HomeMy WebLinkAbout211 W 8th St - Building The Apostolic with Church
/ oy my,XV ! PO Box 9
Port ADgeles
Parsonage 360-457 3517
February 11, 2010
City of Port Angeles
Building Division
321 E 51' Street re 2 1 W g
Port Angeles, WA 98362
To Whom It May Concern.
We are requesting a 6 month extension on our current building permit (Application Number
09-00000875) due to uncooperative weather conditions.
Our permit is for re-roofing our parsonage, which will require at least 4-5 days of no
precipitation. Unfortunately, the weather hasn't been cooperating.
Thank you for your help If you have any questions, please feel to contact me
Sincerely,
Rev Jack Chasteen �®
Pastor G
JLC/wjc
OW rX\1
\b
Pray Preach Publish
• CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
r� 321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000875 Date 8/26/09
Application pin number 490750
Property Address 211 W STH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 3373 0000
Tenant nbr name ASPOSTOLIC FAITH CHURCH
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning COMMERCIAL NEIGHBORHOOD
Application valuation 10632
Application desc
TEAR OFF & RE ROOF THE HOUSE
Owner Contractor
APOSTOLIC FAITH MISSION CHURCH AFFORDABLE SERVICES
OF PORTLAND OREGON 258663 HWY 101 WEST
221 W 8TH ST SEQUIM WA 98382
PORT ANGELES WA 98362 (360) 683 9619
(360) 457 3517
Structure Information 000 000 TEAR OFF & RE ROOF HOUSE
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF & RE ROOF HOUSE
Permit pin number 152462
Permit Fee 221 75 Plan Check Fee 00
Issue Date 8/26/09 Valuation 10632
Expiration Date 2/22/10
Qty Unit Charge Per Extension
BASE FEE 95 75
9 00 14 0000 THOU BL-2001 25K (14 PER K) 126 00
Special Notes and Comments
August 26 2009 2 11 50 PM 1pangrle
THE APPLICANT WENDY CHASTEEN WAS ASKED IF A CRANE WILL BE
USED DURING THIS RE ROOFING PROJECT WENDY CALLED JANE AT
AFFORDABLE SERVICES TO DISCUSS THE CRANE USE WENDY STATED \®
JANE SAID THEY WEREN T SURE WHETHER OR NOT THEY LL USE A `
CRANE BUT IF THEY DO IT WILL BE ENTIRELY ON THE CHURCH S
PRIVATE PROPERTY THE APPLICANT AND JANE ARE AWARE THAT
CRANE USE ON OR ABOVE A CITY STREET SIDEWALK ALLEY OR
OTHER CITY PROPERTY REQUIRES A RIGHT OF WAY USE PERMIT TO
BE OBTAINED PRIOR TO CRANE USE
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 221 75 221 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 226 25 226 25 00 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 has 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.
6A)9-nd CL2�Lct4n
ate Print Name Signature of Contractor or Aut ori ed Agent Signature of Owner(if owner is builder)
T:FormsBuilding Division/Building Permit
0
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs
PLUMBING
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
AIR SEAL.
Walls
Ceiling
FRAMING
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)
T-Bar
INSULATION. V)
Slab
Wall/Floor/Ceiling
MECHANICAL.
Heat Pump/Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT Separate Permit#s SEPA.
Parkin /Lighting ESA.
Landscaping SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735 (p
Construction R.W PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750 r_
Building 417-4815 —
T Forms/Building Division/Building Permit
0A.pUNT,4,4 `rte BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician For City Use Oni
v
321 E. Fifth St. Port Angeles WA 98362 ' y Date Received - —0
��d�� i� Permit# Q—x-79_
(360)417-4815 fax (360)417-4711 Se \S Date Approved
�h„r . po.
Applicant �,� ; .-, Phone - -25' 7
Property Owner a� MfsS'teh Cv)01- -, ofp Phone _
Property Owner's A dress �zI W gth 9+) pq)W P+ 9 8 (cZ " 0"o-J'"
Contractor A P bl,k_ Ser Imes. ' Phone 3G6,G --9019
Contractor's Address 2,5
License # F:r-p t25# es ) E-mail
PROJECT ADDRESS a � �}
Parcel Number 0(030 (:)(),02
Lot Zoning
Project Type &Brief Description. w Residential ❑ Multi-family ❑ Commercial ❑ Industrial
Check all that apply
❑ New Construction
❑Addition
❑ Remodel
❑ Repair
❑ Demolition
B Re-roof *House ❑ garage ❑ other w tear off& re-roof ❑ lay over one layer
❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑ Other
Floor Areas Existing(sq. ft.) Proposed(sq. ft.)
Basement @ $ per sq ft. _ $
1 st Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $
Total footprint of structures sq ft. T Lot size —
Site Coverage= the amount of impe ous surfac n a parcel, including structures, ave<ddrivew3ay� sidewalks patios
and other impervious surfaces. (see MC94 135 for exemptions) verage %
Max. height of proposed structures ft. Occupancy group ooms
Will a lawn sprinkler system be in ailed? Occupant load aths
Will a fire sprinkler system be i stalled? Construction tvpe baths
I have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain pen-nits prior to working on&�,-
T
Gate Print Name _ �Cl�)`e� (/� Signature
Forms/ uildin L>ivision/Bldg Permit.doc ��
AFFORDABLE ROOFING RPOAL
25 SM3 Hwy 101 West
Sequim, WA �� 2
0663 683-9619 (360) 385-2724 (360) 452-0840 ) l
N am --) Phone #1 S(e ?)5
1.2
Address a/I IAr fit+` c�� Phone #2 --
CIN State ____Zip code > (.Q 2
Ta
rp:ho pertr>tater to protect lartdscaptng
Rern6ve ol-d_roofing and haul to landfill
Install Plywood OSB
Install Roofing Feh 0c, Install Dnp Edge Metal _
Install Pipe Flashing Install Metal W-Valleys _
fnstal� Exhaust Vents Install Roof to Wall flashing
w1,►r_^ Ridge Vents Install Roof to Wall Step flashing
:Z�:tnsWallAttic Vents Cut In Chimney Counter Flashing --
lnst4lil Sun Tum Install Chimney Step Flashing
Instalj_Skylights InstaJl Skylight Flashing -
Instsi 1 --
l nsta-1l
--
�lnstal l -
Las*l
Seouft/ L,oc to Septic / Drain Field Location
Price hckxles Building Permit -_
Aak Customer to Secure Buildmg Perr 4
De cnption-, .n,,ta113IZ.yRqr I amt_ated. Righ Wind Shingle .,,at 6 nails per shiaale.
Aj&=Block S I A rn d, -
s
Payment Ln full .upon.completiop of project, _
unless other arrangements accepted. SUBTOTAL
We propose hereby to furnish mtatenal and labor, SALES TAX
complete in accordance with the above specifications TOTAL
Noor this proposal my be wnthidrawa by us if not.
All.mnww:i$:,p4jateed to be as spcp5cd.Any ahaed w or deviation from the above aeoe�lod wW&ia 30 days•
speciflc&ww mvoWwg extra cosh wM he accutod only upon writtw Orden and wiD
bec-rK an extra charge over arsd above the estimate.All agroemeata coutingenl upon
strikes,acc+dmts Or diisys beyaod Our cmtroL Owns to carry fire,roroado and other
rXossary msuiana. 2
acceptance of Proposal the above prices, specifications and conditions Brand Year 3d
are sadsPdctory and arc hereby.accepted. You are authorized to do the Color d;5ja.k,6-� kmansh
,U Worip.
work as specified Payment will be made as Outlined above 10 Year Warranty ^�
Lifetime Warranty _
DEPOSIT
q ffordable Roofing s Representative k4 Date- �E"ZS''eo(;�
usiomer s Signature of Acceptance Datc
See attached Warranty SWeroen t-
220 r"�! `•9' ...N �.'r
237
214
1✓j C' \ r-^''z'` �� _ 212
, -• ` f// Afi - ""��� ,� Q e 1 .4" z 4 208
216
Ile
/ g 210 ,
204'
227 211 ` ?
206
ae 221 -
' moi•'§µ; `- t Y \'q •..r "-y '1 4r Vtlan � :3
—2,
�+ '�{. %i 211
las
230e
} ?e � fNei
,
224 FE 220
los
220
PREPARED 4/26/10 12 32 51 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/26/10
ADDRESS 211 W 8TH ST SUBDIV
CONTRACTOR AFFORDABLE SERVICES PHONE (360) 683 9619
OWNER APOSTOLIC FAITH MISSION CHURCH PHONE
PARCEL 06 30 00 0 2 3373 0000
APPL NUMBER 10 00000226 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 4/07/10 PB BLDG FINAL
4/08/10 DA April 7 2010 8 27 44 AM 1pangrle
JACK CELL 477 1399 OR 457 3517
BUILDING FINAL RE ROOFED THE GARAGE
AFTERNOON
April 8 2010 8 10 07 AM pbarthol
chimney flashing needs to be finished
BL99 02 4/26/10 JLL BLDG FINAL
April 26 2010 11 20 51 AM pbarthol
171 JACK 4771399
09 875 OK 4 7 10
COMMENTS AND NOTES
II w
PREPARED 4/07/10 8 29 03 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/07/10
ADDRESS 211 W STH ST SUBDIV
TENANT NBR ASPOSTOLIC FAITH CHURCH
CONTRACTOR AFFORDABLE SERVICES PHONE (360) 683 9619
OWNER APOSTOLIC FAITH MISSION CHURCH PHONE (360) 457 3517
PARCEL 06 30 00 0 2 3373 0000
APPL NUMBER 09-00000875 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 4/07/10 JLL BLDG FINAL TIME 01 00
April 7 2010 8 24 55 AM 1pangrle
3517
Z SACK CELL 477 1399 OR 457 3517
BUILDING FINAL RE ROOFED THE HOUSE
AFTERNOON
COMMENTS AND NOTES
PREPARED 4/07/10 8 29 03 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/07/10
ADDRESS 211 W 8TH ST SUBDIV
CONTRACTOR AFFORDABLE SERVICES PHONE (360) 683 9619
OWNER APOSTOLIC FAITH MISSION CHURCH PHONE
PARCEL 06 30 00 0 2 3373 0000
APPL NUMBER 10-00000226 RE ROOF
------ -- -- -- -- --
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 4/07 10 JLL BLDG FINAL
April 7 2010 8 27 44 AM 1pangrle
JACK CELL 477 1399 OR 457 3517
;l BUILDING FINAL RE ROOFED THE GARAGE
AFTERNOON
COMMENTS AND NOTES
/L�1
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT-BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES,WA 98362
Application Number 10 00000226 Date 3/05/10
Application pin number 613912
Property Address 211 W 8TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 3373 0000
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning COMMERCIAL NEIGHBORHOOD
Application valuation 3375
Application desc
TEAR OFF/RE SHEET INSTALL COMP GARAGE
Owner Contractor
APOSTOLIC FAITH MISSION CHURCH AFFORDABLE SERVICES
OF PORTLAND OREGON 258663 HWY 101 WEST
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 683 9619
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF / RE SHEET INST COMP
Permit pin number 161976
Permit Fee 123 75 Plan Check Fee 00
Issue Date 3/05/10 Valuation 3375
Expiration Date 9/01/10
Qty Unit Charge Per Extension
BASE FEE 95 75
2 00 14 0000 THOU BL 2001 25K (14 PER K) 28 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 123 75 123 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 128 25 128 25 00 00
k n 0, 1
9-2 6 -t a
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 fora period of 180 days
after the work has 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.
3 S
/6 �-4,-,o1 4S��eh
/ cAna&�—
iatol Print Name Signature of Contractor or Authorized Agent Signature of0 ner(if owner is builder)
T:FonnsBuilding Division/Building Pennit
BUILDING PERMIT INSPECTION RECORD �J
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— \
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. M
Inspection Type Date Accepted By Comments
FOUNDATION.
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs)
PLUMBING-
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
AIR SEAL.
Walls
Ceiling
FRAMING
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)
T-Bar
INSULATION I�
Slab
Wall/Floor/Ceiling
MECHANICAL.
Heat Pum /Furnace/FAU/Ducts �t
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT Separate Permit#s SEPA.
Parkin /Lighting ESA.
Landscaping SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction R W PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit L�
BUILDING PERMIT APPLICATION Print in ink
*1Na - CITY OF PORT ANGELES
For City Us Only
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362 Date Received
Permit#
(360)417-4815 fax (360)417-4711 C7 22{d
Date Approved 5, S- �
Applicant �T55AM.c. Fc ► k LA tc-j\ Phone 3(,n6-y57-3s1">
Property Owner 4 m� Phone
Property Owner's Address
Contractor Cbl k06 P�Q Phone
Contractor's Address aS U
License # ,4:;�p 63 Expires E-mail
PROJECT ADDRESS j W $ �' SV6J A,- /.� UA
Parcel Number Lot Zoning
Project Type & Brief Description. ❑ Residential ❑ Multi-family ❑ Commercial ❑ Industrial
Check all that apply
❑ New Construction
❑Addition
❑ Remodel
❑ Repair
❑ Demolition
v,Re-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer
❑ Heat System ❑ Heat p mp ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑ Other
Floor Areas Existin_g(sq. ft.) Proposed(sq. ft.)
Basement @ $ per sq ft. _ $
1St Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $
Total footprint of structures sq ft. _ Lot size sq ft. = Lot coverage %
Site Coverage = the amount of impervious surface on a parcel including structures paved driveways sidewalks patios
and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage %
Max. height of proposed structures ft. Occupancy group #of bedrooms
Will a lawn sprinkler system be installed? Occupant load #of full baths
Will a fire sprinkler system be installed? Construction type #of half baths
/have read and completed this application and know it to be true and correct. /am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prio to working on projects.
Date Print Name W Q,YWI V 0,1 Cf5TZth Signature_(—
T Forms uil ing Division/Building permit application
FPOX558 3
AFFORDABLE ROOFING PROPOSA
259M3 Hwy 101 West
SNwm, WA 99392,
(360) 683 9619 (360) 385-2724 (360) 452-0840
N ame A O/R-L-) Fa Phone #I � Z60 Li sa-�51:-
a
Address `N- Phone #2
C, State U& Zip Gode (Q2.
Tarp:house r to protect landscaping
Remove old roofing and haul to landfill v \V 6 a P
fn11 Plywood OSB
Install Roofing FehInstall Dnp Edge Metal
Install Pipe Flashing Install Metal W-Valleys _
Install Exhaust Vents Install Roof to Wall Flashing
LnsW,I Ridge Vents Install Roof to Wall Step Flashing
_ LnsW,;[_Attic Vents Cut In Cbimney Counter Flasbing
Insi ]rl Sun Tube Install Chimney Step Flashing
Install__ Skylights Install Skylight Flashing _
1 nstalJ --
I instal l --
!Istel l .
install
— Sec.u,ft! Locmte Septic / Drain Field Location
Pnce InchWes Building Per=t
Customer to Secure Building Penwv
Desc p,an% Insiall - o y&-gr T,arriinRted, Kigh Wind Shingles, at.6 nails ner shingle.
Payment to full upon.completion of pnolect, —7
unless other arrangements ted. SUBTOTAL --�� /I—
complete
� OO
We propose hereby to furnish material and labor SALES TAX 4 Z
complete in accordance with the above specifications TOTAL 12-2'`Z 3, 9S
Now this proposal buy be widx"wa by us if rum
All.material is,guaraaited to be as vcoE o&Any altaadm or deviation Born the above scoepled within 30 days.
specifications'involving exars costs wttn be=uoed only upon wei m omkn and wil]
become an extra Gliacge over and ibove the e511rn4e.All egmeamts contingent upon
mikes,accidc u or delays boybod our om"L Owns to carry frr,tornado and other
necessary iosurs=.
Acceptance of Proposal the above pnces, specifications and conditions Brand=ems ( ,lAr _
are sansfamoryand are hereby.aceepted. You arc authorized to do the Color rkmaruhip
work as.specified Payment will be made as outlined above 1A At i
DEPOSIT Lifetime Wanwty
A ffordable Roofing s Reprrs nMtive• Date•
usiomer s Signature of Acceptance Date-
See attached Warranty StatefnM t.
I
d",,A CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST STH STREET. PORT ANGELES.WA 98362
ELECTRICAL PERMIT Issued: 12/29/98 Permit No: 6519
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
APOSTOLIC FAITH 211 8TH ST W
211 W. 8TH STREET Lot: 17&18
Port Angeles, WA 98362 Block: 233 Long Legal:
360/090-0000 Sub: TPA
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
OWNER
VARIOUS
Port Angeles, WA 99360 ,
206/000-0000 000/000-0000
PROJECTINFO--------------------------------------------------------------------
Prj Type: RES. MISC. Prj Value: $500.00
Occ Type: Cnstr Type:
Occ Grp: Occ Load: Land Use:
Electrical Heat Service Type
Baseboard KW: 0 Riser Voltage: 0
Furnace KW: 0 Overhead Service Diameter: -1 -3
Heat Pump KW: 0 Underground Service Service Size: 0 AMPS
Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS
PROJECT NOTES-------------------------------------------------------------------
ADD ONE CIRCUIT FOR JACUZZI
PROJECT FEES ASSESSMENT----------------------=---------------------------------- -
Service: $0 . 00
Additional Feeders: $0.00
Circuit Wiring: $42 . 50
Temp Service: $0.00 TOTAL FEE: $42 .50
fisc $O:.OQ Apgunt Paid: $42 .50
-------- ---
--------------------------
TOTAL FEE: $42.5Q Bdlance Due: 0. 00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECnONTYPH DATE ACCMMM COMMENTS
YLS NO
SERVICE
FINAL 1
% /1
GENERAL COMMENTS:
PW-1im.1514 l
CITY OF PORT ANGELES
LIGHT DEPARTMENT ELECTRICAL PERMIT N° 1649
Port Angeles. Washington -------------------------••---------
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 .... -----!--- -l�-_- -------------------------------------------- Occupancy... `------------__........
Owner -- -
r
Wiring Contractor--v'===f J(,`...c - - By - -
Light Outlets........................................ Service, volts ----.._............................... Type of Wiring:
Receptacle Outlets............................... No. wires ..... Armored Cable .............................
,(�„ y Non-Metallic _ _
.............................
Dryer, KW............................... .......... Size wires---'---_..._...-,_.t..............
'a ;fJ j;- Knob & Tube.............._..................
Range, KW_----------------------------------------
Main fuse ::....c.........:....._..............
.y
l....................... Rigid Conduit .........._...................
Water Heater: Enclosure .._�:-...! Metallic Tubing ...........................
KW----------------------------------------------. Type of wiring: Raceway
Heat: KW................................................... Entrance Cable ............................. Circuits, Light.......................................
Motors: size, volts and/j phase: Rigid Conduit ............................... Utility .........._....._...........................
..........................................................
(!i_.wtAA4 Metallic Tubing ........................... Beat ..............................................
�0 p �a r Current transformers: Range .............................................
�- ....-----..........._----ri.------"---
r
------- Motor. ............................................
Ser. No.............................................. Dryer------------------------------------------------_
.........................................................- Furnace................................
,
Ser. No..............................................
TotalLoad---....................... Ser. No..................-......................... Total .......................................
Remarks- --------- -------------------------------- --------------------•----------------------------------------------------------------------••--------------
------------------------------------------------........................-------------------•--•--------------------------------------------•---------------------------------
-----------------•------------------------------------------------------------------------------------------_------------- ---------------- ---------------------------
Permit Fee Treas. Receipt
$------------------------_--__------ NO...................._.._... By ___. / ±`-•�r �_ t. -•r- �.i'
. ,
--------- --- ----
NOTICr—Current must not be turned on until 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.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT N° 16497
Address ..................._.................................................................................................................. Date.............................._:....._......_....._._
Owner ....................................................._......_.._........................................................... Tenant....................................................................
WiringContractor.........................................._.............._............................................................. By. ......................................... "•r- -
NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. If work 1s to be con-
cealed.due notice must be given the Inspector so that work may be inspected before concealment.