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HomeMy WebLinkAbout113 E 9th St - BuildingDATE' PERMIT 3f 3 1/I I -62`74 OWNER r2i01?7'!'zl :1 6._'t tror —1 CONTRACTOR ADDRESS ELECTRICAL INSPECTION WIRING REPORT 417 -4735 APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL et CORRECTIONS NEEDED: "34 Ti- ATFbIM fr-1 Frt.o yJ 6 F M T _R Nsti LTb/ o F n r-221 *A -2 4 a is T;if_T 1 4 A 4 PAt- 1 5 c INSPECTOR NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc ang el /meter and mast Owner GERMAN JR ROBERT G 3325 E MASTERS RD PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total WA 983628749 Signature of owner or Electrical Contractor X G \EXCHANGEBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 11 00000274 283872 113 E 9TH ST 06 30 00 0 2 6860 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 ELECTRICAL ALTER RESIDENTIAL ANG EL REPLACE MAST 183129 119 90 3/31/11 Valuation 9/27/11 119 9000 ECH EL 0 200 SRV FEEDER Plan Check Fee Charged Paid Credited 119 90 119 90 00 00 00 00 119 90 119 90 00 INSPECTION TYPE DATE DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Date 3/31/11 RESULTS WA 98362 0 0 0 Extension 119 90 Due 00 00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date- 03/29/2011 19 30 FAX 360 452 9265 City eflortAngelis Pinot Application ;0 26pectIona 421:ErafFinnigniaty•fil..ac 1100 .PaitAitieitiVaill14165,10312 pati3501-41r41746fiar) 4174711 Data: 3 1' •12 Single Fan/K*004 MulticarnitorCcinimerdar CamrnerclidAtince /Alteration Remodel Repair' Plan:ROvIci May Op ROOK Pleas Compl Plan Review InfonnationSpeat JObAddtator 0400;(0 ep DatiOlption.of.abOvell, .0-41 Ate.s.t 'N MaUIng Ad Cltr. -Phan LIcaninritl_Bqx UnItcpartia •11900 4145.50 20410 26221 4 372.50 4 -73.50 5 2.60 '5.92.70 4 -110.30 4145.70 1.67.90 5490 4540 S. 5543 .I3 S W0 $119.10 102.10 511030 35.20 I 73.50 •Ux .51444-t'Affe Ste nthce_ 191.--gs Servl Amp; S Angeles Electric Name: -426"EiglfreZat Mailn&Address: 52-4 r AerAtvighemss 411. 02figr-- Phone; A•tr2. 4' FCC 41 SUZIallr Manse Lex 41 gs a0001/0002 aarle•Cuder 201.400 Amp. asitterapir40141X1/Ina. SentalFaxler 001•1000 Arra. lienftlFeektor 1000 knp. kind' CliguttY0 lots Few* Biondi CM* WM Baia Fader Each MANI ITO anall Tam Bata/ Fork t OM. Temp. tignix/Fsedw 2G1400 Pap. Tamp. Sonteirindor 401400 My. Tamp. SeivitiF.etsr.I01.1X0 Patel b Pachttianty etWOldam Stand Ma/ UMW Enww-Corinerdd. &dewed 4500 $5JX1 Sigial qua Litesd Energy 2 Foray Nang Ctoti UmIKErlirlP Winn* MIN Vonifidarel Ittne Condon Remo* 111.0kitenaly WA System or Liu Fest 1300 epee Ft Each Mgdast1500 *pare R cr Palen rit Each Oulbullrg re MOW Ow. Bah SatrinitaiNOttavp lbunteild Teti O Omer Fa wimpy the airman far tot solft etwilbh OM* mod b rmanzw.1 Owner Is vegultir to Mast Oaks, sontracior ibevirig0Ipile 1i *Irish, mitt kattqw.wmit 'gams illy sbunanis of Iset0Ipottlon. Afte4ei5Ingthe ebetietioneed; I hereby es* thet lam the war dee above mod properly era leaned *Wad eastmeter. I tun Indio the *Mid itete5etto or 41t6fittio1ircligaraha1 Olt ofadrkalliss, LW, ROW. Chapter 1525AVAC. Chigar4510458, mac ye? Pat Mello 11105010e1 CO5015 Ualt/110 itinetunket rimer, added eantrader or elsehleat admintsalax 0 CO re• 01011011101110Mmge 03/29/2011 19 30 FAX 360 452 9265 p..eorlrpieta Por larNntserrIse: Name and address of party responsible for permanent service billing? Contact information Site contact: Contractor Electrician: Excavator. Project Type fir ngle4amily residence Commercial Overhead service Uncle round service Project information Street address lot number. Desired connection date: I Electrical transformer servin Nearest cross street Tots 1 :sa u a ri fo eta Voltage: in/ return to Public Works 6 UtIIIBes D.e stt rent Name: Street Supportiliti Di .ulrrcntAtion 0120/208 3ph 0277/480 3ph Other and residential loads (Lighting, refrigerator, dishwasher washer) ton) Range/Oven Hot Tub is Dryer Heating Pumps Hp) r Heater Elevator Hp) Other Please provide a copy of the following: 'Detallid`plot plan (.dwg or .dxf fo mandatory for subdivisions). 'Electrical one•iine drawing showing the service entrance panel•and location. 'Connected load data. 'Size and locked rotor amps of all motors over 50ha. Applicant's Signature: r: Stan Check all that apply' A/C Ci NE: o Load Change Wet Name: Daytime Phone: Name: Daytime Phone: Name: Daytime -hone: fisting MAIL OR DELIVER COMPLETED F'ORM TO: 321 E 5TH STREET, PORT ANGELES,'WA 98362 FAX TO: 360. 417 -4711 Information formals l NAPWKSt10/171 NORIfOrlpineihnIntorme4 form Angeles Electric Z0002/0002 Electrical Information Form Public Works tltllNles Department (310)4174700 City Electrical Inspector OR 417.4735 P�l/fv4u 4— am ///en State I ZIP' e 1 fltr`— g Daytime Phone: 7 Home Phone: (If other than above) Name: Title: Daytime Phone: 7 1 .1t i/ Comoanv: e* oy- Company Comoanv: Description of work: /_3 is: [dfi aole on the ground a. ft. 1 ph ONew UMuiti:family residence; of units ❑Subdivision; of lots 0 General service ❑Other Main disconnect size: -WO am Date: 3/2 -!41 WS WF ReVIseO 1.1000 1 REQUEST' Date q -/y - OS- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS , , . . . . , INSPECTION REPORT. . . . . . . . . . Time 10 00 fJ f'1-\.... Received by f){.V1vt I '"J E - (phone, person) ~ 0. -ft-.. Location of Work to be inspected I I '3 c. /- Name of person requesting inspection o etA j,1 I s E Address of person requesting inspection 6?r () Y ~r j" f Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney Plumbing Final ( 7 ~& , Phone No L/ /7,'-1 'g,-{Cz Permit No Sewer Excav Other LV'cL+e.."r INSPECTION NOTES Inspected Date '7 -/(:; -D <) Time [" I A ~ By OLtt ~:s C Remarks t2.~ pc.. I r~cl 10" It -L PIlL {e" /.4/t1,~ .Lx T a. h...u 0 ~Pe 00. @ lIVesT ~f' e 1-)-S,de-uJ~ / I-s,E9 CO- 4--G Pi p-e {)P is /11901/ -J-o ~'f wes;L ;;; -H~ 67~T /T /s /2 ~ II RESTORATION REQUIRED YES NO X -.. ~ ~ .-J ID'" A-L. ~......... '\ f () ~{ Cj-+~ ~. (/. '3 I t:M.e /F p I~ I t1J . ~ (f L c...r- 2..7{' it. E C; - --..........~'\ -iY 1-.' ~ V) - Cf I .~ ~ v ~ '- - '-T ~ W SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel o Repaired by City [] Repaired by Permittee [] No Damage Found o Asphalt 0 PCC 0 Other Work Order # iflCjs-3 -00 I o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING PERMIT OWNER/APPLICANT BOB GERMAN 113 E 9TH STREET Port Angeles, W A 98362 360/452-9615 T: CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East Sill Street, Port Angeles, W A 98362 ISSUED: 12/03/2001 PERMIT NO: 13122 PROPERTY LOCATION 113 9TH ST E lot: 13 Block: 268 0 long legal Subdivision: Tp.\ S: Parcel No: 06 i000026860000 CONTRACTOR PETTIT Oil 638 MARINE DR PA, W A 98363-0000 800/972-7002 PROJECT INFO Project Value: $500.00 Project Type: TANK ABANDON Occupancy Type: Occupancy Group: Construction Type: Zoning Use: RS7 ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 SFD sa FT: 0 MFD Units: 0 MFD sa FT: 0 Commercial: Industrial: Garage: o o o -:-", V fV\ --C) ~j: PROJECT NOTES TANK ABANDONMENT RECEIPT #8575 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Misc Fee 1 : TANK ABANDON Misc Fee 2: Misc Fee 3: $15.00 $0.00 $0.00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: $15.00 $15.00 $0.00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and exam imrl this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions 0 any tate or loeall regulatingThe work speCIfied in the pennit. ~ jQ"3--o / Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is budder) Date FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire 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 FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test #1 Above ground piping inspection/pressure test Piping pressure test psi Tank (container) inspection Time initiated Test #2 Appliance inspection Piping pressure test psi Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final EiP/t-eJ &rlMtt r:;1/ /o6/OS- }4}j) I Inspection Type I Date Passed I Comments J GENERAL COMMENTS: 2/15/00