HomeMy WebLinkAbout2222 W 12th St - Building
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION.
321 EAST 51H STREET, PORT ANGELES, WA 98362
,~plication Nwnber ..
Property. Address . . .
ASSEsSOR PARCEL NUMBER:
~lication description
~vision Name
Property Zoning.. .
Application valuation .
owner
03-00001143 Date 12/01/03
2222 W 12TH ST
06-30-01-5-4-0040-0000-
MECHANICAL APPL. PBRMJ:T
RS9 RBSDNTL SINGLE FAMl:LY
3000
Contractor
: ARREDONDO'" ROLAND/CHARLOTTE
4040-AKISKA DR
ALAMEDA CA94501
Permit . . . .
Additional desc
Permit Fee ..
Issue Date. .
Expiration Date
ALL WEATHER, HEATING & COOLING
302KEMPST.
PORT ANGELES, .WA
PORT ANGELES WA 98362
(360) 452-9813
MECHANICAL PERMIT
PROPANE INSERT, LINES, TANK
57.65 Plan Check Fee
12/01/03 Valuation ..
5/30/04
.00
o
,Qty unit. Charge Per
Extension
47.00
10.65
BASB FEE
1.00 U.6500 BCH ME-GAS PIPB 1 TO 5
Fee summary Charged Paid Credited Due
----------------- ---------- ...--------- ---------- ----------
57.65 57.65 .00 .00
.00 .00 .00 .00
57.65 57.65 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA,utilities, private and public improvements; This ~'8rrilj(b~~~Om~$
null and void if work or construction authorized is notcbmmencedWithil11.80 days, if construction or wol1<i!Ssus~nde.4orabandoi)ed
for a period of.. 1..8. '..0. d. a. ys. ..a. ft. e.r the. w. ork as commenced, or if re. .q... uired in...spections ha. ve not b. een reque. s..tedWl.. 'th.'.i..n1.8...0.. d...~. ..ys. '. fJ..'r.o.. '.m.':. ,.th. ..... 9. 1..8.. s... t'
insp~ction. fhereby certifythatl have read and examined 'this application and'knowthesame to betrueandcorT~bt;i~n':Proxisjg.IJ~Of
laws aM ordii1~ncesgov~ming this type of work willb~ complied With wbethe~ specified herein or not. ThegrantiriQPf~ p~rffiW9qe,SJ1ot
. presulJ\eto ive.authority to violate or cancel the provisions of any state or local law regulating constructionorthepelfoiTn~!1ceof
co ' cf'. . . '.' :'. ....
T:\PLANNING\FORMS\II02.IS [l1I1412oo3J
Date
Signature of Owner (if owner is builder)
h
-','..; -'"f,
;.,::_:_;0.;_;-__;'
_,."'. -i',,:";, ,. ."
. ._"~,j
BUll..DING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
..... PLEASE PROVIDEAMINIMlJM 24HQURNOTICE;..lTIS UNLA WFUL TO COVER,jN$ULATE QR CONCEALANY H(OJll(1i~F;fJB,E>
INSPECTED A,ND A.CCEPTED. POS'l' .PERMIT IN A cO~SrICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PI.ANS :AT JOB SITE . .,
.'. 1," . ': .,,",,'<,:'.< .-',:.-,........',:
INSPECTION TYPE "'1 J ...... COMMENTS . ..... :.'".'''' \f 'C
DATE AC~EPTED
I YES I NO ...
FOUNDATION: ',. , .... ....
'. ."
FOOTINGS . .'
. WALLS
FOUNDA nON DRAINAGEIDOWN SPOUTS '.' ,'.. .
ELECTR.ICAL (UGHT DEPT) SEPARATE PERMIT: # .'
ROUGH-IN .
. .'
PLUMBING
UNDER FLOOR/ SLAB
ROUGH.IN
..
WATER LINE (METER TO BLDG) . '.
GAS LINE .
.
BACK FLOW / WATER .' ."
,
AIR SEAL
WALLS
CEILING I . I .
FRAMING
JOISTS / GIRDERS .
SHEARW ALIlHOLD DOWNS
WALLS/ ROOF / CEILING . I
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR .
INSULATION ,
SLAB . I
WALL/ FLOOR/ CEILING I. . I .
.
MECHANICAL . .
HEAT PUMP .
GAS LINE i"ZlJ 21bg .J L-I.-
WOOD STOVE / PELLET / CHIMNEY ~ ,
HOOD / DUCTS ..,
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #.5:
WATERLINE / METER . "
SEWER CONNECTION '.,
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #.5 ..... SEPA:
P ARKlNGILIGHTING ESA:
---.,
LANDSCAPING SHORELINE:
F.JNAL-IJII~PECTJONS REQUIRED PRIOR TO OCCUPANCYIUSE .
RESIDENTIAL "" DATE YES NO COMMERCIAL DATE ACCEPTED
. ..' .. YES NO
. ELECTRICAL. LIGHT DEPT. .' -
4174735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 - PW / ENGINEERING
FIRE 417-4653 - FIRE DEPT.
PLANNINo'DEPT. "17-4750 - . . PLANNING DEPT.
BUILDING 417-4815 11_ca ....1t.t.- BUILDING ,
.
T.\PLANNn-l.G\fORMS\1 102.15 [1111412003]
")':<;:'~: ':: .~ -;-::: ;,,- - -.~ : .::-,:-_:~~-
FROM, :'~LL WE~THER HE~TING & COOLING
F~X NO. : 360 452 5177
Nov.
24 2003 04:13PM Pi
rUJ\ Urrl....~OJ~'1-1 .
o.tD Rec.:' :) I.J ~":?
Pamit': t.~
Date Approved:
Dato blued;
,'~
~ The Bui'/ding Permit - Pre-<lpplicatto" lit_ H flllH 0111 ct1mple:IeJy.
~~ Pleue type or print'ID luk. If you baye any qUesdODS. please caD 417-4815
AppIiClDl'" AgcutJl1J U ) nulV' y H pt,t;NfJ ; fJ)rJ/ I iJ.(j / (j( Phone: jjt.O -1./52- ,q ;; / "';
'Owner: ~o I and <f (hf/.JlLi' Wt I)rr-/lfMdQ Phone: '
Adckeu: 22-"b2 JV/..2 -rh. City:'yor+ fM11f!6 Zip: 9$3& L
AJdUteot/Bqinoer: . Phone: .
'. c~ 1% II JAJ e~,~ y- H?cejmJ License #: /4-11 /VbH{f5)WExp: q/ ( /0'-1 Phone: 157- r f( "7
"'~' ~o A KDvnp. \-\y City: ?orr t411.o/fIl5, . ' Zjp: QS 3CR 2-
__~~. 2,."2-2--7-. vU (} -th ' ~G:.
",-,. UGU:'DL~ ON; Lot: Block: Subdivision:
~~J.' .~COlJNTY PARCEL ~ Credit Carel Bolder N.me:
BIIUaI:Md....: City:
Credlt Card if: E:Ip. D.ate;
BUILDING PERMIT. APPLICATION
VISA
Me
I' 'RQ'OVWOIOO
. 0 p-i~a1 C New Cansu. 0 Rc-roof 0 WoodsbWe
C MWtl-tamily c AdditioD 0 Move [] Garage
o 'ConJmcrciI] c ReulDdcl C Demolition [] Deck
C Rcp..ir C Sigp 0
~~ONOJ"TlUPJlOJEcr:hrf~(o.(p U1S€~^f ~ ~rOpa~ r1f'1V15
SIZEIV ALUATlON:
SF.@$ ISF.-$
SF..@$ /SF. - S
~.;@S'--.:.. . lSF. ~ S
.:rOT AI. VALUATION $
, ~jJO(). 0<.)
CoMMEM.CIAU8ESIDENTIAL: OccuplWC)' Group: Occupant Load;
No. ofSCaricI: Lot Size:. . % Lot Coverage:
BxistW8 .Lot Coverage: Isq. ft. + Proposed Lot Coverage:
~GV~ONLV:
N_~ .
ConstructioD Type:
%.
Isq. ft. "" TOTAL LOT COVERAGE:
APPROVALS: PLAN
BLDG.
DPW
II'IRE
OTHER
Isq.ft
ESAlWct1md(a): 0 Yea c No SBPA Che<:kliat required? 0 y~ 0 No Other:
,
;::::,' ;'Bi1ILDJNG~'4PJ.ILIC4T10NSUBMlTTAL: y.., fI/J~" tUUlaup/ll1l_1U1 kJlllal tHII,~.,. b.~/'"
1'fftIktv. . 1110 BuUdias Division can provide you with more detailed information on the applicatioD IIJU."t plan submittal requirements. Your
"omplcted application. site pLm (for additions) and building construction plans are to be submitted to the BuiJdiag Division.
v ALUA'I1ONOJ' CONSTRUCI10N, :ID aU cuea,.. wluaUoD amoUDt lDust be eaterccl by the .pplieazlt. This figure will be nMewcd
and may be revised by ~ Building Division to comply with CWt'CIlt fee schedules. Conblct the Permit Coordinator at 417-4& I S for a.Wstmu;e.
PLAN,CDCK:OI'U: Your plm cbcck fee is due at the time the buildiag permit lIpp1ication and COl1Jtruction pIan. ~ lu1)lIJi~ All other
pmnit fea lIR due at tho time of pennit issuance.
EXPIIlADON OF PLAN REVIEW: If no permit is issued within 180 da,. of the date of application. this ,appUcatlou.1riU apiro. lbe
Buildiog Official COD extmd the time for DCtion by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of \
the Uniform Building Code, cunent edition). No application can be ex.tended more than once.
11l~ cmifI thai lluwe re4d and e:t4mPfe4 Ihts. application and blow the same to be true and correct, and I am autllortzed 10 apply for
this pu""iL J unJenumd it is "01 the City's legal respo,..,ibi.litx., to determine what permits are required: it remai,.., the applicant's
res~~ibility to det4!rmi"e what permits a~ required and t~ obtain such. - Jrl~. vi/- L ,/ l .
. . APflli=l:r _y i(J DOlO: /1 L'Vi''(J5
I T:\PO~SWPS\BllildinlPCll'nllt
; , .:,". :~ ,,'\..;. .., . .
I;:.:,:; '.
PREPARED 12/18/03, 13:54:58
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
2222 W 12TH ST
ALL WEATHER, HEATING & COOLING
ARREDONDO, ROLAND/CHARLOTTE
06-30-01-5-4-0040-0000-
03-00001143 MECHANICAL APPL. PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6
ME99 01
01
12/12/03
12/12/03
12/18/03
JLL
AP
MECHANICAL GAS LINE
~
---------------------~~-~------------
MECHANICAL FINAL
SUBDIV:
PHONE
PHONE :
(360) 452-9813
PAGE
DATE
7
12/18/03
COMMENTS AND NOTES --------------------------------------
\.n
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
?-9/0
DATE /c7--lr-?D
ELECTRICAL PERMIT
/.;1 '4 ~
o READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
P~';j --ti'( r
owner/BUSieS:
Owner/Business Address:
Phone:
,zZ
Sq. Ft.
~eSidential ".-
Heat KW 7. .)
.
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
ji'New Construction
o Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
IX Underground
Voltage
010 03.0
Service size ~e:'
o Temporary
Amps
DetailslDescription:
.'
W.S. No. S
Capacity: 0 O.K. 0 Not O.
o Ditch inspection O.K.
~rp Rough-in/cover O.K.
1d"'" IjiI O.K. to connect servic
~ Final O.K.
(
C9-vt
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
..(
Site Address:
Permit/Receipt No.
j
Date:
New Meters
.
~ /;v/r- P'o
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
-r 5 ~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~. <90
I Ins ector Amount paid
WHITE - tile by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City H
OLYMPIC PRINTERS. INC.