HomeMy WebLinkAbout1204 W 16th St - Building CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DMSION
321 EAST 5TH STREET, PORT ANO~'.I~q, WA 98362
BUILDING PERMIT Issued: 7/16/99 Permit No: 11297
Conditions:
OWNER/APPLICANT ........................ 'ROPERTY LOCATION ........................
GORDON SUKERT 1204 16TH ST W
1204 W 16TH ST Lot: l&2
Port Angeles, WA 98362 Block: 439 Long Legal:
360/963-2207 Sub: TPA
T: S: Parc No:
CONTRACTOR ............................. DESIGNER .................................
OWNER
VARIOUS
Port Angeles, WA 99360 ,
206/000-0000 000/000-0000
PROJECT INFO ....................................................................
Prj Value: $20,000.00 SFD UNITS: 0 MFD UNITS: 0
Prj Type: SFR ADD/REMODEL SFD SQ FT: 898 MFD SQ FT: 0
Occ Type: RESIDENTIAL
Occ Group: Occ Load: COMMERCIAL: 0
Cns~r Type: INDUSTRIAL: 0 GARAGE: 0
Land Use: RS7
PROJECT NOTES ...................................................................~
898 sq/ft sfr add ~ i?~¢~ ~ %
PROJECT FEES ASSESSMENT .........................................................
BUILDING PERMIT $287.25 .............. $0.00 .............. $0.004
PLAN CHECK $0.00 .............. $0.00 ......... RADON $0.00
STATE SURCHARGE $4.50 .............. $0.00 $0.001
HOUSE MOVING $0.00 .............. $0.00 $0.00
MANUFAC HOME $0.00 .............. $0.00 $0.00~
SIGN $0.00 .............. $0.00 .... - ....
PLUMBING $55.00 .............. $0.00 TOTAL FEE: $346.75
MECHANICAL $0.00 .............. $0.00 AMT PAID: $346.75
............... $o.oo .............. $o.oo .......................
............... $0.00 .............. $0.00 BAL DUE: $0.00
RW SANITARY__ WATER__ DWY STORM DRA OTHER
Separate Permits are required for electrical work, utilitJea, private and public improvements. This permit becomes null and void if work or
constTucUon authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a peliod of 180 days after
the work as commenced, or if required inspec~ons have not ~ requested within 180 days from the last inspection. I hereby certify that I have
read and examined this appiical~on and know the same to be true and correct AJl provisions of I~ws and ordinances governing this type of work
wil~ be complied with whether spec[tied herein or not The granting of a permit does not presume to give autho~'k~, to violate or cancel the
)rovisions of any state or local law regulating construction or the performance of con~.t~rucfion.
Si0nature of Contractor or Authorized A~ent Date Sicjnature 0f Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CA~L 417-4815 FOR BUILDINO INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNL,4 WFUL TO COVEP,, '
INSULATE OR CONCEAL ANY I, FORK BEFOR~ INSPECTED AND ACC~D. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP pERMIT CARD AND APPROVED PLANS AT JOB SITE
~~ FOR OFFICIAL USE ONLY:
BUILDING PERMIT- PREAPPLICATION
The Building Permit - Preapplication must be filled out completely. Date Approved:
Please type or print in ink. If you have any ;questions, please call 417-4815
Applicant and/or Agent: ~c~ ;'~/0 fv ~ .;tZ k~ ~ Phone: /3~/-7
Owner: ~t/',:/0,'~' ~ ~'c~ ~6--~,{ Phone: Ill '7
Address: /'ff-/_5":( [.c,/ / /--oq'h City: Zip:
Architect/Engineer: ["4 R. c I~ i '~-~-L'-[C Phone:
Contractor ~' ~=/'(2, License #: Exp:. Phone:
Address: City:_ Zip:
PaOa CT,OOm ss: q /L ? zom,
~GALDESC~ON:Lot: t'r~ Bl~k: q,'~ Subdi~sion:
TYPE OF WORK: SIZENALUATION:
1~' Residential rn New Constr. ,~ Rercof [] Woodstove SF. ~ $ /SF. = $ ~./)
[] Multi-family ~t Addition [] Move [] Garage SF. ~ $ /SF. = $
~ Commercial [] Remodel [] Demolition [] Deck SF. ~ $. /SF. = $
~ R~pair [] Sign [] ~ TOTAL VALUATION .~ $
q'O~I~I~I_/RE$I~ENTIAL: Occupancy Group: Oceupant Load: __ Construotion
No. of Stories: / LotSize:/OO k iqO % Lot Coverage: ~'¢~ %
Existing Lot Coverage: ~'-30 0"7 /sq. fl. + Proposed Lot Coverage: .~'~' /sq. t~. = TOTAL LOT COVERAGE: ~OtgJ'- /sq.fl
PLANNING USE ONLY: APPROYAL~: PLAN
Notes: BLDG /
DPW
EsA/Wetland(s): rn Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER
PREAPPLICATION SU~I¥11'I'I'AI~ Your application and s~telMan must befitl~,t out eornph~ to be accepted for review. The Building
Division can provide you with more detailed information on the application and plan submittal requirements.
BUILDING PERMIT APPLICATION SUBMirI'AL: 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 Div. 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 by
limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (sec Section
304(d) of the Uniform Building Code, current edition). No applicati°n can be extended more than once.
I hereby certtj~ that I have read and examined thts 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 responsibility to determine what permits are required; it remains the applicant's
responsibility to deterrnine what permits are tvquired and to obtain such.
Applicant:.f~"~ z~ ./ Date: "~ ~
PW-1102_ 13[rev.2/96] -
City of Port Angeles
Applicant Project Review Sheet
Is ~e pro~ ~ hst~ as a "~d u~" or ~ "a~s~ ~" m ~s zone? ~'yes: ok ~ no: mq~es PD
~ ~s ~e ~y u~ ~s, msid~, ~c.) ~ ~s si~? ~yes: ok ~ no: mqgires PD
~ ~ge ~ ~ a suMi~sion, ~o~ht, or P~ a~r~ for ~s si~, or ~ ~e ~ yes: ~u~es PD ~' no: ok
~ su~ ~d is ~d~g a~o~19 ~
~s ~e ~o~ ~ ~ a new bui~ess li~? ~ yes: mqu~s CC ~ no: ok
~ew
~s ~e ~j~t e~d ~to ~y ~uff~ ~ or ~s ~y lot ~es (~t~or or ~ yes: mq~es PD ~ no: ok
e~g)? ~ew
~s ~e proj~t ex~ ~ ~ heist ~1~ or ~ ~e ~ to exc~ ~ y~: mq~s PD ~ no: ok
~e allo~ lot ~e ~ ~s z~e? ~w
~ ~ ~oj~t mq~ ~y addifio~ ~ or ~ial d~i~md~ ~pro~ ~ yes: mq~ PD ~ no: ok
m ~s ~e? ~
~s ~e ~j~t el~ate ~y ~s~ ~ ~s? ~ yes: mquffes PD ~ no: ok
Is ~e ~j~t l~t~ ~ 2~' of~e ~el~e? ~ yes: requ~s PD ~' no: ok
~ ~ge ~y ~enmlly ~ifi~ g~s on or ~ 2~' of~e ~, ~ yes: requires PD ~ no: ok
~clud~g: r~ew
~fl~ds ~ ~s of ~ ~ (y~ m~d or ~1);
~s ff~ m~d ~ ~);
g~ ~ a slo~ of 40% ~ g~; or
~ ~t ~ ~d~ of~ ~d m~t or ~ion?
Ha~ all ~e r~u~ sub~ls ~ pro~d~ by ~e applier? ~ yes: ok ~ no: ~k
~ Si~ PI~ D Com~ction ~gs requir~
~ P~a~e PI~ ~ Ci~l ~a~gs it~(s)
D Enggi Cale ~ Su~ Eng. Calc
~lanning ~par~ent r~ is ~quired, the pr~essing ~me m~ ~ exte~ed. If it is dete~ined a se~e P~nning
ent ~it(s) ~ ~, ~e P~ing ~t ~it(s) ~t be appr~d prior to the iss~nce of any other pe~it.
The information provided abo~ is true to the best of my loundedge, I understand that in the event that any of this information is determined
by thc City to be incorrect, this project will be stopped until such time the City determines the correct information is provided and any
subsequently r~quired review and at~l?rovals are completed and granted.
Applie,~t Date
Permit Category ti (see reverse side) Building Permit # Master Tracking #
Route to: [] BD [] CC 13 FD [] LD [] PD [] PW [] File [] Other
StaffInitials Date Completion oJ this form is required for all category lb. 2 & 3 permit, x. Completion is not
required for category I a permits unless they result in a potential change of use or occupancy.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date //'-'-~---~----~ Time3~'/O Receivedby ~/ (phone, person)
Location of Work to be inspected /~d.~ 47/ ~/~ ~
Name of person requesting inspection ~O
Add~ess of person requesting inspection Phone NO.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
Inspected: Date / ~ ' Time By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel []Asphalt I-~PCC []Other _
[~ Repaired by City Work Order #
~J Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATEI
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date / /~ / '~ - ~----~ Time ~-~ ~/-~ ~- Received by /~ ~/~ (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No. /~//"~- ~-/~,/~'~
Type of Inspection {circle appropriate one): Permit No. / /
Sewer Foundation Fra~~himney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
:~" ' ~ ' ~'~ Time ~ By
Inspected: Date 1 '~
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: []Unimproved ~-~Gravel [~Asphalt ~PCC []Other
[] Repaired by City Work Order #
[--] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
'~'~
.=-
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
J2\ EAST STH STREET. PORT ANGELES. WA 98J62
ELECTRICAL PERMIT
Issued: 8/17/98
Permit No:
6402
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
GORDON SUKERT 1204 16TH ST W
1204 W 16TH ST Lot: 1&2
Port Angeles, WA 98362 Block: 439 Long Legal:
360/963-2207 Sub: TPA
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------~-----------------
OWNER
VARIOUS
Port Angeles, WA 99360
206/000-0000
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES.GARAGE prj Value: $0.00
Occ Type: Cnstr Type:
Occ Grp: Occ Load: Land Use: RS7
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
X Overhead Service
underground Service
Temp Service
voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
320 AMPS
200 AMPS
PROJECT NOTES-------------------------------------------------------------------
320 meter on garage, 200 amp in garage, 200 amp in house
PROJECT FEES ASSESSMENT----------------~-------------------------~--------------
Service: $42.50
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$42.50
$42.50
---------------------------------
------------~--------------------
TOTAL FEE:
$42.50
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
-- ---~~ -
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPItCTlON TYPE DATE I ACCEPTED COMMENTS
I YES I NO
/
1(IlIIGH-lN I CUYbR <J//, '7~
]g!VICb 1"1//, '/<7"
, . /
. I 9//%/<7,1' Iw?'r I
GENERAL COMMENTS:
pw.II02.UI~J
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. S'OJ /5
9h~J
.
DATE
Installed By:
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WALL KW
'JSt'RESIDENTIAL
rtJ - COMMERCIAL
o NEW CONSTRUCTION
~ REMODEL
ADD/ALTER CIRCUITS
SERVICE UPGRADE/REPAIR
\
;
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
0191 0391
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
Details/Description:
~}
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
1~ Rough-in/cover O.K.
o O.K. to connect service
IllS' jsJ Final O. K.
Site Address:
Permit/Receipt No.
Sc::J 7.5
New Meters
~
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on____the Building Permit. PHONE 457-0411, EXT. 224. I
/~ / NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT 30
/ $ -
Electrical Inspector Permit Fee
WHITE - File by address
PINK - Top; Eng, Bottom, Customer
GREEN - Top: Meter Dept.. Bottom: City Hall
OLYMPIC PRINTERS INC.