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HomeMy WebLinkAbout1519 W 12th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Replace driveway Owner DUBEAU MICHAEL /IRENE 1519 W 12TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Qty Unit Charge Per 1 00 WA 983635517 r \Policies \1102 15 [10/08) RIGHT OF WAY REPLACE DRIVEWAY 151332 50 00 8/07/09 2/03/10 Signature of Contractor or Authorized Agent 50 0000 ECH RIGHT OF WAY PERMIT Permit Fee Total 50 00 50 00 00 Plan Check Total 00 00 00 Grand Total 50 00 50 00 00 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 09 00000793 609776 1519 W 12TH ST 06 30 00 0 3 5875 0000 PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER Plan Check Fee Valuation Charged Paid Credited Date 8/07/09 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 as 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. Date Signature of Owner (if owner is builder) Date 0 0 0 Extension 50 00 Due 00 00 00 CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T \Policies \1102 15 110/081 RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 PERMIT INSPECTION RECORD YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING ".9 ~." BUILDING PERMIT "" ',' "'<':'~ 'CITY OF PORT ANGELES .: , '" . 'i,:", ", _' _. " . _ _, " ,'-, , ... _',' DEPARTMENT OF coMMuNITY DEVEL9PMENT - BUILDING DMSION 32FEASTSTH STl}EEJ', PORTA~GELES, WA 98362 OWNER/APPLICANT GEORGE KLAHN 1519W.12TH ST Port Angeles, W A 98363 360/457-3994 ' T: CONTRACTOR DIAMOND ROOFING P.O~BOX2963 Port Angeles, WA 98363-0000 206/452-9518 PROJECT INFO : Project Value: $1,480.00 Project Type: RE-ROOF Occupancy TyPe: RESIDENTIAL Occupancy Group: Construction Type: Zoning Use: RS7 PROJECT NOTES , tear off northside/ replace with 3tab FEES ASSESSMENT Building' Permit: Plan Check: State~urcharge: House Moving: ManufaCtured Home: Sign: Plumbing: , Mechanical: Radon: $54.00 $0.00 $4:50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ' ISSUED: 12/18/2002 PROPERTY LOCATION 1519 12TH ST,W " Lot: 15. 16 W1/2 OF.17 ' Block: 358 ,,' D ,.Long Legal Subdivision: TPA Parcel. No: 06300Q03587500 S: 'ARC,tllTECT N/A , 98360-0090 360/000-0000 SFD Units: SFp,Sa FT: . 0 o ,., it PERMIT NO: 13916 MFD Units: MFD sa FT: o o Commercial: 'IndUstrial: " Garage: o . """";i>'lt..,.,., o o Misc Fee 1: Misc ,Fee 2: Misc Fee 3: $0:00' $0.00 $O.OO~ TOTAL FEE: AMOUNT PAID: BALANC'E DUE: $58.50 $58.50 Separate Permit$are required for electrical\rYork, SEPA,Sh(jreline;E~~,ti~Uties;Jlrivate ahd public imPreX~'iWEf'nt5.?fh(~Jr !o""<~~~6rnfJs, null and void if work orconstruction autho~zed is notcommenc~dwitl1in180days, if constructionorwotkT~~l;i~e!fj~!r ,'.,'> ,affdoried for aperiodof1~9 days after the work as commenced, or ifiequlred Inspections have not been request~d Withln1~Otl~~~!~rr'tJi~Ias~ InsPElctlon. Ih~r~by certify thatl have rea9a/'l.~ exam,!n~9 tl1i~,iilPpllc:;~ijgnAandl<now the s~me to be trueand90n:e~>!f'~,I~vl~j()n~of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting.,Ofa~it!~c)esno~ presume to give authority to violate or cancel the provisions of any state orl2,cal law regl!Iating con~truqtioJ"l orilie perrorrnance,of construction. ' ' . '. T:\PLANNING\FORMS\II02.IS [412002) Signature of Owne'~(if oWner is builder) " Date ",,~-:,;,. ~. '0;': -<;l'):i~: "',"!"^ ';~' _,' :1 <-.tt-...""." 01<'<< ':,,:r"~:~::,;::r;;-,~,;;:; ), ,,~"t:,,::i;' '~"-;'j BUILDING PERMITlNSP~CTION RECqRD CA~L 417-4815 FO~ BUILDING INSPECTIONS. PLEA~5~-PRdvIbE A MINIMUM 24 HOUR NOTICE. ITI$UNLAWFUL Tb,COVER, IJvsU!t.tfr~.!l!J"fON~EAL AIYXwqiU,C B&!'OREJNS~ECTllR.#!;Q4(:CEPTED.POST PERMIT IN ACONSPIOJOUSWCATION. ..~.' c,,,,",,_,,,. , .. ,.T,_' .,. '",:'.;.,; ...._n .. " _': .." -' ~ _;n_.. '~', ,.... ", .. "C, -,b , ",.,.: :.f;:4;<\ ": ~,':~' ;~"' KEEP PERMIT CARD AND ApPROVED PLANS AT JOB SITE c "1 ,~.. ..... "L.'t.L,' 'ifj)-:i;;;A3'::'" .. . .'. ./. INSPECTION TYPE ~A'l:E :l f (. ,: ACCEPTED COMMENTS , ':' \ ,p'.. ,:' , . YES I NO FOUNDATION: ,. ; .,l. " FOOTINGS . v) . , ,',;., . . . . WALLS -C-}'.,.' .-'Cr, r( ,...h, ~r '. ;,' . FOUNDATION DRAINAGE ,- ELEC1NC~ (LIGHT DEP1) SEPARAtE PERMIT: # i:3 H;, . ',. -.-c.::\'-' , -:- I ROUGH-IN .. . PLUMBING . . " .., , UNDER FLOOR I SLAB , ~t . ROUGH-IN ..' \fYY ,n h";, , WATERLINE ," " GAS , LINE , ., ">}" . r' . '. " , .. BACK FLOW I WATER .. '. .' AIR SEAL'0. , '. ,,:{'fl . ! rr.' . 'lfJ "'.:,,;. ,'. 0 . WALLS , CElLIl'iG .' . I .. :.. :('e:: . ,,>1 . '., : .' FRAMI~G'. .. ;- "./ . " , , , \..... ~OISTS I GIRDERS , , SHEAR WALL .. '0- .... . '.' , ,,,.:, ,}:" . .; > ..{~ WALLS I ROOF I CEILING : DRYWALL , " T-BAR 0 0 .- INSULATION ". , '" '. ". . : , SLAB . I . . vi ALLI FLOOR; CEILING , ",0 .' I """;'" Fe." . I ",....., .: " ... .".. MECHANICAL .. .r,.,.,' '. HEAT ptJMp 'J".'.,:"." '" WOOD STOVE f PELLETI CHIMNEY ;-;- :Ft .:<~,;;\ .. , di~ :,~;,. HOOD) .DUCTS ..... :\!L., "I.;:>: . -':J PW UTILITIES I SITE W.ORK . ;,(EngineerlllgJ>ivi5ion) ,SEPARATE PERMIT #'5: 'r: 'cj' '. ,. , " ,; '''. t.>'/ , WATERLINE I METER ~' . .. "- ;V'l>! " ,,; ;, SEWERCONNf;CTI0N :,0\'; ,',C',... "', "". " SANITARY '" .'. -.',.., ." "/~~ . ..~...o:r.';:'!I ,... '.'.' ", ,',i' >",1 ',.,; .,~ "'" STORM ,;)() :>: ~-;1'.. C. PLANNIN9 DEPT. SEPARATEPERM1T #'5 ,,'. SEPA: P ARKlNGlLIGHTING . ESA: LANDSCAPING .,"".;..".~,,>.:......, k' '~'., . .,..,L.. .' ". ,,,..~.'c..~ ,. SHORELlJl!El-'" . '.7'.> .:t '.....,.. "....~',-~..'~......,..., .. f~~fl'~j;: }~jl i;>!,'. ')1{iql";;'F1N'illJJNsPEc'J10~~~~ PI OR'TOOCCuP~C1'tp.~.' ." ,~ .' ;...." .' r ", <.'~:'"'' }.. , ':".{"'RESiffEN'luU;J '. ; ;c.... ,.', '},I, "'" 'T\ DATE "..'f/ ~~::,;.~!~.;,~~,~r ".,..,,"' .'.:> ........' .,\f"!' ....,',... . ~'i , ~ ,. . <..'<:-'; .1l~ Jlp. ')~;J 'FPMr,1~flAL '," ;~J..s~~; .. ~ A'. .,'';'. ~r .. ,\-;:;~ "" ., . '" . I .~j ~ ;;}.,,"l " " f~~ ,c :-.;;. ~ \~:: 0r .;,') ;i-t._ ,',I , ".j "~,~J ':1,1'010" " , . '417-47351- ':.il ';> 'I .". " " "";'.. ',' " ELocTRIcxLcU ~'i'\' 'j .".,\tCii,"'l(', w ELECTRlG:AL~UGHT I!~PT. " , "" ':t '." : ... e'. ~. >~ '.ti.J' "':loi '.' ItIGHT DBBI' -' . ,;j.; , 'hi' ',:ii .;' '. .' .' CONSTRUCTION R. W.I PWI CONSTRUCTION.; R. W. , .~. ~" ENGINEERING 417-4807 PW I ENGINEERING ., 0 :"'" , " FIRE .}17:4~~L FIRE DEPT..""..,,, -, L , ,'..., .....".. ," ,." ", . -, .,'... ->>-,,"' :It '" :. PLANNING DEPT. "-:.. ' ..~; .,. ~'f'1~7S0\~. ~ ; "';G.hr PLANNlNdti6t: ~. ,,\1,.' .\ '. '~'-'. '- ',-" ' .. "'. ',' ',,': ,-417.481s.-~ GJ?--fr- .. BUILDn:JG""~~""- ,.~'., ',,,~ I.::: .: . "( , BUlLDING..._,,, .. """~ ,,' ........., .. 'Fro,\ '" I T:\PLANNlNG\FORMS\1102.15 [412002] ~ '.~' .. v::..;->~ . 1 CITY OF PORT ANGELES _PEP ML ITAPP_LICATIOI�I_ -_ Building Division /EIectrical Inspections 321 East Fifth Street — P.O. Box 11501 Port Angeles 'Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: /0 —(c 7 ' 1 & 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above VC. S Owner Information Name: Z-1 -0A C - vYE4L, Mailing Address: tV'P W I t City: State; Zip: _ Phone: AS� . &2,21 Fax: License # / Exa. Item ServicelFeeder.200 Amp, Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Am p Service /Feeder 601.1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W1 Service Feeder Branch Circuit W10 Service Feeder Each Additional Branch Circuit Branch Circuits 14 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 Signal Circuitl Limited Energy -1 & 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy - 5KVA System or Less Thermostat Note: $5,00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft, Each Additional 500 Square Fl. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Chamee $120.00 $146.00 $ 205.00 $ 262.00 $ 373.00 $ 5.00 $ 63.00 $ 5.00 $ 75.00 $ 93.00 $110.00 $ 149.00 $ 168.00 $ 96.00 $ 64.00 $120.00 $102.00 $ 56.00 akmz :3114 l"' 0 Contractor In Name: t Mailing Address; W City: State: zip: Phone: Fax: License # I Exp. Total (Qty Multiplied by Unit Charge] $ $ —4 $� $ $ $ $ $ $ 120.00 $ $ 40,00 $ $ 74.00 $ �� $110,00 $ $ 7otal 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 monEhs 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 malting the electrical installation or teration in compliance with the electrical laws, N.E.C., RCK Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipa ode, d Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications. Signaturg,ow r,otrical contractor or electrical administrator: ❑ Cash © Check 1 1 f V ELECTRICAL PERMIT CITY OF PORT ANGELES Application Number , . . . . 15- 00000122 Irate 2/11/15 Application pin number 885870 DITCH Property Address 1519 W 12TH $T ASSESSOR PARCEL NUMBER: 06--30-00-0-3- 5875 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . Property U2e FINAL Property Zoning . . . . . . . R87 RESDNTL SINGLE FAMILY Application valuation . . . , 0 Application desc Ductless Owner Contractor SAMUEL D / LINDA S CAWYER BLACK DIAMOND ELECTRICAL CONTR 1519 W 12TE ST 502 BLACK DIAMOND RD PORT ANGELES WA 9$363 PORT ANGELES WA 98363 (360) 565 -6221 (860) 565 -1035 Permit . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc.. Permit Fee . . . 63.00 Plan Check Fee 00 Issue Date . . , . 2/11/15 Valuation 0 Expiration Date . . 8/10/15 4ty Unit Charge Per Extension. 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 Fee Summary Charged Paid Credited I)ue Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.40 63.00 .00 Q0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANOEIBUILDING t