HomeMy WebLinkAbout521 E 12th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
K F HARRIS /R M CHAISSON
5004 OLD MILL RD
PORT ANGELES
Permit
Additional desc
Permit pin number 74625
Permit Fee 50 00
Issue Date
Expiration Date 10/11/06
Qty Unit Charge Per
1 00 50 0000 ECH RIGHT OF WAY PERMIT
Permit
Additional desc
Permit pin number 74641
Permit Fee 270 00
Issue Date
Expiration Date 10/11/06
Qty Unit Charge Per
EA SAN SEW REPAIR
1 00 40 0000
Fee summary Charged
T•\Policies \1102.15R [1/05]
WA 983621939
RIGHT OF WAY
Permit Fee Total 360 00
Plan Check Total 00
Grand Total 360 00
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST'5TH STREET PORT ANGELES, WA 98362
06 00000338
280298
521 E 12TH ST
06 30 00 0 3 3982 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
STREET ALLEY RESTORATION
360 00
00
360 00
Plan Check Fee
Valuation
Plan Check Fee
Valuation
Paid Credited
00
00
00
Date 4/14/06
00
0
Extension
50 00
00
0
Qty Unit Charge Per Extension
1 00 270 0000 ECH STREET ALLEY RESTORATION 270 00
Permit SANITARY SEWER HOOK UP
Additional desc
Permit pin number 74633
Permit Fee 40 00 Plan Check Fee 00
Issue Date Valuation 0
Expiration Date 10/11/06
Extension
40 00
Due
00
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 goveming 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 -4807 FOR UTILITY INSPECTIONS. 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.
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
-CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T•\PolieiesU IO2.15R (1/05)
RESIDENTIAL
CONSTRUCTION RW PW/
ENGINEERING
FIRE
PLANNING DEPT
BUILDING
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
417 -4807
417 -4653
417 -4750
417 -4815
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
1 1
1 1
1 1
1 1
CONSTRUCTION RW
PW ENGINEERING
1 FIRE DEPT
1 PLANNING DEPT
BUILDING
COMMENTS
1 1
1 1
1
1 1
INSPEC-MNTYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMTr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAEXCHANG&BUILDING Date:
--N
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
t --
Application Number . . . . .
16-00001769 Date 12/02/16
—J)
Application pin number . . .
376219
Property Address . . . . . .
521 E 12TH ST
ASSESSOR PARCEL NUMBER:
06-30-00-0-3-3982-0000-
REPORT SALES TAX
Application type description
ELECTRICAL ONLY
on excise tax form
Subdivision Name . . . . . .
your
Property Use . . . . . . . .
to the Qty Of Port Angeles
Property Zoning . . ; . . . .
Application
RS7 RESDNTL SINGLE FAMILY
(Lo"don Code 0502)
valuation . . . .
0
Owner
---------------
Contractor
-
BRIAN MICHAEL CROCKER
----- ----------------
OWNER
521 E 12TH ST
PORT ANGELES WA 98362
(360) 808-2748
-----------------------------------------------------------------
Permit . . . . . . ELECTRICAL
-----------
ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 120.00
Plan Check Fee .00
Issue Date . . . . 12/02/16
Valuation . . . . 0
Expiration Date 5/31/17
Qty Unit Charge Per
Extension
1.00 120.0000 ECH EL -0-200
---------------------------------------------------------------------------
SRV FEEDER 120.00
Fee summary Charged
Paid Credited Due -
----------------- ----------
Permit Fee Total 120.-00
---------- ---------- ----------
120.00 .00 .00
Plan Check Total as
.00 .00 .00
Grand Total 120.00
120.00 .00 00
INSPEC-MNTYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMTr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAEXCHANG&BUILDING Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date:
1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 52,1 E44 'f 10.14 ort.ef Por• f- \A14, Q,9 ?6 2
Building Square Footage: 44 2
Description of above Ren lit tie f -h e, e /e c / i cg ( i2"81 w; PA a, WICAL0. n e'ne .
Owner formation
Contractor Information
Name: 1/ -To -vi ('irecVtr
Name: Lhock G6 dins
Mailin Address: � N 58'/Ek 6a-9 f Cn-e,ak OW
City: State: —�Lip: 48 3 6 2
Mailin Address: 513 Cpd�.r Park 17,-i Jt
City: t Ao-cles State: VA zip: 4 kI h I
Phone: - -2 Fax:
License #/ Exp.
Phone:) o- - 1 Fax:
License # t Exp. W O U 16 C C. -1 3 6 P i
Item
Unit Charge
QTotal (Qtv Multiolied by Unit Charge)
Service/Feeder 200 Amp.
$120.00
$ t GO
Service/Feeder 201-400 Amp.
$146.00
$
Service/Feeder 401-600 Amp
$ 205.00
$
Service/Feeder 601-1000 Amp.
$ 262.00
$
Service/Feeder over 1000 Amp.
$ 373.00
$
Branch Circuit W/ Service Feed
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4 Only
$ 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. Service/Feeder 601-1000 Amp .
$168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuitl Limited Energy -1 & 2 Family Dwelling
$ 64.00
$
Manufactured Home Connection
$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
l2 U. 0 0 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 Code, and Utility Specifications and
PANIC 14.05.050
regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: "j Cash ❑ Check
X dl--/ X /�� '—
Dated: I/j
/ / El Credit Card #
If, b 02/0612012
INSPECTION TWE DATE: RESULTS: INSPECrOR.
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SDI (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
Q\EXCHANGEWILDING Date:,
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
16-00001769 Date 12/02/16
Application pin number . . .
376219
Property Address . . . . . .
521 E 12TH ST
ASSESSOR PARCEL NUMBER:
06-30-00-0-3-3982-0000-
REPORT SALES TAX
Application type description
ELECTRICAL ONLY
on your excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . .
to the QY Of Part Angeles
Property Zoning . . I . . . .
Application
RS7 RESDNTL SINGLE FAMILY
(Location Code 0502)
valuation . . . .
0
Owner
------------------------
Contractor
BRIAN MICHAEL CROCKER
---------- -------------
-
OWNER
521 E 12TH ST
PORT ANGELES WA 98362
(360) 808-2748
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 120.00
Plan Check Fee .00
Issue Date . . . . 12/02/16
Valuation . . . . 0
Expiration Date 5/31/17
Qty Unit Charge Per
Extension
1.00 120.0000 ECH EL -0-200
----------------------------------------------------------------------------
SRV FEEDER 120.00
Fee summary Charged
Paid Credited Due
----------------- ----------
Permit Fee Total 120.'00
---------- ---------- ----------
120.00 100 '00
Plan Check Total .00
.00 GO
Grand Total 120.00
120.00 .00 .00
INSPECTION TWE DATE: RESULTS: INSPECrOR.
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SDI (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
Q\EXCHANGEWILDING Date:,