HomeMy WebLinkAbout1717 W 12th St - BuildingApplication Number 07 00001117 Date 11/27/07
Application pin number 170087
Property Address 1717 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 6075 0000
Tenant nbr name SUSAN DONALD SMITH
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 6000
Owner Contractor
SUSAN DONALD SMITH
1717 W 12TH ST
PORT ANGELES
(360) 457 9488
WA 98363
ANGELES PLUMBING
P 0 BOX 1151
PORT ANGELES
(360) 452 8525
WA 98363
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc ANGELES EL/ 1 4 CIR
Permit pin number 112565
Permit Fee 46 00 Plan Check Fee 00
Issue Date 11/27/07 Valuation 0
Expiration Date 5/25/08
Qty Unit Charge Per Extension
1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS 46 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 46 00 46 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 50 50 50 50 00 00
[N SPECTION
TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL I 23/67 c
COMMENTS:
ELECTRICAL
RESULTS INSPECTOR.
PREPARED 11/27/07 9 20 55 INSPECTION TICKET
CITY OF PORT ANGELES
ADDRESS
TENANT NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
ME99 01 11/27/07
t t
PL99 01 11/27/07
1717 W 12TH ST
SUSAN DONALD SMITH
ANGELES PLUMBING
SUSAN DONALD SMITH
06 30 00 0 3 6075 0000
07 00001117 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 11/27/07 JLL
PL2 01 9/28/07 JLL
9/28/07 AP
PL2 02 10/09/07 JLL
10/09/07 AP
PERMIT ME 00 MECHANICAL PERMI
REQUESTED INSP
TYP /SQ COMPLETED RESULT
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
INSPECTOR JAMES LIERLY
PLUMBING ROUGH IN
09/27/2007 01 51
DALE 452 8525
ROUGH IN PLUMBING
09/28/2007 04 25
PLUMBING ROUGH IN
October 8 2007 4
DALE
OWNERS DON SUSAN
ROUGH IN PLUMBING
AFTERNOON
October 9 2007 5
PLUMBING FINAL
November 26 2007
SUSAN 457 9488
PLUMBING FINAL
SUBDIV
COMMENTS AND NOTES
PHONE (360) 452 8525
PHONE (360) 457 9488
BLDG FINAL
November 26 2007 3 34 02 PM 1pangrle
SUSAN 457 9488
BLDG FINAL
T
DESCRIPTION
RESULTS /COMMENTS
MECHANICAL FINAL
November 26 2007 3 36 19 PM 1pangrle
SUSAN 457 9488
MECHANICAL FINAL
PM LPANGRLE
PM JLIERLY
TIME 01 00
35 10 PM 1pangrle
SMITH 457 9488
02 03 PM jlierly
3 36 57 PM 1pangrle
PAGE 10
DATE 11/27/07
PREPARED 10/09/07 9 05 30 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/09/07
ADDRESS 1717 W 12TH ST SUBDIV
TENANT NBR SUSAN DONALD SMITH
CONTRACTOR ANGELES PLUMBING PHONE (360) 452 8525
OWNER SUSAN DONALD SMITH PHONE (360) 457 9488
PARCEL 06 30 00 0 3 6075 0000
APPL NUMBER 07 00001117 RES REMODEL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 9/28/07 JLL PLUMBING ROUGH IN
9/28/07 AP 09/27/2007 01 51 PM LPANGRLE
DALE 452 8525
ROUGH IN PLUMBING
09/28/2007 04 25 PM JLIERLY
PL2 02 10/09/07 J L PLUMBING ROUGH IN TIME 01 00
\PA October 8 2007 4 35 10 PM 1pangrle
DALE
OWNERS DON SUSAN SMITH 457 9488
ROUGH IN PLUMBING
AFTERNOON
COMMENTS AND NOTES
PREPARED 9/28/07 9 17 09 INSPECTION TICKET PAGE 18
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/28/07
ADDRESS 1717 W 12TH ST SUBDIV
TENANT NBA SUSAN DONALD SMITH
CONTRACTOR ANGELES PLUMBING PHONE (360) 452 8525
OWNER SUSAN DONALD SMITH PHONE (360) 457 9488
PARCEL 06 30 00 0 3 6075 0000
APPL NUMBER 07 00001117 RES REMODEL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 9/28/07 J
ff
PLUMBING ROUGH IN
09/27/2007 01 51 PM LPANGRLE
DALE 452 8525
ROUGH IN PLUMBING
COMMENTS AND NOTES
op poRr..'t
co IRTARIr
'43 1C Wig
Application Number 07 00001117 Date 9/27/07
Application pin number 170087
Property Address 1717 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 6075 0000
Tenant nbr name SUSAN DONALD SMITH
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 6000
Owner Contractor
SUSAN DONALD SMITH
1717 W 12TH ST
PORT ANGELES
(360) 457 9488
Permit BUILDING PERMIT RESIDENTIAL
Additional desc BASEMENT BATH REMODEL
Permit pin number 111880
Permit Fee 151 75 Plan Check Fee 00
Issue Date 9/27/07 Valuation 6000
Expiration Date 3/25/08
Permit MECHANICAL PERMIT
Additional desc EXHAUST FAN
Permit pin number 111906
Permit Fee 00 Plan Check Fee 00
Issue Date 9/27/07 Valuation 0
Expiration Date 3/25/08
Permit PLUMBING PERMIT
Additional desc
Permit pin number 111898
Permit Fee 93 00 Plan Check Fee 00
Issue Date 9/27/07 Valuation 0
Expiration Date 3/25/08
WA 98363
Qty Unit Charge Per
BASE FEE
4 00 14 0000 THOU BL -2001 25K (14 PER K)
Qty Unit Charge Per Extension
1 00 0000 ECH ME VENT FAN 00
Qty Unit Charge Per Extension
BASE FEE 50 00
3 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 21 00
1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00
1 00 15 0000 ECH PL- EA BLDG SEWER 15 00
Other Fees
Fee summary Charged Paid Credited Due
Permit Fee Total 244 75 244 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 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 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
construction
Signature of Contractor or Authorized Agent
T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
ANGELES PLUMBING
P 0 BOX 1151
PORT ANGELES
(360) 452 8525
1 4 7/a
WA 98363
Extension
95 75
56 00
STATE SURCHARGE 4 50
Date Signature of Owner (if owner is builder) Date
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
INSPECTION TYPE DATE
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417-473 FOR ELECTRICAL INSPECTIONS
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK i,EFOR.
INSPECTED 4ND 4 CCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT 10B SITE.
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT /1's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
I \Policies11102 15 building permit inspection record05 wpd [1 /4 /2005]
BUILDING PERMIT INSPECTION RECORD
ACCEPTED
YES NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE:
COMMENTS
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE I ACCEPTED
I YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW /ENGINEERING
I FIRE DEPT
PLANNING DEPT
I BUILDING
OF PORTg1,C
flftis
Page 2
Application Number 07 00001117 Date 9/27/07
Application pin number 170087
Grand Total 249 25 249 25 00 00
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
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 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
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T• \Policies \1102 15 building permit inspection record05 wpd [1/4/2005]
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
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
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE /DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
BUILDING PERMIT INSPECTION RECORD
-Zg- 7
YES NO
I I
-T LL-
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
I FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I I I
I BUILDING 417 -4815 11t_ Z-7-0 7 I 11#1 I
T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005]
ACCEPTED COMMENTS
lo- -9 -o7 SLL Piot -4; 11 j c Raupch h
I FINAL t I -Z7-® DATE ACCEPTED BY
FINAL I I Z 7 —0 1ATE T
SEPA.
ESA.
SHORELINE:
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
PLANNING DEPT
BUILDING
DATE
ACCEPTED BY.
ACCEPTED
YES NO
CNj
kri
P
1( 7
I' m
I I I
C
poR
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8'h" x 11" site plan MUST BE COMPLETE to be
■ffimpac accepted for review (360) 417 -4815 FAX (360) 417 -4711
��ZZ lo7 QX SOS s e Qlurnl2t`nS b.1Ke x w(4 16,-) L 4 3 vn sa r� -l4ns 1
0 J 'P \e om KT' Residential projects: submit two sets of plans an r tovelc-the
Commercial projects: submit three sets of plans cun-4x- mn- e dt fpx•mmt
Applicant or Agent vLn S-VYL't
Owner S LGS 4 <..1 d n 691 c) of m c
Owner's Address 7 '7 GJ /a, t
Contractor/Engineer 4M f `Pi t.A-rn 6 n Q
Contractor/Engineer's Address f Bat(-- S
PROJECT ADDRESS 1 7 £(J
LEGAL DESCRIPTION Lot: (a Block: 3
CLALLAM COUNTY PARCEL NUMBER. 0 /v �D by 0.3 i O 7 5
fi r{ L /2--n 12-e-mix
TYPE OF'WORK
g Residential
Multi- family
Commercial
Repair
New Constr
Addition
Remodel
Sign
BRIEF DESCRIPTION OF THE PROJECT
1Mv'/E_ f)u n.1 gin; -oC (U s4ttt r /��flrl� 14/✓T//
Re -roof
Move
Demolition
Other
Existing Structure(s) basement
1" floor
2" floor
3` floor
Accessory Structures
Existing Structure(s) TOTAL
BUILDING PERMIT APPLICATION
Stove
Garage
Deck
COMMERCIAL/RESIDENTIAL. Occupancy Group:
Sq. Ft.
Sq. Ft.
Sq Ft.
Sq. Ft.
Sq. Ft.
Phone 34 o -'57- leap
Phone a6,
�o� /1rUejE/Er GJ/9-
State License 062 k. -i Pic 77 KI' Expires 3.13 if v g
ilN'
I' re -r /9/v:y �f_s
0 Subdivision.
SIZE/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION
Occupant Load: Construction Type:
Proposed Structure(s) basement
1 floor
2"d floor
3` floor
Accessory Structures
Sq Ft. Proposed Structure(s) TOTAL
TOTAL of existing proposed structures
Maximum Height of Proposed Structure(s)
LOT COVERAGE
Lot size Sq. Ft.
Existing Structure(s) Sq. Ft. Footprint
Proposed Structure(s) Sq. Ft. Footprint
TOTAL Structure(s) Sq. Ft. Footprint
Total Lot Coverage (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
Are you planning to install a lawn sprinkler system?
FOR OFFICIAL USE ONLY
Date Rec. c 2-`7
Permit IWO
Date Approved: l
Date Issued: ti ei VJ"
Phone 3/.b
ZONING R�� J. e4)-- A
e:3 6t At
is O
Sq. Ft.
Sq. Ft.
Sq. Ft.
Sq Ft.
Sq. Ft.
Sq Ft.
Sq. Ft.
Ft.
Jer A/AIL,
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. The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW An application for a permit for any proposed work shall be deemed to have been abandoned 180
days after the date of filing unless such application has been pursued in good faith or a permit has been issued, except that the building
official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2)
1 hereby certify that 1 have read and examined this application and know the same 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 that I must obtain
such permits prior to work.
Date CI /02 to J P 7 Applicant .iLt,o�ti 2 I .1.4114.-/.21c._
T'FORMS \BUILDING DIVISION \BldgPermitAppl. -2006 CODE backup.wpd
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9-28-207 10,20AM
FROM ANGELES ELECTRIC INC 360 452 9265
P,l
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.......
ELECTRICAL WORK PERMIT APPLICATION'
Job wired by
Electrical Contractor 0 Owner
In:stallatiOtl description
o Commercial
Eh:ctril,;;.1I COlllractor na'me
License nnmbcr
Ai~GELES ELECTRiC, INC.
5f4 t~ST rlR~ I
PORT ANGELES. WA 98362
Date EXlJireS
t.:JNew
~IAddltiOn
PU'cha.scr'.~ mailing .,ddrcs:.:
---I2fr~
p1~
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V
City
State ZIP
Telepho(l(' n\lnlbCT
FAX number
Pre-millS ow~r'5 name
tl~ .,Ie- ,- ~../~
.AJldress or inspection
..../ 7/7 tV t
City ? d-
Phone number lo $chedule iIHil)cction:
Ownt'r II~ dCJifl{~d by RCW.J9.28.26/:(1) Own(!r will nccupr the ,i'lnK/llre far twO
year.~ after this 'electrical fX!rmit is fillalized. (2) Owner is nqll,red 10 him .:zn electrical
conrr-tn'for if alx)V(~ ,<:aid pmperry is for soh:. rt'IJl or lease.
After reading the abovcSultcmcnt 1 hereby certify that I ,tm the owner of the ab\)ve
named properry or 9. Jiccn!\cd t:lectrical contractor. ( am making the dectric;;;l il1sta!w
J::&tion or altef3tlol1 in cornpliMcc with the e1ecrricul laws. N,E.C.. RCW. Chapter
19,2S. WAC. Chapter 296-460, The City of Port Angclc:~ Municipal Code, and
Utilil)' Spccii;,cations.
SignahJre of. wner. electricall'ontrae or or electriul adminis alor
-
Cl Ca<hY Check #
~t Card VISa
Card# ____-_t>/P _---6'~-____
Mastercard
Discover
Date;
Expiration Date
of card
<>Z>
x
~ I Ad'ns
Q NO LOAD CHANGES
a Baseboard KW
C) Furnace KW
o Heat Pump -r on
CJ Fan-Wall KW
LAR
Q Overhead $ervicQ
o Temp Service
o Underground. Service
Service Information
VOltage~~4y'i'
Phase 1 Q 3 . .
Service Size: ~
Feeder Size: _~
It subtractions
~AME DAY INSPECTION, CALL BEFORE 7:00AM 360-417-4735
.. ~UGH-lN
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A-L-
THERMOSTAT
SERVICE
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DITCH
FEEDER
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Dllr Al'l"rQv<:d Hy
IMpcction
Date
Area. 'Bujlding or Equipment Inspccted
AClion Ta.ken
Electrical
Inspector'
".