HomeMy WebLinkAbout209 Columbus Ave - Building CITY OF PORT ANGELES
i! DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001073 Date 9/29/11
Application pin number 430301
Property Address 209 COLUMBUS AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-09-5-8- 0058 -0000-
Tenant nbr, name KENNETH BOCKMAN on your state excise tax form
Application type description MECHANICAL APPL. PERMIT
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 3450
Application desc
ELECTRIC BOILER
Owner Contractor
KENNETH BOCKMAN PENINSULA HEAT INC
209 COLUMBUS AVE 782 KITCHEN -DICK RD
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 452 -5187 (360) 681 -3333
Permit MECHANICAL PERMIT
Additional desc ELECTRIC BOILER
Permit pin number 193466
Permit Fee 64.70 Plan Check Fee .00
Issue Date 9/29/11 Valuation 0
Expiration Date 3/27/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.7000 EA ME- BOILER <OR= TO 3 HP 14.70
Fee summary Charged Paid Credited Due
Permit Fee Total 64.70 64.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.70 64.70 .00 .00
}v,c, II4 IA- •II
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 know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether sp- 'fled herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisi•' s any s e :w gulating construction or the performance of
cons on.
au-/;7*%4eifre_./ i i
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building DivisionlBuilding Permit
BUILDING PERMIT INSPECTION RECORD
0
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS ^l
Building Inspections 417 4815 Electrical Inspections 417 4735 QJ"
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
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) G
T -Bar
INSULATION: C
Slab
3
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts -C 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
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 /'Y/ f -jLL_-
a
T:Forms /Building Division /Building Permit
4/.
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Sep 28 11 11:27a PENINSULA HEAT 3606812086 p.2
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.) -2S-11
Date Received
Permit* 1o13
City of Port Angeles Please print in ink. Date Approved
Attn: Building Permit Technician Approved by
321 E. 5 St., Port Angeles, WA 98362
360 -417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mor-Fri 8 -5 pm (no American Express;
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm
Contact person y) Phone:
Property owner: 1
6,k17-1 a Y1 1 Phone: 27/6- 5/E7
Prope owner's mailing adpress:
Contractor's business name: y jam. Phone
(or property owner's name if he /she is doing /overseeing the work) j
Contractor's mailing ad ress:
Contractor's license number: Expiration date
Project Address:
7 W (2)/ton4.1.5 A
Project Type: yetResidentia! o Commercial o 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: house in garage other
tear off re -roof in lay over one iayer
Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re -side: Q house garage o other
Project Valuation S (labor materials, not including sales tax)
Repair: (explain the project)
Project Valuation S
*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
Sep 28 11 11:27a PENINSULA HEAT 3606812086 p.3
Swimming Pool or Spa 24" deep): For prefabricated swirnmina pool or spa protects that
do not require plan. revi9w:
Obtain the City of PA handout entitled "Pools Spas" foliow the requirements.
Project Valuation S
Demolition: A demolition permit is needed when an entire building gets demolished.
What will be demolished? a house cm garage ra 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 eerier 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 wilt also
be needed.
r❑ 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?
(7) 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
pc--41 r e 16 34-1< f Ir�� /761
Project Valuation S _9 4 f 5
i have read and completed this application and know it to be true and correct.. I am authorized to apply for this permit
and understand that it is my responsibili o determine what .ermits are required. and to obtain permits prior to
working on projects.
Date eli2g.// Signature 1 L/ P �7�/� y
Print Name 6-)X. 1���e'
Page 2 of 2
Clallam County Assessor Treasurer Property Details 64763 KENNETH BOCKMA... Page 1 of 1
Ciailafrt County Assessor Treasurer
Property Search Results 64763 KENNETH BOCKMAN for Year 2011 2012
Property
Account
Property ID: 64763 Legal Description: SOUTHWOOD LOT
30
Geographic ID: 0630095800580000 Agent Code:
Type: Real
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
Multi Family Redevelopment: N
Township: Section:
Range:
Location
Address: 209 W COLUMBUS AVE Mapsco:
PORT ANGELES, WA
Neighborhood: PA East Res Map ID: 3
Neighborhood CD: 5001000
Owner
Name: KENNETH BOCKMAN Owner ID: 14482 ,Mailing Address: 209 COLUMBUS AVE Ownership: 100.0000000000%
PORT ANGELES, WA 98362
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 09/28/2011
Amount Due if Paid on: M. 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.
First Half Second Half
Year Statement ID Base Amt. Base Amt. Penalty L Interest Base Paid j Amount Due
Statement Details
2011 158755 $790.88 $790.82 $0.00 $0.00 $790.88 $790.82
0. Statement Details
2010 47051 $757.87 $757.86 $0.00 $0.00 $1515.73 $0.00
Values
Taxing Jurisdiction
Improvement Building
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Payout Agreement
This year is not certified and ALL values will be represented with "N /A
Website version: 9.0.32.2200 Database last updated on: 9/28/2011 3:48 AM 2011 True Automation, Inc. All Rights
Reserved. Privacy Notice
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =64763 9/28/2011
~
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CITY OF :eORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT -BUIT..DINGDIVlSION
321 EAST 5THSTR,EET, PORT ANGELES, WA 98362
Application Number
Pin number' . . . .
Property Acidiess
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
property Zoning . . .
Application valuation
'04~(j0000605
.387050
'209 ',COLUMBUS AVE
06-30-09.,.5-8-0058-000'0-
ELECTRICAL ONLY
',_' ....'i<
Date
7/20/04
"
RS7,RESDNTLSINGLE'FAMILY
o
Owner
Conj:x:actor
BOCKMAN, KENNETH/TERESA
207 ALDBRWOOD CIR
PORT ANGELES WA 98362
(360) 452 -5187
BOB"S ~CTRIC ,INC
2293 DEER 'PARK RD.
PQRT' ANGELES ' WA 98362
(360) 457-6887
----------------------------------------------~----~------------------~--~--
Permit . . . .
AdditioIlal desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
200A SERVICE CHANGE
BOB'S ELECTRIC INC
76.30
7/20/04
1/17/05
Plan Check Fee
Va,luation
.00
o
\J
~
~
~,~
~~
l~ ~
~~
\'
~
Qty Unit Charge Per
1.00 76.3000 ECH EL-RM-0_200 1ST SRVFEBDBR
Extension
76.30
Fee SUllllllary ~rged Paid ,Credited, Due
.---------------- -------.-- ---------- ---------- ----------
Permit Fee Total 76.30 76.3,0 .00, .00
Plan Check Total .00 .00 .00 .00
Grand Total 76.30 76.30 .00 .00
- .. .. ,- ~
Separate Permits are required for electrical work,SEPA,Shoreliije, E,~~!lJtili,ties, privCilte and pu~l!pirllf?~y~I1J~~~,;<J1)!s,P!t!11it,bec:omes
null aHd voic;t,J(wprk ,or construction authorized is nqt cornm~nced willii~180 days, if construction or wor~ is's"U'~peh~ed'qrabaridoned
for a period~f'180 days atter the work as commenced, or'if requiredins~ctionshave not been requestecf wiUlio 18(),'1;tayStn>m the last
insp:e~ion.Jl1ereby certify that I have read and exarninedthis applicatlon and know the .sal1le.~cj betruean~. co~';f.'!.Ii>rovisions of
laWsaridord'in;;lnces governing this type of work will be complied with whether specified her.einornot.The g~ntlngot~.P~Oll!t does. not
presume.to give authority to violate or cancel the provisions of any state or local law regulatlngconstructlonor,the performance of
construction. . ,.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if 9wner is bLJilC!~r)
Date
T:\P~G\FORMS\I 102.15 (J 111412003]
BUILDING PERMIT INSPECflON RECORD
CALL 417-4815 FOR BUlLDI~G INSPEctIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL"TOCOVER,INSULATEOR CONCEALcANYWORKJJEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CQNSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE ' DATE ACCEPTED COMMENTS
I YES I NO " :' "
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION ,'DRAlNAGEIDOWN SPOUTS
ELECTRICAl. (LIGHT 0EP1) SEPARATE PERMIT: II
ROUGH-IN I
PLUMBING
UNDER FLOOR' SLAB
ROUGH-IN "
WATER LINE (METER TO BLOG)
GAS LINE !
BACK FLOW , WATER
AI~ SEAL ,
WALLS I
CEILING I I I
FRAMING
JOISTS' GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS' ROOF! CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB I I
WALL, FLOOR' CEILING I , I
MECHANICAL
i
HEAT PUMP
GAS LINE
WOOD STOVE' PELLET' CHIMNEY
HOOD' DUCTS
PWUTILlTIES' SITE WORK (Engineering Division) SEPARATE PERMIT II's:
WATERLINE' METER
SEWER CONNECTION i
SANITARY ,
STORM
PLANNING DEPT. SEPARATE PERMIT 11'5 SEPA:
PARKlNGJLIGHTING ESA:
LANDSCAPING, :" SHORELINE: ':
, '.. FINAL INSPECTIONS REQUIRED PRIORTO OCCUPAN'CYIUSE
,
RESIDENTIAL 'DATE YES NO ,.':'" COMMERCIAL DATE ,ACCEPTED
YES "f4o
ELECTRICAL - LIGHT DEPT. 7h/nq ~/J ,
417-4735 ELECTRICAL
UGHT DEPT
CONSTRUCTION R. W.' PW, II / CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW , ENGINEERING
FIRE . 417-4653 , FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING ,',
T:\PLANNING\FORMS\I 102.15 [1111412003]
FROM BOB'S Electric
FAX NO. : 1 360 452 9943
Jul. 02 2004 i0:4iAM Pi
ELECTRICAL PERMIT APPLICATION
The Electrical Permit Appliealion must be f111~d out eomolelcly.
Please type ONcprlnlln Ink. If yo\J have any questions, please call (:160. 417--1735
Fax number: (360) 417-4711
=:.--;;z~t~$!t~"E
Addr..s: ,;;e,q> ~_C"Y: /11-
Eloclrlcal ConlraclOr,lt ~J, f/ PV' Mr.r ,];},/c.. ~f~2.~lll:
Addr..s: ,<2;t IfS , OJ,. P AL4K CI'y: ../hi- t4,u 1" (,p <: ld a
INSTALLATION WIRED IIY: 0 OWNER ~LECTRICAL CONTRACTOR
Credlr Card Holder Name: {) ''''6 , ~'/""/"<f' f
BIlling Address: 2~f. ~ '/:x:;-e.e &K' City: ./),I?T I1tV9CJ f/ <;
Credit Card Number: ~ Exp. Date'
Phonei?fn- "9'<7~ W 7 Fax:
PhOne:
PROJECT ADDRESS:
j.oq (! ~/A'1(1f.,/A
TYPE OF WORK:
Check allthal apply: 0 New
o AlleralionlAddilion
~esidenlal 0 MullHamily
"
o Commercial 0 Mobile Home Sq. FI.
f"O',nc"r.'lCIM.'I!.f.U}:\.... ,
Dlllell",,:
Pt._:
D'JIIcAf"fW'.w....
DalI'I,,-.s:
C/r- W;::>
~bo .4r;:J. '1'r;-<;/E"
q$"~-~ /&?
Zip: c?f(::{ h 2;
Phone: t./:5? - fnR({
Lop: '7 f.3'-2-
ZIp: 1/1D. 7f?
VISA:..LMC:_
Number 01 Clrcull$ added or altered:
o R~mole Meier 0 Detached garage 0 Hol Tub CJ Swim Pool tJ Seplic Pump 0 Low VOllilgo 0 Telecom. 0 Si~
;2(')() ~yJ ~ C? L~<g~
., 71( 72--
DESCRIPTION OFTHE ELECTRICAL PROJECT:
Electrical Heal load Addlllons
Service Information
o Baseboard
o Furnace
o Heal Pump
D Fan.Wall
_1M
_1M
_KW
_1M
o Overhead Service
o Temp Service
o Underground Service
Vollage:
Phase: 0 I 0 3
Service Size:
Feeder Size:
PAMC 14.05.060(8): For Industrial, commercial, & residential projec," larger Ihan a duplex, a one. fine drawing ollhe Eleclrical Service &
Feeders, building size (sq. 11.). load calculations. and the type & 01 conduclors and/or raceway is required and she" accompany the
Electrical Pe/lTlll application.
I hereby certify fhat I have read and examined this application and know that same to be lrue and correct, and I al
authorized to apply lor this permit. I understand it is not the City's legal responsibility to del ermine what permils
are required; it remaIns the applicants rmine what pe e required and 10 obtain such.
PW.9019
Credit Card Holder's SIgnature: O,.,,,,t..J7 ~A'!J /0/
Owner or Elee. Cont. Slgnalure: 6~,."t. r.I c;yt1'" / 7.
~~
;1tO
7;/2-/0'1 f)t'kt,/ OItL ?f) ~O~ fiu~ .
Dale:~
Date: ~/-)h.9"
J 7t,3o
Application Number . . . . . 23-00000018 Date 1/09/23
Application pin number . . . 442070
Property Address . . . . . . 209 COLUMBUS AVE
ASSESSOR PARCEL NUMBER: 06-30-09-5-8-0058-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
NADYA ROSSBERG SWAFFORD BLACK DIAMOND ELECTRICAL CONTR
209 COLUMBUS AVE 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(239) 248-5181 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 1/09/23 Valuation . . . . 0
Expiration Date . . 7/08/23
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool/ Hot Tub $110.00 $
TOTAL $
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
'"'CJ CD
PREPARED 1/06/23, 8:02:09 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000018 209 COLUMBUS AVE
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 63.00
TOTAL DUE 63.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
DHP
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
1/9/2023 23-18 TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
209 Columbus Ave