HomeMy WebLinkAbout617 W 12th St - Building
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OWNER/APPLICANT
JAMES ERVIN
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617 W 12TH STREET
Port Angeles.WA 98362
360/457-8825
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CONTRACTOR
WIKER & WIKER
43 SENZ RD
SEQUIM. WA 98382-0000
360/681-4800
PROJECT INFO
Project Value: $2.590.00
Project Type: RE-ROOF
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use:
1~~41:~: . 11U.l:S/~IJU~
...r:::Iir"IVIII I~V. I~O
S:
~~OPERTYl(~p~TION
617 12TH ST W
Lot: 15 & 16
Block: '349
Subdivision: TPA
Parcel No: 063000034978000"
[] .. Long Legal'
.. ,ARCHITECT
N/A
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, . 98360-0000
360/000-0000
SFD Unjt~: 1.
SFO ~Q FT:
Commer9J~I:
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Garage:
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"MFD Units:
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PROJECT NOTES,
TEAR OFF, FELT. COMP
REGEIPT#9309
FEES ASSESSNlENT
Building Permit:
Plan Check:
~tat~SurchClrg~:,
" HousEd\~oviflg:
Manufactured Home:
, Sign:
Plumbing:
Mechanical:
Radon: '
$83.25
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0;00
$0.00
s..~para.....te..,.fe.,..tnn.'..'..'..'..'. Its. ...;.a.........r..~.......~...~..q..'.. U.i.r..e. d. ~.. 0.. ~..elect......n. .caIWOrk... ;.S.. E. .p. A;Sho.rel.i.ne.'E.S...... ":....uti....I,i.ti. .e... s.....Pri.....v.at. e. and,...p.....u. blici.m.. p..ro.v,..e,..m...,e.:...r.<....'.fs....'..l<!....'.~..i...~.~.'.'fh..'.j..,....J~~ :.";:
null a,~d .vol~\YO,rR ?~9onstruction aUthorized IS not commenced within 180 dlilY5.if construction or work I~,,~'g!n '
for a parlo~n'80>~daysafter,thftworkascommenced; or ibequlredlnspe~1.iC)(ls have oolbaen requested W1mIli'~
Inspectlom/Jhereby c~rtifytl1atl have read,~'14;~xamined this iapplication' and know the s,ame to be true al'l~"c9.r.re
I~Wfil and ()r,~.ill.~pce~ go~eming;this,type otYl6r1{y.;JlI.b~ co~plied.with wtJether specme(j he~lnQr nq~:,l]1e9,'!iim!~;;
presume t<tglve authonty to vlol~teor cancel 'the provisions of any state, or local law regulating construction;\:op.
construction. .
~;~~ ...1-
Signature of Contractor or AuthorizedAgenl
T:\PLANNING\FORMS\1 102.15 (412002)
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Mise Fee 1:
Mise Fee 2:
Mise Fee 3:
$0.00,
$0.00:
$0.00.,
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
$87.75
$87.75'.
$0.00,..,. ,
Jr-'C'~o Z-
Date
Slgnatl.lre,of oNner(if owner is builder)
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BUll..DING,PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTI9N~:fPLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WOR1tBEFOREINSPECTED AND ACCEPTED. PoST PERMIT IN A CONSPICUOUS LOCAfJo.N;
/-
, .
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
~, .
INSPECTION TYPE ,..DATE ACCEPTED COMMENTs - ." cr
.
1 YES 1 NO ';;';
Ci . .', "".. ,
FOUNDATION:
FOOTINGS Y". i .,".
WALLS . ,
FOUNDATION DRAINAGE ., ,.: , " "
ELECT,RICAL (LIGHT DEP1} SEPARATE PERMIT: #
"
ROUGH-IN , . 'I I
PLUMBING . ,
UNDER FLOOR I SLAB
ROUGH-IN ,
WATER LINE .'
GAS LINE
BACK FLOW I WATER . .f , .,'
AIR SEAL
. .
WALLS - )
CEILING , ,., I I
FRAMING
JOISTS I GIRDERS ,
SHEAR WALL
WALLS I ROOF I CEILING ,
DRYWALL " ,
.
T-BAR " ':;:
INSULATION ,
SLAB
WALL I FLOOR I CEILING I
MECHANICAL ,;',{:\ .. ,
HEAT PUMP "
WOOD STOVE I PELLET I C~Y ,
HOOD I DUCTS f . ,,', '.i.,. ,,'. ,,,, ;
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE I METER
SEWER CONNECTION , <
SANITARY
\
STORM -" .', ,
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKlNGlLIGHTING ESA:
LANDSCAPING SHORELINE:
.. , .' .FINAL INSPECTJON&JP:QUlRED'PRlOR TO OCCUJ>ANCYIUSE:-" .- ..,. """t-~."
,'-C RESIDENTIAL , DATE. yEs ," NO COMMERCiAL" , 'bATE' ': I,. 'Aft~ffED'
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, , . " f" .. '.., , "'. . . , , :. ,;,:;YES, '.NO
ELECTRICAL - LIGHT DEPT. .., 417-473S ,,. '" ELECnuCAV , , i: '". .
, ....... "c:,,::> ..; . .:,; .... LIGHTDEl'l, . 1 .... ';". '."
.' ." ~,; ; '...''' 'Ii_. I
CONSTR.UcTtON R.W.! PW/)'I : ,".. '.. coNSrRucneN :.?R.W. ..'
ENGINEERING 417-4807 PW I ENGINEERING ~., ,
FIRE 417-46S3 I ' FIRE DEPT: ,', .
,
PLANNING DEPT. ' 417-47S0 5>. ,.... I . ,'.', .' ',' . ".., ,
. v. PJ,ANNING DEPT.
,< h'U hL - 1\1/ .' ;',':~ .. " ~ , ,
BUILDING ,." , 417-48IS' ' /LL'/" rn BUILDING
... "0" ..' , .' " I ,,.....', ,',-.-~- .., " .. .~. .,.... ". ..,
T:\PLANNlNG\FORMS\II02.1 S [412002]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
A~plicatio~ Number ..... 03-00000330 Date 3/26/03
Property Address ...... 617 W 12TH ST
ASSESSOR PARCEL NL~4BER: 0630000349780000
Application description . , . MEC~L~NI~AL APPL. PEP/~IT
Property Zoning .......
Application valuation .... 3100
Owner Contractor
(360) 452-3366
Additional desc . ,
F~g~iration Date . , 9/22/03
(
Separate Permits are required for electrical work, SEPA, Shoreline, £SA, utililfes, 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 cedify that I have reed and examined this application and know the same to be true and correct. All provisions of
laws and ordinances caverning 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 Signature of Owner (if owner is builder} Date
T:\PLANLNING\FORMS\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 A),'Y B ORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARDAND APPROVED PLANS AT JOB SITE O'~-~ ~'~3 ~
INSPECTION TYPE DATE ACCEPTED COMI~IENTS
YES [ NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAs LINE
BACK FLOW / WATER
AIR SEAL
CEILING
BUILDING 417-4815 ~ .~ ~.~1~ sr~ BUILDING
BUILDING PERMIT. APPLICATION
Pl~ss typ~ or print In
8~nI Addrm, ~ :
~siden~ ~ N~ Co~. 0 ~f
~ M~-t.~fly ~ A~ o Move o 0~ ~ ~,~$ ,
ix~8 Lox ~e:. /sq. ~ +
_
~G ?~ ~P~ON ~: YO~ complo~d app~o~ 9i~ p~ (for
Ly I~ rrvisN by the 8uildiag Div. to co~lply with ~ fee schedule, Couhet tl~ Pm~h COOl'dJA~,Ar at 419-41
· mit fees
~PI:RATIO~ OF PLAN RL'Y~W: If ao gc.'"mk ta bsued witMn 180 days of Ge c~B~,, of Ippli~on, I:hi3 appUcaclon will expire by
i~srio~s. T'~ Bulldln$ Official can ~tend the time for ~tlon by t~z applic~t up to 180 days, on wri,am request by t~ ~pllcaa~ (sc~
xion I CT/.4 of the UIKt'orm Buildiag Code, current edili~). No tpplicttio~ ct~ b~ ext~ded mom e~. onve.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date z-/~ ~ ~ Time_ Received by ~> ~J (phone, person)
Location of Work to be inspected ~ ~-~ /'7 ~) /~
Name of person requesting inspection ~-il ~ ~---v' ~ ~
Address of person requesting inspection Phone No./-/~-
Type of inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other
,.S.ECT,ON.OTES:
Inspected: Date ~__/_ ~c~ ~~__~Time By
Remarks:
RESTORATION REQUIRED ...... YES. NO
~URFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel ~"~Asphalt []PCC ~Other _
[] Repaired by City Work Order #
J--lRepaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary} STREET SUPERINTENDENT (DATE}
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~L/_ 7 -- (~'~ Time Received by ~/~V (phone. person)
Location of Work to be inspected ~_~ ['-~ L~ I ~_ar
Name of person requesting inspection ~ ~ E ~ ~ ~
Address of person requesting inspection Phone No. ~~
Type of Inspection (circle appropriate one): Permit No.
I
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date /7/- ~- ~) ~ Time By /~/
Remarks:
RESTORATION REQUIRED ...... YES_ NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel []Asphalt []PCC [~Other
[] Repaired by City Work Order #
J--)Repaired by Permittee [-~ COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary} STREET SUPERINTENDENT {DATE}
?
A~
FEE
tlTY Of PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
Site AddresS
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Qwner'sMdress ~...-r~( -=- InstallersMdress-
Day PhOne _ - Installers PhOne-
APplication Is MrebY made lor 12mlt to I'~rl ElectriCal j,UI . m . nt as 101l0WIl:
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CONT. ue. NO.
LEGAl-OCCUPANCY
TOTAL FEE
4&2
NO.SiORIES
.
~
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.
NUMBER AMP I 120" 240\' \ \\ NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER "" 1QlOR FEE USE OF CIRCUIT CIRCUITS PER 10 112iOR FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT L4 50 VOLTS
- OR LESS
CON\lENIENCE 7; ~TI;;:- MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHW ASHEA fiRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINS" ALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS. OIL
fURNAce ENERGY FEE
ELECTRIC
BASIC FEE
ELECTRIC HEAT
TOTAL fEE
ELECTRIC HEAT SIZE OF SERVICE SWITctt OR CIRCUIT BREAKER
A.C. UNIT
AMP - - P
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G
1 SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
-=-
_ Wiring MethOd
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'1ate APplication made -
CONTRACTOR OR OWNER (OR AUTHORIZED AG
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",,"~. .."""'"" ".... ..,oct" -,,,..,, ."" '" ,,,,..... ., '" "" .. '" ...'"
DIRECTO OF CITY LlGttT
\
_,19__ BY_
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Writing on Permit placard. A. . permits PhOne: 457.0411 Exl. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
~ /; '3 /8 7
BY
pLANS APPROV D
'mit Issued
WHI" . O,;g;,al CANAR' . 000"00" PINK . ,,;pIlOO" WHITE CARO . I"P"to;' R'PO"
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CATE OF VISIT
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ElEC1RICAlINSPECTlON
WIRING REPORT
457-0411 Ext. 158
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APPROVED NOT APPROVED
o ......,....,.,..,., DITCH ..,..........,..... 0
o .............. ROUGH IN/COVER.... '.. ....... 0
o ..,............... SERVICE ........,......... 0
o ................,... FINAL.. .. .. . .. . . .. . . . .... 0
CORRECTIONS NEEDED: =
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE _
Ol YMp/C PAINTERS, INC. (200)452"381
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O.K. FOR COVERING
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O.K. TO CONNECT SERVICE
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FINAL O.K.'
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