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Home My WebLink About917 W 11th St - Building ~ f'ORT ~ $4.0~~~ ~ ....~ ~ "4\.,~ 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 04-00000459 Date .074427 917 W 11TH ST 06-30-00-0-3-1975-0000- ELECTRICAL ONLY 5/28/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor THORNTON SAMUEL W/LUCY 917 W 11TH ST PORT ANGELES WA 983637206 SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES WA 98362 (360) 452-1689 Permit . . . . Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER 200A SERVICE SHAMP ELECTRICAL 64.90 5/28/04 11/24/04 RESIDENTIAL CONTRACTING Plan Check Fee Valuation .00 o ~ ~~ ~t ~~ ~ ) \~ <~ ~\ Qty Unit Charge Per 1.00 64.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 64.90 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.90 64.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.90 64.90 .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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:IPLANNINGIFORMSIlI02.15 [11/14/2003] . BillLDING 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 FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I 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 W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW 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 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 $B 10 '-/ rfet) ELECTRICAL LIGHT DEPT , / CONSTRUCTION - R.W. CONSTRUCTION R.W. / PW/ ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPLANNINGIFORMSIl 102.15 [11/14/2003] Iff) FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 963 PERMIT NUMBER . TOTAL FEE (/6, tJ() ,-- [S CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDEA THIS PERMJT I 9/7 VII //1iJ CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED ..' + .. - -. . .. I Owner j::'L-t'J/?C"VCP' RicllM/J#D Installation By I-I/9LVt)R~'EAI S El.FCTR/(' Owner's Address /71tJ w' ,l) d - -In-stallers Addre~s -- /4;Z C, M I J /J - -- Day Phone4,t;7 -cg;:?.5' 4- installers Phone 46'7 - '7 tfJ t) '3 APPilcatlon is_ hereby made for Permit to instalLElectrical Equipment as follows: lP C PA-IR L.?/ /6.S" / A/ Site Address M~TJF:R .l3A,5G Wiring Method . NUMBER AMP 120V 240V NUMBER AMP 120V. 240V USE OF CIRCUIT PER" l00R FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIACUJTS CIR 10 30 LIGHT SIGN , LIGHT --- 50 VOLTS- OR LESS CONVENIENCE - -- - MOTOR CONVENIENCE - - -- MOTOR. - - APPLIANCE. - - - -. MOTOR. i- - - DISt-!WASHE!:l. - - - FIRE ALARMS --- DISPOSAL BURGLAR ALARM .- RANGE MISC_ OVEN . -- WATER HEATER LAUNDRY -- .. .. . - DRYER RE1NSTA~LATION LIGHT FIXTURE # - . FURNACE -- SUE! 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 In/l AMP / ~ PHASE FEEDER SIZE OF SERVICE ENTRANCE COr/OUCTORS - - -- --- --- SERVICE AW.G. - -I SUB-TOTAL - - -- - SIZE OF GROUNO SIZE OF ENT~ANCE SWITCH . - ..> -.- 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. Date Application made :rIlN IZ- ,1913'{ By . Date Permit Issued CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to~doJ~~> above d~~cribed work, accordlng.to the conditions her.eon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles _l/f2-!fl _ _ - D' C OF 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 ~erv;ce has been given by Inspector in Writing on Permit Placard. A. ~ Permits Phone: 457-0411 Ext. 158. . WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Aeport OLYMPIC PRINTERS, INC. REPORT OF IN~PECTOR DATE OF VISIT MADE BY REMARKS - , , . . , , . , -.' , , , , , ;-, I ',' , , . " ., r , " O.K. FOR COVERING ,',.t .' C)\C- O.K. TO CONNECT SERVICE " \ " , FlN.I\LO.K. . " , I . z Cl a:: <C ::E ~ %: I- Z w ie I- o Z o C . OS/27/2004 12:13 13604521689 SHAMP ELEG QtG\.dv~ N t)W ELECTRICAL PERMIT APPLICATION PAGE B1 \ \ The Electrical Permit Application must be fille:d out comol~telv_ :FOJtOfF[Cl.A~ USE OHLY DneIJlec Ptl'nitF': OlLe App~veil; Dalclcucd:" , Please type or reprint in ink. If you have any questiDns, please: call (360) 417;.4735 0'1- L/5/ Fax number: (36D) 417-4711 Owner or Eleo. Contractor Agent: 3f1ftmP Fl..ECIR IU'rLC ON fl?ftc1l N6 IIJ c.. Phone: Property Owne~ . J:b ~Y\~ l '52Wn . Address; ~.o ....~+- \ \"'"" FO.rtrl""O Con""dn,.5HAmP t;lg"'ffICA'l.e{\'-l11'.Aen~)& 45'2.-jhgQ Fax: 3.;;>m.e.. Phone:--.:J. - S JO~ Zip: q<;;~~~ I>hono:45'1..-lb91 Zip: 1133H_ City: Vo-A- ~\.(: ~ I uJJ:" . IWI. Lir..,~~~1Y1 Bo.o 2, B:?I'.p, I .. 1S O<.l City: .J>~T A-~ (,I"J ~ 11.)-1\ , Address:_1>O 0:;,)(. 383 INSTALI.ATION WIRED BY: DOWNER ~LECTR'CAL CONTRACTOR Credit Citro Holder Name: MM K W. bM11)f Bll/in~ Address; ..9Io..JJ,J, /0 IT! Jh'td Zip: <18?03 VlSA:25.... Me: PROJECT ADDRESS: q \ "l W. U"TI':l .~ TYPE OF WORK: Check !ill that apply: 0 New IB"AlterationlAddition 'ld'Res;aential U MUlti-family u commercial U Mobile Home Sq.!'t DRemote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. n ~i!l Number of Circuits added or altered: Ut:SCRIPTiON OF THE ELECTRICAL PROJECT: ~.NV\ u c.~~ &j~ Electrical Heat Load Additions and or Subtractions Service Information o Baseboard o Fumace o Heal Pump o Fan-Wall _KW KW TON KW LRA Cl Overhead Service IJ Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: . r hereby certify that. t have read and examined ({lis appflci:llIuri i:lnd know ttiat same to be true and correct, and I arT: 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 responsibifity to de termini'! what permits are required and to obtain such. Cred" c.., H.".,', S;"...... ~ & 0_. 5 '11-0'{ Owner or Elee. Cont. Signature: ,.. t:~ __ Date: 5 .1l";iJ~ #CO 5~7~'/ C;/ELECT~ICALPER~A;~~:TION PERMIT FEE: $ "Y-21o