HomeMy WebLinkAbout212 W 4th St - Building CITY OF PORT ANGELES
°~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000159 Date 2/26/03
Property Address ...... 212 W 4TR ST
~BEBSOR PARCEL I~ER: 0630000087040000
Application description . . . ELECTRICAL ONLy
Property Zoning .......
0~er Contractor
EP~NY ROBERT M APS ELEC~IC
PO BOX 526 546 BEN$ON ~.
PORT ANGELES WA 983620081 PORT ANGELES
PORT ANGELES WA 98363
(360) 452-6753
Additional desc . .
Issue Date .... 2/26/03 Valuation .... 0
E~iration Date . . 8/25/03
Qty Unit Charge Per Extension
1.00 64.9000 ECB EL R OR ~ 0-200 JLLT SRV ~R 64.90
Fee summa~ Charged Paid Credited Due
Pemit Fee Total 64.90 64.90 .00 .00
Plan ~eck Total .00 .00 .00 .00
Grand Total 64.90 64.90 .00 .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 t 80 days, if construction or work is suspended or abandoned
for a period of ~80 days after the work as commenced, or if required inspections have not been requested within ~80 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
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 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 ~'OB SITE (~} ~ ~' 15 ~
INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DKAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS £ ROOF / CEILING
DRYWALL
T-BAR
INSULATION
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engincerlng Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-473~ ~ LIGHT DEFT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
D UILDING 417-481 $ DUILD ING
T:\PLANNING~FORMS\1102.15 [4/2002]
FROM A.P.S. ELECTRICAL CONTRACTOR
FAX NO.
360 452 6753
Feb. ig 2003 08:0gAM Pi
FOR OFFIClA.L liSE ONt. Y
~r~~: ..'. ~,,__.. .--
The Elec~cal Permrt Application must be filled out COmgll:~tel\l' p;u.e "",,,Ucd: __. ___
PI"""e type or mpnnt in Ink. If you have any questions. pI.... call (3GO) 417-4735 .II / S Q
Fax number: (3GO) 417-4711 . f \.r
REQUEST INSPECTION ~
c..1 ttel:. Phone: I.ft)~ -b7 53 Fox: Sa.rn €..
Phone: 45d." .3;2S:?
Add",..: . . . Clt<: Zip;
~ d I ( r 1..L Af'~'-c.:L'nn;:J1V
EleclricaIConlraelor.I-\.P.S. tie 1"~ U)''1n''nq(t(j:t~cpeense#: El<p: 'i-/Cj-oL{
Addross: 546 Ben ~n {CelL_City: ~ ~ \'Lt1...ag t'fe .c,
INSTALLATION WIRED BY; 0 OWNER )(ElECTRICAL CONTRACTOR
CreditCardHofderName: A. P ':;. Efe0fr-j Da.( L<:lI\+G-aeJo\
BllllngAddress:Stih Bt()5or'\i?oaJ City:1kt A(\5Je.:s
Credit Card Number:
.
ELECTRICAL PERMIT APPLICATION
Owner or E;ec_ Contractor Agent
Property Owner. ~ob
And~
Phone: if 5;;;2 -1:,75 =
Zip: 90363
Zip: €f2 3b3
VISA:
MC:X
PROJECT ADDRESS:
'C) }:;{
'vJ. 1../ Lt
CSf..
P. A-
ll( Alteration/Addition
TYPE OF WORK:
Check illllhat apply: 0 New
)1:[Residental 0 Multi-family
o Commercial 0 Mobile Home Sq. FlJ :l 00 :t
Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
Number of Circuits add~ or all~red: 4
DLowVoItage OTelecom. OSig
DESCRIPTION OF THE ELECTRI AL PROJECT:
~ e- v ; c e.- a He-v- .uP
.1 g t.U ;J a 0
/'1<" 1'1'Ot2b:J t:-()~
Electrical Heat Load Additions
-/1,{:'</,<jo
PERMIT FEE: ;~Tt-7
Service Information
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
I<YV
I<YV
=TON_lRA
KW
l& OVerhead Service
o'r emp Service
o Underground Service
Voltage: ~Lf()
Phase: 1 0 3
Service Size: ,,^~i\
Feeder Si.ze: t./
PAMC 14.05.060(8): For industrial. commercial. & residential projects larger than a duplex. a one -line drawing of the Electrical Service &
Feeders. buiiding size (sq. fl.), load calculations. and the type & of conductors and/or rar:emry Is required and shall accompany the Eleclnca
Permit application.
I hereby certify that Ihave read and examined this application and I an
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits ar
required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature:
~.
01
12..- ~
e~.
Oate:d -!q -03
Date: ~ - /'1 .03
Owner or Elec. Cont. Signature:
C:fELECTRICALPERMIT APPLICATION
.~ (' a :J-~9~~