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HomeMy WebLinkAbout123 W 11th St - Building Electical Permit 123 W 11th St 12- 1607 X11 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 D Application Number . . . . . 12-00001607 Date 12/11/12 Application pin number . . . 446257 Property Address . . . . . . 123 W 11TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2765-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . Property Use . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 circuit furnace ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RAY L & ANN MARIE HENNINGER BLACK DIAMOND ELECTRICAL CONTR 322 KLAHHANE RD 502 BLACK DIAMOND RD SEQUIM WA 98382 PORT ANGELES WA 98363 (360) 460-3561 (360) 565-1035 ------------------------- ------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . . . 63.00 Plan Check Fee .00 Issue Date . . . . 12/11/12 Valuation . . . . 0 Expiration Date . . 6/09/13 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- 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 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:\EXCHANGE\BUILDING pORr4,,, 1�' 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 ELEC i MCfaf_ INSPECTIONS Date: /Z/D/Z 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 Awe C!/deaa e"g !-✓ Eta Owner Info ation � Contractor Information Name: `f Name: �/�G.-SIC �/ C-1c eic.4�C Mailing Address: Mailing Address: nx jre�wT r City: State: Zip: City: ,?fl7 State: 9-of-Zip: Phone: Fax: Phone: Fax: License#/Exp. License#/Exp.�,l' eg za Z Item Unit Charge Qtv 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 WI Service Feeder $ 5.00 $ Branch Circuit WIO Service Feeder $ 63.00 ! $ 63 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 $ $ 40 .5 - 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 Cod�ec and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature o er, ical contractor or electrical administrator: ❑ Cash' 1 check ❑ Credit Card## X Dated: /.Z���( � 0110112012 CITY OF PORT ANGELES ; l DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 11-00000625 Date 6/22/11 Application pin number . . . 396875 Property Address . . . . . . 123 W 11TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2765-0000- Tenant nbr, name . . . . . . RAY & ANN MARIE HENNINGER on your state excise tax form Application type description RES REMODEL to the City of Port Angeles Subdivision Name . . . . . . Property Use (Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 1000 ---------------------------------------------------------------------------- Application desc REMODEL KITCHEN, MOVE WATER HEATER, ETC. ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RAY L & ANN MARIE HENNINGER OWNER 322 KLAHHANE RD SEQUIM WA 98382 (360) 460-3561 --- Structure Information 000 000 REMODEL KITCHEN, ETC. --- ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . REMODEL KITCHEN, ETC. Permit pin number . 187898 Permit Fee . . . . 65.25 Plan Check Fee 42.41 Issue Date . . . . 6/22/11 Valuation . . . . 1000 Expiration Date . . 12/19/11 Qty Unit Charge Per Extension BASE FEE 50.00 5.00 3.0500 HND BL-501-2K (3.05 PER C) 15.25 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT (� Additional desc . . fi ✓� 1/� ((// Permit pin number . 187906 Permit Fee . . . . 75.15 Plan Check Fee .00 Issue Date . . . . 6/22/11 Valuation . . . . 0 Expiration Date . . 12/19/11 Qty Unit Charge Per Extension BASE FEE 50.00 2.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 14.50 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Permit pin number 187914 Permit Fee . . . . 72.00 Plan Check Fee .00 Issue Date . . . . 6/22/11 Valuation . . . . 0 Expiration Date . . 12/19/11 Qty Unit Charge Per Extension BASE FEE 50.00 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 constru tion. Date Print Name Signature of Contractor or Authorized Agent Si ture of Owner caner is builder) T:Forms/Building Division/Building Permit Y 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 INCONSPICUOUS 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 b 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 Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /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 T:Forms/Building Division/Building Permit L.`.. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 1 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 11-00000625 Date 6/22/11 Application pin number . . . 396875 REPORT SALES TAX Qty Unit Charge Per Extension on your state excise tax form 1.00 7.0000 EA PL-PLUMBING TRAP 7.00 1.00 15.0000 EA PL-SEWER LINE 15.00 to the City of Port Angeles ----- ------------------------------ --------- ---- ----- - - ---------------- Other Fees STATE SURCHARGE 4.50----- (Location Code 0502) Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 212.40 212.40 .00 .00 Plan Check Total 42.41 42.41 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 259.31 259.31 .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. 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 INCONSPICUOUS 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) 11 '' Gas Line u' 4 `Accepted b�w Back Flow/Water FINAL Date — AIR SEAL: Walls � �.` Ceiling V v 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: Duct Irl 01�- ' 'k 1 a" Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 - Q Planning 417-4750 Building 417-4815 a T:Forms/Building Division/Building Permit PROJECT STATUS UPDATE Permit# U2)5 Date: LP- al I Ird"* I phoned the: Applicant at 4(PO-35�p Property Owner at Contractor at I (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. 0"eyo* w 0 ICK- Was T:Forms/Building Division/Project Status Update rz -w est , In ME mum d 3" ` �,- d �`z'¢ a'- ,-Z' : a y „- 3 `�'y'•f . "Y' s � ,�,: a Va•.C,. ,"; . ..�a J' .� .,,. ;; ~` `, - _. - < s^*s�:;zrsas,. _» BUIL�I rw G, E2 R M I TUr INSPECTION R COR MAR .� ON MINOR" IMUM 24 H UR NOT10E FQR,,VNSPEC�TIONS ti„ . PLEASE PROVIDE A}� p}N O «�.^,5 'a ',aY> a-mss'--{1 . . : Bulldtn Inspections 417 48'15 Electh- Ins ect�onsg 4137=4735< � &c' P« g,. , " . s litiesT417 4831�� Backflow Prevention insections�4lgT=4886. 1'1 r -*:�"yii� i fie. "5�'e�.� � ,;,� Zva pRs� 'X` d .xY a' �u� �'A-: .4•.: t >N�F� � �4. 2� h� � .. � �rn-.s.:., �'a�"�`,�'.�''�,.�:-.. ..�:_. ';�'�. ��'� °'��� � �r;.:,� ,;r, ���` . ..,,.w .5�r�,,;: � .�,.. _y_�.�.�...,,�,,..-, �''� z,.�;=- ��•. �cam'. � �:.. .� ,_; a ��. � SIT IS UNLAWFUL TO DOVER ILVSULATE OR�CO,NCEAL P,NY;�WORK BEFORE INSPECTEf3�AND ACCEPTED. ���,w, �'.��,_ , ,� S ''v". � .�.-s�-.x..i�ds"',z:�':,�u.. .,.vt,..3ck,�'+:,,F"5 q :^�.?;,.:..ev.3 e�rss' xx �Czexz,�".'-.;..a«:;:*ta#,�.�Y>a ,.�•"$;" -�.sa..:� ��.+-:S'ua;�.�,�,#g�..�aY�:=#'�,-t;�r mt9:=-aL :',e�', r: ,- .e .., ,; �� � �� �� POST'PERMIT?iN CONSP/CUOUS LQGA�TIO/V=�KEEI?WPERMI:T/�ND'-A,PPRO.i/ED�PLA'NS�AT'�JOB�SITE�� � ����s s51 Wm a � a tT,a S• "� r""°. sYr,' 5 Sa l p ,Afrfs Om -ao.' 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G�Ga5 Llne x.�^�.�k� i _ �.�€ � .t�j:�$d'e'� : � .� rwx� .'�"'-.`�.��iT...`� �,�`�a •t."�� �.�'`*, � � � :rsr � .� s x Wopd;Stove 1 Pellet i Chirinex1a € i,rfi.,; �.,s' .:rt'� «` 's �; ;;,•x r .{' f ' 'x 3.1-. 5 ._ ,�`•x tom"sr`f�`. .,zx yx "+, -� ���'���,�.�, ��->�A MANUFACTURED HOMES �� � 7 zl syx#` FOotln /;'Slab4`'z r, r`s,sya ..r ''.r -'r'�'-,. ''r '1`' .`""A .. 'f SISIrtin!p„�� N s �.: � � :. �.q r ��t -'� �. �.;� '�` "�. ?yt .2 � '� '�, z �` t � �•z s�-F-. �.� + fir S'z.:*' ; 41 Parkin /:U hun .RW Q W g f r = ESA � Landsca me P 9 .�� a �* ,�,?•'"vr� ��: is „� � "� t 1 Y °�'- `r`�. ;.,:. �x, ..�'=, �x � ',�,��"`4�, -<.e �'y�.' ;t, �.�'?• ..L y �.s✓r� Y �� s:�,�-mss" 13 ' �,�,�,� � � "�`!v`zs'�"'��n� ,��. �� �„v+.:.z.c a1 s.� � ar e-q �,�,3�'._'ii" ;s �� ��'x ��,'�v'�-�.�� �,a.'�za�+..i�:.��•�`.h�: �..z.� '� _, s�� '4.,txu£�' ' 'New � FIN,4L /INSPECT/®tVS REQ(JIf2ED PRIOR TO OCCUF,4MCY/FUSES r_,21 s 3di}Je -: as :•3 .¢"M'.,, : -s 6 , ". a f`3s^Ur'1GCcfJtei'��`r3y k ;i''o-r z r "_ ;Tya w 4 E -� x€' 3 q ,.4" i / 1> f ! 1-MO F a Construction R W: PW 1 cn Ineenn 417 4831 { nRKxx � z ti..s ?r, Fire£ M ,3 •417 4653 t-4 1•�"`,�v '* -'�a: #� ;� `cy��-�` � -.���` -.��k �z.� ::' rr� �'.���?t s� ;' 3^ x�. y ,,� r ,. .-.r ', e,� 'en.a.��417 4815 "�; r r -k z�'��� �,a r"ra, �. Bulldmg� t amc, «*.e &:: 3jF.;€' r+. ..ar #.» r�a ,iam .f °P3= a,a.,s a.i=; < 3 s, „, fr'3;?. r � ;-.=g " i4 :, x _ x:n 2, x '.r 4 `t ZME,"s re� yu -,' a' i. ,.4.z` - qta,a ,r` + .�; :. `-'r a ... h r x " .{" '* �� z.°'r..e. � .7* �R kz,�, "s,,� z�K r�-'� ,*�..:�� � t. { �'4 _3.,� 3k� a `yp,''i'�, �, "�.. *51-r.t•;�'c'� z a,��';v` rr ,sz`�`� 'i;"fz�� r �` +'S'� '"�. �.: PREPARED 4/05/12, 8:54:01 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/05/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 123 W 11TH ST SUBDIV: TENANT, NBR: RAY & ANN MARIE HENNINGER CONTRACTOR : PHONE OWNER RAY L & ANN MARIE HENNINGER PHONE (360) 460-3561 PARCEL 06-30-00-0-3-2765-0000- APPL NUMBER: 11-00000625 RES REMODEL ------------------------------------------------------------------ -------------- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------- 0-1 -� ECHANI CAL HOOD / DUCT April 5, 2012 8:48:03 AM hcatuzO. Ray 460-3561 75, 01 4/05/12 MECHANICAL DUCTS PERMIT: PL 00 PLUMBING RMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL2 01 7/01/11 JLL PLUMBING ROUGH-IN TIME: 01:00 7/01/11 AP July 1, 2011 8:42:53 AM 1pangrle. RAY 460-3561 ROUGH-IN PLUMBING PLEASE INSPECT BEFORE 2:00 PM OR AFTER 4:00 PM. HE HAS AN APPOINTMENT IN SEQUIM DURING THAT TIME. July 1, 2011 4:33:31 PM jlierly. PL99 Ol 4/OS/12 LL PLUMBING FINAL --------- ----------- COMMENTS AND NOTES -------------------------------------- 14FLLo f1,25,4r `"4 3 ,7A K � r1l6 / VOIr ��7, u P�1&11'T I*YIE7 IfIVo �v 4Vt(LD AP,��� a IL Su'6j,CCl ECEIVED S MAR 2 2 2012 CITY OF PORT ANGELES BUILDING DMSION PROJECT STATUS UPDATE a. Permit# 1 l Z VI I Date: 17. I phoned the: Applicant IZ(k 14-wn I at 4Loo'2515lp Property Owner at Contractor at I (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. T:Forms/Building Division/Project Status Update PREPARED 7/01/11, 8:45:39 - INSPECTION TICKET PAGE 6' CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/01/11 ------------------------------------------------------------------------------------------------ ADDRESS 123 W 11TH ST SUBDIV: TENANT, NBR: RAY & ANN MARIE HENNINGER CONTRACTOR : PHONE OWNER RAY L & ANN MARIE HENNINGER PHONE (360) 460-3561 PARCEL 06-30-00-0-3-2765-0000- APPL NUMBER: 11-00000625 RES REMODEL PERMIT: BPR 00 BUILDING PERMIT - RESIDENTTAT• _ REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------ BL3 01 7/01/11 BLDG FRAMING TIME: 01:D0 July 1, 2011 8:44:41 AM 1pangrle. RAY 460-3561 - FRAMING PLEASE INSPECT BEFORE 2:00 PM OR AFTER 4:00 PM. HE HAS AN APPOINTMENT IN SEQUIM DURING THAT TIME. ----------------------------------- ------------------------- PERMIT: PL 00 PLUMBING PERMIT' REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------- ----------- ------------- -------- PL2 01 7/01/11 PLUMBING ROUGH-IN TIME: 01:00 July 1, 2011 8:42:53 AM 1pangrle. RAY 460-3561 _ ROUGH-IN PLUMBING PLEASE INSPECT BEFORE 2:00 PM OR AFTER 4:00 PM. HE HAS AN APPOINTMENT IN SEQUIM DURING THAT TIME. . -------------------------------------- COMMENTS AND NOTES N a `1�1 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received 321 E. Fifth St., Port Angeles, WA 98362 Permit# 1 — Z (360) 417-4815 fax (360) 417-4711 Date Approved 4 9 1 J t Applicant A',Vl/-_ 2°/'I li tyt L° P o Property wn �, one 11 IF Property O ner's ddr ss q110 Contractor �� Phone Contractor's Address License # -- - - -Expires------------- --------E=mail PROJECT ADDRESS 1 Parcel Number Lot Zoning Proiect Type & Brief Description: Nkesidential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply / _ // J ❑ New Construction w2 Cj411eI q/t/i u101t 1/1e Wt7 ❑Addition '`Remodel i � r XRepair I u demolition L&,"kj arna V +--Fo_n n Re-roof ❑ House ❑ garage ❑ other 0 o tear off& re-roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing (sq. ft.) Proposed'(sg. ft.) Basement @ $ per sq. ft. _ $ 1St Floor 2nd Floor _ 3rd Floor Garage GAek�lkis iov Carport 1-ab()r 0 Covered Porch Deck Shed Other. TOTAL VALUATION $ � Total footprint of structures sq. ft. T Lot size sq. ft. = Lot cover e % Site Coverage = the amount of impe o surface on a parcel, includin tru res, paved driveways Idewa _ patios, and other impervious surfaces. ( e PAM 94.135 for exempti ) Site coverage Max. height of proposed structures ft. Occupancy gr #of bedrooms Will-a lawn sprinkler system be installed. Occupant loa #of full baths Will a fire sprinkler system be install Constructi 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 to obtain permits prior to working on projects. Date Z l Print Name g2 h n Signature` T:Forms/Building Division/Building permit app�i ation Clallam County Assessor& Treasurer - Property Details - 59278 RAY L AND ANN MA... Page 1 of 2 Clallarin County Assessor & Treasurer Property Search Results > 59278 RAY L AND ANN MARIE HENNINGER for Year 2011 -2012 Property Account Property ID: 59278 Legal Description: LOT 15 BL 327 TPA Geographic ID: 0630000327650000 Agent Code: Type: Real Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: 123 W ELEVENTH ST Mapsco. PORT ANGELES,WA 98363 Neighborhood: Cycle 5 Res Map ID: 2 Neighborhood CD. 10955130 Owner Name: RAY L AND ANN MARIE HENNINGER Owner ID: 209926 Mailing Address: 322 KLAHHANE RD %Ownership: 100.0000000000% SEQUIM,WA 98382 Exemptions: Taxes and Assessment Details Property Tax Information as of 06/21/2011 Amount Due if Paid on: �7:7:7F. NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. First Second Half Half Base Base Year.Statement ID'Taxing Jurisdiction Amt. Amt. I Penalty Interest Base Paid i Amount Due, SCHOOL $178.93 $178.93 $0.00 $0.00 $178.93 $178.93 €2011 153892 ST SCH-STATE _ _ _ ..- ._ i20111 153892 CC-GEN-COUNTY CLALLAM $98.78 $98.77 $0.00 $0.00 $98.78 $98.77 2011 153892 SD#121 SCHOOL DISTRICT#121 $233.90 $233.88 $0.00 $0.00 $233.90 $233 88 2011 153892 CITY PORT ANG-CITY OF PORT ANGELES $228.04 $228.02 $0.00 $0.00 $228.04 $228.02 2011 153892 PORT-PORT OF PORT ANGELES $13.90 $13.90 $0.00 $0.00 $13.90 $13.901 w ....,_.w,., 2011 153892 NTH OLY LIB-NORTH OLYMPIC LIBRARY $41.43 $41.42 $0.00 $0.00 $41.43 $41.42 j 2011 153892 HOSP#2-HOSPITAL#2 $40.55 $40.55 $0.00 $0.00 $40.55 $40.55 ,2011 153892 WSMET PK DIST-WILLIAM SHORE MET PARK DIST $12,33 $12.32 $0.00 $0.00 $12.33 $12.32 12011 153892 CITY-STORMWATER-CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $36.00 $36.00; '2011 153892 WEED-CONTROL-WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.82 $0.81 2011 -153892 TOTAL: $884.68 $884.60 $0.00 $0.00 $884.68 $884.60 i 2010 42178 ST SCH-STATE SCHOOL $177.14 $177.14 $0.00 $0.00 $354.28 $0.00 2010 42178 CC-GEN-COUNTY CLALLAM $94.26 $94.27 $0.00 $0.00 $188.53 $0.00 2010 42178 SD#121 -SCHOOL DISTRICT#121 $229.44 $229.45 $0.00 $0.00 $458.89 $0.00 2010 42178 CITY PORT ANG-CITY OF PORT ANGELES $218.26 $218.26 $0.00 $0.00 $436.52 $0.00 [2,0_1'0-'__,_-4,2,1-7'8-' PORT-PORT OF PORT ANGELES $13.25 $13.25 $0.00 $0.00 $26.50 $0.00 12010 42178 NTH OLY LIB-NORTH OLYMPIC LIBRARY $27.39 $27.39 $0.00 $0.00 $54.78 $0.00 2010 42178 HOSP#2-HOSPITAL#2 $38.67 $38.67 $0.00 $0.00 $77.34 $0.00 2010 42178 WSMET PK DIST-WILLIAM SHORE MET PARK DIST $12.30 $12.31 $0.00 $0.00 $24.61 $0.00 2010 42178 CITY-STORMWATER-CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00 2010 42178 WEED CONTROL-WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 2010-42178 TOTAL:. $847.53 $847.55 $0.00 $0.00 $1695.08 $0.00 j http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=59278 6/21/2011 ` . ILE CITY OF PORT ANGELES—Construction Plans The issuance of this permit based upon these plans,specifi- cations and other data shall not prevent the building official fr'jmeafter requiring the correction of errors in said l� t �� jrlZp�l7Ltf Q�rZ(rYl 1�' ("+ 6�t n,i q!Me cifications and other data, or from preventing �i building operations being carried on thereunder when in - z violation of all codes and ordinances of this jurisdiction. n� ,STS �`��O2E o C�W� ,ern 04 J �c'� %of Approval Date G BY �, (�— �C' �-j ez 1 �fJ f/lN D0� �VO✓1 IV, `l%Gor VV*( f�_ ��l!'��I ���l✓I - 1_vlC�crSr ��j'Z Z '70 ?D pay Z V K 10 91f �p S�o'te �ORT .4 : P 0 R- 0 F �x m � FCallP417 4�31`5 .forA .c,> 1P DEPARTMENT OF v ° • � . - o� Y EN M1 COMMUNIT DEVELOPM T"" : further inforrnati®n' e , • by 0 6 ,( yo ° �Buail i :Divis;on z � u .s `e _, W _ a> t 4 T +f f 6 J o s + + C Ef�ectove ®ate �e Per�mit'N®• ° r ' Locatao�'of Work t,� ! s r a pNN he ®f'. �� at 8 I e�- . t F Address of 06ra�a Odes r is `�• :: s �A T . BuildingOffacaa@ f Iosted , : A ea-�nts=sa®:n.t: to ;con,, J1, ye :c,ops,ru�ct am a0:"tera i n � +�ainten±~ 6:e or, _ .. , f-:' inn is° hb'r,E r'ewoked orbes`� h . e'xts, _gnti�: a� �. �'epaa� wou"k o a y doy' , ° o J 6, A" se'f'..foo^ h a $he, o :daulanc`es° ;end °huasltdin „crod.es o,f thb u , C.o"t ofy:6�or A� ales �..re cow' iced:*". 'th Y 9 p � F $. •'�' t - t., �- ,�. _5 i k :.y.� `Y• A, B ..L,. -'y. 1.:`. d', 10�`�kS O i _WA I ON V... P NOTICE A"', (,(tile pqT��'\r1{e,P�V�`p'd, � p[q�� p�$/p //pA���e�rynu G 4 � ,' i F/ G:'Y I's-MMEGI°Z1tl n�t�' �� .� A^ P Vim/.-, r S ��'� tl '. STAT tl '✓o a f y _ n r q , j e , d. - .. -. �.n�7 ({7;��p�..Ity.'t��., r�[pV�,�, � �,{�`.,V{JJn @���'rypJ o t.0 V �`m 1.�O T q��LT�E �E ll V it O V E-© ���Il V ELECTRICAL PERMIT Si CITY OF PORT ANGELES 360-417-4735 Application Number . . . 11-00000629 Date 6/22/11 REPORT SALES TAX Application pin number 558766 Property Address . . . . . . 123 w 11TH ST on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2765-0000- to the Lilt of PortAn Angeles Application type description ELECTRICAL ONLY y g Subdivision Name . . . . . . (Location Code 0502) Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 4 circuit kitchen remodel ---------------------------------------------------------- ----------------- Owner &8 ) �v l ` Contractor RAY L & ANN MARIE HENNINGER BLACK DIAP40ND ELECTRICAL CONTR 322 KLAHHANE RD 502 BLACK DIAMOND RD SEQUIM ViA 98382 PORT ANGELES WA 98363 (360) 460-3561 (360) 565-1.035 ------------------ ------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional descnumb t Permit pin number 187955 W Permit -Fee . . . . 138.10 Plan Check Fee. .00 Issue Date . . . . 6/22/11 Valuation . . . . 0 Expiration Date . . 12/19/11 Qty Unit Charge Per E-tension .00 73.5000 ECH EL-BRANCH CIRCUIT WO/FEEDER .00 7.00 2.6000 ECH EL-ECH ADDNT BRANCH CIRCUIT 18.20 1.00 119.9000 ECH EL-0-200 SRV FEEDEP 119.90 1i ---------------------------------------------------------- ------------------- - Fee summary Charged Paid Credited Due Permit Fee Total 138.10 138.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 138.10 138.10 .00 .00 INSPECTION TYPE- DATE: RESULTS: INSPECTOR: DITCH SERVICE 6)29 / )1 AW ROUGH-1N FINAL �t COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCI-IANGE\BUILDING A OFpOR74,1,CFC ELECTRICAL INSPECTION 1w/w U/ -,p y WIRING REPORT RKS 417-4735 DATE: PERMIT# INSP CTO ll -0 2 OWNE COTA O C,LeDths w�,fj F4 �4 t-L ,ADDRESS APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ �. . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: � C2y1r�i� �-r 3a-77 Pt- yr- art go t t:4 N 1 ^1 6 1F— l�2 ►I125!EE;b�! t NOTIFY INSPECTOR-WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — V. Pti CITY OF PORT ANGELES PERMIT APPLICATION JUN 2 1 2031 Building Division/Electrical Inspections 321 East Fifth Street—P.O. Box 1150/Port Angeles Washington, 98362 ELECTRICAL Ph: (3660) 417-4735 Fax: (360) 417-4711 INSPECTIONS Date: 1 &2 Single Family Dwelling —Multi-Family or Commercial* _Commercial Addition/Alteration/Remodel I Repair* * Plan Review May Be Re uired,.�lea Complete Electrical Plan Review Information Sheet Job Address:_ Z-7 il_ Building Square Footage: Description of above Owner I rmation Contra r r �� 1 Name: / 2, Name: Mailing Addr s: ZZ Mailing Ad ss: City: ! State: Zip: City: State: Zip: Phone: Fax: Phone: Fax: License#1 Exp. — License#1 Exp. Item Unit Charge Qty ' Total(Qty Multiplied by UrIlt Clh!Ugqik Service/Feeder 200 Amp. $119.90 $ ` Service/Feeder 201-400 Amp. $145.50 $ Service/Feeder 401-600 Amp $204.60 $ Service/Feeder 601-1000 Amp. $262.20 $ Service/Feeder over 1000 Amp. $372.50 $ Branch Circuit WI Service Feeder $ 2.60 $ Branch Circuit W/O Service Feeder $ 73.50 $ "t Each Additional Branch Circuit $ 2.60 '� $ Temp.Service/Feeder 200 Amp. $ 92.70 $ Temp.Service/Feeder 201-400 Amp. $110.30 $ Temp.Service/Feeder 401-600 Amp. $148.70 $ Temp.Service/Feeder 601-1000 Amp. $167.90 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf Signal Circuit/Limited Energy-1 &2 Family Dwelling $ 63.90 $ Signal Circuit/Limited Energy-Multi-Family Dwelling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy-5KVA System or Less $102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft. $110.30 $ Each Additional 500 Square Ft.or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ )O�EE Each Swimming Pool or Hot Tub $110.30 $_ W.19. 1 Own r will occupy the structure for two ears after this electrical permitis finalized. 2 �Wner is required Owner as defined by RC 28.261 ( ) e py y p ( ) q 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. Signature of owner,elect ' al t or or electrical administrator: ❑ Cash ❑ Check G�7Z7ZZ ElCreditCard#x ted: 0110112010 �F pORT��F CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION v 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 04-00000395 Date 5/10/04 Pin number . . . . . . .688620 Property Address . . . . . . 123 W 11TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2765-0000- . Application description . . . RE-ROOF Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 2100 Owner Contractor ------------------------ ------------------------ GORDAN FOURIER, PHILIP/JANET WESCO ENTERPRISES 123 WEST 11TH STREET PO BOX 1527 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-1430 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF, TORCH DOWN DORMER Permit Fee . . . . 106.75 Plan Check Fee .00 Issue Date . . . . 5/10/04 Valuation . . . . 2100 Expiration Date . . 11/06/04 Qty Unit Charge Per Extension BASE FEE 92.75 1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00 ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 .jj Fee summary Charged Paid Credited Due Permit Fee Total 106.75 106.75 .00 .00 �- Plan Check Total .00 .00 .00 .00 P Other Fee Total 4.50 4.50 .00 .00 1 Grand Total 111.25 111.25 .00 .00 1 Separate Permits are required forelectrical 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. AAJ Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\PLANNING\FORMSU 102.15[11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) -T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEATPUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS 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 `S ! G =E BUILDING T:\PLANNING\FORMS\1102.15[11/14/20031 PREPARED 5/11/04, 13:19:03 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR ROGER VESS DATE 5/11/04 -------------------------------------------------------------------------------------------- ADDRESS . : 123 W 11TH ST SUBDIV: CONTRACTOR WESCO ENTERPRISES PHONE (360) 4S2-1430 OWNER GORDAN FOURIER, PHILIP/JANET PHONE PARCEL 06-30-00-0-3-2765-0000- APPL NUMBER: 04-00000395 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------------------------------------------- BL99 01 5/11/04 RV BUILDING FINAL 452-1430 ----------- --------------- COMMENTS AND NOTES --------------------------------------