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Home My WebLink About1009 Fountain St - Building CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :t21 EAST 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 5/08/2002 PERMIT NO 7641 OWNER/APPLICANT PROPERTY LOCATION GENE BLANTON 1009 FOUNTAIN 223 FRESHWATER PARK Lot: Port Angeles, WA 98363 Block: 18 [] Long Legal 360/928-2165 Subdivision: Penn Park T: S: Parcel No: CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Type: MANUFACT. HOME Project Value: $0.00 Occupancy Type: RESIDENTIAL Construction Type: Occupancy Group: Zoning Use: Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 120,240 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3 [] Fan Wall 0 KW Service Size: 200 Feeder Size: 0 "~. PROJECT NOTES INSTALL ELECTRICAL SERVICE TO MANUFACTURED HOME -~aae,~zc 7~ '~0 7,Z- FEES ASSESSMENT Service: $74.30 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $74.30 AMOUNT PAID: $74.30 BALANCE DUE $0.00 ('OMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417..4735 FOR ELECTRICAL INSPECTIONS. PL~SE PROVIDE A MINIMIfM 24 t~OUR NOTICE. ITIS UNLA t. FFUL TO COreR, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMI/CARD AND APPROVED PLANS AT JOB SITE DITCH ~/,~ ~,/e c ~ ROUGH-IN / COVER SERVICE FINALI GENERAL COMMENTS: CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 OWNER/APPLICANT PROPERTY LOCATION GENE & KATHLEEN BLANTON 1009 FOUNTAIN 223 FRESHWATER PK Lot: A BLA 02-02 Port Angeles, WA 98363 Block: 18 [] Long Legal 360/928-2165 Subdivision: Penn Park T: S: Parcel No: CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $26,550.00 SFD Units: 0 Commercial: 0 Project Type: MANUF. HOME SFD SQ FT: 0 industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES INSTALL 937 SQ. FT. MANUFACTURED HOME RECEIPT;~9099 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $230.00 Sign: $0.00 TOTAL FEE: $234.50 Plumbing: $0.00 AMOUNT PAID: $234.50 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 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.J. ocal law regulating construction or the pe~o,,'rnance' of Signature of Contractor or Authorized Agent Date S~glza/ture of Owner 0f owner ~3uit~d~I) J ] 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. 1TIS 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 INSPECTION TYPE DATE ] ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING I ~ ~'°Rr4~ I FOR OFFICIAL USE ONLY: Date Rec.: c BUILDING PERMIT- APPLICATION Permit.: Date Approved: Date Issued: The Building Permit application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 ApplicantorAgent:~EN~*~'fiTfl{.-~d~] ~t-~qt',]TOf0 ~ Phone:~6O) ~Z~2 Owner: ~ ~6 Phone: Address: ~ ~g~5~T~& ~,City:.~o~ ~6~C~5 Zip: ~ ~chitecffEngineer: ~ 0 ~ ~ Phone: Contractor ~ 0~ License ~: Exp:. Phone: Address: City:. Zip: VRO~CT~D~SS: IOOq ~5~ ~OO~W~ ~I~G: ~ LEG~ DESC~PTION: Lot: I ~ - ~ Block: ~ ~ Subdivision:~~iR P~RK CL~L~ CO~TY P~CEL NUMBER: Credit Card Holder Name: Billing Address: City:. Credit Card ~: Exp. Date: ~SA MC T~E OF WO~: SI~UATION:]~ ~ Residential ~ NewConsm D Re-roof D Wood-stove ~7 SF.~$~ '3C]/SF.=$ ~ Multi-fa~ly ~ Addition H Move U Garage SF. ~ $ /SF. = $ ~ Co~ercial O Remodel ~ Demolition H Deck SF. ~ $ /SF. = $ ~ Repair ~ Sign fl TOTAL VALUATION $ B~EF DESC~PTION OF THE PRO,CT: O. qO~ ~ ~4o~ I ~ g T~ ~ COMMERCIAL/RESIDENTIAL: Occupancy Group: . Occupant Load: __ Construction Type: No. of Stories: i Lot Size: (t~ [ -~ 7, ~:2 % Lot Coverage: ~. 3 % % Existing Lot Coverage: t { ~ 0 /sq. fl. + Proposed Lot Coverage: q q_ ~,q,/sq. ft. = TOTAL LOT COVERAGE: I q ~' 7__,q/sq. ft. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESADVetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other pernut fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, thishpplication will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the 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 applicant's responsibility to determine what permits are required and to obtain such. I CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT. REQUEST: Date~~ '~ ~'~~ Time Received by phone, person) Location of Work to be inspected / ~-'~' / Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. ? Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other///~l~'~--/K-/ INSPECTION NOTES: Inspected: Date ~ - ~ ~_o '~ (~ '~- Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~]Gravel [~Asphalt [~]PCC ~]Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~, ~--~ ~--Z-- Time Received by (phone, person) I Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer(~E~ndat~Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved r~Gravel []Asphalt [~]PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........ INSPECTION REPORT .. Date~_ __Z- Time Received b phone, person) Location of Work to be inspected /~'~)? Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing' F na!,?Sewer Excav. Other INSPECTION Inspected: Date' / ' ;'" :/ ';' Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel ~]Asphalt []PCC []Other [_! Repaired by City Work Order # r--)Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~---~ 7- 0~-- Time Received by ~ ~ (phone, person) Location of Work to be inspected /4~<~ C:~ Name of person requesting inspection ~--__.~,~,t~° Address of person requesting inspection Phone No. Permit No. Type of Inspection (circle appropriate one)~ Sewer Foundation Framing Chimnef~Plumbin~/~inal SewerExcav. Other INSPECTION NOTES: k,,,.g.~+~-'//I Inspected: Date Time By Remarks:. RESTORATION REQUIRED ...... YES_ NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt r~PCC r~other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ELECTRICAL PERMIT APPLICATION FOR OFFICIA"'-~~~YO .., OatclRec: S <- Pennitlt: Date Approved: The Electrical Permit Application must be filled out comDletelv. Please type or reprint in ink. If you have any questions. please call (360) 417- 4735 Fax number: (360) 417-4711 REQUEST INSPECTION 0 Owner or Elec. Contractor Agenl: G(;.rJ E..... l<ATH U:6.J 'BLRvV7VJ~~~ne,&60) 9Z8 Zits Fax: P rt Ow Gc,^,~':'- KA-TI-ILF-G.,J 1?Ll't-pJTcJN S~, / Phone(3GO} 920' ZltaS rope y ner: ~ 223 FR.GSI-\v;,I"<,e-P-. PI<. c'tyI?O~T rti\lG13-Lf=S z. 9'8363 Address: I . Ip. Electrical Contractor: f\.)C10G: License #: Exp: Phone: Address: INSTALLATION WIRED BY: IlUlWNER City: o ELECTRICAL CONTRACTOR Zip: Credit Card Holder Name: Billing Address' City: Zip: Credit Card Number Exp. Date: VISA~ MC:-.- PROJECT ADDRESS' DOc( ~EST FOLlNlfnN TYPE OF WORK: Check all that apply: lj'f-New o Alteration/Addition o Residential 0 Multi-family o Commercial ~ Mobile Home Sq. Ft '137 Remote Meter ~ Detached garage 0 Hot Tub 0 Swim Pooi 0 Septic Pump Number of Circuits added or a~ered: /iiI) N IS DESCRIPTION OF THE ELECTRICAL PROJECT: Po w G- R. r- 0 ~ r(\ 0 B I '- EO. ,-I. 0 rn EO. i'< N '" G A f!.. A (PC o Low Voltage 0 Telecom. 0 Sign Electrical Heat Load Additions PERMIT FEE: Service Information o Baseboard Ji(l Fumace o Heat Pump o Fan-Wall I. -":-- KW _KW _ TON_ LRA _KW o Overhead SeNice o Temp SeNice lll1'Underground SeNice Vo~age: /20/ZY() Phase: )i<f1 0 3 Service Size: .o::2.ao Feeder Size: y..:J .."...0 ~ 2l 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: . Date: Owner or Elec. Cant. Signatu~./q e<--<-E'.4 ~ I Date:~ C:/ELECTRICALPERMITAPPLlCATION ~