HomeMy WebLinkAbout1230 W 19th St - Building Building Permit
1230 W 19t'' st
12 - 723
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
{. Application Number . . . . . 12-00000723 Date 6/07/12
Application pin number . . . 525096
Property Address . . . . . . 1230 W 19TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-5835-0000- REPORT SALES TAX
Application type description MECHANICAL APPL. PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 4028
/ Application desc
+ WOOD BURNING STOVE
t ----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
-- SINGLEY FAMILY TRUST EVERWARM INC
6221 S MOUNT ANGELES RD 257151 HWY101
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457-9157 (360) 452-3366
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . . WOOD BURNING. STOVE
Permit Fee . . . . 60.65 Plan Check Fee .00
Issue Date . . . . 6/07/12 Valuation . . . 0
Expiration Date 12/04/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60.65 60.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.65 60.65 .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 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
1 not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
constr ction.
Co L4—e
t
I +.' I Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
4
BUILDING PERMIT INSPECTION RECORD (�
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
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. �3
Inspection Type Date Accepted By Comments `
FOUNDATION: 1
Footings
Sternwall
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 b
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 Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750 t
Building 417-4815 s
T-Fnrmc/Riiilriinn nivicinn/Ri ildinn Permit
0� `,�� BUILDING PERMIT APPLICATION Print in ink
/VP��� CITY OF PORT ANGELES
Attn: Building Permit Technician For City Use Only:
321 E. Fifth St., Port Angeles, WA 98362 Date Received 12.17
(360)417-4815 fax (360) 417-4711 Permit#J-e--7
2
Date Approved -
Applicant or Agent C-g1e k �R66A5 Phone14
_ 3
Owner a 3
Phone - S _.
Owner's Address
Contractor/Engineer Cvp rm c PhKeUa-;, "
`Contractor/Engineer's Address /� n $ Z
License # L Ex
PROJECT ADDRESS
Parcel Number O Lot Zoning
Project Type 8 Brief Description• o Residential ❑ Commercial o Multi-family ❑ Industrial
Check all that apply
❑ New Construction
o Addition
❑ Remodel
❑ Repair _
o Re-roof
❑ Demolition
o Sign. ❑wall-mounted ❑ projecting o freestanding o awning oother
Total sign area sq. ft. Maximum allowed sign area s . ft.
o Heat System ❑ Heat pump :wood-burning stove o gas fireplace o pellet stove o other
o Other
Floor Areas Existing-(sq. ft) Proposed(sq. ftp °
Basement
15` Floor @$ per sq. ft. _ $
2nd Floor
3r' Floor
Garage JUN---G 2012
Carport
Covered Porch CITY OF PORT ANGELES
Deck BUILDING DIVISION-
Shed
lv ONShed
Other a
TOTAL VALUATION $
Total footprint of structures sq. ft. " Lot size sq. ft. = Lot coverage %
Max. height of proposed structures ft. Occupancy group #of bedrooms
Will a lawn sprinkler system be installed?- Occupant load* #of full baths
Will a fire sprinkler system be installed? Construction type #of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what per its are required, an o tai ermits prio working on
proje4ts
Date Print Name4 Signature
T:Forg Division/Bldg Permit Appl.-2006 Code.doc `
PREPARED 4/05/13, 15:09:10 INSPECTION HISTORY REPORT PAGE 1
PROGRAM BP521L 0/00/00 THRU 0/00/00
CITY OF PORT ANGELES
-------------------- - -------------------
APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID
STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR
------------------------------------------------------------------------------------------------------------------------------------
12 00000723 1230 W 19TH ST 06-30-00-0-4-5835-0000- 063000045835
000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 4/03/13 APPROVED JLL
REQ COMM: April 2, 2013 1:07:56 PM pbarthol.
REQ COMM: TENANT KYLE 797-3769
REQ COMM: OWNER TED 457-9157
REQ COMM: INSPECTION REQUESTED BY THE OWNER (KYLE IS GRANDSON)
RES COMM: April 3, 2013 4:34:47 PM jlierly. -
Building Permit
1230 W 19t'' St
12 - 643
.� CITY OF PORT ANGELES
i� DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 12-00000643 Date 5/23/12
Application pin number . . . 755276
Property Address . . . . . . 1230 W 19TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-5835-0000- REPORT SALES TAX
Application type description RE-ROOF on your state excise tax form
Subdivision Name . . . . .
Property Use . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code O$O2)
Application valuation . . . . 6000
Application desc
TEAR OFF & REROOF
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SINGLEY FAMILY TRUST OWNER
6221 S MOUNT ANGELES RD
PORT ANGELES WA 98362
(360) 457-9157
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . TEAR OFF & REROOF
Permit Fee 151.75 Plan Check Fee .00
Issue Date . . . . 5/23/12 Valuation . . . . 6000
Expiration Date 11/19/12
Qty Unit Charge Per. Extension
BASE FEE 95.75
4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 151.75 151.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 156.25 156.25 ' .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 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 p ormance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if / er is buil er)
T:Forms/Building Division/Building Permit
N
BUILDING PERMIT INSPECTION RECORD
O
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
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 b
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 Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By 1
Electrical 417-4735 1
Construction-R.W. PW /En ineerin 417-4831
Fire 417-4653
Planning 417-4750 V'
Building 417-4815
T•Fnrmc/Ri 01riinn niuicinn/Ri iilrlinn Parmit
? THE RT TLES
CITY OFP-P For City Use
• Permit # /�" RECEIVE
� E
W A S H I N G T O M , U . S .
Date Received:5•ot3•/�'
321 East Sl` Street MAY 2.3 2012
Port Angeles, WA 98362 Date Approved: 5a3- 14"" CITY OF POR TA NGELES
P: 360-417-4817 F: 360-417-4711 BUILDING DIVISION
hcatuzo@cityofpa.us
Building Permit Application
Site Address: 1 Y23 0
Main Contact: Phone #
-Property Nam�,�---� Phone
Owner t � �'C�
Mailing Address Email
PE .' S---LC—I ,
city State
--> T---A-NI
- -
-COntTaCCO1C/-_Name== -------j---- -- ----—
Applicant Mailing Address Email
city State
Contractor License # Expiration:
Project Value: Zoning: Tax Parcel # Lot#
Type of Residential Commercial ❑ Industrial. ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof A
For the following,fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No ❑
Project ��V- D 4- �G�d�
Description
I have read and completed the application and know it 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 required,and to obtain
permits prior to working on projects.I understand the plan review fee is not refundable after review has
occurred.I understand that I will forfeit 20%of the review fee if I cancel or withdraw the application before
plan review has occurred.I understand that if the permit is not issued within 180 days of receipt,the
application will be considered abandoned,and the fees forfeit.
Date Print Name Signature
5 � � IZ '
PREPARED 4/05/13, 15:08:55 INSPECTION HISTORY REPORT - PAGE 1
PROGRAM BP521L 0/00/00 THRU 0/00/00
CITY OF PORT ANGELES
--' ------------------ ------------------- ----------------
APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID
STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR
------------------------------------------------------------------------------------------------------------------------------------
12 00000643 1230 W 19TH ST 06-30-00-0-4-5835-0000- 063000045835
000 000 BNOP 00 BUILDING PERMIT - NO PR FEE BL99 0001 BLDG FINAL 4/03/13 APPROVED JLL
REQ COMM: April 2, 2013 1:13:02 PM pbarthol.
REQ COMM: RE-ROOF
REQ COMM: TENANT KYLE 797-3769
REQ COMM: OWNER TED 457-9157
REQ COMM: INSPECTION REQUESTED BY THE OWNER (KYLE IS GRANDSON)
RES COMM: April 3, 2013 4:34:47 PM jlierly.
OF PORT 4HC
�� �•��`mm CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362 //D�
car-i (206) 457 X411 PERMIT NO. 7 O
® DATE � a
ELECTRICAL PERMIT
Site Address: /-2 3 0 �f ❑ READY FOR El WILL CALL FOR
�l INSPECTION INSPECTION
Installed By: Apl� License Number: Phone:
Owner/Business: n,�t•jA Phone:
Owner/Business Address: l` � Sq. Ft.
ELECTRIC HEAT ❑ RESIDENTIAL ❑ RISER
❑ BASEBOARD KW ❑ COMMERCIAL ❑ OVERHEAD SERVICE
❑ FURNACE KW NEW CONSTRUCTION ❑ UNDERGROUND SERVICE
❑ HEAT PUMP KW REMODEL VOLTAGE:
❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS ❑ 1 El 3
❑ SERVICE UPGRADE/REPAIR
SERVICE SIZE AMPS
❑ TEMPORARY SERVICE FEEDER SIZE (!:5a AMPS
Details/Description:
7'16ge496�iGs4 F
D
W.S. No. SERVICE SIZE DATE ENGR.
CAPACITY:
❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED
ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE
❑ INSTALL SERVICE POLE ❑ OTHER
1� Ditch Inspection O.K.
Rough-in/cover O.K.
b O.K. to connect service
e*1 Final O.K.
/W Site Address: Permit/Rec i t No.
Iq
Installer: C New Meters Date:
—7 1
0 0
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 45NOOCC , EXT. USE
n NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ,•L ,/$'
EIEI c�Inspector Permit Fee
WHITE—File by address PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall
OLYMPIC PRINTERS INC.
Y
1
CITY OF PORT ANGELES
LIGHT DEPARTZ,= ELECTRICAL PERMIT NY 16198
Port Angeles, Washington -- -- -- -----------, IV......
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 I -'� �i0 „e � + Occupancy
------ - -----------------------•--------------------------------------------- y_ -------------------- ............
Owner .f w . �.---�..� f Tenant.........................---------------------------------------------
Wiring Contractor ....... =-- .........................!- n-c- By -----------------_---
Light
-
Lfght Outlets..._........_//_ / ... .{i.
f..?........._.._..... Service, volts 4fG' J.................................. Tyne of Wiring:
i
Receptacle Outlets..-.%5..-'"................. No. wires ......--I--/---- ._.........^...... Armored Cable .............................
f /�%i'%� Non-Metallic
Dryer, KW.................. Size wires........._.........-.............._..
♦� .. t/_9(J �'�'- Knob & Tube.......-------._............._
c
Range,KW....----'-'-------------------.._-- Main Fuse -..`.'................................
Rigid Conduit ...............................
Water Heater: / Enclosure ---------------------------------------
Metallic Tubing ...........................
KW-------------<-L..'.J_------_------------- Type of wiring:
Raceway .........................................
, -ry, �s.i�;s Entrance Cable ............--............. -n
Heat: KW.........._.:..................................... Circuits, Light...:-...............................
Motors: size, volts and phase: Rigid Conduit ............................... Utility ........?................................
.--.
Metallic Tubing ........................... Heat ----1.......................................
.
Current transformers: Range ...::.:......................................
No. & Size....................................... Water Heater . ..........................
............................... Ser. No............................................... Motor ...................................
...'....................................................... Ser. No..............................................
Dryer........!_:`..................................
........................................................... Furnace..............................................
Ser. No..............................................
p _
Total Load............................. Ser. No............................................. Total
.......................................
.1"
Remarks: . . _. e
--------------------------------------------------------•------- -----••--------------------------------------------------------------------------------------------------------
•--------------------------------------------------------------------- -----------------------• ---------- --•----------------------------------------------
Permit Fee Treas. Receipt r
$....t ............�No----------------------------- By n ,
------------------------------------------`-
NOTICE—Current must not 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° 16198
Address ..................._................................................................................................................... Date......................................................
Owner ............................................................_.............................................................. Tenant....................................................................
WiringContractor........................................................._............................................................. By..............................................................
NOTICF,—Current must not 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.
ILI 01vrn ie Printer.. Inc.