HomeMy WebLinkAbout2407 1/2 S Peabody St - BuildingApplication Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CARLSON ALEX
410 TAFT
PORT TOWNSEND
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Signature of Contractor or Authorized Agent
T \PLANNrNG\FORMS \1102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98368
NCO 316 963
04 00000146
533002
2407 1/2 S PEABODY ST
06 30 10 5 0 1245 0000
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
3250
Contractor
OWNER
Date 6/17/04
ELECTRICAL ALTER RESIDENTIAL
6 CIRCUITS ADDED ALTERED
57 10 Plan Check Fee 00
6/17/04 Valuation 0
12/14/04
Qty Unit Charge Per Extension
1 00 46 7000 ECH EL -R OR RM 1 4 ALT CIRCUITS 46 70
2 00 5 2000 ECH EL R OR RM ALT ADDNT CIRCUITS 10 40
Charged
57 10
00
4 50
61 60
STATE SURCHARGE 4 50
Paid Credited Due
57 10
00
4 50
61 60
00
00
00
00
0 0
00
00
00
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.
Date Signatur(of Owner (if owner is builder)
Date
0
g
BUILDING PERM T 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
FOUNDATION:
FOOTINGS
WALLS I
FOUNDATION DRAINAGE /DOWN SPOUTS
'ES i NO
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT �o� t!
ROUGH -IN I�' /lo I /P/Al
PLUMBING
UNDERFLOOR /SLAB I
ROUGH -IN I
WATER LINE (METER TO BLDG) I
GAS LINE I
BACK FLOW WATER I
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
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� G.4,�� mt�� irises
PARKING/LIGHTING ESA.
LANDSCAPING I I SHORELIN #.7%010
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T \PLANNING \FORMS \1102.15 [11/14/2003]
m ac F. ,01.4-6, 3/ /o
C� Cd9€'t N1.0.190-0 fO7 a v
c„ C..~,emr
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
DATE ACCEPTED
YES I NO
I I I I
I I I I
I I I I
ELECTRICAL PERMIT APPLICATION
FOR OFF!C1AL USE ONLY
DaldRec.
I'ermil#:
Dale Approved
DalelS5ued-
...
,
The Electrical Permit Application must be filled out completely.
Owner or Elec. Contractor Agent: A I ex
Property Owner: A/e)( C~f' /501/]
Address 1t{~7 y,_ ',5: fe",bdJy
/
Cc<ylstJ~1
0'1- /7"0
celf -# ]it-1C){,
~5Z"63$J1
Fax:
Please type or reprint in ink. If you have any questions, please call (360) 417-4735
Fax number; (360) 417-4711
Phone:
City:
f. J"'j t! It5
U cense #:
Phone:
J;/52-{}Y!
Zip 1Y)!f2
Electrical Contractor:
Exp:
Phone:
Address:
City:
Zip:
INSTAllATION WIRED BY:
)'(OWNER
o ELECTRICAL CONTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Credit Card Number:
Exp, Date:
VISA:_ MC:
TYPE OF WORK:
Check;ill that apply:
P VGhc)y
(
D New D Alteration/Addition
PROJECT ADDRESS:
2. 'i cJ7 h_ <;,
)QResidential D Multi-family
D Remote Meter
D Commercial D Mobile Home
Sq. Ft
Number of Circuits added or altered:
D Detached garage
(;;
D Hot Tub D Swim Pool
D Septic Pump
D Low Voltage D Telecom. D Sign
DESCRIPTION OF THE ELECTRICAL PROJECT:
\
h/r"1d
GA-
f',J
at
Fi
'VIlJ:v,5 (
W4.
bu-fhraJ,,?,
oYC-i//!--
/V?
Electrical Heat Load Additions and or Subtractions
//t? l..-o~ c/n4-#,1{L
o Baseboard _ KW
o Furnace KW
D Heat Pump TON_ LRA
o Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 D 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 lega/ 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:
Date:
dA~? /7 l,
Owner or Elec_ Cont Signature: ~ L/t{/ V>')
Date: (;- /@- Oi{
;IttJ 0~7/o(
i~p ItL€-D
3, \ \, Oe;-PERMIT FEE: $ .fJ, 10
,/
,{
C:/ElECTRICAlPERMIT APPLICATION
f pORT ::4-\.:
~O~~..
~~
iJ~
'h -,.
"l,\.,w:;i<'"
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY bEVELOPMENT _ 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
04-00000146 Date
.533002
2407 1/2 S PEABODY ST
06-30-10-5-0-1245-0000_
RES REMODEL
2/20/04
RS7 RESDNTL SINGLE FAMILY
3250
Owner
------------------------
Contractor
CARLSON, ALEX
410 TAFT
PORT TOWNSEND
( 40) 370-6181
------------------------
OWNER
WA 98368
--------------------------------------
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
JOIST,SILL PLATE REPAIRS
120.75 Plan Check
2/20/04 Valuation
8/18/04
--------------------------------------
Fee
.00
3250
~
-t::
.3
Qty Unit Charge Per
-------------------------
BASE FEE
2.00 14.0000 THOU BL-2001-25K (14 PER K)
----------------------------
Extension
92.75
28.00
Permit . . . .
Additional desc
Permit Fee
Issue. Date
Expiration Date
PLUMBING PERMIT
WATER LINES
54.00
2/20/04
8/18/04
-----------------------
Plan Check Fee
Valuation
.00
o
i'\
(\l
I1lf
......
<.
'f
rf
g-
~
Qty Unit Charge Per
. . . . .
-----------------------------------
Extension
47.00
7.00
-----------------------------
BASE FEE
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE
Other Fees
STATE SURCHARGE
------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 174.75 174.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 179.25 179.25 .00 .00
4.50
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
Jaws 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
const~uct; n. ~'. .
~ ~ 7- - 2!J - (Jq
Signat re Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:IPLANNINGIFORMSIl 102.15 [11114/2003]
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITlS 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 AT JOB SITE.
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN f] JJ..-Off _1. J,.
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING ry J).. - e71 ~I ~1.,
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING T 1
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FlRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ~'2. ._,}-() c J f-J- BUILDING
T:\PLANNING\FORMS\1102.15 [1111412003]
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