HomeMy WebLinkAbout1216 W 15th St - Building
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'cfIYpFPO~T ANG13LES
DEPARTMENT OFCOMMUNrrY DEVE~OP~ - BUILDINGDMSION
321 EAST 5~;STREET, PORT ANGELES, W A 98362
Application Number
Pin number . '. . .
Property Ad4ress "
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
property zoning . ; .
Application valuation
04-00000528 Date
.572640
1216 W,15TH ST
06-30-00~0-4-3212-0000-
ELECTRICAL ONLY,
7/12/04
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Owner
Contractor
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RS7 RESDNTL SINGLE FAMILY
o
~, JOHN
1216 W l~.TH ST
PORT ANGELES
(360) 683...5917
OWNER
WA 983637006
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Permit
Additional desc
Permit Pee
Issue Date
Expira.tionDate
ELECTRICAL NEW RESIDENTIAL
100A SERVICE TO GARAGE
76.30 Plan Check Pee
6/18/04 va.luation
12/15/04 .
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Qty Unit Charge Per
1. 00 76.3000 ECH EL-RM-0-200 . 1ST SRV PEEDER
Extension
76.30
Pee summary Charged .paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Pee Total 76.30 76.'30 .00 .00
Plan Check Total .00 .00 .00 :00
Grand Total 76.30 76.30 .00 .00
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Separate Permits are required f()r electrical work, S~f'f\,~horelil1~' E:PA, u~lities. privale and p~blic improv~lT1en~..lnis~r;Wit~comes
null and void if work or construCtion authorized is not Commenced wiu{in<f~OdayS;if .(:On,structionor Wotkiss~ipen~(J~i'.a~bdoned
for a period of 180 days after the work as commenc~d;orif reqUlred,Jl1spectI9flSh~lVE~ not been requeste~YIi~f!l; 1~Q~~~Y!,'fJ'omlhelast
inspection. I hereby certify that I have read and examined this application ahd know the same 'to be trueariClcorrebtA!lprovisionsaf
laws andordinances governing this.tyj:>e of wol'k willpe complied with, whep1er specified herein .oJ" not . JlJ~ grnnting gf,,~p4ill'J!lit does not
presume to give authority to violate or cancel the provisions .of any slate or local law regulating construction or theperfor:mance of
construction. .. . .'.
'L
Signature .of Contractor or Authorized Agent
Date
Signature .of Owner (if ,owner is builder)
Date
T:\PLANNING\FORMS\ll02:IS [11/1412003]
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BUILDING PERMITINSPEC'I10N RECORD
CALL 417-4815 FOR BUILDING INSPECflONS.CALL 417-4735 FOR ELECTRICAL INSPECflONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATEVR CONCEAL ANY WORK.BEFORE
. INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. .
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE'
./
INSPECTION TYPE I DATE ACCEPTED COMMENTS ,
t f "
YES NO
FOUNDATION: ..
FOOTINGS ./
WALLS
FOUNDATION DRAlNAGEIDOWN SPOlITS
ELECfRICAL (LIGHT DEPT) SEPARATE PERMIT: II .
ROUGH-IN I ~ .
PLUMBING
UNDER FLOOR! SLAB
ROUGH-IN
WATER LINE (METER TO BLDO) .
GAS. LINE
BACK FLOW' WATER
AI~ SEAL .'
WALLS
CEILING I I I
FRAMING
JOISTS! GIRDERS ..'
SHEAR W ALLIHOLD DOWNS
WALLS! ROOF! CEILING
QRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR ,
INSULATION
SLAB
WALL' FLOOR! CEILING I
MECHANICAL.
HEAT PUMP
GAS LINE
WOOD STOVE! PELLET' CHIMNEY
HOOD' DUCTS ....
PW UTILITIES' SITE WORK (Engineering Division) SEPARATE PERMlTII's:
WATERLINE' METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATEPERMITII.'s SEPA:
PARKINGlLIGHTING ESA:
LANDSCAPING SHOREL~: "
. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYlUSE ...... ., ; .
RESIDENTIAL DATE YES NO COMMERCIAL DATE . . ACCEPTED
,
.. YES NO
ELECTRICAL - LIGHT DEPT. 4 I 7-4735' ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.' PW, CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW , ENGINEERING
.. FIRE DEPT.
FIRE ' 417-4653
PLANNINO DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING '.
T:\PLANNING\FORMS\II02.IS [I 11\4f2003)
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
/83f
[3-;0 -8H
ELECTRICAL PERMIT
DATE
Site Address: /2/0 W. j5>Th o READY FOR o WILL CALL FOR
INSPECTION INSPECTION
Installed By: i6.\) b 5 (lh. --6.1 L I License Number: Phone:
Owner/Business: Phone:
Owner/Business Address: Sq. Ft.
~. Residential
H eo:t"iM
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
(oAJL~6';
~ New Construction
o Remodel
o Service update/alter/repair
J&I' Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
verhead
o derground
Volta
o 10 030
Service s
o Tempora
DetailslDescription:
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jJt.iJts t Ot- Ilr
ANt'
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W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
o Rough.in/cover O.K.
o O.K. to connect service ~
1lJ Final O.K. ~ (frvI.t
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
Site Address: !STZ, Permit/Receipt No.
;Z/h 111, /851-
Installer: go;] , I New ~~ I Date:
f If C'7ll.-i L 8 ,-/o-Yl
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 Buiiding Permit. PHONE 457.0W. EXT.158 or EXT. 224.
)A..-{l-- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~;;Z 0 ..~
Inspector Amount paid
WHITE - fite by address YELLOW - file by number PINK - Top: Eng~Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLV"'''IC PRINTERS. INC.
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
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PERMIT NUMBER
FEE RECEIPT NUMBER
.
3 0'0 - - f ;(EJr-
TOTAL FEE 0---
CaNT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL-PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER T~IS PERMIT
! :2. I (" u.) r'~--;1L SI
CORRECT ADDRESS IS RESPONSIBILITY. OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner~ll1l?.s -J- rl1At26IJRel' R'Dcldl'ch Installation By t:)~~....---o
Owner's Address I D d-.1 u..J I '1 Q:J., sV: Installers Address _ __
L.(~~ -;:). - 7 "J <( J?' ' Installers Phone
to install Electrical Equipment as follows:
Site Address
<iA-U (C 'L
Wiring Method
o
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100A FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT I SIGN
.
LIGHT / I / 50 VOLTS
OR LESS
CONVENIENCE I~ --<1 J / MOTOR
CONVENIENCE I r MOTOR
APPLIANCE LL '( '/j(6f '. r ( r a.,bT9R
.R <
DISHWASHER V FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTAlLA TION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONOUCTORS
SERVICE AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
.
Date Application made
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
1(2-1/1'0
,19
By
,.,...
CONTRACTOR OWNER (OR AUTHORIZED AGENT}
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of he ity of Port Angeles.
EC CITY LIGHT
WARNING
Ith~/f b '~!ANSAPPRO 0 . .'
~~ifY Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK _ SEE OVER _
.
Date Permit Issued
WHITE - Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
()I YMP\C'. PRIIlJTFRf:: 11lJr.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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11../(1 I'J~ ,....
O.K. FOR COVERING
, O.K. TO CONNECT SERVICE
/ .
1,i}..j11 t fJ- FINAL O.K. ,4- !i.r/ tJu../l..'iC- /7<> ~ /U1U:' LP t<--/I/ ~II
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ELECTRICAL PERMIT APPLICATION
FOR OFF1CI.....L USE ONLY..
D3\elR~"
P""nilfJ
~::: ~~~;~~ed: ."
The Electrical Permit Application must be filled out completely.
Please type or reprint in ink. If you have any questions, please calf (360) 417-4735
Fax number: (360) 417-4711
Address:
() CY)z/ Phone 6}>;> -sy 17 Fax: ,
Phone G ).! '3 --s.-7 /.?
Zip:
Electrical Contractor:
License #:
Exp:
Phone:
Address:
City:
Zip:
~NSTALLATION WIRED BY: ~OWNER
Credit Card Holder Name:
o ELECTRICAL CONTRACTOR
Billing Address:
City:
Zip:
Credit Card Number:
Exp, Date:
VISA.~ MC:
PROJECT ADDRESS:
bW
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TYPE OF WORK:
Check gjj that apply:
o Alteration/Addition
J(ReSidential 0 Multi-family
o Remote Meter A Detached garage
Number of Circuits added or altered:
DESC~IPTION OF THE ELECTRICAL PROJECT: '/f 2..-fA l.--- 2~/f a(l~'
o Commercial 0 Mobile Home
Sq. Ft
o Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0 Sign
"'" '5 j,"r (J" ill
Electrical Heat Load Additions and or SUbtra=r '
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Service Information
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
KW
TON_ LRA
KW
o Overhead Service
o Temp Service
o Underground Service
Voltage: :2 oQ, ~I
Phase: 0 1 0 3
Service Size:
Feeder Size:
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 requir d; it remains the applicants responsibility to determine what permits are required and to obtain such.
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Credit Card Holder's Signature:
Owo" " "'0. 0'0' S;'O''''? vs4
C:/ELECTRICALPERMIT APPLICATION
Ifot; ? jllf'!D1
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- 'CY-
-Date:~
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Date:
PERMIT FEE: $
7b , '30
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