HomeMy WebLinkAbout136 Columbus Ave - Building azv
CITY OF PORT ANGELES
r 1f� DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000657 Date 5/29/12
Application pin number 875938
Property Address 136 COLUMBUS AVE
ASSESSOR PARCEL NUMBER: 06- 30- 09 -5 -2- 3635 -0000- REPORT SALES TAX
Application type description RE -ROOF 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 6890
Application desc
TEAR OFF REROOF
Owner Contractor
THEODORE W MATTIE II DIAMOND RFNG ENTERPRISES INC
136 COLUMBUS AVE 1295 BLACK DIAMOND RD
PORT ANGELES WA 983622502 PORT ANGELES WA 98363
(360) 452 -9518
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF REROOF
Permit Fee 165.75 Plan Check Fee .00
Issue Date 5/29/12 Valuation 6890
Expiration Date 11/25/12
Qty Unit Charge Per Extension
BASE FEE 95.75
5.00 14.0000 THOU BL- 2001 -25K (14 PER K) 70.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 165.75 165.75 .00 .00 f na l L
Plan Check Total .00 .00 .00 .00 1
Other Fee Total 4.50 4.50 .00 .00
Grand Total 170.25 170.25 .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 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.
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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.
Inspection Type Date Accepted By Comments
FOUNDATION: V
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 Fumace 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:
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 v V
Planning 417 -4750
Building 417 -4815 (P./I' a`
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0 poR r z BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician For City Use Only:
Date Received -2°1. tom'
L 321 E. Fifth St., Port Angeles, WA 98362 Permit
(360) 417 -4815 fax (360) 417 -4711 Date Approved
Applicant .N U OS`�S Phone 36Q
Property Owner Tea, nAc Phone
Prope Owner's Address o v- w, �,.�i�
Contractor e lk& Phone
Contractor's Address (3,9s k Ay.ceAcd. -0
License :l A oRe q L 6 ZZExpires k.- '-!k -rnail
PROJECT ADDRESS C tt.,y c 4J
Parcel Number 06; 3 0 0 q 1 5 2Z Loa `j L.ot Zoning
Project Type Brief Description: 'Residential Multi family Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
,XRe -roof ;House garage other >rtear 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
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION 68 lC_)°
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 of half baths
I have read and completed this application and know it to be true and correct. l 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.
Datee Print Na rlelvx �,ys Signature
T:Forms /Building Division /Bldg Permit doc
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Diamond Roofing Ent. Inc. 582602
Cliff Duffy Fors
1295 Black Diamond Road
Port Angeles, WA98363
360- 452 -9518
COMER'S ORDER NO. DEPARTMENT DAT
41 b�
NAME
ADDRESS
1 .3 6 Cottm,,,„Lus
CITY, STATE, ZIP
O l rn
v` 7 Y�6 W
SOLD BY CASH QC 0 D CHARGE ON ACCT ;,MDSE. RETD PAID OUT
;QUANTITF v DESGRIPTI Ofd PRICE AMOUNT
1 2
3 L-
iC)Lt6 AWIRr.c e
5 rs 1 1 \rn
6
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,t 1rW'� C c+
9 V Q
10
C e D Ct 10 ICJ
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14
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16
17
18
RECEIVED BY
630 01-11
/46350 KEEP THIS SLIP FOR REFERENCE
~' ~' CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TIt STREET. PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 5/24/2001 PERMIT NO 7269
OWNER/APPLICANT PROPERTY LOCATION
TED MATTIE 136 COLUMBUS
136 COLUMBUS Lot:
Port Angetes, WA 98362 Block: [] Long Legal
360/000-0000 Subdivision:
T: S: Parcel No:
CONTRACTOR ARCHITECT
ANGELES ELECTRIC N/A
524 E. 1ST ST.
PORT ANGELES, WA 98362-0000 , 98360-0000
360/452-9264 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: MOVE METER
Occupancy Group: Zoning Use:
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 0 KW [] Overhead Service Voltage: 120,240
[] Heat Pump 0 KW [] TempService Phase: [] 1 []
[] Fan Wall 0 KW Service Size: 200
Feeder Size: 0
PROJECT NOTES
CONVERT TO UNDERGROUND
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: MOVE METER $33.50
TOTAL FEE: $33.50
AMOUNT PAID: $33.00
BALANCE DUE $0.50
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 94 HOUR NOTICE IT IS UNLAWFUL TO COLOR,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DITCH
ROUGH-IN / COVER
SERVICE
FINAL I ~b///,~l I ~ I
GENERAL COMMENTS:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nl!
17374
/' -.;;J.. ..:-c'"\
Port Angeles, WaBhlngtonm......,...._.:?_.._..m....::..m...___m........___. 19..c!__. k
In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec-
trical equipment In, on. or about any building or other structure In the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address ___/:?-~r;..___.~~,~~.I:.,&~l<l...L__...m.. Occupancy.....<1..G":..:.4m..___..........___....m.
Orner ..---.i$~.e.~~.:;.~/A"~"""~tZ..z T~W1nL.m..___...__...._.....m.._......m...___._.m...___.....___...
Wiring Contractor ___..~t,,~t.k?"'G.'(..(:?-<.9.--.._.,._"~:':r!t~L By............___m.___....___..___.....___nmmm...______........
,', (/
Light Outlets......................n.......-..--..-
Receptacle Outletsn........_.___..........__....
DryJ\er, KW ___nn_n._nn......._____._......______
I
Range, KW ___......__._.00______..00_____00___.____.
I
Water Heater:
I
I .
.KW......................jr:....~.1).....
Hea., KW.....~..O'....~~
Motors: size, volts and phase:
.......---.-----------.........-......--.---.---.-......---
I
Total Load.n___n.....n.........._...
Service, volts ...._00.._........._00..............00
No. wires ....._..............___.00_..........00
Size wlres...................___........._.._..
Main fuse .__.____.......n.nn__........nn...
Enclosure 00...._.0000.00......._.0000__..__.....
Type of wiring:
Entrance Cable .._m____......_.__.._
Rigid Conduit .................
Meta1l1c Tubing ..._m
Current transtormers:
No. & Size_...........nn............_nn
Ser. NO.......n_..........._._....._._....._.:n._...
Ser. No. _.....000000.............00.00.00........_...
Ser. No. 00.00_.............__..._.............._00_..
Ser. No. ......un.nn.._...._..nn__h...........
Type 01 Wiring:
Armored Cable mn........_.......m...._
Non.Metallic .._..........._......._.....__...
Knob & Tube......._........._...._........._
RIgid Conduit ...............................
Metallic Tubing .._.h_.......n........___
Raceway ....._._...............__._.______
Circuits, Light.__...........__.._.....__.......___._.
Utillty.............................................
Heat .........-........--...................--.....
Range .__........__.._........__..........___.._...
Water Heater -...00.......-.................
Motor .._........._._.........__..........._.......
Dryer ..........00__................................__
Furnace __........................_......_.__.......
Total ._._.._...........__.00........_.__....
Remllrks: ........n__..___..___.......n.......___...n...__.....___.nn__...___.___.__.__.___.___.....___..___.___...m.._________.....______....m___..___m'"
--------..------.----------------.----------------------....--------------.-.---------------.-.-----.-----.--.-.----------......-.-------------...----------------.-.-------.--.
.;i.~~~...~::--...~...~....~.~...~.~...:..---..---::~~.~:..~.~.~.~:~.~.~~..~~~.m....m---...::...~lyl~L;:2:~~~
NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. It work is to be con-
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
Address
ELECTRICAL PERMIT
N?
17374
Owner ..............n..n.n..n.....____...n._____h_.._..nn_.._h.....n..n._n...............__..0000........._.....__. Tenant.h....................._....._.nn___n........_..nn_nn......
Date..._._...__.._.__.._..__..___._._...._..._______._-
Wiring Contractor nn.__..._........................_....................._..n.................n..00.............._.....__.00.....00_.00. By..........................._..._..............................
',,- NOTICE-Current must not, be turned on until Certificate ot Inspection has been issued. It work ~ to be con.
cealed due notice must be given the Inspector 80 that work may be inspected betore concealment. .
'{ ~
u.~ Olympic Printers. Inc.
./
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date t,-(}.)-07 Time 7;07.J .,!;YJ Received by 7/7 (PhOne,~
Location of Work to be inspected /3 b c.o/um bu.5
Name of person requesting inspection tA/t1l.lt? /' f), V.
Address of person requesting inspection--17 03 .5 <> j?' sT Phone No. 4/7~t('i1V'l
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ 'A KA-fe /
Inspected: Date
Remarks:
INSPECTION NOTES:
(-,-;; -07
Time J(): c;rV ,/.}'m By
7/7
venf?.v ::;A f.A/....-kr SCYl/lce I/I1A~---' jP f/J1e/e'/.
'-11'6' u,f-/1'1 VOi:A-l
RESTORATION REQUiRED...... YES V NO
,
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
CliRepaired by City
.IE] Repaired by Permittee
o No Damage Found
,9(AsPhalt 0 PCC 0 Other
ik Order # 3D] 1ft -N~
, COMPLETE 7/lt
INCOMPLETE .
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
IOATEI