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HomeMy WebLinkAbout2307 W 12th St - Building North Peninsula Electric 928-9409 p.1 APR 9 2013 = CITY Ott PART ANGELES PERMIT APPLICATION EL C� IC�P. Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,9 362 N`S� C?ION ,, GN `r Ph: (360)417-4735 Fax:(360)417 4711 €]ate: ` 1 v i 2 Single Family Dmiling "Plan Review e R uired,P ease mpleta Electrical Plan Review Infomfation Sheet Job Address; _ � � Building Square Footage: _ r Oesa'iption of above I rInfonn ion Contract r INam&: i c 1 l oY address: 1 Mailing Ad ^ ' ri City: 1 State. Zp: City: shale:"'�C"" t Phone ax Phone' L License�!Exp, tacerse#!Exp.~ Item Unit Charge gty Total{Qty Multiplied by Unit Charge) Servioe/Fesder 200 Amp. $120.00 $ ServlcslFeeder 201400 Amp. $146.00 $ ServicelFeeder 401.600 Arnp $205.00 $ SerMcelFeeder 60'-4000 Amp, $262.00 $ SwvIWFeeder over 1000 Amp. $373.00 $ Branch Circul WI Service Feeder $ 5.00 $ Branch CirwA 00 Sevice Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 14 $ 75.00 $ Teti.Service!Feeder 200 Amp. $ 93.00 $ Temp.ServiceTeeder 201400 Amp. $110,00 $ Temp.5ervicelFeeder401-600 Amp. $149.DO $ Ternp,ServiceT-eeder 601-1000 Amp. $168.00 $ Portal to Podai Hourly $ 93.00 $ Signal Circultl U mited Energy-1&2 Family Quelling $ 600 $ WnAclured Home Connection $120.00 $ Renewable Electrical Energy-5KYA System cv Less $102,00 $ Thermostat $ 56,00 $ Nete S5.D0 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square R. $120.00 I $ e�U Each Additional 500 SW re Ft.or Portion of $ 40.00 Eadt Outbuilding or Detached Garage $ 74,00 Each Mmming Pod or Hat Tub $110.00 $ $��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)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 ranted property or a licensed electricai contractor,t am making the eiectn'cal installation or alteration in ccrnplance with the electrical laws,N.E.C.,ROW.Chapter 19,28,WAC.Chapter 29646B,The City of Pori Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature owner,electrical contractor or electrical administrator: Q casts ❑ ct,� � >r�� �f�-� ji { ELECTRICAL PERMIT ,x CITY OF PORT ANGELES 1!4 360-417-4735 r- Application Number , . , . . 13-00000365 Date 4/10/13 _ 1 Application pin number , . , 760705 Property Address , . , , . 2307 W 12TH ST ASSESSOR PARCEL NUMBER; 06-30-99--1-0--5520-0000_ REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Property Name to the City of Port Angeles Pro ert use Property zoning . , . . , RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 Application desc New home ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KEDISH, STEWART AND MARCIE NORTH PENINSULA ELECTRIC 1735 W 7TH ST 761 FRESHWATER PARK RD PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 457-3005 (360) 477-1764 Permit. . , , , , . .ELECTRICAL NEW RESIDENTIAL Additional desc , Permit Fee 160,00 Plan Check Fee .00 Issue Date 4/1.0/13 Valuation . , . . 0 �t Expiration Date 10/07/15 A�J� Qty Unit Charge Per Extension V 1,00 120.0000 ECH EL-R-SQFT FIROT 1300 120,00 1.00 40,0000 ECH EL-R-SQ)FT ADDITIONAL, $00 40,00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- ------- -- ---------- ---------- - ------ Permit Fee Total 160.00 160.00 00 OD Plan Check Total .00 ,00 ,00 .00 Grand Total 160.00 160.00 .00 .00 C t INSPECTION TYPE DA'L'E: RESULTS: INSPECTOR: DITCH �- SERVICE I� ROUGH-IN FINAL. COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANG0BUILDING CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 os----4P1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . Application valuation 05-00000484 Date 416936 2307 W 12TH ST 06-30-00-1-0-5515-0000- PUBLIC WORKS UTILITES 6/17/05 RS9 RESDNTL SINGLE FAMILY o 2 "?o7 aJ/2~ ~.d Ii-I- Owner Contractor KEDISH, STEWART AND MARGIE P.O. BOX 507 PORT ANGELES WA 98362 (360) 457-5005 OWNER Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP SEWER/WATER TO PROPERTY 52118 118.00 plan Check Fee 6/17/05 Valuation 12/14/05 .00 o Qty 1. 00 1. 00 Unit Charge 110.0000 8.0000 Per EA EA SAN SEWER HOOKUP SAN SEW HOOKUP ADD/UT E~i~ 110.00 .00 Fee sununary Charged Paid Credi ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 118.00 118.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 118.00 118.00 .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 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 T:\l'uliril:s\1 102.15R [1/05] . . . . . CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . . . . REQUEST: Date (p - .?of - C S- Time Received by Ru (phone, person) Location of Work to be inspected 23 t I .'i- ZSO? Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): ~ Foundation Framing Chimney Plumbing \,IJ 12t"'- - 1; ~.Z- Phone No. Os.- Permit No: <1<:)- ~ ?>jI Sewer Excav. Other Final INSPECTION NOTES: Inspected: Date ~.,- 2. 7 - 0 S- Remarks: Time i / I . DDA >(.( By ;0J Ok ,,; ....,Ie \o.~ u..~ I .Ger....'_e.. RESTORATION REQUiRED...... YES NO 23\1 w 12~k i'\ 2.301 W \2...... N y"f"J<!... 1 P.! / f' P .'L '2>'6 Def2 ~/ , II " orvL ~ ."-t- "oaJ. ~ ')./'~,' , " 12& cSor~\.9~ lA, Ii I" '6" ilv'o.',~ I DCZf:b 'Pv~ ~-.-~13!J!~ j .. I I SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGrave~halt OPCC o Repaired by City Work Order # o Repaired by Permittee 0 COMPLETE o No Damage Found 0 INCOMPLETE ~"flred 1/ 5ibs ~v If'".........i.....ft "'... ra.\larClIlll ClitiA if nAr.AS;S;:UV \ I ' o Other CTDi:i:T C:IIDi:AINT~Nn~NT (DATE) J ~~- - L' IO-r'? I I D ""-' 2-> , ~.s L.'" Jot..... [)fc.3 C>6C 16~SI.s-~ I ~. . , 'I)......l'>> or. .9/j 7. , ./ / ''" / I~ ~h' . .--. ,'<d) 01-25-06 16:11 From-NIPPON PAPER INDUSTRIES USA Brian Card 813 Madeline St. Porr Angeles, W A 98363 January 25,2006 Re: Public Works Final Inspection Ann: Trenia 3604676675 T-I07 P.OI/OI F-217 -rd:- PerwtrT 06-5/8 Per our phone conversation today, I am writing this letter to verify our verbal agreemtm[ that the Public Works Depamnent would sign off on my final inspection if! promise to complete the required concrete on my driveway by March 31't, 2006. My intention is [0 pave the entire driveway with concrete, but I am looking to get occupancy of me house before J will be ready [0 complete this work. Please contact me if you have any further queStions. Thank you, I f 2.( lOb ~K ~Y~~J. jJ WI~L, I f'\5p€GTcJKJf@J)tZ~~e - IF / (ZL)[)~