HomeMy WebLinkAbout512 E Ahlvers Rd - Building
ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360~417-4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001326 Date 11/16/07
270898
512 E AHLVERS RD
06-30-15-4-2-9010-0000-
ELECTRICAL ONLY
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
NORDSKOG DANIEL L/GINA L
512 E AHLVERS RD
PORT ANGELES WA 98362
BOTERO & SON ELECTRICAL
940 TAMARACK WAY
PORT ANGELES WA 98362
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 115329
Permit Fee 64.00 Plan Check Fee
Issue Date 11/16/07 Valuation
Expiration Date 5/14/08
.00
o
Qty
1. 00
Unit Charge Per
64.0000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
64.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.00 64.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.00 64.00 .00 .00
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INSPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH - IN .
FINAL li!t'i)O? Ay .1=W
COMMENTS:
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Add:ress
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000209 Date
683699
512 E AHLVERS RD
06-30-15-4-2-9010-0000-
GINA NORDSKOG
RE-ROOF
3/02/07
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RS9 RESDNTL SINGLE FAMILY
4000
Owner
Contractor
NORDSKOG DANIEL L/GINA L
512 E AHLVERS RD
PORT ANGELES WA 98362
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
'Expiration Date
BUILDING PERMIT - NO PR FEE
METAL ROOF
96420
123.75 Plan Check Fee
3/02/07 Valuation
8/29/07
.00
4000
Qty Unit Charge Per
Extension
95.75
28.00
BASE FEE
2.00 14.0000 THOU BL-2001-25K (14 PER Kl
Other Fees
STATE SURCHARGE
4.50
~
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
permi t Fee Total 123.75 123.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 128.25 128.25 .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 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 buil er)
Date
L _""O';';~" '02_" b.;;d.o, ""'"" .0""'''''" _d05. wpd I "''''05J
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BUILDING PERMIT INSPECTION RECORD
CALL417-4815 FOR BUILDING INSPECTJONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS
CALL 417-4807 FOR PUBLlC WORKS UTILITIES .
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' J.VORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCAT10N.
KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS I WALLS
FOUNDA TJON DRAINAGE I DOWN SPOUTS
PIERS I
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS ,
CEILING I
FRAMING
JOISTS I GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING
MECHANICAL
ROUGH-IN J
HEAT PUMY I FURNACE 1 DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE I PELLET I CHIMNEY
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LlGHT DEPT. 417-4735 ELECTRJCAl
LIGHT DEPT
CONSTRUCTION R.W. I PWI CONSTRUCTJON - R.W.
ENGINEERJNG 4] 7-4807 PW I ENGINEERJNG
FlRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUlLDING 417-4815 '3 /.., 1-' 1';1 :"\LL BUlLDING
T:\Policles\1102 15 bUlldmg penml InspectIOn Tecord05.wpd [1/4/2005]
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BUILDING PERMIT - APPLICATION
FOR OFFIC~ONLY:
Date Rec.: 3. ?
Permit #: ~ '7 - ~
Date Approved: '3 '07
Date Issued: ~J P-I 0 )
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Phone: if ~ 7 - 8 9 / 1
Owner:
Phone:
(Jr~
Phone:
Zip: q <g 3h 2-
Address:
Contractor
State License #:
Exp:
Phone:
Zip:
ZONING:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
City:
5/2- e. .AN u--&W f!d.
Address:
CLALLAM COUNTY PARCEL NUMBER:
Block: Subdivision:
10 0 - :j() - / ~ -- if 2 9 r1 ! f)
TYPE OF WORK: SIZEN ALUATION:
'A Residential. 0 New Constr. ~Re-roof 0 Stove SF. @$ /SF. = $
o Multi-family 0 Addition 0 MoveD Garage SF. @ $ /SF. = $
o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $
o Repair 0 Sign 0 Other ,1rOTAL VAJ,.,UA,TION $ !l:tJQQ, 00
BRIEF DESCRJPTION OF THE PROJECT: rf.u>t.efl;.e... a PI:I?/-Jt, 1) hIp ~ <oj- /lO J1J~ 0 )
Wl'/-h /I'lda1 ~ MJ~-p'rLj f
COMMERClAL/RESIDENTIAL: Occupancy Group:
No. of.Stories: I '/2- Lot Size: Existing Sq. Ft.
Total lot coverage %
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance. .
EXPffiATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
Rl05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply fDr this permit and understand that it/s my respDnsibility tD determine what permits are required ,not the City's, and that I
must Dbtain such permits priDr to whrk. ~'
T:\FORMS\BldgPermitform.wpdApplicanf' ~ ~ Date: 3/2--/0 r
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ELECTRICAL WORK PERMIT APPLICATION
Job wired by
o Electrical Contractor 0 Owner
Installation description
o Commercial
DNew
~Iteredl Addition
i
Purchaser's mailing address
q '-//) r-^ lA<'" 1;>,nd2
City State
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Telephone number'
ZIP
lA/A
FAX number
C;; sb -:t..-
,~;~:~" L/":':;~,J;A
/11 40IAf~~
Premises owner's name
Address of inspection
~ I ~ A I {1 e te--S
Ci.lS -
(' "Z-I .Il lAC; ../ ( S
Phone number to schedule Inspection:
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Owner as defined by RCW.19.28.261:(I) Owner will occupy the structure for two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor if above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical c
x
tractor or electrical administrator
o sh 0 Check #
c:::"c.ro _ S 4VM"~_~;=,"__
Expiration Date I' ~
f d nspe t 0 I'
o car $:::::--"
Service Inlormation
)
ElectrlCai Load ddltions and or subtract
Q NO LOAD CH NG ES
o Baseboard KW
o Furnace KW
o Heat Pump Ton
Q Fan-Wall KW
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phase Q 1 Q 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN j' THERMOSTAT ~RVI~B'
Dale Approved By "- Dale Approved By
FINAL j' DITCH FEEDER
"- Dale ApprovedBy./ "- Date Approved By Date Approved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date ^ Inspector
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