HomeMy WebLinkAbout1202 Water St - Building CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 10/02/2001 PERMIT NO: 13016
OWNER/APPLICANT PROPERTY LOCATION
JEFF BREITBACH 1202 WATER ST
1202 WATER STREET Lot: 8&9
Port Angeles, WA 98362 Block: 1 [] Long Legal
360/457-5304 Subdivision: PSCC
T: S: Parcel No: 063000530135000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $2,000.00 SFD Units: 0 Commercial: 0
Project Type: REROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
TEAROFF / FELT / COMP
RECEIPT # 8129
FEES ASSESSMENT
Building Permit: $69.25 Misc Fee 1: $0.00
Plan Check: $0.00 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: $73.75
Plumbing: $0.00 AMOUNT PAID: $73.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits ara required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 abandoneri
for a pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the las1
inspection. I hereby certify that I have raad and examined this application and know the same to be true and correct. All provisions ol
laws and ordinances governing this type of work will be complied with whether specified herain or not. The granting of a permit does no1
presume to give authority to violate or cancel the provisions of any state or local law regulating cons'rmct~on or the performance ol
construction. //~ /~~,~~'~*~
Signature of Contractor or Authorized Agent Date Sig~ure~OWher (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINlMUM 24 HOUR NOT1CE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEA£ ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
cWEIA~I~SG I I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
WALL ! FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK (Englneedng Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STOI~M
PLANNING DEPT, SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHOKELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTPdCAL
LIGHT DEPT
CONSTRUCTION R.W, / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIILE DEPT.
BUILDING 4174815 BLrlLDING
C;~APPL.WPD
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: ~/~
Date ]O-S-~:::~/' Time //~(-~ 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 Plumbing Fi~l~ Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date J~-~' ~--~ 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)
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N9
14911
Port Angeles. wasbington.__/2n=/Z:__m__mm__mmm_m__..__. l~.J
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_
. y .~ 1: rv
Address .(,?'::'..;;'~m'fmLrt._t2_mmn.){<!:",,:.L__':&:L.~.....mm._____ Occupancy__.<~'Lg~"__.__m____....m____._____
, /:J Z
Owner __~~~:"f"."2:-,."_"!.:1..nn~__Q'~.~~.~.~.:~.:mmnnmnnn Tenant-.mhn-.U______n_u...__n.____n.m...mmmn....n_nUhU__
Wiring Contractor .~k.5?;"""".,;?-_j~..l.''':!!'m~.'~-.------ By..__.___m..n.__.___._._____.__.__.._m_.__m___...___.m..n__._
Light OUtletB.---n---...!..f.?.q.::nn.----~.-.. Service. volts .!.~---r..?:.(!.~....---. Type 01 Wiring:
R I I 0 tl t / N' I Armored Cable mm__mm...............
ecep ac e u e s.._.... ......_........_...... o. w res ..........................____...._____
Dryer, KWl___..___........___.____.__________.______ Size wires___.:.-I./(~_..~.fL~:.~...._..
/:2 0 c:-,,4.-
Main fuse ..___~......m___..._..:_._...........
,...
Enclosure _______'"::?________..._______........
Renge, KW.___h..____._____n__.____._._n
Water Heater:
KW....nn.nn___.______n___.__________________
Heat: RW...'g'nfm/1fi.X.';l",.
Type of wiring:
Entrance Cable ._....m_...................
~--
Rigid Conduit nm_mmmmmm.mn.
Motors: size, volts and phase:
Metal11c Tubing __.._d..m_.__..._.._____
Current transt'ormers:
No. & Size_____n__....._____....................
Ser. No.._____.______...______________.__...._...___
Ser. No~_..____......._.____..._...________.__.._.
Ser. NO..._.......____...._..._..................._d
Total Loadn/2!&c.___.._
Non-Metallic ......._____mm_mm.__...._
Knob & Tube...............m..m_._____.._.
Rigid Conduit m._____mm..____....___m
Metal11c Tubing ............._..._____m__
Raceway _.__....______.________...................
C[rcuits. Light..~:?........................._m...
j'
Utllily m.___.._________..___.nn.m.n.___.___n
Heat ~
Range ..~~~~~?~~~~~~~~~~:~~~~~~~~::~~~~~~::::::::
:?
Water Heater mm__....m___..m.m....
Motor _____.......__..........................___.
Dry".moLnhhm._mhh___.___________.....
Furnace _______.________..__..__..___._.___.___.__._.
/~':I- Total /..d.::m~nh:l.__Qn_____.
Remarks: u_.:__?::.C:!.L:::.m!":.d.:~....h:.;I_J...'!~.~_::..:t:::._~._..!..~_m____m__umUUOU.Un_dUhnnnmmnnn....nmmmmmmmmn
Ser. No.________......._____________...____..........
~~.~>>/~2.....--.....m.... ~:~.~.~:..~.~.~.~~~.~..._... By.dt~ct.,2~~:::&-s::!M,A~..?--,'-"....-.-n...
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 before concealment. '
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
f; {' 1[:,; /-1 p- 0 11
,.......;?O
(J'ylt/
ELECTRICAL PERMIT
'.
NC?
14911
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{Jate call~f~r~;,gec;?_~n/:,2___Q.n7.C....,2r.!i']&-'.<__:..~_n___________h._nnn_____.___.... /.;1 -- /l? - .5
'.rellmlnaryj~li;;~t~L...~:~:~..---.{~~~~~~.":;g.............___.....__...........:::::::::::::::::::::::::::::::::::::::::::::::::::::~~::::::::~::::::=
Inspectloncompleted...____.._.______...___..__........_.._._____._..______...____.__.__._______................_....___._..........._______................_______...._......_.........._......_
Total Load _______.....__.......__.__._____m__.___...:..___..............
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1M 3-72 Olympic Printers, Inc.
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