HomeMy WebLinkAbout1134 W 15th St - Building eM CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000597 Date 5/15/12
Application pin number 776710
Property Address 1134 W 15TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4- 3132 -0000-
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Propert perty Use i U Name
Property to the City of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 7788
Application desc
HEAT PUMP DUCTLESS
Owner Contractor
FAIRBANKS VERNA L ALL WEATHER HTG COOLING INC
215 W 5TH ST 302 KEMP ST
PORT ANGELES WA 98362 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 5/15/12 Valuation 0
Expiration Date 11/11/12
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 h in V .I I
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
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
511511a, Vw n M uKtouon
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 JOB SITE. v
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:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney I
Commercial Hood Ducts FINAL Date a 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
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05/14/2012 13:56 13604525177 ALL WEATHER HEATING PAGE 02/03
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)
Date Received S' I'+ 2
Permit 5q-
City of Port Angeles Please print in ink. Date Approved S t ■-I-• 17-
Attn: Building Permit Technician Approved by a'IrcL
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 pm Fri 8:30 12 :30 pm
Contact person: A w Qck 't coal Phone: 45a' qg 3
Property owner V1( Oa( btu LL5 Phone: `Ja tge
Property owner's mailing address: (1 h t 1 15 st
Contractor's business name: Ali l tmsne,C fit? ads 4- Cob l� yt Phone:
or p erty owner's name If he/she Is doing /overseeing th a 't1 r
Contractor's mailing address: 3o1)\ e-mr C„�
Contractor's L &I license number: n H K0 Expiration date: q
Project Address:
\3' 4 h
Project Type: sikResidential o Commercial D 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 garage o other
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: house o garage o other
Project Valuation (labor materials, not including sales tax)
Repair: ex lain the project)
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
7:Forms /Building Dlvislon /Building /Plumbing /Mechanical Permit Application Short Form (Revise•`.3�
Page 1 of 2 MAY 14 2012
CITY OF PORT ANGELES
BUILDING DIVISION
05/14/2012 13:56 13604525177 ALL WEATHER HEATING PAGE 03/03
Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spli projects that
do not require plan review:
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit Is needed when an entire building guts demolished.
What will be demolished? a house garage a other
&P I: some demolition Permit aopllGatlOns need to be reviewed by various City riepnrfmpnts. anri may taka
uNN vnli alcly lvvv vvuuha lu vlJlali i.
Agree to ensure that all utilities are /will be properly turned off (and capped off if needed)
prior to demolition.
(1) 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.
(7) 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 WIII the debris be going to the Regional Transfer Station in Port Angeles?
o yes 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 orolect)
Protect Valuation
Mecjianlcal Permit: (explain the project),
Inatallatxon of Heat Pump CtUCitteS)
Project Valuation iala LS___
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 ere required, and to obtain permits prior to
working on projects,
Date �J ILII Signature,_ i
Print Name Karen McKeown
Page 2 of 2
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735 15`
Application Number 12- 00000658 Date 5/30/12
Application pin number 633258
Property.Address 1134 W 15TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3132-0000- your excise tax form
Application type description ELECTRICAL ONLY on Y
Subdivision.Name to the City of Port Angeles
Property 'Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
1 circuits, Ductless heat pump
Owner Contractor
FAIRBANKS VERNA L BLACK DIAMOND ELECTRICAL CONTR
215 W 5TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 565 -1035
A
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 63.00 Plan Check Fee .00 •-L
Issue Date 5/30/12 Valuation 0
Expiration Date 11/26/12
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 lv�
Fee summary Charged Paid Credited Due'
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
V
1
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL b
6
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
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CITY OF PORT ANGELES PERMIT APPLICATION i I i l,�''�a� „...\..,...,-,1\
Building Division /Electrical Inspections
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711 t. �y. C
ELECTRICAL
Date: 1 2 Single Family Dwelling INSPECTIONS
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: i 13 '.4 1 S H
Building Square Footage:
Description of above A—D D Gl Q C V T
r) u_`Ta SS 14-/p
Owner Information r Contractor Information
Name: kJ #ZJLN A 1'.A10.- Ai-- i I Name: vi E
Mailing Address: 1134 rn S r Mailing Address: .S 2-- '3-;,Ac-- cRn —rNp
City: Pfk State: in; 4,- Zip: City: 1'A State: kiA Zip:
Phone: Et S 1 trig() Fax: Phone: Fax:
License Exp. License Exp. E LiC -IC.. £!'Oi D
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 _—I_ 4
Each Additional Branch Circuit 5.00
Branch Circuits 1-4 75.00
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
$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. id: 322,
Signature of own- i .•lec al contractor or electrical administrator: El Cash 'Check
Credit Card Cl!) P
X j 4 Dated: 0110112012
Op pONT,�,O� CITY OF PORT ANGELES
L1� DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 08 00000541 Date 5/06/08
Application pin number 206733
Property Address 1134 W 15TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 3132 0000
Tenant nbr name VERNA FAIRBANKS
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 6900
Application desc
TEAR OFF RE ROOF 30 YR SHINGLES
Owner Contractor
VERNA L FAIRBANKS LARRY S ROOFING
1134 W 15TH ST 352 AVIS ST
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 460 0517
Structure Information 000 000 TEAR OFF RE ROOF 30 YR SHINGLES
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF
Permit pin number 126102
Permit Fee 165 75 Plan Check Fee 00
Issue Date 5/06/08 Valuation 6900
Expiration Date 11/02/08
Qty Unit Charge Per Extension
BASE FEE 95 75
5 00 14 0000 THOU BL -2001 25K (14 PER K) 70 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 165 75 165 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 170 25 170 25 00 00
p reek R- 0"2-
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 co .'lied with whether specified herein or not. The granting of a permit does
not presume to give authority violate or canc- ovisi• •f any state or local law regulating construction or the performance of
construction. r
'VeYNN \oagg
Date Print Name Signature of Contractor o Authorized Agent Signature of Owner (if owner is builder)
T.Forms /Building Division/Building Permit (10 /0I /07).wpd
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS O
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 0 9
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE 1
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES f NO
FOUNDATION•
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY.
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING V"
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION (N
SLAB 1
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS V\
GAS LINE
WOOD STOVE PELLET CHIMNEY FINAL DATE ACCEPTED BY.
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT N's SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSI'ECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT
PLANNING.DEPT 417 -4750 PLANNING DEPT
BUILDING 417 -4815 Gi I (-o2 O BUILDING
T Forms /Building Division /Building Permit (10/01/07).wpd
v,ORI,t.1.r BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
For City Use Only
Attn Building Permit Technician Date Received 0
321 E. Fifth St. Port Angeles WA 98362 Permit D$— S 1
rt (360) 417 -4815 fax (360) 417 -4711
l Dat e Approved
Applicant or Agent ow, OVA Phone 4 fS
Property Owner Oe(m rr Phone
Property Owner's Address (qJ n (S
Contractor /Engineer r K1� P one
Contractor /Engineer's Address i S 5
License ely(rlAcrbegi,1/ xpires d
PROJECT ADDRESS (13� (S
Parcel Number Lot Zoning
Project Type Brief Description. A Residential Commercial Multi- family Industrial
Check all that apply
New Construction
Addition
OeCOODQ■• 'Q��t� i n l o TAr
Remodel
Repair 4
'X Re -roof
Demolition
Heat System Heat pump wood burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq ft.
1 s1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION
Total footprint of structures sq ft. Lot size sq ft. Lot coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I 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 t ob -in s�'mits prior to working on
projects.
Date S Print Name 101 b Signature
T Forms /Building Division /Bldg Permit Appl. 2006 Code doc
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Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
,
...
ELECTRICAL PERMIT
PERMIT NO. ~3,< /
7'~7/! r
I
DATE
Site Address:
Nr
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
1'~
~
Phone:
,
Owner/Business Addres :
Sq. Ft.
o Residential
Heat KW /iJl/:JO
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
I7i' New Construction
to Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(iist beiow)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
01003.0
Service size ,'90'0
o Temporary
Amps
Detai IslDescription:
/ '~
/lJ._{U-
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.
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/;n KG!)
~~
~ \\
Y-rJ-~,Jj
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W.S. No. Service
Capacity: 0 OK 0 Not O.K.
o Ditch inspection OK
~ ~ Rough.in/cover OK
~ O.K. to connect service
o 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
Site Address:
t:: /e C
Co
Permit/Receipt No.
Installer:
New Meters
,;;)-a. ~- /
Y/,;J7/,f'7
.
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.
E / d NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;::30 0 d
s I In~ctor Amount'paid '.
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS, INC.