HomeMy WebLinkAbout1220 W 16th St - Building CITY OF PORT ANGELES
p�� DEPARTMENT OF COMMUNITY R. ECONOMIC DEVELOPMENT BUILDING DIVISION
®Ir� 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001393 Date 12/12/11
Application pin number 476388 n n n
Property Address 1220 W 16TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4- 3920 -0000-
Application type description INSPECTION ONLY On your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
Application desc
final inspection for accy structure from 1981
Owner Contractor
ATTWOOD VERNON W OWNER
1220 W 16TH ST
PORT ANGELES WA 983637008
Permit BUILDING PERMIT NO PR FEE
Additional desc FIANL INSP ONLY
Permit Fee 50.00 Plan Check Fee .00
Issue Date 12/12/11 Valuation 0
.Expiration Date 6/09/12
Qty Unit Charge Per Extension
BASE FEE 50.00
Fee summary Charged Paid Credited Due
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .00 .00
11 1,0„i 0-.11
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 has 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.
1 ill r..• C P o W illa"'
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Bullding Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs L/
Skirfing
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417-4815
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CITY Of PORT ANGEL~
PUBlIC WORKS - .EbECTRICAL DIVISION
J~I EAST 5TH 'STREET. PORT AN6cl:.ES. WA 983()~
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER.
Application type description
Subdiv~sion Name
Property Use
Property Zonlng
Application valuation
05-00001158 Date 11/22/05
456098
1220 W 16TH ST
06-30-00-0-4-3920-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
ATTWOOD VERNON W
1220 W 16TH ST
PORT ANGELES
OWNER
WA 983637008
Perm~t
Additional desc
Perm~t p~n number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
OWNER/CHANGE PNL
65847
66.90 Plan Check Fee
11/22/05 Valuation
5/21/06
.00
o
Qty Unit Charge Per
1.00 66 9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
66 90
~
~
~
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 66 90 66.90 00 .00
Plan Check Total .00 00 00 00
Grand Total 66 90 66 90 .00 .00
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COMMENTS/ACTION NEEDED
ELECl'RlCAL PERMIT INSPECI10N RECORD
~
CALL 417-4735 FOR ELECTRICAL,INSPECTIONS. PLEASE PR0VIDE A MJNIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPICTIONTYPI DAft I ACCIPI'I:D COMMDn'S
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ELECTRICAL WORK PERMIT APPLICATION
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Installation description
o Commercial SResidentjal
Job wired by
o Electrical Contractor 0 Owner
Electrical contractor name
License number
Date Expires
o New
o Altered/Addition
"-
"
~
Purchaser's mailing address
City
State ZIP
6AIV["
n20v A
,h.... _') ","'-Ii I cc:::.s
fJA-Nyr (&/Ui~dJ
Telephone number
FAX number
.'
Premises owner's name
\J 'e1> U-"., r (.J, 4TT\'5""""'.[
Address of inspection
I '2..2 T) . I.), I I (" 'T"t.
{:rt~ i; .~ t '~1.;,~~ ;:.~.~.,/ ,'., , '. .,'
(it>=-t'[""~~7'.e'-='<' 1 ~rJ
Phone number to schedule inspection:
-e>.2.",,5
Owner as defined by RCW19.28.261:(J) Owner will occupy the structure for two
years after (his electrical permit is finalized. (2) Owner is required to hire all electrical
contractor if above said property is for sale, rent or lease.
After reading the above statement, r hereby certify that 1 am the owner of the above
named property or a licensed electrical contractor. J am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Uti I ity- Specifications.
Sigqature of owner, .electrical c'ontractor or electrical administrator
"I
Iii
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
~.~;;.
,
x
Date: 11-10-c;5
Expiration Date
of card
t)
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD 1 03
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
THERMOSTAT /" SERVICE
Date Approved By Date Approved By
D1Tffi FEEDER
"- Date Approved By Dale Approved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
,
,
I.h . 4'("
Dale
Approved By
FINAL
/,2 A~-(J
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