HomeMy WebLinkAbout1705 W 12th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Driveway
Owner Contractor
EDWARDS GORDON /BILLIE
1705 W 12TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary Charged
Permit Fee Total 50 00
Plan Check Total 00
Grand Total 50 00
Signature of Contractor or Authorized Agent
T \Policies \1102.15R [1/05]
WA 983635309
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00000347
506235
1705 W 12TH ST
06 30 00 0 3 6095 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
OWNER
Date 3/21/08
RIGHT OF WAY
DRIVEWAY
123232
50 00 Plan Check Fee 00
3/21/08 Valuation 0
9/17/08
Qty Unit Charge Per Extension
1 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00
Paid Credited Due
50 00
00
50 00
00
00
00
00
00
00
Separate Permits are required forelectrical 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
fora 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 Signature of Owner (if owner is builder)
Date
PERMIT INSPECTION RECORD
CALL 417 -4807 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
PW UTILITIES (Engineering Division)
WATERLINE /METER
SEWER'CONNECTION
SANITARY
STORM
'SITE,DRAINAGE
SITE EROSION'CONTROL
PARKING
SIDEWALK.
CURB &GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
INSPECTION TYPE DATE ACCEPTED
RESIDENTIAL
CONSTRUCTION R.W' PW/'
ENGINEERING. 417-4807
FIRE` 417 -4653
PLANNING DEPT 417 -4750 1
BUILDING 417 -4815
T•\Policies \1 102.15R[1/05):.
1
YES I NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO- COMMERCIAL° DATE' ACCEPTED
YES I NO
CONSTRUCTION" R:W
PW ENGINEERING
I FIRE DEPT.
I PLANNING DEPT
BUILDING
COMMENTS
bt..v - ::2 .3-' .r- 11 IS <.f
,
CITY OF PORT ANGELES I' ~
DEPARTMENT OF PUBLIC WORKS ~ r V .
. . . . . . . . INSPECTION REPORT. . . . . . . . . . .
". . .
REQUiT
Date -- 1-
75 I
Time
Received by
(phone, person)
Sewer Foundation Framing
/ 1 0 <) LJ / J--t~
/1iiL ~ /3
r T LA-I I' ( ((1 /- Phone No
Permit No
Chimney Plumbing Final Sewer Excav Other {l /(t b'2--
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
INSPECTION NOTES
Inspected Date
Remarks
Time
By
D () +-
R-e I'U-e{~J 5fJ'- u ,('-.(
1 t1 f' ~ l:- --e)( -e (/+ F-r d VJl
1f /,Ij?-C
LA) t .-}h.
C11/1 Cl\.. f )1. ) 2.. (
J ~
I g,t
5 LlV\V\
( ---7' be)' /' I
--- I
.. -
I!t" ;5H -:.v,
~~
) 1- ~f\ -- ~ '
. , y~
''< ~ J. ~ ft ?f
~
\ '
\ L,
*fJ~ ~ r" [)
! jlL))/1-t1l
I
RESTORATION REQUIRED
YES
/
VNO
SURFACE RESTORATION /
SURFACE TYPE 0 Unimproved 0 Gravel crAsphalt 0 PCC 0 Other
o Repaired by City Work Order # , 1 '6 l( . (C-
J ?-- c;- )
[] Repaired by Permittee ~. COMPLETE r -- (.... .
[]No Damage Found 0 INCOMPLETE 3-11-0. /H.fl~
51-Jr--<: e + (' r C) :- 5 /Md?
STREET SUPERINTENDENT IDA TEl
REQUEST
Date ~ -- 11- 0 L
CITY OF PORT ANGELES D'-v - 20(5'- 21 ~()
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . .. 31 t
Time
Received by
(phone, person)
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other Lv C, t- ~ y
110) W / .:z. tI\
f, Lt) I) ((,~
/1 {It i- g Phone No
Permit No
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
INSPECTION NOTES
Inspected Date
Remarks
Time
r?o. /J-e
L I
uP t:1U-e
,
By
4etp ~2--- If- Eo ~ :i '
-f--c-, ,Lc<.. h d. :s- /cy:' / J;J
RESTORATION REQUIRED .
YES
NO L--'~
,10~ kh, fo.) '; ~ y 1r- ()Dt ;VI' ,
\ (
eP
\12-' ~
~
w I )_~+i\
.
------7 72. :{-\ X
-
'" ~
-.z-
t
* \
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Repaired by City
CJ Repaired by Permittee
CJ No Damage Found
Work Order #
~PLETE
o INCOMPLETE
o Other
21Yo
IContinue on reverse side if necessaryl
STREET SUPERINTENDENT
IDATEI
Dt...V - 25"1 ~-- /718'1
City of Port Angeles
Public Works Department
Water Distribution Repair Report
'Work Order No: I --; <6 y
Reported: L/ :39 () ( Condition.
Repaired: (.bJ -L/ -.!!...J Source:
Repair Location:
Address.
Loc Description.
Component Repaired:
I Crew.
/1((
Emergency Routine
Citizen Complaint V
Leakage Survey _ Other
1;0)
L0 I J-~
Main Line m#:
Main. Joint Cir Break
Long. Break _ Hole
Service: Tap _
Line Valve: Flange Nuts, Bolts
Hydrant: Branch
Other:
Corp Stop_
Split Bell _
Clamp _
Pipe d
Stem
Curb Stop _
Bonnet
Other
Valve J
()T~
Banrel /
f- E f3V( 1+1 e fJ I ;J 116 -e 5'
A/-(G~) f-l:- r/p--<- )"
Repair Type: Clamp _
Site Condition: Surface
Curb
Damage:
Cuts: Street Cut: Ft.
Dresser Other
Gravel Roadway Asphalt Street -L' Sidewalk_
Top Soil Area ~ Soil Type _
Main Condition:
Curb Cut: Ft.
Sidewalk Cut: Fc
Diameter- Inches
Material.
Depth of Cover' Ft.
Internal Lining:
Tuberculation: Nt A
External Corrosion: Nt A
Special Conditions: Bedding:
Other Structures.
Samples Taken:
Water Off:
Apparent Cause of Leak:
Lu f
5/19/98
,.
,. ,
Joint Type'
External Prot:
Minor
Localized
Severe
Extensive
Pipe Section _ Coupon ___)./<'5 AI J<?.._
From 2 tit 6 ( To -L _M IJC, () () f-U{-7::- "Z
From J-.t ( /~ TO__M JL.' J'Yl,(_RJ rrcHf)
olj '} /t.r f E ~/p~ 13r{ JH~
+--h ~11. l../ r ;/1/ Hd 1--(' 7
I
Page 1
PW-902.09
407
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
33'3
PERMIT NUMBER
,f.
-- - III'lLVtJff - -
- -.. ~ 00' \
/, E83ty;J . ..... ~ \ -
TOTAL FEE 10-- . " "
CONT:UC.NO. " ~ TIME TO COMPLETE . NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address 1'70.$ VII - 12.;t,/ ,
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
O~ner (.;O!?IJEN FDa//JRD <) , Installation By //AI.PCfi5EAlS EL'€C7/?/(;
Owner's Address 1'70.'5 W 1c.14 Installers Address /42(';, u/ //7-1 '
Day Phone 4.1:;'2 '-,93"11. Installers Phone, -157-?f?o, ?
Application is_ hereby made for Permit ~o install Electrical Equipment as follows: RFP/J-/!? h//RIA/C /7AMI'lGE
//1/ /-/.(M',F F//?/i! 3 - <1 CIRCUITS
Wiring Method, /(,1;1&,.;(
.
NUMBER AMP 120V ~ 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER. 10"OA FEE USE OF CIRCUIT PEA 100A FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
LIGHT -- 50 VOLTS
OR LESS
, - MOTOR -
CONVENIENCE
CONVENIENCE MOTOR .
APPLIANCE .. . MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM .
-,
RANGE MISC,
OVEN
WATER HEATER
LAUNDRY
DRYER - .., -.-- REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL F:EE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ElECTRIC HEAT ,
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
"
A.C. UNIT AMP PHASE
..
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE .., -
AW.G.
I SUB-TOTAL ..
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed u-nder this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made
',0/88 -
I
,19 f/5'
By
ONTRACTOA OR OWNER (OR AUTHORIZED AGENT)
Permis~ion is hereby given to qo the above described work, according to the condition hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of t~e City of Port Angeles. " ' - \ \.
DIRECTOR OF CITY LIGHT
"i
WARNING
BY~'
PLA s APPROVED
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on befQre inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457.0411 Ext.15B.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
.
Date Permit Issued
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
REPORT OF INSPECTOR
t '
1
,
DATE OF VISIT MADE BY REMARKS
- "
"i- (, 'bJ" ?/Zf JJtjl(( t{/ ('c>,.I""ecr'oNI' reR.. L.c.</ T-X Tt-o'1f?
. c:- o
." /!'I 8uJ -{". N( ('Lose'! . ,
"
..
,~
; , . .
, ; ,
,
-
- .~-
- ,
.. ..
, ;
-
"
,,'
-- ..
'. .
.
,. - .
, ,
.. .. .. . .. ..
....
,
0 --
.
- .. -, - ..
- . --
-
.. ..
, 0
;
-
.
, .
. ..
.. -
, .. 0
- .. -
,
.,
,
I... . . -- ,
, ..
.
'. ,.. - . ,
.
. - : " .
7-( . 'b) 71ff~ . O.K. FOR COVERING' ,. , 0
O.K. TO CONNECT SERVICE
.. , ,
FINAL O.K.
, .. " .
.- "
", 0 0
. ,
\ -,
\
z
Cl
a:
cl:
:!E
!a
J:
I-
Z
W
.
I-
o
Z
o
Q
.'
16909
Port Angeles, washlngton........!.?.~.~...L_#:::.............................., 19.)..'('
In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec-
trical equipment In, 01;1, 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 ..j?9__~=.k~__I..?!.__r:f:.__________n__._________________. OccupancY.n~~:::~.-------.--n_------------'
o~er ---------?f?f~~4z;:~~;~~~:tJf1;s,:L----.--------.----.---n.--------------noo.------.-----.-oo-------
Wmng Contractor ____oo.._________.______.__.,___._________.___.___n.n___.____.. By_____.__________________.____.____________.____.._._____.___.________
Light outlets.___________?___.P_____________ Service. volt, __./~__qL.!?fl'~.t;). Type of Wiring:
,,0 3/
Receptacle Outlets.........__...........__....... No. wires .___...;._~.~' ..;,:,{.......;-.1--... Armored Cable .............---.........----
G SI I /. V '-'l?, /' Non.Metalllc --------------------------.--.--.
Drye" KW.._____.____/_______~------m.----n.m ze w re'----;~.---.n-.d-----<--' --
~l cJ e:J$ r Knoh & Tube______._____________________.....
Range, KW .n_._.....________~._~......n_______.._. Matn tU!ge ...........n............. d..........
Water Heater: -""" Enclosure .......;$..........................
7$5
KW.__.____m__;;:m;;;mr__.-J!:r.mn
Heat: KW....__.._...t;;/.':?::.(...2...IJI!.~!._:
r
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Type of wiring:
Entrance Cable ......___un........._____..
Motors: size, volts and phase:
I tl2.<.'",,,.6'
Z~::::::::::~::::::::::::::::::::::::::
Rigid Conduit mm_m..........m........
Met.lllc Tubing __..m.m........m..m
Current transformers:
No. & Size......................._...............
Ser. NO..n........___..................n............
Ser. NO..nnd............n.............n.__n....
N':'
RIgid Conduit ...........__...............__.
Metalllc Tubing ...........................
Raceway ........:::;;;;;........_......____
Circuits. Light.....~.........m......_____....____
f'"
Utility ....nun......,.._..._................_n.
G
lleat __.............................................
'So<"
Ran.ge ..........................__._..............
;;;r
Water Heater .....d.....n_................
Motor ..._......................................._
~
Dryer .............................._...............__
Furnace .........................,~.........nn......
Ser. NO....._..nn............nn...........nn....
Tot.l Lo.dm.m.........;'____.m... Ser. No. ......__........._.........._.............. Tot.l ____62__i..:....................
Remarks: ________mm.,-:.':.~~""..,...1:::':'.:.______...~~:?:.':::~y-1.,__!:...________m....__m_______________...______m......m__..__m.m
.
......----------..-.--.-----------...------------.---------------..---.-------..---------------------..------....-..--------....------------.------------....--------..--.-----
.~~:;~.;~~-------.m.m--.-------m.;;~~~:.;.~~~;~~m----m---mm.-------.---~?17--lJ~:--m4----------2-.
S:u__3LL.Q..mnmmnn... NO._n.._m_______n_.....____ By L{_,___m...:~..:m_______m:::'_:::m_~:~::____!:~~~, 4--.,..
NOTIC~urrent must not be turned on until Certificate of Inspection has been issued. If 'work Is to be eon-
cealed due notice must be given the Inspector so that work may be inspected before concealment. /
!
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
...".
N?
16909
Address.........__........_......._..........._.......__.__..................._......................__...._d......................_.........Date..._._...._.._.._.._...._.....-.--...-......-........-
Owner...........__.............._.._..~........_d_.............._.._.............__...........................................Tenant.............................__...............-.....................
WirIngContractor........................_.........._......_......................:........_........................,....................By....................._......................................-
\
NOTICE-Current must not be turned on untll Certificate of Inspection has been Issued. If work is to be con-
cealed due notice must be gIven the Inspector so that work may be inspected before concealment. ..
. \
Olympic Printers, Inc.
,
1M
.
.