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HomeMy WebLinkAbout125 E 10th St - Building ~'" ~"" ~ ~ - """,,,,:I"'" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000268 Date 4/04/04 .110580 125 E 10TH ST 06-30-00-0-2-9175-0000- ELECTRICAL ONLY / / RS7 RESDNTL SINGLE FAMILY o Owner Contractor GUSSMAN, JOHN 125 E 10TH ST PORT ANGELES 683-2001 OWNER WA 983627807 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 4 BASEBOARD HEATERS UPSTAIRS EXTRA MILE TECH & ELECT., LLC 46.70 Plan Check Fee 4/04/04 Valuation 10/01/04 .00 o (; \'\ V'-, "- ~ ~~ ~ ' ~ ~ ~ ~. \}. ~~ '). "- ~ Qty Unit Charge Per 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.70 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.70 46.70 .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 violate or cancel the provisions of any state or local raw regulating construction or the performance of construction. ~ ~ Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:IPLANNING\FORMSIlI02.15 [11/1412003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALLIHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 9hl/;~1 ELECTRICAL LIGHT DEPT / , CONSTRUCTION - R.W. CONSTRUCTION R.W.I PWI ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNINGIFORMS\1102.15 [I ]/14/2003] CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt! 17146 ;-)/ .yO Port Angeles, Washlngton____.....m__m__..........m.m.___....___...........___.. 19.0.___ 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: i:;~;:~:::€.L~~~~::::__~.~.r~__::.:::~.~~..::lO:~cupancy..........................___....__....__....... ~:~:~~.~=:~:::.~::~~;;~~:~~~;::::::::::::::.:.....~::::::::::=::::::::::::::::::::::::::::::::::::::: Light Outlet"---......m._..........................._ Service, volts ....h._.h...........h............... Receptacle Outlets..........................._... No. wires ..h................................... Dryer, KW..n..._nnnnn...___....____.__.___._. Size wires..................................._.. Mtitn fuse .h..........................h_....... .' Range, KW.____n_____..._____ Water Heater: Enclosure m_mm_m____mm_.______mm_ Heat~:~::::Zi...:::_-.:~:.:---_: Motors: size, V~ltSfand phase: Type of wiring: Entrance Cable _nmm_ -',- Rigid 'Conduit _ . Metallic Tubing __on______.. Current transformers: No. & Size.....................__h__.. Ser. NO.__..._...........h.......h________...____n. Ser. No. ..........................................._. Ser. NO...h__..___hh____._____..__._____...n___... Type of Wiring: Armored Cable ..._........___.__n._...____. Non-Metallic .._...._._____............._..... Knob & Tube................._.............._ RIgid Conduit ............___.mm....._... Metallic Tubing ....mm................. Raceway ___..______.__._.__..............._..._ Circuits, Light.___._..._______.._.__._............... DIllily....m_..m___.____mm_m_..._......... lIeat .___________..........._.............._.._ Range .......................__._....._____________ Water Heater ....h......................... Motor ..._...._......_._n_..____.____n___......_ Dryer .............._............__._....n.._n.__.__ F urn ace ..........................~._.h._.____ ....., Total Loadm_m....m..m.......... SO'. No.m.-.mm.-...<;t...--........711 '().? Total ..._m_m_.._...___..._m..__.mm Remarks: .m..______m_______~:__.__<~:::~____.______,..~:.:----------.----------.---------.---...______.....___ -;:;::;~-;::---.-----------.--m--mm;~:~:.--~:~:;~~m-----.m--.m---------B..--.~~rf..lf;~~~,~~',~.~~..~~~.~~:~~ $_____.___m.m.______.__...m.m._ NO.__.__.__m____..m__m__. y ""__m___________.__.mmm___m.__.______________________m__ ___._ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If 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? 17146 Address._____________................________._..........._.....n..._.___..___.._..__..................__..__.____...._............._......_..Date..._....______.._.._.........._......_......_......... Owner........__.._______................_.....__.._......__._..___.___......_____...___....__.._...._____.______._____._______.Tenant________...........__.________________.________...___._............. ~Wlrlng ContractOLmmm__.._........._____......m.m......__m_.mm____.__..._.____..._..m..m.________________.......__... By__m__............._.........__..m.......--...-.............. NOTICE-Current must not befturned on until Certificate of Inspection haa been issued. It work is to be con- ealed due notice must be given the Inspector so that work may be inspected before concealment. . y/V11) ELECTRICAL PERMIT APPLICATION FDA OFFrClAL USE (JNL. D.1c1R~ __..__..__..___ PcnTII! If: .-.___u___.________ Ollie Approved. ____..____ Ollcb"llcd _______._ The Electrical Permit Application must be filled out comoJetelv. Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (J60} 417-4711 Owner:or Elec. Contractor Agent: 5(,.. IT M S""''''''~L Phone: ,}(,0-1>7- 5;J.;]) Fax: ?'O -is" 7 - YS-' S- Phone: t? '13 - ,;l 00 I hopefly Owner: 3' '" L-. '" G ........ ~ ..... .....v AUdrosS: /;lr E. /O"'~ Eleclncal Contractor: EXhtll M./~ f-~cJ\ City: L E/~(klCt< / Zip: ,4ddress' license #; Exp: Phone: City: "'STALLATrON WIRED BY: DOWNER ~ECTRICAL CONTRACTOR Zip: Credit Card Holder Name: Billing Address: Credit: Card Number: _ City: PROJECT ADDRESS: l.;z s ~ Zip: VlSA:_ MC: Exp. Dale: TYPE OF WORK: i /O~ Check ~ that apply: o New r;t AlterationJ Addition X Residential 0 Multi-family o Commerciai 0 Mobile Home Sq. Ft , ,] Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump Numberiof Circuits added or altered: 2. o low Voltage 0 Telecom. 0 Sign DESCRIPTION OF THE ELECTRICAL PROJECT: o/,opu ?/D<Ja. Add 1 13/1-~ I" T3tJ<<-R D 1-I~t:i..{....A.4- Q W !'Iectrical Heat Load Additions and or Subtractions ~z Service Information ~asebJard f Furnac~ r : Heal Pump , Fan-Wall ~.t. KW KW TON _KW LRA ~verhead Service o Temp Service o Underground Service Voltage: / :2 c.> /z ~ 0 Phase:!iI'1 0 3 Service Size: :2.00 I/- Feeder Size: "1/ Q. - , I hereby. certify that I have read and examined this application and know that same to be true and correct, and I am authoriZI:Jd to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are reqUired; it remains the applicants responsibility to dete~ ine what permits are required and to obtain such. Date: 0'/11/0-/ I Credit Card Holder's Signature: 4/v/o4- Owner or Elec. Cont. Signature: AI- ~ ~.(1, ~ Vi! Utc..,- LJ77 l--( -rz( - 0 l::- "t<; I~---- , " AI' ,/ ~-L PERMI'T'FEE: $ C 'clcCTf,ICALPERMITAPPLlCATtON '11Ar- ~ Date: '1(;., ]() #ctr9 $/5; loti