HomeMy WebLinkAbout814 S Peabody St - BuildingPREPARED 9/15/10 8 14 01 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/15/10
ADDRESS 814 S PEABODY ST SUBDIV
TENANT NBR DENTIST OFFICE
CONTRACTOR LARRY S ROOFING PHONE (360) 452 2215
OWNER RAYMOND A GRUVER PHONE
PARCEL 06 30 00 0 2 7000 0000
APPL NUMBER 10 00000948 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR PEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 9/15/10 JL-L BLDG FINAL
September 14 2010 4 34 26 PM 1pangrle
S TOM 460 0517
7 BUILDING FINAL RE ROOFED THE DENTIST OFFICE
Fwq
COMMENTS AND NOTES
Owner
RAYMOND A GRUVER
210 E 7TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
TForms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
TEAR OFF RE ROOF THE DENTIST OFFICE
Qty Unit Charge Per
6 00
Other Fees
Fee summary
BUILDING PERMIT
RE ROOF THE
172536
179 75
9/01/10
2/28/11
BASE FEE
14 0000 THOU BL -2001 25K
Charged Paid
10 00000948
597064
814 S PEABODY ST
06 30 00 0 2 7000 0000
DENTIST OFFICE
RE ROOF
COMMERCIAL NEIGHBORHOOD
7350
LARRY S ROOFING
352 AVIS ST
WA 983626115 PORT ANGELES
(360) 452 2215
Structure Information 000 000 RE ROOF THE DENTIST OFFICE
NO PR FEE
DENTIST OFFICE
STATE SURCHARGE
179 75 179 75
00 00
4 50 4 50
184 25 184 25
Contractor
Plan Check Fee 00
Valuation 7350
(14 PER K)
Credited
00
00
00
00
Date 9/01/10
WA 98362
Extension
95 75
84 00
4 50
Due
00
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
v\Ao'
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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 's application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be com Ile. with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel th'ovision of y state or local law regulating construction or the performance of
construction.
9 -10 -Io o ,01
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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
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
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
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
Inspection Type
IFINAL Date Accepted by
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I I ESA.
Landscaping I I SHORELINE.
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
fi
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CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant iorg 2'�o
Property Owner PCLU Ba11er
Property Owner's �r�si
Contractor o
Contractor's Address 5?_.
License b fo ,h
PROJECT ADDRESS
Parcel Number
Project Type Brief Des
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
TForms /Building Division /Building permit application
BUILDING PERMIT APPLICATION Print in ink
cription. Residential
4 41 Ve, oCk ino,
Il
1 p1
Expires 41
Biel tb0d4
Existing (sq. ft.) Posed (g. ft.)
ft. Occupancy group
Occupant load
Construction type
Phone
Phone
Phone
it
11 E -mail
Lot
Multi family Commercial
Cif qI( o r
I have read and completed this application and know it to be true and correct. I am authorize
that it is my responsibility to determine what ermits requ d, and to obtain permits prior to
Date 1 lb Print Name L U 1Y1b Signature
to appl
f orking
For City Use Only
Date Received 6 1-1-10
Permit 16
Date Approved
L-Kz,- ?LIS
Zoning
per sq ft.
of bedrooms
of full baths
of half baths
Industrial
Cr—
El House garage Xother O€X' Ntear off re -roof lay over one layer
Heat pump wood- burning stove gas fireplace pellet stove other
TOTAL VALUATION DSO
Total footprint of structures sq ft. T Lot size sq ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios
and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage
this permit and understand
ects.
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Sthroop
1 9 13b
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4 4 1',
I V: 4'
V
c'7 bP,9 10)-?1
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2 31 -171
to,
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1 1.71(a .porue
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4
Clallam County Assessor Treasurer Property Details 58492 RAYMOND A GRUVE Page 1 of 6
Clallam County Assessor Treasurer
Property Search Results 58492 RAYMOND A GRUVER for Year 2010 2011
Property
Account
Property ID
Geographic ID
Type
Tax Area:
Open Space.
Historic Property'
Multi Family Redevelopment:
Township.
Range
Location
Address:
Neighborhood
Neighborhood CD•
Owner
Name.
Mailing Address:
58492
0630000270000000
Real
0010
N
N
N
PA 121 PORT ST CNTY H2 L Land Use Code
DFL
Remodel Property'
814 S PEABODY ST 366
PORT ANGELES WA
Cycle 5 Comm
20953140
RAYMOND A GRUVER
210 E 7TH ST
PORT ANGELES WA 98362 -6115
Taxes and Assessment Due
Property Tax Information as of 09/01/2010
Amount Due if Paid on M
Year Statement ID Taxing Jurisdiction
2010 41428 ST SCH STATE SCHOOL
2010 41428 CC -GEN COUNTY
2010 41428 PORT PORT
2010 41428 PORT ANG PORT ANGELES
2010 41428 SD #121 SCHOOL DISTRICT #121
2010 41428 NTH OLY LIB NORTH OLYMPIC LIBRARY
2010 41428 HOSP #2 HOSPITAL #2
2010 41428 WSMET PK DIST WILLIAM SHORE MET PARK
2010 41428 CITY_STORMWATER CITY STORMWATER
2010 41428 WEED_CONTROL WEED CONTROL
2010 41428 TOTAL.
2009 584922008 ST SCH STATE SCHOOL
2009 584922008 CC -GEN COUNTY
2009 584922008 PORT PORT
2009 584922008 PORT ANG PORT ANGELES
2009 584922008 SD #121 SCHOOL DISTRICT #121
2009 584922008 NTH OLY LIB NORTH OLYMPIC LIBRARY
2009 584922008 HOSP #2 HOSPITAL #2
2009 584922008 CITY_STORMWATER CITY STORMWATER
Legal Description.
Agent Code.
Section.
Mapsco
Map ID
Owner ID'
Ownership
Exemptions.
First Half
Base Due
$331 48
$176 40
$24 80
$408 44
$429 36
$51.26
$72.36
DIST $23 02
$107 09
$0 82
$1625.03
$386 85
$195 78
$27 73
$429 42
$478 41
$56 89
$80.29
$107 09
LOTS 1&2 BL 270
65
N
N
2
28069
100 0000000000%
Second Half
Base Due Penalty Interest Base
$331 49 $0 00 $0 00 $3:
$176 41 $0 00 $0 00 $17
$24 79 $0 00 $0 00 $2
$408 43 $0 00 $0 00 $4C
$429 37 $0 00 $0 00 $42
$51.26 $0 00 $0 00 $E
$72.37 $0 00 $0 00 $7
$23 03 $0 00 $0 00 $2
$107 09 $0 00 $0 00 $1C
$0 81 $0 00 $0 00
$1625.05 $0.00 $0.00 $162
$386 85 $0 00 $0 00 $77
$195 78 $0 00 $0 00 $3c.
$27 73 $0 00 $0 00 $E
$429 44 $0 00 $0 00 $8E
$478 42 $0 00 $0 00 $9E
$56 88 $0 00 $0 00 $11
$80.29 $0 00 $0 00 $16
$107 09 $0 00 $0 00 $21
http. /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =58492 9/1/2010
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CITY OF PORT ANGELES ".. ~f';'
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
71D
PERMIT NUMBER
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T~TAL FEE
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Site 'Ad~ress .
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CONT. Lie. NO,
TIMETO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
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wner Installation By I
wner's Address - Installers Address
, I e ... ~ . .. - Installers Phone
ay Pho
PPlical on is hereby made for Permit to install ,Electrical Equipment as follows: Ii
' '1 ~' -,.. ~ ~u..\JlC~ P ,. .,;,..-- '/~OIa4.0
, ('" A-n I ' , '/ ,- -
.00 U50",-, th.,Tr. JL r; 1'-'"' ''11/L. ~ M-.t Wiring Met~od
-, ,
NUMBER AMP 120V 240V NUMBER . AMP 120V 240V
US OF CIRCUIT PEA 100R' FEE USE OF CIRCUIT PEA '100R FEE
CIRCUITS 10 CIRCUITS 10 ,
CIA 30 CIA 30
UGHI SIGN
UGH~ " 50 VOLTS
OR LESS
CONY NIENCE , " . . MOTOR
CON NIENCE " .- MOTOR . .
APPU NCE . MOTOR
DISH ASHEF3 .. - . FIRE ALARMS .- " -
DISPqpAL BURGLAR ALARM
AANGI MISC.
OVEN, I ..
-
WATE 1 HEATER ,
LAUN lRY' -
DAVE I REINSTAllATION LIGHT FIXTURE # -
FUAN CE SUB TOTAL FEE
GAS. JIL :
FURN CE ENERGY FEE
ElEC AIC .,
BASIC FEE
ElE~ ,RIC HEAT TOTAL FEE
ElEC RIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
,
A.C.l IT AMP PHASE
FEED'A SIZE OF SERVICE ENTRANCE CONDUCTORS
, . . -
SERVI E A.W.G.
" I SUB-TOtAL ..
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
. .
I certif that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
. - .
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
.~ 1.1- ). N~O})~ .-
CORRECT ADDRESS IS RESPONSIB L1TY OF APPLICANT
PERMITS WITH WRONG itDRESSES hE CANCELLED
.-
DateAI ~;ication m~'de ,19 By Y ~j)
1- . +.. + .. - - . CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
p~tmisSion is h.ereby given to do the above. descrJ~ed w~)rk, ac;:qording to the conditions hereon and according to the. approved plans and
speci/i~ations pertaining thereto, subject to compliance with the Ordinances I the City of ~~~~n es.
, ~ . . .' DI~ I.. OF CITY LIGHT
DatePrmitlssued --'/"/11/1" BY"
1/ ! j PLANS A ' ..
. I' Notify Department 01 City Light by Street Address and Pe;mit Number when ready lor inspection. Work must ~ot
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: 457-0411 Ext. 158. .
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
.
f'fl YMP\j Pi=lINTFi=l<::. INr.
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
'JJ. h,7~ 7 ./YV FINAL O.K.
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FEE RE~EIPT NUMBER
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
11' /
Pt:RMIT NUMBER
.
TO~AL FEE
,
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CONT. Lie. NO. TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
REel ADjlAESS IS ESPONXIJ{llITY C? APPLICANT PE~MITS WITH WRONG A~RESSES AAf CANCEL~ /_ J
Owner i L-u CA 5 IV I. 1> . Installation By ~ ~ l ~ '(_L 4.:I!::.{ C
Owner's, ddress Installers Address
Day Pho~b " . Installers Phone
APPliCati'bn is hereby made for Permit to install Electrical Equipment as follows:
:l~c-k oMa ALf.vt~.J ~ S:f~I<"t Si4<1r ft.; /5 MIl)
A.-~~ C(lt~ rrC (jt~lJ fi'fUlfW DctJt 1'>~ LIS) Wiring Method
.'
USEi~F CIRCUIT NUMBER AMP 240V NUMBER AMP 120V 24QV
PEA 120V 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA '0 30 CIRCUITS CIA '0 30
LIGHT'; SIGN
LIGHT 50 VOL T8
" OR LESS
CONV~IENCE '0 /l ' /I 1 1/ 't2E-. MOTOR
CONV~NIENCE )' '} V . I'--i- . 1--- V; S~ MOTOR
APPLI!ilNCE , :-:::::::: MOTOR
..
OISH~i'SHEA ~ :/~ FIRE ALARMS J .1/ 11.. k wIT
DISPO$AL I BUAGLf'A AL~ II t IfIY l
/\
AANG<< A /. :,. I I(;)A-!: fA- IY1 MISCfD "
OVEN tV
-"
WATE~ HEATER
LAUNmAY ?I ;..W 'ff1J. .4---;J l-(I../Vj
DAYE~ REINiTALL.:ATION LIGHT FIXTURE #
FUAN~fE SUB TOTAL FEE
GAS -lOlL
FUR~~E ENERGY FEE
ELEe Ie BASIC FEE
ELECijRIC HEAT
TOTAL FEE
ELEC~RIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. t..I,NIT AMP PHASE
FEED~A SIZE OF SERVICE ENTRANCE CONDUCTORS
SEAVlfE A.W.G.
I I SUB-TOTAL
I . SIZE OF GROUND SIZE OF ENTRANCE SWITCH
.
/
1 certiff that the work to be performed un er this permit will be done by the Installer and in conformance with the N.E.C. Electrical Code.
."
Date A plication made . 19 By K tJ
I CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
pe~ml5Sl0n IS hereby given to do the above described work, according to the condItions hereon and'accordlng to the approved plans and
speclfrtatlons pertaining thereto, subject to compliance with the Ordinances of the Ity of Port Angeles. '
II Dr TO F,c,l GHT ,.
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Date 1rmit Issued 1/ /1/ I ~!ANS APPROVE . ,
i Notify Department of City Light by Street Addres~ 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
,I Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158.
WARNING
I;
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
i
I
OLYMPit PRINTERS. INC.
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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