HomeMy WebLinkAbout2134 Hidden Cove - Building BUILDING PERMIT
2134 HIDDEN COVE
12- 1484
Prepared 11/27/12,16:05:22 Application Inquiry-(BPN200I001) Page 1
Program HTDFTAL Screen detail for Program: BP BPN200I, Inspection history
User ID PBARTHOL Application 12-00001484
--------------------------—--—----—----------------—-------------------
Property Information
Address: 2134 HIDDEN COVE
PORT ANGELES, WA 98362
Location ID: 102564
Owner name: DAVID DICKINSON
ASSESSOR PARCEL NUMBER: 06-30-01-6-0-2200-0000-
ALTERNATE ID: 063001602200
Zoning: RS9 RS9 RESDNTL SINGLE FAMILY
Subdivision:
Application Information
Application desc: TEAR OFF INSTALL COMP
Application status: PERMIT ISSUED
Status Date: 11/13/2012
Application type: RE-ROOF
Application date: 11/13/2012
Valuation: 7199
Square footage: 0
Public building: NO
Reviewed by: PB PAT BARTHOLICK
Pin number: 092568
Entered by: PERMITS
Contractor Information
Contractor Name: EMERALD ROOFING INC
Contractor Number: 272
Type: SPECIALTY
Status: ACTIVE
Contractor Requirements Doc Number Exp Date
STATE LICENSE EMERARI974PP 11/05/2013
BOND 11/05/2013
LIABILITY INSURANCE 11/05/2013
Outstanding Inspections
Insp Schedule Confirmation Permit Pmt
Type ID Date Number Description Seq Min Max
- ------ ---——--- ------------ --------------- --- ----- -----
No outstanding inspections exist
Work Description
Code Description Quantity
CO Information
CO Issue
Str/seq Date Status Description
------- ---------- ------ --------------------
Str/Seq Permit/Seq Inspection type Insp Seq Inspector Schedule date Results Results date
Confirmation Nbr
000 000 BNOP 00 BLDG FINAL 0001 JLL 11/14/2012 AP 11/14/2012
385922
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 12-00001484 Date 11/13/12
Application pin number . . . 092568
Property Address . . . . . . 2134 HIDDEN COVE /�.
ASSESSOR PARCEL NUMBER: 06-30-01-6-0-2200-0000- REPORT SALES TAX
type description RE-ROOF
Subdivision Name . . . . . . on your state excise tax form
Property Use
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY to the City of Port Angeles
Application valuation 7199 (Location Code 0502)
--------------
Application desc
TEAR OFF INSTALL COMP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DAVID DICKINSON EMERALD ROOFING INC
2134 HIDDEN COVE P. O. BOX 879
PORT ANGELES WA 983635118 PORT ANGELES WA 98362
(3 60) 452-4681
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc TEAR OFF/INSTALL COMP
Permit Fee 179.75 Plan Check Fee .00
Issue Date . . . . 11/13/12 Valuation . . . . 7199
Expiration Date 5/12/13
Qty Unit Charge . Per Extension
BASE FEE 95.75
6.00 14.0000 THOU BL-2001-25K (14 PER K) 84.00
- ----------------------------------------------------------------- ------
Other Fees . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 179.75 179.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 184.25 184.25 .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 cons the performance of
construction,
Date Print Name Signature of Contractor or Author' ed 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 y
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK.BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLAINS AT JOB SITE. r
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 b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting ESA:
Landscaping SHORELINE: �, 1
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
Building 417-4815
THE +C3 'TAGELES
CITY OFP For City Use
W A S H l N G T 0 N , U . S . Permit# ` Z �� ��
Date Received:
321 East Sl' Street
Port Angeles, WA 98362 Date Approved 1�—
P: 360-417-4817 F: 360-417-4711
permitsC@cityofpa.us
Building Permit Application
Project Address:
1-3q 44 (D 9
Main Contact: Phone # r I
E-Mail:
Property Name N/V Y Y Phone -775 — b Q/ 0 2-
Owner Mailing Address /v Email
city StatePCCT- WC
Zip
Contractor Name^n r� ` ^/ lAe, Phone [-Li/ ,lo
Mai ' g Address V1 V !r Email
Cit State LA Zip
Contractor License # Expiration:
$Project Value: �� Zoning: Tax Parcel # Lot#
Type of Residential Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ RepairReroof gfiar=,o /lay over) ❑
For the following,fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical 11 Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No ❑
Project
Description
I have read and completed the application and know it to be true and correct.I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. I understand that the plan review fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. 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
(H -12 MVS 5 ���
i
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
I
Covered Deck/Porch/Entry
Deck
Garage
Carport
I
Other(describe)
I
Area Totals
i
Commercial Structures
For Office Use
Area Descriptions (SQ FT) Existing Proposed $$Value
Existing Structurl a (s)
Proposed Addition
Tenant Improve Iment?
Other work(describe)
Area Totals
i
I
Lot/Site Coverage Calculations
Footprint(SQ FT) of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverge(all impervious+ %Site Coverage
structures
I
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping #of Outlets:
Appliance Vent # Heater(Suspended,Floor,Recessed wall) #
i
Boiler/Compres;sor Size: # Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit '
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps i # Fuel gas piping #of Outlets:
Water Heater I # Medical gas piping #of Outlets:
Water Line # Vent piping #
Sewer Line I # Industrial waste pretreatment #
interce for
Other describe
T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX
1 CITY OF PORT ANGELES 9
FEE RECEIPT NUMBER DEPARTMENT OF LIGHT - A
PERMIT NUMBER
APPLICATION AND ELECTRICAL PERMIT
Vr,6 o7
TOTAL FEE - aS - -- /
CONT.LIC.NO. TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY
ELEC RICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address / :c
S5 COR ECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADD$ESSES ARE CANCELLED '
1 b/
Owner ' � Installation By LJJ- S c.c
Owner's Address Installers Address 9 .zej
Day Phone Installers Phone !S �L7
Application is hereby made for Permit to install Electrical Equipment as follows:
Wiring Method
NUMBER AMP .-120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 10 OR FEE USE OF CIRCUIT CIRCUITS PER 10 10OR FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT - 50 VOLTS
OR LESS
CONVENIENCE ® MOTOR
CONVENIENCE - - - MOTOR '-
APPLIANCE 'l __- MOTOR _.
DISHWASHER / FIREALARMS -
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER /
LAUNDRY /
DRYER REINSTALLATION LIGHT FIXTURE N
FURNACE SUB TOTAL FEE
GAS-OIL 9 /--�
FURNACE ENERGV'ffE S�C��C.a4O
ELECTRIC
BASIC FEE
ELECTRIC HEAT 2
'tel TOTAL FEE Zr Ir
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER -
A.C.UNIT G AMP .PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE
Cj A.W.G.
SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in cc fq mance with the N.E.0 Electrical Code.
Date Application made���,1 g� By����������
CONTRACTO OR OWNERCONTRACTO OR OWNER(OR�RIZED AGENT)
AGENT)
Permission is hereby given to do the above described work,according to the conditions hereon and according to.the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. of"s
j - DIRECTOR OF CIT�Y.. ` GHT \ _-`
Data Permit Issued PLANS APPROVED
Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not
be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone:4570411 Ext. 158.
WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK— SEE OVER—
WHITE-Original CANARY Duplicate PINK-Triplicate WHITE CARD-Inspector's Report
DI YMPIC PRINTFRR.INC.
REPORT OF INSPECTOR 1
DATEOFVISIT MADEBY REMARKS
cr
Z_
J (7
Q
y
W
r
O
0
r t
r O.K.FOR COVERING
"O.K.TO CONNECT SERVICE
FINALO.K.