HomeMy WebLinkAbout4316 Old Mill Rd - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
csu
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number 12- 00000755 Date 6/12/12
Application pin number 976325
Property Address 4416 OLD MILL RD
ASSESSOR PARCEL NUMBER: 06- 30- 22 -2 -2 -0050 -2001- REPORT SALES TAX
n Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning UNKNOWN
Application valuation 5000 (Location Code 0502)
Application desc
ELECTRIC FURNACE /REPLACE OIL FURNACE
1,. Owner Contractor
DEANE MABEL I ANGELES HEATING INC.
4416 OLD MILL RD 2114 W 8TH ST
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 457 -0111
Permit MECHANICAL PERMIT
Additional desc ELECTRIC FURNACE
Permit Fee 64.80 Plan Check Fee .00
Issue Date 6/12/12 Valuation 0
Expiration Date 12/09/12
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
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
nit presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
'construction.
v P ar•
a
a r
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
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 JOI3 SITE.
Inspection Type Date Accepted By Comments
FOUNDATION: Its
Footings t°")
Stemwall CJ
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:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney G
Commercial Hood Ducts FINAL Dated 2 p l'arkccepted by C51--4—.
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 Vp-
Building 417 -4815
T•Pnrmc /Riiilriinn r)ivicinn /Riiilriinn Permit
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M THE
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CITY OF For City Use Jz
N W O
Permit 1 S 7
W A S H I N G T O N U.S. oz
Date Received: (p1 1 z o
321 East 5th Street 0 m
Port Angeles, WA 98362 Date Approved: 1 P1 19 1 I W o
P: 360- 417 -4817 F: 360- 417 -4711 's
hcatuzo @cityofpa.us
Building Permit Application
Project Address:
441 CP O Ici VI 1 I I RD ud
Main Contact: Phone
A P, -'L-c_. 36 a. 966 3i L i
Property Name Phone
Owner _.en/ 3l e-(JT .3 6 4`77 C�5 y
Mailing Address Email
s 3 /u, C -c vl L.∎ J Gi f 0 i ci 0 en./ C��
City State or /tip
d— ��f/t 1/ 9 f, 4.3 f 1 sP36
Contractor Na e y Phone
Mailing A e, -ptej /-em",-7 A/ Email 0 (i J 7 611
4 II/ ,9 4----
y State Zi
r /Y y
�1 -e (.1y" v1- rS'3
Contractor License Expiration:
Project Value: Zoning: 1 Tax Parcel Lot
G j 000 0(p-5022.. 22-00
Type of Residential Commercial Industrial Public
Permit Demolition Fire Repair Reroof (tear off /lay over)
For the following, fill out both pages of permit application:
New Construction Remodel Addition Tenant Improvement
Mechanical al Plumbing Other
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes No
Project FU r r ace- /2e/4 c _C 67)/z__ 1 zpArt.z4 (__e
Description
I have read and completed the 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. I understand the plan review fee is not refundable after review has
occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before
plan review has occurred. 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 Print Name Signatur
i ,4 A 4 e._,- I, L
Residential Structures
Area Description (SQ FT) Existing Proposed Minimum For Office Use
value
Basement
First Floor
Second Floor
Covered Deck /Porch /Entry
Deck
Garage
Carport
Other (describe)
Area Totals
Commercial Structures
Area Description (SQ FT) Existing Proposed Minimum For Office Use
value
Structure (s)
Addition
Tenant Improvement
Other (describe)
Area Totals
Lot /Site Coverage Calculations
Footprint (SQ FT) of all Structures: Lot Size: Lot Coverage
SQ FT Site coverage (all impervious Site Coverage
structures)
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 Pellet Stove /Wood- burning /Gas
portable) Fireplace /Gas Stove /Gas Cook Stove /Misc.
Fuel Gas Piping of Outlets: Ventilation Fan, single duct
i irnacYHeat Pump/ Size: Ventilation System
Forced Air Unit
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):
Clallam County Assessor Treasurer Property Details 69326 MABEL I DEANE for Page 1 of 1
Clallam County Assessor Treasurer
Property Search Results 69326 MABEL I DEANE for Year 2011 2012
Property
Account
Property ID: 69326 Legal Description: S220' OF N660' OF
NWNW EXC EASE
SUR V71 P31
Geographic ID: 0630222200500000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 95
Open Space: Y DFL N
Historic Property: N Remodel Property: N
Multi- Family Redevelopment: N
Township: Section:
Range:
Location
Address: 4416 S OLD MILL RD Mapsco:
PORT ANGELES, WA
Neighborhood: Old Mill Res Map ID:
Neighborhood CD: 4301000
Owner
Name: MABEL I DEANE Owner ID: 20925
Mailing Address: c/o JENNIFER BRUCH Ownership: 100.0000000000%
513 GLACIER LN
PORT ANGELES, WA 98363
Exemptions:
[Taxes and Assessment Details
Values
taxing Jurisdiction
Improvement Building
Sketch
Property Image
f Land
Roll Value History
Deed and Sales History
Payout Agreement
Website version: 9.0.32.2200 Database last updated on: 6/12/2012 4:04 2012 True Automation, Inc. All Rights
AM Reserved. Privacy Notice
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =69326 6/12/2012
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
2 circuits for septic pump
Owner
LEROY GORDON H
4316 OLD MILL RD
PORT ANGELES
WA 983621908
Permit
Additional desc
Permit pin number 155440
Permit Fee 59 50
Issue Date 10/20/09
Expiration Date 4/18/10
ELECTRICAL ALTER RESIDENTIAL
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
09 00001091
230314
4316 OLD MILL RD
06 30 22 2 2 9030 0000
ELECTRICAL ONLY
UNKNOWN
0
Contractor
SEQUIM ELECTRIC
8294 OLD OLYMPIC HWY
SEQUIM
(360) 681 3794
Plan Check Fee
Valuation
Date 10/20/09
WA 98382
00
0
Qty Unit Charge Per Extension
1 00 57 5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 57 50
1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 2 00
Fee summary Charged Due
Permit Fee Total 59 50 00 00
Plan Check Total 00 00 00
Grand Total 59 50 00 00
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
Paid Credited
59 50
00
59 50
DATE
RESULTS
0I Ing
t) 1z-1109 0117
Signature of owner or Electrical Contractor X Date
INSPECTOR.
NAP
-710
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 Fax: (360) 417.4711
Date. O /2 0
.1 2 Single Family Dwelling
Multi- Family or Commercial*
Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Complete le cal Plan Review Information Sheet
Job Address: Li 3 I ,r', O l cf ri L1 5f.
Building Square Footage
Description of above 7Ct12,/ r) 1 L A
Owner Informatio
Name: r A. i -e ro.,A
Mailing Address: t b
City' P A- State: tcJA Zip q 36
Phone: Fax:
License Exp
Unit Charoe
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
57,50
86,25
43.75
Total (Qtv Multiplied by Unit Charae)
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 40 -600 Amp.
Service /Feeder 601 -1000 Amp.
Service /Feeder over 1000 Amp.
4 7 Branch Circuit W/ Service Feeder
"2 6) Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 1000 Amp
Portal to' Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
l o rr -5—f FT L.?
Thermostat
Total
pe
RECEVED
OCT 2 0 2009
ELECTRICAL
INSPECTIONS
Contractor Information
Name: v• F Iz c fii L L C
Mailing Address: 2A q bl d Oft* wini c Nwz/
City' State LA/At Zip k3 2
Phone: 3 to GK137 Sax:
License Exp f*.t U I I r W 1_7'
640
Owner as defined by RC W 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.
Pfter readir'.i the above statement, I hereby certif, that I em the owner of the above named property or a licensed electrical contractor I making the electrical
installation or alteration in compliance with the electrical laws N C RCW Chapter 19.28, WAC Chapter 29 The City of Port Angeles Municipal Cocle..nd
Utility Specifications
at_ e t 'wer electrical contract°, or c;e. a .1 adni'i sc etor L 1'
Check
Card
.
.
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
'lti Residential rJ
r- Heat KW i)
~ Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
DetailslDescription:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO.
/871
7-/ Cf,rf7
DATE
fVl [U
o READY FOR
INSPECTION
License Number:
o WI LL CALL FOR
INSPECTION
Phone:
.o'l'rO
1~/o/fS
Phone:
Sq. Ft.
gNew Construction
o Remodei
o Service update/alter/repair
--.gCOverhead
o Underground
Voltage
tJ::-113 0313
Service size /~,..,
o Temporary
Amps
o Add/aiter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
f3 ~[J
NAvL
f4J
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
llil,,9-~'. Rough.in/cover O.K.
#'ry(O.K. to connect service
f'l Final O.K.
~
Site Address:
+)/~
=s
OLD
Installer:
itL.{J
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
/viII/
f64f}
New Meters
Date: .
f -/1----1'1
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered 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.158 or EXT. 224.
M g-- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 5lJ rlE--
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng. Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
~-.....
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
/cf,s-I
~/!-:7~/tf'?
.
ELECTRICAL PERMIT
DATE
Site Address:
o READY FOR
INSPECTION
LIcense Number:
o WILL CALL FOR
INSPECTION
Phone:
Ow,:,er/Business:
Phone:
Owner/Business Address:
Sq. Ft.
~ Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commerciai/lndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
XUndergrOund ,6.t/D
jVOI:a:e ~~.~
~ rvice size Amps
Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Detai islDescription:
.j y ~tUM AJA./j
I !
/
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
~Final O.K.
1P'l
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 Pian Review approved/pending
Permit/Receipt No.
It..> /
Installer: New Meters Date:
/ ~,>2
Notify the DeP9 ment of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered 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.158 or EXT. 224.
---r:;?'.A-v\ NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT / / !PP
I Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
.
OLYMPIC PRINTERS, INC.