HomeMy WebLinkAbout1104 S Cedar St - Building CITY OF PORT ANGELES
PUBLIC WORKS - BLrILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 4/17/2002 PERMIT NO: 13360
OWNER/APPLICANT PROPERTY LOCATION
1104 CEDAR S
JEFFERY DUGAN
1104 S. CEDAR Lot: N 1/2 LOT 1&2
Port Angeles, WA 98363 Block: 349 [] Long Legal
360/000-0000 Subdivision: TPA
T: S: Parcel No: 063000034910000
CONTRACTOR ARCHITECT
ARMOR ROOFING N/A
2524 RYAN DR
Pod Angeles, WA 98362 , 98360-0000
360/452-3667 360/000-0000
PROJECT INFO
Project Value: $2,800.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0 ._~
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
TEAR OFF / REFELT / 3TAB
FEES ASSESSMENT
Building Permit: $83.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $87.75
Plumbing: $0.00 AMOUNT PAID: $87.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 peded 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.
ignature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNI~4WFUL TO COVER,
INSUL4TE 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
I
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRA, INAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT0's SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW /ENGINEER[NG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 /t / ~//,./ PLANNING DEPT.
BUILDING 417-4815 / (,//~?/t~ ~'~ ~/Q/ BLqLDING
C:L~.PPL WPD
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
'0 f'O
PERMIT NO. or
DATE J / 7 / R9
, F
Site Address:
So Led. 6-r-
S e,r u,'L "'-
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
0'Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
Overhead
o Underground / ..,
VOlJage (""2-0, L<{ v
ff10 03.0
Service size 7 c:lO Amps
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Detai I slDescri pt ion:
.Je.",-,/,,~
LA "'., r~. / (JO j,o <:00 .4.
,
..)0 (;,I,,~c_ ~(..'-+- 1"- F-f-r,...s<--
/J I L.' .!. AJ 6t..J C,. L ",( Lr ..j....,
1 .
(c;, 0 A",\>",)
J",.r~J<:'-
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o sY.K. to connect service
if Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
(}<j-
Installer:
E
Permit/Receipt No.
So
Cec;f.a.,
;;2e;
New Meters
o
i""t
.
evv
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before Inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
;) ....(.,L....- AA ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 1- 0 6,)
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLTIC PRINTERS. INC.
0
HUMy. poRr �A
CITY OF P0.14T ANGELES PrIiMIT AiPPLaICATLAN �1Q CY
Building l)Ivislon /Electrical Inspections E 2-W320113 � � +P
321 East Fifth Street— P.O. Box 1 -150 / fort Angeles WuAiingtun, 9N362
Ph: (360) 417 -4735 Fax: (360) 417.47111 NSPI � 3101it�.
t�l�SP�I��i�lM,
Gate. ��-3 Z & 2 3inglo Family Dwelling
` Plan Review May 8s Re ul d, Pleaeo Complete Electrical Plan Review Information Shoot
Job Addmas - S - -- --
Guiding Square Foouago - --__
eaorfption or abavo D-
Owner Info on
Nana.
Moil' U ross: SIa1a.
City: W Zi p
Contractor Information
Nume e
MoilingAddrm, -. i6i[K. Pd
City slata 4to z r
Phana' Far{
Uoumv tI r Exp ,_..I... -W K4- 15
Total f9ty Muttlplled,by. Unit Charge)
5
$
S
S
$
$
- s
----- - - - - --
$
- sT
$--77 $,!_ Total
Owner as defined by RCW.19.28.261; (1) Owner will occupy the structure for two years after No electrical permit is Finalized- (2) Owner is required
to hire an electrical contrtictor if abovo said property la far oolo, rant or lease- permit expires after six months of last inpoction
Aftor reading the abovo aWo ment, I hereby certify that I am the owner of the above named property or a licensed eloctrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C,, RCW. Chapter 19.28, WAC, Chapter 298 -46B, The City of Pori
Angeles Municipal Cods, and Utility Specification and PAMC 14 05 050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator; O enh ❑ cheat
--- r 9 Cmdll Csrd it
t&d: g- -19 —!3 - -- - -
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . . . 13- 00001086 Date 9/23/13
Application pin number . . , 709346
Property Address . . . . 1104 S CEDAR ST
ASSESSOR 2ARCET, NUMRER: 06-30-00-0-3- 4910 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use . . . . . . . .
Property Zoning . . . . . . . RS? RE_SDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump / furnace
Owner Contractor
DUCAN JEFFERY P JPE ( JERRY PETERSON )
1104 S CEDAR ST 73 EAST LOMA VISTA RD
PORT ANGELES WA 983627513 SEQUIM WA 98382
(360) 731 -8994
--------------------------------------------------------------------.--------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75,00 Plan Check Fee .00
Issue Date 9/23/13 valuation . . . . 0
Expiration Date 3/22/14
Qty Unit Charge Per Extension
BASE FEE 75,00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75,00 .00 .04
Plan Check Total 00 00 00 .09
Grand Total 75.00 75.00 .00 .00
REPORT SALES SAX
on your excise tax form
to the City of Pod Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
A24 1
PERMIT WILL EXPME SIX (6) MONTHS FKOM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAIEXCHANGEII3UILDING
Q