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HomeMy WebLinkAbout804 E 10th St - Building CITY OF PORT ANGELES a DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001270 Date 11/09/11 Application pin number 331230 Property Address 804 E 10TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 3542 -0000- REPORT SALES TAX Application type description MECHANICAL APPL. PERMIT Subdivision Name on your state excise tax form Property Use to the City of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 (Location Code 0502) Application desc wood stove insert Owner Contractor ARNOLD W DIANA H SQUIRE THURMAN SUPPLY 804 E 10TH ST 1807 E. FRONT ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 -1129 (360) 457 -8591 Permit MECHANICAL PERMIT Additional desc WOODSTOVE INSERT Permit Fee 60.65 Plan Check Fee .00 Issue Date 11/09/11 .Valuation 0 Expiration Date 5/07/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65 Fee summary Charged Paid Credited Due Permit Fee Total 60.65 60.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.65 60.65 .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 kno the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whOier specsf -d herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any Rate or local regulating construction or the performance of construction, 7 c 7— dre..i.atii ...e..4 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit 1 BUILDING PERMIT INSPECTION RECORD N 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 C> 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. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T-Bar I NSULATION: 1 Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 5 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Z' i ■,j I ro 3 H ro y ro O n> l n ro J K 0 0 O 0 H 0 CD H m 0 0 0 K o 0 zr >cn l o H C 7 0 O r na0 z xr H O to H N 0 p 'O O r 0> H O co co L-100 0(00 n H 3H 3 0 10 r r b] [tl ooC Cn I C- C7 t7 (j o ty I [n zll o o r 1 10 r o E o r f N 1 CO H H( 1 O O co (oz 0U C cn tL' t 1 r• C ro P] w K H ro n N H ii x O 3 [i t 0 C 0(0(0 C 0 O0 y H 'CI II D H (n ro ro n n �H r 33 a0r oo �zz 3 In w 3 z ro 0) (n ro 3 [n I ro ro z H x1 0) 01 -M(0 z 3 I n (n r oy H H H N r (n H O H ti) r x7 O z z O N N C H z 3 n (n x .'4' C. (T] co 10 zzl7 I H m CO H w w K b 0 CO 0 O o rt a o O J J H CO H n N lO ■p H 0 (0 H G] I h] R] I r 1 N 1 CO I H 1 r BUILDING PLUMBING 1 MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Receive. ►t Permit H _,.�,..5��e) City of Port Angeles Please print in ink. Date Approv Attn: Building Permit Technician Approved by mar 321 E. 5th St., Port Angeles, WA 98362 360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no AmeV an Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8: 0 -12:30 pm Contact person: Phone: dir Property owner: Id G Pho ne: j 2 Propert own-r's mailing address: E Phone: Contractor's business name: ��jj� 1/ Ot//t C� or •ro•ert owner's name if he /sneYs oon•/�overseein• the work) `7i Contractor's mailing address: -e of. i! Expiration date: Contractor's L &I license se number: 5 Iti Project Address: O sect,.c./ 7 e) -/-i, Project Type: Residential u Commercial D industrial o Multi- family Project Business Name: (for commercial, industrial, or multi family projects) The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re -roof: D house m garage ec other tear off re -roof lay over one layer (1) Licensed contractor: Submit a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Re -side: c house garage other Project Valuation (labor materials, not including sales tax) Repair: (explain the project) Project Valuation *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of-materials x 2 Project Valuation T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011) Page 1 of 2 Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa protects that do not require plan review: Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? house garage other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. yes no Will the debris be going to the Regional Transfer Station in Port Angeles? yes No If yes, will a licensed contractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: (explain the project) Project Valuation Mechanical Permit: (explain the project) 713-0 //rt t s l- i/J C- Project Valuation 3� d C'_) I have read and completed this application and know it to :e true and corre I am authorized to apply for this permit and understand that it is my responsibility to deter e what permits Nr- required, and to obtain permits prior to working on projects. Datef7 7 Signature a//1// Print Name yd'c/1 w Page 2 of 2 Clallam County Assessor Treasurer Property Details 59409 ARNOLD W AND DIA... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 59409 ARNOLD W AND DIANA H SQUIRE for Year 2012 2013 Property Account Property ID: 59409 Legal Description: W16 LOT 8 ALL LT 9 BL 335 TPA Geographic ID: 0630000335420000 Agent Code: Type: Real 1 Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N m Multi Family Redevelopment: N Township: Section: N 44 Range: Location Address: 804 E TENTH ST Mapsco: 1 PORT ANGELES, WA Neighborhood: PA East Res Map ID: 2 t 1 Neighborhood CD: 5001000 r n Owe e /J(\ Name: ARNOLD W AND DIANA H SQUIRE Owner ID: 210734 Mailing Address: 804 E 10TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details Property Tax Information as of 11/09/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. E First Half Second Half 1 Year i Statement ID Base Amt. Base Amt. Penalty i Interest Base Paid Amount Due Statement Details 2011 154020 $1214.00 $1213.92 $0.00 $0.00 $2427.92 $0.00 O' Statement Details 2010 42305 $1162.47 $1162.42 $0.00 $0.00 $2324.89 $0.00 Values Taxing Jurisdiction Improvement Building Sketch Property Image Land I Roll Value History Deed and Sales History Payout Agreement 1 This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 11/9/2011 3:45 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net /propertyaccess /Property. aspx ?cid =0 &year= 2012 &prop_id =5 9409 11/9/2011 "!,'''''..''''".....-\.., Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000196 Date .431400 804 E 10TH ST 06-30-00-0-3-3542-0000- RE-ROOF 3/10/04 Ii ~.<', CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, WA 98362 RS7 RESDNTL SINGLE FAMILY 2973 OWner Contractor ;; ,~> DICKMAN-TRUST STEVEN/LINDA 804 EAST 10TH PORT ANGELES WA 983629292 o T M SERVICES 309 S ENNIS PORT ANGELES (360) 417-0124 WA 98362 ....-~..':..- - - --- - - - - - - - - - - - - -- - - - -- - - - - - - - - - - - - - - -- - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - -- h Permit BUILDING PERMIT - NO PR FEE Additional desc TEAR OFF, FELT, CaMP Permit Fee 106.75 Plan Check Fee .00 Issue Date 3/10/04 Valuation 2973 Expiration Date 9/06/04 Qty Unit Charge Per Extension BASE FEE 92.75 1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00 ------------------------------------------------------------------------ Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 106.75 106.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 111.25 111. 25 .00 .00 \\J ~ ~ o ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes nultand void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for:~period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last in$Pection. I hereby certify that I have read and mined this application and know the same to be true and correct. All provisions of la.and ordinances governing thi~ type of ark be complied with whether specified herein or not. The granting of a permit does not ~~~.;~;:;~tl to ive aothori to ~ oc 0 oel prov','o", of aoy "ale oe looal law ce90lati09 oo",'coolioo oc the portoemao," of 'N;// "~~ ~. (/7 ,;7 5-'/D~()/ S' .".. Date 19f,l Signature of Owner (if owner is builder) Date T:\P!JANNTNGlFORMS\] ]02.15 [11/14/2003J BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. 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. r INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUND A TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEP ARA TE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ':J -! L ~/)fl BUILDING ...,,-.- _..- T:\PLANNTNG\FORMS\1102.15 [11/14/2003] OJ >-3 '0 ~:;;~8E; n'O I:" >< ~ H:U '" '0 'O:UZZtJ >-3", , '" ...... L"()MI-3::d ><'0 UJ H "':U:U"' ;I> 0 0 ... ZI:" ;l>UJ O:U , H ~. nUJ "3"' , >-3 tJ , ~ OJ 0 '0 f" OJ. :u. 0 n:uo :u :uw 0",'0 ......... , ...... 3:0 H , H 'O~O oot:10oo ~~ , '" 1:"",0 """'H 0 , ...... ",UJ , , n>-3"" Glo , 0 ......tll ~6~:S:tIj OJ"" , "" "'"'e:: 1:"- , tJtJ.... g~~Cf)1-' "' :~ e; UJH 00' ",0 "" 4' .... H , >-3:U>-3 :u Z l,Do::u<:r: 0 , I:" ",HG) "" ~.... N , I:" UJZ WillOW ~UJ'O '" , >-3"'>-3 0 , ~~~ ",'" UJ w , <.nUJ , "'''''>-3 , .... ON", , ... 0 , <: , "30", , 3: OJ "'tJ , oZ , He: ",OJ 0...... , :>:H UJUJZ 01:" "'I:" e:no 'z , tJ I:":U ""H >-3H'O tJ HZ UJ'Oi'O ;I> n -JGl ......... 0 nH"l H 3: 0"3 00t>l HZ 3: H H 3:Zt>l ZUJ "' NZ 3: UJ'O Z "";I> "' '0"' ... I:" Z ",n UJ >-3 n>-3 UJ >-3H ~ 00 :UZ tJ 0,>-3 z ~8 0 'O'OUJ >-3 i3i3fiJ OJ:>: "' UJ", UJ ZZtJ >-3 ",",H I:" <: I:" H "' W :u '" I:" 0 >< "" H -J , 0 H N "" tJ'O ;1>;1> >-3Gl ",OJ w ...... H '" ...... 0 ""'" ~'~" CITY OF PORT ANGELES ~.~.~ PUBLIC ELECTRICAL DIVISION WORKS 321 EAST 5TH STREET. ~RT ANGELES. WA 983(~2 ELECTRICAL PERMIT iSSUED: 11/13/2001 PERMIT NO 7463 OWNER/APPLICANT PROPERTY LOCATION 804 10TH ST E STEVE DICKMAN 804 E 10TH ST Lot: W16'LT8ALLLT9 Block: 335 [] Long Legal Port Angeles, WA 98362 360/452-0992 Subdivision: TPA T: S: Parcel No: 063000033542000 CONTRACTOR ARCHITECT ELECTRIC SERVICE N/A 924 DRAPER RD. PORT ANGELES, WA 98362 , 98360-0000 360/452-6424 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: Construction Type: SERVICE CHANGE Occupancy Group: Zoning Use: ._1'_. Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service ~rl [] Furnace 0 KW [] Overhead Service Voltage: 120,240 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3 [] Fan Wall 0 KW Service Size: 200 Feeder Size: 0 PROJECT NOTES 200 a. service upgrade. ._~ FEES ASSESSMENT Service: $63.20 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $63.20 AMOUNT PAID: $63.20 BALANCE DUE $0.00 (?OMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASEPROVIl)EAMllqIMUM24 HOURNOT1CE. ITIY/UNLAWFULTOCOVER, INSULATE On CONCE/IL .4NY II/ORK BEFO. H~ IT IS INSPECTED .4ND .4CCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 7'/t ~ '~ DITCH ROU~H-m / COVER SERVICE [ l~/ } /V[ '~ e4~ GENERAL COMMENTS: ELECTRICAL PERMIT APPLICATION FOR OFICI..\;_ rsr; U~L i =):J("IJl~,. __....____.__ ?(Pll>:lI _~____..__ Dat,.-\;lpr,"(<L_ ___~.,_ I);Mh~lI("J_~_ ..".______ The Electrical Permil Applj,;ation must be filled out comDletelv. Please type or reprint in ink. It you haye any questions, please call (360. 417-4735 Fa. number: (360) 417-4711 OwnerorEleC,ContractorAgent: ~~.{lr';'-", \O(\/I~I't./ .1i....1... Property Owner: S.t..e \I" (/ _ Qd-< fYI.lIt/"\ . Address€O'-j ~ If: [01... city_pod 11V~}_' t;;. l' \". _ L UJ" Electrical Contractor: /0 t "C 1 L- 0 rt 1 Ci ,1.>,( License #: i"""" t;} r"Yl Address: ,5j''2 Ora.-p.- \h., I!i-l QA .CityPor-i /tnfr"L.,.- INSTALLATION WiRED BY: 0 OWNER )iElECTRICAl CONTRACTOR REQUEST INSPECTION U Phone'1~ 1.-(.,,--1'2 '-I Fax: '-( "'> ") - <.:,t-r 'J. 'f Phone:~- 0 Df9'2 Zip: 9$:3 (" '2 Exp: <t! i"f/ 0'2- Phone 4 ~ :J - "''-11 '7 Zip; 9.!S~ "'.2... Credit Card Holder Name: Billing Address: Credit Card Number: City: Exp. Date: Zip: VISA:_MC:_ PROJECT ADDRESS: !3tJ1 C, /0 -6 .,5r TYPE OF WORK: Check all that apply: ::J New [] Alteration/Addition C Residental [JMu~i-family [J Commercial [J Mobile Home Sq. Ft. [J Remote Meter C Detached garage [J Hot Tuo [J Swim Pool [] Septic Pump [] Low Voltage [J Telecom. CJ Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: 'J.fJ(j llt..-vLijJ ,".€yVI U Electrical Heat Load Additionb Service Information [J 8aseboard o Furnace [J Heat Pump o Fan.Wall _KW _KW _KW _KW ~Overhead Service j Temp Service [; Underwound Service Voltage: 2.lj-O Phase: 1ld'1 [J 3 Service Size: :J flG FJ. Feeder Size: ' PAMC 14.05.060(8): For industriai, commercial, & residential prOJ"ots larger than a duplex, a one - line drawing of the Electrical Service & Feeders, building size (sq. fl.), load calculations, and the type & of cor,juctors andior raceway is required and shall accompany the Electrical Permit application. J hereby certify that J have read and examined this application and kli::>w that same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legall~~sponsibility to determine what permits are required; it remains the applicants responsibility to determine what pam';ts are required and to obtain such. Credit Card Holder's Signature: r;~/.'l:1 (jU !)ate: PW-9019 Owner or Elec. Cont. Signature: Date: