HomeMy WebLinkAbout1412 Georgiana St - Building
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
03-00000862 Date 9/03/03
1412 GEORGIANA ST
06-30-00-5-3-1530-0000-
ELECTRICAL ONLY
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Owner
Contractor
MERRILL, GEORGE
1412 GEORGIANA ST
PORT ANGELES
(360) 457-3500
OWNER
WA 983624518
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
64.90
9/03/03
3/02/04
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
-h
.--
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 stat r local law regulating construction or the performance of
construction. .
Signature of Contractor or Authorized Agent
Date
Date
T:\PLANNTNG\FORMS\1102.15 [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 ACCErTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DErT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
-
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FL.OW / WATER
Am SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
W AI.L / FLOOR / '-ElLING
MECHANICAL . .
HEAT PUMP
WOOD STOVE /PELLET / CHIMNEY
HOOD / DUCTS
I'W UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEI'T. SEPARATE PERMIT #'s SEPA: ~Pt ~~O
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE: 5-;z. -C) R
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESII)ENTIAL 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 / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
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T:\PLANNING\FORMS\1102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000047 Date 5/06/03
Property Address ...... 1412 GEORGIANA ST
ASSESSOR PARCEL NUMBER: 0630005315300000
Application description . . . ELECTRICAL ONLY
Property Zoning .......
Application valuation .... 0
Owner Contractor
Additional desc .
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
T:\PLANNING\FORNIS\ 1102.15 [4/2002]
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17829
POrt Angeles, washlngtolL___.r!.??___~_..~..___..___....__.....__..__..__, 19.~.:?
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~o' electric.al work as listed below.
Address //:/.:::3:.______-::::11f~'1~.~-::?:':~~______n.mm..__ Occupancy...../!..t2.~.n......________m__
~::~ ~::i~~~.::~b::~:nn~~:~~~;:::::::::::::..:......~~~::::::::=:::::::::::::::::::::::::::::::::::::::
/
LIght outlets..._.........3...........-..-.....
Receptacle Outlets...............................
Service, volts ...____.__.............................
No. wires ...............__.__...................
Dryer, KW........__n..........__..................
Size wires..................____............._..
Range, KW ________..............______.
MaIn fuse ....................__......__.......__
"l'ater Heater:
Enclosure m...__.........................__.__.
KW.__....___nn.........______n_____.__.._____
Type of wiring:
Entrance Cable ......___m___..............
Heat: KW...........................____.____........
Motors: sIze, volts and phase:
Rigid Conduit ......mm...................
MetalUc Tubing .....__.h.hh..
Current transformers:
No. & Slze....h......__................
SeT. No..................._....______................
Ser. No.............................__...............
Ser. No. ...__.................................h.....
Type ot WIring:
Armored Cable ..mm...m__............_
Non.Metallic .........................h....._
Knob & Tube__...h.____h__....h.._......._
RIgid C()ndult ...............................
Metallic Tubing .__.h...__..........__....
Raceway ..............................._._..._
Circuits, Light.......................................
Utillty.__..______........._________...............
Heat ......................................._.._._
Range ...h...h....__...____.________hh_____....
Water Heater .........__....................
Motor ..._...............____....__.____.__...__..
Dryer ......________....h......__.___..__..........__
Furnace .........................,~:............ ......
T~tal Load;:=~''''''':;:'~.j ~ Se'. :=:y._~:.:....... ~""4_:otal ........._____.______...__.___.........
Remarks. .n____..m___.__________m..___.______..ll,!ddfL....._......_________.n._____.______..._____.._____.m.___.__.___.___...m_______________._____
---...____.m______________m______.___._____nm__n.___.__________.__...____m._____l__.mmm___...____.___.__.___________.._____m.___.....m._____.______._____
:~.:~~..~:~~~~~~~~:~~~.~~~~~..:....m.::~.~.~:~~~~.~.~~.~.~.....:.~..~---.---nm------:~.::~2ZZ::::~~~~~::g~_
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If 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
ELECTRICAL PERMIT
N~ 1 7 8 2 9
Address.............__.........................................................................._...................................._.........Date..._......_.._.._.._.........._......_......_.........
Owner...............................___._......_.._......_......_.._...........................................................Tenant....................................................................
~TiringContractor..........................................................._.............................................................By..............................................................
.. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
~oaled due notice must he given the Inspector so that work may he Inspected betore concealment. ..'
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ELECTRICAL PERMIT APPLICATION
The Electrical Permit Application must be filled out comoletelv.
Credit Card Holder Name:
e6d..61:
I q,l.. q;:]vl1'/~
Owner or Elee. Contractor Agent:
Property Owner:
Address:
City:
Pon.. -r
Electrical Contractor:
Ucense .:
Phone:
Address:
Zip:
INSTALLATION WIRED BY:
)(OWNER
Zip:
VISA:
Billing Address:
Credit Card Number:
City:
MC:_
PROJECT ADDRESS:
.au
TYPE OF WORK:
AeSidental
o Remote Meter ~Detached garage
Number of Circuits added or altered: ! .'. .
Sq.Ft. g 10 SQ Er:-
os
DESCRIPTION OF THE ELECTRIC
o
$&PtlI<k.
Service Information
Electrical Heat Load Addit
/O/oOD ecJ ~ ~'LI/V
o Baseboard _ t<MI
o Furnace _t<MI
o Heat Pump _ t<MI ,\ )
o Fan-Wall - t<MI '1, ':\
9 A p,/d:?tJ/ttC 'V
PAMC 14.05.060(8): For industrial, commercial, & residential projects larger than a duplex, a one -line drawing of the Electrical Service
~fe~~~~~' ~~:~ga~~~c~~:' ad calcul;r antie; I'$;;;;oor ra~~ew i rUired :$l4~C;o the
I hereby certify that I aye read and examined this application and know at~~ ~ be true and1ctrrect, and I ;
authorized to apply for this permit. I understand it is not the City's legal esponsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
I ~/'6/1)V # _ ()~ ~/$
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Credit Card Holder's Signatur
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i2t~.;t /tlVL/3
~Overhead Service
o Temp Service
o Underground Service
Vo,tagiO -l.'icl
Phase: 1 3
Servic Size: ~-~'-~'::<<TV
Feeder Size: /h.-, f
Owner or Elee. Cont.. Signature:
Date: , l../ ",f 0 ~
Date:
PW-9019
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