HomeMy WebLinkAbout612 S Chambers St - Building CITY OF PORT ANGELES
PUBLIC WORKS BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 4/15/2002 PERMIT NO: 13321
OWNER/APPLICANT PROPERTY LOCATION
612 CHAMBERS S
ROBERT PARR
612 S. CHAMBERS Lot: 1/2 1AND 2
Port Angeles, WA 98362 Block: 209 [] Long Legal
360/452-6751 Subdivision: TPA
T: S: Parcel No: 063000020900000
CONTRACTOR ARCHITECT
ALLEN HUNT CONSTRUCTION N/A
489 CAMERON DR.
PORT ANGELES, WA 98362-0000 , 98360-0000
360/417-2939 360/000-0000
PROJECT INFO
Project Value: $11,000.00 SFD Units: 0 Commercial: 0
Project Type: GARAGE NEW SFD SQ FT: 0 Industrial: 0 ~".
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS7 IJ~.
PROJECT NOTES
NEW 20' X 24' DETACHED GARAGE 480 SQ. FT
RECEIPT#8957
FEES ASSESSMENT
Building Permit: $195.25 Misc Fee 1: $0.00
Plan Check: $78.10 Misc Fee 2: $0.00 ~/'
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $277.85
Plumbing: $0.00 AMOUNT PAID: $277.85
Mechanical: $0.00 BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public impmvement~. 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 pedod 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
aws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
)resume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOP,. BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 I DATE IYEsACCEPTEDI NO COMMENTS
FOUNDATION:
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW ! WATER
AIR SEAL
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
FOR OFFIC1A USE ONLY:
BUILDING PERMIT - APPLICATION
Da~ Issued:
The Building Permit application must be filled out completely.
Please type or print in ink. If you have any questions, please call 417-4815
Applic~t or Agent: AI/r~ ~Om ~ Phone:
Owner: ~()~¢~ q ~ ~}~ C ~ Phone:
Address: ~/~ ~C. ~ [~O~&'c % City: .'flt ?e
~chitect/Engineer: Phone:
Con.actor ~[l~ HO'~ License~: ~ Exp:. Phone:
AddreSs:qgq Co ,o City:r&r/ ~,S~/r3 Zip:
PROJECT D SS: g lZ O, C}tam er, c
LEG~ DESC~PTION: Lot: ~ ~ [ ~ ~Block: ~q Subdivision:
CL~L~ COUNTY P~CEL N~BER: ~ 7~ ~ ~ Credit Card Holder Name:
Billing Address: City:
Credit Card g: Exp. Date: ~SA MC
TYPE OF WORK: SIZENALUATION: "]/SF //,~C) 0 ~)
[] Residential ~NewConslr. [] Re-roof [] Wood-stove L)F~C~ SF.@$~._~ .=$
[] Multi-family rn Addition [] Move ~ Garage SF. ~ $ /SF. = $
[] Commercial [] Remodel [] Demolition [] Deck SF. ~ $. /SF.- $
[] Repair [] Sign [] TOTAL VALUATION $ t///(~ O ~
BRIEF DESCRIPTION OF THE PROJECT: ~ ~,,tJl~ /9[_ "~ C_~ ~ ~tL d'r'
COMMERCIAL/RESIDENTIAL: Occupancy Group:. Occupant Load: __ Coma-action Type: Lo VgO d
No. of Stories: ~ LotSize: ~c{0 ~(100 % Lot Coverage:. IL~.c~0 7 %
Existing Lot Coverage: ]~67~ 52- /sq. ft. + Proposed Lot Coverage: qt ~ O /sq. ft. = TOTAL LOT COVERAGE: ~_0 Y~..~.sq. ft.
PLANNING USE ONLY: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be rev, ised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other
permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this'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 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for
this permit. [ understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's
responsibility to determine what permits are required and to obtain such.
Applicant:
T:WORMS\APPS~Bui]din gpermit
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: ~/~
Date _~'---/~' ~)~'~' Time Received by (phone, person)
Location of Work to be inspected ~J ~_~ .~-_5
Name of person requesting inspection- /~//-~1// //"~I/L~,~]f'~ ' - --
Address of person requesting inspection Phone No. ~
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing ~Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date -~ ~' ~ ~ (~--~- Time By
Remarks:.
RESTORATION REQUIRED ...... YES NO.
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt [] PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITYOF POR ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~-/'--/~'-(~-~- Time Receivedby '/~ (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Permit No.
Type of Inspection (circle appropriate one):
Sewer ~F~undatio~ ?Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date '~, ~ Time By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
I--I Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
~I. IILUlI~ I,"t-I'~llflll ISSUED: 6/12/2002 PERMIT NO: 13481
OWNER/APPLICANT PROPERTY LOCATION
612 CHAMBERS S
ROBERT PARR
612 S. CHAMBERS Lot: 1/2 1AND 2
Port Angeles, WA 98362 Block: 209 [] Long Legal
360/452-6751 Subdivision: TPA
T: S: Parcel No: 063000020900000
CONTRACTOR ARCHITECT
ALLEN HUNT CONSTRUCTION N/A
489 CAMERON DR.
PORT ANGELES, WA 98362-0000 , 98360-0000
360/417-2939 360/000-0000
PROJECT INFO
Project Value: $25,000.00 SFD Units: 0 Commercial: 0
Project Type: REMODEL SFD SQ FT: 0 Industrial: 0 ~'-.
Occupancy Type: RESIDENTIAL Garage: 0 --~
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS7 ~'~
PROJECT NOTES ~)
REPAIR FOUNDATION AND REMOVE FLAT ROOF AND REPLACE WITH NEW TRUSSES .~
FEES ASSESSMENT
Building Permit: $391.25 Misc Fee 1: $0.00
Plan Check: $156.50 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $552.25
Plumbing: $0.00 AMOUNT PAID: $552.25
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
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 tocai law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FOR3vIS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. ITIS 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 I ACCEPTED COMMENTS
I
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
BUILDING 417-4815 h -- tO-O~ J ~ BUILDING
~&'? 36' FOR OFFICIAl. USE ONLY:
Date Rec.:
° ~ BUILDING PERMIT- APPLICATION P~it~:
Date Ap
The Building Pemnit Application must be filled out completely.
Please type or print in ink. If you have any questions, please call 41%4815
Applicant or Agent: ~O~ ~qr~ Phone: ~--~
Address: //~ ~<o,~,~c, City: ~Or7 ~j~</~: Zip:
Architec~ngineer: Phone:
Contractor License ~: Exp:. Phone:
Address: City: Zip:
LEG~ DESC~PTION: Lot: ~ [ Block: ~0~ Subdivision:~
CL~L~ COUNTY P~CEL NUMBER: O~o~Y~redit Card Holder Name:
Billing Address: City:
Credit Card ~: Exp. Date: VISA MC
T~E OF WO~: $I~ff~UATION:
~ Residential ~ New Cons~. X Re-roof n Wood-stove ~V. ~ $ 2q./~ /SF. =s ' 0
~ Multi-famly ~ Addition a Move ~ Garage SF. ~ $ /SF. = $
~ Co~ercial ~ Remodel ~ Demolition u Deck SF. ~ $ /SF.-$
~ Repair ~ Sign ~ TOTAL VALUATION $
B~EFDESC~PTIONOFTHEPRO~CT' ~1~ '~ oZ
COMMERCI~SIDENTIA: Occupancy Group: Occupant Load: ~ Cons~ction T~e:.
No. of Stories: ~ LotSme: lO0~l~O %LotCoverag~ / ~ %
Existing Lot Coverage: ,E~:$~q. fl. + Proposed Lot Coverage: /sq. fl. = TOTAL LOT COVE~GE: '20~,~. ft.
PLANING USE ONLY: ~PROV~S: PL~
Notes: BLDG.
DPW
FI~
ES~etland(s): D Yes a No SEPA Chec~ist required? U Yes U No Other: OTHER
BUILDING PE~IT APPLICATION SUBMITT~: Your application and site plan must be filled out completely to be accepted for
review. The Build~g Division can provide you with more detailed ~fo~ation on the application and plan sub~l requirements. Your
completed application, site plan (for additions) and building cons~ction plans are to be sub~tted to the Building Division.
V~UATION OF CONSTRUCTION: In all eases, a valuation amount must be entered by the applicant. T~s fig~e will be reviewed
aud ~y be revised by the Building Division to comply with cu~ent fee schedules. Contact the Pe~t Coordinator at 417-4815 for assistance.
PL~ CHECK FEE: Your plan check fee is due at the time ~e building pe~t application and cons~ction plans are subdued. All other
pe~t fees are due at the time ofpe~t issuance.
EXPIATION OF PLAN ~VIEW: If no pe~t is issued within 180 days of ac date of application, t~s application will expire. ~e
Building Official can extend ~e time for action by the applicant up to 180 days upon ~inen request by the applicant (see Section 107.4 o f
the Unifo~ Building Code, cu~ent edition). No application can be extended more than once.
I hereby cert~ that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for
this permit, l understand it is not the Ci~'s legal re~ponsibili~ to determine what permits are required; it remains the apphcant's
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: .~L~/
Date ~-~-~t~--~ Time Received by (phone, person)
Location of Work to be inspected ~/~ .~::~ ~_~/~t~/~u~ ~
Name of person requesting inspection -~--_~)~,v~- ~tK'~ /-~.,~
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing~l~Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date Time By
Remarks:.
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel I~Asphalt [~PCC []Other
[] Repaired by City Work Order #
I--I Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUES3[: I
Date~Time [~'.~1~.~.~ Received by ~ (phone. person)
Location of Work to be inspected ~ ~--~
Name of person requesting inspection
Address of person requesting inspection ~ ¢ Phone No.~'~
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbin~ewer Excav. Other
INSPECTION NOTES,: ~ ,
Inspected: Date ~ ~['l~/~ Time ~1~ B¥~--~
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt (~PCC []Other
[] Repaired by City Work Order #
r-] Repaired by Permittee [] COMPLETE
~] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
f fORT ~
l"O~
ha
"-~
~
~.,~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Applicat20n Number
P2n number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivis20n Name
Property Use
Property zoning . . .
Appl2cation valuation
10/06/04
04-00000914 Date
.492600
612 S CHAMBERS ST
06-30-00-0-2-0900-0000-
RE-ROOF
RS7 RESDNTL SINGLE FAMILY
3539
Owner
Contractor
PARR ROBERT/LEANN
1128 GEORGIANA
PORT ANGELES
WA 98362
RAINMASTER ROOFING
1205 S. 0 ST.
PORT ANGELES WA 98362
(360) 452-3213
Perm2t
Additional desc
Permit Fee
Issue Date
Expirat20n Date
BUILDING PERMIT - NO PR FEE
TEAROFF, SHEET, GRAN TORCHDOWN
120.75 Plan Check Fee
10/06/04 Valuat20n
4/05/05
.00
3539
Qty Un2t Charge Per
Extension
92.75
28.00
BASE FEE
2.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 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
EXR~D
4!Z{p/DiP
1/1
\f'
-
N
<t
~
';>
p
~
(j
tv
~
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 atterthe 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.
..-----
Date
Signature of Owner (if owner is builder)
r or Authorized Agent
T:\PLANNING\FORMS\1102 15 [11/14/2003]
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16460
jJ)- -? )C
Port Angeles, Washlngtonm........._...._..........m.___.._m.mm.m...__.__... 19.nnooo
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 ooon?;.I..p.Ji~h~,~""!.-<'!t.n--.--ooo.m--ooo Occupancy___n,.<'!;I2"'.~____h._..__oooooo__.___.
Owner n__ooo(}}:-!,,"'~<.:ooooooooo'ooo.._________ooon___~ooo____nn_..n Tenantooooooooon__ooo__.._..___.__nhnooo._m.__h__n.__oooooo.__n_oooooo
Wiring Contractor n_ooo.aJd:(~nn~~~~.__.__.__. By___h.__oooooooooooonn__m____...mmn__ooo_.m.nmh__.n..
LIght Outlets________________________________________ Service. volts _______/~.<2,/t?:.r:.:I.____ Type of Wiring:
Receptacle Outlets_______.______________m______ No. WI~es -----1/;,:1:f;r..T, 4;..... Armored Cable .............m..............
D KW SI /.(,"C/ ax- Non.Metallic --------------------------------.
ryer.' .mm.h___m___m_____n____________ ze WIres7;::.>.;;;;;;-)r---~---
7V"'/t Knob & Tube................................_
Range, KW....n.......................:............ Main fuse ........................;...........:..
1'2--7i4.-
Enclosure .......................................
Water Heater:
Rigid Conduit ____________.__________m_____
Metalllc Tubing ________._______________h_
Heat~:;::::;!if.:~J:.;;;;:.
Type of wiring;
Entrance Cable ...........
Ser. No...............................................
Raceway ..............................._....._
Circuits, Light..................___..................
Utility.............................................
l-leat ......................................._......
Range .............................................
Water Heater ...............................
Motor .............................................
Motors: size, volts and phase:
Rigid Conduit ...............................
Metallic Tubing ...........................
Current transformers:
No. & Size.............................
Ser. No..............................................
Dryer................................................_
Furnace .........................'_......_...........
Ser. No..............................................
Remark:~ta:__~~~.:::::;:;._~=;.Aooo~____S~:~~.d?d?::.:::2;_~~~...__hnnooo.~~~::n::.:__.:.::___-.:__-:::-:.:.:.:::.
/ - - - -#
Permit Fee
fhoo....n....nn__..___...____.____
Treas. Receipt
NO.nooonooon...ooo..........
By .21..i!.ltd...~~~~___ooo_
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected belore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16460
Address..................._.................................._.._......__..........__.........................................................Date..__.....__..__.__._..........__...___.................
i
Owner..................................._......_.._.............._..__............................................_.............Tenant................................_...................................
Wiring Contractor......................................... .................._.......__.._.__......_._...____.._.._.___....__....__.....__.By................................._........................._..
NOTICE--Current must not be turned on until Certificate ot 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. .
1M Olympic Printers, Inc.
08/27/02
20:21 FAX 360 683 4193 EVERGREEN ELECT
ELECTRICAL PERMIT APPLlct nON
The Elec!n'ca/ Permit Application rnust ~efilled aUl9ompletely.
Ploase type or print In iDk. ICyou bave aDY que.tioD', plea e call (360) 417-4735
Fu lIumber: (360) 417-4711
I4J 001
s
..~""~
FOR OfFICIAL USE ONLY:
DuL< Rec.:
Pet'1tl.ittl:
D.,. App","""
Dalc Wucd..:
P77J1
p/J)O ?f33 - 373z...
Applicant and/or Agent: E'L--6/<Ge.t-e-N ~J..-6(' Phone: 3- 4- }::/J3
P;operty DWIler: ~ 0 i>>r--l- cf a: <0 r i Phone:
Address: C.l'1 C0C/,/nr!xv{ City: 1bJ.H- Jl/1}6?~ Zip: 045.362
. Contractor ~b-e 6~.=,,- ;f;..I-. License #~v? e~,w E;o;p:
Address: 152-<:::> ~"""""'777W-- R;; City: CC,:,,:;:=v I J-
Phone:
Zip; ~dZ-
b2f-c:.-rkJCft/)tCIIIJ<=L 6.
1/
-CilJl. ..
,
Zip:
n~MC_
PROJECT ADDRESS:b (2 'CIlcn-rn,J,.,,-
, .
LEGAL DESCRIPTION: Lot: Bloele
zoNING
S ~) . .
U1VlSlon:
CLALLAM COUNTY PARCEL NUMBER:
~PE 01' WORK:
Resldent",J a Mulll-fwDlly
a Comm~ciaJ a Mobile Home
Ele~trioal Pcrmlt fees are based on WAC 296-46-910
BlUEF DESCIUPTION OF THE PROJECT: IU-l-I/]} CI/2-C
7+
~pr# 'JS~'1
'3~ $:?
I .
Service Information
~--t' J S--r/ J1J 6
KW
KW
KW
KW
a Riser
[J ()Yerbead Service
[]. Temp Service
a'Underground Service
Voltage:
Phase: l>r1 0 3
Service Si~e: ~-f).r7?P
Fee:ler Size:
Comments:
I
I
I
1 hereby certify thai I have re~d and examined lliis applicalionand k710W the J'JIC to oe /nJe .ond corrut, and I am authorized to apply
jDrlJmpeJ7Jll1. flinders/and Ills nO/lhe CI/y's legal responswllJ/Y 10 delermlne what ennlls are requl1'ed; {( rematfl! Iile applicants
respansibility lo.determine whal permilJ' are required and to oOloin such: j I .
PW.1l02_" ["",3/.00J Credit Card Holder's Signalure:J1/r Date:C)~2~
--
11/12/02 TVE.o9: 17 FAX 360 683 3971.
. .'-1.,-".,';: :..1.;..t.I:.,T. ~..I'IT -'..I'J:-EL..E,".
AIR FLO HEATING
Ig] 001
..".,,~ I :-...~ I I
fOR OffiCI....l USE ONl. Y
-
'a1h;,';
OlIeApproYUl:
ELECTRICAL PERMIT APPLICATION
The Electrical Penn It Application mu~. be filled out comole1elv.
Please type or r-epr;nt in Ink. If you have any questions, please call P60) 417.
4735
Fa. numbel: (360) 417-4711
41 79D{
REQUEST INSPECTION 0
Owner Of Elec. Conb'actor Agent
Phone-
Fa'c
452-9682
98362
Zip:
phone.683- 3901
Zip: 98382
Property Owner:
Robert parr
612 S. Chambers
Address:
Electrical Contraclor: Air FIn Heating
City:
Port Angeles
Phone:
Address:
221 \oJ. r,,,dar
License #(\IRFLHC009C&;.p:
City: Seauim
INSTALLATION WIRED BY,
DOWNER
Credit Card Holder Name'
Air Flo
Xl ELECTRICAL CONTRACTOR
Heating
Billing Address' 221 \oJ. Cedar
Credit Card Number
VISA-X
MCO-
PROJECT ADDRESS'
612 S. Chambers
Port Angeles
TYPE OF WORK:
Check all that apply:
o New
o AHeration/Addilion
Xl Residential 0 Mulli-family
o Commercial
o Mobile Home
Sq. FI
Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
)(,Low Voltage 0 Telecom. 0 S
Number- of Circuits added or altered: _
DESCRIPTION OF THE ELECTRICAL PROJECT: f2.cutJ fJ.. .v\L~j)e.60ctk'111
o Baseboard
o Fumrlce
o Heal Pump
o Fan-Wall
_KW
KW
_TON
_KW
PERMIT FEE: 35.1;,0
~Itcft 971L(
Service Information
Electrical Heat Load Additions
LRA
o Overhead Service
o Temp Servi.ce
o Underground SSlVice
Voltage:
Fhase: 0 1 0 3
Service Size:
Feeder Size:
I hereby certify that I have read and examined this application and know that same to be /rue and correct, and I a
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature:
Date: 11-lifOO
Owner or Elec. Cant. Signature:
Wt2~'UC~0"~z_
Date:
11/12/02 TUE 09: J7 FAX 3(;0 (;83 3971
'-I'~. '~U:. ,T. j: ".j:,T ->'I-J:.EL..E"
AIH FLO HEATING
I4J 001
.~
: "',;:",';.:0 I :-.:1.- I ,
'.'
\
~/"7
ELECTRICAL PERMIT APPLICATION
fOR OfFlCIAl t/SE ONi. V
........,
Pam;.',
~~Approwul':
The Eleclrical Permit Application must be filled out comoletelv.
Please type or reprint in Ink. If you have any questions, please ealf f360) 417.
4735
Fax numbel: (360) 417--4711
Owner 0' Elec. Contractor Agent
REQUEST INSPECTION 0
Phone"
FaX:
Property Owner:
Robert parr
612 S. Chambers
Address:
ElectrIcal Contractor: Air Flo Heating
City:
Port Angeles
Phone:
452-9682
98362
Zip:
"hone.683-3901
Zip: 98382
Address:
221 W. Cpdar
license lA.IRFLHC009C~.p:
City: S eo u im
INSTALLATION WIRED BY:
o OWNER
Credit Card Holder Name'
Air Flo
:p ELECTRICAL CONTRACTOR
Heating
Billing Address' 221 W. Cedar
Credit Card Number-
VISA'X
MC~
PROJECT ADDRESS'
612 S. Chambers
Port Angeles
TYPE OF WORK:
Check all that apply:
o New
o Alleralion/Addition
:xl Residential 0 Multi-family
o Commercial
o Mobile Home
Sq. FI
Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
XLoW Voltage 0 Telecom. 0 S
Numbe... of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT: f2ctdJ 0.. .Y\J
~j)€~akd
Electrical Heal Load Additions
PERMIT FEE: 3 s,. 1:>0
Service Informa.tion
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
_KW
_TON
_KW
LRA
o Overhead Service
o Temp Servi.ce
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
I hereby certify that I have read and examined this application and know that same to be true and correct, and I a
authorized to apply for this permit. I understand it is not the City's legal responliibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature:
Dale: 1/-19-00
Owner or Elec. ConI. Signature:
;;;;;7J~PUC~;;I/'~L 'V,y~ M- ~
Date:
~i~
-rt'-f
~/..-
FRQ!:1.: BOB'S Electric
FAX NO.
1 360 452 9943
Jul. 10 2002 09:41AM P3 ._____
Ii
1/10 I D~
ELECTRICAL PERMIT APPLICATION
b "'J/
T~e El8O:riCQI P8I'l'nl1 A::>plje:arlo... mUfti h.I;".d nut c;omofotolv.
ProP$rtY Owner:
PiN_ fJpe or roprint In Inlil. If yo.. "~y. any Quutiona. :p1ease C.IJ (:leo) 4~7.
4735
Fax nUf\'lber~ (360) '''-4111
REQUEST INSPECTION~
p"""..4""7-tn~n F:sx:"'f.5~- 9''N3
Admvos;
e_... Cco_:
cnyo
(\ 2".Jf~
"'hone:
-:
z;p:
.d2..Z..7&f o,.",~-~7
City.
ZIp:
tNs'tAUAnOf\l WIRED BY; ::::; ()VVt.jER ~ ELECTRICAL CONT~CTOR
C"dJfCorr1Hold"'N~m..~A {'rH.... a-t i<.,,,i=l, G......t, t...-t;; L-
Sllllng AddnJS$" ~ ';L 'f ~ 1)e.e:te A>.~.K' CIty,J1 r'+- A 1\ ~" (.p S
CnJdJtCtudNumb~' '
PIlOJECT_~/1L.. 5" -Rk- In. 4
Lv "- Z'p: '1 'ii ~v, L..
V1SAL MC"-
TVp& OP WORK.
Cheek lllI thai apply: ;:] New
o Altera1ion/Addition
o Residential ~ Mulll-famDy
o Commercial 0 Mobile Home Sq. Fl
"""'rnbclr of CI~it8 added or a~ored:
Remote Meier Cl Oetacned 98"'ge 0 Hot Tub 0 Swim Pool Q SePlic Pl;It.p ,-; Low V""~\le Ci Telecom. c: Sign
DESCRIP1lON OF 11lE ElECTRICAL PIlOJECT: ..!/o", /9 d1 L)
,
AA~'" (~~,Jj
Ehodrlcal Haat Load Additions
PERMIT FEE:
Q.1 ,3 0
SlIl'ilee Information
o _baard
OF""""",
o Heat Pump
ClFOt\oWall
_KW
_KW
_ TON_LRA
-KW
C OvGrIload SeMce
C Temp Service
~ Underground Service
VoI:age:
Phase: l.J 1 L-: 3
Se",'lce SJu:
Feeder Size:. __..
I her&by certify that I have read and Bxamined this application and know that same to be trua and corree!, allf1l am
authorized It> apply for this permit. I understand it is not the City's ~gaI responsibility to dewrmina what permils
ara required; it remains the applicants ffMlpOnSlbillty to determine What permits are required and to OOIlI'n such.
CmdltCllrclHOIcI.....sSlgnature: O~~d~ ~~'f:(./
Ownw or EIec. ConI. SIgnature' .E-I.u./ ....I ..4..J1 g.l' ~
,/. /... C:lELECTRlCALPERMrTAPPLICATION ",:;;;:; cd
'(((,/<>1-- ~ ~. dg0
,A;L - LoJ'\-t;> ~,+a.- 'kk'V-:D - . I Pr- I
!l\Jl,~ /., .fLL A)e..W t4.~+ --10 &.e &..~p? Pr-s-s-:kle C(~<-e 'i'fo'~-
O~I~t= tt-L ~ )(r"/T '(futtL w?(( fJYbLo'tL!'7 t!-c-GQwv....uC>rr,~.,
Tl..r\ jJf..vJ . ~ S~Ul--{.>..J - - NJT€-: -L Po pVlJf rH.-.t~/4{!3€.'<- 5€-If:'(
A f;L-Pb; 7~
, Date: ~//~/,,<:.....
Date}1j/lJ>