HomeMy WebLinkAbout2311 W 12th St - Building North Peninsula Electric 928-9409 p,1
VED
;JUL 17 2013
CrYV OF PORT ANGELES PERMIT APPLYCAMN
Building Dhisjon/ElectrieW Inspeclions FLECTRICAL 1
321 East Fifth Street-P.O.Box 11501 Port Angeles Washington,98362
Ph.- (360)417-4735 Fax: (360)4174'711
Date-
"-j&2 Single Farrily Dwelling
Plan Review WY Be R
_Zuired, Please r-mple lectcd Pan Review Information Sheet
Job Address;
Building Square Footage-.-
Description of above
Owner Info' Contra or I nf ti
Nacre.
Name: �)S u
C�
Maill ddress- Mal'11 n ZZ (CB
�n0v_
P44 " I - . -
tate, P:
Phone: Fax: Phone: ,L- 'Fax;
License#1 Exp.-.
License#I Exp.
Item Unit Charge CZY Total(QtY Mufflglied by Unit Charqg
Service/Feeder 200 Amp. $120.00
Servicelkeder 201400 Amp. $146,00
SeMcalFeeder401-"Amp $205.00
SeFvicPJFeeder 601-1000 Amp. $262.00
Service/Feeder over IWO Amp. $373.00
Branch Circuit W/Service Feeder $
Branch Circuit W/O Service Feeder $ 63.00
Each Additional Branch Circuit $ 5.00
Branch Circuits 1-4 $ 750
Temp-Service/Feeder 200 Amp, $ 93.00
Temp-ServicelFeeder 201-400 Amp, $110.00
Temp.SerAcE/Feeder4oi-600 Amp. $149.00
Temp.ServiceIFeeder 50 1-1000 Amp $168.00
Portal to Portal Hourly $ 96.00
Signal Ci rcul Limited Energy-182 Family Dwelling $ 64.00
Manufactured Home Connection $120,00
Renewable Electrical Energy-5KVA System or Less $102DO $
Thermostat $ 56.00 $
Note.,$54OG fdr Pat add dgw at T-Stat
NEW 00MSTR=10N ONLY:
Fliss 1300 Square Ft. $120.00
Each Additional 500 Square Ft.or Portion of $ 40.00
Each Outbuilding or Detached Garage $ 74.00
Each Swimming Poo;or Hot Tub $110.00
Owner as derined by RM19.28.261-(1)Owner Will occupy the structure for two years after this electrical permit Is finalized.(2)Owner is required
tc hire an electricaf cmitractor if above Said property is for sale,renter lease,Penn*expires after six months of last inspecfiori.
After reading ft above statement.I hereby certify M 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 eiec"IM,N.E.C.,RCK Chapter 119.28,WAC.Chapter 2964B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMG 14.05 050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: ❑ C2rA ❑ check
C.,d 9
D1 lolr412
OF p0li7-44m, —-- — -
�, E�.EC TR��AL INSPECTION
VII� I�� 1V
REPORT
Ks a,
417®4735
nAr�;
OWNER I INSPECTOR
CONTRAgCyTOJ�
AODRESg �L
L3
APPROVED
DITCH NOT. . . NOT APPROVED
®. R®UGH IN/COVE{
®. SERVICE ,
. . . . . , . . . . . . . . FINAL . . . . . . . . . . , . o . � "
�) CORRECTIONS NEEDED:
n
�\ P
TL
10[OTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED VI�ITd-IIIY 1.5®Avs
"" ®O NOT REMOVE ,
-k°fpm ELECT
RICA
L INSPECTION
�
S q WIRING REPORT
KS&g
4°17e4735
DATE:
PERMIT#
INSPEC
OWNER
... T fl
CONTRACTOR
ADDRE ��"' •
Z.
APPROVED
® . . . . NOT APPROVED DITCH
rl El . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . El
. . . . . . . . . . . . . . . . . . . SERVICE . . .
. . . . . . . . . . . . . . . . . . . FINAL . . ❑
CORRECTIONS NEEDED:
NOTII=1r
INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 1,5 DAYS
DO NOT REMOVE ---
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
Application Number • , . • 13-00000791 Date 7/18/13
Application pin number • . • 077931 n v
Property Address • . • • . 2311 W 12TH ST REPORT SALES Ti°v�
ASSESSOR PARCEL NUMBER: 06-30-99-1-0-5530-0000- t
Application type description ELECTRICAL ONLY on your excise tax form
Suhdivision Name . . . • • • to the City of Port Angeles
Property Use . • • . . .
Property Zoning • • • • . . • RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . • 0
Application desc
New home
Owner Contractor
---------------------- -- ------------------------
itEDISH, STEWART AND MARGIE NORTH PENINSULA ELECTRIC
1735 W 7TH ST 761 FRESHWATER PARK RD �
PORT ANGELES WA 98363 -PORT ANGELES WA 98363 �\Vi
f--- (3b0} 477-1764
457-5005 -
Permit . . . . ELECTRICAL NEW RESIDENTIAL
Additional desc 1
Permit Fee 200.00 Plan Check Fee 00
Issue Fate 7/18/13 Valuation . . . • 0
Expiration Date 1/14/14
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-R-SQYT FIRST 1300 120.00
2.00 40.0000 E H EL-R-SQFT ADDITIONAL
500 80.00
------------------------------------- t+.+
Fee summary Charged Paid Credited Due
Permit Fee Total 200.00 200.00 .00 .00
Plan Check Total 00 00 00 00
Grand Total 200.00 200.00 .00 .00
r\
INSPECTION TYPE DATE: RESULTS: .INSPECTOR:
DITCH
SERVICE
ROUGH-IN "
FINAL .-
COMMENTS:
PERMIT WILT,EXPIRE STX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCI-TANGEIBUILD1NG
17156
Port Angeles. WashlngtOIL......_~.m:::.i..:L'...............m...... 19.X.?i
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 hereby granted to do electrical work as listed below.
Address .-jf!:/-j[j(.,&:.-:.../..~?Ftm.......m---................ Occupancy.._A...e~............._m..m.....
O~~er .:..#f.'€......7'!--<;:f;~~-q,;;.r;,y.t: Tenant.....m...............m..m....__m__....mm__..__.m............
Wmng Contractor ....k".".....m.m..__J:,?:.......__.......?':.m..m By......m.......m....mmmm__m..m......__m..m..m__..
:;;0 /,jO/ ;;.rO
Light Outlets_n_................_.u......._.._..... Service, volts ._.._m__~.....__.........__.....
Receptacle outletsm_..J.O'........._____. No. wIres .........:.................-p...
D.y<<. KW................r:kmm....nm..nn. Size wlres......7.'~...~,.:.....n...
dJY.... Range, KWnm.m./;tmmnmmnm MaIn fuse ../..~!?.A::mm
I .>
Water Heater:"... Enclosure ....___.m_.___.._._m______.___.....
KW........mmn1...m~n..nmnmmu
Heat' KW..../.~..}}..8...........:........
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Type of wiring:
Entrance Cable _____.____...n<...m_
Motors: size, volts and phase:
.dummmnnmmnnmm...m........
Rigid Conduit ___nnnnnn.....__.........
Metallic Tubing nnnnm..
Current transformers:
No. & Size.....____...___...............__
Ser. NO............____.....................n_._..__
Ser. NO.n._n.n_nnnnnn..............n...n._
Nt!
Type of Wiring:
Armored Cable .............___............_
Non-Metallic ................_.._............_
Knob & Tuben..............._.....n.......~
Rigid Conduit ...............................
MetalUc Tubing ..........:=-nm.........
Raceway ---------V......-....--...-
Circuits, Llght....fil.....m-m-m.m-.......
~ :~ti ty ..~:~~~~~r~:~~~~~:~~~:~~~~:~~~
~ <;t. :2.
::t:: ;::~~;.:~~:~~r~::~~~~:::::::::~~
:r:::~...~~~:::..::~::::::-_:::::::::::::~::==
Furnace _.._____..._.............'___.._..............
Ser. NO..._..__.n_....nn.__.__nn_nnn.nn__n_ ~ t/'
Total Loadn_____m___.__........___.. Sec. NO.._....m.__mn_........m.._...._....... Total ..._..~L.....u....u......u_
Remarks: ......m......mm..m......-4.ll~&.'-:.:.......~."=":~~.mm..m.m....__..m..__.m....m...m.....mm...m
~
m..m__......m..........mmm....................m.m..............m..............mm......mm__mmmm.~.m.' .m.m...m..m.m..mm....m.
Permit Fee Treas. Receipt Q/:O (. . /~
J j f9 " ,~ ;;.J" - ~~...
$..................__m.m.mmm. NOhm.mm.....m..m.... By;:r""l................. m__m'.m.m.mmm__ __.m~
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? 17156 .t
I
I
I
Address h..m..mm..............................................................m.m.................................................... Date.............._......................................... i
.
I
Owner ......._______________....________.___...._.._......__....._..____..._......._.............._________.........___......... Tenant...._____...._...._..____.._............................_.......... .I
,
Wiri,p.l?.. ,Contractor....-n..n__...-....................n-.-...-...-.n...n--.-.._.._.........._.._...._._.........................._..... Hyn_............................................_.__........_
. .
~ NOTICEJ...,....Current must not be turned on until Cert1Clcate of Inspection has been issued. It work Is to be COD-
.' cealed due notice must be given the Inspector so that work may be inspected before concealment. .
"..........
\
1M
Olympic Printers, Inc.
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
32] EAST 5TH STREET, PORT ANGELES, W A 98362
f),)-4gS
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000485 Date
570690
2311 W 12TH ST
06-30-00-1-0-5515-0000-
PUBLIC WORKS UTILITES
6/15/05
Z~/) W IZ-tj).
RS9 RESDNTL SINGLE FAMILY
o
k'i cI/ifL
Owner
Contractor
KEDISH, STEWART AND MARGIE
P.O.' BOX 507
PORT ANGELES WA 98362
(360) 457-5005
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permi t Fee
Issue Date
Expiration Date .
SANITARY SEWER HOOK UP
SINGLE TAP/DUEL SERVICE
52126
.00
6/15/05
12/12/05
plan Check Fee
Valuation
.00
o
Fee swnmary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
5u.-. O?J.- 4 g-4
~~
t
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 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.
/j%J .
Signature of Contractor or Authollzed Agent Date Signature of Owner (if owner is builder) Date
T:\Plllicies\1102.15R []/05J
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . .
REQUEST:
Date (p - ~I . 05
Time
Received by
Ru
(phone. person)
Location of Work to be inspected 23! ( .'t- ZSO?
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
~ Foundation Framing Chimney Plumbing
()J 12t\..t
- 4f37-
Phone No. 05>-
P . N <;: l/BS
ermlt 0.'0 . - .
...... -
Final Sewer Excav. Other "
INSPECTION NOTES:
Inspected: Date b- 2. 7 - 0 S-
Remarks:
Time
I
/ I . DDA 10(.(
By
/;?J
Ok.
"'~"'3(e 'D.fL-h u...<ll .G"-rv.v_e..
RESTORATION REQUIRED. . . . .. YES NO
2.~1I W\2~"f'\ 2.:l0t W \2-
N C("f"!~
i p!/,. / e/61Ib~P
lV\11 It'D ~"\f-AOc~""-
1._13IUI~ <Zef' pv,,-
- I I
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
[] Repaired by Permittee
. 0 No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)