HomeMy WebLinkAbout1038 W 5th St - Building CITY OF PORT ANGELES
g 11 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number 12- 00000144 Date 2/08/12
Application pin number 647680 q
Property ASSESSOR PARCEL NUMBER: 06-30 -00-0- 1-0842 -0000- REPORT SALES TAX
Application type description RE -ROOF on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 2004
Owner Contractor
WOODWARD, CAROL D LARRY'S ROOFING
1189 D AND RG DR 352 AVIS ST.
DURANGO CO 81301 PORT ANGELES WA 98362
(360) 452 -2215
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF COMP
Permit Fee 109.75 Plan Check Fee .00
Issue Date 2/08/12 Valuation 2004
Expiration Date 8/06/12
Qty Unit Charge Per Extension
BASE FEE 95.75
1.00 14.0000 THOU BL- 2001 -25K (14 PER K) 14.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 109.75 109.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 114.25 114.25 .00 .00
h wal 2
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 exami :d this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be co ied with whether specified herein or not. The granting of a permit does
not presume to give authority t iolate or cancel the •'rovisi. if any state or local law regulating construction or the performance of
construction. 1'�►�
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Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
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BUILDING PERMIT INSPECTION RECORD 0
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 l/
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
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 2 1 5 1 Z �1.�
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inppoRr,)1� BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
For City Use
Attn: Building Permit Technician Date Received al t
321 E. Fifth St., Port Angeles, WA 93362
NNW (3 417 -4815 fax (360) 417 -4711 Permit 1.2 y :L
Date Approvedpi g f t
Applicant
4 one S
Property Owner O,;ffl• Phone 11 Z ip
Property Ow er's Adgre• s
Contractor >j o
Phone Z
z- C
Contractor's Addr ss )5
License (A6c fo %1,1) Expires 11 E -mail
PROJECT ADDRESS (O bp- S 4__
Parcel Number Lot Zoning
Project Type Brief Description• XResid ntial ulti -fam' o Commercial re Industrial
Check all that apply �1
New Construction K em ,r 5 c J 11JS 6111 o
Addition pit �h;) p
Remodel V
o Repair
Demolition
;j Re -roof a4i House garage other tear off re -roof lay over one layer
Heat System o Heat pump o wood- burning stove gas fireplace o pellet stove other
o Other
Floor Areas Existing (sa. ft.) Proposed (sq. ft.)
Basement per sq, ft.
1 Floor
2" Floor
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other j(
TOTAL VALUATION `t
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 °o
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant toad .11 baths
Will a fire sprinkler system be installed? Construction type of ha •aths
1 have read and completed this application and know if to be true and correct. 1 am authorize.\ o apply mit and understand
that it is my responsibility to determine whal.permits r requ red, and to obtain permits prior to w i king o o ,Z..
g i� Prin Name 1 w
Date L�1^r1 b Signature
T:FormsBuilding Division /Building permit application
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000835 Date
.585385
1038 W 5TH ST
06-30-00-0-1-0842-0000-
ELECTRICAL ONLY
9/23/04
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
ANDRES MARY KAY
1038 W 5TH ST
PORT ANGELES
WA 983632115
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 66.90 Plan Check Fee
Issue Date 9/23/04 Valuation
Expiration Date 3/23/05
.00
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Qty Unit Charge Per
1.00 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
66.90
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 66.90 66.90 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 66.90 66.90 .00 .00
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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.
Date
""-
"'"
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:\PLANNINGIFORMS\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 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 DRAJNAGElDOWNSPOUTS
ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO. COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 q ,~2 -eft 121< " 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 BUILDING
T:\PLANNINGIFORMS\1102.15 [11114/2003]
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Sep, 20 2004 07:43RM Pi
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........ ....... 1\ ~ .1 f()
fr.. " u 0) PleaE'il type or reprint in .nll. If you have pny que.stion5, ple~5e call (J.GO) 417""73~
C>' Fax nvmber: (360) 4174711
\
Owner or Elao. Contraotor t,g."I:~ 5D ~ ~ 1Ylc ~ Pi'l"".: H ':).2- (..<-f 24 fax' "t"5 :L-i? i..tr4.f
Propony owoB,-""""'A'T4:..... () 1~Jlh.... ___Phon..
X A.dd,'"", (<UO~~ '\ U) -S~L, CIty:
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Electncal COrltract~P1,..;rrl(J ~""ll\rJ. ~ J .l_nr - l.lcense#: 5 ~ 13') nvtXP .....!fL'1-Lh.t:"
S':L~.r \ft<ull.r; f2~ Cltf.YA.
ELECTRICAL PERMIT APPLICATION
, ,",Oli. U'::lCll\-:.lJ5C ONl.S
'IJw.!l;.,,~ ,.." '.' '.'_.___
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1)10'.,,",..,,) ... .."_' "...~_,
Thp. EI<!.ctr:cal Pellnit Application must be filled OlJt eomDlelelv.
Zip:
52
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Adclre~S:
Phone: I./S1-'~?:1
Zip:. 9~3G.~
INSTALLATION WIRED BY:
DOWNER
o EL"CTR,CAL CONTRACTOR
Credit Card Holder Name:
Billing Address:
on
tdc
Ity:
- .~,. .
__ Zip:
Credit Card Number:
VISA: Me: .
- --
PROJECT ADORESS:,L 0 :5 ~ i 1) , !5---r:h
TYPE OF WORK: Check ~ thaI apply: 0 New
'fl Alteration/Alldilion
~eSidential Cl Multi-family
;:J Remote Maler 0 Detached garage
Number of Circuits added or altered: 0
., Commercial 0 Mobile Home
Sq.Ft
::J Hot TUIl 0 Swim Pool Cl Septic Pump
o Low Voltage 0 Telecom.
Cl Sign
l 0 0 a""tfl +n
s,12..\\(, '0., C -h.'c, '~'d' ./
lQ)() c..~
17+1... \- D dT'
DESCRIPTION OF THE ELECTRICAL PROJECT:
Electrical Heat Load Additions and or Subtractions
Service Information
:J Baseboard
::l F umace
:J Heat Pump
:J Fan-Wall
- ~~lD V\-l/
=T N_LRA
__K .
~O"erhead Service
o Temp Service
o Undetground Service
Vortaga: 1"I"J~-1J
Phase: ~~
Service Sizs: . ':l.-l> 0 ~
Feeder Size:__
I herebY'-certify that I have rsaa and examined Ihis application and know that same to be true and correot, and I am
~uthorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
~re required; it remaifls the applicants responsibiiity to aetermine what permits are required and to obtain such.
/ ' Cr!ldit Card Holder's SI9nalure:~~ 9JjJ, n J
0'\\, ~ n 1'1> \0 ~ Ow""" "". 00"'. SI;M"'" fi(kt 71 (j?'h <I
)J -\ t PERMIT FEE: $
Date:~'-I
oale:_cJ/~
~:/ELECTRICALPERMtT APPL leA TJON
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000107 Date 1/26/18
Application pin number . . . 524715
Property Address . . . . . . 1038 W STH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -0842 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Rewire house
----------------------------------------------------------------------------
,V r
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Owner
Contractor
------------------------
WOODWARD, CAROL D
------------------------
ELECTRIC SERVICE
1189 D AND RG DR
503 RHODES RD
DURANGO
CO 81301
PORT ANGELES
WA 98362
(360) 452-6424
----------------------------------------------------------------------------
Permit . . . . .
. ELECTRICAL ALTER RESIDENTIAL
Additional desc .
. 1-4 CIRCUITS
Permit Fee . . .
. 75.00
Plan Check Fee
.00
Issue Date . . .
. 1/26/18
Valuation . . .
. 0
Expiration Date
7/25/18
Qty Unit Charge
Per
Extension
BASE
FEE
75.00 1
------------------------------------
Fee summary
-----------------
—
Charged
----------
--------------------------------------
Paid Credited
Due
Permit Fee Total
----------
75.00
---------- ----------
75.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
75.00
75.00 .00
.00
INSPECTION TYPE . DATE: RESULTS: INSPECTOR
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS: 1
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
7
0* "XT tf� 1
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 4174711'
Date: I�2J �31 & 2 Single Family Dwelling
" Plan Review May Be Required, Plea4le
Job Address:
Complete Electrical Plan Review Information Sheet
Building Square Footage:
Description of above
Owner Info ationContractor I fgti tor}
r d S d d 1 tl►(A,-K;,-r4(A,-K;,-r4�(A,-K;,-r4Name:
Name:
Mailin ddress: ! 1 R R 0 0-" d
Crma4P—'
try tr Pj Mailing Address:
City: 0tate: —Q Zip:
City: �% _
State: Zip:
Phone: g7F'1 .5M: .'� 7 5 —
a)� Phone:
Fax:
License # / Exp.
License # ! Exp. r• C� 7 ' C
Item
Unit Charoe QtV
Total fQty Multialied by Unit Charael
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201-400 Amp.
$146.00
$
Service/Feeder 401-600 Amp
$ 205.00
$
Service/Feeder 601-1000 Amp.
$ 262.00
$
Service/Feeder over 1000 Amp.
$ 373.00
$
Branch Circuit W/ Service Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 14
$ 75.00 _�
$ -7 S. h4
Temp. Service/ Feeder 200 Amp.
$ 93.00
$
Temp. Service/Feeder 201-400 Amp.
$110.00
$
Temp. Service/Feeder 401-600 Amp.
$149.00
$
Temp. Service/Feeder 601-1000 Amp .
$168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuit Limited Energy -1 & 2 Family Dwelling
$ 64.00
$
Manufactured Home Connection
$120.00
$
Renewable Electrical Energy - 5KVA System or Less $102.00
$
Thermostat
$ 56.00
$
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$120.00
$
Each Additional 500 Square Ft. or Portion of
$ 40.00
$
Each Outbuilding or Detached Garage
$ 74.00
$
Each Swimming Pool or Hot Tub
$110.00
$
Q5.6 17otal
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:
1 t0 °1 % ," ` � J Dated: f L b
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . 18-00000107 Date 1/26/18
Application pin number . . . 524715
Property Address . . . . . . 1038 W STH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -0842 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . , . 0
Application desc
Rewire house
----------------------------------------------------------------------------
Owner Contractor
---------------------- ------------------------
WOODWARD, CAROL D ELECTRIC SERVICE
1189 D AND RG DR 503 RHODES RD
DURANGO CO 81301 PORT ANGELES WA 98362
(360) 452-6424
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee ,00
Issue Date . . . . 1/26/18 Valuation . . . . 0
Expiration Date 7125/18
Qty Unit Charge Per Extension
BASE FEE 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ------------------------------
PeYmit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
INSPECTION TYPE . DATE: RESULTS:
DITCH
{ SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
d
INSPECTOR:
G
Date: