HomeMy WebLinkAbout1320 W 11th St - Building a CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
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321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001205 Date 10/25/11
Application pin number 803340
Property Address 1320 W 11TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 5620 -0000-
Application type description RE -ROOF on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 8000
Application desc
TEAR OFF /INSTALL COMP
Owner Contractor
ROGERS JAMES T /KAREN AN DEN CONSTRUCTION
1320 W 11TH ST 237 W ALDER ST
PORT ANGELES WA 983635508 SEQUIM WA 98382
(360) 670 -6979
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF /INSTALL COMP
Permit pin number 195263
Permit Fee 179.75 Plan Check Fee .00
Issue Date 10/25/11 Valuation 8000
Expiration Date 4/22/12
Qty Unit Charge Per Extension
BASE FEE 95.75
\X
6.00 14.0000 THOU BL-2001-25K 001 -25K (14 PER K) 84.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due J
Permit Fee Total 179.75 179.75 .00 .00 l/
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 184.25 184.25 .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 complie with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the pr visions 6f a y"sate or local law regulating construction or the performance of
construction. t
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f Date Print Name Signature of Contractor or Au orized Agent Signature of Owner (if owner is builder
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T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD \Nsl
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS r 0
Building Inspections 417 4815 Electrical Inspections 417 4735 r./
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:
r
Under Floor Stab
Rough -In `v�l
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by 1
AIR SEAL: C�
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
INSULATION:
Slab
Wall Floor Ceiling 1 n
MECHANICAL:
Heat Pump 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 (b
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 t 1
T:Forms /Building Division /Building Permit
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BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)
Date Received /a• <'7(
Permit
City of Port Angeles Please print in ink. Date Approved
Attn: Building Permit Technician Approved by
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:
\jot-{� 9� 6 70- 617`(.
Property owner:
Nj T‘.6 Phone: 360---460- X 15
Property owners mailing a dress:
1 f e t r linbde s 56362—
Contractor's business name: A, Phone:
(or property owners name if he /she is doing /overseeing the work) 36, 76 61
Contractor's mailing address: /I
e2 3 7 S' c lJ F nrt f8 ?s'
Contractor's L &I license number: L f Expiration date:
/QAD� C
e- /26/ zi
Project Address:
11 S
Pay- A i le-5 Li 9a3‘
Project Type: residential Commercial Industrial E Multi- family 1
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: zrhouse D garage D" other
2r tear off re -roof lay over one layer
Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation c (labor materials, not including sales tax)
Re -side: D house D garage D other
Project Valuation (labor materials, not including sales tax)
Repair: (explain 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
T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011)
Pagel of
Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa proiects 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 gets demolished.
What will be demolished? house garage other
Note: some demolition permit applications need to be 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.
(1) Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 360 -417 -1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
/yes no Will the debris be going to the Regional Transfer Station in Port Angeles?
.dyes 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 project)
Project Valuation
Mechanical Permit: (explain the project)
Project Valuation
I have read and completed this application and kn• it be true and correct. I am authorized to apply for this permit
and understand that it is my responsibility tudar i 'at permits are required, and to obtain permits prior to
working on projects.
Date /'-z Signature
Print Name k./6ra b. 4
Page
An Den Construction
John Jensen
237 W. Alder St.
Sequim, WA 98382
(360)670 -6979
ANDENC*984DK
Jim and Karen Rogers
1320 w. 11th St.
Port Angeles, WA 98362
Roof Bid
ttaroff and installation
Materials for roof 3,500.00
Labor 4,500.00
Subtotal 8,000.00
Tax (8.6 688.00
Total 8,688.00
Application Number . . . . . 23-00001254 Date 11/29/23
Application pin number . . . 877430
Property Address . . . . . . 1320 W 11TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5620-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ROGERS JAMES T/KAREN JOHNSON ELECTRIC COMPANY
1320 W 11TH ST 3129 S REGENT
PORT ANGELES WA 983635508 PORT ANGELES WA 98362
(360) 728-4327
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 11/29/23 Valuation . . . . 0
Expiration Date . . 5/27/24
Qty Unit Charge Per Extension
1.00 75.0000 ECH EL-R- BRANCH CIR 1-4 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x 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 $
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 CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool/ 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-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
'"'CJ CD
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
1/30/2024 23-1254 TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
1320 W 11th St