HomeMy WebLinkAbout2019 W 4th St - Building
G~ORl>f;)RTAN6EUBS
PUBLIC WO~-,Bun..DINGDIVISIQN
321 EAST 5TH STREET/, PORT ANGELEs,WA98362
S
~~f,
OWNER/APPLICANT
GARY SMEI:TZER
2019 W. 4TH ST
Port Angeles, W A 98363
360/417~8976
1:
CONTRACTOR
DOUBLE S.CONSTRUCTION
2557 MT PLEASANT RD
PORT ANGELES, W A 98362-0000
360/454-0824
PROJECT INFO
Project Value: $3,000.00
Project Type: BACKFLOWVALVE
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use: RS9
FEES ASSESSMENT
Building Permit:
Plan Check:
. State Surcharge: '0
House Moving: '
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$25.00
$0.00
$0.00
TOTAL FEF:
AMOUNT PAID: "
BALANCE DUE:: 0 '
Separa~e Permits are required ror electrical work, SEPA;Shoreline, ESA, Utilitiesfprivate,and public improverl1entS:'"Tf\~PeflrlltJ*:omes
nuUan~:~~idif w9,~orcq~~truction aUtl1,?'~~!~'Jl~tccm~mEl,Jlced.~~IJl J,~.q~~,it<:onstructignorw()~!!,~!J" 0..0 ' " ',J!~IJ5IR":~d
for a penOd of 180 days after the work as (X)mmElnced, or If required Inspections h~ve /lot been r~questedWlthll'l f .,."I'!l!l:1e1ast
Inspection. .1. hereby certify. that I have read and exaininedthis applicationandk(lowthEl s~me tobEl.tJ'ue' ~nd, co"Elct .... ...... '. .rovision~ of
lawsahd ordinances'goveniing this typeQf w6i1dNin be complietfwitlfwhefllerspecifieif herein or not' 11legrantiflg'9f~~tmlt,;~o~ not
~~~u~me .~ ~ive ~uthority to violate or cancel the' provislo~s ohny ~~te or I~I iaw regulating construction or th? performance of
~-\'1-~( . . -, ~
Signature of Con ctor or Auihorized Age~t Date
BUlliDING,PERMIT INSPECTION RECORD
. ^ "
CALL 417-4815 FOR BUILDINGINSPEcrIONS~.PLEASE PROVIDEA fYtINIMUM,24 HOUR NOTICE..IT/S UNLAWFULfei!CoVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
,-,,",,~..,.---,..._..
'-'"'''''''~~''''-''''' ',-,
';iKEEP PER~1IT~ARD AND APPROVED PLANS AT JOB SITE;
,., , , "
INSPECTION TYPE , f< 'J' DATE .;"" ACCEPTED COMMENl'S C ,,',", ,]"""1'
Ir,( " . 'i,',', YES I NO ,', ",",'"
to;. '",l
FOUNDATlON: <'~ :Jc, ( " r'l'
FOOTINGS ',' ',' ','(1,;,'
",
WALLS ,".. :' '<:"}",, . I.:. ,'" <
FOUNDATION DRAINAGE (':,-'''_';1''.ty'i, 'C',' ,~ A ,)" ", " "
ELECTRICAL (LIGHT DEPT) ~~ARATE PERM,IT:!t.. , , ,',
ROUGH-IN , , ::",t';,1 .. I .\, , ,.'1, ' ;"
PLUMBING, " ."-
UNDER FLOOR I SLAB
ROUGH-IN "''.5 ,,' I:;
WATERLINE 'f,' ':,,"":': ,
GAS LINE
BACK FLOWI WATER " i\
" '"
AIRSEAL".'./" ".' , . . ',',', "
W ALJ.S , ,.
CEIl.ING " }c< ..' ill , ',';
",
, " " '" "
FRAMING , <J ,
"", "
" JOISTS I GIRDERS I
SHEAR. WALL ,
WALLSJ ROOF ICEIUNG " ", , " ,""~ ',"'"
DRYWALL "
'", " , ",'" . , "
~<'Y , ,
T.BAR
INSULATION
SLAB ,
WALL I FLOORJ CEILING " I I ;
MECHANICAL , ",
,
HEAT PUMP
WOODSTOVE I PELLET/CHIMNEY"INSERT
HOODIDUCTS ' ,..::; I .,,' , '," ,
PW UTILlTIf:S I SITE WORK " <Erlglneenng Division) , ,',' " ,",,/ ,
SEPARATE PERMIT #'s:
WATERLINE I METER ,--, '."1' ,
SEweR CONNECTION " t .' <,; "'.,..,
SANITARY '" ,< "",:' -f,"" -, ~ , '", .....,.',," ,
i
STORM .'. '" ",,,,,,,. ""',i" .... . '~->:
PLANNING DEPT. SEPARATE I'BRMrr #'s .",J"J' 'J SEPA:
PARKlNGILIGHTING ESA:
LAND$CAPING SHORELlNE: . ,
FINALINSP~qIONS REQUIRED PRIOR TO OCCUPANCYIUSE .. , ..' ..
- DAn; ',ii" {"C,;,,~c;gmp,,;,
"'" RESIDENTIAL....,...,. ns NO . ." ,C()~,~RC;~,.. , 'pl)^m..!\
~'~ . ;.-.
",'l'.'",',:",; 'h"."?',, ",;.,.,',(,' .f,:';"j \" "" I.;;, " ;':-~: "'f"", ,.,d>,.' "'.',.. I';'. :,e, ;},;,.' 'ns,,,ij! U'7NO.i ,
, ...'>-- ..
i.".'". "6""" ,'."'\' . .'. . , ' .... ',hr"',' ,"--'. L:. in . , EIiCflijCM: '. "'''.,; 1,,1' . ," t! .,. ,
ELEctRiCAl{~'LI HTDEPT.'" ";"4174735 ". 'i"
' ..,"", '," ....". ''', ....,.,!. i" ;?~ ,.(j: " '. I..,' ',;;,: . 'LlGHT I),EPT .,: '. ," 'iF') ,''off, ",'i' d
. -':~'::';"'!"_/ ,j -rr,"'\, _': -: ',- _,,,-
cONmt1C1tbNk.w./PW/; "''',' ?(J;, i" "'.." ",,, 'Jl co*stRtlcTIoN.R.w.'" "/"0': ,et,' "+,;" ( Ii,' "
~GINEERING ":',',{',,,Y:,' , ,)"'L748QV ,q.JJ~J-;"'ri ,a2B I,.', 'iq "pw rENOINEERlN(1,"J;' 'jg~t"., I,
.
FIRE 417-4653 r . FIRE DEPT. . , ,:,.;; .J"'[ ,,'., "
. . , " .,
PLANNING DEPT. ,,4174750 '~G pE..t:i , I'\,A.A"/~ir l '
'~4'c..l '., ,.
. BtnLDING d'\ 'Ii',:;.!',,"}; " "it', "
BtnLDlNG " , ,4174815 ' , .. "i, " ,i) Jrl . ,
i., C:\APPL;WPD
I.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. J 3 s 7
/o//c,/rJ
I .
DATE
Site Address: ,J-O/9 W. fTt 'READY FOR D WILL CALL FOR
INSPECTION INSPECTION
Installed By: ~ohtJ S /11 7JE. I License Number: Phone:
OwnerfBusiness: Phone:
OwnerfBusiness Address: Sq. Ft.
D esidential
at KW
D B eboard D Furnace/Boiler
D He tpump D Other
D Com ercial/lndustrial load
Total onnected load
(attach reakdown)
Total M or load
(attach br kdown)
D New Construction
~emOdel
D Service update/alter/repair
:E'FAdd/alter circuits
D Auxiliary power
(list below)
D Special equipment
(list below)
rtl
D verhead
D derground
Volta e
D 10
Service e
D Tempor y
Amps
DetailslDescription:
'.
~l
"1 ~ f)..h (L'L/J
[~~i
W.S. No. Service Size
Capacity: D O.K. D Not O.K. Comments
D Ditch inspection O.K.
. Rough-in/cover O.K.
D O.K. to connect service
A,Ar-Ki. Final O.K.
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan Review approved/pending
Installer:
~f1
. oJ;.)
fA}. 174,
S 1t4-0 f-
New Meters
.-G--
Site Address:
~'
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 Inspecto'n riting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
/ & !!!:-
Inspector ' Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15822
Port Angeles, washJngtonm.nmnr:::.n=..m:~.9.mmm...m...._mm.. 19.>;;'
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-
::::s: ~_:!~~!.~f.:.~:~_~~d?:~:._~.~.~~__~~_I:~~:~__::IO:~cupancy____/~<~.__'~__n______._..._.___._._.n..
Owner --.-(/..~.(r'(~;n~a"..l;::n--niJ Tenant...__nmmnmn_mm._..~_m____.._______.nn~mn-..--...n
Wiring Contractor ..__,Mnc.t.'.'---~n'''-_jq:.~~mnnn By_nn.mm.n...m._.___..n_m.._m.mmn......_______mnn
Light Outletonnm.L.'m.mnn_.._.m. Service, volto n./.c!::.C5../fP.'lf:.9.. Type 01 Wiring:
Receptacle Outlets_...C...Q............____ No. wires .......~.....--~.........ri.-..... Armored Cable ..m___...._m..............
0- SI I V/O 6Y' Non~Metalllc ~__.~.......__..._.........m_.
Dry"" KW mmnh_".:mnnmhnnhhh____. ze w resnm.nL..!nmnm.____.mn_n
Rang', KW m.h.L.;:!,.mm.m__m____ Main luse __~M.I.f:m.
'5
Enclosure __.m_._m._____m__.__n__m
Water Heater: /""
KWmm____.~::!..mhnn----mm--
Heat KWnmn.l.fc...l."..3Bmn_n
Knoh & Tuhe.mmmm.mm_h__n______
RIgid Conduit .m.m______.nmmmnm
Metallic Tubing ...........m.............
Type- of wiring:
Entrance Cable ...mnm
Ser. NO.n.__............._..........__.____..........
Raceway .........._.__........._......_.__._
C
Circuits, Llght..nmnm_.__.mm.mmnm.m
Utility ._..9.?.nmnmn_nmn____h._m.
::ge n-!?.:::::::::::::::::::::::::~::::::
Water Heater .:::2'm.n.mm__mnh_
Motor ____........__..............................
Dryer _____.___;;(.-.:................__......__..._._..
Motors: size, volts and phase:
:~:t~:::::~:::::::::~::::::::::::::
Rigid Conduit .h.hhhn__._.mnn.m
Metallic Tubing ..._.......................
Current transformers:
No. & Size._..........._...........__............
Ser. No........___...................................
Ser. I\'o........_______........_.._...................
Furnace ._........._.............._...................
Total I.oad.n.____________............. Ser. No,............................._.___.........__ Total .1..i!?..........................__
Remarks: n_mn.n.,.4~b=.:.-.,.m_mGC)-q.'__~t::---t..:mnmmnnmmnnnnmnmmmnn____mnmnm__m.nmmmm.
Permit Fee
$:-n.3./._{,_~'_m_m_________
Treas. Receipt
NO.__n_n.....................
By nZtJh~1L~..u::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?
15822
Address___.__............................................................................................________...__.____..._._..............Date____.......____......_......._.._......_......___.....:~.
,
Owner.___......_..._.____...............__....._.__......_......__.___.____................_..._..______.________.______..._._.Tenant....._..______..__...____..............._..............._........~.
Wiring Contractor.....___.__._........._....~______..._._.__........_..._........................._........___..______.___._.._.._.._.____.' By.........._.__._......._..______........._______._..._._____._
NOTICE-Current must not be turned on until Certtncate or Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
1M Olympic Printers, Inc.