HomeMy WebLinkAbout513 E 12th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
KILGOR NANCY
513 E 12TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360- 417 -4735
WA 983631616
07 00001201
672918
513 E 12TH ST
06 30 00 0 3 3968 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
JEDI ELECTRIC
331 FORS RD
PORT ANGELES
(360) 460 0556
ELECTRICAL ALTER RESIDENTIAL
JEDI/ REPLACE METER BASE
113423
64 00
11/19/
5/17/08
Qty Unit Charge Per
1 00 64 0000 ECH EL R OR RM 0 200 ALT SRV FDR
Charged Paid Credited
64 00 64 00 00
00 00 00
64 00 64 00 00
Date 11/19/07
WA 98362
Plan Check Fee 00
Valuation 0
Due
Extension
64 00
00
00
00
INSPECTION ELECTRICAL
TYPE DATE. RESULTS INSPECTOR
DITCH
SERVICE
ROUGH IN
FINAL
/7- o 7
f~ORT""",
!;,~O~"':.~
O~
~ ----
'loi:~
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00001030 Date
.546170
513 E 12TH ST
06-30-00-0-3-3968-0000-
MECHANICAL PERMIT
11/08/04
CJ
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RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
PAUL G/CYNTHIA D WALTERS
1932 W 7TH ST
PORT ANGELES WA 983631616
DAVE'S HEATING & COOLING
PO BOX 413
PORT ANGELES WA 98363
(360) 452-0939
----------------------------------------------------------------------------
permi t . . . .
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
NEW FURNACE
EXTRA MILE TECH &
36.40
11/08/04
5/08/05
V\
ELECT., LLC
Plan Check Fee
Valuation
........
W
Qty Unit Charge Per
1.00 36.4000 EC EL-LOW VOLTAGE
Extension
36.40
01
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 36.40 36.40 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 36.40 36.40 .00 .00
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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.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNINGIFORMSI1102.15 [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 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TlON DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
Wf'TER LINE (METER TO BLDG)
dAS LINE
BACK FLOW 1 WATER
AIRlsEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
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:
PARK1NGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
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.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNINGIFORMSII 102.15 [I 1/14/2003]
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NOV-07-2004
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10:23 PM
E.JANSSEN
36f'
452 2982
P. ~.1
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ELECTRICAL PERMIT APPLICATION
"""'0
<Ye>
'OR m:'FICIAL USE ONI.,..
Dac-'lec ___
'Cftrtilt: ._._____.~
0e1c:ApprllV'E4, -.---
OIICISIJllf'd'_____
The Electrical Permit Application mU9t be ftll.d ouf comDletolv.
Plel.e typ. Or roprint In Ink. If you have any que.tlons, pll!lUIt call (3601417-4735
Fax number: (360) 417~711
Ownerb, Eloc. Contractor,Agent: t!!;X,t-R,A- nil, Lt::
ProportY Owner: /.) 0. "" l I.J a. ( t......t.. ,
Add'O'., 5/'?, C. 1.:2......... ~r
Electr1cal ContraClor:
[:~It(C.k/
Phone: q~?.. ~ ).;).7.... Fax:
PnonlJ~
~n- d''S''H-
Gk. (-I :3 '38
Zip: 1 ", to. 2...
City: ?~""-r
A-v.,....I.a..~
\
Addr,,!! :
INSTAllATION WIREO Bl':
license #:
Exp:
Phone:
City:
Zip:
n OWNER
~ECTRICAL CONTRACTOR
Credit ClIrtf Holder Name:
81/11n~ Address:
CreditlCsrd Number:
City:
Exp. Date:
ZIp:
VISA.~
o Low Voltage 0 Telecom.
Me:
~
-f:
I
........
~
VI
[J Sign~
PRWEdT ADDRESS:
.513
~~r
/21"t
Shze-e:r
e"Aiterallon/Addltlon
TYPE qF WORK'
~esidential
Check all that apply: 0 New
o Multi-family
,
o Commercial
o Mobile Home
Sq. Fl
.f-t:J N<.0
EleClrl+' Hta~d Addltlon9nd or Sub~raction8
1111 -(fJ
Service Intormalion
o Be.eboard
~FurnsCe
o Heal Pump
f.J Fan-Wall
;-;;;rKW
LL~
TON LRA
_KW-
~arhead Service
o Tamp Service
I I Untlerground Service
Voltage: rVJ/'Z-~ il
Phs.e: go, 0 3
Service Size: '1/o;u>o 4
Feeder Size: u F h
....,
I hereb~ certify that I have read and examined this application and know that same to be true and correct, and I am
authoria.ed to apply ~or this permit. I understand it is not the City's legal responsibility to determine what permits
are required; il remains the applicants responsibility to determine what permits are required and to obtain such,
(J \~ Credit Card Holder's Signature: ~~~C--......-) Date: //-i?7-f7'/
. \. Owner or Elee. Cont. Signature: Date:
(, .- ,l..;--
~v ~_ -{, Lf' _ \;-.
C:/ELECTRICALPE"'-1ITAPPI.ICATION );,.
PERMIT FEE: $
'76'. /tJ
.,
. ~
Nov. 05 2004 10:0gRM PI
FROM :Dave's Heating & Cooling Srvc FRX I~O. :13604520g3g
_'.". ~ ;:: ~., .~, ..:~. .' .....': Ivl j 1 vr I ~ l'L~.}l...; Ul.:iJ I . ."... :i'.'. .' _ ..'
"
S
fl Pl.... type O~ rtfQrint in hit. 1f)l'O\I hlvl.~ Qwe.l!Qf16. pmu lilll (:180) 41T...73f1
P (Fa number: 1380)4"""". .
. ea~ c::P....+",c.--f' 4e.-,a./'\...k -Joh" /VaV\=- - ~ 5(~lA~
I h S'f-e.c...-t1 On ""-* 4!S;;;i-3 'lS9
OMHIr or 5Ioto, Contnlctor Agent: Phone;
ProPll!tyO...,.~; PCJ...v..\ Wa.\+eTS _ .
A!l<l:ti0; ;) I L{ :5-h-.. f I CO",.-+ Clil': E. WCn"" +c.i,-e<- .
- .--,---------..---,-- . --nmV~-:SHdr4T:;I.c.'.1
Elootnoa'Con_])a.v-e.-:s \:-\-e<,+-""O <+- Coo (, ""(s Uoen~; E"I"
Add..... P.D. ,Box <{13 . C1\l';__~~$~S
ELECTRICAL PERMIT APPLICATION
r;.-~""'~2ra..:~-~o
I D:;...lU;.. -.......-
, Pll"Il\ll PI, .>.#..:....~/_. .
~Ap'rl.lI..____.
o.u~.d____
Too El8ct~jcaJ Permit I\;)plloiflion mUll' be r.lI.d out ~Dletel\'.
Fa.x:..__._
Phon.: /-56"J-'i?i?(.-3"J'J.
wA Z:p...::zJ ?e;;J.,
S/{)5 "00n.:1-(5:;1-oq3"1
CuA "'.....:1 ~3 ,,_~_
lNSTALU\TION WIRED By:
DOWNER
.rt'LECTitlc..u. CONrAAc-rOR
CBditCarrlHolderName: . J::~";S...1,-2.J..~ 1S.."-~.-.J?g_~ls H-eq+"h~ c:f- Co", (1"1
SIUJngAdd18U: P.o. 1>0)( 'f{3 _-CIty; for-..} 7'\;"o..l2J.Q...C;, CA.JA Zip: ?'l~~
c.etllleamNu~",,'1d.-t{~3IL25'f733.::l~.O.te, ,/ef 0 . V/8A:~MC::
. -
PROJecT AllPAI!Se:
5(3 ~a.'5+
I ;;). -+t.,
S+r~+ I ;;01"'+ Arc~~s
[!( A1lel'8tiorJAddlUoo
l'YPI! O~ WORK: ChllCk iilI thal apply: 0 New
~OOIld""tial 0 M ulti.fmmJly 0 Commercial
. 0 l.Ilobile Horne
8Q.Ft
o Flemole Meter 0 O_ed garase CI Hot Tub 0 Swim Pool 0 !leptte PUMp IlI""LcW ValtOga' D T.lecc.m. 0 B.g,
Numb.- of CllCub eddllll or altered: -+t,~oS+-~ +-
DeSCRIPTION OF THE ELECTRlCALPROJ8CT: r 0( V1. ~ ~W\a S+d- Lv ,~ ~ --fo ,-
-e.(edY\c...- ~rV\C\...~ ihs+~J -h:, ~(a.~_"=_611 ~rnq,.c...Q
---."---------.-----..----.------.----------.....
iJ.clrlcel H.at L....d Additions ....d or Subtraction!
Servtc" Informatfnn
o a_board
~lTlIIce
o '1081 Pump
lJFllTl-Woll
. KW
15KW
-- TON LRA
=KW --
o Overhead S.",lce
o T e...p Service
Cl Underground S8rvlce
Voltpge:_.___
Ph......: 01 03
S8t\lIc.s....:
I".eder Size:
I hllreby certify /tiat I have read and examined thill application and know that same to be true and correct, and! am
authorized tD apply for this permiL I understand it is not the City's legal responSibility to detemlifle what pElrmits
...!lre.r&qJJired;.JI.J8JTJ8Ins.-Jhe~pplicants.respotlsibil/t:y-iD.d8f;ermlne..whst..permits-ara-(equired.ang.tQ-alltaln -suGh~..-
.. ""'''''''' ~"... "'.M""'~~ ""'JJ./!dE'f
OWnerorElee.Cont.!llgnotu...: , _.. ~fLJ.. __ Date: 1//5/0'1
, ,
. PERMIT FEE: $ 3fo'i3-
::IELEGTRIC~PI;RMITI\I"f',,'C"TION
(I,
&J
.,....,.
~. -=...Jftl
~'to '.t-'"
--...
i'<lf
ELECTRICAL WORK PERMIT APPLICATION
;
,
Electrical contractor name
. --.' I
,')E.Il/ }?/~crnL
Pu~aser's mailing address
V,{). 60)' 3..r.~
City
pOI'T AntjeJef
Telephone number
:() -ofSh
Pr,emlses owner's nai< I
Jj"'IIC- '/ I ~i?'\C/
Address of Inspection .
5Ls GcA.sr ;2" '" .
City,:;, ..-
I or I
Date Expires
~~OrSE..J.qS'7c;.2.
License number
Installation description
CJ Commercial )"t Residential
CJ New ~AlteredlAddltion
Job wired by
;o:rElectrical Contractor 0 Owner
:J 00",
()1 eTe r hcJiL
Chc, '/ 'ie
v
State ZIP
~ CJJ36;;1.
FAX number
c.,,()-/107
.
A,^~deJ
Phone number to schedule inspection:
Owner a.~ defined by.RCw'/9.28.261:(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.
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 instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of own
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
contractor or electrical administrator
Date:)O -r7-cJ
Expiration Date
of card
Inspection fee
$ {.. Lj. CJ c;:/
Service Information
E trlc L ad d
CJ NO LOAD CHANGES
o Baseboard KW
o Fumace KW
o Heat Pump Ton
CJ Fan-Wall KIN
SAME DAY INSPECTION. CALL BEFORE '7:00 AM 360-417-4735
tio
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phase CJ 1 CJ 3
Service Size:
Feeder Size:
ROUGH-IN
THERMOSTAT
SERVICE
Date
Approved By
Date
Approved By
Date
Approved By
DITOI
FEEDER
Dale
Approved By
Dale
Approved By
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector