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Home My WebLink About1337 W 12th St - BuildingPREPARED 10/27/10 8 13 46 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/27/10 ADDRESS 1337 W 12TH ST SUBDIV TENANT NBR JOSEPH MAJERLE CONTRACTOR DAVE S HTG COOLING SRVC INC PHONE (360) 452 0939 OWNER JOSEPH MAJERLE AND WANDA PHONE (360) 457 6895 PARCEL 06 30 00 0 3 5655 0000 APPL NUMBER 10 00001222 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 10/27/10 JLL MECHANICAL FINAL TIME 01 00 October 26 2010 4 45 04 PM 1pangrle —fh JEANNIE (DAVE S HTG 452 0939) MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Ductless heat pump Owner JOSEPH MAJERLE AND WANDA AND R DAY 1337 W 12TH ST PORT ANGELES (360) 457 6895 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total WA 98363 ELECTRICAL HEATPUMP 176214 73 50 10/26/10 4/24/11 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00001246 730520 1337 W 12TH ST 06 30 00 0 3 5655 0000 ELECTRICAL ONLY Contractor INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES WA 98362 (360) 457 0198 Plan Check Fee Valuation Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER Charged Paid Credited 7 50 73 50 00 00 00 00 73 50 73 50 00 10727bd lisa/a Date 10/26/10 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) 1 151 &CJ,5 RESULTS 00 0 Extension 73 50 Due 00 00 00 INSPECTOR. Date OCT -25 -2010 09 36 AM E JANSSEN City of Port Angeles Permit Application Building Division,Electrical Inspections 321 East Fifth Street P,0. Box 11110 Port Angetee Washington, 98362 Ph: 1360)417.4735 Fsx:1360)417-4711 !ate 1 1 2 Single Family Dwelling Multi-Family or Commercial' Commercial Addition I Alteration Rommel °e Plan Review May Be Required, Please Complaie t iri.:tncal Plan Review Iiformation Sheet Job Address. l 3 3 'j t.y- 1: _.'r i Building Square Poolage: Description of above t _y r Cf C. ✓C_ G .4.4-c-6 1 Owner Information Sir' /n. Contractor Information Name. LT 10 gt 4. i_t:.: N ame: x f/fA A4 1 C c---'1 C /rEC.T"KIC, Meiling Address. _I i 1 I J •e. I ..2 Mailing Address. c{, t NT j1tCk, City State: 1.4-A "'gyp City p. Stale Zip... �l 4 j 1�, Phone. 7 7r Fax: Phone X5S 7- .a.2. Fax: 7 u 5 License k I Exp License I Exp. 4:::,,e7:14.41"11/15. "r T 'rQ 6., _I a. 6 /1.0 it lnii Charge DAY l olal (Qty Multiplied Dv Uf1 hq gQ) S 11990 Service/Feeder 200 Amp S 145.60 Seivico/Feeder 201.400 Amp, 204.60 9 Servire)Feader 401.800 Amp. 5 262.20 Service %Feeder 601.1000 Amp S 372 50 Service/Feeder over 1000 Amp S 2 60 Branch Circuit WI Service Feeder S 73.5{) t .7 3 s.5 Branch Circuit VV/0 Service Feeder 5 2 61) Lath Additional Branch Circuit S 92 70 Temp Service/ Feeder 200 Amp. 3110 30 5 Temp. Soivice /Feeder 201-100 Amp S 148.70 Temp Service/480r 401.800 Amp. 5167 90 S ramp. Service/Feeder 601 -1000 Amp 5 95.90 9 Portal to Portal Hourly 5 88 20 Signi0ultino Lighting 95 90 S Signal Circuit/ Limited Energy Commercial. Additional 1 5 63 90 Signal Gaud/ Limited Energy 1 8 2 Family Dwelling 5 63 90 Signal Circuit/ Limited Energy Mult•Family Dwelling 5 119.80 Manufactured Nome Connection S 102 30 Renewable Electrical Energy 5KVA System or I eaa S 1 10.30 First1300 Square Ft. S 35.20 S Each Additional 500 Square Ft. or Ponion of 5 73.50 5 Each Outbuilding or Detached Garage 5 110.30 s Each Swimming Pool or Hot Tub S 56.00 9 Thermostat S ,1 t. 10151 5 I r, Owner as defined by RCW.18.28.26t: (1) Owner will occupy rho sfruclurc for two years after this electrical permit Is finelmarl. 12i Owner is required to now an wectrical contractor If above saM property is for tale, rent orIaaeo Pormif expiree after ale months of Isar Inspection. 360 452 2982 P 01 1 v L r Ld) 2 J ?J ELECTRICAL INSPECTIONS Alter raiding 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 eempllanee with the electrical laws N E.C. VCW Chapter 1918. WAC. Chapter 298.489, The City of Port Angeles Mir .ictoal Code, and Utility Spectflcatimis. Signature of owner electrical contractor or electrical /Mininistretor Li Cash 0 hank ✓�s� D 0 Credit Card 6 Date Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL A DUCTLESS HEAT PUMP Owner JOSEPH MAJERLE AND WANDA AND R DAY 1337 W 12TH ST PORT ANGELES (360) 457 6895 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged 0. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Qty Unit Charge 1 00 14 8000 EA WA 98363 DUCTLESS HEAT 175943 64 80 10/21/10 4/19/11 Per Permit Fee Total 64 80 Plan Check Total 00 Grand Total 64 80 T Forms /Building Division /Building Permit MECHANICAL PERMIT L alley i� 10 00001222 850568 1337 W 12TH ST 06 30 00 0 3 5655 0000 JOSEPH MAJERLE MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 4115 PUMP Contractor BASE FEE ME FURN /HP /FAU OR 5 TON Paid Credited Due 64 80 00 64 80 00 00 00 Date 10/21/10 DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 Plan Check Fee 00 Valuation 0 Extension 50 00 14 80 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) FOUNDATION Footings Stemwall Foundation Drainage Downspouts 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 Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial'Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE 10 ;11 to Accepted by Date Accepted By Oct 19 10 04 56p OKI. Applicant 7 w e_- s f r. 9 Property Owner -3D-.- M a eAr -e.. Property Owner's Address 1 3 7 CJ c-+ Contractor Dct v-e s -(-e. t r, �r Contractor's Address 12 c i »c `f l 3 P6—F- A, c(Q,s License P A V-6 5" K c c t k c_. 1 Expires ,5 l E -mail PROJECT ADDRESS Parcel Number Dave s Heating Cooling 3604520939 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 Phone Phone (cites �E Phone r 3 37 C.(-)e, 5-f- 1L S Project Time Brief Description: 'Residential o Multi family Check all that apply o New Construction o Addition o Remodel o Repair o Demolition o Re -roof ,?15 System a Other Lot For City Use Only Date Received io -2,6 -10 Permit #_1()- 12,E Date Approved Zoning p2 o Commercial o Industrial o House o garage o other a tear off re -roof o lay over one layer Heat pump a wood- burning stove o gas fireplace o pellet stove a other Floor Areas Existina (so. ft.) Proposed (so. ft) Basement per sq. ft. 1 Floor 2" Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 4 l l S Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type of bedrooms of full baths of half baths have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to n on projects. Date I() Print Name 1-1 Signature T:Forms/Building Division/Bldg Pemitdoc Clallam County Assessor Treasurer Property Details 59686 JOSEPH MAJERLE A. Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 59686 JOSEPH MAJERLE AND WANDA AND R DAY for Year 2010 2011 Property Account Property ID Geographic ID Taxes and Assessment Details Property Tax Information as of 10/20/2010 Amount Due if Paid on M. 59686 Legal Description LT 11 &W2 LT12 BL 356 0630000356550000 Agent Code Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Open Space. N Historic Property' N Multi Family Redevelopment: N Township Range Land Use Code 11 DFL N Remodel Property N Section Location Address: 1337 W TWELFTH ST Mapsco PORT ANGELES WA Neighborhood: Cycle 5 Res Map ID 3 Neighborhood CD 10955130 Owner Name JOSEPH MAJERLE AND WANDA AND R DAY Owner ID Mailing Address 1337 W 12TH ST Ownership PORT ANGELES WA 98363 Exemptions: 38527 100 0000000000% NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due. First Second Half Half Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid 2010 42577 ST SCH STATE SCHOOL $206 68 $206 69 $0 00 $0 00 $206 68 2010 42577 CC -GEN COUNTY $110 00 $109 98 $0 00 $0 00 $110 00 2010 42577 PORT PORT $15 46 $15 46 $0 00 $0 00 $15 46 2010 42577 PORT ANG PORT ANGELES $254 67 $254 66 $0 00 $0 00 $254 67 2010 42577 SD #121 SCHOOL DISTRICT #121 $267 71 $267 71 $0 00 $0 00 $267 71 2010 42577 NTH OLY LIB NORTH OLYMPIC LIBRARY $31 96 $31 96 $0 00 $0 00 $31 96 2010 42577 HOSP #2 HOSPITAL #2 $45 12 $45 12 $0 00 $0 00 $45 12 2010 42577 WSMET PK DIST WILLIAM SHORE MET PARK DIST $14 36 $14 35 $0 00 $0 00 $14 36 2010 42577 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $36 00 2010 42577 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $0 82 2010 42577 TOTAL. $982.78 $982.74 $0.00 $0.00 $982.78 2009 596862008 ST SCH STATE SCHOOL $235 93 $235 94 $0 00 $0 00 $471 87 2009 596862008 CC -GEN COUNTY $119 40 $119 41 $0 00 $0 00 $238 81 2009 596862008 PORT PORT $16 91 $16 92 $0 00 $0 00 $33 83 1 2009 596862008 PORT ANG PORT ANGELES $261 90 $261 90 $0 00 $0 00 $523 80 http. /vpn. clallam.net. 8084 /propertyaccess /Property. aspx ?cid =0 &year 2010 &prop_id =5 10/20/2010 PREPARED 8/06/09 8 31 07 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/06/09 ADDRESS 1337 W 12TH ST SUBDIV TENANT NBR JOSEPH WANDA MAJERLE CONTRACTOR FERRELLGAS LP PHONE (360) 683 9029 OWNER JOSEPH /WANDA MAJERLE R DAY PHONE (360) 457 6895 PARCEL 06 30 00 0 3 5655 0000 APPL NUMBER 09 00000299 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 4/10/09 JLL MECHANICAL GAS LINE TIME 01 00 4/10/09 AP April 9 2009 2 20 35 PM 1pangrle JOSEPH 457 6895 GAS LINE (AND MAYBE A TANK SET') AFTERNOON April 10 2009 4 29 19 PM permits ME99 01 8/06/09 J AugustI6AL 0INAL August 6 2009 8 27 06 AM pbarthol JOSEPH COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 amp service change Owner MaDerle Joseph 1337 W 12TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983635513 144287 93 75 4/15/09 10/12/09 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000330 657250 1337 W 12TH ST 06 30 00 0 3 5655 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 1 00 93 7500 ECH EL 0 200 SRV FEEDER Special Notes and Comments April 14 2009 3 05 35 PM GANDERS Brian 417 4708 Service conductor to maintain 12 feet clearance above ground per NESC code Charged Paid Credited Permit Fee Total 93 75 93 75 00 Plan Check Total 00 00 00 Grand Total 93 75 93 75 00 Thu vo e rvz- Sls /43 INSPECTION TYPE DATE Plan Check Fee Valuation Date 4/15/09 Due Extension 93 75 00 00 00 RESULTS 0 0 0 Signature of owner or Electrical Contractor X Date INSPECTOR. l 9 W w 0 City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 4174711 Date: //(1/ 0 P AG 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration I Remodel I Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 3 3 7 w i5 57-- Building Square Footage. S 0 Description of above C h /9 i'" G Owner Information Q R r� M R MailingAddre s: 13 City 1/15 'T -P State -Ufl Zip qd'1 Phone.i'5 6 Fax: License Exp Signature of owner electrical contractor or electrical administrator X /GU Al P 7 00/9- Unit Charge ay Total (Qtv Multiplied by Unit Charge). 93.75 95 75 Service /Feeder 200 Amp. $113.75 Service /Feeder 201 -400 Amp. $160.00 Service /Feeder 401 -600 Amp. $205.00 Service /Feeder 601 1000 Amp. $291.25 Service /Feeder over 1000 Amp 2.00 Branch Circuit W/ Service Feeder 57.50 Branch Circuit W/O Service Feeder 2.00 Each Additional Branch Circuit 72.50 Temp. Service/ Feeder 200 Amp. 86.25 Temp. Service /Feeder 201 -400 Amp. $116.25 Temp. Service /Feeder 401 -600 Amp. $131.25 Temp. Service /Feeder 601 1000 Amp. 75.00 Portal to Portal Hourly 69.00 Sign /Outline Lighting 75.00 Signal Circuit/ Limited Energy Commercial 50.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling 50.00 Signal Circuit/ Limited Energy Multi Family Dwelling 93.75 Manufactured Home Connection 80.00 Renewable Electrical Energy 5KVA System or Less 86.25 First 1300 Square Ft. 27.50 Each Additional 500 Square Ft. or Portion of 57.50 Each Outbuilding or Detached Garage 86.25 Each Swimming Pool or Hot Tub 43.75 Thermostat T5 7i 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. 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. Date: wIe def II REP APR 14 2009 LIGHT DEPT Contractor Information Name. O w tii- rZ Mailing Address: City State. Zip: Phone. Fax: License Exp 62 .eN/f'ei Cash I S c7/ -0 i/ Check Z O Credit Card# 4/f &o` w 0? 7F O5 7 PREPARED 4/10/09 8 33 09 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/10/09 ADDRESS 1337 W 12TH ST SUBDIV TENANT NBR JOSEPH WANDA MAJERLE CONTRACTOR FERRELLGAS LP PHONE (360) 683 9029 OWNER JOSEPH /WANDA MAJERLE R DAY PHONE (360) 457 6895 PARCEL 06 30 00 0 3 5655 0000 APPL NUMBER 09 00000299 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 4/10/09 i MECHANICAL GAS LINE TIME 01 00 April 9 2009 2 20 35 PM 1pangrle JOSEPH 457 6895 GAS LINE (AND MAYBE A TANK SET AFTERNOON COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000299 Date 4/06/09 Application pin number 992756 Property Address 1337 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 5655 0000 Tenant nbr name JOSEPH WANDA MAJERLE Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2000 Application desc INSTALL 120 GAL PROPANE TANK KITCHEN STOVE Owner Contractor JOSEPH /WANDA MAJERLE R DAY FERRELLGAS LP 1337 W 12TH ST 1 LIBERTY PLAZA PORT ANGELES WA 983635513 LIBERTY (360) 457 6895 (360) 683 9029 MO 64068 Permit MECHANICAL PERMIT Additional desc 120 GAL PROPANE TANK /STOVE Permit pin number 143909 Permit Fee 121 30 Plan Check Fee 00 Issue Date 4/06/09 Valuation 0 Expiration Date 10/03/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 10 65 1 00 10 6500 EA ME FUEL GAS PIPING 1 5 OUTLETS 10 65 1 00 50 0000 HR ME INSPECTION MIN 1 HR 50 00 Fee summary Charged Paid Credited Due Permit Fee Total 121 30 121 30 00 00 Plan Check Total 00 00 00 00 Grand Total 121 30 121 30 00 00 gi 8 60 9 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. 1.(l�74 G y ,l a9# 4 (1.ee Date Print Name Signature of Cntractor o(Authorized Agent Signature of Owner Of owner is builder) T:FormsBuilding Division/Building Permit IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts 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 Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 Date Accepted By 14 I0• Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Comments FINAL Date Accepted by FINAL Date g -i,-o Accepted by C FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Applicant 0 5.c P4 H J e rZ L Property Owner Property Owner's Address 3 3 e--(2 Contractor (3 e 6;4-5 Contractor's Address License Ferrel Po 55 LI-( PROJECT ADDRESS Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Max. height of proposed structures ft Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Date T.Form Parcel Number /Bui ding Division /Bldg Permit.doc 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 73 7 t (2 Residential z v 4- PR,of' S %o I -2 Existing (sq. ft.) Proposed (sq. ft.) Phone Expires ti (2,010 E -mail I t C h i Phone Phone Lot For City Use Only Date Received y -(e O 1 Permit 0 q Date Approved Zoning Multi- family Commercial Industrial R v p e TA- Y A >S vv House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Basement per sq ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 3 ice Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways, sidewalks and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage of bedrooms of full baths of half baths patios I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. q Print Name dos t yh l ef? L e— Signature e Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Clear brush south side of 12th St RUP #08 39 Owner MAJERLE JOSEPH 1337 W 12TH ST PORT ANGELES Fee summary Charged Permit Fee Total Plan Check Total Grand Total T•\Policies \1102.15R [1/05) WA 983635513 00 00 00 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00001375 888500 1337 W 12TH ST 06 30 00 0 3 5655 0000 PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER Permit RIGHT OF WAY Additional desc CLEAR BRUSH SO SIDE OF 12TH ST Permit pin number 137141 Permit Fee 00 Issue Date 10/30/08 Valuation Expiration Date 4/28/09 Plan Check Fee Special Notes and Comments Notify neighbors of activity All tree limbs and debris to cleared and removed from City Right of Way Tree is to be topped and removed in sections Traffic control required during tree falling Certificate of insurance required Paid Credited Due 00 00 00 00 00 00 Date 10/30/08 00 00 00 00 0 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 -4807 FOR UTILITY INSPECTIONS. ;PLEASE PROVIDE'A _MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER;. INSULATE OR CONCEAL ANYrWORK E OR, INSPECTED AND. ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMITCARD AND APPROVFED PLANS,AT JOB SITE PW UTILITIES (Engineering Division) WATERLINE /.METER SEWER' CONNECTION SANITARY STORM 'SI-TE.DRAINAGE SITE. EROSION'CONTROL l PARKING`. SIDEV✓AIIG GURB.& GUTTBR DRIUEWAY,,APPROACH •BACK-FLOW,DEYICE =CONSTRUCTION It- W' =744i' ENGINEERING iF`IRE: iPLANNING:DEPT. '.BUILDING' -T \Policies \'1;102:1'SR [.1%05] INSPECTION TYPE DATE ACCEPTED COMMENTS 417 -4807 417.4653 I. 41,7 -4750 ,I 417 -4815 f I PERMIT INSPECTION RECORD =FINAL INSPECTIONS REQUIRED.PRIOR,TO%OCCUP.ANCY /USE' DATE YES NO CO&IIYIERCI'AL YES I NO CONSTRUCTION RW PW /ENGINEERING FIRE. DEP.T PLANNING DEPT BUILDING .w, Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. ~ 39 =? DATE /~/~ft/ Site Address: READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 010 03.0 Service size o Temporary N Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Ey(~ Amps Details/Description: ~ ~ (l--'- . W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. /1)JV'~ Rough-in/cover O.K. o O. K. to connect service ~inal O.K. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending r New Meters Site Address: Installer: ;1.# . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not 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 EJ.<T. 224. IS I d"p NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /~, 0 Q Jfnspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYM"IC "RINTERS. INC. Application Number . . . . . 23-00000128 Date 2/07/23 Application pin number . . . 466304 Property Address . . . . . . 1337 W 12TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5655-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Panel replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MELODY TODNEM FELTON ELECTRIC 196 GANDALF RD 1337 W 12TH ST PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 775-5001 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 120.00 Plan Check Fee . . .00 Issue Date . . . . 2/07/23 Valuation . . . . 0 Expiration Date . . 8/06/23 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 .00 .00 .00 .00 Grand Total 120.00 120.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x 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 $ Service/Feeder 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. $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 CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ 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- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 2/06/23,11:36:48 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000128 1337 W 12TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 120.00 TOTAL DUE 120.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 2/14/2023 23-128 TAP OWNER CONTRACTOR Felton Electric PROJECT ADDRESS 1337 W 12th St