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HomeMy WebLinkAbout628 Victoria St - BuildingBuilding Permit 628 Victoria St 13 -091 Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 13- 00000091 Application pin number 220667 Property Address 628 VICTORIA ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1- 3510 -0000- Application type description RES REPAIR Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 4500 Application desc INSTALL FOUNDATION ANCHORAGE Owner ANGELICA OVIEDO 628 VICTORIA ST PORT ANGELES Qty Unit Charge Per Other Fees Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand Total Print Name T:Forms /Building Division /Building Permit WA 983623326 137.75 89.54 4:50 231.79 137.75 89.54 4.50 231.79 Contractor Permit BUILDING PERMIT RESIDENTIAL Additional desc FOUNDATION ANCHORAGE Permit Fee 137.75 Issue Date 2/12/13 Expiration Date 8/11/13 BASE FEE 3.00 14.0000 THOU BL- 2001 -25K (14 PER K) Paid Credited .00 .00 .00 .00 Date 2/12/13 EARTH TECH CONSTRUCTION 505 FRESHWATER BAY RD PORT ANGELES WA 98363 (360) 670 -8811 Plan Check Fee 89.54 Valuation 4500 Due Extension 95.75 42.00 STATE SURCHARGE 4.50 .00 .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. I hereby certify that I have read and examined this application and know he°same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether speoifi d herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or p4.law regulating construction or the performance of construction. REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Signature of Contrester- or"Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: FINAL Date Accepted by 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: FINAL Date Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL REQUIRED PRIOR TO OCCUPANCY USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417-4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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. T:Forms /Building Division /Building Permit Project Address: LQ ZS Main Contact:: P Phone Property N Name P Mailing Addre §s E City S State Z Zip Contractor N Mailing Address E Emai Cit �Q S State Z Zip 7 Contractor License E Project Value: e2z Z Zoning: T Tax Parcel L Lot Type of R Residential I:. Commercial Industrial Public 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 Sprinkler System? M Maximum height of structure P Proposed Bedrooms P Proposed Bathrooms Project 1 L-61-1\ v N 1 1 .r -e- i I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. 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 P Print Name S Signature U.S. 321 East 5h Street Port Angeles, WA 98362 P: 360- 417 -4817 F: 360- 417 -4711 permits @cityofpa.us Building Permit Application Permit# For City Use Date Received: 3 Date Approved o 9/ Residential Structures Area Description (SQ FT) Existing Proposed value For Office Use Basement Medical gas piping of Outlets: Water Line First Floor Vent piping Sewer Line Second Floor. Other (describe): Covered Deck /Porch /Entry Deck Garage Carport Other (describe) Area Totals Commercial Structures Area Descriptions (SQ FT) Existing Proposed Value For Office Use Existing Structure (s) Medical gas piping of Outlets: Water Line Proposed Addition Vent piping Sewer Line Tenant Improvement? Other (describe): Other work (describe) Area Totals 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 Vent piping Sewer Line Industrial waste pretreatment interceptor Other (describe): Lot/Site Coverage Calculations Footprint (SQ FT) of all Structures: Lot Size: Lot Coverage SQ FT Site coverage (all impervious structures) Site Coverage Indicate how many of each type of fixture to Air Handier Appliance Vt Boiler /Compressor Fuel Gas Piping Furnace /Heat Pump/ Forced Air Unit Size: Size: Evaporative Cooler (attached, not portable) Size: Mechanical Fixtures be installed or relocated as part of this project. of Outlets: Haz /Non -Haz Piping Heater (Suspended Floor, Recessed wall) Heating /Cooling appliance repair /alteration Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. 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REQ COMM: Jason 670-8811 RES COMM: February 14, 2013 120720 PM pbarthol. PAGE 1 RESULT DATE/STATUS INSPECTOR PB CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street — F.O. Box 1150 / Fort Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: -3 `/ Ki & 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: A V tC 7-b o Building Square Footage: Desc#tlon of above DV cT`2_G�1 Owner Information Name: t N G Mailing Address: City: Slate: Zip: Phone: Y V7- 4F-YY9 _ e. q 1,2 t !( N� License 41 Exp. Item Unit Charge ServicelFeeder.200 Amp, $120.00 ServicelFeeder 201.400 Amp. $146.00 Service /Feeder 401 -600 Amp $ 205.00 ServicelFeedor 601 -1000 Amp. $ 262.00 ServicelFeeder over 1000 Amp, $ 373.00 Branch Circuit Wl Service Feeder $ 5.00 Branch Circuit W!0 Service Feeder $ 63.00 Each Additional Branch Circuit $ 5,00 Branch Circuits 14 $ 75.00 Temp, SerVicel Feeder 200 Amp, $ 93,00 Temp, ServfcelFeeder 201.404 Amp, $110,00 Temp. ServicelFeeder401.600 Amp. $149.00 Temp, ServicelFeeder 601 -1000 Amp. $168.00 Portal to Portal Hourly $ 96.00 Signal Circuit/ Limited Energy - 1 & 2 Family Dwelling $ 64.00 Manufactured Home Connection $120.00 Renewable Electrical Energy -5KVA System or Less $102.00 Thermostat $ 56.00 Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 Each Additional 500 Square Ft. or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110.00 Contract fRr ation Name: cU Mailing Address: City: Slate: zip: Phone: Fax: License # f Exp. z—z- Qty Total (Qtv Multiplied by Unit Charge) $ $ $ $ $ $ $ $ Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized, (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making the electrical installation or alter tlon in compliance with the electrical laws, N.E,C,, RCW. Chapter 19.28, WAC. Chapter 298 -46B, The City of Part Angeles Munici al Co , a d tility Specifications and PAMC 14.05.050 regarding Electrical Permf Applications, Signature ner eEe r' l contractor or electrical administrator: ❑ Cash Check ❑ Credit Card f# X Dated: 0110112012 1 Application Number . , . . . Application pin number . , . Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name , . . , , Property Use . . . . , . . , ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 14- 00001192 Date 10/06/14 921832 626 VICTORIA ST 06-30-00-5-1- 3510 -0000- ELECTRICAL ONLY Application valuation . . . . 0 Application desc Ductless heat. pump Owner Contractor RESULTS: RICHARD E CLARK DITCH BLACK DIAMOND ELECTRICAL CONTR 628 VICTORIA ST 502 BLACK DIAMOND RD SERVICE PORT ANGELES WA 983623326 PORT ANGELES WA 98363 ROUGH -IN (360) 565 -1035 Permit , . , , . , ELECTRICAL ALTER RESIDENTIAL Additional desc . COMMENTS: Permit Fee 63.00 Plan Check Fee 00 Issue Date 10/06/14 Valuation . . . . 4 Expiration Date 4/04/15 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited ' Due Permit Fee Total 63,00 63,00 QO 00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 ,00 REPORT SALES TAX on your excise tax form to the City of Port Angeles INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN /D 11 FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING