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Home My WebLink About4119 Fairmount Ave - Building V" CITY OF PORT ANGELES PERMIT APPLICATION r . Building Division/Electrical Inspections 321 East Fiftli Street--P.O.Box 1150/Port Angeles Washington,98362 N"Okof 2 e 2013 Ph: (360) 417-4735 Fax: (360)417-4711 Date; 11-22--13 -X1 &2 Single Family Dwelling INSi'FCDONS *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 11119 054-1a# ai r Building Square Footage: Description of above "D ct(suv l'r- iFovL- nue n e r f Owner Information Contractor Information Name: PATRA r-I A -I- ,_C�p.r f C. Name: 1?DZ Mailing Address: Mailing Address: City: State: Zip: City: State: Zip: Phone: — Fax: Phone: Fax: License#1 Exp. License#/Exp. LA GK-E G S"7 V02- Item Unit Charge 9-ty Total(Qty Multiplied by 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 $ ServicelFeeder 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. $ 9100 $ 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 Circuit/Limited Energy-1 &2 Family Dwelling $ 64,00 $ Manufactured Home Cornecticn $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note:$5,00 for each additional 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 $ $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 296-46B,The City of Port Angeles Municipal Cade nd Utility Specifications and PAMC 14.05,050 regarding E=lectrical Permit Applications, Signature of r, ctric c ntractor or electrical administrator: ❑ cash N check / 7 / El Credit"Card#� x Dated: � �` �r � 0110112012 Ian' ELECTRICAL PERMIT r t CITY OF PORT ANGELES 360-417-4735 Application Number , , . , . 13-00001361 Date 11/25/13 Applicatioa pin number . , , 953494 Property Address , . . . . , 4119 FAIRMOUNT AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER! 06-30-08-3-8-1115-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTI, SINGLE FAMILY Application valuation , , . . 0 Application desc Ductless heat pump Owner Contractor. SOMMERS PATRICIA R SLACK DIAMOND ELECTRICAL CONTR 4119 FASRMONT AVE 502 BLACK DIAMOND RD PD.RT ANGELES WA 983638328 PORT ANGELES WA 98363 (360) 565-1035 Permit . , , , . , ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 63.00 Plan Check Fee .00 Issue Date 11/25/13 Valuation . , , . 0 Expiration Date 5/24/14 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due Permit Fee Total 63.00 63.00 ,00 00 Plan Check Total. 00 .00 0D ,00 Grand Total 63.00 63.00 .00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN z FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAIEXCHANGMBUILDING s~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 98,62 I ELECTRICAL PERMIT I OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ PATRICIA SOMMERS 4119 FAIRMOUNT 4119 FAIRMOUNT Lot: 11 & 12 Port 4ngeles, WA 98363 Block: 11 Long Legal: 360/452-2867 Sub: PENNSYLVANIA PARK ADD. T: I S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- OWNER I, VARIOUS Port Angeles, WA 99360 206/000-0000 I I PROJECT INFO-------------------------------------------------------------------- prj Type: RES.REMODEL prj Value: $0.00 Occ Type: Cnstr Type: Occ Grp: Occ Load: Land Use: RS7 ElectJical Heat Service Type Baseboard KW: 0 Riser Voltage: 0 Furnace KW: 0 Overhead Service Diameter: -1 -3 I Heat Pump KW: 0 Underground Service Service Size: 0 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT I NOTES----------------------------------------- --------__________________ I add circuits to new addition Issued: 3/03/99 Permit No: 6582 , 000/000-0000 PROJECT FEES ASSESSMENT------------------------------------------------_________ I Service: $0.00 Additional Feeders: $42.50 Circuit Wiring: $0.00 Temp Service: $0.00 $0.00 I I Misc TOTAL FEE: Amount Paid: $42.50 $42.50 ===T=====;~;~~=;~~7========$~~~~~ Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DATE I ACCItPTEll COMMENTS I YES I NO I KIIIIUH-lN Il-UVbK -,7 ~lLb ." . I - -~ ,-/,. ( 1'1 I I I GENERAL COMMENTS: PW-II02.13(06] ELECTRICAL INSPECTION ~ WIRING, REPORT ~'41r;;.l;c,~ .lt~.,~i8: 1~ Ext. 158 DATE PERMIT iI Ir-9 -? 1 / Y1 7...- OWNERICON;r;q ( S1 ~(.t C~{ C- ADDRESS il 9' t~h;L At 0 .N iDle INSPECT~r- APPROVED NOT APPROVED c-' ................... DITCH ................... 0 o .............. ROUGH IN/COVER. .., . ...... ... 0 o .................. SERVICE .................. 0 ~................ FINAL.................... 0 CORRECTIONS NEEDED: '?Ui/><-n STf;fCi.. J~' Vvltt'L TO W A-d../ AT (,UOD 0 S'fi,fl-A-J l AvL'lA, 'Y~-~ .. ~. .. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PR\NTERS, INC. (206) 452-\381 ...li . v. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT I Site A,ddress: I Instailed By: I Owner/Business: Owner/Business Addres . ~Residential r 'Heat KW o iBaseboard 0 Furnace/Boiler o 'Heatpump 0 Other o ICommercialllndustriai load , ITotal Connected load ,(attach breakdown) ITotal Motor load (attach breakdown) I Details/Description: I ~New Construction o Remodel o Service update/alter/repair ~dd/alter circuits 10 Auxiliary power (list below) o Special equipment (list below) PERMIT NO, /39 2- 1f/'/17 I f DATE o READY FOR ILL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone: Sq, Fe o Overhead o Underground Voltage o 10 03,0' Service size Amps o Temporary >tttU'i. C M IVrLJ NffJJ , S t /WI C z . h.UAif {J.G ~ M ;h (/..IT. Uz>,4-P . oK., 1";7'0 m~vJ Q"""C.L I fJ I<{<>'-' s-~. W.S. :No. Service , , caJ)'lc.. ity: 0 O.K. 0 Not O.K. fi-EB"Ditch inspection O.K. o Rough-in/cover O.K. o o.k to connect service M ,t-lkf-I?fnal O.K. '. , , ! , Site Address: 1/ Date Hold for: 0 Easement 0 Letter Size Comments o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending At/. Ie-- New Meters _8 17 Notify the D artment of City Light by Street Address and Permit Number when ready for inspection. Work must hot 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. I At-- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT J..f) ~ [ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng. Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall . ./ 4/ /q Ft\:I~UhTA-oe- if Filed lit tbe,eqUe51 o[ CITY OF PORT ANGELES CilyAttorney'sOffice P.O_ Box 1150 Pon Angeles, WA98362 2007-1207100 Page 1 of 1 Qui t Claim Deed Port Angeles City Of Clallam County Washington 08/13f2007 01:53:30 PM IIII ~'I"'" r4r,~~ I~"',~~~j I!~! 1~~'I~I'r.I-llll,II~~I~lr ~I~ I1III NO "61637 CLALLAM COUNTY :[r TRANSACTION EXCISE TAX DATE PAID QUIT CLAIM DEED AUG 1 3 2007 AMOUNT~ 0 ~~I(]}} 1JJ7!wrJJ cJu" {J. The GRANTOR, CITY OF PORT ANGELES, a municipal corporation, for and in consideration of the following described City right-of-way having been vacated in Ordinance No. 3259,3269 and 3286 and the requirements of said ordinance having been fulfilled, subject to the perpetual requirement that the conditions of said ordinance shall continue to be complied with, does convey and quit claim to Patricia R. Sommers the following described real estate situated in the County of Clallam, State of Washington: A portion of the south half of the Madrona / Hazel alley abutting Lots 11 and 12, Block 11, Pennsylvania Park Addition, Townsite of Port Angeles, Clallam County, Washington. Dated the J~ay of ~ 101 ( ,2007. CI OF PORT ANGELES By: By: STATE OF WASHINGTON) )ss. COUNTY OF CLALLAM ) On the I()~ay of c;:r~ ,2007 before me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared KAREN A. ROGERS aud BECKY J. UPTON, to me known to be the Mayor and City Clerk of the CITY OF PORT ANGELES, the municipal corporation that executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said municipal corporation, for the uses and purposes therein mentioned, and on oath stated that they are authorized to execute the said instrument. Notary Public State of Washington JEANIE M. DEFRANG MY COMMISSION EXPIRES May 25, 2011 ~~...~ 'r'i"'. u..-~~ Notary Public in and for the State of Washington Residing at Port Angeles My commission expires: 5 -Cl.5' - II Parcel Lookup Page 1 of 1 Parcel Number 0630085811200000 Site Address: 9999 MADRONA ST PA !Quitj IBackl Taxpayer: SOMMERS PATRICIA R 4119 FAIRMONT AVE PORT ANGELES, WA 98363-8328 Title Owner: SOMMERS PATRICIA R 4119 FAIRMONT AVE PORT ANGELES, WA 98363-8328 Description: PENNSYLVANIA PARK ADDITION LOT 12 BLOCK 11 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs (except Commercial Forestland properties). Land Value: 35,000 Improvements Value: 25,600 Total Assessed Value: 60,600 Property Characteristics: Note: Use Code is for Assessor's purposes only. Contact the appropriate planning or building departments for Zoning and allowable usage of property.. Use Code: 1100 RES-SINGLE Land Size (acreager .00 Note: Acreage is not listed for all properties in the Assessor's records. More information about land size. Tax Status: Taxable Tax Code Area:: 0010 Note: Zoning and zoning codes change constantly. Verify all zoning with the appropriate planning or building department. Building Characteristics: (CliCk on Bldg. # for more details_) # Bldg. Type_ 6Jdg.Style..___ TotatS.F'. SD BA House Tax History Sales History ~~ 111,089,71611 http://apps.clallam.netlwebsite/sitis -.p. pgm ?parce1=06300858 1 1200000 1/4/2007 Parcel Lookup Parcel Number 0630085811150000 Site Address 4119FAIRMOUNTAVE PA ~Q~itl Is~k' Taxpayer: WASHINGTON MUTUAL SAVINGS BANK 2210 ENTERPRISE DRIVE FLORENCE, SC 00008 Title Owner: SOMMERS PATRICIA R 4119 FAIRMONT AVE PORT ANGELES, WA 98363-8328 Description: PENNSYLVANIA PARK ADDITION LOT 11 BL 11 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs (except Commercial Forestland properties). Land Value: 35,000 Improvements Value: 146,425 Total Assessed Value: 181,425 Property Characteristics: Note: Use Code is for Assessor's purposes only_ Contact the appropriate planning or building departments for Zoning and allowable usage of property . Use Code: 1113 THREE BEDRM Land Size (acreage): .00 Note: Acreage is not listed for all properties in the Assessor's records. More information about land size Tax Status: Taxable Tax Code Area:: 0010 Note: Zoning and zoning codes change constantly. Verify all zoning with the appropriate planning or building department. Building Characteristics: (CliCk on Bldg. # for more details.) # Bldg. Type Bldg. Style Total S.F. BD BA 01 House One Story 1538 3 1 Tax History Sales History ~~~~j ~ 111,089,70911 http://apps.clallam.netlwebsite/sitis ~.pgm?parcel=0630085811150000 Page 1 of 1 1/4/2007