HomeMy WebLinkAbout202 Hancock Ave - Building BUILDING PERMIT
202 HANCOCK AVE
12- 1290
PREPARED 10/04/12, 8:56:18 INSPECTION TICKET PAGE 11
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/04/12
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ADDRESS . : 202 HANCOCK AVE SU13DIV:
CONTRACTOR ANGELES PLUMBING INC PHONE (360) 452-8525
OWNER SMASAL DONA J PHONE
PARCEL 06-30-09-5-2-2400-0000-
APPL NUMBER: 12-00001290 PLUMBING PERMIT
----- --------- ------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------ -----------
PL6 01 10/04/12 PLUMBING WATER SUPPLY p
October 4, 2012 8:30:11 AM barthol.
Dale 452-8525
PL99 01 10/04/12 JL PLUMBING FINAL
October 4, 2012 8:30:34 AM pbarthol.
Dale 452-8525
-------------------------------------- COMMENTS AND NOTES --------------------------------------
% CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT-BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 12-00001290 Date 10/01/12
Application pin number . . . 734350
Property Address . . . . . . 202 HANCOCK AVE
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-2400-0000- REPORT SALES TAX
Application type description PLUMBING 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 . . . . 2770
------ - -----
Application desc
REPLACE WATER LINES AND WATER SUPPLY LINE
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OwnerContractor
------------------------ ------------'------------
SMASAL DONA J ANGELES PLUMBING INC
202 HANCOCK AVE PO BOX 1151
PORT ANGELES WA 983622522 PORT ANGELES WA 98362
(360) 452-8525
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Permit . . . . . . PLUMBING PERMIT
Additional desc WATER LINES AND WATER SUPPLY L
Permit Fee . . . . 64.00 Plan Check Fee .00
Issue Date . . . . 10/01/12 Valuation . . . . 0
Expiration Date 3/30/13
Qty Unit Charge Per Extension
BASE FEE 50.00
2.00 7.0000 EA PL-WATER LINE 14.00
------------------------=---------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.00 64.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.00 64.00 .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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
i
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—.
Building Inspections 417-4815 Electrical Inspections 417-4735 Y
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) 0 Z2,
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:
Parking/Lighting ESA:
Landscaping' SHORELINE:
1i
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 NJ
manning l 417-4750
Building 417-4815
I
T-=-,1Q,,i1r4inn ni,iicinnlD,ulriinn D-if
10/01/2012 08:27 3604528583 ANGELESPLUMBING PAGE 02/02
BUILDING 'PERMIT APPLICATION Print in ink
` CITY OF PORT ANGELES
i For City Use Only:
Atte: Building Permit Technician
f Date Received
321 E, Fifth St.,Port Angeles,WA 98362 Permit#
(360)417-4815 fax(360)417-4711 Date Approved 'o—
Applicant or Agent ANGELES PLUMBING, INC, Phone 452-8525
Property Owner n NA Phone 452-9834
Property Owner's Address 9,019 Unnrnrk
Contractor/Engineer � ANGELES Pi=ING, INC. Phone 452--9525
Contractor/Engineer's Address P.O. Box 1151, Port Angeles, WA 98362
License# ANGELP1071KP Expires _ 5-15--13
PROJECT ADDRESS 202 Hancock
Parcel Number Lot Zonin
Prolecf Type &Brief Qes-SEkfion: a Commercial ❑ AtUAMamily o Industrial
Check ail that apply
a New Construction
o Addition
❑ Remodel
❑ Repair
❑Re-roof
o Demolition
o Heat System o Heat pump a wood'=buming stove Q gas fireplace o pellet stove o other
Other Fe Lace water service & water 1-4-ne5 in house
FloorAreats Proposed fS4&
Basement @$ per sq.ft._$
1 ar Floor
2nd Floor
3fd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $ 2,7 7 0.00
Total footprint of structures sq.ft Lot site 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
Wit a fire sprinkler system be instalW? Construction type #of haft baths
I have read and completed this app9cation and know it to be true and oorrect, f am authcuized to apply for this permit and
understand that it is my responsibfkity to determine what pemtits are required, and to obtain permits prior to working on
projects,
Date 10-1-12 Print Name DALE BRUNTZ Signature
T:Forms/Building Divlslon/Bldg Permit Appl_-2006 Code doo `+
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
BUILDING PERMIT ISSUED: 8/28/2002 PERMIT NO: 13654
OWNER/APPLICANT PROPERTY LOCATION
DONA SMASAL 202 HANCOCK
202 HANCOCK Lot: 1 &2
Port Angeles, WA 98362 Block: 24 ❑ Long Legal
360/452-9837 Subdivision: Forgarty& Dolan Addition
T: S: Parcel No: 063009522400000
CONTRACTOR ARCHITECT
ALL WEATHER HEATING &COOLING N/A
302 KEMP STREET
PORT ANGELES, WA 00009-8362 98360-0000
360/452-9813 360/000-0000
PROJECTINFO
Project Value: $2,635.00 SFD Units: 0 Commercial: 0
Project Type: LP GAS INSERT SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0 Q
Construction Type: MFD SQ FT: 0 1
Zoning Use: I"
PROJECT NOTES
INSTALL PROPANE INSERT, GAS PIPING AND TANK Q
S
Q
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: PROPANE $35.00 I
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $35.00
Plumbing: $0.00 AMOUNT PAID: $35.00
Mechanical: $0.00 BALANCE DUE: $0.00
Radon: $0.00
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
fora 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.
G S
Sigure of Contractor or A th rued Agent D to Signature of Owner(if owner is builder) Date
T:\PLANNING\F0RMS\1 102.15 14/10021
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:W
ROUGH-IN
PLUMBING
UNDERFLOOR/SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW/WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL
WALLS/ROOF/CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEATPUMP
WOOD STOVE/PELLET/CHIMNEY
HOOD/ DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT W's:
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT W'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./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\1102.15[4/20021
FROM : ALL WEATHER HEATING & COOLING FAX NO. : 360 452 5177 Aug. 27 2002 03:13PM P2
yogi rUK Urr K: USI;ONLY'
BUILDING PERMIT - APPLICATION ��. z ��
Date Appoved:A-L P-6
1Le Building Permit -Pre-application mast be jMd out ro Dam mrd
'taQ� wrplaetely.
Please type or print in ink. If you have any questions,please call 4174815
Applieaot orAgentn1 -Cf/J I Pd 1 Zf Phone: ( yP 752-9 %3
oww, Lina J!'VIG��,F� Phone: , 015-Z-iQ7
Ate: 20Z H-iw(ncll #(/i; city: PA-t- yt�, ziP: 9�3l�2
AlahiMWBngivaa: Phone:
cmusew License#:: Exp: Phone'A 22-Z2
� L CO-) q /X City:
zip:
�
,,��; Z02, K( rtf to ZONING:
LEGAL DESC,'RIP'TION: Lot t j a Block: VY Subdivision: 7 ngF l/f7�e 0 ISoi.At-d .4
CLALLAM COUNTY PARCEL NUMBER: .a 4 41Credit Card Holder Nine:
BlIft Addrem: City:
Cradle Crud 0• Esp.Date VISA_MC
TTM OF.WOM SIZEIVALUAT[ON:
o Residential o New Constr. o Re-roof 0 Woodstwe SF.(nil$ /SF.-$
o MuW-fmwily o Addition 0 Move o Garage SF.®S /W.-S
o Conmu=W a Remade] o Demolition a Deck SF.®$ /SF. S
o Repair D Sip o TOTAL VALUATION S .fie Z7,/91-)
<
Sn
a►rr0FT=PAOA=: �h � L�����j�9 s K
CO ENTIAL; Occupancy Group: Occupant Load: Construction Type:
,:..,. N0.of Sitttloa Lot Size:, %Lot Coverage: %
Bidstlmg Lot Coverage: /sq.ft.+Proposed Lot Coverage: /sq, ft a TOTAL LOT COVERAGE: /sq.ft
PLANNING USE ONLY: APPROVALS: PLAN
NMsst BLDG.
DPW
FIRE
ESA/Wedar4s): a Yes o No SEPA Checklist required?0 Yes o No Other: OTHER_
BUBLDWO l!E MM APPLICATION SUBMITTAL: Your sypUrwrion end site plea mum be flood oar complda(F so be uocepmodfor
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements.Your
completed application,site plan(for additions)and building construction plans are to be submitted to the Building Division.
VALUATION OF CONSTRUCTION:.In all cam,a valualion 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 4174915 for assistance,
PLAN CWCK FEE: Your plan check fee is due at the time the building permit application and construction plana an submitted All other
permit few are due at the time of permit issuance,
93MATION OF PLAN REVIEW: If no permit is issued within 190 days of the date of application,thio applicathtn.w in expire. The
Building Official an extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section 107.4 of
the Uniform Building Code,current edition). No application can be extended more than once,
" 1 k"WAy OIR10 that I have read and smmdned this application and lrtow the same to be true and correct,and I am auAtirized 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 determine what permits are required and to obtain ch.
r
Applicant: Date: �7 U
T1F0RMSW PSBuildinM=rni 1
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 Framing Chimney Plumbing' Final,,'Sewer Excay. Other
INSPECTION NOTES
Inspected: Date Time By /
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)
J
OF PORT 4HC
i�=FAN CITY OF PORT ANGELES LIGHT DEPARTMENT
�,`_ 321 E. Fifth Street
Port Angeles, WA 98362
® elle (206)457-0411 PERMIT NO.
DATE
ELECTRICAL PERMIT
Site Address: ,, � ElREADY FOR 71WILL CALL FOR
�C��� ,T l INSPECTION INSPECTION
Installed By: - License Number: Phone:
Owner/Business: Phone:
Owner/Business Address: Sq. Ft.
ELECTRIC HEAT RESIDENTIAL ❑ RISER
❑ BASEBOARD KW ❑ COMMERCIAL !-X OVERHEAD SERVICE
❑ FURNACE KW L1, NEW CONSTRUCTION ElUNDERGROUND ERVICE
ElHEAT PUMP KW REMODEL VOLTAGE: Y d
❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS0
SERVICE UPGRADE/REPAIR V 1 ❑ 3
SERVICE SIZE sem_AMPS
❑ TEMPORARY SERVICE FEEDER SIZE AMPS
I
Details/Description:
— ' L
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
❑ Ditch Inspection O.K.
+Rough-in/cover O.K.
'EY O.K. to connect service
III
11Flinal O.K.
Site Address. Permit/Receipt o.
Insti Iler: New Meters Date:
e
I ,
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 P mit. PHONE 457.0411, EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Electrical Inspector Permit Fee
WHITE—File by address PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall
OLYMPI-PRINTERS INC. '