HomeMy WebLinkAbout116 W 11th St - BuildingO 110. 0
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Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
JOHNSON GRAIG A
991 MT ANGELES RD
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
T• \PLANNING \FORMS \1102.15 [11/14/20031
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98362
04 00000781
262448
116 W 11TH ST
06 30 00 0 3 4425 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
Owner Contractor
OWNER
DRIVEWAY INSTALLATION
145 00 Plan Check Fee 00
9/03/04 Valuation 0
3/03/05
Qty Unit Charge Per Extension
BASE FEE 145 00
Fee summary Charged Paid Credited Due
Date 9/03/04
Permit Fee Total 145 00 145 00 00 00
Plan Check Total 00 00 00 00
Grand Total 145 00 145 00 00 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
fora period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last
inspection '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 •ecified herein or not. The nting of a permit does not
presume to give authority to violate or cancel the provisions of any state o ocal law regulating cons •n or the performance of
construction. //U1
1 Q
3 r
Signature of Contractor or Authorized Agent Date gnature of Date
wner (if
ner is builder)
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
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 ACCEPTED COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE /DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
PLUMBING
UNDERFLOOR /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
HEAT PUMP
GAS LINE
WOOD STOVE PELLET CHIMNEY
HOOD DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
I FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
C\PLANNING\FORMS \1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
417 -4735 ELECTRICAL
LIGHT DEPT
YES 1 NO
I I I
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. 481-'1
DATE ]JoY', I. (')')4-
,
,H 7r.
But.-f'e..!c.,
.J .?oN
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WAll KW
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
;@...REMODEl
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE: 1'l-tD/Z.401I
,I{ 1115 0 3 95
SERVICE SIZE -z.eO
FEEDER SIZE
AMPS
AMPS
DetailslDescription: (Jp7ep..op,
~fi0jlLf3; 10
2COA-
.
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.
. ;')0 Rough-in/cover O.K.
( ~9'1- O.K. to connect service
~ 0 Final O.K.
Site Address:
II (p W, 11-1/-1- ~-t:
.
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 $ 50C!2 ~
Eleclricallnspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC