HomeMy WebLinkAbout529 E 12th St - Building
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
plication Number
n number
operty Address
BESSOR PARCEL NUMBER:
plication description
division Name
operty Use . . . .
operty Zoning . . .
plication valuation
04-00000772 Date
.382964
529 E 12TH ST
06_30_00-0-3-3992-0000-
ELECTRICAL ONLY
9/01/04
RS7 RESDNTL SINGLE FAMILY
o
Contractor
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ELECTRICAL ALTER RESIDENTIAL
EXTEND MAST/REPLACE METERBASE
36.30 plan Check Fee
9/01/04 valuation
3/01/05
.00
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OWNER
WA 983627941
Permit . . . .
Additional desc
iPermi t Fee
Issue Date
'Expiration Date
Qty Unit Charge Per
1.00 36.3000 ECH EL-R OR RM REPAIR METER/MAST
Extension
36.~0
I
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
rate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
ction. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
'6 and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
, ume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
truction.
~~
Signature of Owner (if owner is builder)
Date
LANNINGIFORMSIII02.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
"-'
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 A T JOB SITE.
CALL 4] 7-48] 5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # /),... ~ Ci~k<J, h\.R'j
,RnTJrou 1l>!.1A.~ <::." A " " .x ~'. ~ f- t><.f I KIL
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 WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LlGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 9~~I(-oY Ide ELECTRlCAL
LIGHT DEPT
CONSTRUCTION RW.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:IPLANNINGIFORMSII ]02.15 [1111412003]
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
17181
- ~-~t p~
Port Angeles. WasbJngton............................................................... 19........
In accordance with the City Ordinance to regulate the installation. extension. or repair of elec-
trical equipment in. on, or about any building or other structure in the City of Port Angeles. per-
mission is hereby granted to do electri';,/work as listed below.
Address .....?m.~....'f......_f;___!....:?_...~______.._..mm________m____. Occupancy___M::::?..._m________...____...___
_,ro- &...e
Owner "'-G~ij%:tiJ~;;-P' Tenant____________......___..______________.__.................____...__......__
Wiring Contractor ____...___...mm_____........_..._______..___,....._.____mm By.___m_......__......_..._..._________....._.....______.._..______...
3
Light Outlets.mmm__m____.mmmm___._____
/0
Receptacle Outlets...n___..n.............._m_
Service, volts ........00__....00...00.........._.....
No. wires ........._..._._n____.__._n_..__n.._
Dryer, KW....hn.___._._....hh......__.....n__.
Size wiresh......._n........___.nn__n..._..
Range, KW h_d...n__.....h._
Water Heater:
Main fuse ........._.........._.___n_h_...n...
Enclosure m_h..................mm__.....__
KWm.--3;-5'r~{!;;8mm
Heat: KW.n_.............n.........n.___n..n.n____....
Type of wiring:
Entrance Cable ...___nm.m_nm..
Motors: sIze, volts and phase:
Rigid Conduit m.m_mmn
Metall1c Tubing m_mm_.
Current transformers:
No. & Size_n_n..___d.n....n.................
Ser. NO...nn..n............................_._..._
Ser. No. 00'_'0000"_."".'..""".""'"''''__.'''
Ser. NO..nnnnn.........n...................__...
Type of Wiring:
Armored Cable ..n.m........._.......__._.
Non.Metallic .................__..._......_.._
Knob & Tube.........._..n_h.............._
RIgid ConduIt m__mmm____mmm___.
MetalUc Tubing ...........md...........
Raceway .......____.__................._._..._
Circuits, Light.........____.__.____.__...............
Utility ....._.._000000..._................_..._.....
Heat _.____..____.................__....._.._.._
Range ._...................___________.............
Water Heater ....h......._..._nn.........
Motor ..._n._____...____._...............__....._
Dryer_.________................_____.n_.__.........._
Furnace 000000...00___............__....._.._....._.
Remark:~ta:..:~~:;.g:_:__:.__:__::.....~:~__~:.::__~0~____~~~_::.~~:;}__;:~__~___~_:~:_:~::~::~.:~__:
V
_;~~;~__;~~mmm.._..____.._..__.m;~:~~.__~:~:;~~____m_____...__________m-"'--"11!]f:r;1;::~~~'~
$:___.........................__...__.. No....................__....... By __,._______.__mmm.....mm.m............................m__
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
17181
/
Address._____.n________.__._...______..____._....____......__....__._..__.___..__.__...__._......._.........__.......__._............._......Date..._~.....__~_.._.._........_._._...._......_......._
Owner.........___........______........._.........._......_......_..______........._............______._..___._._......____.___Tenant_....________._.____.______.____.._.________..._....__.......__.....
, Wiring Contractor...........................__.......____._...______n_._.._............................_._......................_...._.... By...................................................._.._._....
\ NOTICE-Current must not be turned on.;' until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspectol!' so that work may be inspected before concealment.
\
1M Olympic Prin1ers, Inc.
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ELECTRICAL PERMIT APPLICATION
FOR OFF!CIAL USE ONLY
DalelRec'
Permit":
DmeApproved:
DJle Issued
\
.
The Electrical Permit Application must be filled out completelv.
Please type or reprint in ink. If you have any questions, please call (360) 4174735
Fax number: (360) 417-4711
OL/-77Z-
Owner or Elec. Contractor Agent:
Property Owner: ..f? ~ (.I ;,' ~
Phone:
Fax:
-
R'h^~
Phone:
Address: ~? '7 .~ I;:;;. r'1
Electrical Contractor: ~; c?w/A.l.('. r
Address:
City: P ;f-
Zip: 9'i5a ~ t
License #:
Exp:
Phone:
City:
Zip:
INSTALLATION WIREO BY: .
t>1:5WNER
o ELECTRICAL CONTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Credit Card Number:
Exp. Date:
VISA:_ MC:
5":L 9
E
I Z- -rl
PROJECT ADDRESS:
TYPE OF WORK:
~esidential
Check all that apply:
o New
iP'A1terationl Add ilion
o Multi-family
o Commercial
o Mobile Home
Sq. Fl
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0 Sign
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT:
/P/~
/?J/1-sr - pfm.sz
/nHS r
-+- ;e,E../cAr..F-_
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Electrical Heat Load Additions and or Subtractions
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:
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 required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature:
CQwn0r Elec. Cant. Signature: /~/l~_ tS~
Date:
Date: ~/( / GCL
I / /
PERMIT FEE: $
C :/ELE CTRI CALPER MIT APPLICATION