HomeMy WebLinkAbout1325 W 11th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Appl~cation Number
Application p~n number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type descript~on
Subd~vision Name
Property Use
Property Zon~ng . . .
Application valuation
06-00000151 Date
643001
1325 W 11TH ST
06-30-00-0-3-1560-0000-
DAVID & DAWN SHIDELER
MECHANICAL PERMIT
2/14/06
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RS7 RESDNTL SINGLE FAMILY
8000
Owner
Contractor
SHIDELER DAVID A
1325 W 11TH ST
PORT ANGELES
WA 983635507
AIRFLOW HEATING
221 W. CEDAR
SEQUIM
SEQUIM
(360) 683-3901
WA 98382
Perm~t . . . . .
Additional desc .
Permit pin number
Perm~t Fee
Issue Date
Expirat~on Date
MECHANICAL PERMIT
70987
64.70 Plan Check Fee
2/14/06 Valuat~on
8/13/06
.00
o
Qty Unit Charge Per
Extens~on
50.00
14.70
BASE FEE
1.00 14.7000 ECH ME- INSTALL 100- FAU
Fee summary Charged Paid Cred~ted Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 64.70 64.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.70 64.70 .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 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
oonnfl:~~~_. _
~~- G~/Y--oG
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T \Pohcles\] ]02_15 bwldmgpenmt mspection record05.wpd []/412005]
02/1:J/06
MON 15:15 FAX 360 683 3971
AIR FLO HEATING
CITY rif F'A E:LDG DEFT FAX IJ". :(t:(1 41~ 4:11
141001
F'. (10 [/(1(11
~OI:I-i/AUI~/lIVFRI 12: II H1
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__ A"jiplifann)j-nA:gentr\t'lf; 'f-i--Q-:'~~",,?- .-.-.--.-- ___.P.hont~ _.1a~'0.Z2.~.J --.- --.----.-.-~ -
O\vna-l1{llJ 1tLLDttl1W\ ~ j d.hU/ Phone. J-f S~ - ~ Lf t.t .
- - Add~;;:J3;X '--0- T8fi"-'&1~--"-'- Cjt)~:-I7o-r-~~~:::Ik-=:b-- , -.. -L;ip:.--cyQ-8'~r:z'-"- .n__....
ArcmtectlEugincer:_ Phone:
ClIJltractor
SUIte Ll~r..nsc #:
_ Exp:
I'hone:
Address.
City:
Z1p:
rP{)r ~ tk ~ ZONING:
BubdJvisiou:
PROJECT A.DDRESS: lo~~ W~ Iz1t
+.EGAt. DF.SC1UPTION' Lot: Block:
Cl.ALr..AM COTJNTY r ARCET, NU:MBl:'R:
Credit Card Holder Name: A' It:- r;;. Lc ~ -1"'h1 (~
Billipg Address; City:
Credit (:ard T}'Pe 'Vl~A Me # () f\..l ~ L.~
nrrE OF WORK: SIZEfV ALTJA. nON:
5l Ke!-idential 0 New CnllStt. Cl Re-Toof 0 Stove 'd-I<;\"~ SF @ s:. ISF. ro=~,
o Mnltl-tilmi.ly at AddiTiC\l1 0 :Move' 0 Garage SF @ $ ISF. = $
o C,.mwctcW 0 Remodel Cl 11l;:Tuohuon 0 Deck SF. @ $ I::;F. = $
__ __ ____._. .-----a-T'u::pm-- .- --g,-Slgn- ._. - _- D-Qther.- no - __ . - --- .:rOTAL, ~I)ATT()N. ..n n_ $
DImFnESCRll'TION OF T:ffF., PROJECT: .w~IrR~/-L N t:nV ~+ fiLrnp and AfIL
~ 1}1vXVY\ObM-:l- .
COMMERCIALIRESIDltNTIAL: Ot'C:Upll1lCY Gnmp:
No of Storie-.s: Lo! S17,e: _ EXisting Sq. Ft
Tot-allot e-ovc:ragp
Exp. D~t.e:
~Jlt.~
OccupanT j,oa.d;
& Prop(\~ed Sq. Ft
Construction Type:
= TOTAL Sel. .fit.
aiD
Al'PROV AT.S:
l'LA.N:
BLUe:
nrVl(T:
FJRE:
OTErn:B:_ _
rLANNING USE om..Y:
BSA/Wc-tleud(s): 0 Yes 0 No SEJ' A Cht".cldifOt -reLlwred? n Y ~~ 0 Nu Other'
RmLPTNG PERl\ITI APPLICATION sm.sMJ.TI AL: TIle B uildillg Division can provide YO\I with inforn:mrion on thee" appli\".8.ti01l ana
plaD ~lblnittal IC'OquiTeIIlt'.uTS if you have que-.stic.tlS. I
V ALUAl'TON OF CONST1HrCTION: J]1 all cas:es, :!. vahistl()n amc.llnT Olust be entered by the l:IpJ'liCilut. Thi~ figure; '\?'~1l be Ttlvic-weCl
all\i I41liY belevise-:d bytlll:; Buildw~Di"i.si()~ tn co~pl}' wilh C'llII'eutfcc sl:he>dnJ.es. Con.1-a~T tl,le Pf.'rmi~ Coordina~('lr aT41 7-481 5 for assistancf
PLAN CBEClC FE)!.: l:F a. pl:m L~beck fr./!' IS due it mnst be subm11ted :it the rune ttll: building pernut O1pph(;;l.u1Jn lWd coustluctiOJ.l plau;:; an:
~.uj>)'Jlitte.d. All otber reUlJit fees arr:: due al the tm\C: (If pem1it issnauce - I
1~..:-':P1RATION OF PI.AN REV1)!;'\'; I.t Di\ pel1l11tlSlW"iea wl'tliill--"flO"'1.l~''h~-dat~-uf<lppl;~011J~n;1ilc-appiicat\(J.l1-'riU"T1.1.iTE':-1.':hc-
Buildmg Offi~a.l ca.,' !xtC;l.lIi the emr: fOI ~ctiOIl by tIle applic;a1)t ~ lO 11.:11 days 11p('1I written requesT byrhe. applie=.t (~r;c Se.cti...nRI05.3 ~
01 mt' InTemariuoaJ DmldinglResidcntial Code: Z(03). Nu ILPl'JiC:a.tiLI1l can be e),.Le1.lded morc: th;!ll our;.e, !
I /lereby certify thilllI IlcWe rt3acl and er;amlned tllis applIcation ,md know the seIne to be true BIII1 con&/ J fJm lllJll,ori1.ed to apply for this permit cmd
understand /lIar d IS my responsibility 10 d~tl.1rmme what permITs <i'" requlled ,not tile City'~, at I must ob . , ell permits prior to wOlk.
T:\K \ 'ES~'\8L[)""r['ol'l''\s:-bro...b\lr~\2.00)-),I\lild ir'Sf'crnlit. ...<pd
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,21 EAST 5TH STREET. PORT ANGELES. WA 911362
Application Number
Applicat~on p~n number
Property Address
ASSESSOR PARCEL NUMBER.
Tenant nbr, name
Appl~cat~on type description
Subdivision Name
Property Use
Property Zoning
Application valuation
06-00000151 Date
643001
1325 W 11TH ST
06-30-00-0-3-1560-0000-
DAVID & DAWN SHIDELER
MECHANICAL PERMIT
3/10/06
RS7 RESDNTL SINGLE FAMILY
8000
Owner
Contractor
SHIDELER DAVID A
1325 W 11TH ST
PORT ANGELES
WA 983635507
AIRFLOW HEATING
221 W CEDAR
SEQUIM
SEQUIM
(360) 683-3901
WA 98382
Permit
Additional desc
Permit p~n number
Sub Contractor
Permit Fee
Issue Date
Exp~ration Date
ELECTRICAL ALTER RESIDENTIAL
OLY EL I FURNACE- HP
71696
OLYMPIC ELECTRIC
48 10
3/10/06
9/06/06
Plan Check Fee
Valuation
00
o
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~
V\
it
Qty
1 00
Unit Charge Per
48 1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 48 10 48.10 00 00
Plan Check Total 00 00 .00 .00
Grand Total 48 10 48 10 .00 .00
.........
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COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE 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
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-II02.U (41961
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Site Address:
f) tJ
Installed By:
ELECTRICAL PERMIT
PERMIT NO.
4P 7:7
~-~r..:r-'7'~
DATE
o READY FOR
INSPECTION
License Number:
Owner/Business:
Owner/Business Address:
'f?f RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW
o HEAT PUMP KW
o SIGN
Details/~criPtion:
/Jj .1..1" .-
,
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
~ ADD/ALTER CIRCUITS
tJ' SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
Phone:
Sq. Ft.
0- OVERHEAD SERVICE
'lXUNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE b 0 AMPS
j~J~h
~
~D~'U O/2-A7tJL
,
LJd..-II.JfJ ~ h-A./~Af .I~
,
fOt2AlII J
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~
p.t24U -I./Au -4.kp
/L)O If-
,
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W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ ~Rough-in/cover O.K.
o O.K. to connect service
~'f/JFinalo.K.
Instalier: New ~
aeu-- ---- ---------~ - l'
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. wor;;;otb~OVered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either th iring rt
or on the BUildin~er t. PHONE 457-0411, EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /..:Z. Fl -.. ' "
$ ~' t90 ~.-,..
Site Address:
/3;;S-
tv
.
WHITE - File by address
1177J
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
l
OLYMPIC PR.INTERS INC.
Permit/Receipt No.
Permit Fee
GREEN - Top: MeIer Dept., Bollom: C;ly Ha~
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
AJ~ 9'
?;/v/r/
.~.
ELECTRICAL PERMIT
DATE
Installed By:
h<Jn.P.A-"
o READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commerciai/lndustriai load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
010 03.0
Service size
o Temporary
~Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
1Th,b:;J:ft;~:;~h~
Amps
DetalislDescription:
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
r I1l Rough-in/cover O.K.
o O.K. to connect service
,~ Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
~
Site Address:
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in riting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
-:ff ~ V, OD
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Amount paid
PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLY~"IC PRINTERS. INC.
02/21/2005 14:43
3504523498
OLYMPIC ELECTRIC
PAGE 01
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ELECTRICAL WORK PERMIT APPLlCATION~
Job wired by
o Electrical Contractor 0 Owner
Tn!Otnl1ation d:~CTiption . /"
a Commercial ~e5idcndal
Elec1.ric,,1 contrnctor name License number Date Expires
/71"d"{t)" 8,...,fnr: a)l/l'lP~/J/
p;dascIf.> mailing addre!l~
92. 70 TV~u/"'ff~
Ci~ STate ZlP
/&?rf-/l/?J"tr CV;7 Y%'/hJ'
Telephone nu~ FAX number
CJ Nc",'
o Alteredl Addition
fV;-/lr7r:c r $.7T /b/~
).
",
\.
~
Preml,e, owner', nllme~ /
l..?dV'.::I .51;, ~/rr
Addu,' of inspec:tlnn -r;;
IO!C;- V/I~ fr
CI~r-1- A'?,r/"/r-J
Phone numher to schedule in9.pectlDn: 'I ~7 - 77 Y
Owner as defined "Y RCW/9.28.26/ :(1) Owllcr will oc:Crfp'y rite -,rtniefTlre foro two
yeon ",fie,. thi,~ electrical permit is flf'l(11~ed. (2) Owner is rr!tJllin'ii In hire? an e1ecrrir:nl
cmUrtlc(or if obnve .~aia prt>pf'!.r'y i.~ for S(J'~. mm 01" lea:;c.
Arter reading the lIbovc statement. 1 hercby certify that J am t,"c owner or the above
named property or a licensed electrical cont1'3CtOf. I am mnkin~ the electrical in!ltal.
latien or alterlltion in comp1iancc with tl\c electrica] 13W!>, N.E.C.. RCW. ChapleT
19.28, WAC. Ch"ptcr 296~46a. The City of Port Angeles Municipal Cotlc. and
Utility Specifications.
Si~n.att\1't of own~r~ electrlC31 contrnctor or clectrlC:11 .dminjstr~l"o""
o C..,h 0 Check #
OOeditCard Visa
Ma,tercard
Discover
C~#________________
x
Date~t?6
Expiration Date
of card
Elee rlenl Load Addll!llMS and or s_ubtracllon..
o NO LOAD CHANGES
o Boseboard KW
o Furnace !R- KW
o HOo' Pump 1- Ton _ LAR
o Fan-Wall KW
CJ Overhead Service
o Temp 5$1'>1100
o Underground Service
~l<e Informall!lll
Vollnge 2'1 C?
Phase a.r'1 0 3
Service SIze:
1=9OO9f Size:
S<\ME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN TIJERMOSTAT SERVICE "
Dnle: ^"rrTtlllecl Gy "- nnte: ^rllll'IYe:d Dy Onte ^"pr(I~eCl Ay
~FfNAL DITCH FEEDER "
-v7 0 t, c/f J) Dete A\Xll'Ovcd By
.O.le. ArPTOvc:dU,/ '- n~ce: ^PrTtlvcd By
[nspcction Area, Building or Equipment In~pectcd Action Taken Electric,,'
01l.tc Inlrp'cetor
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