HomeMy WebLinkAbout1530 W 10th St - Building Building Permit
1530 W 1 0`h St
12- 1390
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# ` CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 12-00001390 Date 10/19/12
Application pin number . . . 656040
Property Address . . . . . 1530 W 10TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-1333-0000- REPORT SALES TAX
Application type description MECHANICAL APPL. PERMIT
Subdivision Name on your state excise tax form
Property Use . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 4677
------------------------
Application desc
WOOD BURNING FIREPLACE INSERT
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HOGLUND TTE DAVID A/M J EVERWARM INC
1530 W 10TH ST 257151 HWY101
PORT ANGELES WA 953635506 PORT ANGELES WA 98362
(360) 452-3366
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc WOOD BURNING FIREPLACE INSERT
Permit Fee 60.65 Plan Check Fee .00
Issue Date . . . . 10/19/12 Valuation . . . . 0
Expiration Date 4/17/13
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
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.
.ate 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
CyJ
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 t
FOUNDATION:
Footings _
Sternwall
_
Foundation Drainage 1 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 b
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 Pum /Furnace/FAU/Ducts _
Rough-In _
Gas Line _
Wood Stove/Pellet/Chimney
Commercial Hood I Ducts _ FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab _
Blocking&Hold Downs _
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting _ ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By `t
Electrical 417-4735 �}
Construction- R.W. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
TCnrm�/Riilrlinn rliiicinn/R„ilriinr.Dormi4
BUILDING/PLUMBING/MECHANICAL PERMIT APPLICATION - SHORT FORM
(To be used for projects that do not require plan review.)
Date Received:�p%g
Permit# -13900
City of Port Angeles Please print in ink. Date Approved/® /9 i
Attn: Building Permit Technician Approved by
321 E. 5th St., Port Angeles, WA 98362
360-417-4815 fax: 360-417-4711 Credit card payments are accepted Mon-Fri 8-5 pm (no American Express)
Hours: Mon through Fri 8–5 pm Cash &checks are accepted Mon-Thurs 8:30-4 pm & Fri 8:30-12:30 pm
Contact pers n: 1 Phone:
A A . o ,�- L� b 60 "5 -!? ;z �?O
Property owner:
Phone:
Property owner's mailing address:
Contractor's business name: V A 2 Phone:
or property owner's name if he/she is doing/overseeing the work t-4- — 3`j
Contractor's mailing address:
-- E &C 3 .
Contractor's L&I license number: Expiration date:
Project,Address: i!
I
Project Type: Li Residential o Commercial i:i Industrial Ei Multi-family
Project Business Name:
(for commercial, industrial, or multi-family projects)
The following permits are usually issued over-the-counter immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Re-roof: c house ci garage Ej other
aj tear off& re-roof o lay over one layer
(✓) Licensed contractor: Submit a copy of your re-roof bid.
Project Valuation $ * (labor& materials, not including sales tax)
Re-side: o house ® garage m other
Project Valuation $ * (labor& materials, not including sales tax)
Repair: (explain the project)
Project Valuation $
*Homeowner: If you will be doing'/overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
Cost of materials x 2 = Project Valuation $
T:Forms/Building Division/Building/Plumbing/Mechanical Permit Application=Short Form(Revised 2011)
Page 1 of 2
Swimming Pool or Spa (>_ 24"deems: For prefabricated swimming pool or spa projects that
do not require plan review:
(✓) Obtain the City of PA handout entitled "Pools &Spas" &follow the requirements.
Project Valuation $
Demolition: A demolition permit is needed when an entire building gets demolished.
What will be demolished? ❑house ❑ garage ❑ other
Note: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
(✓) Agree to ensure that all utilities are/will be properly turned off(and capped off if needed)
prior to demolition.
(✓) Obtain (from the City of PA)an aerial view map of the parcel and put an 'Y' over the structure(s)to
be demolished. Submit the map with this application.
(✓) Obtain (from the.City of PA)a copy of the Olympic Region Clean Air Agency(ORCAA)
Demolition Permit Application.
Contact ORCAA at 360-417-1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
❑yes ❑ no Will the debris be going to the Regional Transfer Station in Port Angeles?
❑yes ❑ No If yes, will a licensed contractor be taking it there?
(✓) If yes, obtain (from the City of PA)a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing is needed).
Plumbing Permit: (explain the project
Project Valuation $
Mechanical Permit: (explain the roiect
Project Valuation
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 projects.
t
Date Signature az,gso ,
Print Name r9 V /b, iv-D
Page 2 of 2
CITY OF PORT ANGELES
LIGHT DEPARTMENT ELECTRICAL PERMIT ��77 M 17367
Port Angeles, Washington....?� --L_---
------------------------------------ 19-276
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.
Address .-1-=a- ' --------1-�-- -- ._-------------- Occupancy.------------------------------------------
// r
Owner ----�•-1--�=-` -y -_..1- ----- ---- ---- - Tenant------------•----••--------------------•--------------•------••-•-----
Wiring Contractor----f-�-- �r�ca =e^�----------- By-----------------•-•- - -
Light Outlets-__................................ Service, volts ....................................... Type of Wiring:
Receptacle Outlets............................... No. wires ....................................... Armored Cable ............................-
Dryer, KW.......................................... size wires..................................... Non-Metallic .................................
Knob & Tube.................................
Range,KW------------------------------------ ---- Main fuse ------------........
.................. Rigid Conduit ..._.'.......................
Water Heater: Enclosure ....................................... Metallic Tubing ..........................
KW............................................... Type of wiring: Raceway ..............................__..._
Heat: KW....../.. ....... Entrance Cable .........._.............._.
..._�L..r.�... Circuits, Light......................................
Motors: size, volts and phase: Rigid Conduit .................-............ Utility ....................___.................
........................................................... Metallic Tubing ........................... heat .......................................
Current transformers: Range .............................................
..............................._..........................
No. & Size....................................... Water Heater .........................
...........................................................
Ser. No............................................... Motor ....................-........................
..............................._. .
Set. No..............................................
........................................................_
Furnace...................._......................
.
Set. No..........:...................................
TotalLoad----------------------------- Ser. No............................................. �-+ Total .......................................
Remarks: !L. -: f � ��s .�f.� rs � -P`J! -�'" -�—" =-------------------------
--------------------------------------------------------------------- -------- ---------------------------------------------------------------------------------
----------------------------------------------------------------'-------------------------------------------------------------------------•---------------------------...---•-
Permit Fee Treas. Receipt
$..-..-----•------------------------ No............................. By -•---------•---•-------------..--......--------•-----------------...-
NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If 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
ELECTRICAL PERMIT N° 17367
Address ................................................................ Date.....................................................
Owner ....................................................._........._...........................-------------------------------- Tenant....................................................................
WiringContractor..................................._.._............................................................................... By..............................................................
NOTICE—Current must not be turned on until Certificate of inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.