HomeMy WebLinkAbout1423 E 4th St - Building
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 Zoning . . .
Application valuation
03-00001077 Date 11/05/03
1423 E 4TH ST
06-30-00-5-6-0047-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
COLLINS, DONNA/WILLIAM
1423 E 4TH ST
PORT ANGELES WA 983624707
(360) 452-9485
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457-9270
WA 98363
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
46.70
11/05/03
5/04/04
Plan Check Fee
Valuation
.00
o
"'"
.~
~
\.JJ
Qty Unit Charge Per
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.70
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 46.70 46.70 .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 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
T:IPLANNING\FORMSIII02.15 [4/2002J
,--
~
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING 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
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR I CEILING I
MECHANICAL
HEAT PUMP
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 It - 61- ()J J~r ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002]
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
PERMIT NO.
S.3 'f L
I/z.. </ fiG.
, .
DATE
ELECTRICAL PERMIT
Site Address:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW
% RESIDENTIAL
tJ COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
~ ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
Dl9l D39l
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
Details/Description:
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
~fFinal O.K.
-1'
Permit/Receipt No.
531L--
t
Installer:
New Meters_____
.
Notify Port An les 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 Pe~HONE 457-0411, EXT. 224. 6
---7d NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT :.5'
,~ $
Electricallnspeclor Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PAINTERS INC
11 / G2/20G3
13:22
4579270
SIMPSON ELECTRIC
PAGE G2..
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ELEkRICAL PERMIT APPLICATION
\-:: OFI'~~lAL USI:. ONLY --"/
Ill, ;!r~I"~c': .-..-----,
f'.aml!p: --, I
1)~lc ^~~TI'w:tl:._ __
U~:,~ !~(I'I:d' ..,_,._,,_____
Lu"_...._
orne ElectrjC(I! Permit Appllcallon ml.l9t bt!I tilled out OQmOliSrtRl)'.1.
Pt&iElIQ I)-pe or reprInt In Ink. 11 you havo Pony quesllons, plesge 0811 (380. 41'l'473B
FdX ('lumber: (380) 417-471 1
r., L( t:
Owne, or Elac. Cont'''''!or ^g.nl'~-'-~p"""p" '" ~ <:: <::. .
Property Own., () i"> Y\ lrv &__C,,'J t ( I VI-- S ______ PhOne .~Lt5. 'L "1'-/ ~_._
AOdre." I '(2'S Go...d- 'fjh Clly f:,r-t AJ->--<sd ~__._____.__;:iPSf,\; b0 .~__
~1.Clrlc.1 Contrector: S I Y---X-i2!:.: ~ / e.~ -t- LICon.. #: _____._ E>p: ..____...._.._.,PI.;o"o:
AOdreee:2. <.{:5 0.$ ~ (r",V m w CI1y: P?>,.::r A0:jJ C.s ......__._._._Zlp --.1%$ 6_,S' ..,.
I "l..-
INSTALLATION WIRED ey, 0 OWNER nELECTRICAL CONTFlACTOR
Credit Card Holder Name; .LJ d V 1'.. v6/ ~. \' " VA P :';6~._._.._..,____.._._"____....._
---L.!...bJ!:_ I ,
Billing AddreQI1:Lc.j.? O_~~_ff.!::::-y- jO i l..J Clty:Ja.....+ /tf.-j c..(ft,-:E..______.___ Zr',o".1B_6..5._..
Phone .c; ~ - 'f 2,-]~F"X...._.s...e}./v'^'V
Credit Card Number:
---....--.--.___ Exp. DBIe:
-------..-.--..._.. 'l/SA:_~MC:"__.
PROJECT ADDRESS,
I 'l2..:g__c......~S! L/1-1-...
~Alterallonl Addition
o Mobile Home Sq. FL.______..__.______.._
.-..---~~._--_. . -~-,.,,--.,._-,~ .~,_._-
TYPE OF WORK:
Check gjJ that "pply: 0 New
o Resldental
o Multi-family
o CDmmercial
o Remote Meter 0 Detached garage 0 Hot Tub 0 SWim Pool 0 Septic Pump [J Law IJclt~ge [J "felecom. 0 Sign
Number 01 Circuits edded orellerod:
DESCRIPTION OF THE ELECl'R!C~I~;~~~-~cT:_...c&)..le.~ e.. v'rr C-u..--L :to__{;{.'.~t':::.~_~_':::::::.._______
~---___,....._._ ~..,_.,.."u.~..~...,__",.
IDJectrlcal Heal LOlld Addll12nll
~ 1- "'1ft
.------._--_...~._--"-_._-,,-
Ii t.7 \J
~l.ge mfQ!:lJl~jl'~ll
o !lase board
o Fu mace
[j Heet Pump
o Fan-Wall
-_KW
--KW
-KW
-KW
o Overhead Service
o Temp Service
o Underground Service
\I(Jltagl~: _........_~,_._.".,_,~,_
Pha~e: D 1 U;3
S~rvl\~e ;5'll:i.:l~': ".u_,_,_,,~,_..
Fe~~clfJr !3ize:.~_"..."'_.,,._
PAMC 14.05.060(8): Far Induetr;:,!, comma,clal, & rAeldenti~1 project. larger 111.n a duplex, e one _ II~e '.lr~wln9 ().j t~le Eleclrloal S<lrvlce 8.
Feeders, bUilding size Isq. ft.), loed calculalions. and the type & of conductors snd/or rscaway Is ,aqcrired '"nd "h"llll,~company the
Electrical Permit application.
/! b /0 3- ;J a ~ Fu <.... T vJ I tf.U. (...T (}n LofTY -- a( Jots I S ~ J-Jl
I hereby certify that I have read and examined this application Bnd know t/Jet same to lie Im'3 N.ld correct, 8.nd Illm
authorized to apply lor this permll. I understand It Is not the Cily's legal responsibility to ck.lermille what permits
are required; it remains the IlPplic.rmts responsibility to determine what permits are required f:!rnd to obtain such.
"""" "'"' H"~' 81g,.."ro,~_,,~ ....j/-"L~Qj'
Own.,,- or EIe.", ConI. sf9n~t\Jre:____.____._______..._.._._...___. 0"111:
PW-90i9
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