HomeMy WebLinkAbout1301 Campbell Ave - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property Zoning . . .
Application valuation
Date 5/12/03
03-00000459
1301 CAMPBELL AVE
0630145304450000
ELECTRICAL ONLY
o
Owner
Contractor
WALZ ROGER D
1301 CAMPBELL AVE
PORT ANGELES
OWNER
WA 983622709
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
46.70
5/12/03
11/08/03
.00
o
Qty Unit Charge Per
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.70
Fee summary 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
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 gJPAti1lg7of a permit does not
presume to give authority to violate or cancel the provisions of any st~ law regulating construction/or the performance of
construction. ~ ,/ / ~/
~. /
Signature of Contractor or Authorized Agent Date S' nature of Owne (if owner is bUilder) Date
T:\PLANNING\FORMS\11 02.15 [4/2002]
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BillLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING T
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIvIsion) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM ;It; T 7U/3
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKINGILIGHTlNG ESA-
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT 417-4735 S-/;6/(/3 ~ ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ ,
CONSTRUCTION - R W
ENGINEERJNG 417-4807 PW / ENGINEERJNG
FIRE 4 I 7-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T \PLANNING\FORMS\1102.15 [412002]
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. '7/0;3 7
;;S /~(P/Y3
, .
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
~DENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW
~ FAN/WALL KW ~
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
1;8: REMODEL
tJ ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
. 0 UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
Details/Description:
.
(
1'"
{
tuM.i !(k~ ~
(~~
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
1f^tjJ..Rough-in/cover O.K.
o O.K. to connect service
~~ Final O.K.
Site Address:
New Meters
-
Installer:
.
Notify Port Ang es City Light by, reet 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
or on the Buildi'!9,Permit. PHONE 457-0411, EXT. 224. &-l:J
~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;;:< {) _
. , $
Electrical Inspector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meier Dept., Bottom: City Hall
OLYMPIC PRINTERS INC-
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ELECTRICAL PERMIT APPLICATION
FOR OFFICIAl. USE ONI- y
Dal~Rrc:
Pc:rmilll;
DaltAppmvcli:
Dalc:lssued:
The Ele'ctrical Permit Application must be filled out comoletelv.
Owner or Elec. Contractor Agen:26~ y
Property Owner. $~e..
Address: I ~O/ CHM,~.b-et"'r
Please type or reprint in ink. If you have any questions, please call (360. 417-4735
Fax number: (360) 417-4711
:fI' t.j 5" ~
Iv ;1-/2-
Phone: ~~.2" 7S8Fax:
/fV c.. City~ ":/2;- a;t~
License #: Exp:
Phone:
~5.2-~7S8
Zip 9/?'%2.
Electrical Contractor:
Phone:
INSTALLATION WIRED BY:
)<(gWNER
City:
o ELECTRICAL CONTRACTOR
Zip:
Address:
Credit Card Holder Name:
Billing Address:
City:
Zip:
Credit Card Number:
Exp. Date:
VISA:_MC:-
PRDJECT ADDRESS:
I '301 C.H/J'f..,~,be..t::/ ,4-#2:- !?/Z.--;- d.rtf/k- LJ~ 'l~3t:,2-
Check all that apply: 0 New ~ Alteration/Addition
TYPE OF WORK:
~ReSidental 0 Multi,family 0 Commercial 0" Mobile Home Sq. FI.
o Remote MeIer 0 Detached garage flJ:lot Tub D,Swim Pool. 0 Septic Pump 0 Low Voltage o Telecom. 0 Sign
Number of Circuits added or altered: /
,//;,:7- -;- ~- 1)0 ,4.
"i7C:;"<
DESCRIPTION OF THE ElECTRICAL PROJECT:
Electrical Heat Load Additions
Service Information
IN I ~[.. 51-~e
: Cuc,-t uh
;<.FM 12...... ~/ 12 ,A-
I
o Overhead Service
o Temp Service
o Underground Service
Voitage:
Phase: 0 1
Service Size:
Feeder Size:
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
_KW
_KW
_KW
03
PAMC 14.05.060(6): For industrial, commercial, & residential projects larger than a duplex, a one - iine drawing of the Electrical Service &
Feeders, building size (sq. It.), load calcuiations, and the type & of conductors andlor raceway is required and shall accompany the
Eiectrical Permit application.
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such,
6"/'7);] /'S - -,tv -JL ~ ~
A'f - ()~ II<? Credit Card Holder's Signature: ~c""9 d- ~ Date: ~ ;iJ
Owner or Elec. Cont. Signature: Date:
PW-9019
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5/2-/03