HomeMy WebLinkAbout110 S Lincoln St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
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
04-00000833 Date
.562956
110 S LINCOLN ST
06-30-00-5-1-3100-0000-
ELECTRICAL ONLY
9/27/04
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EVERGREEN ELECTRIC
1520 JAMESTOWN RD SEQ
SEQUIM WA 98382
(360) 683-4193
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owner
Contractor
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BAILEY, MATTHEW/KARl
512 W 10TH ST
PORT ANGELES WA 98362
(360) 565-1280
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 36.30 Plan Check Fee .00
Issue Date 9/27/04 valuation 0
Expiration Date 3/27/05
Qty unit Charge Per Extension
1. 00 36.3000 ECH EL-R OR RM REPAIR METER/MAST 36.30
Fee summary 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
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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:\PLANNING\FORMS\1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 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
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # /'1 I e ~'~-C'I-C ~.L..( ~~-(:'d e/orl-""-~ Si:~
ROUGH-IN I C;~."-I:- Olf V/( I -< fe._
PLUMBING I /
UNDER FLOOR / SLAB
ROUGH.IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS I
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I 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 9-- :;). (( --6' Ide 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 417-4815 BUILDING
,/
T:\PLANNING\FORMS\1102.15 [11/14/2003]
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tAUA TIOI\I WIR@ ElY:
o OWI\IE<t
o El..ECT1'<l CAL. COmRACTOR
.dit Card HOld..r Harne:
ing Address:
City:
odlr Card Number.
&:p. Did",,:
Zip:,
V7SA.~ Me:
IJEc:T ADD~S~
/Ill 5'. /"-t/l ,Ii';' ~+-
CIleclt .all that apply: CJ New
P.II
9 rJ ~ '2
'10 OF WORK:
o Alteration/Addition
,esidentlal Cl MulU-fam~y
)6: COmmercial CI Mol;JUe Home
sq. Ft
i Z- ~-v
em<>le Meter CJ Oetacned garage 0 Hol Tub CJ SwIm Pool 0 Septic Pump
o law Voltage 0 TelE.corr.. 0 Sign
lseboard
mace
,al Pump
"_Wall
mar Df Cirt:urts added or altered..:
:CRJPTlONOFTHEEL.SC'TRlc:ALPROJECT: p(oJ.e-.... ~ti.\ boUl-.., ~ ~ .r 7~-.s/
~h'J~~J~J b'_~ ruThWJ-'" ~ fX'VJ~
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:trical Heat Load Add; ons and or Subtractions E:VERG~ ELECTRIC Servi<:" Information
a ASsoc:. LTD.
1520 .J...r...~11U.d
D Qyethl'lllOi..~^
o Temp S'~""" 98362
i:l Uncercmund S~tIvia:
_ It:#
Kw
_TON
_KW
~RA
Voltage:
Fha$e: 0'
S~"";cc Size:
F88der Size:
03
'eby certify that I have read and examIned this application and kno
IOriZed to apply for this permit I undersumd if is not tha City's ie
required: ir 173ml!lins the applicants responsibility to defl rmlne
CredIt Carel Helder's SIgnature:
that same to'be true and COl"f'eot. and I am
responsiburty to detgrrr,lne what permits
t permits an; required and to Obtain su
Data: / '17- d'l.{
Owner or Bee. C..n~ Signatun!:
Date:
;,CTRICALPERMJT A?PLICA710N
PERMIT FEE: ~
09/17/04 18:01
TX/RX NO.0939
P.002