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HomeMy WebLinkAbout527 W 12th St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00001009 Date 10/14/03 527 W 12TH ST 06-30-00-0-3-4870-0000- RE-ROOF 900 Owner Contractor PENDERGRASS PAUL E 527 W 12TH ST PORT ANGELES WA 983627502 OWNER Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE ONE LAYER OVER ONE OF SAME 59.20 Plan Check Fee 10/14/03 Valuation 4/12/04 .00 900 Qty Unit Charge Per Extension 47.00 12.20 CJ\ 'V --..J BASE FEE 4.00 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 59.20 59.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 63.70 63.70 .00 .00 ( '\> '-t ~ \j\ ~ 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 ~ 80 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 o~ I~ w regulating construction or the performance of construction. . ~ { oj /1.// oJ Signature of Contractor or Authorized Agent. Date Signature of Owner (if owner is builder) Date T \PLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 YES I NO - FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT # ROUGH. IN I - PLUMBING - UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION - SLAB WALL / FLOOR / CEILING MECHANICAL < HEA T PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKINGILIGHTlNG ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W I PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 ~:F{JI y€. cL PLANNING DEPT. BUILDING 417-4815 tJ'.)' U / be;- Rv BUILDING f T.\PLANNING\FORMS\J 10215 [4/2002] 'Q ~~ CITY Of PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION nl EAST STH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdiv1.s1.on Name Property Use Property Zoning Applicat1.on valuation 7/05/06 06-00000701 Date 164948 527 W 12TH ST 06-30-00-0-3-4870-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Owner Contractor PENDERGRASS PAUL E 527 W 12TH ST PORT ANGELES COLEMAN ELECTRIC P . 0 BOX 13 2 6 PORT ANGELES PORT ANGELES (360) 452-7594 WA 98362 WA 983627502 Permit Additional desc Perm1.t p1.n number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL COLEMAN/ 200A+100A SVC CHANGE 81570 COLEMAN ELECTRIC 102 10 Plan Check Fee 7/05/06 Valuation 1/01/07 00 o Qty Unit Charge Per 1 00 78 7000 ECH EL-RM-0-200 1ST SRV FEEDER 1 00 23 4000 ECH EL-RM-0-200 ADD SRV FEEDER Extension 78 70 23.40 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 102 10 102 10 .00 00 Plan Check Total .00 .00 .00 .00 Grand Total 102.10 102 10 00 00 COMMENTS/ACTION NEEDED ~ ~ N ...J t \ ......... ~ \}: V\ ::--1 \ \, ELECTRICAL PERMIT INSPECfION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC'iJON-TYPE DATE ACCEPTED COMMENTS / \ 1 I, . . ' , YES NO , \ ..- ~..:o I)l"n :H HIli 11TH-IN !CUVbK SERViCE FIN AT. '-.2R...C'A~ /1 GENERAL COMMENTS: PW-II02..' 14'961 CITY OF PORT ANGELES LIGHT DEPARTMENT N~ 17808 ELECTRICAL PERMIT "Y- / :)- y~ Port Angeles. Washlngton.m__m.__....____...._....m........._..m.m.....mm. 19........ In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment in. 01).. or about any building or other structure In the City of Port Angeles. per- mission Is he~bY granted to do ele~l work as listed below. Address ;i-.?!!!.z.--~-i~.{lm...uuduummuuu.um.u OccupancyuL1.,g<~mm...uu.um.m.__u ~::~~~:~~.::~~~t~~.~~~~;::..::::::::::.::.....~::::::::::=::::::::::::::::::::::::::::::::::::::: LIght OUtletBoooon...m.....:oo=...nm_.._..... ServIce, volts /i!,;coo:;1):=-.C!..n Type 01 Wiring; Receptacle Outlets......__.............._........ No. wires ..:J..__.......____h._.LI....... Armored Cable ...-............-.--.......... SIze WlreS~..~...._oo Main luse n;;!.Q/!...a....noon... S Enclosure ._..m___....__.__...__............... Dryer, KW...uu.___du.unn__.__.____.n_...... Non-Metallic ........_.__n_..............____ Knob & Tube..._________hh............._.... Range, KW._______.m._______________._ Water Heater: Rigid Condult ...00..........00...000000...00 Metallic Tubing ......__..._h...........__ KW"U...n.n'dh"'1....nnum. 0000. nm ~:;~:~~;:~~ ~K: y'/ P "Tn..'1(dl.n/Y..fm~ Type of wiring: Entrance Cable ..........__m.............. Rigid Conduit .......__....__.. Metallic Tubing ""m____ Current transformers: No. & Size............................ Raceway ........___.__...................._...._ Circutts, Light................__......._............. Utility..........____n__n__..............________. Heat __..____................._..................... Ser. No............_______.___....________............ Range ................oommoooo.....n..mmn Water Heater ....__..h............._....... Motor ........__.__.._____._..............._._..... Ser. No. __n__............................_____.__... Dryer __._.___.._...............____..__................ Furnace . .............._.........'~_........ .... ._.... Ser. No.........__.._____...___....................... Total Load........................._... Ser. No. ........._____n_________.h....~.......... Total ....._....____________n............... Remarks: md.....uummu'.'7'___!Ld:."_.cu.-:;!~~l..u.~-!!'u~.~ummmm..mum__umumum_mm..umu.m .;~~;~.;~~mmu.mmumuu--u.;~~~~:.~~~~;~~uudmu.muuu.m--um(f1jf;71~?::~2umu $.u.uuu____muu___umm.mn NO.um__m__................ By mmmu__um~----...m....-..m--h.__...--.m.hm~ 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 concealmellt. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N~ 1 780 8 ELECTRICAL PERMIT Address....__..__.___....._._.....................................____.__......................................_...._._.__....................Date..._......____.._.._.........._......_......____...... Owner.._...._____.................._.._.__...___..._..............__._.......__.___.............._.........................__....Tenant...........~.~......_.........._..__________.___..____________.._._ WiringContractor.._.___..._._.._..................._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 Inspector so that work may be inspected before concealment. ''-, . , \, -, 1M Olympic Printers, Inc. Jun 20 OS 01:58p Bobb~ O. Coleman '~,3S0 - 452 -7584 ---',' -p,-l.'- . (i.~... ... ~ -~- \1~.... F'.)f!; O~l"JCL"I.:... USE O~1... ,. UI.'~_. ,...,.....--.------ ~."'..--,. - . l)'Ilel""""'_m._______ ELECTRICAL PERMIT APPLICATION lh:e EIe~ca1 Permit Application must be fthd out comat:J:etw'. Please lype or I1Iprint in ink. ffyou hol'reanvCfUllSUons. pleasecaJl(360) "17~73s Fu: nurntIw; (]SO) .17~7f1 :::::-;;?/~~ --27~'i~ -.. 5,.;J.. 7 U/ /,57, P'~ Cily; . Ii E_cal Con_DC (7.,(" a _ ~ p a ~ Add<ess; <:LZ tv / '- +/-.. Fa...: d-''7j9~ Phune Zip:_ Phone: Ui-t>i 8<0; City; Zip: INSTALLATION WIRED BY; DOWNER ~TRICAL CONTRACTOR Credit Cald HDlder Name: Billing Adcltess: City: Exp. Dale: Zip:_ Cnlrlit Carll Number: V/SA:_ IIfC: PROJECT ADDRESS: 5,;L?v/ /4. k :ZOF WORK: Check all that apply. 0 New . esidential 0 MuJti-family 0 Commer-ciat o Alteration/Addition o Mobile Home Sq. Fl o Remote Meter U Detached garage 0 Hot Tub U Swim Pool. d o Septic Pump o Low Voltage 0 Telecom, 0 Sign Number of Circuits added or aherecJ: DESCRIPTION OF THE ELECTRICAL PROJECT: a~ ~ <i12 (// U, - .~ "I- tl/kru4-v-l- Am:!4*'" ~/ Electrical Heat Load Additions and or Subtrilctlons Service Information '.J Baseboan2 o Fumace o Heat Pump o F~WalJ _KW KW TON LRA KW- Q Overhead Service o Temp Senrice o Underground Service Voltage: Phase; 0 1 Service Size: Feeder Size: U 3 , hereby certify that , have read and examined this application and know that same 10 be lrue and correct. and' am authorized to apply for /his permit. . , undelStand it is not the City's legal responsibility 10 determine what permits are required; it remains the applicants responsibility tO~determ' what!e~ a';:fl7l~ired and to obtam such Credit Cald Holder's Signalure:~ ~~ Dat.: Owne, or EIec:. Cont. Signature: Date: C:lELECTRICAlPERMITAPPLlCA TlON PERMIT FEE: $ /02, 10 ';;'t7V,4 ~A $vc.. /'IZlow 7!J,70 "';3/10