HomeMy WebLinkAbout736 E 9th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
04-00000825 Date
.187150
736 E 9TH ST
06-30-00-0-2-8440-0000-
ELECTRICAL ONLY
10/19/04
o
ROGERS, LINDA
736 E 9TH ST
PORT ANGELES
WA 983620049
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
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Owner
Contractor
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 36.30 Plan Check Fee .00
Issue Date 10/19/04 Valuation 0
Expiration Date 4/18/05
Qty Unit Charge Per Extension
1. 00 36.3000 ECH EL-R OR RM REPAIR METER/MAST 36.30
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 36.30 36.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 36.30 36.30 .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:\PLANNlNG\FORMS\1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # jJ t&{Ii~ B R~--
ROUGH-IN I/~-~ Ir.-J( I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
I
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
/""\ YES NO
ELECTRICAL - LIGHT DEPT. 4 17-4735 I o-~{.'", Of Vdc ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\I 102. I 5 [11/14/2003]
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ELECTRICAL PERMIT APPLlCATIOr"
The Electrical Permit Application must be filled out completelv.
Please type or reprint in ink. If you have any questions, please call (360) 417-4735
Fax number; (360) 417-4711
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Owner or Elec. Contractor Agent EJJLJ~( L,. _.~ N. 'r1
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Phone '-f5'2-ft,,"I1..Y
Fax:
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Property Owner:
Phone:
Address:
PAc
EL..ECI
.5 r I 3 2.L'l. !:xp:
Zip:
Phone i-i'T).. .. fcf! z. <I-
Zip '1'a-.f(:,'L..
Address;
City:
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Electrical Contractor: Ek-r ....t V-(~
JJ...-t)v- o.peV
License #:
INSTALLATION WIRED BY:
DOWNER
o ELECTRICAL CONTRACTOR
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Zip:
Credit Card Holder Name:
Billing Address:
Credit Card Number:
Exp. Date:
VISA: MC:
PROJECT ADDRESS:
?3Co
E-CJ
TYPE OF WORK:
Check gI! that apply:
DNew
o Alteration/Addition
f-ReSidential 0 Multi-family
o Remote Meter 0 Detached garage
o Commercial
o Mobile Home
Sq. Fl
o Hal Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom.
DSign
Number of Circuits added or altered:
'(Y\<hv-
hQ..~e
.of POll
DESCRIPTION OF THE ELECTRICAL PROJECT:
Electrical Heat Load Additions and or Subtractions
Service Information
=: Baseboard
:J Furnace
:J Heat Pump
:J Fan-Wali
_KW
KW
TON
KW
LRA
OO'"Overhead Service
/oTemp Service
o Underground Service
Voltage: I ,--Di?-L"7
Phase: 1jl1 3
Service Size: 2.o0,q.
Feeder Size:
, hereby certify that f have read and examined this application and know that same to be true and correct, and Jam
3uthorized to apply for this permit. f understand it is not the City's legal responsibility to determine what permits
3re required; it remains the applicants responsibility to determine what permits are required and to obtain such.
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Owner or Elec. Cant. Signature: . Date:~
PERMIT FEE: $
3~. 30
::/ELECTRICALPERMIT APPLICATION
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