HomeMy WebLinkAbout1217 W 19th St - Building CITY OF PORT ANGELES PERMIT APPLICATION * t
Building Division/Electrical Inspections RECEIVED
321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362 ;
Ph: (360) 417-4735 Fax: (360) 417-4711 1 JAN
Date: 7_ 1 &2 Single Family Dwelling ELECTRICAL
INSPECTIONS
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:_1, 7_-?_12�7— 1`1 Sr
Building Square Footage:
Description of above ,:boo G\Cre C ed S e c j c e
Owner I ormation Contractor Information
Name: fi(5' ML—C.,—(Ii5-Fe Name: -S1-bX L iec' rrc-
Mailing Address: Mailing Address: 33I Fo C3 f�kcti
City: State: Zip: City, —.State: L-1- Zip: `L163
Phone: Fax: phone: q6o -GSJ;6 Fax:
License#I Exp. License#I Exp. iS C--0 t C~ 0 )- q Q Z
Item Unit Charge To#al fQty Multiplied by Unit Charge)
Service/Feeder.200 Amp, $120,00 $ 0,0
Service/Feeder 201-400 Amp, $146.00 $
ServicelFeeder 401-600 Amp $205.00 $
ServicelFeeder 601-1000 Amp. $262.00 $
ServicelFeeder over 1000 Amp. $373,00 $
Branch Circuit W/Service Feeder $ 5,00 $
Branch Circuit WIO Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 75.00 $
Temp.Service!Feeder 200 Amp. $ 93,00 $
Temp,ServicelFeeder 201-400 Amp. $110.00 $
Temp.ServicelFeeder 401-600 Amp. $149.00 $
Temp.ServicelFeeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit)Limited Energy-1 &2 Family Dwelling $ 64,00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Mote:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 742 $
Each Swimming Pool or Hot Tub $11006 $
$ l-y 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,WAC,Chapter 296-46B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications,
Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Check
El Credit Card#
X •`-'-�-�,�_ ''���y�� Dated: ` J ��� r 01101012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735 �T
Application Number , , . . , 14-00000018 Date 1/08/14
Application pin number 588958
Property Address . . . , 1217 W 19TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER; 06-30-00-0-4-5377-0000-
Application type description FLECTRSCAL ONLY on your excise tax form
Subdivision Name , , . . . , to the City of Port Angeles
Property Use
Property Zoning , . . . . , . RS7 RESDNTI, SINGLE FAMII Y (Location Code 0502)
Application valuation . , . . 4
Owner Contractor
JE'DI ELECTRIC
331 FORS RD,
PORT ANGELES WA 98362
(36C) 460-0556
_------__--. . __..----------------------------------------------------
Permit I , . . . , ELECTRICAL ALTER RESIDENTIAL
Additional desc ,
Permit Fee 120.00 Plan Check Fee ,00
Issue Date 1/06/14 Valuation 0
Expiration Date 7/07/14
Qty Unit Charge Per Extension ,
1100 120,0-000 ECH EL-0-200 SRV FEEDER 120,00
Fee Summary Charged Paid Credited Due
----------------- ---------- ---------- ----- ---- ---- --- �•-
Permit Fee Total 120.00 120.00 .00 00 e`
Plan Check Total DO .00 00 00
Grand Total 120,00 120.00 00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE "
ROUGH-IN
FINAL )
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCUANGE\BUILDING
Building Permit
1217W19
12 -1616
Application Number
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
TEAR OFF /INSTALL COMP
Owner
EDWARD AND TRICIA COOPER
1217 W 19TH ST
PORT ANGELES
WA 983637017
Permit BUILDING PERMIT
Additional desc TEAR OFF
Permit Fee 151.75
Issue Date 12/11/12
Expiration Date 6/09/13
Qty Unit Charge Per
4.00 14.0000 THOU
Other Fees
Fee summary Charged
Permit Fee Total 151.7
Plan Check Total .0
Other Fee Total'
Grand Total 156.25
1217 W 19TH ST
06-30-00-0-4- 5377 -0000-
RE -ROOF
RS7 RESDNTL SINGLE FAMILY
5900
BASE FEE
BL- 2001 -25K (14
Contractor
WESCO ENTERPRISES LLC
PO BOX 1527
PORT ANGELES
(360) 452 -1430
NO PR FEE
INSTALL COMP
P1aI14 heck Fee
'Valuation
Pai Due
t
Extension
95.75
56.00
STATE S 4.50
00"
00
.00`: 00
.007) .00
gir
.00
5900
REPORT S LES TAX
on your sta excise tax form
to the Ci of Port Angeles
(Loc on Code 0502)
zrio-r3
Separate Permits ar- equired for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if wor or construction authorized is: not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 18 ays after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and or ances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction
C3
pate Print Name
bate,
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
Application pin number
T:Forms /Building Division /Building Permit
12- 00001616
806736
Date 12/11/12
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Accep d By
Footings
417 -4735
Stemwall
Construction R.W.
Foundation Drainage Downspouts
417 -4831
Piers
Fire
417 -4653
Post Holes (Pole Bldgs.)
Planning
PLUMBING:
417 -4750
Under Floor Slab
Building
Rough -In
417 -4815
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
fir%
Shear Wall Hold Downs
r p
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
P,
T -Bar
INSULATION: A,
e
rf
t1
Slab
1
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
CO
FINAL Date Accepted by
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES:
Footing /Slab
Q
Blocking Hold Downs
Skirting
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
Inspection Type
Date
Accep d By
Electrical
417 -4735
Construction R.W.
PW Engineering
417 -4831
Fire
417 -4653
Planning
417 -4750
Building
417 -4815
4
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 UNLA UL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
PLANNING DEPT. Separate Permit #s
Parking Lighting
Landscaping
%let
SHORELINE:
T:Forms /Building Division /Building Permit
Project Address:
/2/ 2 C,J 7-M
Main C9ntact: l
i Cer f<i'e
Y
Phone 4<f2 V 3o
E -Mail:
Property
Owner
Name
/)1 CooP�'�
Phone
Mailing Address
/2 /7 w /gt4'
Email
City
A/4 A7y
State
w1-
Zip
9.,P7‘3
Contractor
Name
(,4/J C G n 7 11 rr/lrr /27 .4 LC
Phone
Mailing Address
0 A y /j 2 7
Email
City
A r-i- /9 r/u
State
A"
Zip
,177 Z
Contractor License
Expiration:
Project Value:
0O
Zoning:
Tax Parcel
Lot
Type of
Permit
Residential Commercial Industrial Public
Demolition Fire Repair a Reroof (_tear off /lay over)
For the following, fill out both pages of permit application:
New Construction Remodel Addition Tenant Improvement
Mechanical Plumbing Other
Existing Fire Sprinkler System?
Yes No
Maximum height of structure
Proposed Bedrooms
Proposed Bathrooms
Project
Description
Pa 2 /a c rl /7Je.),,,r /e�0,,,z ?o>,„^
A Qhl,,, a/c, rIiK y
I have read and completed the application and know it to be true and correct. I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. I understand that the plan review fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. I understand that if the permit is not issued within 180 days of receipt, the application will be
considered abandoned and the fees forfeit.
Date
Z/i)
Print Name
A //rea cfr-
Signature
/L■ i
THE o PORTANGELES
W A S H I N G T O N U.
321 East 5th Street
Port Angeles, WA 98362
P: 360- 417 -4817 F: 360 417 4711
permits @cityofpa.us
Building Permit Application
For City Use
Permit#
Date Received: /'J
Date Approved 4■11
R
Residential Structures
Area Description (SQ FT)
Existing
Proposed
value
For Office Use
Basement
Appliance Vent
Heater (Suspended, Floor, Recessed wall)
First Floor
Size:
Heating /Cooling appliance
repair /alteration
Second Floor
Pellet Stove /Wood- burning /Gas
Fireplace /Gas Stove /Gas Cook Stove /Misc.
Fuel Gas Piping
Covered Deck /Porch /Entry
Ventilation Fan, single duct
Furnace /Heat Pump/
Forced Air Unit
Size:
Deck
Ventilation System
Garage
Carport
Other (describe)
Area Totals
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler
Size:
Haz /Non -Haz Piping
of Outlets:
Appliance Vent
Heater (Suspended, Floor, Recessed wall)
Boiler /Compressor
Size:
Heating /Cooling appliance
repair /alteration
Evaporative Cooler (attached, not
portable)
Pellet Stove /Wood- burning /Gas
Fireplace /Gas Stove /Gas Cook Stove /Misc.
Fuel Gas Piping
of Outlets:
Ventilation Fan, single duct
Furnace /Heat Pump/
Forced Air Unit
Size:
Ventilation System
Commercial Structures
Area Descriptions (SQ FT)
Existing
Proposed
Value
For Office Use
Existing Structure (s)
Medical gas piping
of Outlets:
Water Line
Proposed Addition
Vent piping
Sewer Line
Tenant Improvement?
Other (describe):
Other work (describe)
Area Totals
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps
Fuel gas piping
of Outlets:
Water Heater
Medical gas piping
of Outlets:
Water Line
Vent piping
Sewer Line
Industrial waste pretreatment
interceptor
Other (describe):
Lot/Site Coverage Calculations
Footprint (SQ FT) of all Structures:
Lot Size:
Lot Coverage
SQ FT Site coverage (all impervious
structures)
Site Coverage
T: \BUILDING \APPLICATION FORMS \BUILDING PERMIT 081212.DOCX
TO:
WESCO ENTERPRISES
WESCOE *094D5
P.O. Box 1527
PORT ANGELES, WA 98362
(360) 452 -1430
MR. COOPER
1217 W 19th
PORT ANGELES, WA 98363
We hereby submit specifications and estimates for:
TO TEAR OFF EXISTING TWO LAYERS OF ROOFING, CLEAN UP. ALL
DEBRIS AND HAUL AWAY. TdEN TM INSTALL A 30yr PABCO ALGEE BLOCK LAMINATED
SHINGLE CLASS A FIRE RATED LINED WITH 151b FELT USING 1 1/4" NAILS. THEN TO
INSTALL THREE PIPE FLANGES, RAKE METAL, AND CUT RIDGE OPEN FOR RIDGE VENT.
THEN TO PICK UP ALL DEBRIS AND HAUL AWAY.
We Propose hereby to furnish material and labor complete in accordance with the above specifications, for the sum of:
FIVE THOUSAND NINE HUNDRED dollars S j
Payment to be made as follows:
IN FULL UPON COMPLETION
PRICE INCLUDES BUILDING PERMIT
AB material is guaranteed to be as specified. All work to be completed in a professional
manner according to standard practices. Any alteration or deviation from above specifications
involving extra costs will be executed only upon written orders, and will become an extra
charge over and above the estimate. All agreements contingent upon strikes, accidents or
delays beyond our control. Owner to carry lire, tornado, and other necessary insurance. Our
workers are fully covered by Worker's Compensation insurance.
Acceptance of Proposal -The above prices, specifications and con-
ditions are satisfactory and are hereby accepted. You are authorized to do the work as
specified. Payment wit be made as outlined above.
ni A.v.n..fonnn•
Authorized
Signature
Note: This proposal may be
withdrawn by us if not accepted within
Signature
PHONE
JOB NAME f LOCATION
JOB NUMBER
30
DATE
JOB PHONE
days.
Signature
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4-91,—t 3 31
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PI a Ct' c�'�' icss
j Cash Adjustment i
Application
Receipt e /e1.3 76
Fee Type
Amount Paid.:
Signature
1/
Refund Amount'
Adjustment
Posted Fee
NewiFee
SEND TO: /(E Z T �ie
Cashier info
Payment Type OP
.Check
/2-7 I/-/ _Sr 64; S�
Y &r 0.47 36
a�J 41- Ar715 77,iq
Jan 13 1411:35a Straits Electric
3604520741 p,1
RECEIVED " ifs
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
JAN 13 201:
321 East Fifth Street —P.O. Box 1150 /Port Angeles Washington,
98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
ELECTRICAL
SP�C
INSPEC TION S
Cate. —11,55— i )� 1 & 2 Single Family
Dwelling
* Plan Review May Be Required, PI s Complete Electrical Plan Review
Information Sheet
Job Address: 17
Building Square Footage:
Desariptiorr of above Aft '
_4 '=
Owner Information
Conlractq( Information 71-L C,
Name:
Name:
Mailing Address:
Mailing Address;
City: Scats: Zip:
City: State: Zip:
Phone'. Fax:
Phone: Fax:
License # 1 Exp.
License # 1 Exp.
Item Unit Charge
Total (Qty Mu_ _ It'iio tz dby Unit Charge'
Service /Feeder 200 Amp. $120.00
Service /Feeder 201 -400 Amp. $146.00
$
Service/Feeder 401 -600 Amp $ 205.00
$
Service/Feeder 601 -1000 Amp. $ 262.00
$
Service /Feeder over 1000 Amp. $ 373.00
$
Branch Circuit W1 Service Feeder $ 5.00
$
Branch Circuit W/O Service Feeder $ 63.00
$
Each Additional Branch Circuit $ 5100
S�
Branch Circuits 1.4 $ 75.00
S
Temp. Service/ Feeder 20C Amp. $ 93.00
S
Temp. ServicelFeeder 201.403 Amp. $110.00
S
Temp. ServicelFeeder 401 -600 Amp. $149.00
S
Temp. ServicelFeeder 601 -1000 Amp. $168.00
$
Portal to Portal Hourly $ 96.00
S
Signal Circuiv 1_ raked Energy - I & 2 Family Dwelling $ 64.00
$
Manufactured Horne Connection $120.00
$
Renewable Etectdca{ Energy - 5KVA System or Less $102.00
$
Thermostat $ 56.00
$
Note: $5,00 for each additional T-Stat
NEW CONSTRUCTION ONLY:.
First 1300 Square Ft. $120,00
$
Each Additional 500 Square Ft. or Portion of $ 40.00
$
Each Outbuilding or Detached Garage $ 74,00
$
Each Swimming Pool or Hot Tub $110.00
!
$� Total
Ovrner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is fanallzed. (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, t hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electd ' stallation or alteration in compliance with the electrical laws, N.E.C,, RCW. Chapter 19.28, WAC. Chapter 296468, The City of Port
Angel s'M nici t , de, and Utility Specifications and PAMC 14.05.050 regarding
Electrical Permit Appkatiorts.
Sign tur f o r, lectrical contractor or electrical administrator:
❑ cash 0 Check
Credit Card#
i �I
X Dated:
0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , .
14- 00000041
Date 1/14/14
Application pin number , . ,
046300
DITCH
Property Address , , . ,
1217 W 19TH ST
ASSESSOR PARCEL NUMBER:
06-30-00-0-4- 5377 -0000-
AppliCation type description
ELECTRICAL ONLY
Subdivision Name . , , . .
► ILI
Property Use
FINAL
Property Zoning . . , . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
COMMENTS:
Application desc
New panel and 2 circuits
pwner �H+2�`3�1�
Contractor
EDWARD AND TRICIA COOPER
STRAITS ELECTRIC
1217 W 19TH STREET
PO BOX 2914
PORT ANGELES WA 98363
PORT ANGELES
WA 98362
(360) 452 -9104
Permit ELECTRICAL
—4572,01-Lit
ALTER RESIDENTIAL
Additional desc ,
Permit Fee 130,00
Plan Check Fee
00
laaue Date 1/14/14
Valuation . .
. . 0
Expiration Date 7/13/14
Qty Unit Charge Per
Extension
2.00 5.0000 ECH EL- BRANCH CIRCUS T W /FEEDER
10,00
1,00 120.0000 ECH EL -0
-200 SRV FEEDER
120.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 130,00
130.00 .00
.00
?Ian Check Total ,00
.00 .00
.00
Grand Total 230,00
130.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
�t
► ILI
FINAL
1
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Data:
GAEXCHANGEIBUILOING
J1
x