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
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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'~'~
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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.
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1M Olympic Printers, Inc. "
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