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Home My WebLink About905 W 12th St - Building . CITY,.Q}<'PQ:Rtf ~GELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STRE~, .PORT ANGELES, WA 98362. ~~..~Q~.UU,~UDwer Property Address ASSESSOR. PARCEL NUMBER: Applicat~ondescription SUbdivision Name' Property Zoning .... . Application valuation 03-00000816 Date 8/20/03 905 W 12TH " ST 06-30-00-0-3-5290-0000- RB-ROOF 62.25 8/20/03 2/17/04 pian check Fee : Valuation .00 1000 1000 Owner Contractor -------~----------------- avASS JEROLD L/CmmIA 905 W. t2TH.ST PORT ANGELES WA 983637212 OWNER . - -..-.-,-~.--:~.~ - - -: ~ - ---- - -- - - -,- - -- -- --- - - ---- - - - ,-'- - - - ,,;.'- - - ~ - - - ";;"'.;'..;; - - - -"'- - - ----- -..; -- --~ pertidt . . . . Additional' desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO. PR FEE 1 Other Fees STATE SUR,CHARGE 4.50 ~(\ . ,,:tW" .~ ...~ -. ::~~ .., 'Qty Unit Charge Per Extension 47.00 , 15.25 BASE' FEE . 5;00 3.0500 HND BL-501-2K (3;05Plm C) . '. .. .: .... ..: .. .. .., ..' ',',...""" ",," "" '." "" " _," , ~ ' : ':" ',:_ ." ".. I -:.- - -- -.~.- - - -. -,_... - -.-:- - - - -.-... - - - -- - - - -.- - - - -. - - - - - - -'- ...;-- -'--'- - - "';',-'7 - -.-"';":' -- - -. -.- - - - - - - -;:.- ~ Permit ,Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid Credited Due ---------- ---------- ---------- ---------- 62.25 62.25 ."00 .00 .00 .00 .00. .00 4.50 4.50 ..00 .00 66.75 66.75 .00 ;00 ;......'... .......1.. .,~ ..:' "".' 'C' '. ...J...,:'~..'... . ... l " -.; Fee summary .'~ 'P ...~. ..en.... ~ Sel'~rat!Permlts are required for electric~lwork, SEP~, Shoreline,ESA,~tilitie~;private and public imprdveOlents';rhls")~~TI.f~~c~fu~s null antfvbld if work or construction authorized lsnot commenced witfilrf180 days, if construction or work Issuspended..ot~~iIDdon~~ for a.p~ripdof180 ~aysafter the work as commenced, or if requlredlnspectlc)nshave notbeen requested~thlrq80' ~~ysfr<)rTI thela~t Inspection; I hereby certify that I have read and examined this appliE:atlonand know the $alJletob,e true,andcorr~ct.<.f)JfProvisions()f laws an~ordi~ances governing. this type of work will be'c~mplied with whether specified herein o~ not. The grariti~gpf.~p~i'fi'tJK~,~s n<<?t presumeto give authority to Violate or cancel the prOVisions of anystat~ or 10 egulatlng construction or the performance of construction. . 'Slgnature of Contractor or Authorized Agent Date Date T:\PLANNING\FORMS\1102.1S [412002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTI.. ONS. P.LE. A. SE. PRO..VIDEA MINIMUM24 HOUR NOTICE. IT. IS UNLAWFUL. 71.0..C.Q.:Y8R.......' ,i.".. INSULATE OR CONCEAL ANY WORK BEFOR#~NSPfcr.ED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCATlOl\f/ KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE . >, '. '. ..",'"'' INSPECTION TYPE DATE ACCEPTED ". COMMENTs " r YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE . .... ;, . . ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:' ..:' ROUGH-IN I . I .. .. PLUMBING ,".-,-, <' '. c:. " UNDER FLOOR / SLAB ROUGH.IN WATER. LINE " GAS LINE . . BACK FLOW / WATER c::. . . AIR SEAL WALLS CEILING I ' I FRAMING . . JOISTS / GIRDERS SHEAR WALL WALLS/ ROOF / CEILING DRYWALL T-BAR INSULATION SLAB I WALL I FLOOR / CEILING T I I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT II's: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNIJIIG DEPT. SEPARATE PERMIT II's SEPA: PARKINGILIGHTING ESA: . LANDSCAPING , .... ...., SHORELINE: , '" ,,"I FINALINSPECTIGNS REQUIRED PRIORTO OCC;UPANCXIU~ . . .... .. . RESIDENTIAL c:c: DAn: ....... YES NO COMMERCIAL DATE..; A!;;f:;irtiD" '" ;. . '. YES. NO, --'. . ELEcTIuf#- T:- ELECTIUC~,~LlmlT DEPT. 417-4735 LIGHT D CONSTRUCTION R. W./ PW/ \ ".. CONSTRUCTION - R.W. .:." ;, . ENGIN.;E.RIJ':lG 417-4807 PW / ENGINEERING FIRE "'-.: " "- 417'.a653'" '.'., FIRE DEPT. , '" PLANNING DEPT. "7 417-47S0", PLANNING DEPT. BUILDING 417-481' fif7~7~~ ., .L. BUILDING C(oS PREPARED 9/02/03, 12:47:50 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 905 W 12TH ST SUBDIV: PHONE PHONE : HVASS JEROLD L/CHERIA 06-30-00-0-3-5290-0000- 03-00000816 RE-ROOF PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 9/02/03 BUILDING FINAL Re-roof final. Jerry Hvass, 457-5696 JLL -------------------------------------- COMMENTS AND NOTES -------------------------------------- LV / 'a- t4 PAGE DATE 6 9/02/03 8T; . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: PERMIT NO. 7/.9 ..s-2. DATE / / ztJ//YS- o READY FOR INSPECTION License Number: Installed By: Owner/Business: Owner/Business Address: ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE DetailslDescription: ~ . 'C.u.) 'AI _. cD :::; kJ~~ o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: 0195 0395 SERVICE SIZE FEEDER SIZE & 0 AMPS AMPS ~, . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection 0. K. o Rough-in/cover O.K. o O. K. to connect service ~Final O.K. Site Address: Notify Port Angele City Light by Street Address and Permit Numberwhen ready for insp.ection. 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 ~ Permit. PHONE 457-0411, EXT. 224. '#. . ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ r Yo Electrical Inspector Permit Fee Installer: . WHITE - File by address PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC Permit/Receipt No. ?.s-c... New Meters GREEN - Top: Meter Dept., Bottom: City Hall ~ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. .3SS..s- Y~hz DATE Installed By: ELECTRICAL PERMIT f.I1, o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ~IDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS Details/Description: wIlL ~L . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service ~Finalo.K. Installer: Permit/Receipt N~ .Jss-S "( Site Address: New Meters - . 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. I~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ t9f!:) dO-- Electrical Inspector Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYI.APIC PRINTERS !NC. ~) (!IJ8. "77 FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 000081 PERMIT NUMBER . TOTAL FEE ,"(\Scf ;J;.~ -- CONT. L1C. NO. . T1METOCQMPLETE ""----'-- NO. STORIES kIo-n,,--,~ lEGAL OCCUPANCY NO OCCUPANCY OR USE ESTAB~ED UNDER THIS PERM T '0". :u, ....... 8 ' 4( SIBILlTY OF APPLICANT . PE . ITS WITH WRONG A~DR)SSES.AR ANCELl~ A Owner Installation By tr:.;..J ~-t l:...:....ro-J~ Owner'sAddress :J. ~ (5) Installer~,Addre,"s 1 <171 ~ 10 I 1<7 DaYPhone tfSJ..- J 5'.3' Installers Phone (Pl',~- Ie. PI? Application is hereby made for Permit to install Electrical Equipment as follows: U hJ.u..~.9 '- J1 -"'hi- /-I".,--....L-- - ELECTRICAL PERMIT ONLY ,l::ct .' " Site Address Wiring MethodlfJerYUd-k--' ". NUMBER AMP 120V 240V NUMBER AMP 120V 24QV USE OF CIRCUIT CIRCUITS PER 10 100A FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE CIR 30 CIR 30 LIGHT SIGN LIGHT 3 I/O 50 VOLTS OR LESS CONVENIENCE " MOTOR CONVENIENCE MOTOR APPLIANCE J.. lie MOTOR , DISHWASHER F:IRE ALARMS DISPOSAL BURGLAR ALARM RANGE I ~4.0 MISC. OVEN WATER HEATER I ~40 LAUNDRY I ilo DRYER I :J:'1v REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS. OIL FURNACE LI a-'kJ ENERGY FEE ELECTRIC , \ ~ \' ~ BASIC FEE ELECTRIC HEAT " TOTAL FEE ELECTRIC HEAT 11 II 1\ IT n SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT ,/.:'\V ~ /' .J-O (J AMP .4<" {"k PHASE FEEDER L c.---/ SIZE OF SERVICE ENTRANCE CO DUCTORS SERVICE :J."" r...r 4Jn t.JJ~ % AW.G. I' SUB-TOTAL SIZE OF GROUND ~ 'i ~'ZE OF ENTRANCE ~WITCHo?f' r') Date Application made cJl c:r II ,19U- By I certify that the work to be performed under this permit will be done by the installer and in con NTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permisslor' is hereby given to do the above described work, according to the conditions 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 /JA. ~ ."\ Date Permit Issued By P"'./' d1 /~ .-?/,' '.Y4 PLANS APPROVED . . \ '. \ \ \ WARNING , - 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, 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. -, ,-,; ..., -, , .- :,' .::: ).{...~ 'I: ~ 1 REPORT OF. INSPECTOR \ '- ..< , . DATE OF VISIT MADE BY REMARKS 10- /1 -9f" (.;) 'Ij ~ ~./Il i4- -W!.t1 ~ .. .\:\ ~ . . .. .I .. . . / . '. . .. /-i:-. '- ~ ,. " .. - . f-/'f-'1S- ll{S . . . iT,Ll' tv');',f/f 1r./6- - .... "';J c., ' ,- tP/V I/d<.fIJ.} - \ , . .. -, ~- ~ ~}' 4- ~~~~.!\- . . -:\.~~~ {) ;;~. ,,), ,~.,.-., ,'>'~'"" ~"):;,~~ , .. --j > \ . .. " . . " " "l' ,1;"_'" ...- '-' YJlI:i.. . \' y , Se( fJ , , .., f3.J. ;;'./i/[-;"~.. - , \ .... .. '0-/ r- f$" \ - .' " ,.jI 0 T Yef To Po " _. ,.-~~ ~ - .' J .. , . ' \ , 1 . . . / \. ... \" . Jt. . : 'I'" -'o'.\~ , , ,. , " ~.' . ( .... r-\ , . . , . .. . fJ II t- . - ~. i . . , . - " r < - /~ .. . "J_~.t, I . Ot'.l, \ '.) 1\ , . .. I..i \".\:. \ , ... " l~ ~\ V .... .. .. " . .. , , .'J;)~ .. , ~~'---"-~. \.l ~ ~J' \..l 0\\.1 \\~-'). ~~~ . f) '\'~, \ ~: . .. ~\ " . , \ . \\ . ':) ~- -.~'- -.-J':- ~ ~~ \ ~ '(, 1\ ').. --~-~ " , , If!). II -yy HZi O.K. FOR COVERING I , /0- y',v. liA . ~ ,,' O.K. TO CONNECT'SERVICE '-. ....... :' >- -,.',. ", ~ . .....- -...l. . 1 ......,-\ ,..': "- , . FINAL O.K, ..-' , .. ., .. z CI a:: < :! !!! J: I- Z w l- . . I- o z o Q . ,-i / r9cJ. 6~ \ CITY OF PORT ANGELES DEPARTMENT OF L1GH'r APPLICATION AND ELECTRICAL PERMIT A n(Ji90S / PERMIT NUMBER FEE RECEIPT NUMBER . TOTAL FEE ;;20 CONT. Lie. NO. TIME TO COMPLETE NO. STORIES t . \~' Site Address ELECTRICAL PERMIT ON~/ NO OCCUPANCY OR USE ESTABLISHED UNDER HIS p~~~ W l:l -<4t., ~ l.;l ~ +-/3 CORR CT -t-DDR:SS IS RE P SIBIL OF APPLICANT PERMITS WITH WRONG DRp~~S A. RE CANCELL::D ,--. .....4- Installation By .~<)C /I ~L@-L- Installers Address /'/7 / ~~. L/ /t' I l..t.) Installers Phone 6 tr.1- (;,J?/9/ Owner Owner's Address Day Phone Application is her~by made for Permit to install Electrical Equipment as follows: - - NUMBER AMP 120V. USE OF CIRCUIT PEA CIRCUITS CIA 10 LIGHT LIGHT CONVENIENCE . CONVENIENCE APPLIANCE . DISHWASHER DISPOSAL .' RANGE OVEN WATER HEATER LAUNDRY H DRYER FURNACE GAS - OIL FURNACE ELECTRIC ELECTRIC HEAT . ELECTRIC HEAT A.C. UNIT FEEDER SERVICE / J / ..A1. I ..,{) 240V 100R~ FEE 30.. /.~^ (/ (~. ~QRVL~~~S < "/ A'A~TOA .~""'A '., '01 < ":';: .., iFlA fl IusE OF CIRCUIT Wiring Method NUMBER CIRCUITS AMP PEA CIA 120V 10 24QV 100R 30 FEE SIGN BUR( A,~ " MISC. --// ltl ..... (/A ~ ^ "): '~ 'lll. '/ 1" 111.-. REINSTALLATION LIGHT ~ U~ Y SUB TOTAL FEE V ENERGY FEE BASIC FEE . TOTAL FEE SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER / AMP S~~F~~A)19F.~~CECONDUCTOAS .A/ , PHASE A.W.G. I SUB. TOTAL SIZE OF GROUND SIZ~ OF ENTRANCE SWITCH I certify that the work to be performed un~mlt will be done by the installer and in conf Date Application made ~ ,7 ,19~ By Permission is hereby given to.do the above described work, according to the conditions reon and according to the approved plans and specifications pertaining thereto, subject to .compliance with the Ordinances of the City of Port Angeles. ; .\ . . __ ( . IRECTOR OF CITY LIGHT .' Date Permit Issued r/7!J?C/ By PLANS APPROVE WARNING 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. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OL YMPI9 PR!~TERS, I~._ \ - REPORT OF INSPECTOR DATE OF VISIT \ \ MADE BY /-:: . ,T;/ii tv n. ~~R,J (?' '7/JJ' , (v/J~ l{ /{1 "Dr . "',7f7 ' T . , REMARKS q~, '7 -{i r~>/j"1 J< '~'A; K',:"', ~. ( .. , '. ; .' ; , , c . .\ \ . .," . . , \ ., . , , . , , . v , , , ;.... . ~ ...... . . '. ....' " . " ~ ' " . \ /) /'~ "- . .....(/)~ " ~~( A. ~~:." 6,:,-~ v ~,,\\ _ W^" "-'" , .. ,,~\~ ~rc>~I\\ 'V ~" " IY ~v . z Cl ex: , <I: :E ~ :I: I- Z W l- . I- 0 Z 0 C , " \" \ -' '':" ~ - ...~ \' . . . .. ... - '.. " ... ~ \ ~ ,-\ \ ,- . ';....': ~I ?-u ~ ( O.K. FOR COVERING O.K. TO CONNECT SERVICE 'h .. I , FINAL OK .... ..... , ,- '''''Y . I