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Home My WebLink About1111 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 ARAND DAVID VIRGINIA 1111 W 12TH ST PORT ANGELES (360) 417 8171 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 7 00 3 0500 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total WA 983637033 Per BASE FEE HND BL -501 2K Charged Paid 71 35 00 4 50 75 85 T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000567 711910 1111 W 12TH ST 06 30 00 0 3 5480 0000 DAVID VIRGINIA ARAND RE ROOF RS7 RESDNTL SINGLE FAMILY 1200 OWNER Signature of Contractor or Authorized Agent Date BUILDING PERMIT NO PR FEE HOUSE GARAGE 102293 71 35 Plan Check Fee 00 5/21/07 Valuation 1200 11/17/07 STATE SURCHARGE 71 35 00 4 50 75 85 (3 05 PER C) Credited 00 00 00 00 Date 5/21/07 Extension 50 00 21 35 4 50 Due 00 00 00 00 brittcw-el fO2- o Signature of Owner (if owner is builder) 5e/ o-> Date 0 -J Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes 0 null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned 0 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 CALL 417 -481D FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE k MINIMUM 24 HOUR NOTICE. IT'S UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK _BEFORE INSPECTED 4ND 4 CCEPTED. POST PERMIT IN 4 CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /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 ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 1 PLANNING DEPT 417 -4750 I e^, I BUILDING 417 -4815 C T \Policies \1102 15 building permit inspection record05.wpd (1/4/20051 BUILDING PERMIT INSPECTION RECORD DATE ACCEPTED YES NO FINAL FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED I YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT I BUILDING COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. Applicant or Agent. D..4 v2.4 Vs,e6m.vi.4 f+.4 a.0 Phone 36 o Y/7 fe/ 7 Owner S4-44.E Phone. Address. Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 1 W /z TN Ss. BUILDING PERMIT APPLICATION Architect/Engineer /v /4 Phone: Contractor A//// State License Exp Phone: Address: City Zip PROJECT ADDRESS //O w /2, ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. SIZE/VALUATION Residential New Constr X -roof Stove Z40d SF /SF 200 Multi family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION BRIEF DESCRIPTION OF THE PROJECT _fi° A' 4..., do4 ch,� ea, 0 i P n P a)Cis�. '[.[00Se., 6 Soo s a COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type: No. of Stories: Lot Size: Existing Sq Ft. Proposed Sq Ft. TOTAL Sq Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other City /3 r /�..vmFCA 5 Zip y8 3f 3 FOR OFFICIAL USE ONLY Date Rec. n 5 -z o 7 Permit C 5 Co Date Approved: 0 S-2-1 Date Issued: C) —Z APPROVALS PLAN BLDG DPWU FIRE. OTHER 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 CHECK 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 written 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 have read and examined this application and know the same 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 not the City's, and that I must obtain such permits prior to work. T•\FORMS\BldgPermitform.wpd Applicant: I 1 Date: s 2 7 U 7 1PLUMBING TRAPS WATER HEATER. SEWER. WATER: QFF;I:gEOSRI Ls µy f j 'MECHANICAL. VENTS FURNACE. GAS FIREPLACE. IWOOD FIREPLACE /STOVE. MECH APPLIANCE. . Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. 18~L;- 7/7/'1 tf ELECTRICALPERMI-Tl DATE ~"'. I 2/11 . eLcTn.t L- o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. 'rfi; Residential 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 o Remodel o Service update/alter/repair ~ Add/alter circuits '0 Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground Voltage 01003.0 Service size o Temporary Amps DetailslDescription: AJ(ttt/ ./h-rruJJ .4-00 l, ~ iJJ< . W.S. No. Service Capacity: 0 O.K, 0 Not O,K. o Ditch inspection O,K. o Rough-in/cover O.K. ~ ~i'rK. to connect service ~nal O.K. 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: /1/1 t;f. '271. /foT TW3 Permit/Receipt No. 18 b s- 1i Installer: New Meters o . I. . $1'"'10/ Av ) I L Notify the Department 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. M.J-. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT I Z05f9.. Inspector Amount pald WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt! 16920 Port Angeles, washlngtonm......_z..:Lt~._m._=........_._.m_m, 19..:-:..7 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- :::::: i~_/L~L:Z:;gl-=-O~~.-:~.~::~.~:..~~.lO:~cupancy------,~-'_~~......_.__._.__..... ~::~ ~-~:~fc~~lz~;;l{fi::t:f6.;;:;~-~~::~~;:::::::::::::..~.....~~:::::::::=::::::::::::::::::=::::::::::::::::::: Light outlets....______________________....:________. . Service, volts ___I-if.:~!?!!._t?. Type of Wiring: .3 No wires 'r Armored Cable ..n.n__mm_............_ Si . I ----.~--'"jJI~-- ----.;:t-i------ Non-Metallic ----.-------..--.-......--...---- ze w res.....i. .... . ....._00_......___ o A- Knob & Tube__....n___....................._ Main fuse _____ ____________.__.._____.'_________ S Enclosure mm-_.m__n.m__n___._.m....__. Receptacle Outlets...._____mnmm_m....... Dryer, KW.....h.._._...____.__n__n__nn_n____. Range, KW _n..nnn____n_______n_____n___._.___ Water Heater: KW_......._____._m_mm______m____ Type of wiring: Entrance Cable ......._h......'...... Heat: KW.....nn___.....n_._.....nn...n_n__.__ Motors: size, volts and phase: Rigid Conduit ......._.._......_____....m.. MetallIc Tubing ....b..................... Current transformers: No. & Size.n_.___....n..n__..._........._.___. Ser. NO.._.._.....__n.._....___.n........n__..._.. Ser. No.............................................. Ser. No...-.....--..-................................. Rigid Conduit .........______.__________..... blet.lIlc Tubing ___________.......__....... Raceway .........._......._...._......_.__._ Circuits, Light................________._._.___....___ Utllity.______................___...______________. I-Ieat .._.........................._........._...... Range ....._..._._......_________.b__............. Water Heater ___...______mnn............ Motor ..._.....___...____.___................__._.. Dryer ..............--.-...-....--------..-...-.....-- Furnace _.._.._..................._......_........._. Remark:~t~:__:~~__.~::;,:;:~:JJ.g~::~~;.~;_-_:.____~__~~~?;~.mmmmmm.~:~.~:__~:__-__.~.:~.:.-.:::~::~::~::~:: -:i_=.~~_.~:~....-._____.-__..._...--.---------::~.::...:~.~:~~~...~..~~~--------..------.::-..::7ll..:t!.t/i2~::Z--__ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- 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 ELECTRICAL PERMIT " ~ N? 16920 Address._.___..__........._.................._.___.___......__....._........_..............._...__....._...__.__.._...__._....................Date..._......____.._.._.........._......_......_......... Owner ..........n....._nn___.n__________......___......_......_.._........._00_.....0000.0000......_..................0000... Tenant_unn._..........._.._.n.nn.._nn_n_nn___..._n_nn._..___ ~\ WiringContractor_______________.__........._.........._...................._......................_......_______._____..___._.._...._....By.._.._..__..._.____........................................... , NOTICE-Current must not be turned on until CertifIcate of Inspection has been issued. If work Is to be con- cealed due notice must be given the Inspector so t\'at work may be inspected before concealment. ,-' I . 1M Olympic Printers, I~c. . ( 1 CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT NI! 16882 r:, - / j? >9' Port Angeles, Washington_______________________.____________..___________._________, 19_______ 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 herebwnted to do electrical work as listed below. Address u..!.puu_______0!..z:;{;'"i2~<<__---nuu---n--m-----u---- Occupancymmn__.Lc..___Lmuu_____uu______ ~:::~-:::~~~~~::::::::::::un~~:~~~;::::::::::::::-~~~-~~:::::::::~::::::::::::::::::=::::::::~::::::::: Light Outlets..............................._......... Service, volts ..!..i>'.0../../?..VQ Type of Wiring: R t I 0 tl t No. wires ......3.....~.. ....----;;JJ...m.. Armored Cable .....___m.....__............ ecep ac e u e s.______.......____............. ~ Size wlres..;;;....y;----ao.....--A.... .. Non-MetBlllc ............--..........-.......- Dryer, KW _........n.........nn..h.__ Od"'l Knob & Tube........m............mn...... Main fuse .........C-~..............__.. So Enclosure h.......m.____m.h.....__..mm. Range, KW....n...............__....__. Water Heater: KW.mm..n..m.mmn. Type of wiring: Entrance Cable ...m__.............. Heat: KW.hh......................____n__...... Motors: size. volts and phase: Rigid Conduit .h.hh.....m............... Metallic Tubing ........____m............ Current transformers: No. & Size............................__......... Ser. No..........-........--...................--...., \ Ser. No. .........--...............--..........-.--.-. Ser. No........__............_..............__....._.. RIgid Conduit _...._........_............____ Metallic Tubing ..n.........m........... Raceway ...._..........................__..._ Circuits, Light.............._..............__.._.... Utility ..........__.............._._.__.........____ I-Ieat .......................................-..-- Range ............................................. Water Heater ............m................ Motor ...................._........................ Dryer..............................................__ Furnace .........................'_................... Total Load____.__________.n...__...... Ser. No. ......__n._n..._.._.....................n Total ..........-............................ ~~=~~~~:___::::::::::::~~~:=::~~:::::::::~~:~=~a::::::::::::::::::::::=:=:=::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: m________m___u____mnn___UU___m____mm_m___m_________mm__mmU_____u_uu___m__m__n_______uuuu_________umn____m__u___u_________u__d :.~_::_~_:::m________________ ::~_~_~:__~_~_~:~~~________ By _9{i__&lt:..-L~~,~-1_. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con. 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 ELECTRICAL PERMIT '-......... N? 16882 Address ..................._...__...__.....n.._........__..................__......__.....__n................................................ Date..._......__._.._.._.........._......_......____n__.. Owner..................................._......_.._......_......_.._.............._.............................._............Tenant...................................._............................... WiringContractor........_..........__..._._._............_........_......................_...._...._......................................By.._._....._.................................._................ \ NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. If work 4s to be con- ~ cealed due notice must be given the Inspector so that work may be Inspected before concealment. 1M Olympic Printers, Inc. ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: DHP NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 7/21/2022 22-48 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 1111 w 12th St