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HomeMy WebLinkAbout2823 S Peabody St - Building ~ . . ~~ ~:!I ~t-~" ...... , ELECTRICAL WORK PERMIT APPLICATI6N~ \ ;' . Job wired by /Si)Electrical Contractor 0 Owner Installation description o Commercial ~esidential License number ~ 1'CN~-fi!9.)/ Lt/ Date Expires df o New ;ltAltered/Addition 4- Telepho~c number .5Z,J'-/2/Z- Premises owner's name 4t-&M7<-7'1'?- Address of inspection ZiS 23 ..F City ~ State 21 P 7/lzf7CittOST?Jr- U/~7Vlc #t:Y4'T7f:7C C;/3~z-- FAX number 7"'5"".:7 - 7S-YJ' &/? /l..6k.kK:. tt/,F ~$<'LJLI I Phone number to schedule inspection: 5"'s7- /Yo 9 OWller as defined by RCW/9.28.26I:(I) Owner will occupy tile structure fiJr two years after this electrical permit is finalized. (2) Owner is required (0 hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- ]alion 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 Utility Specifications. Signature of 'ne ......€iectr. al co tractor or electrical administrator o Cash 0 Check # o Crcdi t Card Card # Visa Mastercard Discover x Date: J- 2 -0 b Expiration Date of card Electrical oad Additions and or subtractions o NO LOAD CHANGES D Baseboard KW D Furnace KW D Heat Pump Ton LAR o Fan-Wall KW Service Information o Overhead Service D 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 Dale Approved By Dale Approved By Dale Approved By FINAL OITCH FEEOER "- Dale Appro,'cd By "- Dale Approv'cd By "- Dale Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector F:VfJ!OJ '"'- =4d/l U8 (/:- n /Uj ..- :;, -(O-Ob -, as ~r*'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 98,62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation 06-00000467 Date 952075 2823 S PEABODY ST 06-30-15-5-1-2583-0000- ELECTRICAL ONLY 5/12/06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor GARBRICK ALBERTA L 524 DEER PARK RD PORT ANGELES WA 98362 THORNES REFRIGERATION PO BOX 991 PORT ANGELES WA 98362 (360) 461-0158 Pe rmi t Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL THORNESj T-STAT WTR HT 77065 THQRNES REFRIGERATION 48.10 plan Check Fee 5/11/06 Valuation 11/07/06 .00 o Qty Unit Charge Per Extension 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS 48.10 _______1________________________________________________:____________________ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48. 10 48 .10 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 48. 10 48. 10 .00 .00 COMMENTS/ACTION NEEDED C~Y OF PORT ANGELES P~LIC WO~S BUILD~G DWISION 321 EAST 5TH ST~ET, PORT ANGELES, WA 98362 OWNER/APPLICANT PROPERTY LOCATION 2823 PEABODY S COLDWELL BANKER 330 EAST 1ST, SUITE 1 L.ot: 40 EXC S 3'&S1/2 41 Port Angeles, WA 98362 Block: 25 [] Long Legal 360/452-7861 Subdivision: GRANT ADDNT. T: S: Parcel No: 063015512583000 CONTRACTOR ARCHITECT LARRY'S ROOFING N/A 352 AVIS ST Port Angeles, WA 98362 , 98360-0000 360/452-2215 360/000-0000 PROJECT INFO ~.~.') Project Value: $5,000.00 SFD Units: 0 Commercial: 0 ~ Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 J'~ Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 ~ Zoning Use: ~, PROJECT NOTES REAR OFF, SHEET, FELT, COMP RECEIPT#8024 ~ FEES ASSESSMENT ~' Building Permit: $111.25 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: $115.75 Plumbing: $0.00 AMOUNT PAID: $115.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby ~r~rt~J, that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances g~vernh~g this type of work will be complied with whether specified herein er not. The granting of a permit does not presume to~ive auth(~rity to)violate or cancel the provisions of any state or local law regulating construction or the performance of construction\l J ,~/ (~ J Signature of Contractor or Authodzeci-Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-48 ! 5 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENTS FOUNDATION: i FOOTINGS WALLS FOUNDATION DRAINAGE i ELECTRICAL (LIGHT DEFT) SEPARATE PERMIT: # i PLUMBING UNDER FLOOR / SLAB ROUGH4N WATER LINE ] GAS LINE BACK PLOW ! WATER i AIR SEAL WALLS FRAMING I JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING , DRYWALL I T-BAR INSULATION MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE pERMIT #'$: WATERL/NE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE FIRE 41%4653 FIRE DEPT. PLANNING DEPT. 417-4750 // e// ~ FLANNFNG DEPT. BUILDING 417-4815 t///~ ~//t~ ~'~ BUILDING