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1102 W 12th St - Building
I i RECEIVED CITY OF PORT ANGELES PERMIT APPLICATION P 9 201 � 'IS Building Division/Electrical Inspectiions 321 East Fifth,Street—P.O.Box 1150 i Port Angeles Washington,98362 ELECTRICAL Ph.(360)4417-4735 Fax-(360)417-4711 INSPECTONS Date: ` L Z 1 &2 Single Family Dwelling Plan Review May Be required,Please,Complete Electrical Plan Review Information Sheet Huildlnq Spars Footage: oesconVon of above,, _� m— rn C) _3acE U8 Y.#✓dd✓r< _ wcJc �_ � t.re� --m Owner Information Contractor Information Name: _ Narne:_ n- , `7&.14 Mailing Add Mailing Adlasa: , _cac City,, Slate:,�,; Zip:_� CI J P State:,c,r?!� Zlp;Wiz _ Phone:? i �.� Fax:.._—,r' __ Phone: r� Fax: License#! t loans 3#1 BxP•. ?.lir7'Y �f tom ntt Claa e E t goal f0tv MultIolled au Unit Chalget ServlcelFeeder200Amp, $120.00 Servlee/Feeder 201.490 Amp. $145.00 Service/Feeder 401.600 Amp $206.00 Service7Feeder601-1000 Amp, $202.00 Servic0eeder over 1000 Amp. $373,00 $ _ Branch Clrouit W!Service Feeder $ 5.00 Branch Clrcult WIC Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 ---L— $ Branch Circuits 14 $ 75.00 $� Temp.Service/Feeder 200 Amp, $ 93-00 $_ Temp.Senvlce/Feeder 201.400 Amp. $110,00 $ _ Ternp.5ervlce/Feedor 401.800 Ainp. $149.00 $ Temp.ServloofFeeder 601-1000 Amp. $168.00 Portal to Portal Hourly $ 96100 $. Signal Circuit!Unilted Energy-1&2 Famlly Dwelling $ 64.00 $ �_ Manufactured Horne Connection $120.00 Renea'rable Electrical Energy-5KVA System or Less $102,00 $ Thermostat $ 56.00 Note.$5.O0 for each additlonal T-Stet NEW CON5T' l1EP-N I7NLY: First 1300 Square Ft. $120.00 $� Each Additional 500 Square Ft or Portion of $ 40.00 _ $ Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hat 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 el%trlcat contractor if above Bald property is for sale,rent or leese.Permit expires after six months of last Inspection. After reading the above statement,t Hereby certify that I am#ice owner of the above named property or a licensed electrical contractor.I am malting the electrical installation or alteration in Compliance with the electrical laws,KEG.,RCW.Chapter 19.28,MAC,Chapter 296.468,The City of Port Angeles Municipal Cade,and/Utility Specifications and PAMG 14.06.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: 0 cash © check 1 i.7 Cred€t Card� u !�c! atad + 1, , �,�C_! D11ntf2412 i ,.0 IL ELECTRICAL PERMIT CITY OF PORT ANGELES v"1 360-417-4735 Application Number 1A-00000506 Date 5/08/14 Application pin number 562124 Property Address 1102 W 12TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-30-00-0-3-6900-0000- Application type description ELECTRICAL ONLY O!? your eXC1SL fax form Subdivision Name to the City of Port Angeles Property Use Property Zoning , . , , . . . RS7 RESDNTL SINGLE FAMILY (Location Coda 0502) Application valuation . . . . 0 Application desc Furnace Owner Contractor ------------------------ ---------------- JUSTIN F ELLIS EXTRA MILE TECH & ELECT, , LLC1 115 E RAILROAD AVE STE 301 418 N. RACE ST, PORT ANGELES WA 98362 PORT ANGELES WA 98362 (2.17) 418-3875 ---^` (360) 457-5222 Permit . . , . ._ . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee 68.00 Plan Check Fee 00 Issue Date 5/01/14 Valuation . . . , 0 �^* Expiration Date 11/04/14 pV Qty Unit Charge Per .Extension 1.00 5,0000 ECH EL-ECH ADDNT BRANCH CTRCUIT 5.00 1..00 63,0000 ECH EL-R- BRANCH CIR 790/ SER FEED 63,00 ---__------°_--------------------------- ------ Special Notes and Comments ll April 30, 2014 2;19:59 PM banders, Transformer size is appropriate for this �.n,stallation. , pp P . --- T-F Fee summary Charged Paid Credited Due ---------- --- ------- --------- - ---------- permit Fee Total 68,00 68.00 00 .00 Plan Check Total .00 OD 00 .00 Grand Total 66.00 68,00 .00 00 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 Contractor X Date: G:\EXCHANGE\13UILDTNG .~'~ ~ .~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION J2\ EAST 5TH STREET. PORT ANGELES. WA 98J62 ELECTRICAL PERMIT Issued: 3/12/98 Permit No: 6261 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ WARREN TAYLOR 1102 12TH ST W 303 BROWN RD Lot: 1 Port Angeles, WA 98362 Block: 369' Long Legal:' 360/457-0609 Sub: TPA T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES.REMODEL Prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: RS7 Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 120,240 X Furnace KW: 15 X Overhead Service Diameter: X-I -3 Heat Pump KW: 0 Underground Service Service Size: 200 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT NOTES------------------------------------------------------------------- WIRE GARAGE. REWIRE HOUSE AND INSTALL NEW 200 AMP SERVICE PERMIT FEE $26 GARAGE, SERVICE ALTERATION $57 TOTAL HEAT 15 KW FURNACE IN HOUSE PROJECT FEES ASSESSMENT--------------------------------------------------------- , ,Service: $83.00 Addi~ional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: 'Amount Paid: $83.00 $83.00 --------------------------------- --------------------------------- TOTAL FEE: $83.00 Balance Due: $0.00 COMMENTS! ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEFTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO VI fMudV GENERAL COMMENTS: PW.II02.151~ Application Number . . . . . 23-00000179 Date 2/22/23 Application pin number . . . 668779 Property Address . . . . . . 1102 W 12TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-6900-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Car charger ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JUSTIN E ELLIS JOHNSON ELECTRIC COMPANY 115 E RAILROAD AVE STE 301 3129 S REGENT PORT ANGELES WA 98362 PORT ANGELES WA 98362 (217) 418-3875 (360) 728-4327 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee . . .00 Issue Date . . . . 2/22/23 Valuation . . . . 0 Expiration Date . . 8/21/23 Qty Unit Charge Per Extension BASE FEE 75.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .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 PREPARED 2/21/23,14:35:04 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000179 1102 W 12TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 75.00 TOTAL DUE 75.00 Please present reciept to the cashier with full payment