HomeMy WebLinkAbout1310 W 15th St - Building (11kiin'VZ4 CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000663 Date 5/30/12
Application pin number 781154
Property Address 1310 W 15TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4- 3310 -0000-
Application type description PLUMBING PERMIT on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 400
Application desc
REPLACE WATER SERVICE
Owner Contractor
ANDERSON, GEOFF OWNER
P, O. BOX 1664
PORT ANGELES WA 98362
36) 928 -3450
Permit PLUMBING PERMIT
Additional desc REPLACE WATER SERVICE
Permit Fee 57.00 Plan Check Fee .00
Issue Date 5/30/12 Valuation 0
Expiration Date 11/26/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.0000 EA PL -WATER LINE 7.00
Fee summary Charged Paid Credited Due
Permit Fee Total 57.00 57.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.00 57.00 .00 .00
finak6/1.1e
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 Ither specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of a 'e or loc -1 law,regul. g co struction or the performance of
construction.
C/ e je, kc
5/4/2_
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDIING PERMIT INSPECTION RECORD C""
s°
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 \P
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.
I V
Inspection Type Date Accepted By Comments
FOUNDATION: '°[1
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In GL
Water Line (Meter to Bldg) C A %?f
Gas Line
Back Flow Water FINAL Date S Acce p ted byPeo
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 Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
1�. 1
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653 !`r
Planning 417 -4750
Building 417 -4815
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MAY -29 -2012 01:13P FROM: PENINSULA HEAT COMPA 3606812086 TO: CITY PA PERMITS P.1'2
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects That do not require plan review.) 2- r I
Date Received 'o
Permit [1r
City of Port Angeles Please print in Ink. Date Approved '11/3i'
Attn: Building Permit Technician Approved by 'An
321 E. 5'" St., Port Angeles, WA 98362
360 -417 -4815 fax: 360-417-4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm
Contact person Phone:
4ele rs a .5 33.3 3
Property owner: j A ide Goo �Tiaf rS dY7 Phone:
Property w er s /6 ailing address:
r•O oy— 147 jzyt -e e,es
Contractor's business name: Phone:
(or property owners name if hersne is uuniyruveisenrny uir wuin/ S 3 3 _3
Contractor's meilinn aririrags
Contractor's lid license number Expiration date;
Project Address: 3/L) GU /5
Project Type: ter<Sidential Commercial o Industrial o Multi- family
Protect Business Name:
(for commercial, industrial, or multi family projects)
The following permits are usually Issued over the counter immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Re- roof: house garage other
o tear off re -roof o lay over one layer
Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re -side: a house a garage other
Project Valuation (labor materials, not including sales tax)
Repair: (explain the project)
Project Valuation
*Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
Cost of materials x 2 Project Valuation
T:FormsfBuilding Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011)
Page oft
RECEIVED ,y
MAY 292Q12
CITY OF PORT ANGELES
BUILDING DIVISION
TO:CITY PA PERMITS P.
MAY-29-2012 01:13P FROM: PENINSULA HEAT COMPA 3606812086
Swimming Pool or Soa M 24" deep); For prefebrIcetted swlmm /na cool or sae Projects the(
do not rewire plan review:
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit la needed when an entire building gets demolished.
What will be demolished? 0 house o garage D other
lists: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain,
Agree to ensure that all utilities are/will be properly turned off (and capped off If needed)
prior to demolition.
(1) Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(e) to
be demolished. Submit the map with this application.
(1) Obtain (from the City of PA) a copy of the Olympic Region Clean Alr Agency ORCAA)
Demolition Permit Application.
Contact ORCAA at 360 417 1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed,
cl yea o no Will the debris be going to the Regional Transfer Station In Port Angeles?
o yes o No If yes, will a licensed contractor be taking It there?
If yea, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later If asbestos testing Is needed).
p .1 Pei, It (explain the 2rolcst1 e 9- 0 ce_ e,-' s An lif/a /cn.� r te,
/e a =LI= O. A s i Mill i
-�1 NNEM S �L lill ,A.
Protect Valuation IMW.,
Mechanical Permit: (explain the prolect)
c
Project Valuation
1 have reed and completed this application and know It to be true and correct. I am authorized to apply for thls permit
and understand that It Is my responslbN o determine what rmita are required, and to obtain permits prior to
working on ro/ect
Date S 7 �J� Z- Signature .--Z-0
Print Name 6 7 c
Page 2 of 2
~ pORT ~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
P~n number
Property Address
ASSESSOR PARCEL NUMBER:
Application descr~pt~on
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000663 Date
.272667
1310 W 15TH ST
06-30-00-0-4-3310-0000-
RES DETACHED GARAGE
8/06/04
Owner
Contractor
EXPIRED
olY/0/0S
RS7 RESDNTL SINGLE FAMILY
7000
ANDERSON, GEOFF
P. O. BOX 1664
PORT ANGELES
(360) 928-3450
Structure Information
Construction Type
Occupancy Type
Other struct info
OWNER
WA 98362
NEW 576 SF DETACHED GARAGE
TYPE V NON-RATED
GARAGES, CARPORTS, SHEDS
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
21.20
V-N
1. 00
912.00
7000.00
576.00
1488.00
1. 00
Permit
Add~t~onal desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT
576 SF DETACHED
162.75
8/06/04
2/03/05
-RESIDENTIAL
GARAGE
Plan Check
Valuation
Fee
65.10
7000
~\~f\
vi
-
~
c
Qty Unit Charge Per
Extension
92.75
70.00
CIt
...,.
3'
BASE FEE
5.00 14.0000 THOU BL-2001-25K (14 PER K)
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or p~ped to approved storm drain locations.
The proposal will allow a 576 sq. ft. detached garage in the
RS-7 zone for a total lot coverage of 21%. Setbacks are
good as shown. No land use issues are noted.
MAINTAIN CLEARANCES FROM SERVICE WIRES
Electrical load calculat~ons and elctrical permits are
required.
tIC
";:'"'1
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 162.75 162.75 .00 .00
Plan Check Total 65.10 65.10 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 232.35 232.35 .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 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 perform nee of
construction.
SIgnature of Contractor or Authorized Agent
Date
T \PLANNING\FORMS\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 f ~ -.. ~. , X-q-f)J..{ J~L
WALLS \.,;. u _ . ~
, .
FOUNDATION DRAINAGE/DOwN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL I
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS ".
t .
SHEAR W ALLIHOLD DQ.WNS ,
WALLS / ROOF / CEILJNG .
DRYWALL (INTERIOR BRA~ED PANEL ONLY)
T-BAR ,
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng 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\1 102 15 [11/14/2003]
PREPARED 8/09/04, 12:09-08
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
-PAGE
DATE
n
8/09/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER:
1310 W 15TH ST
SUBDIV:
PHONE
PHONE : (360) 928-3450
ANDERSON, GEOFF
06-30-00-0-4-3310-0000-
04-00000663 RES DETACHED GARAGE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 ~09/04 ~L BUILDING FOUNDATION FOOTING
JEFF 928-3450
------------ -- ------ ------------- COMMENTS AND NOTES --------------------------------------
r:, ....
I
\
,
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
FOR OFFICIAL USE ONLY
Date Rec i -Z/-cL/
'ITm" b ,,- ~f
Date Apploved ~ ~ -
Date Issued
BUILDING PERMIT - APPLICATION
ApplIcant or Agent" (!j, Ii Y hlk 4 kr:5PY7 Phone' w) ~7'- ~ 77 J
Owner tjin)/+ t&rsan Phone q~g-3YSO
Address: fJIJ f30x ) ~~ Lf CIty:Io/-f/fry~k$ ZIp: 7'1/M~
ArchItect/Engmee~' Phone:
Contractor_ (;> ~ n e.. r
Address'
PROJECT ADDRESS' /3/0
LEGAL DESCRIPTION: Lot: :3
L State LIcense #:
Exp'
ZIp.
CIty:
fA). /5:fJJ
Block: If?.~
t)tJ3 tJoO ~OLf33 / ()
ZONING: R5-7
SubdlVlsIon:-b~S;/e 01 ffJ-J Vt>~.l Pf
. v
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o ResidentIal 0 New Constr. 0 Re-roof 0 Stove
o MultI-farmly 0 AddItlon 0 Move )( Garage
o CommerCial 0 Remodel 0 DemolItIOn 0 Deck
o Reparr 0 SIgn ~ Oilier
BRIEF DESCRIPTION OF THE PROJECT: c;a rd .1.e
City:
E1.ll. Date:
SIZENALUATION:
57.b SF.@$ /SF. =$
SF @ $ /SF = $
SF @ $ /SF ~ $
TOTAL VALUATION $ 7; 000
~ '-f X :J.."J?
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Constructlon Type:
No. of Stones -L Lot SIZe. 5IJ X I t.fO EXIstmg Sq Ft. :d 2- & Proposed Sq. Ft. 57 b = TOTAL Sq. Ft. 1/ L/$5
Total lot coverage a'l/. --'-- %
APPROVALS: I
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_ :
PLANNING USE ONLY:
ESAlWetIand(s)' 0 Yes 0 No SEPA ChecklIst requrred? 0 Yes 0 No Other
I
I
BillLDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DlVlSIOn can proVIde you wIth mformatIOn on the applIcation and'
plan submittal requrrements If you have questIOns. I
VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applIcant Tills figure wIll be reviewed
and may be revIsed by the Bmldmg DIVISIOn to comply WIth cunent fee schedules. Contact the PelTlllt Coordmator at 417 -4815 for assIstance'
PLAN CHECK FEE IF a plan check fee IS due It must be subll1ltted at tIle trme the bmldrng penmt applIcatIOn and constructlon plans an!
subrmtted All oilier pernnt fees are due at the tlme of pelTlllt Issuance.
EXPIRATION OF PLAN REVIEW: Ifno pernnt IS Issued WItilln 180 days of the date of applIcatIOn, the application will expire. Th~
Bmldmg OffiCial can extend the trme for actIOn by ilie applIcant up to 180 days upon wntten request by the applIcant (see SectIOn 1074 of
the Umfonn Bmldmg Code, cun-ent edItion) No applIcatIOn can be extended more than once.
I hereby certify that / have read and examined this application and know the same to be true and correct I am authonzed to apply for thiS permit and
understand that If IS my responsibility to determine what permits are re'rnot the City's, hat I must obtam such permits pnor to work. '
T\FORMS\APPSlBmld,"gp~' wpd APPhcd~ ~ D"e: 7/1 () t/ / j
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75
This map IS not Intended to be used as a legal descriptIOn
ThIS map/drawmg IS produced bv the Cay of Port Angeles for Its own use and purposes
Any other use of this map/drawmg shall not be the responslblltty of the Cay
Feel
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A llQY
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
I
N? 16322
s--/ l' :.>.P
Port Angeles, Washlngtonnmmnm..m........n.........__..nmmm...m..n. 19.'mn.
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 ./_.?>./Qm.J/::!~J,.s..rl:nmnnm_.n______.n.__.n_n_____ Occupancy____n__.-1..;:?~...,.n_._n_.mnm.____
O~er n7Y~;;!.~~1.f~i:!~:Z1;G-)(.~.C-g:.c.Tenant..nnn..nm.mn_..m...-:---nm.__.mm...__....n__.nnnm
. WIrIng Contractor .__m..mnnn.m_..,.__..mnn__nmnnmn.____._..m By___m_m_...__.__.._.______nnmnnn__nm_..__.nm.n.__..n
v I tf
/ ") /.-10/ '" Jl!1'J
Light Out1ets..............~.............._.._..... Service, volts .,....;:::..........~.:":..............
Receptacle OulletsnJ{.{i......._.......... No. wires ...3..__..~.............n.........
D~er. KW _._______n~__~.__.___________n.___n Size wlres...n.Y?:t!!;!._.r~..._..
., " t' - /I
.. . ;- t;;c. '_.
Range, KW.....n_I....?.__......__......__......__. !\tIain fuse m..;....................~.............
, ~
Water Heater: / Enclosure n..~_.......+...u...............
5/'-~
KW.-mnn<t,.n----.....n..''13m .nn
Heat: KW............~..~..:2......?~.......h.
Type of wiring:
Entrance Cable ......mu.mm__.......__
Motors: size, volts and phase:
Rigid Conduit ...............__..
MetalUc Tubing ..m......m.....
Current transformers:
No. & Size__.....:.................__............
Ser. No.____..__......................__..............
Ser. No.____.........................................
SeT. No. .....__.....__...............................
Type of Wiring:
Armored Cable ...........m__..............
Non-Metallic ........____...................._
Knob & Tube.......................____....._
RIgid Conduit .....n...........n..n....n.
Metallic Tubing n..............n.........
Raceway ..............................._.......~
,r
CIrcuits, Light.....::.~........m........m........
Utllity.n....0.................................
r
'-",
licat __..______............................._......
>;i
Range .__.~.'::_:_...................................
. :........
Water Heater ..~=.!........................
Motor ..._....__.......____........__.............
Dryer.....~....................__..........._
Furnace .........................._................__.
~) y
Total Load____n__.__...______n.____.. Ser. NO.........__..._____.........._........n..__ Total ...=..................____.......__
Remarks: .nnn___.nn_,.."'-'!(J..!2.d'.!'~.n____..C!.!.!:!,_!1..~c.___n.___mm_m..nm.nnn________.__.______:...........n.m...___.
-;~.:~fi~~....~..-.~...~~....~m.m..::~.::~..~.~.~.~~~.~....:~~...----...--n.----.-:yj/Z:Z{i,.:4~~~;Z~::~/
, . ,
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con-
cealed due notice must be glve!l the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
r
ELECTRICAL PERMIT
N?
16322
Address..................._.................................................................................._...............................Date..._......_......_......................_......_.........
Owner ....__......__......__............._.........._......___...._.....................__...__.................__..__............ Tenant........__...__.n...___......__....n.__..........................
Wiring Contractor...................................... ....................._.............................................................By..............................................................
NOTICE-Current must not be turned on untll Certificate or Inspection has been Issued. If work Js to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
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1M . Olympic Printers, Inc.