Loading...
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: �/�: z A P W -1102 13 [rev.2/99] ZNr� N 114'h sT I� a 9 x 11 -,s ® r wove S OtWA4k stn.pottg K�i I to 1 �ZJ-f IJ�J 1 "t'�' ►^ 7,1 � w / poGr':tna , F�nRX Z sic2y EXISf1NU I 4eu «c t s K z1 s r a -Ak ec 3b' c 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.