HomeMy WebLinkAbout2128 W 16th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner Contractor
JESSE KIRKMAN /TRICIA RICHINGS CLAWSON CONSTRUCTION LLC
2128 W 16TH ST P 0 BOX 2683
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457 1473
Structure Information 000 000 8OSF BATHROOM ADDNT
Construction Type TYPE V NON RATED
Occupancy Type SINGLE FAM CONGREGATES
Other struct info TOTAL LOT COVERAGE 18 80
CONSTRUCTION TYPE V N
HARD SURFACE AREA
NUMBER OF STORIES 1 00
EXISTIDG LOT COVERAGE 1636 00
LOT SITE 9100 00
PROPOSED LOT COVERAGE 80 00
TOTAL IOT COVERAGE 1716 00
NUMBER OF UNITS 1 00
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc OLYMPIC/ 1 4 CIR REMODEL BATH
Permit pin number 49296
Sub Contractor OLYMPIC ELECTRIC
Permit Fee 48 10 Plan Check Fee 00
Issue Date 5/18/05 Valuation 0
Expiration Date 11/14/05
Qty Unit Charge Per Extension
1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS 48 10
Special Notes and Comments
When roof gutters are installed drains will located in dry
wells or piped to approved storm drain locations
The proposal will result in an 80 s4 ft addition to a s f
residence for total lot coverage of 19% No land use issues
are noted
Electrical load calculations and el::trical permits are
required
MAINTAIN CLEARANCES FROM SERVICE WI2ES
Other Fees STATE SURCHARGE 4 50
Fee summary
Permit Fee Total
Plan Check Total,
Other Fee Total
Grand Total
COMMENTS /ACTION NEEDED.
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
1:'1 EAST 5TH STREET PORT ANGELES. WA 98362
05 01)000214
0499
2128 W 16TH ST
06 3(1 00 1 1 0450 0000
RES 2DDITION
RESIDENTIAL MEDIUM DENSTY
8000
Charged Paid Credited
48 10 18 10 00
00 00 00
4 50 4 50 00
52 60 52 60 00
Date 5/18/05
Due
00
00
00
00
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
INSPECTION TYPE
DITCH
ROUGH -IN /COVER
SERVICE
GENERAL COMMENTS:
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DATE
ACCEPTED
YES I NO
FINAL
COMMENTS
MY-1102.15 14/96)
-05"
Annual Permit Q Alarm 0 Carnival Commercial Q Residential Residential Maint. Signs D Thermostat Telecom.
05/17/2005 10 10 3604523498
a
Electrical Contractor 0 Owner
Job wired by Electrical Contractor Owner
_FL/ cir i
jor Ai ,ber 22/ 1.4
Electrical contractor na
urc ser mailing address
_U
Ci State ZIP
Telephone number FAX number
'Premises owner's name
77 4..9.4__ if ,447,A
Address of inspection
1°74'
i0
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the firms authorized agent) awl am making, the electrical
installation or alteration in compliance with the electrica law, Chapter 19.28 RCW
/Signature of owner electrical contractor or elect icat administrator N Expiration Date
X 4/ /��'y y
Dore
Inspection
Date
WALLS
Insulation Only
Cover
Dale Approved By unto
,,rical I4Qad Additions arid or su,tl_tractlons
D NO LOAD CHANGES
Q Baseboard Kw
D Fumace KW
0 Heat Pump Ton LAR
0 Fen -Wall KW
b;4_,
fe si
Card
CEILING 1HERMOSTAT
lnsuli Ilion Only
DnrC Approved By Dore Approved By J
Approved ay Doty Approved By
DITCH FEEDER
over
Approved By
ELECTRICAL W ORK PERMIT APPLICATION
U Request Inspection
nAle
Overhead Service
Temp Service
Underground Service
Arca, Bui ding or Equipment Inspected
OLYMPIC ELECTRIC
(Installat:ion description
Cash Check
J_ezz740/7
II36editCard 'Visa Mastercard Discover
Approved By
Bete
Voltage
Phase 1 Cl 3
Service Size:
Feeder Size:
Inspection c�
SERVICE
Sendce lntorrrtation
PAGE 01
Approved By J
Action Taken Electrical
Inspector
. _< 1'0'" ""
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~ - ~~
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~--
~~
CITY OF PORT ANGELES
'DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
,
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
4/21/05
05-00000214 Date
049946
2128 W 16TH ST
06-30-00-1-1-0450-0000-
RES ADDITION
RESIDENTIAL MEDIUM DENSTY
8000
Contractor
JESSE KIRKMAN/TRICIA RICHINGS
2128 W 16TH ST
PORT ANGELES
Structure Information
Construction Type
Occupancy Type
Other struct info
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
000
CLAWSON CONSTRUCTION LLC
P. O. BOX 2683
PORT ANGELES
(360) 457-1473
000 80SF BATHROOM ADDNT
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
WA 98362
18.80
V-N
1. 00
1636.00
9100.00
80.00
1716.00.
1. 00
BUILDING PERMIT -RESIDENTIAL
80 SF BATHROOM ADDNT
46938
176.75 plan Check Fee
4/21/05 Valuation
10/18/05
70.70
8000
'P
~
Qty Unit Charge Per,
Extension
92.75
84.00
~
BASE FEE
6.00 14.0000 THOU BL-2001-25K (14 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
--...
46946
54.25 Plan Check Fee
4/21/05 Valuation
10/18/05
~
~
~
.00
o
Qty Unit Charge Per
Extension
47.00
7.25
12*f(~
/ 2.. --2
-2-0S-
BASE FEE
1.00 7.2500 ECH ME-VENT FAN
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
46953
68.00
4/21/05
10/18/05
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
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 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.
/(L-
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE 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 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.. W. 1 PWI CONSTRUCTION. R.W.
ENGJNEERING . 417-4807: . " r ' . PW 1 ENGINEERING
.
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1 102_15 building pennit inspection record05.wpd [1/4/2005]
. .,.p""T~
~~ ~~~
Ur'Gii~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
,321 EAST 5TH STREET, PORT ANGELES, WA98362"
Application Number
Application pin number
05-00000214
049946
Page 2
Date '4/21/05
Qty Unit Charge Per
Extension
47.00
21. 00
BASE FEE
3.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
The proposal will result in an 80 sq. ft. addition to a s.f.
residence for total lot coverage of 19%. No land use issues
are noted.
Electrical load calculations and elctrical permits are
required.
MAINTAIN CLEARANCES FROM SERVICE WIRES
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 299.00 299.00 .00 .00
Plan Check Total 70.70 70.70 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 374.20 374.20 .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 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 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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102_15 building pennit inspection record05.wpd [1/412005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOC~ TION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE
DATE
ACCEPTED
YES NO
COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGE 1 DOWN SPOUTS
P[ERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAM[NG
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
[NSULAT[ON
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
I I
,)/ h.,/tJl
I/.JJ^U r
II'
JJ-~
104
t; -I ~ "(9 <i i ~t/
!t}-I ~ -0 \" j LJ..
5"'-/ <( -0)' J )..1...
I
I
RESIDENTIAL
SEPA:
ESA:
SHORELINE:
F[NAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
DATE YES NO COMMERCIAL
DATE
ACCEPTED
YES NO
PLANNING DEPT. SEPARATE PERMIT #'s
PARKlNGILIGHTING
LANDSCAPING
ELECTRICAL - LIGHT DEPT.
4[7-4735
ELECTRICAL
LIGHT DEPT
CONSTRUCTION - R. W.
PW 1 ENGINEERING
FIRE DEPT.
PLANNING DEPT.
BUILDING
CONSTRUCTION R. W.I PWI
ENGINEERING
F[RE
PLANNING DEPT.
BU[LDING
417-4807
417-4653
417-4750
417-4815
T:\Policies\1102_15 building permit inspection record05.wpd (1/4/2005]
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BUilDING PERMIT - APPLICATION
ale Rec.::s...z..e..,l6_~
Permit#: 05 -Zf.'t:-
Date Approved: q{ l./i D
ate Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: r.: (AW~O/.J ~OIV:>TP-.v.. C, Wit.) LLC Phone: 3 bO - <:1-(0 \ - q d-...q.s;-
Owner: Tu-\cll.~ ~3~ss(c. ~\RKIIY\Ar\J Phone:
Address: rl-\~~ U ';~T lCo ~ City: ~()jtl' ArJrot=Li=J
Architect/Engineer: (2}ALA./;..O.v
Contractort / tA.wSoIJ ~Oi$(. LLC-
Address: \:Jb. ~l'W 'J..Io ~ "3
PROJECT ADDRESS: 8--\ ~~ W
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Zip: q~~~d
~ Llbl- q}.CjC
State License #C.lAw~C.L Qf.,3 RSExp:\ J.l 10 I 0 ~ Phone: 4eol-Q d-.<1,"
City: fOil-T AV6-flFS . zip: 1~.3bd..
110 -ttl ZONlNG:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family r:YAddition 0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair. 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: j?:, ll"'l-lluv)~
City:
Exp. Date:
SIZEN ALUATION:
<lO SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @$ /SF. = $
TOTAL VALUATION $ ~~
A'~l\I"O iJ
COMMERCIALIRESIDENTIAL: Occupancy Group:
"100 . ,
No. of Stories: Lot Size: reS-1<- 1,-/0 Existing Sq. Ft. \(0 $.\0
Total lot coverage_I ~ f 8 %
Occupant Load: Construction Type:
& Proposed Sq. Ft. 80 = TOTAL Sq. Ft.ruk.--
PLANNING USE ONLY: APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
ESAlWetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: OTHER:
-
V ALUATION 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: IF a plan check fee is due it must be submitted at the time the building pemrit application and construction plans are
submitted. All other pelmit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: !fno pelmit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by tbe applicant up to 180 days upon written request by tbe applicant (see Section Rl 05.3.2
of the International Building/Residential Code, 2003). 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. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are req 'red ,not the Cit IS, that I must obtain such permits prior to work.
'"
T:\R VESS\BLDG-forms-brochures\2004- Buildingpermit.wpd Applicant:
Date: :5 - C) ~ - os-
L
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
,
N? 15575
.-/
//-~o )'
Port Angeles, Washlngton.m................_....._.m.....m...m..__.._.mm. 19"...~
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 .~f!./;?y.:m.?!z../.~...9!:m...m.n.....__n.__......______. Occupancy.n~...-----.-----..--.....m.:--.
// Q (2 t.,
O~~er (/:-::F::/:/:=f.ff:![;:.-----:'~:;1}1..~a Te~jl-nL.--.....--.....----.---..---.------..--....----.---..--n...--...m
Wmng conMctor ,;;p:.::L,m.~_...........m...___~......~.. By....____.__.___.m.......___.______......________.m__.__....___....
/C:
Light Outleto....................___...................
CO
Receptacle Outlets.m_m.......................
Dryer, KW nn.....h_..__......_n...____.__.______
Range, KW _________..______n_____._
Water Heater:
KW--------------.f'n_n.....------n.._-
Ileaj, KW.......Z'L_.....___.!J..13.__________...
Motors: size, volts and phase:
Service. volts ./...P::-'t/.~.r..CJ.........
3'
No. WI~es ...y./O.;;:p....-.---
Size wlres____................._............_..
/
Main fuse .....2O'.Q.A.............
<:
Enclosure h.~__..._........._.n...........
Type of wiring:
Entrance Cable __..._......n...............
Rigid Conduit ............._._.............
Metalllc TUbing m_._..........n.___n.__
Current transformers:
No. & Size....................____n.............
Ser. NO_n_......_.................____.__............
Ser. No. ..........___..............................._
Ser. NO....___.....................n_____......n_..
Type ot Wiring:
Armored Cable ...........nm.n...........
Non-Metallic ___..___....__n..............._.
Knob & Tube....._._....._._................_
RIgid Condnlt ...............................
Metallic TUbing ___..______................
Raceway __._.____.............._......_._..._
C
Circuits. Llght.........m_._.._______...............
Uti1itY.....,~.n..n__.n...._................_
C.
I-Jeat nnn........................n...._..........
::L
Range ._......._.__._.............................._
Water Heater .?-.:......___m..._........
Motor ..._.:.nnn_..........................___.
e--
Dryer_................_.n___..n...................._
Furnace ..........._nn.......__.............._.n.
-->;;.
Total Load..............n............. Ser. No. ...........n.._............._.........nn_. Total .e.._.__......_..n_...............
Remarks: ..---...r11~....--..Ct;r::>!~~..:.n------.m....--..------.------..m--------....--.--.----..m__.m_______.mm..
:~.:!~.~f~...__............ ::~.~.~:..~~.~:~.~~..._... By%~)f!..~.g~(:.~~,,_'
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be CODp
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
-~ELEeTRIeAI:'PERMIT
cil/,) r- 4.) 1 ~ if 11'-':;;0 -/0
Address______..___..____..__._._._..__.....__...........................!...._.................................................................Date____......____.._.._...._.___._._...._.__._._.__._._..
Owner .--,Jf!.<!:.U..!2"c.f,D.i.""jJ.....C20J..>:J..~........................~............. Ten.nL.........___.__..___.............................................
Wiring contractor..-.;.fi;!..--tL..-:::1../.L.~;Z-:J..~_____g,c;?-€..."E'_~...__._.__.._.___..___ By____.._......_.___...............__........................_..
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NOTrCE-Current must not: be turned on until Cert1!1cate of Inspection has been issued. If work is to be COD-
ceale.J,..due noUce must be given the Inspector so that work may be inspected betore concealment.
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1/i?613
OC'1M Olympic Printers, Inc.
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15575