HomeMy WebLinkAbout125 E 10th St - Building
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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
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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
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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
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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:
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/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
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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