::::::::::::::::~::::::::::::::::::=:::::::::~:::::::::
1M 3-72 Olympic Printers, Inc.
Total Load n__nnnunn__n.h__n.._..nn___..n.n.____.nun.....__n....:nu._n__nn.._