HomeMy WebLinkAbout1112 Madrona St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
2 ton HP 8 KW furnace 2 circuits
Owner
LEFFERS MARK A
1112 MADRONA ST
PORT ANGELES
Permit
Additional desc
Permit pin number 149781
Permit Fee 59 50
Issue Date 7/08/09
Expiration Date 1/04/10
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983632329
59 50
00
59 50
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
09 00000674
588486
1112 MADRONA ST
06 30 08 5 8 1403 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT
Paid Credited
59 50 00
00 00
59 50 00
Date 7/08/09
DATE. RESULTS
WA 98363
00
0
Extension
57 50
2 00
Due
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
7/it (O 4.1 Hy/4
-7116? A),t
07/06/2009 22 11 4579270
City of Port Angeles Petmtit 4 pplicatl inrt
Building DIvisionlElectrIcal prep c ttont.
321 East FIHh Street P.O. ass 150
Port Angeles Washington, 98362
Ph: (360) 417.4735 Fax: 1360) 411 1711
Date: 7 o t
1 2 Single Family Dive ing
Multi- Family or ComTerc
Commercial Addition i Al oration •i!emodel Repair'
Plan Review May Be Requi ed, Plea:.} Complete Electric 91 Plan Review Information Sheet
Job Address: triad l S
Building Square Footage:
Description of above _Ltd 4 'k Li; -,2, thretA At
Owner f do
Name: V. 1;1 ria
Mailing l3,ddrss: _234II.L:
City /-I ate: L Zip:
Phone:2. ax:
License Exp.
Ul11.1 Otargt
93.75
8113.75
8160.00
8205.00
8291.25
2.00
57.50
2.00
72.50
86.25
8116.25
8131.25
75.00
69.00
75.00
50.00
5000
93.75
80.00
86.25
27.50
57.50
86.25
43.75
Owner as defined by RCW 19,
electrical contractor ifntot e
Altar reading the above Oita
installation or alteration m co
Utility Specifications.
Signature of owner, electrral cmtractoi or electrical administrator
n
SOLLINICSON ELECTRIC
13TA
soot 9 lflf
O3Ai333d
RECEIVEQo
JUL s z
Total Multiplied ky Un) Charge)
ServicelFeed tr 200 Amp.
Service/Feed :r 201 -400 Amp.
Service/Feed !r 401-600 Amp.
Service/Feed :r 601 -1000 Amp.
Service/Feed Br over 1000 Amp.
Branch Circu t W! Service Feeder
ES Branch Circu t WIO Service Feeder
7 .Q'D_ Each Addltioi ial Branch Circuit
Temp. SeMc el Feeder 200 Amp.
Temp. Servic e/Feeder 201 -400 Amp.
Temp. Servic elFeeder 401 -600 Amp.
Temp. Sit elFeeder 601 1000 Amp.
Portal to Pori al Hourly
5 SignIOutgne _fighting
Signal Circui 1 Limited Energy Commercial
Signal Circui 1 Limited Energy 1 2 Family Dwelling
8 Signal Circui Limited Energy Multi- Family Dwelling
Manufacture 1 Home Connection
Renewable I .Iectrical Energy 5KVA System or Less
First 1300 Si pare Ft.
Each Addltlo ial 500 Square Ft. or Portion of
Each Outbui ding or Detached Garage
Each Swimn ing Pool or Hot Tub
8 Thermostat
5 y' 5Q Total
Cash
CI peck
u ,t Date; 2 l+0 9 C sdlt Card 61/k. '14 r ifb
PAGE- 01
,t
EI_ECTRICA r 7F
INSPECTION
O
Contrac :or Informatio
Name: sLm ti jec /f C GGe:
Mailing, 4ddress: 0 f i c
City' State: J A Zip y'`rC
Phone: :V.5 1 70 Fax: r
License 11/ Exp. 5j11,. Srt! MI CQ— l I l S
M261:0) ',now nrill occupy t o structure for nee arsafter this electrical petrn/t is finalized. (ZI Onrrer required to hire on
aM pr pel)
a ant, l herriby certify that I am the owner of the above name d property or a licensed electrical contractor. I am making the electrical
a
*mice v'ith the electrical Taws, N.E.C., RCW. Chapter 19.. B, WAC. Chapter 2911-460, The City of Port Angeles Municipal Code, and
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 1 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 .erformance of construction.
Application Number 09 00000617 Date 6/30/09
Application pin number 698138
Property Address 1112 MADRONA ST
ASSESSOR PARCEL NUMBER 06 30 08 5 8 1403 0000
Tenant nbr name MARK A LEFFERS
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 13762
Application desc
HEAT PUMP INSTALLATION
Owner Contractor
MARK A LEFFERS
1112 MADRONA ST
PORT ANGELES
(360) 452 3930
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP INSTALLATION
Permit pin number 148981
Permit Fee 64 80 Plan Check Fee 00
Issue Date 6/30/09 Valuation 0
Expiration Date 12/27/09
Qty Unit Charge Per
1 00 14 8000 EA
Fee summary Charged
Permit Fee Total 64 80 64 80 00 00
Plan Check Total 00 00 00 00
Grand Total 64 80 64 80 00 00
T:FormsBuilding Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983632329
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
BASE FEE
ME FURN /HP /FAU OR 5 TON
Paid Credited
Due
Extension
50 00
14 80
4 -r 4S n,
rint N ture of Contractor orized Agent Signature of Owner (if owner is builder)
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
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
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.
Heat Pump Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES.
Footing Slab
Blocking Hold Downs
Skirting
T.FormslBuilding Division /Building Permit
0
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
Date
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Accepted By Comments
1 FINAL Date
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Accepted by
FINAL Date3 Z6' I ®Accepted by Z
Date Accepted By
e_
fi
PREPARED 3/26/10 8 38 46 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/26/10
ADDRESS 1112 MADRONA ST
TENANT NBR MARK A LEFFERS
CONTRACTOR ALL WEATHER HTG COOLING INC
OWNER MARK A LEFFERS
PARCEL 06 30 08 5 8 1403 0000
APPL NUMBER 09 00000617 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
SUBDIV
PHONE (360) 452 9813
PHONE (360) 452 3930
ME3 01 3/26/10 �i MECHANICAL HjPUMP TIME 01 00
to March 18 2010 4 36 22 PM 1pangrle
JENNY (ALL WEATHER HTG) 457 8814
MECHANICAL FINAL HEAT PUMP
AFTERNOON
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
2 ton HP 10 KW furnace
Owner
LEFFERS MARK A
1112 MADRONA ST
PORT ANGELES
WA 983632329
Permit
Additional desc
Permit pin number 148957
Permit Fee 43 75
Issue Date 6/23/09
Expiration Date 12/20/09
Fee summary
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
ELECTRICAL HEATPUMP
Qty Unit Charge Per
1 00 43 7500 ECH EL LVT
Special Notes and Comments
June 22 2009 3 36 34 PM Brian 417 4708
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00000614
463016
1112 MADRONA ST
06 30 08 5 8 1403 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
THERMOSTAT
Plan Check Fee
Valuation
OK
Charged Paid Credited
Permit Fee Total 43 75 43 75 00
Plan Check Total 00 00 00
Grand Total 43 75 43 75 00
Date 6/23/09
ALL WEATHER HEATING COOLING
302 KEMP RD
PORT ANGELES WA 98362
(360) 452 9813
Due
DATE RESULTS
7/11/0
Extension
43 75
00
00
00
00
0
Signature of owner or Electrical Contractor X Date
INSPECTOR.
°gyp
Jun 22 09 12:34p
Heat System
o Other
Floor Areas
Basement
1 Floor
2m Floor
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
r Forms /Building Division /Bldg Permit Appl. -2006 Code.doc
BUILDING PERMIT APPLICATION
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant or Agent ,iti ivnefr- l jJ7Jk. c CCi')1j1'? lilt
Owner y_. C_ vAm. to Cr� 1
Owner's Address 1
Contractor /Engineer 41, IV po l,.• it t-fPct fii+�i &hal j try.
Contractor /Engineer's Address -5Z)s Ae t :St/r'ce
License r— i—tvrtfG1.5r7 k Li
PROJECT ADDRESS fi t �rlr�
Parcel Number r 5 000 t%- t O OOQ
Proiect Tyne Brief Description. grResidential o Commercial.
Check all that apply
o New Constraion-
o Addition
o Remodel
o Repair
o Re -roof
o Demolition
o Sign
o wall- mounted o projecting o freestanding o awning o other
Total sign area sq. ft. Maximum allowed sign area sq. ft.
tg Heat pump o wood burning stove o gas fireplace o pellet stove o other
Existing (sq. ft.) P noosed (sq. ft.)
Total footprint of structures sq. ft. T Lot size
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
TOTAL VALUATION v "1(,n-
sq ft. Lot coverage
(have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and
lnderstand that it is my responsibility to determine what permits are required, and to obtain permits priorjo working on
Date Pr Nam Si natur
per sq. ft.
J
Print in ink
p1
For City Use Only
Date Received 2-01
C)1
Permit (o t-i
Date Approved
Phone z-3/ 452-9P3
Phone
2,U -Iff -5
Expires h /c-p,
Lot Zoning
a Multi family 0 Industrial
of bedrooms
of full baths
of half baths
Jun 22 09 12:35p
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 (3 417.4711
Date: LI/ ZI2Jt9f
Owner Information
Unit Charae
93.75
$113.75
3160.00
3205.00
$291.25
2.00
57.50
2.00
72.50
3 86.25
$116.25
3131.25
75.00
69.00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
5 57.50
86.25
43.75
Signature of owner, electrical contractor electrical administrator
i
J Date.
RECEIVED
JUN 2 2 2009
LIGHT DEPT
X 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
�(�(1
Job Address: 1 G. c{\G'-
Building Square Footage:
Description of above S
grAfrd fit ku l ealp syr k /17
Contractor Information
Name: Mo 1 e E2e k Name: Ptk1 ‘Zocklavr nr)11('4
Mailin Address: MQ 'ilioclCnr'tiok. 5s Mailiqg Address:
City State: LOO Zip. q� City ck�1 S State: Zip: c143 oa
Phone: Fax: Phone: 4 $i 3 Fax:
License /Exp. License 1 Exp.f �rLL UJr l.►)1' 1FM K j
G t Total (Qtv Multiplied by Unit Charge/
ServicelFeeder 200 Amp.
Service/Feeder 201 -400 Amp.
ServicelFeeder 401 -600 Amp.
ServicelFeeder 601 1000 Amp.
ServicefFeeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WIO Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. ServicelFeeder 201400 Amp.
Temp. ServicelFeeder 401 -600 Amp.
Temp. Service /Feeder 601 -1000 Amp.
Portal to Portal Hour,y
Sign /Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi- Family Dweling
Manufactured Horne Connection
Renewable Electrical Energy SKVA System or Less
First 1300 Square Ft.
Eafi Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
71?Z.'1 Thermostat
1315 Total
Owner as defined by RCW.19.2&261,: (1) Owner will occupy the structure for two years after this electrical permit is &naized. (2) Owner is required to hire an
electrical contractor if above said property is for sale, rent or lease.
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. C hapter 296-469, The City of Port Angeles Municipal Code, and
Utility Specifications.
Cash
Check
Credit Card
p.2
.
Site Address:
III 2-
-3;::
Installed By:
Owner/Business:
OwnerfBusiness Address:
ELECTRIC HEAT
D BASEBOARD KW _
D FURNACE KW _
D HEAT PUMP KW_
D FAN/WALL KW
DetailslDescription:
--.-
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. S ~.3 D
cf/r,/9t,
DATE
ELECTRICAL PERMIT
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
~RESIDENTIAL
D COMMERCIAL
D NEW CONSTRUCTION
D REMODEL
;S; ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D TEMPORARY SERVICE
D RISER
f!2 OVERHEAD SERVICE
D UNDERGROUND SERVICE
VOLTAGE: / &t:J (ZE/V
;t1~ D3~
SERVICE SIZE Z=D AMPS
FEEDER SIZE AMPS
(u ;1/.-(
eM.
?~t'
\
//1)
,
.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. D NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D OVERHEAD SERVICE APPROVED
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
D Rough-in/cover OK
D O.K. to connect service
~inal O.K.
Site Address:
Installer:
Permit/Receipt No.
.QO?D
New Meters
.
Notify Port Angeles Ci Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
--; ~ NO OCCUPANCY OA USE ESTABUSHED UNDEA THIS PEAMIT $ ,It :s D
Electrical Inspector
WHITE - File by address
OLYtlPIC PRINTERS INC.
Permit Fee
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
-
\
~
\
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. ;)'K //
DATE 9j!J-/ltJ
ELECTRICAL PERMIT
Site Address:
" READY FOR
INSPECTION
License Number:
'0 WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Sq. Ft.
Owner/Business Address:
~ Residential ,)
Heat KW S Fw
c: Baseboard 0 Furnace/Boiler
c: Heatpump 0 Other
c: Commercial/lndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
)6 Overhead
o Underground
Voltage
010 030
Service size ;;>/7 /'J
o Temporary
Amps
lit New Construction
[] Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Detai Is/Description:
//l1tJ J~
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
f^ ~ Rough.in/cover O.K.
IrIJ-ip- O.K. to connect service
V Final O.K.
Date
Hold for: 0 Easement 0 Letter
Size
Comments
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Ins:aller:
Site Address:
Permit/Receipt No.
Notify th ep ment of City Light by Street Address and Permit Number when ready for nspection. Work
must not e covered or electrically energized before Inspection and O.K. for covering or service has been given
by the 19sJ).eCtOr in rlting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
~ / C NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT to. 0 d
Amount paid
PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
j OLY"'PI<;: PRI"ITERS. INC.
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
;2770
8/;0/10
.
ELECTRICAL PERMIT
DATE
Site Address:
o READY FOR
INSPECTION
License Number:
1y,NILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
OwnerfBusiness Address:
Sq. Ft.
C Residential
Heat KW
[j Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
01003.0
~vice size
~ Temporary
o Add/alter circuits
o Auxiliary power
(iist below)
o Special equipment
(list below)
Amps
Detai IslDescription:
/'i<1
1.fI/~.
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch Inspection O.K.
o Rough.in/cover O.K.
~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:
permit,;e77'G1
New Meters Da
Site Address:
/ 1/ ~
.
t 01 City Light by Street Address and Permit Number when ready lor inspection. Work
must not be covere or electrically energized before Inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 15~ EXT. 224.
~ 0Av\ NO OCCUPANCY OR USE ESTABLISHED UNOER THIS PERMIT dO
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OlY,..PIC PRINTERS. INC.