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HomeMy WebLinkAbout921 W 12th St - Building CITY OF PORT ANGELES 1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000297 Date 4/08/11 Application pin number 274698 Property Address 921 W 12TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 5270 -0000- Tenant nbr, name RANDY L JOHNSON on your state excise tax form Application type description MECHANICAL APPL. PERMIT Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3485 Application desc HEAT PUMP INSTALLATION Owner Contractor RANDY L JOHNSON PENINSULA HEAT INC 921 W 12TH ST 782 KITCHEN -DICK RD PORT ANGELES WA 98363 SEQUIM WA 98382 (360) 457 -5310 (360) 681 -3333 Permit MECHANICAL PERMIT Additional desc HEAT PUMP INSTALLATION Permit pin number 183392 Permit Fee 64.80 Plan Check Fee .00 Issue Date 4/08/11 Valuation 0 Expiration Date 10/05/11 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 '/e `J/� Permit Fee Total 64.80 64.80 .00 .00 v� Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 1 S \(2) 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 provisi s any state o •'al I.w 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 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 Gas Rough-In Line t' Gas Line p Wood Stove Pellet Chimney i A 1 77 Commercial Hood Ducts FINAL Date l Accepted by MANUFACTURED HOMES: 4. V Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s 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 T:Forms /Building Division /Building Permit lb III Q. HH H co H ..c` o t WW wF 1111k410I M 0 M H M M M lfl H N CO V1 N l0 <M H S-1 0 0 0 m 4) 0 M M a a H H F4 H H a H M£ 0 a H ww Oa F 0 z z a O m W C/1 CO O O M 0 W xW a xx WrnoF F u£ CI) a s H, 4 M 0 H< H M W 2 F Fa.InW 0 z Hs F ox w Ho F m 4 Hw1-1 FC UU E z zo--2F H W W a W H N W H U Z r., 13. w Z w awes w m Cn a Z a HH O° .-3 t"... a2 0 a E U W U H U a au) H s, H 0 0 x ..c! a x KC a °a 0 V] U 1-, r Z r u w ou E 0 c £o •a o H H E o 1 H 0 x W Z z N U W F M F O 0 O N N 8 vl a H z xxx Hw a pr 0 x 0 00 t71 H a H AC CO N a .-1 O0 O H a O a o 0 -a 0>+ Z 00 h 0 H H 0 00000 M F F H H100 Hi c2C, z 0 w m< 0 0 o ff 0 0 0 0 H a �F 00 0 ox a x au H H o 0 a 0 C... z 0 0 a O 0 E 4 ,-44 E 0 o GK aH g000 0 0 w w 040 0 0 0 0 a F 0 Apr 06 11 10:16a PENINSULA HEAT 3606812086 p.2 ..o e°°RiA, %,r BUILDING PERMIT APPLICATION Print in ink API�' CITY OF PORT ANGELES Attn: Building Permit Tec For C Use Only: ar INNEI 321 E. Fifth. St, Port Angeles, WA 98362 Date 4 U (360) 417 -4815 fax (360) 417 -4711 Permit f 1— ZW 7 Date Approved Applicant a4 f* 4 e r$ Or? Phone Sr /-33 3 3 r Property Owner gG 4q j 0 It.f- So ✓1 Phone L 7- 73/ 0 Property O er's Address J 9,,p..1 (t/ Z'h Shy?. Contractor Ken /1--) S bi, GZ 7 4- Phone 4S-j— 3 Contractor's Address 79 k fc her, '7, imod/ c5-P c./, H, License p�ltJ)J /(J iZ Expires E-mail il rAPe2 d/ PROJECT ADDRESS 919---/ Lil »h jree- 7 Parcel Number Lot Zoning Protect Time Brief Descrfntlorr: ARtardential o Multi- family o Commem/a/ o Industrial Check all that apply o New Construction o Addition o Remodel o Repair o Demolition o Re-roof o House a garage o other o tear off re -roof o lay over one layer baLHeat System o Heat pump o wood- buming stove gas fireplace o pellet stove ACother »-0ther /Lii"7 i`S7)i i1r 5 i1 /cr iln Floor Areas Existlno (so. ft) Proposed (sa. ft) Basement per sq. R l d Floor 2n° Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 3, I I J I Total footprint of structures sq. ft. 4 Lot size sq. ft. .l.ot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (seePAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group. of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths 1 have read and completed this application and know it to be true and correct l am authorized to ply for this permit and understand prof that it is my n to determine wha Gty perrni[s are required, to obtain permits g �rr 04, Air Date soon/ f sibi Print Name 6 G d./ -1- OY$i gnature priory/ i O s T:Forms/Building DivisionA3idg Pemitdoc Clallam County Assessor Treasurer Property Details 59636 RANDY L JOHNSON f... Page 1 of 2 Olallarn County Assessor Treasurer Property Search Results 59636 RANDY L JOHNSON for Year 2011 2012 Property Account Property ID: 59636 Legal Description: LOT 15 BL 352 Geographic ID: 0630000352700000 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 1 e Address: 921 W TWELFTH ST Mapsco: PORT ANGELES, WA Neighborhood: Cycle 5 Res Map ID: 2 CI e Neighborhood CD: 10955130 Owner w er A/N.Q- Name: RANDY L JOHNSON Owner ID: 33256 Mailing Address: 921 W 12TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98363 Exemptions: SNR /DSBL Owner i Name: RANDY L JOHNSON Owner ID: 33256 Mailing Address: 921 W 12TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98363 Exemptions: SNR /DSBL Taxes and Assessment Details 1 111 1 Property Tax Information as of 04/06/2011 Amount Due if Paid on: 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 I Year Statement ID Taxing Jurisdiction =Amt. iAmt. Penalty Interest; Base Paid Amount Due 2011 154243 ST SCH STATE SCHOOL $60.10 $60.09 $0.00 $0.00 $0.00 $120.19 1 2011 154243 CC -GEN COUNTY CLALLAM $33.20 $33.16 $0.00 $0.00 $0.00 $66.36 2011 154243 SD #121 SCHOOL DISTRICT #121 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2011 154243 CITY PORT ANG CITY OF PORT ANGELES $65.57 $65.56 $0.00 $0.00 $0.00 $131.13 i 2011 154243 PORT PORT OF PORT ANGELES $4.67 $4.67 $0.00 $0.00 $0.00 $9.34 2011 154243 NTH OLY LIB NORTH OLYMPIC LIBRARY $13.92 $13.91 $0.00 $0.00 $0.00 $27.83 I 2011 154243 HOSP #2 HOSPITAL #2 $13.62 $13.62 $0.00 $0.00 $0.00 $27.24 2011 154243 WSMET PK DIST WILLIAM SHORE MET PARK DIST $4.14 $4.14 $0.00 $0.00 $0.00 $8.28; 2011 154243 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $0.00 $72.00' 2011 154243 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.00 $1.63 2011 154243 TOTAL: $232.04 $231.96 $0.00 $0.00 $0.00 $464.00 2010 42528 ST SCH STATE SCHOOL $59.50 $59.49 $0.00 $0.00 $118.99 $0.00 2010 42528 CC -GEN COUNTY CLALLAM $31.68 $31.65 $0.00 $0.00 $63.33 $0.00 2010 42528 SD #121 SCHOOL DISTRICT #121 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 42528 CITY PORT ANG CITY OF PORT ANGELES $63.78 $63.77 $0.00 $0.00 $127.55 $0.001 2010 42528 PORT PORT OF PORT ANGELES $4.45 $4.45 $0.00 $0.00 $8.90 $0.00 2010 42528 NTH OLY LIB NORTH OLYMPIC LIBRARY $9.20 $9.20 $0.00 $0.00 $18.40 $0.00 i http: /websrv8.clallam. net /propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =59636 4/6/2011 Application Number Applicatioi pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Ductless heat pump Owner RANDY L JOHNSON 921 W 12TH ST PORT ANGELES (360) 457 5310 Qtl 1 00 2 00 Permit Fee Total Plan Check Total Grand Total WA 98363 Permit Additional desc Permit pin number 183574 Permit Fee 78 70 Issue Date 4/12/11 Expiration Date 10/09/11 Unit Charge Per 73 5000 ECH 2 6000 ECH Fee summar Charged 78 70 00 78 70 Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 11 00000310 214470 921 W 12TH ST 06 30 00 0 3 5270 0000 ELECTRICAL ONLY Paid Contracto ELECTRICAL ALTER RESIDENTIAL Plan Check Fee Valuation EL BRANCH CIRCUIT WO /FEEDER EL ECH ADDNT BRANCH CIRCUIT 78 70 00 78 70 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION OLYMPIC ELECTRIC" CO INC 4230 TUMWATER PORT ANGELES (360) 457 530 Credited 00 00 00 51yehi #.,sP 1,)1 cfsAD Date 4 /12/11 RESULTS WA 98363 00 0 Extension 73 50 5 20 Due 00 00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date: 04/11/201 '14 47 FAX 360 452 3498 City of Port Angeles Permit Application Building DlvlslonlElecWcal Inspections .321 Ee9t Fifth Street P.O. Box 1150 Port Angeles Washington, 98382 1 Ph; (360) 417 -6735 Fax: (360) 417.4711 Date: y�i 2 Single Family Dwelling MuhI•Femlly or Commercial' Commercial Addition Alteration Remodel I Repair Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address /Z Building Square Footage: Description of above 2.7 /'2 r t. ./7 f�.r, J Owner Info aIIon Name; Mailing Address City' A.—/ Phone: y r" i iii' License 1 Exp, Unit Cherae S 119,90 145.50 S 204.60 262.20 372.50 5 2,60 73.50 2.60 92 70 $110.30 148.70 S 167.90 95.90 88.20 S 96.90 5 63.90 S 63.90 119.90 102.30 5110.30 S 35.20 S 73.50 $110.30 56.00 'Signature of owner, electrical contractor or electrical administrator /o/I Stale: 4./,7 Zip: .5..e d Fax: 'Check 1 /4- Olympic Electric Co PA CITY INSPECT a001 /004 RECE WED APR 12 2011 Credit Card I ELECTRICAL INSPECTIONS Contractor Informs rt Name: 024y4',// fez:7 it.. Mailing Adds: City:' State: Zip: ".0;fc„,%1a Phone: t5' 4C :r Fax: License I Exp. Total IDty Multiplied by Unit Chanel -5 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 WI Service Feeder $_.2,f Branch Circuit W/0 Service Feeder Each Additional Branch Circull Temp, Service/ Feeder 200 Amp. S Temp Service /Feeder 201 -400 Amp, 5 Temp.-Service/Feeder 401.600 Amp. Temp Service /Feeder 601.1000 Amp, Portal to Portal Hourly S Sign /Outline Lighhng .5 Signal Circuit Limned Energy Commercial, Additional 1500 55.00 Signal CircuiV 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 FL Each Additional 500 Square FL or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Mot Tub Thermostat 'S yR' Total Owner as defined by ACW.19.26161: (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 Bald property IS for sole, rent or lease. Permit expires alter six months of lost inspection. Alter reading the above statement, I hereby certify that I em the owner of the above named property ore Ilceneed electrical contractor. I am making the electrical Inatellatlon or ettaratton In compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC, Chapter 296 -46e, The City of Port Angeles Municipal Code, end Utility Speclncedone. cash d'~'~ J~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. pORT ANGELES. WA 9H~62 ELECTRICAL PERMIT Issued: 7/02/98 Permit No: 6364 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ RANDY DETHLETS 921 12TH ST W 921 W.12TH ST Lot: 15 Port Angeles, WA 98362 Block: 352 Long Legal: 360/457~5310 Sub: TPA T: S: Parc No: CONTRACTOR----~~----------~------------DESIGNER--------------------------------- OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES.REMODEL prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: RS7 Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 0 Furnace KW: 0 Overhead Service Diameter: -1 -3 Heat Pump KW: 0 Underground Service Service Size: 0 AMPS X Fan/Wall KW: 3 Temp Service Feeder Size: 0 AMPS PROJECT NOTES------------------------------------------------------------------- WIRE BEDROOM : I I PROJECT FEES ASSESSMENT--------------------------------------------_____-------- I Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $42.50 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $42.50 $42.50 --------------------------------- --------------------------------- TOTAL FEE: $42.50 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELEcrRICAL PERMIT INSPEcrION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS VIIS I NO UnCH Il -IN / COVER 7/zHX ~ "lOll VTrlO h I ~I '1[( T 7VN"'\ I ,Jh~.> GENERAL COMMENTS: PW.II01.U!4'96J CITY OF PORT ANGELES LIGHT DEPARTMENT cr ELECTRICAL PERMIT N? 16614 Port Angeles, washlngton.u.m...2..~.~_.Z{m....m...............m...., 19.2..[ In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment in, 01;l, or about any building or other structure In the City of Port Angeles, per- :o::e~: ~~~~2?~=~;~~;;=::"-=::=,,::,=~=:=~_= '4~ .~ 'i.-zz-..uum.m..n..... (,.~4 J}Jij Wiring Contractor ...~~...~..(..,.."l"'-t::;e: By___..n.nm..m.mm..m___......m..n........uum.......u , ,~, IJ' /()O /~YQ Service, volts .h;/n~......7.................... :3 No. wires ........~i?tii~.... Size wiresh.~...u....___.........._.. 'Je)~ A- Main fuse n_.=h............................. .s Enclosure .......m...n___...nn...n......... Light Oullels....___.___.___................_.._..... Receptacle Outlets..........____n.....___....... Dryer, KW...._....___....................___....... Range, KW.......h....___.________ Water Heater: KW........V....'V'......iI>13...... Heat' KW...../.!......fI.4!:'..l.lL...___...... Motors: sIze, volts and phase: Type of wIrIng: Entrance Cable nmmnh..__....... Rigid Conduit .m....__..muununnn.. MetalIic Tubing ................m........ Current transformers: No. & Size.........n..__,.....n...n.n...h... Ser. NO.nnn.h..........................__n...... Ser. No. n.nnn....h....h...................u... Ser. NO..__nnh............................u..n... Type of Wiring: Armored Cable ............................_ Non-Metallic ...._..........................._ Knob & Tube................................_ Rigid Conduit .......___..................... Metalllc Tubing .............___........... Raceway ......................._....._._..._ CIrcuIts, Light....................................... Ull1ily........___.___.._______.............___.... Heat ...n.................._.............._...... Range ............................................. Water Heater h......h..................... Motor ..._........................................ Dryer................................................_ Furnace .........................'_......_........... Remark:~ta:u::=:=~~~nm.mS~y~~~~.:zQ~guu~.m......m.........~~~::..~::~~:.~.::....~:...:::~::~::.~. ..-...-.....-..----....--........____.________.....___..____._.__..___________._n...____..___..._._........____..__.....__.......___....______._______._____._________________ .;~~;~..;~~.mm---m.mmn.......;~~~~...~~~~;~~...m..m.m.m.......m..;!~.zz7.;'..~:..2Z..m..:..I!~.~., $...................................... No............................. ByV'.~~~........~.rZ....~_..,.1--' NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work Is to be con- cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16614 Address..................._........................................................................................................._...:.....Date..._......_.._.._.._.................._......_......._ Owner..................................._......_.._......_......_.._...........................................................Tenant.......................n.......n.........................h....... WlrIngContractor.....................n................._.................._........................................................,....By............._................................................ NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work i~ to be con- cealed due notice must be given t~nspector so that work may be inspected before concealment. , I 1M Olympic Printers, Inc. " ",