HomeMy WebLinkAbout1029 W 12th St - BuildingPOR
PRO
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
ABBOTT SHERIDAN L
PO BOX 3120
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary Charged
T•\Policies \1102.15P (1/05]
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
RIGHT OF WAY
BURIED PHONE
92619
00
12/29/06
6/27/07
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00001352
378152
1029 W 12TH ST
06 30 00 0 3 5355 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
ACROSS ALLEY
Plan Check Fee
Valuation
Paid Credited
00 00 00
00 00 00
00 00 00
Date 12/29/06
Due
00
00
00
00
0
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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T•\Policies \1102.15R [1/05]
PERMIT INSPECTION RECORD
CALL 417 -4807 FOR UTILITY 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
YES 1 NO
I
1
1
1 1
1 1
I I
I 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
11
1 1 I
1 1 1
1 1
1 I
I 1
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
I I
I I
I I
1 1
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
1 1 1
1 I I
I
1 1
-, -
,
-,
CITY OF PORT ANGELES
LIGHT DEPARTMENT
N~
18232
ELECTRICAL PERMIT
6-- ;1 3 - {if
Port Angeles, Washlngton________..___....__.._..__.._._____m___m___m_.______._., 19_.mm
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below. If?-
Address ---JO--;)---~mr;J!.J.=:;-/6----m-m--mm--m--m.-- Occupancy_______~_~m~_____________
O~~er _-::3_,__L_,_m.J~m---.-~ Tenant----.--m-72ii"#l;-d:.:---,-;m:-71Li?---.m----mm--
WIrIng Contractor __&m__.~-__6____._:!.L__.______m__h_.~_m__ By______/.2:Q!L~~f!9._____________m_______
/I ;f-
Light Outlets........____.________________.__..__....
Service, volts __....'__...........__.................
Receptacle Outlets................._______..__.._
No. wires ...__n___................____.........
Dryer, KW................u....____..____....,
Size wires..........._________..............__.
Range, KW ________________u...._________u__.______
Main fuse .....n_..___._.............___........
Water Heater:
Enclosure ___m_m.......m_____.____.........
KW_m_mhmmnn_hnhmnmn_
Type of wiring:
Entrance Cable ......__..........____
Heat: KW.................__................____......
Motors: size, volts and phase:
Rigid Conduit ..__...........__..
Metallic Tubing __..........
Current transformers:
No. & Size............______.......__..__........
Ser. No..__..____....__............__................
Ser. No....____.______...............__.......__...__.
Ser. No. .................................__..........
Type ot Wiring:
Armored Cable ..__..........................
Non.Metalllc ............_.__.................
Knob & Tube......................______...._
Rigid Ccmdult ____mnn___mm.m__m__
MetaUle Tubing hnm...._m_mmm__
Raceway ..............................._......_
Circuits, Light.......................................
Utility __..__....____..................____....____.
Heat ......................................._......
Range _..............................._............
Water Heater ...................__..........
Motor _............................................
Dryer.................................._...............
Furnace .........__..............'_..................
Total IJOad......__............___.__... Ser. No.--....--............____..__........__....... Total ..........__...................._.____.
Remarks: --~____=:::oo__nm2__~__.~-d!!!._m______moooo___oomoom__oo___m__m_m__
.__..n.____.____...________.._.___________._.___.__.._._h______....________._____._...h_____.__....u_.__...._u________.____u.__...__u.......___.__......_.__u..._...._
.......nn.nnn.u~.nn.n..nnh_nn_..u._._____.n_nu__n__._n..__.U_.nn.n_.uu.u__.n.......n_..UUhU_nnn_u.nnnnu.___n_n......unun.nu.u
Permit Fee
I r-P-
$___.:o.:I__'_m___oom_m_____m__
Treas. Receipt
NO._m__.......______._.......
By -_m_m____m___m._____m____m_m__mmm______mm_____
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con.
cealed due notice must be given the Inspector so tbat work may be inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 1 8 2 3 2
=.~~~:~~~:~~:_:=~~~:=~~;;~~-
NOTICE-Current must,.n.'ot be ,turned on until Certificate ot Inspection has been issued. It work Is to be COD.
cealed due notice must be iiven the Inspector so that work may be inspected before concealment.
1M Olympic Prin1ers, Inc.
..
This information is to be submitted with all requests for wiring
permits.
GENERAL CONTRACTOR (9.i-- ,4~6el'" - eWNIZY
ELECTRICAL CONTRACTOR !JU rII pie, ~/.-Ii e/TYJ e
LOCATION OF JOB /02- '7 W. /;?"[!:l
~'--.
AMP O/H Service wire size
AMP U/G Contuit size
Wire
phase
Voltage
CIRCUITS IN PANEL:
2 pole, SOA Range
2 pole, 30A Heat
2 pole, JOA Hot water
2 pole, 30A Dryer
2 pole, 20A Heat
1 pole, 20A Washer
1 pole, 20A Freezer
1 pole, 20A Kitchen
~
--::-'"' 1 pole, lSA Lighting
HEAT
Living room w-l stat
Dining room w-l stat
Master bdrm w-l stat
Bedroom #2 w-l stat
Bedromm #3 w-l stat
Bathroom w-l stat
Other w-
TOTAL HEAT
",-'/
JOB NUMBER
LOADS:
Range
Hot water tank
Dryer
Washer
Freezer
Dish washer
Outlets
1 pole switch
3 way switch
Lights
Bath fan
Smoke detectors
Chime
Compactor
Instant hot water
Other
OTHER LOADS:
(;_) Z.O f' / u"'; Gr y e T1J ,>,+,,4-GJ1 .
,
/
,