HomeMy WebLinkAbout1332 W 10th St - BuildingApplication pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
vJ vvvVVi7J
534315
1332 W 10TH ST
06 30 00 0 3 1535 0000
RES ADDITION
RS7 RESDNTL SINGLE FAMILY
29700
Owner Contractor
PATRICK W /CHRISTINE E DEJA J J CONST OF PORT ANGELES
1332 W 10TH ST 233 ALICE RD
PORT ANGELES WA 98363 PORT ANGELES
PORT ANGELES WA 98363
(360) 457 1809
Structure Information 000 000 660 SF ADDNT
Construction Type TYPE V NON RATED
Occupancy Type SINGLE FAM CONGREGATES
Other struct info TOTAL LOT COVERAGE 25 00
CONSTRUCTION TYPE V N
HARD SURFACE AREA
NUMBER OF STORIES 1 00
EXISTING LOT COVERAGE 2000 00
LOT SIZE 10500 00
PROPOSED LOT COVERAGE 660 00
TOTAL LOT COVERAGE 2660 00
NUMBER OF UNITS 1 00
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc ELECTRIC SVC/ 600 SQFT ADD
Permit pin number 53587
Sub Contractor ELECTRIC SERVICE
Permit Fee 73 00 Plan Check Fee 00
Issue Date 7/08/05 Valuation 0
Expiration Date 1/04/06
Qty Unit Charge Per
1 00 73 0000 ECH EL R SQFT FIRST 1300
Special Notes and Comments
When roof gutters are installed drains will located in dry
wells or piped to approved storm drain locations
The proposal will result in a 660 sq ft addition in the
RS 7 zone for total lot coveage of 26% No land use issues
are noted
Electrical load calculations and elctrical permits are
required
MAINTAIN CLEARANCES FROM SERVICE WIRES Relocate meter
service wire
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
COMMENTS /ACTION NEEDED,
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
STATE SURCHARGE 4 50
Charged Paid Credited Due
73 00 73 00 00
00 00 00
4 50 4 50 00
uace 7 /08/05
Extension
73 00
00
00
00
i
ELECTRICAL PERMIT INSPECT,I,ON RECORD
h bALL 417 -4735 FOR ELECTRICAL INSPECTIONS: PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
1 1 1
1 1 1 i
I 1 1
I
1 1
1 1 1
1 1 1
1 1 1
1 1 1
DITCI.1
ROUGH-IN COVER
SERVICE
FINAL
GENERAL COMMENTS:
Pw -I I O2.I5 (4N0
Application Number 05 00000195
Application pin number 534315
Grand Total 77 50 77 50
COMMENTS /ACTION NEEDED.
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
121 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
Date 7/08/05
00 00
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES 1
DITCH I
ROUGH-IN COVEk -oS ,,7 I
SERVICE
Lalr? 0 1
1 1 1
1 1 1
1 1 1
1 1
NO
Pw- ►102.15 (4146j
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000195 Date
.534315
1332 W 10TH ST
06-30-00-0-3-1535-0000-
RES ADDITION
4/01/05
RS7 RESDNTL SINGLE FAMILY
29700
Owner
Contractor
PATRICK W/CHRISTINE E DEJA
1332 W 10TH ST
PORT ANGELES
WA 98363
J & J CONST OF
233 ALICE RD.
PORT ANGELES
PORT ANGELES
(360) 457-1809
660 SF ADDNT
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
PORT ANGELES
WA 98363
Structure Information
Construction Type
Occupancy Type
Other struct info
25.00
V-N
1. 00
2000.00
10500.00
660.00
2660.00
1. 00
permi t . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
660 SF ADDNT.
465.25 Plan Check Fee
4/01/05 Valuation
9/28/05
186.10
29700
Qty
Unit Charge Per
5.00
BASE FEE
10.1000 THOU BL-25,001-50K (10.10 PER K)
Extension
414.75
50.50
(
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
The proposal will result in a 660 sq. ft. addition in the
RS-7 zone for total lot coveage of 26%. No land use issues
are noted.
Electrical load calculations and elctrical permits are
required.
MAINTAIN CLEARANCES FROM SERVICE WIRES, Relocate meter &
service wire.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 465.25 465.25 .00 .00
Plan Check Total 186.10 186.10 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 655.85 655.85 .00 .00
larate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becom
I and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandon.
3 period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the la
ction. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
sad ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does r
e to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance
tion.
,.tnr nr Allthnri7.,ri An.,nt
n",t.,
~inn",h..., nf ()wn.,r (if nwn.,r j" h"ilri.,r\
n",t.,
BIDLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
.SE 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
I YES NO
IDATION:
ITINGS
LLS
rNDATION DRAINAGE I DOWN SPOUTS
~
:T HOLES (POLE BLDGS.)
1BING
JER FLOOR I SLAB
JGH-IN
TER LINE (METER TO BLDG)
S LINE
2KFLOW I WATER
iEAL
.LLS
[LING
MING
STS I GIRDERS
EAR W ALLIHOLD DOWNS
ILLS I ROOF I CEILING
,YW ALL (INTERIOR BRACED PANEL ONLY)
3AR
JLATlON
AB
UL I FLOOR I CEILING I
:HANICAL
,AT PUMP I FURNACE I DUCTS
\S LINE
OOD STOVE I PELLET I CHIMNEY
JMMERCIAL HOOD I DUCTS
NUFACTURED HOMES
)OTING I SLAB
LOCKING & HOLD DOWNS
<IRTING
LANNING DEPT. SEP ARA TE PERMIT #'s SEPA:
ARKINGILIGHTlNG ESA:
ANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
INSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
IGINEERING 417-4807 PW I ENGINEERING
~ -- FIRE DEPT.
-
ilT~",~
~
r;;;::;.;:w
-
~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number . . . .
05-00000195
.534315
Page 2
Date 4/01/05
Jarate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becom
I and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandon
a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the h
pection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
's and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does I
sume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance
lstruction.
f"'\...........
Ci"n~+1 Ira. nf (')u/nor {if nwnAr i~ hllilrtArl
Date
BIDLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
ASE 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
I YES NO
NDATION:
OTINGS 4-lJ,fl-OT .1 J-L
\LLS t./-"'- /' J...- .J L l
UNDA TION DRAINAGE I DOWN SPOUTS
,~
ST HOLES (POLE BLDGS.)
MBING
IDER FLOOR I SLAB
IUGH-IN
\ TER LINE (METER TO BLDG)
,S LINE
,CK FLOW I WATER
SEAL
<\.LLS -1/~ /05 JIA)
:ILING I
MING
ISTS I GIRDERS -;/fhlo( J v(A
[EAR W ALLIHOLD DOWNS I
A.LLS I ROOF I CEILING
lYW ALL (INTERIOR BRACED PANEL ONLY)
BAR
LJLATION
,AB
ALL I FLOOR I CEILING I 7/t t70s I '.flY
CHANICAL
oAT PUMP I FURNACE I DUCTS
<\.S LINE
ooD STOVE I PELLET I CHIMNEY
)MMERCIAL HOOD I DUCTS
NUFACTURED HOMES
)OTING I SLAB
LOCKING & HOLD DOWNS
<IRTING
LANNING DEPT. SEPARATE PERMIT #'s SEPA:
<\RKINGILIGHTING ESA:
<\NDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
oCTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
NSTRUCTION R. W. / PWI CONSTRUCTION - R.W.
:iINEERING 417-4807 PW I ENGINEERING
~ 417_4653 FIRE DEPT.
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BUILDING PERMIT - APPLICATION If
www.cityofpa.us .L,
Print out form and fill out COMPLETELY in INK. Your application and sC:%~. i
plan MUST BE COMPLETE to be accepted for review. ,
Questions? Call: PERMITS (360) 417-4815 Fax (360) 417-4711
APPlicantorAgeJ~(<..l~ U ~~ Phone:S~ 4-~ )...~~~8
Owner: -p~ T" f2-L&c t)~~ Phone:~~4~)...-s8~<3
~ 0 -
Address: I ~~~ ~ .l()l ~. City: r~'1..,-r~ Zip: ~ IT-
ArchitectJEngineer: (j \AJ N e:- f2....., Phone:~ ~ -45' )... ~ <3 ~ 8
Contractor4 ~ 't ~~SI\k.a~StateLicense#~~~Cf\f~xp: 1(:)-0<) Phone:~~
Address:;" ~S ~Llc.L~ '(L.O City:,?a~ ~~ ,,\.N.tlt.. Zip: "~S~5
PROJECT ADDRESS: \ ~ '3 ?- ~. l()\~S Tn...o:aA - ZONING: ~<;...,.,
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
, & e.3o t t....:
00 ~'S
000
.
Credit Card Holder Name;P Jo..~ ~\CJ.C:-
Billing Address: \~~ ~~. \ ~~ ~"\
Credit Card Type VISA _ _MC #
TYPE OF WORK: SIZENALUATION~ ~
~ Residential 0 New Constr. 0 Re-roof 0 Stove ~C SF. @ $ :::::J :::L /SF. = $ do 9 11~ a
o Multi-family kAddition 0 Move 0 Garage SF. @ $ /SF. = $
o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $
o Repair 0 Sign 0 Other TOT AL V ALUA nON $ ..
BRIEF DESCRIPTION OF THE PROJECT: (.l.oo qr ~~~.~~ ,,~e~ rr,c.y\)
COMMERCIAL/RESIDENTIAL,. Q,,,",",y GmllP,~;DT~ccupant Load: Construction TypeW~t)~~..._--=-""
/(")::-:> OD I /. t"l4.L 73a---^'
No. of Stories: L Lot Size:~ ~ \ ~O Existing Sq. Ft. & Proposed Sq. Ft. \010 b = TOT AL Sq. Ft~O,~
Total lot coverage ") %
..., . . - - APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
~~
City: 'P<:Y\.r-
~~ta~
Exp. Date: ~ ~,
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICA TION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRA TION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the 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 Rl 05.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application a d k
understand that it is my responsibility to determine what permits e req
e same to be true and correct. I am authorized to apply for this permit and
, no City's, and tha ust obtain such permits prior to work.
Date:~-\.~-O~
www.cityofpa.us
60
N
Area Map
This map is not intended to be used as a legal description. .;:::5:?'
This map/drawing is produced by the Cit)' of Port Angelesfor its own use and purposes. :P:~.
Any other use of this map/drawing shall not be the responsibility of the City. ':W
Feet
Plot Plan for Patrick Deja, 1332 West 10th Street ,22' x
30 ' ( 660 s.f.) family room addition
Back Alley
w
New <:)
Addition
6bO~
15'
22'
.5 ATH
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3 ROOM
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N
West 10th
Street
Lot Dimension is 75'x 140'
(10,500 s.f.)
House with garage is 2,000
and addition is 660 s.f. for a
total % of lot use @ 25 %
------
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KITCHEN Df\I\fG MASTER
ROOM BEDROOM
2072 tf.
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<( <( 38'
ro ro
ENTRY
14'
14' BDRM 800M
24'
FILE
CITY OF PORT ANGElES _ C .
Tho, . onstruct.on Plans
~ ssuance 0/ thIS permit based u 0
catIOns aM other data shall n t p n these plans, sped/i.
('QI>! t~e'eMI I 0 prevent the bUllrll~g n{f;ciJI
'" ".,"' 1~4U ring the correction 0/ erro . .
p".I1S, SpeCllicotlOns and other da rs In said
bt;;i0Ina OPP'^tions bpI'n' '. fa, or from preventing
\!;""';"~I: ,/ ";" "g carned on thereunder when ,'n
"" ",' G. ad c'de< anrl rl' .
iCif' ~n~lr\ ,'u ~f "" or,J1ances 01 thiS jurisdiction.
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30- BUILDING FELT
\12" FL"'r1lIQOD ~ Sl-lEATHING
2X BIRD BLOCKING
WI 2"~ SCREENED
VENT, (2) PER R.A.r Ix=R
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11211 G.wB.
2X6 STUDS
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FASCIA
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SIDI~ AS SELECTED
BY OUNER
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3/411 T46
COMFL .,... FLOOR
R3V IN5ULATION
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CITYOP,POKf ANGELES
DEP ARTMENTQF COMMtiNrrYDEVELOPMENT - BUIT..DING DMSION
:, )321 EAST 5TH STREET; P(jRT"ANGELEs,JWA 98362,
'1 -')':,-: ,.C'_,' \'.,,:jfy:-.'', '_'_L"":';S::-~-"
~;;~}.;-}: f''-,:',
BUILDING PERMIT
ISSUEt:{ ;'8j6~i~002" ;.', PERMIT NO: 13607
';~RQ.f.&J~TYL()eATION
.\;:t1332 ...~ontST W
..... Lot: W 45' L T 8,E 30' L T 9
.. ,-t::Block:' 31~ 0 Long Legal
> Subdivision: TPA
", . Parcel No: 063000031535000
OWNER/APPLICANT
PAT,&'CHRIS DEJA
1332 W10TH STREET
Port Mgele~, W A 98363
360/452-3868
T:
CONTRACTOR
TOPNOTCH ROOFING
1235 WEST 9TH
Port Angeles, WA 98362
360/457-0066
PROJECT INFO
Project Value: $5~748.50
Project Type: RE-ROOF
Occupancy Type: . RESIDENT~AL
Occupancy Group:
Construction Type:
Zoning Use:
S:
;'-
. 98~60-0000
, , 360/000-0000
~.......
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SFDSCfFT:
Commercial:
industrial:
Gal<3ge:."e;;
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MFD Units:
MEPS9FT:
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$125.25
$0.00
';:'';:'$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
(-: '
'3::~~.. (!-;"~
PROJECT NOTES
TEAR OFF, FELT, COMP
RECEIPT#9497
FEES ASSESSMENT
Building Permit:
Plan Check:
. .,'"
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
MisifFEfe1 :
Mise F~e 2:
Mise FeEf3: .
$0.00
$().oo
$0.00
$.129.75
$129.75
. $():t)O~'"
TOTAL FEE:
AMOUNT PAID:
'BALANCE DUE: .
-~" .
Separate. Permits are required for electricalwork, SEPA, S~RreliH~~'ESA;ltJtiJi~es~privat~'and public improvem~n~*'Thi~~pnlt becomes,
null and void if work or constrUction authorized is not comll1~'nced. witpi~18QdaYs, ifconstruction or WPri<IS .USP~I1Cte,@.~r abandoneei'
fora periodo.t .180 d~ys;a~e,~ t~~ work as comml:trced!Qr~"g!~!~ta,I!lS . !c:ij~l'Is h@ve'nqt.I?~~rr~qu~~t~~.Yfi!DmJ:P~>~,~~~frgll1; ~~t'~t
Inspection. I hereby certifY that I have read alld Elxamine.cjtI1fsa . ? '. nd knowthe,s~lT1e to be true'anqC?On;f:l6t"AJLg(Ov!~lpnSiPf
laws and ordinances govemingthis type of work will becompli~ ...... heth,specifled her~in or no1.111e grall~l'I~ ofaBeri11itdoes not
presume to give authority to violate or cancel'theprovisiohS 'f: 'Y s or local lawlegulating col1strUCtioh,Q(tI)~,;peifoim~nce (>f,
construction. . '
Signature of ContJ:aetor or Authorized Agent
T:\PLANNING\FORMS\II02.IS [412002]
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BUII:JHNQ,PERMIT INSPECl'ION RECORD
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CALL 417-4815 FOR BUILDINGINSPEC11()~.l~!J3J).SB.PROVlDB~INIMUM ~4 HOUR NOTICE. IT ~S Uft(LAWFJ!!-Tq>~!l~R,
INSULATE OR. CONCEAL ANYWOilK BEFORE INSPECTED AND ACCEPTED. POST' PERMIT INA CONSPICUOUS"LOCAl"I6N.
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jmweitz@prodigy.net
5/1712002
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/) f). T~ORG994DA >>>> EXPIRATION DATE: 5/18/04
Company slgnatu~ C.<, ) . Date 5- /7- 0 '2-. '"
Bid prices are subject to reasonable Increa due to any necessary alterations, additions, Increases In material and/or
labor to complete work. Homeowner will be notifled of any necessary changes, which may affect cost.
~rtv ownel'S are re5l)Onslble for obtaininv any Dermits required for work and materials described herein.
Bid prices are .pplicable for 30 days from date below, unles8 otherwise stated or agreed to. Please feel welcome to califf
you have questions concemlng this estimate/bid. It bid is accepted, please sign one copy and retum It to TOPNOTCH ROOFING &
GUTIER. Work Is scheduled upon receipt: of signed bid.
"- . , ~~__........._,__,,__.__._,____.-~~'--"o ,'",' " "0 References are-available! P--
ESTIMATE AND BID PROPOSAL. CONTRACT
TO: Pat and Chris Deja -1332 W. 10th St., Port Angeles, WA 98363 - 452.3868
FOR: Re-roof @ address above
Tear off existing shake roof. Clean up and disposal included. Roof with 4O-year laminated, orchitectll"Gl
composition over 15# felt underlayment. Install starter course composition, 140' hip and ridge, 80' W valley,
104' ridge vent, 1-1"neo, 1-2" neo, 1-3" nea, t-metal vent, t-bath vent, chimney flash.
Total cost of tear off and re.roof; ~ing the materials specified above, labor to complete work ~. described,
and sales tax: '
$5748.50
471.38
$6219.88
Six thousand, two hundred nineteen, and 88/100
. Now scheduling for mid-summer work orders, upon receipt of signed bid
. If you have any questions about your estimate or wish to see samples or discuss other material
options, please call. Evening calls are welcome.
Date ~-c <6- d.002-.
D BY UCINSED, 1ONDID,lNSURlD CONTRACrOR
PAYMEWT TERMS: ONE HALF TO START WORK. BALANCE DUE IN FULL WHEN WORK IS COMPLETED * ALTERNATIVE PAYMENT ARRANGEMENTS
MUST BE DISCUSSED AND AGREED TO PRIOR TO THE START OF THE JOB
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15420
'-, -,;2 .) .s-
Port Angeles, Washlngton________....c:___m_hhh_h___mm___h_____hhhhhh, 19h_____.
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.
Address --~~J--J....h--~.l-9.-~........hmh--...:.hh... OccupancY_m.,:L&:_:~h"""'h'_'_'hh__h_'
~:::: ~'~::::z-~::ff&:~:.::~_ ~::~~~~::::::::::::::-_-_-:_:::::::::::::::::::::::::::::::::::::::::::::::-::::
"
. I:; () /,1 V c...
serv~:: ::::: :::::::~.:::<:::::::::::::::::
. ,'j
Size Wiresn/-/12/E...____..
Main fuse ..:--..f)~"!!...If.-----....
S
Enclosure ........._.......___....m___..m....
Light Out1ets..............~:...f.:~............__..
... ,r,
Receptacle Outlets....J~~....~.___........
c.-
:=:r~, ::--....'.2;;;___..-.0000--......::00...:.,
Water Heater: /
US
KW.n..........l.l.n.'....__...................
Hea', Rw__).v../3J1__n
Motors: size, volts and phase:
./[(1&;".;;_000000_0000_00_00__.00
/-f.l ~
. ...,........t-.-'.........................................
Total Load_____...__.......__.___.___..
TYDe of wiring-:
Entrance Cable ._...........................
Rigid Conduit ___.______.....................
Metallic Tubing ....___.........___.....m
Current transformers:
No. & Size.......................................
Ser. NO.__.......m...........................__....
Ser. No.-.............................................
Ser. NO....__........_...............__....n.......__
Ser. No. .............................................
Type of Wiring:
Armored Cable.
Non-Metallic ..............................._.
Knob & Tube...
Rigid Conduit ...__....__.__..0000_._00__
Metallic Tubing .......__........
Raceway..........................................
Circuits, Light___"G______..._________.______...._
Utility __~.....__._...__......_____.
. /<
:::ge h~~~~~~~:~:~~~~~~::~~:::::::::::::::::::::
:2
Water Heater ......................._____...
~rotor ........................................____.
Dryer,......?::~.....................................
Furnace ....__...................'....................
Total _.2001..__._.._____00___..
Remarks: _hmmm/2::c.&<d.~m_m_<;.:dr::>i~_L__hmhmm_hhmmh._____...h_....h.....___h.........._......._......._
i:.~~~~~~;e~~-~;~~thn~-~~~::~;~;;~;L.~~~tifl~~ten~f-;;.~~g~e~~;~;~;?~~:~~
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
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ELECTRICAL PERMIT
N?
15420
/33;) 4r/od
~:::~:::::~~:~~~::::..~:~::~~~:~~:::::::::::::~::::::::::::::::::::::::::::::::::::n::::::::::::::::::::::::::~~::::::::::::::::::~=:::~::~:::::::~
1M 3.72 Olympic Printers, Inc.
Total Load ......_.........................................__............nn......................_.
~~Lc..~,,,, 0 ""'" fi
o Annual Permit 0 Alarm 0 Carllival 0 Commercial
. E~ALWORKPERMITAPPLICATION
~est Inspection
o Resldeatlal 0 Residential Mainl. 0 Signs 0 Thermoslat 0 Telecom.
Job wired by
Q Owner
Electrical contractor name License number
~ .....~<- ~~..'-.., if LCl:.-rS\ q.:M...........
purchas€,~iling t)'eos vA t/2p
City n ~ State ZIP
fDlLr-~.. Wi..... c; 1'\1.~
Telephone number FAX number
~ ')2.. - c.. 'I 2- (.5
CUy
s
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or me firm's authorized agent) =md SIll making the electrical
in$ullation Dr altc..'1ation ill compliance with the elecrricallaw, Chapter 19.28 RCW,
x
Signature of 0
cr, CICC'jZ:...p>Ctor 0' ,I'elrlcal admlnl.!nt..
. CEIlJNG
Insulation Only
D101@ },pp\'(l<Tcd 8Y
'!n.,5ove~
r Dc App,ovedB1
"-
WALLS
Insulation Only
#te Approved, By
"7. of Covc',fco
Ie Approved By
"-
Electrical Load Additions and or subtractions
[:] NO LOAD CHANGES
o Baseboard _ KW
o Furoaoe KW
[J Hea.t Fump __ Ton LAR
,:Ja"Fan-Wall 4:...'-CKW .< ,:)re- t2..- W{(T/ 'f
Installation descrip1ion
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o Cash Q Check # r IJ '
Q Credit Card VISa ~~
C..-d#
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Discover
Expiration Date
of cord
/ TIIERMOSTAT
"- DIl'~ Atl'lll'lttld I))'
/. Dnrn
0.1.1= ApprOv!ld By
~ad Service
o Tamp Service
o Underground Service
Inspection
Date
C)./-.
Area, Building or Equipment Inspected
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/' SERVICE
"- DMO ApPf"O"<Td"By
/' FEEDER
"- 0.10 . Appnly~d By
Servlca Information
Vo~.ge
Phase0103
Setvice Siz:e:
Feeder Size:
Action Taken
Electrical
fnspector
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