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Home My WebLink About1228 W 12th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor SAINT BARBARA J 1228 W 12TH ST PORT ANGELES Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total WA 98363 Permit ELECTRICAL NEW RESIDENTIAL Additional desc KIRSCH/ 1000 SF SPEAKER WIRE Permit pin number 83519 Sub Contractor KIRSCH ELECTRIC INC Permit Fee 115 20 Plan Check Fee Issue Date 8/07/06 Valuation Expiration Date 2/03/07 Qty Unit Charge Per Extension 1 00 73 0000 ECH EL R SQFT FIRST 1300 73 00 1 00 42 2000 EL LOW VOLT SYS =2500 SQFT 42 20 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000554 Date 8/07/06 619070 1228 W 12TH ST 06 30 00 0 3 6825 0000 BARBARA JILL SAINT RES REMODEL RS7 RESDNTL SINGLE FAMILY 5000 CARPENTRY BY PITKIN 142 SUNSHINE RD GARDINER WA SEQUIM (360) 797 0012 STATE SURCHARGE 4 50 Charged Paid Credited Due 115 20 115 20 00 00 00 00 4 50 4 50 00 119 70 119 70 00 WA 98382 00 00 00 00 00 0 A I CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. SAL GENERAL COMMENTS: 1 ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO DITCI1 ROUGH -IN COVEk SERVICE COMMENTS PV/-1102.1314/961 pllectrical Contractor Owner 1N. 0 Annual Permit 0 Alarm Carnival Couunercial Job wired by Electrical Contractor Electrical contractor name Kt rs r.h r £k c-c4 r tc.. Purchaser's mailing address PBX 33 9 G City State ZIP SeGrlts"" A- Telephone ntt'mber FAX number lc cf' 1 c l Premises owner's name 1 A .c�c i ✓t4 Address of Inspection Iaak City p 1C�i't Ina. r C Inspection Date TO 3JVd Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW O Heat Pump Ton J LAR Fan -Wall w KW Owner License number I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm a authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 1tCW /Signet ire of owner electrical c ntractor or electrienl administrator WALLS insulation Only CEILING Insulation Only Delo Approved By Dom Approved B Cover Date Approved By Dote Approved By 0 Residential Residential Maint. Signs 0 Thermostat 0 Telecom. (Installation description 1 ELECTRICAL WORK PERMIT APPLICATION r %Request Inspection Dan Overhead Service Temp Service Ci Underground Service Area, Building or Equipment Inspected Cl 11G.S1" 14'1 1 -P S0 -e. k r t. `--I Cash Check Credit Card Visa Mastercard Discover Card Expiration Date of card THERMOSTAT Approved By DITcH Date Approved By Duto Action Taken 7 Inspection fee IM-- aO SERVICE Dote Approval By FEEDER Service Information Voltage Phase 0 1 3 Service Size: Feeder Size: Approved By Electrical Inspector SNI DIa1o3 -13 HSS'I>1 6980E8909E SE TT 9003/LZ/L0 >r' PREPARED 6/01/07 8 28 07 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/01/07 ADDRESS 1228 W 12TH ST SUBDIV TENANT NBR BARBARA JILL SAINT CONTRACTOR CARPENTRY BY PITKIN PHONE (360) 797 0012 OWNER SAINT BARBARA J PHONE PARCEL 06 30 00 0 3 6825 0000 APPL NUMBER 06 00000554 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 8/21/06 JLL BLDG FRAMING TIME 13 00 8/21/06 DA BARBRA 452 5816 08/18/2006 03 55 PM DYASUMUR no answer at door /j11 08/21/2006 03 04 PM JLIERLY BAIR 01 8/28/06 JLL BLDG AIR SEAL 8/28/06 AP 08/28/2006 02 42 PM JLIERLY 08/28/2006 02 42 PM JLIERLY BL3 02 8/28/06 JLL BLDG FRAMING TIME 13 00 8/28/06 AP BARB 452 5816 08/28/2006 08 00 AM DYASUMUR 08/28/2006 02 35 PM JLIERLY BLI 01 10/09/06 JLL BLDG INSULATION TIME 13 00 10/10/06 AP BARBRA 452 5816 10/09/2006 07 55 AM DYASUMUR 10/10/2006 08 58 AM JLIERLY BL99 01 6/01 /07 :L BLDG FINAL TIME 01 00 05/31/2007 10 34 AM LPANGRLE JILL CELL 360 461 4244 HOME 452 5816 BUILDING FINAL AFTERNOON INSPECTION CALL FIRST COMMENTS AND NOTES PREPARED 10/09/06 11 08 53 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS 1228 W 12TH ST TENANT NOR BARBARA JILL SAINT CONTRACTOR CARPENTRY BY PITKIN OWNER SAINT BARBARA J PARCEL 06 30 00 0 3 6825 0000 APPL NUMBER 06 00000554 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 8/21/06 JLL 8/21/06 DA BAIR 01 8/28/06 JLL 8/28/06 AP BL3 02 8/28/06 JLL 8/28/06 AP BLI 01 10/09/06 INSPECTOR JAMES L LIERLY BUILDING FRAMING BARBRA 452 5816 08/18/2006 03 55 PM no answer at door /j11 08/21/2006 03 04 PM BUILDING AIR SEAL 08/28/2006 02 42 08/28/2006 02 42 BUILDING FRAMING BARB 452 5816 08/28/2006 08 00 AM 08/28/2006 02 35 PM BUILDING INSULATION BARBRA 452 5816 10/09/2006 07 55 SUBDIV TIME 13 00 PM JLIERLY PM JLIERLY TIME 13 00 COMMENTS AND NOTES PHONE (360) 797 0012 PHONE DYASUMUR JLIERLY DYASUMUR JLIERLY TIME 13 00 AM DYASUMUR PAGE 7 DATE 10/09/06 PREPARED 8/28/06 9 16 26 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/28/06 ADDRESS 1228 W 12TH ST SUBDIV TENANT NBR BARBARA JILL SAINT CONTRACTOR CARPENTRY BY PITKIN PHONE (360) 797 0012 OWNER SAINT BARBARA J PHONE PARCEL 06 30 00 0 3 6825 0000 APPL NUMBER 06 00000554 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 8/21/06 JLL BUILDING FRAMING TIME 13 00 8/21/06 DA BARBRA 452 5816 08/18/2006 03 55 PM DYASUMUR no answer at door /j11 08/21/2006 03 04 PM JLIERLY BL3 02 8/28/06 J L BUILDING FRAMING TIME 13 00 A BARB 452 5816 08/28/2006 08 00 AM DYASUMUR INSPECTION TICKET PAGE 11 COMMENTS AND NOTES ;11, 9 PREPARED 8/21/06 8 12 54 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS 1228 W 12TH ST SUBDIV TENANT NBR BARBARA JILL SAINT CONTRACTOR CARPENTRY BY PITKIN PHONE (360) 797 0012 OWNER SAINT BARBARA J PHONE PARCEL 06 30 00 0 3 6825 0000 APPL NUMBER 06 00000554 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01/06 Lr.Z L BAIBRING 2RAMING TIME 13 00 BARBRA 452 5816 08/18/2006 03 55 PM DYASUMUR COMMENTS AND NOTES 4,J0 kidiSkiiria- 0 Op PAGE 11 DATE 8/21/06 PORT I M v lac %do Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner SAINT BARBARA J 1228 W 12TH ST PORT ANGELES Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98363 Permit Additional desc Permit pin number 78436 Permit Fee 137 75 Issue Date Expiration Date 12/03/06 Signature of Co ctor or Authorized Agent T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] 06 00000554 619070 1228 W 12TH ST 06 30 00 0 3 6825 0000 BARBARA JILL SAINT RES REMODEL RS7 RESDNTL SINGLE FAMILY 5000 BUILDING PERMIT RESIDENTIAL BASE FEE Contractor CARPENTRY BY PITKIN 142 SUNSHINE RD GARDINER WA SEQUIM (360) 797 0012 Plan Check Fee Valuation Qty Unit Charge Per 3 00 14 0000 THOU BL 2001 25K (14 PER K) Other Fees STATE SURCHARGE Fee summary Charged Paid Credited 137 75 137 75 00 55 10 55 10 00 4 50 4 50 00 197 35 197 35 00 t r Date 6/06/06 WA 98382 55 10 5000 Extension 95 75 42 00 4 50 Due 00 00 00 00 4c. V 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. Date Signature of Owner (if owner is builder) Date 6 r CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT n. 711 1S 1,. ;Mine n■mnt inspection record05.wpd j1/4/2005) BUILDING PERMIT INSPECTION RECORD YES 1 NO FINAL FINAL SEPA. ESA. SHORELINE: 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 1 1 l 1 FIRE DEPT PLANNING DEPT 417-4750 1 1 1 1 PLANNING DEPT BUILDING 417 -4815 1 71" 1-I--- 1 1 BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 1 1 1 1 1 1 1 1 J Applicant or Agent: Phone: Owner 6awleava Address 1 Lam, .1- Architect/En ContractortN PtTKit l Address: City PROJECT ADDRESS t 2 g_ VU 1 I ,FGAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Multi- family Addition Commercial Remodel Repair Sign BRIEF DESCRIPTION OF THE PROJECT 0-6144/oleic, &c4 T. COMMERCIAL/RESIDENTIAL. Occupancy Group No. of Stones: Lot Size: Existing Sq. Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checkhst required? Yes No Other T•\FORMS\B1dgPennitform.wpd Apphcant: Fill out COMPLETELY and in INK. Your application and site plan MUST B I COMPLETE to be accepted for review If von have anv questions, call PERMITS (360) 417 -4815 FAK(360)417 -4711 BUILDING PERMIT APPLICATION Re roof Move G Demolition Other City 0 State License GS SIZE/VALUATION Stove SF /SF arage SF /SF Deck SF /SF TOTAL VALUATION Subdivision. Occupant Load. Proposed Sq Ft. Phone. 5 Zip 9 349 3 Phone: Exp /7 Phone: Zip ZONING Construction Type TOTAL Sq Ft. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CNF-CK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon wntten request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that i must obtain such permits prior to work. Date: FOR OFFIC USE ONLY Date Rec. ./04:r Permit L- ate Approved: ate Issued: 1 00 APPROVALS PLAN BLDG DPWU FIRE. 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By I 1 1 1 Via-Ost uflc- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000142 Date 2/13/03 Property Address ...... 1228 W 12TH ST ASSESSOR PARCEL NUMBER: 0630000368200000 Application description . . . RES NEW SFR Property Zoning ....... Application valuation .... 100000 Owner Contractor THOMAS LUNDERVILLE ETAL OWNER PORT ANGELES WA 983627426 Construction Type ..... TYPE V NON-RATED Occupancy Type ...... SINGLE FAM & CONGREGATES Other struct info ..... NUMBER OF UNITS 1.00 Permit ...... BUILDING PERMIT -RESIDENTIAL Additional desc . . Permit Fee .... 1017.25 Plan Check Fee . . 406.90 Issue Date .... 2/13/03 Valuation .... 100000 ~iration Date . . 8/12/03 Qty Unit Charge Per Extension 50.00 7.0000 THOU BL-50,001-100K (7.00 PER K) 350.00 Permit ...... DRIVEWAY INSTALLATION Permit Fee .... 145.00 Plan Check Fee . . .00 Issue Date .... 2/13/03 Valuation .... 0 Qty Unit Charge Per Extension BASE FEE 145.00 Permit ...... MECHANICA~ pERMIT Additional desc Permit Fee .... 108.60 Plan Check Fee . . .00 Issue Date .... 2/13/03 Valuation .... 0 Expiration Date . . 8/12/03 Qty Unit Charge Per Extension 1.00 14.7000 ECH ME- INSTALL 100- FAU 14.70 5.00 7.2500 EC"A ME-VF/~T FAN 36.25 1.00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 Permit ...... PLUMBING PERMIT Additional desc . . Permit Fee .... 146.00 plan Check Fee . . .00 Issue Date .... 2/13/03 Valuation .... 0 Expiration Date . . 8/12/03 Qt¥ Unit Charge Per Extension BASE FEE 47.00 10.00 7.0000 ECH PL- ~.FIXTURE ON ON~ TRAP 70.00 1.00 7.0000 ECN PL- EA. INSTALL WATER PIPE 7.00 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 give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\ 1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROV1DE A MIN1MUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSUL.4TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE t~ ~ ~ / t~ '2- INSPECTION TYPE I DATE I YEsACCEPTEDI NO COMMENTS FOUNDATION: FOR OFFICIAL USE ONLY: BUILDING PERMIT- APPLICATION The Building Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent: ~/~'~ __ Phone: ~{~O 14{~0 q*~, L~O Owner~ Phone: b'~,~.,~n,4 ~ City~~~l~__ Zip:~[~~ Address: ~ R L~.. Architect/Engineer: ~ Phone: Contractor/'-~aan, aS_ 1.-~ License #.t9~ Exp: Phone: Address: ~ City: Zip:. at b,'" I 0 ZOmNG: PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: ~>~ Block: '~ G ~, Subdivision: ~'r CLALLAM COUNTY PARCEL NUMBER:~,2XZE~-}-~o ~12Ot:E~Credit Card Holder Name: Billing Address: City:, Credit Card #: Exp. Date: VISA MC TYPE OF WORK: SIZE/VALUATION: [] Residential ~qew Constr. [] Re-roof [] Wood-stove /t~ ~'~¢~ SF. ~ $_.~L/t~[-~-~'_/SF. =-$ [] Multi-family [] Addition El Move ~.Garage tt'tt'~[ SF.@$ g6-g~c'~ /SF.=$ [] Commercial [] Remodel [] Demolition [] Deck SF. ~ $ /SF. = [] Repair [] Sign [] TOTAL VALUATION $ BRIE ESCRIPnONO THE OJECT: 5 COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: __ Construction Type:. No. of Stories: '~ Lot Size: '~I~C~C.~ % Lot Coverage:. Existing Lot Coverage: ~ ~ ~roposed Lot Coverage: ! ~'~2~ /sq. ft. = TOTAL LOT COVERAGE: ~ ~ S'~ /sq. fl. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 41%4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the 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 applicant's responsibility to determine what permits are required and to ob~tain ~'~ I ' Applicant~ Date: T:WO RM SXAPPS~B uildin gpermit CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-- [-~ -(~'~ Time Received by /~) ~'/ (phone, person) Location of Work to be inspected t'~ ~ ~) !,~L] t Name of person requesting inspection ~c=Lv'~'~,~ ~--~(~-~_ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. ! '~"~-- Sewer ~F~r~aming Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES~ ~:~/ _. Time By ,,~, Inspected: Date ~--/ "~ Remarks: (~/~'~'~'"~"' ~/, RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # ~] Repaired by Permittee [] COMPLETE [--I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... RDaEtQe ~ Tim e _~)~Z~'"- Received by ~person) Location of Work to be inspected v._.~ . ,' Name of person requesting inspection Address of person requesting inspection Phone No.~~ Type of~rcle appropriate one): Permit No. Sewer j(Fo, u.ndattion~Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~_.]c~_(~ Time By ~'. ~_/ Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel I-]Asphalt []PCC [~]Other [] Repaired by City Work Order # I--I Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE} CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date 2-~ 2~'-~ Time Received by ~) V (phone, person) Location of Work to be inspected [ ~- <~ ~'~ (~ /~-- ~ L7 Name of person requesting inspection -To L4~ Lt.~t.,.-~ ~v~· ~ [{(~ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. J ~ ~- Sewer Foundation Framing Chimney ~umbin~ Final Sewer Excav. Other INSPECTION NOTES: , / Inspected: Date ~) "2~--~ Time__ By /~'~ Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved {~Gravel ~-IAsphalt []PCC ~]Other [] Repaired by City Work Order # [-I Repaired by Permittee L-~ COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-J'~-~ Time Received by ~--~/ (phone, person) Location of Work to be inspected / Name of person requesting inspection Address of person requesting inspection Phone No. x.//~ ~/~ ./~/~/~ Permit No. / </"~. Type of Inspection (circle~N~l~opriate one): Sewer Foundation~Chimney ~.~Final Sewer Excav. Other INSPECTION NOTES: ~ / inspected: Date ~O..~ Time ~"/ '~/ B~-.~ Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel []Asphalt r~PCC [~Other ~} Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE icontinue on reverse side if necessary) STREET SUPERINTENDENT {DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /~-- ~ '7'~ D..~ Time Received by ~ ~/ (phone, person) Location of Work to be inspected [~_ ~ (.xt~ t~ Name of person requesting inspection '-~Jl.o Address of person requesting inspection Phone No. ~/.~0 Type of Inspection (circle appropriate one): Permit No, i ~. ~ . Sewer Foundation~n~i~.~ Chimney ~ Final Sewer Excav. Other ~, INSPECTION NOTES: '~'~ ~ ~ Inspected: Date Time By Remarks: RESTORATION REQUIRED ...... YES_ NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel []Asphalt [~PCC []Other [] Repaired by City Work Order # ~-1 Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 A~plication Number ..... 03-00000147 Date 2/21/03 Property Address ...... 1228 W 12TE ST ASSESSOR P~C~L NLg~BER: 06300D0368200000 Application description . . . ELECTRICAL ONLY Property Zoning ....... ADplication valuation .... 0 Owner Contractor THOMAS LUNDERVILLE ETAL SHAMP ELECTRICAL CONTRACTING 3812 OBEIEN Pd3 PO BOX 383 PORT ANGELES WA 983627426 PORT ANGELES WA 98362 {360) 452-1689 Permit ...... ELECTRICAL TEMPORARY SERVICE Additional desc . . Permit Fee .... 46.70 Plan Check Fee . . .00 Issue Date .... 2/21/03 Valuation .... 0 Expiration Date . . 8/20/03 Qty Unit Charge Per Extension 1.00 46.7000 ECE EL-T~MP SRV - 0-100 SRV FDR 46.70 Fee s%unm&ry Charged Paid Credited Due Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 --'~ Oro~d Total 46.70 46.70 .00 .00 Q~ Separate Permits are required for electricalwork, SEPA, Shoreline, ESA, ufil[ties, 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 [ have read and examined this application and know the same to be true and correct. Alt provisions of taws 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. I 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 MINIMUM 24 HOUR NOTICE. IT1S UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY ffORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I YEsACCEPTEDI NO COMMENTS FOUNDATION; FOOTINGS WALLS FOUNDATION DRAINAGE STORM 02/14/2003 03:31 13504521589 SHAr~p ELEC PAGE Bl j! ELECTRICAL PERMIT APPLICATION The Electrical Permit Application must be filled aut comol~telv. PI a.. type or reprint In ink. If you have any questions, plea.. oall (360, 41704735 I Fax numDer: (aGO) 417-4711 ! rOR OfFICI,\I, ;.;5-1'. Q:'i:'" '( [J;j(cIRt:c': .-.--t--i::::I"'9-- Pml1ll .. _~../__....{.. "'/-- D:llc Aprr;"o~J,__ !)~T~ \~"'l~.I: J\ <," F Owner or Elec, Contractor Agenl:~'~''''N t', :>;~An'p ~l.<'<..T1l-K.'I-\. P,opertyOwner: 77IPnr/'!:.<s' I I.iUV<YifI/II./.t:- Address: I __City: .-. ~ J._,. _ ro J"'''-'-~'''(,- IDC;. Electrical Contractor:~,",~M.f' c:\".l;;;......\'~ "'"-0( ...~. Address: l~, :;;~j<. .3"'...;. I INSTALLATION WIRED BY: ::1 bWNEA Credit Card Holder Name: ! S'rtrEw...~ i '!!i- Billing Address: '1 { (:) t.>i , <:> ";"'- I , CredIt Card Number:tf~ ~lloc;;l- 'Z-g,'Z'{~.1 ( ----n~ ' -r,\ -.;;. : 8 \.,J"., 12.'- ') Phone: REQUEST INSPECTION CJ 4~?-' (,Rq Fax: 1.(52.-/489 PhO&E~_.yw..'9.;z'l Exp: 1S3 Zip: Phone: 1/5"~- (bI1 Zip: 't'i.3b~ 5i1....."f' ;;c {:.-~3 fb'~ Llcunse #: City: Po__ k,ys"'t.&L<: XELECTRICAL CONTRACTOR SftA-1'-f "-'.,tor City: P"a___ A""hn",-;s; Exp. Date:_...IJ /63 \J4 Zip! 9'5>.1G VISA:LMC PROJECT ADORESS: ~'NO Dr- A I.t?" (jF.!i"'J.!) TYPE OF WORK: Chec allt at app y: : ' New [] Alteration/Addition 'f Residental:J MUlti-familY! - [J Commercial C Mobile Home Sq. Ft. :: Remote Meter ~ DetachJd garage CJ Hot Tub [] Swim Pool 0 Septic Pump 0 Low Voltag@[] T~I"r.1'lm, n N'Jmber of Circuits added or a,terld: I - DESCRIPTION OF THE ELECTRICAL PROJECT: <:l"~ ~ Ie""'" r $'';''''-,.-.1'-- Ie",/' M<.lr<[)/'r'-l___ Sc!.J.. LA^, tdSP,='7:T I --16- I l$_ 4:(" ~ :V6'MP P~v>ea... 'Electrical Heat Load Addltio~s I I I I I PAMe 14.05,060(8): For industrial, commerCial. & residential projects larger than a duplex. a one - line drawing of the Electrical Service Feeders, building size (sq, ft,), Idd oalculations, and the type & of conductors andlor raceway is required and shall aocompany the Electrlo"1 Permil application, I I hereby certify fhat I have rkad and examined this application and know that same to be true and correct, and I 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 lapplicants responsibility to determine what permits are required and to obtain such. e,.J"" Hold'" SO""',,, ~ 5)1 ~-:1:J' , . Date: t -1"/--<13 I ,r-? I' t ~:I' ~14- C; Own~r or EIClC, Cont, Signature:, _# ~ '-- Date: <- - pW.9019 n. au:- C~ ~/8)?5 Pc~~~ C>t,/ ---(Uf.Z ()/H. lli(-.'y:-' ., ' Service Information O'BBsehaard o Furnace CJ HE::i;:l\ Pump D Fan-Wall ---'-':KW -~ _KW _KW If: Overhead S~rvice -', T.mp Service o Underground Service Voltage: iI" Z..'fQ Phase: ' 1 0 3 Service ize: '-<fl 4.'1 Feeder Size: /~ ~. REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE ELECTRICAL, PERMIT DATE: CITY OF PORT ANGELES INSPECTOR-- NSPECTORDITCH 360-417-4735 Application Number 16-00000609 Date 4/29/16 Application pin number 341.180 Property Address 1228 W 12TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -6825 -0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . . . . .. RS7 RESDNTL SINGLE FAMILY Application valuation . . . , 0 Appl a..crat.r.orr. de,sc , E.i..ectri. cai i.epa:a'.r: Owner Contractor SAINT, BARBARA J. EXTRA MILE TECH & ELECT., LLC 1228 W 12TH ST. 418 N. RACE ST. PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 457-5222 Peraii.t ELECTRICAL ALTER RESIDENTIAL Add.i..t.:i..ona]. de vc Peicad.t Fee 6:3.00 Plan Check Fee 00 Issue Date 4/28/:16 Valuation . . , 0 14" xp:.i..rat:.ica Date: 1.(:)/25/1.6 Qty i'J t Ch.arge Per EnLen.s:i.on 1.. 00 63 . 0000 E(" H EL -R. BRANCH H C.11:I.. W0/ SER FEED Era , 00 Fee summary Cha xg(,,cd. Paid Credited I:)ue Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 Grand Total 63.00 63.00 .00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR-- NSPECTORDITCH DITCH SERVICE ROUGH -IN FINAL COMMENTS: _. PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X_ w ... Date: GAEXCHANGEWILDING ""ITIT NE Cure- o F P4B.T ANGELES PERmcr ArrucATION Building Division/Electrical lospedions i 321 East FM Street— P.O. Bog 11501 Port Angeles Washington, 98362 Ph: (360) 417-4735 Fag: (360) 4174711 Date: --- !� 1 & 2 Single Family Dwelling * Plan Review Ma Be Required, Plea �o tplete F -le " Plan Review I'nforrnation Sheet Job Address: °� _ .a Building SquareF e: A _. Description of above _ E/. zz ° � :)]E=L � Owner In an MaRins Addressor City: 5tatew 1� 2tt Fat Ucense#/EYD,, Item Service/Feeder-200 Amp. Service/Feeder 201-000 Amp. Service/Feeder401-600 Amp ServlcelFeeder 601-1000 Amp_ Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circul Branch Circuits 1-4 Temp_ Servicef Feeder 200 Amp_ Temp. Service/Feeder 201.400 Amp. Temp. ServlceFteder401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Signal Circuit/ Limited Energy -1 & 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy -5KVA System or Less Thermostat Unit Charne $120.00 $146.00 $ 205.00 $ 26200 $ 373.00 $ 5.00 $ 63.00 $ 5.00 $ 75.00 $ 93.00 $110.00 $149.00 $168.00 $ 96.00 $ 64.00 $120.00 $10200 $ 56.00 Note: $5.00 for each additional T-Stat NEW CONSTRUC9940h1L :. First 1300 Squats FL $120.00 Each Additional 500 Square FL or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110.00 Mira Marna Contractor n o Mallin Address Q ....__.n Cityw Sete: +ice ix Phoarv., _. Lirrse/ Carp„, ” Total Ift ulii�led k Unit Chamel $ ........... . 3 $ $ $ $ $ $23— Total Owner as defined by RCW.19.28.261_ (1) Owner mll occupy the structure for two years after this electrical permit is firiafized. (2) Owner IS required to hire an electrical contractorif above said property is for sale, rentor lease. Permit expires after sk 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. l am making the electlical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Part Angeles Municipal Code, and utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator. ❑ cao ❑ cm* r IS Application Number . . . . . 23-00001276 Date 12/05/23 Application pin number . . . 064168 Property Address . . . . . . 1228 W 12TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-6825-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Car Charger ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NED HAMMAR AND LISSA LUBINSKI EXTRA MILE TECH & ELECT., LLC 1228 W 12TH ST. 418 N. RACE ST. PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 670-5064 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 12/05/23 Valuation . . . . 0 Expiration Date . . 6/02/24 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot 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 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- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 12/06/2023 23-1276 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 1228 W 12th St Application Number . . . . . 23-00001148 Date 10/25/23 Application pin number . . . 974264 Property Address . . . . . . 1228 W 12TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-6825-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NED HAMMAR AND LISSA LUBINSKI BLACK DIAMOND ELECTRICAL CONTR 1228 W 12TH ST. 502 BLACK DIAMOND RD PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 670-5064 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 10/25/23 Valuation . . . . 0 Expiration Date . . 4/22/24 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot 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 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- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD