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HomeMy WebLinkAbout515 I St - Building ~ o8-H ..ot.".f.....Q~ 4Ji:.~(~ ",= ~~ 1,\~.; "'t'~..", "tiii;...O" ELECTRICAL WORK PERMIT APPLICATION Job wired by ~ical Contractor 0 Owner lnst' lalion description Commercial 0 Residential . L€- H-X-/ License number Date Expires () o New o Altered/Addition ~ urCh'POil~~ D Cit)3r,,-~t~ ~qs:;n~/3 Premises owner's "lime J.c/ ~e- c#--,b ur Address of inspection ~ - u......-~ Slate ZIP 9~3L-""L FAX number 3(0 ~)s-t.;/ t)J-' +:. ~ City /2 ~-'L. I'hone nll~ber to schedule ill~ection: bO - to 3 7 Owner as defined hy RCW19.28.J61--(1) Owner wif/ occupy the structure for two years (!ftc:r this eleCTrical permit ix finalized. (2) Owner ,;\' required to hire an electrical contm('/or !f above said property is for sale. rent or Icase. AneT reading the above statement. I hereby certifY that I am the owner of the ahove named property or <I licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Ch<lpter 19.28, WAC. Chapter 296-46B, The Cit)' of Port Angeles Municipal Code. and Utility Spccifications. Signature of owner, electrical contractor or electrical administrator o Cash ~# o Credit Card Visa Card # Mastercard Discover x Expiration Date of card EleclricaLL~d.Add ilions.am;LQLsublracJions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW Service.lnformalion o Overhead Service o Temp Service o Underground Service Voltage PhaseD 1 03 Service Size: _ Feeder Size: SAME DAY I~SPECJ:ION. CALL BEFOREJ:OO AM_l@=4li4115 / ROUGH-IN'(trD / THERMOSTAT SERVICE uk/; f~t "- Dale Appro,-ed By ./ [)~te Approved By "- a I Appw\l,d By / DrrCH FEEDER 1'\11 ~ },tIN~~ '-.. j)~le Appro\~) "- Dale Approved By ./ "- Date Appro\edlJy/ Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner HARVEY HELEN L 515 SOUTH I STREET PORT ANGELES 36) 417 6919 WA 98362 T• \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000112 200976 515 S I ST 06 30 00 0 1 2745 0000 RE ROOF RS7 RESDNTL SINGLE FAMILY 3870 Contractor Date 2/16/05 DIAMOND ROOFING ENTERPRISES P 0 BOX 2963 PORT ANGELES WA 98362 (360) 452 9518 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF FELT METAL Permit Fee 120 75 Plan Check Fee 00 Issue Date 2/16/05 Valuation 3870 Expiration Date 8/15/05 Qty Unit Charge Per Extension BASE FEE 92 75 2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 120 75 120 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 125 25 125 25 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 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 construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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 I'ERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION. FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /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 FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD YES 1 NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT 1 BUILDING 1 I I 1 I I I I PREPARED 1/21/05 12 27 34 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/21/05 ADDRESS 515 S I ST SUBDIV CONTRACTOR PA SWIMMING HOLE FIREPLACE S PHONE (360) 565 1163 OWNER HARVEY HELEN L PHONE (360) 417 6919 PARCEL 06 30 00 0 1 2745 0000 APPL NUMBER 05 00000045 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 0,/:(te MECHANICAL GAS LINE TIME 17 00 SETH 461 1511 COMMENTS AND NOTES OF pORT,WO Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner 691( f j L Signature of Contractor or Authorized Agent T•\PLANNING\FORMS \1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000045 773655 515 S I ST 06 30 00 0 1 2745 0000 MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 3600 Contractor Qty Unit Charge Per BASE FEE 1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 Date Date 1/19/05 HARVEY HELEN L PA SWIMMING HOLE FIREPLACE S 515 SOUTH I STREET 518 W 8TH ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 417 6919 (360) 565 1163 Permit MECHANICAL PERMIT Additional desc PROPANE INSERT LINES TANK Permit Fee 57 65 Plan Check Fee 00 Issue Date 1/19/05 Valuation 0 Expiration Date 7/18/05 Fee summary Charged Paid Credited Due Permit Fee Total 57 65 57 65 00 00 Plan Check Total 00 00 00 00 Grand Total 57 65 57 65 00 00 Extension 47 00 10 65 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 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 construction. Signature of Owner (if owner is builder) Date ELECTRICAL LIGHT DEPT. CONSTRUCTION R.W PW/ ENGINEERING FIRE PLANNING DEPT BUILDING 417 -4815 T•\PLANNING\FORMS \1102.15 [11/14/2003] 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 KEEI' PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO FOUNDATION: FOOTINGS I WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN 1 PLUMBING UNDER FLOOR SLAB I 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 1 INSULATION SLAB I WALL FLOOR CEILING 1 MECHANICAL HEAT PUMP I I GAS LINE 1- 0-1—(93 I _is L s I WOOD STOVE PELLET CHIMNEY I HOOD DUCTS 1 1 PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM I PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING I I I ESA. LANDSCAPING I I 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT 417 -4807 417 -4653 417 -4750 I I I 1E444 7-24 K CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT BUILDING 01/18/2005 16 00 FAX PLANNING USF ONE a h ill fill r OMPI I?I V and in INK. Your application and site plan N(UST BE COMPLETE to he accepted for review if von hate any questions, cull (360) a17 -4815 C1 Repair ri S1g11 BUILDING PERMIT APPLICATION Applicant or At.,cnt a Owner Cier1 1 Cq i' u Address S, C'tly Architect /En¢tneer• Contractor PA SO i/14,1 iA 1 I) State License !t Exp Address Si (d,) 55 54-, City fo An ode:5 PROJECT ADDRESS _517.c t y r 5+ LEGAL DLSCR[PTION Lot Block. Credit Card Holder Name 4E1.J I L[. Cam. Billing Address: Credit CardTypc VISA TYPE OF WORK R Residential 0 New on ;1r Re -ninf rvlulti- timily 0 Addinun Move Commercial Remodel E.1 Demolition Occupancy Group No. of SLUMS: Lot Sin Existing Sq ht. Existing lot coverage Proposed lot coverage F A/Weilttnd(s) Yes Li 1'rb L..PA Checklist required'! 0 Yes Z] No Other I Oft1�4 AM I'S•f3uildi p�nrul.,�, J Applicant. Phone _C //6.. Phone d q/j :f? Subdivision Phone CLALLAM COUN•n 1'I,R( LL NUMBER 01 e2oal,,, 7G, Q(pClr5 City Exp. irate. SIZE /VAL OATI ON J ,Stave SI (a), /SI' S I hereby certify that 1 have read anJ examined this application and know the same o be true an understand that if is my responsibili'y to determine what permits aro required ,not 1�� ity's and l• Its C91 Phon ti lip 9g3C.A ZONING r1 (iaragc 5f (c' `fi 'SF 1 Deck SF (u) SF `I 11 other 1411 011 I.41 I SI ()NI.? PC 111 °I CJS eau- Approval: Dare Ise u:d '1'OTA1. ALUA'1'tON '6ari, v t t BRIEF DESCRIPTION OF HE PROJECT .1 by 4P ,/2 Sr' r)' L q C� aao T1 LP "Tent !c L OMMERCLAL /RFS1t)I'fTIA1 Occupa ,U d: Proposed Sq. F. 'Coral lot coverage BTJILDING PERMIT APPLI StIBiyll The T3uikLiii, Division can provide you with intnrnlatu,ti on t11c application and plan submittal requirements if you Imt, questions. ALUATION OH CONSTRl' TION In ad cases, valuation amount trust be entered by the applicant phis figure t^ ill be reviewed and may be revised by epee I iuilrli it Division to comply with current tee sebedule5. Contact the Permit C. oordinator at 417 -481' for assistance 1'1 AN CHECK FEE 11 ,I plar check fee i. rluc. It most be submitted at the titre the building permit application and cnustructtorl plans are .uhmitted All other p.•t'mtt (ha are due at tic tine 01'1)c:rrrlil Issuance. F'XPiRATION OF Pi AN RE I'1! W Ifno permit is Issued within 180 dav: o f the date of application, LLe application will expire The Iuilding Official can.extend the lime for action by the applicant up to 1811 days upon written r .quest by the applicant >ce Section 107 4 or the Uniform Building C-ode, orient edition) No application can he extended more than on Cot1SIC LCt1a11 Type 1'U'I Al, Sq Et. ect. 1 am authorized to apply for this permit and t obtain such permits prior to work. Late t/[I ts- a 001/001 APPROVALS. PLAN DPWU FIRE OTHER.