HomeMy WebLinkAbout2243 W 12th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
ISBELL DWIGHT /MAXINE
960 N MARIOTT AVE
SEQUIM
(360) 618 2284
WA 98382
Permit SANITARY SEWER
Additional desc CONNECT DUPLEX
Permit pin number 86579
Permit Fee 128 00
Issue Date 1/02/08
Expiration Date 6/30/08
T•\Policies \1102.15R [1/05]
Qty Unit Charge
1 00
00 110 0000 EA
8 0000 EA
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
Charged Paid
Per
128 00
00
128 00
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000981
515434
2243 W 12TH ST
06 30 99 0 0 5430 0000
PUBLIC WORKS UTILITES
RS9 RESDNTL SINGLE FAMILY
0
NEW VIEW INC
277 MONROE RD
PORT ANGELES
(360) 477 9449
HOOK UP
TO GRAVITY MAIN
BASE FEE
SAN SEWER HOOKUP
SAN SEW HOOKUP ADD /UT
128 00
00
128 00'
Contractor
Plan Check Fee 00
Valuation 0
Credited
00
00
00
Date 1/02/08
WA 98362
Due
Extension
120 00
00
8 00
00
00
do
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
fora 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
cons
kCak_ 1 :2:5S
Signature af Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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 DATE ACCEPTED COMMENTS
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T•\Policies \1102.15R [1 /05]
RESIDENTIAL
CONSTRUCTION R W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
PERMIT INSPECTION RECORD
YES I NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I I
I I I
I I
I I
CONSTRUCTION RW
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt.>
17287
./ -- ~,..,
(~ u.,;;;. .., ,,<, V'
Port Angeles, Washlngton..........m.:c'........_..,__..."::.m...m........m.m.. 19.!.~m.
In accordance with the City Ordinance to regulate the installation, extension. or repair of elec-
trical equipment in. on, or about any building or other structure In the City of Port Angeles. per-
mission Is hereby granted to dO electrical work as liS~IOW.
Address ..~?l;--;;~!P,--2..:?.Y.~..~.f::!..(...~m...=.-- occupancy--..-::,~~~--.0f2?(r
~:7::~.~~~:~~~~.::::::s.?1E::;~-::;::::e~~.~~~~;::..::::::::::...:.....~::::::::::~::::::::::::::::::=::::::::~:::::::::
Light OUtletBn..nn......!.:.;?.:.:.......... 8~~lce. volts .!.o!?/i!..f.:.t:!.nn Type 01 Wiring:
Receptacle OUtletsm..:-.f..9..........._.... No. wires m.::J;;......~.._..........:'... Armored Cable .............m..............
/ 81 I YYt? aP' Non.MetalUc ..................-..............
n,ye<, KW __m__..!....n....m...__m..m...n. ze w reBnn7,Z.......n.....n.....nn..n
j '""1 ~ 4 Knob & Tubem............................._
Range, KW .... ...If!!!*:~..n....____..............n. Main fuse ....._.................!.....~n.......
..s
Enclosure .....n..mnmn.......n...._......
,g))(
Water Heater:
KW..__m..nZ"nmmnn..nm...mm
,
Heat: KW.n./.Pn.'nnnnn....nn...nn...n.n
Motors: size, volts and phase:
./~.......n....nnnn............
/.~,.-<4.'?.n..........'........nnnnn.
. I'
.nL-t,r..n....nnnn........nnnn.........
Type of wiring:
Entrance Cable ..n..m..............
Rigid Conduit ....00...00......00.00......00.
Metallic Tubing ....m..........
Current transformers:
No. & Size..n_......................
Ser. NO..........................n........n....n...
Ser. NO...nn..................................n...
Ser. NO...._n__n..............n...n..............
RIgid Conduit 0000..00000000.......0000......
Metalllc Tubing 00000000.......00..........
Raceway .......(i!'...................--...-
Circuits, Light...,~..m.........................__
Utility ....."~nnnn.n....n...nnnnn...n
lieat ........~..........................._.._..
)( Range ....n~n.....n........nnnnn.....
~
Water Heater ...............................
Motor ..._......................................._
Dryer .......;1........._...n..................__
Furnace .........................'......._...........
~;)-
Total wad....n....................... Ser. NO...n._................nn..n_...n......... Total ...,......nn.._n....................
Remarks: __mm.m____"."'..,e~..4-=m.:....C~~dLm.m....__mmm__m.....__mm__m....__mmm'__m.m__m.",__
/.
........____.____..__....._______._____n...._..._________..____.....__.._u____..._____.__._.....___......__._n_...._...____.________.......__.__.___.__...__....__...----.---
..._n...m....mm.m...m.mm.____m____.mmnnmn......__nnnmm.........n____nnnmnmnm....771/m.mm.....n.--.m...m.........
Permit F~e . Treas. Receipt ~y $-~ /...
$.......t..Y...Lmm........... NO..............m._______... By n......;:_."-m_________m___."m~~~:.,::::'.. -'
, "'. . .,
NOTICE-Current must not be turned on untl1 Certificate of Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
\
"
"'I
",
"
ELECTRICAL PERMIT
N?
17287
Address.................___........................_n_..._...........................__......................................................Date..._......_.__.._.._..........-.-....-......-.........
Owner ..........................................._.._......_......_.._........................................................... , TenanL............................._.....................................
\ '
Wiring Contractor ___................................_...._.........~........_..........................._........................._....... By .............................................................-
\
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con.
cealed due notice must be given the Inspector 80 'that work may be Inspected before concealment.
1M Olympic Printers, Inc.
r!~[]Rr-v.....
t~<'
~'
~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
06-00000981
515434
2243 W 12TH ST
06-30-99-0-0-5430-0000-
PUBLIC WORKS UTI LITES
Date
1/02/08
()& 49 I
-tA
ZzL{~ wlZ---
;f S Befi
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
ISBELL DWIGHT/MAXINE
960 N MARlDTT AVE
SEQUIM WA 98382
(360) 618-2284
NEW VIEW INC.
277 MONROE RD
PORT ANGELES
(360) 477-9449
WA 98362
Permit
Additional desG
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
CONNECT DUPLEX TO GRAVITY MAIN
86579
128.00 Plan Check Fee
1/02/08 Valuation
6/30/08
.00
o
Qty Unit.Charge Per
~.
120.00
. 0
8.00
BASE FEE
.00 110.0000 EA SAN SEWER HOOKUP
1.00 8.0000 EA SAN SEW HOOKUP ADD/UT
Fee summary Charged Paid Credited Due
----------------- ------- ---------- ---------- ----------
Permi t Fee Total 128.00 128.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 128.00 128.00 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utiiities, private and pubiic 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 compiied 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 constructio'n or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.15R[1I05]
'j
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date I - 7 - 0 B
Time
Received by
~v
(phone, person)
Location of Work to be inspected '2 2 "S
Name of person requesting inspection .J'-e~
Address of person requesting inspection
Type of Inspection (circle appropriate one):
~ Foundation Framing Chimney Plumbing
(,U {2. i'-t
Pi! ;e.s 1-
Phone No. ~77-9t./'I7
Permit No. CJ~- 98 {
Final Sewer Excav. Other
INSPECTION NOTES:
. Inspected: Date 1- 7 -08
Remarks: liisc.c:>nYl~cf ..(re-,IM
70 C.,,..,,, "': 0/-1 : IA P ~VI
Time By
211 b~,s.t,..LoI'e //"JiP)
CG~hle.e<k 5(.
RV
)/pw c.oVly\p.c/.~1A
RESTORATION REQUIRED. . . . .. YES
NO 'A
See o..,-t1-o-.<:..k-ed bra.uv ,\~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel OAsphalt OPCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
t
J-. 2- i.f 7,
L0
, 2- 1 tl
Q (, - 08
I _ I
N
('J
() ~
(J'-
f <:
..D
(J)
- ......
N
-j...
S