HomeMy WebLinkAbout2608 S Francis St - Building
Jul-14-03 04:20P
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360-457-;-0212
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ELECTRICAL PERMIT APPLICATION
Cwo'e, '" EI~. C,","ac1,,, An~nl' .r;s,
r"e ElltCltIL:l.II PermIt Applictllion must be "11.11 out comDllI1elv.
PleaS& type OI...ptint ill ink. Jf yOlJ ".w any <q1M01:Iono, pl~ C:"II ~~60~ "17~735 IIft::jt (p 7 c.j'
Fltx l1umber: (3tiO) 411-4111
REQUEST INSPECTION C.1
C'.omm lA () r'Co.. hMS Pho".:I(S7- 'i:~7s:._ FlU q~z-O? I Z-
Property Owner. .~.~__._ _
Phone:
AddrtlC:li: City. _ _.. _,__._......
)':eIriClll COlll1ilCtor. ~___ "_ LicOMe ~:_..,_._'w_(~p:
Add,."" __City ..,,__........_.__.. Zip:
INSTALLATION WIRED By: IJ OWNER Xi ElECTRICAL CONTRAr. rOR
C~itCarrJHolderName:.finr;j2I.e~ C~f1J'.ad1I1r1S Inc.
Billing Addrass: !()ZK6SS _.b_~.:...__.~_.. c/Iy:_f6[f 4nff Ifs
Cr.dit C.rd NlJmber:.! ({~.~ Exp. Dahl: () '{__
PROJECT~~~e::. s. Ft<c.l.f1C ~5 ( 1:e~ W1ti 9//llf CI...tj )
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Phoo~:
Z1p: 5~3(D3
VISA:lMC:_
TYPE OF WORK'
t apply: (] New )( Alteration/Addition
)( Commercial 0 Mobile Home Sq. FI ~_9...__,,___..
o Residenlal U Mulli-rnmily
Ramole Malar r.-: Detached garage U Hot Tub CJ Swim Pool n Septic Pump 0 Low Voltage LJ Telecom. U Sig
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Numbef of OrcuI1S added or alh'trer.t _. .___
DESCRIPTION OF THE ELECTRICAL PROJECT: 7ele,pYbflQ.. J; ~~ CO.. b1f-_C!l?/.t;"
LJ Baseboard
o Fumaco
o Heat Pump
r..J Fan.Wall
KW
KW
TON LRA
'---KW ---
PERMIT FEE: .5".2., O() ./ yO. ?OServlc81l'lfOrmaliOn W'\~
1/.10 . --2-{lOQ
5L; 00 Volt_go:
D Over!leaa 5""'1'-" Ph...: rJ 1 n l
U T trmp Service Servlca Size: _~ ~___
f, J Underground S~rvic!'l FIiJIiId..,r SI~8;_.__
fleet"!;al Heat load Addittons
PAMC 14,05.060(8): Fot' Indu5tri31. cl~u",nQrclal, & rosidell{ial projects larger 1hQln a duple,,-, D ono _ line titaw:lng of the ElcC1flcal Servlct'!.
F-'eedars. building slze (sq. ft.), load caJcuJati0l151 and Ihe type & of condLlctors Bndlo, raceway Is requil13d and shall accompany lh9 ElectriC8
Permit BPpllcation.
I het I have read and d this application and Know that same to be true and COfTElct, and I an
authonzed to apply for this permit. I undersland it is not (he City's lega/ responsibility to de(emline whet permits af
raqlJired; it remains the applicfJnts fC3pon3/bility to datermi"" what p':J1lnit:; "If" r"qui,.,,) </",} to obttiln SUch.
7- /5'"03
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Date: _
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Credit Card Holder's Slgnatur.: . .
Ow"er or Elec, Co"t. Signature:
C:lEj'-E51.TRICALPERMIT APPLICATION
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Date:___
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMuNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000674 Date 7/15/03
2608 S FRANCIS ST
06-30-10-4-3-0360-0000-
ELECTRICAL ONLY
o
Owner
Contractor
'HOUSING AUTHORITY OF CLALLAM
2603 ,~ FRANCIS ST
PORT ANGELES WA 983626710
,
ANGELES COMMUNICATIONS INC.
102 ROSS LN.
PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 457-4375
, "
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL,ALTER COMMERCIAL
ANGELES COMMUNICATIONS INC.
52.00 Plan Check Fee
7/15/03 Valuation
1/12/04
.00,
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EL-'LOW VOLT SYS <=2500 SQFT
EL-LOW VOLT SYS >2500 SQFT
Extension
40.90
11.10
Qty Unit Charge
1.00 40.9000
1.00 11.1000
Per
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 52.00 52.00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 52.00 52.00 .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. '
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNlNG\FORMS\II02.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE.. IT IS UNLA WFUL TO COVER,
INSULA TE 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 NO
FOUNDATION:
FOOTINGS J/\~'" ,
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS .,.
CEILING
FRAMING i"
JOISTS / qIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULA TION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEA T PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM ~~~8
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: IE k"o J ;U; (:)
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 / ENGINEERlNG
FIRE 4 I 7-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-48]5 BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002]