HomeMy WebLinkAbout504 W 5th St - Buildingo~"~-%~/.c --~x CITY OF PORT ANGELES
(~!~1 DEPARTMENT OF COMMUNITY DEVELOPMENT- BUILDiNG DIVISION
~ 321 EAST 5TH STREET, PORT ANGELES, WA 98362
EiUILLIII~(J lal~t'~MII' ISSUED: 7/02/2002 PERMIT NO: 13539
OWNER/APPLICANT PROPERTY LOCATION
504 5TH ST W
BRANDO BLORE
504 W.5TH ST Lot: 1,2
Port Angeles, WA 98363 Block: 84 [] Long Legal
360/457-3871 Subdivision: TPA
T: S: Parcel No: 0630000840/8405
CONTRACTOR ARCHITECT
LARRY'S ROOFING N/A
352 AVIS ST
Port Angeles, WA 98362 , 98360-0000
360/452-2215 360/000-0000
PROJECT INFO
Project Value: $550.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SO 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
SHEET & TORCH DOWN EXISTING PATIO COVER
RECEIPTg9230
FEES ASSESSMENT
Building Permit: $26,55 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: $31.05
Plumbing: $0.00 AMOUNT PAID: $31.05
Mechanical: $0,00 BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances g/e~rning this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to~ive aut~ority'~o violate or cancel the provisions of any state or local law regulating construction or the performance of
constructior~. } [ ]
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING'~FORMS\ 1102. t 5 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITI$ UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED ~IND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: It
PLUMBING
UNDER FLOOR / SLAB
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.
Typeof Inspection (circle appropriate one): Permit No. /.--~
Sewer Foundation Framing Chimney Plumbing(/~Fi~al!Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date '~" ,2 - 4~) ~- 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
I--] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
(I
~~/_..,.--,-i ,I'
BUILDING PERMIT
f. '
,- f"" t"'
<, , CITY OF PORT ANGELlES
DEPARTMENT OF COMMUNlTYDEVELOPMENT -BUILDING DMSION
321 EAST 5TH SmET, PORT ANGELES, WA98362
CONTRACTOR
FOXSREMODELlNG & ROOFING'
428 ORCAS
PORT ANGELES, WA 00009-8362
360/457-4742
PROJECT INFO
Project Value: $1,900.00
Project Type: PATIO ROOM
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use: RS7
OWNERiXlipllCANT
BRANDO BLORE
504W.5TH ST
Port Angeles, W A 98363
360/457-3871
T:
, ..i'-:Tr;'
'/' ";:,.'t-~-_
PERMIT NO:
13544
S:
.ISSUED: 7/08/2002
.. e'PROPERTY LOCATION
504 5TH ST W
Lot: 1 ,2
Block: 84
Subdivision: TPA
Parcel Ne>: Q63q()qo84oL~05
IZF Long Legal
" ARCHITECT
N/A
, 98360-0000
360/000-0000
.SFD Units:
SFD.Sa FT:
Commercial:. ,O~
Industrial: 0
Garage: 0
o
o
~
\J
~
MFD Units:
"'MFD sa FT:
"0
o
PROJECT NOTES
ENCLOSE EXISTING PATIO COVER
RECElpT#9308
,,,.,C"__,,,,.,if-/..,.,;co, .,' ........
FEES ASfJESSMENT
Building Permit:
p,lan Check:
,Stat~Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
c
..
$66.20
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Misc Fee 1:
Misc Fee 2:,.,
Misc Fee 3:
~ '
~,
\j."
. $0.00
$0.00
$0.00
TPT AL FEE:
AMOUNT PAID:
BALANCE DUE:
$70:70
$70.'7()"
$0.00
Separate Penn.ltsare requiredfQrelectrical work, SEPA, SI1Q~l/n",\~~A,utillties, priv.ate andpu.bllcimprq~~ments....Th,lt?R~~lbec;()mes
null and vC)ld if{wc:)rk or construction authorized is notfOmm~nced wittiin 18.0 days,. if construction orViork Is'suspen'cI.c:I~..~andonecl
for a peri<)dof ,laO.days after the work as commenced, or ifreqlJ,red Inspections have not been requested within '189icl~y!i~nlthe last
InspeCtion. Illetellycertify that I have read ahdesal!T11nedthlsap'pllcatlolfand know the si:lmetobe trUe andc::orreet.:'l.l'Al VlSlonsof
laws. and ordinan~s governing this type of work will be complied with whether specified herein6rnot. Thegra~ting of'i1'p'El" ()~snot
presume to give: authority to violate or cancel the provisions 6f'any'state or local' law regulating construction or theperforrilanceof
construction. . .
.~~J~ "7--~-;&;z..
Signature ofContJpctofor AlJ.tIJorized Agent Date Sign~(ureof OwnerJif bwn~r is. builder) .', Date
T:\PLANNING\FORMS\1102.1S [412002]
BUILDING PERMIT 'INSPECTION RECORD
;:~ l;
1~5H ~/
CALL 417-4815 FOR BUILDING INSPECfIONS:: PLEASE PROVIDE A MINIMUM 24 HOURNOTICE. 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 .'. .,
,
YES NO '.
FOUNDATION:
FOOTINGS .,'
WALLS ,.... "
FOUNDATION DRAINAGE ., ' .r;!. ,.' "'~ .' " .
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I ..'
. ;
PLUMBING
UNDER FLOOR I SLAB
ROUGH.IN .. 'I.
WATER LINE , ",
GAS LINE ..
BACK FLOW I WATER 'k .. .
AIR SEAL
WALLS I
I .'
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR . '
INSULATION .
SLAB
WALL I FLOOR I CEILING I
MECHANICAL
HEAT PUMP . , ....
WOOD STOVE I PELLET I CHIMNEY "
HOOD/ DUCTS . ..
PW UTILITIES I SITE WORK (Engineering DiVision) SEPARATE PERMIT #'5: '.
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM "
PLANNING DEPT. SEPARATE PERMIT #'5 -
SEPA:
P ARKlNGlLIGHTING ESA:
LANDSCAPING SHORELINE:
'. . . FINAL Il~Sr.~ONS REQUIRED PRlQR TO OCCUP~~{p,S' , .. .,,'
RESIDENTIAL DATE YES NO COMMERCIAL DATE \\'" AC~P:J'ED . ';.
'.'~. ,';"" , , " 'YES," NO
ELECTRICAL - LIGHT DEP,T. , 4I7~735 ELE~CAL ."" , .'
'LIGHT' . EPT
. ,--,. ,
CONSTRUCTION R. W.I PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 4i116S3 -,'" FIRE DEPT.
" -_.~ ~- ''^.~ ',A " '.
PLANNING DEPT. 417-47SQ i PLANNING DE1'T. ,
BUILDING 417-4815 ~.IA.1 J... __ ~ BUILDING
T:\PLANNlNG\FORMS\II02. IS [412002]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: 7- ~ ~QL
Permit #: I '?> H Ii
Date Approved:
Date Issued:
The Building Permit Application must beftlled out completely.
Please type or print in ink. If you have any questions, please call 417-4815
,
~..."
'''.''''1'
Owner:
Address: Jr1 f.
City:
Phone: 36a- IfS?--S8'7!
Phone: ~'~7-~71
Zip: ?~...?/.;<.
..
Phone:
",.:-. .
. Y._; I,
"f:PhQpe,:J~-.~ 5~",,,ft7~~,:!~.
~4~' -..1.' .4 '~W~'H"~\t:e:~~ ;~':"Jr';f' ';0 :"{;;\j.._'r'~M"_l'''' 0.',_: -,.i'.;~_'; -"
~ip: - ?~~:z..
ZONING:
Subdivision:
Credit c.;.rdAolder ~ame:
City: P~r '/lqe(e~
"
Exp. Date: VISA
.~ . ~_ l
MC
".;
.,,(~:f.
ORe-roof
o Move
o Demolition
o Sign
o Wood-stove
o Garage
o Deck
D.
SIZENALUATION:
M.lL SF. @ $ /SF. =.$
SF. @ $ /SF. = $
SF. @ $ /SF. = $"
TOTAL VALUATION $ J'qCJ:j ~
'\ ','.
~fuF DESCRIPTION OF THE PROJECT: /f1t~:/~5e riLe
?nv DClf/o,
; / I
COMMERCIAL/RESIDENTIAL: Occupancy Group: . O(;cllpant Load: Construction Type:
.'1"\
N(j.~ofStories: I Lot Size: !I}{) X fllCJ % Lot Coverage: /If % .
E~sting Lot Coverage: I'll/) /sq. ft. + Proposed Lot Coverage: ~ /sq. ft. = TOTAL LOT COVERAGE: If I t:J /sq. ft.
PE'fANNING USE ONE Y: APPROVALS: PEAN
Notes: BU)G.
~ DPW
~'~ FIRE
E~.AJWetland(s): 0 Yes 0 No SEPA Checklist required? 0 YesD No Other: .. . OTHER
BiJ,!!-DING PERMIT APPUCATION SUBMITTAL: Your appiication and site plan must beftlled out completely to be accepted/or
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. .Your
cOIJ1pleted application, site plan (for additions) and building construction plans are to be submitted to the Building Division: '
"'i',. ~
.,,'.~
'.
V 4UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This~figure.will be reviewed
an~tnay be revised by the Building Divisionto comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
etl.5f tJt/ld 5'tJafA.. 5/-de tJf
fi
l~'
PIJ~ 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.
, .,..'~~
EXfIRATION OF PEAN REVIEW: Ifno 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."Bniform Building Code, current edition). No application can be extended more than once. .
..y;~~
~< ;..
I heteby certify that I have reiId and examined this application and know the same to be true 'and correct, and I a';' a~th~rized to apply for
this permit. I understand it is not the City's legal responsibility to determine what permits are req~ired; it remains the applicant's
resp'f..nsibility to determ~ne. what permifs are required and to obtain such. .' ' _ ... .
-;~,; \" Applicant: ~J~ate: 7-;i-tJ;2-.
T:\FORMS\APPS\Buildingpermit
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~ji,)lO DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION
APPLICANT: Brank s: 8lare- PHONE: 4'S7-S971
PROJECT/DEVELOPMENT ADDRESS:
See Page 4 for instructions of} _c..~p.Leting the site Plan.ltor, more information, call 417-4815. .ffJew4lk
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
8/02/05
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
'Application type description
Subdivis~on Name
Property Use
Property Zoning . . .
Application valuation
05-00000695 Date
844825
504 W 5TH ST
06-30-00-0-0-9500-0000-
RES ADDITION
@)
RS7 RESDNTL SINGLE FAMILY
1235
. {)wner
Contractor
BLORE BRANDO SCOTT
5;04 W 5TH ST
PORT ANGELES WA 983622225
OWNER
Other struct info .
TOTAL % LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
24.70
1.00
3470.00
14000.00
208.00
3678.00
1. 00
permi t . . . . .
Additional desc .
Permit pin number
-Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
56390
71.40
8/02/05
1/29/06
Plan Check Fee
Valuation
28.56
1235
Qty Unit Charge Per
Extension
47.00
24.40
BASE FEE
8.00 3.0500 HND BL-501-2K (3.05 PER C)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 71.40 71.40 .00 .00
Plan Check Total 28.56 28.56 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 104.46 104.46 .00 .00
l}.,
\)
~
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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 correct All provIsions of
laws and ordinances governing thiS type of work will be compiled 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
~tJ~
rs- -2-{}S-
Date
Signature of Contractor or AuthOrized Agent
Date
Signature of Owner (If owner IS bUilder)
\
T \Pohcles\1102_15 buIldIng permit Inspection record05 wpd (1/4/2005]
"'
, 'f
BUILDING PERMIT - APPliCATION
Fill out COMPLETELY and in INK. Your applicatior. 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
Apphcant or Agent 8 [al'LdO ~ (p re
Owner SratttJo &/or_
Address' S'tJLf. 11/ -9-A- 5'1- Oty.
Phone:
3tf/J--lf>7o/~e 71
Phone:
/l;rf /!/LJ't-/~ S
Phone:
ZIp" 9 t3~,2.
ArchItect/Engmeer:
Contractor
State LIcense #:
Exp
Phone:
Address. CIty:
PROJECT ADDRESS y7) If Wr S1-A.- .5'-!:
ZIp:
ZONING:
LEGAL DESCRIPTION: Lot: Block
SubdIVIsIon:
CLALLAM COUNTYPi'lRCEL NUM:BER: ~
r_ .1
Credit Card Holder Name:
Billing Address: 5&lf j;1/ 51-A-- 5'f-
Credit Card Type VISA MC if-
Tl'1'E OF WORK:
o ResIdenTIal 0 New Constr 0 Re-roof
o MulTI-fam1ly 0 AddltlOn 0 Move
o CommeTcml 0 Remodel 0 Demohnon
o RepaIT 0 SIgn
BRIEF DESCRIPTION OF THE PROJECT:
UJI/~r fAe /)af(~ w/fA- ~ rJ'~'f
{
COMMERCIAL/RESIDENTIAL: Occupancy Group' Occupant Load: ConstrucTIon Type'
No of Stones' _ Lot-SlZe: 14.,roO EXlsTIng Sq Fi:. 3If7eJ & Proposed Sq Fi:. ~ 7C6 = TOTAL Sq. Ft
Total lot coverage /).k? 'J % c;2og
City: !f9r f Aftt)ele5
/
Exp. Date:
SIZENALUATION:
;Wg SF @$5:'138' /SF = $
SF @ $ /SF = $
SF. @ $ /SF = $
TOTAL VALUATION $
J :<.lr
o Stove
o Garage
o Deck
llf Other fa-fco Wile;-
...
1;2.35: ~(J
3078
APPRO V ALS:
PLAN:
BLDG:
DP-VVU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s). 0 Yes 0 No SEPA Checkhst requITed? 0 Yes 0 No Other
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant. Tills figure WIll be reVIewed
and may be revIsed by the BuildlDg DIVISIon to comply WIth current fee schedules. Contactthe Penmt CoordlDator at 417-4815 for aSSIstance
PLAN CHECK FEE IF a plan check fee IS due It must be sublIl1tted at the hIDe the bmldlDg pernnt apphcatlOn and coustruCTIon plans are
subnntted All other pernnt fees are due at the tune of pernnt Issuance.
EXPIRATION OF PLAN REVIEW: If no pernnt IS Issued WIthm 180 days of the date of apphcatIOu, the application will expire. The
BmldlDg OffiCIal can extend the tune for actIOn by the apphcantup to 180 days upon wnttenrequest by the apphcant (see SectlOn RI 05.32
of the InternatlOual BmldlDg/Resldentral Code, 2003) No apphcatlOn can be extended more than once.
I hereby cerMy that I have read and examined thiS applicatIOn and know the same to be true and correct I am authoT/zed to apply for thiS permit and
understand that 11 is my responsibility to determine what perm1ls are reqUired ,not the City's, and that I must obtain such permits pnor to work
T \Pohcles\BL-l102_13 wpd ApplIcant.
Date:
wS 51
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from: Rob TuUodi {,tullocll@eartl1link.nell ' \ .. V ~
Sent fnday, July 01. 2005 4 43 PM 1 C /
To' Brand~ Blore {1br3I1cto@ll"M com}; Kathy \Nahtn (sl'lrenity@olyp:m,coIT'); K"!.thy Wahto
Subject Savde Property
HI KathyanrJ BraMo,
I just tmished up revisions to the Sovde property agreement Kathy is gone for the rest of the aftemoon (yeah!!).
, -- '; .'-,;,;; ';-; "L__ ~cill ','')u should receive it Tuesday and Branda can then review it. Please be sure that
the legal deSCription is acc;:-':' .~,. ic-:
Als.o , we need a resolution of the personal property Issue. I would certainly pref~:I' tc: ~:
0.' :".(,(':,',g S;aiement provision of paragraph 4 .C.
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 9H~62
ELECTRICAL PERMIT
Issued: 2/02/99
Permit No:
6554
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
BRANDO BLORE 504 5TH ST W
504 W.5TH ST Lot: 1,2
Port Angeles, WA 98362 Block: 84 Long Legal: .
360/457-3871 Sub: TPA
T: S: Parc No: 06300008400
CONTRACTOR-----------------------------DESIGNER-----~--~------------------------
ELECTRIC SERVICE
92 4 DRAPER RD.
PORT ANGELES, WA 98362
360/452-6424
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES.GARAGE prj Value: $0.00
Occ Type: Cnstr Type: ADD CIRCUITS
Occ Grp: Occ Load: Land Use: RS7
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
200 AMPS
o AMPS
PROJECT NOTES-------------------------------------------------------------------
WIRE GARAGE, MOVE METER TO GARAGE
PROJECT FEES ASSESSMENT-------~--------------~----------------------------______ -
Service:. $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc GARAGE $42.50
TOTAL FEE:
Amount Paid:
$42.50
$42.50
=================================
TOTAL FEE:
$42.50
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA 7'E OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PlANS AT JOB SITE
INSPECTION TYPE DATE I ACCKPTKD COMMENTS ,
YES I NO
,
-IN I cOVER ,
1'>t:<.KV ILt:<. ~
I 'tlO I I
,
I
GENERAL COMMENTS:
P'W-ItO'l.l'14l96l
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:121 EAST 5TH STREET. PORT ANGELES. WA 98:162
ELECTRICAL PERMIT
Issued: 11/24/98
Permit No:
6488
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
BRANDO BLORE 504 5TH ST W
Lot:
Block:
Sub:
Parc No:
Port Angeles,
360/000-0000
T:
WA 98360
Long Legal:-
S:
CONTRACTOR-----------------------------DESIGNER---------------------------------
SECURITY SVC NW, INC
P.O. BOX 660
Port Townsend, WA 98368
800/859-3463
,
000/000-0000
PROJECT INFO--------------------------------------------------__________________
prj Type: COML. MISC. prj Value: $0.00
Occ Type: Cnstr Type:
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
Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
-1
o
-3
o AMPS
o AMPS
PROJECT NOTES-----------------------------------------------------______________
PROJECT FEES ASSESSMENT---------~---~---~-------~-------------------------------
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
$37.25
....-
Misc
TOTAL FEE:
Amount Paid:
$37.25
$37.25
---------------------------------
---------------------------------
TOTAL FEE:
$37.25
Balance Due:
$0.00
C0t\1MENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
,~
!
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPItC110N TYPE DAn: T ACCEPTED COMMENTS
r YIS NO
UnCH
1l -IN I CUVbK I
SERVICE !
- / ./
FINAl I ///ZV/Qlff "
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GENERAL COMMENTS,
PW-II01.U(.w6]
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt!
17198
:; --,;1/ m
port Angeles. Washlngton.m..._m_m___.._m.m..mm.m...m....m..... 19000____.
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 d.O ele~t9cal work as listed below. .
S ~ ~ W- s-t;t
~::::s__::::~;:@::::::~~:::::~;.~~:::::::::::::m.;~:~:~:::.__~::~~~.~~.~:::::::=::::::::::::::::::::::::::::=:::::::::
Wiring Contractor .__m__~~;~~meaCP___.__ By_____.____.m__..mm__m.mmm__._________._____m.__m____
r' (j /tlO/afCCi
Light OutletB.............................___.._..... Service, volts ..................._.................. Type of Wiring:
,3"
No. wires ..........................___..........
.?:7't? d1-..P'
Size wires...........___...__.__......__....._..
Main fuse ....~~~.t1..........__
.s
Enclosure __..................................__.
Receptacle Outlets....._...................._____
Dryer, KW....uu....._...__.___....._.__..........
Range, KW h....h................uh..........
Water Heater:
KW....__.m......m...m..m....m..........
. //;/?.o
Heat; KW.................__/~L2.................
Type of wIring:
Entrance Cable ............__.........
Motors: sIze, volts and phase:
Rigid Conduit ...............................
Metallic Tubing ...._................
Current transformers:
No. & Size..........__.......______....__
Ser. No.................................._...........
Ser. No..................................__.....___..
Ser. No............__...._......................._..
Armored Cable ............................_
Non.Metallic .................__............._
Knob & Tube........._............_........__
Rigid Conduit ...............................
Metallic Tubing .........._................
Raceway ...............................__..._
Circuits, Light....___..........._....................
Utlllty.............................................
Heat ............_.........._..............___
Range .............................................
Water Heater .__............................
Motor ..._........................__...............
Dryer......_........................................._
Furnace .........................._......_...........
Total wad__............____........... Ser. No.......____......._.......::::................ Total.......................................
Remarks: .m~1;.,-r,4-F.:::__m..:;:--7-..,E!---L..---y.----~I!:~="~f!::.mm...----------.m--m--m--mmmm----mm000
_.._.____._.___.._.._.____._.______u_.n__n_.__._._______.____._..____._____.______.__.__..____u_.__.._.__.___n___________________..._____...______.________._____.....____
---.n_.u___________nn.uhhu..____.____nunuuuUh___nun.un.nnuu.nn...uu.._____.n__n..nuuunnuu.._u.n_unnu.un_.u_.__.....n..._...uu
Permit Fee
$:__......__000000000__________000____.
Treas. Receipt
NO.__..mm__..___________._
By q;:d?l~~~c_~.L~,<..~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be eon.
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
ELECTRICAL PERMIT
Address
....--......--.....-...................................................-............................-..................................
Owner......................_..........._......_.._......_......_.._.................._........................................Tenant...................................._..................._..........
Date..._......_.._.._.._.........._......_n....__........
N?
17198
WiringContractor..................................._....................._.............................____......_........_....._.....By..............................................................
'\ NOTICE-Current must not be turned on untU Certificate of 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. -
\
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