HomeMy WebLinkAbout1122 Caroline St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
SPARKS GREGORY W
1122 CAROLINE ST
PORT ANGELES
36) 452 4643
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
I'\Policies \1102.15R [1/05]
Permit Fee Total
Plan Check Total
Grand Total
WA 983624204
00
3/20/07
9/16/07
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
07 00000291
212083
1122 CAROLINE ST
06 30 00 8 1 0105 0000
PUBLIC WORKS UTILITES
COMMERCIAL OFFICE
0
Contractor
OWNER
RIGHT OF WAY
REPLACE SECTION OF SIDEWALK
97584
Valuation
Charged Paid Credited
00 00 00
00 00 00
00 00 00
Date 3/20/07
Plan Check Fee 00
Due
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
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
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 I
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T•\Policies \1 IO2.15R 1/05]
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT.
I PLANNING DEPT
BUILDING
d ,ORT ~
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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
03-00000561 Date 6/11/03
1122 CAROLINE ST
06-30-00-8-1-0105-0000-
ELECTRICAL ONLY
o
Owner
Contractor
SPARKS, GREGORY W
1122 CAROLINE ST
PORT ANGELES
(360) 452 -4643
OWNER
WA 983624204
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
64.90
6/11/03
12/08/03
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1.00 64.9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
64.90
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.90 64.90 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.90 64.90 .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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T \PLANNING\FORMS\1102 15 [4/2002]
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
I INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEP A-
PARKING/LIGHTING ESA-
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ~/;//oJ Aco ELECTRICAL
LIGHT DEPT
7 ,
CONSTRUCTION R W / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
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
Site Address;
112 z-
Installed By:
Owner/Business:
Owner/Business Address:
I1l'FiSIDENTIAL
o COMMERCIAL
o BASEBOARD KW -
o FURNACE KW -
o FAN/WALL KW -
o HEAT PUMP KW_
o SIGN
PERMIT NO.
7/'07'7"
6 /~/93
" t
DATE
ELECTRICAL PERMIT
o WILL CALL FOR
INSPECTION
phone:
o READY FOR
INSPECTION
License Number:
phone:
Sq. Ft.
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
?E- REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
Details/Description:
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ Rough-in/cover O.K.
o O.K. to connect service
~~Inal O.K.
Notify Port Angeies Cit ight by Street Address and Permit Numberwhen ready for inspection. Work must ot 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 $ ;;;2J) r2!2
Site Address:
// Z Z-
Installer:
.
Electrical Inspector
~
New Meters
-
Permit Fee
YELLOW - file by number
PINK _ Top: Eng, Bottom, Customer
GREEN _ Top: Meter Dept.. Bottom: City Hall
WHITE - File by address
'OL'IMPIC PRINTERS INC
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
'N? 15660
Port Angeles, Washlngton__m___m_m___.~.:t.:q_mm.__..._.___m_ooo, 19_21[
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.
Address _ooo-lI____r2__::.L____~~--------------------- Occupancy_____ooo________________ooo______________m___
Owner ------~I::---~am-----m---.------ TenanLm_____._____._._._.____m.._ooo....ooo_ooo__.________.___ooo______
Wiring Contractor --~.'1=.-.e.~ I e..,",~~_._________ooo By__.__ooo________.__.______moooooo._._.____ooo.m.._________._._.___
Light Outlets._______...__......._____....______..... Service. volts ./d?::.C:V-~---:-- Type of Wiring:
.J
No. wires .._.__.._n..._....-;y........ Armored Cable nn..._.._................._
Size wlres__.-*tl________'!.____.___ Non.Metalllc ----...---.-----....----.----....
...,..~ A Knob & Tube........_......_..............._..
Main fuse __m=.m.__/.J::___m______
Receptacle Outletsn............_......._........
Dryer, !eW........._u.._......h._.......h...n...
Range, KW........__..._n.._._...._..___n___......
Water Heater:
Enclosure 00.___..:..:5..........................
Kw.____.______.__m____m__________.______h_
Heat: KW_______~__~..l.?.Bm_m__
Type of wiring:
Entrance Cable .......m.m.........
Motors: size, volts and phase:
Rigid Conduit mm____mmm______......
MetalUc Tubing ....m....................
Current transformers:
No. & Size...................................__..
Ser. NO.............n....n___...n__._.............
Ser. NO........................................_.n._.
Ser. NO..nnnn.....................................
RIgid Conduit .mm__...____...______..____
Metallic Tubing ____m_________________...
Raceway .........._...................._......_
Circuits, Llght.__________...______.m____._____....
Utillty ______...m__________.___...__...____.__m
lIeat __..__._..d..............................._..
Range ................................._..000000.00
Water Heater ............_..................
Motor ..__..........._.__....._..............._._.
Dryer ....._....___._.._..._............_..____._._.._
Furnace .........................'_........_......_...
Total I-oadnn_..........n..____nn.. Ser. NO...nn...........__........._.............. Total.......................................
Remarks: ___m?.L1~~,..--ooo__.__.~4.__o/__.__...K..,-r..~______oooooo__ooo__.ooo____ooo.______.________.____ooo______
Permit Fee
Treas. Receipt
No.............__..............
By ____9t..t..f!i.:Jk4JJ~V.
$.__..__..................____000____..
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
'l1.S'J/t....r/3B
ELECTRICAL PERMIT
N?
15660
:::::s__:::::~~~::::::::::::::::::::::__::__:::____::.-:::--~~~.a:~t~:::...:::::..::..::..::..::::.:::::..::::::...:.:::..:::::::::
Wiring Contractor..Je.4...~::t.....(}f..t.._.....__...____..m__...m....__.m__..m.._m. By__.m_..__..____.____.................__...__......._.......
NOTICE-Current must not be turned on unt11 Cert1!lcate at Inspection has been issued. It work Is to: be' con.
cealed due notice must be given the Inspector so that work may be inspected before concealment. . <v,
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