HomeMy WebLinkAbout1410 Owen Ave - Building "f.;'.., CITY OF PORT ANGELES
01"-..—:-ft.'' DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
W
Application Number 11- 00001308 Date 11/18/11
Application pin number 751392
Property Address 1410 OWEN AVE q TAX
Application ASSESSOR PARCEL NUMBER: 06- 30- 00 -4 -3 -0100 -0000- REPORT SALES T/-+l/
Application type description MECHANICAL APPL. PERMIT F on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RESIDENTIAL MEDIUM DENSTY (Location Code 0502)
Application valuation 3169
Application desc
PELLET STOVE INSERT
Owner Contractor
i
ATWELL DEBRA L THURMAN SUPPLY 1410 OWEN AVE 1807 E. FRONT ST. Expli �1, 7'n• C�
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 457 -8591
Permit MECHANICAL PERMIT
Additional desc PELLET STOVE INSERT
Permit Fee 60.65 Plan Check Fee .00
Issue Date 11/18/11 Valuation 0
Expiration Date 5/16/12
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 no/ The granting of a permit does
riot presume to give authority to viol e or cancel the provisions of -ny state or local law regulating J struction or thefperformance of
construction.
i
c A 14/e- ,..d a Gi/ A a L
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 E 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 #s SEPA:
Parkin Li hting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
'Inspection Type Date Accepted By
ar
Electrical 417 -4735
C o n s t r u c t i o n n R.W. PW Engineering 417 -4831
Fire 417 4653
Planning 417 -4750
Building 417 -4815
PROJECT STATUS UPDATE
Permit 1 I'Dg
Date: .I 2, 1 a
phoned the: Applicant at
Property Owner Debbie MO 'h' S at 4 t 00
Contractor at
1 (k- a phone messa. or discussed):
The per (has expired r will expire soon). What is the status of this project?
ease call and schedule a final inspection.
OT
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
t X P 1 1 V r 1,1 31Abl
T:Forms /Building Division/Project Status Update
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.) Date Received V (142 ft
Permit 0,- 13o P,
City of Port Angeles Please print ink. Date Approved 5 -t(
Attn: Building Permit Technician
Approved by
321 E. 5 St., Port Angeles, WA 98362
360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm
Contact person: Phone:
a w z'77 .Z60
Property owner: Phone: 7 7G O
je /WX .c
Property owner's mailing address:
I CJ GCS(- /-rv111 4- U-e. Phone:
Contractor's business name: �T .1,,, f,- r c. //1.5
(or property owner's name if he /she is doing /overseeing the work) J 7 S- g
Contractor's mailing address;(
V CJ `e� -i4 S Expiration date:
Contractor's L &I license number— A
41- k 0 3 J4
roject Address: i 2- 7/ 9 /4-77
Project Type: Residential o Commercial o ndu`strial u Multi- family'
Project Business Name:
(for commercial, industrial, or multi family projects)
The following permits are usually issued over the counter immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Re -roof: D house o garage other
o tear off •re -roof o lay over one layer
(1) Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re -side: o house o garage o other
Project Valuation (labor materials, not including sales tax) Repair: (explain the project)
Project Valuation
*Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to'reflect the value the repair adds to your property.
Cost of materials x 2 Project Valuation
T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011)
Page 1 of 2
Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa protects that
do not require plan review:
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit is needed when an entire building gets demolished.
What will_ be demolished? house garage o other
Note: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
Agree to ensure that all utilities are /will be properly turned off (and capped off if needed)
prior to demolition.
Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
yes no Will the debris be going to the Regional Transfer Station in Port Angeles?
yes No If yes, will a licensed contractor be taking it there?
If yes, obtain (from the City of PA) a copy of-the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing is needed).
Plumbing Permit: (explain the project)
Project Valuation
Mechanical Permit: (explain the project)
141 �-e v i//4
4?„,,
Project Valuation 5 7 60
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 de ine what permits are required, and. to obtain permits prior to
working on projects.
Date g Signature M.i >t�
Print Name, li.�/L Lw
Page
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT
Issued: 12/04/96
Permit No:
5743
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
HERINGTON 1410 OWEN AVE
3381 SHADOWGLEN BLVD Lot: 10 N2 SL 77
SILVERDALE, WA 98383 Block: Long Legal:
360/697-5015 Sub: WEST VIEW HTS
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
KIRSCH ELECTRIC
141-H FALCON RD.
SEQUIM, WA 98382
360/683-6819
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES. NEW prj Value: $0.00
Occ Type: Cnstr Type:
Occ Grp: Occ Load: Land Use: RS7
Electrical Heat Service Type
Baseboard KW: 0 Riser Voltage: 120,240
Furnace KW: 0 Overhead Service Diameter: X-1 -3
Heat Pump KW: 0 X Underground Service Service Size: 200 AMPS
X Fan/Wall KW: 8 Temp Service Feeder Size: 0 AMPS
PROJECT NOTES-------------------------------------------------------------------
PROJECT FEES ASSESSMENT-----------------------------------------------__________
Service: $80.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$80.00
$80.00
---------------------------------
---------------------------------
TOTAL FEE:
$80.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A M1NIMlJM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECI10N TYPE
NO
DATE
COMMENTS
.3
~
GENERAL COMMENTS:
PW-II02.1SI06]
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411 PERMIT NO.
DATE
sz;. 7 L
'7/~/<?G
ELECTRICAL PERMIT
Site Address:
~i
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
O",ner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o !BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WALL KW _
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
)>i TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
~ UNDERGROUND SERVICE
VOLTAGE:
01115 0391
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
Details/Description:
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Permit/Receipt No.
s--t7Z-
---
Installer:
New Meters
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen 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 it. PHONE 457-0411, EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
;1 .30
Electricallnspeclor
Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Boltom: City Hall
OLYMPIC PRINTERS INC.