HomeMy WebLinkAbout108 Columbus Ave - Building
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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
03-00001051 .~
108 COLUMBUS .Srr:' lIy~ ,
06-30-09-5-2-3605-0000-
ELECTRICAL ONLY
Date
11/16/03
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
GRIER KRIS E
PO BOX 1325
PORT ANGELES
WA 983620244
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
pennit
Additional desc
Sub Contractor
pennit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
REPAIR METER
ELECTRIC SERVICE
35.20 Plan Check Fee
11/16/03 Valuation
5/15/04
.00
o
Qty Unit Charge Per
1.00 35.2000 ECH EL-R OR RM REPAIR METER/MAST
Extension
35.20
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
pennit Fee Total 35.20 35.20 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 35.20 35.20 .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 authonzed 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 authonty 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
T \PLANNING\FORMS\II02 15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING 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 NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING 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 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 /JhJ 103 #cO ELECTRICAL
LIGHT DEPT
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]
CiTY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N9
15285
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Port Angeles, WasWngton__________________:n_:-__m_mm___mm____mnm__m. 19000000:_
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 grante~ to do electrical work as listed below.
Address _mc:'tQ:.3~,~:i::_;_'n'__'j:!_!n""__n________n_n__nh__________m____ Occupancy______:.__:m~_m_____________________nh____
.. - r'f)
Owner ____uu.u;_}..-'_;un_.:_~~'J~~~:.::_::_:_nn.....n___n_n_nn.n Tenantnun...._........_...nnnn..___nunn_._n_nunn..n..n.nn_h
(,..) ~ , ,..' 1 \ r
Wiring Contractor ___(L:_n'::.:_:_!.,,:,__':._:__:___''5.___h________________ By_______nh_n_.n._nm.nm_mmm____h_______hnmh_______
Ligbt Ouuets_........__.._..__..____._..___....___._
Service, volts ___..______________________............
Receptacle Outlets.._...____..___.___..._........
No. wires __.....__...___........................
Dryc:r, K\Vi._...n........._u.n..........n....__._
Hange, KW.m.....m........
Water Heater:
SIze wires__..___......__...__.._____............
Main fuse ............______..___...___.__..._...
Enclosure ___......__.__..._____.._____________..
KW......._...
jj'P,
Heal: RW.......__..________..~~___
Type of wIrIng:
Entrance Cable ._________________.____...___
RigId Conduit
Motors: size, ,roIts and phase:
Metallic Tubing .......______...___._......
Current transformers:
No. & Size._______..._______.....................
Ser. No...__.__....__..____________._.__......__.__..
Ser. No..............__..................__.....__.._.
Ser. No._............___..............................
Type of Wiring:
Armored Cable
Non-Metallic __...__.....___....___...........
Knob & Tube...__...___..........____________
RIgid Conduit _____._________............._._
Metallic Tubing ........._...............__
Raceway ....._n.....__..__........___...........
CIrcuIts, Light...______..._....._____.....___..___...
Utility __........_..__.______...__................._
Heal
Range _......____.____...__.........._.............
Water Heater ......____..______________.....
Motor .___....__..__.........................._._.
Dryer.____.___...__....__...._.........................
Furnace _________.._n__..__...____...........__...
Total Load___.._..__....____._______.. Ser. No.______.....____.._________...___..___....... Total .............___..........._...........
I r.
Remarks: n_._nn___t~~C..:.n:_n:_~_n.n;!'_n___nn_L__nnnnn._nh__.___n_..n_..___n....._u_U._..Uhhh.h_h_n_n______nn___ndn_n_n.n_U___
I
,
___._n_nn_nn._nh...U_Uh.UU._UU.hnn_Uh.._______U.hnn_____Uhnn_nn_n___uh_nuuh___nn__?nn_n__hh_______nn_n_u__un...._u...h_u___
Permit Fee Treas. Receipt . / ( .r .'. /
$~n___.._m______________________... NO.m_mnm_mm_m____ By _m_!____f:<____.____:__:_:__:m~m.n.nm:~':__n"_._______n__.___
NOTICE-Current must nm be turned on until Certificate of Inspection has been issued. It work is to he con-
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
.'
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ELECTRICAL PERMIT
N?
15285
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:::;l~;~:r:f;:~:~::o:~:~~:j~~~:::;:::~'::~::.~~:::::::::::::::=:::::::::-_::::::::::::::::.::::::::::::.:.:::::::::::::::::::::::::.:'::::::::::::::~~::::::::::::::::::
lDspectIoncompleted.~..._........_......_...._........____________..___..____..______._____._.____..........___..__.....____......________.__.._.__.___..._____..._..............__.......___..___..
Total Load nnnnn_nnn__nnn..............................................................._ "n.'.n
1M 3-72 Olym;:lic Printers, Inc.
FROM
: Electric75
VI
FRX NO. : 4526424
Oct. 28 2003 08:26RM Pi
Owner or Else. Contractor ~ant:
fOR Of'HC'AI. '-'Sf ONL Y
D~Jc/Rc'1;
Pgr,ml ~ _ __'_ =-
t:...!~"'Upwvrd___.___.,..
The Electrical F'ermit Application mu&t be fllfad out comDletalv D~ l~<.e:i; ..._.__.__.
PI....lYpe Or roPrlnt In Ink. 1/ YOu hov. ony qu.etlcn., pl..... call (3BOl 417-1735 /Ire. #/~I
Fax numbor: (360)417..711
REQUeST INSPECTION
ELECTRICAL PERMIT APPL/CA TION
,
Address:
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~ Phone: '-tc;1......-(""l,.....,..
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a. "'- l 010 Cd........ b:,~..) ,/(,...,
.....- ~ City: j D"'--r C~::.
\z--~,r<.-'c- . ~~""n$OlI: ~nl \ 32"El(p:
t\~ V~ 0[.1._ City \-iCl ~
DOWNER o-mcTRICAL CONTRACTOR
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~ City;
F",':
Prnperty Owr>er.
L.,( r"'L-t.P...fl.--,v
Phon.: 0.; ,," l ?
'-! >>..- k;;</ir
Zip:
Electrical Contractor:
Address:
82...-
Phon.: 4 )-e.~y<
Zip; qy~,;.."
INSTALLATION WIRED BY:
Credit c.rrJ HoldfH Mllm6:
BIlling Address:
CrGdlt C;srrJ Number;
_ Exp. Dat.:
Zip:
VlSA:_ Me
PROJECT ADDRESS:
/"A
~/...L.L.b'>-J&,,..s
~ ..wORK: Check all that apply: C New
esldental :J Multi-family 0 Commercial
o Alteration/Addition
o Mobile Home
Sq. Fl
Number of C~rcuits added or altered:
Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low VOltage 0 Telecom. O.
DESCRIPTION OF THE ELECTRICAL PROJECT:
-J
V'-'-\P"-tv- ~
Electrical Heat Load Additions
PERMIT FEEflf:~
&eN.eo InformAtion
o Ba...board
o Furnace
o Heat Pump
:J Fan.Wall
fWV
-KW
-TON
-~
LRA
IJ Overhead Service
[J Temp Service
IJ Underground SBrvice
Voltaga:
Phasa: CJ 1 :J 3
Sarvlcs Size:
Feeder Size:
PAMC 14.05.060(8): Fer industrial, commercial, & residential PI'ojects larger Ihan a duple., a one -line drawing of the Electrical Service ~
Feeders, bUilding sIZe (sq. It.), load calculal;~n', end the ty~ & of conductor. and/or raceway is required and shall accompany Ihe Elactrl,
Permit application.
I hereby certify that I have read and examined this application and know that same to be true and correct, and I a
authorizea' to apply for this permit. I understand it is nut the City's legal responsibility to determine what permits,
required; It remaIns the applicants responsibility to dstermlr;e whet permits ere required and to obtain such.
Credit Card Holder's Sill nature: ~ e-.o
~ C~ Owner or Elee. Cent. Slgnaturt: Ocrt-- e!-.:fj.
C :/ElECTRICALPERM IT APPLICATION
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Date.L~/~o
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