HomeMy WebLinkAbout217 W 5th St - Building CITY OF PORT ANGELES
ier DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001402 Date 12/14/11
Application pin number 073260
Property Address 217 W 5TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-0- 8756 -0000-
Application type description FIREPLACE /INSERTS /FREESTANDING On your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY (Location Code 0502)
Application valuation 0
Application desc
gas free stand
Owner Contractor
BURFORD ROBERT EVERWARM INC
C/O DREW MCGINLEY 257151 HWY101
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452 -3366
Permit MECHANICAL PERMIT
Additional desc
Permit Fee 60.65 Plan Check Fee .00
Issue Date 12/14/11 Valuation 0
Expiration Date 6/11/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 10.6500 EA ME -FUEL GAS PIPING,1 -5 OUTLETS 10.65
Fee summary Charged Paid Credited Due
Permit Fee Total 60.65 60.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.65 60.65 .00 .00
fi tac; 1 I.12, 1
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.
/2-111- i( o. V175-7
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building 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 CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
OP
Inspection Type Date Accepted By Comments c`
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line l� j Y 1 G�
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
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
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 /.a- Z�
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BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
For City Use O, ly:
Attn: Building Permit Technician Date Received t.
321 E. Fifth St., Port Angeles, WA 98362 Permit
(360) 417 -4815 fax (360) 417 -4711 Date Approved J
Applicant 7YR 4 0/1- 11/4)1c -D1- Phone 34 �SZ -3oo3
Property Owner y Phone
Property Owner's address z!7 w S Poo-T
Contractor c .)(.9 wee -vv. Phone
Contractor's Address
License Expires E -mail
PROJECT ADDRESS 2tZ w 6--e6 4t;�t✓3
Parcel Number Lot Zoning
Project Type Brief Description; go Residential Multi- family Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof House garage other tear off re -roof lay over one layer
r Heat System Heat pump wood burning stove gas fireplace pellet stove other
Other A ,s,[/-
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION
Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this 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.
Date li 13-0 Print Name ->1Z�� S On Exi eOt bt_ Signature
T:Forms /Building Division /Building permit application 3
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000004
PERMIT NUMBER
Owner
Owner's AddreS5~ ~--<----
Day Phone :zf, /;::....<.'Ii ,1/-.5:J..~30(JJ
/
Application is hereby made for Permit to.install E~ectricaJEquip
TOTAL FEE
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caltbI t!r'-L- ;?~
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TIME TO COMPLETE
~o. STOAIES
LEGAL OCCUPANCY
Installation By
Installers Address
Wiring Me.thqd "I? ~
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PEA - 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT / -" d:= SIGN
,
50VQLTS - ,
LIGHT OR LESS
CONVENIENCE I ,.s- .~ -- MOTOR
CONVENIENCE MOTOR
APPLIANCE / !.-- ~ MOTOR " -
.-"
DISHWASHER FIAE ALAAMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
-
OVEN
WATER HEATER
LAUNDRY / - /. 7.0-
DRYER I of' ftJ REINSTALLATION LIGHT FIXTURE #
FURNACE - SUB TOTAL FEE .
GAS. Oil
FURNACE ENERGY FEE
ELECTRIC - BASIC FEE
ELECTRIC HEAT I c1Ji1J
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
-
A.C. UNIT AMP PHASE .
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
, - -
SERVICE A.W.G.
I'SUB-TOTAL /0..1 I~ SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this per~,t will be done by the installer an~ ~~~ ~;t!,:tr~Vdde.
Date Application made ~ ~ ,19KF By YI 7... L '~.
(I -. ut'CcfTRACTOR OR WNER (OR AUTHOR AGENT)
Per~ission IS hereby give.n to do the above described work, according to the conditions hereon and according to the a roved plans and
,.
.
specifications pertaining thereto, subject to compliance with the Ordmances of the City of Port Angeles.
DIRECTOR OF CITY LIGHT ' ',,-
B:~~A; #~ '"
Date Permillssued _ PLANS APPROVED ~ ' ,.
/1 .r-. C Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not I
. ./-...) --!J""" 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.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD -Inspector's Report
OLYMPIC PRINTERS, INC.
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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7-t{~ $10 PJ.;J-t7 C/J;{f.&tL O.K. FOR COVERING
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FINAL O.K.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
-
N~
18203
J~ .3 0 <l</
Port Angeles, Washlngtonm..m..m__..m....__..._m_m_____m.__m.._m__.__. 19_.d.':_/
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 2-i--1)--t(..L.--~-:..-~--mm--_______m__m_m_____nm___m__m Occupancy_____m__~__::::::-________n___n
Owner ---jf.e..im-----.)l:e._a.H___fa_J::d.___nm____ Tenant..--.-7::J--.-~..--J=:7nZ;::.;z:z~--:--7J
Wiring Contractor nJla-.6.-'./..--__E:/tt__~_i::._________nm____m By4~.GT.:7=__V~~\__
Light Outlets_m__u__muuf.::::.u________m_ Service, volts u/.~1:c._~() Type ot Wiring:
Receptscle Outlets_u_________~--mu- No. wires -u~;;,;:-u-m-27~., '0;'" Armored Cable ........_.......h......__.._
..-- SI I ~ 7, '" Non.Metallic uu____u__mu____________m_
Dryer, KW nu.....__n...._..uu......__.._n__.__ ze w res........................... _...... .
---- ~ 0 () Knob & Tubs_u_m__________u___m__u____
Range, KW __u_u_u_____Un__ n_u_______u__u__ Main tUse ___mu_"____ ___uu___u_u_____
RIgid C()ndult u__m_______mUU_____u_u
Metallic Tubing u______u______u____mu
Water Heater:
-----
Enclosure hun....._._....___..................
KW____u_u_________u__________u_________
Type of wIrIng:
Entrance Cable ...h.m...m...___......__
Heat: KW.h.....n...nn............n..h....hn........
Motors: size, volts and phase:
u---uC/2k':VJ___um___
Rigid ConduIt m...m.:___..__...
MetalUc Tubing m.h.......m..
Current transformers:
No. & Size...........___.........._.....
....----..-.--...-......---...--....---...........-.......
..-.--...---..----......-.-..--......-....--...----........
..----...---...---....---.----....-......---..---.....--...
Ser. NO....h_.........__...h.....h........__....n.
.--.--...---..-.-.....--..........-......---...----..----
Ser . No. .............._..h_....h...................
Raceway ............__........................._
Circuits, Light....h_........._...n_....h_.........
Utility ---__uu__________uu_____________mU____
IIeat .___.._.__........__..._.............._......
Range .._......___....____.....__...._..._......__.
Water Heater ....._......m_......._.......
Motor ...--.............___......h......._._.....
Dryer ...h_..........__.h__............._.........__
Furnace ....-....................-_......._...hh....
/. L- J Ser. No....__.................._.._..................
Total Load__/_____/_I:_'::c.!. Ser. N~u___ "U_____.____________u _n Total ___u__________m_ _____________u____
Remarks: ---~--r-------~-n~--nkL<)-nn------.mn_________m____m_______m____m_m_m____m___m__
-.-u--nh---h-UU-uu.uu--nh~uu_uuuunu__..nhu_.___U..UU_UU__nunn-.nun....nu"u.----____u_nu...u_nu.un.__u.nu.nu.nuhnuhu.,
.--n.--un-h--nu-~n,---u--n'h"Uh_unnU__h__n__n.__nu__nun_.un-nnnh-n-n.----u---u.nu__u____u___h_nh_nu.uu.u_nn_nu____u_un..._
;~;~-~__________m____ ::~-~hE!_~__.._ By$4L__&~
NOTICE-Current must not be turned on untll Certificate ot Inspection has been issued. It 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
N~ 18203
ELECTRICAL PERMIT
:::'i:fk~~=~==~:=~-==::::,,::1d3=~~
wlrl;:~~::::~::; =~:;-::~:~::-~-::::~~;;;~:;~__~;u;:~:~~;;~~__~= :~:;::~_:~~~
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.