HomeMy WebLinkAbout113 E 9th St - BuildingDATE' PERMIT
3f 3 1/I I -62`74
OWNER
r2i01?7'!'zl :1 6._'t tror —1
CONTRACTOR
ADDRESS
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
et
CORRECTIONS NEEDED: "34 Ti- ATFbIM
fr-1 Frt.o yJ 6 F M T _R Nsti LTb/ o F
n r-221 *A -2 4 a is T;if_T 1 4 A 4
PAt- 1 5 c
INSPECTOR
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
ang el /meter and mast
Owner
GERMAN JR ROBERT G
3325 E MASTERS RD
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 983628749
Signature of owner or Electrical Contractor X
G \EXCHANGEBUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
11 00000274
283872
113 E 9TH ST
06 30 00 0 2 6860 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452 9264
ELECTRICAL ALTER RESIDENTIAL
ANG EL REPLACE MAST
183129
119 90
3/31/11 Valuation
9/27/11
119 9000 ECH EL 0 200 SRV FEEDER
Plan Check Fee
Charged Paid Credited
119 90 119 90 00
00 00 00
119 90 119 90 00
INSPECTION TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Date 3/31/11
RESULTS
WA 98362
0 0
0
Extension
119 90
Due
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date-
03/29/2011 19 30 FAX 360 452 9265
City eflortAngelis Pinot Application
;0 26pectIona
421:ErafFinnigniaty•fil..ac 1100
.PaitAitieitiVaill14165,10312
pati3501-41r41746fiar) 4174711
Data: 3
1' •12 Single Fan/K*004
MulticarnitorCcinimerdar
CamrnerclidAtince /Alteration Remodel Repair'
Plan:ROvIci May Op ROOK Pleas Compl Plan Review InfonnationSpeat
JObAddtator
0400;(0 ep
DatiOlption.of.abOvell, .0-41 Ate.s.t
'N
MaUIng
Ad
Cltr.
-Phan
LIcaninritl_Bqx
UnItcpartia
•11900
4145.50
20410
26221
4 372.50
4 -73.50
5 2.60
'5.92.70
4 -110.30
4145.70
1.67.90
5490
4540
S. 5543
.I3
S W0
$119.10
102.10
511030
35.20
I 73.50
•Ux
.51444-t'Affe
Ste nthce_
191.--gs Servl Amp; S
Angeles Electric
Name: -426"EiglfreZat
Mailn&Address: 52-4 r
AerAtvighemss 411. 02figr--
Phone; A•tr2. 4' FCC 41 SUZIallr
Manse Lex 41 gs
a0001/0002
aarle•Cuder 201.400 Amp.
asitterapir40141X1/Ina.
SentalFaxler 001•1000 Arra.
lienftlFeektor 1000 knp.
kind' CliguttY0 lots Few*
Biondi CM* WM Baia Fader
Each MANI ITO anall
Tam Bata/ Fork t OM.
Temp. tignix/Fsedw 2G1400 Pap.
Tamp. Sonteirindor 401400 My.
Tamp. SeivitiF.etsr.I01.1X0
Patel b Pachttianty
etWOldam
Stand Ma/ UMW Enww-Corinerdd. &dewed 4500 $5JX1
Sigial qua Litesd Energy 2 Foray Nang
Ctoti UmIKErlirlP Winn* MIN
Vonifidarel Ittne Condon
Remo* 111.0kitenaly WA System or Liu
Fest 1300 epee Ft
Each Mgdast1500 *pare R cr Palen rit
Each Oulbullrg re MOW Ow.
Bah SatrinitaiNOttavp
lbunteild
Teti
O Omer Fa wimpy the airman far tot solft etwilbh OM* mod b rmanzw.1 Owner Is vegultir to Mast Oaks, sontracior
ibevirig0Ipile 1i *Irish, mitt kattqw.wmit 'gams illy sbunanis of Iset0Ipottlon.
Afte4ei5Ingthe ebetietioneed; I hereby es* thet lam the war dee above mod properly era leaned *Wad eastmeter. I tun Indio the *Mid itete5etto or
41t6fittio1ircligaraha1 Olt ofadrkalliss, LW, ROW. Chapter 1525AVAC. Chigar4510458, mac ye? Pat Mello 11105010e1 CO5015 Ualt/110
itinetunket rimer, added eantrader or elsehleat admintsalax 0 CO
re•
01011011101110Mmge
03/29/2011 19 30 FAX 360 452 9265
p..eorlrpieta
Por larNntserrIse:
Name and address of party
responsible for permanent
service billing?
Contact information
Site contact:
Contractor
Electrician:
Excavator.
Project Type
fir
ngle4amily residence
Commercial
Overhead service
Uncle round service
Project information
Street address lot number.
Desired connection date: I
Electrical transformer servin
Nearest cross street
Tots 1 :sa u a ri fo eta
Voltage:
in/ return to Public Works 6 UtIIIBes D.e stt rent
Name:
Street
Supportiliti Di .ulrrcntAtion
0120/208 3ph 0277/480 3ph
Other
and residential loads (Lighting, refrigerator, dishwasher washer)
ton) Range/Oven Hot Tub
is Dryer Heating Pumps Hp)
r Heater Elevator Hp) Other
Please provide a copy of the following:
'Detallid`plot plan (.dwg or .dxf fo mandatory for subdivisions).
'Electrical one•iine drawing showing the service entrance panel•and location.
'Connected load data.
'Size and locked rotor amps of all motors over 50ha.
Applicant's Signature: r:
Stan
Check all that apply' A/C
Ci
NE: o Load Change Wet
Name:
Daytime Phone:
Name:
Daytime Phone:
Name:
Daytime -hone:
fisting
MAIL OR DELIVER COMPLETED F'ORM TO: 321 E 5TH STREET, PORT ANGELES,'WA 98362
FAX TO: 360. 417 -4711
Information formals l
NAPWKSt10/171 NORIfOrlpineihnIntorme4 form
Angeles Electric Z0002/0002
Electrical Information Form
Public Works tltllNles Department (310)4174700
City Electrical Inspector OR 417.4735
P�l/fv4u 4— am ///en
State I ZIP' e 1
fltr`— g
Daytime Phone: 7 Home Phone:
(If other than above)
Name: Title:
Daytime Phone: 7 1 .1t i/
Comoanv:
e* oy- Company
Comoanv:
Description of work:
/_3
is: [dfi aole on the ground
a. ft.
1 ph
ONew
UMuiti:family residence; of units
❑Subdivision; of lots
0 General service
❑Other
Main disconnect size: -WO am
Date: 3/2 -!41
WS
WF
ReVIseO 1.1000
1
REQUEST'
Date q -/y - OS-
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
, , . . . . , INSPECTION REPORT. . . . . .
. . . .
Time 10 00 fJ f'1-\.... Received by f){.V1vt I '"J E - (phone, person)
~ 0. -ft-..
Location of Work to be inspected I I '3 c. /-
Name of person requesting inspection o etA j,1 I s E
Address of person requesting inspection 6?r () Y ~r j"
f
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
( 7 ~& , Phone No L/ /7,'-1 'g,-{Cz
Permit No
Sewer Excav Other LV'cL+e.."r
INSPECTION NOTES
Inspected Date '7 -/(:; -D <) Time [" I A ~ By OLtt ~:s C
Remarks t2.~ pc.. I r~cl 10" It -L PIlL {e" /.4/t1,~ .Lx T a. h...u 0
~Pe 00. @ lIVesT ~f' e 1-)-S,de-uJ~ / I-s,E9 CO- 4--G Pi p-e
{)P is /11901/ -J-o ~'f wes;L ;;; -H~ 67~T /T /s /2 ~ II
RESTORATION REQUIRED
YES
NO X
-..
~
~
.-J
ID'" A-L.
~.........
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'3 I t:M.e /F
p I~
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W
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # iflCjs-3 -00 I
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
BUILDING PERMIT
OWNER/APPLICANT
BOB GERMAN
113 E 9TH STREET
Port Angeles, W A 98362
360/452-9615
T:
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East Sill Street, Port Angeles, W A 98362
ISSUED: 12/03/2001 PERMIT NO: 13122
PROPERTY LOCATION
113 9TH ST E
lot: 13
Block: 268 0 long legal
Subdivision: Tp.\
S: Parcel No: 06 i000026860000
CONTRACTOR
PETTIT Oil
638 MARINE DR
PA, W A 98363-0000
800/972-7002
PROJECT INFO
Project Value: $500.00
Project Type: TANK ABANDON
Occupancy Type:
Occupancy Group:
Construction Type:
Zoning Use: RS7
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units: 0
SFD sa FT: 0
MFD Units: 0
MFD sa FT: 0
Commercial:
Industrial:
Garage:
o
o
o
-:-",
V
fV\
--C)
~j:
PROJECT NOTES
TANK ABANDONMENT
RECEIPT #8575
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Misc Fee 1 : TANK ABANDON
Misc Fee 2:
Misc Fee 3:
$15.00
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
$15.00
$15.00
$0.00
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and exam imrl this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the provisions 0 any tate or loeall regulatingThe work speCIfied in the pennit.
~ jQ"3--o /
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if Owner is budder)
Date
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire 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
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough-in inspection
Alarm final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test #1
Above ground piping inspection/pressure test Piping pressure test psi
Tank (container) inspection Time initiated
Test #2
Appliance inspection Piping pressure test psi
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final EiP/t-eJ &rlMtt r:;1/ /o6/OS- }4}j)
I
Inspection Type
I Date Passed I
Comments
J
GENERAL COMMENTS:
2/15/00