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HomeMy WebLinkAbout1718 W 6th St - Building Building Permit 1718 W 6th St 1 3 -222 CITY OF PORT ANGELES r DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 13-00000222 Date 3/06/13 Application pin number . . . 458412 Property Address . . . . 1718 W 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-4920-0000- REPORT SALES TAX Application type description RES MECHANICAL PERMIT Subdivision Name on your state excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles Application valuation . . . 4305 • ---------------------------- - (Location Code 0502 ------- Application desc DUCTLESS HEAT PUMP ---------------------------------------------------------------------------- a Owner Contractor ------------------------ ------------------------ JODY A SCHWEVEN ALL WEATHER HTG & COOLING,;INC PO BOX 37 302 KEMP ST PORT ANGELES. WA 98362 PORT ANGELES WA 98362 (360) 452-9813 P --------------------------------- -----=I ------------------------ ------- Permit . . . . . . MECHANICAL PERMIT Additional desc DUCTLESS HEAT PUMP Permit Fee . . . . 64.80 Plan Check Fee. . .00 Issue Date . . . . 3/06/13 Valuation . . . . 0 Expiration Date 9/02/13 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON1 14.80 --------------------------------------------------------------------II------- Fee summary Charged Paid Credited Due II ----------------- ---------- ---------- ---------- -------- - Permit Fee Total 64.80 64.80 .00 00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 i� 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. ►3 �iacec� IYIGf�ieoctJrn 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 W 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. -T 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 /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE e Inspection Type Date Accepted By C r Electrical 417-4735 Construction-R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 (� 1 T:Forms/Building Division/Building Permit 03/06/2013 09:18 13604525177 ALL WEATHER HEATING PAGE 02/e3 TH.e jS C-ITY OF For City Use 22-2— Permit# W A S 14 1 N G T 0 N , U . S. Date Received: 321 East Th Street Port Angeles, WA 98362 Date Approved: P: 360-417-481.7 F: 360-417-4711 hcatuzo@c1tyofpa.us Building Permit Application Project Address: 1719 Wcst 6th Strect Main. Contact: All Wetirhcr 1-1cating&Coaling Phone # 452.9!;11 Property Name Jody Schweyen Phone 360-582-9087 Owner MillingAddress Email 1718 Wcu 61h S truct city State ZiV Pon AngeicsP.Iloilo WA 99161 Contractor All Wentlier Hewing Cooling 452-9811 Mailing Address rmall .102 Kamp Sirect Zip City Poll Angelo, State WA Contractor License# ALLWF.HCl50KU Expiration: 9/13 Project Value- Zoning: Tax Parcel # Lot# $ 4303.65 1 1 Type of Residential 0 Commercial 13 Industrial 13 public 0 Permit Demolition 0 Fire [3 Repair 13 Reroof(tear off/lay over) 13 For the following,fill out both pages of permit application: New Construction 13 Remodel 11 Addition ❑ Tenant Improvement ❑ Mechanical D Plumbing 13 other 0 RISInt. rira so Idgr 91petem? MaYllmlim hriErht of structure plrqpqsed Bedrooms I Proposed Bathrooms Yes �J TJ No Project Install ductic94 heat PWI'll Description 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 working on projects.I understand the plan review fee is not refundable after review has occurred.I understand that I will forfeit 20%of the review fee if I cancel or withdraw the application before plan review has occurred,I understand that if the permit is not issued within 180 days of receipt,the application willbeconsidered abandoned l and the fees forfeit. Date Print Name Signature 316/13 Karen McKeown T PREPARED 4/01/13, 11:35:49 INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF PORT ANGELES ------------------------------------------------------------------------------------------------------------------------ APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR ------------------------------------------------------------------------------------------------------------------------------------ 13 00000222 1718 W 6TH ST 06-30-00-0-1-4920-0000- 063000014920 000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 3/12/13 APPROVED PB REQ COMM: March 11, 2013 9:06:19 AM pbarthol. REQ COMM: Karen 452-9813 RES COMM: March 12, 2013 4:35:28 PM pbarthol. Electical Permit 1718 W 6th St 13 -207 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 (� Application Number . . . . . 13-00000207 Date 3/01/13 O Application pin number . . . 638022 Property Address . . . . . . 1718 W 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-4920-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Ductless heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JODY A SCHWEVEN BLACK DIAMOND ELECTRICAL CONTR PO BOX 37 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 � ----------------------(360) ----- -35 -------------- -- -- .�{ Permit . . . i7. . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . . . 63.00 Plan Check Fee .00 Issue Date . . . . 3/01/13 Valuation . . . . 0 (i1rSl Expiration Date . . 8/28/13 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 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 12 ( FINAL hz COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEWILDING CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 Ph: (360)417-4735 Fax: (360)417-4711 N Date: 2-2-7-13_ 1 &2 Single Family Dwelling *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 019 W 6-r',1- Building -►'FBuilding Square Footage: Description of above A'bb At-f-c—' LfR-c vrF apt- Owner ptOwner Information Contractor Information Name: y C,J Name: 13 b E Mailing Address: 1719 Mailing Address: S''a2 City: f k— State: Zip: °►8'3 6 City: QD"-- State: Zip: *AI63 Phone: _82-9nR7 Fax: Phone: Fax: License#I Exp. License#/Exp. 3 LAS V—'eCPq f b 2- Item Unit Charge P--ty Total(Qtv Multiplied by 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 _�_ $ fv 3— 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 Circuit/Limited Energy-1 &2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft.or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or 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 296-466,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications. sN Signature of er, ctrical contractor or electrical administrator: ❑ Cash A Chec 'Credit Card# X Dated: 63 0Fww CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 04-00000200 Date 10/06/04 Pin number . . . . . . .270200 Property Address . . . . . . 1718 W 6TH ST EUM ASSESSOR PARCEL NUMBER: 06-30-00-0-1-4920-0000- Application description . . . RES ADDITION Subdivision Name . . . . . . 1 �t� Property Use \7� Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 10000 / Owner Contractor ------------------------ ------------------------ BRUSSELBACK, WM./PICKEN, TARA OWNER 1718 W 6TH ST PORT ANGELES WA 983631720 (307) 690-8763 ------ Structure Information RES ADDNT ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . SINGLE FAM & CONGREGATES Other struct info . . . . . TOTAL LOT COVERAGE 10.10 CONSTRUCTION TYPE V-N HARD SURFACE AREA NUMBER OF STORIES 1.00 EXISTING LOT COVERAGE 552.00 LOT SIZE 7000.00 PROPOSED LOT COVERAGE 280.00 TOTAL LOT COVERAGE 832.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 68.75 Plan Check Fee .00 Issue Date . . . . 3/23/04 Valuation . . . . 0 Expiration Date . . 9/22/04 Qty Unit Charge Per Extension BASE FEE 47.00 3.00 7.2500 ECH ME-VENT FAN 21.75 - --------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 103.00 Plan Check Fee .00 Issue Date . . . . 3/23/04 Valuation . . . . 0 Expiration Date . . 9/22/04 Qty Unit Charge Per Extension BASE FEE 47.00 7.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 49.00 1.00 7.0000 ECH PL- EA.WATER HEATER 7.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . REMODEL/RE-ROOF Permit Fee . . . . 204.75 Plan Check Fee 81.90 Issue Date . . . . 3/23/04 Valuation . . . . 10000 Expiration Date . . 9/22/04 Qty Unit Charge Per Extension BASE FEE 92.75 8.00 14.0000 THOU BL-2001-25K (14 PER K) 112.00 Separate Permits are required forelectrical 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 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 Signature of Owner(if owner is builder) Date \_ TAPLANNING\FORMSU 102.15[11/14/2003] �� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 2 Application Number . . . . . 04-00000200 Date 10/06/04 Pin number . . . . . . .270200 ---------------------------------------------------------------------------- Special Notes and Comments Side setback indicates 6'6" setback. The side setback must be increased to 7' . Lot coverage is fine and other setbacks are good for the RS-7 zone. Electrical load calculations and elctrical permits are required. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 376.50 376.50 .00 .00 Plan Check Total 81.90 81.90 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 462.90 462.90 .00 .00 �I 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 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 Signature of Owner(if owner is builder) Date T\PLANNINGWORMS\1102.15[11/14/20031 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORKBEFORE 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 3`Z5-691,j LL. WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN PLUMBING /Jy/j-L 3-V'� _ UNDERFLOOR/SLAB ROUGH-IN 1 WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING , DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING p MECHANICAL /i/g` -a 3 r J-LL HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE 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. 4174735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W./PW/ CONSTRUCTION-R.W. ENGINEERING 4174807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 417-4815 �� 3-(95" BUILDING T-\PLANNING\FORMS\1102.15(11/14/2003] PREPARED 3/23/05, 12 55 11 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/23/05 ------------------------------------------------------------------------------------------------ ADDRESS 1718 W 6TH ST SUBDIV CONTRACTOR PHONE OWNER BRUSSELBACK, WM /PICKEN, TARA PHONE (307) 690-8763 PARCEL 06-30-00-0-1-4920-0000- APPL NUMBER- 04-00000200 RES ADDITION -- ----------- --------------------- - PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------------------------------------------- ME99 01 /23/05 JL/ MECHANICAL FINAL ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 3/23/05, 12 55 11 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/23/05 ------------------------------------------------------------------------------------------------ ADDRESS 1718 W 6TH ST SUBDIV CONTRACTOR PHONE OWNER BRUSSELBACK, WM /PICKEN, TARA PHONE (307) 690-8763 PARCEL 06-30-00-0-1-4920-0000- APPL NUMBER 04-00000200 RES ADDITION ------------------------------ ------------------ -- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------- ---------------------------------- PL2 01 12/16/04 JLL PLUMBING ROUGH-IN TIME 17 00 12/16/04 AP WILL - 307-690-8763 PL99 01 3Z23/05 JL•- i PLUMBING FINAL TIME 17 00 ----------------------i------------- COMMENTS AND NOTES -------------------------------------- PREPARED 3/23/05, 12 55 11 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/23/05 -- ----------- ------------------—---------- ---------—--------—------- ADDRESS 1718 W 6TH ST SUBDIV CONTRACTOR PHONE OWNER BRUSSELBACK, WM /PICKEN, TARA PHONE (307) 690-6763 PARCEL 06-30-00-0-1-4920-0000- APPL NUMBER 04-00000200 RES ADDITION -- --- ------------------------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------—--------—--------------—------------—--—---------------------- BL1 01 3/25/04 JLL BUILDING FOUNDATION FOOTING 3/26/04 AP 9 00am BAIR 01 12/16/04 JLL BUILDING AIR SEAL TIME 17 00 12/16/04 AP WILL - 307-690-8763 BL3 01 12/16/04 JLL BUILDING FRAMING TIME 17 00 12/16/04 AP WILL - 307-690-8763 BLI O1 1/06/05 JLL BUILDING INSULATION TIME 17-00 1/06/05 AP WILL - 307-690-8763 LATE P M BL99 01 3/23/05 JLL BUILDING FINAL Will 307 690-8763 --—-------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 1/06/05, 12-03.53 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/06/05 ------ '- -----------------' - ADDRESS 1718 W 6TH ST SUBDIV CONTRACTOR PHONE OWNER BRUSSELBACK, WM /PICKEN, TARA PHONE - (307) 690-8763 PARCEL 06-30-00-0-1-4920-0000- APPL NUMBER 04-00000200 RES ADDITION -- -- - -- -- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -- -----------------------------------------------------—- --- BL1 01 3/25/04 JLL BUILDING FOUNDATION FOOTING 3/26/04 AP 9 00am BAIR O1 12/16/04 JLL BUILDING AIR SEAL TIME 17 00 12/16/04 AP WILL - 307-690-8763 BL3 01 12/16/04 JLL BUILDING FRAMING TIME 17 00 12/16/04 AP WILL - 307-690-8763 BLI O1 1/ •/JL BUILDING INSULATION TIME• 17 00 f` WILL 307-690-8763 LATE P M -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 12/16/04, 12 57.07 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/16/04 ---- --- --- -- --- --------------------------------------------------- ADDRESS : 1718 W 6TH ST SUBDIV CONTRACTOR PHONE OWNER BRUSSELBACK, WM./PICKEN, TARA PHONE (307) 690-8763 PARCEL 06-30-00-0-1-4920-0000- APPL NUMBER 04-00000200 RES ADDITION --------------------------------- ------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -- PL2 01 12/.16/04 r JLL PLUMBING ROUGH-IN 690 TIME. 17 00 ------------------------- WILL 307-690-8763 ------ COMMENTS AND NOTES -------------------------------------- PREPARED 12/16/04, 12 57.07 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/16/04 ------------------------------------------------------------------------------------------------ ADDRESS 1718 W 6TH ST SUBDIV CONTRACTOR PHONE OWNER BRUSSELBACK, WM /PICKEN, TARA PHONE (307) 690-8763 PARCEL 06-30-00-0-1-4920-0000- APPL NUMBER 04-00000200 RES ADDITION ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------ ------------------------------- ------------------------ BL1 01 3/25/04 JLL BUILDING FOUNDATION FOOTING 3/26/04 AP 9 00am BAIR 01 12/16/ 4L BUILDING AIR SEAL TIME 17 00 WILL - 307-690-8763 BL3 01 6 4 In� BUILDING FRAMING TIME 17 00 WILL - 307-690-8763 - ----- CONTINUED ONTO NEXT PAGE --- F ILI J Q October 2, 2004 E C E � U E D City Of Port Angeles OCT 12 M Attn: Building Dept. P.O. Box 1150 CITY OF PORT ANGELES Dept.of Community Development Port Angeles, WA. 98362 To Whom It May Concern: I am writing in regard to the building permit for my home on 1718 West 6th St. in Port Angeles, WA. Unfortunately, due to an extension of my work in Wyoming, I am unable to return back to Port Angeles to complete my remodel project within the allotted six month period of my building permit. My job in Wyoming will end October 30 and I will return to Port Angeles no later than November 15 to finish my project. The estimated completion date for the project is January 31, 2005. If there is anything more I need to do, please let me know. Thank you very much for your understanding. -_ Sincerely, co '— l� William D. Brusselback P.O. Box 322 Moose, WY. 83012 wbrusselbackghotmail.com S (307) 690-8763 PREPARED 3/25/04, 12 09 31 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/25/04 ------------------------------------------------------------------------------------------------ ADDRESS 1718 W 6TH ST SUBDIV CONTRACTOR PHONE OWNER BYRNE DONNA M PHONE PARCEL 06-30-00-0-1-4920-0000- APPL NUMBER: 04-00000200 RES ADDITION ----------------------------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -- --------—------------------------------------------—--------------—-----—— BL1 01 3/ JLL BUILDING FOUNDATION FOOTING --- -9 OOam ---------- ----------------- - COMMENTS AND NOTES -------------------------------------- 4� PURI 4,ti FOR OFFICIAL USE ONLY a� BUILDING PERMIT e APPLICATION Date Rec 3-5 ac. 410— Permit# Uil L" 9NZ=Z-W Fill out COMPLETELY and in INK.Your application and site plan MUST Date Approved COMPLETE to be accepted for review. If you have any questions,cah Date Issued II (360)4174815 Id Applicant or Agent: U t1\ kkr^ CA, Phone: _30—+ -CC1C>' �_5 Owner: yA&LAnPhone: Address: k�� fc�$ \ City: c>2T QU G\� Zip: !S s Architect/Engineer: Phone: Contractor State License#: Exp: Phone: Address: City: � Zip: p '` PROJECT ADDRESS: �� u sr l r np-T LAil (i:�'Sg3LZ ZONING: LEGAL DESCRIPTION: Lot: Block: �L\� Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp.Date: TYPE OF WORK: SIZE/VALUATION: Residential ❑ New Constr. Re-roof ❑ Stove SF.@$ /SF._$ ❑ Multi-family Addition ❑ Move ❑ Garage SF. @$ /SF._$ ❑ Commercial Remodel ❑ Demolition ❑ Deck SF. @$ /SF._$ ❑ Repair ❑ Sign r ❑ Other TOTAL � VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: F tA%A-,)1A XF—)CI�Ct� 1 rs92 t\ lu L\,1 NULL- Sent-( , Il.. COMMERCIAL/RESII)ENTIAL: Occupancy Group: Occupant Load: Construction Type: No.of Stories:L Lot Size: b �xistmg Sq.Ft. —&Proposed Sq.Ft._rL`�� =TOTAL Sq.Ft _ Existing lot coverage 4Q.) %&Proposed lot coverage Y(�.1_%=Total lot coverage, 1 % APPROVALS: PLANNING USE ONLY: PLAN' BLDG: DPWU: ESA/Wetland(s): 11 Yes Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE:IF a plan check fee is due it must be submitted 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,the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon 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 know the same 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 require ,not the City's, and that I must obtain such pe 'ts prior to work T•\FORMS\APPS\Buildmgpermrt wpd Applicant: Date: Ll INSTRUCTIONS FOR WORKING DRAWINGS: ELEVATIONS Elevat{ons,show roughly what the exterior of the building'wilf look like when finished You should submit elevations to show the house from all four directions: east, west, north, and south The elevations should include: — Position and height of windows and doors. — Roof slope — Relationship of an addition (if applicable)to the rest of the building. 2'-0'Uig Anis ANY ww xm to'-o'hXWT&Lr CF OW EY � or 12 4 r O 1 b 2'- PH. ROW I 'h ( ( jr may a+ARim NIA!1'YlDPibm 7r CAN HOt A (1 SS V IMM E�IAU� l AR's -------------------------------- WEST ECEVA TION (EXAMPLE-NOT TO SCALE) Page 8 , Ao J 160' ElL•�Jn;,onl �b,. E�tJr-,.,] ij — — �a Nou II Ox,T-0 � 3A'I ©Dined ` I �'RuzECS�l L�)C c,r� --• - -S 1-rt `°pr""°F CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION v 321 EAST 5TH STREET, PORT ANGELES,WA 98362 i / Application Number . . . . . 04-00000200 Date 11/15/04 Pin number .270200 Property Address . . . . . . 1718 W 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-4920-0000- Application description . . . RES ADDITION Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 10000 Owner Contractor ------------------------ ------------------------ BRUSSELBACK, WM./PICKEN, TARA OWNER 1718 W 6TH ST PORT ANGELES WA 983631720 (307) 690-8763 ------ Structure Information RES ADDNT ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . SINGLE FAM & CONGREGATES Other struct info . . . . . TOTAL LOT COVERAGE 10.10 CONSTRUCTION TYPE V-N C HARD SURFACE AREA v NUMBER OF STORIES 1.00 EXISTING LOT COVERAGE 552.00 M LOT SIZE 7000.00 �) PROPOSED LOT COVERAGE 280.00 TOTAL LOT COVERAGE 832.00 NUMBER OF UNITS ------------------1.00----- - ------------------------------------------------ Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER REWIRE 800' Permit Fee . . . . 73.00 Plan Check Fee .00 Issue Date . . . . 11/15/04 Valuation . . . . 0 Expiration Date . . 5/15/05 r� Qty Unit Charge Per Extension - -1.00-------73.0000-ECH EL-R-SQFT FIRST 1300 - - --- - --- 73.00 -------------------------- Special Notes and Comments Side setback indicates 616" setback. The side setback must be increased to 7' Lot coverage is fine and other setbacks are good for the RS-7 zone. Electrical load calculations and elctrical permits are required. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 Fee summary ----- Charged ---Paid--- Credited ----Due--- f ----- ---------- ---------- I. Permit Fee Total 73.00 73.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 77.50 77.50 .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 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 th same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specii erein or n . The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or locow regulatin on truction or the performance of construction. 10 oy Signature of Contractor or Authorized Agent Date Signat re f Owner(if owner is builder) Date T•\PLANNING\F0RMS\1102 15[11/14/2003) 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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS i� ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT.# t 7l" 0(f ROUGH-IN PLUMBING -2.2 UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineenng Division) SEPARATE PERMIT#'s WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE 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 BUILDING T\PLANNING\FORMS\1102 15[11/14/20031 r4 o,POAr np0e We. Will p1�iC -,JP.pC)(ryJ Cll Ge Tv_;Ir CTI IrCe r pkecise o O� ELECTRICAL PERMIT APPLICATION Se�n� Dmdx=OFFICIALFOR USE ONLY The Electrical Permit Application must be filled out completely. "qNS pNOJ Please type or reprint in ink. If you have any questions,please call (360)417-4735 ` Fax number: (360)417-4711 0I -)" Owner or Elec.Contractor Agent: nocra �);c CCPnZ\0tllt[�v1 `F)r065+l6ce Phone: 3Q7•�,QQ-Q3'2'� Fax: Property Owner: M _ lkkell /willikm llYV S� y� Ylac,+K Phone: 307-00-9327 Address: (-]I R W (nN' ST. City: Pncfi Any le S Zip: r Electrical Contractor: License#: Exp: Phone: Address: City: zip: INSTALLATION WIRED BY: O(OWNER ❑ELECTRICAL CONTRACTOR Credit Card Holder Name: /ora: Pic—.6—r) Billing Address: PO 6o x 37-2- City: ill I WY Zip: q W/ 2_ Credit Card Number: Exp. Date: � VISA: MC: PROJECT ADDRESS: L'111L W Ion . 71'- I x Pt TYPE OF WORK: Check all that apply: ❑ New 61 Alteration/Addition (� ® Residential ❑Multi-family ❑ Commercial ❑ Mobile Home Sq. Ft 900 —\ ❑ Remote Meter ❑ Detached garage ❑ Hot Tub ❑ Swim Pool ❑ Septic Pump ❑ Low Voltage ❑Telecom. ❑ Sign Number of Circuits added or altered: -j LL ) DESCRIPTION OFTHE ELECTRICALIPROJECT:I r�e.wi(''nq e.xistinQ 5600 sp F IIf r", -jen &/ Ghl 4EW \ wir,nn �1 2y0 �li. 1 / &Aroom and kloAroorn ndd,i M 2PC4r0 'n/n Cyrrek7 etjel rZ) , u J /Z S Xmo Anel Electrical Heat�LoCad Additions and or Subtractions Service Information Q1Baseboard .:J KW Voltage: 0-6 2-j O ❑Furnace _ KW A Overhead Service Phase: X 1 LI3 ❑Heat Pump TON LRA ❑Temp Service Service Size: Z�_ iel Fan-Wall fS KW O Underground Service Feeder Size: I hereby certify that f have read and examined this application and know that same to be true and Correct, and I am authorized to apply for this permit. l understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to deter ine what permits are required and to obtain such. Credit Card Holder's Signature: Date: Owner or Elec. Cont. Signature: Date: PERMIT FEE: $ Q/ELECTRI CALPERIdITAPPLICATION C-ACTY/CLi / L /L(/lG //U�• / c(e. txrshnJ space S60 tyfr IoG� A� "ham Zvo ft goo ;� 3 u s = 2 Ono wa hL-s 2 �trl�c�eti small aPpl,u„,« X 15-00 oD Vk Pfl�m nT C�ecrric<,I �VeYI X200) t5 g2 O0 _ i {�ppja�,ceS Dc�e�- 5,voo � ,�,ovo i p�5�,waSC,er �.SDO 5O0 I wales N-ea� ys� y s�o f-, Soo sp_a �(-Yp i&pQ pie_ 900 i I { lT%-ky) bus boGrj S /Jv Im )Z S?D X 2- = z SaU '/2 O v vkjo c f1 XIWe.S Ta t� /nn �YFayc wc.hL _ �00r 'ffeGrJ cI15 X /0�, 000II 00 . IqD�Oo — oloSIO ',?b - 16 23 n � r7" 3/ olks ;1 ; 2 36 �C I�p