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Home My WebLink About2121 W 12th St - BuildingPREPARED 1/04/08 9 24 53 INSPECTION TICKET PAGE 14 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/04/08 ADDRESS 2121 W 12TH ST SUBDIV TENANT NBR GEORGE WELCH CONTRACTOR THURMANS SUPPLY PHONE (360) 457 8591 OWNER GEORGE B WELCH JR PHONE (360) 452 1719 PARCEL 06 30 01 5 0 0250 0000 APPL NUMBER 07 00001480 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 12/12/07 JLL MECHANICAL GAS LINE TIME 01 00 12/12/07 AP December 12 2007 8 16 59 AM 1pangrle DARRAN 457 8591 GAS LINE AFTERNOON ME99 01 1/04/08 JLL 0 MECHANICAL FINAL TIME 02 00 P January 4 2008 8 21 32 AM 1pangrle GEORGE 452 1719 MECHANICAL FINAL GAS FIREPLACE AFTER 1 30 PM COMMENTS AND NOTES PREPARED 12/12/07 9 07 55 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/12/07 ADDRESS 2121 W 12TH ST SUBDIV TENANT NBR GEORGE WELCH CONTRACTOR THURMANS SUPPLY PHONE (360) 457 8591 OWNER GEORGE B WELCH JR PHONE (360) 452 1719 PARCEL 06 30 01 5 0 0250 0000 APPL NUMBER 07 00001480 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 12/12/07 MECHANICAL GAS LINE TIME 01 00 j December 12 2007 8 16 59 AM 1pangrle DARRAN 457 8591 GAS LINE AFTERNOON COMMENTS AND NOTES Date GEORGE B WELCH JR 2121 W 12TH ST PORT ANGELES (360) 452 1719 k Ct /A Print Name CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00001480 Date 12/11/07 Application pin number 759080 Property Address 2121 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 01 5 0 0250 0000 Tenant nbr name GEORGE WELCH Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 3000 Owner Contractor WA 98363 Permit MECHANICAL PERMIT Additional desc GAS FIREPLACE INSERT Permit pin number 117564 Permit Fee 60 65 Plan Check Fee 00 Issue Date 12/11/07 Valuation 3000 Expiration Date 6/08/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 ECH ME GAS PIPE 1 TO 5 10 65 Fee summary Charged Paid Credited Due Permit Fee Total 60 65 60 65 00 00 Plan Check Total 00 00 00 00 Grand Total 60 65 60 65 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 has 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 T.Forms /Building Division/Building Permit (10 /01 /07).wpd THURMANS SUPPLY 1807 EAST FRONT STREET PORT ANGELES WA 98362 (360) 457 8591 /1)4 Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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 YES I NO FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT 417 -4735 FIRE 417 -4653 I 6, PLANNING DEPT 417 -4750 I -BUILDING 417 -4815 I /ormslBuilding Division/Building Permit (I0 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD 12.-1? -61 1 1. FINAL PLANNING DEPT SEPARATE PERMIT It's SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED BY. N FINAL 1-1- 10g DATE 1 6 ACCEPTED BY. DATE ACCEPTED YES NO 0 0 N I I I I I I II J Applicant or Agent VW/ /LS Owner 60 Owner's Address 2 tai w 2 7 Contractor /Engineer 7 A bl .v Contractor /Engineer's Address ryo License z7 s 7 ,S L7 ,4 PROJECT ADDRESS Parcel Number Project Type Brief Des Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Sign Floor Areas eat System ther Basement 1st Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures criotion. Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? I have read and completed this application understand that it is my responsibility to projects. Date /2- G 7 Print Name A. BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 T Forms /Building Division /Bldg Permit Appl. -2006 Code.doc r4Residential Commercial Existing (sq. ft.) Proposed (sq. ft.) sq ft. Lot size ft. Occupancy group Occupant load Construction type Lot per sq ft. For City Use Only 7 Date Receivedj7_- U '0 Permit 0 1 Date Approved Phone X 7 5 c1 Phone 95 7 Phone L 5 7 5 0- Expires Zoning Multi- family Industrial wall- mounted projecting freestanding awning other Total sign area sq ft. Mayimum allowed sign area sa ft. Heat pump wood burning stove ,,&gas fireplace pellet stove other G1. C 7fri-5- -c. L j ALL 1 c4 S" `i v--r TOTAL VALUATION .3 O PJ G sq ft. Lot coverage of bedrooms of full baths of half baths and know it to be true and correct. I am authorized to app, for this permit and termine what permits are required, and to ob n permit' prior to working on kvOt rn Signature (Y) ivw N 0 va r No 91 .... CITY OF PORT ANGELES ~*~ OF COMMUNITY DEVELOPMENT BUILDING DIVISION DEPARTMENT 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 4/23/2002 PERMIT NO: 13377 OWNER/APPLICANT PROPERTY LOCATION GEORGE WELCH 2121 12TH ST W 2121 W.12TH ST Lot: 26 Port Angeles, WA 98363 Block: [] Long Legal 360/000-0000 Subdivision: SEABREEZE ESTS T: S: Parcel No: 06300150025000 CONTRACTOR ARCHITECT HOME SERVICE N/A 223 MARSDENRD Port Angeles, WA 98362 , 98360-0000 206/457-1708 360/000-0000 PROJECT INFO Project Value: $500.00 SFD Units: 0 Commercial: 0 Project Type: SEIMIC RETRO SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS9 PROJECT NOTES ADD TIE DOWNS, WEDGE ANCHORS AND JOIST ANCHORS RECEIPT ~-8978 FEES ASSESSMENT Building Permit: $23.50 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $28.00 Plumbing: $0.00 AMOUNT PAID: $28.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 ISeparate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of '180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of I construction. [Si~ture of C~ontractor dr ~,uthorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORJVlS~ t t02.i5 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE 1TIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE } '~'~ ~ INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'$: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHOKELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEFT CONSTRUCTION ILW. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 41%4815 ~'~ 5- ~ ~-~ ~/--~ BUILDING T:'d?LANNING\FORMS\I 102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-~- Z -- ~'~ ~ Time Received by (phone, person) Location of Work to be inspected ~ f '~ [ ~) / ~ ''~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. ? Sewer Foundation Framing Chimney Plumbir~F~nal~) Sewer Excav. Other INSPECTION NOTES: ',~_~. Inspected: Date ~ . ..... Time By Remarks:. RESTORATION REQUIRED ...... YES NO, SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt [-~PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 PERMIT NO. JS7S- s ,1/r- z DATE ELECTRICAL PERMIT Site Address: o READY FOR INSPECfION License Number: ~ WILL CALL FOR INSPECfION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ~ RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ I8I FAN/WALL KW :::JK,.} o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION ~ 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: /J-dc/ r5fh , (' ( :J,ctJ ~I . WS. 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. ~ Rough-in/cover O.K. . .I"lu 0 O.K. to connect service -{l/"( ~Final O.K. Site Address: Installer: 2/4 ~ Permit/Receipt No. 3S1s 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. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ C::<O ~ Electrical Inspector Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meier Dept., Bottom: City Hall OLYMPIC PRINTERS INC. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16133 gJ -jr;; ). S- Port Angeles. Washlngton..m......:.mm..................m...............m.m. 19.hh... 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 electricaltork as listed below. Address .h.c?!..?:..L...m.0!oml..pi;....__hm.......h__~..h... OccupancY..A~..__..mh..hm..m..... Owner --.m~-1fJ...l"!.~-<.'~J2/2.m.--.c~~..h..--...............m..m....mm.m'.mh..__..m...mm." Wiring Contractor ___.__~~~~m....:.:m:m BY...mmm.m..m.....m.m...__....mh.....m..m..m..... Light OUtletB............~...~......_.._..... Service, volts ...!.?:..,:?/-.a.:..~.c:...... T)"pe of Wiring: Receptacle Outlets.......l::.qh............ No. wires ........:!......................c... Armored Cable .............................. <:: SI . )::/' /i"" // Non.Metalllc ................................. Dryer. KW _uun.....~......................... ze .wlres....;:/.~.....=-.........;;...._.. / ") {(J'Jt& .hI- Knob & Tube................................_ RD.nge. KW....... ...:-5:..................... Main fuse .....~;.:-:f......:..................... e Enclosure .."~l:..;1:............................ Water Heater: , KW.........Z)~.................. Heat Kw.....l.:3......R.I3............. Type of wiring: Entrance Cable ...................... RIgid Conduit ............................... Metallic Tubing ........................... C irc:::.e ::;h.~::~::E:~::~~~~~~~:~~~~~~::~~~~~~~ Co ~ :~ti ty ..~:::~~:~::~~~~~:~~::::::~:~~::~::::~ };J.. Range .......:::.................................... "fItlater Heater ~'2........................ Motors: size. volts and phase: / rfI r "..;-h :;:(ii.~~:;;:::::::::::::::::::::::::::::: I Rigid Conduit ................ MetalJlc Tuhlng ............ . Current transformers: No. & Size.............................. Ser. No.............................................. Motor ..._........................................ Dryer .....@.:....................................... Ser. No..........:.................................... Ser. No.............................................. Total wad............................. Ser. No.................._.......................... Total .2.;.~......................... Remarks: .m___..m..m..m.m.'""'....P.."'..<.~...h...L.,<:?:?.~~.~..h.__....__..m...__...m.....m.h.....m__..............mm.. ;" , -- Furnace .........................._......_........... .:.:.~:.5~.::.::..::::::::...::--m....::~.~.~::..~.~.~.~~~.~.:....~._---..--m--m..~~jli!jIL~l:2;~:::::: 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? 16133 Address..................._...................................................................................................................Date..._......_.._......_.........._......_......_......... Owner ...............nn................_.........._......_......_.._......................................................_.... Tenant.................................................................... Wiring Contractor..................................._..................................................................................... By.............................................................. NOTICE-Current must not be turned on until Certtftcate of Inspection has been issued. If work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M _ ~_ Olvmoic Printers. Ine. INSPECTION TYPE DATE: RESULTS: INSPECTOR: ELECTRICAL PERMIT SERVICE CITY OF PORT ANGELES 360-417-4735 z'R �Z Application Number . . . . . 18-00000573 Date 4/20/18 l Application pin number . . . 196634 Property Address . . . . . . 2121 W 12TH ST REPGRIr �SALES TAX ASSESSOR PARCEL NUMBER: 06 -30 -01 -5 -0 -0250 -0000 - Application type description on ymw excfsolax form ELECTRICAL ONLY Subdivision Name . . . . . . t0 the City 40 04 Ange%S Property Use . . . �s t (Locaatuui OW21 Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ------------------------ `---------------------- =----------------------------- Owner Contractor RYAN J AND LINDSAY E GANN BLACK DIAMOND ELECTRICAL CONTR 2121 W 12TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 983635008 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . . . 63.00 Plan Check Fee .00 Issue Date . . . . 4/20/18 Valuation . . . . 0 Expiration Date . . 10/17/18 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 f ----------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------------------------- ---------- -------------------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL z'R �Z COMMENTS: l PERMIT WILL EXPIRE SIX(6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: 1 - 2 SINGLE-FAMILY t ELECTRICAL PERMIT APPLICATION 3 Public Works and Utilities Department \j 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 www.cityofpa.us electricalpermitsC,cityofpa.us Project Address: 1-2-774- P . ect Z774- Pro'ect Description: SJ Single -Family Residential ❑ Duplex / ARU Building Square footage. - OWNER •' i Name:Email: Mailing Address: -Z( 2- I / Z Name: 7f: C_ Mailing Address: Email: item Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Signal Circuit/Limited Energy -1&2 DU. Manufactured Home Connection Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) First 1300 Square Feet Each Additional 500 square feet' Each Outbuilding / Detached Garage Each Swimming Pool / Hot Tub Phone: 90 -1 - G Sy - 1-74-7 License: TSLA-c-k_a dgq.P7- Expiration Date: Phone: _,) 6D - L/(, t - 71 S 7 Unit Chargg Quantity Total (Quantity x Unit Charge) $120.00 $ $146.00 $ $205.00 $ $262.00 $ $373.00 $ $5.00 $ $63.00 $ $5.00 $ $75.00 $ $93.00 $ $110.00 $ $149.00 $ $168.00 $ $96.00 $ $64.00 $ $120.00 $ $102.00 $ $56.00 $ $120.00 $ $40.00 $ $74.00 $110.00 $ $ IV I^1 .p V ✓ 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 owne of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in complian ith lectricaI laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296- 466, The City of Port Angeles Municipal Code, and Utility S c' ' and PAMC 14.05.050 regarding Electrical Permit Applications. Date rint Name ignature�Owner ❑ Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted t i Hall or electrical perm its@cityofpa.us or faxed to 360.417.4711] ELECTRICAL PERMIT CITY OF PORT ANGELES 360-4174735 Application'Number . . . . . 18-00000911 Date 6/14/18 Application pin number . . . 630621 Property Address . . . . . . 2121 W 14TH ST ASSESSOR PARCEL NUMBER: 06 -30 -01 -6 -0 -3000 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ----------------- ---------------------------------------------------------- Application desc 1 circuit ---------------------------------------------------------------------------- Owner Contractor ------------------------ AHRNDT MARK B ------------------------ TWETER ELECTRIC 2121 W 14TH ST 423 BLACKHAWK LOOP PORT ANGELES WA 983635120 PORT ANGELES WA 98362 (360) 417-1151 ---------------------------------------------------------------------------- Permit . . . : . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 6/14/18 Valuation 0 Expiration Date . . 12/11/18 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 75.00 Fee summary Charged ---------- Paid Credited ---------- ---------- Due ----------------- Permit Fee Total ---------- 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 INSPECTION TYPE DATE: RESULTS: J DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MqNTHS FROM LAST INSPECTION . Signature of owner or ElectrW Contractor X v 1 3 ID REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR: Date: 1 — 2 SINGLE—FAMILY EG- LIVED ELECTRICAL PERMIT APPLICATIO_ ut { ., ,�a Public Works and Utilities Department �w': 321 E. 5th Street, Port Angeles, AA 98362 350.417.4735 ! www.cityofpa.us ; electricalpermitsCcityofpa.us Project Address: Project Description: % — ingle-Family Residential ❑ Duplex /ARU Building Square footage: Name:r �� /< 14>�IPiID 77 Email: Mailing Address: ;/g/ Lr -l' ;4/;11` Name: Mailing Address:2�3/lli9Z�/� Email: �_/'�73�c t` C/4%G. •i� Item Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Signal Circuit/Limited Energy - 1&2 DU. Manufactured Home Connection Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) First 1300 Square Feet Each Additional 500 square feet' Each Outbuilding / Detached Garage Each Swimminq Pool / Hot Tub Unit Charae, Quantity $120.00 $146.00 $205.00 $262.00 $373.00 $5.00 $63.00 $5.00 $75.00 $93.00 $110.00 $149.00 $168.00 $96.00 $64.00 $120.00 $102.00 $56.00 $120.00 $40.00 $74.00 $110.00 Phone: License: Expiration Date: Phone: -7:',7 Total (Quantity x Unit Charge) $ 7 oU 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- 468, The Ci y of Port Angeles Municipal Code, and Utility eci cations and PAMC 14.05.050 regarding Electrical Permit Applications. D to Print Name Signature (❑ Owner Electrical Contractor/ Administrator) [Electrical Permit Applications maybe subitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] -0 3 4t V ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application'Numkzer 18-00000911 Date 6/14/18 Application pini number 630621 _ _.. Property Address 2122 W 14TH $T REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06 -30 -01 -.6 -0 -3000 -0000 - Application type description ELECTRICAL ONLY an your GXcise fax form Subdivision Name - Ch Ch -of PC3Cf AhgWeS Property Use Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 Application desc 1 circuit ---------------------------------------------------------------------------- owner Contractor ARP-70DT MARK B TWETER ELECTRIC 2121 W 14TH ST 423 BLACKHAWK LOOP PORT ANGELES WA 983635120 PORT ANGELES WA 98362 (360} 417-1151 Permit . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date 6/14/18 valuation 0 Expiration Date 12/11/18 Qty Unit Charge .Per Extension BASE FEE 75.00 --- -Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 INSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN FINAL " COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION RESULTS: INSPECTOR: Signature of oder or Electrical Contractor X Date: