HomeMy WebLinkAbout3609 Galaxy Pl - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PEAMfTNUMBEA
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TOTAL FEE ot 'fmPi:<.Z8S," ,
CONT. Lie. Nq. TIME TO COMPLETE r ;NO..STqRIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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SiteAddres~ 86011 . ~fi/..lix '1'
. . CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT "PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner 'kev /<05'; , Installation By . C>/.--(j1JP)L Eki-rlf?'c..
Owner's Address SIl'"'tlle ' InstallersAddr~ss.501 S. I..INlOt-;J'
Day Phone Installers Phone - 4:; 7- S-3o:"'-:S
Application is hereby made for Permit to_i~stall Electrical Equipment as follows: 2-tJD,t V 6/ 5erilll <..
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Wiring Method
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PEA 10QR FEE USE OF CIRCUIT PEA 10QR FEE
CIRCUITS CIA to 30 CIRCUITS CIA to 30
LlG~H SIGN
LIGHT - 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR ,
DISHWASH~~ FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC,
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTAllATION LIGHT FIXTURE #
FURNACE , SUB TOTAL FEE _
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT -
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CI~z;T BREAKER
A.C. UNIT ..... ^") 1\ I ' PHASE
. AMP
FEEDER SIZE OF SERVICE ENTRANCE CdNDUCTORS
..
SERVICE AW.G.
. I SUB-TOTAL
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
II/g/8'1 ,19 By A)~tV-- rtiw-l!5t-.t1f
f - I CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the abov~ described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRE TOR OF CITY LIGI;tT
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Date Application made
WARNING
By
PLA
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
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Date Permit Issued
WHITE - Original CANARY. Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
DATE OF VISIT
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REPORT OF INSPECTOR
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REMARKS
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
" FINAL O.K.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
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17486
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Port Angeles, Washlngton........................................................._..... 19.~.,...
In accordance with the City Ordinance to regulate the Installation. extension. or repair of elec-
trical equipment In. on. or about any bu1lding or other structure In the City of Port Angeles. per-
mission is hereby granted to d6 electrical work as listed below.
Address ..-J:k..~..Y.-6~t;3:!':g.j~e."..... Occupancy.._......d~~~:.-L.....................
Owner ....e;/.A~.~..?,~,~.~... iJlant.............................:=..........................................
Wiring Contractor. J.~}.~R.~~"J.:~ti1:-:........_... By....................___.........................__...................
&0 V /'p-o/,jP-t:,
Ught Outlets..._........_._.y......._.._..._ Service, volts _......._____.....___..._____.......... Type of Wiring:
Receptacle Outlets___..___......~.........._... No. wires '-q......~..._.........~L.... Armored Cable .............---..-..........,
W /' SI I #;P ~ Non-Metallic .._...._____n................._.
Drye" K ...........!.?......................... ze w reo...,...................................
Henge. KW........L.:;!:...................... Main fnoe~<?&..............
Enclosure .-....S................__.._....._.....
Water Heater: ,Y;, 5'
KW.............c.../........................
Heat: KW....../2'..&..hP..q.c.e
Type of wiring:
Entrance Cable ......._....._____........._.
Motors: size, volts and phase:
/ AA ,..-'.
....,...-..........T--.....-...----n..-----.----.-.--..-
.../A,~:~lL..................-......
Rigid Conduit .................
Metamc Tubing ...._............
Current transformers:
No. & 81ze_h..........h_h..__..nUh_........
Sec. NO.............._.._________....._.._.____._._n.
Ser. No..............................................
Ser. No..._____.._______.__._.._......_.___..__..__...
Total Loadm.________.................
Ser. No.................._..............___.........
Remarks: _...........................................................................................................................................................
'.
Knob &0 Tube.................................
Rigid Condnit ...............................
Metamc Tubing ...........................
Raceway ..........7"'..........-.....-.--.-
t:;.
Circuits. Llgh!.......................................
Utlllty .....G.....__..........................
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Heat ___...__.!._.........._...__..._._.._......
.;t..
Range ...___..____.....~................._.---
Water Heater .e.......................
:::::...~~;~~~~~~..~~~~~~._~~~~..~~~~~~~~~~~..=~
F urnace h...h_..................~__...._h_. ......
Tot.1 :f~.......................
Treas. Receipt
By ....9i./t!..{[~'k4~.~~._.
PC1'IIlit Fee
. &llrO
$.........................______....... No............................."
NOTICE-Current must not be turned on until Certif1c~of Inspection has been issu~d. If work is to be COD-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT'NUMBERWHEN READY FOR INSPECTION
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ELECTRICAL PERMIT
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17486
A1dress........................................................................................~C:=................................_....D.te.............~................................................
O~ner......______________.........._....___.._._.._......_......__.___............................_.____________....__~_._.....Tenant....________.._.___.____.._________.._______._......_______........
WirlngContractor....___..___...._...................____.......___.._...._._______........__.....___...__.........................._.....By___..._.......................................................
NOTICE-Current must not be turned on until Cert1ficate 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.
1M \ Olympic Printers, Inc.
.... CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION
321EAST 5TH STREET, PORT ANGELES, WA 98362
DUII_I.,Ili~ J~I=I~MI I ISSUED: 6/10~2002 PERMIT NO: 13452
OWNER/APPLICANT PROPERTY LOCATION
PA REALITY 3609 GALAXY PL
Lot: 11
Port Angeles, WA 98362 Block: [] Long Legal
360/452-4856 Subdivision: GALAXY ESTATES
T: S: Parcel No:
CONTRACTOR ARCHITECT
LARRY'S ROOFING N/A
352 AVIS ST
Port Angeles, WA 98362 , 98360-0000
360/452-2215 360/000-0000
PROJECT INFO
Project Value: $4,900.00 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: RS9
PROJECT NOTES
TEAR OFF EXISTING SHAKE ROOF, INSTALL FELT, COMP. ~.
RECEIPT#9166
FEES ASSESSMENT
Building Permit: $111.25 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: $115.75
Plumbing: $0.00 AMOUNT PAID: $115.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certif7 that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
const~n. /~.~
Signa'~Ure °f Co~uthorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\I 102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION~.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE ] DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Enginecring Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'$ 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 / ENGINEEPJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 t~'~.~ ~-i ~-~ /~ BUILDING
T:~PLANNINGkFORMS\ 1102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~.C~'- /~ ~)*- ~-~ Time Received by /~-~ ~ (phone, person}
Location of Work to be inspected .~'~¢~'~ ~ ~:~d~./~:~ ~ L/ ~.~_
/
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing ~al~Sewer Excav. Other
INSPECTION NOTES: ..
Inspected: Date ~' * '~ Time By (.,
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved I-~Gravel r-]Asphalt r-IPCC [~Other _
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)