HomeMy WebLinkAbout213 Dogwood Pl - BuildingCITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 08 00001543
Application pin number 975421
Property Address 213 DOGWOOD PL
ASSESSOR PARCEL NUMBER 06 30 15 6 0 0030 0000
Tenant nbr name QWEST
Application type descrirtion PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Open cut for phone cable across Dogwood P1
Owner Contractor
KLINE DAVID H
213 DOGWOOD PL
PORT ANGELES
Permit RICHT OF WAY
Additional desc OPEN CUT ACROSS DOGWOOD PL
Permit pin number 13:238
Permit Fee 00 Plan Check Fee 00
Issue Date 12/19/08 Valuation 0
Expiration Date 6/17/09
Fee summary Charted Paid Credited Due
Permit Fee Total 00 00 00 00
Plan Check Total 00 00 00 00
Grand Total 00 00 00 00
Separate Permits are required for electrical work, S EPA, Shoreline ESA, utilities private and public improvements This permit becomes
null and void if work or construction a hthorized 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 ha■., z 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 gi" "e authority to violate cIr cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
T \Policies \I 102 15 [10108]
WA 983623715
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES WA 98362
(360) 452 1110
Date
Date 5/01/09
Signature of Owner (if owner is builder) Date
CALL 417 -4831 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 F'ERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
PW UTILITIES (Eneineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T \Policies \1102 15 [10/08]
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
PERMIT INSPECTION RECORD
YES NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
I BUILDING
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
CITY OF PORT ANGELES
DEPAITMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Owner Contractor
KLINE DAVID H
213 DOGWOOD PL
PORT ANGELES
T \PLANNING \FORMS \1102.15 (11/14/2003]
WA 983623715
04 00000698
137594
213 DOGWOOD PL
06 30 15 6 0 0030 0000
RES REMODEL
RS9 RESDNTL SINGLE FAMILY
5651
TODDS HANDYMAN
222 S VINE
PORT ANGELES
(360) 461 0779
Permit ELACTRICAL ALTER RESIDENTIAL
Additional desc AD) BATHROOM /OWNER WIRIED
Permit Fee 48 10 Plan Check Fee
Issue Date 8/27/04 Valuation
Expiration Date 2/24/05
Fee summary Charted Paid Credited Due
Date 8/27/04
WA 98362
Permit Fee Total 48 10 48 10 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 52 60 52 60 00 00
00
0
Qty Unit Charge ?er Extension
1 00 48 1000 E7H EL -R OR RM 1 -4 ALT CIRCUITS 48110
Other Fees STATE SURCHARGE 4 50
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes
null and void if work or constructio i 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 !lave read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing thi: type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violae 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
FOUNDATION.
FOOTINGS
WALLS
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL 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
YES NO
FOUNDATION DRAINAGE /DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION'
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE PELLET CHIMNEY
HOOD DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT 8's:
WATERLINE METER
SEWER CONNECTION I
SANITARY I
STORM I
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
jxp I L f ri D (t
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -465.3 I I I I FIRE DEPT I I I
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I I I
BUILDING 417 -481:5 I I BUILDING I I I
TA\PLANNING\FORMS \1102.15 [11/14/2003]
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15281
,
Port Angeles, Washlngtonmn.n/....:.n.n.,...(.m.mm.m._m_mmnmm__. 19___._.n
In aooordance 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 listed below.
).
Address _.Z.lJoom...:::.:.n:._r..<O.:'_-"m.:m._n.m..oonn:.C'.oooooooommm Occupancym....oooo_.oooooommoo_._.oo._oo.n_m....
Owner
.~ '
l r, /('.
.~..nn________~.u.n_______u.u._._.n.nn__.__UhU____.n.__n__
Tenant_m....nnm.mm__nnoonn__.__._m.mm.m__nmmn.nnoo
\\'iring Contractor '.:n:.:C..'._.oo__nnn:.'.:.mLm:_nm.:.:___moooooom By.oooo_.m.oooo.____.nmoo__m_mm__noonoo_..__.nmhm__._
Light OUtlets___.m.....__!.'~.0.....h..___...... Service, volts __/.~__?m..!__:m.~m~_n__ Type of Wiring:
~
Receptacle Out1ets......~~:.__......m._____ No, wires ....m.:m...m..m...........__m Armored Cable ..______.....m.m____......
/ / , Non.MetalUc ........____m..m........m..
D oyer, KWI...um..n.:n....n.m......m.__ Size wires....__m....____.mmm__u_____..
/- . ., 1
Rmge, KW mmnunm__m m._n__nmmm. Main fuse "..m.....:...m_____m.mm..m
.;
Enclosure m..~~m__m..______m..m.um__
""ater Heater:
// ..)
KW.....n.....~.~....n...____ ____._"__nU....
/- ., I' B
H ~at: RW ...m...m..:.!...~...____.L......m.m
Type of wiring:
Entrance Cable ...._..m__mm..m'__m
Rigid Conduit _________..__..................
1\:otors: size, volts and phase:
. /. I
/...C........__.,....:......................................
I...?!::.:..':'::...................__....................
Metallic Tubing nm__.ummm__....__
Current transformers:
No. & Size......................_........__.__...
Ser. No........__..________....____.______...........
Ser. NO..__..__n...............................__....
Ser. NO.____..__.______.__n.____..........____....__
Total Load.............................
Ser. No.__..____............____.__...______.........
Knob & Tube.-._
Rigid Conduit ..m__..mnm...........m
Metallic Tubing .m.................m...
Raceway .....___m.....:.____....m.........m__.
Circuits, Lightm__!..........__...__.m__m.....
Utility ......2..=................_______.......
C
Heat ............____....__..n...............__....
'J
Range ...................__........................
-J
'Vater Heater ..:..:...................m...
Motor .n..........................................
Dryer.......d..__..................................
Furnace .......n.............__.__...
-:/:2-
Total .!................................__...
Remarks: ..oo___oom__.m............_moo...__._.......mnoo._.L__.d_oo....m_...........d___.......d__oon..dm..m....___oo_.m..oo..._...d.mm
Permit Fee Treas_ Receipt I
$m'_:;-!./..~d'!mmm.m._..... NOhoo_____.m_____m___n___ By_-.------.m-."...--..:----.--.------.h-C"dd".--.--.-......m.m.
NOTICE-Current must not; be turned on until 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
ELECTRICAL PERMIT
N?
15281
r: ate called for inspectioll.............................................................._.........................................._.............................................._.....................
Preliminary inspection dates............................. .........................,.__..................................................__....................................._.....................
Total Load ...............................................................
Inspectioncompleted..._......_.........._...............................................~...................................................................__.................._....____._.........
1M 3.72 Olympic Printers, Inc.
I
I
.
ELECTRICAL PERMIT APPLICATION
.
FOR OFf','ICIAL USE ON~~,
Dale/ltec \.
PClTnilll: ..---
Dale Approved: ,..---,-
Date ];sued: r----'
,--
tJ'I-t9S\
\
The Electrical Permit Application must be filted out completelv.
Please type or reprint in ink. If you have any questions, please call (360) 417-4735
Fax number: (360) 417-4711
Electrical Contractor:
Cily: ~,.:I- ;(j...",... ~,J
I
License #:
Phone: ;j'(.O ''t'.,)"7-/ .::'J'J-'Fax:
Phone: &':6 - Y.!".7-/,{, cY A-
Zip: ,?A(?":..i(
Property Owner:
04.,,0 /./ I~/,,",',,--
.
Address: .:?/,1
Our;,~coJ r'/4.C.~
I
Exp:
Phone:
Address:
City:
Zip:
INSTAllATION WIREO BY: 0 OWNER 0 ELECTRICAL CONTRACTOR
Credit Card Holder Name: ,7~, ' . . (/ 1/ k / ' ~ ~
Billing Address: .:<'/8 t?....'-<JOd.l r.t..C<iL City: ~"r
, /
Credit Card Number: W. '-\.. tA~ ~ A.1;.'h
f~~se "
PROJECT ADDRESS: 2/13 00';"''''''/ ?/AC"
/
Check Eill that apply: 0 New
AA<;"';:J
I
Zip: .7tJC L.
Exp. Date:
VISA:_ MC:
TYPE OF WORK:
ro/ f A"'9"c.~
/
o Alteration/Addition
7K-d'r. 2...
~esidential 0 Multi-family
o Commercial 0 Mobile Home
Sq. Ft
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0 Sign
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT:
(YlO~ "f~c OLlT le-\-s
\
S
(
z "....,c:;c~/ ~- c.c/d But'/. /'00"" ,J.
S~de.~ 1 A4,..l. Of.1E" rJe....: Gr-r
/. , 1.1 #- ;=;'q
/
Co J<T .
2.
Electrical Heat Load Additions and or Subtractions
11-- ~
Service Information
#0 ~.~~
o Baseboard KW
o Furnace KW
o Heat Pump TON_ LRA
o Fan-Wall KW
o Overhead Service
o Temp Service
o Underground Service
VOltage:: ~oj z.<i,b
Phase: 1 0 3
Service Size: I DC ~
Feeder Size: 2ft>
/ hereby certify that / have read and examined this application and know that same to be true and correct, and / am
authorized to apply for this permit. / understand it is not the City's legal responsibility to determine what permits
are reqUl~e/...it remains the applicants responsibildy to determine what permits are reqUired and to obtam such.
8( z.. '7/ o<J- . Credit Card Holder's Signature: Date:
Iff ----- Owner or Elec. Cont. Signature: p-~#../r"./: , Date: tY-;<,]'-07
(j~ ~Ji' , I~D
;;;;?~e;);;;;;~ 'fG.l"D i e:i-~'a-1,'b
PERMIT FEE: $
~B.'/t)