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HomeMy WebLinkAbout612 S Chambers St - Building CITY OF PORT ANGELES PUBLIC WORKS BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 4/15/2002 PERMIT NO: 13321 OWNER/APPLICANT PROPERTY LOCATION 612 CHAMBERS S ROBERT PARR 612 S. CHAMBERS Lot: 1/2 1AND 2 Port Angeles, WA 98362 Block: 209 [] Long Legal 360/452-6751 Subdivision: TPA T: S: Parcel No: 063000020900000 CONTRACTOR ARCHITECT ALLEN HUNT CONSTRUCTION N/A 489 CAMERON DR. PORT ANGELES, WA 98362-0000 , 98360-0000 360/417-2939 360/000-0000 PROJECT INFO Project Value: $11,000.00 SFD Units: 0 Commercial: 0 Project Type: GARAGE NEW 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 IJ~. PROJECT NOTES NEW 20' X 24' DETACHED GARAGE 480 SQ. FT RECEIPT#8957 FEES ASSESSMENT Building Permit: $195.25 Misc Fee 1: $0.00 Plan Check: $78.10 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: $277.85 Plumbing: $0.00 AMOUNT PAID: $277.85 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public impmvement~. 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 pedod 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 aws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not )resume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOP,. BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 I DATE IYEsACCEPTEDI NO COMMENTS FOUNDATION: WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW ! WATER AIR SEAL CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION FOR OFFIC1A USE ONLY: BUILDING PERMIT - APPLICATION Da~ Issued: The Building Permit application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applic~t or Agent: AI/r~ ~Om ~ Phone: Owner: ~()~¢~ q ~ ~}~ C ~ Phone: Address: ~/~ ~C. ~ [~O~&'c % City: .'flt ?e ~chitect/Engineer: Phone: Con.actor ~[l~ HO'~ License~: ~ Exp:. Phone: AddreSs:qgq Co ,o City:r&r/ ~,S~/r3 Zip: PROJECT D SS: g lZ O, C}tam er, c LEG~ DESC~PTION: Lot: ~ ~ [ ~ ~Block: ~q Subdivision: CL~L~ COUNTY P~CEL N~BER: ~ 7~ ~ ~ Credit Card Holder Name: Billing Address: City: Credit Card g: Exp. Date: ~SA MC TYPE OF WORK: SIZENALUATION: "]/SF //,~C) 0 ~) [] Residential ~NewConslr. [] Re-roof [] Wood-stove L)F~C~ SF.@$~._~ .=$ [] Multi-family rn Addition [] Move ~ Garage SF. ~ $ /SF. = $ [] Commercial [] Remodel [] Demolition [] Deck SF. ~ $. /SF.- $ [] Repair [] Sign [] TOTAL VALUATION $ t///(~ O ~ BRIEF DESCRIPTION OF THE PROJECT: ~ ~,,tJl~ /9[_ "~ C_~ ~ ~tL d'r' COMMERCIAL/RESIDENTIAL: Occupancy Group:. Occupant Load: __ Coma-action Type: Lo VgO d No. of Stories: ~ LotSize: ~c{0 ~(100 % Lot Coverage:. IL~.c~0 7 % Existing Lot Coverage: ]~67~ 52- /sq. ft. + Proposed Lot Coverage: qt ~ O /sq. ft. = TOTAL LOT COVERAGE: ~_0 Y~..~.sq. ft. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be rev, ised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN 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. EXPIRATION OF PLAN REVIEW: If no 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 Uniform Building Code, current edition). 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, and I am authorized to apply for this permit. [ understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. Applicant: T:WORMS\APPS~Bui]din gpermit CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~/~ Date _~'---/~' ~)~'~' Time Received by (phone, person) Location of Work to be inspected ~J ~_~ .~-_5 Name of person requesting inspection- /~//-~1// //"~I/L~,~]f'~ ' - -- 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: Inspected: Date -~ ~' ~ ~ (~--~- 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) CITYOF POR ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-/'--/~'-(~-~- Time Receivedby '/~ (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. Type of Inspection (circle appropriate one): Sewer ~F~undatio~ ?Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date '~, ~ Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # I--I Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~I. IILUlI~ I,"t-I'~llflll ISSUED: 6/12/2002 PERMIT NO: 13481 OWNER/APPLICANT PROPERTY LOCATION 612 CHAMBERS S ROBERT PARR 612 S. CHAMBERS Lot: 1/2 1AND 2 Port Angeles, WA 98362 Block: 209 [] Long Legal 360/452-6751 Subdivision: TPA T: S: Parcel No: 063000020900000 CONTRACTOR ARCHITECT ALLEN HUNT CONSTRUCTION N/A 489 CAMERON DR. PORT ANGELES, WA 98362-0000 , 98360-0000 360/417-2939 360/000-0000 PROJECT INFO Project Value: $25,000.00 SFD Units: 0 Commercial: 0 Project Type: REMODEL 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 ~) REPAIR FOUNDATION AND REMOVE FLAT ROOF AND REPLACE WITH NEW TRUSSES .~ FEES ASSESSMENT Building Permit: $391.25 Misc Fee 1: $0.00 Plan Check: $156.50 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: $552.25 Plumbing: $0.00 AMOUNT PAID: $552.25 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 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 tocai law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FOR3vIS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. ITIS 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 I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB BUILDING 417-4815 h -- tO-O~ J ~ BUILDING ~&'? 36' FOR OFFICIAl. USE ONLY:  Date Rec.: ° ~ BUILDING PERMIT- APPLICATION P~it~: Date Ap The Building Pemnit Application must be filled out completely. Please type or print in ink. If you have any questions, please call 41%4815 Applicant or Agent: ~O~ ~qr~ Phone: ~--~ Address: //~ ~<o,~,~c, City: ~Or7 ~j~</~: Zip: Architec~ngineer: Phone: Contractor License ~: Exp:. Phone: Address: City: Zip: LEG~ DESC~PTION: Lot: ~ [ Block: ~0~ Subdivision:~ CL~L~ COUNTY P~CEL NUMBER: O~o~Y~redit Card Holder Name: Billing Address: City: Credit Card ~: Exp. Date: VISA MC T~E OF WO~: $I~ff~UATION: ~ Residential ~ New Cons~. X Re-roof n Wood-stove ~V. ~ $ 2q./~ /SF. =s ' 0 ~ Multi-famly ~ Addition a Move ~ Garage SF. ~ $ /SF. = $ ~ Co~ercial ~ Remodel ~ Demolition u Deck SF. ~ $ /SF.-$ ~ Repair ~ Sign ~ TOTAL VALUATION $ B~EFDESC~PTIONOFTHEPRO~CT' ~1~ '~ oZ COMMERCI~SIDENTIA: Occupancy Group: Occupant Load: ~ Cons~ction T~e:. No. of Stories: ~ LotSme: lO0~l~O %LotCoverag~ / ~ % Existing Lot Coverage: ,E~:$~q. fl. + Proposed Lot Coverage: /sq. fl. = TOTAL LOT COVE~GE: '20~,~. ft. PLANING USE ONLY: ~PROV~S: PL~ Notes: BLDG. DPW FI~ ES~etland(s): D Yes a No SEPA Chec~ist required? U Yes U No Other: OTHER BUILDING PE~IT APPLICATION SUBMITT~: Your application and site plan must be filled out completely to be accepted for review. The Build~g Division can provide you with more detailed ~fo~ation on the application and plan sub~l requirements. Your completed application, site plan (for additions) and building cons~ction plans are to be sub~tted to the Building Division. V~UATION OF CONSTRUCTION: In all eases, a valuation amount must be entered by the applicant. T~s fig~e will be reviewed aud ~y be revised by the Building Division to comply with cu~ent fee schedules. Contact the Pe~t Coordinator at 417-4815 for assistance. PL~ CHECK FEE: Your plan check fee is due at the time ~e building pe~t application and cons~ction plans are subdued. All other pe~t fees are due at the time ofpe~t issuance. EXPIATION OF PLAN ~VIEW: If no pe~t is issued within 180 days of ac date of application, t~s application will expire. ~e Building Official can extend ~e time for action by the applicant up to 180 days upon ~inen request by the applicant (see Section 107.4 o f the Unifo~ Building Code, cu~ent edition). No application can be extended more than once. I hereby cert~ that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit, l understand it is not the Ci~'s legal re~ponsibili~ to determine what permits are required; it remains the apphcant's CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: .~L~/ Date ~-~-~t~--~ Time Received by (phone, person) Location of Work to be inspected ~/~ .~::~ ~_~/~t~/~u~ ~ Name of person requesting inspection -~--_~)~,v~- ~tK'~ /-~.,~ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing~l~Sewer Excav. Other INSPECTION NOTES: Inspected: Date Time By Remarks:. RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel I~Asphalt [~PCC []Other [] Repaired by City Work Order # I--I Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUES3[: I Date~Time [~'.~1~.~.~ 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 Plumbin~ewer Excav. Other INSPECTION NOTES,: ~ , Inspected: Date ~ ~['l~/~ Time ~1~ B¥~--~ Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt (~PCC []Other [] Repaired by City Work Order # r-] Repaired by Permittee [] COMPLETE ~] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) f fORT ~ l"O~ ha "-~ ~ ~.,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Applicat20n Number P2n number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivis20n Name Property Use Property zoning . . . Appl2cation valuation 10/06/04 04-00000914 Date .492600 612 S CHAMBERS ST 06-30-00-0-2-0900-0000- RE-ROOF RS7 RESDNTL SINGLE FAMILY 3539 Owner Contractor PARR ROBERT/LEANN 1128 GEORGIANA PORT ANGELES WA 98362 RAINMASTER ROOFING 1205 S. 0 ST. PORT ANGELES WA 98362 (360) 452-3213 Perm2t Additional desc Permit Fee Issue Date Expirat20n Date BUILDING PERMIT - NO PR FEE TEAROFF, SHEET, GRAN TORCHDOWN 120.75 Plan Check Fee 10/06/04 Valuat20n 4/05/05 .00 3539 Qty Un2t Charge Per Extension 92.75 28.00 BASE FEE 2.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 120.75 120.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 125.25 125.25 .00 .00 EXR~D 4!Z{p/DiP 1/1 \f' - N <t ~ ';> p ~ (j tv ~ 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 atterthe 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 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. ..----- Date Signature of Owner (if owner is builder) r or Authorized Agent T:\PLANNING\FORMS\1102 15 [11/14/2003] CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16460 jJ)- -? )C Port Angeles, Washlngtonm........._...._..........m.___.._m.mm.m...__.__... 19.nnooo 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 ooon?;.I..p.Ji~h~,~""!.-<'!t.n--.--ooo.m--ooo Occupancy___n,.<'!;I2"'.~____h._..__oooooo__.___. Owner n__ooo(}}:-!,,"'~<.:ooooooooo'ooo.._________ooon___~ooo____nn_..n Tenantooooooooon__ooo__.._..___.__nhnooo._m.__h__n.__oooooo.__n_oooooo Wiring Contractor n_ooo.aJd:(~nn~~~~.__.__.__. By___h.__oooooooooooonn__m____...mmn__ooo_.m.nmh__.n.. LIght Outlets________________________________________ Service. volts _______/~.<2,/t?:.r:.:I.____ Type of Wiring: Receptacle Outlets_______.______________m______ No. WI~es -----1/;,:1:f;r..T, 4;..... Armored Cable .............m.............. D KW SI /.(,"C/ ax- Non.Metallic --------------------------------. ryer.' .mm.h___m___m_____n____________ ze WIres7;::.>.;;;;;;-)r---~--- 7V"'/t Knob & Tube................................_ Range, KW....n.......................:............ Main fuse ........................;...........:.. 1'2--7i4.- Enclosure ....................................... Water Heater: Rigid Conduit ____________.__________m_____ Metalllc Tubing ________._______________h_ Heat~:;::::;!if.:~J:.;;;;:. Type of wiring; Entrance Cable ........... Ser. No............................................... Raceway ..............................._....._ Circuits, Light..................___.................. Utility............................................. l-leat ......................................._...... Range ............................................. Water Heater ............................... Motor ............................................. Motors: size, volts and phase: Rigid Conduit ............................... Metallic Tubing ........................... Current transformers: No. & Size............................. Ser. No.............................................. Dryer................................................_ Furnace .........................'_......_........... Ser. No.............................................. Remark:~ta:__~~~.:::::;:;._~=;.Aooo~____S~:~~.d?d?::.:::2;_~~~...__hnnooo.~~~::n::.:__.:.::___-.:__-:::-:.:.:.:::. / - - - -# Permit Fee fhoo....n....nn__..___...____.____ Treas. Receipt NO.nooonooon...ooo.......... By .21..i!.ltd...~~~~___ooo_ 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 belore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16460 Address..................._.................................._.._......__..........__.........................................................Date..__.....__..__.__._..........__...___................. i Owner..................................._......_.._.............._..__............................................_.............Tenant................................_................................... Wiring Contractor......................................... .................._.......__.._.__......_._...____.._.._.___....__....__.....__.By................................._........................._.. NOTICE--Current must not be turned on until Certificate ot 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. . 1M Olympic Printers, Inc. 08/27/02 20:21 FAX 360 683 4193 EVERGREEN ELECT ELECTRICAL PERMIT APPLlct nON The Elec!n'ca/ Permit Application rnust ~efilled aUl9ompletely. Ploase type or print In iDk. ICyou bave aDY que.tioD', plea e call (360) 417-4735 Fu lIumber: (360) 417-4711 I4J 001 s ..~""~ FOR OfFICIAL USE ONLY: DuL< Rec.: Pet'1tl.ittl: D.,. App",""" Dalc Wucd..: P77J1 p/J)O ?f33 - 373z... Applicant and/or Agent: E'L--6/<Ge.t-e-N ~J..-6(' Phone: 3- 4- }::/J3 P;operty DWIler: ~ 0 i>>r--l- cf a: <0 r i Phone: Address: C.l'1 C0C/,/nr!xv{ City: 1bJ.H- Jl/1}6?~ Zip: 045.362 . Contractor ~b-e 6~.=,,- ;f;..I-. License #~v? e~,w E;o;p: Address: 152-<:::> ~"""""'777W-- R;; City: CC,:,,:;:=v I J- Phone: Zip; ~dZ- b2f-c:.-rkJCft/)tCIIIJ<=L 6. 1/ -CilJl. .. , Zip: n~MC_ PROJECT ADDRESS:b (2 'CIlcn-rn,J,.,,- , . LEGAL DESCRIPTION: Lot: Bloele zoNING S ~) . . U1VlSlon: CLALLAM COUNTY PARCEL NUMBER: ~PE 01' WORK: Resldent",J a Mulll-fwDlly a Comm~ciaJ a Mobile Home Ele~trioal Pcrmlt fees are based on WAC 296-46-910 BlUEF DESCIUPTION OF THE PROJECT: IU-l-I/]} CI/2-C 7+ ~pr# 'JS~'1 '3~ $:? I . Service Information ~--t' J S--r/ J1J 6 KW KW KW KW a Riser [J ()Yerbead Service []. Temp Service a'Underground Service Voltage: Phase: l>r1 0 3 Service Si~e: ~-f).r7?P Fee:ler Size: Comments: I I I 1 hereby certify thai I have re~d and examined lliis applicalionand k710W the J'JIC to oe /nJe .ond corrut, and I am authorized to apply jDrlJmpeJ7Jll1. flinders/and Ills nO/lhe CI/y's legal responswllJ/Y 10 delermlne what ennlls are requl1'ed; {( rematfl! Iile applicants respansibility lo.determine whal permilJ' are required and to oOloin such: j I . PW.1l02_" ["",3/.00J Credit Card Holder's Signalure:J1/r Date:C)~2~ -- 11/12/02 TVE.o9: 17 FAX 360 683 3971. . .'-1.,-".,';: :..1.;..t.I:.,T. ~..I'IT -'..I'J:-EL..E,". AIR FLO HEATING Ig] 001 ..".,,~ I :-...~ I I fOR OffiCI....l USE ONl. Y - 'a1h;,'; OlIeApproYUl: ELECTRICAL PERMIT APPLICATION The Electrical Penn It Application mu~. be filled out comole1elv. Please type or r-epr;nt in Ink. If you have any questions, please call P60) 417. 4735 Fa. numbel: (360) 417-4711 41 79D{ REQUEST INSPECTION 0 Owner Of Elec. Conb'actor Agent Phone- Fa'c 452-9682 98362 Zip: phone.683- 3901 Zip: 98382 Property Owner: Robert parr 612 S. Chambers Address: Electrical Contraclor: Air FIn Heating City: Port Angeles Phone: Address: 221 \oJ. r,,,dar License #(\IRFLHC009C&;.p: City: Seauim INSTALLATION WIRED BY, DOWNER Credit Card Holder Name' Air Flo Xl ELECTRICAL CONTRACTOR Heating Billing Address' 221 \oJ. Cedar Credit Card Number VISA-X MCO- PROJECT ADDRESS' 612 S. Chambers Port Angeles TYPE OF WORK: Check all that apply: o New o AHeration/Addilion Xl Residential 0 Mulli-family o Commercial o Mobile Home Sq. FI Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump )(,Low Voltage 0 Telecom. 0 S Number- of Circuits added or altered: _ DESCRIPTION OF THE ELECTRICAL PROJECT: f2.cutJ fJ.. .v\L~j)e.60ctk'111 o Baseboard o Fumrlce o Heal Pump o Fan-Wall _KW KW _TON _KW PERMIT FEE: 35.1;,0 ~Itcft 971L( Service Information Electrical Heat Load Additions LRA o Overhead Service o Temp Servi.ce o Underground SSlVice Voltage: Fhase: 0 1 0 3 Service Size: Feeder Size: I hereby certify that I have read and examined this application and know that same to be /rue and correct, and I a authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Date: 11-lifOO Owner or Elec. Cant. Signature: Wt2~'UC~0"~z_ Date: 11/12/02 TUE 09: J7 FAX 3(;0 (;83 3971 '-I'~. '~U:. ,T. j: ".j:,T ->'I-J:.EL..E" AIH FLO HEATING I4J 001 .~ : "',;:",';.:0 I :-.:1.- I , '.' \ ~/"7 ELECTRICAL PERMIT APPLICATION fOR OfFlCIAl t/SE ONi. V ........, Pam;.', ~~Approwul': The Eleclrical Permit Application must be filled out comoletelv. Please type or reprint in Ink. If you have any questions, please ealf f360) 417. 4735 Fax numbel: (360) 417--4711 Owner 0' Elec. Contractor Agent REQUEST INSPECTION 0 Phone" FaX: Property Owner: Robert parr 612 S. Chambers Address: ElectrIcal Contractor: Air Flo Heating City: Port Angeles Phone: 452-9682 98362 Zip: "hone.683-3901 Zip: 98382 Address: 221 W. Cpdar license lA.IRFLHC009C~.p: City: S eo u im INSTALLATION WIRED BY: o OWNER Credit Card Holder Name' Air Flo :p ELECTRICAL CONTRACTOR Heating Billing Address' 221 W. Cedar Credit Card Number- VISA'X MC~ PROJECT ADDRESS' 612 S. Chambers Port Angeles TYPE OF WORK: Check all that apply: o New o Alleralion/Addition :xl Residential 0 Multi-family o Commercial o Mobile Home Sq. FI Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump XLoW Voltage 0 Telecom. 0 S Numbe... of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: f2ctdJ 0.. .Y\J ~j)€~akd Electrical Heal Load Additions PERMIT FEE: 3 s,. 1:>0 Service Informa.tion o Baseboard o Furnace o Heat Pump o Fan-Wall _KW _KW _TON _KW LRA o Overhead Service o Temp Servi.ce o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: I hereby certify that I have read and examined this application and know that same to be true and correct, and I a authorized to apply for this permit. I understand it is not the City's legal responliibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Dale: 1/-19-00 Owner or Elec. ConI. Signature: ;;;;;7J~PUC~;;I/'~L 'V,y~ M- ~ Date: ~i~ -rt'-f ~/..- FRQ!:1.: BOB'S Electric FAX NO. 1 360 452 9943 Jul. 10 2002 09:41AM P3 ._____ Ii 1/10 I D~ ELECTRICAL PERMIT APPLICATION b "'J/ T~e El8O:riCQI P8I'l'nl1 A::>plje:arlo... mUfti h.I;".d nut c;omofotolv. ProP$rtY Owner: PiN_ fJpe or roprint In Inlil. If yo.. "~y. any Quutiona. :p1ease C.IJ (:leo) 4~7. 4735 Fax nUf\'lber~ (360) '''-4111 REQUEST INSPECTION~ p"""..4""7-tn~n F:sx:"'f.5~- 9''N3 Admvos; e_... Cco_: cnyo (\ 2".Jf~ "'hone: -: z;p: .d2..Z..7&f o,.",~-~7 City. ZIp: tNs'tAUAnOf\l WIRED BY; ::::; ()VVt.jER ~ ELECTRICAL CONT~CTOR C"dJfCorr1Hold"'N~m..~A {'rH.... a-t i<.,,,i=l, G......t, t...-t;; L- Sllllng AddnJS$" ~ ';L 'f ~ 1)e.e:te A>.~.K' CIty,J1 r'+- A 1\ ~" (.p S CnJdJtCtudNumb~' ' PIlOJECT_~/1L.. 5" -Rk- In. 4 Lv "- Z'p: '1 'ii ~v, L.. V1SAL MC"- TVp& OP WORK. Cheek lllI thai apply: ;:] New o Altera1ion/Addition o Residential ~ Mulll-famDy o Commercial 0 Mobile Home Sq. Fl """'rnbclr of CI~it8 added or a~ored: Remote Meier Cl Oetacned 98"'ge 0 Hot Tub 0 Swim Pool Q SePlic Pl;It.p ,-; Low V""~\le Ci Telecom. c: Sign DESCRIP1lON OF 11lE ElECTRICAL PIlOJECT: ..!/o", /9 d1 L) , AA~'" (~~,Jj Ehodrlcal Haat Load Additions PERMIT FEE: Q.1 ,3 0 SlIl'ilee Information o _baard OF""""", o Heat Pump ClFOt\oWall _KW _KW _ TON_LRA -KW C OvGrIload SeMce C Temp Service ~ Underground Service VoI:age: Phase: l.J 1 L-: 3 Se",'lce SJu: Feeder Size:. __.. I her&by certify that I have read and Bxamined this application and know that same to be trua and corree!, allf1l am authorized It> apply for this permit. I understand it is not the City's ~gaI responsibility to dewrmina what permils ara required; it remains the applicants ffMlpOnSlbillty to determine What permits are required and to OOIlI'n such. CmdltCllrclHOIcI.....sSlgnature: O~~d~ ~~'f:(./ Ownw or EIec. ConI. SIgnature' .E-I.u./ ....I ..4..J1 g.l' ~ ,/. /... C:lELECTRlCALPERMrTAPPLICATION ",:;;;:; cd '(((,/<>1-- ~ ~. dg0 ,A;L - LoJ'\-t;> ~,+a.- 'kk'V-:D - . I Pr- I !l\Jl,~ /., .fLL A)e..W t4.~+ --10 &.e &..~p? Pr-s-s-:kle C(~<-e 'i'fo'~- O~I~t= tt-L ~ )(r"/T '(futtL w?(( fJYbLo'tL!'7 t!-c-GQwv....uC>rr,~., Tl..r\ jJf..vJ . ~ S~Ul--{.>..J - - NJT€-: -L Po pVlJf rH.-.t~/4{!3€.'<- 5€-If:'( A f;L-Pb; 7~ , Date: ~//~/,,<:..... Date}1j/lJ>