HomeMy WebLinkAbout636 E 11th St - Building
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HARPER DOANE A/ALICE C
20406 SE269TH ST
coViNGTON'
WA 980426122'
SIMP.SON.ELECTRIC
243036 W 'HwY 101
PORT ANGELES
(360) 457-9270
WA 98363
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C,ITY OF~PORT~GE~E:S
DEPARTMENT OF cOMMtJ!'UTY DEVELOPMENT - Bun..DING DIVISION
321 EAST-5TH STREET,PORT.ANQE~, W A 98362 .
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Application Number .' .
p;:~!~Y.Mdress
ASSESS.OR 'PARCEt..'NUMBER:
Application description .
.prope~Y:Z()JJ.;ng .' ..' . .
Application valuation .
03-ooooolh8 .
636 E1imST
0630000338009000'
ELECTRICAL.);QNI,.Y
o
Date 3/11/03
owner
Contractor
---------~~---~-------~-
Permit . . . .
Additional desc
permit Fee . .
Issue Date ; .
Expiration Date
EL-HOT TUB
46.70
2/28/03
8/27/03
Plan 'Check Fee
Valuation . .
.00 .
.0
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Qty unit Charge Per
1.00 46.7000 ECH EL-R-HOT TUB ONLY
Extension
46.70
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Fee summary Charged Paid Credited Due
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Permit Fee Total 46.70 46.70 .00 .00
Plan . Check Total .00 .00 .00 .00
Grand Total 46.70 46.70 .00 .00
Signature of Contractor or Authorized Agent
Date
Signature of Owner (ifowrier is builder)
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Separ~te ~ermltsare required for electrical work, SEPA.Shor~JineiESA;Utllitiesiprivate and publicimprovemel'\ts;'fh~pe1)nI~~coRle,~
null and vc?ld if work or construction authorized is not commended withln'1'~() daYJ$.if;90nstructlon or work IS~Y~P!IJ~,~~rabam;lone~
tor a. peri,oq;Of 180,days..aft~r~the YI.ork as cOnlrn~n~d. or.if requl~dlll~pe(:tl~nshave nptbeen requestedVilff)lnf!~(f~a~J~IJ'!~~J~t
Inspection. I hereby certify that I have readliiilCl examhied thll;' appli~t1o{l'Eirid know the sama to be true~I]~,c~t~,~,~lPrRvi~Jbl"~ Qf
law.s.and.or...Qj~a. ne.. .~.SgO~ernin. g. this ty. pe Of.. work..W... III be C~,:"Plied.. V"....ith~. eth. erspecifie.d he.....re.in o. r no...t Th.... a gram..mg.,. lO.:.~im.'...: "'.:~.€.mu ......':....o~...'.f..'. :;S.".fI.'6. '. t
presume to give .authonty to VIolate or cancel' the. provlslons:;ofany stab,3 or locaL law regulating. construction orttlei>e1tOiThance of
construction. ".' . . '.
T:\PLANNING\FORMS\1102.IS [412002]
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.. B~DING PERMIT INSPECTION RECORD
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CALL 417-4815 FOR BUILDING INSPECfIONS. p., LEASE PROVIDE A..MINl. MUM UHOVR. NOTICE: IT I$JJNLAWFU..1.1JI c;OJ1E. 1l,
INSULATEOll CONCEAL A~Jf'J1RKBEf:QREINSPECTED AND ACCEPTED. POST PERMrrIN A CONSPICUOUS LOCATION.
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KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
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ACCEPTED ." .' li'-
YES 'V NO;'
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FOUNDATION:
FOQTlNGS
WALLS
FOUNDATION
ELECTRICAL
ROUGH-IN
PLUMBING '.
UNDER FLOOR I SLAB
ROUGH-IN
WATERUNE
GAS LINE
BACK FLOW/W ATER
, AIR SEAL ....
WALLS
CEILING
DRAINAGE ...
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(UGHT DEPT) . SEPARATE PERMIT: #. T (
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FRAMING
JOISTS I GIRDERS
SHEAR WALL
W,ALLS/ROOF/CEILING.
DRYWALL
T-BAR
INSULATION'
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HEAT PUMP
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SLAB
WALL I FLOOR I CEILING'
MECHANICAL ,,:'
WOOD STOVE I PELLET I CHIMNEy
HOOD I DUCTS .;( .
PW UTILmES r SITE WORK (Engineering DiVision) SEPARATE PERMIT #'5:
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WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
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PLANNING DEPT.SEPARA TE PERMIT #'5
PARKlNGlLIGHTlNG
LANDS€APING;:f;:
SEPAl
ESA:
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ELEqRIl;~~PQJ:ffDEPT,
,,'~ ""." ..,,, ...... ...~. SHORELINE:
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, . .. cbNmtltnoN -'R:W.
PW I ENGINEERING
DATE
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':;~~En;ED
,YES; NO Ii
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CONSTRUCTION R. W.I PWI
ENGINEERING
417-4807
FIRE
PLANNING DEPT.
BuILDING "
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417-4653
41714750
417-4815-. .,~
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FIRE DEPT.
PLANNINQt>EPT,
BUILDING
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T:\PLANNIN.G\FORMS\II02.1S [412002]
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ul3 i - tD l.. - 2-&7 - ? /0
ELECTRICAL PERMIT APPLICATION
The Electrical Permit Application must be fllled out comDletelv.
FOR OFFICIAL USE ONLY
Dale/Ro::
Pennillt:
Dale Appruveu;
OalehslIell:
17~
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e~ '-ibD-IO<!b
:::~r::~rcontr~~~:.:ent: /_~:~~D~/~~~7X/~;~;:'I57-9Z7D P~:: ~~
Address: h3b.lf- /1:!:i. / City: ~/<-r r1-tJ(",~ Zip: ?RSc::.7
""-.A " r:-u'..._ /It),m.,,v.. 5/,-YII':;'A-/,97:3131 S-.PhOOo'ne', n,'" 7-_02-7"
Electrical Contractor: ~/rr>.r-:5,t'A/5 /ZA.~r./, L,cense#: E'xp: "7.:'_ Z,__!d.
I ~L-" I oS;"'" 5fr P 2;3 ;i.-r 5/0S"
Address: . -;L'I' <7 1.-<) .. City: Zip: q f.j J, {, '3
INSTALLATION WIRED BY: ~ELECTRICALCONTRACTOR S(I-", pS IE: * "lT~B ( f;c 1/2 1/0:;-
Please type or reprint in ink. If you have any questions, please call (360. 417-4735
Fax number: (360) 417-4711
Credit Card Holder Name:
City:
Billing Address:
";
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Zip:
VISA:_MC:X
TYPE OF WORK:
\lllResidental
o Multi-family
Sq. Ft.
o Telecom.
o Sign
\
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Electrical Heat Load Additions
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Service Information
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o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
_KW
_KW
_KW
Voltage:
Phase: 0 1
Service Size:
Feeder Size:
03
PAMC 14.05.060(B): For industrial, commercial, & residential projects larger than a duplex, a one -line drawing of the Electricai Service &
Feeders, building size (sq. It.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the
Electrical Permit application.
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits
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ELECTRICAL PERMIT APPLICATION
The Electrical Permit Application must be fmed out comoletelv.
FOR OFFiCIAL USE ONLY
O;aI(/ReI::
petmil.:
OalcApPflII'CII:
O,uclJ;l;ue,J:
Please type or reprint in ink. If you have any questions, please call (360. 417-4735
Fax number: (360) 417-4711
Owner or Elee. Contractor Agent:
51"'" PSUAI- <;
,
L-U-,';{)U/ C
elf..""
Phone: 'I!!;7-9-z. 7D
<-I(,O-Io'-/b
Fax: SA-1V'1t-
Property Owner:
ElGlr
I' .4-7-2-5,') ,v
Phone:
Zip:
.5"-00-
. Phone:
SIDS-
Zip:
Address: City:
~- , h' /It)//7,N. 51 "'-'1"5;(- f> 9'1:5 6 I
Electrical Contractor: ....-J1r?'7p5l1,/.../...5. T _~J/ License#: E'xp:
Address: ')..<(,") l'i0 /:/<<"1101 t..<-). /~ity: it?"" SlrnS;>P2-~Ju
INSTALLATION WIRED BY: 0 OWNER )/fELECTRICAL CONTRACTOR
Credit Card Holder Name:
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Zip:
VISA:_MC:X
Billing Address:
City:
PROJECT ADDRESS:
(~'-5;;;' j[ lIt!:!
Check all that apply: 0 New
TYPE OF WORK:
o Alteration/Addition
tx[Residental 0 Multi-family
o Commercial 0 Mobile Home
Sq.Ft.
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 Sign
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT: J/f,1 )-
J/of- tUB
/f1/~,/ /p
V
/'7',,/ dr' .- /~
o Overhead SelVice
o Temp SelVice
o Underground SelVice
Voltage:
Phase: 0 1 0 3
SelVice Size:
Feeder Size:
6',~>. .
~
Electrical Heat Load Additions
S/!-1-1J
_KW
_KW
_KW
_KW
fL-/& ,70
Service Information
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
PAMC 14.05.060(B): For industrial, commercial, & residential projects larger than a duplex, a one -line drawing of the Electrical SelVice &
Feeders, building size (sq. ft.), load caiculations, and the type & of conductors and/or raceway is required and shall accompany the
Electrical Permit application.
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
~\'Vd~ -' Df. 1& 'is ~ ~~L
Credit Card Holder's Signature:
Owner or Elec. ConI.. Signa
~2o--Q?
PW-9019
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2-2-0-0';;'