HomeMy WebLinkAbout1004 E 3rd St - Building.... CITY OF PORT ANGELES
°~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 5/31/2002 PERMIT NO: 13455
OWNER/APPLICANT PROPERTY LOCATION
1004 3RD ST E
WILMA CAMPBELL
1004 E 3RD STREET Lot: 13 & 14
Port Angeles, WA 98362 Block: 1 [] Long Legal
360/457-1791 Subdivision: DOYLES SUBDIVISION
T: S: Parcel No: 063000730404000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $500.00 SFD Units: 0 Commercial: 0
Project Type: BACKFLOW VALVE 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
LAWN SPRIKLER BACKFLOW DEVICE
RECEIPT#9172
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $27.00
Plumbing: $27.00 AMOUNT PAID: $27.00
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 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
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 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.
iNSPECTION TYPE DATEIACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGRT DEPT) SEPARATE PERMIT: #
PLUMBING
[TNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER ~2~ '~'~ /~
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. :3 wi
DATE ~N '1
Installed By:
READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o RESIDENTIAL
o COMMERCIAL
T]J. BASEBOARD KW ~
tJ FURNACE KW ~
o FAN/WALL KW ~
o HEAT PUMP KW ~
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
er<;VERHEAD SERVICE
o UNDERGROUN S VICE
VOL;rAGE: .2t!JJ2
~SINGLE PHA E
o THREE PHASE..... .
SERVICE SIZE ~ AMPS
DetailslDescription:
A/UJ ~
cr ~u./ toe! cI~
~:&4v &~
.
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.
1j.!.l'~ Rough-in/cover O.K.
/jt"fi O.K. to connect service
~Finalo.K.
Site Address:
/{)o
h'S
Installer:
3?/
f~
New Meters
\
Ie
I
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permi!. PHONE 457-0411, EXT. 224. P IfI8
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ /~ "1'0--
Electridallnspector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Boltom: City Hall
OLYMPIC PRINTERS INC.
(
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
.
ELECTRICAL PERMIT
Site Address:
PERMIT NO. .3sr3'
DATE .3 ps/,?i:
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Owner/Business Address:
~DENTIAL
D COMMERCIAL
D BASEBOARD KW _
D FURNACE KW _
D FAN/WALL KW _
D HEAT PUMP KW_
D SIGN
~MPORARY SERVICE
D PERMANENT SERVICE
D NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:
Phone:
Sq. Ft.
~HEAD SERVICE
D UNDERGROU~ ~~ICE
VOLTAGE: /01& 6Z- (/
~NGLE'PHAS
D THREE PHASE
SERVICE SIZE /80 AMPS
7~t.
.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
D Rough-in/cover O.K.
./I' ~ O.K. to connect service
D Final O.K.
Site Address:
Permit/Receipt No.
;
Installer:
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
ji;,
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
Electrical Inspector
WHITE - File by address
YELLOW - fife by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
.;:?DoV
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall
:!.<.~..,^,..t."'J;.'''' "