HomeMy WebLinkAbout120 W 12th St - Building CITY OF PORT ANGELES
PUBLIC WORKS - BUILD1NG DiVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
I~JILIdlIV~ I"i::NIIrll I ISSUED: 3/07/2002 PERMIT NO: 13270
OWNER/APPLICANT PROPERTY LOCATION
120 12TH STW
ROSEMARY WOOD
120W 12TH STREET Lot: 5
Port Angeles, WA 98362 Block: 379 [] Long Legal
360/417-3057 Subdivision: TPA
T: S: Parcel No: 063000037200000
CONTRACTOR ARCHITECT
PENINSULA ROOFING N/A
1216 S. H ST
Port Angeles, WA 98363 , 98360-0000
360/417-1039 360~000-0000
PROJECT INFO
Project Value: $3,300.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0 j'-,3
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
ONE OVER ONE LAYER OF THE SAME,COMP
RECEIPT#8808
FEES ASSESSMENT
Building Permit: $97.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $101.75
Plumbing: $0.00 AMOUNT PAID: $101.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits am 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 pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the las1
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All previsions el
laws and ordinances governing this type of work will be complied with whether specified heroin or not. The granting of a permit does not
)resume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
:onst~ction. ...-?
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCE.4L ,4NY WORK BEFORE INSPECTED.4ND ,4CCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE [ 3 ~' 7 ~
INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENT~
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEFT) SEPARATE PERM[T: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WAIER LINE
OAS LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS ! GIRDERS
WALLS ! ROOF / CEIL1NG
DRYWALL
INSULATION
MECHANICAL
HEAT PUMP
WOODSTOVE ! PELLET!CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES ! S1TE WORK (Englneerlng I~ viaion) SEPARATE PERMIT #'a:
WATERLINE ! METER
SEWER CONNECTION
SANITARY
STOEM
PLANNING DEPT, SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHOR~EL/NE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTKICAL - LIGHT DEPT. 417-4735 ELECTKICAL
LIGHT DEFT
CONSTRUCT/ON R.W. / PW/ CONSTRUCTION- ILW.
ENGINEERING 417-4807 PW / ENGINEERING
FiRE 41 ?-4653 FIRE DEPT.
BUILDING 417-4815 BUILDING
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
/
/
PERMIT NO. i5 b 7
/0/:4/37
I .
DATE
L
o READY FOR WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Site Address:
Installed By:
/ ZO (A/.
U C~/C
It
Phone:
Owner/Business:
Owner/Business Address:
Sq. Ft.
'R. Residential
r-Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
Olfl Remodel
10 Service update/alter/repair
~Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Overhead
o Underground
Vo age
o 1 03.0
Servi size
o Tem
Amps
Detai Is/Description:
RfMq;J/
kiiirJ
.
4- ;'Jr~ Ct.tL r
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
~ DiteA iRs~eetiElR O.K.
/'AI- ~ugh'in/cover O.K.
4;J O.K. te C:SAF1Set ';)e'lvi\.il:::
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o f.if1al O.K.
NO f7~ I 7[}-v-~
------
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
. 0 Plan Review approved/pending
Site Address/Z/O
w' !~fI1
Installer: [L f C-/OLI (.
<;; <J.- lJ ILL.
permit/ReceiP;t/: / :5
New Meters Date:
....0-
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or eiectrically energized before inspection and O.K. for covering or service has been given
by the Inspe~in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
'I.f}-- NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT C:ZO)!l'O../
I nspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
\
....., v....'e PRINTERS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
No
.. .
16590
r;; -:;J/ ">F
Port Angeles, Washlngtonu______.ouooo___oo...o_oooo___oo.o___ooo.___oo___ooom...,' 19C-u___
In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec-
trical equipment In, on, or about any building or other structure In the City of Port Angeles, per-
mission is hereby granted to do electFlcal work as listed below.
Address .___../209.___o,0!:~uuuu.--u.-----------.----------.. Occupancy____742_.d...m.m.u._______...oou
~:~:~ ~~~-::~~~~~i::~:;;;~~.o?~~:~~~;:::::::::::::...:.o.o.~::::::::::=::::::::::::::::::=:::::::::::::::::::
LIght Outlet........................................... Service. volt. ./~?:~... Type of Wiring:
R t I 0 tl t No. wire. 0000___.......................(1...... ~red Cable ..00..00-00.................-
ecep ac e u e S_n._n_..............._....... ~.
SIze wlre........!i?.t!....<>.:.t:.~~ noMetalUc .............--......--.....--...
Dryer, KW .uuu.h__.___u._....Uh.n_._____.._. ~.-
. #Ji::J /=t Knob & Tube..................................
Range, KW ____m_...._____...m.h_________... Main fuse -'00 -...:..'7..--.--......00.......
P I I;:; RIgid Conduit --........................---
Water Heater: Enclosure n.n"...-:":......._..m...............
Metallic TubIng ..00....._.00...______..__.
KW.___________...____....,___.__....______.____.
Heat: Kw...ZC!...A~~'.
I
Motors: size, volts and phase:
Type of wiring:
Entrance Cable ___...........__.......
Raceway ......._....._._.__...._......_._..._
CIrcuits, Light..n....._______..___..................
Utlllty .............................__...........__.
Rigid Conduit ..___0000___0000___
Metallic Tubing 0000___000000_________.....
Current transtormers:
No. & Size..____...______...m______............
Heat _____............__............................
Ser. NO.........__._n_..._____..nn_._._.n__...__.
Range __..._._____....____._._.....................
Water Heater ............._.___...00_......_
Motor ........._........._._..00__.__....._........
Ser. No. _.__.._..00....__00___..........._00_00.00...
Drycr..._._.......___._........__...__._._..______..._
Furnace ........................__................._.
Ser. NO.._.nnnn.........__......n_....___._......
Total Load.n...._..n__nm___.____..
Ser. NO.nn__..n....._._n..............n.nn_..
Total ._.___..____._....._.._.....__.___...._
"'.
Remarks: __uu__.uuuu;u-J,_c/.L""~g""u___._____..__....______._________.___.m___.___u______.___________ou..___..__......_____o..u.......
.;:=.~~.:~::o.o.::.uo.__..:::__..u:---------.::~.~o~:::~.~.~.~~~.~:..:.o::::u------u--.---.O:~.:~2~~~=;~~
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work Is to be COD-
cealed due noUce must be given the Inspector so that work may be inspected betore concealment.
Jl \NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
.~_../
,
"
ELECTRICAL PERMIT
N?
16590
Address._..____._........._............___..__.....__........................_____.._...._......................................_._...........Date_______...____......_.........._......_..._.._......._
Owner...__._.___._....._........................_.._...._.__._...____._...._..............__..__......_................._______.Tenant..._..._____...._____.____......___.....__............._..........
WiringContractor._..______..._.___................__...._...._.................................__.....__._____........._..............By.__..__........................................_..._.........
/'
,NOTICE-CUrrent.must not be turned on untU Certlf1cate ot Inspection haa been issued. It work Is to be COD~
cealed due noUce must be given the Inspector so that work may be inspected betore concealment. ".
"\ '
1M Olympic Printers, Inc. .
01/21/2015 16:50 FAX 360 452 9265 Angeles Electric
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 47-4735 Fax: (360) 417 -4711
Date: //Ar-
* Plan Review May Be Required,
Job Address:
Building Square Foolage:
Description of above
—''7 & 2 Single Family Dwelling
Please Complete Electrical Plan Review Information Sheet
411/`
U0001/0001
C�
–1
i
Owner Info a o
Contractor Info stion
Name;
Name,
Mailing Address: State: laIA
h: 4Z—* p:
mailing Address: � S ,
Cily: isle; 41�F– Zip;
Phone. Fax;
Phone ax;
License # 1 Exp.
Uoense # 1 Exp._
9)IA
Item
Unit Charne Total
fQty Multiplied by Untt Charosl
ServicelFeeder 200 Amp.
$120.00
Service/Feeder 201400 Amp,
$146.00
$
Service/Feeder 401.600 Amp
$ 205,00
$
ServicelFeeder 601.1000 Amp.
$ 262.00
$
ServicelFeeder over 1000 Amp.
$ 373.00
$
Branch Circuit W1 Service Feeder
$ 5100
$
Branch Circuit W10 Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1.4
$ 75.00
$
Temp. Service! Feeder 200 Amp.
$ 93,00
$
Temp. Servlafeeder 201 4100 Amp.
$110,00
$
Temp. Servicefeeder401- 6W Amp,
$149.00
$
Temp. ServicaFeeder601 -1000 Amp .
$168.00
$
Portal to Portal Hourly
$ 96,00
$
Signal Circuit! Limited Energy -1 & 2 Family Dwelling
$ 64.00
$
Manufactured Home Correction
$120,00
$
Renewable Electrical Energy - 5KVA System or Less
$102.00
$
Thermostat
$ 56.00
$
Note: $5.00 for each additional TStat
NM CONURUCTION ONLY:
First 1300 Square Ft,
$120.00
$
Each Additional 50D Square Ft or Portion of
$ 40.00
$
Each Outbuilding or Detached Garage
$ MC0
$
Each Swimming Pool or Mot Tub
$110.00
$
$° Total
Owner as defined by RCW.19.28.261: (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. Permit expires after six months of last inspection.
After reading the above statement, I hereby cedify that
I am the owner of the above named property or a licensed
electrical contractor. l am making
the electrical installation or alteration in compliance with the electrical laws, KIEL,, RCW. Chapter 19.28, WAC. Chapter 296466, The City of Port
Angeles Municipal Code, and Utility Specifications and RAMC 14.05.050 regarding Electrical PermitAppiications,
Signature of owner, electrical contractor orelactricaladministrator: ❑ Cash ❑ creek
mdn cab r
OA/
x
IV
Dated: _
IV
otroa=z
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . . ,
15- 00000561
pate 1/22/15
Application pin number , . ,
071296
DITCH
Property Address . . , , .
120 W 12TH ST
ASSESSOR PARCEL NUMBER;
06 -30 -00 0- 3- 792p -0000-
Applicatio.n type description
ELECTRICAL ONLY
Subdivision Name . , . . . .
Property Use
FINAL]
Property Zoning . . . .
R87 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
Application desc
Breaker replace
Owner
Contractor
- ------- --- -- --- ---- - - --
CLAYTON MURDACH AND BRITTANY D
------------------------
ANGELES ELECTRIC
120 W 12TH ST
524 E. 1ST ST,
PORT ANGELES WA 983627714
PORT ANGELES
WA 9$362
(360) 452 -9264
Permit . , . , , , ELECTRICAL
ALTER RESIDENTIAL
Additional desc ,
Permit Fee 120.00
Plan Check Fee
.00
Issue Date 1/22/15
Valuation , ,
. , 0
Expiration Date. 7/21/15
Qty Unit Charge Per
Extension
1.00 120,0000 ECH . EL -0
-240 SRV FEEDER
120,00
Fee summary Charged
paid Credited
Due
Permit Fee Total. 120100
120.00 00
.00
Plan Check Total .00
.00
Grand Total 120.00
120.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL]
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X Date:
GAEXC.HANGMUILDING
L
d
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . . . 15- 0000DD78 Date 1/30/15
Application pin number . . . 666934
Property Address . . , . . . 120 W 12TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 7920 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . , , .
Property Use . . . . , . . .
Property Zoning . . . . . , . R87 RESDNTL SINGLE FAMILY
Application valuation . . , , 0
Appl-ication deec
2 circuits
owner Contractor
CLAYTON MURDACH AND BRITTANY A OWNER
120 W 12TH ST
PORT ANGELES WA 983627714
Permit , . . . . .
ELECTRICAL ALTER. RESIDENTIAL
DATE:
Additional desc . .
INSPECTOR:
DITCH
Permit Fee . . . .
68,00
Plan Check Fee
00
Issue Date
1/30/15
valuation
0
Expiration Date
7/29/15
25� l �r
Qty Unit Charge
Per
Extension
1.00 5,0000
ECH EL -ECH
ADDNT BRANCH CIRCUIT
5.00
1.00 63,9000
ECH EL -R-
BRANCH CIR WO/ SER FFED
63.00
------- ---------- _-- - - - - --
Fee Summary Charged
-
Paid 'Credited
Due
Permit Fee Total
68.00
68.00 .00
.00
Plan Check Total
00
.00 .00
.00
grand Total
68.00
68.00 00
.00
REPORT SALE'S =TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
25� l �r
FINAL
COMMENTS:
i
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X Date:
G:IEXCHANGEIBUILDING
1
d
C�
RECEIVED
JAN' 3 0 ZU,15 ��4 ra�ir ;yefi
CITY OF PORT ANGELES PERIYIIT APPLICATION LECTRjCAL
Building Division/Electrical Inspections NSPEC'TIONS (�S
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 1/1 z _ 1 & 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: we �- t-h
Bullding Square Footage: 0,-,
Description of above e' n4-,� d
Owner Information Contractor Information
Name:
Name:
Mailing Address: 7 54' Mailing Address;
City: 4nrL r5 State: ?Zip; 9632 - „ -_ City:
State; Zip:
Phone: 912 - 3Z 9• Fax; Phone:
Fax:
License # 1 Exp, License # 1 Exp,
Item _Unit Charge Qtv
Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. $ 120.00
$
ServicelFeeder 201.400 Amp. $146.00
$
ServicelFeeder 401.600 Amp $ 205.00
$
Service /Feeder 601 -1CC0 Amp, $ 262.00
$
Service /Feeder over 1000 Amp. $ 373.00
$
Branch Circuit WI Service Feeder $ 5.00
$
Branch Circuit W10 Service Feeder $ 63.00
Each Additional Branch Circuit $ 5.00 X
$ �3
Branch Circuits 1-4 $ 75,00
$ �.
Temp. Service/ Feeder 200 Amp. $ 93,00
$
Temp. ServicelFeeder201 -400 Amp. $ 110,00
$
Temp. Service /Feeder 401 -600 Amp. $ 149.00
$
Temp, ServicelFeedor 601 -1000 Amp . $168.00
$
Portal to Portal Hourly $ 96,00
$
Signal Circuit] Limited Energy -1 & 2 Family Dwelling $ 64,00
$
Manufactured Home Connection $120,00
$
Renewable Electrical Energy - 5KVA System or Less $ 102,00
$
Thermostat $ 56.00
$
Note; $5,00 for each additional T -Stat
NEW CONSTRUCTION ONLY;
First 1300 Square FL $120.00
$
Each Additional 500 Square Ft. or Portion of $ 40.00
Each Outbuilding or Detached Garage $ 740
$
Each Swimming Pao# or Hot Tub $11000
tl
$
Owner as defined by RCW.19.28,261: (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. Permit expires after six months
of last inspection.
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 installation 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 and PAMC 14.05.050 regarding Electrical Permit Applications,
Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check
t "Credit Card 9
.2 Dated: IL
0 110 1 f2012