HomeMy WebLinkAbout1627 W 15th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
A~plication Number ..... 03-00000570 Date 6/12/03
Property Address ...... 1627 W 15TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-0771-0000-
A~plication description . . . RE-ROOF
Subdivision Name ......
Property Zoning .......
Application valuation .... 2950
Owner Contractor
BLALOCK BRENDA J RAINMASTER ROOFING
1627 W 15TH ST 1205 S. O ST.
PORT ANeELES WA 983636846 PORT ANGELES WA 98362
(360) 452-3213
Permit ...... BUILDING PERMIT - NO PR FEE
Additional desc . . TEAR OFF, FELT, COMP
Permit Fee .... 106.75 Plan Check Fee . . .00
Issue Date .... 6/12/03 Valuation .... 2950
Expiration Date . . 12/09/03
Qty Unit Charge Per Extension
BASE FEE 92.75
1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00
Other Fees ......... STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 106.75 106.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 111.25 111.25 .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
nspection. 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 th s type of work will be complied with whether specified herein or not. The grant ng 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
construc~tion.
Signatur~f ~tractor~or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:XPLA~GXFO~SM 102.15 [412~2]
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Site Address:
Ins1alled By:
Owner/Business:
Owner/Business Address:
'lti RESIDENTIAL
ra COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
Details/Description: &m,nt~
.
DATE
!(J7&
2?-~:s'~/:3
PERMIT NO.
ELECTRICAL PERMIT
_/7r
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
~ ADD/ALTER CIRCUITS
171- SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~oo /),/1 7'>>,ft,A ~2..J..C.
1>11' OVERHEAD SERVICE
b' UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE . -qOLJ AMPS
. d.U 111
c;bvt
WS. 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.
o Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
~
Notify Port Angel, ity Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection nd O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Buildin,g..Permit. PHONE 457-0411, EXT. 224. ;I' . ptl
-1.. - NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .//0 -
. &1vI $ 'Yl
.
Electrical Inspector Permit Fee
Site Address:
Installer:
.
WHITE - File by address
Permit/Receipt No.
New Meters
PINK - Top: Eng, Bottam, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC
YELLOW - file by number
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
'.
A
9)..'1
PERMIT NUMBER
.
"TOTAL FEE
;:20, () CJ
~.,
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGALQCCUP1>.NC'{
, ,
ELECTRICAL PERMIT ONL~ OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
1~~1 tJ.uJ- /S .
CORRECT ADDRESS IS RESPONSIBILlfY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED .
L-""p/ (.f<?pn,)t.,J-&vZ C~-hf.,tallationBY 7]:f ~~;
Owner's Address InstallersAddress_29. ,~__l,I-_
Day Phone Installers Phone ~~ ?';I 2-0
Application is,hereby ll)age f.or Permit to in.stall Electrical Equipment as follows:
Site Address
Owner _ /AJv~,. s..
(? JL:>.
WI d. f
(,)',).),4... A.Jt >.4,
Wiring M.ethod
.
. AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT . NUMBER PER .120V 100R FEE USE OF CIRCUIT PER 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT .6 SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE ' , MOTOR
,
CONVENIENCE .. MOTOR
APPLIANCE MOTOR -
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER .. REINSTALLATION-LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT .2 " . ~O. 00
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
-,
A.C_ UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
,
SERVICE AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
- -
I certify that the work to be performed under this permit will be done by the installer and i~ c
Date Application made ...RrP>~k~ ~/ 4-- ,19 tlt? By,
Code.
.
Date Permit Issued
l:;jq./r,c..
I WARNING I
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described_ work, according to the conditions hereon and according to the approved plans and
specifications .pertaining thereto, subject" to cempl-iance with the Ordinances of, the yity of Port Angele's. , '. "
DIRECTOR OF CITY LIGHT '
~y''/J;hU/ '~, ,
PLANS APPROVEO. .. - ~~
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on be!ore .Inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK" Triplicate WHITE CARD. Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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h. 11 ~L Vr- O.K. FOR COVERING
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FEE RECeIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT' OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
6P:iI~MBER
.
TOTAL FEE
3oJ{)O
{?
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT
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ESPONSIBIl,-lTY OF APPll~ANT PERMITS WITH WR<:NG .ADD~ES~ES~NCELLE~ __"-..-,_ if _
Owne, ~./: Installation,By <rt?- ~<"~/",? C.n
Owner's Address Installers Address .s;-:;J..I<? t-V'j ./ ~ '
Day Phone . , ' , Installers Phone ,~ft;:7- .7/2-D, .' ,
Application is hereby made for Permit to install Electrical Equipment as follows: #1/jJJ'.'iP.-- .9 /~k ~r?7/~
1"e .s/~iL--, ' , / .
Wiring Methgd
.
AMP 24QV NUMBER AMP 120V - 24QV .
USE OF CIRCUIT NUMBER PER ' . 12QV 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
.. 50 VOLTS .
LIGHT OR LESS
CONVENIENCE .. MOTOR
, CONVENIENCE . .. MOTOR ..
APPLIANCE .. , MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
. -
RANGE ~'V ..,P.iV MISC.
OVEN b,Y
WATER HEATER n tyv
f) I . ..
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE . SUB TOTAL FEE , .
GAS- Oil
FURNACE ENERGY FEE
ELECTRIC .
BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
,
A.C. UNIT 200 AMP_ / PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
" ..
SERVICE AW.G.
r SUB. TOT A'L . "
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
Date Application made
~/ .5;),A/.e..
rical Code.
I certify that the work to be performed under this permit will be done by the installer and in co
Date Permit Issued
. :~/t3/t7p
I WARNING I
1,._ ;' ~,~9 f}b;, ~By~' " : ,
) " CONTRACTOR OR OWNER (OR AUTHORIZED AGEN-T)
Permission is hereby given to do the above described work, according to the conditio'ns hereon.and according to the'approved plans and
specifications pertaining ther'eto, subject to compliance with the' Ordinances' of the City of Port Angeles. ' '(
.. 'DIRECTOR OF CiTY LIGHT,
By 77laJ ~~~
PLANS APPROVED' ';. ,o.; . ' "....' I {'oj) ;
, ,
Notify Department of City Light by Street ~ddress and Permit:Nu.mber when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. .....
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PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD - Inspector's Report
""'. "\."
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REPORT OF INSPECTOR
,~ .
..
DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING '
[Q Ia~ . l1Jlt7 ' ;O.K. TO CO~";IECT-SERVICE
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',". ... FINAL O.K.
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