HomeMy WebLinkAbout1006 Glenwood St - Building CITY OF PORT ANGELES
r DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
NEW' EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000674 Date 5/31/12
Application pin number 777932
Property Address
ST
ASSESSOR PARCEL NUMBER: 06- 30-08-5-8-1805 -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 0502)
Application valuation 5500
Application desc
TEAR OFF REROOF
o Owner Contractor
KIRKMAN WILLIAM S OWNER
1006 GLENWOOD ST
PORT ANGELES WA 983632323
Structure Information 000 000
Construction Type UNKNOWN
Occupancy Type RESIDENTIAL
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF REROOF
Permit Fee 151.75 Plan Check Fee .00
Issue Date 5/31/12 Valuation 5500
Expiration Date 11/27/12
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 Y,,
fia (,`H 4 f�
Permit Fee Total 151.75 151.75 .00 .00 ,1
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 performance of
construction.
5 3 l OJ 60 li p, /Grp w, 4 h Gt „v... ew
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
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.
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 by
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 Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit ;Os SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
1
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 (Q 1 U (a iL
T-Fnrmc /RiiiIrlinn nivisinn /Riiilrlinn Permit
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THE O T TELES
CITY OF For City Use
Permit# LA* RECEIVED
W A S H I N G T O N U.S.
Date Received: 5.31. la' MAY 3 1 2012
321 East 5` Street
CITY OF PORT ANGELES
Port Angeles, WA 98362 Date Approved: �,31.
BUILDING DIVISION
P: 360 417 -4817 F: 360 417- 4711 1CS'✓ r
hcatuzo @cityofpa.us
Building Permit Application
Project Address:
/00 6 G /e i 6 c> C S-t -e fi P r f A r, l (2 1e 1
Main Contact: Phone
Property Name Pho e
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Owner Mailing Address r Email
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City Zip
Jnrt A!�e�e �es tk J ct C F
Contractor/ Name 1.4 Phone
Applicant Mailing Address Email
City State Zip
Contractor License Expiration:
Project Value: Zoning: Tax Parcel Lot
7,500 oV 0(A %BCG
Type of Residential Commercial Industrial Public
Permit Demolition Fire Repair Reroof (tear of lay over)
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 Zero op It\o use
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
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
ELECTRICAL PERMIT
3077
DATE S- 7,- '1 f
Site Address:
i
Installed By:
I
READY FOR
INSPECTION
Sq. Ft.
)4, Residential.
.jHeat KW !.
ig Baseboard D Furnace/Boiler
o Heatpump D Other
D Commercial/lndustriai load
I Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
plNew Construction
D Remodel
D Service update/alter/repair
D Add/alter circuits
D Auxiliary power
(list below)
D Special equipment
(list below)
)('Overhead
D Underground
Voltage
D 10 D 30
Service size d-i:J D
D Temporary
Amps
Det~ils/Description:
~/F;f
.
W.S. No. Service
Capacity: D O.K. D Not O.K.
D Ditch inspection O.K.
-1P'-'^ IJIl Rough-in/cover O.K.
~ O.K. to connect service
, Final O.K.
~
Size
Comments
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan Review approved/pending
lns~aller:
I
Permit/Receipt No.
.
,
Notify the Department of City Light by Street Address and Permif Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224_
~. I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT -If' ()_
I:> '- f) (/r()
In'spectpr Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.