HomeMy WebLinkAbout210 Dogwood Pl - Building
d<~ORT~ CITY OF PORT ANGELES
~. DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
L ..-. 321 EAST 5TH STREET, PORT ANGELES, WA 98362
....-
~;;;.<'
-tiUILDlNG PERMIT ISSUED: 7/12/2002 PERMIT NO: 13558
OWNER/APPLICANT PROPERTY LOCATION
THOMAS NEUDORFER 210 DOGWOOD PL
210 DOGWOOD PL Lot: 4
Port Angeles, WA 98362 Block: ~ Long Legal
360/452-7321 Subdivision: HAWTHORN ADD. 1
T: S: Parcel No:
CONTRACTOR ARCHITECT
AFFORDABLE SERVICES N/A
258663 HWY 101 W
SEaUIM, WA 98362-0000 , 98360-0000
360/452-5264 360/000-0000
PROJECT INFO
Project Value: $1,985.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD sa FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0 N
Construction Type: MFD sa FT: 0
-
Zoning Use: RS9 C:i
PROJECT NOTES
TEAR OFF, FELT, CaMP C7"
0
\5l
RECEIPT#9436 E
0
FEES ASSESSMENT 0
Building Permit: $69.25 Mise Fee 1: $0.00 CL
Plan Check: $0.00 Mise Fee 2: $0.00 \)
State Surcharge: $4.50 Mise Fee 3: $0.00 r-
House Moving: $0.00
-
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $73.75
Plumbing: $0.00 AMOUNT PAID: $73.75
Mechanical: $0.00
Radon: $0.00 BALANCE DUE: $0.00
Separate Permits are required for electrical work, SEPA, Shoreiine, 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 no!. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law reguiating construction or the performance of
construction.
OAJ PI Lr:::-
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\1102.15 (4/2002]
JUL-12-2002 08:07 AM 2D673A53.73784237 360 582 9029 P.01
-
~C"' l
..., fOR OFFICIAl.. USE ON Y:
: BUilDING/FIRE PERMIT APPLICATION ~EJ..~~~~
~\ I C..III hlW'"
"~.i<" The BliilrJ.inglFire Permic Appljc.riQn mus! b, jill,d oul completely.
Please type or prtnt 10 Ink, If you have aay quelt1oDI, please call (360) 411-4815
Fu Dumber; (360) 417-4711
Applicant and/or Agent: It ffi~uia.b~ rLJ i~ ~ Phbne: ~~
Owner: "ii-,fY"I NfIvlnr J:e yo Phone: y..C)2. 7-:;2..1
Address: ZIt) D~(~I'(YXf PI City:PtJYf--Ar.crb:..- Zip: q~?
ComraclorJa)' ~Y'r'. LiceDSe #:!t{p1)(2S* fUrl)<p B - / -{D Phone: M~3 q!d ICj
Address: 259) hh~ Hi WCl'{IDI We<ikity: -~"1II~1n Zip:qg~z..
Credit Card Hoider Name: --Y1"1 F. /(Q_+r)" I rY'- .
BiIIillgAddress.,'l..~~ &;(/J"2, td\.j1.A.1 In} City~fV\ zip:~~7
Credil Card Number . _ . '........ ~. _ _ _ _ ~ : V/SAK MC_
PROJECT ADDRESS: 21 [) ~ U//Jn1 pit? t"J2 . ZONTNC'
LEGAL DESCRIPTION; Lo1: Block: Subdivisio",
CLALLAM COUNTY PARCEL NUMllER:
TYPE OF WORK:
:l ResIdential 0 Multi-family 0 COlnmerdB1 'ilf Reroor 0 Lp.ga~.,
BRIEF DESCRIPTION OF THE PROJECT: 1t't1.1f I?~ / ~ 11-/ fO'YYtD
{ t ,
V ALVA TION (COil or proJecl ",taul .a1.. tal) sE?JS. (;I.)
B\iD...DING PERMIT APPUCATION SUlIMl'ITAL: YourlXlmp11!led application. !iteplan (for od4itionl) and building conltruction
plans ue to be ,ubmined \0 the Building Divllion.
VALUATION OF CONSTRUCTION: In all cases, a valUatiOll am0\ll11 must be entered by the appliClll1t. This f1gurewiU bereviewlll
and may be revised by the Building Div. to ooDlply MID CUITeIlt lie scho:\u1cs. ConlnC! the P...mit Coordinlllor .AI 417-481 S for assiSl8ll<C.
F.X.PlRA nON OF PLAN REVIEW: Ifno permit is issued witbin 180 daYI of the date of application, this 8ppll~atlaD will elPil't
by Ilnutaliool. The Bu.i1cling Official can ext<:nd the time for action by the applicant up to 180 days, on written reque.Ilt by the applicant
1.\" Secnon 107.4 of the Uuifonn Building Cod.. currenl edition). No .pplication c&l be extendtld mote thl\ll once.
/ hereb,V certify thaI J haw: reru:J and ..tamitled ,lib: applicatiDIJ Qnd know rile SDI"f1g to be true arid c~rrtC1J alld 1 am ulJrhorl':ca 10 4pply
for 'his perm". I undrmand ir is nor Ihe Or)"s I.gal re.sponJibiliry 10 d,lumille \1"01 ptrmi,s aI" required,. if "mains ,he applicant'
N'.ipom'iba'f)' 'mti1e ~GlI ptrmUS Qre req14ired una fO obtai'J such.
1IV.: 102_2) 1~,'lIOOI Credil Cerd Holder's Siy;l.tUIe:~ fine ~ - Date: ..:!::..Iz.oz..
, ,<,-;::.t.
-~ .
tit ." , o.;J.l >.'OFPORT,AN<;1Ji!LES
" it' . . DEPARTMENT OF COMMUNITY D~ v ~LO~ - Bun.DING DMSION
'-. . 321 EAST51H;)l~l'.PORT ANGELES. WA98362 -
I~ ' ..
Application Number 05-00000948
'Ap~+i~ation pin n~,..~ ... 558796
Property Address .. . . . . 210 DOGWOOD PL ,
ASSBSSOR PARCEL NUMBER: 06-30-15-6;""Q.-'0012.-0000.:;' .:
'j;)~t nbr ,name. . . . . ',' 2 FiRE PLACE iN;::,&>I....;::, .
Application type description FiREPLACE/msERTS/FR.,.;.;i...~~iNG
Subdivision Name . . . . . . . .
Property Use. . . . . . . . ..
Propez:tyZoning . . . . . . . 'RS9 RE.....J...,,...SiNGLE FAMJ:;t.Y'
Application valuation . . . . 5061
Owner
------------------------
'i '.,
.....uuORFER THOMAS J PELLET HEAT. CO.'
'-' '," '" - "',; - .."-.,'-_. -' "'- " '--". - . ;' . -- ~:" - .' , - -.'
210 DCN....vvu PL 23'0 EAST.:1ST'SUi'l'E' C
PORT JU""......EB WA 983623715 PORT);!!.GE~ .. WA 98362
. (360)'. 4?.7:4406'
------------------------------------------------~----------~----------------
, - - . - -. ,,".- ,--..
Permit ...... . t-...wu.NJ:CAL PERMiT '
.Addi tional desc. .
Perroit pin number. 61390
PerinitFee . . . . 68.30 . . .00
issue Date .... 9/30/05 0
EXpiration Date .. 3/29/06
Qty Unit Charge Per
. BASE FEE
--------~:~~-------=~:~:~~-~~---~=~~~~~~-=,.~_:_---.;------'-----,.-------.;
Fee swmnary Charged Paid Credited .... DuEi .
----------------- ---------- ---------- ---------- ----------
. .
Permit Pee Total' 68.30 68.30 . .00 .00
Plan Check Total .00 .00. .00 .00
Grand Total 68.30 68.30 .00 .00
v_; '-". 1.,.. ~:~ . ~:~ .., \,' ~ ,~
\
I
Sep~!.~t~permltS are required forelectrical work, SEPA..ShOreijrier~SA, ublities. private and publieimpro"ernetits:Thi~~hriji.c.~r!1es
mlll'an~YoldJfW6rk 'or constrtictioii authorized is notC(l"1q;lEiJ;l~~~~!J1.iIl;1-80.da~,ifconstructl()n or work 1~~~!5P~n:v~~~~f~~~i!~~~
fora penad Qf.1~O days:~fterthework as commented, o~ If requ....~d m.spe~ons have not been requ~ectW!.ttlln' 1~O.da~1(,." ,,the.last
'. .' ,._""",~",,- ','--,,:.'-',,' '<._~ ',"-_ --," - -,-_ . ,"-,,- _-;.;,":,':-..".:_-,-'"-'.,.":,,,',....':/,,:~";"..l.',.,~.i"p,~""",--,:' __ ':."'-'-,." '.,,_,-',-',' ,- - ,_, ':_ ,.",.:-:,,,... .-'...,',-,,:".;~,'_~/~<"""..\",-'-;~'i:~,".',~,..'-:.,~----
inspection'.l'f'Jereby certifY.that I have read andexarriined!tJiis,appli~t1Cin and knowlhe Same to betrueaO!t~~:fAlI,:p~yis!Onsof
laws alJd9fdi~ances'go~eming this type of work.wiIl be cO.~plt~)~~~~ther specified herein o~ not. Theg~~titigof'~'J>errtilt~.oes not .
pn,asume toglveal!tbonty to violate or cancel the provisions olany state or lOcal law regulating constrUctlonorthe'pelfonnance of
co tructlon~ '.' . .
Signature of Owner (jfowrieris~bullder)Date
.', ,:::';'i.:'<,,;
~ ,-; >,i '.' -: (..,_~
.l.k "
,. ;,~~,::iiJt~~1t~;,\t;'t.T;;,.
BUILDING PERMIT IN~J::.I!.CI'lON RECORD C!)S-
CAI.,L 4174815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOREI..ECTRICAL lli:Sl:'bCTIONS.
, . '. ." ~:M-L 417:4807 FOR PUBUC WORKS UTILITIES .'
PLEASE PROVIDE A MINIMUM 24 HOUR.NOTI~E.nlS UNLAWFUL TO COVER, INS'!/LJ.TE OR CONCEAL ANY WORI(BEFORE
INSPECTED AND ACCEIrrED. .POST PERMIT IN A CONSPICUOUS LOCATIOl"l'. .
" ."", .'", , . " KE~PPERMITCARDANDAPfROVEDPLANSATJOBSITE;
.:wst'lOk..oN TYPE .1.. DATE \ ACCEP1:m>' COMMi:NTS" .
YES I NO
FOUNDATION:
FUUIU-lGS
WALLS
.. "."".
FOUNDATION' DRAINAGEI DOWN SPOUTS
PffiRS
p?'S!~?~,~LE,~~DG\.~, '~"
PLUI\......''" .
UNDER FLOOR I SLAB '-
ROOGH-IN .
WATER UNa (MblJ~....iO BLDG)
'" ,,,,. "".
GAS LINE
'BACK-FLOW I WATER
AIR sEAL
....~. - I I ....1
FRAMING'
JOISTS I GIIIDBRS
SHEARWALUHOLD DOWNS
WALLS / ROOF I CBILlNG
DRYWALL (INTERIORBRA,CBI) I'ANEI;ONLY)
T-BAR
INSULATION
~~~Q()R/CEl1JNG" I .1 1
" 'III I
1\'.a!.\....A~
.HEATP~IFURNACBI DUCTS ~
GAS LINE -- .' ']..;. D. ~ J1J-
::=:::.:;:::- J.' ."
FvvU"'G/SLAB~
. BLO..CKIN.G&.HOLDDOWNS ..... ' _
SKIRTING
PLA-" l&loG D"EPT. .SEPARATE pmwrr I#'s SEPA:
PAIU....,uIL..I\...nI ll-lG . J....,;... .. ......... ...... ............ '.j~.. . L Il(l"..........
LANDSCAPING . ,'. . :.'. . <". ". . . . . SHORELINE:
. -----.: .~~INSPE.:..~~.{). Q~ PlUOR TO OCCUPANCY /USE .'.
, ,-i'-'" ' "., ... . - '-
REsIDENTIAL,DATE YES NO COMMERCIAL
"""'111 .,
ELECTRICAL~UGHTDEPT. 4174735 ELECTRICAL
LIGHTDEPT
CONSTRlA. m.il~ R.. W./ PWI \ "CONSTRUcnON..R. W.
ENGINEERING 417-4807 · I', }'Y'/EN6aNl!MLlNG_r;,
FlllE <17-465' 'I FlllE DEPt.
[PLANNINGDEP1" 417-4750 . PLANNING I>EP1'.
.~lI1G J.. . < .J." 4l7~S I - -o~;Lt'8 -C-"~
. ~bc'es\1102~S)Jlillliing pemlltln......,,, I "record05.wpd [1/412005]
.:,_::~:,:_;;;:"~::!;):,,:<,:;;!,,<,::;,:,<, -:.' .__' .'C, ,'.,.",':;_)
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I 360 452 0503;# 1
9-27-05; 1 :03PM ;
f'<)R OPFJe'lAh uSiCN'.v,
BUILDING PERMIT. APPLICATION Dlt= R~c, ~ q 1-1 O!?
Permit w: O'7..q 4e>
Fill Ollt COMPLETELY and In INK. YO\lr application and ,lie plaa MUST BE DRl. AP'Provvd:_0I-14I tif;
COMPLETE to be accllptcd rOT rniew, ]f YlJU bave any quuttonl, eall Date (nu~l:l;
(360) 4i 7-4815
I Applicant or Agent_PCLIA'Ir ~ Cd Phone: ~- 4~ -440<0 -
I Owner: T~~ t\..Ji' \fh~ F"1S1t... Phone: .3b:)- 4~ ~ 1 ~7.. 1
! Address:-.2Jj') ~li~n .PLa(J'Ii:' City:~'IlS ~",.u'~~ Zip: q~ab2
; ArchitectlEnsim:c:r; Phone:
conrractor_PCUEf' . ~ ~n . state Licl;J1/Sc #.Ds.u a~p: 4111107 Phone: ~~457-MD
AddIcss: ??J") ~. I'~' Clty:j)~ A~ Zip: <::\&310'2'
PROn:Cf AJ)DRESS:~.~ PL~ ZONING:
",
LEOAL DESCRIPTION: Lot; ~. ~ 4 Block: . Subcl.ivhlion: ~aQ.JLb.)
CLALLA..\1 COt"TNrf PARCEL NUMB'ER: eJ'103o1 ~il:J.Ot)Q I "1.(I')('}ClO "
:'redlt Cud HoJderNllmlll ""t:.~...'~o~fJL 8uf A~~(
lmluk AeJdr&!llW: 'U 0 '" "'-~ I- ~..,~ + <L Cily: .
~rlldl( CardType VISA Me A': N ~1V ~"l1:r" .EKp. nater
rYPE OF WORK: S!ZI'IV ..u.UA TlONr
J R~iUtmLial a Nl!lw Conllf. e Rc-roof ~ Sfo"e SF.@$ . ISF. · i
) ~hlti-femily Q Addition o Mo~ C1arial! SF. @ $ ISF. .. $
, Cummercial o 'Remodel o Dtl1'lOlitioD C Deck SF.@$ ISF, "'= S
o Rc:pair o Sign Cl OthCl'l' Tg:fAlV~UATION $ ~'&
lRIKF DESCRIPTION OF THE PROJECT; ~u. 7- a.~, ,'1Ld ~~~ '1 ~~ t:..U nt1
l-'i)~.
~OMMERCIALIRESJJ)EN'J'IAL: Occupanc)' Gruup: Occupant Load: COl15ttucnon Type:, . ,- .
JQ, or Storieo: _ Lot Sizo: Existlna Sq, Fl. & Proposed Sq. Ft. .. TOTAl Sq.Ft.__
::<l.ting lot coverage % & Proposed lot CQ\'erDgo % .. Totc.llot ~oVClraie 'Yt 1
/ APPRO\' ALS:
PLA.~C USE ONLY: PLAi'l:
BLOG:
DPWU: -
~ ~IRE:____ '
~~MWetlanrl(a); I:l Yes Cl No SBPA Ch~ckJbtl'equitlld1 CJ Ye, 0 No Other: O'lllRR:
;f rn ,rHNG PER.MIT APPUCA. nON StlBMJ'fT A1.1 The B\.IUdin~ DivideD c.an provide yuu willa information on the applll:lltion l/lJ
1M su!>rniltal raql.luemcnta if you hll.ve q1l0JdOlU,
'A.LUATlON OF CONSrnUCTlON: In 1111 Clutes.. valullllnn .mollDI mUlt be ent.red by the lppliclllt.Th.i& ti~e will be rllvieweu
:~d !1lllY bl!' r!'\lJ.1:!d by the Bulld.1ns Divi.ion tI) curnpl)' with ourrtDt rOOl~hcdllles. COlltACllhl.l P"rm;t c.:ootcliDatOrlt 4 L 7 -481!i for &s.sislance.
LAS ClUCK FEE: 0:' II plan check tee is d~ It l1lU1t be aubmincd al the tirno the buildlna pennit applic:.ltiou IUd COl1ll11"l1C',l;rm plllns an
Jbmitt~, All other permit feoA arc due It the. tUne of permit 1~\Iance.
XPTRA.'nON OF I>LAN REVIEWl lfno pennit 14 luucd wilhln 180 daYI 01'1111: JlltlS ofapplttfttion. the application will elpirll. The
~ ildi'lg Official caD ~lI.tend the tlma tor action 1:Iy the applicanl up 10 180 dAY' Upon written request by the lpplklUtL (Hce ~ection 107,4 of
,e Uniform Building Code, 1;\U.rent edition). No application can be ex.tended more t1t~ onoe.
19reby certify fnst I have (Wad 2nd 9:tBmlfled fills 9pp/lcBllon ,nd know the ssme 10 be trtJ, and correct, / am authortlfld 10 "pp/y for this panni/and
..".I,m! "611. my ""p""'ibIJJ~ 10 ','"mlne w11~ ,...,11> ,ff "'1M' ~U" 'blaln OJCII permit. ptlor to work
'",n 1ll.1,'i\A I'P....,f\\ljldinl!P8"T'lt \I1ld Applic~nt: .!1! 1__' Dlltc!: <;, t..1-~$
.
CITY OF PORT ANGELES N?
LIGHT DEPARTMENT ELECTRICAL PERMIT 15662
Port Angeles, WllShlngton__m.._mc2?.._.i!2.......__.._m.m__._.m....., 19/.6'
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. k..Jt #jl
Address ___n::!I~.mm_.~~--d"t&'!1"~---n-.------ Occupancy____~..--....n.mm-----n
Owner _~~':(...__mm~__.. _._m __~.m..m__mm' Tenant.m..m..m____m...____.:__._m__m______.....______..._..m.m
Wiring Contractor mmfJi~4.=~..........-.n-n---- Byn_n.mm._.______.__n_____m__.__mn______..._...m......____
./ .
LI3ht OuUets__._..._~...e_........_..__..., ServIce, volts ..mnmmm......n............... Type 01 Wiring:
G6 No. wIres ....................................... Armored Cable .............__............._
Receptacle Outlets...m__.......................
Drier, KW nn....un..................h.n... SIze wires........__........................._.. Non.Metallic .........mm..........mh...
Knob & Tube__....___n....................._
Range, K\V.....n.hu.....h....h....__... ______. Main fuse .____n.h..........__......__..h.....
RIgid Conduit ....._n......................_
Water Heater: Enclosure h..............h__.__................ Metallic Tubing ...........................
KW._________nn_n_.._____n________.___ .n___ Type of wiring: Raceway................. ....._
Heal' Kw.........LfD..."2...__/3B.___... Entrance Cable ..........h........... ..... Circuits. Llgh~........__..._.........__..__
MJtors: sIze, volts and phase: Rigid Conduit m.mm.. ..m........m.. Utility..... ____n...........__.........__.......
, ...__/_0............_............__......
j~:::~::::::::::::::::::::::::: Metallic TubIng m__ ....n__..__.m..... Heat
Current transformers: Range .....2.._...............____________...nn
No. & Size.__...__....___................__...... Water Heater ..~....mm....__._.....
...........................................................
Ser. NO..__h...__.....h.........._______.......h... Motor .h.....................____.__.....____.....
,
.................--........................................ Dryer ......~......._........................._
Ser. No............................__.____.__........
....................-.--................................- Furnace .........................'_...................
Ser. NO...h__.n__....____..__..__......__...........
Total wad........__................... Ser. NO.____..h..._______..____.__._______........ Total ...1..;)"....._.......__.........
Remarks; --7'7~.--.m.m~""':-tt.m------m..m--.--.-----m.-.....-.-...--.-.--------.....__.__mm......___m..mmm
___..________._...._____._...______n__n__________________.___._______..__________..u________.._________._.__________________________________________._____._.__.___._.._.._
... .h.Uhn_n_._nn.n_n._.n___n_nnn.n__ndu_._nnn_u._nn.n__u____nn_n__n_unduu..._.._._._nu__nnn_._nnn__n.n_n_noooo__oonnoon__n___
Permit Fee Treas. Receipt By __9LJI!jf~L..L~~,,-,
$.__.1I..7.9...mm________.____. No......__.__..................
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, NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con-
I cealed due notice must be given the Inspector so that work may be Inspected before concealment.
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" NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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ELECTRICAL PERMIT N? 15662
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NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con-
oealed due notice must be given the Inspector so that work may be inspected before coneealment.
,
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" 1M OlymPic Printers. Inc.