HomeMy WebLinkAbout3909 Nygren Pl - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
BLOOR SANDRA
3909 NYGREN PL
PORT ANGELES
36) 457 1827
11 00
Other Fees
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Permit
Additional desc
Permit pin number 59568
Permit Fee 246 75
Issue Date 9/08/05
Expiration Date 3/07/06
Qty Unit Charge Per
14 0000 THOU
Fee summary Charged
WA 983621904
Permit Fee Total 246 75
Plan Check Total 00
Other Fee Total 4 50
Grand Total 251 25
05 00000850
655000
3909 NYGREN PL
06 30 15 6 3 0020 0000
RE ROOF
RS9 RESDNTL SINGLE FAMILY
12875
Contractor
RAINMASTER ROOFING
1205 S 0 ST
PORT ANGELES
(360) 452 3213
BUILDING PERMIT NO PR FEE
T' \Policies \1102 15 building permit inspection record05 wpd [1/4/2005)
Plan Check Fee
Valuation
BASE FEE
BL -2001 25K (14 PER K)
B
STATE SURCHARGE
Paid Credited
246 75
00
4 50
251 25
00
00
00
00
Date
9/08/05
WA 98362
00
12875
Extension
92 75
154 00
4 50
Due
00
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 as commenced or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that 1 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
Signatu\ adierrifractoOr Authorized Agent Date Signature of Owner (if owner is builder) Date
FOUNDATION•
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
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 UNLAWFUL TO COVER, INSULATE 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
YES 1 NO
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I
1 I I FIRE DEPT
PLANNING DEPT 417 -4750 I y� y. I w I PLANNING DEPT
BUILDING 417 -4815 1 L i X I 1 1 la V J bI BUILDING
T \Policies \1102_15 building permit inspection record0` wpd [1/4/20051`
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ESA.
SHORELINE.
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4
PREPARED 9/15/04 13 17 59 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY
ADDRESS 3909 NYGREN PL SUBDIV
CONTRACTOR PELLET HEAT CO PHONE (360) 457 4406
OWNER BLOOR SANDRA PHONE (360) 457 1827
PARCEL 06 30 15 6 3 0020 0000
APPL NUMBER 04 00000797 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 9 15/4 JLL MECHANICAL FINAL TIME 17 00
SANDRA 457 1827
COMMENTS AND NOTES
PAGE 6
DATE 9/15/04
OF PORT M,
v
w
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
BLOOR SANDRA
3909 NYGREN PL
PORT ANGELES
(360) 457 1827
Expiration Date 3/10/05
Fee summary
T•\PLANNING \FORMS\ 1102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
04 00000797
898913
3909 NYGREN PL
06 30 15 6 3 0020 0000
MECHANICAL APPL PERMIT
WA 983621904
RS9 RESDNTL SINGLE FAMILY
2897
Contractor
Date 9/10/04
PELLET HEAT CO
230 EAST 1ST SUITE C
PORT ANGELES WA 98362
(360) 457 4406
Permit MECHANICAL PERMIT
Additional desc PELLET STOVE VENTING
Permit Fee 50 00 Plan Check Fee 00
Issue Date 9/10/04 Valuation 0
Qty Unit Charge Per
1 00 50 0000 ECH ME WOOD BURNING APPL
Charged Paid Credited
Due
Permit Fee Total 50 00 50 00 00 00
Plan Check Total 00 00 00 00
Grand Total 50 00 50 00 00 00
Extension
50 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.
A/ r- .1r 7
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE 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
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE PELLET CHIMNEY
HOOD /DUCTS
PW UTILITIES SITE WORK (Engineering Di 'ision) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
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 1 NO
ELECTRICAL LIGHT DEPT 417.4 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4E07 PW ENGINEERING
FIRE 417 -4653 I 1 1 I FIRE DEPT
PLANNING DEPT 417 -4750 I I I 1 1 PLANNING DEPT I I I
BUILDING 417 -4E15 moJ 4���-7' kJ J-L 1 1 BUILDING 1
1 \PLANNING\FORMS \1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
YES 1 NO
PLANNING USE ONLY
7 IFf R wtMAPP,tilBuild ■+pd
Credit Card Bolder Name: &I i c.1/+¢.
Billing Address: 23v -e firs r �7 k mil"
Credit CardType VISA MC _)C M
TYPE OF WORK.
Reeiderntial t] New Conti, O Re -roof
M:tlti•family Addition o Move
't Commercial D Remodel Demolition
0 Repair O Sign
BRIEF DESCRIPTION OF THE PROJECT
BUILDING PERMIT APPLICATION
iieL.L.Aor illAr t�
Applicant or Agent: Phone:
Owner G.NDpA &L-dv(< Phone
ESA/Wetland(s) 0 Yet C No SEPA Checklist required? 0 Yea 0 No Other
Ff11 out COMPLETELY and In INX, Your application end sits plan MUST BE
COMPLETE to be accepted for review It you have arty questions, call
(360) 417 -4815
FOR OFFICLAL USE (NI Y
Date Rec. -43
Permit
Dote Approved
Date issued:
Re —L 9re
:YGo 4 /S:) bt)
Address' 9 U e 1 NYC P4 T City PG quid64 Zip:
Architect/Elmer Phone.
Contractor I State License COS Vint _-79',0 -5 Phone .?Go 4/J,-
Address: 230--C. i r rour sr_ City A/Z.T Ave.-f-ea Pv+ Zip 9 �3C:•L
PROJECT ADDRESS: 390i _r 4. a, ZONING
LEGAL DESCRIPTION Lot. 2 Block: Subdivision.
CLALLANI COI NTY PARCEL NUMBER. 0 630 15io30 02t 0C)
City: f --T /")Ge --tPS
oN A« Etrp. Date. ,¢"
SIZE/VALUATION.
O Stove SF /SF
D t'iarage SP ®S /SF 3
O Deck SP„ /SP
O Other TOTAL VALUATION c'
_g04 9-0.1 t e,,, aF L•'ec, tr azc 6 V
COMMERCIAL/RESIDENTIAL. Occupancy Oruup. Occttpenc Load.
No of Stories: Lot Size Existing Sq. Ft. Proposed Sq. Ft.
Existing lot coverage Proposed lot coverage eh Total lot coverage
Construction Type-
TOTAL Sq.Pt.
Applicant: oc'.Date: 9 fl O V
APPRO i ALS
PLAN
BLDG
DPWU
VNIRE
OTHER.
BY in t1I?VG PERMIT APPLICATION SUBMITTAL, The Building Division can provide yuu with infnrtnation on the application and
plan submittal requitementa if you have question.
ALUA LION OF CONSTRUCTION In all cases, a valuatinn amount must be entered by the applicant. This figure will be reviewed
'Lad may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 4 17- $1 s for assistance
t'LAJ CHECK FEE W a plan check fee is due it must be Submitted at the time the building permit application and t:unatnrcttnn plans are
submitted. All other permit foes are due at the time of permit issuance,
EXPIRATION OP PLAIN REVIEW1 If'no permit is issued within 180 days orate date nt appplicatlon, the application will expire, The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (Nee Section l0 4 al
the Uniform Building Code, current edition) No application can be extended more than once.
I hereby certify that 1 have reed end examined this application end know the same to be (roe end correct 1 am authorized to apply for this permit and
Jnderstand that It Is my responsiblf ty to deforming what permits ire requfnod the Gtys, and that f mu abteln ouch permits prior to work
.
----------
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Installed By:
EADY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Site Address:
Owner/Business:
r
. Phone:
Sq. Ft.
o Residential 0 New Construction
Heat KW 0 Remodel
o Baseboard 0 Furnace/Boiler ~ Service update/alter/repair
o Heatpump 0 Other
o Commercial/Industrial load 0 Add/alter circuits
Total Connected load 0 Auxiliary power
(attach breakdown) (list below)
Total Motor load 0 Special equipment
(attach breakdown) (list below)
~.L-~
o Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
:P- Amps
DetailslDescription:
~dJ-r-~~OJ
/JrV
-
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough.in/cover O.K.
o O.K. to connect service
Winal O.K.
Jij~
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspect/on
o Plan Review approved/pending
Installer:
Permit/Receipt No.
6<Orb
Site Address:
New Meters
.
Notify the Department of City Light by Street Address and Permit 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
~~sp tor in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT a ro , e; 'CJ
nspector Amount paid
WHIT - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom. City Hall
~
OLYMPIC PRINTERS, INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt?
16679
port Angeles, washlngton_______L~___:.l_..__m____m_m_____m..m, 19~r-
In allCordance 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 woW listed below_
Address m3.-'l-~-~~1/1:..~-n~ Occupancy____LLAf-:<':~____~__m________________
~:7:: ~-~~t~;-::~C%.::t~~;;;;;.::--gd~i;.::~~;:::::::::::::~-------~::::::::::=::::::::::::::::::=:::::::::::::::::::
Light OutletB_____________9.1._~___________.. Service. volts /.;2.~/..c2.f.!g_____ Type 01 Wiring:
Receptacle Outlets,m_n~~Qn....mm. No. Wir_es ......t-;/A;;.nt?mn. Armored Cable ............................-
D KW ~ Si t"y V Q>I"'.{;'T Non-Metallic .._....m...m.____m.........
'ye'. __n_m___ .ijuuu__mm__nnm___ ze wlreB-:7~..<5::.:-:------------------------
.", _.If Knob & Tube_________________________________
Range, KW mnn...........n....__._...____,___... Main fuse ..___ ....mnnn.D:::...........
.s
Enclosure ....,...._............n....n...nn__
Water Heater:',/-'
Kwmn__Jf_2m_____u__m__m__
Hea', Kw___I$>.L__.1J...ti________
Type of wiring:
Entrance Cable ._..n..._..m...nn.
Hotrs: size, volts a.nd phase:
/(/!.-, .. d f7
-------,~-----------------------------------------
~::~~::::::::::::::::::
Rigid Conduit 'm............._.............
Metallic Tubing ....h_.....m..
Current transformers:
No. & Size..............__..nn__....n.........
Ser. NO............n....~..........__nnn___..nn
Ser. NO._......._.._.............._...___.n_n......
Rigid Conduit _______________________________
Metallic Tubing ___.m_m__nm______._.
Circ:::.e:;:h:~::::~~:::::::::::::::::::~:~~~:~
UtlIlty _______Z_____________________________
Heat ---z:............-..............-..--
Range _____f:i!:_,_________________________________
~
Water Heater _._.._......._....n._._.......
:r:::~...~~~~~~~~~~....~~~~~....~~~~~~~~~~~~~~~~..~:~
Furnace _.nn.__................._......_...........
;l.r
Total Loadnnn_..n.........h...._.. Ser. NO.n..............._...._.n..___............ Total ..........nn.____.....nn...........
Remarks: u_________:_~~_u~_t..~__Zf0':--m--u---------------n---m---------/-~E.r.uuu_________m______m_m
Ser. No..................____..............._.......
nm___m______m_______m_u____m__mm___u______nn____m______hUnhm____m_m__m___h____:______~--------,--hn--m-,-m-m---------------
:.~_I~;.d:__mm___n__m__ ::~_~_~:__~~_~:~~~___..... By _}im_m___~J~ _~;,~_~~
v ~
NOTICE-Cur:r..~nL_must.not be turned on until Certificate of Inspection has been issued. If work is to be COD.
cealed due notice in--u$t be given the Inspector so that work may be inspected before concealment.
NOTIFY TH~TN'SPEpTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
.---.~/.--- --------.ELECTRICAL PERMIT
/
.-..,,..
"
\.
N?
16679
"-
,
"-,
Address..................._..............................__.........................._........................___..............._._._.........Date..._.........._...~~~.........._......_......_..._..._
Owner........._...._.................______...._.._......_......__._........._....._...................._._..........._.._._._.Tenant.................._.__.__.....~..........n.................._.....
,
\.WlringContractor.._n..____..........................__....................__.........._................._.__...................._.......By.___._......................::.:.........................~..._..
"' _.~OTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment. .
/' "
" ~.
1M Olympic"'Printers. Inc.