HomeMy WebLinkAbout1011 Madrona St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
04-00000980 Date
.360500
1011 MADRONA ST
06-30-08-5-8-1260-0000-
RE-ROOF
10/26/04
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
subdivision Name
Property Use
Property Zoning . . .
Application valuation
RS7 RESDNTL SINGLE FAMILY
700
Owner
Contractor
ELDON E/CATHERINE W OFFICER
1011 MADRONA ST
PORT ANGELES WA 983632326
OWNER
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT
TEAR OFF, FELT,
53.10
10/26/04
4/25/05
- NO PR FEE
COMP
Plan Check
Valuation
Fee
.00
700
Qty Unit Charge Per
Extension
47.00
6.10
BASE FEE
2.00 3.0500 HND BL-501-2K (3.05 PER C)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 53.10 53.10 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 57.60 57.60 .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 speCifie9...herei~ not. TI:lEl" granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or 10c,9Y1aw r~ulating nstruction or the performance of
construction. . // ... /' /.
K.c"-
Signature of Contractor or Authorized Agent
Date
T:IPLANNINGIFORMSIl102.15 [11/14/2003]
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 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
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
Wf'TER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR'SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE / PELLET / CHJMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
P ARKINGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL. LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 11- 111-00.../ .1, L BUILDING
T:IPLANNINGIFORMSI1102.15 [11/14/2003]
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15745
if-de; ?r::.
Port Angeles, Washlngton.mm....,........_:.'_..umm...m..m.......m.m.. 19'000""
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 electrical work as listed below.
Address ._njl2jlu.u_91.t~uu.un_____._______u_n___u OccupancYuA.R-",," em:.ooou._._m__.___ooo_
'~ Ai/.-.' - I ::tl '
Owner ooou'__~'f':'___!?_u"'.:~:"".~.ooo\~n___u:.uu..,__ Tenant_mu.uuooo.mooou.._nnooo_.__uooou_______u.._.uuu.ooou..u
. . -' /);{flA P /t-..2!--
WIfIng Contractor .ooo.oooooo____'___..~u__.dl'E__m.u_____n____ooo_ By..____uuuooouuu____n______uu.ooo_nnn__u.umooo.____.ooo
Light outlets_________./__~___________________. Service, volts -/J._<:;/f!2!/-.f'h_____ Type of Wiring:
Receptacle Outlets.m:1...~......_...___.. No. wires ...._1__.m___m..m_~...... Armored Cable .............m...__.........
. -- SI~~~;?/
:::::,I::._._..j~_:-_-_._-_-:_._..__-_-_--:_-_--__---_---_- ::~n ;~::s:::~~,A:::::::.:~::
Water Heater: Enclosure .:$.........._____..._...m..._
<I ,,-
KW___mn____./.__.Lnh____u_____
I-1.." Kw.________(&../..$...~~___.h.mnm
,..
Type of wiring:
Entrance Cable ......_.mumm.._....___
Motors: size, volts and phase:
'17t;:::::::::::::::::::-::::::::::::::
Rigid Conduit .________________________n____
MetallIc Tubing .m.__m.m.............
Current transformers:
,
No. & Size__..........h__.....~........h.......
Ser. No............_______.____.._____..__..______...
Ser. No._____.__.....................................
Ser. No.______.___..__.....___.__.....____........__.
Non-Metallic ........................._......_
Knob & Tube.......____.__.................._
Rigid Conduit ___..uuu___________m______
Metallic Tubing _________________m.m___
Raceway .........._...................._....._
/"
CIrcuits. Light._...5-......_______.._.....__........
Utility u.___::C::uuu_________m_________uu
Heat .__._.6__...__..____..______________________
Range __.A!_______________n____n____________.
"'1 .
v.,rater Heater ~h....-..........m..--...
Motor ._._.__................___..____............
Dryer __.__..B................__................__
Furnace ......................._.'_.________...__.....
Total Load....____......____._.__...... Ser. No........__..................___.__....__...... Total ..2...?:................._._.._____
Remarks: __.u__.um.A.~u,,?'.-ooo&.-.....v.;:u...If:r-.-G:~c-O..uooo..i!~--oooooo...Z~.u--ooo-----.
___..._m_______mm___.m_:='.:_~_~___=_~_~'.=~.:~_~.n=m___l___m.____nm__~_____mn.____.n:____.__.u._m___h__.u.____.___~___un_uu__u__________
Permit Fee
:2 --0'
$___......f__ff..ooo____ooo__'_________
Treas. Receipt
No...________.oooooo___________
'1f~ #0~~
By un'" ___.v.m___._ooo__.__oooooo.?!~.__.;,.I..;-'='.oooooo---.
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
cl' :/. /(w- Jj .8
I' ) '/ ELECTRICAL PERMIT
'-.
N?
15745
Address .____.../?2/Ln ____it!.;.-;;~.4:2"_.d:.___________.___________.____.__.m_.________ Datem____.__________m________________m_________..
Owner _____m__m_______....___~z:::.-c;d2t(;-~--.--n(k\-~--- ____ __ _ Tenant._nm_____________m..__u_________________________________
Wiring Contractor..___________.___.~"'f?..Ea---t:-..----f'!(:6.JT'-~--.nn. n___ _____m______m_ n___ By___n_m_m________n_n_..__...______..n_..____..n..____
NOTICE-Current must not be turned on until CertIficate of Inspection has been issued. It work Is to be con-
cealed due noUce must be given the Inspector so :;that work may be inspected before concealment. .
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