HomeMy WebLinkAbout1224 W 17th St - Building' %w4a CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Le—
BUILDING PERMIT ISSUED: 4/12/2001 PERMIT NO: 12573
OWNER/APPLICANT
PROPERTY LOCATION
Building Permit:
TODD R NORTHERN
1224 17TH ST W
Plan Check:
$0.00
1224 W 17TH STREET
Lot: 6 & 1/2 OF 7
$4.50
Port Angeles, WA 98362
Block: 452
E] Long Legal
360/452 -736 ,4 q
Subdivision: TPA
Sign:
T: S:
Parcel No: 063000045231000
Plumbing:
CONTRACTOR
ARCHITECT
Mechanical:
$0.00
OWNER
N/A
$0.00
BALANCE DUE: $0.00
VARIOUS
Port Angeles, WA 99360
98360 -0000
206/000 -0000
360/000 -0000
PROJECTINFO
Project Value: $12,000.00
SFD Units: 0
Commercial: 0
Project Type: SFR ADD /REMODEL
SFD SQ FT: 0
Industrial: 0
Occupancy Type:
Garage: 0
Occupancy Group:
MFD Units: 0
N
Construction Type:
MFD SQ FT: 0
J�1
Zoning Use:
PROJECT NOTES
TWO STORY 472 SQ. FT. ADDITION, 320
SQ. FT. DECK, AND A 35 SQ.
FT.
ENTRY, TO A SFR.
PLANS C -8
FEES ASSESSMENT
Building Permit:
$209.25
Misc Fee 1: $0.00
Plan Check:
$0.00
Misc Fee 2: $0.00
State Surcharge:
$4.50
Misc Fee 3: $0.00
House Moving:
$0.00
Manufactured Home:
$0.00
Sign:
$0.00
TOTAL FEE: $213.75
Plumbing:
$0.00
AMOUNT PAID: $213.75
Mechanical:
$0.00
Radon:
$0.00
BALANCE DUE: $0.00
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
fora 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 governing this type of work will be complied 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
is builder) Date
v
-l.
S
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING 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
INSPECTION TYPE
DATE
ACCEPTED
COMMENTS
YES NO
FOUNDATION:
FOOTINGS a SL 61&
1-12 -o
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH -IN
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
T11731
t
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS /ROOF /CEILING
10 -11��)
Lf
DRYWALL
T -BAR
INSULATION
SLAB
WALL /FLOOR /CEILING
Z", 0\
MECHANICAL
HEAT PUMP
WOODSTOVL / PELLET/CHIMNEY /INSERT
HOOD /DUCTS
PW UTILITIES / SITE WORK (Engineenng Division) SEPARATE PERMIT Ws:
WATERLINE / MGFER
SFW'ER CONNE('7 [ON
SANITARY
STORM
SEPA:
ESA:
SHORELINE:
PLANNING DEPT. SEPARATE PERMIT 4's
PARKING /LIGHTING
LANDSCAPING
FINAL INSPECTIONS REQUIRED
PRIOR TO OCCUPANCYNSE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEPTED
YES
NO
ELECTRICAL- LIGHT DEPT. 417 -4735
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/
ENGINEERING 417 -4807
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 417 -4657
FIRE DEPT.
PLANNING DEPT. 417 -4750
PLANNING DEPT.
BUILDING 417-4815
- 3p - -62
BUILDING
C. \APPL. W PD
BUILDING PERMIT - APPLICATION
The Building Permit - Preapplication must befdled out completely.
Please type or print in ink. If you have any questions, please call 4174815
Applicant and/or Agent: (� - -_ (� C� j' j i� j11 I
Owner:.
Address:_ l L L� L , I I I l-, ST
FOR OFFICYL USE ONLY:
Date Rec.: 7 Z-
Pemdt #:_ / 2
Date Approved:
Date Issued:
Phone: Y- S Z -
Phone: ?(T —
zip:
Architect/Engineer:_ Phone: Y S 2
Contractor License #: Exp: Phone:
Address: / City :_
PROJECT ADDRESS: --14 V\ e7
LEGAL DESCRIPTION: Lot: lis "b C
CLALLAM COUNTY PARCEL NUM
If 2— Subdivision: i PA
Zip:
TYPE OF WORK:
SIZE/VALUATION:
o Residential o New Constr.
o Reroof
o Woodstove SF. @
o Multi - family Addition
o Move
o Garage
-IS SF. Q $ /SF. _
o Commercial a Remodel
o Demolition
V, Deck
SF. @ $ /SF. _
a Repair
a Sign
o
TO AL VALUA']'1ON $,
BRIEF DESCRIPTION OF THE PROJECT:
9' 17 S
, %j p b/ ' , "•J O 5 F 1 r lG
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: Z Lot Size: -7 S *1 °/a Lot Coverag ? / S c U o/a
Existing Lot Coverage: i t-0 /sq. ft. + Proposed Lot Coverage: _ �� -/sq. R =TOTAL LOT COVERAGE: Z W, sq.ft
PLANNING USE ONLY: APPROVALS: PLAN
Permits Required: Notes: BLDG
Max. Height: Setbacks: Zoning: DPW
Site Plan and Use Approved by: Date: FIRE
ESA/Wetland(s): a Yes a No SEPA Checklist required? a Yes a No Other: OTHER
BUILDING APPLICATION SUBMITTAL: Your application and site plan must be oiled out completely to be accepted for review.
The Building Division can provide you with more detailed information on the application and plan submittal requirements.
BUILDING PERMIT APPLICATION SUBMITTAL: Your completed application, site plan (for additions) and building construction
plans are to be submitted to the Building Division.
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 Div. to comply 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.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire by
limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see
Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and brow the same to be true and correct, andl am authorized to apply
jot this permit. I understand it is not the City's legal responsibility to determine w at perm equi d,• it remains the applicants
responsibility to determine what permits are required and to obtain such.
plicant: �/�:
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P W -1102 13 [rev.2/99]
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City of Port Angetes
Applicant Project Review Sheet
Applicant: I f3 �� ��f�►
Owner:��
Property address: 1 Z -y V 7k
Proposed use: Zoning:
Is the proposed use listed as a "permitted use" or an "accessory use in this zone?
❑ yes: ok
❑ no: requires PD
Is this the only se
y ( business. residence, etc.) on this site?
yes: ok
1e`7CW
❑ no: requires PD
Has there ever been a subdivision, shortplat, or PRD approved for this site, or has one
p requires PD
Y�
review
� : ok
been submitted and is pending approval?
.
Does the proposed use require a new buisness license?
review
❑ yes: requires CC
M-no: ok
Does o project extend into any required setbacks or cross any lot lines (interior or
review
❑ yes: requi PD
requires PD
�/-
a'no: ok
review
�� penny
the ell weld loft covert ag in this zone? height allowance or cause the property to exceed
❑ yes: requires PD
Lino: ok
Does the project require any additional parking or special desi improvements
��asnaPe
review
❑ yes: requires PD
no: ok
in this zone?
Does the project eliminate any existing perking spaces?
review
❑ yes: requires PD
no: ok
Is the project located within 200' of the shoreline?
review
❑ yes: requires PD
Lfi no: ok
Are there any environmentally sensitive areas on or within 200 of the property.
review
❑yes: requires PD
[ no: ok
including:
• wetlands or areas of standing water (year round or seasonal);
tee`"'
• streams (year round or seasonal),,
• areas with a slope of 40% or greater, or
• areas that have evidence of past ground movement or erosion?
Have all the required submittals been provided by the applicant?
❑ yes: ok
❑ no: mark
❑ Site Plan O Construction Drawings
required
❑ Parking/Drainage Plan O Civil Drawings
item(s)
O Energy Cale ❑ Supporting Engr. Cale
❑ Landscape/Lighting Plan O Other
I LPlanning Department review is required, the processing time may be extended. (f it is determined a separate Planning
paronent permit(s) is needed, the PlawtingDeparomnt plaMit(s) must be approved prior to the issuance ofany other permit.
77m information provided above is but to d w best ofmybw ledge, I totderatand that in the event that any of this information is determined
by the City to be incorrect, this project:wllkbe stopped until such time the City determines the correct informahon is provided and any
subsequently required review and approvals are completed and granted.
Applicant uste
Permit Category N (see reverse side) Building Permit N
Route to: ❑ BD ❑ CC O FD ❑ I.D 0 PD ❑ PW O File O Other
Master Tracking N
Staff Initials Date Completion of this form is required for all category lb, I & 3 permuL Completion is not
required for category la permits unless they re ult in a potential change of use or occupancy.
�2
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date y' I z— a 0 Time 06A0,L'( Received by '\ � °/ (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection_
Type of Inspection (circle appropriate one):
Sewe Foundation raming Chimney
aorta S
Phone No.
Permit No. t z S7 3
Plumbing Final Sewer Excay. Other
INSPECTION NOTES:
Inspected: Date �/ %z— n/ Time 10,136 '41t' By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: ❑ Unimproved ❑ Gravel ❑ Asphalt ❑ PCC ❑ Other
❑ Repaired by City
❑ Repaired by Permittee
❑I No Damage Found
Work Order # _
❑ COMPLETE
❑ INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date Time
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle ropriate one):
Sewer Foundatio Framin Chimney lumbin
INSPECTION NOTES: /
Inspected: Date U ! ! Time
Remarks:
Received by (phone, person)
Phone No.
Permit No
Final Sewer Excay. Other
By V,
RESTORATION REQUIRED ...... YES NO
tZ1573
SURFACE RESTORATION:
SURFACE TYPE: ❑ Unimproved ❑Gravel ❑ Asphalt ❑ PCC ❑ Other
❑ Repaired by City
❑ Repaired by Permittee
❑ No Damage Found
Work Order #
❑ COMPLETE
❑ INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: Q
Date /Z 1 Time Received by (phone, person)
Location of Work to be inspected
Name of person requesting inspection (b)aj2 1VneTbi -r--✓'✓(
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. S
Sewer Foundation Framing Chimney Plumbing Final SewerExcay. Other. -ilsa /611'6' -2
INSPECTION NOTES:
Inspected: Date f 2� ^v Time By
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: ❑ Unimproved ❑ Gravel ❑ Asphalt ❑ PCC ❑ Other
❑ Repaired by City
❑ Repaired by Permittee
❑ No Damage Found
Work Order #
❑ COMPLETE
❑ INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
REQUE$T`
Date s.
CITY OF PORT ANGELES �v
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
Time
Received by (phone, person)
_
Location of Work to be inspected / 2- V %"-�' / f
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No
Sewer Foundation Framing Chimney Plumbin Final ) Sewer Excay. Other _
INSPECTION NOTES:
Inspected: Date ° Tim
Rcmar4c-
I "Z5 f _,
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: ❑ Unimproved ❑ Gravel ❑ Asphalt ❑ PCC ❑ Other
❑ Repaired by City
❑ Repaired by Permittee
❑ No Damage Found
Work Order #
❑ COMPLETE
❑ INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
By
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: ❑ Unimproved ❑ Gravel ❑ Asphalt ❑ PCC ❑ Other
❑ Repaired by City
❑ Repaired by Permittee
❑ No Damage Found
Work Order #
❑ COMPLETE
❑ INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES o ELECTRICAL PERMIT
LIGHT DEPARTMENT N? 15466
Port Angeles, Washington (f --------------- ..... 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-
mission is hereby granted to do electrical work as listed below.
/Address ..:z r � Occu anc y - - -
15----- --- - °- -- - -- ---
- -- - - ----
Owner ... ''l
Wiring Contractor.- --- - - ----
� v V -.
r
Light Outlets .-..--....._ ---- F.-...—.........
/� V
Receptacle Outlets ...its ........................
Dryer, Kw ....... .- /-- -------- ----- --- - - --
Range, KW ._......--------- - -- ----- - - - - -- - ...
Water Heater: {/
_.
KN.- - -.. � e' 1
lleat Rw --------------
Motors: size, revolts and phase:
A -1A "%'
/ 6ec.V
Total Load---------------------- - -----
Remarks:
` ` .
Service, volts ... 1..../j.........._ , _ .
No. wires .._.._3..._.'_,....---------
Size wires -----
Main fuse ......
,. /1.....�1�
ssyyr�r� ...... ............
r----- ...... -
r
Enclosure ------------
.......................
Type of wiring:
Entrance Cable
Rigid Conduit
Metallic Tubing ..
Current transformers:
No. & Size ..............
Ser. No ------------ --------- ---------------- - - - - -_
Ser. No ------- --------------------------------------
Ser.
Type of Wiring:
Armored Cable
Non - Metallic ....
Knob & Tube_..
Rigid Conduit ..
Metallic Tubing
Raceway .... ....................................
.
Circuits, Light.._ F._.._.._-----------------
Utility .... 6
lieat.._ ............... -------------------
Range_ IP .. ... ....- ............ - -...
Water Heate ___
Motor..... ----------------------------------------
Dryer.. ":...._ ...................._-...-------
Fomace .... ......�..%.._ ------------------------
Permit P a Tress. Receipt _
$ - � U - No,-- --- ------•- ------ ---- ---- By ; t - -°
NOTICFr- Current must not be turned on until Certificate of Inspection has been Issued. if work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
4� A" _ 8 /3
Date called
Preliminary
Inspection
Total Load
ELECTRICAL PERMIT N? 15466
IM 3 -72 O,ympic Printers, Inc.