HomeMy WebLinkAbout211 W 15th St - Building t rizoro CITY OF PORT ANGELES
ri DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
m
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001097 Date 10/04/11
Application pin number 414946
Property Address 211 W 15TH ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -4- 2192 -0000- REPORT SALES TAX
Application type description SIDING
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 480
Application desc
NEW SIDING ON UPPER PORTION OF HOUSE
Owner Contractor
SHIPMAN RAY L /JESSIE L OWNER
211 W 15TH ST
PORT ANGELES WA 983627725
Permit BUILDING PERMIT NO PR FEE
Additional desc RESIDE UPPER PORTION OF HOUSE
Permit pin number 193839
Permit Fee 50.00 Plan Check Fee .00
Issue Date 10/04/11 Valuation 480
Expiration Date 4/01/12
Qty Unit Charge Per Extension
BASE FEE 50.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 54.50 54.50 .00 .00 ED
EX9?:ED
ewred LI I Ir
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 clays, 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
conssttrr (.14
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 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
(AN
FOUNDATION:
Footings V
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 N
N.
Inspection Type Date Accepted By
N.
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831 NZ'
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 011)k red tei I* !r
EX* r
T:Forms /Building Division /Building Permit
CITY OF p ORT NGELES
W A S H I N G T O N U. S. A
COMMUNITY ECONOMIC DEVELOPMENT
April 24, 2012
Ray Shipmen
211 W 15 Street
Port Angeles, WA 98363
RE: Building Permit #11-1097
Dear Mr. Shipmen:
This letter is to notify you of the status of the above permit. The permit expired on April 1, 2012.
You are welcome to reapply for a permit if you wish to do work in the future, understanding there
will be full permit fees. If you have any questions, please let us know.
Sincerely,
I eAkfAt
Heather Catuzo
Building Permit Technician
321 E 5th Street
Port Angeles, WA 98362
hcatuzo @cityofpa.us
360 417 -4817
PROJECT STATUS UPDATE
Permit V 1m 241 w
Date: 1,1• lea
1 phoned the: Applicant C/1104 Ro 6tQ 6 a 4ii 14.
Property Owner at
Contractor at
(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.
fee& lot h pr 4 a-br)- o r 0„pvre
T:Forms /Building Division/Project Status Update
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review)
Date Receive
Permit /09
City of Port Angeles Please print in ink. Date Approved 1/
Attn: Building Permit Technician Approved by
321 E. 5 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 person: Phone: b t 7
Vii( X 1 77
Property owner. 7
i;� gA.) Phone:
Property owner's mailing ad ress: 12. js s6- i°it
Contractor's business name: Phone:
(or property owner's name if he /she is doing /overseeing the work)
Contractor's mailing address:
Contractor's L &1 license number: Expiration date:
Project Address:
V /15
Project Type: a Residential D Commercial lo Industrial D 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.
R a -roof: house garage other
tear off re -roof lay over one layer
Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re -side: house garage other ?"-re--r f Si/14
/Project Valuation ISO (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" deep): 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 "x" 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 protect)
Project Valuation
Mechanical Permit: (explain the project)
Project Valuation
I have .read and completed this application and know it to be true and correct. l am authorized to apply for this permit
and understand that it is my responsibili to determine what permits are required, and to obtain permits prior to
working on rojects.
7�,J
Date r Signature_
Print Name V' !S KO Or
Page 2 of 2
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17666
//- J' f/
Port Angeles. Washlngton......._.......u........................um........u...... 19.Gu:..
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.
") // {u- / j-tif '"
Address ..u!::.if2:;;....m...................u.....u...?Ju.uu..............mm..... Occupancy...,.4..1:..~~.u.....u.....u...u.u
Ow~er ."'..~u~~~~::!-.J.f.il::..~-ye Tenant.......uuuu.u...u....u.u._u.u....._....u.....u.........u....
Wiring Contractor .__..,......u.....u......u~Cuuu..m.-..u....-u...u...u. By..........u.....,............uu......uuu..uu......uu......u
cP (/ /,;/0/4 Yo
Light Outlets...............______.:........_.._..... Service, volts .............,............:...........
Receptacle Out1ets......__~........... No. wires ...._1........................:__...
n'ye" KW.......2............................. Size wIres.....pq..iY!.~_:...._..
Range, KW .....n/_~____________..____. Main tuse ._..._.r:?r?.q...:~1........
S
Enclosure __._.______n______..____.n...._______
Water Heater: .)
KW............Z!mmm........ .
Heat KW...,.!.2.1L.t:::.1311m
Type of Wiring:
Entrance Cable ......__.....................
Motors: size, volts and phase:
:j,t~~:::::::::::::::::::::::::
Rigid Conduit .hm___________...n......._.
Metallic TubIng ".mm".m
Current transformers:
No. & Size_......_....__.............._._........
SeT. NO.n._______...........______________.___._....,
SeT. No. ....__.._.._........__...........___
'-
'~-._.
SeT. No. ...___...........................__n__
3/(?()
Total Load.._.....__...................
Type of Wiring:
Armored Cable ..._........______......._.__.
Non.Metalllc .................................
Knob & Tube................._._............_
RIgid Conduit ...............................
Metallic Tubing ____________________h.....
Circ~::~:::h-~:::~:::~:::::::::::::::::::::::::=
~:~tIty..::::::t::::::::::::::::::::::~::::::
;2..
Range ..........................._...._____..._.._.
d
Water Heater ..._........____________.......
Motor ___...........____.....___.._......_.......
DTyeT....._.....~..n............n.__..___.._..._
Furnace .........................__nh_______......
SeT. No..__._.____..._._..........__.................
...t:'
Remarks: _7':-:1:l...~~!~r..hn__.n_r...~_~~~!.-;--:::!{::(~_~n_.hu__n.nuuu__.u.uuu.__._n..u__n___~..nn.n__n.n_~______..____..__n__n
~b
Total .........._________.____....h_..__....
Permit Fee
Treas. Receipt
No.___.........................
By ...f[t...~~If.~-'!:~~~::::::=::....
$:.....___.......___.......___.....u..
NOTICE-Current must not be turned on unttl 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
:....~..,.
ELECTRICAL PERMIT
N~
17666
Owner
Address_......_._..._....._............................................................................__......_____.._.......................Date..._....._...._.___._.........._._...._.__________......
Tenant__.___....................n___.__..__..___._................___....
WlringContractor.........__........................_......_.............._............._...........__._.............______.....______..By......_..___._...______.........._..........................._
NOTICE--Current must not be turned on until Certificate ot Inspection has been issued. It work fs to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment. .
1M Olympic Printers, Inc.