HomeMy WebLinkAbout410 S B St - Building
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
App11cation Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
App11cation description
Subdivision Name
Property Use
Property Zon1ng . . .
Application valuat10n
6/02/04
04-00000480 Date
.807040
410 S B ST
06-30-00-0-1-0600-0000-
RE-ROOF
e::scRrze-o
4/ ZV!tJ? V;7
6690
Owner
Contractor
ERIC D/BETSY L KOTT FLODSTROM
410 S B ST
PORT ANGELES WA 983632126
EMERALD ROOFING
114 MT PLEASENT CREST
PORT ANGELES WA 98362
(360) 452-8173
Permit
Additional desc
Permit Fee
Issue Date
Exp1rat1on Date
BUILDING PERMIT - NO PR FEE
TEAR OFF COMP
162.75 Plan Check Fee
6/02/04 valuation
11/29/04
.00
6690
Qty Unit Charge Per
Extension
92.75
70.00
BASE FEE
5.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 162.75 162.75 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 167.25 167.25 .00 .00
..:L.
-
C)
tA
t.
0:.
UJ_
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 perform nce of
construction.
2-0Lf
Date
Signature of Owner (if owner is builder)
T \PLANNING\FORMS\1102 15 [11/14/2003]
N~
17639
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
/0 - (, g-/
Port Angeles, Washlngton..m.m......m......,m...mm.......m.m.....nm., 19..n.m
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any bullding or other structure in the City of Port Angeles, per-
mission is hereby granted to d6 electrical work as listed below.
.C//() ..sc d5 A-~ .
=~ ~~~~:~:~:~::~~~=::::=:=::===:=::-
LIght Outl.t.............n......n--.....----.-----. S.rvlc., volts ./<?--Y--<?t!tf.......... Typ. 01 Wlrtng:
R.ceptacl. Outlets._..____.......__......._...... No. wir.. .........n.......r;t:(...----.. Armor.d Cahl. ........----...----.........-
Dryer, KW nm.._.___m..__...._......._..____.... SIze wlres..~~..7J......._.. Non-Metallic ...............--........---.....
~ /'1 Knob & Tube.............__.........__......_
Range, KW.___.......nn.....____n..___n_____ Main fuse ......-.............--........--.--....
S
Enclosure .__......_nnn....._____......._____.
RIgid Conduit ....n_........._n............
Water Heater:
Metallic Tubing .........---.....--........
KW..__________n______n___.n____.n_n..___n.
Heat KW.../;(~;;&fi(J~nm
Type of wiring:
Entrance Cable ..__m....
Motors: size. volts and phase:
Rigid Conduit m......._......._............
MetalUc Tubing ....m....n......n..n..
Current transformers:
No. & Size.......................................
Raceway ...............................-......-
CIrcuits, Light..........m..........................
Utility _n__m_____.._.....___......__n..m_____.
Heat ......................................._n....
Ser. No...............................................
Range .............................................
Water Heater ...............................
Motor ..._........................................
Dryer ..............................................-..
Furnace .........................'_...................
Ser. No..............................................
Ser. No..............................................
Total wad............................. Ser. No. .n.......hh..._.....................-:!... Total.......................................
Remarks: .m....mm__'.q"-e..~~m..--.m..~.r::t!..g~..m.....=mm-n---.....----......---mm..000......000
..unnn....__nn____nnn__nnnn__uu.n.nnnn_n..u.un.n.uu.__uunnn.uunn.nun.__n.un_nn._u_nnnn.u.nnn.u_nn..._uu___n_.u_nn.
.m.._.nm..m...___..mm..mmm......__nm...._...mmm.___..mmm_mmmm___m.._....mm....m......~m... m.mm..m..m...m..___.........
Permit Fee Treas. Receipt (J/ (L/l ~ ~
$....~~~;~.~~~~;.;~;..::~t not ~~.;:~~~.:~--:::;..~~rtlllcat. 01 ~:.t.!:.~~~:-.;~~:~~:..;;..:::.;~~~:~
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~ 17639
ELECTRICAL PERMIT
Address..................._...................................................................................................................Date..._......_.._.._......................_..n.._.........
Owner ..............................un........._.........._......_........n..................................................... Tenant...........................................................h.......
Wiring Contractor........................................ ..................................................................................By..............................................................
NOTICE-Current must not be turned on unt11 Certificate of Inspection has been issued. If work is to be COD-
cealed due notice must be given the Inspector so that work may be inspected before concealment. \
I ~
1M Olympic Printers, Inc. '.......
\ -.