HomeMy WebLinkAbout2113 Seabreeze Pl - Building CITY OF PORT ANGELES
f'�WFN PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000032 Date 1/12/11
Application pin number 311968
Property Address 2113 SEABREEZE PL REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 01 -5 -0 -0070 -0000 on your state excise tax form
Tenant nbr, name QWEST
Application type description PUBLIC WORKS UTILITES to the City of Port Angeles
Subdivision Name (Location Code 0502)
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
plow phone service RCP #11 -01
Owner Contractor
BERNARD ROBERT J /TARI J OWNER
2113 SEABREEZE PL
PORT ANGELES WA 983635016
Permit RIGHT OF WAY
Additional desc RCP# 11 -01
Permit pin number 180133
Permit Fee 150.00 Plan Check Fee .00
Issue Date 1/12/11 Valuation 0
Expiration Date 7/11/11 I
Qty Unit Charge Per Extension
1.00 150.0000 ECH PW RW CONST EXCAVTION OTHER 150.00
Special Notes and Comments
Applicant responsible for surface restoration. Traffic
control per attached plan.
Fee summary Charged Paid Credited Due
Permit Fee Total 150.00 150.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 150.00 150.00 .00 .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 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 v'•Iate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
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Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T: \Policies \1 102.15 [10/08)
PERMIT INSPECTION RECORD
CALL 417 -4831 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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. PW/ CONSTRUCTION R.W.
ENGINEERING 417 -4831 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 417 -4815 BUILDING
T: \Policies \1102.15 [10/08]
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CITY OF PORT ANGELES
tiGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16132
, -
::.2 -/6 /?
Port Angeles, Washlngton..........__.~...:.._.~m....m..mmm....mm..m. 19m.....
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 .....':'?ll$...k::.~:~.g:?::d_"~~".CZg~~ Occupancy....~...,mm.....m.....m...
~~~:~ ~.~:~~~:=--~~rr~~~E:G~:;....~~:~~~;:::::::::::::...:.....~::::::::::=::::::::::::::::=:::::::::::::::::::::
LII~ht outiets........l.~"'O...._.._..... servl~e. voIls ....4/?...~f!.f..q Type of Wiring:
Receptacle Outlets....,.:;....................... No. wires .n~_____.,.......___......h_... Armored Cable .___nm................_....
.. ~ . 'il~
" 't'" // (/
Dryer, KW nnnn.............___....____._________ SIze wires.........._........___._u_......._..
R"'ge, KW.../.~......................... Main fuse ..__~J..f?zt.........
Water Heater: ".- Enclosure nn....._............_..........__....
~-)
KW............t.................................
Heo" KW....../..6."--~.,j'::,8.e
Type of wiring:
Entrance Cable ......_____un_____________.
Motors: sIze, volts and phase:
/dk~
'...7di;;6................................
i...un--.--..........----...-..........................
Rigid Conduit ..m____......
Metallic Tubing ..................
Current transformers:
No. & Size............__n.._____..........
Ser. No......__.__...........................__......
Ser. No.......____......______.......................
Non.Melalllc .................................
Knob & Tube.....______.......................
Rlgld Conduit ................___.___...._..
Metallic Tubing ...........................
Raceway ........y_...............__..._
CIrcuits, Lighr.............................
Utllity.............___......._....................
Ie)
:::tge ..::~~:::~~~~~::::~::~::::~::::::::::::::
Water Heater ....tJ!:.........__...........
Molor ---62':....................---............
Dryer ...........................--.................--
Furnace .........................,~..................
Ser. No. ..____.......................................
Total Load............................. Se'. No. ...___....................................... Total .....,'J....~,..............___
Remarks: __.m.................~~~"-~.......c.~:.?::!,d.L-1-..ylm....mm....................m....................000000.....
.-'
....................000....000000--.000000...000..000...000...................000..---............-----.......7--7--;----7':..000--7.........'/......,-;...000....
;~.~~2l:~...........m ::~.~.~:..~.~.~.~~~.~.....m By ~:~!.i,:._~,.~:~./d,i!:~.:~~:..'-?.:~::f.~.:::.~=:
/l..- l
NOTICE-Current must not be turned on until Certificate of Inspection has been,Jssued. It work is to be con.
cealed due noUce must be given the Inspector so that work may be inspected befo~e' concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16132
Address........................................................................................................................................Date..._......_.._......_.........._......_......_.........
Owner .........______...____...........___......____......_......_.._.......................__....................__............ Tenant........h__........__...__..__.....____..______.....__..____...____
Wiring Contractor h.............____................_......................_..........................n................................. By..............................................................
NOTICE-Current must not be turned on until Certificate 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.
1M Olympic Printers, Inc.