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HomeMy WebLinkAbout1204 W 16th St - Building CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DMSION 321 EAST 5TH STREET, PORT ANO~'.I~q, WA 98362 BUILDING PERMIT Issued: 7/16/99 Permit No: 11297 Conditions: OWNER/APPLICANT ........................ 'ROPERTY LOCATION ........................ GORDON SUKERT 1204 16TH ST W 1204 W 16TH ST Lot: l&2 Port Angeles, WA 98362 Block: 439 Long Legal: 360/963-2207 Sub: TPA T: S: Parc No: CONTRACTOR ............................. DESIGNER ................................. OWNER VARIOUS Port Angeles, WA 99360 , 206/000-0000 000/000-0000 PROJECT INFO .................................................................... Prj Value: $20,000.00 SFD UNITS: 0 MFD UNITS: 0 Prj Type: SFR ADD/REMODEL SFD SQ FT: 898 MFD SQ FT: 0 Occ Type: RESIDENTIAL Occ Group: Occ Load: COMMERCIAL: 0 Cns~r Type: INDUSTRIAL: 0 GARAGE: 0 Land Use: RS7 PROJECT NOTES ...................................................................~ 898 sq/ft sfr add ~ i?~¢~ ~ % PROJECT FEES ASSESSMENT ......................................................... BUILDING PERMIT $287.25 .............. $0.00 .............. $0.004 PLAN CHECK $0.00 .............. $0.00 ......... RADON $0.00 STATE SURCHARGE $4.50 .............. $0.00 $0.001 HOUSE MOVING $0.00 .............. $0.00 $0.00 MANUFAC HOME $0.00 .............. $0.00 $0.00~ SIGN $0.00 .............. $0.00 .... - .... PLUMBING $55.00 .............. $0.00 TOTAL FEE: $346.75 MECHANICAL $0.00 .............. $0.00 AMT PAID: $346.75 ............... $o.oo .............. $o.oo ....................... ............... $0.00 .............. $0.00 BAL DUE: $0.00 RW SANITARY__ WATER__ DWY STORM DRA OTHER Separate Permits are required for electrical work, utilitJea, private and public improvements. This permit becomes null and void if work or constTucUon authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a peliod of 180 days after the work as commenced, or if required inspec~ons have not ~ requested within 180 days from the last inspection. I hereby certify that I have read and examined this appiical~on and know the same to be true and correct AJl provisions of I~ws and ordinances governing this type of work wil~ be complied with whether spec[tied herein or not The granting of a permit does not presume to give autho~'k~, to violate or cancel the )rovisions of any state or local law regulating construction or the performance of con~.t~rucfion. Si0nature of Contractor or Authorized A~ent Date Sicjnature 0f Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CA~L 417-4815 FOR BUILDINO INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNL,4 WFUL TO COVEP,, ' INSULATE OR CONCEAL ANY I, FORK BEFOR~ INSPECTED AND ACC~D. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP pERMIT CARD AND APPROVED PLANS AT JOB SITE ~~ FOR OFFICIAL USE ONLY: BUILDING PERMIT- PREAPPLICATION The Building Permit - Preapplication must be filled out completely. Date Approved: Please type or print in ink. If you have any ;questions, please call 417-4815 Applicant and/or Agent: ~c~ ;'~/0 fv ~ .;tZ k~ ~ Phone: /3~/-7 Owner: ~t/',:/0,'~' ~ ~'c~ ~6--~,{ Phone: Ill '7 Address: /'ff-/_5":( [.c,/ / /--oq'h City: Zip: Architect/Engineer: ["4 R. c I~ i '~-~-L'-[C Phone: Contractor ~' ~=/'(2, License #: Exp:. Phone: Address: City:_ Zip: PaOa CT,OOm ss: q /L ? zom, ~GALDESC~ON:Lot: t'r~ Bl~k: q,'~ Subdi~sion: TYPE OF WORK: SIZENALUATION: 1~' Residential rn New Constr. ,~ Rercof [] Woodstove SF. ~ $ /SF. = $ ~./) [] Multi-family ~t Addition [] Move [] Garage SF. ~ $ /SF. = $ ~ Commercial [] Remodel [] Demolition [] Deck SF. ~ $. /SF. = $ ~ R~pair [] Sign [] ~ TOTAL VALUATION .~ $ q'O~I~I~I_/RE$I~ENTIAL: Occupancy Group: Oceupant Load: __ Construotion No. of Stories: / LotSize:/OO k iqO % Lot Coverage: ~'¢~ % Existing Lot Coverage: ~'-30 0"7 /sq. fl. + Proposed Lot Coverage: .~'~' /sq. t~. = TOTAL LOT COVERAGE: ~OtgJ'- /sq.fl PLANNING USE ONLY: APPROYAL~: PLAN Notes: BLDG / DPW EsA/Wetland(s): rn Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER PREAPPLICATION SU~I¥11'I'I'AI~ Your application and s~telMan must befitl~,t out eornph~ to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMirI'AL: 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 Div. 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 by limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (sec Section 304(d) of the Uniform Building Code, current edition). No applicati°n can be extended more than once. I hereby certtj~ that I have read and examined thts application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to deterrnine what permits are tvquired and to obtain such. Applicant:.f~"~ z~ ./ Date: "~ ~ PW-1102_ 13[rev.2/96] -  City of Port Angeles Applicant Project Review Sheet Is ~e pro~ ~ hst~ as a "~d u~" or ~ "a~s~ ~" m ~s zone? ~'yes: ok ~ no: mq~es PD ~ ~s ~e ~y u~ ~s, msid~, ~c.) ~ ~s si~? ~yes: ok ~ no: mqgires PD ~ ~ge ~ ~ a suMi~sion, ~o~ht, or P~ a~r~ for ~s si~, or ~ ~e ~ yes: ~u~es PD ~' no: ok ~ su~ ~d is ~d~g a~o~19 ~ ~s ~e ~o~ ~ ~ a new bui~ess li~? ~ yes: mqu~s CC ~ no: ok ~ew ~s ~e ~j~t e~d ~to ~y ~uff~ ~ or ~s ~y lot ~es (~t~or or ~ yes: mq~es PD ~ no: ok e~g)? ~ew ~s ~e proj~t ex~ ~ ~ heist ~1~ or ~ ~e ~ to exc~ ~ y~: mq~s PD ~ no: ok ~e allo~ lot ~e ~ ~s z~e? ~w ~ ~ ~oj~t mq~ ~y addifio~ ~ or ~ial d~i~md~ ~pro~ ~ yes: mq~ PD ~ no: ok m ~s ~e? ~ ~s ~e ~j~t el~ate ~y ~s~ ~ ~s? ~ yes: mquffes PD ~ no: ok Is ~e ~j~t l~t~ ~ 2~' of~e ~el~e? ~ yes: requ~s PD ~' no: ok ~ ~ge ~y ~enmlly ~ifi~ g~s on or ~ 2~' of~e ~, ~ yes: requires PD ~ no: ok ~clud~g: r~ew  ~fl~ds ~ ~s of ~ ~ (y~ m~d or ~1); ~s ff~ m~d ~ ~); g~ ~ a slo~ of 40% ~ g~; or ~ ~t ~ ~d~ of~ ~d m~t or ~ion? Ha~ all ~e r~u~ sub~ls ~ pro~d~ by ~e applier? ~ yes: ok ~ no: ~k ~ Si~ PI~ D Com~ction ~gs requir~ ~ P~a~e PI~ ~ Ci~l ~a~gs it~(s) D Enggi Cale ~ Su~ Eng. Calc ~lanning ~par~ent r~ is ~quired, the pr~essing ~me m~ ~ exte~ed. If it is dete~ined a se~e P~nning ent ~it(s) ~ ~, ~e P~ing ~t ~it(s) ~t be appr~d prior to the iss~nce of any other pe~it. The information provided abo~ is true to the best of my loundedge, I understand that in the event that any of this information is determined by thc City to be incorrect, this project will be stopped until such time the City determines the correct information is provided and any subsequently r~quired review and at~l?rovals are completed and granted. Applie,~t Date Permit Category ti (see reverse side) Building Permit # Master Tracking # Route to: [] BD [] CC 13 FD [] LD [] PD [] PW [] File [] Other StaffInitials Date Completion oJ this form is required for all category lb. 2 & 3 permit, x. Completion is not required for category I a permits unless they result in a potential change of use or occupancy. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date //'-'-~---~----~ Time3~'/O Receivedby ~/ (phone, person) Location of Work to be inspected /~d.~ 47/ ~/~ ~ Name of person requesting inspection ~O Add~ess of person requesting inspection Phone NO. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other Inspected: Date / ~ ' Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel []Asphalt I-~PCC []Other _ [~ Repaired by City Work Order # ~J Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATEI 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 Inspection {circle appropriate one): Permit No. / / Sewer Foundation Fra~~himney Plumbing Final Sewer Excav. Other INSPECTION NOTES: :~" ' ~ ' ~'~ Time ~ By Inspected: Date 1 '~ 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 PUBLIC WORKS - ELECTRICAL DIVISION J2\ EAST STH STREET. PORT ANGELES. WA 98J62 ELECTRICAL PERMIT Issued: 8/17/98 Permit No: 6402 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ GORDON SUKERT 1204 16TH ST W 1204 W 16TH ST Lot: 1&2 Port Angeles, WA 98362 Block: 439 Long Legal: 360/963-2207 Sub: TPA T: S: Parc No: CONTRACTOR-----------------------------DESIGNER---------------~----------------- OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES.GARAGE prj Value: $0.00 Occ Type: Cnstr Type: Occ Grp: Occ Load: Land Use: RS7 Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser X Overhead Service underground Service Temp Service voltage: Diameter: Service Size: Feeder Size: 120,240 X-I -3 320 AMPS 200 AMPS PROJECT NOTES------------------------------------------------------------------- 320 meter on garage, 200 amp in garage, 200 amp in house PROJECT FEES ASSESSMENT----------------~-------------------------~-------------- Service: $42.50 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $42.50 $42.50 --------------------------------- ------------~-------------------- TOTAL FEE: $42.50 Balance Due: $0.00 COMMENTS/ACTION NEEDED -- ---~~ - ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPItCTlON TYPE DATE I ACCEPTED COMMENTS I YES I NO / 1(IlIIGH-lN I CUYbR <J//, '7~ ]g!VICb 1"1//, '/<7" , . / . I 9//%/<7,1' Iw?'r I GENERAL COMMENTS: pw.II02.UI~J . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. S'OJ /5 9h~J . DATE Installed By: o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW o FAN/WALL KW 'JSt'RESIDENTIAL rtJ - COMMERCIAL o NEW CONSTRUCTION ~ REMODEL ADD/ALTER CIRCUITS SERVICE UPGRADE/REPAIR \ ; o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: 0191 0391 SERVICE SIZE FEEDER SIZE AMPS AMPS Details/Description: ~} . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. 1~ Rough-in/cover O.K. o O.K. to connect service IllS' jsJ Final O. K. Site Address: Permit/Receipt No. Sc::J 7.5 New Meters ~ . Notify Port Angeles City Light by Street Address and Permit Number when 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 Permit. PHONE 457-0411, EXT. 224. I /~ / NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT 30 / $ - Electrical Inspector Permit Fee WHITE - File by address PINK - Top; Eng, Bottom, Customer GREEN - Top: Meter Dept.. Bottom: City Hall OLYMPIC PRINTERS INC.