HomeMy WebLinkAbout209 W 12th St - BuildingApplication Number 08 00001143
Application pin number 296500
Property Address 209 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 4586 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Bathroom and top floor circuits
Owner Contractor
Fisher Sandy
209 W 12TH ST
PORT ANGELES
WA 983627715
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452 9264
Date 9/15/08
WA 98362
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 134221
Permit Fee 46 00 Plan Check Fee 00
Issue Date 9/15/08 Valuation 0
Expiration Date 3/14/09
Qty Unit Charge Per Extension
1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS 46 00
Fee summary Charged Paid Credited Due
Permit Fee Total 46 00 46 00 00 00
Plan Check Total 00 00 00 00
Grand Total 46 00 46 00 00 00
IN SPECTION
TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
ELECTRICAL
RESULTS INSPECTOR
09/10/2008 10 33 FAX 360 452 9265
1(Li 3
Job wired by trilectricalCoutractor O Owner
Electrical contractor name
ANCELES ELECTRIC, ICS.
Purchaser's mail ad es t24 EAST FIRST
City
PORT A r
F�i-� State 1T
Telephone number FAX number
'Premises owner's name
9 FL.S41 2
Address of inspectijgn
City
License number Date Expires
L /9 Z 'Z6
Phone number to schedule inspection•
$"3 -z%
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.
After reading the above statement, I hereby certify that 1 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 ner, electric c• tractor or electrical administrate
X
O LOAD CHANGES
O Baseboard KW
O Furnace KW
0 Heat Pump Ton LAR
Fan -Wall KW
Date: 7
I ri'' llrl,
Angeles Electric 010001 /0001
Overhead Service
Temp Service
O Underground Service
ELECTRICAL WORK PERMIT APPLIC kION
\Installation description 1
Commercial R❑ esidential
New C3Wered/Addition
aeieAd;1 A
411/4)1) 1140 %7
D Cash eck
redit Card visa Mastercard Discover
Card
Expiration Date
of card
Inspection Area, Building or Equipment Inspected Action Taken
Date
(Inslect ion mr>
Service Information
Voltage
Phase 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360- 417 -4735
ROUGH -IN THERMOSTAT SERVICE
Date Approved By Date Approved By Date Approved By
FINAL DITCH FEEDER
Date Approved By Date Approved By Date Approved By
Electrical
Inspector
7E_
(l)
Application Number 07 00001189 Date 10/12/07
Application pin number 766660
Property Address 209 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 4586 0000
Tenant nbr name SANDY FISHER
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 4400
Owner Contractor
SANDRA L FISHER
209 W 12TH ST
PORT ANGELES
(360) 683 2571
Print Name
WA 98363
Permit MECHANICAL PERMIT
Additional desc WOOD BURNING STOVE
Permit pin number 113217
Permit Fee 50 00 Plan Check Fee 00
Issue Date 10/12/07 Valuation 0
Expiration Date 4/09/08
Qty Unit Charge Per
1 00 50 0000 ECH ME WOOD BURNING APPL
Fee summary Charged Paid Credited
Permit Fee Total 50 00 50 00 00 00
Plan Check Total 00 00 00 00
Grand Total 50 00 50 00 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 has 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
constructs
627
Signature of Contractor or Adthorized Agent Signature of Owner (if owner is builder)
T.Forms /Building Division/Building Permit (10/0 1 /07).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
EVERWARM
257151 HWY101
PORT ANGELES
(360) 452 3366
WA 98362
Due
Extension
50 00
v)(7/(c,
BUILDING PERMIT INSPECTION RECORD
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
FOUNDATION•
FOOTINGS
SHEAR WALLS 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
YES I NO
FINAL
COMMENTS
DATE ACCEPTED BY.
FINAL DATE ACCEPTED BY.
0
N
PLANNING DEPT SEPARATE PERMIT ti's SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE E
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED g
YES I NO I (O {1
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W %f
ENGINEERING 417 -4807 PW ENGINEERING 0,
FIRE 417 -4653 I 14 1) I FIRE DEPT
PLANNING DEPT 417 -4750 I r 10 I PLANNING DEPT I I I
BUILDING 417 -4815 I 1 Y 1 I I BUILDING I I I
T Forms /Building Division /Building Permit (10 /OI /07).wpd
SO RI 4
r
Applicant or Agent Ey-e../,_, r�{- rv-
Owner S.d s
Owner's Address p 9
Contractor /Engineer
C ontractor /Engineer's Address 46
License V,ce co 0 g
PROJECT ADDRESS c ,2 9 6.)
Parcel Number Oe.- 3oa b (4,5 e_
Project Type Brief Des
Check all that apply
New Construction
Addition
Remodel
Repair
Re -roof
Demolition
Sign
He t System
ther
Floor Areas
Basement
1st Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
crivtion.
Lu3 v
,(Residential Commercial
Existing (sq. ft.) proposed (sq. ft.)
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
For City Use Only
Date Received 10 (Z O7
Permit C)1- ll 5
Date Approved
Phone tiS Z 3bC
Phone 3CoC) cog3 -�5
P Q—
Phone (1 O _45
10/ Pcy
Expires 6
Lot
,P 9
Zoning
Multi- family o Industrial
wall- mounted projecting freestanding awning o other
Total sign area sq. ft. Maximum allowed sign area sq ft.
Heat pump wood burning stove gas fireplace pellet stove o other
h-s� (°d J w
per sq ft.
TOTAL VALUATION -4'x7 00
sq ft. Lot size sq ft. Lot coverage 4:
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to gun permits prior to working on
projects. 11 C
Date/ 0/' ff 07 Print Name de? JC_7 Signat 1 ,eiy,�/� 2-1G4.
T Forms /Building Division /Bldg Permit Appl. -2006 Code doc
of bedrooms
of full baths
of half baths
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
'Ij!ll O.K. to connect service
~ft Final O.K.
.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. 6lYb7
DATE /,;l/.::7~t?t
ELECTRICAL PERMIT
Site Address:
READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Installed By:
OwnerfBusiness:
Phone:
Sq. Ft.
Owner/Business Address:
14 Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercialllndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
010 03.0"
Service size
o Temporary
Amps
o Add/alter circuits
o Auxiliary power
(list below)
)(Special equipment
(list below)
DetailslDescription:
Rr-d~
(rtAAAJJ ft1~~ ~
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
Site Address:
Permit/Receipt No.
02
New Meters
o
Notify the Depa ent of City Light by Street Address and Permit Number when ready for 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. 158 or EXT. 224.
--r ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / <!) ~
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng. Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
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FEE RECEIPT NUMBER
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CITY OF PORT A~GELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
00017'.l
PERMIT NUMBER
.
TOTAL FEE Is-: {lO V- (, f/oN/ e
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
:J,..D1
co
, 0 lOt (" e
Owner's Address .J. 0'1 uJ , :J.: r- ^--
Day Phone tf ,?-. - ~ I S":J
Application is hereby made for Permit to install Electrical Equipment as. follows:
se I( VI C e
Owner
tv fA'TA..
REel ADDRESS 15 RESPONSIBILITY OF APPLICANT
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By
Insfallers Address
Installers Phone
f<PAt!?.
840
tV Ilfl/v C-.
IN
Wiring Method
PI r'c:..-
.
NUMBER AMP 240V NUMBER AMP 120V 24QV
- USE OF CIRCUIT PEA 120V '"00R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR lESS
'CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR -
DISHWASHER FIAE ALAAMS
DISPOSAL BUAGLAA ALAAM
RANGE MISC.
OVEN
WATER HEATER
lAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE .
-GAS - OIL
FURNACE ENERGY FEE
ELECTRIC . .
BASIC FEE
ELECTRIC HEAT I ~() <J
~ .-- TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT ~a () AMP ( PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE I ;'''0 :J-HJ fl;p~ A.W.G.
- I SUB-TOTAL ICed
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in co
,19 <tJ' 'BY
~ -I s
y --
-,j
."1
Date Application made
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)-
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRECT R OF CITY LIGHT
.
Date Permit Issued J- - / ] ~ r ~
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for cO\lering or ser\lice has been given by Inspector in '
Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WARNING
WHITE - Original CANARY - Duplicate PINK - Triplicate WHITE CARD -Inspector's Report
OLYMPIC PRINTERS, INC.
--. ~- "'"
" ""'.,/
..'. .) \, .
REPORT OF INSPECTOR
.-
. .
~ .;:-:~ ..~
DATE OF VISIT MADE BY REMARKS
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1- /J-7s- I) A O.K. FOR COVERING
,~- 11 - ~5' /;J/ ;. ;Y O.K. TO CONNECT SERVICE
I ')..rn ,
- ~S' l/ FINAL O.K.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nl!
17142
/;2.. _. :?)> > ,?
Port Angeles, Washlngton__ooo__..__ooooooooo_._~...!.....oooooo____ooo_.__.______..., 19_'000,.__
In alX'ordance 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 electrical work as listed below.
Address ____<?:_r?__.1...m..__0!:./).!_(?__?;{~-.--------n---.--n----ooohn--. Occupancy______..___ooo____________________ooo__oooooo__
Owner 1)1fll'~ ~~..';M<'~:::f.ooo__ooo_____ Tenant_ooo___h__h_ooo.._________ooo.___ooo_m__mooo__ooooooooo__ooooooooo
.n-Z1L--~- / ,J
Wiring Co;?t';actor _h_' _ n m.:'~'J.'~~.1:...~--'-----oooooo By_______ooooooooooooooo___.______ooo__.__oooooon_____.._.._._________
Light Outletonn_nmnmnm_mnnn__n_nn.
Service, volts ...._._..._....................__......
No. wires .....__.._.............._..............
Receptacle Outlets......._m..................._
Dryer, KW......._...u.......un__.._.......__..__
Size wires.............._...._.............._..
Range, KW _..__....___n__..u_..____....__n_
Main fuse .......................................
Water Heater:
Enclosure _______m.............__..............
KW......._____u.....____..__._......_u.1.__.._.
. iJo/F--~.
Heat: Kw..................J..~.....I--...........
Motors: size, volts and pliase: :'
Type of wiring:
Entrance Cable ...___mmm_...._........
Rigid Conduit ..m..._............
Metallic Tubing ....m.......__..
Current transformers:
No. & Size......._..............__.u............
Sec. No..................._......._..................
See. No. ............_..................._.___........
See. No......_..........__.............._..__........
Type of Wiring:
Armored Cable .............._____...........
Non.Metallic .........................___._._.
Knob & Tube......................._........_
RIgid Conduit mnmmnnnmnn.n.m
Metallic Tubing ...........................
Raceway ...............................__..._
Circuits, LigbL__._.............................._..
Utility mnn.mnnmmnnnnn_nnnnnn'
Heat .....__...._........._._....._........__
Range ........._..._.....__..._....................
Water Heater ...............................
Motor .............._....._......................._
Dryer.._____.......__...................._.____.._.....
Fucnace ............__...._......'__....._n_.._....
Remark:~ta:__,~~~____-_:._-~.-n.---~-:::-::-::.--:----:::.:::::::.__:_:::::.__...ooo___ooo_oooh__~_~~_~:__::::.:::.:_::-___::::::::::::::::
.....----....-------.-.---------..--...-.-----...-------_____h._.______.___..._______________._____._....__..__.._._..h_.__________..___________._._______.....__..________.__
:~=~~_:~:~:-__::_:_-____:____:.------ooo::~_~~:::~~.~~~_~~:______.------oooh.---ooo::.:_,C[-gll:;1:~:~?L~.~
NOTICE-Current must not be turned on until CertifIcate of Inspection has been issued. If work is to be COD-
cealed, due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
I
~ ELECTRICAL PERMIT N? 17142
Address........n........._._............._...........L...................................-.-..........-._n.._..............................Date..._......-.._.._.._.........._......_......____.L
\ /
Owner......___..........____............_.........._...._._.........._......_........_......................_....._..___......._.Tenant............__.........._......._.....__n._____..........-._._..._..
Wiring Contractor................_........._..........._..............__...._..............................................._..._.......__ By....................._..._...............................n_..
NOTICE-Current must not be turned on until Certtncate of Inspection bas been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be Inspected betore concealment. .
(
1M Olympic Printers, Inc.
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