HomeMy WebLinkAbout2823 S Peabody St - Building
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ELECTRICAL WORK PERMIT APPLICATI6N~ \
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Job wired by
/Si)Electrical Contractor 0 Owner
Installation description
o Commercial ~esidential
License number
~ 1'CN~-fi!9.)/ Lt/
Date Expires
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o New
;ltAltered/Addition
4-
Telepho~c number
.5Z,J'-/2/Z-
Premises owner's name
4t-&M7<-7'1'?-
Address of inspection
ZiS 23 ..F
City ~
State 21 P
7/lzf7CittOST?Jr-
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FAX number
7"'5"".:7 - 7S-YJ'
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Phone number to schedule inspection:
5"'s7- /Yo 9
OWller as defined by RCW/9.28.26I:(I) Owner will occupy tile structure fiJr two
years after this electrical permit is finalized. (2) Owner is required (0 hire an electrical
contractor if above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
]alion or alteration in compliance with the electrical laws, N.E.C.. RCW. Chapter
19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of 'ne ......€iectr. al co tractor or electrical administrator
o Cash 0 Check #
o Crcdi t Card
Card #
Visa
Mastercard
Discover
x
Date: J- 2 -0 b
Expiration Date
of card
Electrical oad Additions and or subtractions
o NO LOAD CHANGES
D Baseboard KW
D Furnace KW
D Heat Pump Ton LAR
o Fan-Wall KW
Service Information
o Overhead Service
D Temp Service
o Underground Service
Voltage
PhaseD 1 03
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
/' ROUGH-IN THERMOSTAT /' SERVICE
Dale Approved By Dale Approved By Dale Approved By
FINAL OITCH FEEOER
"- Dale Appro,'cd By "- Dale Approv'cd By "- Dale Approved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
F:VfJ!OJ '"'-
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,21 EAST 5TH STREET. PORT ANGELES. WA 98,62
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
06-00000467 Date
952075
2823 S PEABODY ST
06-30-15-5-1-2583-0000-
ELECTRICAL ONLY
5/12/06
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
GARBRICK ALBERTA L
524 DEER PARK RD
PORT ANGELES
WA 98362
THORNES REFRIGERATION
PO BOX 991
PORT ANGELES WA 98362
(360) 461-0158
Pe rmi t
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
THORNESj T-STAT WTR HT
77065
THQRNES REFRIGERATION
48.10 plan Check Fee
5/11/06 Valuation
11/07/06
.00
o
Qty Unit Charge Per Extension
1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS 48.10
_______1________________________________________________:____________________
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48. 10 48 .10 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 48. 10 48. 10 .00 .00
COMMENTS/ACTION NEEDED
C~Y OF PORT ANGELES
P~LIC WO~S BUILD~G DWISION
321 EAST 5TH ST~ET, PORT ANGELES, WA 98362
OWNER/APPLICANT PROPERTY LOCATION
2823 PEABODY S
COLDWELL BANKER
330 EAST 1ST, SUITE 1 L.ot: 40 EXC S 3'&S1/2 41
Port Angeles, WA 98362 Block: 25 [] Long Legal
360/452-7861 Subdivision: GRANT ADDNT.
T: S: Parcel No: 063015512583000
CONTRACTOR ARCHITECT
LARRY'S ROOFING N/A
352 AVIS ST
Port Angeles, WA 98362 , 98360-0000
360/452-2215 360/000-0000
PROJECT INFO ~.~.')
Project Value: $5,000.00 SFD Units: 0 Commercial: 0 ~
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0 J'~
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0 ~
Zoning Use: ~,
PROJECT NOTES
REAR OFF, SHEET, FELT, COMP
RECEIPT#8024 ~
FEES ASSESSMENT ~'
Building Permit: $111.25 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: $115.75
Plumbing: $0.00 AMOUNT PAID: $115.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby ~r~rt~J, that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances g~vernh~g this type of work will be complied with whether specified herein er not. The granting of a permit does not
presume to~ive auth(~rity to)violate or cancel the provisions of any state or local law regulating construction or the performance of
construction\l J ,~/ (~ J
Signature of Contractor or Authodzeci-Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-48 ! 5 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENTS
FOUNDATION:
i FOOTINGS
WALLS
FOUNDATION DRAINAGE
i ELECTRICAL (LIGHT DEFT) SEPARATE PERMIT: #
i PLUMBING
UNDER FLOOR / SLAB
ROUGH4N
WATER LINE
] GAS LINE
BACK PLOW ! WATER
i AIR SEAL
WALLS
FRAMING
I JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
, DRYWALL
I T-BAR
INSULATION
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE pERMIT #'$:
WATERL/NE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
FIRE 41%4653 FIRE DEPT.
PLANNING DEPT. 417-4750 // e// ~ FLANNFNG DEPT.
BUILDING 417-4815 t///~ ~//t~ ~'~ BUILDING