HomeMy WebLinkAbout525 E 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
200 amp service change
Owner
KING JERRY R
1886 CALAWAH WAY
FORKS
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983319240
Permit
Additional desc
Permit pin number 156976
Permit Fee 93 75
Issue Date 11/20/09
Expiration Date 5/19/10
Qty Unit Charge Per
1 00 93 7500 ECH EL 0
09 00001214
895486
525 E 12TH ST
06 30 00 0 3 3988 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452 9264
ELECTRICAL ALTER RESIDENTIAL
Charged
93 75
00
93 75
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Plan Check Fee
Valuation
200 SRV FEEDER
Paid Credited
93 75
00
93 75
00
00
00
Date 11/20/09
DATE RESULTS
t I )zolo9
WA 98362
00
0
Extension
93 75
Due
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
VW
FO.
C
11/20/2009 00 21 FAX 360 452 9265
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 /ax: 417.4711
Date:
Unit Charae
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
57.50
86.25
43.75
if r
K 2 Single Family Dwelling
Multi Family or Commercial'
Commercial Addition Alteration Remodel I Repair'
Plan Review May Be R wired lease C mp aectric ,Plan Review Information Sheet
Job Address: s �'TT,
Building Square Footage: r%
Description of above
4 6/104f site. 0141 Add
Owner Information Contractor Information
Name: Name:
Mailing Add ss: 4 Mailing Ad
City' State: Zip: _2— City State: 4,44-: Zip:
Phone: Fele i 0- t/39 Phone: Z 2 Fax:
License #1 Exp. License #1 Exp. G
Total (Qty Multiplied by Unit Ch ?rae1
.5 25 Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ 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
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
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 fo hire an
electrical contractor if above said property is for sale, rent or lease.
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 296-4613, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
Angeles Electric Z0001 /0001
Thermostat
Total
9.5,E
RECEIVED
NOV 2 0 2009
ELECTRICAL
INSPECTIONS
Cash
Check
Date: Z/41 y Credit Card
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
partial re roof
Owner
KING JERRY R
1886 CALAWAH WAY
FORKS
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
BUILDING PERMIT NO PR FEE
PARTIAL RE ROOF
131706
109 75 Plan Check Fee 00
8/06/08 Valuation 2500
2/02/09
14 0000 THOU
WA 983319240
Per
109 75
00
4 50
114 25
T Forms /Building Division /Building Permit (05 /13 /08).wpd
08 00000955
070055
525 E 12TH ST
06 30 00 0 3 3988 0000
RE ROOF
RS7 RESDNTL SINGLE FAMILY
2500
BASE FEE
BL -2001 25K
Charged Paid
Contractor
ROBERTS CONSTRUCTION
PO BOX 1
FORKS
(360) 374 4379
(14 PER K)
STATE SURCHARGE
109 75
00
4 50
114 25
Date 8/06/08
Credited Due
00
00
00
00
WA 98331
Extension
95 75
14 00
4 50
00
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 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
G e "1 g_ K,
S ate Print Name Sign' tute of bontraatatar Authorized Agent 1 Signature of Owner (if owner is builder)
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
1 FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I r J f O1, r
1 BUILDING 417 -4815 1 L" \lT
BUILDING PERMIT INSPECTION RECORD
YES I NO
PLANNING DEPT SEPARATE PERMIT it's SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL
FINAL DATE ACCEPTED BY
FINAL DATE ACCEPTED BY.
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
DATE I ACCEPTED pc•
YES 1 NO 1
.v
v
I I I 1
I I
I
Date
Parcel Number
Project Tvpe Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
,411e-roof
Demolition
Heat System
Other
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
T Forms /Building Division /Bldg Perm Appl. 2005 Code doc
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
Applicant or Agent
Property Owner
Property Owner's Address
Contractor /Engineer
Contractor /Engineer's Address
License
2
7
PROJECT ADDRESS c 1 g
Print Name .0741. v'�'1
ft.
For City Use Only
Date Received g ea -a8
Permit# Ce3 y "S
Date Approved le Ca
Phone 1
t' l'( Phone yw
12 P L L g- G. (a) it wa, k i tis- i Fair S)
e ,,,y1 v' Gi o i, Phone 7'?_ 6 C cl ,1
d oc
Expires
Residential Commercial Multi- family Industrial
Heat pump wood burning stove gas fireplace pellet stove other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement
1 Floor
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
sq ft. Lot size sq ft. Lot coverage
Occupancy group
Occupant load
Construction type
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
C` l I Signatur
Lot Zoning
per sq ft.
At.
TOTAL VALUATION $c
of bedrooms
of full baths
of half baths
PREPARED 3/03/08 9 22 19 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES
ADDRESS 525 E 12TH ST SUBDIV
TENANT NBA JERRY KING
CONTRACTOR ACE MICHAELS INC PHONE (360) 460 6172
OWNER JERRY R KING PHONE
PARCEL 06 30 00 0 3 3988 0000
APPL NUMBER 08 00000112 SIDING
PERMIT
TYP /SQ
BL99 01 3/03/08
BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS /COMMENTS
INSPECTOR JAMES LIERLY DATE 3/03/08
BLDG FINAL
March 3 2008 8 55 12 AM 1pangrle
MIKE 460 6172
BLDG FINAL SIDING
COMMENTS AND NOTES
JERRY R KING
1886 CALAWAH WAY
FORKS
Structure Information 000 000
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
6 00 14 0000
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 08 00000112
Application pin number 853856
Property Address 525 E 12TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 3988 0000
Tenant nbr name JERRY KING
Application type description SIDING
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 7500
Owner Contractor
WA 983319240
BUILDING PERMIT NO PR FEE
NEW SIDING OVER EXISTING
119883
179 75 Plan Check Fee 00
1/28/08 Valuation 7500
7/26/08
Per
BASE FEE
THOU BL -2001 25K (14 PER K)
Charged
179 75
00
4 50
184 25
T Forms /Building Division/Building Permit (10 /0l /07).wpd
ACE MICHAELS INC
1329 W 10TH ST
PORT ANGELES
(360) 460 6172
INSTALL NEW SIDING OVER EXISTING
STATE SURCHARGE
Paid Credited
179 75 00
00 00
4 50 00
184 25 00
Date 1/28/08
WA 98363
Extension
95 75
84 00
4 50
Due
00
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 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
a CAot I (-4_ dA-C, A 0
Date Print Name Signature of Contractor or Authorized Age t Signature of Owner (if owner is builder)
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
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
YES 1 NO 1
FOUNDATION•
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT t!'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING
1 FIRE
1 PLANNING DEPT
BUILDING
417 -4807
417 -4653 1
417 -4750 1
T Forms /Building Division /Building Permit (10 /01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
1 1
417 -4815 Ira ---(YR Si LL.-- I
FINAL DATE ACCEPTED BY.
FINAL
SEPA.
ESA.
SHORELINE.
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
1 FIRE DEPT
1 PLANNING DEPT
1 BUILDING
DATE ACCEPTED BY
YES
t-1
0
OQ
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
Applicant or Agent A cd.e Ak
Property Owner
Property Owner's Address sA was
Contractor /Engineer
Contractor /Engineer's Address i s a4
License 4 C f .I p/k. Z' 9 tl m
PROJECT ADDRESS 5 s�,,�
Parcel Number
Project Type Brief Description. ,a'Residential
Check all that apply
New Construction
Addition
"Remodel
Repair
Re -roof
Demolition
Sign
Heat System
Other
Floor Areas
Basement
1St Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Not
wall- mounted projecting freestanding awning
Total sign area sq ft. Maximum allowed sign area sq. ft.
Heat pump wood- burning stove gas fireplace pellet stove other
Existing (sq. ft.) Proposed (g. ft.)
Total footprint of structures sq ft. T Lot size
ft.
Occupancy group
Occupant load
Construction type
Lot
Phone
Phone
For City Use Only
Date Received 1-2-S-0 2
Permit# OS -It z
Date Approved
Phone
Expires/ X
Zoning
Commercial Multi family Industrial
l a "1..)5 (2 Sjze OA Cs(
aAe ®.1 a
per sq ft.
other
014,16w Etai
oC
TOTAL VALUATION 75
sq ft. Lot coverage
of bedrooms
of full baths
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. CAW Date i "r�e Print Name k� 4l L Signature t'
T Forms /Building Division /Bldg Permit Appl. 2006 Code.doc
J
3
0-e__,Oce., 10-eAbK
j< V s C
CC?
6\e'J
v ic
(Z� b�
y
L?~'~MBEA
CITY OF. PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND. ELECTRICAL. PERMIT
,
A
(/0 v---
PERMIT NUMBER
.
TOTAL FEE
~;2 C!!!
CONT. Lie. NO.
TIMETO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site Address
Installation By
Installers Address 349 W. Washington-Sequim(PO 635)
. ..,nstallelone 683-4104
nstall Elec;trical ~quipment_as follows r.FT : r.i r~lli t
Owner
Owner's Address
Day Phone
Application is hereby made for Permit t
-
. ...- . . W - ~ d /J.)^ L-i'
. iring etho
. " /
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT CIRCUITS PER 10 100R' FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT - 50 VOLTS
OR LESS
CONVENIENCE / . . )(~ MOTOR .
CONVENIENCE -- . MOTOR - .-
APPLIANCE v- :2 MO~
DISHWASHER (' .-:--- FI RE ALARMS - .'
DISPOSAL --- ..-- ,J BURGLAR ALARM
RANGE './ - I~/ MISC.
OVEN <f, ~ b" ,
WATER HEATER I
LAUNDRY -
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE .. SUB TOTAL FE~
GAS - OIL
FURNACE ENERGY FEE
ELECTRtC -
BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT . SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C_ UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
.. - -
SERVtCE A.W.G.
1 SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
. .
I certify that the work to be performed u
's permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
BY' :::/7'
,19
Date Application made
.
Date Permit Issued
CONTRACT R OWNER (OR AUTHORIZED AGENT)
Permission is hereby. given to do the above described work, according to the conditions.l.1ereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
. , . - 'oi' CTOR 0 ITV LIGHT
z; fb IiI ~C.NSAPPROVE . '. -. \ -.,\:"_,
. Notify Department of City light by Street Address-and Permit umber when ready for IOspection.'W~r~ must not
be covered or current turn~d on before inspe~tion and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ex!. 158.
WARNING -I
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
DATE OF VISIT
'. ,. \ ':
.
4 /"j 11
1/ . I
MADE8Y
~;tI/
{
REPORT OF INsPECTOR
- .~..
IlIilttO.K.
REMARKS
..
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.,
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1
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