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HomeMy WebLinkAbout1423 E 4th St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00001077 Date 11/05/03 1423 E 4TH ST 06-30-00-5-6-0047-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Owner Contractor COLLINS, DONNA/WILLIAM 1423 E 4TH ST PORT ANGELES WA 983624707 (360) 452-9485 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457-9270 WA 98363 Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 46.70 11/05/03 5/04/04 Plan Check Fee Valuation .00 o "'" .~ ~ \.JJ Qty Unit Charge Per 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.70 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.70 46.70 .00 .00 ~ 1\ lA :1 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:IPLANNING\FORMSIII02.15 [4/2002J ,-- ~ BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS 1 ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR I CEILING I MECHANICAL HEAT PUMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 It - 61- ()J J~r ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [4/2002] -" . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 PERMIT NO. S.3 'f L I/z.. </ fiG. , . DATE ELECTRICAL PERMIT Site Address: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW % RESIDENTIAL tJ COMMERCIAL o NEW CONSTRUCTION o REMODEL ~ ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: Dl9l D39l SERVICE SIZE FEEDER SIZE AMPS AMPS Details/Description: . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service ~fFinal O.K. -1' Permit/Receipt No. 531L-- t Installer: New Meters_____ . Notify Port An les City Light by Street Address and Permit Number when 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 or on the Building Pe~HONE 457-0411, EXT. 224. 6 ---7d NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT :.5' ,~ $ Electricallnspeclor Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PAINTERS INC 11 / G2/20G3 13:22 4579270 SIMPSON ELECTRIC PAGE G2.. f.i ~ ~:w c," ?/~ ( q.( Cc< J ~ ELEkRICAL PERMIT APPLICATION \-:: OFI'~~lAL USI:. ONLY --"/ Ill, ;!r~I"~c': .-..-----, f'.aml!p: --, I 1)~lc ^~~TI'w:tl:._ __ U~:,~ !~(I'I:d' ..,_,._,,_____ Lu"_...._ orne ElectrjC(I! Permit Appllcallon ml.l9t bt!I tilled out OQmOliSrtRl)'.1. Pt&iElIQ I)-pe or reprInt In Ink. 11 you havo Pony quesllons, plesge 0811 (380. 41'l'473B FdX ('lumber: (380) 417-471 1 r., L( t: Owne, or Elac. Cont'''''!or ^g.nl'~-'-~p"""p" '" ~ <:: <::. . Property Own., () i"> Y\ lrv &__C,,'J t ( I VI-- S ______ PhOne .~Lt5. 'L "1'-/ ~_._ AOdre." I '(2'S Go...d- 'fjh Clly f:,r-t AJ->--<sd ~__._____.__;:iPSf,\; b0 .~__ ~1.Clrlc.1 Contrector: S I Y---X-i2!:.: ~ / e.~ -t- LICon.. #: _____._ E>p: ..____...._.._.,PI.;o"o: AOdreee:2. <.{:5 0.$ ~ (r",V m w CI1y: P?>,.::r A0:jJ C.s ......__._._._Zlp --.1%$ 6_,S' ..,. I "l..- INSTALLATION WIRED ey, 0 OWNER nELECTRICAL CONTFlACTOR Credit Card Holder Name; .LJ d V 1'.. v6/ ~. \' " VA P :';6~._._.._..,____.._._"____....._ ---L.!...bJ!:_ I , Billing AddreQI1:Lc.j.? O_~~_ff.!::::-y- jO i l..J Clty:Ja.....+ /tf.-j c..(ft,-:E..______.___ Zr',o".1B_6..5._.. Phone .c; ~ - 'f 2,-]~F"X...._.s...e}./v'^'V Credit Card Number: ---....--.--.___ Exp. DBIe: -------..-.--..._.. 'l/SA:_~MC:"__. PROJECT ADDRESS, I 'l2..:g__c......~S! L/1-1-... ~Alterallonl Addition o Mobile Home Sq. FL.______..__.______.._ .-..---~~._--_. . -~-,.,,--.,._-,~ .~,_._- TYPE OF WORK: Check gjJ that "pply: 0 New o Resldental o Multi-family o CDmmercial o Remote Meter 0 Detached garage 0 Hot Tub 0 SWim Pool 0 Septic Pump [J Law IJclt~ge [J "felecom. 0 Sign Number 01 Circuits edded orellerod: DESCRIPTION OF THE ELECl'R!C~I~;~~~-~cT:_...c&)..le.~ e.. v'rr C-u..--L :to__{;{.'.~t':::.~_~_':::::::.._______ ~---___,....._._ ~..,_.,.."u.~..~...,__",. IDJectrlcal Heal LOlld Addll12nll ~ 1- "'1ft .------._--_...~._--"-_._-,,- Ii t.7 \J ~l.ge mfQ!:lJl~jl'~ll o !lase board o Fu mace [j Heet Pump o Fan-Wall -_KW --KW -KW -KW o Overhead Service o Temp Service o Underground Service \I(Jltagl~: _........_~,_._.".,_,~,_ Pha~e: D 1 U;3 S~rvl\~e ;5'll:i.:l~': ".u_,_,_,,~,_.. Fe~~clfJr !3ize:.~_"..."'_.,,._ PAMC 14.05.060(8): Far Induetr;:,!, comma,clal, & rAeldenti~1 project. larger 111.n a duplex, e one _ II~e '.lr~wln9 ().j t~le Eleclrloal S<lrvlce 8. Feeders, bUilding size Isq. ft.), loed calculalions. and the type & of conductors snd/or rscaway Is ,aqcrired '"nd "h"llll,~company the Electrical Permit application. /! b /0 3- ;J a ~ Fu <.... T vJ I tf.U. (...T (}n LofTY -- a( Jots I S ~ J-Jl I hereby certify that I have read and examined this application Bnd know t/Jet same to lie Im'3 N.ld correct, 8.nd Illm authorized to apply lor this permll. I understand It Is not the Cily's legal responsibility to ck.lermille what permits are required; it remains the IlPplic.rmts responsibility to determine what permits are required f:!rnd to obtain such. """" "'"' H"~' 81g,.."ro,~_,,~ ....j/-"L~Qj' Own.,,- or EIe.", ConI. sf9n~t\Jre:____.____._______..._.._._...___. 0"111: PW-90i9 fJ 1'14- L. /1- 1- cJ 3 Ad)