HomeMy WebLinkAbout1028 W 17th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
ROUSH FAMILY LLC
330 S SCOTT DR
SEQUIM
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 983826807
ELECTRICAL ALTER RESIDENTIAL
ANGELES/ METER REPAIR
58172
ANGELES ELECTRIC
36 30
8/16/05 Valuation
2/12/06
36 30
00
36 30
COMMENTS /ACTION NEEDED
36 3000 ECH EL -R OR RM REPAIR METER /MAST
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
05 00000757
992178
1028 W 17TH ST
06 30 00 0 4 5035 0000
ELECTRICAL ONLY
RESIDENTIAL HIGH DENSITY
0
Contractor
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452 9264
Paid Credited
36 30
00
36 30
Plan Check Fee
00
00
00
Date 8/16/05
WA 98362
Due
00
0
Extension
36 30
00
00
00
DITCH
ROUGH -IN COVER
SERVICE
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CO VER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
0 7I1 t /d1
I I
1 1
I I
I I
PW- I102.15 (4/96]
o~ e
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 10/26/2001 PERMIT NO: 13059
OWNER/APPLICANT PROPERTY LOCATION
1028 17TH STW
ALBERT RAUSCH
1028 W 17TH STREET Lot: 7&8
Port Angeles, WA 98362 Block: 450 [] Long Legal
360/683-3722 Subdivision: TPA
T: S: Parcel No: 063000045035000
CONTRACTOR ARCHITECT
PENINSULA ROOFING N/A
1216 S. H ST
Port Angeles, WA 98363 , 98360-0000
360/417-1039 360/000-0000
PROJECT INFO
Project Value: $2,975.00 SFD Units: 0 Commercial: 0
Project Type: REROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
TEAROFF / FELT / COMP
RECEIPT # 8204
FEES ASSESSMENT
Building Permit: $83.25 Misc Fee 1: $0.00
P1an Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $87.75
Plumbing: $0.00 AMOUNT PAID: $87.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, F:SA, 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
co,~, ction. //~
lSignature o~ ~ont~ctor or ~uthori~ed ^gent ~ate $ignatura o~ ~er li~ o,~er s bui~derl ~ate
Yx
f-x
IX
Vy
:5>"
YX
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15837
-
. ) - / ') :>c:
Port Angeles, Washlngtonm__m__mn_m___.__m_mmmn_...n__n_m__m.n, 1900000_00.
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 d6 electrical work as listed below.
Address jn<?_oo?mf..mm!.dZ:n__[;::_4f.oooo_nn__nnn__n_n_noo ocCUpanCy____m~.d?db_m_oo__n_m_oon___._
Owner .:.__m~_;d:6!.::!':.;~{_t...~___(;m...._:'!!_~hL..h_m..n Tenantmn__.m_m_.m__..uu__m__:~_mm_nm__.n______n_________
Wiring Contractor(J..,A::!_:::!!'.oo_!r::flL:!~r.oo_.~oo____oo___oo__oom By.oo_oo_m_m_oom_oom_m_m______oooom__oo_moo_m__moooo
10
LIght Outlets........"--..............................
.:J ('
Receptacle Outlets__........;'!'............__.___.
.-
Service, volts ..................._..................
No. wires n......................____....__.__..
Type 01 Wiring:
Armored Cable .............__.____..........
Non-Metallic ..._...____.____.................
Knob & Tube..................................
RIgid Conduit ...............................
Metallic Tubing ...........................
Drver. KW un...~nu._u...._._.u_._.....u__..
. ..---
X
Range, KW __n_'...____.._____._________..__________.
Wa.ter Heater:
'-I-
KW...____nn___n..n......._____..__n__....n
-- '7
Heat: KW..____.._........__...........................
r
Size wlres____..__..........................._..
MaIn fuse .__..m.__.__....m..................
Enclosure .................__....................
Type of wiring:
Entrance Cable .......................
Raceway ..............................._......_
Circuits, Llght....L3....___.........___.._....
utility .......j.3..................___.___..
:::ge ..:::~t::::::::::::::::::::::~::::::
Water Heater La..................__...
Motor ..._..B.....~......m................
Dryer....................._...........................
Furnace .........................'_...................
Motors: size, volts and phase:
Rigid Coudult ....____.......___________.____
Metallic Tubing ...........................
Current transformers:
No. & Size.......................................
Ser. No....__...................__.____.__............
Ser. No...............................................
Ser. No. .............................................
Total Load.............................
Total ......0..;K..........._......___
Ser. ~'o. .................................__....__..__
Ren1arks: n.nn.n.nnnn.n__n....~..,.;:.....h...nn...C_~~:...!..'1.~.n.'~n.n.n.n.nnnnnnnnnnn.nnn.nnnn.nnnnnn.UnU...
/I-~'~ --.~- -
By ~iL_fLJd;'_~~-2_ji_,~
Permit Fee Treas. Receipt
$:_oom:~-(J-LLu..-n.....--.. No.........................._..
NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. It work Is to be con.
cealed due noUce must be given the Inspector so that work may be--Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
.-
J"
ELECTRICj\L .PERMIT
'.."",.
N?
15837
Address..................._..................................................__...............................................................Date..._......____......_.........._......_......_.........
Owner .............__.____...__.......__._......_.._......_......_..___......................................................... Tenant....____....__..........__......__.......__.........................
WIrIng Contractor...............__...____....__....._.......:.............._..........................................__...........__.... By........__.................................__..........__.__..
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If' work is to be con.
cealed due noUce must be given the Inspector so that work may be inspected before concealment. .-
1M Olympic Printers, Inc.
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ELECTRJCAL WORK PERMIT APPLICATION
Job wired by
"ectrical Contractor 0 Owner
..
License number
o NeW'
o Alteredl Addition
p~\rchase621tJ 3ES
;:i.e.sr SIr
St:l.tc ZIP
City r A"
Telephone number
f./S-Z -
f1,~ AuL.AJ"'l >>ber~
. ,
UR. M/ / JJ1D SPD~
J2E. I11RF~ ~1: (i~4i4C17
1./rCK. ~LjMJ ~}I!;f# S;i~
ILl) :M
~S:::u:Y6Jj APrFJZ /;:J!x1;e(j,.
FAX number
z-'I
premij5 OWner's DMmc B
-f7Jl:i JJt-"J1? K.. ~~ flUY1F~
Addre;;b .i~iOM /7 -d.. A-tr4-.>
CilY ?/t
Phone nllmber.lo.~>dlJ:lc in~pedion: '~~'{ld J
Ot/7 ~J /.A/S: t'C'/O'V
Owner ~ define([ hy Hew. /'i.2H.26/:(!) aw"er will uc.'c;uPY (he slrll,:fure for two
years oJier 1Jei.~ 1,!/<Xlrk(J1 pt'rmrl is finalized. (2) Ownel' i.f reqllin:d 11) Ju'r(' an ('(((:11';('01
corll/'uctor if a.~(Jva. .'~lJia {lI'Ofl(U'ty is f()r :l<<h-, n:nI or lea.fit.
After fading the above statemt.-nl. r hcn:by certify that I am the ownCl" of ttlc above
named property Of .a Hcct'lsc~1 electrical contraclor. I am making the electrical instal.
IMion or alteration in compliance with the ~leCll'ic31 hl.w.s. N.E.C.. RCW. Chapter
19.28, WAG Chapter 296-468, The City of Pon Angeles Municipal Cade, and
Utility Specifications.
Signature of owner, electrical contractor or clct'tric:ll admini!Otntor
Cl Cash 0 Check #
~Card Visa
Mastercard
Discover
~ .al Load Additions and or subtractions
NO lOAD CHANGES
o Basoboard KW
o Furnace KW
o Heat Pump _ Ton _ LAR
o Fan-WolI I<W
Expiration Date
of card
o Overhaad SQrvice
Q T~ Service
D-1J"nderground Service
l:1,~ll1J.C,Q.JQf.ormation
Voltage /20.I2f0'
Phase ~
So",ico Si:<e: /"O.~
Fooder Siz.:#: /4-LIlII4
SAME DAY INSPECTION. CAJ,L BEFORE 7:00 AM 360-417-4735
,,- ROUGH-IN TIJERMO~'1'A:r ,,- SERVICE
OllIe , .'\l't:'lV"e<J By Dllle ~~ '- D"I<: ^J1t1rovod Dy
,,-
FINAL DITCH FEEDER
~~S- 1;(2
OfltC Aoor<.ovd By ./ , DOIW AwNvedDy
Inspection Ate".;I, 'Building or Equipment inspected Action Taken Elec;:trical
Datc l11spc;:c;:tor
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