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HomeMy WebLinkAbout512 W 12th St - Building 's aI,!'" ~~........., ,em OF ~RT;'ANGELES '. . .... .' . DEP ARTMENTOF COMMTJ'NITy DEYEL0}lMENT -13UlLDIl'ITGDIVISION 1321 EAST 5TH STREET; PORT ANGELES, W",98362'" ,1.' f (",':; "i, aU'L.UIIYu PERMII OWNER/APPLICANT KAREN SHORE 512 W 12TH STREET Port Angeles, W A 98363 360/000~000 T: CONTRACTOR DAVES HOME REPAIR 833 W 15TH ST PORT ANGELES, W A 0000g.a363 360/452-8335 PROJECT INFO Project Value: $4,000.00 Project Type: FOUND. REPAIR Occupancy Type: : Occupancy Group: Construction Type: Zoning Use: S: ISSUED: 7/19/~002 <,PJ:RMITNO:f 1~74 '~I'.<PROPER!fY.tOq~TION . '512 . 12TH ST W "[ot: 3 Block: "375 D 'Long'Legal'. Su~diy~IOfl:.,.p'A . ,... .' ......., ~., J~!!r~r.No: 0630000375100QQ rARCtUTECT ."'.. ,..~;,;...,."..,.':~,.,,';""'~"""<~'>;" N1A ,;98~0:-g000 , 3E>0/600~000 ;}.,.. , .SFD~Units: SFD sa FT: o o Com!llerclal: -Industrial: Garage: 'MFE> Units: MFDSa FT: o o ':\.1t .-..,"-..-,.~......., i':':;:,~~" PROJECT NOTES REPLACE SKIRTING, POST RECEIPT#9452 "',.,., ~,"t. FEES ASSESSMENT Building Permit: Plan Check: ,. ... ~tateSurcharge: 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 . ...,.."",. " ,".',' -,-,'. - . ",~:\;.;;.y.;"~',,~,,''';;':;'-- ',..,;;. ,', ..MiscFee1:. , M,~c:Fee 2: . . ,:..MiscFee 3: TOTAL FEE: AMOUNT PAID: r ,.~~,BALANCE DUE: $101.75 $101.75 , $0.00 j'..j ~' - ~.I 'I C ,. - ,,' " . ,.',' ',":' ,_'.,t:;. ',: -'.--",,, - .':".....~.:-:_:. _ '. -'~" :..' ,: .'.' '-. " ,. : " -:. -.' . '. '" -,'" -, " . . ":' Separate Permits are required for electrical \york, SEPA, Sh()rel!ile,:esA"utiliti9s.,pi'ivate and PUbli~iI1lProvementsr~T~isPfl~mlt becomes null.and.,voldif wt>rk or construction autho'r1tedis not comrflenciedY{itl1lrr1$O dayS, ifconstructlon qrwofkls'tJoipe'nded or abandon~d fo~.a perlQclqfJ~g,da~a~~r thE3.~r15 as commeQ,S~~,2r,if.r~q~~#1~!~!~9n.! ha\l~ 1l9!b~~Jlr~gU.~s!~~~p1llli1~9..d.!"~~mW~,I~t Inspection. I hereby certify that I have read and examined thl~.appUcatlon and know the sam~ lobe tJ1JeandGQrr~c:\~,j~lp~y1!;lon~of lawsand.ordlnances governing this type of work. will be complietfwithwhet!1er specified herein or not. The granting of aperriutdoes npt ~~~~i~n:r~ aUnrity to. vIOlate_or cancel the provisions of any"state or local law regulating ~consti'Uctfon or the peI'f6~ance. of ~ ~ 7-19,-(;)2- Signature of Contractor or Authorized 'Agent'"':. T:\PLANNING\FORMS\II02.15 [412002] Date . Slgna14re-ofOwner(ifowner is builder) '" ~ BUILDING PERMI1JINSPECTION RECORD ~'l. ;:;~~.,,~t'. . CALL 417-4815 FOR BUILDING INSPECfIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. iT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. : POST PERMIT IN A CONSPICUOUS LOCATION; KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE' ACCEPTED COMMENTS " " YES NO " , FOUNDATION: , FOOTINGS " f1ERS q.../Or02 L&H WALLS ,\ ,'. i . FOUNDA nON DRAINAGE '\ )\: , ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #. . ROUGH-IN .' , PLUMBING . ',' UNDER FLOOR I SLAB ROUGH-IN WATER LINE GAS LINE ..... , BACK FLOW I WATER . AIR SEAL ,.' , WALLS CEILING FRAMING , ' . , .. JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL T-BAR INSULATION SLAB WALL I FLOOR I CEILING MECHANICAL MEAT PUMP '. . , WOOD STOVE I PELLET I CffiMNEY HOOD I DUCTS . <, c\ " " .--:' PW UTILITIES I SiTE WORK (Engineering Division) SEPARATE PERMIT #'s: . " WATERLINE I METER SEWER CONNECTION SANITARY " STORM . .. ..' .".: " ;( : '" PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGIITING ESA: LANDSCAPING SHORELINE: " - ..-", " FINA.LINSPEqI~~SREQ~D PRIOR TpOC~y,,4NCYIUS~' '" " ;-" . "", '. "',:' .. C , " , . ,.~, ~ ,:,DA~ ,-,', ~,V',~ ',- .-!::..l...... ~ , RESIDEN!W. DATE"" YES NO , <:9!'dMERCIAL A~c:Ij:~~". . " , " , ?' ,,]; C :' '. .I:. , '.;' " " YES.;:; "',., NO., ELECTRICAi ~'L1GHT DEPT. 417-4735 ELEcrnicAL } " ,,'(" . ",,' 'f', 0 , " L1GIalPEPT ' .. ., .,(, CONSTRUCTION R. W.I PWI ' "~,i' CONSnttJcTION - R. W. ',\:\ C ',' ,',' :,.c,. ENGINEERING 417-4807 PW I ENGINEERING '. ", ',' ., FIRE 417-4653 . FIRE PEI'T. '. , , . .1. ': / J " P~GDEPT. 417-4750 " PLANNING DEPT. '.,. BUILDING 417-4815 ~/JbIOIJ- L;:;-U BUILDING '",' . ,. , ,. " "',. , , "C' T:\PLANNING\FORMS\II02.15 (412002) FOR OFFICIAL USE ONLY: _Date Rec.: 7-~}~ "z':- Permit #: / ~ ?~ Date Approved: Date Issued: BUILDING PERMIT - APPLICATION ~~ The Building Permit Application must befilled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Architect/Engineer: -" Phone: - Contractor .PA\le's fl6WfE- i€:PAtta License #: PAil4S;&.IR6J1~p: l/f;jfJ3 Phone:'-'70 11'16/ Address: /()'-/O C~~t(;.. City: !"all.,- A-N 6-itt..;~ Zip: 1f.J6Z. PROJECT ADDRESS:~' 2.. t-o 6-S I , 2. ZONING: LEGAL DESCRIPTION: Lot: :3 " Block: .375 Subdivision: CLALLAM COUNTY PARCEL NUMBER~~~O&W.37G.ll)Credit Card Holder Name: Billing Address: City: . Credit Card #: Exp. ~ate: VISA MC Applicant or Agent: Owner:Ja R 1/1/ Address: .S- I 2- DtlvlfJ frId If/E tG J.Jo~ w~~r 12,.. TYPE OF WORK: o Residential 0 New Constr. o Multi-family 0 Addition o Commercial 0 F--em~del M.eparr ORe-roof o Move o Demolition o Sign BRIEF DESCRIPTION OF THE PROJECT: r ~. " COMMERCIALIRESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Lot Coverage: PLANNING USE ONLY: Notes: ~. RIj:///kll Phone: t:> 70 ~'I Phone: City: p~tZr-74t11~ l." zip:'1tfI63 o Wood-stove o Garage o Deck o /SF. =.$ /SF. = $ Occupant Load: Construction Type: % Lot Coverage: /sq. ft. + Proposed Lot Coverage: % /sq. ft. = TOTAL LOT COVERAGE: APPROVALS: PLAN BLDG. DPW FIRE ESAlWetIand(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. /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 Divisiontocomply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. i . 11 EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date ofapplication, this 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 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. J hereby certify that J have read and examined this application and know the same to be true and correct, and J am authorized to apply for this permit. J understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain tfh. 'n 61 _ ApplIcant: ~ ti~ Date: '7 -l q.... 02- T:\FORMS\APPS\Buildingpennit ,.;~,,~~::~':'t:;~' ~,~:~7:>'-: CITY OF PORT ANGELES DEPARTMENT OF PUBI.ICWORKS . . . . . . . . . . . INSPECTION,REPORT . . . . . . . . . . . REQUEST: Dateq -/O-D L- Time Received by RlI (phone, person) Location of Work to be inspected 51 2... W J ~ +"-'\. Name of person requesting inspection ):::,e4..,V~ Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundatio Framing Chimney Plumbing Final Sewer Excav. Other P:.e..-s. 7. ~.~ Phone No. 670 -S~b( Permit No. I ~Sl '-l f INSPECTION NOTES: Inspected: Date 9 -/0 -0 t..- Remarks: Time By g~~ RESTORATION REQUIRED. . . . .. YES NO QQ.; \ \ ])~\Je, F-~ V-S+- SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City D Repaired by Permittee o No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) " STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16514 4L -d/ :>p' Port Angeles, Washlngton__________L:'_____...____n____._..________n______________, 19___.... In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles, per- :~:::s: 1~._E;;;::~_~~~/.o~:2..~.o.~~..:~-::~~::.-::IO:~cupancy...._~.__...._.....__...._._.__.. ~::: ~.~:-:::::~RC~~~:::~~;:::::::::::::...:::~::::::::::=::::::::::::::::==:::::::::::::::=:: Light Outlets..............................._.._..._ Service, volts I..~~.?:r.::<?:.. Type of Wiring: Receptacle OutletS..n.b........................ No. wires moo.................................. Armored Cable .......00.00.___............_ f)... Size wiresn............m.._n............_.. Main fuse .../.t?.i!..A.................. Enclosure ....~mn...m.....nm.mm. Dryer, KW.......................................... Non-Metallic ............b..._............._ Range, KW __..____..."..__.__.__.... Knob & Tube................................_ RIgid Conduit ............................... Water Heater: Metallic Tubing ......................__... KW......... ............,.............. ....m.... Heat' Kw........$.~..?;jfw..~t Type of wiring: Entrance Cable 00..........__.......... Motors: size, volts- and phase: Rigid Conduit ............ Raceway ......................._......___._ Circuits, LighL.................n_m.....m.__.. Utility ...............__...._.................... Ser. NO............nn.......nn.........__......... If eat ................................._...__...... Range ..............................___............ Water Heater ..........m.................. Motor ..._...................._................... Metallic Tubing 'm"n Current transformers: No. & Slze.............._.....n...n...... Ser. No. ..0000.....00........._.......00..00....00... Dryer ...00......00.___...........00......__........__ Furnace ...........__...........'......._........... Ser. No.............................................. Total wad.............n.__n....n... Ser. NO.....n..n.......-...n......-n...fi. I~ Total....................................... Remarks: n..nnnn___n~.<t..~...,~.___y._._.~4!.d_________n___...______n..n.............___....... .___.___._____h_.._...._._______._____._____._.........._..____._______..._....._._........._...___.__.._.__._____...........____.._n________.______.........._.............._ ;:.:.~~n~::~..~~~~.~~..~__._____n.---....::~.~.~:~~~_~_~_~~~.~~.-~..~~~~------------..--.-:>zJ~:~:2=~ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be eon. cealed due noUce 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? 16514 Md~s \ Dt .............---...-....r.....-:-....nn..b..........................._nn..................................n.....................ae..._......_.._.._.._..._____.._.._..._......_......._ , Owner ..00................__..00.-'......._.........._......_......_.__.............................0000....................00..00 TenanL.......n.._n.n.n.nnn..........................._....n..... Wiring Contractor .........................._._..........._.............................._................................................. By......_..............................................._._..._ ~OTICE--C urrent must n()t be turned on untll Certttfcate ot Inspection has been issued. It work Is to be con- ce d due notice must be given the Inspector so that work may be inspected betore concealment. . ;' .. - 1"\1......,,..,1.... Printers, Inc.