HomeMy WebLinkAbout1229 1/2 Caroline St - Building w F CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Now-
Application Number 11- 00000693 Date 7/07/11
Application pin number 796892
Property Address 1229 1/2 CAROLINE ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-3- 0685- 0000
Application type description PUBLIC WORKS UTILITES on your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Seperate water service, install meter
Owner Contractor
BLORE BRANDO S OWNER
504 W 5TH ST
PORT ANGELES WA 983622225
Permit PUBLIC WORKS RES WATER SERV
Additional desc SEPERATE WATER SERVICE
Permit pin number 188748
Permit Fee 1160.00 Plan Check Fee .00
Issue Date 7/07/11 Valuation
Expiration Date 1/03/12 N
Qty Unit Charge Per Extension
1.00 1160.0000 EA PW W/M 1" SERV 5/8" METER 1160.00
Fee summary Charged Paid Credited Due N 1J
Permit Fee Total 1160.00 1160.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 1160.00 1160.00 .00 .00
C
A�n
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This "perm 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.
7 7-/(
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T: \Policies \1102.15 [10/08]
PERMIT INSPECTION RECORD
CALL 417 -4831 FOR UTILITY 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 I NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. PW/ CONSTRUCTION R.W.
ENGINEERING 417 -4831 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 417 -4815 BUILDING
T:APolicies \1102.15 [10 /08]
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98~62
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00001213 Date
.527347
1229 1/2 CAROLINE ST
06-30-00-5-3-0685-0000-
ELECTRICAL ONLY
12/30/04
RS7 RESDNTL SINGLE FAMILY
o
Owner
CQntractor
BLORE BRANDO S
504 W 5TH ST
PORT ANGELES
WA 983622225
COLEMAN ELECTRIC
P.O. BOX 1326
PORT ANGELES
PORT ANGELES
(360) 452-7594
WA 98362
Permit
Additional, desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
PANEL CHANGE OUT
COLEMAN ELECTRIC
66.90 flan Check Fee
12/30/04 Valuation
6/29/05
.00
o
~
\l
'f)
Qty Unit Charge Per
1.00 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
66.90
Fee summary Charged Paid Credited Due
----------------- --------_.- ---------- ---------- ----------
Permit Fee Total 66.90 66.90 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 66.90 66.90 .00 .00
~\,
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COMMENTS! ACTION NEEDED
ELECTRICAL PERMIT INSPEgJON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TOCOVER, .
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
COMMENTS
NO
GENERAL COMMENTS:
PW.II02.1S (4196)
~
"1
Dee 29 04 09:08a
Bobb~ o. Coleman
360-452-7594
p.l
,
[) {]I / (Ji ELECTRICAL WORK PERMIT APPLICATION
/ ,< 0 Request Inspection /),J /7' <'
o Electrical Contractor 0 Owner ........... (/7 - / t7- /-l
o Annual Permit 0 Alarm 0 CarDinl CI Commercial jl"Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom.
,
Job wired by }ll'Electrical Contractor 0 Owner
Eloct,;calrp;;~ 8A~""mbe'
Purchaser's ~.JiJ1ress uJ It r/
C;ty ~ I /J . Stale ZIP ,,/
flb;e 1fw7h'jp.E /I.q 9/?te
Telephone number FAX number
.;2-- /9v -'7)7 ~
l"stallatm;Z~ r4?!ff ~r
o Cash 0 Check #
I hereby certify that I am the owner of the above named property or a licensed rI! rredit Card ~
electrical contractor (or (he rum's authorized agent) and am making the electrical ~ ~
installation or alteration in compliance with the eleclricallaw, Chapter 19.28 RCW. Card #
Mastercard
Discover
x
Expiration Date
of card
WALLS
Insulation Only
CEILING
Insulation Only
TIlERMOSTAT
SERVICE
D.l(
Al'f'm~w Oy
Dille
Approved By
O.Lc
AIIPrDvcd By
D~lc
Approve<lBy
DITCH
FEEDER
Cover
Cover
Dlle
Approved By
Dllc
Appro.'cd By
011<::
Approved By
Oll<:
Approved Ay
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
a Fumace KW
Q Heat Pump Ton LAR
o Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phase jlf 1 0 3
Service Size: / t!J#
Feeder Size:
Inspection Area, Building or Equipment Insf!cctcd '" Action Taken Electrical
Date -- .- ~ Inspector
It-ho/C4- -;. L ~I . 7 ~ i~ f- Sa..- ,(,(L T tle.B,./(J....
r "- ./
/1$) /;/viDf