HomeMy WebLinkAbout919 Glenbrook Cir - Building CITY
DEPARTMENT OF COMMUNITY &ECONOMIC OF PORT ANGELES DEVELOPMENT BUILDING DIVISION 1P 321 EAST 5TH STREET, PORT ANGELES, WA 98362 -4 -11
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Application Number 12- 00000284 Date 3/15/12
Application pin number 238896 i
Property Address 919 GLENBROOK CIR
ASSESSOR PARCEL NUMBER: 06- 30- 15 -5 -9- 0030 -0000- REPORT SALES TAX
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 4536
Application desc
HEAT PUMP- DUCTLESS
Owner Contractor
THORNTON MERTON L ALL WEATHER HTG COOLING INC
919 GLENBROOK CIR 302 KEMP ST
PORT ANGELES WA 983626736 PORT ANGELES WA 98362
(360) 452 -9813
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP- DUCTLESS
Permit Fee 64.80 Plan Check Fee .00
Issue Date 3/15/12 Valuation 0
Expiration Date 9/11/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80
Fee summary Charged Paid Credited Due
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes al it t a
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned' 1 4
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from thel;;`
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 P'
construction.
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Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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T:Forms /Building Division /Building Permit it,
11
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 Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
kt36) Heat Pump Furnace FAU Ducts
Rough -In
Gas Line 1�
4111A4„ Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
T
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit its SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
AV Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Nab Planning 417 -4750
Building 417-4815
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03/13/2012 09:47 13604525177 ALL WEATHER HEATING PAGE 04/05
BUILDING PLUMBING /MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)
Date Received "1
Permit
City of Port Angeles Please print in ink. Date Approved e
Attn: Building Permit Technician Approved by At
321 E. 5 St, Port Angeles, WA 98362
360 -417 -4815 fax: 360 -417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm
Contact person: Phone:
I I VYWth.0 c rt c Coo l i 1- 15a I S 13
Property owner: AA 1
I I es+ ec Alo et c r\ Phone: q57-8(1‘10
Property owner's mailing address: I 6 r'
Contractor's business name: Pill w erx t �-r l f tea,.in Coo (jn Phone:
(or property owner's name if he /she is doing /overseeing th ork) q5a -gei3
Contractor's mailing address:30� mP St
Contractor's L &I license number:LimG (50 KO Expiration date: q/,
P roject Address:
91 9 G,1 mho() k C c.It
Project Type: residential o Commercial o Industrial o Multi family
Project Business Name:
(for commercial, industrial, or multi family projects)
The following permits are usually issued over the counter immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Re -roof: o house o garage o other
o tear off re -roof o lay over one layer
Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re -side: i i house o garage o other
Project Valuation (labor materials, not including sales tax)
Repair: ,(explain the proiect)
Project Valuation
*Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
Cost of materials x 2 Project Valuation
T:Forms /i3uildIng Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011) R C V
Page lof2
MAR 132012
cl gV DING DJlSION s
03/13/2012 09:47 13604525177 ALL WEATHER HEATING PAGE 05/05
Swlmminq_Pool or Spa 24" deep): forprefabricated swimming pool ()Lapel i roiectsJhat
goa,Qt require plan rQyjew•
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit Is needed when an entire building gets demolished.
What will be demolished? rz house in garage a other
Note; some demolition permit applications need to he reviewed by various City departments, and may take
approximately two weeks to obtain.
Agree to ensure that all utilities are /will be properly turned off (and capped off if needed)
prior to demolition.
Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Alr Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
o yes no Will the debris be going to the Regional Transfer Station in Port Angeles?
o yes n No If yes, will a licensed contractor be taking it there?
If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing is needed).
Plumbing Permit: (explain the orojeqt),
Protect Valuation
Mechanical Permit: (explain the project)
Installation of Dj 4j o &5 p
Project Valuation "WW1'
I have reed 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 Z /71 Ida Signature 1/4
Print Name Karen McKeown
Page 2 of 2
INJ
ELECTRICAL PERMIT
CITY OF PORT ANGELES V
360- 417 -4735
Application Number 12- 00000312 Date 3/20/12 N
Application pin number 161632
Property Address 919 GLENBROOK CIR REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 15 -5 -9- 0030 -0000- on our excise tax form
Application type description ELECTRICAL ONLY Y
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
1 -4 circuits heat pump
Owner Contractor
THORNTON MERTON L BLACK DIAMOND ELECTRICAL CONTR
919 GLENBROOK CIR 502 BLACK DIAMOND RD
PORT ANGELES WA 983626736 PORT ANGELES WA 98363
(360) 565 -1035 (n�
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Check Fee .00
Issue Date 3/20/12 Valuation 0
Expiration Date 9/16/12
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00 crl
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 312,3 2,3 Z
FINAL r
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 0
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
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CITY OF PORT ANGELES PERMIT APPLICATION-
Building Division /Electrical Inspections Ef \j 2 9 2:,:', Er Uzrzlitt v
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 r
ELrC l a1,,,9
Ph: (360) 417-4735 Fax: (360) 417 -4711 INSPECTION!!,
Date:
5-142-1 1 2' 1 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 9t`t 6-1.- JR 1 Gc2c- 1_E
Building Square Footage:
Description of above
Owner Information Contractor Information
Name: (RrM2 -T Tim Name: i7 Dt:
Mailing Address: 9koi r t i 8 c ?-c- Le Mailing Address: S?> L Bt._ D tft -D^'
City: State: Zip: City: State: Zip:
Phone: 1157 3440 Fax: Phone: Fax:
License I Exp. License Exp. 3 L A-c- itio kL 6
Item Unit Charge Qty Total (Qty Multiplied by 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 W/ Service Feeder 5.00
Branch Circuit W/O Service Feeder 63.00
Each Additional Branch Circuit 5.00
Branch Circuits 1 -4 75.00 1 15
Temp. Service/ Feeder 200 Amp. 93.00
Temp. Service /Feeder 201 -400 Amp. $110.00
Temp. Service /Feeder 401 -600 Amp. 149.00
Temp. Service /Feeder 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
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
75" 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. g
Signature owner, tri al contractor or electrical administrato Cash p Check
Credit Card
X Dated: 0110112012
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15105
c,n;;/)' >y
Port Angeles, Washingtonnm..n.......n.:..~...n......__.__....m....__..m...., 19n.nn.
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.
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Address .n~;2:X..._1i.:L":,..i"l".t':...r,z.."m.'::.-::~.'::.':n::.~..~....~. Occupancy..././o-::."I::..,.____n....__.__..__n____.
Cwner nn;/'l.".:~~...----/:.:',:...----......7.....o.-;.m.. ( ..Tenant.--n--.......n..------......--.........--m.--...--...--m.--.......n
V,'iring Contractor __<~.<<:.;;{,~.....c;.J!._J::...:..,,;{,:'C.f.nn..__.. By.____....______n...n..............__.______....__m...__.____.n.__
Light OUtletBmnnl..r.mm.m____m__.m.. Service, volts m'/2.(j/nf?:..i.CI..nm Type of Wirtng:
r:eceptacle Out1ets__...c..~.......------- No. wires .m__2..____..__mn___....mmu Armored Cable. uuummn..__..____...
C ~/) Non-Metallic mmnm.m.mmm________
D -yer, KWi ____m.mm:.m...____nm.mmnn Size wiresmnm/.t~nQ.,__L:n.m.n
R mge, KW mmn/:!:....n.__ nmmmmn Main fuse m.n~7:.'.t;2r:!..Anmmnm
....
Enclosure .__:~.;?mm..__nn__.__n__...__...
"ater Heater:
KW.nmZ,n{nnm.nn
E ~at: RW..m/.f(?_~.:__.D.8.m..m__m
Type of ,viring:
Entrance Cable _.____mm__.__m.mum
Rigid Conduit mn__n____m_____m.......
Metallic Tubing __mmm'__nmmnm
Current transformers:
No. & Size..m...._m.........__.........mn.
IIotors: size, volts and phase:
.nn//..~'0..:;::.mnmnmmmmmn__n
m/ndMPL..__n.mmmn.m.nm
Ser. NO........._.._____.__.n.____....__............
Ser. NO..........n_______________.._____n______...._
Ser. No..._....__________.________.___...__.__.__..__
Total Load_mn_____nmn__.........
Ser. NQ..............._...............................
Knob & Tube___m__m.......mm__n.....
Rigid Conduit .m_.__m.m................
MetallIc Tubing ._...nn__n__n.n....m
Race",-ay ____..00____00_._..___...._______.__.....
clrc~:;;lt~i~~t~~::::::.:.::::::::..::::..
Heat .m/.2...........mm...........m..
~
Range ____......._..._____..____.......__.____.____
,(;)
Water Heater m_m"n..urnnm____nn
Motor ....___..._.___.........._____._________...._
Drye'.m';J,':u.uumu.mn...........umu...
Furnace "n"''''n_unnn___''_____nm
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Total .._..3:_L..u_mmm........m
Remarks: ..n...m'oo4-t~C''=m..-G.b:;,J..-.''.:kkn.noo....n.n...nnmnmnn....oo....oo...............oo.'mn..mnmm....oom.
00 nmoo........nmnm.mm...oommnmnnn...m........m...m'oo.moou..........oo...........m..mm.mmnr...oon.....oommoooomm.......
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NOTICE-Current must n()f. be turned on until Certificate at Inspection has been issued. If work is to be con-
cJaled 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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ELECTRICAL PERMIT
N?
15105
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4/,/1/1 .', i~. (
Date called fof inSp~ctio'nL.r.::4_:t....,H.l:::1-~:!~mm~::-_::n.~::"~_':":-_....;:"Qu....___..._..............hm..mnm.m_....m..h_...nmm_mnnmnm....mmm....._....
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~::;::::ryc::~:ti:::;~0t~:~;~~;g;~~;:::::::::::::::::::::::::':':::::::::::':::::::::::::':':::::::::.:::::::::::::::::::::::::::::~::::::::.::::::::::~~:::::::~:::::::~
~ 'otal Load
1M 3-72 Olympic Printers, Inc.
_nnn.........nn__nnnnn.............___....nn._nn..................__.........._uu....uu.__._..._._u.._...__.......................hn....n__....u_.nn.nn.._...._....._......_