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HomeMy WebLinkAbout529 E 12th St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 plication Number n number operty Address BESSOR PARCEL NUMBER: plication description division Name operty Use . . . . operty Zoning . . . plication valuation 04-00000772 Date .382964 529 E 12TH ST 06_30_00-0-3-3992-0000- ELECTRICAL ONLY 9/01/04 RS7 RESDNTL SINGLE FAMILY o Contractor ----------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL EXTEND MAST/REPLACE METERBASE 36.30 plan Check Fee 9/01/04 valuation 3/01/05 .00 o c ~ \ ~ ........ r \ '" '" I' ~ t ",0 , ~ "" ) c, ~ ------------------------ OWNER WA 983627941 Permit . . . . Additional desc iPermi t Fee Issue Date 'Expiration Date Qty Unit Charge Per 1.00 36.3000 ECH EL-R OR RM REPAIR METER/MAST Extension 36.~0 I Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 36.30 36.30 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 36.30 36.30 .00 .00 rate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last ction. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of '6 and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not , ume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of truction. ~~ Signature of Owner (if owner is builder) Date LANNINGIFORMSIII02.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD "-' PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. iT is UNLA WFUL TO COVER, iNSULATE OR CONCEAL ANY WORK BEFORE iNSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE. CALL 4] 7-48] 5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # /),... ~ Ci~k<J, h\.R'j ,RnTJrou 1l>!.1A.~ <::." A " " .x ~'. ~ f- t><.f I KIL PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER \. AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEA T PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 9~~I(-oY Ide ELECTRlCAL LIGHT DEPT CONSTRUCTION RW.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPLANNINGIFORMSII ]02.15 [1111412003] CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 17181 - ~-~t p~ Port Angeles. WasbJngton............................................................... 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- mission is hereby granted to do electri';,/work as listed below. Address .....?m.~....'f......_f;___!....:?_...~______.._..mm________m____. Occupancy___M::::?..._m________...____...___ _,ro- &...e Owner "'-G~ij%:tiJ~;;-P' Tenant____________......___..______________.__.................____...__......__ Wiring Contractor ____...___...mm_____........_..._______..___,....._.____mm By.___m_......__......_..._..._________....._.....______.._..______... 3 Light Outlets.mmm__m____.mmmm___._____ /0 Receptacle Outlets...n___..n.............._m_ Service, volts ........00__....00...00.........._..... No. wires ........._..._._n____.__._n_..__n.._ Dryer, KW....hn.___._._....hh......__.....n__. Size wiresh......._n........___.nn__n..._.. Range, KW h_d...n__.....h._ Water Heater: Main fuse ........._.........._.___n_h_...n... Enclosure m_h..................mm__.....__ KWm.--3;-5'r~{!;;8mm Heat: KW.n_.............n.........n.___n..n.n____.... Type of wiring: Entrance Cable ...___nm.m_nm.. Motors: sIze, volts and phase: Rigid Conduit m.m_mmn Metall1c Tubing m_mm_. Current transformers: No. & Size_n_n..___d.n....n................. Ser. NO...nn..n............................_._..._ Ser. No. 00'_'0000"_."".'..""".""'"''''__.''' Ser. NO..nnnnn.........n...................__... Type of Wiring: Armored Cable ..n.m........._.......__._. Non.Metallic .................__..._......_.._ Knob & Tube.........._..n_h.............._ RIgid ConduIt m__mmm____mmm___. MetalUc Tubing ...........md........... Raceway .......____.__................._._..._ Circuits, Light.........____.__.____.__............... Utility ....._.._000000..._................_..._..... Heat _.____..____.................__....._.._.._ Range ._...................___________............. Water Heater ....h......._..._nn......... Motor ..._n._____...____._...............__....._ Dryer_.________................_____.n_.__.........._ Furnace 000000...00___............__....._.._....._. Remark:~ta:..:~~:;.g:_:__:.__:__::.....~:~__~:.::__~0~____~~~_::.~~:;}__;:~__~___~_:~:_:~::~::~.:~__: V _;~~;~__;~~mmm.._..____.._..__.m;~:~~.__~:~:;~~____m_____...__________m-"'--"11!]f:r;1;::~~~'~ $:___.........................__...__.. No....................__....... By __,._______.__mmm.....mm.m............................m__ 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? 17181 / Address._____.n________.__._...______..____._....____......__....__._..__.___..__.__...__._......._.........__.......__._............._......Date..._~.....__~_.._.._........_._._...._......_......._ Owner.........___........______........._.........._......_......_..______........._............______._..___._._......____.___Tenant_....________._.____.______.____.._.________..._....__.......__..... , Wiring Contractor...........................__.......____._...______n_._.._............................_._......................_...._.... By...................................................._.._._.... \ 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 Inspectol!' so that work may be inspected before concealment. \ 1M Olympic Prin1ers, Inc. \ _...,.A- I ! ELECTRICAL PERMIT APPLICATION FOR OFF!CIAL USE ONLY DalelRec' Permit": DmeApproved: DJle Issued \ . The Electrical Permit Application must be filled out completelv. Please type or reprint in ink. If you have any questions, please call (360) 4174735 Fax number: (360) 417-4711 OL/-77Z- Owner or Elec. Contractor Agent: Property Owner: ..f? ~ (.I ;,' ~ Phone: Fax: - R'h^~ Phone: Address: ~? '7 .~ I;:;;. r'1 Electrical Contractor: ~; c?w/A.l.('. r Address: City: P ;f- Zip: 9'i5a ~ t License #: Exp: Phone: City: Zip: INSTALLATION WIREO BY: . t>1:5WNER o ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: City: Zip: Credit Card Number: Exp. Date: VISA:_ MC: 5":L 9 E I Z- -rl PROJECT ADDRESS: TYPE OF WORK: ~esidential Check all that apply: o New iP'A1terationl Add ilion o Multi-family o Commercial o Mobile Home Sq. Fl o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: /P/~ /?J/1-sr - pfm.sz /nHS r -+- ;e,E../cAr..F-_ ~~ Electrical Heat Load Additions and or Subtractions Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall _KW KW TON_LRA KW o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: I hereby certify that I have read and examined this application and know that same to be true and correct, and I am authorized 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 determine what permits are required and to obtain such. Credit Card Holder's Signature: CQwn0r Elec. Cant. Signature: /~/l~_ tS~ Date: Date: ~/( / GCL I / / PERMIT FEE: $ C :/ELE CTRI CALPER MIT APPLICATION