HomeMy WebLinkAbout330 Whidby Ave - Building CITY OF PORT ANGELES
e�i` DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000840 Date 7/05/12
Application pin number 516600
Property Address
ASSESSOR PARCEL NUMBER: 06- 30x10 -5- 0-0832 -0000- R EPORT SALES TAX
Application type description PLUMBING PERMIT on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
r Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 600
Application desc
REPLACE WATERM MAIN
Owner Contractor
PROVENZANO, RUTH A. OWNER
PO BOX 3074
PORT ANGELES WA 98362
(360) 457 -0393
Permit PLUMBING PERMIT
Additional desc REPLACE WATER MAIN
Permit Fee 57.00 Plan Check Fee .00 N 1
Issue Date 7/05/12 Valuation 0
Expiration Date 1/01/13
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.0000 EA PL -WATER LINE 7.00
Fee summary Charged Paid Credited Due
Permit Fee Total 57.00 57.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.00 57.00 .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 has commenced, or if required inspections have not been requested within 180 days from the
last inspection. l 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.
5 R 0- th A (+ov e. i r 7--, ro 1, a �.�rn c-� 0
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FormslBuiiding Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 4,
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backfiow Prevention Inspections 417 4886 e
ti R
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 FINAL Date' I P 1 Accepted b yli/{
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:
Parking Lighting ESA:
Landscaping SHORELINE:
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 �Q
Planning 417-4750
Building 417 -4815
T /Ruilriinn rlivisinn /Ruilrlinn Permit
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THE OR l &NGELES
1T'Y t�F For City Use
Permit 340
W A S H I N G T O N U.S. W wo
Date Received: 1. 6 N a>
321 East 5th Street o z
Port Angeles, WA 98362 Date Approved: S' 1 C s
P: 360 417 -4817 F: 360 417 -4711 -l'��° m
hcatuzo @cityofpa.us
CC
Building Permit Application
Project Address:
'330 W4uc
Main Contact: Phone
5-F-e ve j o now 3(.00- Co 1-0-/3 17
Property Name Phone
Owner pUf)„ A Pr vv Z..61\q.0 q57. O373
Mailing Address Email
D 160 3 07
Cit State Zip
Pc -1" P n ce.IP tc) 8 too.
Contractor Name Phone
Mailing Address Email
City State Zip
Contractor License Expiration:
Project Value: Zoning: Tax Parcel Lot
6 O(, /0 00832
Type of Residential Commercial Industrial Public
Permit Demolition Fire Repair Reroof (tear off /lay over)
For the following, fill out both pages of permit application:
New Construction Remodel Addition Tenant Improvement
Mechanical Plumbing Other
Existing Fire Sp inkier System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes No N 0.‘
Project iii Repta.E WOl -ems Arta J
Description
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 working on projects. I understand the plan review fee is not refundable after review has
occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before
plan review has occurred. 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
1 P R 1 r e w 7-i rr0 e Q_ 022 r co
Residential Structures
Area Description (SQ FT) Existing Proposed Minimum For Office Use
value
Basement
First Floor
Second Floor
Covered Deck /Porch /Entry
Deck
Garage
Carport
Other (describe
Area T I s
Commercial Structures
Area Description (SQ FT) Existing Proposed Minimum For Offi e
value
Structure (s)
Addition
Tenant Improvement
Other (describe)
Area Totals
Lot /Site Coverage Calculations
Footprint (SQ FT) I Structures: Lot Size: Lot Coverage
SQ F e coverage (all impervious Site Coverage
uctures)
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 Ou
Appliance Vent Heater (Suspended, Floo e I wall)
Boiler /Compressor Size: Cooling appliance
re lair 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
Furna eat Pump/ Size: Ventilation System
ced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps Fuel gas piping of Outlets:
Water Heater Medical gas piping of Outlets:
Water Line V Vent piping
Sewer Line Industrial waste pretreatment
interceptor
Other (describe):
Clallam County Assessor Treasurer Property Details 64935 RUTH A PROVENZA... Page 1 of 1
Clallam County Assessor Treasurer
Property Search Results 64935 RUTH A PROVENZANO for Year 2011 2012
Property
Account
Property ID: 64935 Legal Description: PUGET SOUND CO-
OP COLONY 2 ADD
LOT 6 BL 8 SURVEY
V25 P98
Geographic ID: 0630105008320000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel N
Multi Family Redevelopment: N
Township: Section:
Range:
Location
Address: 330 E WHIDBY AVE Mapsco:
PORT ANGELES, WA 98362
Neighborhood: PA East Res Map ID: 2
Neighborhood CD: 5001000
Owner
Name: RUTH A PROVENZANO Owner ID: 47260
Mailing Address: P O BOX 3074 Ownership: 100.0000000000%
PORT ANGELES, WA 98362
Exemptions:
Taxes and Assessment Details
Values
Taxing Jurisdiction
[Improvement Building
[Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Payout Agreement
Website version: 9.0.32.2200 Database last updated on: 7/5/2012 3:47 2012 True Automation, Inc. All Rights
AM Reserved. Privacy Notice
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year 2011 &prop_id =64935 7/5/2012
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'!
17311
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Port Angeles, Washlngtonum.....!.um.u.._m_.__n__.__.m.mmmmmd__.,
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In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trkal equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted ~t!,> do ele,ctrical work as listed below.
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Wiring Contractor mmm_u~"-_:~:(!::?.1:!:?:::k.m.mu.nnnn_.n____ By._uuuuun..dmn____u__mmmnnunuuum__u..muu
:l
Light Outlets....n.._n....................__........
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Rel'eptacle Outlets......._.n_m..___m_.......
Service, volts mnnm_._m......._...............
Type of Wiring:
No. wires nnn..nn_n.......nn_h..........
Armored Cable ..nnnn......_____.n__n_.
D~ ':r, KW _....h._n_..__..h.hn_nhnh..n....
Size wiresn......__m.__.n._mmm_.m__.
Non-Metallic .__....________.............._.__
Knob & Tube___...........n._n__...._....._
Rigid Ccmdult .............................._
Metallic Tubing h.........m___...._.....
Rallge, KW __.0000__.______.__.___.....
Main fuse ....._..nn__.n_.mnm_mn......
Water Heater:
Enclosure n...__nm...._.
He;
~:~;.-.~~:~;:~;.~.-~~~.-.~!:/~~~~::.-.~::
Type of wiring:
Entrance Cable ...m__._..
Raceway .........__.._..___............___._
Circuits, LighLmm_..._____........._........_....
Utility.............................................
M( ors: size, volts and phase:
Rigid Conduit .........00.
Metallic TUbing m_...._
Current transformers:
No. & Size_n_m_m_m_..._nmm
Heat
Ser. NO._...n.n..................h.__.............
Range ..................._.._.._______.............
Water Heater ......mm._.___.............
Motor ..._..._n__.._________.............._......
Ser. NO..nn__....................._.........._.n...
Drycr..__._......_...___________............._..___.._
Ser, ~O...nn..................__n._......__._.....
F urnace _____..__..___h..........~__..____...........
Total Load
Ser. r.; o. ___n_nn.nn_..h.......h...n__.hh._.
Total ....nn_.n__n___.nn...............
RE narks:
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PE -mit Fee
Treas. Receipt
NO"m____________________m.
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NOTICE-Current must not be turned on until Certificate of Inspection has been jssued. If work Is to be con-
cea ed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
17311
Address....._......._._.._____________...___.__________......_.....____.._......._.........__..........__......__...__..___.........._______._.Date_.._......_____....._.................._._._______...._
Owner
...._ TenanL.....hn..nnnn..._nnn__.n.nnn___nn..nn__nnn..n_
Wiring Contractor hnnn_.n_._.n..........n_....._n_.n..n.nnnn_...nn.n.h..nn....n___...._n___.__n_.nnnn_____....... By....nnnnhh....nnnn____hn_.....___.__....n____n..
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. If 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.