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Home My WebLink About1521 O St - BuildingNAME OF PREMISES SERVICE ADDRESS LOCATION OF DEVICE. ASSEMBLY V 1) I A/ Manufacturer IS THIS AN APPROVED ASSEMBLY'? YES NO IS ASSEMBLY INSTALLED CORRECTLY' YES NO DATE OF INSTALLATION UNKNOWN Initial Test Repairs Details Final Test Initial Test Repairs Final Test DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE 1 CHECK VALVE #2 RELIEF VALVE PVB/SVB Leaked Held at 7. Cpsi Cleaned Replaced REDUCED PRESSURE PRINCIPLE ASSEMBLY Held at psi Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division r .a r/ f i14 1 /76 Trf 5G X 6. Model Size Serial No Leaked Closed Tight Held at t g C Cleaned Cleaned Replaced Replaced Closed Tight Held at Did Not Open Opened at psi 3 psi Buffer YES NO Opened at psi AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO COMM ENTS Ott S e C j e 7 S i 12 1 ii P WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY RP RPDA DC at! DCDA PVB Air Gap SVB AVB AIR INLET r Did Not Open Opened at psi CHECK VALVE Leaked Held at psi n REPAIRS 1 1' Cleaned Replaced TYPE OF HAZARD 7 Line Pressure I 3" psi Held Backpressure #2 Shutoff Held Official Use Only Asscm Received AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES 4 YES [a''NO YES 13- NO Relief Valve Exercised YES NO Date/Time Tester Signature Cert. Test Kit Passed Failed /3( -r)ct1 15fr f x -51' A4 lP rvs'r; i Application Number 08 00000403 Application pin number 680118 Property Address 1521 0 ST ASSESSOR PARCEL NUMBER 06 30 99 1 0 8040 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Install irragation water meter CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Owner Contractor OSTERBERG KENT W /KARI L 1521 SO PORT ANGELES WA 983631313 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT OWNER Date 4/03/08 124065 57 00 Plan Check Fee 00 4/03/08 Valuation 0 9/30/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 ECH PL- EA LAWN BACKFLOW 7 00 Fee summary Charged Paid Credited Due Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 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 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 V-3-6 e;. Date Print Name T.Forms /Building Division/Building Permit (10 /01 /07).wpd A“ei Signature of.eontractor or Authorized Agent Signature of Owner (if owner is buildtr) I MANUFACTURED HOMES 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 COMMENTS 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 FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT H's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T Forms /Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD 1 16;-7 -og 1RB 1'ES 1 NO SEPA. ESA. I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL FINAL FINAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED G 1 YES 1 NO I 0 OQ 0 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application qesc Install irrigation water meter Owner OSTERBERG KENT W /KARI L 1521 SO PORT ANGELES WA 983631313 08 00000403 680118 1521 0 ST 06 30 99 1 0 8040 0000 PUBLIC WORKS UTILITES RS9 RESDNTL SINGLE FAMILY 0 Contractor OWNER Permit PUBLIC WORKS RES WATER SERV Additional desc 2ND METER FOR IRRIGATION Permit pin number 124057 Permit Fee 770 00 Issue Date 4/03/08 Expiration Date 9/30/08 Qty Unit Charge Per 1 00 Fee summary Charged 770 0000 EA PW W/M 1 Permit Fee Total 770 00 Plan Check Total 00 Grand Total 770 00 T\Policies \1102.15R [1 /05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Paid 770 00 00 770 00 Plan Check Valuation SERV 5/8 METER Fee 00 0 Credited Due 00 00 00 Date 4/03/08 Extension 770 00 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. 4-(5(c9P Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is b 'Ider) Date CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOURNOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CO NCEAL 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 1 NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE. SITE EROSIONCONTROL PARKING SIDEWALK' CURB GUTTER DRIVEWAY _APPROACH BACK -FLOW DEVICE T•\Policies \1102.151. [1/051 RESIDENTIAL .I CONSTRUCTION RW .1 PW/ ENGINEERING. 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD FINAL INSPECTIONS REQUIRED,PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE= :ACCEPTED YES' NO' CONSTRUCTION. kW PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING I' 1', Application Number 07 00001325 Date 11/20/07 Application pin number 185475 Property Address 1521 0 ST ASSESSOR PARCEL NUMBER 06 30 99 1 0 8040 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor JORISSEN ROBERT /SHARON 1521 SO PORT ANGELES WA 983631313 APS ELECTRIC 546 BENSON RD PORT ANGELES PORT ANGELES (360) 452 6753 WA 98363 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 115311 Permit Fee 91 00 Plan Check Fee 00 Issue Date 11/20/07 Valuation 1 Expiration Date 5/18/08 Qty Unit Charge Per Extension 1 00 91 0000 ECH EL -R OR RM 201 600 ALT SRV FDR 91 00 Fee summary Charged Paid Credited Due Permit Fee Total 91 00 91 00 00 00 Plan Check Total 00 00 00 00 Grand Total 91 00 91 00 00 00 INSPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE FINAL COMMENTS: 1llZ� 00- €P AS ROUGH IN tfloicey 31,g(cP, 044 °10P M7 Job wired by Elcctrica contractor name License number Date Expires 1i 6 6tectr col Ga nhroci'vr Pure 5 mailing dress n City ?ifik Ctilkiacekatc zIP W A q3i6.3 Tctgcmc P remises owner's Address r inspection 5a► City p 1 Phone number to schedule Inspection O wner as defined by RCW 19.28.261•(1) Owner will occupy the structure for two years 441er this electrical permit it finalized (2) Owner is required to lure an electrical contractor if above said property is for saw, rent or lease. After reading the above statement, I hereby certify that I am thc owner of thc above named property or a licensed electrical contractor. I am making the electrical instal- lation 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 Codc, and Utility Specifications. tSignatu of wner, cicctri t c�ttrac or or electrical administrator Expiration Date T� 1 47 of card �X te: Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW O Furnace KW L' I Overhead Service O Heat Pump Ton LAR LI Temp Service O Fan -Wall KW Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 -417 -4735 Inspection Date 11 5/rs RECEIVED NOV 1 4 2007 Td Wtf6S `9 LIME bT lectrical Contractor 0 Owner AX number Kari o D ROUGH -IN Da c Appmved A FINAL 3 W_ Approved By ("ION 5 4 rx sl-eite recif O e THERMOSTAT Date Apprcv,XI By DITCH By Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION 1/Installation descriptio 0 Commercial r esidential 0 New 1 ltered/Addition pvLoAil. a QO arm rp “r-O i C Q 0 Cash 0 Check 0 Credit Card Visa Card d'e 1`ectO 5 e. 1 &e SERVICE 1076 7 .S-7sP oat Approval By FEEDER Date IS IA_ Mastercard Voltage Phase'1 0 3 Service Size: Feeder Size: Action Taken A Pk, tzov I Appr ved dy Discover lnapection fee qj Service Information Electrical Inspector ESL9 ZSb 092 '0N Xl d 21O10d211NOD -d0I2110313 'S d '11 WONd f/ / . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. .3 7~ //&3 DATE Installed By: ,;2 /f}c/~ ~.::r ELECTRICAL PERMIT 'b q- o READY FOR INSPECTION license Number: ~WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ~ RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ ~ FURNACE KW --/-Q.- o FAN/WALL KW _ ~ HEAT PUMP KW ~ o SIGN o IEMPORARY SERVICE WPERMANENT SERVICE ~EW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) o OVERHEAD SERVICE BlJNDERGROU~ S.EBVICE VOL-mGE: /0702~ E1SINGLE PHil E o THREE PHASE SERVICE SIZEdOV AMPS Details/Description: AJ~ ~.,p . 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. ~,jJ Rough-in/cover O.K. Y f/! O.K. to connect service 1t"'lflJ Final O.K. Installer: .,$D. Site Address: . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work mus not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on eitherthe Wiring Report or on the Bu~ Permit. PHONE 457-0411, EXT. 224. f(V\Nl NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT , $ Electrical Inspector WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer fe. 0 !!!2 Permit Fee /. / ~ GREEN - Top: Meter Dept., BOtlOm:\ ,jI OLYMPICPRINTER$INC. (/:PDIlT""" ....~'V~ "r-di . .... ~-- "ti:'C~' CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ;,NGELES, W A 98362 08A03 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER; Application type description Subdivision Name Property UEle Property Zoning Application valuation 08-00000403 Date 680118 1521 0 ST 06-30-99-1-0 8040-0000- PUBLIC WORKS UTI LITES 4/03/08 Owner Contractor J D? / 3 6 11 rO~ 5j W/m RS9 RESDNTL SINGLE FAMILY o Application ~esc Install irr,gation water meter OSTEREERG KENT W/KARI L 1521 SO. OWNER PORT PJ'.JGELES WA 983631313 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 2ND METER FOR IR~GATION 124057 770.00 Plan Check Fee 4/03/08 Valuation 9/30/08 .00 o Qty 1. 00 Unit Charge Per 770.0000 EA PW W/M 1" SERV 5/8" METER Extension 770.00 Fee summary Charged Paid Credited Due ------.----------- ---------- ---------- ---------- ---------- Permit Fee Total 770 .00 770 .00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 770 .00 770 .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:\Policies\1102.15R [IID5} b "./le, " APPLICATION FOR WATER City Water Division, Port Angeles, WA Issued date: 'I ~ s-D8 Installed by & date: 'f7f;!n'l! I 71'lFus Permit # 6e - '162 I I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: Applicant Name & Phone: Ken f 05-1eyb~~ Site Address: 152./ C s r Mailing Address: 152.i 6';;"- Blk: Lot: Add: Parcel#:Cb50'1q(09.0'fDC<?cO Svc ON I@ Meter #'5 C F 0/ I ?i'?1J.,)W/O #. -:)c) L/7f -,Jq J 11//_ Svc. Size , ~W ' . ~ RestoratIOn ReqUIred Signature <-..- ~ ___ _ __ . __ Remarks -r 0, J I I _ ~ rrq,j4T1c);..(. JU,<e'f"'t::..r- , w /6'L """ '~t. N I.~ 10 J 0 1 E ~I o s ;:. ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , . 1 15- 00001575 Pate 12/17/15 Application pin number , . , 223650 Property Address 1521 0 ST ASSESSOR PARCEL NUMBER; 06 -30 99 1 -0- 8040 Application type type description ELECTRICAL ONLY Subdivision Name . . . Property Use Property Zoning . . , . , , . RS9 RESDNTL SINGLE FAMILY Application valuation 0 - -- ----------------------- Application desc Replace ducted heat pump system Owner Contractor KENT W AND KART L OSTERBERG DAVEIS HTG & COOLING SRVC iNC 1521 S 0 ST. PO BOX 913 PORT ANGELES WA 963631313 PORT ANGELES WA 98362 (360) 460 -2231 (360) 452-0939 -y ----------------------------------------------------------- --- -- - - - - -- Permit . . , . , , ELECTRICAL ALTER RESTDENTIAL Additional desc . . Permit Fee . , . . 56.00 Plan Check Fee 00 Issue Date . . 12/17/15 Valuation , . . . 0 Expiration Date , , 6/14/16 Qty unit charge Per Extension 1.00 56.0000 ECH 'EL- LVT- "THERMOSTAT 56.00 Fee Summary Charged Paid Credited Dud Permit Fee Total 56.00 56.00 00 00 Plan Check Total Go ,00 00 .00 Grand 'Total 56.00 56.00 00 00 INSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SLX (6) MONTHS FIZOM LAST INSPECTION Signature of owner or Electrical Contractor X GAEXCRANGE1BUILDING RESULTS REPORT SALES TAX .on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR: Date: 12/15/2015 11:308M FAX CITY OF PORT A -NG]EL S PER�11T AYFLICATIOIV Building Divi sion /Clectlt•ical�Rspectiolns 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417 -4733 Fax: (360) .417 -4711 160001 /0002 "1 Each Swimming fool or Hot I ub I $ 110.00 5 I S -z)z"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 requires I to hire an electrical contractor if abo�e said property is for sale, rent or tease. Permit expires after six months of last inspectio►4_ After reading the above statement, t hereby rertify that I rim the owner of lhn ahovp nultued property cr a lir:erlBF:dtlleoincal contractor. I am Makin q the alcoldcal installation or alteration in compliance Wft the: elcatnr.al laws, N.E.C., RGW. Chapter 19.28, WAC . Chapter-M-463, The City of Por 1. Angeles Municipal Code, and Ulillly Specificalions and PANIC 14.06.060 regarding Electrical Pennit Applications. Signature of owner, electrical contractor or electrical adminlstrator: ❑ cash ❑ Check Credit Card 0 K oatcd: _, OTO1r2012 1 & 2 Single Family Dwelling ' Plan Review May Be Required, kI ase Complete lectrioa) Plan Ravie Inform tion Sheet Job Address: Ouildin g Square Fooi e' _.....,.. _...,_ _ IA. _....., .............. .......... ..1. ,.., ,.,.., D ascriptionofabove P rf { �,�,, _ ,,Qwner I rmation Contractor Informatign co, N,'me. �w`t Name tt f uG �1a }ling dress;,L�,g� Mailing Ores «L _.,. S1r11o: (Q J, 7,ip. City 11' , c late. Zip Phone '' RX._,.�:; Phone ? Face e-15 —z7`, /q ' License 01 Exp. - ke' 4 --f % A0—M Unit Char a gt Total (Qty Multiplied by Unit Ghaga {ej Servicerreedar200Amp $12.0.00 - - -,_ —• $„ _�....... —. —_ Service /Feeder 201 -400 Amp. 5146.00 Servica)Feeder 401 -600 Amp $ 205.00 _ Service[Feedor 601 -1000 Amp $ 262 00 _ - -- 5 _ Ser AcelFeeder over 1000 Amp. $ 373.00 ^ S Branch Circuit WI Service Feeder 6 5.00 $� Branch Omuil WI[) Service Feodet ! S 6300 Each Additional Branch Circuit S 6.00 S _ Branch Circuits 1.4 i $ 75.00 S, 'ramp Servico! Feeder 200 Amp $ 9300. _T.__u $,.,.._.....,..._...__._ Temp. Service /Feeder 201 -400 Amp. S 110.0D S— Temp SnrvicG /Feeder40i -600 Amp. $14900 _ ..... ............. S- - - -, —_ Temp, Service /Feeder 601 -1000 Amp . S 168.00 _ $ Portal to Portal Hourly Signal Circuit/ Limited Ennrgy • 1 & 2 Fancily Dwelling $ 00.00 5 6400 $—T„_ klanufactuied Nome Connection 1 $120.00 $ Renewable Electrical Er45rgy - 5KVA Syalem or Less $102.00 S Thermostat $ 56.00 Note. $5.00 for each additional T•S al NEW CONSTRUCTION ONLY, First 1300 Square F1. 1 120 OD __.. , , .. "w,,. ,_ ,,••, Each Additional 500 Square Ft. or Portio{ of S 40.00 5 Each Outbuilding or Detached Garage ; S 74.00 ^� $ Each Swimming fool or Hot I ub I $ 110.00 5 I S -z)z"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 requires I to hire an electrical contractor if abo�e said property is for sale, rent or tease. Permit expires after six months of last inspectio►4_ After reading the above statement, t hereby rertify that I rim the owner of lhn ahovp nultued property cr a lir:erlBF:dtlleoincal contractor. I am Makin q the alcoldcal installation or alteration in compliance Wft the: elcatnr.al laws, N.E.C., RGW. Chapter 19.28, WAC . Chapter-M-463, The City of Por 1. Angeles Municipal Code, and Ulillly Specificalions and PANIC 14.06.060 regarding Electrical Pennit Applications. Signature of owner, electrical contractor or electrical adminlstrator: ❑ cash ❑ Check Credit Card 0 K oatcd: _, OTO1r2012