HomeMy WebLinkAbout1738 W 12th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
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
04-00000045 Date
.059530
1738 W 12TH ST
06_30_00_0_3_6324-0000-
RES NEW SFR
6/01/04
RS7 RESDNTL SINGLE FAMILY
165520
Owner
Contractor
------------------------
------------------------
Other struct info
NORTH OLYMPIC DEVELOPERS
235 W. 9TH
PORT ANGELES,WA
PORT ANGELES
(360) 452-1242
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
DAVIDSON, DANIEL/MARl
921 WEST 15TH STREET
PORT ANGELES WA 98363
(360) 417-1527
29.75
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit Fee 76.30 Plan Check Fee
Issue Date 6/01/04 valuation
Expiration Date 11/28/04
.00
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V-N
2.00
1.00
7000.00
2083.00
2083.00
2.00
--------------------
--------------------------------------------------------
----------------------------------------------------------------------------
Qty
1. 00
unit Charge Per
76.3000 ECH EL-RM-0-200 1ST SRV FEEDER
Extension
76.30
Special Notes and Comments
Address n~ers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
in contrast in color of there background.
Electrical load calculations and elctrical permits are
required.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
~
~
-.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 76.30 76.30 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 1850.80 1850.80 .00 .00
~
~
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becom~s
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 ate or local law regulating construction or lithe performance of
construction. \
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\FORMS\1102.15 [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 UNLA WFUL TO COVER, INSULA TE 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 I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERJOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ~^ L ,. I&/J ELECTRJCAL
, ~T LIGHT DEPT
CONSTRUCTION R.W. / PW/ / CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [11/14/2003J
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 9R~62
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000045 Date
.059530
1738 W 12TH ST
06-30-00-0-3-6324-0000-
RES NEW SFR
2/01/05
RS7 RESDNTL SINGLE FAMILY
165520
Owner
Contractor
------------------------
Other struct info
NORTH OLYMPIC DEVELOPERS
235 W. 9TH
PORT ANGELES,WA
PORT ANGELES
(360) 452-1242
TOTAL % LOT COVERAGE
CONSTRUeTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
DAVIDSON, DANIEL/MARl
921 WEST 15TH STREET
PORT ANGELES WA 98363
(360) 417-1527
29.75
V-N
2.00
1. 00
7000.00
2083.00
2083.00
2.00
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
2300SQ.FT./DETACHED GARAGE
SHAMP ELECTRICAL CONTRACTING
150.30 Plan Check Fee
7/29/04 Valuation
7/31/05
.00
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----------------------------------------------------------------------------
Qty
1. 00
2.00
1. 00
Unit Charge
73.0000
23.4000
30.5000
Per
ECH
5C
ECH
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
EL-R-OUTBD/DTCH GAR W/SERV
Extension
73.00
46.80
30.50
----------------------------------------------------------------------------
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
in contrast in color of there background.
Electrical load calculations and elctrical permits are
required.
~
----------------------------------------------------------------------------
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
---~------------- ---------- ---------- ---------- ----------
Permit Fee Total 150.30 150.30 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 1924.80 1924.80 .00 .00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPE(2TION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
?D
{ltJu51E- !?;N,ff.- /r%S-- AJLl
/Iz.D
.........
GENERAL COMMENTS:
PW.II02.lS (4196]
07/23/2004 10:54
13604521689
SHAMP ELEC
PAGE 01
ELECTRICAL PERMIT APPLICATION
r'OP, omcl,olJ.,. USE. ONLY
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Pcnrilfl:
Da'!:I\pCII'D~:
D~t~1s:ucl
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C ~ A t.8JJfJmP FlJi'I1T</CAU30NWtCTIAlb 11Ji'.. Phone: lf51.-lbgQ
Owr143r or Elec. ontra....or gen.
Property Owner: ~12 d;l> 'sJ"", \', J" ~
Address:3q,\ [.AI. \ Srn
Eleotrtca' Conu,dur ..5l!mlll' bLtr,TIICI\1....C~>-Yl'VI6-11t\)b
The Elcctriool Pe:rmit Applic:Jtion muc. bo fillod out complQotelv~
Please type or roprint in ink. If you ha.ve any questions, l'lease call (360) 4174735
F;lll': nUmb~r' (3&0) 417-4711
07" - '15-0 (-
n
Fax: .3,;>m.e...
Phone:~H 'l -I 51'1
City: f>D'9.-'i AN. b-'e1 ~ ) uJ~ . Zip: 9'?3~ 3-
IIJ('.. uoc\?e~tl'IY\PEC023B'E"": i - 2~'04 Phon.: Lf5'L-(~Wl
City: .p6'ltr At>Ok:':\~ W4. Zip: QO%'1..
Address: 1:>0 m)(. 38:'
(
o OWNER . ~LECTRICAL CONTRACTOR
MAAK W. :JJ.k-lnlf
IOlt! ,)ty',..d
City~ ./l6i.T A..,~
PROJECTADCRESS: .1'"J2<2>... W..L.dL't- ~.
TYPE OF WORK: . Check all that apply: ~ew
o Alteration/Addition
o Residential 0 Multi-family
. -\Wo ">""1 t4 ,(t~
n RemotA Mp.tp.r. 'Qrflet;1r.he(l garage
o Commercial 0 MobileHome Sq. Ft
.0 Hot Tub 0 Swim Pool 0 Septic Pump
CJ Low Voltage 0 T oleeom. 0 Sig
Number of Cireu~s added or altered:.
DESCRIPTION OF,THE ELECTRICAL PROJECT:~ ,. L? m
tb~~
Electrical Heat Load Additio"s and or Subtractions
Service Information.
. 0 Baseboard
e'tumace
. d11eat Pump
o Fan-Wall
._KW
-i- ~N
_KW
LRA
o Overhead Service
o Temp Service
o Underground Service
. Voltage: .
Phase: 0 1
Service Size:
Feeder Size:
o 3
I hereby certify that I have. read and examined this applICation and know that same to be true and correct, and I arr;
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine whot pormits are required and to obtain such.
r-jQ.t.v'l.'f"ifI~tt.. . ~? ' I 11\\ I
tD'J .!J:lf? 3 . Credit Card Holder's Signature: ~ . ' . Date: "7 17, t .~
.J17l.)e.. OwnerorElec.Cont.Slgnature: ~ _.. Date: '7/71./0V;
Dt<:- . ... .
lJ~ 7(;;6 /0</ PERMIT FEE: $. \ \ ~ .~O -r
C:IELECTFl.lCALPERMITAPPLICATlON [Jtrtlct:ftiJ ~~
/lttfJ 1fi6h7" i<'"," -
TRANSACTION REPORT
2004/JUL/30/FRI 07:57
P.Ol/Ol
RECEIVER
94521689
FILE
ECM 2089
COM. TIME PAGE
0:00:29 1
TYPE/NOTE
OK
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNTIY DEVELOPMENT - BUILDING DIVISION
321 EAST 5lH STREllT, PORT ANGELES, W A 98362
t-rORTII QLYMP:IC DEVELOPERS
235 w. 9TH
PORT ANGELES. WA
PORT ANGELES
~!(0) 452-1.242
'I'O'l'AL.t- LOT COVERAGE
CONSTRUCTION TYPi
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOBED LOT COVERAGE
TO'!AL LOT COVERAGE
NUMBER OF trN'ITS
Application Number
pin number
Property Address
:ASSESSOR PARCEL NUMBER.:
Application description
Subdivision Name
Property t1'se
property zoning . _ .
Application valuation
04-00000045 Date
.OS9S30
17.3B tl 12TH ST
06-30-00-0~3-6324.0000-
RES ~ SFR
RS7 RE:SDNTL SIKGLE FAMILY
16"5520
Owne'l:
Contractor
DAVIDSON, DANIEL/MARI
9:21 WEST 15TH STREET
PORT .ANGELES WA 98363
(360) 417-1527
Other struct info
7/29/04
WA 98362
29.75
V-N
2.00
1.00
7000.00
2093.00
2083.00
2.00
-~------------_.._----------------~-----------------------------------------
Permit
Additional desc
SUb . Contractor
Permit Fee
;rseue Date
Expira.tion Da't.e
ELECnu:CAL :NEW RESID1m"I'tAL
2300SQ.FT./PSTACBED GARAGE
SHAMP ELECTRICAL CONTRACTmG
150. 30 P18n Check Fee
7/29/04 ~uation
1/26/05
Qty
1.00
2.00
1.00
Unit Charge Per.
73.0000 ECH
2:3-4000 SC
30_5000 BCH
EL-R-BOFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
EL-R-OUTBD/D~CH GAR W/SERV
Special Notes and Comments
Address numbers shall be plainly visible from the street.
AddreS6 numbers shall :be. a minimum of six inches high and :be
in contrast in color of there background.
Electrical load calculations and elctrical pm:mits are
requ1""~. . .
Other Fees
SEWER SYSTEM DELV CHARGE
S'I1cr1! S'O'J.CltAB.G!:
PW WATER SYSTEM USE FEE
.00
o
~"t.ension
73_00
46.80
30.50
....
745.00
4.50
1025.00
Fee summary Charged Paid Credited. Due
----------------- ---------- ---------- ---------- ----------
Pennit Fee Total ISO_3D 150_30 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .0.0
Grand 'l'ctal 1924.80 1924.80 .00 .00
Separate Permlts.re requiredforelectr1calwork, SEPA, Shoreline. ESA, util~les, private and public improvements. This permit becomes
null and void it work or construction euthorized is not commenced within 180 days. if construction orwork Is suspended or abandoned
fora period of J80nays after the worn as commenced. or if.requlll!d Inspections .haY~ no!.!1~n !"l@e~te~.;"'ilhiH 180. qaY!' from the last
Inspection. I hereby certify that I have read and examined this application and know the same to be true and correci. . Ail 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
')
~
,
"
ELECTRICAL PERMIT APPLICATION
FOR OFF1Cl..o\L USE ONt y
DatclRec:
Permit";
Date Approved:
Datewued
The Electrical Permit Application must be filled out comDletelv.
Please type or reprint in ink. If you have any questions, please call (360) 417-4735
, Fax number: (360) 417-4711
00/ -</s-'
Property Owner: ~
Address: ~2.-1 kJ.
Owner or Erec. Contractor Agent OMi e.-l -k. [):jvikm
..,. M.();rJ Dtlv ids:/Yl
15"~
Phone: <h1~ 105 '1
Fax:
Phone:
4/1-152"1-
ziP:185~ 3
City:
PO't'J- ~~d-&s
kM
Electrical Contractor:
license #:
Exp:
Phone:
Address:
City:
Zip:
INSTALLATION WIRED BY:
~OWNER
o ELECTRICAL CONTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Credit Card Number:
Exp. Date:
VISA: MC:
PROJECT ADDRESS:
/1 :} 8 4J / J'< if .sr.
Check all that apply: 11 New
o Alteration/Addition
TYPE OF WORK:
o Residential 0 Multi-family
o Commercial 0 Mobile Home
Sq. Ft
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0 Sigr
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT:
2. U j7 Yc
7ZJ
M:>a.sL -
z · '" vr-,
7l/ &JIIJe.H.€
Electrical Heat Load Additions and or Subtractions
Service Information
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
KW
TON
KW
LRA
o Overhead Service
o Temp Service
~ndergrOUnd Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature:
Owner or Elec. Cont. Signature: /~ / ~
Date:
Date:5j zt(tJ4
TJto.30
C;;;;;Al;~:A7~I/TION
PERMIT FEE: $
rJ ~OIlT",,"
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~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
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
04-00000045 Date
.059530
1738 W 12TH ST
06-30-00-0-3-6324-0000-
RES NEW SFR
6/01/04
Owner
Contractor
tDP~
RS7 RESDNTL SINGLE FAMILY
165520
~
DAVIDSON, DANIEL/MARl
921 WEST 15TH STREET
PORT ANGELES WA 98363
(360) 417-1527
NORTH OLYMPIC DEVELOPERS
235 W. 9TH
PORT ANGELES,WA
PORT ANGELES
(360) 452-1242
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit Fee 76.30 Plan Check Fee
Issue Date 6/01/04 Valuation
Expiration Date 11/28/04
Qty Unit Charge Per
1. 00 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER
.00
o
.........
~
~ ~ Xi
<;::x
~~ l"
\..,
~
~ \"
~ ~ t~
"
~ ~
.....1
"
~
(:
r-..
~.
Other struct info
29.75
V-N
2.00
1. 00
7000.00
2083.00
2083.00
2.00
Extension
76.30
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
in contrast in color of there background.
Electrical load calculations and elctrical permits are
required.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 76.30 76.30 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00,
Grand Total 1850.80 1850.80 .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 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
Date
Signature of Owner (if owner is builder)
T:\PLANNING\FORMS\1I02.15 [11/14/2003]