HomeMy WebLinkAbout908 W 10th St - BuildingPREPARED 8/24/09 8 44 34 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/24/09
ADDRESS 908 W 10TH ST SUBDIV
TENANT NBR DAVID KATHERINE ZELENKA
CONTRACTOR PHONE
OWNER DAVID D KATHERINE F ZELENKA PHONE (360) 452 4426
PARCEL 06 30 00 0 3 1900 0000
APPL NUMBER 09 00000725 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 8/24/09 JLL MECHANICAL FINAL TIME 01 00
AL AI August 24 2009 8 31 02 AM 1pangrle
j 4. 11 1 DAVID 452 4426
MECHANICAL FINAL FIREPLACE
AFTERNOON
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000725 Date 7/21/09
Application pin number 360700
Property Address 908 W 10TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 1900 0000
Tenant nbr name DAVID KATHERINE ZELENKA
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 2346
Application desc
INSTALL A WOOD BURNING STOVE FIREPLACE INSERT
Owner Contractor
DAVID D KATHERINE F ZELENKA
908 W 10TH ST
PORT ANGELES WA 983635730
(360) 452 4426
OWNER
Permit MECHANICAL PERMIT
Additional desc WOOD BURNING STOVE INSERT
Permit pin number 150458
Permit Fee 60 65 Plan Check Fee 00
Issue Date 7/21/09 Valuation 0
Expiration Date 1/17/10
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 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
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 fora 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 1 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 authfity to violate or cancel the provisions of any
state or ocal aw regul g construction or the p rfo ance of construction.
7 Z 1 61 2 u+
Date Print Name Signature of Contractor or Authorized Agent "Signature of Owner (if owner is builder)
T:FormsBuilding DivisionBuilding 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
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
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 Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
T.Forms /Building Division /Building Permit
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
FINAL Date Accepted by
8 2y— a9
IFINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
Applicant 1i1
Phone
Property Owner L1 P fa k Phone
Property Owner's Address 106 Ao ,,j A,
Contractor (a 4duv 'Phone
Contractor's Address
License Expires E -mail
PROJECT ADDRESS 9? -4 �A F .7( c
Parcel Number I- 5 1 t Z 13i, 3 g A Lot
Proiect Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
Floor Areas Existing (sq. ft.) Posed (sq. ft.)
Basement
1 Floor
2 Floor
3 Floor
Garage,
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Site Coverage the amount o
and other impervious surfaces
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360).417 -4711
House garage other tear off re -roof lay over one layer
Heat pump wood-burning stove gas fireplace pellet stove other
As
o Residential Multi family
Max. height of proposed s uctures ft.
Will a lawn sprinkler sy em be installed?
Will a fire sprinkler s tem be installed?
sq ft. T Lot size
ous surface on a parcel including st
ee PAMC 17 94 135 for exemptions)
Occupancy group
Occupant load
Construction ype
I have read and completed this application and know it to be true and correct. I am authorize
that it is m res nsibility to determine what permits are requir n d amid to obtain permits prior
Date dO Name .�G' 2e ��41 Sig ,ature
T Forms /Buiid!ng Division /Bldg Permit.doc
(TOTAL VALUATION
For City Use Only. q
Date Received —zl —b 1
Permit n 1ZS
Date Approved
.lee e /5 Yz
Zoning
per sq ft.
of bedrooms
of full baths
of half baths
Commercial Industrial
3, 6]t)
t 3
5r4 Co
o coverage
driveways sidewalks, patios
Site coverage
sq
tures pa
to apply for permit and understand
n pr jects.
Buyer(s)
Seller(s)
Lender
Property
Closing Date
Escrow Officer
File Number
SALES PRICE
DAVID D ZELENKA, KATHERINE F ZELENKA
FLORA J JACKMAN, SHERRY I JOHNSON
LTS 1 2, BLK 319, TPA
06/30/2009
DAWN L SHIDELER
01093457
DEPOSITS
EARNEST MONEY /DEPOSIT FROM BUYER
REMITTER DAVID D ZELENKA
ADDITIONAL DEPOSIT FROM BUYER FUNDS TO CLOSE
REMITTER DAVID D ZELENKA
PROBATIONS
COUNTY TAXES
from 06/30/09 to 07/01/09 6 61567 per day
ESCROW CHARGES
ESCROW FEE
PAYEE OLYMPIC PENINSULA TITLE CO
ESCROW FEE -SLS TAX
PAYEE OLYMPIC PENINSULA TITLE CO
TITLE CHARGES
LOT BOOK REPORT
PAYEE OLYMPIC PENINSULA TITLE CO
LOT BK SLS TAX
PAYEE OLYMPIC PENINSULA TITLE CO
RECORDING FEES /TRANSFER CHARGES
RECORDING FEES Deed amount $42 00
PAYEE OLYMPIC PENINSULA TITLE CO
OLYMPIC PENINSULA TITLE COMPANY
BY t .1.S L �o o A:4, 0
ESCROW OFFICER
BUYER(S) FINAL CLOSING STATEMENT
Prepared by
OLYMPIC PENINSULA TITLE COMPANY
319 -A S PEABODY
PORT ANGELES, WA 98362
(360) 457 -4451
Proration Date
DEBIT
167,000 00
6 62
590 00
49 56
250 00
21 00
42 00
SUBTOTALS 167,959 18
BALANCE DUE FROM BUYER
TOTALS 167,959 18
THIS IS YOUR FINAL CLOSING STATEMENT ALL FIGURES ARE BASED ON THE
ACTUAL CLOSING DATE AS NOTED ABOVE
06/30/2009
CREDIT
2,000 00
165,959 18
167,959 18
0 00
167,959 18
Page 1
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411 PERMIT NO.
DATE
a~y
9/~?
Site Address:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Instalied By:
OwnerfBusiness:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW
~ RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
? SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
)2f OVERHEAD SERVICE
o UNDERGROY~ ~RVICE
VOLTAGE: /t0~
~1 rjJ D3rjJ
SERVICE SIZE Zd7D AMPS
FEEDER SIZE AMPS
Details/Description:
~e ~ /9rJ cO~
.
W.S. 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.
!f}M 'f;J. O.K. to connect service
, 0 Final O.K.
Site Address:
908
Wr
Permit/Receipt No.,/"
~.FT
Installer:
New Meters
.
Notify Port Angeles City Light by Street Address and Permit Number when 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 Building Permit. PHONE 457-0411, EXT. 224. /.
~ NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT ? n
~ $ dO
E ectricallnspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC