HomeMy WebLinkAbout1107 S Pine St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
L 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001148 Date 10/12/11
Application pin number 192652
Property Address 1107 S PINE ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 4745 -0000- REPORT SALES TAX
Tenant nbr, name ERIKA VAN CALCAR
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name to the City of Port Angeles
Property Zoning (Location Code 0502)
Property Zoning R57 RESDNTL SINGLE FAMILY
Application valuation 4200
Application desc
WOOD- BURNING FIREPLACE INSERT
Owner Contractor
ERIKA JEAN VAN CALCAR EVERWARM INC
1107 S PINE ST 257151 HWY101
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461 -9945 (360) 452 -3366
Permit MECHANICAL PERMIT
Additional desc WOOD BURNING FIREPLACE INSERT
Permit pin number 194498
Permit Fee 60.65 Plan Check Fee .00
•Issue Date 10/12/11 Valuation 0
Expiration Date 4/09/12
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
6ri
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 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.
10/1.2/11 Er; KA. )c
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
ao
PLEASE PROVIDE A MINIMUM 24- HOUR NOTICE FOP 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 AN'' 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 Accepted by
AIR SEAL:
Walls
Ceiling
C>
FRAMING: J
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 1
Rou.h -In
Gas Line
Wood Stove Pellet Chimney V V v
Commercial Hood Ducts FINAL Date IJ'
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. PVV Engineering 417 4831
Fire 417 -4653 3
Planning 417 -4750
Building 417 -4815
0 N
H
M
H
I
I
w w
H
a
a q I
0 N
0 C
01
M 01
N
N 0
V d'
0
O o N
l0 01 7
M M 0
a I ro
x I u
W x
H
a• H ww
H q z z Z w m
w n ro o o t w
x w p x x H
UZ I O as CO o
H ri H Z
H h 0
0 w q
o x
H o H 0 a-
H H H E Q H w m
U U
Z Z H
w w l 0 w H N 0 Z
a w w o (.1 H w
cn v) 1 a z O o Sa
H H 0 0 O O N a-) O
H\ u -w u
w a cn H m
a a s f H ro
U 5 x
r� o a Ul 0 U •S-1
rr o u H O a E a w
O O H H
00 g
a U wx �a
H Hu a w a aa
o a z S IIQ� Z D
o w U z 00 U H W
0 z H7., O w H tx
IH H
em u) a a I oo
o inn
O O w G] N
H 0 I O H W x M 1 U) w
p' \0 H O w a M
M A 004100 0 0 0 0 H
H a£
E-. w O o
r x I a x x
O z 0
q H
w a I V) U 5 H
aa O V) az E a o
a w z 0 0 aaw H cn
w H l l g zzz a w P4 a m
0 40 H O U O a ,t a H
PROJECT STATUS UPDATE sciedu ed
Permit# 11 h8 HO' L 5 P i rye 5-i- (,t 13.1 d
Date: q/50
I phoned the: Applicant n /-1 ka Va h CGi I CGt, rat Lup i 619 LI5
Property Owner at
Contractor at
I (left a phone se, or discussed):
The permi (has expir-d, or will expire soon). What is the status of this project?
P '-.se call and schedule a final inspe ion.
9r
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
0 c0C
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 1 0. e:711
Permit ll— I14$
City of Port Angeles Please print in ink. Date Approved
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:
Lf Cdc4r 3loG `/6l 556/6
Property owner:
C4(4./ Phone: 3(00 %ed-
Property owner's mailing address:
5,44n 'PG /4 /es iJ 58 2
Contractor's business name: J v f 4 Phone:
(or property owner's name if he /she is doing /overseeing the work)
Contractor's mailing address:
Contractor's L &I license number: Expiration date:
Project Address: 110 So c
—X„( /41e k3 1$/4 y 3 6. 2�
Project Type: Residential id Commercial D Industrial D; 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: house garage other
tear off re -roof lay over one layer
Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re -side: house garage 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 projects 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 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) I
t- Lic,od bv(n�n ';r( -4,I CA ;,,se.( 7h-) -v ti-4 e2s,'64)h
Project Valuation a r).
I have read and completed this application and know it to be true and correct. l 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.
Date io /a Signature A)-
Print Name Ff;K.
Page 2 of 2
or
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application desc
REMOVE /REPLACE ELECTRIC WATER HEATER
ERIKA JEAN VAN CALCAR
1107 S PINE ST
PORT ANGELES
(360) 457 6828
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
T.Forms/Building Division/Building Permit
WA 98362
Permit PLUMBING PERMIT
Additional desc REPLACE A WATER HEATER
Permit pin number 168823
Permit Fee 57 00
Issue Date 7/13/10
Expiration Date 1/09/11
Qty Unit Charge Per
BASE FEE
1 00 7 0000 EA PL -WATER HEATER
2.97 .1 N 1 )61 k) SS
Date Print Name
10 00000697
172732
1107 S PINE ST
06 30 00 0 3 4745 0000
ERICA JEAN VANCALCAR
PLUMBING REPAIR
RS7 RESDNTL SINGLE FAMILY
1074
Charged Paid Credited
57 00 57 00 00
00 00 00
57 00 57 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 sa a to be true d correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. T e granting of ermit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the perfo ance of cc struction.
Contractor
Date 7/13/10
OLYMPIC PENINSULA PLUMBING
61 E ROBERT PL
SEQUIM
(360) 477 7408
M
Signatu of Co
Plan Check Fee
Valuation
WA 98382
00
0
Extension
50 00
7 00
Due
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
ockW
0
rt�lLtor 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
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
T /Building Division /Building Permit
0
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735 J
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
Inspection Type
Date Accepted By
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Comments
01' (2J
I FINAL Date Accepted by
Date Accepted By
I Cp
FINAL Date Accepted by
r
PREPARED 1/05/11 8 54 56 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/05/11
ADDRESS 1107 S PINE ST SUBDIV
TENANT NBR ERICA JEAN VANCALCAR
CONTRACTOR OLYMPIC PENINSULA PLUMBING PHONE (360) 477 7408
OWNER ERIKA JEAN VAN CALCAR PHONE (360) 457 6828
PARCEL 06 30 00 0 3 4745 0000
APPL NUMBER 10 00000697 PLUMBING PERMIT
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL99 01 1/05/11 JLL PLUMBING FINAL TIME O1 00
December 29 2010 8 11 28 AM 1pangrle
ERICA 461 9945
PLUMBING FINAL WATER HEATER
AFTERNOON
6VPZ
COMMENTS AND NOTES
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
eo_11 Sure Kg+.5Ki (sp `I 25 (36 708/
Applicant Carol Randall tohtle i is nri vo�crcii -ict, Phone
Property Owner VAN CALCAR, ERIKA Phone
Property Owner's Address 1107 S PINE ST PORT ANGELES
Contractor Olympic Peninsula rlumom9 M,5ubc- &iL1vrte140 irk amuina,WO Phone
Contractor's Address 12601 132ND AVE NE KIRKLAND. WA 98034
License OLYMPPP900B7 Expires 01/27/12 E mail
PROJECT ADDRESS 1107 S PINE ST
Parcel Number 59573
Floor Areas Existinc sc ft.) Pmoosed (sg. ft.)
Basement
1 Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
Lot
495885
For City Use Only
Date Received '1 1 O
Permit #1
Date Approved
425 -636 -7054
(360)457 -6828
WA 9836:
425 636 -7054
carolr@fastwaterheater corn
Zoning
Proiect Type Brief Description: vXResidential o Multi- family a Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
o Repair
Demolition
Re -roof House n garage other o tear off re -roof a lay over one layer
o Heat System Heat pump o wood burning stove gas fireplace pellet stove other
yt Other Replace ttemove /tceplace tiectric water Heater
per sq. ft.
TOTAL VALUATION t 6/11, °O
Total footprint of structures sq. ft. 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
of bedrooms
of full baths
of half baths
t 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 if is my responsibility to determine what permits are required, and to obtain permits prior to working on projects.
6/30/10 Carol Randall
Date Print Name Signature
T:Forms /Building Division/Bldg Permit.doc
Fill in the specific quantity of each item that will be installed or relocated at your building project.
Submit this form with the Building Permit Application.
OUANTITY
1
MECHANICAL SUBMITTAL FORM
DESCRIPTION
Furnace 5 Ton, 100,000 Btu/h (29.3 kW)
Furnace 5 Ton, 100,000 Btu/h (29.3 kW)
Floor Furnace
Heater (suspended, recessed wall, floor mounted)
Boiler, compressor, absorption system.
3 hp, 100,000 Btu/h (29.3kW)
3 hp 15 hp (2.24 11 19 kW) 100,000 500,000 Btu/h (29 3 146 48 kW)
15 hp 30 hp (11 19 22.37 kW) 500,000 1,000,000 Btu/h (146 48 292.95 kW)
30 hp 50 hp (22.37 37.3 kW) 1,000,000 1,750,000 Btu/h (292.95 512.66 kW)
>50 hp (37.3 kW) 1,750,000 Btu/h (512.66 kW)
Air handler 10,000 cfm (4 72m
Air handler 10,000 cfm (4 72m
Evaporative cooler (attached, not portable)
Ventilation fan connected to a single duct
Ventilation system (not part of a heating or air conditiomng system)
Hood served by mechanical exhaust, including ducts
Incinerator commercial or industrial
Incinerator domestic -type
Solid -fuel burning appliance
Fuel gas piping, one to five outlets
Fuel gas piping, each additional outlet over five
Hazardous process piping system, one to four outlets
Hazardous process piping system, each additional outlet over four
Nonhazardous process piping system, one to four outlets
Nonhazardous process piping system, each additional outlet over four
Miscellaneous appliance vent or equipment (not otherwise listed on this form)
Specify how many repairs, alterations, or additions (not otherwise listed on this form) will
be done regarding heating appliances, refrigeration units, cooling units, evaporative
cooling systems, absorption units, or other mechanical appliances, including installation of
controls, at this building project.
January 20, 2010
ATTN Building Department
To Whom It May Concern.
This letter hereby authonzes Carol M W Randall to sign for any and all building permits
and licenses required by our Company
Nricerel:/
Daniel Bauguess
Olympic Peninsula Plumbing
State of Washington
County of -c-.-2 CSC r
Signed before me on f lo,\-/
I
BY DO, n I (cat)
Printed Name of Notary
v o XM 4 O i
NOTA.
C6 s Exp 10/
7:A 29 /20 13
A
BLIG p
O
i��� W A IS N
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONTR PLUMBING
MGISr ft. EX' DATE
CCAP QI:N4R1P in
EFFECTIVE WCFP 1/27/201
OLYMPIC PENINSULA PLUMBING
61 E ROBERT PLACE
SEQUIM WA 98382
DcLich And Display Cernliu,ile
Clallam County Assessor Treasurer Property Details 59573 ERIKA JEAN VANCA. Page 1 of 5
Clallam County Assessor Treasurer
Property Search Results 59573 ERIKA JEAN VANCALCAR 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.
[2010 42466
2010 42466
2010 42466
2010 42466
2010 42466
12010 42466
12010 42466
12010 42466
1 2010 42466
2010 42466
2009 595732008
2009 595732008
12009 595732008
2009 595732008
2009 595732008
2009 595732008
12009 595732008
1 2009 595732008
59573
0630000347450000
Real
0010 PA 121 PORT ST CNTY H2 L Land Use Code
N DFL
N Remodel Property
N
1107 S PINE ST
PORT ANGELES WA
Cycle 5 Res
10955130
ERIKA JEAN VANCALCAR
1107 SOUTH PINE STREET
PORT ANGELES WA 98362
Taxes and Assessment Due
Property Tax Information as of 07/06/2010
Amount Due if Paid on.
Legal Description.
Agent Code
Section
Mapsco
Map ID
Owner ID
Ownership
Exemptions.
Year Statement ID Taxing Jurisdiction
ST SCH STATE SCHOOL
CC -GEN COUNTY
PORT PORT
PORT ANG PORT ANGELES_
SD #121 SCHOOL DISTRICT #121
NTH OLY LIB NORTH OLYMPIC LIBRARY
HOSP #2 HOSPITAL #2
WSMET PK DIST WILLIAM SHORE MET PARK DIST
CITY_STORMWATER CITY STORMWATER
WEED CON
ONTROL WEED CONTROL
11
N
N
2010 42466 TOTAL.
ST SCH STATE SCHOOL
CC-GEN COUNTY
PORT
PORT ANG PORT ANGELES
SD #121 SCHOOL DISTRICT #121
NTH OLY LIB NORTH OLYMPIC LIBRARY $32.79
HOSP #2 HOSPITAL #2
CITY STORMWATER CITY STORMWATER
LOT 10 BL 347
57450
100 0000000000%
First Half Second Half
Base Due Base Due Penalty Interest Base
$194 40 $194 39 $0 00 $0 00 $19.
$103 45 $_103 46 $000 $0 00 $1C
$14 54 $14 54 $0 00 $0 00 $1
$239 52 $239 52 $0 00 $0 00 $2C
$251 79 $251 80 $0 00 $0 00 $2t
$30 06 $30 06 $0 00 $0 00 $C
$42.44 $42.44 $0 00 $0 00 $4
$13 50 $13 51 $0 00 $0 00 $1
$36 00 $36 00 $0 00 $0 00 $C
$0 82 $0 81 $0 00 $0 00 9
$926.52 $926.53 $0.00 $0.00 $92
$222.96 $222 97 $0 00 $0 00 _$44
$112.84 $112.85 $000 $0 00 $22
$15 98 $15 99 $0 00 $0 00 $C
$247 50 $247 51 $0 00 $0 00 $4£
$275 73 $275.73 $0 00 mm $0 00 $5t
$32.78 $0 00 $0 00 $E
$46.28 $46.27 $0 00 $0 00 $9
$36 00 $36 00 $0 00 $0 00 _$7
http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =59573 7/6/2010