HomeMy WebLinkAbout516 Georgiana St - Building
12/18/2006 1i:15 FAX 36045i4698
STR~ITS ELECTRIC
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ELECTRICAL WORK PERMIT APPLICATION'
Straits Electric
PurchasCT's mailinc addrtss
P.O. Box 2914
City
Port Anqeles
Tcltphone number
2-9 04
LiCet\5C n\lmbl=r Date ~ire:s
STRATF.*0110S 9/07
.installation description
C Comme.-ci.al ~. Re.sidtDtial
o New 0 AlleredlAdditioD
Job wired by
011 Electrical Contractor 0 OWDe.
'Elc:r:nical cOnlJ'BctoT D.IlInC
~
o.....ne,. as defined by RCJf:J9.28.261:(J) Owne, will oCClJpy rite structure/or rwD
years ujicr Ihls electrical permit i, ~ (2) Owner is" required co hire an declrical
cOlluuclor if alJave said prnpoty is for sale. rent or lewe.
After reading the above statement, I hcn=by certify that 111m the owner of the above
n.amed property or a licensed clcc:trlc;-o1l conlrJ.CIOf. I am m3kiol!, the electrical inStal-
Iillion Or al cration in compliance V.;tR the e1ectrics.1 I:9.ws, N.E.C., RCW. ChnptC'f
19.2 . Chapter 296-468. The City of Pon Angeles Municipal Code, snd
olir y S ificatioos.
S Dlllu , owaer, electrlc:a' eon tractor Dr eledrieal administrator
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fee..,
SU!ote 7.IP
WA 98362
FAX number
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o Cash Q Check #
:lEI Credil Card VISa
Card # 0l\T FTT, R-
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Mastercard
Discover
Date:
Expiration Date
of card 10/08
$"3'~ f~e
Additions and or subtractIons
o NO LOAD CHANGES
o Baseboanl _ KW
o Furnace _ KW
o Heat Pump Ton UlR
o ~an-Wall KW
Service In'ormatlon
o Overhead Service
CI Te~ Service
o Undergr'Ound Ser"ice
Voltage
PM,eO 1 03
SaMoa Size: _
Feeder Size:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT r SERVICE
0:01" Arprovtd ~y 0.., ~c:dBy "- UM' ^"prtI"clDy
F1NAL DITCH fnDER
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Approved By
" l\opN"od Py Ou. Appnl\'at Dy ./ OM.
Inspection Area, Building Dr Equipmeot Inspeeled Action Taken Electrical
Da.te InSpector
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CITY OF PORT ANGELES
PUBUC.WORKS ',. ELECTRICAL DIVISION
. 12.1 EAgHH:$JREf;r;:.PORT A~GELES.~ W ^ 98362
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00001328 Date 12/19/06
603488
516 GEORGIANA ST
06-30-00-5-1-4125-0000-
ELECTRICAL ONLY
Owner
RS7 RESDNTL SINGLE FAMILY
Lc~:L:~I~~;.;~I~tk~/;">~>(' :':."
MAHEY, CHRIS
516 GEORGIANA
PORT ANGELES
WA 98362
STRAITS ELECTRIC
PO BOX 2914
PORT ANGELES
(360) 452-9104
WA 98362
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
STRAITS/ MAST REPAIR
92296
STRAITS ELECTRIC
36.30 Plan Check Fee
12/19/06 Valuation' -.
6/17/07
.00
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Qty Unit Charge Per
1.00 36.3000 ECH EL-R OR RM REPAIR METER/MAST
Extension
36.30
Fee summary Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand Total
36.30
.00
36.30
36.30 .00
.00 .00
36.30. .00
.J, ~. lJlJ 5 '1-4125-0eOlJ'
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(360)' ,iS2-9104
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COMMENTS/ACTION NEEDED
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ELECfRlCAL PERMIT INSPECfIONRECORD
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 11' IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
- 1 YES 1 NO
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~OU(iI-l-IN I CUVhR.
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GENERAL COMMENTS:
pw-II02.JS 14196)
.... CITY OF PORT ANGELES
°*~% PUBLIC WORKS - BUILDING DWISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
OWNER/APPLICANT PROPERTY LOCATION
516 GEORGIANA
Lot: 6
Block: 41 [] Long Legal
000/000-0000 Subdivision: NR SMITH
T: S: Parcel No: 063000514125000
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: $4,000.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF 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
TEAR OFF / SHEETING / 3TAB iT
FEES ASSESSMENT
Building Permit: $97.25 Misc Fee 1: $0.00 ~'~
Plan 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: $101.75
Plumbing: $0.00 AMOUNT PAID: $101.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions ol
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does nol
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 4]7-48]5 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITI$ UNL4WFUZ 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
INSPECTION TYPE I DATE IyEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES I SITE WORK (Engineelqng Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PEIEMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4174735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENG INEERXNG 41%4807 PW / ENGINEEILING
FIRE 417-4653 FIRE DEFY,
BUILDING 41%4815 r. BUILDING
C:~,APPL.WPD
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
.APPLICATION AND ELECTRICAL PERMIT
A
000317
d tf tr'f
FEE RECEIPT NUMBER
PERMIT NUMBER
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,
.. . . . . ELEc.r:SI. ~.
. '3(J.~" , .V re-~;ckVlt~ ,- "'\
. -:;'-'111 'r, '-1 :.- ,
TOTAL FEE ...
, ~ , - _ .: CONT. Lie. NO. , TIMETO COMPLETE 'NO. STORIES LEGAL OCCUPANCY
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Site Address
Owner
Own-er's Address ~
)
I'2WI
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By ~1<cJrl(. -gen' I~-"
Installers Address . \l Co& '1'Y\.4.- Ro",\.,,,-j
457- '13'6"1 .:.
Ref
Day Phone Installers.Phone-
Application is I)ereby made. for Permit to jns~all Electrical Equipm~nt as tollows:
. '200 Gv>p _ ~nlle.. f 1'"0"" loo a..'''''p
yviring Methoc;t
.
NUMBER AMP 120V 240V NUMBER AMP . 120V 24QV
USE OF CIRCUIT 'PER 100R FEE U-SE OF CIRCUIT PER 100'R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
.. - 50 VOLTS .. .-
LIGHT OR LESS
CONVENIENCE - MOTOR ,
CONVENIENCE .,. MOTOR -
APPLIANCE _. . -, -- MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
- - -
OVEN
..
WATER HEATER
LAUNDRy
DRYER REINSTALLATION LIGHT, FIXTURE #
FURNACE SUB TOTAL FEE , -
GAS - OIL- - .
FURNACE ENERGY FEE
ELECTRIC on
BASIC FEE
ELECTRIC HEAT .- ~t:!. dO
TOTAL FEE
ELECTHIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
~, . . .
AC. WIlT ':200 AMP I PHASE
-
FEEDEfI SIZE OF SERVICE ENTRANCE CONDUCTORS
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SERVICE I AW.G.
.. . I SUB-TOTAL b ~2.M
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
.-- - . -
I certify that the work to be performed under this permit will be done by the installer and in c
JIl n-(
i'-I
,1~&5
ical Code.
Date Application made
By
NTRACTOR OR OWNER'(OR AUTHORIZ D AGENT)
, Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and,
s'pecifications pertaining thereto, subject to compliance with the Ordinance,s of the City of Port Angeles. ' '.
. . . DIREC OR CITY LIGHT.
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.
Date Permit Issued
t- l'f~f"r-
WARNING I
By ~
PLANS
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given.by Inspector,in'
Writing on Permit Placard. A,. Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
DATE OF VISIT
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MADE BY
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REPORT OF INSPECTOR
REMARKS
fl/5/Ate A(eLff ~ ().-)... tV C- Tee f) 70
cr Co)(' /140 10 o,!./? o'-<T1-,,- -J)"- t, Te ot/f.'tf
-07ItOo<(8L" S-/,/)"I( A"'~ (N'.sT/fL<:: a'GIfD<(,vtJ Ot111.,r
IL>~ IIZ/je!e If) <-( TLe r olk ~ 5'1/"'1(' o</r 4- 131 A tY W
O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K.
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