HomeMy WebLinkAbout3903 Nygren Pl - Building
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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
8/31/04
04-00000759 Date
.530437
3903 NYGREN PL
06-30-15-6-3-0010-0000-
RE-ROOF
RS9 RESDNTL SINGLE FAMILY
6708
Owner
Contractor
WARD RACHEL R/DAVIDT
3903 NYGREN PL
PORT ANGELES WA 983621904
NORTH OLYMPIC DEVELOPERS
235 W. 9TH
PORT ANGELES,WA
PORT ANGELES WA 98362
(360) 452-1242
Permit BUILDING PERMIT - NO PR FEE
Additional desc TEAR OFF, SHEET, FELT, COMP
Permit Fee 162.75 Plan Check Fee .00
Issue Date 8/31/04 Valuation 6708
Expiration Date 2/28/05
Qty Unit Charge Per Extensi~n
BASE FEE 92. 5
5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 162.75 162.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 167.25 167.25 .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 Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:\PLANNlNGIFORMS\1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-48] 5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 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 A T JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUND A TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
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 WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANIT AR Y
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
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 j '{ '.1 /. BUILDING
T:\PLANNING\FORMS\ I 102. I 5 [I 1/1412003]
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'!
16758
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Port Angeles. Washlngton....................h.........................................
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 electrical work as listed below.
Address ..:.M;.q..Ja;~1I-~=.\...:.;c.................. Occupancy.....[..~.~ok........................
Owner ...........~_.....~"..l'R~............C\;rJT~~t....................._.........._...._.m.............................
Wiring C~ntractor ...ff(."'~~~....~~ By......................................................................
Light outlets......./...f:.........nnn.n.. Service. volts ..L..:!::~R.Y.;{; Type of Wiring:
Receptacle outlets....~~..___..h.___ No. wires ......3............................ Armored Cable ..___...n.................._
/' SI I ~r .It Non-Metallic d......n..................._...
Dr)'er, KW ...........~n........n....n..m... ze w res...~;--:::;"nnn....nnn
,; ..,." ~<.V(; ...1) Knob & Tube................._.....___......_
Range, KW ____h__.'_n_~_'h________ MaIn fuse ..nh__n..:.........I.':t:':........
, .. It""
Water Heater: .1'" ;,.., Enclosure U._~___h.______m.h.____...U.
KW.......n.~.~.....m..mm
Heat: KW.n/6.Ln~~iJ.!1
Type of Wiring:
Entrance Cable m___n___mmnmh.
Motors: sIze, volts and phase:
Rigid Conduit nn.n..n...n'n'.n,"..n
Metallic TUbing, .'__umm'..__
Current transformers:
No. & Size.....___...______..__........__....____
Ser. No..._.._.......................................
Ser. No. __..__.___...................................
,...')~
19~.C'
Rigid Cc>ndult ...............................
Metallic Tubing .._..........___.....___...
Raceway .........._......._............_......_
Circuits. Llgh~.........................n..
~ :~ti ty _.~~'7:.~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
:L.
Range .__...________..................__.......___.
.0
Water Heater .._..__..__....................
Motor ..._n..........__..__.................___..
~
Dryer _...............__..._...____.....__.........__
Furnace . ........................._......_...........
'.' . Se,. No........................................... .., b
'..... 0'. T
Total, Load~.;~_~......__.____..__....... Ser. NO.___h_..........._.......................... Total ._....______..____..__.................
Remarks: :.n...~.nh...<:'1::'..."'.~....-'.n....n~~f""'~.L..........................................................................
.;::;~..;~;:...........................;~~~~:.~~~~;~~.............................h...;;:j3,91.~..I1...............~~.:..
$......;l~.Z...Q.'ih..h...... No............................. By .ll..:ir..~.....,..%!!!........(,.:L"L<::!:.~!!b:.". '~..I
NOTICE-Current must not: be turned on untl1 Certificate of Inspection has been issued. It work Is to be con-
cealed due notice mU8t-be.~~n the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
~.......
ELECTRICAL PERMIT
-.....'
N?
16758
Address f Date..._._..~~_.__.._."~.........._......_......_.........
owner..:::::;::;::::::::::~::::::::::::~::::::~::~::::::~::::::~::~:::::::::::::::::::::::::::~::..:.:.::::::::.~.:::~;:...~::.ant.............................................................
\
Wiring Contractor ......................__h_..___..._......_.............._...._...__.._..__....!~..__.................................. By.___.___.__.___...______...._......._..___..___..__..._......_
\ NOTICE-Current must not be turned on until Certifi6,ai,e ot Inspection haa been issued. It work i-!J to be con.
c aled due notice must be given the Inspector sO that work. may be inspected before concealment. .
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