HomeMy WebLinkAbout303 E 2nd St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
03-00001210 Date 12/22/03
303 E 2ND ST
06-30-00-5-1-2930-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
4 WINDS INVESTMENTS tNe
121 E 2ND ST
PORT ANGELES WA 98362
SHAMP ELECTRICAL CONTRACTING
PO BOX 383
PORT ANGELES WA 98362
(360) 452-1689
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
SHAMP ELECTRICAL
76.30
12/22/03
6/20/04
CONTRACTING
Plan Check
Valuation
Fee
.00
o
Qty Unit Charge Per
1.00 76.3000 ECH EL-RM-Q-200 1ST SRV FEEDER
Extension
76.30
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 76.30 76.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 76.30 76.30 .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 aller the work as commenced. or if required inspections have not been requested within 180 days from the last
inspection. I hereby ce t I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordi nces g er this type of work will be compiied with whether specified herein or not. The granting of a permit does not
presume lve auttfori I iolate or cancel the provisions of any state or local law regulating construction or the performance of
const~~i f.t. .I /
12-"2~-V~
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [11/1412003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. 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
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TJON DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: #
ROUGH-IN I I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO SLOG)
GAS LINE
BACK FLOW /WATER
AIR SEAL
WALLS I T
CEILING I I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL QNL Y)
T-BAR
INSULATION
SLAB I I I
WALL / FLOOR I CEILING I I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE I PELLET / CHIMNEY
HOOD I DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT#'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUlRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 JdLjp 10 -:;: h/"; ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W.I PW/ CONSTRUCTION. R.W.
ENGINEERlNG 417~4807 PW I ENGINEERlNG
FIRE 417~4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORM:S\ 1102.15 [11114/2003]
12/09/2003
12:05
13504521589
SHAI~P ELEC
D~:S bOOS 1"2. <13. (j
PAGE B1
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ELECTKICAL PERMIT APPLICATION
POII,(lH'JCIAf~!J.'i.EONI.Y "
[l~T;:IJ',r:~. 4________.___,
I'C",,'l" __.
l)~t~AJlrr"Vf:II:____.._
lllt~ 1<I~II~tl _____..._._.."
The Elee;lrioo.l Permit J\ppllc::J1ion mUBt bQ filled out comr>IQtcr.lv.
;111-
Iz.. 10
Please type or reprint In Ink. If you have any questions, please call (360) 417-4735
Fax ntJmber: (360) 417-4111
Own.r or Sloe. Conlmctar Agent.3t!l11nfJ i:LEQlliICALCOA,I7IUtCJI Nb IIJC... Phone: %1.-1t,,\'1
Properly Owner: .J?j{~;..-\-Fl>. -:JO+tN
AddreGs: ~ rn k ;:::.:53
Clectric.l Conltactor:.,5rlfr\1'W UIT'il(ICf{LCl\\..l11'AcmJ,.
Fax.: ..3.?m.e...
Pllono:~
'-/5?.:- 0'-/67 1./6/- 9'282
City: ~ l\-N~ _
0H{'lIf\Pl'.CC235) . ^>
} ~\(\ - LlcQn~1iI H.: r.:.TP: I - ",!.,] Oi..\
City: .p~) AI\, ,+1 l'>>Wi\.
Zip: '1&':3/0'2..
Phon.: 45~_.11.91
Zip: C]63H_
Address '\)0 'tc1-?>B 3
INSTAllATION WIRED BY:
(J OwNER
...,(ElECTRICAL CONTRACTOR
Credit Card Holder Name: fvlf\'R K W. JI+fl1np
Billing Addrnss: CJlll \,\1. 10,,1 Jty-(-(+ .__ City: ~~SI..P"l~:"'Ll:o-S (0:".
Credit Card Number: ' Exp. Date:
Zip: 98303
VISA: >< MC:
PROJECT ADDRESS=-KI(..t' Ec)..:j'PA1~ , ClbI-iN
lYPE OF WORK: Check all that apply: 0 New
( .303 E,;,s-t t V\.d ~ t.. FA ')
"
o Alteration/Addition '
o Residential n Multi.family
o Commercial U MObile Home
Sq. FI
['1 Rem,,!.. Meter 0 Detached oaraoe .0 Hot Tub 0 Swim Pool 0 Septic Pump. 0 Low Voltage 0 Telecom. 0 Si~
Number of Circuits added or altered: ..)[)() 4
DESCRIPTION OF THE ELECTRICAL PROJECT:~ V1 U!.. e-,~3f\~
Electrical Heat Load Additions and or Subtracllon~
Service Information
[J Baseboard
f..l Furnace
C! Heat Pump
o Fan-Wall
_ t<:vv
KW
TON
KW
lRA
o Overhead Service
(1 I emp Service
o Underground Service
Voltage: __'0.
Phase: CI 1 [I 3
Service Size:
Feeder Slze:___
I hereby certify that I have read and examined this application and know thi:Jt :;amu 10 b" truf:1 and uum:ut. and I iJI
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits :;1m reqIJirRrl anr! to oht:;liri .~u(:h.
it~._.
. t~
Credit Card Holder's Signature: ~. ~~-
Owner or Elec. ConI. Signature: /2.c <-4....
,
Date:
1'2--9 -D3
\ 1.-'1-<?3
Date:
~ C~ "'-/8
C:/ELSCTR I CALPERMIT AP Pll CATION
PERMIT FEE: $ 10130