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HomeMy WebLinkAbout302 E 12th St - Buildingee/~ .... CITY OF PORT ANGELES ' (~/' PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 1/15/2002 PERMIT NO: 13184 OWNER/APPLICANT PROPERTY LOCATION 302 12TH ST E INGRID LEVENETZ 302 E. 12TH STREET Lot: 8&9 Port Angeles, WA 98362 Block: 382 [] Long Legal 360/000-0000 Subdivision: TPA T: S: Parcel No: 063000038240000 CONTRACTOR ARCHITECT HOME SERVICE N/A 223 MARSDENRD Port Angeles, WA 98362 , 98360-0000 206/457-1708 360/000-0000 PROJECT INFO Project Value: $12,000.00 SFD Units: 0 Commercial: 0 ('~ Project Type: FOUND. REPAIR SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: ['Ti PROJECT NOTES REPLACE ROTTEN GIRDERS POST FOOTINGS AND PERMITTER FOOTINGS ,¥ FEES ASSESSMENT Building Permit: $209.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $213.75 Plumbing: $0.00 AMOUNT PAID: $213.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required forelectdcal 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 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 con~Xuction, Si~na~ur~ o"'d~Ol~ctor o~'Authorized Agent' Date Signature of Owner (if owner is builder) Date BUILDENG PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILD1NG 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 INSPECTION TYpE I BATE IYEsACCEPTEDI NO COMMENTS WALLS I fl.' FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEFF) SEPARAIE PERMIT: # PLUMBING UNDER FLOOR ! SLAB WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB ] WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES t SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING BEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL BATE 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 'ftd/t'/,.~tt/~ ~' ~m~// BUILDING C:~APPL WPD CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date J ~ !'~ - O ~, Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type o~~ircle~ appropriate one): Permit No. / ~) J ~'~/ Sewer~~3J Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES:~. Inspected: Date i~ ' ~ ~ ~'~ Time By . Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved ~Gravel {~]Asphalt I--IPCC [~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 . ~) Name of person requesting inspection ~-~::~> Address of person requesting inspection Phone No. Type of~l Permit No. e appropriate one): Sewe~x~F~u~t~aming Chimney Plumbing Final SewerExcav. Otherj~ INSPECTION-NOTES: Inspected: Date //-//~-- ~:) ~- Time By (~, Remarks:. RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [-']Asphalt I--IPCC I~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 2ILDING DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PERMIT OWNER/APPLICANT PROPERTY LOCATION 302 12THSTE INGRID LEVENETZ 302 E. 12TH STREET Lot: 8&9 Port Angeles, WA98362 Block: 382 i ! Long Legal 360/000-0000 Subdivision: TPA T: S: Parcel No: 063000038240000 CONTRACTOR ARCHITECT AN DEN CONSTRUCTION N/A 364 SHORE RD. PORT ANGELES, WA 98362-0000 , 98360-0000 360/457-9396 360/000-0000 PROJECT INFO Project Value: $5,000.00 SFD Units: 0 Commercial: 0 Project Type: SIDING SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES INSTALL NEW HARDY PLANK SIDING FEES ASSESSMENT Building Permit: $111.25 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: $115.75 Plumbing: $0.00 AMOUNT PAID: $115.75 Mechanical: $0.00 ' BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 da s after the work as commenced, or if required inspections have not been requested within '180 days from the last inspection. I hereby c ~i~ that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordin~e~e.,~ ~ernin_~t~ type of work will be complied with whether specified herein or not. The granting of a permit does not presume C.~/~ Si~t~ of CO~ )r Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FOKMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERM1T: # PLUMBING ~wLAA~ / FLOOR / CEILING I I I BUILDYNG 417-4815 2 --/3 ~*'~ ~----~ BLqLDING ~ ~ORT FOR OFFICI~L USE ONLY: &L°,~:,~. ~e Date Rec.: g/~ BUILDING PERMIT- APPLICATION P~it~:~ Date Issued: ~ The Building Permit ~pplication must befilled out completely. Please type or print in in~ If you have any questions, please call 41%4815 Applicant or Agent: ~ Owner: ~,'d ~e*.~q~ Phone: ~3 Tqm- Ad&ess: /23r2 ~t~ ~ ~. City: ~t~ Zip: ~chitecffEngineer: Phone: Contractor ~n ~ &~e~aa License~:~xp: ~-/~-0] Phone: Address: ~*q ~ ~,, City: ¢~ ~[a~ Zip: LEG~ DESC~PTION: Lot: Block: Sub : CL~L~ COUNTY P~CEL NUMBER: Credit Card Holder Name: giiling Address: City:. Credit Card ~: Exp. Date: VISA MC T~E OF WO~: SI~UA~ON: ~ Residential D New Cons~. D Re-roof D Wood-stove '~ SF. ~ $. 2. $~ /SF. =~ . ~oco, ~ Multi-fa~ly ~ Addition ~ Move ~ O~age SF. ~ $. /SF. = $. ~ Co~ercial ~ Remodel ~ Demolition ~ Deck SF. ~ $. /SF. = $. ~ R~air ~ Sign ~ ~,'~;~ TOTAL VALUATION $ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:. No. of Stories: __ Lot Size: % Lot Coverage: % Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. -- TOTAL LOT COVERAGE: /sq. ft. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): El Yes ~ No SEPA Checklist req~ured? El Yes El No Other: OTHER BUILDI1N G PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire. 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 lhave read and examined this application and kno~e/me~e t~ndcorrect, and lam authorized to apply for this permit. I understand it is not the City s~ legal responsibility/4~ det~mi~w,~Cf ~rmits are required; it remains the applicant's responsibility to determine whatpermits are requiredandtoob. Jffin ApI~,I,q~. /'~-(/~'~ f~, :_ T:~FO RMS~APPS~Buildingpermit / CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~ '- ("2~ ~ ~'-~ Time Received by (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. Sewer Foundation Framing Chimney Plumbing ~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 # E] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~ ret ,~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5Ttt STREET. PORT ANGEl. ES. WA 98362 ELECTRICAL PERMIT ISSUED: 2~05/2002 PERMIT NO 7535 OWNER/APPLICANT PROPERTY LOCATION INGRID LEVENETZ 302 12TH ST E 302 E. 12TH STREET Lot: 8&9 Port Angeles, WA 98362 Block: 382 [] Long Legal 360/000-0000 Subdivision: TPA T: S: Parcel No: 063000038240000 CONTRACTOR ARCHITECT ELECTRIC SERVICE N/A 924 DRAPER RD. PORT ANGELES, WA 98362 , 98360-0000 360/452-6424 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: Construction Type: SERVICE CHANGE Occupancy Group: Zoning Use: Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 0 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] [] Fan Wall 0 KW Service Size: 200 Feeder Size: 0 PROJECT NOTES 200 a. service and det. garage FEES ASSESSMENT Service: $58.60 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $58.60 AMOUNT PAID: $58.60 BALANCE DUE $0.00 '( )M ~,{t:NTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 2n HOUR NOTICE. IT IS UNI~ IFFUL TO CO VEI~ DITCH a/~/~ ~ ~/~ ROUGH-IN / COVER o2//5~/~ ~ o7 ~AL SERVICE ~//,~/g ~ l ~ FINAL I ,~/z~l~-,.. I 7_~-'~ I GENERAL COMMENTS: ~w-I ~o2.1~ [4'961 f Q y CITY OF PORT ANGELES PERMIT APPLICATION OCT 2 8 2 Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 ELEaRJCAL Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: !� ./1 & 2 Single Fancily Dwelling * Plan Review Mjy Be Required, Please Complete Electrical Plan Review Information Sheet dqb Address: �„ fi" �� 5 Building Square FooWe: Description of above P e z Owner Infgrmation Name jnz eZ Mailing Address. v2. F� State: uy 14- 21p: q g 7 � 2_ Phone:. '7? 5' -- l k$rl Fax: License # f Exp. item ServlceiFeeder 200 Amp, Service/Feeder 201 -400 Amp, ServicelF'eeder40100 Amp ServicefFeader 601 -1000 Amp. ServicelFeeder over 1000 Amp, Branch Circuit W1 Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Servicel Feeder 200 Amp. Temp. ServicelFeeder201- 400 Amp. Temp, Service/Feeder 401-600 Amp, Temp. ServicOwder 601 -9000 Amp, Portal to Portal Hourly Signal Circuitl Limited Energy -1 & 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy - WA System or Less Thermostat Dote: $6.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1900 Square Ft. Each Additional 600 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub U It gharge $120.00 $146.00 $ 205.00 $ 262.00 $ 373.00 $ 5.00 $ 63.00 $ 5.00 $ 75.(10 $ 93.00 $110,00 $149.00 $168.00 $ 96.00 $ 64.00 $120.00 $102.00 $ 56.00 $120.00 $ 40.00 74.00 $110.(10 Contractor Information Name: x �r e 0 Mailing Address: ql P) . i, rt City., P&- State: VOC ilp: Phone:. 4 5' 7,5 ? -17-- Fax: N 7_.1- Llcense #1Exp._._.�Xfr /Z/ 47— -171 Total (W MultiRiled by unit Char $ $ • " Total Owner as defined by IRCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is require to hire an electrical contractor it 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 mak €r the electrical installation or alteration In compliance with the electrical lawns, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296468, The City of Por Angeles Municipal Cods, and utility Spec €fications and RAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: © cash El Cheek X j - Ytizs' IA - s Dated: A�- -,,'3 /Y. 0 :reaucara a o1rntt2ot2 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . , , . . 14- 00001319 Date 10/29/14 Application pin number , . . 940761 DITCH Property Address , . . , 302 E 12TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-8240-0Q00- Application type description ELECTRICAL ONLY Subdivision Name - Property Use FINAL Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Application de,sc Ductless Heat Pump Owner Contractor LEVENETZ INGRID /NICHOLAS EXTRA MILE TECH & ELECT., LLC 12352 HILL COUNTRY 418 N. RACE ST. POWAY CA 92064 PORT ANGELES WA 98362 (360) 457 -5222 Permit , . , , , . ELECTRICAL ALTER RESIDENTIAL Additional desc . , Permit Fee . , , . 63.00 Plan Check Fee 0,0 Issue Date . . , , 10/29/14 Valuation . , , , 0 Expiration Date . . 4/27/15 Qty Unit Charge Per Extension 1100 63.0000 ECH EL -R- BRANCH CIR WO/ SER REED 63.00 Fee summary Charged Paid . Credited L)ue Permit F'ee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 00 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN - FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING e W (S321 OF PORT ANGELES DEPARTMEN'T*f COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 14-00001368. Date 11/07/14 Application pin number . . . 637560 Property Address . . . . . . 302 E 12TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -8240 -0000 - Application type description RE -ROOF Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 7705 ---------------------------------------------------------------------------- Application desc TEAR OFF/INSTALL COMP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LEVENETZ INGRID/NICHOLAS LARRY'S ROOFING 12352 HILL COUNTRY 352 AVIS ST. POWAY CA 920.64 PORT ANGELES WA 98362 (360) 452-2215 ---------------------------------=------------------------------------------ Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF/INSTALL COMP Permit Fee . . . . 179.75 Plan Check Fee .00 Issue Date . . . . 11/07/14 Valuation . . . . 7705 Expiration Date . . 5/06/15. Qty Unit Charge Per Extension BASE FEE 95.75 6.00 14.0000 THOU BL -2001-25K (14 PER K) 84.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 179.75 179.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 184.25 184.25 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Coate 0502) 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 has commenced, or If required- inspections have not been requested within 180 days from the last inspection. I hereby certify that l have read and examliNd this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be cdlied wi0t whether specified herein or not. The granting of a permit does not presume to give authority t orate or cancel provisi of any state or local law regulating construction or the performance of construction. e� . Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forrms/Building DivWWcVFBW1ding Permit BUILDING PERNT -INSPECTION RECORD -: MEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS - Bulding Inspections 417-4815 EkNcbical Inspections -417-4735 Ptd*c Works Utilities 417-4831 Backflow Prevention Inspections 4174=6 ff ro umAvwjL To COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERWT IM CONSPICUOUS LOCATION. KEEP PERM/TAND APPROVED PLANS AT JOB SIM Inspection Type I Date I Accepted By Comments FOLINDATION- Foodws fmo dation Drainage / DMW*Mft plem- Holee (Pole Bldgs) I PL OG: k%or I Slab t l wimeter to S" It/Wader FINAL Date Aq=W by AIR SEAL: Waft I FRAMING: i .IQ7 — / c3ir. . / i3hsfOr Ft 4r WIW/ fi�Nt ooams / Roof I U#kV TIM-IMeti�r$tas�d Pt w . f #11 ArAI I Wad I t?t . MECHRi6CAL: Heat Pump ! Fumime / FAU / Ducts Nfood Move.! PON IChbww r p rnera uoacl i Duda FINAL Date Aecealled by I 11 AG"I't)RED HOMES- /Slab Bbdft & Hold Downs IPLAHMS MT. 8epeatie P+n * ft SEPA: /t id*w ( �ESk- SHOREUNE: MAL AVS TIONS REOWRED POOR TO OCCUPANCY/ USE Mspe wri Type DateAcap EII! 417-4735 Cor uc*m - R.W. PW / En in9 etering 417-483j_-% Fft 417*SS- ' 417-4756 BuikWq - 417-4815 T:Forms/Building Division/Building Permit THEfloill + For City Use CITY OF 1 �I Permit# W A S H I N G T O N. U. S. Date Received: / 7' 01-: 321 E 51h Street Date Approved // 7 Port Angeles, WA 9836 P: 360-417-4817 F: 360-417-4711 Email: Dermits(&citvofZa.us BUILDING PERMIT APPLICATION Project Address: 30Z, i Z A Phone: Z�IS Primary Contact: ��inl � Email: Name � _ f � ) _ , Phone PropertyI Mailing Address i Z Email Owner City State \� I Zip `)88 2— Name rG Phonefr ContractorI Address S � I Email Information I city state Contractor License# J I Exp. Date: Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) $ Residential ❑ Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) Classification For the following. fill qq..t both paces of Dermit auolicatiolA: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other ❑ Will a fire sprinkler system be installed Irrigation System? Proposed Bathrooms Proposed Bedrooms or modified? Yes ❑ No � I Yes ❑ No ❑ Project Description Yt,r �L- r1l� 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 app 'cation before the permit is issued. I understand that if the permit is not picked up/issued within i8o s of submittal, the application will be considered abandoned and the fees will be forfeited. Date Print Name Signature Residential Structures Area Description (SQ FT) Existing Proposed ss value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck (over 30" or zn° floor) Garage Carport Other (describe) Area Totals Commercial Structures Proposed Area Descriptions (SQ FT) Existing Proposed ss Value Existing Structure (s) Proposed Addition Tenant Improvement? Other work (describe) Site Area Totals I For Office Use For Office Use 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 T lot size) Forced Air Unit 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 Permit4-17.13.docx Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler I Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater (Suspended, Floor, Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # I repair/alteration Evaporative Cooler (attached, not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping # of Outlets: Ventilation Fan, single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit 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 Permit4-17.13.docx PREPARED 11/18/14, 12:54:09 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/18/14 ------- — ---------------------------- —-------- — --------------- —---------------------- — ------ ADDRESS . : 302 E 12TH ST SUBDIV: CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215 OWNER LEVENETZ INGRID/NICHOLAS PHONE PARCEL : 06-30-00-0-3-8240-0000- APPL NUMBER: 14-00001368 RE -ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 11/18/14 JLL BLDG FINAL November 18, 2014 9:27:24 AM pbarthol Tom 460-0517 -------------------------- ---------- COMMENTS AND NOTES------------