HomeMy WebLinkAbout207 Motor Ave - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 8/14/2002 PERMIT NO: 13632
OWNER/APPLICANT PROPERTY LOCATION
debra jacobson 207 MOTOR AVE
217 motor Lot: 36&37
Port Angeles, WA 98362 Block: 8 [] Long Legal
360/452-4241 Subdivision: fogarty& dolan
T: S: Parcel No: 063009520885000
CONTRACTOR ARCHITECT
owner N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206~000-0000 360/000-0000
PROJECT INFO
Project Value: $500.00 SFD Units: 0 Commercial: 0
Project Type: PATIO COVER SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0 ~ '""J
Zoning Use:
PROJECT NOTES I .~,
replace existing patio cover
Building Permit: $23.50 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: $0.00
Sign: $0.00 TOTAL FEE: $28.00
Plumbing: $0.00 AMOUNT PAID: $28.00
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 local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if o~er is builder) Date
T:\PLANNING\¥ORMS\ [ 102. ] 5 [4/2002]
BUILDING PERMIT - APPLICATION Pe~i~:
Date Approved:
The Building Permit ~pplication must be filled out Completely. Date ssued:
Please type or print in in~ If you have any questions, please call 417-4815
Applic~t or Agent: ~p~ s~p~ Phone: ~-
Owner: ~P~T~ .~0~ Phone:
Address: ~0~ ~bCW City: ~+- ~e(~ Zip:
~chitect/Engineer: Phone:
Contractor License ~: Exp:. Phone:
Address: City:. Zip:
PROJECT ~D~SS: __ _ ~NIN~
LEGAL DESCmPTION: Lot: ~6-~ Block:~Subdivision: C~ ~
CL~L~ COUNTY P~CEL N~BER:~b~ ~t Card Holder Na~e:
Billing Address: City:
Credit Card g: Exp. Date: ~SA MC
T~E OF WO~: SI~N~UATION:
~ Residential ~ New Cons~. ~ Re-roof u Wood-stove SF. ~ $ /SF. =$ ~ ' '
~ Multi-f~ly ~ Addihon ~ Move ~ Garage SF. ~ $ /SF. = $.
D Co~ercial ~ Remodel D Demolition ~ Deck SF. ~ $ /SF. = $
~ Repair ~ Sign ~ TOTAL VALUATION $
am F rscmeTiOso t e oJSCT:
COMMERCI~SIDENTI~: Occupancy Group: Occupant Load: ~ Cons~ction T~e:
No. ofStohes: ~ Lot S~e: % Lot Coverage:
Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ff. = TOTAL LOT COVE~GE: /sq.
PLANING USE ONLY: ~PROV~S: PL~
Notes: BLDG.
DPW
F~
ES~Wetland(s): ~ Yes ~ No SEPA Chec~ist required? ~ Yes ~ No Other: OTHER
B~LDING PE~IT APPLICATION S~MITT~: Your application and site plan must be filled out completely to be accepted for
r~iew. The Buil~ng Division c~ provide you with more detailed mfomtion on ~e application and plan sub~ml requirements. Your
completed application, site pl~ (for additions) ~d building cons~ction plans are to be subdued to the Building Division.
V~UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applic~t. ~s fig~e will be reviewed
and may be revised by the Building Division to comply with c~ent fee schedules. Contact the Pe~t Coordinator at 417-4815 for assistance.
PL~ CHECK FEE: Your plan check fee is due at the time the building pemt application and cons~ction pla~ are subm~ed. All other
pe~t fees are due at the t~e ofpe~t issu~ce.
EXPIATION OF PL~ ~EW: If no pe~t is issued within 180 days of~e date of application, t~s application will expire. ~e
Build~g Official can extend ~e t~e for action by ~e applicant up to 180 days upon ~i~en request by the applicant (see Section 107.4 of
the Unifo~ Building Code, cu~ent edition). No application can be extended more than once.
I hereby cert~ that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for
thff permit. I understand it is not the Ci~'s legal responsibili~ to dete~ine what permits are required; it remains the applicant's
responsibili~ to determine what permits are required and to obtain such.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Sit~ Address:
I
Insi.lled By:
I
Owner/Business:
I
Owner/Business Address:
I
I
I
~SIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
DFURNACE KW _
DFAN/WALL KW _
o HEAT PUMP KW_
o ISIGN
I
DelailslDescription:
I
PERMIT NO.
37g1
'7M/Y<
, I
DATE
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
!1rSPECIAL EQUIPMENT
(LIST BELOW)
Phone:
Sq. Ft.
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
~/- -;Z~L
( & tCU/ )
.
W.S. No. SERVICE SIZE
dPACITY:
o O.K. NOT O.K.
,
AqrlON REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
I
o 'Ditch Inspection O.K.
o IRough-in/cover O.K.
o 'O.K. to connect service
~Final O.K.
Site Address:
dO
,
I
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
orion the ~ermit. PHONE 457-0411, EXT. 224. .8 &LJ
i NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ rr ;;;<0 -
,
Electrical Inspector Permit Fee
,
I~staller;
.
W~ITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
,
--L
Permit/Receipt No.
37cf I
c:...
New Meters
--
GREEN - Top: Meter Dept., Bottom: City Hall
.
I~ 2-4
FEE RErPT NUMBER
I
TOTAL FEE'
I
I ELECTRICAL PERMfTONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address . .M",r:;A..' AtJ/!~. 7?'~'
I CORRECT ADDRESS 1$ RESPONSIBILITY OF A PLlCANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner - I, n, A Ct?A/. Installation By :JAtt/~D-E/"'~7J<JC~
Owner's A'ddress' - Installers Address p, "'" MJt ~(;. ';J;1 J'a-j v/4s/I.
Day PhonJ q.;' 1.. ~ 12], '- Installers Phone q:i i[- ''11" "
APPlicati1n is hereby made tor Pern:!it to install Electrical Equipment as tol.lows: NF..J /fEe-
I
I
, CITXOF PORT ANGELES, .
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
/0 J,~
PERMIT NUMBER
d"
3~~
,
f;-~.
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Wiring Method .#M -'"
.
- USE + CIRCUIT NUMBER AMP @ ~ NUMBER AMP I~- 240V
- PER' FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 30 CIRCUITS CIR 30
LIGHT I 1- 1':- V SIGN
UGHT I - - - 50 VOLTS :
OR LESS . :
, 2.- --
CQ.",...~.~tICE f(,1 .0 r MOTOR
I I,
CONVEI'IIE"lCE - - MOTOR
I
APPLlAr4CE -- . MOTOR
I
DISHWASHER I ?eJ v/._ F[ RE ALAR~S ,
I . --
, BURGLAR ALARM
DISPOStL
RANGE I , ~t' t/ MISC.
-
OVEN I PIaI'J:2Ek J :Ill t/'
WATER rEATER - J 70 /
LAUNDRY . J ]0 I/""
I
DRYER I J '2c'- /' REINSTALLATION LIGHT FIXTURE #
FURNACE -- SU!3 TOTAL FEE
GAS- OIL
FURNACE ENERGY FEE ! I
ELECTRIC . .
ELECTRIC HEAT '/0 7 BASIC FEE
I ., - TOTAL FEE .
ELECTRic HEAT l... SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
,
AC. UNIT ~~ p. Ill'. '7(;11.) AMP : re:f'
I PHASE.
FEEDERf /1//' U SIZE OF S,ERVICE ENTRANCE CONDucrtJRS
SERVICE I tllo fJh . 2h
, , AW.G.
I sus- TOTAL SIZE OF GRcfuNot6 -;Iii !r{(!~ ENTRA~CEs':mCH ? f) All.;;>
I - _
I certify that the work to be performed under this permit will be done by the installer and in' conformance with the N.E.C Electrical Code.'
I . . ,-' .- - . - . -.
Date Application made A1Ai\'~/-f 9 ,19c;z'? By
. - I -.. - o. NTRACTOR OR OWNER (OR AUTHORIZED AGENT)
PerTf'ission is hereby given to d9 th~ ~bove de.sc;:ribed work, acc;:ording to the conditions ~reon and acc'ording to the approved plans and
specifications pertaining thereto, subject to compliance With the Ordinances of e City of Port Angeles ' . ~', ,\ '
_ I . IREeT OF Y'L1GHT. '['. .
\,
Date perrit Issued By _, " . ~ .
PLANS PPR ED ~ \ ~ \. \ ". \ '. } \ :
, Notify Department of City Light by Street Address and Permit Number when ready for inspection', Work must not
be covered or c~rrent turne9 on before inspection and O.K. for covering or service has,been given by Inspector in'
I I . Writing on Permit Placard. A. - Permits Phone: 457-0411 Ex!. 158.
WA~NING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
.
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WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
'.
-.
., . '.
"
, . 1 II
~ I) 'lJ7 /) O.K. FOR COVERING
:> ~ TI 71'0 I At. r::::
, C:. O.K. TO CONNECT SERVICE
1 t:hJ '~1 Ojj rp FINAL O.K.
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