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HomeMy WebLinkAbout1705 W 12th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Driveway Owner Contractor EDWARDS GORDON /BILLIE 1705 W 12TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total 50 00 Plan Check Total 00 Grand Total 50 00 Signature of Contractor or Authorized Agent T \Policies \1102.15R [1/05] WA 983635309 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00000347 506235 1705 W 12TH ST 06 30 00 0 3 6095 0000 PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY 0 OWNER Date 3/21/08 RIGHT OF WAY DRIVEWAY 123232 50 00 Plan Check Fee 00 3/21/08 Valuation 0 9/17/08 Qty Unit Charge Per Extension 1 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00 Paid Credited Due 50 00 00 50 00 00 00 00 00 00 00 Separate Permits are required forelectrical 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 fora 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 law regulating construction or the performance of construction. Date Signature of Owner (if owner is builder) Date PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE /METER SEWER'CONNECTION SANITARY STORM 'SITE,DRAINAGE SITE EROSION'CONTROL PARKING SIDEWALK. CURB &GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE INSPECTION TYPE DATE ACCEPTED RESIDENTIAL CONSTRUCTION R.W' PW/' ENGINEERING. 417-4807 FIRE` 417 -4653 PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 T•\Policies \1 102.15R[1/05):. 1 YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO- COMMERCIAL° DATE' ACCEPTED YES I NO CONSTRUCTION" R:W PW ENGINEERING I FIRE DEPT. I PLANNING DEPT BUILDING COMMENTS bt..v - ::2 .3-' .r- 11 IS <.f , CITY OF PORT ANGELES I' ~ DEPARTMENT OF PUBLIC WORKS ~ r V . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . ". . . REQUiT Date -- 1- 75 I Time Received by (phone, person) Sewer Foundation Framing / 1 0 <) LJ / J--t~ /1iiL ~ /3 r T LA-I I' ( ((1 /- Phone No Permit No Chimney Plumbing Final Sewer Excav Other {l /(t b'2-- Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) INSPECTION NOTES Inspected Date Remarks Time By D () +- R-e I'U-e{~J 5fJ'- u ,('-.( 1 t1 f' ~ l:- --e)( -e (/+ F-r d VJl 1f /,Ij?-C LA) t .-}h. C11/1 Cl\.. f )1. ) 2.. ( J ~ I g,t 5 LlV\V\ ( ---7' be)' /' I --- I .. - I!t" ;5H -:.v, ~~ ) 1- ~f\ -- ~ ' . , y~ ''< ~ J. ~ ft ?f ~ \ ' \ L, *fJ~ ~ r" [) ! jlL))/1-t1l I RESTORATION REQUIRED YES / VNO SURFACE RESTORATION / SURFACE TYPE 0 Unimproved 0 Gravel crAsphalt 0 PCC 0 Other o Repaired by City Work Order # , 1 '6 l( . (C- J ?-- c;- ) [] Repaired by Permittee ~. COMPLETE r -- (.... . []No Damage Found 0 INCOMPLETE 3-11-0. /H.fl~ 51-Jr--<: e + (' r C) :- 5 /Md? STREET SUPERINTENDENT IDA TEl REQUEST Date ~ -- 11- 0 L CITY OF PORT ANGELES D'-v - 20(5'- 21 ~() DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . .. 31 t Time Received by (phone, person) Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other Lv C, t- ~ y 110) W / .:z. tI\ f, Lt) I) ((,~ /1 {It i- g Phone No Permit No Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) INSPECTION NOTES Inspected Date Remarks Time r?o. /J-e L I uP t:1U-e , By 4etp ~2--- If- Eo ~ :i ' -f--c-, ,Lc<.. h d. :s- /cy:' / J;J RESTORATION REQUIRED . YES NO L--'~ ,10~ kh, fo.) '; ~ y 1r- ()Dt ;VI' , \ ( eP \12-' ~ ~ w I )_~+i\ . ------7 72. :{-\ X - '" ~ -.z- t * \ SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Repaired by City CJ Repaired by Permittee CJ No Damage Found Work Order # ~PLETE o INCOMPLETE o Other 21Yo IContinue on reverse side if necessaryl STREET SUPERINTENDENT IDATEI Dt...V - 25"1 ~-- /718'1 City of Port Angeles Public Works Department Water Distribution Repair Report 'Work Order No: I --; <6 y Reported: L/ :39 () ( Condition. Repaired: (.bJ -L/ -.!!...J Source: Repair Location: Address. Loc Description. Component Repaired: I Crew. /1(( Emergency Routine Citizen Complaint V Leakage Survey _ Other 1;0) L0 I J-~ Main Line m#: Main. Joint Cir Break Long. Break _ Hole Service: Tap _ Line Valve: Flange Nuts, Bolts Hydrant: Branch Other: Corp Stop_ Split Bell _ Clamp _ Pipe d Stem Curb Stop _ Bonnet Other Valve J ()T~ Banrel / f- E f3V( 1+1 e fJ I ;J 116 -e 5' A/-(G~) f-l:- r/p--<- )" Repair Type: Clamp _ Site Condition: Surface Curb Damage: Cuts: Street Cut: Ft. Dresser Other Gravel Roadway Asphalt Street -L' Sidewalk_ Top Soil Area ~ Soil Type _ Main Condition: Curb Cut: Ft. Sidewalk Cut: Fc Diameter- Inches Material. Depth of Cover' Ft. Internal Lining: Tuberculation: Nt A External Corrosion: Nt A Special Conditions: Bedding: Other Structures. Samples Taken: Water Off: Apparent Cause of Leak: Lu f 5/19/98 ,. ,. , Joint Type' External Prot: Minor Localized Severe Extensive Pipe Section _ Coupon ___)./<'5 AI J<?.._ From 2 tit 6 ( To -L _M IJC, () () f-U{-7::- "Z From J-.t ( /~ TO__M JL.' J'Yl,(_RJ rrcHf) olj '} /t.r f E ~/p~ 13r{ JH~ +--h ~11. l../ r ;/1/ Hd 1--(' 7 I Page 1 PW-902.09 407 FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 33'3 PERMIT NUMBER ,f. -- - III'lLVtJff - - - -.. ~ 00' \ /, E83ty;J . ..... ~ \ - TOTAL FEE 10-- . " " CONT:UC.NO. " ~ TIME TO COMPLETE . NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address 1'70.$ VII - 12.;t,/ , CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED O~ner (.;O!?IJEN FDa//JRD <) , Installation By //AI.PCfi5EAlS EL'€C7/?/(; Owner's Address 1'70.'5 W 1c.14 Installers Address /42(';, u/ //7-1 ' Day Phone 4.1:;'2 '-,93"11. Installers Phone, -157-?f?o, ? Application is_ hereby made for Permit ~o install Electrical Equipment as follows: RFP/J-/!? h//RIA/C /7AMI'lGE //1/ /-/.(M',F F//?/i! 3 - <1 CIRCUITS Wiring Method, /(,1;1&,.;( . NUMBER AMP 120V ~ 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER. 10"OA FEE USE OF CIRCUIT PEA 100A FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 LIGHT SIGN LIGHT -- 50 VOLTS OR LESS , - MOTOR - CONVENIENCE CONVENIENCE MOTOR . APPLIANCE .. . MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM . -, RANGE MISC, OVEN WATER HEATER LAUNDRY DRYER - .., -.-- REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL F:EE GAS - OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ElECTRIC HEAT , TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER " A.C. UNIT AMP PHASE .. FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE .., - AW.G. I SUB-TOTAL .. SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed u-nder this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made ',0/88 - I ,19 f/5' By ONTRACTOA OR OWNER (OR AUTHORIZED AGENT) Permis~ion is hereby given to qo the above described work, according to the condition hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of t~e City of Port Angeles. " ' - \ \. DIRECTOR OF CITY LIGHT "i WARNING BY~' PLA s APPROVED Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on befQre inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457.0411 Ext.15B. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ . Date Permit Issued WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC. REPORT OF INSPECTOR t ' 1 , DATE OF VISIT MADE BY REMARKS - " "i- (, 'bJ" ?/Zf JJtjl(( t{/ ('c>,.I""ecr'oNI' reR.. L.c.</ T-X Tt-o'1f? . c:- o ." /!'I 8uJ -{". N( ('Lose'! . , " .. ,~ ; , . . , ; , , - - .~- - , .. .. , ; - " ,,' -- .. '. . . ,. - . , , .. .. .. . .. .. .... , 0 -- . - .. -, - .. - . -- - .. .. , 0 ; - . , . . .. .. - , .. 0 - .. - , ., , I... . . -- , , .. . '. ,.. - . , . . - : " . 7-( . 'b) 71ff~ . O.K. FOR COVERING' ,. , 0 O.K. TO CONNECT SERVICE .. , , FINAL O.K. , .. " . .- " ", 0 0 . , \ -, \ z Cl a: cl: :!E !a J: I- Z W . I- o Z o Q .' 16909 Port Angeles, washlngton........!.?.~.~...L_#:::.............................., 19.)..'(' In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment In, 01;1, 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 ..j?9__~=.k~__I..?!.__r:f:.__________n__._________________. OccupancY.n~~:::~.-------.--n_------------' o~er ---------?f?f~~4z;:~~;~~~:tJf1;s,:L----.--------.----.---n.--------------noo.------.-----.-oo------- Wmng Contractor ____oo.._________.______.__.,___._________.___.___n.n___.____.. By_____.__________________.____.____________.____.._._____.___.________ Light outlets.___________?___.P_____________ Service. volt, __./~__qL.!?fl'~.t;). Type of Wiring: ,,0 3/ Receptacle Outlets.........__...........__....... No. wires .___...;._~.~' ..;,:,{.......;-.1--... Armored Cable .............---.........---- G SI I /. V '-'l?, /' Non.Metalllc --------------------------.--.--. Drye" KW.._____.____/_______~------m.----n.m ze w re'----;~.---.n-.d-----<--' -- ~l cJ e:J$ r Knoh & Tube______._____________________..... Range, KW .n_._.....________~._~......n_______.._. Matn tU!ge ...........n............. d.......... Water Heater: -""" Enclosure .......;$.......................... 7$5 KW.__.____m__;;:m;;;mr__.-J!:r.mn Heat: KW....__.._...t;;/.':?::.(...2...IJI!.~!._: r CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Type of wiring: Entrance Cable ......___un........._____.. Motors: size, volts and phase: I tl2.<.'",,,.6' Z~::::::::::~:::::::::::::::::::::::::: Rigid Conduit mm_m..........m........ Met.lllc Tubing __..m.m........m..m Current transformers: No. & Size......................._............... Ser. NO..n........___..................n............ Ser. NO..nnd............n.............n.__n.... N':' RIgid Conduit ...........__...............__. Metalllc Tubing ........................... Raceway ........:::;;;;;........_......____ Circuits. Light.....~.........m......_____....____ f'" Utility ....nun......,.._..._................_n. G lleat __............................................. 'So<" Ran.ge ..........................__._.............. ;;;r Water Heater .....d.....n_................ Motor ..._......................................._ ~ Dryer .............................._...............__ Furnace .........................,~.........nn...... Ser. NO....._..nn............nn...........nn.... Tot.l Lo.dm.m.........;'____.m... Ser. No. ......__........._.........._.............. Tot.l ____62__i..:.................... Remarks: ________mm.,-:.':.~~""..,...1:::':'.:.______...~~:?:.':::~y-1.,__!:...________m....__m_______________...______m......m__..__m.m . ......----------..-.--.-----------...------------.---------------..---.-------..---------------------..------....-..--------....------------.------------....--------..--.----- .~~:;~.;~~-------.m.m--.-------m.;;~~~:.;.~~~;~~m----m---mm.-------.---~?17--lJ~:--m4----------2-. S:u__3LL.Q..mnmmnn... NO._n.._m_______n_.....____ By L{_,___m...:~..:m_______m:::'_:::m_~:~::____!:~~~, 4--.,.. NOTIC~urrent must not be turned on until Certificate of Inspection has been issued. If 'work Is to be eon- 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? 16909 Address.........__........_......._..........._.......__.__..................._......................__...._d......................_.........Date..._._...._.._.._.._...._.....-.--...-......-........- Owner...........__.............._.._..~........_d_.............._.._.............__...........................................Tenant.............................__...............-..................... WirIngContractor........................_.........._......_......................:........_........................,....................By....................._......................................- \ NOTICE-Current must not be turned on untll 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. .. . \ Olympic Printers, Inc. , 1M . .