HomeMy WebLinkAbout1708 W 10th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
200 amp underground service
Owner
Slack Andy
646 Benson Rd
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98363
142919
93 75
3/13/09
9/09/09
INSPECTION TYPE
DITCH Qu_FP
SERVICE
ROUGH IN
FINAL
COMMENTS
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00000231
076444
1708 W 10TH ST
06 30 00 0 3 1100 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
APS ELECTRIC
546 BENSON RD
PORT ANGELES
PORT ANGELES
(360) 452 6753
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 93 7500 ECH EL 0 200 SRV FEEDER
Charged Paid Credited
93 75 93 75 00
00 00 00
93 75 93 75 00
DATE
L/70
3
to �t3 /CR
o
Date 3/13/09
WA 98363
Due
RESULTS
A
00
00
00
0
0
Extension
93 75
Signature of owner or Electrical Contractor X Date
INSPECTOR.
City of Port Angeles Permit Application
Building DlvislonlElaebtcal Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98382
Ph: (360) 417 -4735 Fax: (360) 4174711
Date; 3 `l r'Ds )O9'
x_1 2 Single Family Dwelling
Multi- Family or Commercial
Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Comte Electrical Plan Review Information Sheet
Job Address: _17 OW 1J M l Q P
Building Square Footage:
Description of above ro IA I n Ai A 45t
6 r ,r IA c--A
Owner Informa 'on
Name
Mailin Address: 844 434.4 n
City State: LJ f, zip: q'3 f
Phone: 2 /.;7 5 Fax: 15 b 7 53
License 1 Exp
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93.75
80.00
8625
$27.50
57.50
86.25
43.75
Signature of owner, eledrical contractor or electrical adndnIshator
X 1�J44¼3 'J;
RECEIVED
MAR 1 3 2009
LIGHT DEPT
n
A ti`eitlf eE
Contractor Information
Name: A, P .'S
Mailing Address:
City
Phone:
License 1 Exp.
Eie.d.f i Gc
State:
Fax;
Total (Qty Multiefied by Unit Chara
q 3 Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401.600 Amp.
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp
Branch Circuit W/ Service Feeder
Branch Circuit W/0 Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201 -400 Amp.
Temp. Service/Feeder 401 600 Amp.
Temp. Service/Feeder 601 -1000 Amp.
Portal to Portal Hourly
SgnK )Orin Lighting
Signal C'rcvitl Limited Energy Commercial
Signal Circuit/ limited Energy 1 2 Family Dwelling
Sgnal Circuit/ limited Energy Multi-Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft
Each Additional 500 Square Ft or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
J S Total
Owner as defined by RCW-I9 28261: (1) Owner will occupy the elrudu a for two years alter Ors DieelrlealpermRis finaltred (2) Owner is required fo hire an
electrical contractor if above said properly is for sale, Astor lease.
After reading the above statement 1 hereby ant" that 1 an the owner of ehe above named properly or a licensed electrical contractor. lam making the electrical
installation or alteration In compliance with the electrical haws, N.E.C., RCW Chapter 192a, WAG Chapter 296.468, The City of Port Angeles Municipal Code, and
Utility Specifications.
Cash
Check
Credit Cent fir
4 4
PREPARED 1/18/07 8 37 10 INSPECTION TICKET PAGE 13
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/18/07
ADDRESS 1708 W 10TH ST SUBDIV
TENANT NBR ANDY /SHERYL SLACK
CONTRACTOR PHONE
OWNER SLACK ANDREW /SHERYL PHONE (360) 452 9915
PARCEL 06 30 00 0 3 1100 0000
APPL NUMBER 07 00000038 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 1/18/07 LL MECHANICAL FINAL
01/17/2007 11 29 AM PBARTHOL
Sheryl Slack 460 1235
call before inspection so someone can open house
COMMENTS AND NOTES
W
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
SLACK ANDREW /SHERYL
546 BENSON RD
PORT ANGELES
(360) 452 9915
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98362
MECHANICAL
WOOD STOVE
93369
50 00
1/17/07
7/16/07
07 00000038
915178
1708 W 10TH ST
06 30 00 0 3 1100 0000
ANDY /SHERYL SLACK
MECHANICAL APPL PERMIT
RS7 RESDNTL SINGLE FAMILY
500
Contractor
OWNER
PERMIT
Qty Unit Charge Per
1 00 50 0000 ECH ME WOOD BURNING APPL
Charged Paid Credited
50 00 50 00 00
00 00 00
50 00 50 00 00
Signature of Contractor or Authorized Agent Date
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
Plan Check Fee
Valuation
Date 1/17/07
Due
00
00
00
00
0
Extension
50 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 I a`law regulating construction or the performance of
construction.
ES)e/A )4
Signature of O jf owner is builder) Date
CALL 417 -4815 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 UNLAWFUL 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
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
FIRE
I PLANNING DEPT 417 -4750 I
I BUILDING 417 -4815 I/ /I t1' /b7
T \Policies \1 102 15 building permit inspection record05.wpd [1/4/2005]
417 -4653
BUILDING PERMIT INSPECTION RECORD
ACCEPTED
YES NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE:
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTIONRW /PW/ CONSTRUCTION RW
ENGINEERING 417 -4807 n PW ENGINEERING
1'11 1
FIRE DEPT.
PLANNING DEPT
I BUILDING
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE
DATE ACCEPTED BY.
DATE ACLE.PTED BY.
ACCEPTED
YES NO
Address.
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
Applican� or Agent: "(1/1) ui S h e C t� I
Owner Av�� i� `�h�C�l S1 0. ck
Address. 5/4 to n acs ri. RE? City Pc-NC l
Architect/Englneer
Contractor State License
TYPE OF WORK.
,Residential New Constr Re -roof n Stove
Multi- family Addition Move Garage
Commercial Remodel Demolition Deck
Repair Sign Other
BRIEF DESCRIPTION OF THE PROJECT e0
COMMERCIAL/RESIDENTIAL. Occupancy Group
No of Stories. Lot Size: Existing Sq. Ft.
Total lot coverage
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
Phone: `-15 °f 15 J L1bO '1a?35
__A
Phone:
Occupant Load.
Proposed Sq Ft.
City Zip
PROJECT ADDRESS 3 A �0 J �O rr�� I- l 0/ ZONING
LE DESCRIPTION Lot: �a /1 1 Bock: Subdlvl
CLALLAM COUNTY PARCEL NUMBER. OL O 00 O 3)) 0 0
Phone:
Zip qSS
Exp Phone:
STZ,F/VALUATION (19 SF /SF 00
SF /SF
SF /SF
TOTAL VALUATION 0
1
Construction Type
TOTAL Sq. Ft.
FOR OFFICIAL USE ONLY
Date Rec.
Permit 0 7 7is
Date Approved:
Date Issued:
APPROVALS
PLAN
BLDG
DPWU
FIRE.
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.
1 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
must obtain such permits prior to worker f 7 Applicant: C1 X Y P Date: r ..20Q
O
-
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411 PERMIT NO. 5"011
DATE 7- 2..1- .- ") i.P
Site Address:
ELECTRICAL PERMIT
Owner/Business:
Installed By:
U-1b,M 6.
10 n-t
ST.
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
.)7- 7587
Phone;
Owner/Business Address:
SA-ME"
SAMe
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW _
o RESIDENTIAL
o COMMERCIAL
-g( NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE: 770/7.1-0
~1 r6 D3'r6
SERVICE SIZE
FEEDER SIZE 9D
AMPS
AMPS
Details/Description: '0, uvDIIJi::J
0' i2Lu I T-S '1341 NO
C7A-/z.AbE
HEAl'
"Ba+ 11\.ii/
l-kX.LSB .
,
L-/&/fTIf\J9
.
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 OK
o Rough-in/cover O.K.
o O. K. to connect service
~*inalo.K.
Site Address:
1708 W. i 071+ :;2;;
Installer: New Meters
i'-'--If,. M L:'. \ iWt:JC. IJ?
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.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT z:: /'i!X:J 'B~
$ /v~
Electrical Inspector Permit Fee
Permit/Receipt No.
5&./1
.
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
v
OLYMPIC PRINTERS INC.
no.