HomeMy WebLinkAbout210 W 13th St - Building "`S CITY OF PORT ANGELES
f DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000562 Date 6/06/11
Application pin number 872678
Property Address 210 W 13TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 8818 -0000-
Tenant nbr, name B G AND L A EDWARDS on your state excise tax form
Application type description PLUMBING PERMIT
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 500
Application desc
MOVE BATHTUB TOILET
Owner Contractor
B G EDWARDS L A EDWARDS OWNER
210 W 13TH ST
PORT ANGELES WA 983627720
(360) 452 -3674
Permit PLUMBING PERMIT
Additional desc MOVE BATHTUB TOILET
Permit pin number 187070
Permit Fee 86.00 Plan Check Fee .00
Issue Date 6/06/11 .Valuation 0
Expiration Date 12/03/11
Qty Unit Charge Per Extension
BASE FEE 50.00
2.00 7.0000 EA PL- PLUMBING TRAP 14.00
1.00 7.0000 EA PL -WATER LINE 7.00
1.00 15.0000 EA PL -SEWER LINE 15.00
Fee summary Charged Paid Credited Due
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .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.
f t� lc L Gvs -SUS p
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.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In ,0- (4 —tt
Water Line (Meter to Bldg)
Gas Line �1
Back Flow Water FINAL Date?) Y (.i2 cepted by 31).---
AIR SEAL:
Walls
Ceiling N
FRAMING:
Joists Girders Under Floor Q
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
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by t
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 v
Electrical 417 -4735 C
Construction R.W. PW Engineering 417 -4831 3
Fire 417 -4653 0—
Planning 417 -4750
Building 417 -4815
T:Forms /Buildinq Division /Buildinq Permit
PROJECT STATUS UPDATE Ghedkti[eel
Permit (V 3162 210 W 1
Date: 3
I phoned the: Applicant 43..x. EAWOt..rdS at 4522 5(ol
Property Owner at
Contractor 0 at
I (left a phone message, or discussed):
The permit (has expired, or will expire soon). What is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
1,ef f mV55a.0e (ND( d perm i
Scup we ware 6 anal d (cd i nct I t nspeolic»n
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T:Fonns /Building Division/Project Status Update
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BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
CI For City Use Only
Attn: Building Permit Technician
Date Received 6 6-
321 E. Fifth St., Port Angeles, WA 98362
j� 56z
(360) 417 -4815 fax (360) 417-4711 Permit# Date Approved
Applicant Phone
Property Owner uz--a- Phone
Property Owner's Address
Contractor Phone
Contractor's Address
License Expires_ E-mail
PROJECT ADDRESS ,mod LA)
Parcel Number Lot Zoning
Project Type Brief Description: 0-L?esidential Multi family Commercial Industrial
Check all that apply
New Construction .e_. 1, H L c. p2140 J 1749 t L. j
Addition
X Remodel
Repair
Demolition
Re -roof House garage other tear off re -roof lay over one layer
Heat System Heat pump wood- burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1St Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION
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
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 wo ing on projects.
Date 91 j Print Name 13tLt,te-C Signature
T:Forms /Building Division /Building permit application
.... . CITY OF PORT ANGELES
°~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 9/23/2002 PERMIT NO: 13731
OWNER/APPLICANT PROPERTY LOCATION ,
BRUCE EDWAR~..~/~Z:~ 210 ?2TP1151 VV--'-
210W. ~ STREET Lot: 3o ~"[~378.
Port Angeles, WA 98362 Block: Long Legal
360/452-3624 Subdivision: TPA
T: S: Parcel No: 9~3900~79!a~0090
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $4,500.00 SFD Units: 0 Commercial: 0
Project Type: GARAGE REPAIR SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0 )'~
Construction Type: MFD SQ FT: 0
Zoning Use: RS7
PROJECT NOTES
REPLACE ROOF TRUSSES / ADD FOUNDATION TO EXISTING
FEES ASSESSMENT
Building Permit: $111.25 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: $115.75
Plumbing: $0.00 AMOUNT PAID: $115.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 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/o..cthe performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FOKMS\ 1102.15 [4/2002]
~, ~ eo~r,~ DateFOR Rec.:OFFICIAL USE ONLY:
~ BUILDING PERMIT- APPLICATION ~,~,~t#:
Date Approved:
The Building Permit application must be filled out completely.
Please type or print in in~ If you have any questions) please call 417-4815
Applic~t or Agent: ~ ~~~ Phone: ~,~' ~ & ~
O~er: ~ ~ Phone: ~
Ad.ess: ~(~ ~ [~T~ CiW: ~ ~~ t~ Zip:
~chitecffEngineer: Phone:
Con.actor C~ License ~: Exp:. Phone:
Address: City: Zip:
PROJECT ~D~SS: ~ [ ~ ~ ~ ~T ~ 7-~NING:~
LEG~ DESC~PTION: Lot: ~ Block: ~ Subdivision:
CL~L~ CO~TY P~CEL N~BER~7~/&~O Credit Card Holder Name:
Billing Address: City:
Credit Card ~: Exp. Date: ~SA MC
T~E OF WO~: S~N~UA~ON:
~Residential ~ New Co~. ~e-roof ~ Wood-stove SF. ~ $. /SF. = $
~ Multi-fa~ly ~ Addi~on ~ Move ~arage ~ SF. ~ $. ' /SF. = $ ~ ~
~ Co~ercial ~ Remodel ~Demolition ~ Deck SF. ~ $. /SF.: $
~air ~ Si~ ~ TOTAL V~UATION $.
~m~g D~SC~T~ON Og T~ ~aO~CT: ~ ~ ~ ~ ~ ~
COMMERCI~S~ENTI~: Occup~cy ~oup:. Occup~t Load: Cons~cfion T~e:
No. ofStories:~ Lot Size: % Lot Coverage: %
Existing Lot Coverage: /sq. fi. + Proposed Lot Coverage: /sq. fi. = TOTAL LOT COVE~GE: /sq. fi.
PLANING USE ONLY: ~PROV~S: PL~
Notes: BLDG.
DPW
ES~etland(s): ~ Yes ~ No SEPA ~ecklist requked? ~ Yes ~ No O~er: OT~R
B~LDING PE~IT ~PLICATION S~MITT~: Your appgc~ion and site plan must be filled out eompl~ely to be accepted for
r~i~. The Build~g Division can provide you ~ more detailed ~omfion on ~e application and pl~ subtotal requkements. Yo~
completed application, site pl~ (for additions) ~d build~g cons~ction plans ~e to be subdued to ~e B~ld~g Division.
V~UATION OF CONSTRUCTION: In all eases, a valnation amount mast be entered by ~e applic~t. ~s fi~e will be reviewed
and ~y be revised by ~e Build~g Division to co~ly wi~ c~ent fee sched~es. Con,ct the Pe~t Coord~ator at 417-4815 for assismce.
PL~ C~CK ~E: Yo~ plan check fee is due at ~e ~e the buildhg pe~t application and cons~ction pl~s are subdued. All o~er
pe~t fees ~e due at ~e ~e' ofpe~t issuance.
E~I~ON OF PL~ ~EW: If no pe~t is issued wi~ 180 days of~e date ofa~lication, ~s~pplieation will expire. The
B~ldflg Official c~ extend ~e t~e for action by ~e applicant up to 180 days upon ~en request by ~e applic~t (see Section 107.4 of
· e U~fo~ Building Code, c~ent edition). No application c~ be extended more ~ once.
I hereby cer~ that 1 have read and examined this application and ~ow the same to be t~e and correct, and I am authorized to apply for
this pe~it. 1 understand it is not the Ci~'s legal respo~ibili~ to determine what pe~its are required; it remai~ the a~plicant~
respo~ibili~ to dete~ine what permits are required and to obtai~~~~
Applicant: ~~~~~~~~ Date:
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:__,~
Date/~! '- ~/~-- Time Received by ~ (phone. person,
Location of Work to be inspected ~/~) ~ /~
Name of person requesting inspection
Address of person requesting inspection. Phone No.
Type of Inspection (circ~...~N;~;~iate one): Permit No.
Sewer ~_.~____~m~n~./~himney Plumbing Final Sewer Ex cay. Other
Inspected: Date //~ ~ ~ ~/-O~'~ Time By
Remarks:
RESTORATION REQUIRED ...... YES NO.
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved {~Gravel [~]Asphalt [~PCC []Other
[] Repaired by City Work Order #
EJ Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
s
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST S11I STREET, PORT ANGELES, W A 98362
Application Number
Pin number
Property Address
ASSBSSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
04-00000837 Date
.053813
210 W 13TH ST
06-30-00-0-3-8818-0000-
RB-RooF
10/11/04
RS7 RBSDNTL SINGLE FAMILY
6000
Owner
Contractor
B G EDWARDS & L A EDWARDS
23.0 W 13TH ST
PORT ANGELES WA 983627720
DIAMOND ROOFING ENTERPRISES
P. O. BOX 2963
PORT ANGBLBS WA 98362
(360) 452-9518
permi t . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PBRMIT - NO PR FEE
TEAR OFF.SHEBT.FELT.COMP
148.75 Plan Check Fee
9/21/04 Valuation
3/21/05
.00
6000
<D
-
o
-n
- E
~ .
~
t __
W
.-J...
,.,)
Qty Unit Charge Per
Extension
92.75
56.00
BASB FEB
4.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees . . . STATE SURCHARGB 4.50
Fee swmnary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 148.75 148.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 153.25 3.53.25 .00 .00
Separate Permits are required for electrical work, SEPA. Shoreline, ESA, utilities, private and public improvements. This permit b4;tcornes
null and void if work or construction authorized is not commenced within 180 days, if construction or work Is suspended or abandolled
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 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 grantingofa 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.
. ,
OM ~, (e.
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
Date
Date
..
.
T:\PLANNING\FORMS\II02.1S [11/1412003]
"".,,~
"
BUILDING PERMIT INSPECTION RECORD
.
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFciL TO COVER, INSULATE ORqOl'VCEALANY WORK BEFORE'
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS WCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
,j
INSPECTION TYPE DATE ACCEPTED ,COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS , "
FOUNDATION DRAINAGEJDOWN Spours
ELECTRICAL (UGlIT DEP1) SEPARATE PERMIT: ##
ROUGH-IN I I
PLUMBING
UNDER FLOOR/SLAB
ROUGH.IN ,', ",
W to TER LINE (METER TO BLDG)
cfAs LINE
BACK FLOW / WATER , , ,
AIR SEAL
w.iu.LS 1
CEILING I I T
FRAMING ,
JOISTS / GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS/ ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR '
INSULATioN
SLAB , I
WALL/ FLOOR/ CEILING I
MECHANICAL
HEAT 'PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT#',:
WATERLINE / METEll
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATEPERMIT##'s , SEPA:
PARKlNGlLIGHTlNG ESA:
LANDSCAPING , SHORELINE: , ,
, ;FINAL INSPECTIONS REQUIRED PRIOR T()OCCPP~(::VIUS~. .,'
" " "
RESIDENTIAL DATE YES NO COMMERCIAL DATE ' I'., .ACCEPTED
" , YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LlGlIT DEPT
,
CONSTRUCTION R. W./ PW/ CONSTRUCTION. R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE , 417-4653 FIRE DEPT. , ,->
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 I/n -11_oLl .J I J.., BUILDING
T:\PLANN1NG\FORMS\1102.15 [1111412003]
(
~
PREPARED 10/11/04, 12:30:58
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
210 W 13TH ST
DIAMOND ROOFING ENTERPRISES
B G EDWARDS & L A EDWARDS
06-30-00-0-3-8818-0000-
04-00000837 RE-ROOF
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 .1~1.1(~' ~LL BUILDING FINAL
~ Laura 452-3674
-------------------------- ----------- COMMENTS
SUBDIV:
PHONE
PHONE :
(360) 452-9518
PAGE
DATE
8
10/11/04
AND NOTES --------------------------------------
TIME: 17:00
~ pORT ~
/O~~~
".
...~
~
"l.tii1C~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number . . . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Appl~cation description
Subdivision Name
Property Use
Property Zoning . . .
Applicat~on valuation
04-00000837 Date
.053813
210 W 13TH ST
06-30-00-0-3-8818-0000-
RE-ROOF
10/11/04
RS7 RESDNTL SINGLE FAMILY
6000
Owner
Contractor
B G EDWARDS & L A EDWARDS
210 W 13TH ST
PORT ANGELES WA 983627720
DIAMOND ROOFING ENTERPRISES
P. O. BOX 2963
PORT ANGELES WA 98362
(360) 452-9518
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF,SHEET,FELT,COMP
148.75 Plan Check Fee
9/21/04 Valuation
3/21/05
.00
6000
<D
-
o
\)
~E
~
\
Qty Unit Charge Per
Extension
92.75
56.00
BASE FEE
4.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Cred~ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 148.75 148.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 153.25 153.25 .00 .00
uJ
.-J-
,5
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 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.
OM ~II (re
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
Date
Date
T \PLANNING\FORMS\1102 15 [11/14/20031
BillLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I I T
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
W 1'- TER LINE (METER TO BLDG)
dAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES I SITE WORK (Engmeenng DIVISion) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W. / PW/ CONSTRUCTION - R. W
ENGINEERING 4 I 7-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT. 417-4750 PLANNING DEPT
BUILDING 417-4815 IJo -11- OLI J,/-r BUILDING
T \PLANNING\FORMS\I 102 IS [I 1/14/2003]
PREPARED 10/11/04, 12 30 58
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
210 W 13TH ST
DIAMOND ROOFING ENTERPRISES
B G EDWARDS & L A EDWARDS
06-30-00-0-3-8818-0000-
04-00000837 RE-ROOF
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 .1~1.1(~t ftLL BUILDING FINAL
~ Laura 452-3674
-------------------------- ----------- COMMENTS
SUBDIV.
PHONE' (360) 452-9518
PHONE
TIME 17:00
PAGE
DATE
8
10/11/04
AND NOTES --------------------------------------
~ pORr ~
lO~~~
~
L -=-
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Appl~cation Number
pin number . . . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application descript~on
Subdiv~sion Name
Property Use
Property Zon~ng . . .
Application valuation
04-00000837 Date
.053813
210 W 13TH ST
06-30-00-0-3-8818-0000-
RE-ROOF
10/11/04
RS7 RESDNTL SINGLE FAMILY
6000
Owner
Contractor
B G EDWARDS & L A EDWARDS
210 W 13TH ST
PORT ANGELES WA 983627720
DIAMOND ROOFING ENTERPRISES
P. O. BOX 2963
PORT ANGELES WA 98362
(360) 452-9518
Permit
Add~t~onal desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF,SHEET,FELT,COMP
148.75 Plan Check Fee
9/21/04 Valuation
3/21/05
.00
6000
<D
-
o
\l
~E
~
,
...--
Qty Unit Charge Per
Extension
92.75
56.00
BASE FEE
4.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 148.75 148.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 153.25 153.25 .00 .00
uJ
+
.5
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 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.
OM ~Ir (e
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T \PLANNING\FORMS\1102 15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
W 1" TER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR 'SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engmeenng DlVlslOn) SEPARATE PERMIT #'s
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 110 -11_ 0 LI J,Lr BUILDING
T IPLANNlNG\FORMS\1102 15 [11/14/2003]
PREPARED 10/11/04, 12,30 58
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
210 W 13TH ST
DIAMOND ROOFING ENTERPRISES
B G EDWARDS & L A EDWARDS
06-30-00-0-3-8818-0000-
04-00000837 RE-ROOF
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 .1~1.1(~' ~LL BUILDING FINAL
~ Laura 452-3674
-------------------------- ----------- COMMENTS
SUBDIV
PHONE
PHONE
(360) 452-9518
PAGE
DATE
8
10/11/04
AND NOTES --------------------------------------
TIME 17,00
cI i'ORT ~Q
$4,~~~
~
... -=...
~
"l.o\~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000078 Date 1/30/04
210 W 13TH ST
06-30-00-0-3-8818-0000-
MECHANICAL APPL. PERMIT
Owner
Contractor
EXPIRED
"YZ0!b1.
~d,
~f!!J}
<L>
-
o
RS7 RESDNTL SINGLE FAMILY
1000
B G EDWARDS & L A EDWARDS
210 W 13TH ST
PORT ANGELES WA 983627720
OWNER
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
57.65 Plan Check Fee
1/30/04 valuation
7/28/04
.00
o
Qty Unit Charge Per
Extension
47.00
10.65
<c
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
Vi-
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 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 ;;J2construction or the performance of
construction.
f, . " / ~
I . -J
Signature of Contractor or Authorized Agent Date Si@m{tur of Owner (if owner is builder)
V
T \PLANNING\FORMS\1102.15 [11/14/2003]
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Site Address:
ELECTRICAL PERMIT
~=er-
'10
'tV
READY FOR
INSPECTION
License Number: t1
W IKJ<. -
Installed By:
Owner/Business:
'a/~
Owner/Business Address:
~ RESIDENTIAL
(d COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW
o HEAT PUMP KW_
o FAN/WALL KW _
"'7U ~ ~
4~~ ~.;9d~J-
J'
o TEMPORARY SERVICE
DetailslDescription:
PERMIT NO. "'/7 h ~
~b/ /7,/
DATE
o WILL CALL FOR
INSPECTION
Phone:
-7~7?{
Phone:
-;;Uo 71
Sq. Ft.
o RISER
% OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
0191 0391
SERVICE SIZE ;/1) 0 AMPS
FEEDER SIZE AMPS
AZ,e!/" V0~
/A-<,4'J;/~O /c;- ~
.:;)t'J ~. ~
.
WS. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
-1r'" 'fj. O.K. to connect service lie -In
o Final O.K.
e
~~-~p
c.,., II
Site Address:
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the BU!J.9ing Permit. HONE 457-0411, EXT. 224.
/"/. <' NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 60/ 0 0
Permit Fee
Installer:
New Meters
.
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
"-
OLYMPIC PRINTERS INC.
PermitfReceipt No.
~
GREEN - Top: Meter Dept" Bottom: City Hall