HomeMy WebLinkAbout508 E 6th St - Building f-0-9-1,
u CITY OF PORT ANGELES
r
O DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
r i 321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number 12- 00001051 Date 8/13/12
Application pin number 850414
Property Address 508 E 6TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 0430 -0000-
Application type description PLUMBING PERMIT REPORT SALES TAX
Subdivision Name on your state excise tax form
Property Use
a.„ Property Zoning RESIDENTIAL HIGH DENSITY to the City of Port Angeles
7 Application valuation 150 (Location Code 0502)
Application desc
r.; REPLACE WATER SUPPLY FROM METER TO HOUSE
Owner Contractor
VERSTEGEN GREG J OWNER
508 E 6TH ST y
PORT ANGELES WA 983626208 �W 1 V V
Permit PLUMBING PERMIT
Additional desc WATER SUPPLY
Permit Fee 57.00 Plan Check Fee .00
Issue Date 8/13/12 Valuation 0
Expiration Date 2/09/13
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.0000 EA PL -WATER LINE 7.00
Fee summary Charged Paid Credited Due
Permit Fee Total 57.00 57.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.00 57.00 .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
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,
Y B \J -Qw \i vS e I/� (1),,Ut(1-
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 cQ
PLEASE PF ?OVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS m
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.
Inspection Type Date Accepted By Comments
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 1S )7Accepted by lit...
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceilin.
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Stab
Wall Floor /Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blockin• Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lightinq ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
Inspection Type Date Accepted By
Electrical 417 -4735 N
Construction R.W. PW Engineering 417 -4831 .s..
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
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CITY OF ANGELES For City Use
o rn
iZ Permit 1 P\ 1 0 0
W A S H I N G T O N U.S. o F-' rn
Date Received: g l G.''
321 East 5th Street G
Port Angeles, WA 98362 Date Approved: 3 j z N a
P: 360- 417 -4817 F: 360- 417 -4711
hcatuzo @cityofpa.us
Building Permit Application
Project Address: c) 4 u 5(
Main Cont ct: G Phone
3bO -4 (06 O
Property \�I
p Na �V �O l�l�-C V�l� V�V s cyLl Phone 31 Q D� r r, C J i— J C
Owner Mailing Address Email I `C �t U
60 g E C°C J 9 Vewe_ iVt w COL^ -t
ate
e T Or-k Nky,VeS S t l c Zip 6 3
Contractor Name Phone
Mailing Address Email
City State Zip
Contractor License y Expiil y6n:
Project Valhi 7 0 Zoning: Tax Parcel Lot
Type of Residential Commercial Industrial Public
Permit Demolition Fire Repair Reroof (tear off /lay over)
For the following, fill out both pages of permit application:
New Construction Remodel Addition Tenant Improvement
Mechanical Plumbing' Other
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
1�
Yes No f
Project R2 l0.0 e. \N o -L-i 6 �3- 'Frt yn v e,4- r-- k e u se
Description V
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 Signatur iiiju h e i___________
8'- B- i \244Acly -orsA--escyk
Residential Structures
Area Description (SQ FT) Existing Proposed Minimum For Office Use
value
Basement
First Floor
Second Floor
Covered Deck /Porch /Entry
Deck
Garage
Carport
Other (describe)
Area Totals
Commercial Structures
Area Description (SQ FT) Existing Proposed Minimum For Office Use
value
Structure (s)
Addition
Tenant Improvement
Other (describe)
Area Totals
Lot /Site Coverage Calculations
Footprint (SQ FT) of all Structures: Lot Size: Lot Coverage
SQ FT Site coverage (all impervious Site Coverage
structures)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated 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 Pellet Stove /Wood- burning /Gas
portable) Fireplace /Gas Stove /Gas Cook Stove /Misc.
Fuel Gas Piping of Outlets: Ventilation Fan, single duct
Furnace /Heat Pump/ Size: Ventilation System
Forced Air Unit
•!E' 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 1 Vent piping
Sewer Line Industrial waste pretreatment
interceptor
Other (describe):
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
17340
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Port Angeles, Washlngton.__.m_m___m....._____mmm.__m____m..__m___, 19_m_m
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.
~::;s__::::::~S=2f~~:::::::::::::::::----~::~:~:::m~~~~~~_~:~:::~::'.::~~:~=::::::::::::::::::::::::::::
V~
Wiring Contractor ______m..__________m_____m________________m__h___________ By_________________..____m____mhh__m___________m.h________..
Light Outlets_________________________________________. Service, volls ___/.:.?_o/:.!!;::q,_______ Type of Wiring:
'? /
No. wires ....................................... Armored Cable ............................-
<<;0 aV'
Size wires......!............................._..
:(;z~()- A
Main fuse .......................................
-S '
Enclosure .......................................
Receptacle Outlets...............................
Dryer, KW n..nnn................................
Range, KW.......
Water Heater:
KW.___h______________h_h_h___________
Type of wiring:
Entrance Cable .............................
Heat: KW...................................................
Motors: size. volts and phase:
Rigid Conduit ______h_________.._
Metallic Tubing ................
Current transtormers:
No. & Size.......................................
Ser. No......................,........................
Ser. No..............................................
Ser. No.................__...........................
Non-Metallic ................................_
Knob & Tube................................_
Rigid Conduit _______________________________
Metallic Tubing ...........................
Raceway ......................._......___._
Circuits, Light.......................................
Utility _______________._______________.._.._________
Heat ......................................._.._..
Range .............................................
Water Heater ...............................
Motor ..._........................................
Dryer..................................................
Furnace .........................__...................
Total Load............................. Ser. No. ............................................. Total ............................--.........
~~:~~~~~---:::::~:~:~~:::::::::~:::=~:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
___mmh____________mm_____mm____..__h_______________m__m___m__h_________mmmm________"'..._______mm____.mm_____m_~..--------:;.-m---.---.-
p~rmlt Fee Treas. Receipt W,/ ~ ~/ ~/
$_....__.._________m____m_m_____. NO.__m______________......... By ___!.m__..~..!._____~I!d!_'d!:.6?J.____';;:!L.zt:"'______m
# v , .
NOTICE--Current must not be turned on untU Certificate at Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work .may be Inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER.WHE.NR_EADY FOR INSPECTION
ELECTRICAL PERMIT
Address..................._...........................................................................__......................................
N?
17340
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Date..._......_.._.._.:~'::;.........._......_......_......._
Owner..................................._......_.._......_......_.._...........................................................Tenant....................................................................
Wiring Contractor....................................... ...................._.............................................................By..............................................................
NOTICE-Current must not be turned on untU CerUtlcate 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 betore concealment.
1M Olympic Printers, Inc.