HomeMy WebLinkAbout921 E Lauridsen Blvd - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
(j)
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000962 Date 10/01/03
921 E LAURIDSEN BLVD
06-30-00-0-3-3625-0000-
ELECTRICAL ONLY
o
OWner
Contractor
NESKE TERRY A
1134 CAMPBELL AVE
PORT ANGELES
WA 983622707
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457-5303
WA 98363
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Permit
Additional desc
Sub Contractor
Penni t Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
REWIRE OVER 65 t NO PNL UPGRADE
OLYMPIC ELECTRIC
62.30 Plan Check Fee
10/01/03 Valuation
3/30/04
.00
o
t;
Qty Unit Charge
1.00 46.7000
3.00 5.2000
Per
EeH EL-R OR RM 1-4 ALT CIRCUITS
EeR EL-R OR RM ALT ADDNT CIRCUITS
Extension
46.70
15.60
----
Pee swnmary Charged Paid Credited Due
----------------- ----------. ---------- ---------- ----------
Permit ~ee Total 62.30 62.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 62.30 62.30 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvemenls. 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
fora 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 Ihis 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
construction.
Signature of Contractor or Authorized Agent
Date
Signalure of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1I02.15 [412002]
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 I ACCEPTED COMMENTS
I YES NO
FOllNDA nON:
FOOTINGS
WALLS
FOUNDA TI0N DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: II
ROUGl1-IN IIO/IV/""" I ",.17 I
PLUMBING , ,
-
UNDER FLOOR / SLAB
ROUGI-l-IN
WATER LINE
GAS LINE
BACK FLOW I W ^ TER
AIR SF:AL
WALLS I I I
CEILING I I I
FRAM ING
JOISTS I GIRDERS
SHEAR WALL .
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSlILA liON
SLAB I
WALL I FLOOR ICEILlNG I .
I\1EClIANICAL .
HEAT PUMP
WOOD STOVE I PELLET IClIIMNEY
r loon I D(Jcrs
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT IPs:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING nEI'T. SEPARATE PERMIT 11'5 SErA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE;
FINAL. INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE VES NO COMMERCIAL DATE ACCEPTED
VES NO
ELECTRICAL - LIGHT DEPT. 417-4735 /)./';'$/03 ACO ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI , CONSTRUCTION - R.W.
ENGINEERING 417-4807 rw / ENGINEERING
FIRE 4[7-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
lllJlLDlNG 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002]
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17887
3 -/ s~ r?
Port Angeles, Wasbingtonmm__._.__mm__.____._m.___m__mm_mmm_m., 19._!.__._-
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 dO electrical work as listed below,
Address __Z2_(__m{;~;x:::.(_".,<_,:d:?:~_~!::'b,/.__.....___...______ Occupancy_..___-C.1J~.::q._r-:_._____...____......_m
~:~:~~~::~::p~~;::::~~::=::~:::::::;::~::;:::C}~;~;~:::::::::::::-:_-_~::::::::::=::::::::::::::::::=:::::::::::::::::::
Light OUtletB.___.m__mmmmm:m.._.._~m. Service, volts '.-1;L.2.t.:-~:.. Type 01 Wiring:
Receptacle Outlets............................... No. wires ........................_.__...._...... Armored Cable .........__...__.._.___._____.
~ a>-/'
Size wires__...__.____....................h._..
//- 4
Main fuse .....5:~:-.:.:;?l!..L.............
S
Enclosure .....':;.........mm_.mm.........
Dryer, KW nnnn...nn.n_.n..__............._..
Range, KW hn"hnnn.......n.nn_
Water Heater:
KW........mmm...........mm....
Type of wiring:
Entrance Cable ...........
Heat: KW.....__n__..............__......__...__....
Motors: size, volts and phase:
Rigid Conduit m.................__......__.
Metallic Tubing m___................m__
Current transformers:
No. & Size..........._______..____...._..........
Ser. No..................._..__.__.____....__.........
Ser. No. ....................__._____.................
Ser. NO.....h..............___________...............
Total Load......__...m____...........
Ser. No. ............._..._...........u.____........
...
Remarks: nn:::'_~.;.~.....:::s::."':!.::::::::.h__n_._nn.;:.:~:~..::L~~_.::::~_;.u.~._....~_mm_~..mnnmnm_n..nm__mmn_h...~._.n__.m
Total __..__...............................__..__
Non.Metallic n_..............._................
Knob & Tube..............................n......
RIgid Conduit _.......m.mm.......m...
Metallic Tubing mm..........m........
Raceway ........................................_......._
Circuits, Light...........................................
Utility ........______..m...m..mmm.........
Heat ...........................h_...__...............
Range ....h................._.........................
Water Heater .._mm__.mm____.........
Motor ........................._.............................
Dryer._._.................................._..__........
Furnace _._...........................'_...................
n-----uh___nun.__n..unnn____n____.n...._nn_n.nh_n__n__n_____nu..~hn__~nn_uu__.h.~n.n__n_.__h.n_.n.n__~....hn__n__u._.nnnn____nnn
.;:zi~~~;~~.~._~._______.___-.-..m-::~_~_~:_~~~.~.~~.~.~...~....-----..m-m---:;.~::i?~~~:.l~:-Z~~ t_
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
ELECTRICAL PERMIT
N~ 1 7 8 8 7
Address..........................................................................................................................._._....................................Date......_...._..__._.........._........._.._......._.............._........
Owner .....h..n..__.........................._._..______................._..._..........................................____.__...............__...... Tenant.........__.____..............__....n__.u_.......__...un_.........
Wiring Contractor _............................_...........n_._................................................_......................._.............~.. By..............._............_........................................
/ I
NOTIC~urrent must not be turned on until Cert1f1cate ot Inspection :has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected: before concealment. .
1M Olympic Printers, Inc.
. .
-'.,-rc.:.,=,,"
. .-,. ::.: , '..>. -, I
(j (/,' I
l"Oft omcW. liS':' ONLY
_.
~.;_._-
I'lt'C~"t(l.
--
ELECTRrCAL PERMIT APPLICATION
Thll e lecftfal P~""JT'li( AppliGalicn mu..t b. filled out com Df.telv.
"1.... type or reprll"lt In tnIL If you have lJrry quclltlona. ple..C' c;11I (3$0) ..1704735
P... Plum o.r: 1300) 417"'111
fI'rl- tr ?e 2-
Or.l:- or floe. eol"lrr;lC;Or Agonl: 01 y m pic Electric Co. , Inc. p"o~; 457-5303 Fll."l: 452-3498
PJO~ert): o-nBr: :Tury Alf>ke- . PhOne:
AdtSrt!8.&: q q-I E. Lau.nd5~ City; PA ZIp: 9836,2-
E'- cot'lp""",c Olympic Electric Co, , Inc. L1censo II: CL iMB:28.:DlE.p. 3/31/03 Phone; 457-5303
-.... 4230 Tum,~ater City: Port Angeles ZIp; 98363
INSTA1.l.A710~ WIRe:~ BY,
;::; OWNER
/I() E.L~CTRICAl CONTRACTOR
Credttc.rrlHoIderNlJme: Charles 1. Burkhardt, Olympic Electric Co., Inc.
SillllIfI Addren;: Same
CI1y:
CradIf CarrJ Num~
Exp. Dare:
Zip;
VISA: X Me:
PRCl.IECT AOORES$; :
921 L, L auriclSC-YI
Ctleck alllhat i'lP\lIy: 0 New X A1terallon/Addillon
/8 .~o
TYPE OF WORK.
~esidenllal
o Multi-family
o Commercial
U Mobile Home
Sq. Fl
o Remolg Meter p Detached garage ,0 Hol Tub 0 Swim Pool 0 Septic Pump . D Low Voltage c:: Telecom, 0 Slg
I
NlJn"'Iber of ClrcuitB ~8d or altered:
DESCRIFTION OFTf!EElECTRICAl PROJECT: 'Elecfl'ic.11 C~h-ectJ071,s ..(;".." code vlol<\.h~
--&r tfAl e5-/-':;'+e $a Ip ___ __on ,___
E1llCtrlcal Load Add!1!lml and or lIubtra<;t1onll
ft~
SeNice InfDnnatJon
G B_oan:l
G Furnace
:J """1 Pump
CI Fan-Wafl
, KVV
--; KW
~TON
-.-i. KW
LAFl
o Overhead Service
o Temp S8I"Vice
o Underground ServJoe
Voltage:
PIlose: ;t(.1 0 3
$-.ice Size:
Feeder 5Ize:___
PIWlC 14_05.060(6). ~'" InclustrlaJ, commertiel. & '....iOO"llsl P'oject5 lerger tile" a duple>:, a OIle _ line drawing of tl1. E\eellical SanlIce &
F8Ildflr9. building size (sq- ft.). load calculallona. end. I~e ly "" & of conductonl andlor raceway i. n>qulmd and .~an accom pany the
Elactr\caj Permit appll~gt1on_,
I hereby certify tha;1 I have reed end examined this application and know that same /0 be true and cormc/, end I al
autho /0 applK for this permit I understand it Is not the City's legal responsibility to defBrmine what permits
are required; it nm;ains the applicants responsibility /0 determine ...,hat permits are required and to obtain such.
~
C.O"ft card Hcll"'~. SIII""luro:
Dato: '1-25'- 03
~ Do'.: ? - 2S - 0 3
-- PERMIT FEE: $ ~o 4(;).,30
dYl L-- (11' - o'k I1s /2 /- i/ C>/~ f 'I 6,'7 (
~ ( / t-3CitL11:?,bC
~~ <$ &:;"30
I
//~ (, OomorOl' E19c_ ""'nl. Slgn.tun>.
PW-90'~f7103 aJ C&{/:cr ~! rW:cr
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c{( ~ofL- fjG?)3
JIHLJ313 JldNX10
e6tC;:St09C xv.:!
LT.;:T COO;:/S;:/60