HomeMy WebLinkAbout1020 S Laurel St - Building
PREPARED 6/12/07, 9 23 04
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR- JAMES LIERLY
1020 S LAUREL ST
MICHAEL CHYNOWETH
MAR-KED ENTERPRISES INC
CHYNOWETH MICHAEL/KIM
06-30-00-0-3-2790-0000-
06-00001014 RE-ROOF
SOODIV
PHONE
PHONE
(362) 457-5005
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
'L" "' ~~J
JLL
7Y
BLDG FINAL TIME 01 00
06/11/2007 01-57 PM LPANGRLE
MICHAEL 452-4012
CALL FIRST
AFTERNOON INSPECTION
BLDG FINAL - RE-ROOF
PAGE
DATE
4
6/12/07
-------------------------------------- COMMENTS AND NOTES --------------------------------------
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~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - B1Jll.,DING DMSION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Applicatlon pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Appllcatlon type description
Subdivlslon Name
Property Use
Property Zoning . . .
Application valuation
06-00001014 Date
530806
1020 S LAUREL ST
06-30-00-0-3-2790-0000-
MICHAEL CHYNOWETH
RE-ROOF
9/15/06
Owner
Contractor
RS7 RESDNTL SINGLE FAMILY
4456
CHYNOWETH MICHAEL/KIM
1020 S LAUREL ST
PORT ANGELES WA 983627732
MAR-KED ENTERPRISES INC
PO BOX 507
PORT ANGELES WA 98363
(362) 457-5005
()
...........
~
Permit
Additlonal desc
Permit pin number
Permit Fee
Issue Date
Explratlon Date
BUILDING PERMIT - NO PR FEE
87023
137.75
9/15/06
3/14/07
Plan Check Fee
Valuatlon
.00
4456
Qty Unit Charge Per
Extension
95.75
42.00
BASE FEE
3.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 137.75 137 75 .00 .00
Plan Check Total 00 .00 00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 142.25 142.25 .00 .00
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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 N.
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-l-have-readand 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.
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Date
Signature of Contractor or Authorized Agent
Date
T:\Pohcles\1102_15 bulldmg penml mspecl10n record05.wpd [1/412005]
"
BUILDING PERMIT INSPECTION RECORD
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 PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T.BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA'
P ARKlNG/LlGHTING ESA'
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL. LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W.I PWI CONSTRUCTION. R W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 tnln/{H ."1 \...\.... BUILDING
T \Pohcle5\1102_15 bUlldmg penmt m5pecllon record05 wpd [1/412005]
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. H you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: /o/;~J ~ l' AO(,A)e--of;{
Owner: ~~e----/ C~/;1 oJ-V~4'
,
Address: /Cbd2t;/) s, L-t::u.t/d Sf. City:
Phone:
Phone:
,/5;2 - t./d> I:?
LIS;2 - Lf(P12
Zip: 92':3 (.,.:z.
4S7~ s<>>~5
fi""';
/l';j e-/e..5
Phone:
Architect/Engineer:
Contractor l( s+e..wo..,.i I< d,'s.1t
Address:
State License #: PfA/?krz.er 97~' Exp:
City:
s. l....4w,....../ S-f:
PROJECT ADDRESS:)( /as..2C2!l
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
TYPE OF WORK: SIZEN ALUATION:
D Residential D New Constr. ~Re-roof D Stove SF. @ $ /SF. = $
D Multi-family D Addition D MoveD Garage SF. @$ /SF. = $
D Commercial D Remodel D Demolition D Deck SF. @ $ /SF. = $
o Repair D Sign 0 Other TOTAL VALUATION >( $ "l.t '-I SG:.
BRIEF DESCRIPTION OF THE PROJECT: }( .Reo - I'"oo.p j ~ ""4 ~ e .
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
T otallot coverage %
PLANNING USE ONLY: APPROVALS:
PLAN:
BLDG:
DPWU:
ESAlWetland(s): DYes 0 No SEPA Checklist required? D Yes D No Other: FIRE:
OTHER: -
VALUATION 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.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date ofapplication, 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
R105.3.2 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 and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
~ Applicant: ~7r..~~
i\. Date:
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Look Up a Contractor, Electrician or Plumber License Detail
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jA business registered as a construction contractor with L&I to perform construction work within the scope
;of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
lof account and carry general liability insurance.
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; License Information
License MARKEEI970K9
, I
I Licensee Name MAR-KED ENTERPRISES INC
, Licensee Type CONSTRUCTION CONTRACTOR
i ,
I
I 602292623_Yerify'_V{Qr.k.erS_(Qm~emiLJm
I UBI
, Status i
! Ind. Ins. Account 80232201 ,
! Id
I
I Business Type CORPORATION i
I
Address 1 PO BOX 507 I
I
, Address 2
, I
1
1 City PORT ANGELES ,
j County CLALLAM :
I State WA I
,
Zip 983620077
,
, Phone 3604575005
I Status ACTIVE
I
j Specialty 1 GENERAL I
I Specialty 2 UNUSED
f Effective Date 6/1612003 !
l I
! Expiration Date 6/16/2007 I
, I
Suspend Date ,
j
; Separation Date I
i ,
} Parent Company I
I
) Previous License MARKEE*121 KC
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9/15/2006
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! Business Owner Information
I
I Name Role Effective Date Expiration Date
~^E~~IS~~~~_9,~~ PRESIDENT OS/29/2003
-~'1~ /_'-"'V~/-A__""""""._~~~~-'Y~_/.'<< v .'<~~j
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I Bond Information
I Bond Bond
I Bond Company Account Effective Expiration Cancel Impaired Bond Received :
Name Number Date Date Date Date Amount Date :
I Until :
! #1 CBIC 639678 04/3012003 Cancelled $12,000.00 OS/29/2003
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! Insurance Information
,
I Company Effective Expiration Cancel Impaired Received ,
, Insurance Name Policy Number Date Date Date Date Amount Date :
i NATIONWIDE I
1#5 MUTUAL INS
CO ACP7501942486 09/01/2006 09/01/2007 $1,000,000.00 08/08/2006 :
1
; NATIONWIDE
,
MUTUAL INS ,
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#4 CO ACP7501942486 09/01/2005 09/01/2006 $1,000,000.00 08/31/2005 ;
I FIRST I
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NBATIONAL :
INS CO OF I
,
AM 01CG3161423 05/01/2005 05/01/2006 $300,000.00 04/14/2005
, ,
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AMERICAN ,
I STATES INS
1#2 CO 01CG3161422 05/01/2004 05/01/2005 $300,000.00 04/08/2004
I ,
; SAFECO INS
, CO OF
#1 AMERICA 01CG3161421 05/01/2003 05/01/2004 $300,000.00 OS/29/2003 :
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, Summons / Complaints Information ~II
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9/15/2006
Street Lookup
Parcel Number 0630000327900000
Site Address: 1020 S LAUREL ST PA
Taxpayer:
CENDANT MORTGAGE * AKA PHH MTG 6000 ATRIUM WAY
MOUNT LAUREL, NJ 00005
Title Owner:
CHYNOWETH MICHAEL / KIM
1020 LAUREL ST
PORT ANGELES, WA 98362
Description:
LOT 20 BL 327
Value Summary:
Note: Listed values do not reflect adjustments made for exemption programs such as
SenlorlDlsabled or Current Use programs (except Commercial Forestland properties).
Land Value' 31,200
Improvements Value: 90,510
Total Assessed Value. 121,710
Property Characteristics:
Note: Use Code IS for Assessor's purposes only Contact the appropriate planning or
bUilding departments for Zoning and allowable usage of property.
Use Code. 1114 FOUR BEDROOM
Land Size (acreage). .00
Note Acreage IS not listed for all properties In the
Assessor's records More information about land size
Tax Status: Taxable
Tax Code Area:' 0010
Zoning Code. P _RS7
Note Zoning and zoning codes change constantly Verify all
zOning with the appropnate planning or bUilding department
Building Characteristics: (Click on Bldg # for more details)
JL Bldg. Type Bldg. Style Total S.F. BD BA
01 House One Story 1377 4 1
Tax History
Sales History
Other parcels at this address:
http://apps.clallam.net/website/sitis _s.pgm?address= 1 020 &street=LAUREL ST
Page 1 of 1
&... 9/1512006
PREPARED 6/12/07, 9 23 04
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES LIERLY
1020 S LAUREL ST
MICHAEL CHYNOWETH
SUBDIV
MICHAEL/KIM CHYNOWETH
06-30-00-0-3-2790-0000-
07-00000007 RES REMODEL
PHONE
PHONE
(452)
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 6/12/07 JLL
yf~ -W
BLDG FINAL TIME: 01 00
06/11/2007 01.55 PM LPANGRLE
MICHAEL 452-4012
CALL FIRST
AFTERNOON INSPECTION
BLDG FINAL - STAIRS
4012
PAGE
DATE
5
6/12/07
.j
-------------------------------------- COMMENTS AND NOTES --------------------------------------
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Appllcation pln number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Appllcatlon type description
Subdlvlslon Name
Property Use
Property Zonlng . . .
Appllcatlon valuation
07-00000007 Date
649929
1020 S LAUREL ST
06-30-00-0-3-2790-0000-
MICHAEL CHYNOWETH
RES REMODEL
1/08/07
Q
~
~
~
RS7 RESDNTL SINGLE FAMILY
300
Owner
Contractor
MICHAEL/KIM CHYNOWETH
1020 S LAUREL ST
PORT ANGELES WA 983627732
(452) 4012
OWNER
Permit . . . . .
Addltlonal desc .
Permit pin number
Permlt Fee
Issue Date
Explratlon Date
BUILDING PERMIT -RESIDENTIAL
REPAIR STAIRS
92817
50.00 Plan Check Fee
1/08/07 Valuatlon
7/07/07
20.00
300
Other Fees
STATE SURCHARGE
4.50
~
~
Qty unit Charge Per
BASE FEE
Extension
50.00
Fee summary Charged Pald Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total 20.00 20.00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 74.50 74.50 .00 .00
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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 <;orrect. 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
J ~%~- ~/"3/q,'l
51Qnature of Owner {if own IS bUilder) Date
T \Pohcles\1102_15 bUlldmg pennIt mspectlOn record05 wpd [1/4/2005]
,
B{ill;DING PERMIT INSPECTION RECORD
CALL417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICALINSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY JJlORK 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 I
YE~ NO
FOUNDA nON
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING ,
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG) ,
GAS LINE FINAL DATE ACCEPTED BY'
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS r
SHEAR W ALLlHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY) V1
T-BAR ~
INSULATION ~
SLAB
WALL I FLOOR I CEILING
MECHANICAL
ROUGH-IN "
HEATP~/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY.
WOOD STOVE I PELLET 1 CffiMNEY
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 NO
ELECTRICAL - UGHT DEPT 417-4735 ELECTRICAL
LlGHTDEPT
CONSTRUCTION R W.I PWI CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT. 417-4750 PLANNING DEPT
BUILDING 417-4815 I-. -I 7 --iil -:r u., BUILDING
'"
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T \Po]Jcles\] 102 15 bmldmg penn It mspectJOn record05.wpd [1/4/2005]
.t
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: ftJ,'dCie...1 C4.711 O{..,Je.. -r.4 Phone:
Owner: pl,'~ e-I C-A.-y-n 0 ;.;.J c::- ~ Phone:
Address: /(/).;2 cp S. '-1'" re-{ sr. City: )/Or-T A n.je-/es'
~S.:2 -'1(/JI';?
'-152 - '-I c>> 1'/
Zip: C; Y' 3 (..,.<
ArchItect/Engineer:
Contractor
Phone:
State License #:
Exp:
Phone:
Zip:
ZONING:
Address:
City:
~re-l
Block:
PROJECT ADDRESS: /t,b.20 S.
LEGAL DESCRIPTION: Lot: 2. (f.,
CLALLAM COUNTY PARCEL NUMBER:
51 ;>O/'T A'1je-Ie..$
3;;l 7 SubdIvision:
<Z " 3 <ZJ cp Cf; (t; 3.2 7 d:f ~ (,b <p q::, <r6
TYPE OF WORK:
'W ResIdentIal D New Constr. D Re-roof D Stove
D MultI-family D AddItIon D MoveD Garage
D CommercIal ., Remodel D Demohtion D Deck
D RepaIr D Sign D Other
BRIEF DESCRIPTION OF THE PROJECT' r: ,/\JST4 '-'-
SIZEN ALUATION:
SF. @ $ /SF. = $ 3ct> t/), ([)~
SF @ $ /SF. = $
SF. @ $ /SF. = $
~
TOTAL VALUATION $ ~o-c'-
;'V';;......J J:::liriJJz'x:e['? sr",:iz,s CVW~
,:;:x:r.:,.....,-r-AJ c:.
~AJ cJZ-fE..1"'L SrA:z;:.i2S . .;J:AlS,/-ll...L. I-fAN/> RA"r4. ..4 AI" ,.-;uU 6 rt+f:/V L.AAJOIAJG,
COMMERCIAL/RESIDENTlAL: Occupancy Group:
No of Stones: Lot Size: Existing Sq. Ft.
Total lot coverage %
Occupant Load:
& Proposed Sq. Ft
Construction Type:
= TOTAL Sq. Ft.
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESAlWetland(s): DYes DNo SEPACheckhstreqUlred? DYes D No Other:
VALUATION 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 Buildmg DiviSIOn to comply WIth current fee schedules. Contact the Permit
Coordmator at 417-4815 for aSSIstance.
PLAN CHECK FEE: IF a plan check fee is due 1t must be subIDltted at the time the buildmg pefIDlt apphcatIOn and constructIOn plans are
submItted All other perm1t fees are due at the time of permIt Issuance.
EXPIRATION OF PLAN REVIEW: Ifno pefIDlt IS issued wItlun 180 days of the date ofapphcatIon, the application will expire. The
Buildmg OffiCIal can extend the time for actIOn by the applIcant up to 180 days upon wntten request by the applicant (see SectIOn
R105.3.2 of the InternatIOnal Buildmg/ResidentIal Code, 2003) 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. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
T\FORMS\BldgPenmtfonn wpd Applicant: ~.cr~~ Date: CPI I CI>:3 / ~7
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,21 EAST 5TH STREET, PORT ANGELES, WA 9R,62
ELECTRICAL PERMIT
Issued: 3/15/99
Permit No:
6587
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
SAM YADON 1020 LAUREL S
1020 SO. LAUREL Lot:
Port Angeles, WA 98362 Block: Long Legal:
360/000-0000 Sub:
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
EVERGREEN ELECTRIC
402 JN1ESTOWN RD.
SEQUIM, WA 98382
360/683-4193
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES. MISC. prj Value: $0.00
Occ Type: Cnstr Type: MOVE METER
Occ Grp: Occ Load: Land Use:
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
X Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
200 AMPS
o AMPS
PROJECT NOTES---------------------------------------------------------__________
MOVE METER BASE OUT FROM UNDER CARPORT
PROJECT FEES ASSESSMENT-----------------------------------------________________
Service: $0.00
Additional Feeders: $0.00
Circuit;'Wi'r~:ll.9": $0.00
Temp Serv~~fi: $0.00
Misc MOVE METER' $32.2?
======================~==========
TOTAL FEEl' '-""'$~~.25
TOTAL FEE:
Amount Paid:
$32.25
$32.25
--------------------------
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-1735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEI'TED COMMltNTS
YES I NO
IHIII(yH.1N I \;UYJ::.K ,
~ICh Z./'
.
FINAl I I
GENERAL COMMENTS:
PW.I 102.U (4'96)