HomeMy WebLinkAbout1025 Fountain St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 10- 00000716 Date 8/06/10
Application pin number 520328
Property Address 1125 FOUNTAIN ST
ASSESSOR PARCEL NUMBER: 06- 30- 08 -5 -8- 1755 -0000- REPORT SALES TAX
Tenant nbr, name KEVIN L HANSON on your state excise tax form
Application type description RES NEW SFR
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 88284
Application desc
912 SF SFR, 350 SF ATT. GARAGE, 22 SF CVRD PORCH
Owner Contractor
KEVIN L HANSON OWNER
819 G ST
PORT ANGELES WA 98362
(360) 452 -0109
Structure Information 000 000 912 SF SFR, 350 ATT GAR, 22 CVR PORCH
Other struct info TOTAL 9E LOT COVERAGE 22.30
CONSTRUCTION TYPE VB
FIRE SPRINKLERS REQUIRED NO
NUMBER OF STORIES 1.00
LOT SIZE 5733.00
PROPOSED LOT COVERAGE 1284.00
TOTAL LOT COVERAGE 1284.00
NUMBER OF UNITS 1.00
Permit BUILDING PERMIT RESIDENTIAL
Additional desc
Permit pin number 169045
Permit Fee 943.25 Plan Check Fee 613.11
Issue Date 8/06/10 Valuation 88284
Expiration Date 2/02/11
n& l
Qty Unit Charge Per Extension
BASE FEE 670.25
39.00 7.0000 THOU BL- 50,001 -100K (7.00 PER K) 273.00
Permit MECHANICAL PERMIT 5-'25."11
Additional desc
Permit pin number 169409
Permit Fee 141.60 Plan Check Fee .00
Issue Date 8/06/10 Valuation 0
Expiration Date 2/02/11
Qty Unit Charge Per Extension
BASE FEE 50.00
3.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 21.75
1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65
4.00 14.8000 EA ME- HEATER(SUSP /WALL /FLOOR -MTD) 59.20
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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
1
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.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear VVall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pume Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number 10- 00000716 Date 8/06/10
Application pin number 520328
Permit PLUMBING PERMIT REPORT SALES TAX
Additional desc on your state excise tax form
Permit pin number 169417
Permit Fee 121.00 Plan Check Fee .00 to the City of Port Angeles
Issue Date 8/06/10 Valuation 0 (Location Code 0502)
Expiration Date 2/02/11
Qty Unit Charge Per Extension
BASE FEE 50.00
6.00 7.0000 EA PL- PLUMBING TRAP 42.00
1.00 7.0000 EA PL -WATER LINE 7.00
1.00 15.0000 EA PL -SEWER LINE 15.00
1.00 7.0000 EA PL -WATER HEATER 7.00
Special Notes and Comments
.Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
July 14, 2010 4:09:26 PM sroberds.
The proposal will result in a new sfr w /attached garage in
the RS -7 zone for total lot coverage of 22% and site
coverage of 270. No land use issues anticipated.
July 13, 2010 4:12:09 PM Brian 417 -4708.
Electrical service can be overhead or underground from pole
at southwest corner of property.
Electrical load calculations and electrical permits are
required.
"Any and all contractor(s) and subcontractor(s) doing work
under this permit in the City Right of Way is required to
provide written documentation that the City has been named
as an additional insured"
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway to City Standards. Concrete with exposed
aggregate or other non standard finishes(including colors or
dyes)are not allowed in the City road right of way. Broom
finish only. An inspection by Public Works Engineering is
required prior to pouring concrete.
Other Fees RES OVERHEAD SERVICE FEE 440.00
SEWER SYSTEM DELV CHARGE 1980.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 1980.00
Fee summary Charged Paid Credited Due
Permit Fee Total 1205.85 1205.85 .00 .00
Plan Check Total 613.11 613.11 .00 .00
Other Fee Total 4404.50 4404.50 .00 .00
Grand Total 6223.46 6223.46 .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 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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
1
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.
Inspection Type Date Accepted By Comments
FOUNDATION: Q. 4— 1 0
Footings
Stemwall 5 -11— 10 3 (2-
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In t2 1 —5 C-L,
Water Line (Meter to Bldg) 2. -1 -5 0_
Gas Line 14' R 1
Back Flow Water FINAL Date) Accepted by
AIR SEAL: 2 5k to
Walls
Ceiling
FRAMING: 12- 23 1 O 3' a 31 10 k r derf loa r Frarn n5 Ju—
Joists Girders Under Floor
(hear Walll )Hold Downs 1Z-" 10
Walls koof Ceiling
_12D/wall (Interior Braced Panel Only) (j t 8---1 1 "PA.-
T -Bar 3
INSULATION: 1}i
Pkt
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts p r,
Rough -In tZ -2 0 V
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by J
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting c�
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA: •1
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Buildin Division /Building Permit
CITY OF PORT ANGELES
N PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 10- 00000716 Date 8/06/10
Application pin number 520328
Property Address 1125 FOUNTAIN ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-08-5-8-1755-0000- your state excise tax form
Tenant nbr, name KEVIN L HANSON on Y
Application type description RES NEW SFR to the City of Port Angeles
Subdivision Name
Property Use
(Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 88284
Application desc
912 SF SFR, 350 SF ATT. GARAGE, 22 SF CVRD PORCH
Owner Contractor
KEVIN L HANSON OWNER
819 G ST
PORT ANGELES WA 98362
(360) 452 -0109
Structure Information 000 000 912 SF SFR, 350 ATT GAR, 22 CVR PORCH
Other struct info TOTAL LOT COVERAGE 22.30
CONSTRUCTION TYPE VB
FIRE SPRINKLERS REQUIRED NO
NUMBER OF STORIES 1.00
LOT SIZE 5733.00
PROPOSED LOT COVERAGE 1284.00.
TOTAL LOT COVERAGE 1284.00
NUMBER OF UNITS 1.00
Permit PUBLIC WORKS RES WATER SERV
Additional desc
Permit pin number 170811
Permit Fee 1160.00 Plan Check Fee .00
Issue Date 8/06/10 Valuation 88284
Expiration Date 2/02/11
Qty Unit Charge Per Extension
1.00 1160.0000 EA PW W/M 1" SERV 5/8" METER 1160.00
Permit SANITARY SEWER HOOK UP
Additional desc
Permit pin number 170829
Permit Fee 150.00 Plan Check Fee .00
Issue Date 8/06/10 Valuation 88284
Expiration Date 2/02/11
Qty Unit Charge Per Extension
1.00 150.0000 EA SAN SEWER HOOKUP 150.00
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
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 [10/08]
PERMIT INSPECTION RECORD
CALL 417 -4831 FOR UTILITY INSPECTIONS. 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.
t
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. PW/ CONSTRUCTION R.W.
ENGINEERING 417 -4831 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 417 -4815 BUILDING
T:\Policies\ 1102.15 [10/08J
CITY OF PORT ANGELES
•o�� PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number 10- 00000716 Date 8/06/10
Application pin number 520328 REPORT SALES TAX
Special Notes and Comments on your state excise tax form
July 14, 2010 4:09:26 PM sroberds. to the City of Port Angeles
The proposal will result in a new sfr w /attached garage in (Location Code 0502)
the RS -7 zone for total lot coverage of 22% and site
coverage of 27 No land use issues anticipated.
July 13, 2010 4:12:09 PM Brian 417 -4708.
Electrical service can be overhead or underground from pole
at southwest corner of property.
Electrical load calculations and electrical permits are
required.
"Any and all contractor(s) and subcontractor(s) doing work
under this permit in the City Right of Way is required to
provide written documentation that the City has been named
as an additional insured"
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway to City Standards. Concrete with exposed
aggregate or other non standard finishes(including colors or
dyes)are not allowed in the City road right of way. Broom
finish only. An inspection by Public Works Engineering is
required prior to pouring concrete.
Other Fees RES OVERHEAD SERVICE FEE 440.00
SEWER SYSTEM DELV CHARGE 1980.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 1980.00
Fee summary Charged Paid Credited Due
Permit Fee Total 1310.00 1310.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4404.50 4404.50 .00 .00
Grand Total 5714.50 5714.50 .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 Date Signature of Owner (if owner is builder) Date
T: \Policies \1102.15 [10/08]
PERMIT INSPECTION RECORD
CALL 417 -4831 FOR UTILITY INSPECTIONS. 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 ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE MISTER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. PW/ CONSTRUCTION R.W.
ENGINEERING 417 -4831 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 417 -4815 BUILDING
T: \Policies\ 1102.15 10/08]
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BUILDING DIVISION
CITY OF PORT ANGELES"
Correction Notice
Job Located at 5 c, /7 wL/
Inspection of your work revealed that the, following is
not in accordance with the codes governing -the.work.in
this jurisdiction:
7
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call -16/
for. inspection.
Date 5 4
Inspector for Building Division
DO NOT REMOVE THIS TAG
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pr o sC,ut,A BUILDING PERMIT APPLICATION Print in ink
c.,,,„.cr,,3,
CITY OF PORT ANGELES For City Use Only:
Attn: Building Permit Technician Date Received `7- 10
9 321 E. Fifth St., Port Angeles, WA 98362 Permit t
(360) 417 -4815 fax (360) 417 -4711 'gate Approved ,1Li to
Applicant I_e i. hx s Pho J 3 6, v ti -2 ll u O o
Property Owner SA- lZ Phone
Property Owner's Address t) c S 6-s'
Contractor C A ,M Phone
Contractor's Address S'
License Expires E -mail
PROJECT ADDRESS 1 t Z 5 FbU n` Q.i n St
Parcel Number 0630 0852 1755 Lot 11+ Zoning R5 7
Project Type Brief Description: xResidential Multi- family ❑`Commercial Industrial
Check all that apply
r New Construction
Addition Neku S VA F g buc7 ail Gt, +n ckel 5.air
Remodel
Repair
Demolition
Re -roof House garage other tear off re roof lay over one layer
Heat System Heat pump wood- burning stove gas fireplace pellet stove other
d Other 41 G cc t c a wa ke-A4e-r
a
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor ct i Z S5, 00 77 Z_ 6
2nd Floor
3rd Floor
Garage 3 S D 30.0 0
Carport o c) C)
Covered Porch 22. 12-, CO 6Li
Deck
Shed
Other
TOTAL VALUATION 6 E1 2
Total footprint of structures l L ls sq. ft. Lot size 5 sq. ft. Lot coverage '2.2.3
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage 2-1.4
»1Z-+ 12'54 1 5,133=
Max. height of proposed structures /4, ft. Occupancy group of bedrooms 2-
Will a lawn sprinkler system be installed? No Occupant load of full baths 1
Will a fire sprinkler system be installed? lJ Construction type of half baths cU
have read and completed this application and know it 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 to obtain permits prior to working on projects.
Date 7 v Print Name 1 2 a-' s v Signature
T:Forms /Building Division /Bldg Permit.doc
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4110`'7 PRESCRIPTIVE APPROACH SIMPLE FORM
For the Washington State Energy Code (2006 Edition)
1 Climate Zone 1
CITY GOVERNMENT Site Information: Building Department Use Only:
Lot: 0 0 0 1`7 7) Permit# \6
Address: Notes:
City: f u r /A
State: tom✓ it Zip: 9 v 3 G 3
Contact: •S
Phone: 3 C S 7_ --c' u
Phone 2: 3C.. rl (U 9
FAX:
Table 6 -1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(Unlimited Glazing Option Only)
Glazing Glazing U Factor Door Wall
Wall WaII
Vaulted- I n ter io Floor
r
O Exterior Slab on
pt1on A rea of U Ceilm Ab ove
F loor Vertical Overhead Factor g Ceiling Grade Below Below Concrete
Grade GracJe
Unlimited
Group R -3
IV and R -4 0.35 0.58 0.20 R -38 R -30 R -21 R -21 R -10 R -30 R -10
Occupancies
Only
This Project complies with the following:
1 The project is a single family residence or duplex.
1f The project is a wood frame OR all of the insulation is interior or exterior of the framing.
1I All building components meet the requirements listed above.
•I The project will meet all other provisions of the WSEC and VIAQ.
The Project will take advantage of the following exceptions to the prescriptive option.
602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be
installed per unit for ornamental, security, or architectural purposes.
Location of the door taking this exception:
602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical
glazing U- factor listed above.
Location of the door(s) taking exception: JJ
Type of Heat Source. 1- 0 /l W c %wc T_s
T Forms /Building Division /Prescriptive Approach- Simple Form
pf. Fo-
m
l inferati ®n Form
_0 Pu blic Works Utilities.Department (360) 417 -4700 m
City Electrical Inspector (360) 417 -4735
1'.1A4`: S
Please complete and return to Public Works Utilities Department
.Applicant Information
Permanent service: Name: g. e k..) 1 h 1 w vi s 0
Name and address of party Street: 8 /9 S 0-
responsible for permanent City State ZIP: Po>T v.- c• icJ 5'
service billing? Daytime Phone: 3 40 ti "2- v 5 Home Phone: S.4 g
Contact Information (if other than above)
Site contact:
Name: Title:
Daytime Phone:
Name: Company:
Contractor:
Daytime Phone:
Name: Company:
Electrician:
Daytime Phone:
Excavator:
Name: Company:
Daytime Phone:
i. y Existing New
Single- family residence ❑Multi family residence; of units
Commercial Subdivision; of lots
Overhead service ❑General service
Underground service Other:
Project .Information ::•Description of work: 1.1 c w 2 t3c_c1 0 r... !'f v U S 1._
Street address lot number: C)C,3 v V e r 7 c
Nearest cross street: 1— a- r v i
Desired connection date:
Electrical transformer serving property is: on a pole on the ground
Electricalload
Total square footage: 12 67 Z— sq. ft. Main disconnect size: 2-00 amps
120/240 1ph 0120/208 3ph 0277/480 3ph
Voltage: ❑120/240 3ph ❑480 3W 3ph Other
Standard residential loads (Lighting, refrigerator, dishwasher, washer)
Check all that apply: A/C ton) Range /Oven Hot Tub
Clothes Dryer Heating Pumps Hp)
No Load Change Water Heater Elevator •Hp) Other
Supporting Documentation; i Please provide a copy of the following:
*Detailed plot plan (.dwg or .dxf format mandatory for subdivisions).
*Electrical one -line drawing showing the service entrance panel and location.
`Connected load data.
`Size and locked rotor amps of all motors over 50hp.
Applicant's Signature: i9 IL--._ Date: 7 j 0
MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362
FAX TO: 360- 417 -4711
WS
WF
Information form.xls
N PW KS\. I.. IGI- IT ,ENGR #0ri0inal;;\Inforrna1ion fora Revised 1- 1509
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Clallam County Assessor Treasurer Property Details 64178 KEVIN L HANSON for... Page 1 of 3
Clallam County Assessor Treasurer
Property Search Results 64178 KEVIN L HANSON for Year 2010 2011
Property
Account
Property ID: 64178 Legal Description: PENNSYLVANIA PARK
ADDITION LOT 14 BL 17
EXC EASES
Geographic ID: 0630085817550000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 91
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi Family Redevelopment: N
Township: Section: T`
Range:
Location Y
Address: S FAIRMOUNT AVE Mapsco: 1 I,
PORT ANGELES, WA
Neighborhood: Cycle 4 Res Map ID:
Neighborhood CD: 10952130
Owner
Name: KEVIN L HANSON Owner ID: 28982
Mailing Address: 819 S G ST Ownership: 100.0000000000%
PORT ANGELES, WA 98362
Exemptions:
Owner
Name: KEVIN L HANSON Owner ID: 28982
Mailing Address: 819 S G ST Ownership: 100.0000000000%
PORT ANGELES, WA 98362
Exemptions:
Taxes and Assessment Due I
Property Tax Information as of 07/08/2010
Amount Due if Paid on: E.
First Half Second Half
Year i Statement ID l Taxing Jurisdiction [Base Due i Base Due Penalty I Interest Base
2010 46548 ST SCH STATE SCHOOL $35.54 $35.55 $0.00 $0.00 $2
2010 46548 CC -GEN COUNTY $18.92 $18.91 $0.00 $0.00 $1
2010 46548 PORT PORT $2.66 $2.66 $0.00 $0.00 9
2010 46548 PORT ANG PORT ANGELES $43.79 $43.80 $0.00 $0.00 $4
2010 46548 SD #121 SCHOOL DISTRICT #121 $46.04 $46.04 $0.00 $0.00 $4
2010 46548 NTH OLY LIB NORTH OLYMPIC LIBRARY $5.50 $0.00 $0.00 9
2010 46548 HOSP #2 HOSPITAL #2 $7.76 $7.76 $0.00 $0.00 9
2010 46548 WSMET PK DIST WILLIAM SHORE MET PARK DIST $2.47 $2.47 $0.00 $0.00 9
2010 46548 WEED CONTROL WEED CONTROL $0 82 $0.81 $0.00 $0.00 9
2010 46548 TOTAL: $163.50 $163.49 $0.00 $0.00 $1E
2009 641782008 ST SCH STATE SCHOOL $37.12 $37.11 $0.00 $0.00 $7
2009 641782008 CC GEN COUNTY $18.79 $18.77 $0 00 $0.00 $c
i..
2009 641782008 PORT PORT $266$266 $0.00 $0.00 9
http: /vpn.clallam. net: 8084/ propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =64178 7/8/2010
j d
ELECTRICAL PERMIT „c
CITY OF PORT ANGELES
360-417-4735
Application Number 10- 0000145,8 Date 12/15/10
Application pin number 227340 REPORT STATE SALES TAX
Property Address 1125 FOUNTAIN ST
ASSESSOR PARCEL NUMBER: 06- 30- 08 -5 -8- 1755 -0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
New home 1300 sqft
Owner Contractor
KEVIN L HANSON JEDI ELECTRIC ktgAQ l k
819 G ST 331 FORS RD.
PORT ANGELES WA 98362 PORT ANGELES WA 98362 tilt ?IC,
(360) 452 -0109 (360) 460 -0556 w
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 178962
Permit Fee 110.30 Plan Check Fee .00
Issue Date 12/15/10 Valuation 0
Expiration Date 6/13/11
Qty Unit Charge Per Extension 0
1.00 110.3000 ECH EL -R -SQFT FIRST 1300 110.30
Fee summary Charged Paid Credited Due
Permit Fee Total 110.30 110.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 110.30 110.30 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE 12 f ZO f l d
ROUGH IN J2 /i 0
FINAL l�!
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
i
RECEIVE) pORT 4.
t`r d
CITY OF PORT ANGELES PERMIT APPLICATION DEC 14 2010 1
Building Division/Electrical Inspections
321 East Fifth Street P.O. Box 1150 /Port Angeles Washington, 98362 ELECTRICAL
Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS 111 1.1 10F GQ
Date: Ia -1y -l
1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: I 1,2,F) ff our Tai" S T
Building Square Footage: t 0
Description of above n ems% k o vK e
Owner information Contractor Information
Name: 14..0 .4hi ✓t H4 vise n Name: OX G (e T✓"
Mailing Address: Mailing Addre s: R 0, 130X 338
City: State: Zip: City: Voci A eIS State: LJc Zip: G (f?G
Phone: Fax: Phone: 4- 6G d -oSS 4 Fax: `!17 110
License Exp. License Exp. G I) r E Ic iE `t5) L 2.
Item Unit Charge Qty Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 119.90
Service /Feeder 201 -400 Amp. 145.50
Service /Feeder 401 -600 Amp 204.60
Service /Feeder 601 -1000 Amp. 262.20
Service /Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60
Branch Circuit W/O Service Feeder 73.50
Each Additional Branch Circuit 2.60
Temp. Service/ Feeder 200 Amp. 92.70
Temp. Service /Feeder 201 -400 Amp. 110.30
Temp. Service /Feeder 401 -600 Amp. 148.70
Temp. Service /Feeder 601 -1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign /Outline Lighting 88.20
Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi Family Dwelling 63.90
Manufactured Home Connection 119.90
Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY: 3
First 1300 Square Ft. 110.30 1 I 110
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
HO, 3 Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to'hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above.statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW, Chapter 19.28, WAC. Chapter 296 -468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Cash pr Check
Credit Card
x 7Li Dated; 01/01/2010
.'
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. _ ~ [) ;;L.3
DATE 3-.2/.-f/
D WILL CALL FOR
INSPECTION
y-
Owner/ usiness Address:
-Sl 4,....
~
Phl:!'J-t? /
Phone:
Sq. Ft.
vo'i
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
rY Overhead
'6 Underground
Voltage
j;..10 030
Service size ~.:cJ Amps
o Temporary
~ Residential_ .s-
Heat KW ~ ,
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~ New Construction
o Remodel
o Service update/alter/repair
Detai I slDescri pt ion:
.'
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
A.r^:!$ Rough-in/cover O.K.
1fI O.K. to connect service
~ Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
sT:
Permit/Receipt No.
~(),;) ;?
Date:
3 --~,/,.-
Site Address:
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electricaily energized before inspection and O.K. for covering or service has been given
by theJnsgector i Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
?-;:- . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .L.L. dJ lJ
.--/Jl.
-
Amount paid
PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OlY~PIC PRINTERS. INC.