HomeMy WebLinkAbout919 1/2 E 9th St - Building
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000021 Date 1/17/04
919 1/2 E 9TH ST
06-30-00-0-2-7670-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
DAVIS SR LEON F/MYRA L
919 E 9TH ST
PORT ANGELES WA 983628012
EXTRA MILE TECH & ELECT., LLC
418 N. RACE ST.
PORT ANGELES WA 98362
(360) 457-0198
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permi t . . . .
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
200 A. CHANGE & CLEAN UP CTS.
EXTRA MILE TECH & ELECT., LLC
76.30 plan Check Fee
1/17/04 Valuation
7/15/04
.00
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Qty unit Charge Per
1.00 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER
Extension
76.30
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee 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 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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\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, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEP~r~~ ",~, ~,~,,!";,.!\~~\, f\ \.
WATERLINE 1 METER "
.,... f) ..... .... .\
SEWER CONNECTION ~'4
SANITARY \ '" ;;;1,X
STORM 'i..,/'" . :". L-/ [~-. -f)<<
". . ..> I ~.."'/ J
I
PLANNING DEPT. SEPARATE PERMIT #'s , SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W.I PWI CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.I5 [I 1/1412003]
JAN-12-2004 04:58 PM
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E.JANSSEN
360 452
2982
P.01
ELECTRICAL PERMIT APPLICATION
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01....."
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t>tt. AwrLlvc.1 __u..__
D... r_".d _, _~.,._:..__
The Electrlc..1 Pe,mlt Appl1catlcn mwn be 'lIled our eomaletelv,
~ O'f ~ 2--1
Pl.... type or reprint In ink. If you hive IIny quelllons, pl.... 0.811 (3&D) .17..731
Fa. numbor: (3&0) 417 -4711
Owno~o' EIIC, ContrlCla, Agent: 5 Co 0"" "I OS,.., I'nltL
P"'PI~y Owner: ~ ~ " ~ A-1I1 <;,
Alld,..ja: "11'1 Ii: q...... Cily:
EIoctn$a' Conrractor;G.:+.c. wI,l" 74'(../" .... <;1,d-nKJ, r..u.
A~:~ I~ -tJ. 1~tlc.E. City:
\)~.r.-I- tt....."I...
License ~: ''''TU'''T1'l1R~.p: IV 11",/. r
'Po....l- 4",,~.1..
Pnono; 'Jl.o-4,j 7-~:J;.'2., Faa: 3'-0. 'I 51- Ji""S-
Phona: 5'-0 - 4 $'"7 - 01 U
Zip; "l~~"Z-
Phone: J{,()-<li'7-S'"),;l;l
Zip: "l'l''' z..
INSTALLA710N WIRED BY:
DOWNER
wfeLECTRICAl CONTAAC1'OR
Cnld. Ca'" Holdar Nama:
.U"n~ AdfI,...:
CIlHt" Calfl Numb.,.:
City:
Exp. Dale:
ZIp:
"'SA: A<<::
- -
PROJECT ADllRESS;
~
.lRelldentlal
'11 ~ 'll.
e: 't +-"
11.1 All.. i 8.c...+"'u^,
~teratlon/Addltlon
~I-I.., <t......
,,~ 'R~ ff.
Check III thaI apply: 0 New
Cl Mum-fllmily
o Commercial
C Mobile Home
Sq. Fl
o Remole Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
I
Numb';' of Clrcuila added or altered,
o Low Voltage 0 Telecom. lJ Sign
llESCRIPTION OF THI! EL!!C'tRlCAL PROJECT:
K<.~l....,,,
.;2.00'"
"VooC.A.~.-J
~"JUJICA
,
E!/eCb1~.1 Heat Load Addition. and or Subtractions
o Bueboard
o Fum~'CS
o Hest ump
o Fan- all
_KW
_KW
_TON_LRA
_KW
i-'v
pJlriL
S.rvl. In'armBtlDII
CJ Overhead Service
o Tamp Service
n Und8rground ServIce
Voltaue:
Phs.e, 0 1 0 3
Service Size;
Feeder Size:
I heret Certify that I havs read and examined this application and know that same to be true and correcI. and I am
autho lid to apply for this permil. I understand it is not the Cily's legal rosponsibility to determine whet perm/!. s
are re uired; it remains the applicants rBsponsibility 10 determine what permits are required and to obtain such,
,
, r)!olt
(I. Owner or Elec. Cont. Signature: _ ~n9l7- ~
M-- N~~
Credit C.rd Holder's Signature: t......- ..;.. on O^U .._
II' {J
A.~_1
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PERMIT FEE: $ '7(., .'30
Date:-.!...:..! 1.. -0'4
Date: ,. 1'- -04
C:/ClECl1RICAlPERMIT APPLICAtiON
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