HomeMy WebLinkAbout1516 W 10th St - BuildingPREPARED 3/16/11 8 18 31 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/16/11
ADDRESS 1516 W 10TH ST SUBDIV
TENANT NBR GERALD SYLVIA PETERSEN
CONTRACTOR EVERWARM INC PHONE (360) 452 3366
OWNER GERALD SYLVIA PETERSEN PHONE (360) 452 0211
PARCEL 06 30 00 0 3 1316 0000
APPL NUMBER 10 00000913 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
MEG 01 9/07/10 JLL MECHANICAL GAS LINE TIME 01 00
9/07/10 AP September 7 2010 8 43 15 AM 1pangrle
SYLVIA 452 0211
GAS LINE
AFTERNOON
September 7 2010 4 40 02 PM jlierly
3 /16 /11FLL MECHANICAL FINAL TIME 01 00
March 16 2011 8 17 02 AM 1pangrle
ME99 01
SYLVIA 452 0211
MECHANICAL FINAL GAS FIREPLACE
AFTERNOON
PLEASE CALL HER 10 MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
k‹.
bV 2
PREPARED 9/07/10 8 53 20 INSPECTION TICKET PAGE 12
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/07/10
ADDRESS 1516 W 10TH ST
TENANT NBR GERALD SYLVIA PETERSEN
CONTRACTOR EVERWARM INC
OWNER GERALD SYLVIA PETERSEN
PARCEL 06 30 00 0 3 1316 0000
APPL NUMBER 10 00000913 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 9/07/10
SUBDIV
MECHANICAL GAS LINE TIME 01 00
September 7 2010 8 43 15 AM 1pangrle
SYLVIA 452 0211
GAS LINE
AFTERNOON
COMMENTS AND NOTES
PHONE (360) 452 3366
PHONE (360) 452 0211
Date
Application Number 10 00000913 Date 8/24/10
Application pin number 310602
Property Address 1516 W 10TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 1316 0000
Tenant nbr name GERALD SYLVIA PETERSEN
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 2200
Application desc
INSTALL A GAS FIREPLACE
Owner
GERALD SYLVIA PETERSEN
1516 WEST 10TH STREET
PORT ANGELES WA 98363
(360) 452 0211
Qty Unit Charge Per
1 00
1 00
1 00
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
10 6500 EA
10 6500 EA
50 0000 HR
Fee summary Charged
Permit Fee Total 121 30
Plan Check Total 00
Grand Total 121 30
T:Forms /Building Division /Building Permit
Contractor
Permit MECHANICAL PERMIT
Additional desc INSTALL A GAS FIREPLACE
Permit pin number 172072
Permit Fee 121 30
Issue Date 8/24/10
Expiration Date 2/20/11
EVERWARM INC
257151 HWY101
PORT ANGELES
(360) 452 3366
Plan Check Fee 00
Valuation
BASE FEE
ME STOVE /FIREPLACE /MISC APP
ME FUEL GAS PIPING 1 5 OUTLETS
ME INSPECTION MIN 1 HR
Paid Credited
121 30 00
00 00
121 30 00
WA 98362
Due
Print Name Signature of Contractor or Authorized Agent
00
00
00
0
Extension
50 00
10 65
10 65
50 00
Separate Permits are required forelectrical 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.
Jli /v, led/41/4a
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
6 0614
3 -Ib -l1
Signature of Owner (if owner is builder)
FOUNDATION:
Footings
Stemwall
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS
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 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 L i— 7— IQ
Wood Stove Pellet Chimney I 7 (p
Commercial Hood Ducts I FINAL Date J Accepted by 50--
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
T Forms /Building Division /Building Permit
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Date Accepted By
Applicant
Property
Property
Contractor
Contractor's
License
PROJECT ADDRESS
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
M eat System
Other
Floor Areas
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
r
Owner
Owner's Address S' /CA_
E v /�t/,4'►'/1't
Address l,i, vL
Expires
/cleo /Utt
Al f
House garage other tear off re -roof lay over one layer
t o Heat pump wood- burning stove ygas fireplace pellet stove other
Existing (sg. ft.) Proposed (g. ft.)
Basement 7
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck I
Shed 1
Other I
Total footprint of structures sq T Lot s
Site Coverage the amount of impervious surface on par including structures
and other impervious surfaces (see PAMC 17 94 135 exemptions)
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
I
Occ •ancy group
Occup t load
Construction type
Phone VS'? 1
Phone fg vt,(
Phone
E -mail
Lot
Residential Multi- family Commercial Industrial
r [Ay,"
per sq ft.
OTAL VALUATION
sq ft.
ved
For City Use Only
Date Received_- &4- 10
Permit IC5 —91'
Date Approved
Zoning
coverage
eways sidewalks, patios
Site coverage
of bedrooms
full baths
of h: If baths
I 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 working on prof ts.
is
Date a 7 AJ Print Name �J J 44't Signature
T Forms /Building Division /Building permit app it cation
Clallam County Assessor Treasurer Property Details 59089 GERALD AND SYLVI Page 1 of 5
Clallam County Assessor Treasurer
Property Search Results 59089 GERALD AND SYLVIA PETERSEN for Year 2010 2011
Property
Account
Property ID 59089
GeographicID• 0630000313160000
Type Real
Tax Area. 0010
Open Space. N
Historic Property N
Multi Family Redevelopment: N
Township
Range.
Location
Address: 1516 W TENTH ST
PORT ANGELES WA
Neighborhood:
Neighborhood CD
Owner
Name.
Mailing Address.
Taxes and Assessment Due
Property Tax Information as of 08/24/2010
Amount Due if Paid on.
Year Statement ID Taxing Jurisdiction
2010 41993
2010 41993
2010 41993
2010 41993
2010 41993
2010 41993
2010 41993
2010 41993
2010 41993
2010 41993
2009
2009
2009
2009
2009
2009
2009
2009
590892008
590892008
590892008
590892008
590892008
590892008
590892008
590892008
ST SCH STATE SCHOOL
CC -GEN COUNTY
PORT PORT
PORT ANG PORT ANGELES
_SD #121 SCHOOL DISTRICT #121
NTH OLY LIB NORTH OLYMPIC LIBRARY
HOSP #2 HOSPITAL #2
WSMET PK DIST WILLIAM SHORE MET PARK
CITY_STORMWATER CITY STORMWATER
WEED_CONTROL WEED CONTROL
2010 41993 TOTAL.
ST SCH STATE SCHOOL
CC -GEN COUNTY
PORT PORT
PORT ANG PORT ANGELES
SD #121 SCHOOL DISTRICT #121
NTH OLY LIB NORTH OLYMPIC LIBRARY
HOSP #2 HOSPITAL #2
CITY STORMWATER CITY STORMWATER
Cycle 5 Res
10955130
Legal Description.
Agent Code
PA 121 PORT ST CNTY H2 L Land Use Code
DFL
Remodel Property
Section
Mapsco
Map ID
GERALD AND SYLVIA PETERSEN Owner ID
1516 W 10TH ST Ownership
PORT ANGELES WA 98363
Exemptions.
First Half
Base Due
$227 59
$121 12
$17 02
$280 43
$294 79
$35.20
$49 68
DIST $15 81
$36 00
$0 82
$1078.46
$260 34
$131 76
$18 67
$288 99
$321 95
$38.28
$54 04
$36.00
LOT 4 E2 LOT 5 BL 313
45960
100 0000000000%
Second Half
Base Due Penalty Interest Base
$227 59 $0 00 $0 00 $4:
$121 12 $0 00 $0 00 $24
$17 03 $0 00 $0 00
$280 42 $0 00 $0 00 $56
$294 80 $0 00 $0 00 $5E
$35 19 $0 00 $0 00 $7
$49 69 $0 00 $0 00 $5
$15 81 $0 00 $0 00
$36 00 $0 00 $0 00 $7
$0 81 $0 00 $0 00
$1078.46 $0.00 $0.00 $21E
$260 33 $0 00 $0 00 $52
$131 74 $0 00 $0 00 $2E
$18.66 $0_00 $0 00
$288 99 $0 00 $0 00 $57
$321 94 $0 00 $0 00 $64
$38.28 $0 00 $0 00 $7
$54 03 $0 00 $0 00 $1C
$36 00 $0 00 $0 00 $7
http. /vpn.clallam.net:8084 /propertyaccess /Property aspx ?cid =0 &year= 2010 &prop_id =59 8/24/2010
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15016
'< -;;17' "y
Port Angeles. Wash1ngton.uu....u..,.._.___:::_m~...__...u..___........._...__..._. 19_:::.___
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.
. -)Iti
Address __l2..._n'!?____ld::.!.e._..__....u._.u...u.._._..u..._._m_..n_______. Occupancyn_._.-o(.!2.d.Ld-u....h.-n....hh..--..
Owner ___:___ea!:tl__.g.,;_Zl._hn___n____mm___n TenanL..u...._h_..._.h._UUh~m_.m_hhU............__.._______n_..
{tJ. ~ ~ (J
Wiring Contractor -n.h~:?!!eh'v~U:;:;~'=:~,.:u?-l-a-..:.,u Byn_nn____.m.n._u______________u____m________n_u._h__.Uh_
:::))/ ,..
t/ / .)0/:)...1,1'(.1
L.ight Outlets__..m__.m.m__..........._________. Service, volts ....'!:!._mL.......f........_.nm..
.-;"0 3'
Receptacle Outlets____:.':......................._ No. wires __.._.__.._.............__;~-..__m___.
. ;//,16 (;
SIze wiresm..____.._m._............_h_____
'/) c.;:o I/-
Main fuse __..:"::..._..h_.__._____..____._.__...
'-:';;
Enclosure __...__m___m._.._.........___m__.
/
Dryer, K\Viuun';.'___n____h_.__n_...__nn_._____
/?-
Range, KW _._.n...___...h____ ____nO_.___n_____.
Water Heater: /.
'/."
KW.__..___.!..~__~_____.________.____________..
Hea', RW.mmh.!.f.!}/J...__..__.h_h__m
Motors: size. volts and phase:
._/-.A'-"c.:_........h...h.hh.__.h____._.__
.Jcef"'.tb_mhh.......____................
. t
Total Load._..._....._.__.._____.____..
Type of wiring:
Entrance Cable .......__........._mh____.
Rigid Conduit ...h_._____hm.mmmm.
Metallic Tubing _m....__.................
Current transformers:
No. & Size..___...._.._..__.__..__...............
Sel'. No.._________.______.______._________________.__
Sel'. NO.,...__.........h..h._........__.____._.__._.
Sel'. NO..______.__h___.h_______________._.._.......
Sel'. NO.____.______________..u.____.........hh_U
Type of Wiring:
Armored Cable .__m..________m__mm._
Non-Metallic m____m___m__h__......h.._
Knob & Tube...
Rigid Conduit m__mmm__h_.h.hm...
Metallic Tubing hmmmm..h.h......
Raceway __..__......._....h..........._......__
CIrcuits, Light..~=_.......__._....._____.._mm
.::--
Utility ______m__m___mmm__.__.h......h...
Heat /..!~_._.._........._.__..........._.._
Range h_:?'h.h_h.______.__h.._.....__.....
Water Heater .~h....h.................
Motor _..___n..__.________._________.______....._
Drye'...h..?.:.____.h.h______.........._________
Furnace 0____.._....._____.__..._'__. ..........._..
Total .........____________....__.__...._....
Remarks: .__~..:._:1~L!?..:;.._._.'='=._.______02};_::'!~__.r.___n._uu____U~hd.h____________U____._hhn______n___.___n__..~__U__hh___h_____
.i~_~~~_~~~.~..~~~~~~._-_~~~~~~..~~...---....i~~_~_~;_~~~_~_~~_~~~~-.~~-_~---..-.hhh----:;-:,JZt-7t;~;::z;~~=j;,::::::::=~:
NOTICE-Current must not be turned on untn CertifIcate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
/ Ii IG pB
ELECTRICAL PERMIT
N~
15016
Date caliedjor";-:n~lctlo~:..l{)..&.....h.hm..__.mh....__._m..........h_.............h..._.m......_m__
0(;,' i/ .~~~ _..h.m_...._.....h.._..m_....._.._........h_..
~::;~::::y:::~::~;:_?2f.~:::~~:;:~:::.::::::::::::::::::':::::'.:.:::.:...::::::.:::::::...:.::::::::::::~::::::::::::::::::=::::::::~::::::=
IM-
Olympic Printers, Inc.
Total Load ___.;.;,;.____.________._____._..._.........__.n_.__.._........n.n...........___.._..n_ .n.....________._......
3-72
j
...
ELECTRICAL PERMIT I
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00001041 Date 7/11/18
Application pin number . . . 891261
Property Address . . . . . . 1516 W 10TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3=1316-0000-
Application type description ELECTRICAL ONLY on your excise fax form
Subdivision Name . . . . . . to the City of PENT ArIgel@S
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Ductless heat pump
----------------------------------------------------------------------------
i
Owner Contractor
GERALD & SYLVIA PETERSEN EXTRA MILE TECH & ELECT., LLC
1516 WEST 10TH STREET 418 N. RACE ST.
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 452-0211 (360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 68.00 Plan Check Fee .00
Issue Date . . . . 7/11/18 Valuation 0
Expiration Date 1/07/19
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
-----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 66.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS: --�
PERMIT WILL, EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
I - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www cityofpaus I e1ecrrica1permits@cityofpaus
Projea Address:
Sri
Single-Farrmly 12
Nam.
MaDVAddress:
A,
0 OWMIARU BtJkftftmefootage:
V-4-�-
Nam Eklft* ft 16 -T--Vr--I+
mailing Address: 6. A ax s % *.r
Emall: -4CrtA-&N*'1r � 0 r - Afe-r
Dam
in.! j A -
Phone: 3 (- 0- -4 C-9
Ucanw.
ExpkadonDEM: /2-26--%Oly
Phone: 340 &1-1292
ServkmT"der2D0AnV-
$120-00
SerAcmrT"der2D1400Amp.
$146W
ServicaffeederAICH4MAmp.
$205.00
X(IM4000ftp.
$MW
$
Servicaffiseder over 1000 Amp.
$373.00
$
Branch Ck=k W Service Feet
$5.00
$
&anch Cmk WO Service Feeder
$63.00
$
Each Additional Branch Circuit
$5-00
$
Branch Circuits 1-4
$75.00
$
Temp. ServicalfFeeder 200 Amp-
$93.00
$
Temp. SmicelVeeder201400Arnp.
$110.00
$
Tend. ServicalftederAIM-MArnp.
$149.00
$
Tonp. ServicalFeederSDIAMIDArnp.
$168.00
$
Portal to Portal Hourly
$98.00
$
Signal CkaMArftd Energy - U2 OU.
$54.00
$
Allan fiecho W Home Connection
$120.00
$
Renewable Ekm BwW 5KVA System or less
$10200
$
ThernvWA (Note: $6 for each additional)
$56-00
$
Fast 130D $*me Fed
$120-M
$
Each Additional GMequare fear
saoo
$
Each Wbvildimg I Detached Gorge
$74.00
$
Each Swirroft Pad /HotTub
$11000
$
TOTAL $ k2K.
Owner as defaced by RCVL1928281: (1) Ownerwill coctipy the aftickm fortuvo yews aflarthm electrical permit is linafted. (2) Owner Is
raqt*W to hire an elecitical contractor if above said property
is for =to. rent or learn Pm..t't eq*esaider sic ..mxd ofiestinspectloiL
After me" the above slaWment I hereby cergy Met I am the owner of
the above named property or a licensed electrical contractor I
am mialft the electrical installiation craPeralion m corripliamm with ttce elect kwAk N.F-C.. RCK Chapter 192t VVAC Chapter 29S -
4W The City of PortAngeles Aftadc1pal Codr, and ad FAUC 14.05.050 regarding Electrical PlarrnitApplications.
Date PrinfNam
SWakire
([] Owner [Y Beftical Contractor I Admn*810r)
[EW*icWPem*AppbcaWmmay besLtmuVmdtoCkHai cw.tmorfaxed io36OAl7.47l1]