HomeMy WebLinkAbout519 W 11th St - Building CITY OF PORT ANGELES
1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000631 Date 5/21/12
Application pin number 002917
Property Address 519 W 11TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 2375 -0000-
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision iUs Name
Property t the City of. Port Angeles
Code Property Zoning RS7 RESDNTL SINGLE FAMILY' (Location Code 0502)
Application valuation 4500
Application desc
OIL FURNACE
Owner Contractor
PANGRATZ CHARLES R ANGELES HEATING INC. n a �2� k�
519 W 11TH ST 2114 W 8TH ST
PORT ANGELES WA 983627307 PORT ANGELES WA 98363
(360) 457 -0111
Permit MECHANICAL PERMIT
Additional desc INSTALL OIL FURNACE
Permit Fee 64.80 Plan Check Fee .00
Issue Date 5/21/12 Valuation 0
Expiration Date 11/17/12
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
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
0./
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
V`
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:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney L( f
Commercial Hood Ducts FINAL Date ccepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit ;ft 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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THE op ORTANGELES For City Use
CITY
Permit
WASHINGTON, U.S. RECEIVED
Date Received:5;
321 East 5th Street MAY 2 1 2 012]
Port Angeles, WA 98362 Date Approved: 2
CITY OF PORT ANGELES
P: 360-417-4817 F: 360-417-4711 -1A14° BUILDING DIVISION
hcatuzo@cityofpa.us
Building Permit Application
Site
Address. 5/9 tAk& r Kle OA 9175c_z_
Main Contact: Phone
ZO J3 Piz/ 36 9 CO- 3/ 1
Property Name
Phone
Owner
fc/L 72—
Mailing Address Email
a
1
Js-
City State
r 4-de_s Li/11-
Contractor/ -Name a kor 1 es; zs
Applicant Mailin Add ds Email
v)
City State
Ay\ 'eS 9
Contractor License Expiration:
a-nc--f).5 h a gt
Project Value: I Zoning: Tax Parcel Lot
q F10- 0(P?C) (.90
Type of Residential Ei 0 Industrial 0 Public 0
Permit Demolition 0 Fire 0 Repair 0 Reroof 0
For the following, fill out both pages of permit application:
New Constructio Remodel 0 Addition 0 Tenant Improvement 0
Mechanical D Plumbing 0 Other 0
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes 0 No 0
Project
Description ,)/d tL rwAceLce ovv‘,( 1) 4,cc. L Fi
1 1 'kt c4,4-p#
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 me j Signature
o )7H /26 t
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
Furnace /4aflPgra1 Size: i Ventilation System
Forced Air Unit -'O/ L)O( P d
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):
r 2
ELECTRICAL PERMIT a
CITY OF PORT ANGELES
360 -417 -4735
Gs
Application Number 12- 00000606 Date 5/17/12
Application pin number 922174
Property Address 519 W 11TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 2375 -0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
200 amp service change
Owner Contractor
PANGRATZ CHARLES R NORTH PENINSULA ELECTRIC
519 W 11TH ST 761 FRESHWATER PARK RD
PORT ANGELES WA 983627307 PORT ANGELES WA 98363 r�
(360) 477 -1764
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 120.00 Plan Check Fee .00
Issue Date 5/17/12 Valuation 0
Expiration Date 11/13/12 T v
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL -0 -200 SRV FEEDER 120.00
Special Notes and Comments
May 16, 2012 3:38:48 PM GANDERS.
Maintain or exceed existing height of service conductor from
pole.
t
Fee summary Charged Paid Credited Due
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00
i
0
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE J �t 7�Z 47
ROUGH -IN `U
FINAL 5 i 1 I r ,7
WV
COMMENTS: l
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
2012 -05 -16 11:28 NORTH PENINSULA ELEC 3609289409 360 417, i4 11 r q r M P 1/1
r e� Pl
C a 1 wk
CITY OF PORT ANGELES PERMIT APPLICATION
E LECTRICAL `.I Building Division/Electrical Inspections INSPECTIONS
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
1 II
Date: -1 2 Single Family Dwelling
Plan Review May�e.re ired, 'lea 1U se CQrrple]e e�cal Plan Review Information Sheet
,lob Address: L11 ``77 hh�J
Budding Square Fooiege:
Description of above
Owner I f Contract.. Int on cJ
Name: ma i I G r a L Name: l V ..a 1 i J T`
Mailing nesa: vii111 !MIN wilin9 Tess: 11111 9! 11niRttllsl. /C.... City: State: Zip; 1 1 1- City. State: np:
Phone: Fax Phon �..t1i -I'1 h 1 Fax: 1
License Exp. License a/ Exp. /l c r.-1 1, C.. `j fro._
L
BIE Unit Selma gty Total (Qv Multielled by Unit Charged
Service/Feeder 200 Amp. $120.00 2-.:1 if
Service/Feeder 201-400 Amp. 146.00
Servlos/Feeder 401600 Amp 205.00
Service/Feeder 601 -1000 Amp. 262.00
Service/Feeder over 1000 Amp, 373.00
Branch Circuit WI Service Feeder 5.00
Branch Circuit W/O Service Feeder 63.00
Each Additional Brandt Circuit 5.00
Branch Circuits 1-4 75.00
Temp. Service/ Feeder 200 Amp. 93.00
Temp, ServioeiFeeder 201-400 Amp. $110.00
Temp. Servlce)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 Hare Connection 120.00
Renewable Electrical Energy 5KVA System or less $102.00
Thermostat 56.00
Note; 85,00 for each additional T-Stat
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
1 '7;-:: 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 it 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, WAG. Chapter 296-46B, The City of Port
Angeles Munidpal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ca& Char
r�Card I i 1
c V 0110112012
X Dada