HomeMy WebLinkAbout3603 Galaxy Pl - Building
CITY OF PORT ANGELES N~ 17916
LIGHT DEPARTMENT ELECTRICAL PERMIT
Port Angeles. WRBblngtOll...m2.....=..,2:.Zm............mm..mmm. 19.f..~3
In allCordance 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 .}...~.g:f1....~~;;-~~.:)~~~g.--...m....m- Occupancy....._.~.~_.m_..___m....m...
~:~::~:::~:~~~-~~:~~::;~~::::::?~;?~y~~~;:::::::::::::::-:_--~::::::::::=::::::::::::::::::=:::::::::::::::::::
LIght outlet......!.~...........................t1 ServIce. volts ../:!.()ftyC?....... Type of WIring:
- 9
Receptacle Outlets...._;2.._.Q............... No. wires mm_____............._:_.:'_~--m.... Armored Cable ..............................
D TW C SI I '!/ /tJ dI----/ Non-Metallic .................................
ryer K .................... _.___n____ ze w res......._.........____________....._..
- ........ /.? . .. ~.t:&tfJ d.. Knob & Tube.................................
Range, KW ___.___..___....._________..._ ._u.____.. Main fuse m.___.m.......... ._....m_.__....
S RIgid Conduit ...............................
Water Heater:..- Enclosure ....................._______n._.._.... M t lU T bi
HeatK:~:::2::~~i:::..:::......--.: Typ~::r:~::n~~ble .......................... C1rc:::.::::~;~::::~~::::...........::::..:..:::..
l\f otors: sIze, volts and phase: RIgId ConduIt ............................... Utlllty.............................................
/.1 Metallic TubIng ..._______nm _____n.... Heat
/~~ ._--------.----........................_......
......_..._______.__..r.'"...__..____.______.........._____
,
/ 4l4-h Current transformers: Range __..____..................................___
.........................7.............................. No. & Slze.._.................____.un __n..... Water Heater .........._..................._
----------........_---------.-.-............._--...........
Ser. NO.h_.._...................__........____....... Motor _n___...._..........................._......
---.-------.........._-----..-...............-............. Dryer _.._._....._................................_.__
Ser. No. .........................._................_.
-...--.-............._--.-.-.................-...-.......- Furnace ......................._.'_........._________.
Ser. NO..__._.._______...................__.n_____...
Total Loadm_.............._._m__... Ser. No.....__.._.................._................. Total ...........____________.______.........
Remarks: -mmmu.ru::1:!-.-;t"n!__~_:=__..____mm~-.!:1~-~~.;-:.=-:.Z{-:.f..-<t;.-<,;-:.b:'=ummud~n.umumuuu__mm__m__m__mh._
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Permit Fee Treas. Receipt By .)~~~if:&'~:(~_,gd"."__'
$...-----.........--------.......----.. No.___....._______________..... 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 so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
...
N~ 17916
ELECTRICAL PERMIT
Address..........____....._.................._.....__..................________.__._....................____.___............._.____._.........Date..._....______.._.._..........____...___...._.....__..
Owner .......__n...........__...........___........_......_......_.._......................_......._.._.........._...__n______. Tenant._._....._____.._..........._n_..__...._..........._n__n_........
lfA'rlrlngContractor.................._.__.............._......_.........._..._.............___.._.._............_____________........__.___By......____..._...__................_......._..............._..
NOTICE-Current must not be turned on until CertIfIcate of Inspection has been issued. It work i~ to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc. ~')
rJ1>ORT~ CITY OF PORT ANGELES
l~a"<t
Aii DEPARTMENT OF COMMUNITY DEVELOPMENT. BUILDING DNISION
~~ 321 EAST 5TH STREET, PORT ANGELES, WA 98362
~
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BIJ:LB:.VG PCRfMT - 1::'::'Ut:U: 1 U/U f/:.!UU:.! rc."IVIII I'\IV. Iv/OL.
OWNER/APPLICANT PROPERTY LOCATION
CHRISTOPHER MELLY 3603 GALAXY PL
3603 GALAXY PLACE Lot: 12
Port Angeles, WA 98362 Block: D Long Legal
360/452-6385 Subdivision: GALAXY ESTATES
T: S: Parcel No: 063015750120000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $2,100.00 SFD Units: 0 Commercial: 0 \l\
Project Type: PATIO COVER SFD sa FT: 0 Industrial: 0 t
Occupancy Type: RESIDENTIAL Garage: 0 C
Occupancy Group: MFD Units: 0 \f'
Construction Type: MFD sa FT: 0
Zoning Use: ~
PROJECT NOTES
INSTALL PATIO COVER OVER EXISTING 14' X 15' DECK P
X
"'<
RECEIPT#9759 -'I
FEES ASSESSMENT r
Misc Fee 1: $0.00 -
Building Permit: $83.25
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $87.75
Plumbing: $0.00 AMOUNT PAID: $87.75
Mechanical: $0.00 BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA. Shoreline, ESA, utilities, private and public improvements. This psrmitbecomes
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. AIi 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 cancei the provisions of any state or local law regulating construction or the performance of
construction.
.) {K'JI?lJ?~' jf(t[ /0'7 -",2.-
Signature of Contractor or Authorized Agent Date Signature of Ow~er (if owner is b6\lder) Date
T:\PLANNING\FORMS\II02.15 [4/2002]
. pORr "" ~OR OFFICIAL USE ONLY,
~ L<L DateRec~-~")-C'L
<l'~. BUILDING PERMIT _ APPLICATION (-11:>/P' rmit#, r ~
If ~ :J Date Approved:
.. ~ Date Issued:
~' The Building Permit Application must befilled out completely.
"'~ Please type or print in ink.. Uyou have any questions, please call 417-4815
Applicant or Agent: tU.r\::.-6;>k.r J ~ LaUIS-e., /VIeJ.lv Phone: '-I9-08S-
i t I
Owner: ~.1..\".j.,,()'k.<!r I fVI.o-r..... lou.~ Mti/v Phone: v-r2--6"i'OS'
. , ,
Address: 3603 6-~j(~ Plo...Ge.... City: p"....t ^"-.je-l'e.J Zip: qe3n..
Architect/Engineer: Phone:
Contractor License #: Exp: Phone:
Address: City: Zip:
PROJECT ADDRESS: '>t.o3 {j-,J.<>-II-" Pk.c.e.. PIfY'-I- ~1<AO WNING: {US ~
LEGAL DESCRIPTIONiLot: 12- 'Block: S"ubdivision, r~6L^'-< G,.-I"...tt~ L6+ I'L
CLALLAM COUNTY P ARCEL NUMBER:~j6 , OIS' 7S'a IZ-O o",,credit Card HolderN ame: r-:... r:s -hi> ......::,- ~ ~
Billing Address: '3" Q 3 /~""( r?1 ()..C e.. City: P.w+ A-v--'l des , vt./ f'r .,!n l L
CreditCard#: .. Exp.Date: VISA V' MC
T\J'E OF WORK: SIZEN ALUATION:
if Residential ~ewConstr. 0 Re-roof 0 Wood-stove :2.\0 SF.@$ 10 ISF.=.$ 'ZIOO'OC
o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ ISF. = $
o Commercial 0 Remodel 0 nemolition 0 I)eck SF. @ $ ISF. = $'
o Repair 0 Sign 1>I"'he.d::- ('ccf TOTAL VALUATION $_ ;>~'06.00
BRIEF DESCRIPTION OF THE PROJECT: Roo-f o~ eleJ:.. oY'-- 6"-S'/e, jl...l"""'- ('od~ S''/p, K7'I-Z...__
. - ,
""l<.ll"-" 1..,,-,,-, '!. I,~ 10 "<" {,.,,-S.{~ ,;;, 3'1-..' Dc.... wi Z- h)(. 6 u T ~ (r- u.-v- ~ ,....b....r ~A4dl.;J
"J . -.I ,. -su.."..I <!.l
COMMERCIALIRESIDENTIAL: O;:j:upanc'Lwroup: Occupant Load: Construction Type: .~ ',J
70 I '7 ~
No. of Stories; 7. Lol Size: -:- -:-: ."~ % Lot Coverage: 2<L<-;" %
Existing Lot Coverage: 2 'Irr" Isq. ft. + Proposed Lot Coverage: 2-1 () Isq. ft. ~ TOTAL LOT COVERAGE: 2.' 6 c Isq. ft.
PLANNING USE ONLY: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER
BillLDING PERMIT APPLICATIOl'\ SUBMITTAL: Your application and site plan must be filled out complefely to be accepted for
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be eutered by the applicaut. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Pennit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building pennit application and construction plans are submitted. All other
pennit fees are due at the time ofpennit issuance.
EXPIRATION OF PLAN REVIEW: lfno pennit is issued within 180 days of the date of application, this application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for
this pennit. 1 understand it is not the City's legal responsibility' to determine what permits are required; it remains the applicant's
responsibility to determine what permits are required and to obtain such.
Applicant: ;JJ.A..J..AJ,,,J, r .Jle.tL- Date: Q-2-7-0'l..--
T:\FORMS\APPS\Buildingpennit -r"""""" cr
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