HomeMy WebLinkAbout2136 Lindberg Rd - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application NLunber ..... 03-00000161 Date 3/06/03
Property Address ...... 2136 E LI~DBERG RD
ASSESSOR PARCEL NUMBER: 0630132100700000
Application description . . . ELECTRICAL OAU~Y
Property Zoning .......
Application valuation .... 0
owner Contractor
Additional desc . .
Expiration Date . , 9/02/03
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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 local law regulating construction or the performance of
construction,
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORM$\ ] 102.15 [4/2002]
d""'~
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98~62
ELECTRICAL PERMIT
Issued: 10/21/97
Permit No:
6091
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
ALAN H4RE 2136 LINDBERG RD
2136 E, LINDBERG RD Lot:
Port Angeles, WA 98362 Block: Long Legal:
360/451-9083 Sub:
T: S: Parc No: 06301321007~'
CONTRACTQR-----------------------------DESIGNER---------------------------------
OLYMPIC ELECTRIC
1805 TUMWATER
,
PORT ANGELES, WA 98362 ,
360/45T-5303 000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES. MISC. prj Value: $0.00
Occ Type: Cnstr Type: ADD HEAT
Occ Grp: Occ Load: Land Use: RS9
Electrical Heat Service Type
Ba15eboard KW: 0 Riser Voltage: 120,240
X Futnace KW: 10 Overhead Service Diameter: X-1 -3
X Helit Pump KW: 6 X Underground Service Service Size: 400 AMPS
Far/Wall KW: 0 Temp Service Feeder Size: 0 AMPS
PROJECT NOTES-------------------------------------------------------------------
REMOVE 30KW FURNACE
INSTALL 10KW FURNACE AND 6KW HEAT PUMP
I
I
..I
I
PROJECT FEES ASSESSMENT---------------------------------------------------------
. Service: $0.00
Additional Feeders: $0.00
I Circuit Wiring: $41.00
Temp Service: $0.00
~::~L=======7===============:~~~~
TOTAL FEE:
Amount Paid:
$41. 00
$41. 00
TOTAL FEE:
$41. 00
Balance Due:
$0.00
COMMEJNTS/ACTION NEEDED
I
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE 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
INSPKC110N TYPE DAn: ACCEl'TEll COMMENTS
YIS I NO
UnCti
KUUutl-1N /
I J{J/ZI/<?7 17kb1 I
GENERAL COMMENTS:
PW.I 102.1' 14'961
./'
ELECTRICAL PERMIT
d:2t./ t./ 3
~ Uo<; ~
PERMIT NO. - S ~ I
/~!J/'?'
.
Instrlled By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
DATE
Site Address:
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Own:er/Business:
Phone:
oWlerlBusiness Address:
Sq. Ft.
P'f,Residential
, Heat KW
Cl Baseboard 0 Furnace/Boiler
, Heatpump 0 Other
Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
;@' Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
o 10 03.0
Service size
o Temporary
Amps
~""m,,,,;p,,oo
I
!
cJ:t- ['J,~A'
A... ,}1--
..
1
\
I
W.Si No. Service
Capacity: 0 O.K. 0 Not O.K.
o Pitch inspection O.K.
~ ~ough.in/cover O.K.
'0 O.K. to connect service
o Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
I!J.
Permit/Receipt No.
Site; Address:
.
Notify the Depa ent of City Light by Street Address and Permit Number when ready for Inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
_' ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT c--:JO ~
~~ctor Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLVf04.t'IC PRINTERS. INC.
ELECTRICAL PERMIT APPLICATION
FOR OFFICIAL USE ONLY
DalelRec:
Pennilli:
Date Approved:
The Electrical Permit Application must be filled out comoletelv.
Please type or reprint in ink. If you have any questions, please call (360) 417-
4735
Fax number: (360) 417-4711
It It; I
REQUEST INSPECTION 0
C2.wner~lec. Contractor Agent:
Property Owner: ~L
Address: 'L 1 '3 g
dL )-/?'1/2~_
1-/4- ~~
c- (/A/()f!Jc-t<1f
Phone"
Fax:
Phone l{ ~7 -9 t!) fS-2J
ZiptJ<6 ?62---
Electrical Contractor:
City: ~"KI,4d fC /~~
License #: Exp:
Phone:
Address:
INSTALLATION WIRED BY:
\Q9WNER
City:
D ELECTRICAL CONTRACTOR
Zip:
. Credit Card Holder Name'
Billing Address'
City:
Zip:
Credit Card Number- Exp. Date:
~J3b
PROJECT ADDRESS' -.iJ':3 0 f, L !/../C) t3ue-b
VISA~ MC:--
TYPE OF WORK:
Check all that apply: 0 New
~lteration/Addition
)I'i Residential D Multi-family
D Commercial D Mobile Home
Sq. Ft
Remote Meter D Detached garage D Hot Tub D Swim Pool D Septic Pump
D Low Voltage D Telecom. D Sign
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT:
Nf:w
/tJD rt
r-:' ,41J/6L
70
t!)uCT/3tULO//-Lf.
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
_KW
_ TON_ LRA
-KW
PERMIT FEE.
s . =- ( ~ /hj <<;/ cVl?fc.e
Service Information
Electrical Heat Load Additions
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1
Service Size:
Feeder Size:
03
.,I/o /91JCJ,i.-O U>/h:)
I hereby certify that I have read and examined this application ;,md know that same to be true and correct, and I am
,
authorized to apply for this permit. I understand it is not the ity's legal responsibility to determine what permits
are required; it remains the applicants responsibility to dete ';ne what ermits are required and to obtain such.
Credit Card Holder's Signature:
Date:~~/P 3
Date:
Owner or Elec. Cont. Signature:
C :iELECTRICALPERM IT APPLICATION
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