Loading...
HomeMy WebLinkAbout525 W 16th St - Building Separate Pe'rmlts al13fequired forelecbicalwork. SEPA, Shor;ellne. E5A, ~I!ties;privateand pUblicimprovelT)en~)~s~jt"ij.C9riaes nun~ndvold if work<>r construction authorized Is not commElnyed within 180 days. if construction or'workissus~ijtJ~cI'iiti~andoned fOl'sperlod of180daYSEifterthe Work as commenced. or If req~lredIQ~p8ctlonshavenot beelirequested~lr,tjl- ".~~~-~ela~t ins~Ci>>~~tlle~l:lycattffythatl have read and examined-this appllCittlonand .know the same to betrue,an(1'~t~ ""'.' . J pfi,)"lsJonsof laws andordinancas goveming this type.of work will be complied withWl1ether spec/fledhereln ornolTlieg~pt1rt9:9fi,~;et~!~,~~,~ot presume to givEl authority to violate or cancal the provisions of any state or local law regulating' construCtionorthEl' perfonnalJcapf constructiofi. . ...... .... ..... . , . '.' .... .,.- .' ~'~"""...' CITYOF PORT ANGELES DEPARTMENT OF coMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ' APpli~ati6n NUmber J:'ropeJ:tY 1\ildiess ASSESSOR ,PARCEL.NUMBER.: APplication description S~diyis;QnName . . Property Use ... . property Zoning . . . Application valuation 04-00000020 Date 1/12/04 525 W 16TH ST 0~-30-00-0-4-~565-0000- MECHANICAL APPL. PERMIT RS7 RESDNTL SINGLE FAMILY 2400 Owner Contractor -------,----------------- DODDS, ROBERT 525W16TH. PORT ANGELES (360)457~8798 WA983627537 PA SWIMMING HOLE & FIREPLACE S 518 W 8T,HST PORT ANGELES WA 98362 (360) 565-1163 .. - - - -- ;~~~~ - - ~ - ~ - ~ - ~--- --- ~~~~-;;~~;-- - - -- - --- - - - -- - - - - - -- ---- - - --- -- Additional desc PROPANE FRES STANDING STOVE Permit Fee. ~. . 57.65 Plan Check Fee Issue Date 1/12/04 Valuation . . Expiration Date . 7/10/04 .00 o Qty Unit Charge Per 1.00 BASS FBB 10.6500 ECH MB-GAB PIPS 1 TO 5 Extension 47.00 10.65 Fee summary Charged Paid credited Due ----~-----------~ ---------- ---------- ---------- ---------- Permit. Fee Total 57.65 57.65 .00. .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .00 .00 :9~)f:ILc- . Signatul'8 of Contractor or Authorized Agent Date .. t:\PLANNING\FORMS\1102.1S (1111412003) BUILDING.~PERMlT INSPECl10N RECORD ~ . ", I CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECfRICAL INSPECTIONS. . I PLEASE. PROVIDE AMINIMUM 24 HOURNOTICE:lT IS UNLAWFUL TO COVER, INSl4ATEJ]R CONCEAL ANY WORK BEFORE . INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. . KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE .'"7) ,'l., . . INSPECTION TYPE DATE ACCEPTED = coMMENTs .' '.. YES I NO .' . FOUNDATION: '. ~GS ...... W A1.LS . FOtJNI)AnON DRAINAGEIDOWN'SPOUTS ELECTRiCAL (LIGHT DEP1) SBPARATE l'BRMlT: ## . I RQUOJt.IN I I I PLVMBII'CG . UNDERFLOORISLAB ... ROUGH-IN W ~TERLINE (METER TO BLDG) .. GAS LDiE -c- BACK fLOW !WATER ,. AI1lSrAL .' . ! WALLS I .' '. CEILING . I I llRAMING, .,' J01STS1,' GIRDERS . ) ~Wt#JHOLDDOWNS . , . - ,- . - WALLS./kOOP! CEILING ,. DRYWALL (INTElUOR BRACED PANEL ONLY) . '.,< .' T-BAR' INSULATION ..' " SLAB , I c. : .... WALL! FLOOR! CEILING I I MECHANICAL HEAT PUMP '.' .. .... , GASLlNI i..lll -Oil III. WOOD,STOVE! PELLET! CHIMNEY , HOOD! DUCTS . ,PW tJTILI1'RS! SITE WORK ~ri&.DlYision) SEPARATE.PERMIT #I'a: WATERLINE! METER , . . SEWER CONNECTION '. SANITARY .' S10JtM . P~DEPT. SEPARATE PBRMlTr. . SUA: l'~c:;ILIGJmlIIG ESA: ~. ,...,-.-.....;> ~." c' >!i:~ it o "! ~ . , ,', FINAL INSPECTIONS ~UIRED P~OR1pp<;c,Urr".!'U:XIUSE, .., -. DATI: 'NO CO~CIA.L, DATE .' ~CEFtED RESIDENTIAL va I,;, " '.' " , . .' ....... ... ...YES NO ELECTlUCAL. LIGHT DEPT. 417-473S ELEcTRiCAi." .'. LlGHTDEPr' 'CONSTRUCTION R.W.! PW! CONSTRUCTION - R. W. ENGINEERING 417-4807 PW ! ENGINEERING--- - " FIRE, 417:-4653 ." FIRE DEn. .....\ ) \ -...., \..,A\.., .' . , PLANNING. DEPT. 417-4750 . PLANNING DEPT. BUILDING 417-48IS J-Zo~O<"T \ LLJ BUILDING i ....." , T:\PLANNING\FORMSll02.IS [111141200 : 3) . aUILUIN,~ERMtr: APPtICAfiO~ FOR OFFICIAL USE ONI.Y: ~u: r~~,." j- , 2.. - 6 L{ Permit 11: c'l- ::GO Datil ApPTOved:_, Date ls~uc:d: I Fill out COMPLETELY and in INK. Your application aDd site plan MUST BE COMPLETE to be :lc:ee:picd fur review. If you lane /luy ql&QiUuns, call (360) 4J 7-4815 Applicant or Agent: ~ IJ..)~ lkel.~ OWn~r:Qak--* ~<; Add"'",:'5;;l..,,- l{). 16~s.J.~City: 16,+ ~e5 Architect/Engineer: Phone: Contractor114 ~MA.. YJ' rJ.Io!:- It'r. ?, State Licen;~ I.U lS H<t"7~~ Q:-lb-05" Phone:5~-11 ~"? Address: 5i<t L,) <;)~ City: tb~.. Arne/~ Zip: ~.~ PROJECT ADDRESS: ~,..l ~ to JGf$:L. Sf- ~ ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY P AReEL NUMBER: Phonp-' ~~O- 4{.O-~6 /' Phone: q~ -~ Zip: 9r6:S 6~ Block: Subdivision: Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC, '# Ex-p. Date: TYPE OF WORK: SIZEN ALUATION: o Residential 0 New Constr. 0 Re-roof .. Stove SF. @$ ISF. = $_. D Multi-f:amily 0 Adilitiuu 0 Move D Garage SF. @ $ ISF. = $ o Commercial 0 Remodel c:l Demolition 0 Deck SF. @$ ISF. = $ o Repair 0 Sign 0 Odwt TO~ .::> '1@ BlUE D:RlPT~ONOFT8EPRo.rECT' ~1 !Jet>+. (~'i ~l'- -:: CIAL/RESJD TIAL: Occupancy Group: OCCUPilnt Load: Construction Type: No. of Stories: Lot Size: F.xiJ:ting Sq. Ft. & Proposed Sq. Pt. = T01'AL Sq.Ft. Existing lot coverage _ % & Proposed lot coverage: _% = TotaL lot coverage % Al'I"ROYALS: PLAN: BLDG: DPWU: FllU;: O'fHER:_ PLANNING USE ONLY: ESAlWetlalld(s): 0 Yes 0 No SEPA Checklist required? CI Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division Can provide you with info1'Jnation on the applbnion and plnD submittal rcqui1'CiliCll~ if YOll have questions. VALUATION OF CONSTRUCTION: In aU castlS, 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 fp.e $lrohp.dulell. Con~ct the Permit CoordiulltoT "t 417-4815 !br assistance. PLAN CHECK FEE: IF a plan check fee is du~ it must be submitted at the time tile building pcnnit application and construction plans are submitted. All other permit fees are due at the time of permit issuanc~. EXPIRA:nON OF PLAN REVIEW: IEno penll..il ~ ili,sllCU with1.1l180 days ot tl1e datc ofa Building Official can extend the time for action by the applicanlllp to 180 days on written the Unifocm Building Code, current edition). No application can be extende re than nn~ .', alion, che application will expire. '[he est by the applicant (see Section 1 07.4 of I hereby certify that' have react and examined this application and know the sa understand that it is my rR,r:ponsibiJity fa determine what permit$ arG required T:\FORMS\Al'I'S\Rui!dillgpcmlit, wpd Applicant: e ,I am authonzed to apply for this permit and ZbtBin SUCh permits prior to work. fbate: J} -;:)(( --O? G13 39l;1d 8313 dWl;1HS 689tG9t>139Et 99:813 t>1313G/Gt/t13 PREPARED 1/20/04, 13:11:57 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 7 1/20/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 525 W 16TH ST PA SWIMMING HOLE & FIREPLACE S DODDS, ROBERT 06-30-00-0-4-2565-0000- 04-00000020 MECHANICAL APPL. PERMIT SUBDIV: PHONE (360) 565-1163 PHONE : (360) 457-8798 I PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 1/13/04 1/13/04 JLL DA ME6 MECHANICAL GAS LINE SETH 460-2807 TAKE PERMIT WITH YOU JLL MECHANICAL GAS LINE AP SETH 460-2807 REINSPECT ~L MECHANICAL FINAL SETH 565-1163 CALL OWNER AHEAD TO SCHEDULE TIME 457-8798 -------------------------- ---------- COMMENTS AND NOTES ---------------------------------_____ 02 1/14/04 1/14/04 1/20/04 ME99 01 PREPARED 1/13/04, 12:40:38 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 525 W 16TH ST PA SWIMMING HOLE & FIREPLACE S DODDS, ROBERT 06-30-00-0-4-2565-0000- 04-00000020 MECHANICAL APPL. PERMIT PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 1/13/04 JLL <D~ MECHANICAL GAS LINE SETH 460-2807 TAKE PERMIT WITH YOU SUBDIV: PHONE (360) 565-1163 PHONE: (360) 457-8798 PAGE DATE 5 1/13/04 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 1/14/04, 12:26:54 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 525 W 16TH ST PA SWIMMING HOLE & FIREPLACE S DODDS, ROBERT 06-30-00-0-4-2565-0000- 04-00000020 MECHANICAL APPL. PERMIT SUBDIV: PHONE (360) 565-1163 PHONE : (360) 457-8798 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS MECHANICAL GAS LINE SETH 460-2807 TAKE PERMIT WITH YOU 1/14/04 ~LL MECHANICAL GAS LINE SETH 460-2807 REINSPECT ----------------~-------- - ---------- COMMENTS AND NOTES ME6 ME6 01 1/13/04 1/13/04 JLL DA 02 ~\, PAGE DATE 4 1/14/04 ti ,M ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 .Application Number " . pinnumber ...... Property .Address ASSESSOR PARCEL NUMBER: Application description Subdivision N~ property Use property Zoning . . . Application valuation . . 04-00001066 ..908382 525 W 16TH ST 06-30-00-0-4-2565-0000- ELECTRICAL ONLY Date 11/17/04 RS7 :RESDNTL SINGLE FAMILY o OWner Contractor DODDS, ROBERT 525 W 16TH PORT ANGELES ( 36) 457-87.98 WA 983627537 BOB'S ELECTRIC me 2293 DEER PARK RD. PORT ANGELES WA 98362 (360) 457-6887 Permit . . . . .Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 200 A PANEL CHANGE BOB'S ELECTRIC INC ,66.90 Plan Check Fee 11/17/04 Valuation . . 5/17/05 .00 o ~ l ~\ Qty Unit Charge Per 1.00 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66.90 Fee summary Charged Paid Credited Due -----~----------- ----...----- ---------- ---------- ---------- Permit Fee Total 66.90 66.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 66.90 66.90 .00 .00 ~ ~ ~' ~ lA 't I,. ,:,~ . , 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 goveming this type of work will be compiled 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. Signature of Contractor or Authorized Agent " Date Signature of Owner (if owner is builder) Date T:\PLANNlNG\FORMS\1102.15 [11/1412003) f,' !, i I I .',-:;, :" ',:' -;{~x. . ;;. ;':h '<":~' '-'-::;'5: >,.0:,.,' ~ti_f);'; '..'. - ';' -,'" "-'--':," - ',' ....<'," BUILDING PERMIT INSPECTION RECORD >"--'\'O';~-fr;}~,;:;:~{,':: ^;',;'J:<';);~ ',J;)"::'.T;r\, ~.,." . ., .. .,-' ',:;.tK.,:"Y;:7i':1 , '. CALL 417-4815 FORBUlLDINGINSPECTIONS~CALL 417-4735 FOR ELECTRICAL INSPECTIONS. .';- ..1. ." '. . PLEJ\SBPROVIDEA'MlNIMUM24HOUR NOTICE. IT IS UNLAWFUL 'TOCOVER;lNSULATE OR CONCEAL ANY WORK. BEFORE . .' .. '.' ,. . .. t INSPECTEDAND,ACCEPTED. ilOSTPERMIT IN A CONSpICUOUS LOCATrON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. .. .... INSPECTION TYPE . .' DATE 'ACCEPTED COMMENTS , '. I YEs J NO I FOUNDATION: '. ,.,' , .' FOOmiGS , , WALLS, '. FOUND;.\TION DRAINAGEJDOWN SPOUTS (LIGHTDEPl) SEPARA1$l'ERMIT:# , , , ELEC1'RJCAL , .. ROUGH"f!\! .. " T I ,/ , PLUMBING . . . . UNDER FLOOR I SLAB . " ROUGH-IN . WATERUNE(METER TO BLDG) , " GASUNE . BACK FLOW I WATER . .. . . AtJt SEAL . . , -w.ALLS I .' '.' I 'CEILING . I I FRAMING . :, , . JOISTS I GIRpERS .. ". " SHEAR WALUHOLD DOWNS .' - .. '!IALLSI ROOF I CEILING ~ . . .' .,' " DRYWALL (INTERIOR BRACED PANEL ONLY) T~BAR '.. INSULATION .. . SLAB I .. WALLIFtooR/CEILING . I 1 I ,< MECHANICAL " HEAT!PuMr c:"IASLiNE WOOD STOVE! PELLET 1 CHIMNEY HooD/DUCTS .'. . . . PW trpLlTIES 1 SITE WORK ' (Enginccrlllg Division) SEPARATE PERMIT #'s: ". WAl'ERL1NE 1 METER SEWER CONNECTION ,.' SANITARY . '. STORM . . . PLANNINC:; DEPT. SEPARATEPERMlT #'s. SEPA: PARKINGlLIGHTING ~ ESA: . \ -- .. . .....,v........,__....., LAl'!9~qAf;~G '.j- .. " .-....... SY()RE~INE: " ,', ..'?-;,..... ", .~,... " ';yo" .'.(lINj\LIJIlS~~JONS.REQUIR.ED PRlORTOOCCIJJ.>ANcYlIIS~" .,.;.... ; '. ." ;.:' .', " .' .... RESIDENTIAL .... , .' ': , DATE' , YES NO .. COMMERCIAL DATE ' ACCEPTED . ;\O"','j ", YE$ '. NO ELECTRICAL- UGHT DEPT, 'llZ:;';')"~ .' I .. 417-4735:} .."'" ELECTRICAL . ',. ./?t!l. UGHT DEPT I "'/09 ,CONSTRUCTION R.W. IPWI , , CONSTRUCTION - R. W. I '. ~~INEERlN.G 417-4807 PW I ENGINEERING I . ,1!?~ '. :.. FIRE . ,::, . FlRE-DEP-i,'" .'. . . PLANNING DEPT. 417-4750 PLANNING DEPT. ..' BtJILDING '., 417-4815 BUILDING '.:; I.,,;.;; .r ..;: T:\PLANNlNG\FORMS\II02.15 [11/1412003] ELECTRICAL PERMIT APPLICATION FOk Of'HCL-'.!. us!: O~il... y I.).l\.lk~, _._..~__._,~._,__ _._' r~"'lI'," .______..___.___~ lhll; Alll'fovcd _______~_ Ji~lt )~;u~tl __ ____."___~_ The.Eled~-ical Permit Application must be filled out completelv. Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417 -4711 o bE" d" '-1-. CaseyGvl"z i /; /" (', -.. Ii "l _ 09 ''..7 Owner or Elec. Contractor Agent: 0 0 ~ e /", C JYl C , Phone: lS'7o 8 i1 / Fax: 7 S tJ<. / $C Property Owner jJo rt;S f)oJ! ) Phone: Lj.s) ~ 8"'/9' J' Address ,C;9-S /,v/6 is 'c City ft,(J-Yly?~/e..5 c;Jr;I."Jr Zip 7e'3C-? Electrical Contractor: it bs E{ felt', C License #l3ol1sfCP){ Exp: Phone: rS' ') -COS :> Addressf!!!1;(fJ.. en ..Peer p</,* M City 10 rJ-1J '2-'K'ks Zip 'lf52.6 ;;( INSTALLATION WIRED BY: DOWNER i1ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: City: Zip: Exp. Date: VISA: MC: Credit Card Number: PROJECT ADDRESS: s ~S~.rl:::,J {, t...lL "...........1'->.._.. TYPE OF WORK: ........t,,; Check.<ill that apply: 0 Ne~ Mteration/Addition ifResidential 0 Multl-famiiy o Commercial 0 Mobile Home Sq. Ft o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: fa (1 -e ( Ch a '! 9 .f rl-OoCt Vh f? , Electrical Heat Load Additions and or Subtractions Service Information ':l Baseboard ~ Furnace :J Heat Pump ::J Fan-Wall _KW KW TON_LRA KW o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: , hereby certify that I have read and examined this application and know that same to be true and correct, and I am 'luthorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits 'lre required; it remains the applicants responsibility to determine what permits are required and to obtain such. ~ ~q )' Credit Card Holder's Signature: 1\ .1; Owner or Elec. Cont. Signature: ~ 9 ~ o J \\O\)\ \'-' PERMIT FEE: :;!ELE CTR I CALPERM IT APPlI CATION ~ //-It, t?'/ Date: Date: lI'1b '0 t.f $1 t{;. //0