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HomeMy WebLinkAbout222 W 12th St - BuildingPREPARED 11/08/10 8 08 48 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/08/10 ADDRESS 222 W 12TH ST SUBDIV TENANT NBR KENNETH NORMAN JACOBSON CONTRACTOR THURMAN SUPPLY PHONE (360) 457 8591 OWNER KENNETH NORMAN JACOBSON PHONE (360) 775 7786 PARCEL 06 30 00 0 3 7830 0000 APPL NUMBER 10 00001307 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESUL RESULTS /COMMENTS ME99 01 11/08/ fli MECHANICAL FINAL TIME 01 00 November 5 2010 1 40 17 PM permits ERIC 775 7786 MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES Date Owner Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL A PELLET STOVE KENNETH NORMAN JACOBSON 1003 S L ST PORT ANGELES (360) 775 7786 Qty Unit Charge 1 00 Fee summary 10 6500 EA WA 983635319 MECHANICAL PERMIT INSTALL A PELLET STOVE 177022 60 65 11 /05 /10 5/04/11 Per Charged 60 65 00 60 65 10 00001307 160068 222 W 12TH ST 06 30 00 0 3 7830 0000 KENNETH NORMAN JACOBSON MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 3464 Contractor THURMAN SUPPLY 1807 E FRONT ST PORT ANGELES (360) 457 8591 BASE FEE ME STOVE /FIREPLACE /MISC APP Paid Credited 60 65 00 00 00 60 65 00 Print Name Signature of Contractor or Authorized Agent Date 11/05/10 WA 98362 Plan Check Fee 00 Valuation 0 Due Extension 50 00 10 65 00 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 r not. Th granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regu constr tion or the performance of construction. REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Signature of Owner (if owner is builder) 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 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 Commercial Hood Ducts FINAL Date MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T:Forms /Building Division /Building Permit FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by Date 11 off 10 Accepted by Accepted By Applicant Property Property Contractor Contractor's License Parcel Number BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 //1v t i/I rit Owner ,JQ /r (7 6 oSa�i Owner's Address Address PROJECT ADDRESS Expires I !%I /A. G^.41,-7 S 1 5 5:e /7 f Project Type Brief Description. Residential Check all that apply New Construction Addition Remodel Repair Demolition Re -roof 4 -leat System Other T Forms /Building Division /Building permit application Multi- family Phone Phone Phone E -mail Lot For City Use Only Date Received 1 -(0 Permit 1So' Date Approved _9/ 7 7 2 7 �0 Zoning Commercial Industrial House garage other tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace A stove other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION ,Y/ 5 7 Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type I have read and completed this application and know it to be true and correct. I am authorized to appl that it is my responsibility to determine what its are required, and to obtain permits prior to work' Date g— J() Print Name a z' 'ct N c e /i)/ Signature of bedrooms of full baths of half baths r this p projec, it and understand Clallam County Assessor Treasurer Property Details 59960 KENNETH NORMAN Page 1 of 6 Clallam County Assessor Treasurer Property Search Results 59960 KENNETH NORMAN JACOBSON for Year 2010 2011 1 Property Account Property ID Geographic ID Type Tax Area: Open Space. Historic Property Multi Family Redevelopment: N Township Range. Location Address: 222 W TWELFTH ST PORT ANGELES WA Neighborhood: Neighborhood CD Owner Name. Mailing Address. 59960 0630000378300000 Real 0010 N N Amount Due if Paid on. Cycle 5 Res 10955130 Taxes and Assessment Details Property Tax Information as of 11/05/2010 Year Statement IDs Taxing Jurisdiction 2010 42841 ST SCH STATE SCHOOL 12010 2010 2010 1 2010 42841 2010 42841 2010 42841 42841 COUNTY 42841 PORT PORT 42841 PORT ANG PORT ANGELES 2009 599602008 2009 599602008 1 2009 599602008 2009 599602008 2009 599602008 PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property* KENNETH NORMAN JACOBSON 1003 S L ST PORT ANGELES WA 98363 -5319 SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 2010 42841 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11 50 2010 42841 CITY_STORMWATER 2010 42841 CITY STORMWATER WEED CONTROL WEED CONTROL 2010 42841 TOTAL. ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 12009 599602008 NTH OLY LIB NORTH OLYMPIC LIBRARY Legal Description Agent Code Section. Mapsco Map ID Owner ID Ownership Exemptions: $0 82 $794.07 $189 19 $95 75 $13 56 $210 02 $233.95 $27 82 LOT6 BL 378 11 N N 2 32518 100 0000000000% NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due. First 'Second Half Half Base Base Amt. Amt. Penalty i Interest 1 Base Paid p $165 45 $166 $0 00 $0 00 6 630 90 $88 06 $88 04 $0 00 $0 00 $176 10 $12.38 $12 37 $0 00 $0 00 $24 75 $203 85 $203_87 $0 00 $0 00 $407 72 $214 31 $214 30 $0 00 $0 00 $428.61 $25 $25 $0 00 $0 00 $51_17_ $36 12 $36 12 $0 00 $0 00 $72.24 $11 49 $0 00 $0 00 $22 99 $36 00 $36 00 $0 00 $0 00 $72.00 $0 81 $0 00 $0 00 $1 63 $794.04 M $0.00 $0.00 $1588.11 $189 19 $0 00 $0 00 $378 38 $95 74 $0 00 $0 00 $191 49 $13 56 $0 00 $0 00_ $27 12 $210 00 $0 00 $0 00 $420 02 $233 99 $0 00 $0 00 $467 94 $27 82 $0 00 $0 00 $55 64 http. /vpn.clallam.net.8084 /propertyaccess /Property aspx ?cid =0 &year= 2010 &prop_id =59 11/5/2010 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 AMP SERVICE 2 CIRCUITS FOR JETTED TUB Owner JACOBSON KENNETH MARILYN 1003 S L ST PORT ANGELES Permit Additional desc Permit pin number 164350 Permit Fee 125 10 Issue Date 4/28/10 Expiration Date 10/25/10 Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 98363 125 10 00 125 10 Lz l 1 I r.fl INSPECTION TYPE DATE DITCH SERVICE ROUGH IN FINAL COMMENTS ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000412 717256 222 W 12TH ST 06 30 00 0 3 7830 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor APS ELECTRIC 546 BENSON RD PORT ANGELES PORT ANGELES (360) 452 6753 ELECTRICAL ALTER RESIDENTIAL Plan Check Fee Valuation Qty Unit Charge Per 2 00 2 6000 ECH EL BRANCH CIRCUIT W /FEEDER 1 00 119 9000 ECH EL 0 200 SRV FEEDER Paid Credited 125 10 00 00 00 125 10 00 Date 4/28/10 LZJ IOtiv tz)--4-b/ ca WA 98363 RESULTS 0 0 0 Extension 5 20 119 90 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. r. 0 0 City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 4174735 Fax: (360) 4174711 Date: 4 ?17' 2:3 10 Y 1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition 1 Alteration I Remodel I Repair* Plan Review May Be Required, Please Complete electric I Plan Review Information Sheet Job Address: ___ZI& hje 6 f 1 —r'e`f P. A Building Square Footage: Pf 00 Description of above ct Y1 PJ Owner Information Name: kaQ 4/ MP Mailing Address: lQ0 3 City' P �b Phone License 1 Exp. Unit Charge 119.90 $145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 $110.30 $148.70 $167.90 95.90 88.20 95.90 63.90 63.90 $119.90 $102.30 $110.30 35.20 73.50 $110.30 56.00 l u n 7caceb5nn St. State: IN A, Zip: 3L.3 Fax: i� II�� C P.�/ is �U;. itt Date: tZ° 10 A RECE APR 2 7 2009 ELECTRICAL INSPECTIONS Contractor Information I Name: P 6)P�`t`1 0.4, Mailing Address: City Phone: License Exp. Total (Qtv Multiplied by Unit Charge) 9 a Service /Feeder 200 Amp. Service /Feeder 201-400 Amp. ServicelFeeder 401 -600 Amp. Service /Feeder 601 -1000 Amp. ServicelFeeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit 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 Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial. Additional 1500 $5.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat $VIKEW Total State Zip: Fax: 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. Signature of owner electrical contractor or electrical administrator Cash Credit Card #6-4 lb, /.Lard Aa2429 0 C7' 1 O CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000223 Date .439288 222 W 12TH ST 06-30-00-0-3-7830-0000- RE-ROOF 3/19/04 RS7 RESDNTL SINGLE FAMILY 3700 Owner Contractor SCHULTZ MATT A PO BOX 125 RAINIER WA 985760125 LARIAT CONSTRUCTION P. O. BOX 280 PORT ANGELES WA 98362 (360) 457-0952 ---------------------------------------------------------------------------- Permit BUILDING PERMIT - NO PR FEE Additional desc TEAR OFF FELT COMP permi t Fee 120.75 Plan Check Issue Date 3/19/04 Valuation Expiration Date 9/15/04 Qty Unit Charge Per BASE FEE 2.00 14.0000 THOU BL-2001-25K (14 PER K) Fee .00 3700 Other Fees STATE SURCHARGE 4.50 <p ~ <p Extension 92.75 28.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 120.75 120.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 125.25 125.25 .00 .00 t - ~ ~ .:r ~ 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. ~c/~ Sig' ture Contfactor or Authorized Agent 3M/Ot Date Signature of Owner (if owner is builder) Date T:IPLANNINGIFORMSI] ]02.15 [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. IT IS UNLA WFUL 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 YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH.IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEA T PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 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.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLAJo..'NING DEPT. 417-4750 PLANNING DEPT. 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Ul --.J , o '" Ul '" tJ'U ;t>;t> >-3Q t<1t<1 W ---- '" ... ---- 0>-" "'0 CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16406 / - / J ?k. Port Angeles, Washlngton__m.._.m..m__...._mm.m.m..m.m.....__._...., 19.m:___ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to d6 electrical work as listed below. Address __m!!.t?.._~..J~/#...9f..m___________.__m__mmm.h____. Occupancy.__"'A,.::?__..__..____m____._.__..m.. ~:=:~-~:::i::::~~:=::::::::::::::::::::::m_~~:~~~;:::::::::::::..:.::.~::::::::::~::::::::::::::::::::::::::::::::::::::: LIght Outlets..__mmm__m.._m._...m..._..... Service, volts ___:___n_n___......_..............__. Receptacle Outletsm__m..................._... No. wires ..h................................... Type ot WIring: Armored Cable .h..m_m................. Non-Metallic ................____._........___ Knob & Tube___...._n..h._................_ RIgid Cc>ndult ..mmmmm...........__. Metallic Tubing ..._m_n..m......_..... Raceway _......................_......_._..._ Dryer, KW.n_u..u....__u....._..........._.__ Size wlres..........................h......._.. Range, KW nn...hn_hmnn_____n._hn Main fuse ....................................... Water Heater: Enclosure ....__.._n____.._......________....... KW......___'___:..._.___________________.________. Hea" KW.m..P.!..I&.r"...........m...m.... Type of wirIng: Entrance Cable .................. Motors: sIze. volts and phase: Rigid ConduIt Circuits, Light..n......__..____.____................ Utility ........m.....h_.m.m__n....mm.... Metallic TUbing ......__._.h.... Current transformers: Heat __.__.._._._.._..._......___._._......._..___ Ser. NO.._____.___...._h__.h.....__...__..______.._. Range ___._______....._._____.____..._.___......... Water Heater ............._...._.__......._. Motor ..._...__........_...._.__..______.......... No. & Slze_..........._......._______.. Ser. No. .........___..__._........................... Dryer ____________...........____...................__ Furnace ____..................._.._._................. Ser. No.___......__......_................_._........ Total wad.......____.............___.. Ser_ No. ......____....._._.........._.h........... Total ____....____.__..__.n__....___......__ Remarks: ____.m....._______t..<~:.mfi.~?".'__.m-::"?.'-?"cP..___..~~;t._..k_'m..~=,'.f2...'-__mmm__ .. / Permit Fee $:__.m.....____hmm__m.m_____ Treas. Receipt NO__.mm__...m..m.__.___ By__,1L:L%~<~~.m. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected berore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 16406 Address........._.........___...__.____._._............................_...._........_.............._~.___.___.....__......~...............Date..__....._.._._.___._.........._.._..._......_..__..... '-- i.. Owner ________.............._............_......_.._..n___......._.._.._....__.__......_....__............h..h__.__._______.... TenanLh__________....J...._._................._...............h_____.. 1 , WiringContraetor......._____....................................._............_..........____....._....___._....._.....___._...__.._.____.By.._.._...__.__~__._._____........__........_.___....__........ \ NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work is to be c.on- cealed due notice must be given the Inspector so that work may be inspected before concealment. ~-'"'-__ ..~ 1M Olvmtlic Printers. In~_