HomeMy WebLinkAbout1028 W 16th St - Building
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
property Zoning . . .
Application valuation
04-00000168 Date
.764952
1028 W 16TH ST
06-30-00-0-4-4130-0000-
RES REMODEL
3/18/04
RS7 RESDNTL SINGLE FAMILY
10000
Owner
Contractor
HOCH. RICK/TERRY
4201 TUMWATER TRUCK RTE
PORT ANGELES WA 98363
(360) 452-5381
HOCH CONSTRUCTION
4201TUMWATER TRUCK TRAIL
PORT ANGELES WA 98363
(360) 452-5381
TWEETER ELECTRIC
76.30
3/18/04
9/14/04
INC.
Plan Check Fee
Valuation
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OD
----------------------------------------------------------------------------
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
.00
o
Qty Unit Charge Per
1.00 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER
Extension
76.30
~
.
Other Fees
STATE SURCHARGE
4.50
penilit Fee Total
,Plan Check Total
',OtherFee Total
<Gra.~d.~~~tal
76.30
.00
4.50
80.80
76.30
.00
4.50
80.80
.00
.00
.00
.00
.00
.00
.00
.00
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Fee summary
Charged
Paid
Credited
Due
!4
.
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and. void if w,Qrk or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a perlod.of 180:days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspectk>n,c"J 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,
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102,15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALLfHOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEP ARA TE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ~., If .0'" ,I&l ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\ 11 02.15 [11 fJ 4/2003]
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BUILDING PERMIT INSPECTION RECORD
J7.:.4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FORELECTRICA
"
MUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE 0
INSPEcTEDAND~C.CEPTED.POST PERMIT IN ACONSPICUOUS tq
KEEP PERMlTCARD AND APPROVED PLANS AT JOB SITE: '
.". J)ATE ACCEPTED'C.';'
.i '. I YES NO
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ON TYPE
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~~fl)iWNAGFJDOWN 8POvrs .
;:;i~~"" Cl,IlTDEPT) SEPARATEPERMIT:#
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I, : ,,';;.'R~~l&;i1(riITERIOR BRACED PANEL ONLY)
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',; i::P.t~~/)ITE WORK (Engineering Division) SEPARATE PERMIT #'5:
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", 1>~JNGDEPT. SEPARATE PERMIT #'5
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SEPA:
ESA:
SHORELINE:
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FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE:
DATE YES NO COMMERCIAL
RESIDENTIAL
,,'.' ' ,'.'
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-
,
ELECTRICAL
UGHT DEPT
CONSTRUCTION -R. W.
PW I ENGINEERING
FIRs DEPT. /
PLANNING DEPT.
BUILDING
::LIOHT DEPT.
417-4735.
N R.W./PWI
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.piiNNiNo DEn.
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~BUIlDlt;fd::: .'
ORMS\II02.15 [11/1412003]
417-4807
417-4653
417-4750
417-4ln5
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PREPARED 5/04/04, 12:22:55
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
5/04/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1028 W 16TH ST
HOCH CONSTRUCTION
HOCH, RICK/TERRY
06-30-00-0-4-4130-0000-
04-00000168 RES REMODEL
SUBDIV:
PHONE (360) 452-5381
PHONE : (360) 452-5381
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3
01
3/15/04
3/16/04
JLL
DA
BUILDING FRAMING
fire block at furred ceiling in
ceiling/j 11
BUILDING AIR SEAL
bath were wall meets
5/03/04
4/12/04
5/03/04
4/14/04
5/03/04
BL99 01 _~ ~
-------------------------------------- COMMENTS AND NOTES --------------------------------------
BAIR 01
02
JLL
AP
JLL
AP
JLL
TIME: 17:00
BLI
01
BUILDING INSULATION
TIME: 17:00
BL3
BUILDING FRAMING
TIME: 17: 00
BUILDING FINAL
PREPARED 5/03/04, 12:38:04
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1028 W 16TH ST
HOCH CONSTRUCTION
HOCH, RICK/TERRY
06-30-00-0-4-4130-0000-
04-00000~ RES REMODEL
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 3/15/04 JLL
3/16/04 DA
BAIR 01 ~l
BLI 01 / 4 L
BL3 02 ~ L
PAGE
DATE
SUBDIV:
PHONE (360) 452-5381
PHONE: (360) 452-5381
BUILDING FRAMING
fire block at furred ceiling in bath were wall meets
ceiling/jll
BUILDING AIR SEAL TIME: 17:00
BUILDING INSULATION TIME: 17:00
BUILDING FRAMING TIME: 17:00
6
5/03/04
-------------------------------------- COMMENTS AND NOTES --------------------------------------
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PREPARED 3/10/04, 12:22:10
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
7
3/10/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1028 W 16TH ST
HOCH CONSTRUCTION
HOCH, RICK/TERRY
06-30-00-0-4-4130-0000-
04-00000168 RES REMODEL
SUBDIV:
PHONE (360) 452-5381
PHONE: (360) 452-5381
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
'"'--"--~--~-----~~~:~:::::::':" ::::: ""'---------------------------------
BUILDING PERMIT - APPLICATION
Date Approved:
Date Issued:
Fill out COMPLETELY and ,in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
Applicant or AgentL I~~"",c;. ~M I nJ .. II tvo~ e;, ~~ITU Phone:
Owner: U~l~ CDN~QT1l>fV I !ZIti'" 1-lCJc..~"
Address: 4-'20 I 7tAVYl~~ Tf21AC,lZ/Zr. ' City: ~tz.T
ArchitectJEngineer:~\ 1\iO~ f1. 'SM I ,~
Contractor ~()::)~ Co~1:z\A (...i) IItJ State License #: Exp:
Address:4'2PJ 7T/tmNAT1SJ2. T/Z.\...I'-l"- rz..,., City: t:bIZ-T ANt1'dl.,'r:rS
PROJECT ADDRESS:_l D '2 e, \j\Ie-s;- I /p'TAl e;.t,
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
Phone:
AM~tt;,
4-6'Z-~J1 ~
45Z..~3~1
Zip: t')~~"'~
Phone: 4-5Z~ (.,/) V
Phone:41!5Z. - ~ J
Zip: ~!t;LI';
ZONING: t2'S1 .7
Credit Card Holder Name:
Billing Address: u - , ~~
Credit CardType viSA MC # Exp. Date:
TYPE OF WORK: . SIZEN ALUA-TION: ~/
o Residential 0 New Constr. 0 Re-roof 0 Stove SF. @$ /SF. = $ J 0 J 000 .V1
o Multi-family 0 Addition 0 Move 0 Garage SF. @$ /SF. = $
o Commercial J(Remodel 0, Demolition 0 Deck SF. @ $ /SF. = $
o Repair 0 Sign 0 Other TOTAL VALUATION $ ,
BRIEF DESCRIPTION OF THE PROJECT: J2tsMDOt:S\.. ~JS'T') 1V4 ~\ b~tE -
i-17G.~\rN /2t;MO~, ~ 00 AD.pJncxvPoL.. ~ 12ODTf\ ~tvO ~~
COMMERCIAL/RESIDENTIAL: Occupancy Group: Jz - -3 Occupant Load: r;s Construction Type: ~ N
~o. of Stories: L Lot Size,: 70bO S~~ Existing Sq. Ft.' $30 & Proposed Sq. Ft. ~ = TOTAL Sq.Ft. 13~
Existing lot coverage.Ja- % & Proposed lot coverage .1.Sl-% = Total lot coverage~' %
APPRO~
PLAN:
BLDG: .
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
JUlLDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
)lan submittal requirements if you have questions.
r ALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
nd may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at4l7 -4815 for assistance.
-LAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
ubmitted. All other permit fees are due at'the time of permit issuance.
:XPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The
luilding 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
le Uniform Building Code, current edition). No application can be extended more than once.
hereby certify that I have read and examined this application and know the same to be true and correct. / am authorized to apply for this permit and
nderstand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work.
. ~ 2.;g,.~.O+
:\FORMS\APPS\Buildingpennit.wpd Apphcant: Date: '
'-.;)
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
14929
Port Angeles, WaShlngtOlLnnmm~n=.(:.:_~n._......n.ooonooooooooo.ooo, l~!"
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 ele_ctrical work as listed below.
/ U d- Y t.r.J / &- z:../
~::;s._::{::~:L;Z::::Z::;'ll:::::::::::::::::::::::::'-'-~::~:~:::'h~:::~~'~:~~:~::::::::::::::::::::::::::::::::::::
Wiring Contractor ooo~2!!.<:..~J""-"!':C:'~~~n'-::::'_h_h"h_nnn__n Byn__..ooo._.n_mmooonooomnnnnn__._n__.h_hnooo.____.h.
'1
Ligbt Outlets____.__:.::::........____.________.........
Receptacle outlets___L................
Service, volts ................................____.__
No. wires ___________________.__..........h.....
Drye" KWlnn...._n__m.___________________
SIze wires....h_......._.....____________.______
Range, KW ___._m.
Main fuse .___________....._________mm_______
Water Heater:
Enclosure ..................._.._..._.___________
Type of wiring:
Entrance Cable ...__._____mm_....m....
KW.m__________________
. f (3/3
Heat. RW...h......__.n_______.______..__________......___
Rigid Conduit .........h_...m._____._____.
MetalUc Tubing .__.._.._..................
Current transformers:
No. & Size________....___..___........____.......
Motors: size, volts and phase:
Ser. No.._________.____________.._______..._____.__..
Ser. No.-________.._______.______..__________.____...
Ser. No.-....._.........._..........._._..______..._
Total Load.......__..........__________
Ser. No. __________.....________________________._...
Type of Wiring:
Armored Cable ............._.______________.
Non-Metallic __________________...........____
Knob & Tube_n___________m__..__..__...._..
Rigid Conduit ____...__________...___________
Metal11c Tubing m.mmmnm.m...._
Raceway _________00.____..__..............______.
Circuits, Ligbt____......_.............____._.._______
Utility _______________._____________________________
Heat
Range ____............_._.________.._._____________
Water Heater ..._.........m_n_______.____
Motor ________________________.__.____.__..__....._
Dryern__.n______________________________..___......_.
Furnace .___........________.....'___.___
Total._._.__..__________.____............._.
Remarks: ---.------7-('-~.g--:~~~.;;------~~-:.-t!:::'-~-----.-------..--___._.._..______.._......._._...._______________..____.__..n...._._____._._________.
Permit Fee
$_00__......__000.000.000.000000..000..
Treas. Receipt
NO.m_........_...m..__.._.
By n?i!:-tit~~L~~=~'_--m.--
v
NOTICE-Current must nDt 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~
14929
Date called for inspection_...................._......_...... ._.__........____...._____._..._..........._.____.__._......_..__________.._..._______.......________________.___.____.........._..._._....
. Preliminary inspection dates............_........................_..................__....___..___........_________._.........__.................__._____....___........._...___..___..._......_..
Total Load _...._.......___.._._____________.______________.__.___._____
Inspectioncompleted..._____.________...________.___.......__..._.__._......._._........~.._._.....___.______.._.........._...._______..............__..___.____......._...__........_...._._._...._.
---
1M 3-72 Olympic Printers, Inc.
TWETER ELEC INC 360 417 1151 03/12/04 09:58am P. 001
,>.Li f~^!:/J:.."~1'i1 _,~,...::, hil'. \__lJI ur rl-'- .':iLUU Jt.rJ PI!. ri~. ':::.. i" 1/.1 .- l,L.J
,fn,.'.....
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ELECTRICAL PERMIT APPLICATION
FOP. OFfIOaJ..USE: ONLY
D~Ic.'l\H
I'''''''lf
D\u,Af"'Avu!
o...c w..c4
The Electrical Permll Apph:atioll musl be Oiled ~~t comptetl:!~
-c
PkI.aS8 tyPIl orrepnni in Ink. I' you haw any questions, please call (J60) A17-4735
Fax number: (360)417-4111
~
Own., 0' Elec. Conttaclo, Agent --rlL..iT!77!' It.. If? /iT c //.1 C '
Property Owner. 1? rcJ< ~
Add'e,,; 10 0-"'71' LV ! b -rH' '5,
Eleol11oo' Contta_. 7UJ1?/'lZ: /Z 'Il: / /Ce
Ad".." l/23 -;;3..JL1e,K'I/AiuJ:::. LP
{4/o67
phoM3ko C//7//<JJ Fa.:
Coly PA-
lIren5e#: E.p.
CIIy; CA-
Zip;
Phona~
Phon,.:
Zip
INSTAlLATION WIRED BY
o OWNER
~LECTRICAL CONTRACTOR
Credit Card Holder Name:
Bl1Iing AddreSs:_~'" 73~k" 4(iJ-1L)J:' L P City:
f7A
Zip: 9~30 <....
Credi/ Card Number:
Erp. Date:
\I1SA:_ Me:
PROJECT ADDRESS; /02<f) 0 /0~ c:;;)
TYPF OF WORK:
Check all thet apply: 0 New
(?fr.
~AllerationlAddjtior>
~Residential 0 Mull~fam;ly
o Commercial 0 Mobile Home
Sq. Fl '5C:X3~ F~ '<:?'7~r;)DL(
o Remole Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump . C Low Vollage D Telecom. 0 Sigll
NumDer ot Circuits added or allered:
/(enal)lff'L / <ue0c:..:e C4"~8"
(
;bO I'/-
DESCRIPTION OF THE ELECTRICAl PROJECT,
!=Iectrical Heat LOad_Additions end or Subtracllons
Service Information
o Baseboard
o Furnace:
o Heot Pump
o Fan-Wall
_KW
KW
TON_lRA
KW
o Overhead Service
o Temp Ser'\llce
o Underground Service
Voltage: I Zu /C! cro
Phasa')!5.1 0 3
Service SI:z.e' ~t'e>
FeeDer Size;
I hereby certify Ihat I have read and examined this application and know that same to be true and correcl, and I am
authorized to apply for /his pBrmit. I understand it is not the City's legal responsibility to determine what permilS
are required; it temains thB applicants tesponsibility to determme what permits are required and to obtain such.
..\'y
Credit Card Holder's Signatura~: Date:
\ \ , ':fwner or Elec. Cont. SIgnature: C -.. Dale: :>/4oc,/
...\, .~(~
..' PERMIT FEE: $-'76. 30
':lElECTRICAlPERMIT APPLICATION
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