HomeMy WebLinkAbout2131 W 16th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILD1NG D1VISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000593 Date 6/18/03
Property Address ...... 2131 W 16TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-9-2-0090-0000-
Application description . . . MECHANICAL APPL. PERMIT
Subdivision Name ......
Property Zoning .......
Application valuation .... 675
Owner Contractor
Expiration Date , . 12/15/03
Qty Unit Charge Per Extension ~
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
[or 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
)resume to give authority to violate or cancel the previsions of any state or local law regulating construction or the performance of
;onstruction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORM S\ 1102.15 [4/2002]
BUILDING PERMIT APPLICATION
Permit #: ~-
~e Building Permit ~pplication must b~ fi~ed out completely.
~l~se ~p~ or p~nt in in~ If you have any que~ona~ pleas~ c~l (360) 417-481
Fax number: (360) 4174711
Credit Card Holder Name:
Billing Address: City. Zip.'.
Credit Card Number Exp. Date: VISA MC_
PaO CTADD SS: 2/3 / C3.
ZONING
LEGAL DF3CRIPTION: Lot: Block: Subdivision:.
CLALLAM COUNTY PARCEL NUMBER:
'FYPE OF WORK:
B~EF DESC~ION OF ~E PRO.CT:
V~UATION (Cost of proje~ ~nus sal~ tax)
BUILDING PERMIT APPLICATION SUBMHTAL: Your completed application, siteplan (for additions) and building construction
plans are to be submitted to the Building Division.
YALUATION OF CONSTRUCTION: In all cases, a valuation amount must be catered by the applicant. This figure will be reviewed
and may berevised bythe Building Div. to comply with current fee scheduks. Contac~ the Permit Coc~rdmator at 417-4815 for assistance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire
bylimitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant
(see Section 107.4 of the Uniform Building Code, currant edition). 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, and I am authorized to apply
for this permt?, I understand it i~ not the City's legal responsibility to determine what permits are required; it remains the applicant's
responsibili~, to determine what permits are required and to obtain such.
PW-1102_23 [r*v3L00] Credit Card Holder's Signature: o'S,aox-...- Date: fi,-/ ~'-O .}
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Si1e Address:
PERMIT NO. '7/7 ?cP
? /cr hr
~ p
DATE
o READY FOR
INSPECTION
License Number:
Installed By:
OwnerfBusiness:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
~ SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
DetailslDescription:
/Vs
.
r
! /C)S
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o RISER
1!1 OVERHEAD SERVICE
o UNDERGROUND ERVICE
VOLTAGE: ~O ~ '0
~1~ D3!21
SERVICE SIZE '" 7d2D AMPS
FEEDER SIZE AMPS
c;
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.K. to connect service
o Final O.K.
Notify Port Angeles City Light by Street Address and Permit Numberwhen 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 Buildin~it. PHONE 457-0411, EXT. 224.
~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
r $
Electrical Inspector -
InS1aller:
~
.
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
OLYMPJCPRINTERSINC
Iftt~
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall