HomeMy WebLinkAbout144 Apple Ln - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number 11- 00001406 Date 12/16/11
Application pin number 630108 REPORT SALES TAX
Property Address 144 APPLE LN
ASSESSOR PARCEL NUMBER: 06- 30- 15 -2 -2 -0700 -0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning
Application valuation 0
Application desc
200 amp service
Owner Contractor
DAVID AND GETTA ROGERS ANGELES ELECTRIC
203 LEVIG RD 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461 -4797 (360) 452 -9264
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 119.90 Plan Check Fee .00
Issue Date 12/16/11 Valuation 0
Expiration Date 6/13/12
Qty Unit Charge Per Extension
1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90
Fee •summary Charged Paid Credited Due
N
Permit Fee Total 119.90 119.90 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 119.90 119.90 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE 2
ROUGH -IN
FINAL l /3 f 1 7-- 4 S
COMMENTS: b
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X_ Date:
G: \EXCHANGE \BUILDING
12/15/2011 15:27 FAX 360 452 9265 Angeles Electric Q0001 /0001
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MailingAddress: .10416r". __.,.i M Address:
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.$14550' 1 Sante/Feeda301.400
=204:80 s SeMcilFeeder401400Amp.
.:528220 SeMoelFedderi014000Mip.
::3372.60 8. SenteFeader OM1000
2.50 Branch Ci WM/ MOAN Fader
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2330 S Each Addittmal l3iind *w9 i
Toro. SsMoe1F 200 Amp.
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Y.143.70 8 Temp. BavkdF 4a401�00:
11.!67 90 Temp. BnrloalF sdtf001,1000 Map.
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s 3840 AdQAloarrl 1603 $6..00
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3520 f Each oulbrAldlinp sr Uet�ohed Ganes t': 73.60
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atno th• bor e litir0 t, I hwaby,.e r that I am the owner of the above named p operly are keneld electrical eentraetor. Ina a
altYri miyitaMap l else Meal• inn N.EC,RCW. Chapter 19Za.WAC.Cbapr: 296433 ihoCSIOf. Port MisIasMunklpel
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CITY OF PORT ANGELES
p DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001396 Date 12/13/11
Application pin number 742360
Property Address 144 APPLE LN REPORT SMILES TAX
ASSESSOR PARCEL NUMBER: 06-30-15-2-2- 0700 -0000-
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Use iUs Name
Property to the City of Port Angeles
Property zoning (Location Code 0502)
Application valuation 4055
Application desc
DUCTLESS HEAT PUMP SYSTEM
Owner Contractor
DAVID AND GETTA ROGERS DAVE'S HTG COOLING SRVC INC
203 LEVIG RD PO BOX 413
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461 -4797 (360) 452 -0939
Permit MECHANICAL PERMIT
Additional desc DUCTLESS HEAT PUMP
Permit Fee 64.80 Plan Check Fee .00
Issue Date 12/13/11 Valuation 0
Expiration Date 6/10/12
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
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00
ii. W*11
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.
,t 411 Al
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 (Pale 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 .rs
Wall Floor Ceiling J.,
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove /.Pellet Chimney'
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting I
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 "c.
Building 417 -4815 (L-2-0-1( ��L
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Dec 13 11 12:52p Dave's Heating Cooling 3604520939 p.1
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BUILDING PLUMBING /MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)
Date Received 0 434
Permit# /1- /39('
City of Port Angeles Please print in ink. Date Approved %a-- 3 -1/
Attn: Building Permit Technician Approved by
321 E. 5 St., Port Angeles. WA 98362'
360 -417 -4815 fax: 36D- 417 -4711 i Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4. pm Fri 8:30 -12:30 pm
Contact person: Phone: -1-5-0'7..3 te
�,I nv\ ck h� 7
Property owner:
V I d R OO .S Phone: t 'it --.L 4 797
Property owners mailing address:
U 3 Le_ i i Co a. c, Po Am e (-5
Contractor's business name: i (e a i o. I Phone:
(or property owner's name if he /she is doing /averse ing the work) "(._5 0 7 3 c,
Contractor's mailing address:
f O £c),)( Y 3 1 ifd r 1 -�-Q -S
Contractor's L &I license number: Expiration date:
1 N G G 5 ao (3
Project Address:
4 c- C A P e -e_._ av-.2_,
Project Type: XResidential pommercial Industrial Multi- family
Project Business Name:
(for commercial, industrial, or multi- family projects)
The following permits are usually issued over -the -co nter immediately, without the need for plan review.
Complete only the portions of this permit:that are rel vent to your project.
Re -roof: o house garage oth r
o tear off re -roof c lay ver one layer
Licensed contractor: Su mit a coy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re side: o house o garage D oth r
Project Valuation 1 (labor materials, .not including sales tax)
Repair: (explain the orolect)
Project Valuation I
I
*Homeowner: If you will be doing overseeing the v ork, then the project valuation will be determined by doubling the
cost of materials, to reflect the value a repair adds to your property.
Cost of materials x 2 Project Valuation
T:Forms /Building Division/Building/Plumbing/N.1 hanicat PIrmit Application Short Form (Revised 2011)
Page 1 of 2
Dec 13 11 12:52p Dave's Heating Cooling 3604520939 p.2
Swimming Pool or Spa 24°' deep): ,corprefa icated swimminq pool or spa projects that
do not re. +)tire lan review:
Obtain the City of PA ha Bout entitled °Pools Spas" follow the requirements.
Project Valuation
I
Demolition: A demolition permit is needed whe'i an entire building gets demofished.
What will be demolished n house 0 garage a other
Note: some demolition permit application need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
Agree to ensure that all tilities are /will be properly turned off (and capped off if needed)
prior to demolition.
(i) Obtain (from the City of PA) an ae ial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit t�e map ith this application.
(I) Obtain (from the City of A) a cop of the Olympic Region Clean Air Agency ORCAA)
Demolition Permit Appl cation.
Contact ORCAA at 360 17 --1466 o discuss whether or not an ORCAA Demolition Permit will also
be needed.
yes a no Will the debris be going t the Regional Transfer Station in Port Angeles?
Q yes o No If yes, will a licensed co ctor e taking it there?
If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste dis•osal application to the Building Permit Technician, now
(or later if asbestos testing is needed).
Plumbing Permit: (explain the project)
1
Project Valuation
Mechanical Permit: (explain the project
1 n 5 t -f -c o -t r
k c.c- c--i {.s s c-* f ern f S c -S e-vr,
Project Valuation 4 1 25.5 5
1 have read and completed this appllcatio and kno it to be true and correct. 1 am authorized to apply for this permit
and understand that it is my responsibil ty to det rmine what permits are required, and to obtain permits prior to
working on projects.
Date (,`x(131 i Signature l 0 --"40,-2,
Print Name J- 10td tc
Page 2 of 2
Clallam County Assessor Treasurer Property Details 67666 DAVID AND GETTA Page 1 of 1
Menem County Assessor Treasurer
Property Search Results 67666 DAVID AND GETTA ROGERS for Year 2010 2011
Property
Account
Property ID: 67666 Legal Description: TX #7665 EASE
TX #1861 NWNW .10A
Geographic ID: 0630152207000000 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: 144 E APPLE LN Mapsco:
PORT ANGELES, WA 98362
Neighborhood: Cycle 5 Res Map ID: 2
Neighborhood CD: 10955130
Owner
Name: DAVID AND GETTA ROGERS Owner ID: 49299
Mailing Address: 203 LEVIG RD Ownership: 100.0000000000%
PORT ANGELES, WA 98362
Exemptions: SNR /DSBL
Taxes and Assessment Details
Values
Taxing Jurisdiction
Improvement Building
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Payout Agreement
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