HomeMy WebLinkAbout302 W 11th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
7
Signature of Contractor or Authorized Agent
T \Policies \1102_15 huilding pen, it inspection recoul05 wpd [1/4/20051
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
07 00000853
044949
302 W 11TH ST
06 30 00 0 3 4600 0000
NICOLE HODSON
PLUMBING REPAIR
RS7 RESDNTL SINGLE FAMILY
500
Contractor
JAMIE,/ NICOLE HODSON SANFORD IRRIGATION
302 W 11TH ST PO BOX 2246
PORT ANGELES WA 983627605 SEQUIM WA 98382
(360) 452 9995 (360) 683 9807
Permit PLUMBING PERMIT
Additional desc DOUBLE CHECK BCKFLW
Permit pin number 107482
Permit Fee 57 00 Plan Check Fee 00
Issue Date 7/19/07 Valuation 0
Expiration Date 1/15/08
Qty Unit Charge Per
BASE FEE
1 00 7 0000 ECH PL- EA LAWN BACKFLOW
Fee summary Charged Paid Credited
7//
Date
Date 7/19/07
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
Extension
50 00
7 00
\)a)A sfexAel cfp-
RalsrY) 1 4 \-OL:
Signature of Owner (if owner is builder)
J; /A- r
Date
0
03
V r
Separate Permits are required forelectrical 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
fora period of 180 days after the work as 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 A=
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 L,'_
construction.
al/4 C -6(jr."7
Initial
Test
Repairs
Details
COMMENTS
Cleaned
Leaked
Held at 2° /psi
Replaced
A/ PL ref rep
Initial
Test x P' v "t
Leaked 0
Closed Tight
Held at 2 `t psi
Backflow Assembly Test Report
City of Port Angeles
Public Works and Utilities Department
Water/Wastewater Collection Division
NAME OF PREMISES 1 M /6 A /f/ L r ,z- /7 .),//f/
SERVICE ADDRESS 3 ,2 )4/ C
LOCATION OF DEVICE. IN /A r' e v I /c' n !4J 6 Ai", o f 1-71 G i'
ASSEMBLY r cecz k .j r'1 9/ r Pi& e? 2/
Manufacturer Model Size Serial No
IS THIS AN APPROVED ASSEMBLY? YES @4O 0 IS ASSEMBLY INSTALLED CORRECTLY'' YES O-IVO 0
DATE OF INSTALLATION 561'7' UNKNOWNO
REDUCED PRESSURE PRINCIPLE ASSEMBLY
DOUBLE CHECK VALVE ASSEMBLY
CHECK VALVE #1 CHECK VALVE #2
Cleaned Cleaned
Replaced Replaced
RELIEF VALVE
Did Not Open
Opened at psi
3 psi Buffer YES NO
Final Closed Tight
Test Held at Ypsi Held at psi Opened at psi
AIR GAP INSPECTION
REQUIRED MINIMUM SEPARATION YES NO
TYPE OF HAZARD
Line Pressure
WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY
Replaced
4' psi
Official Use Only
Assem.#
Received
RP RPDA
DC DCDA
PVB Air Gap
SVB AVB
PVB /SVB
AIR INLET
Did Not Open
Opened at psi
CHECK VALVE
Leaked Held at psi
REPAIRS
Cleaned
AIR INLET Opened at psi
CHECK VALVE Held at psi
BACK PRESSURE NO YES
Held Backpressure YES
#2 Shutoff Held YES 4.---NO
Relief Valve Exercised YES NO
Date Tester Signature Cert. Test Kit Passed Failed
)1 t 'irz. Z< Ij 1 07 y1 w /p g 4 S a-
Repairs
Test l� a �L Cl� ur'+, �"rs2/ `1� 11 4/1 1 �N e5 7 12.-
Final
V
Application Number 07 00000853
Application pin number 044949
Property Address 302 W 11TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 4600 0000
Tenant nbr name NICOLE HODSON
Application type description PLUMBING REPAIR
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 500
Owner Contractor
JAMIE NICOLE HODSON SANFORD IRRIGATION
302 W 11TH ST PO BOX 2246
PORT ANGELES WA 983627605 SEQUIM
(360) 452 9995 (360) 683 9807
Permit PLUMBING PERMIT
Additional desc DOUBLE CHECK BCKFLW
Permit pin number 107482
Permit Fee 57 00 Plan Check Fee 00
Issue Date 7/19/07 Valuation 0
Expiration Date 1/15/08
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 0000 ECH PL- EA LAWN BACKFLOW 7 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
Charged Paid Credited
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 as 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. C o
7 %O 7
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Date 7/19/07
WA 98382
Due
57 00 57 00 00 00
00 00 00 00
57 00 57 00 00 00
r
00
0
N
a
s
FOUNDATION;
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
(BACK FLOW ✓ATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP /FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING &HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I
I BUILDING 417 -4815 I
T\Policies11102 15 building permit inspection record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORE BEFORE
INSPECTED AND ACCEPTED POST PERMIT IN 4 CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE 1 ACCEPTED I COMMENTS
YES I NO
FINAL 2 12 --01 DATE RP ACCEPTED BY,
FINAL
SEPA.
ESA.
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
DATE ACCEPTED BY.
DATE
ACCEPTED
YES I NO
I I 1
I I
I I I I
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
7- a.v, COtW
Applicant or Agent: Ca ford ,L._ v gi et?‘ 1 C Phone: 0 (I' 3 f�0 7
Owner
Address: City Zip
Architect/Engmeer Phone:
Contractor�c� fa oa(' :Cy r G a I oti Ali c e License i ,4 /JFOZ /L F Exp 6 O8 Phone: 3(o- C83-9»
Address: l City Zip
PROJECT ADDRESS a 2 a/. 1 T
LEGAL DESCRIPTION Lot: Block.
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
Residential New Constr
Multi- family Addition
Commercial Remodel
Repair Sign
BRIEF DESSCRIPTIO OF THE PROJECT
r...12 d rry f
COMMERCIAL/RESIDENTIAL. Occupancy Group
No of Stories: Lot Size: Existing Sq Ft.
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checkhst required? Yes No Other
BUILDING PERMIT APPLICATION
FOR OFFICIAL USE ONLY
Date Rec. 7 1
Pennii t`1 S53
Date Approved: 7-
Date Issued. l
CdI-e 1
rl'o0tSOh Phone. 3C0 9QPu�`
Re -roof Stove
Mover: Garage
Demolition Deck
ther
S ZONING
STZE/VALUATION
SF /SF
SF /SF
SF /SF
jOTALL VALUATION SOO OO
i h S 1 Po 14/1' C -PG4 ft S f-Qni Air f�ov
_C st -9I,
Subdivision.
Occupant Load.
Proposed Sq Ft.
Construction Type.
TOTAL Sq Ft.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordmator at 417 -4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit apphcatlon and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of apphcation, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same 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 not the City's, and that I
must obtain such permits prior to work.
TAFORMS\B1dgPermitfotm.wpd Applicant: 6r6r014/1
Date: /o 7
APPROVALS
PLAN
BLDG
DPWU
FIRE
OTHER
I
I '
11
~~),
PERMiT NO:
BUILDING PERMIT'
OWNER/APpLicANT
JOSEPH SONNENFELD
302W.11THST
Port Angeles, WA 98362
360/417-0227
T:
QITY OF PORT'ANGELES .
PUBPCWORKS -.Bun.PING DMSION
321EAST:STH STREEF;.~OltT~GELES, W A 98362
oct, ,. ~_ "~,-'~-\_'7'~:.'~\'.~1_~,,';.-:_,: i".....'
~ 1"
ISSUED: 11{~~!2001
PROPERTY::l:ZOCAfION
302u, 11TH ,S! W
L()!: 1,2
BIQPk:, 346
SubcJJvjsio~: TPA
Parcel No: 063000034600000
ARCHITECT
N/A
, 98360-0000
36()j()()O.ooOO
'SFD Units:
SFD sa FT:
" MFD Units:
tv1FD sa FT:
o
o
"'~
,
~
ti"
G
CqNTRA~,!QR,
GREAT NORTHWEST ENTERPRISE$
PO BOX 2963
Port Angeles, WA 98362
206/452-9518
PROJECT INFO
Project Value: " $3,980.00
Project Type: REROOF
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use: RS7
Commercial:
Industrial:
Garage:
PROJECT NOTES
TEAROFF 1 FELT 1 COMP
',', ",,~t;Gf;,IPT.tI Q,237
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge: '
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$97.25
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Misc Fee 1: '
Misc Fee 2:
Mise Fee 3:
~
~
\):,
~
$0.00 '
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
$101.75
$101.75
"',$0.00 '
Separate Permits are required for electrical Work, SEPA,SnQrelirie;' ESA, utilities, private and public ilTlpro~r,nel1ts~ Thls,permlt becomes
null ap.~ yolcl,lfworl< or cqll~tructioll autho.ri:ZEtd ,~n9! 9'lmm~n~ within1~0 days, if C()nsb'uction' orwo,*'lssusp!~~.or aballdQl18d
for a Period of 180 days after the work as commenCed,or'ifrequlredlnsPttCtlOns have not been re4~~~tea:~!1l.1a{t"if'Ys fronUh'$' IUt
lnsp!ction. I hereby certify that I have read and eXamined this application~ndknowthe sameJo6f:l ~~~Il~ct>~.A11 provisions of
laws ana ordinances govemirigthis]ype of work 'Ifill be'cotnplledWith whethfar' specified herein or not:'~;g~~~nQfQfa j)E!rrn1t ~oes not
presume to give authoritY to violate or cancel ttie provisions of any state. or local law regulating constnialoh' or the per:tormance of
~~. '
ctor cifAulhorlzed ~.rrt L {J ~ ~J",,$~.~~.;(~~r~~ild.r\.
BUUJ}ING'PEltMrl.INSPECTION RECORD
i':;~-'
~i:;:r'/ .';.' '/. _ M y~ _ ~
CALL 417-4815 FOR BUILDn~'(J IN~rgoTt()NS.PE~SE,'~;Rt>VIDE A MlNlMUM24 1:i9UR ~PTICE. IT is UNLAWFULi~~~ER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS ~ATlON.
..".;c - ~":::^,i,,;:::.:'_~"~ : ~;rl"': '^",,: ",. _.' _L ~,::::--:-.~,:,::,,,;;~::->.:..~....;.~, :~:':.--:. .": /.:':'::;';;'. - --:;r:; :":;:;:~. ',' ;~J~~;~ :,; -"'~~'':'',1t:.;:;'_'_o!<~~~,~'.<~:i'_:'':';:...,~'.1:;~ ,..,,~ .
.i ~EP PERM\r9~RD ANQ Ar~~OVED PLANS AT JOB SITEI':S'
'. .._.....~, '.. ":i<-
INSPECTION TYPE 'Ii? I" ,'/'.,DAm \ ~ACCEPTED '. , '. COMMENTS ..' '~;4i'\:< ..,c....,
.. >}_1..:i-,~:;-_~'
"
'I' .d YES NO ." - "" i'
" '. j':, ' ; "'-, ,~,.' .' .c
FOVNDATION: . '. ,
FOOTINGS ,h ~ , " .',
WALLS , , .\~ : " ,', ~7t
FOUNDATION DRAINAGE " " '. '.'c"" \,;" ,j , , -
ELECTRlC~. (LIGHT DEP11 SEPARATE PERMIT: # '.
. ,.~, " - ".., ,....- .-....,-_...,--
ROUGH-IN I .....A .' "; k i' , \ ".t
PLVMIIING '.' 'o', r::; . ,';
,
UNDER FLOOR I SLAB
ROUGH-m '" C',,;)( ,i '(,
WATER. LINE '.
.,'
GAS bINE' , j';r '., .
, ;
BACK FLOW I WATER , " ,
,:."".' " ~ ,. '.. "',', ,,'.,.
AIRSEM .
WALLS .' ; ,,~, d- . ,
CEILING .' '. . ;.~ ',' I . .. i<>'i '.
FRAMING , , . ,,-
JOISTS I 91RDERS
SHEAR WALL , ,
WALLS JRooF I CEILING , ,. . ,,-
I; DRYWALL
.' T-BAR '. .."
INSULATION ,
.
SLAB '. I
WALL I FLOOR I CEILING I I .,:> : 'i' ';'
MECHA!'JIC.(L' ,', ;
HEAT PUMP :' ..'
WooDSTOYE I PELLET/CHIMNEY I INSERT .' n'
HooDIDUCTS ','.; .' '. .<
, ..
UTlLmES I SITE WORK :.' itEn~ne,cririgDivl~ion) SEPARATE PERMn' #"s: : ,.
PW ".f'
W A TERUNE I METER "".,~,...."., ", .
'~.', SEWER CONNECTION ; , " ,
, SANITARY .:'. ...'" <i'"e', ;!
. " ,..,. .; "
STORM ,'. " :""".,~ '0 "',""i.., , '. t,'
PLANNING DEPT. SEPJ\MTEPERMIT #'s . (-" ,"c' SEPA:
PARKINGILIGHTING ESA:
LANDSCAPiNG " SHORELINE: , ....
.
.... . FlNAL'INSPECTIONS REQUIRED PRIOR TO OCCUPANCY~SE ' .' .' '. .', ,;
. ii'; RESIDENTIM- ',.dc'" ;.;"Q^:r.t::ii'.: " YES,': ;NO;:j; .\C~M!\u;~~W- '~-' o,~tE:i' :! ..(',^~,t
-, ; '"
" . .,.~;,'''-,i:,',-. 'c' Alc .. . "::,;, ,.>" 1'0;. ,?i)'; t; (F',! ; 'j' : ->; t);;iI'l.r~o: .it.,; ;"l,,)p."Ji: J }>i:tt: ~,; ,:)11(1\." ',IY!s;)11 ;'NO
ELEcnuc~l'.:riGHT bfu. jf ,.,.(; }'.,";':$,: L'i .... . :' ., . ,,*c,' 'aocnuclt?'lf;~ ::"."'li h ?{';i ,~:;~ I', ...~,'1; ;:"t
4174735
. '.,.~" I~~~'::t~. '>- if; '. " ;,'y" A"',;';/i i'~),.. i(. ",.,', ",.., tLlGHJl:DEP1Vj,,(! ii,. '. .,' "'." ;',f';>) I'; -
CONsJ:ftnd# iw)}wl ,J ,f i" :c';': ';' ',..; " , " cONStRUcnON'!}lw:i',; ..-'i:" . "~i; ,"" ,'N!;:~~ i
'417~807 I.! "'ie' , .i " ,(;..y, I~.f,i'.)..}i '.,..,'
ENGINE RING" ..' "" ,.J ' PW I ENGINEERING ':'f.," " I
. '; Ii.,,:, ',"~ 'i.CU:
FIRE 417~653 i. " FIRE DEPT. '\ ,>~:,'~,...
" , 4Ii~j5g.ma- .;;J' " ' PlANNING " ./ ;,<Sl b.( ,.. ,:'
PLANNING DEPT. ; I , D!'PJ., t
-, , i "
, BUILDING , "~ .r :. '411'-48IS''2'((~ leV BUlLDING\ ~},@!, :'f>: ,;,~ t: '." ,,';, . .,
'. .... "
.... ....