HomeMy WebLinkAbout1015 S B St - Building .... CITY OF PORT ANGELES
4~*' OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
DEPARTMENT
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 12/18/2002 PERMIT NO: 13920
OWNER/APPLICANT PROPERTY LOCATION
GARY HOOPER 1015 B ST S
188 HOME LN LOt: 11,12 Nl/2 BOTH
Port Angeles, WA 98362 Block: 320 [] Long Legal
360/452-4035 ,, Subdivision,:, TPA
T: S: Parcel No: 063000032055000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360~0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $500.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF 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
RE-ROOF GARAGE TEAR OFF / REFELT / 3TAB
RECEIPT#10016
FEES ASSESSMENT
Building Permit: $23.50 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: $28.00
Plumbing: $0.00 AMOUNT PAID: $28.00
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 net 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 knowthe 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 ~ocal law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Sign 0f owne~' ~s builder) Date
T:\PLANNING\FORMS\1102.]5 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417~4815 FOR BUILDING INSPECTIONS. 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 CONSPICUOU~LOCAT1ON.
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I
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
WALLS '
CEILING
BUILDING 4174815 /. ! 5--~-~9 ~ ~/Z./ BUILDING
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date / -~'/~-- -(~ 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 (~ Sewer Excav. Other
INSPECTION NOTES: ~--Z
Inspected: Date , Time By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt ~-]PCC []Other
Fl Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
~
!:i/1YJ
ELECTRICAL WORK PERMIT APPLICATION
o Electrical Contractor
o Request Inspection
o Annual Permit
o Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom.
Job wired by
o Electrical Contractor 'fowner
Installation description
liE L() .;7co //11 p S E/2//.K E
a tlJ /) -,Jl,;; <v E /2 FF
U 11/ j) E r2 {!,RO CUt! j) ;Po i{! E tC
;:13 13..0
Electrical contractor name V License number
,~ OWN6"f2: C.Ar2 ( f/oOPFI2
Purchaser's "iling ad1'lsS
1'6 IS I-t-OI1. e L ME
City State ZIP
fQ~T t9-/1/C.r:; iF j ,CON '7 '1).5 b 2-
Telephone number ,. f FAX number
2- 0 -
Premises owner's namij ry
c: ,qR fI LLO{J PE (<-
Address of inspection
/O/S- .5. 8 Sf
C;ly 1'6/2 T /l-/l/6{-;LE
o Cash 0 Check #
I hereby certify that I am the owner of the above named property Of a licensed
electrical contractor (or the firm's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
o Credit Card
Card #
Visa
Mastercard
Discover
ical conlraclor or electrical adminislralor
x
Expiration Date
of card ___
Insulation Only
CEILING
Insulation Only
THERMOSTAT
Dale
Approved By
SERVICE
~~D___ ,kO
D Approved By
WD'" :J;;5Y
Cover
ale Approved By
~ale Approved By
COVC~
~Ie Ap edBy
.Drrrn
1;2[!,
FEEDER
Dale Approved By
Electrical Load Additions and or subtractions
CJ NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
~7.-'\P'F
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phase CJ 1 CJ 3
Service Size:
Feeder Size:
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
~
Electrical
Inspector
/lm6~~ 6/ii~1I'C N"I!?Zf.~
Infh-f Nr./:;.c; b/f7-f'~;,<!
tJ~..:s 1(/"iC,e. TO W
~
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