HomeMy WebLinkAbout2909 Regent St - Building
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
SI! Address:
I
Installed By:
~ I
Owne Business:
D READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
o' ner/Business Add s:
I
I
'el'IBESIDENTIAL
/D" r:;OMMERCIAL
D BASEBOARD KW _
D ~URNACE KW _
D. AN/WALL KW _
D. EAT PUMP KW_
D ISIGN
O t:ll /0 . t'
Ji's escnp Ion:
~I
~
I
,
D TEMPORARY SERVICE
D PERMANENT SERVICE
D NEW CONSTRUCTION
D REMODEL
'Q'" ADD/ALTER CIRCUITS
/U SERVICE UPGRADE/REPAIR
D SPECIAL EQUIPMENT
(LIST BELOW)
~/~~ ~~
(?~ AI;' 1
/tPLk~~,,<-/
.
w'Sj. No. SERVICE SIZE
CA~ACITY:
I D O.K. NOT O.K.
Ac; ION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
PERMIT NO. -9'/ 11 ~
~~~-7'3
DATE
Phone:
Sq. Ft.
D OVERHEAD SERVICE
D UNDERGROUND SERVICE
VOLTAGE:
D SINGLE PHASE
D THREE PHASE
SERVICE SIZE AMPS
I
96Y: /~ '~
ENGR.
D CHANGE SERVICE WIRE
D OTHER
D' itch Inspection O.K.
~OUgh-in/cover O.K.
D li).K. to connect service
~rinal O.K.
Sit Address:
I
,
In~taller:
Permit/Receipt No.
'I I/O
New Meters Date:
- ~-~-9:3>
Not fy Port ge es City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
bef re inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or n the Building P~mit/PHONE 457-0411, EXT. 224.
~ / . / NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
:>1 <I-I? $
Electr}6llnspectcir'
.
WHI, E - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMI Ie PRINTERS INC.
c3o. C) C)
Permit Fee
GREEN - Top: MeIer Dept., Bottom: City Hall
-'
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
PERMIT NO.
-'7rJ ~ J7
#-::2/-23
DATE
ELECTRICAL PERMIT
Slib Address:
I
In "tailed By:
I
0' ner/Business:
I
,
o READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq, Ft.
M,I~ESIDENTIAL
;Q rJ..;OMMERCIAL
o :!BASEBOARD KW _
o FURNACE KW
o FAN/WALL KW
o HEAT PUMP KW
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
;:>g SINGLE PHASE
o THREE PHASE
SERVICE SIZE ..!J A 0 AMPS
De iislDescriPn
_ 4~L--
...<J fJ{J~ ..4A.k__
.
w'q. No.
CA ACITY:
o O.K. NOT O.K.
A0 ION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
SERVICE SIZE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o !Pitch Inspection O.K.
~ 'rough-in/cover O.K.
" lO.K. to connect service
II
#fl1inalo.K.
.'
511 Address:
Inl aller:
1-'13
.
Not fy Po An es City Light by Street Address and Permit Numberwhen ready lor inspection. Work must not be covered
bel re inspection an O.K. lor covering has been given by the electrical inspector in writing on either the Wiring Report
or ,n the Building er t. PHONE 457-0411, EXT. 224.
WHI E - File by address
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
~tJ, 0 (!)
Permit Fee
YEllOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
Site Address: tlCfoq 1(t[6fN'T .sT,
Ins ailed By: ~~'lrLD .(~C. lL
Ow er/Business: ANDfi..I'....H~.rJ bf,. M,<: ~
Ow er/Business Address:
.
,~ Residential
Heat KW
[ Baseboard 0 Furnace/Boiler
Heatpump 0 Other
Commercial/lndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Det ilslDescription:
Ii !/t4-'/ .-
KiV
.
W.S. No. Service
cap~city: 0 O.K. 0 Not O.K.
o D~tch inspection O.K.
1~ R~Ugh'in/cover O.K.
O.K. to connect service
rfF nal O.K.
~II
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. /19 3
8;3ft'?
ELECTRICAL PERMIT
DATE
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Pnone:
Sq. Ft.
~ew Construction
10 Remodel
o Service update/alter/repair
o Overhead
o UndergrJ.und~{O
~age ~ ot
10 03 .
ervice size ~ Amps
o Temporary
o Add/alter circuits
o Auxiliary power
(list beiow)
o Special equipment
(list below)
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 inspection
o Plan Review approved/pending
, GliNT s'j,
f (fc "'"fX..,L
New Meters
f
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
by t" e Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
J LA- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;/ CJ"O..
t"'1VJ . /"30 .~
.
Inspector Amount paid
WHIT - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector. Bottom: City Hall
Site Address:
,
I
Inst lied By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. /7 77'
DATE ~ij~/,f?
.
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Ow L er/Business:
LiSR..
Phone:
Ow' er/Business Address:
Sq. Ft.
Residential
Heat KW
[ Baseboard 0 Furnace/Boiler
[ Heatpump 0 Other
[ Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
~ Overhead
o Underground
Voltage
010 03.0
Service size
~ Temporary
Amps
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Det'ilslDescription:
I
.
I
~
.
W.S. No. Service Size
Cap city: 0 O.K. 0 Not O.K. Comments
o Dltch inspection O.K. 0 Signed up for service/meter
, Rillugh-in/cover O.K. 0 Meter Department notified for installation
MV FOI..hKa'ltoo.CKO. nnect service 0 Fire Department notified of inspection
/ P --I 0 Plan Review approved/pending
Site :tddre~ 0 q R '€.., fAv Permit/Receipt No.
Inst Iler: '~~ ~'~ New Meters Da? ;Ii if?
Noti y the Dep'Brtment 01 City Light by Street Address and Permit Number when ready lor inspection. Work
mus not be covered or electrically energized before inspection and O.K. for covering or service has been given
by th Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
J t rJ.::2
'Amount paid
PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
Date
Hold for: 0 Easement 0 Letter
~v1
NO OCCUPANCY OR USE ESTABUSHED UNDER. THIS PER.MIT
Inspector
~~.] ~.:::~~: ,,~dress YELLOW - file by number
Address:
egent Street
:2 o
PREPARED 7/31/15, 9:31:37 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/31/15
------------------------------------------------------------------------------------------------
ADDRESS 2909 REGENT ST SUBDIV:
CONTRACTOR : PHONE
OWNER BRYANT MATHEW C PHONE
PARCEL 06-30-15-5-6-1100-0000-
APPL NUMBER: 15-00000865 RE-ROOF
------------------------------------------------------------------------------------------------
PERNIT: BNOP 00 BUILDING PERNIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------
1 7/31/15 BLDG FINAL
BL99 0 ------- ----July-31,-2015-9:16:16-AM--jlierly-------------------------------
457-0986
-------------------------- ---------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 15-00000865 Date 7/15/15
Application pin number . . . 857355
Property Address . . . . . . 2909 REGENT ST
ASSESSOR PARCEL NWBER: 06-36-15-5-6-1100-0000- REPORT SALES TAX
Application type description RE-ROOF
Subdivision Name . . . . . . on your state excise tax fonn
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . (Locatio
'Application valuation . . . . 2004 n Code 0502)
-------------------------------------------------------------------------
i� Application desc
RES tear off reroof
--------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BRYANT MATHEW C OWNER
2909 S REGENT ST
PORT ANGELES WA 983626948
--------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT NO PR FEE
Additional desc
Permit Fee . . . . 109.75 Plan Check Fee .00
Issue Date 7/15/15 -Valuation . . . . 2004
Expiration Date 1/11/16
Qty Unit Charge Per Extension
BASE FEE 95.75
1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00
--------------------------------------7-------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
-------------------------------------
Fee summary Charged Paid ' .Credited Due
----------------- ---------- ---------- ---------- ----------
---------------------------------------
Permit Fee Total 109.75 109.75 .00 .00
Plan Check Total .00 .00 .00 ..00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 114.25 114.25 .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 si pecified 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.
IL Ma��A-e t.L) r— fz (3 n aeCALIAZC&A-If
V
N, Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permli
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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Data Accepted By Comments
FOUNDATION:
Footings
Sternwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rounh-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists I Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor I 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#a SEPA:
Parking/Lighting ESA:
Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction-R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THE For City Use
C TY ORT �jGELES
I OF
P— A' Permit# Ir-
W A S H I N G T 0 N, U. S. Date Received: -7
321 E Sth Street Date Approved -7 — ts'-- 1
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:liermitsOcilyofpaus BUILDING PERMIT APPLICATION
-' q O'� S - Re J e,-1
Project Address: -4
61 1 Phone: -/1�-7 Q '7F6, 09 775- 03 70
Primary Contact: 'le Lf a/7 Email: 1y1a�-ta,1rJka^d
Name V Phone
Afeq
Property Maili Address Email
Owner
city State Zip
�60 12- a2a— 2FL(-
Name Phone
Contractor Address Email
Information city State Zip
rContractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Pr Ject Value: (materials and labor)
-
$ -2 0 C) -'/-
Residential ff Commercial 0 Industrial 11 Public 11
Permit Demolition 0 Fire 11 Repair 11 Reroof(tear off/lay over)
Classification For the following,fill out both pages of permit application:
(check New Construction 0 Exterior Remodel 1:1 Addition 1:1 Tenant Improvement El
appropriate) I Mechanical 11 Plumbing D Other 11
Fire Sprinkler System ProposedT—iffigation System Proposed or roposed Bat roposed Bedrooms
or Existing? Yes E3 No E3 1 Existing? Yes C3 No 0 -!!n!
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwaterp=�a.us
Project Description 77eq,�! 6�C-r- a ,,l r_1 A-et d a -f aQ&a�a-p
9 9
Is project in a Flood Zone: Yes 0 Noq Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
I have read and completed the 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 determine what permits are required and to
obtain permits prior to work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within x8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date 7//5
115 PrintName /A104-� 4eV (Spr�)i-Signat reJOWJ4� W—e�
Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions(SQ FT) Floor area Floor area $Value new area
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or 2,d floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Area Descriptions(SQ FT) Existing Proposed Construction For Office Use
Floor area Floor area $Value new area
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov lot size) Max Bldg Height
all structures sq ft
Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov--. lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler I Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
# Heating/Cooling appliance #
Boiler/Compressor—?� 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 I
Plumbing Fixtures
Indicate how many of each type of flxtu e to be Installed or relocated
Plumbing Traps # Water Heater #
Plumbing Vent piping # Medical gas piping #of Outlets:
Water Line # Fuel gas piping #of Outlets:
Sewer Line # Industrial waste pretreatment
I interceptor(Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx