HomeMy WebLinkAbout1421 W 12th St - Building Electrical Permit
1421 W 12`h St
12 -335
ELECTRICAL PERMIT y
CITY OF BORT ANGELES
360-417-4735
cpc
Application Number . . . . . 12-00000335 Date 3/22/12
Application pin number . . . 326335
Property Address . . . . . . 1421 W 12TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5770-0000- on our excise tax form y
Application type description ELECTRICAL ONLY y 1
Subdivision Name . . . . . . to the City of Port Angeles
Property use . . . . . . (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Demand response no fee per Larry Dunbar
-----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GARNER RED ELK OLYMPIC ELECTRIC CO INC
1421 W 12TH ST 4230 TUMWATER �.1..
PORT ANGELES WA 983635515 PORT ANGELES WA 98363 1
(360) 457-S303
-------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL ^=+
Additional desc . . DEMAND RESPONSE NO FEE PER LAR
Permit Fee . . . . .00 Plan Check Fee .00
Issue Date . . . . 3/22/12 Valuation 0
Expiration Date . . 9/18/12
---------------------------------------------------------------=------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
! V
V
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL N 1t,5
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
03/21/2012 15:09 FAX 360 452 3498 Olympic Electric Co. + PA CITY INSPECT 19006/007
�+ a
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections °^''" 2 (R
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362i ill!^;`:'_ �'1
Ph: (360)417-4735 Fax: (360)417-4711 ENSPECTI ._
Date: 0312112012 ❑� 1 &2 Single Family Dwelling
Plan Review May Be Required, Please Comte Electrical Plan Review Information Sheet
Job Address; 1121 w 12T116T /4 _I W Ir
Building Square Footage:
Description of above DEMAND RESPONSE UNIT FOR WATER NEATER
Owner Information Contractor Information
Name: DARNER RED ELK Name; OLYMPIC ELECTRIC
Meiling Address: IA21 w 12TH 9T Malling AddreSS: 4230 TUMWATER TF1UCK ROUTE
City: PORT ANOftES State: INA Zip' 911363 City. PORTANDELES State: WA Zip: 00303
Phone:4a2.01oe Fax: Ph,/one:mornsm3 Fox: 330.482.3480
License#I Exp. license#I Exp.OLYMPECH501
Item Unit Charge gyt Total Qj Multi lied by Unit Charge)
Service/Feeder 200 Amp. $120,00 $
Service/Feeder 201400 Amp. $145.00 $
Servlce/Feeder 401.600 Amp $205.00 $
Service/Feeder 601.1000 Amp. $262.00 $
ServicelFe eider over 1000 Amp. $373.00 $
Branch Circult W/Servlce Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 1 $000
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.Servloe/Feeder 601.1000 Amp. $168.00 $
Portal to Portal Hourly $ 96.00 5-
Signal CircuiU Limited Energy-1812 Family Dwelling S 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each addltional T-Stat
NEW CONSTRUCTION ONLY:
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 Hot Tub $110.00 $
$0.00 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.,RICK Chapter 19.28,WAC.Chapter 296-468,The City of Port
Angeles Munielpal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Appllcations.
Signature of owner,electrical contractor or electrical administrator: E3 cash O check
creducerdq
Cued: 03/21/2012 01/0112012
PREPARED 1/10/11 15 38 12 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/10/11
ADDRESS 1421 W 12TH ST SUBDIV
TENANT NBR GARNER RED ELK
CONTRACTOR ANGELES PLUMBING INC PHONE (360) 452 8525
OWNER GARNER RED ELK PHONE
PARCEL 06 30 00 0 3 5770 0000
APPL NUMBER 11 00000012 PLUMBING PERMIT
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL99 01 1/10/11 J PLUMBING FINAL
January 10 2011 3 36 49 PM 1pangrle
SIMON 460 3994
PLUMBING FINAL NEW WATER SUPPLY LINE METER TO BUILDING
- COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT-BUILDING DIVISION
S 321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 11 00000012 Date 1/04/11
Application pin number 085412
Property Address 1421 W 12TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER 06 30 00 0 3 5770 0000
Tenant nbr name GARNER RED ELK on your state excise tax form
Application type description PLUMBING PERMIT
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 1200
Application desc
REPLACE WATER SERVICE
Owner Contractor
GARNER RED ELK ANGELES PLUMBING INC
1421 W 12TH ST PO BOX 1151
PORT ANGELES WA 983635515 PORT ANGELES WA 98362
(360) 452 8525
Permit PLUMBING PERMIT
Additional desc REPLACE WATER SERVICE
Permit pin number 179903
Permit Fee 57 00 Plan Check Fee 00
Issue Date 1/04/11 Valuation 0
Expiration Date 7/03/11
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 0000 EA PL-WATER LINE 7 00
Fee summary Charged Paid Credited Due
Permit Fee Total 57 00 57 00 00 00
Plan Check Total 00 00 00 00
Grand Total 57 00 57 00 00 00
Y 'k
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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
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
1
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS--
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING.
Under Floor/Slab
Rough-In
Water Line Meter to Bldg) +1
Gas Line U
Back Flow/Water FINAL Date Accepted b
AIR SEAL.
Walls
Ceiling
FRAMING
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Onl
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL. N
Heat Pum /Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES.
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT Separate Permit#s SEPA.
Parkin /Lighting ESA.
Landscaping SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
c
Construction R.W PW I Engineering 417-4831
Fire 417-4653 tS
Planning 417-4750
Buildin 417-4815
T:Forms/Building Division/Building Permit
01/03/2011 15 11 3604528583 ANGELESPLUMBING PAGE 02/02
i
BUILDING PERMIT APPLICATION Print in ink
!tel
CITY OF PORT ANGELES
' Only-
Attn: Building Permit Technician For City Use
' 321 E. Fifth St,Port Angeles,WA 98362 Date Receivad
(360)417-4815 fax(360)417-4711 Permit# ,-17--
Date Approved
Applicant or Agent ANGELES PLUMBING, INC. Phone 452-8525
Property Owner GARNER RED ELK Phone
Property Owner's Address 1.421 w 12th St , Port Angeles
Contractor/Engineer ANGELES PLUMBING, INC. Phone 452-8525
Contractor/Engineers Address P o BOX 1151, Port Angeles, WA 98362
License# ANGELPI077KP EXFNreS 5-15-2012
PROJECT ADDRESS 1421 w 12th
Parcel Number Lot Zoning
EM cf Time&BriefDescriohow ffResideo*d a Com/ ❑Allid F-fianlr7y ri Industdal
Check all that apply
a New Construction
o Addition
o Remodel
o Repair
o Re-roof
o Demolition
o Heat System o Heat pun*p ❑wood-burning stove a gas fireplace c pellet stove o other
11j Other Replace watex sexy ce
FloorAreas Fes- ism!t) fso-rt)
Basement @$ W
16t Floor
sq
2 n Floor
3t0 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $ 1,200 00
Total footprint of structures sq_ft. - Lot Size
sq.R = Lot coverage 96
Max height of proposed structures fL Occupancy group #of bedrooms
Will a lawn sprinkler system be installed? Occupant load #of full baths
Will a fire sprinkler system be installed? Construction type #of half Maths
I have read and oompleted this appricaation and know#fo be bue and conic. I am atiftifzed to apply for this pemuf and
understand that it is my fesponsibiRy to determine what POM*s are requited, and to obtain permits prior to working on
Projects-
Date 1-3-11 Print Name DALE BRUNTZ Signature
T:Forms/Building DivisionlBldg PermitAppL-2006 Code.doc
Clallam County Assessor& Treasurer - Property Details - 59702 GARNER RED ELK fo Page 1 of 5
Clallam County Assessor & Treasurer
Property Search Results > 59702 GARNER RED ELK for Year 2011 -2012
Property
Account
Property ID- 59702 Legal Description. LTS 15&16 BL 357
Geographic ID- 0630000357700000 Agent Code
Type Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space. N DFL N
Historic Property- N Remodel Property- N
Multi-Family Redevelopment: N
Township Section
Range.
Location
Address. 1421 W TWELFTH ST Mapsco
PORT ANGELES WA
Neighborhood: Cycle 5 Res Map ID- 3
Neighborhood CD- 10955130 ���"
Owner ^
Name. GARNER RED ELK Owner ID- 47997 \71"IN L
Mailing Address. 1421 W 12TH ST %Ownership 100 0000000000%
PORT ANGELES WA 98363-5515
Exemptions
Taxes and Assessment Details
Property Tax Information as of 01/04/2011
Amount Due if Paid on NOTE If you plan to submit payment on a future date make sure you enter the
click RECALCULATE to obtain the correct total amount due
First Second
i Half Half
Base Base
Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid
2010 42593 ST SCH STATE SCHOOL $28283 $282.83 $000 $000 $56566
2010 42593 CC-GEN COUNTY CLALLAM $15051 $15052 $000 $000 $301 03
2010 42593 PORT PORT OF PORT ANGELES $21 16 $21 15 $000 $000 $42.31
2010 42593 PORT ANG CITY OF PORT ANGELES $34849 $34849 $000 $000 $69698
2010 42593 SD#121 SCHOOL DISTRICT#121 $36634 $36634 $0 00 $000 $732.68
2010 42593 NTH OLY LIB NORTH OLYMPIC LIBRARY $43.74 $4373 $000 $000 $8747
2010 42593 HOSP#2 HOSPITAL#2 $61 74 $61 75 $0 00 $000 $12349
2010 42593 WSMET PK DIST WILLIAM SHORE MET PARK DIST $1964 $1965 $000 $000 $39.29
2010 42593 CITY_STORMWATER CITY STORMWATER $3600 $3600 $000 $000 $72.00
2010 42593 WEED—CONTROL WEED CONTROL $0 82 $081 $000 $000 $1 63
2010 42593 TOTAL. $1331.27 $1331.27 $0.00 $0.00 $2662.54
2009 597022008 ST SCH STATE SCHOOL $32306 $32305 $000 $000 $64611
2009 597022008 CC-GEN COUNTY CLALLAM $16351 $16349 $000 $000 $32700
2009 597022008 PORT PORT OF PORT ANGELES $2316_ $23 16 $000 $000 $4632
2009 597022008 PORT ANG CITY OF PORT ANGELES $358 62 $358 60 $000 $000 $717.22
2009 597022008 SD#121 SCHOOL DISTRICT#121 $39951 $39951 $000 $000 $79902
2009 597022008 NTH OLY LIB NORTH OLYMPIC LIBRARY $4751 $4750 $000 $000 $9501
http.//vpn.clallam.net 8084/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=59702 1/4/2011
d CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
LAR 321 EAST 5TH STREET, PORT ANGELES,WA 98362
ELECTRICAL PERMIT Issued: 7/31/97 Permit No: 6000
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
GARNER RED ELK 1421 12TH ST W
1421 W 12TH Lot: 15-16
Port Angeles, WA 98363 Block: 257 Long Legal :
360/452-9108 Sub: TPA
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
HALVORSEN ELECTRIC
1426 W. 11TH
PORT ANGELES, WA 98362 ,
360/457-7803 000/000-0000
PROJECT INFO------------------------ --------------------------------------------
Prj Type: RES. MISC. Prj Value: $0. 00
Occ Type: Cnstr Type: ADD HEAT
Occ Grp: Occ Load: Land Use: RS7
Electrical Heat Service Type
Baseboard KW: 0 Riser Voltage: 120, 240
X Furnace KW: 10 Overhead Service Diameter: X-1 -3
X Heat Pump KW: 5 Underground Service Service Size: 200 AMPS
Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS
PROJECTNOTES-------------------------------------------------------------------
REMOVE 20KW FURNACE
INSTALL 1OKW FURNACE, 5KW HEAT PUMP
PROJECT FEES ASSESSMENT---------------------------------------------------------
service: $0. 00
Additional Feeders: $0. 00
Circuit Wiring: $41. 00
Temp Service: $0. 00 TOTAL FEE: $41. 00
Misc $0. 00 Amount Paid: $41. 00
--------------------------
TOTAL FEE: $41. 00 Balance Due: $0. 00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINRAtUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
WSPECTION TWE DATE ACCEPTED COMMENTS
YES NO
DITCH
SERVICE
FINAL ( '^ 1
GENERAL COMMENTS:
M-1102.15[4w61
I
D??ORT 4NC
CITY OF PORT ANGELES LIGHT DEPARTMENT
II _� 321 E. Fifth Street
Port Angeles, WA 98362
c�t ( O6) 457-0411 PERMIT NO.
r uD 2
• DATE
ELECTRICAL PERMIT
Site Address: ❑ READY FOR ❑ WILL CALL FOR
INSPECTION INSPECTION
Installed By: License Number: Phone:
Owner/Business: Phone:
Owner/Business Address: Sq. Ft.
RESIDENTIAL ❑ TEMPORARY SERVICE ❑ OVERHEAD SERVICE
COMMERCIAL ❑ PERMANENT SERVICE ❑ UNDERGROUND SERVICE
❑ BASEBOARD KW ❑ NEW CONSTRUCTION VOLTAGE:
❑ FURNACE KW ❑ REMODEL ❑ SINGLE PHASE
❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS ❑ THREE PHASE
❑ HEAT PUMP KW ❑ SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS
❑ SIGN ❑ SPECIAL EQUIPMENT
(LIST BELOW)
!,/�
Details/Description: �r ��
W.S. No. SERVICE SIZE DATE ENGR.
CAPACITY:
❑ O.K. NOT O.K.
ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE
❑ INSTALL SERVICE POLE ❑ OTHER
❑ Ditch Inspection O.K.
�%Rough-in/cover O.K.
/NA,3 O.K. to connect s
Att'A Final O.K.
Site Address: Permit/Receipt No.
Installer: � � New Meters at:-
l� u� b
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection.Work must not be covered
® before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. 1
NOOCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$ L/ "
Electrical Inspector Permit Fee
WHITE—File by address YELLOW—file by number PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall
OLYMPIC PRINTERS INC.
547 CITY OF PORT ANGELES ! 8(
FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A
PERMIT NUMBER
APPLICATION AND ELECTRICAL PERMIT
/ NA1Voc
TOTAL FEE - 2[p, 53 Q�J
CONT.LIC.NO. TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address 142/ W 1,2 /
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner WA1I1--AM/9AV Installation By 1141t/D,P5,E-Al FI-CGTRiC
Owner's Address /92/ bf/ /2 /A Installers Address /-9Z& W /I
Day Phone 9J�� — ?JP I - - Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
f',2A1121ATG" Lf//ii/a/l,� iA/ AtJ,S��i�.ilT
Wiring Method_hV"F—
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 10 OR FEE USE OF CIRCUIT PER 1 0OR FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS '
OR LESS
CONVENIENCE 2 - MOTOR
CONVENIENCE - - - MOTOR
APPLIANCE MOTOR
'DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER - REINSTALLATION LIGHT FIXTURE k
FURNACE SUB TOTAL FEE
GAS-OIL
FURNACE IVT ENERGY FEE
ELECTRIC - - -
BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEA7 SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C.UNIT
AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE
A.W.G.
4SU8- TAL 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 Conformance With the N.E.C. Electrical Code.
Date Application made GC�i �� ,1g By /
CONTRACTOR OR OWNER(OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work,according to the conditio hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRECTOR OF CITY LIGHT -
Date Permit Issued By .
PLANS APPROVED
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 covering or service has been given by Inspector in
\
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158,WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK— SEE OVER —
WHITE-Original CANARY-Duplicate PINK-Triplicate WHITE CARD-Inspector's Report
OLYMPIC PRINTERS,INC. -__ ___,
REPORT OF INSPECTOR
fE OF VISIT MADE BY REMARKS
j
I
z
a
r
W
F
• O
' 2
O
D
S/ -1
O.K.FOR COVERING
DEBI!BE
FINAL O.K.