HomeMy WebLinkAbout1511 W 12th St - BuildingJACOBSON TTE M LAVERNE
1511 W 12TH ST
PORT ANGELES WA 983635517
s /3-O 3;4f Lai x/
Date Print Name
T.Forms /Building Division/Building Permit (I0 /0l /07).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 08 00000570 Date 5/13/08
Application pin number 633630
Property Address 1511 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 5888 0000
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 8840
Owner Contractor
RAINMASTER ROOFING
1205 S 0 ST
PORT ANGELES
(360) 452 3213
Fee summary Charged Paid Credited Due
WA 98362
Permit BUILDING PERMIT NO PR FEE
Additional desc
Permit pin number 126532
Permit Fee 193 75 Plan Check Fee 00
Issue Date 5/13/08 Valuation 8840
Expiration Date 11/09/08
Qty Unit Charge Per Extension
BASE FEE 95 75
7 00 14 0000 THOU BL -2001 25K (14 PER K) 98 00
Other Fees STATE SURCHARGE 4 50
Permit Fee Total 193 75 193 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 198 25 198 25 00 00
O n4t't e`6f Odafactor or Authorized Agent
'p 710/
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.
Signature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. 0
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 04
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE I
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION CA
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS I C�
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
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT N's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
T Forms /Building Division /Building Permit (10 /01 /07).wpd
YES NO
FINAL
DATE ACCEPTED BY.
I FINAL DATE ACCEPTED BY.
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 I'W ENGINEERING
FIRE 417 -4653 I L I FIRE DEPT
I PLANNING BUILDING DEPT 417-4815 ‘O/ I 1,131 I BUILDING DEPT
I
co
I I I I
I
I I I I
Applicant or Agent /CAIN AAAS7 ,f /N'G Phone 95Z -3ii3
Owner
Phone `I5
Owner's Address /511 W,
Contractor/Engineer Rig JNM knlleiat\ State License RA,NMQ S M& Expires /0 -28-08
Contractor/Engineer's Address /a OS' So. 0 Phone 4s 2 -32 l3
PROJECT ADDRESS ZONING
LEGAL DESCRIPTION Lot: Block. Subdivision.
CLALLAM COUNTY PARCEL NUMBER.
Residential
Multi- family
Commercial
Repair
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8'/:" x 11" site plan MUST BE COMPLETE to be
accepted for review (360) 417 -4815 FAX (360) 417 -4711
Residential projects: submit two sets of plans
Commercial projects: submit three sets of plans
TYPE OF WORK
New Constr
Addition
Remodel
Sign
BUILDING PERMIT APPLICATION
sit. Re -roof
Move
Demolition
Other
Stove
Garage
Deck
BRIEF DESCRIPTION OF THE PROJECT
rrale o f( {ten -F- v roe ,.lc FaI f06c�lnw�./ rj rcl+vu /di�c�
COMMERCIAL/RESIDENTIAL. Occupancy Group.
Existing Structure(s) basement
1 floor
2nd floor
3` floor
Accessory Structures
Existing Structure(s) TOTAL
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
Date Z Applicant 7
T•\FORMS \BUILDING DIVISION \BldgPermitAppl: 2006 CODE backu
SF
SF
SF
TOTAL VALUATION
SIZE/VALUATION
Sq. Ft. Proposed Structure(s) basement
Sq. Ft. 1 floor
Sq. Ft. 2nd floor
Sq. Ft. 3rd floor
Sq. Ft. Accessory Structures
Sq. Ft. Proposed Structure(s) TOTAL
TOTAL of existing proposed structures
Maximum Height of Proposed Structure(s)
Are you planning to install a lawn sprinkler system?
(Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
FOR OFFIC USE ONLY
Date Rec. f 131 og
Permit
Date Approved:
1 Date Issued: 7 /3`6 r
I
/SF
/SF
/SF
q.8 y-®
Occupant Load: Construction Type:
Sq. Ft.
Sq. Ft.
Sq. Ft.
Sq. Ft.
Sq. Ft.
Sq. Ft.
Sq Ft.
Ft.
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)
I hereby certify that I have read and examined this application and know the same to be true and correct. 1 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.
Port Angeles, Washlngton___________c_=________:______:_______________________________, 19~~__1__
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 __j.;;:(/__.(e___L:?(._~_________________________________________ Occupancy_______l___::__:!:'___________________________
Owner _____.._~_h~.:h':.._dm:~:::____:n'~.~_~~~~:_~_~:.:.__::.u__________ Tenant____nu.nm__moh.__....._________m__nnnnu_____un_.mm...
Wiring Contractor ____.:.:/:____:1-_:_:::__:______:________________:_____________ By______________________________________________________________________
/," . ,'-,
Service, volts m.L..............___.______________
No. wires __..__~....~...._._____________n____
. /
Size wires__m;.___..____:__.n~~_.___.....h__n
Main fuse h__.~~..~~_:~n:~____:.m.__........
<"
Enclosure ..........n.nmn________________...
r
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Light OutletS.nd.......____..___m___m____........
Receptacle Outlets.....______.____________.......
Dryer, KWj..___mm_.u___nm___nn_____n_____
Range, KW
Water Heater:
KW,--------;~-----------_;r-------
../" J I
Heat: RW .___:__-::,.___:..:___..:....:.".~.n____..;.
Type of wiring:
Entrance Cable _________m______..._____.__
,......:.-.
Rigid Conduit m.m____..___..__...........
Motors: size, volts and phase:
Metallic Tubing m___.....................
Current transformers:
No. & Size.__________.______.....................
Ser. N 0............__.....____.____........__........
Ser. No.-________._.......................__.........
Ser. No.................................__............
Total Load.....___.....mm.....___..
Ser. No. ...........................................__
N?
15327
Type of Wiring:
Armored Cable ..___........___....._.......
Non-l\letallic ..
Knob & Tube
Rigid Conduit ....__....m___.....m.......
Metallic Tubing ._..m.........._________.
Raceway
Circuits, Light..
Utility.___.
Heat
Range .................__.............___....._____
Water Heater ....m....................___.
Motor .............................................
Dryer_...................................___...........
Furnace .........................._... _.
Total.......................................
Remarks : nnhu_L~.::ht...!.u~n~nn____~___.nn___nnhuh._.nuhn___nnn__nnnn_nu.n..h..n____.un...n.n~.n.n.n__n...n..n__n..__n__
.n__nnnn__n__.__________.n_~___n~_n.__n._n.n.~..~~n____n___n__n_nnn~~..n__.__hnnunnnnnn.n.~.~~~..~nn.__h..nh.~.n.nnn~~~..un.._nnnn
'1 ' /
Permit Fee Treas. Receipt ",' I /
$_____________________________________ N 00___________.._______..__..__ By _L-:---::~-~--------~--C-------~::--_~:-:-~---:-::--~:---:::::______
NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
,,/
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_:/ ." /1..;',
~ ~-tT.~~-(.y
l:.t<.-i - :.
\
ELECTRICAL PERMIT
N?
15327
h-j I, (./.' l.j 1/
Date called fOf ~nspectlOn....---;.---............~:.........:..........................._........_.............................................................___..........___._........................
.~ . /~ ' . 14::.' (' A. {J--&_"1 '_
PreliminarYlnspectiondates.............r......._..........._..~......,_....:....._...............__...............h_......................................................._................_
"-:/1 i_//J!. J/~'" ,I /~ I(t __' f/ . :.,.
lnspectioncompleted...;...._........!....._.............._....................:....__...._.......~...._.h.............................__....................._......._.__....__._..................._
0'
Total Load ..........................._.............................................................. ........
1M 3-72 Olympic Printers, Inc.
J
IJrr;V: 1l7J,'1-e4
ELECTRICAL PERMIT APPLICATION
FOR OFFICIAL USE ONLY:
Date Rcc.:
Pcmtil#: 7..7 7 r .
Date Approved: ~-
DatcIssued: /o!:)/ /~
.
The Electrical Permit Application must heftlled out completely.
Please type or print in Ink. Uyou have any questions, please call (360) 417-4735
Fax number: (360) 417-4711
Applicant and/or Agent: 4J /t;e117 t:-~ /- <The;; le_
Property Owner:
Address:
Phone: G,p.1- 116'16 Lg3 - G3/0
~hone:
//
/
/
License #: / Exp:
City: /
L... .<11//
,e//
Zip: 'lJ'S,f.c.
VISALMC_
Jitch"",
ZONING
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
o IUser
~erhead Service
o Temp Service
o UndergTound Service
Service Information
Voltage: luP/Zyi
Phase: fa I 0 3
Service Size: Zd-O
Feeder Size:
KW
KW
KW
KW
Comments:
I here,by certi(>' that I have read and examined this application and know the same to be true and correct. and / am authorized 10 apply
for tillS p,e',,":II, I unders~and it is not the City's legal responsibility to detennlnewhat permits are required; il remains the applicant's
I'esponslblluy to .determme what permits are required and to oblain such.
PW.1I02_23 [=3/.00J Credit Card Holder's Signature: ~ oft 4. Dale: 6- ()6-;).,CCf)
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number 15- OOOOOS95 Date 5/28/15
Application pin number 766415
Property Address . . , . . . 1511 W 12TH ST
ASSESSOR PARCEL U13MBER: 06-30-00-0-3- 5888 -4000-
Application type description ELECTRICAL ONLY
Subdivision Name , , , , , ,
Property Use
Property Zoning , . . , , RS? RESDNTL SINGLE FAMILY
Application valuation , . . , 0
---- - ------------------ - - ----
Application desc
Living and bath circuits
Owner Contractor
EUGENE L KELLEY AND SHERRY A L EXTRA.MILE TECH & ELECT., LLC
PO BOX 3075 410 N. RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457 -5222
Permit , . . , , . ELECTRICAL ALTER RESIDENTIAL __ ___ ________
Additional desc . . 1 -4 CI.RCUITS
Permit Fee . . . 75,00 Plan Check Fee 00
Issue Date 5/26/15 Valuation , , , . 0
Expiration Date 11/24/15
Qty Unit Charge Per Extension
.BASE FEE 75.60
Fee summary Charged Paid Credited Due
Permit Fee Total 75,00 75.00 .00 04
Plan Check. Total 00 .00 .00 00
Grand Total. 75.00 75.00 .00 00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERMIT WILT, EXPIRE SIX (b) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEWILDING
CITY of PORT A,NGFLzs PERT APPLICAT110N
Bundling DMisionlFle Wcsl Inspections
321 Fast Wth Street — P.O. Sox 1I50 / Fart Angeles Was]Vngtou, 98352
Ph.- (360) 417-4735 Fax: (360) 417 -4711
Cate:
7 & 2 Single Family lhueiiing
MAY 2 7 2015
ELECTRICAL
iNSINS
�1
l
4
* Pisa Review May Be Required, Please.Complate Eiectrical Plan Review information Sheet
Jqb Address:
Building Square Fbifte:
Description of abov `° t _ 4- _. 0 • 5
Owneri�nf4 atfOrr
Name e N e. Ite
Maisng Address. �� < r°�
City: �" Stale �C✓ 23p. 9 s1
11'R
ease#/ Exp
; 5 7 P-
ft`
-em
unit e
SefteiFeWar200Amp,
120.00
SeMcWFeeder2C31400 Amp.
$146.00
Ser wffeeder401 -600 Amp
$ 205:00
ServlcelFeeder 601-4003 ?,Amp.
$ 2MOO
SeNoetFeederoverIOUOArnpo
$ 373.OD
Branch Circuit W1 Se ca Feeder
5.06
Branch Circuit WID &nice Feeder
6190
Each Additional Dranch Ci tft
S 6.00
Branch Circuits 1-
75,0a
Temp. Servicet Feeder2(>i3 Amp.
93.00
Temp. ServiceIFseder 241400 Amp.
$110,
Temp. 5ervloeiFesder4l -=Amp.
$149.00
Temp. SerK eecierW1 #000 Awp ,
$168.00
portal to Pa"al Howly
$ WD
Signal Clrcddf Limbd Energy -1 & 2 Family EhWincg
$ 64 GD
MandWured Home Connecfton
$1201.00
Renemble ElectdaW Eaergy -BK lASptem orLm
$10-01)
Thermcstat
$ Slid}
Note: $5.00 forewh adciitiorral T -Stet
NLINgO S1R L-RON ONLY:
First 1300 Square Ft
$120.00
Each Additional 501! Square Ft. or Podian of
$ 40.€10
Each QuWlding or Detached Garage
$ 74.00
Each Wmrninq Pool or Hat Tub
$110.00
Contractor infaraataiian
MaMng Address: E'fA ;,,J , RA66 51%
City; `Prf -
PlronstUZQZ-7- 2- x ?u„
>aiutti #iert by Unit
T
$To
Ovmsr as defined by RCW.1g.28.261: (1) Owner vAl spy the attach lbrbw years afterthis eiacidCai permit is balized, t2) Owner is rewire
to hire en eiecWcai con#z*r if above said property is iersele, rent or [ease, Permft expires aftr snc rnaisths of lastinspedon.
After reading tha above sfaternentr i hereby eeffy that 1 am ffte ownerofthe aWve named property or a licenuW et %ai sx$rr#€actor: t ara makir
the electrical it staila on or aileragon W co;npli nw W1h the elecWcal laws, hi.Et, RGW. Chapter 19.28, WAC. Cbepfer 22.96A68, The atyof Poi
Angeles Municipal Cade, and (flinty SpecMeations and PAMC 14. 05.050 re-cardko l Rectal. FerrrritApplita6ans.
Slgnatureofo wner, efecfrical contractor oretectrieWet€Wabbafor. ® cash Ct check
` Q cradrtCard ___.._. GOIRDU
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . . . . 15- 00000595 Date 5/28/15
Application pin number . . , 766415
Property Address . . . . . . 1511 W 12TH ST
ASSESSOR PARCEL NUMBERr 06-30-00-0-3- 5888 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
------------------------------°°__---------------------------------------
Application desc
Living and bath circuits
---------------------------------------_----------------------_----------------
Owner Contractor
--- ---------------- - - - - -- ------------------- - - - - --
EUGENE L KELLEY AND SHERRY A L EXTRA MILE TECH & ELECT— LLC
PO BOX 3075 418 N. RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 96362
(360) 457 -5222
Permit . . . , , . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Check Fee .00
Issue Date 5/28/15 Valuation . . . . 0
Expiration Date 11/24/15
Qty Unit Charge Per Extension
.BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total 00 DO .00 .00
Grand Total 75,00 75.00 .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
SERVICE
ROUGH -TN
FINAL
COMMENTS:
PERMIT WILL EXPIlLE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G, \EXCIIATIC"DB LDCNG