HomeMy WebLinkAbout1029 E 9th St - BuildingApplication Number 03 00000666
Property Address 1029 E 9TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 7786 0000
Application description ELECTRICAL ONLY
Subdivision Name
Property Zoning
Application valuation 0
Owner Contractor
KENNETH /VIRGINIA PETERSON OWNER
1951 FINN HALL RD
PORT,ANGELES WA 983629538
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
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
ELECTRICAL NEW RESIDENTIAL
Qty Unit Charge Per
1 00 76 3000 ECH EL -RM -0 200 1ST SRV FEEDER
Charged
76 30
7/15/03
1/12/04
Valuation
Paid Credited Due
Date 7/15/03
76 30 76 30 00 00
00 00 00 00
76 30 76 30 00 00
Plan Check Fee 00
0
Extension
76 30
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
ELECTRICAL LIGHT DEPT
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
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T \PLANNING \FORMS \1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES NO
COMMENTS
FOUNDATION:
FOOTINGS �v
WALLS I
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN I
PLUMBING
UNDERFLOOR /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 (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING I I I ESA.
LANDSCAPING I I I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 Dc� ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I I I
,
FOR OFFlCIAL USE ONLY
~: . .
PenniI_:
Dale AppR1YC:d: I
[)nt'ssDed:
C{"1 \
ELECTRICAL PERMIT APPLICATION
The Electricat Permit Appjication must be filled out comDletelv.
. Please type or reprint in ink. If you have any questions, please call (360. 4174735 /I1l -;tt,I.:,e.
Fax number: (360) 4174711
/' h (/ L rJ: J-o(,.
,::>--r~O ~V\ I'" I S~1f Phone', 7101.- "J.f17 Fax:
Owner or Elec. Contractor Agent: If' .' I
Property Owner: ~'" f\<, -+'!>oJ€"
Address: "7 10 I ~ II 0"" >7.
Phone:
Zip: 9? t7 f'
City:
S~4"fIc.v ,VA.
,
Electrical Contractor:
Ucense #:
Exp:
Phone:
Address:
City:
o ELECTRICAl CONTAACTOR
Zip:
INSTALLATION WIRED BY: ){ OWNER
Credit Card Holder Name: >T trMIi tV
tZ, Lld~i
.;;, //<;.,-11 ~1. City: ';eA--rrt.tr . WA-
PROJECT ADDRESS:
/oa<t.
t? 9,If
P..JOt- 4...,,J;,,,
B'A~erationlAddition
TYPE OF WORK: Check all that apply: 0 New
~esidental 0 Multi-family 0 Commercial
o Mobile Home '. Sq. Ft.
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic P,U111P 0 Low Voltage 0 Telecom. 0 Sig~
Number of Circuils added or altered: i.,
DESCRIPTION OF THE ELECTRICAL PROJECT: t..-hq. J!.-
?-DD ~f' ~Nq k:~1"
e:1eCl. &'f<'~( ./h,."'"'L /tJO ~-h.>~ ~
Electrical Heat Load Additions
$l']b,30
Service Information
~
y ~ l;J,~
-
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
o 6aseboard
o Furnace
o Heal Pump
o Fan-Wall
_'r<:-IV
_'r<:-IV
_'r<:-IV
_'r<:-IV
PAMC 14.05.060(6): For industrial, commercial, & residential projects larger than a duplex. a one -line drawing of the EIeC1rical Service &
Feeders, building size (sq. ft.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the
Electrical Permit application.
I hereby certify that I have read and examined this application and know that same to be true and correct, and I an
authorized to apply for this permit. I understand it is not the City's legal respo
d and to obtain such.
7(r{' Ar~ ()~ 4e; f'5 ..- yl'fL c. -P']
Credit Card Holder's Signature::;' r? Date: 7- ;CI~() 5
Owner or Elec. Cant.. Signature:
Date: 7-/lf..-o >
PW-9019
Pi!Unt r
~a -$ TJiP, 30
(7 -:u)
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