HomeMy WebLinkAbout527 W 12th St - Building
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00001009 Date 10/14/03
527 W 12TH ST
06-30-00-0-3-4870-0000-
RE-ROOF
900
Owner
Contractor
PENDERGRASS PAUL E
527 W 12TH ST
PORT ANGELES WA 983627502
OWNER
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
ONE LAYER OVER ONE OF SAME
59.20 Plan Check Fee
10/14/03 Valuation
4/12/04
.00
900
Qty Unit Charge Per
Extension
47.00
12.20
CJ\
'V
--..J
BASE FEE
4.00 3.0500 HND BL-501-2K (3.05 PER C)
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 59.20 59.20 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 63.70 63.70 .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 ~ 80 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 o~ I~ w regulating construction or the performance of
construction. . ~ { oj /1.// oJ
Signature of Contractor or Authorized Agent. Date Signature of Owner (if owner is builder) Date
T \PLANNING\FORMS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE 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 I NO -
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT #
ROUGH. IN I -
PLUMBING
-
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION -
SLAB
WALL / FLOOR / CEILING
MECHANICAL <
HEA T PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKINGILIGHTlNG ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W I PWI CONSTRUCTION - R W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 ~:F{JI y€. cL PLANNING DEPT.
BUILDING 417-4815 tJ'.)' U / be;- Rv BUILDING
f
T.\PLANNING\FORMS\J 10215 [4/2002]
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CITY Of PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
nl EAST STH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdiv1.s1.on Name
Property Use
Property Zoning
Applicat1.on valuation
7/05/06
06-00000701 Date
164948
527 W 12TH ST
06-30-00-0-3-4870-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
PENDERGRASS PAUL E
527 W 12TH ST
PORT ANGELES
COLEMAN ELECTRIC
P . 0 BOX 13 2 6
PORT ANGELES
PORT ANGELES
(360) 452-7594
WA 98362
WA 983627502
Permit
Additional desc
Perm1.t p1.n number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
COLEMAN/ 200A+100A SVC CHANGE
81570
COLEMAN ELECTRIC
102 10 Plan Check Fee
7/05/06 Valuation
1/01/07
00
o
Qty Unit Charge Per
1 00 78 7000 ECH EL-RM-0-200 1ST SRV FEEDER
1 00 23 4000 ECH EL-RM-0-200 ADD SRV FEEDER
Extension
78 70
23.40
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 102 10 102 10 .00 00
Plan Check Total .00 .00 .00 .00
Grand Total 102.10 102 10 00 00
COMMENTS/ACTION NEEDED
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ELECTRICAL PERMIT INSPECfION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC'iJON-TYPE DATE ACCEPTED COMMENTS
/ \ 1
I, . . ' , YES NO
, \
..-
~..:o
I)l"n :H
HIli 11TH-IN !CUVbK
SERViCE
FIN AT. '-.2R...C'A~ /1
GENERAL COMMENTS:
PW-II02..' 14'961
CITY OF PORT ANGELES
LIGHT DEPARTMENT
N~
17808
ELECTRICAL PERMIT
"Y- / :)- y~
Port Angeles. Washlngton.m__m.__....____...._....m........._..m.m.....mm. 19........
In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec-
trical equipment in. 01).. or about any building or other structure In the City of Port Angeles. per-
mission Is he~bY granted to do ele~l work as listed below.
Address ;i-.?!!!.z.--~-i~.{lm...uuduummuuu.um.u OccupancyuL1.,g<~mm...uu.um.m.__u
~::~~~:~~.::~~~t~~.~~~~;::..::::::::::.::.....~::::::::::=:::::::::::::::::::::::::::::::::::::::
LIght OUtletBoooon...m.....:oo=...nm_.._..... ServIce, volts /i!,;coo:;1):=-.C!..n Type 01 Wiring;
Receptacle Outlets......__.............._........ No. wires ..:J..__.......____h._.LI....... Armored Cable ...-............-.--..........
SIze WlreS~..~...._oo
Main luse n;;!.Q/!...a....noon...
S
Enclosure ._..m___....__.__...__...............
Dryer, KW...uu.___du.unn__.__.____.n_......
Non-Metallic ........_.__n_..............____
Knob & Tube..._________hh............._....
Range, KW._______.m._______________._
Water Heater:
Rigid Condult ...00..........00...000000...00
Metallic Tubing ......__..._h...........__
KW"U...n.n'dh"'1....nnum. 0000. nm
~:;~:~~;:~~
~K: y'/ P
"Tn..'1(dl.n/Y..fm~
Type of wiring:
Entrance Cable ..........__m..............
Rigid Conduit .......__....__..
Metallic Tubing ""m____
Current transformers:
No. & Size............................
Raceway ........___.__...................._...._
Circutts, Light................__......._.............
Utility..........____n__n__..............________.
Heat __..____................._.....................
Ser. No............_______.___....________............
Range ................oommoooo.....n..mmn
Water Heater ....__..h............._.......
Motor ........__.__.._____._..............._._.....
Ser. No. __n__............................_____.__...
Dryer __._.___.._...............____..__................
Furnace . .............._.........'~_........ .... ._....
Ser. No.........__.._____...___.......................
Total Load........................._... Ser. No. ........._____n_________.h....~.......... Total ....._....____________n...............
Remarks: md.....uummu'.'7'___!Ld:."_.cu.-:;!~~l..u.~-!!'u~.~ummmm..mum__umumum_mm..umu.m
.;~~;~.;~~mmu.mmumuu--u.;~~~~:.~~~~;~~uudmu.muuu.m--um(f1jf;71~?::~2umu
$.u.uuu____muu___umm.mn NO.um__m__................ By mmmu__um~----...m....-..m--h.__...--.m.hm~
NOTICE-Current must not be turned on until 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 concealmellt.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
N~ 1 780 8
ELECTRICAL PERMIT
Address....__..__.___....._._.....................................____.__......................................_...._._.__....................Date..._......____.._.._.........._......_......____......
Owner.._...._____.................._.._.__...___..._..............__._.......__.___.............._.........................__....Tenant...........~.~......_.........._..__________.___..____________.._._
WiringContractor.._.___..._._.._..................._n_.__._.............._...___............_..._......._..............................By.,...............____._.____._._...__..______......_..........
" NOTICE--Current must not be turned on until 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. ''-,
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1M Olympic Printers, Inc.
Jun 20 OS 01:58p
Bobb~ O. Coleman
'~,3S0 - 452 -7584 ---','
-p,-l.'- .
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F'.)f!; O~l"JCL"I.:... USE O~1... ,.
UI.'~_.
,...,.....--.------
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l)'Ilel""""'_m._______
ELECTRICAL PERMIT APPLICATION
lh:e EIe~ca1 Permit Application must be fthd out comat:J:etw'.
Please lype or I1Iprint in ink. ffyou hol'reanvCfUllSUons. pleasecaJl(360) "17~73s
Fu: nurntIw; (]SO) .17~7f1
:::::-;;?/~~ --27~'i~
-.. 5,.;J.. 7 U/ /,57, P'~ Cily; . Ii
E_cal Con_DC (7.,(" a _ ~ p a ~
Add<ess; <:LZ tv / '- +/-..
Fa...:
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Phune
Zip:_
Phone:
Ui-t>i
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City;
Zip:
INSTALLATION WIRED BY;
DOWNER
~TRICAL CONTRACTOR
Credit Cald HDlder Name:
Billing Adcltess:
City:
Exp. Dale:
Zip:_
Cnlrlit Carll Number:
V/SA:_ IIfC:
PROJECT ADDRESS:
5,;L?v/ /4. k
:ZOF WORK: Check all that apply. 0 New
. esidential 0 MuJti-family 0 Commer-ciat
o Alteration/Addition
o Mobile Home Sq. Fl
o Remote Meter
U Detached garage 0 Hot Tub U Swim Pool.
d
o Septic Pump
o Low Voltage 0 Telecom, 0 Sign
Number of Circuits added or aherecJ:
DESCRIPTION OF THE ELECTRICAL PROJECT: a~ ~ <i12 (// U, - .~ "I-
tl/kru4-v-l- Am:!4*'" ~/
Electrical Heat Load Additions and or Subtrilctlons
Service Information
'.J Baseboan2
o Fumace
o Heat Pump
o F~WalJ
_KW
KW
TON LRA
KW-
Q Overhead Service
o Temp Senrice
o Underground Service
Voltage:
Phase; 0 1
Service Size:
Feeder Size:
U 3
, hereby certify that , have read and examined this application and know that same 10 be lrue and correct. and' am
authorized to apply for /his permit. . , undelStand it is not the City's legal responsibility 10 determine what permits
are required; it remains the applicants responsibility tO~determ' what!e~ a';:fl7l~ired and to obtam such
Credit Cald Holder's Signalure:~ ~~ Dat.:
Owne, or EIec:. Cont. Signature: Date:
C:lELECTRICAlPERMITAPPLlCA TlON
PERMIT FEE: $ /02, 10
';;'t7V,4
~A
$vc..
/'IZlow
7!J,70
"';3/10