HomeMy WebLinkAbout901 W 5th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
7111111r/ 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000121 Date 2/02/12
Application pin number 971731
Property Address 901 W 5TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 0655 -0000-
Application type description RE -ROOF on your state excise tax form
Subdivision
Use i s Name
Property to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 4970
Application desc
TEAR OFF INSTALL COMP
Owner Contractor
VIRGINIA H KIMBERLY B BUSK LARRY'S ROOFING
901 W 5TH ST 352 AVIS ST.
PORT ANGELES WA 983632112 PORT ANGELES WA 98362
(360) 385 -5650 (360) 452 -2215
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF INSTALL COMP
Permit Fee 137.75 Plan Check Fee .00
Issue Date 2/02/12 Valuation 4970
Expiration Date 7/31/12
Qty Unit Charge Per Extension
BASE FEE 95.75
3.00 14.0000 THOU BL- 2001 -25K (14 PER K) 42.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 137.75 137.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 142.25 142.25 .00 .00
ft naI 2
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 applic.: is' and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be co .lie• ith eth- specified herein or not. The granting of a permit does
not presume to give authority to violate cancel the provisions I� y s o ocal law regulating construction or the performance of
construction. IP
is 1 \„'e....< C N
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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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
1
Inspection Type I Date Accepted By Comments
FOUNDATION: J�
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 by
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 1
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:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 41.7 -4831
Fire 417 -4653
Planning 417 -4750 n
Building 417 -4815 AM 1 U" �w
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pORT BUILDING ERM!T APPLICATION Print in ink
l'.'1
CITY OF P ORT ANGELES
For City Use Only:
Attn: Building Permit Technician
j g Date Received gia/i 321 E. Fifth St., Port Angeles, WA 98362 Permit /?--"-f a
(360) 417-4815 fax (360) 417-4711 Date Approved r ,2/ c 9
Applicant I'otn o Phone LI'S2 G
Property Owner Phone 3,0 3$S 550
Property O er's Adpr- r
Contractor 4..20 06 t r Phone �Z— ZZ
Contractor's Address 'I 5 �r�ari '�i::
License cr rogg J1 Expires 11 -1 E -mail
PROJECT ADDRESS 10I O. S
Parcel Number Lot Zoning
Proiect Type Brief Description: o Residential Multi family Commercial Industrial
Check all that apply
New Construction
Addition
o Remodel
o Repair
Demolition
XRe -roof )4 House garage other >tear off re -roof lay over one layer
Heat System Heat pump wood- burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other (�G�
TOTAL VALUATION IS..
Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler system be installed? Construction type *half baths
I have read and completed this application and k t to be true and correct. I am authorized apply for his permit and understand
that it is my responsibility to determine what perm reouired, and to obtain permits prior to king o 1: ...its.
Date `z Print Name (01'() 0 bW Signature A
T:Forms /Building Division /Building permit application
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Clallam County Assessor Treasurer Property Details 56545 VIRGINIA H AND KI... Page 1 of 1
Clallam County Assessor Treasurer
Property Search Results 56545 VIRGINIA H AND KIMBERLY B BUSK for Year 2011 2012
Property
Account
Property ID: 56545 Legal Description: LOT 20 BL 106
Geographic ID: 0630000106550000 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: 901 W FIFTH ST Mapsco:
PORT ANGELES, WA
Neighborhood: PA West Res Map ID: 3
Neighborhood CD: 5151000
Owner
Name: VIRGINIA H AND KIMBERLY B BUSK Owner ID: 16464
Mailing Address: LOCKHART Ownership: 100.0000000000%
901 W. 5TH ST
PORT ANGELES, WA 98363
'Exemptions:
Taxes and Assessment Details
Values
I Taxing Jurisdiction
Improvement Building
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
1 Payout Agreement
Website version: 9.0.32.2200 Database last updated on: 2/2/2012 3:50 2012 True Automation, Inc. All Rights
AM Reserved. Privacy Notice
http: /websrv8.clallam. net/ propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =56545 2/2/2012
Owner Contractor
BUSK PETER
901 W 5TH ST
PORT ANGELES
(360) 457 1513
Permit Fee Total
Plan Check Total
Grand Total
WA 983632112
48 10
00
48 10
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
Application Number 06 00000442 Date 5/12/06
Application pin number 538126
Property Address 901 W 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 0655 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457 5303
Qty Unit Charge Per
1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS
Fee summary Charged Paid Credited Due
48 10
00
48 10
00
00
00
WA 98363
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc OLY EL/ FURN HP
Permit pin number 76794
Sub Contractor OLYMPIC ELECTRIC
Permit Fee 48 10 Plan Check Fee 00
Issue Date 5/10/06 Valuation 0
Expiration Date 11/06/06
Extension
48 10
00
00
00
8
ELECTRICAL PERMIT INSPECTION RECORD
re
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
INSPECTION TYPE DATE ACCEPTED COMMENTS
DITCH
ROUGH -IN COVER
SERVICE
FINAL
GENERAL COMMENTS:
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
YES NO
PW- 4102.15 (496J
9 05/09/2006 10 50 3604523498
Job wired by Electrical Contractor Owner
Electrical contractor name
mailing address
y yZ� re, ,T
Cit
f�'r- Asir
Address of inspection
9 it/ S
C it
4r /rf
Inspection
Date
Date
MAT,
15-7'h -06
I5 IXP/
State ZIP
Approval By J
Dote Approved By
License number
!J 7 ,J
Telephone number FAX number
'Premises owner's name
Phone number to scfildule inspection:
z/5-7— 7,
Owner as defined by RCW 19.2,9.261 (1) Owner will occupy the structure for two
years after this electrical permit is finalised, (2) Owner is required to hire an electrical
contractor If above said property iv for sale, rent or lease.
After reading the above statement, I hereby certify that l am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal•
lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter
19.28. WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and
Dntc
Dete
Date Expires
Area, Building or Equipment Inspected
OLYMPIC ELECTRIC
(Installation description
Commercial kelltesiintial
ELECTRICAL WORD PEST APPLICATIOg+T
New
Arrttwe0 ey
DITCFT
&rr 4 P�
Cash Check
[.Credit Card Visa
Card
Utility Specifications.
/Signature of owner, electrical contractor or electrical administrator Expiration Date
'77Z+sp° Date. 5// is ,4 Jo f card
Elictr(cadLoad Adsktons and or subtractions
NO LOAD CHANGES
Baseboard KW
vi rurnace /.Lo KW I Overhead Service
fa?'�eat Pump .2 Ton LAR Temp Service
Fan Wall KW Underground Service
..,AME DAY INSPECTION. CALL BEFORE 7.00 AM 360 -417 -4735
ROUGH -TN 1 THERMOSTAT
Approved By
Da to
r
Alterid /Addltinn
Unto
PAGE 01
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Approved By
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$endce Information
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Phase �i 3
Service Sze! 1l%�'
f eeder Size:
Electrical
Inspector
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 11/t6/2001 PERMIT NO: 13073
OWNER/APPLICANT PROPERTY LOCATION
SATENDRA MAHARAJ 901 5TH ST W
901 W. 5TH STREET Lot: 20
Port Angeles, WA 98363 Block: 106 [] Long Legal
360/457-4745 Subdivision: TPA
T: S: Parcel No: 063000010655000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $2,500.00 SFD Units: 0 Commerciah 0
Project Type: REMODEL SFD SQ FT: 0 Industrial: 0 ~
Occupancy Type: RESIDENTIAL Garage: 0 ~'~
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0 ~
Zoning Use: RS7
PROJECT NOTES ~
RENEWAL OF EXPIRED PERMIT [-~
RECEIPT # 8505
FEES ASSESSMENT
Building Permit: $83.25 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: $87.75
Plumbing: $0.00 AMOUNT PAID: $87.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
[or a pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions o!
laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does nol
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance ol
constructionS' ~ ~' /
Signature of Contractor or Authoriz.~d Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I 3~9 73
INSPECTION TYPE DATE [ ACCEPTED COMMENTS
I
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL ILIGHT DEPT) SEPARATE PERlvIIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
CEILING
FRAMING
JOISTS / GIRl)ERS
SHEAR WALL
WALLS/ROOF/CEILING Ill''){~ OI ,~z ~
DRYWALL
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING Il ~1~ -0~ -L- ~ 14
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY ! INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK (Englneering Dt vision) SEPAILa. TE PERMIT #'$:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PEILMIT #'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 41%4807 PW / ENGINEERING
FIRE 417~.653 FIRE DEPT.
PLANNING DEPT. 4174750 PLANNFNG DEPT.
C:La. PPL.WPD
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ' ~> ~ Time Received by ' ~ erson)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. ' ~ '-~-' ~:~
Sewer Foundation Framing, Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
nspected: Date //-/~--~ (~ Time By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
~] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date//- ~----~ Time Received by ~ (phone, person)
Location of Work to be inspected ?~r~ / ~ ~..~- ~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date Time By /
Remarks: : ~ /~ ~
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt [~PCC []Other
[] Repaired by City Work Order #
q Repaired by Permittee [] COMPLETE
El No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT [DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~-- ~ I-- ~ Time Received by ~J~ (phone, person)
Location of Work to be inspected
Name of person requesting inspection <~) / ~ L'~-- "~lq
Address of person requesting inspection. Phone No. ~'~"~-~/
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date Time By
Remarks: --~
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date / !- ~'-~-~ Time Received by ~r[// (phone, person
Location of Work to be inspected ~/' ~ ~- ~/- ~
Name of person requesting inspection ~
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. j ~O~ ~
Foundation Framing Chimney Plumbing ~ Sewer Excav. Other ~
Sewer
INSPECTION NOTES: ~ ~
Inspected: Date ~ Time ~ By~
Remarks:
RECTO.AT,ON .EQU,.ED ...... YES
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [-]Gravel [--I Asphalt ~-~PCC [--}Other
[] Repaired by City Work Order #
[] Repaired by Permittee I~ COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
DATE
71;;/9
7--.20.' Z'~
PERMIT NO,
. J 6f1J
o READY FOR
INSPECTION
License Number:
ILL CALL FOR
INSPECTION
Phone:
o SPECIAL EQUIPMENT
(LIST BELOW)
1:' r
r:J ' Al,e _ < t) a /w_f:-e-o
~l' . J/.n:t:~~;;r~~;1-;;~
, I
Installed By:
Owner/Business:
'wI" RESIDENTIAL
1'1 COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
'vJ' ADD/ALTER CIRCUITS
tJ SERVICE UPGRADE/REPAIR
Details/Description:
Phone:
Sq. Ft.
~ OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE .:If!:) CJ AMPS
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
~fl.O.K. to connect service
A~ Final O.K.
Site Address:
Installer:
New Meteri
Date:
74r:;-'l3
.
Notily Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building P rmi . PHONE 457-0411, EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT vi'
- $ ..5'0, tJ {}
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OL'<MPIC PRINTERS INC.
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall