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HomeMy WebLinkAbout628 Victoria Street Address: 628 Victoria Street PREPARED 10/13/14, 12:34:57 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/13/14 ------------------------------------------------------------------------------------------------ ADDRESS . : 628 VICTORIA ST SUBDIV: CONTRACTOR PENINSULA HEAT INC PHONE (360) 681-3333 OWNER RICHARD E CLARK PHONE PARCEL 06-30-00-5-1-3510-0000- APPL NUMBER: 14-00001170 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 10/13/14 JLL MECHANICAL FINAL October 10, 2014 9:11:17 AM pbarthol. Mr Clark 310-944-2322 ----- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 1 Vn` Application Number . . . . . 14-00001170 Date 9/30/14 v Application pin number . . . 326040 Property Address . . . . . . 628 VICTORIA ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1-3510-0000- REPORT SALES TAX Application type description RES MECHANICAL PERMIT Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 4059 (Location Code 0502) ---------------------------------------------------------------------------- Application desc DUCTLESS HEAT PUMP ---------------------------------------------------------------------------- Owner Contractor ------------------------ RICHARD E CLARK PENINSULA HEAT INC 628 VICTORIA ST 782 KITCHEN-DICK RD PORT ANGELES WA 983623326 SEQUIM WA 98382 �s (360) 681-3333 - --------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc DUCTLESS HEAT PUMP (� Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 9/30/14 Valuation . . . . 0 Expiration Date . . 3/29/15 Qty Unit Charge Per Extension BASE FEE 50.00 -----1.00- ---- 14.8000 EA ME-FURN/HP/FAU < OR = 5-TON----- 14.80- 'A n --------------------------------- V Special Notes and Comments Per Washington State Code 51-51-315, installation of Carbon Monoxide detector(s) is required if you are installing or replacing a fuel burning appliance (wood, pellet, gas)and must be in place prior to the final inspection of this permit. They are required to be place directly outside of each sleeping area and at least one on each floor of the house. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .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 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD 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 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS 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 b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Li htin ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit THE � ry-+ �LGELES For City Use CITY OF 1 1 Permit# 1 1—//7� WASHINGTO N , U . S. Date Received: O-l 321 E 51h Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email: permits@cityofpa.us BUILDING PERMIT APPLICATION Project Address: 6 L ViAr(a. S f t-� r Phone: S sg i Lin Prima Contact: RI (,6a( C r Email: Name .G Phone Property Mailing ddress V Email Owner 2 E v t - 1 A b r'r�0 'J_ co City p U 1LT I LAIE�s State w A Zip 3 Z Name / Phone CO Contractor Address P.O. Email [ 3 Information city State w zip ! Q Z Contractors License# Exp.Date: Legal Description: Zoning: Tax Parcel# Project Valuf�materials and labor) d OD I3 00000 $ Residential Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ Classification For the following,fill out both pa eg s of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical EI/Plumbing ❑ Other ❑ Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms Yes ❑ No ❑ Yes ❑ No ❑ L L Project Description M Is project in a Flood Zone: Yes ❑ No[] Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within i8o days of submittal,the application will be considered abandoned and the fees will be forfeited. 'Ilk Date Print N� Signature Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or a° floor) Garage Carport Other(describe) Area Totals Commercial Structures Proposed For Office Use Area Descriptions(SQ FT) Existing Proposed ss Value Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) . Site Area Totals Lot/Site Coverage Calculations Lot Size (sq ft) Lot Coverage (sq ft) %Lot Coverage(Total lot coverage-lot size) Site Coverage (Sq Ft of all impervious) %of Site Coverage(total site coverage_lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # re air/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fire lace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: 1 # Ventilation System # Forced Air UnitZDW Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Water Heater # Medical gas piping #of Outlets: Water Line # Plumbing Vent piping # Sewer Line # Industrial waste pretreatment interceptor Grease Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx Address: 628 Victoria Street AI. PREPARED 12/08/16, 13:37:16 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/08/16 ------------------------------------------------------------------------------------------------ ADDRESS . : 628 VICTORIA ST SUBDIV: CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939 OWNER RICHARD E CLARK PHONE PARCEL 06-30-00-5-1-3510-0000- APPL NUMBER: 16-00001521 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------——------ ME99 01 12/08/16 L MECHANICAL FINAL December 8, 2016 8:31:34 AM jlierly. daves DHP -------------------------------------- COMMENTS AND NOTES -------------------------------------- . CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00001521 Date 10/07/16 Application pin number . . . 576418 Property Address . . . . . . 628 VICTORIA ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1-3510-0000- REPORT SALES TAX Application type description RES MECHANICAL PERMIT on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . UNKNOWN (Location Code 0502) Application valuation . . . . 2640 Application desc DUCTLESS HEAT PUMP ---------------------------------------------------------------------------- Owner Contractor j RICHARD E CLARK DAVE'S HTG & COOLING SRVC INC v\ 628 VICTORIA ST PO BOX 413 PORT ANGELES WA 983623326 PORT ANGELES WA 98362 (360) 452-0939 ------------------------------------------ Permit . . . . . . MECHANICAL PERMIT Additional desc DHO Permit Fee 64.80 Plan Check Fee .00 Issue Date . . . . 10/07/16 Valuation . . . . 0 Expiration Date 4/05/17 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5-TON----------14.80 Special Notes and Comments Per Washington State Code 51-51-315, installation of Carbon Monoxide detector(s) is required if you are installing or replacing a fuel burning appliance (wood, pellet, gas)and must be in place prior to the final inspection of this permit. They are required to be place directly outside of each sleeping area and at least one on each floor of the house-. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.80 64.80 .00 .00 \ Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 If 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 isnot 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 specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state o construction. r local law regulating construction or the performance of wn � Q Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Fonns/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD 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 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS 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 AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: .3 Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping ]SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 10/0412016 7:37AM FAX 3604524376 DAVES HEATING & COOLING Z0001/0001 Tile CITY OF a.,.. i, ;: For Clty Use W A S HI N G T 0 N , U. S. Permit# Date Received: 321 East S",Street Port Angeles, WA 98362 Date Approved 140-7-1 6, P: 360-417-4817 F: 360-417-4711 permits0cityofpa.us Building Permit Application Project Address: _ C5 -�- Main Contact: Phone # E-Mail: Property Nah �► G 0.r Phoma Owner °-1- Malifu dbs D ^ � Email _ ctty -y �� I�� zip<7e COittraCtOC ..VGZvels ►�{P..at_ h Phone Mail gAddr V IJrniail o)C 3 � City Contractor License# ,� + �� Expiration; � /7' rt $ro'ect Value Zoning; Tax Parcel # Lot# r Type of Residential Commercial ❑ industrial d Public '1.7 yi permit Demolition ❑ -Fire ❑ Repair ❑ Reroof(tear off/fray over) ❑ For the following,fill out both pages of permit application: New Construction ❑ Remodel ❑ . Addition ❑ Tenant Improvement C1 Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler system? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes (3No ❑ Project Description I have read and completed the applicaElon and know it to be true and correct.I am.authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after. plan review has occurred. I.understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within ISO days of receipt,the application will be considered abandoned and the fees forfeit. Date Print Name Signature Address: 628 Victoria Street PREPARED 2/10/17, 9:28:52 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/10/17 ------------------------------------------------------------------------------------------------ ADDRESS . : 628 VICTORIA ST SUBDIV: CONTRACTOR CLAWSON CONSTRUCTION LLC PHONE (360) 461-9295 OWNER RICHARD E CLARK PHONE PARCEL 06-30-00-5-1-3510-0000- APPL NUMBER: 16-00001137 RES REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL, REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------- ---------------------------- ---- BAIR 01 10/12/16 JLL BLDG AIR SEAL 10/12/16 AP October 12, 2016 8:15:22 AM jlierly. Dave clawson October 12, 2016 4:21:09 PM jlierly. BL3 01 10/12/16 JLL BLDG FRAMING 10/12/16 AP October 12, 2016 8:15:46 AM jlierly. October 12, 2016 4:21:09 PM jlierly. BLWS 01 10/18/16 JLL BLDG INSULATION WALL/FLOOR 10/19/16 DA October 18, 2016 8:53:42 AM jlierly. Clawson October 19, 2016 12:06:26 PM jlierly. This isnpection is a partial inspection everything from the vaulted ceiling back to the south end of the structure is ok to continue/ Vaulted ceiling area will require braced wall panels and framing alterations to front (north wall) Due to a change in the design and contstruction onsite/jll BL99 01 2/10/17jpp BLDG FINAL February 10, 2017 9:30:24 AM jlierly. Dave Clawson PERMIT: ME 00 MECHANICAM PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -----------------—-—--—---------------------------------—-----—--------------- - - ME6 01 2/03/17 JLL MECHANICAL GAS LINE 2/03/17 AP February 2, 2017 8:49:52 AM jlierly. Dave 461-9295 February 3, 2017 4:10:17 PM jlierly. ME99 01 2/10/17 MECHANICAL FINAL February 10, 2017 9:30:46 AM jlierly. PERMIT: PL 00 PLUMBING RMIT REQUESTED IN P DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS - ------------------------------------------------------------------------------------------------ PL2 01 10/26/16 JLL PLUMBING ROUGH-IN 10/26/16 AP October 26, 2016 11:18:27 AM jlierly. 477-2055 October 26, 2016 4:47:07 PM jlierly. Pressure test on DWV/jll PLSP 01 11/29/16 JLL PLUMBING SHOWER PAN 12/02/16 AP November 29, 2016 10:08:55 AM jlierly. shannon 461-9054 December 2, 2016 4:49:26 PM jlierly. PL99 01 2/10/17 JLL PLUMBING FINAL ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 2/10/17, 9:28:52 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/10/17 ------------------------------------------------------------------------------------------------ ADDRESS. . : 628 VICTORIA ST SUBDIV: CONTRACTOR CLAWSON CONSTRUCTION LLC PHONE (360) 461-9295 OWNER : RICHARD E CLARK PHONE PARCEL 06-30-00-5-1-3510-0000- APPL NUMBER: 16-00001137 RES REMODEL ------------------------------------------------------------------------------------------------ REQUESTED INSP DESCRIPTION - TYP/SQ COMPLETED R UL RESULTS/COMMENTS ---------- - -- -- -------- February 10, 2017 9:30:59 AM jlierly. ---------------------- --- - --------- COMMENTS AND NOTES ------------ ------------- CITY OF PORT ANGELES ems' DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDIN IV1S1 321 EAST 5TH STREET, PORT ANGELES, W 362 ft • Application Number . . . . . 16-00001137 Date 8/12/16 Application pin number . . . 364772 Property Address . . . . . . 628 VICTORIA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-1-3510-0000- Application type description RES REMODEL on your state excise tax form Subdivision Name . . . . . . Property Use to the City of Port Angeles Property Zoning . . . . . . . UNKNOWN (Location Code 0502) Application valuation . . . . 110000 ---------------------------------------------------------------------------- Application desc Enclose carport for mstr bd, remdl kitch, ---------------------------------------------------------------------------- Owner Contractor ---------------------- ------------------------ RICHARD E CLARK CLAWSON CONSTRUCTION LLC 628 VICTORIA ST P. 0. BOX 2683 PORT ANGELES WA 983623326 PORT ANGELES WA 98362 (360) 461-9295 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . Permit Fee . . . . 1076.25 Plan Check Fee 699.56 Issue Date . . . . 8/12/16 Valuation . . . . 110000 Expiration Date 2/08/17 Qty Unit Charge Per Extension BASE FEE 1020.25 4 10.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 56.00 c- ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT d . Additional desc . . REMODEL MECHANICAL r' Permit Fee . . . . 67.90 Plan Check Fee .06 �_ Issue Date . . . . 8/12/16 Valuation . . . . 0 Expiration Date 2/08/17 J... Qty Unit Charge Per Extension V" BASE FEE 50.00 � . 1.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 7.25 1.00 10.6500 EA ME-HOOD/DUCT-MECH. EXHAUST 10.65 --------------- ------------------------------------------------------------ Permit . . . . . . PLUMBING PERMIT Additional desc REMODEL PLUMBING Permit Fee. . . . . 85.00 Plan Check Fee .00 Issue Date . . . . 8/12/16 Valuation . . . . 0 Expiration Date 2/08/17 Qty Unit Charge Per Extension ' BASE FEE 50.00 2.00 7.0000 EA PL-PLUMBING TRAP 14.00 M 1.00 7.0000 EA PL-WATER LINE 7.00 1.00 7.0000 EA PL-DRAIN VENT PIPING 7.00 `- 1.00 7.0000 EA PL-WATER HEATER 7.00 1 ---------------------------------------------------------------------------- �� Special Notes and Comments August 3, 2016 11:06:37 AM tamiot. 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 specified herein or not. The granting of a permit.does not presurpe to give auhority to violate or cancel the provisions of any state or c eg ting construction or the performance of constr n. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit 13UILD,'A4G PERMIT INSPECTION RECORD gaVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS- "Building Insp�ins 417-4815 Electrical Inspections 417-4735 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 INCONSPICUOUS 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 AIR SEAL: Walls Ceiling FRAMING: I Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceilin Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in --- _. ._--- Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 CITY OF PORT ANGELES r DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION .�� .• 321 EAST 5TH STREET, PORT ANGELES, WA 98362 110 Page 2 Application Number . . . . . 16-00001137 Date 8/12/16 Application pin number 364772 - - ------------------------------------------------------ REPORT SALES TAX Special Notes and Comments on your state excise tax form ELECTRICAL PERMIT REQUIRED. to the City of Port Angeles August 4, 2016 10:11:35 AM pbarthol. Y 9 all work is interior to existing footprint. No land use (Location Code 0502) problems anticipated. --------------------------------------------------------------------------- Public Works Utility Engineering has no requirements for this plan review. Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1229.15 1229.15 .00 .00 Plan Check Total 699.56 699.56 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1933.21 1933.21 .00 .00 4 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 isnot 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 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD 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 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS 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 AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling 4- MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts MANUFACTURED HOMES: Footin /Slab Docking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Li hting ESA: Landscaping JSHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 THE FF �-1 For Cit Use CITY OF 1'LG- ,EL `.. Y 8+...s. k. '�i Permit# W A S H l N. c T o N, U. S. Date Received: 321 E 5th Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits@cityolpa.us BUILDING PERMI PPLICATION Project Address: S Phone: j -C1 ass- PrimaryContact: C N Email: Name Phone Property Mailing Address Email Owner /� S City State Zip Name Phone _ S Contractor Address Email O. s0 0 Information city o �� G r State Zip �r to Contractor License# C w S--e-L Exp.Date: Legal Description: ��Z�oning: Tax Parcel# Project Yalue: (materia and labor) sk a. 0(0 OCA � $ O 00 0, Residential Commercial ❑ Industrial ❑ Public ❑. Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ Classification For the following,fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other 1 Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes ❑ No Existing? Yes ❑ No In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater ci o a.us Project Description /4 AUC C,aR-\pQkT Is project in a Flood Zone: Yes ❑ ' N o� Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within i8o days of submittal,the application will be considered abandoned and the fees will be forfeited. Date Print Name telAXVWIO Signature .s" Residential Structures Existing Proposed Construction For Office Use Area Descriptions(SQ FT) Floor area Floor area $Value new area Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or i" floor) Garage Carport Other(describe) Area Totals Commercial Structures Area Descriptions(SQ FT) Existing Proposed Construction For Office Use Floor area Floor area $Value new area a< Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe). Site Area Totals Lot/Site Coverage Calculations Lot Size (sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(To 1 lot cov_lot size) Max Bldg Height 5 all structures s ft �n70 14PI Cu Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov_lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall)/ # Boiler/Compressor r Size: # Heating/Cooling appliance # repair/alteration tJ Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/MiscA Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # S� w Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit - w Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Water Heater # t Plumbing Vent piping # Medical gas piping #of Outlets: Water Line # Fuel gas piping #of Outlets: ty Sewer Line # Industrial waste pretreatment fA interceptor Grease Trap) Size Other(describe): T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx 1 i1 r a{�aE',mac .�; r .�zr y,•.. d�"4�'��¢ yV:�� may'#� :.+ t . q �41 hy, r -4 h- . w �' q � •acv � ENERGY CODE NOTES: EXTERIOR NOTE5: HEAT SOURCE: HEAT PUMP&ELECTRIC,FURNACE 1)ATTIC VENT:A515 2)ROOF PITCH: 3:12 WALL AREA: 3)ROOFING:A515 4)FASCIA&BARGE: A515 VOLUME OF CONDITIONED SPACE: 5)OVERHANG:48"A5 15 b)SOFFIT:CLOSED- A5 15 INSULATION:-FLAT CEILING-R-38 K RA15ED-HEEL TRUSSES l)SIDING:MATCH EXISTING -R-49 K REGULAR TRU55E5 8)CORNERBOAR05:MATCH EXI5TING -VAULTED CEILING-R-38 9)WINDOW TRIM: MATCH EXISTING -WALL5-R-21 10)"OOZING"MORTAR ON BRICK WORK TO BE REMOVED 5KYLIGHT WELL5-R-21 FLOOR5-R-30 -SLAB ON GRADE-R-10 U-VALUE5:-WINDOWS -30 -DOORS-.30 -5KYLIGHT5-,.50 GENE 1)ALL C 2)ALL h 3)OCCL 4)CON; 5)DE51( - SEISN SOIL E WIND EXPO' ELEW PROP05ED ROOF b)ONE! EXTERIOR NOTES: 1)ATTIC VENT:A5 15 2)ROOF PITCH: 3:12 3)ROOFING:A515 4)FA50A&BARGE: AS 15 5)OVERHANG:48"A5 15 6)SOFFIT:CLOSED- AS 15 1)51DING:MATCH EXISTING 8)GORNERBOAR05:MATCH E> i, 9)WINDOY4 TRIM: MATCH EXIS 10)"OOZING"MORTAR ON BRICI I EXI5TING PROPG i Clallam County Assessor& Treasurer- Property Details - 98 RICHARD E CLARK for Y... Page 1 of 2 Clallam County Assessor & Treasurer 61598 RICHARD E CLARK for Year 2015 - 2016 Property Account Property ID: 61598 Legal Description: LOT 3 BL 35 AND VAC ST NORMAN R SMITH VK OF DEEDS P1 Geographic ID: 0630005135100000 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: 628 E VICTORIA ST Mapsco: PORT ANGELES,WA 98362 Neighborhood: PA East Res Map ID: 2 Neighborhood CD: 5001000 Owner Name: RICHARD E CLARK Owner ID: 218483 Mailing Address: PO BOX 1393 %Ownership:. 100.0000000000% PORT ANGELES,WA 98362 Exemptions: Pay Tax Due Taxes and Assessment Details Values Taxing Jurisdiction Improvement/ Building Sketch Property Image Land Roll Value History http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2015&prop_id=61598 8/1/2016 Clallam County Assessor& Treasurer- Property Details - 98 RICHARD E CLARK for Y... Page 2 of 2 Deed and Sales History Payout Agreement Website version:9.0.40.29 Database last updated on:8/1/2016 3:42 AM ©N.Harris Computer Corporation http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2015&prop_id=61598 8/1/2016 s