HomeMy WebLinkAbout1311 W 10th St - Building ...... , CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
I~Ulkt)llV(~ I~t:t~MIT ISSUED: 9/27/2002 PERMIT NO: 13746
OWNER/APPLICANT PROPERTY LOCATION
ROBERT WILBUR 1311 10TH ST W
1311 W 10TH STREET Lot: 17 & 18
Port Angeles, WA 98362 Block: 304 [] Long Legal
3601457-3535 Subdivision: TPA
T: S: Parcel No: 063000030480000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $180.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF 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
TEAR OFF, INSTALL WOOD SHINGLES
RECEIPT#9728
FEES ASSESSMENT
Building Permit: $23.50 Misc Fee 1: $0.00
Plan Check: $0.00 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: $28.00
Plumbing: $0.00 AMOUNT PAID: $28.00
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
I 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 certity that I have read and examined this application and knew 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.
Signature of Contractor or Authorized Agent Date si~:atu-re of O~er iif-owner is builder) ' Date
T:\PLANNING\FOKMS\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
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
PLANNING DEPT. 417-4750 PLANNING DEPT.
Date Rec.:C~
a ~ BUILDING PERMIT - APPLICATION ?~mit#: --
Date ^pproved:
Date Issued:
The Building Permit Application must be filled out completely.
Please type or print in ink. If you have any questions, please call 417-4815
Applicant or Agent: ,/L r?.,A.~.~ [d), ~ Phone: _4z_,5'- ,7 ~ ~ ,5-~
Architect/Engineer: Phone:
Con,actor :'x ~ License ~: Exp:. Phone:
[EG~ nzscmeTiO~: rot: /7~/ff mock: ~ Subdivision:
CL~L~ COUNTY P~CEL N~BER: ~;~edit Card Holder Name~
Billing Address: City:.
Credit Card ~: Exp. Date: ~SA MC
T~E OF WO~: j SI~UATION: /
~esidenfial ~ New Consm fiRe-roof ~ Wood-stove . SF. ~ $
/SF.
~ Multi-fa~ly ~ Addition ~ Move ~ Garage SF. ~ $ /SF. = $.
~ Co~ercial ~ Remodel ~ Demolition ~ Deck SF. ~ $ /SF. = $
~ Repair ~ Si~ ~ TOTAL VALUATION $ / ~
BmEFDESCmPTIONOFTUEPROJECT: _t2e~ / ,e~4~
COMMERCI~SIDENTI~: Occup~cy Group: · Occupant Load: ~ Com~cfion T~e:.
No. ofStor[es: ~ Lot Size: , % Lot Coverage: %
Existing Lot Coverage: /sq. fl. + Proposed Lot Coverage: /sq. fi. = TOTAL LOT COVE~GE: ./sq. fi.
PLYING USE ONLY: APPROVES: PL~
Notes: BLDG.
DPW
ES~etland(s): ~ Yes ~ No SEPA Chec~ist requked? ~ Yes ~ No O~er: O~ER
BUDDING PE~IT APPLICATION SUBMITT~: Your application and site plan must be filled out compl~ely to be accepted for
review. The Building Division can provide you ~th more derailed iffomation on ~e application and plan sub~al requirements. Yo~
completed application, site pl~ (for additions) and building com~cfion plans are to be subm~ed to the Build~g Division.
V~UATION OF CONS~UCTION: In all cases, a valuation amount must be entered by ~e applicmt. ~s fig~e will be reviewed
and ~y be revised by ~e Bulldog Di~sion to co~ly ~ c~ent fee schedules. Contact ~e Pe~t Coordinator at 4174815 for assistance.
PL~ CHECK FEE: Yo~ pl~ check fee is due at ~e t~e ~e building pemt application and com~cfion plato are subdued. All other
pe~t fees are due at the time ofpe~t issuance.
EXPIATION OF PL~ ~W: If no pe~t is issued wi~n 180 days of~e date of application, ~s application will expire. ~e
Building Official can extend ~e ~e for action by &e applicant up to 180 days upon ~iRen request by ~e applic~t (see Section 107.4 of
the Unifom~ Building Code, c~ent edition). No application can be extended more ~an once.
1 hereby cert~ that [ have read and examined this application and know the same to be tree and correct, and I am authorized to apply for
this pe~it. I understand it is not the Ci~'s legal responsibili~ to determine what pe~its are required; it remains the applicant's
responsibili~ to determine what pe~its are required and to obtain such.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date //'~//.'.'~ ~ Time Received by ~ (phon '~ person)
I / '
Location of Work to be inspected ~_~i i ~-~, /~
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~Fina!/)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
r-I No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16219
Port Angeles, washlngton............u....f..=/L_________._________..... 19!.~'?
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 electrlc~work as listed below.
J 3 i/ (.~) / d-C:(-/
Address .___"m._unuuu_________.u______n_u___u__m__huhuu___mnm_...u....... Occupancy__n_...nn__m__uu.u_____n____.___...__._
Owner ......_..._Uh.h..U___________..._..__nh.nhh___UhUU.________ Tenant...___....__________.....n_Un_...._h.m_____.__u..._..............
Wiring Contractor u___f!::E::?.:?~~~""u______...u__.mn.____u... By__._________n.____.....n______...unu___......_______nn___uuu
LIght Outlets____.__________________________________.
Service, volts mm....mm..._..................
No. wires .......................................
Receptacle Outletsm............................
Dryer, KW unu..:__...............................
Size wires...........m.............m....._..
Range, KW.............................
Main fuse .......................................
Water Heater:
Enclosure ..m....................m.
KW.mnumu_____uu_mm.u____mumu.
Heat' Kw.u___7t'~_?.:_!}_fJ..m__um__
Type of wiring:
Entrance Cable .......................
Motors: size, volts and phase:
Rigid Conduit
MetalUc Tubing ....m....................
Current transformers:
No. & Size.......................................
Ser. No...............................................
Ser. No. .............................................
Ser. No..................................._
Type of Wiring:
Armored Cable ..._....._..._..___..._.......
Non-Metallic .._..m..m_............._...__
Knob & Tube_____________.m__________u__..
RIgid Conduit _________________m___________
Metallic Tubing .............m......._..
Raceway ......................._...._._......_
Circuits. Light.......................................
Utility ..........._.................................
lIcat __...._..__....................................
Range .__.._.._._........____......................
Water Heater ...............................
Motor .___...................................__...
Dryer ............................................_..._
Furnace ___...................._.._....._........._._.
Remark:~ta:__:~~...~..~...-...:-.:=~J):_::'~Z~:~:::-:::~:::.u_____......__.n____~::.~:__~::._:::-:.:~:::-.::~:..~..:..:.:
Permit Fee
Treas. Receipt
NO.n..___..u....___....______
l/& 2
By .f[!.~.....Jff..y:~~__&Jf~&!.:.:::J
, F -- - .
NOTICE-Current must nc>t: be turned on unttl Certificate of Inspection has been issued. It 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
'~
-,
~
'/ELECTRICAL PERMIT
Address
N?
16219
Owner .........._......._................_......._.._......_......_.._........................._....._..._........._............. Tenant..............._.._......................_..........................
Date..._......_.._.._.._.........._......_......_.........
WiringContractor................_.................._......_._____........_..._..............._......._.____........._._............____By.._.....................__.......__...........................
NOTICEr-Current must nc>t: 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. .
1M Olympic Printers, Inc.