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Home My WebLink About2138 W 12th St - Building ELECTRICAL PERMIT CITY OF PORT ANGELES r 360 -417 -4735 Application Number 11- 00001298 Date 11/16/11 OO Application pin number 131936 REPORT SALES TAX Property Address 2138 W 12TH ST on your excise tax form ASSESSOR PARCEL NUMBER: R6-30-00-0-0-0000-0000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 2 circuits phone cabinet Owner Contractor CITY OF PORT ANGELES SIMPSON ELECTRIC PO BOX 1150 243036 W HWY 101 PORT ANGELES WA 983620217 PORT ANGELES WA 98363 (360) 457 -9270 Permit ELECTRICAL ALTER COMMERCIAL \vI Additional desc Permit Fee 76.10 Plan Check Fee .00 Issue Date 11/16/11 Valuation 0 Expiration Date 5/14/12 (y(� Qty Unit Charge Per Extension l Ivl 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 1.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 2.60 Fee summary Charged Paid Credited Due Permit Fee Total 76.10 76.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 76.10 76.10 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH /S //6/0 C 1 SERVICE 7 ROUGH IN 61 I2i61 /1) VIII" FINAL 41 1M i l' COMMENTS: I PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING R_C P (-7 r:1'117(.? l CITY OF PORT ANGELES PERMIT .A,PPLICATION nM._ N Building Division/.Electrical Inspections E 1 1 6 2011 1 7.70, 321 East Fifth Street —P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL li l Ph; (360) 417 -4735 'Fax: (360) 417- 471.1. INSPECTIONS Date: /S 1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair" "Plan Review May Be Re-� i d, PI 0' EIe PIa�Rion Sheet Job Address: 7..Z ,5 e v- one- I ii Bulroing Square Footage: Description or above f l r��"�, 452/ r Q Q e ar7 __.��_g 0 i fr:7.� i Owner Info�Anatiopp L h Contractor Inform l n LC�l�hfta k Name: .rlr)(� C ec L.f_C mailing Ad s Mailing 44drs P 0 7O p City: StateM.Jk Zp: City: Y A x t o State: 10)A O J 2 i Phone: Fax; P�, Ucen /Exp. phone: —y,../ ZO Fax: License Exp. r/ A Unit Item Unit Charge Item Feeder 200 Amp, C h 9t( Tot Qtly Muttipl fed by Unit Charge) Service/Feeder 201 -400 Amp. 145.50 ServicelFeeder 401 -600 Amp 204.60 Service/Feeder 601 -1000 Amp. $262 Service/Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 _I O Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp, 92.70 —I Temp. Service/Feeder 201 -400 Amp, 110.30 Temp, Senrice/Feeder401 -600 Amp. 148.70 Temp, Service/Feeder601.1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 86.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 51NA System or Less 102.30 5 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square FL 110.30 Each Additional 500 Square Ft or Portion of 35.20 5 Each Outbuilding or Detached Garage 5 73.50 Each Swimming Pool or Hot Tub 5.110,30 S.. La_ 1 otal Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit Is finalized. (2) wner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of fast inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed elechical contra( tor. 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 Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Si i of owner, electrical con or or electrical administrator: 0 cash O check Si. credit c(rd t 671 i� 4 baron: 0110112010 4111/ Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner PROVENZANO ROBERT L 1205 S N ST PORT ANGELES T \PLANNING \FORMS \1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983631438 04 00000064 2138 W 12TH ST 06 30 01 -5 7 0700 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor OWNER Date 2/03/04 Permit ELECTRICAL NEW COMMERICAL Additional desc QUEST METER PEDISTAL Sub Contractor SIMPSON ELECTRIC Permit Fee 76 30 Plan Check Fee 00 Issue Date 2/03/04 Valuation 0 Expiration Date 8/01/04 Qty Unit Charge Per Extension 1 00 76 3000 ECH EL -COM 0 100 NEW SRV FEEDER 76 30 Fee summary Charged Paid Credited Due Permit Fee Total 76 30 76 30 00 00 Plan Check Total 00 00 00 00 Grand Total 76 30 76 30 00 00 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. FOUNDATION FOOTINGS WALLS I FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN I PLUMBING UNDERFLOOR /SLAB I ROUGH -IN I WATER LINE (METER TO BLDG) I GAS LINE I BACK FLOW WATER I AIR SEAL WALLS I CEILING I FRAMING JOISTS GIRDERS I SHEAR WALL/HOLD DOWNS I WALLS ROOF CEILING I DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR I INSULATION SLAB I WALL FLOOR CEILING MECHANICAL HEAT PUMP I GAS LINE WOOD STOVE PELLET CHIMNEY I HOOD DUCTS I PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER I I SEWER CONNECTION I I SANITARY I I STORM PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T PLANNING FORMS \1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD YES I NO SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO -23 -44' tcr: I I I I I I I ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING I I I I I I I I 01/21/2004 01:19 4579270 SIMPSON ELECTRIC PAGE or ......;.:.......... .. .....-.-., Qj"" "" II.IllmICAl. PI....U"f'\JC.<1'ION -~ i~] l)QIII"""""~I,_. . ___ bIfnMIllIIIII.,_. _..._.... 'IllIl1lllDolrll1il1 P8rmn^fIlIIllldIl11lal~"""fI1llIlIlIIP~ .....~.,__ . _ rW// l'III18I,,,eo'NIJlrlJllln 1nll. "PMllllvunvllU_n"_IlII~II,"nlt.4'l'n41'41G,,;;. 0 1- t1 b or ..... numlllr. (H1l) 41""'" Qwnerorllltll, OonllMllir .,...s.Li;h. {),,(' P ,,-Iii <e .?- -t..__ ~non', ..A,(Z r2.. 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