HomeMy WebLinkAbout1025 W 16th St - Buildingo~,° ~¢ CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 10/07/2002 PERMIT NO: 13761
OWNER/APPLICANT PROPERTY LOCATION
1025 16TH STW
RICHARD HEDRICK
Lot: 13,14
915 GLENBROOK CIR
Port Angeles, WA 98362 Block: 430 [] Long Legal
360/457-1232 Subdivision: TPA
T: S: Parcel No: 063000043065000
CONTRACTOR ARCHITECT
PENINSULA ROOFING N/A
1216 S. H ST
Pod Angeles, WA 98363 , 98360-0000
3601417-1039 360/000-0000
PROJECT INFO
Project Value: $1,125.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQFT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0 ~
Occupancy Group: MFD Units: 0 03
Construction Type: MFD SQFT: 0 U~
zoning use: RS7
PROJECT NOTES ~
TEAR OFF, SHEET, FELT, COMP
RECEIPT#9757 ~
FEES ASSESSMENT
Building Permit: $44.85 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0,00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $49.35
Plumbing: $0.00 AMOUNT PAID: $49.35
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
n ul! 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 previsions 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,
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\I 102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 6/12/2002 PERMIT NO: 13486
OWNER/APPLICANT PROPERTY LOCATION
RICHARD HEDRICK 1025 16TH ST W
915 GLENBROOK CIR Lot: 13,14
Port Angeles, WA 98362 Block: 430 [] Long Legal
360/457-1232 Subdivision: TPA
T: S: Parcel No: 063000043065000
CONTRACTOR ARCHITECT
owner N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $800.00 SFD Units: 0 Commercial: 0
Project Type: STAiRS/INT SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS7
PROJECT NOTES
INTERIOR STAIR
RECEIPT~t9211
FEES ASSESSMENT
Building Permit: $32.65 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $37.15
Plumbing: $0.00 AMOUNT PAID: $37.15
Mechanical: $0.00
Radon: $0.00 BALANCE DUE: $0.00
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 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 w~e~.h.er specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any ~tate ~ Iocal.ia)ff'regulaJ33g constrqa:tion or the performance of
construction. [ .-) /"/' /~ / /'
Signature of Contractor or Authorized Agent Date ~ig~ature of Owner (if owner is bulmer) Date
T:\PLANNING\FORMS\] 102.15 [4/2002]
I
~c-~rf~ [ FOR OFFICIAL USE ONLY:
~,°~ Date Rec.: ~, ' / ~> -r.3"/-
BUILDING PERMIT - APPLICATION Permit//:
I
Date Approved:
Date Issued:
The BuiMing Permit Application must be filled out completely.
Please type or print in in~ If you have any questions, please call 417~815
Applic~t or Agent:~' ~g~ ~/~,C ~ Phone: ~< ~- C~3 ~
Owner: ~SkE Phone:
Ad~ess:~t~ ~[~~ ~ O~City:. ~ Zip: ~~
~chitecffEngineer: Phone:
Contractor ~ g ~ ~ License ~: Exp:
Phone:
Ad.ess: City: ~ Zip:
PRO'CT ~D~SS: r 0 ¢ ~ ~ ? ~ -- tuNING: ~ ~
LEGALDESC~PTION:Lot:~ ~]~ Block: q~ Subthvision:~ ~ ~
CL~L~ COUNTY P~CEL N~BER~redit Card Holder Name:
Billing Address: City: ~,/
CreditCara~: ~N~'f ~ (~0~ ~O~-Exp. Date: ~ ~ ~SA MC ~
T~E OF WO~: SI~N~UA~ON:
~ Residential ~ New Consff. ~ Re-roof ~ Wood-stove SF. ~ $ /SF.-~
~ Multi-fa~ly ~ Addition ~ Move ~ Garage SF. ~ $ /SF. ~ $.
~ Co~ercial ~ Remodel ~ Demolition ~ Deck SF. ~ $. /SF. = $
~ Repair ~ Sign ~ TOTAL VALUATION $ ~ ~ ~
m scmexio o x. o cx:
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: Lot Size: % Lot Coverage: %
Existing Lot Coverage: /sq. fl. + Proposed Lot Coverage:. /sq. fl. = TOTAL LOT COVERAGE: /sq. fi.
PLANNING USE ONLY: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other
permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for
this permit. I understand it is not the City's legal responsibilit3~termin~' what permits are required; it remains the applicant's
responsibility to determine what permits are required and to obta~ sj ,~ ~
Applicant: ' ~,~ (~.,~r ~ ~_, Date:
T:\FORM SXAPPS~Buildingpennit
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? L5749
y ~ ^Jr;.~r
Port Angeles. Washlngton_________..___n..n.:.._....___.........______.___.______.... 19___n.~~
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 ___.l(2..?...?......___~:/.<t.fif:.......nm.nnm.nn.mm Occupancy.t:!,J~:.~..______...n...n.......___.___.
Owner .....~.~i,:f.~?fL,.n_________n___n___.___n..m..... Tenant.nn...m.___.mn___........_.......___._________..__.....nn___...
Wiring Contractor ..(l?-!!:.~.q,-!?.___f:Jfi:c.5l::L---........ By.........___.nn___nnn___..n________.m....n.nmmm.....n
LIght ouuets...............................l::._..... ServIce, volts ../J.::!>/..;';YtL..... Type of Wiring:
. I .
No. wires ......"$......................C1....
V/%l,J/
Size wIres.................._....................
/ 6t~ ..4
::~::::: ::::=1:~:<..::::::...:::
Receptacle Outlets__mm.h__..................
Armored Cable .............m..m...___...
Dryer, KW......_...._.....__..______n______n_____
Non.Metalllc ......._..._................._0..
Knob & Tube.................................
Range, KW ____.....___....____
Water Heater:
RIgid ConduIt ...............................
Metallic TUbing .mm__..__..............
KW...............................................
Heat: KW.......I/L...>.:.../!t.,I/!../i...
.'
Type of wiring:
Entrance Cable __........0....__......
Raceway _.____.__......................_....._
Motors: sIze, volts and phase:
Rigid Conduit ......0..............
Metallic Tubing __.___..._u...
Current transtormers:
No. & Size...................h__................
CIrcuIts. Light.......................................
Utility.............................................
Heat __u__....._...................................
Ser. NO...____.h_......___..__....____.___...h.hh.
Range ........__........_______..0.___.............
Water Heater ............._.__..............
Motor ..._..._......__________..............__...
Ser. No.......__._____._._........___........._......
Dryer _____________......................_....u..__.._
Furnace .................__...._.'_.__.....__..__..__.
Ser. NO....h__....._................hh......h.....
Total Load____........__________..___.. Ser. No. u...._______..............___.._...._._.._. Total _...0......_........0............_.__._
Remarks: ..00___...0000 ~"'.,<.,L.t2e.::mn.......o':"!..fl"':<:".~"--,""-:0.m.___.....m....nn.___...__......n...........___nn___
-C;5: Ir -- - . -.;.
.___mm...........___._______________.___.___il...m.___..n...m..n..mnmn....mm___.______n...____________._____________________n______nn____________n___n
Permit Fee
Treas. Receipt
NO.___.______._____n__n_____.
By nnn.___.______n______..______n___.___nnnn.............___..__
$..n___.........___.______m___n___.
NOTIC~Current must not be turned on until 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 betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT'
N?
15749
Address....._.__.........._......................_....._................................................__.._......_________....._...._.......Date..._.....__...______._.........._......_......_......._.
Owner ..._...............................__........__......_......_.._................._....._...__nn____nn.n..h....n..n. Tenant._._................................................................
Wiring Contractor..............._........hn..................._nnn...n_.n_.........__...n_h....h___.._...__._n.n..nnn..nn By __..............................._............................
NOTICE--Current must not be turned on until CertitIcate 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 betore concealment.
1M Olympic Printers, Inc.