HomeMy WebLinkAbout226 W 6th StBuilding Permit
226 W 6' St
12 -1496
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"`t CITY OF PORT ANGELES
d DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
DUCTLESS HEAT PUMP
Owner
GUSTAFSON ALLEN WILLIAM
226 W 6TH ST
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Fee summary
T:Forms /Building Division /Building Permit
WA 983626009
12- 00001496
892696
226 W 6TH ST
06-30-00-0-1- 6425 -0000-
MECHANICAL APPL. PERMIT
RESIDENTIAL HIGH DENSITY
2845
Contractor.
AIR FLO HEATING CO INC
221 W. CEDAR
SEQUIM
(360) 683 -3901
MECHANICAL PERMIT
DUCTLESS HEAT PUMP
64.80 Plan Check Fee
11/14/12 Valuation
5/13/13
Qty Unit Charge Per
BASE FEE
1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON
Charged Paid Credited
Permit Fee Total 64.80 64.80 .00
Plan Check Total .00 .00 .00
Grand Total 64.80 64.80 .00
Date 11/14/12
WA 98382
Due
Extension
50.00
14.80
.00
.00
.00
.00
0
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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.
te 7/4%0
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Electrical
Footings
Stemwall
PW Engineering
417 -4831
Foundation Drainage Downspouts
Fire
Piers
417 -4653
Planning
Post Holes (Pole Bldgs.)
417 -4750
PLUMBING:
FINAL Date
Accepted by
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
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:
FINAL Date
Accepted by
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES:
Footing I Slab
Blocking Hold Downs
Skirting
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
SEPA:
ESA:
SHORELINE:
Inspection Type
Date
Accepted By
Electrical
417 -4735
Construction R.W.
PW Engineering
417 -4831
Fire
417 -4653
Planning
417 -4750
Building
417 -4815
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parking Lighting
Landscaping
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.
Project Address:
q a`(P \ties (tee S T Z G G\
Main Contact:
Phone
E -Mail:
Property
Owner
Name 5. I4 4 G u S cps S 6 IQ
G
Phone
"1
Mailing Address
4 WS5-1- le STREW
Email
cicyaa
Po R.:1 106 L 5
State W f
hip CM 36 7.
Contractor
Name kick. Fix t�EO���N
Phone
G83- 3g01
Mailing Address A A
11 W C E Oit 1 lti
Small w
Co
city NIA 5E Q V N iN
State W
J
Contractor License
Expiration:
Project Value:
'1$'
Zoning:
Tax Parcel
Lot
Type of
Permit
Residential ftt Commercial Industrial Public
Demolition Fire Repair Reroof (tear off /lay over)
For the following, fill out both pages of permit application:
New Construction Remodel Addition Tenant Improvement
Mechanical i Plumbing Other
Existing Fire Sprinker System?
Yes No
Maximum height of structure
Proposed Bedrooms
Proposed Bathrooms
Project
Description
1145 T ft p G T 1 SS rE M
N EWV Qt)j* 5`ts
I have read and
permit. I understand
prior to working
occurred. I understand
permit is issued.
considered abandoned
completed the application and know it to be true and correct. I am authorized to apply for this
that it is my responsibility to determine what permits are required and to obtain permits
on projects. I understand that the plan review fee is not refundable after plan review has
that I will forfeit the review fee if I cancel or withdraw the application before the
I understand that if the permit is not issued within 180 days of receipt, the application will be
and the fees forfeit.
Date
l l 13
Print Name
E 1.L 1' 5
Signature
\que.A.AJ
321 East 5 Street
Port Angeles, WA 98362
P: 360- 417 -4817 F: 360 417 -4711
permits @cityofpa.us
T d
W A S H I N G T O N U.S.
TL6E EB9 09E
Building Permit ADDIi
For City Use
Permit# l
Date Received: C/
Date Approved /c. r 2.__
Old 21Id WdTZ :E 2102 ET AON
r• omenival OirUCIUMS
Area Descri lion S F
P (Q T)
Existing
Proposed
value
For Office Use
Basement
First Floor
Second Floor
Covered Deck /Porch /Entry
Deck
Garage
Carport
Other (describe)
Area Totals
t.ommercial Structures
Area Descriptions (SQ FT)
P (Q
Existing
Proposed
Value
For Office Use
Existing Structure (s)
Proposed Addition
Tenant Improvement?
Other work (describe)
Area Totals
Lot/Site Coverage Calculations
Footprint (SQ FT) of all Structures:
Lot Size:
SQ FT Site coverage (all impervious
structures)
Lot Coverage
Site Coverage
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Haz /Non -Haz Piping
Size:
Appliance Vent
Boiler /Compressor I Size:
Evaporative Cooler (attached, not
pul LauIej
Fuel Gas Piping
Furnace /Heat Pump/ I Si
Forced Air Unit 1)4)Oo b1 u
1
of Outlets:
Heater (Suspended, Floor, Recessed wall)
Heating /Cooling appliance
repair /alteration
Pellet StnvP Wnnri.hnrn;r.Q fc
Fireplace /Gas Stove /Gas Cook Stove /Mist
Ventilation Fan, single duct
Ventilation System
of Outlets:
Plumbing Fixtures
Indicate how many of each type of fixture to b
Plumbing Traps
e installed or relocated
Fuel gas piping
of Outlets:
Water Heater
Water Line
Sewer Line
Medical gas piping
Vent piping
Industrial waste pretreatment
interceptor
of Outlets:
a• d
TL6E EB9 09E
01J 21I
WdI :E aloe ET now
Electrical Permit
226 W 6` St
12 -1519
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
i l lZ+ l 6
FINAL
i I 1 6 2.
A
COMMENTS:
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
2 circuit ductless heat pump
Owner
GUSTAFSON ALLEN WILLIAM
226 W 6TH ST
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 983626009
68.00
11/20/12
5/19/13
68.00
.00
68.00
Signature of owner or Electrical Contractor X
G: \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
12- 00001519
214108
226 W 6TH ST
06-30-00-0-1- 6425 -0000-
ELECTRICAL ONLY
RESIDENTIAL HIGH DENSITY
0
Contractor
ELECTRICAL ALTER RESIDENTIAL
EXTRA MILE TECH ELECT., LLC
418 N. RACE ST.
PORT ANGELES WA 98362
(360) 457 -0198
68.00
.00
68.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Plan Check Fee
Valuation
Qty Unit Charge Per
1.00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED
Paid Credited Due
.00
.00
.00
Date 11/20/12
.00
.00
.00
.00
0
Extension
5.00
63.00
Date:
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: r' 2 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: a a t;,, t; 54- cot -1
Building Square Footage:
Description of above 4 h/ /iCCc
Owner Infognation
Name: 4.-7 9.- t (97u 51-c f5c ,ti)
Mailing A ess: c, t J Ls. t 5r,
City: P 4 State: 141//1-- Zip: q Q 3C, 2...
Phone: Fax:
License l Exp.
Renewable Electrical Energy 5KVA System or Less $102.00
Dated:
'r 2 0
ELECTRIC:
INSPECTIC[i`s
Contractor Information
Name FKTR 04 MILE 'i L. (cc-{ -eZ1Uek L
Mailing Address: 4 to M 'R.A.C.E sr
City P A Stat t 4: ;WA (QZ-
Phone: `f 3 7 2.9.2. Fax: I 85
License /Exp. E rt TRAAlT 9 l E
Item Unit Charge alt
Service/Feeder 200 Amp. 120.00
Service/Feeder 2011400 Amp. 146.00
Service/Feeder401 -600 Amp 205.00
Service/Feeder 601 -1000 Amp. 262.00
Service/Feeder over 1000 Amp. 373.00
Branch Circuit W/ Service Feeder 5
Branch Circuit W/O Service Feeder fi3,00 r r
Each Additional Branch Circuit 5.00 G• 3
Branch Circuits 1-4
75.00
Temp. Service/ Feeder 200 Amp. 93.00
Temp. Service/Feeder 201400 Amp. $110.00
Temp. Service/Feeder 401-600 Amp. $149.00
Temp. ServiceIFeeder 601 -1000 Amp $168,00
Portal to Portal Hourly 96
Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00
Manufactured Home Connection 120.00
Total (Qty Multiplied by Unit Charge)
Thermostat 5600
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. 120.00
Each Additional 500 Square FL. or Portion of 40.00
Each Outbuilding or Detached Garage 74.00
Each Swimming Pool or Hot Tub 110.00
8' Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if 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 making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAG. Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of rawer, electrical contractor or electrical administrator. 0 Cash 0 Check
0 Credit cam
0110112012