HomeMy WebLinkAbout2216 W 12th St - Building CITY OF PORT ANGELES
PUBLIC WORKS BUILDING DIVISION
~ 321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 3/01/2002 PERMIT NO: 13257
OWNER/APPLICANT PROPERTY LOCATION
STEVE SAIZ 2216 12TH ST W
2216 W 12TH STREET Lot: 5
Port Angeles, WA 98363 Block: [] Long Legal
360/452-2387 Subdivision: HIGHLAND HILLS DIV. 1
T: S: Parcel No: 063001540050000
CONTRACTOR ARCHITECT
ALL WEATHER HEATING & COOLING N/A
302 KEMP STREET
PORT ANGELES, WA 00009-8362 , 98360-0000
360/452-9813 360/000-0000
PROJECT INFO
Project Value: $2,135.00 SFD Units: 0 Commercial: 0
Project Type: LP GAS / APPL SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0 ~--
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
LP FIREPLACE, GAS LINE, TANK
RECEIPT#8791
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $35.00
Plumbing: $35.00 AMOUNT PAID: $35.00
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 period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection, t hereby certify that I have read and examined this application and know the same to be true and correct. All provisions ot
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does no1
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
S)~ure of con,s{or or~ul~rized A~e~- - /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. ITIS UNLAWFUL TO COVER,
1NSUI,/iTE OR CONCEAl./iNY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LtNE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS I
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATEP~LINE / METER
SEWER CONNECTION
SANITARY
STOR3M
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIREB PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTP. ICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 41%4653 FIRE DEPT.
PLANNING DEPT. 417-4750 ~/~ // ~)t~/t' PLANNING DEPT.
BUILDING 417-4815 /~ f/0 2-- 7~'?~d/ BUILDING
C:~APPL.WPD
FDOf~ ; ALL tJEATHER HEATING & COOLING FF~X NO, : 360 452 5177 Mar. 81 2~2 ~3:5~PM P2
.~ ~ FOR O~IC~L USE ONbY:
~ ~.: .....
BUILDING PERMIT - APPLICATION
~ BulJd~ng Pe~i~ - ~e~plica~on ~u~ ~ f~ em
~ease ~ or print in ink If you have any qu~ns, ple~e call
~t~~: ....... Phone: _ ..
. ,,, ,,
LEG~ ~ON: ~t: Blob: .... Sub~visi~
C~CO~ P~L ~: ~lt Cm~ ~M~
Ci~xp. ~t~ , .,
C~ C~d ~: ....... ~A MC
TYPE OF WORK: Ss~,~ALUATION:
~ Reaiden~al c~ N~ C~U, o R~mof a Woo~Wve , SP. ~ $ /SF. = $ .....
O R~ ~ Sign ' ~ TOT~ VALUA~OH $~
~O~RC~R~: ~P~CY~; . Oc0upanlLoad: __Co~c~onT~e;
No, of Swill: Lot S~: . % L~ Corms: ,, % .
~s~g Lot Cov~age: /sq. ~ + ~S~ Lm ~v~age: '/sq, fl- ~ ~T~ ~T ~VE~E: [~.fl
No~s: , B~G.
, DPW
r~i~, ~ Buil~ Di~ c~ pm~ y~ ~ mo~ de~ ~o~ aa ~ a~U~o~ ~d plun ~ ~n~, Yo~
c~p~t~ a~Ucadoa, ~m pl~ (for ~o~) ~d b~ co~g~ pl~ ~ to be su~ ro ~ ~uU~ Di~ion.
V~UA~ON OF CONS~UC~ON: lu ~ ~ a v~ua~n ~t m~ ~ enter~ by ~e a~lic~t. ~ ~ ~!1 ~ ~d
~ ~y ~ ~v~ed by ~ B~ Di~ion ~ c~ ~ ~t fee sche~s, C~t ~e P~t C~ at 417~815 for ~e~i~.
~ f~s ~e ~e a ~e ~e of ~t i~ce.
E~ON OF PL~ ~W: If no p~t is issued wi~ 180 diys of ~ ~te of applio~m ~ .ap~ou ~ e~e. ~e
BuilAi~g Offi~l c~ ~n~ ~e ~ f~ action ~y ~ app~i~l ~ ~o i~ ia~ up~ ~ ~que~ by te a~lic~t (se ~e~on 107 A of
~e Udfo~ Builaln~ Code, cm,~t e~on). No a~lica~on ~n be exeut~ m~e ~u once.
[ te~e~ ce~ that ] ~ ~ead and ~ined ~ ~plication and ~o~ ~he ~ame w be ~e ~d co.ct, o~d I ~ ~iho~d ~ a~ply for
th~ pe~it. I understand f'I tv not the Ci~'~ legaI ~pon~ibili~ to ddte~e what pe~i~ are r~uire~; it rema~ l~e a~lican~s
T:~O~S~PPg~uildin~it , ~-- ~ - ~ t
'.'
Site Address:
Installed By:
Owner/Business:
pf Residential ."- f(j
Heat KW ?;u V
1-Baseboard .0 FUrnaC!l/~er
~eatPump I50t Other t<J .
o Commerciam;dustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
DetailslDescription:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. dJ1 3 &
DATE /f.) ~ 9' -0/ ()
ELECTRICAL PERMIT
READY FOR
Phone:
Sq. Ft.
Ii New Construction
'6' Remodel
o Service update/alter/repair
o Overhead
J1( Underground
Voltage
~10 03.0
Service size ~(J
o Temporary
o Add/aiter circuits
o Auxiliary power
(iist below)
o Special equipment
(list beiow)
Amps
e.
Notify the Department of City Light by Street Address and Permit Number when ready lor inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. ~.JXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT #, i>O EZ--
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
~ ~ Rough-in/cover O.K.
~ O.K. to connect service
~ Final O.K.
Site Address:
l<.J
Installer:
.
OLYMPIC PRINTERS. INC.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
'c}-Ul
-/ ,,' .
- I-C c::r:
Date:
/O~r~9'v
New Meters
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000305 Date 3/09/18
Application pin number . . . 357905
Property Address . . . . . . 2216 W 12TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -01 -5 -4 -0050 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
-----------------------------------------------------------------------------
Application desc
Ductless Heat Pump
----------------------------------------------------------------------------
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Owner
Contractor
------------------------
SAIZ STEVEN/AMANDA L
------------------------
EXTRA MILE TECH & ELECT., LLC
217 W 6TH ST
418 N. RACE ST.
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
(360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . .
ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . .
68.00
Plan Check Fee
.00
Issue Date . . . .
3/09/18
Valuation . . . .
0
Expiration Date . .
9/05/18
Qty Unit Charge
Per
Extension
1.00 5.0000
ECH EL-ECH ADDNT BRANCH CIRCUIT
5.00
1.00 63.0000
BCH EL -R-
BRANCH CIR WO/ SER FEED
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
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
DATE: RESULTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
fly
1
s
INSPECTOR:
r'
Date:
I - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities I)epartment
321 F.. 5th Street, Port Angeles, WA 98362
360.417.4735 ( www.cityofpa.us I electricalpermits(a,cityofpa.us
Project Address:t (I �% S k 11 k r` S j
Project Description: it-; 2 v) C2 '4.J',A( rc � -a v �� l 4 S s l-�r�a�. � �
[fid' Single -Family Residential ❑ Duplex / ARU Building Square footage:
OWNER •' a
Name: S it o J'e c' i -Z Email:
♦e
,In
Ll
Mailing Address: 3, -1 -, G, LJ 2 i
1 �` '^ �' h ti� r
Phone: C-• o - -4 S 7 - v S?l 7
ELECTRICAL
CONTRACTOR INFORMATION
Name: x pre ;A
i� 1 e c.} -rt t < < . \
license: �Fx Agra m 7- i 7 3/x 6,
Mailing Address: t -), 13 a;.: -3 t X -1
Expiration Date: '� `�'� " `l -e F 1 '4 4''-' 't c
Email: z .7 Fx w ,r1 i ( e t ' C) i x r" ,n A
�,� i f
Phone: 14 - '-1 L J - 13 7
u
PROJECT
i
SJnit Charag rQLnuft
IgW (C mnfJ'ty 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 I
$
Each Additional Branch Circuit
$5.00 (
$ "
Branch Circuits 1-4
$75.00
$
Temp. ServicelFeeder 200 Amp.
$9300
$
Temp. Service/Feeder 201-400 Amp.
$110.00
$
Temp. Servioe/Feeder 401-600 Amp.
$149.00
$
Temp. Service/Feeder 601-1000 Amp
$168.00
$
Portal to Portal Hourly
$96.00
$
Signal Circuitllimited Energy -1&2 DU.
$64.00
$
Manufactured Home Connection
$120.00
$
Renewable Elec. Energy: 5KVA System or less
$102.00
$
Thermostat (Note: $5 for each additional)
$56.00
$
First 1300 Square Feet
$120.00
$
Each Additional 500 square Leet-
$40.00
$
Each Outbuilding I Detached Garage
$74.00
$
Each SvATw ing Pool / Hct Tub
5110.00
$
TOTAL.
$
Owner as defined by RCW.19.28261: (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 1 am the owner of the above named property or a licensed electrical contractor. 1
am malting the electrical installation or alteration in compliance with the electrical laws, N.E.C_, RCW. Chapter 19.28, WAC. Chapter 296-
466, The City of Port Angeles Municipal Code, and Utility Specifications^s` and
.PAMfiC_' 1�4.(0�[5.050 regarding Electrical Permit Applications.
S�111�'^ c.
Date Print Name Signature (C] Owner Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa us or faxed to 360.417.4711]