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HomeMy WebLinkAbout2019 W 4th St - Building G~ORl>f;)RTAN6EUBS PUBLIC WO~-,Bun..DINGDIVISIQN 321 EAST 5TH STREET/, PORT ANGELEs,WA98362 S ~~f, OWNER/APPLICANT GARY SMEI:TZER 2019 W. 4TH ST Port Angeles, W A 98363 360/417~8976 1: CONTRACTOR DOUBLE S.CONSTRUCTION 2557 MT PLEASANT RD PORT ANGELES, W A 98362-0000 360/454-0824 PROJECT INFO Project Value: $3,000.00 Project Type: BACKFLOWVALVE Occupancy Type: RESIDENTIAL Occupancy Group: Construction Type: Zoning Use: RS9 FEES ASSESSMENT Building Permit: Plan Check: . State Surcharge: '0 House Moving: ' Manufactured Home: Sign: Plumbing: Mechanical: Radon: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $25.00 $0.00 $0.00 TOTAL FEF: AMOUNT PAID: " BALANCE DUE:: 0 ' Separa~e Permits are required ror electrical work, SEPA;Shoreline, ESA, Utilitiesfprivate,and public improverl1entS:'"Tf\~PeflrlltJ*:omes nuUan~:~~idif w9,~orcq~~truction aUtl1,?'~~!~'Jl~tccm~mEl,Jlced.~~IJl J,~.q~~,it<:onstructignorw()~!!,~!J" 0..0 ' " ',J!~IJ5IR":~d for a penOd of 180 days after the work as (X)mmElnced, or If required Inspections h~ve /lot been r~questedWlthll'l f .,."I'!l!l:1e1ast Inspection. .1. hereby certify. that I have read and exaininedthis applicationandk(lowthEl s~me tobEl.tJ'ue' ~nd, co"Elct .... ...... '. .rovision~ of lawsahd ordinances'goveniing this typeQf w6i1dNin be complietfwitlfwhefllerspecifieif herein or not' 11legrantiflg'9f~~tmlt,;~o~ not ~~~u~me .~ ~ive ~uthority to violate or cancel the' provislo~s ohny ~~te or I~I iaw regulating construction or th? performance of ~-\'1-~( . . -, ~ Signature of Con ctor or Auihorized Age~t Date BUlliDING,PERMIT INSPECTION RECORD . ^ " CALL 417-4815 FOR BUILDINGINSPEcrIONS~.PLEASE PROVIDEA fYtINIMUM,24 HOUR NOTICE..IT/S UNLAWFULfei!CoVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. ,-,,",,~..,.---,..._.. '-'"'''''''~~''''-''''' ',-, ';iKEEP PER~1IT~ARD AND APPROVED PLANS AT JOB SITE; ,., , , " INSPECTION TYPE , f< 'J' DATE .;"" ACCEPTED COMMENl'S C ,,',", ,]"""1' Ir,( " . 'i,',', YES I NO ,', ",",'" to;. '",l FOUNDATlON: <'~ :Jc, ( " r'l' FOOTINGS ',' ',' ','(1,;,' ", WALLS ,".. :' '<:"}",, . I.:. ,'" < FOUNDATION DRAINAGE (':,-'''_';1''.ty'i, 'C',' ,~ A ,)" ", " " ELECTRICAL (LIGHT DEPT) ~~ARATE PERM,IT:!t.. , , ,', ROUGH-IN , , ::",t';,1 .. I .\, , ,.'1, ' ;" PLUMBING, " ."- UNDER FLOOR I SLAB ROUGH-IN "''.5 ,,' I:; WATERLINE 'f,' ':,,"":': , GAS LINE BACK FLOWI WATER " i\ " '" AIRSEAL".'./" ".' , . . ',',', " W ALJ.S , ,. CEIl.ING " }c< ..' ill , ','; ", , " " '" " FRAMING , <J , "", " " JOISTS I GIRDERS I SHEAR. WALL , WALLSJ ROOF ICEIUNG " ", , " ,""~ ',"'" DRYWALL " '", " , ",'" . , " ~<'Y , , T.BAR INSULATION SLAB , WALL I FLOORJ CEILING " I I ; MECHANICAL , ", , HEAT PUMP WOODSTOVE I PELLET/CHIMNEY"INSERT HOODIDUCTS ' ,..::; I .,,' , '," , PW UTILlTIf:S I SITE WORK " <Erlglneenng Division) , ,',' " ,",,/ , SEPARATE PERMIT #'s: WATERLINE I METER ,--, '."1' , SEweR CONNECTION " t .' <,; "'.,.., SANITARY '" ,< "",:' -f,"" -, ~ , '", .....,.',," , i STORM .'. '" ",,,,,,,. ""',i" .... . '~->: PLANNING DEPT. SEPARATE I'BRMrr #'s .",J"J' 'J SEPA: PARKlNGILIGHTING ESA: LAND$CAPING SHORELlNE: . , FINALINSP~qIONS REQUIRED PRIOR TO OCCUPANCYIUSE .. , ..' .. - DAn; ',ii" {"C,;,,~c;gmp,,;, "'" RESIDENTIAL....,...,. ns NO . ." ,C()~,~RC;~,.. , 'pl)^m..!\ ~'~ . ;.-. ",'l'.'",',:",; 'h"."?',, ",;.,.,',(,' .f,:';"j \" "" I.;;, " ;':-~: "'f"", ,.,d>,.' "'.',.. I';'. :,e, ;},;,.' 'ns,,,ij! U'7NO.i , , ...'>-- .. i.".'". "6""" ,'."'\' . .'. . , ' .... ',hr"',' ,"--'. L:. in . , EIiCflijCM: '. "'''.,; 1,,1' . ," t! .,. , ELEctRiCAl{~'LI HTDEPT.'" ";"4174735 ". 'i" ' ..,"", '," ....". ''', ....,.,!. i" ;?~ ,.(j: " '. I..,' ',;;,: . 'LlGHT I),EPT .,: '. ," 'iF') ,''off, ",'i' d . -':~'::';"'!"_/ ,j -rr,"'\, _': -: ',- _,,,- cONmt1C1tbNk.w./PW/; "''',' ?(J;, i" "'.." ",,, 'Jl co*stRtlcTIoN.R.w.'" "/"0': ,et,' "+,;" ( Ii,' " ~GINEERING ":',',{',,,Y:,' , ,)"'L748QV ,q.JJ~J-;"'ri ,a2B I,.', 'iq "pw rENOINEERlN(1,"J;' 'jg~t"., I, . FIRE 417-4653 r . FIRE DEPT. . , ,:,.;; .J"'[ ,,'., " . . , " ., PLANNING DEPT. ,,4174750 '~G pE..t:i , I'\,A.A"/~ir l ' '~4'c..l '., ,. . BtnLDING d'\ 'Ii',:;.!',,"}; " "it', " BtnLDlNG " , ,4174815 ' , .. "i, " ,i) Jrl . , i., C:\APPL;WPD I. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. J 3 s 7 /o//c,/rJ I . DATE Site Address: ,J-O/9 W. fTt 'READY FOR D WILL CALL FOR INSPECTION INSPECTION Installed By: ~ohtJ S /11 7JE. I License Number: Phone: OwnerfBusiness: Phone: OwnerfBusiness Address: Sq. Ft. D esidential at KW D B eboard D Furnace/Boiler D He tpump D Other D Com ercial/lndustrial load Total onnected load (attach reakdown) Total M or load (attach br kdown) D New Construction ~emOdel D Service update/alter/repair :E'FAdd/alter circuits D Auxiliary power (list below) D Special equipment (list below) rtl D verhead D derground Volta e D 10 Service e D Tempor y Amps DetailslDescription: '. ~l "1 ~ f)..h (L'L/J [~~i W.S. No. Service Size Capacity: D O.K. D Not O.K. Comments D Ditch inspection O.K. . Rough-in/cover O.K. D O.K. to connect service A,Ar-Ki. Final O.K. Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending Installer: ~f1 . oJ;.) fA}. 174, S 1t4-0 f- New Meters .-G-- Site Address: ~' Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspecto'n riting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. / & !!!:- Inspector ' Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15822 Port Angeles, washJngtonm.nmnr:::.n=..m:~.9.mmm...m...._mm.. 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- ::::s: ~_:!~~!.~f.:.~:~_~~d?:~:._~.~.~~__~~_I:~~:~__::IO:~cupancy____/~<~.__'~__n______._..._.___._._.n.. Owner --.-(/..~.(r'(~;n~a"..l;::n--niJ Tenant...__nmmnmn_mm._..~_m____.._______.nn~mn-..--...n Wiring Contractor ..__,Mnc.t.'.'---~n'''-_jq:.~~mnnn By_nn.mm.n...m._.___..n_m.._m.mmn......_______mnn Light Outletonnm.L.'m.mnn_.._.m. Service, volto n./.c!::.C5../fP.'lf:.9.. Type 01 Wiring: Receptacle Outlets_...C...Q............____ No. wires .......~.....--~.........ri.-..... Armored Cable ..m___...._m.............. 0- SI I V/O 6Y' Non~Metalllc ~__.~.......__..._.........m_. Dry"" KW mmnh_".:mnnmhnnhhh____. ze w resnm.nL..!nmnm.____.mn_n Rang', KW m.h.L.;:!,.mm.m__m____ Main luse __~M.I.f:m. '5 Enclosure __.m_._m._____m__.__n__m Water Heater: /"" KWmm____.~::!..mhnn----mm-- Heat KWnmn.l.fc...l."..3Bmn_n Knoh & Tuhe.mmmm.mm_h__n______ RIgid Conduit .m.m______.nmmmnm Metallic Tubing ...........m............. Type- of wiring: Entrance Cable ...mnm Ser. NO.n.__............._..........__.____.......... Raceway .........._.__........._......_.__._ C Circuits, Llght..nmnm_.__.mm.mmnm.m Utility ._..9.?.nmnmn_nmn____h._m. ::ge n-!?.:::::::::::::::::::::::::~:::::: Water Heater .:::2'm.n.mm__mnh_ Motor ____........__.............................. Dryer _____.___;;(.-.:................__......__..._._.. Motors: size, volts and phase: :~:t~:::::~:::::::::~:::::::::::::: Rigid Conduit .h.hhhn__._.mnn.m Metallic Tubing ..._....................... Current transformers: No. & Size._..........._...........__............ Ser. No........___................................... Ser. I\'o........_______........_.._................... Furnace ._........._.............._................... Total I.oad.n.____________............. Ser. No,............................._.___.........__ Total .1..i!?..........................__ Remarks: n_mn.n.,.4~b=.:.-.,.m_mGC)-q.'__~t::---t..:mnmmnnmmnnnnmnmmmnn____mnmnm__m.nmmmm. Permit Fee $:-n.3./._{,_~'_m_m_________ Treas. Receipt NO.__n_n..................... By nZtJh~1L~..u::2.~, NOTICE-Current must not be turned on until Certificate of 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. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15822 Address___.__............................................................................................________...__.____..._._..............Date____.......____......_......._.._......_......___.....:~. , Owner.___......_..._.____...............__....._.__......_......__.___.____................_..._..______.________.______..._._.Tenant....._..______..__...____..............._..............._........~. Wiring Contractor.....___.__._........._....~______..._._.__........_..._........................._........___..______.___._.._.._.._.____.' By.........._.__._......._..______........._______._..._._____._ NOTICE-Current must not be turned on until Certtncate or Inspection has been issued. If work Is to be con- cealed due notice must be given the Inspector so that work may be inspected betore concealment. 1M Olympic Printers, Inc.