HomeMy WebLinkAbout1228 W 9th St - Building
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
04-00000697 Date
.042841
1228 W 9TH ST
06-30-00-0-3-0330-0000-
RE-ROOF
8/09/04
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 rformance of
construction.
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Signature of Contractor or Aut rized Agent
RS7 RESDNTL SINGLE FAMILY
3800
Owner
Contractor
ROBERT K / PATRICIA I PASTORE
1228 W 9TH ST
PORT ANGELES WA 983635618
TOPNOTCH ROOFING & GUTTER
1235 W. 9TH
PORT ANGELES WA 98362
(360) 457-0066
----------------------------------------------------------------------------
Permit BUILDING PERMIT - NO PR FEE
Additional desc TEAROFF/FELT/COMP
Permit Fee 120.75 Plan Check Fee .00
Issue Date 8/09/04 Valuation 3800
Expiration Date 2/06/05
Qty Unit Charge Per Extension
BASE FEE 92.75
2.00 14.0000 THOU BL-2001-25K (14 PER K) 28.00
----------------------------------------------------------------------------
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120.75 120.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 125.25 125.25 .00 .00
7f-/O '-O~
Date
Signature of Owner (if owner is builder)
T:\PLANNING\FORMS\11 02.15 [11/14/2003]
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BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
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
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 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 4]7-4815 q - J -(24 .\LL- BUILDING
T:\PLANNING\FORMS\1102.15 [J 1/14/2003J
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. -Y;J6-?>
DATE
'ff- 9-1->
ELECTRICAL PERMIT
9=rr
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
~. RESIDENTIAL
/cS COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW
o HEAT PUMP KW_
o SIGN
Details/Description:
o WILL CALL FOR
INSPECTION
Phone:
READY FOR
INSPECTION
Phone;
Sq. Ft.
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
~. ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
d;l*~ b--P~~_-
,
a/l' 4~_/zC'l ;;? A!-C/J-.~G.:.:.-t!:;
I
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
tl.JrY'rp Rough-in/cover O.K.
o O.K. to connect service
h,t'lp. Final O.K.
Site Address: t::P
Installer:
t;.1;/
Permit/Receipt No.
.y;}6-~
New Meters Date:
(5 Q-'t3
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K or covering has been given by the electrical inspector in writing on eitherthe Wiring Report
or on the Building Per '. P NE 457-0411, EXT. 224.
~
WHITE - File by address
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
,~o,oo
Permit Fee
YELLOW - file by number
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
PINK - Top: Eng, Bottom, Customer
~!e~'~NUMBER
CITY OF PORT ANGELES
DEPARTMENTc OF LIGHT'
APPLICATION AND ELECTRICAL PERMIT
7/&
-1-I!::NUMBER
A
.
TOTAL FEE
3o~
']:/.----c:/l:.-
CONT. Lie. NO.
TIMETOCOMPLETE
NO. STORIES
LEGAL OCCUPANCY
S!te Address
O~ner -----R"'A
Owner's Address
, .
ELECTRICAL PERMIT ONLY
"/ :2. .:28' lA../ 9 '/~
~REC:~ESS IS, RES~ONSIBILlTY o~ 'APPLICANT.
t3 \../A S 'e"" /
,':2 '< Y ,..A../ Cf T 1.-
- . .~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
PERMITS WITH WRON
DDRESfE.S ARE ~A.NCELLED .
C E 01..... ......... I
~ :~ s--. LV' 1r /
.~::;:'7 -!lb? 9
jl """p ..s.,~v
'~r", 1<,
Installation By
Installers' Address
Day Phone Installers Phone-
Applic?tion is hereby made for Permit.to inst~11 Electrical Equipment as f91!o~s: ::? 00
hOt:J,"~
(c:. '€-
€Xf517IvJ
Wiring Method
riP ~
.'
NUMBER AMP 12QV 240V NUMBER AMP 120V. 240V
USE OF CIRCUIT PEA ",00R< FEE USE OF CIRCLJlT PEA -'00A FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN .
,
LIGHT . , .. 50 VOLTS
OR LESS
CONVENIENCE MOTOR ., ..
CONVENIENCE MOTOR ..
APPLIANCE L MOTOR ,
DISHWASHER .. , !> r. FIRE ALARf>.:1S . .
DISPOSAL ~ ~vJ BURGLAR ALARM
RANGE MISC.
OVEN v
WATER HEATER
LAUNDRY ...
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE Sl,lB T.9~ AL 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 :90 0 AMP I PHASE .
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE 4/" ~~ //.; AW.G.
I SUB~TOT AL SIZE O~ GAOU.;&' 4 .. . =cO
SIZE OF ENTRANCE SWITCH
~_. . "4 .
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.
A <.09
,19 ~"
By
Date Application made
CONTRACTOR OR NER (OR AUTHORIZED AGENT)
Permission i~ hereby given to do t,he 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 th ..City of Port Angeles.
. D TO' FC
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Notify 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.
';',
.
Date Permit Issued
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE" Original CANARY - Duplicate PINK Triplicate WHITE CARD" Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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q/d/r:. If/I r- O.K. TO CONNECT SERVICE
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