HomeMy WebLinkAbout418 N Liberty St - Building
d''''~
'~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:l2\ EAST 5TH STREET. PORT ANGELES. WA 91lJ62
7\.,....,........1 -: ......'""'+-.: ~~...,. ,
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
.- -.------ ----
166694
418 N LIBERTY ST
06-30-00-5-3-0695-0000-
ELECTRICAL ONLY
-'I J...L../ v:>
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
DECKER SANDRA R
16406 SLATER AVE
BELTON
MO 640121790
SHAMP ELECTRICAL CONTRACTING
PO BOX 383
PORT ANGELES WA 98362
(360) 452-1689
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
SHAMP/ 200 A PANEL CHANGE-OUT.
48769
SHAMP ELECTRIeAL
66.90
5/12/05
11/08/05
CONTRACTING
Plan Check Fee
Valuation
.00
o
~
\X)
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
'>
'-
"'.
'\.
~
~\
~
n "\
~'"'
G
"t
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPEQJON RECORD
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 IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC110N TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW.II02.I~ 14196)
df'O<<'~
~~
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 911~62
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00000361 Date
166694
418 N LIBERTY ST
06-30-00-5-3-0695-0000-
ELECTRICAL ONLY
9/12/05
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
DECKER SANDRA R
16406 SLATER AVE
BELTON
MO 640121790
SHAMP ELECTRICAL CONTRACTING
PO BOX 383
PORT ANGELES WA 98362
(360) 452-1689
- ----------- - -- ---- ----- - - --- - -- - ---- -------------------------- ------- ---- -
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
DAMAGE TO LOCKING METER RING
59667
SHAMP ELECTRICAL
15.00
9/12/05
3/11/06
CONTRACTING
Plan Check Fee
Valuation
.00
o
BASE FEE
Extension
15.00
Qty
Unit Charge Per
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 15.00 15.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 15.00 15.00 .00 .00
CQ]\jMj:::NTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
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 IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-II02.U (4196]
""
'F-'I
'l21Electrica
o Annual t
t'
~~
\~
o Owner ~....;r.
LEl'ReQuest Inspection
ELECTRICAL WORKPERMlT APPLICATION
I
Contractor
- Q ~- Q c~"'" Q c...~,. .a'R.,,_ Q ....". ..., Q.~ 0 ,..._~, Q-..
by
krtiectrical Contractor 0 Owner
[nsealla[ion description
1(,ftL
License Ilumber
N
thar I am the OWner of the above named propecry or , licensed
elecrr;cal COn ctor (or the finn's aurbotized ,genl) and am "'a"ing thc elcellie'l
installation Or alteration in eompliance WitIJ the elecOical law, Chapler 19.28 R.Cw.
o Cash 0 Check #
o Credit Card ~ {Mastercard DiSCOver
Card# -dYL'I:LLL__-__________
n OICtor or eJectdcal admini3trator
Expiration Date
of card
o
WALLS
In Illation Only
CEILING
inSu.lation O"ly
TIiERMOSTAT
SERVICE
O~re
APProveoey
D~IC
APprcr"ed By
Cover
DMe
APPl'tlve!! By
0411(:
ApprllVeliay
O.tlIC
CO'lcr
DITCH
Appro"eli By
Dare
AplJrovcCl By
fEEDER
Irl IL
o NO lOAO
(J Baseboard
a Fumace
(J Hear Pump
o Fan'Wall
D81(:
Ir
Apprcryed ay
DlTe
ApprOYe(i Sy
'serv'ee '"format'on
o Ovemsad Service
CJ Temp Service
o Underground Service
Vorlage
Phase0103
Service Size: _
Fseder Size:
Jnspccrio
bare
Area, BUilding Or Equipment Imipectcd
- 7-0'5
Electn't"aJ
rrrspecfor
A.ction Taken
i, ") Dr
1ft
M
/'<?C-rC/7V6
'S.tJ?
S-~05'"
lOO/lOOI6
.....
~.
~
PORTANGELES
WAS H I N G TON, U. S. A.
FAX TRANSMITTAL
Department of PUblic Works/Utilities
321 East Fifth Street, Port Angeles, Washington
Phone: (360)417-4735 FAX: (360) 417-4711
TO: .&/ L-,e..€.-/v FROM: AL
COMPANY: S;. b-~C-
FAX#: 5""z.- - "'Y/8 #, L/6'4G:r
NUMBER OF PAGES INCLUDING
COVER: .3'
L>' L-L~
/
7-/L
7J/1> 15
~~,e",", /7- "ce-c
C-c S r-
-r-
L p CA::. .oy ({.
0/
~-'Y6
~LH-c~~~~
,
L-.. ~A:::rrv t:::
/ZrNt;,
...oA.-,~ iUJ
.8; ~~Y.4:N.
r'~~e:
c~
5"0 ft4<.v/ <:.JE.
~A:::
~
~I.J <::..oc:.~
/;l'y.
JZ'" ~T.
~~
~.c..s
~
/k
.