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HomeMy WebLinkAbout1323 Marie View Dr - BuildingApplicant o Owner 1 1 Contractor Agent: BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 r LEGAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. Phone: Phone Address: 9, Iafrf'P. Y j t kcal es Architect/Engineer S rYtl. C O 1P,►" State License Address: City PROJECT ADDRESS 1 mart e \it e� 'c Pr TYPE OF WORK. Residential New Constr d Re -roof Multi family Addition Move Garage Commercial Remodel Demolition Repair o Sign Other BRIEF DESCRIPTION OF THE PROJECT �►�u n L l r r1 d an( Vn k n STZF/VAL iATION bb Stove SF /SF g 000 SF. /SF Deck S /SF R,PS001" Sk— T AL Yy.ALUATION COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. No of Stones: Lot Size: Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA VALUATION OF CONST This figure will be review a Coordinator at 417 -48 PLAN CHECK F submitted. All o EXPIRATIO Building 0 R105.3.2 CTION TAFORMS\B1dgPermitform.wpd Applicant: ecklist required? Yes 0 No Other Subdivision. Phone: Exp 5 i(077 1 1,50 /(07) Zip W36 Phone: Zip NING Construction Type Existing Sq Ft. Proposed Sq Ft. TOTAL Sq Ft. O 55 9.. /AP1 \AO USE t e�,eJr‘ APPROVALS r 11, \O` c, J x e P i DPWU s co .a;0% Q. FIRE. v G \5\ r- c OTAFR. In all cases, a valuation amount must be entered by the applicant. Q and may be revised by the Building Division to comply with current fee schedules. Contact the Permit for assistance. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are erpermit fees are due at the time of permit issuance. OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The cia] can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section f the International Building/Residential Code, 2003). No application can be extended more than once. I he '-by certify that I have read and examined this application and know the same to be true and correct. I am authorized to a ply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I must obtain such permits prior to w 44 Date: -30 07 FOR OFFICIAL USE ONLY Date Rec. 7 r3 �Q,... D7 Permit v 17 Date Approved: Date Issued: Oa G \Jo CITY OF PORT ANGELES LIGHT DEPARTMENT 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 listed below. g v/ y Aedress 3 1l�r v sC Occupancy 2_G Owner �Jr� t.e.. I C• -'_t- Tenant Wiring Contractor 7 /F-e°• 61 -t'--- F 'r By /it I u Light Outlets V U Service, volts Type of Wiring: Receptacle Outlets� C1 d No. wires Armored Cable Dryer, KW Size wires del rr a Non- Metallic r 9 ,,7 Knob Tube Ran; r., KW Main fuse r 1 Rigid Conduit Water Heater: Enclosure Metallic Tubing KW Type of wiring: Raceway 3 ,R/ Entrance Cable G Heat: KW Circuits, Light Motors: size, yolts and phase: Rigid Conduit Utility Metallic Tubing Heat d ads" Current transformers: Range No. Size Ser. No Ser. No. Ser. No Total Load Ser. No Remarks: P 1M Olympic Printers, Inc. ELECTRICAL PERMIT Port Angeles, Washington N? 16747 20 Water Heater e Motor Dryer Furnace Total r- Permi, Fee Treas. Receipt L 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? 16747 Address Date Owner Tenant Wiring Contractor By 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.