HomeMy WebLinkAbout1234 E 2nd St - Building
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
PERMIT NO. .:?G ,?c,
.~/,/ 3/9 z.
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Owner/Business Address:
~DENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o ~W CONSTRUCTION
~REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
DetailslDescription:
Phone:
Sq. Ft.
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
(p~ tl-tt J
1\)19 /I-JM ~T ~
.
.
WS. 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.
H11i Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Site Address:
Installer:
Permit/Receipt No.
;3fo9h
L
New Meters
.
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.
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NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
ElectricallnspeClor
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
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Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
property zoning . . .
Application valuation
06-00001313 Date 12/12/06
820973
1234 E 2ND ST
06-30-00-7-9-0100-0000-
LARRY LITTLE
MECHANICAL APPL. PERMIT
Owner
Contractor
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RS7 RESDNTL SINGLE FAMILY
428
LARRY B/MICHELLE D LITTLE
1234 E 2ND ST
PORT ANGELES WA 98362
ALL ABOUT GAS
970 RIVER ROAD
SEQUIM
(360) 681-5474
WA 98382
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
I~sue Date
Expiration Date
MECHANICAL PERMIT
GAS RANGE
92106
60.65 Plan Check Fee
12/12/06 Valuation
6/10/07
.00
o
Qty Unit Charge Per
Extension
50.00
10.65
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Fee summary Charged Paid Credited Due
--~-------------- ---------- ---------- ---------- ----------
Permit Fee Total 60.65 60.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.65 60.65 .00 .00
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Separate Permits are required forefectrical work, SEPA, ShoreJine, 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
-z -
--
Z /z/6(
Date
T:\Policies\] 102_15 building pennit inspection record05.wpd [1/4/2005]
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BUll,DING PERMIT INSPECTION RECORD
CALL417-48I5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
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 NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMIlING
UNDER FLOOR / SLAB
ROUGH.IN
WATER LINE (METER TO BLDG)
SHOWER rAN FINAL DATE ACCEPTED BY:
MEDICAL GAS LINE
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALLIHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (rNTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP / FURNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING I>EPT. SEPARATE PERMIT#'s SEPA:
P ARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 ,. FIRE DEPT. .
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 building pennit inspectIon record05.wpd [1/4/2005]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL U
Date Rec.: ,~
Permit~-
Date APProvedJ
Date Issued: rz,.
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent:
'lDwner: L.eo . .r 1
Address: I 1.... ~ '+
L d-\le...
r=. 2 t\C~
Phone:
Phone: 4 I -,
City:
?GLA ~ S< Ie s
Zip:
I ~ol
96~{, 7-
Architect/Engineer:
Contractor 14 II A \0 (> ",.\-
Address: '170 R. (-.lev
PROJECT ADDRESS:
Phone:
b.15
I< (.\
I L ~ Lf
State License #:
City: S E' c( v- \ .r'\.
Exp:
Phone:
Zip: 96 ~B 2.
ZONING:
F 1-i1A
LEGAL DESCRIPTION: Lot: I - L{
CLALLAM COUNTY PARCEL NUMBER:
Block: ,') L I Subdivision:
o ".)ooD 79 01 DD
L,4;V"\
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair 0 Sign ~ Other 6::- Ii oj L." -e..
BRIEF DESCRIPTION OF THE PROJECT:
-:z;..,// t, /-'" I ( C; (, s L i "" f. ~.-VI e.-;r.. i ...J,'). 5
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $=zr~~
--rA. IV k' -+0 [, 00 k I"o.p .
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
No. of Stories: Lot Size:
Total lot coverage
Existing Sq. Ft.
%
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
T:\FORMS\BldgPermitform.wpd Applicant:
, @.~-_._.__.
Date: I '2.-/ (1 r O~