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HomeMy WebLinkAbout1020 S Laurel St - Building PREPARED 6/12/07, 9 23 04 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR- JAMES LIERLY 1020 S LAUREL ST MICHAEL CHYNOWETH MAR-KED ENTERPRISES INC CHYNOWETH MICHAEL/KIM 06-30-00-0-3-2790-0000- 06-00001014 RE-ROOF SOODIV PHONE PHONE (362) 457-5005 PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 'L" "' ~~J JLL 7Y BLDG FINAL TIME 01 00 06/11/2007 01-57 PM LPANGRLE MICHAEL 452-4012 CALL FIRST AFTERNOON INSPECTION BLDG FINAL - RE-ROOF PAGE DATE 4 6/12/07 -------------------------------------- COMMENTS AND NOTES -------------------------------------- ~4-t- ~ s ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - B1Jll.,DING DMSION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Applicatlon pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Appllcatlon type description Subdivlslon Name Property Use Property Zoning . . . Application valuation 06-00001014 Date 530806 1020 S LAUREL ST 06-30-00-0-3-2790-0000- MICHAEL CHYNOWETH RE-ROOF 9/15/06 Owner Contractor RS7 RESDNTL SINGLE FAMILY 4456 CHYNOWETH MICHAEL/KIM 1020 S LAUREL ST PORT ANGELES WA 983627732 MAR-KED ENTERPRISES INC PO BOX 507 PORT ANGELES WA 98363 (362) 457-5005 () ........... ~ Permit Additlonal desc Permit pin number Permit Fee Issue Date Explratlon Date BUILDING PERMIT - NO PR FEE 87023 137.75 9/15/06 3/14/07 Plan Check Fee Valuatlon .00 4456 Qty Unit Charge Per Extension 95.75 42.00 BASE FEE 3.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 137.75 137 75 .00 .00 Plan Check Total 00 .00 00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 142.25 142.25 .00 .00 ---rl - z. y \' ~ o <::l - " ~\\ ~& II\::; ~~ \J~ 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 N. 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-l-have-readand 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. z CJ ~ ~ Sl~::q~ ,6q 11f:' / <1Jt'c, Date Signature of Contractor or Authorized Agent Date T:\Pohcles\1102_15 bulldmg penml mspecl10n record05.wpd [1/412005] " BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES 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 CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T.BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA' P ARKlNG/LlGHTING ESA' LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL. LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W.I PWI CONSTRUCTION. R W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 tnln/{H ."1 \...\.... BUILDING T \Pohcle5\1102_15 bUlldmg penmt m5pecllon record05 wpd [1/412005] BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. H you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: /o/;~J ~ l' AO(,A)e--of;{ Owner: ~~e----/ C~/;1 oJ-V~4' , Address: /Cbd2t;/) s, L-t::u.t/d Sf. City: Phone: Phone: ,/5;2 - t./d> I:? LIS;2 - Lf(P12 Zip: 92':3 (.,.:z. 4S7~ s<>>~5 fi""'; /l';j e-/e..5 Phone: Architect/Engineer: Contractor l( s+e..wo..,.i I< d,'s.1t Address: State License #: PfA/?krz.er 97~' Exp: City: s. l....4w,....../ S-f: PROJECT ADDRESS:)( /as..2C2!l LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: TYPE OF WORK: SIZEN ALUATION: D Residential D New Constr. ~Re-roof D Stove SF. @ $ /SF. = $ D Multi-family D Addition D MoveD Garage SF. @$ /SF. = $ D Commercial D Remodel D Demolition D Deck SF. @ $ /SF. = $ o Repair D Sign 0 Other TOTAL VALUATION >( $ "l.t '-I SG:. BRIEF DESCRIPTION OF THE PROJECT: }( .Reo - I'"oo.p j ~ ""4 ~ e . Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. T otallot coverage % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: ESAlWetland(s): DYes 0 No SEPA Checklist required? D Yes D No Other: FIRE: OTHER: - VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building DiviSion to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted 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 ofapplication, the 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 R105.3.2 of the International Building/Residential Code, 2003). 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. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. ~ Applicant: ~7r..~~ i\. Date: ~~//s-/~ t , T.\FORMS\BldgPemutAppl.wpd j1f,c4a~ ~y~o~~ I cp :2 <P ~ . L..A-. ".. tZ.-( 21 ' LI'S;2- t../(/>I,2 30' Look Up a Contractor, Electrician or Plumber License Detail Page 1 of2 Topic Index I Contact Info I ~qJ Search H~m~ ~ r;~;i~~ ~, h~su~~n,~e ~orkPI~:~~~ts ~ Trades & licensing Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Printer Friendk'Le..rsio..D ! General/Specialty Contractor jA business registered as a construction contractor with L&I to perform construction work within the scope ;of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment lof account and carry general liability insurance. L:,:~<,~.~ <n~<<~'~~<" ~<~" ,,_"_ ~__,< <,._.< ".~" ",__,,, ,,_~~<<"__<.~~_m_,,__._<,<~~_" i."""""<' '''~ < -~....,/ ",.-", W<~~, ; License Information License MARKEEI970K9 , I I Licensee Name MAR-KED ENTERPRISES INC , Licensee Type CONSTRUCTION CONTRACTOR i , I I 602292623_Yerify'_V{Qr.k.erS_(Qm~emiLJm I UBI , Status i ! Ind. Ins. Account 80232201 , ! Id I I Business Type CORPORATION i I Address 1 PO BOX 507 I I , Address 2 , I 1 1 City PORT ANGELES , j County CLALLAM : I State WA I , Zip 983620077 , , Phone 3604575005 I Status ACTIVE I j Specialty 1 GENERAL I I Specialty 2 UNUSED f Effective Date 6/1612003 ! l I ! Expiration Date 6/16/2007 I , I Suspend Date , j ; Separation Date I i , } Parent Company I I ) Previous License MARKEE*121 KC , I Next License I Associated , License I j ._, <,~~ -- https://fortress.wa.gov/lni//bbi p/Detail.aspx?License= MARKEEI97 OK9 9/15/2006 Look Up a Contractor, Electrician or Plumber License Detail Page 2 of2 ! Business Owner Information I I Name Role Effective Date Expiration Date ~^E~~IS~~~~_9,~~ PRESIDENT OS/29/2003 -~'1~ /_'-"'V~/-A__""""""._~~~~-'Y~_/.'<< v .'<~~j r~-~w ~""_'_'~'-"m_w I Bond Information I Bond Bond I Bond Company Account Effective Expiration Cancel Impaired Bond Received : Name Number Date Date Date Date Amount Date : I Until : ! #1 CBIC 639678 04/3012003 Cancelled $12,000.00 OS/29/2003 p ~ 0'''''''' _, "^/NN~"'_ ~'<"^ '-, "~N"~""'~^ - \ ' ,- ,- ' """" "~_P ""q ~ Savings Information I No Matching Information , ~.'1 11 ,_~,_ , ,<,_J r~'~ ,,'--~, , ! Insurance Information , I Company Effective Expiration Cancel Impaired Received , , Insurance Name Policy Number Date Date Date Date Amount Date : i NATIONWIDE I 1#5 MUTUAL INS CO ACP7501942486 09/01/2006 09/01/2007 $1,000,000.00 08/08/2006 : 1 ; NATIONWIDE , MUTUAL INS , i #4 CO ACP7501942486 09/01/2005 09/01/2006 $1,000,000.00 08/31/2005 ; I FIRST I l Ll : NBATIONAL : INS CO OF I , AM 01CG3161423 05/01/2005 05/01/2006 $300,000.00 04/14/2005 , , , I AMERICAN , I STATES INS 1#2 CO 01CG3161422 05/01/2004 05/01/2005 $300,000.00 04/08/2004 I , ; SAFECO INS , CO OF #1 AMERICA 01CG3161421 05/01/2003 05/01/2004 $300,000.00 OS/29/2003 : -~/.<- " " ,<'^ , , n ,- -", " .0/,_", Y/_~>>>""~""""fr" ~",",""" , Summons / Complaints Information ~II 1 No Matching Information t... 'w~4/<- v "'-t;:,,-~'''-'''-I"w. ~Wl;M="'0=~^".,."'~-< SJilrt a New Search Printer Friendly Version About Lal I Find a job at Lal I Informacion en espariol I Site Feedback I 1-800-547-8367 ,'Wil',hmSlon Stole DC'pt. of labor dnd Indu'ilne'i, Use of this 'ilte 1'> 'iub)('C't to ttw law,> of thE' state of Washmgton Access AgreefTlent I Privacy and secullty statement I Intended use 'extel nal content polKV I Stdff on Iv link ;",,,,"' srdngton Visit access.wa.goY https://fortress.wa.gov/lni/ /bbip/Detai1.aspx?License= MARKEEI97 OK9 9/15/2006 Street Lookup Parcel Number 0630000327900000 Site Address: 1020 S LAUREL ST PA Taxpayer: CENDANT MORTGAGE * AKA PHH MTG 6000 ATRIUM WAY MOUNT LAUREL, NJ 00005 Title Owner: CHYNOWETH MICHAEL / KIM 1020 LAUREL ST PORT ANGELES, WA 98362 Description: LOT 20 BL 327 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as SenlorlDlsabled or Current Use programs (except Commercial Forestland properties). Land Value' 31,200 Improvements Value: 90,510 Total Assessed Value. 121,710 Property Characteristics: Note: Use Code IS for Assessor's purposes only Contact the appropriate planning or bUilding departments for Zoning and allowable usage of property. Use Code. 1114 FOUR BEDROOM Land Size (acreage). .00 Note Acreage IS not listed for all properties In the Assessor's records More information about land size Tax Status: Taxable Tax Code Area:' 0010 Zoning Code. P _RS7 Note Zoning and zoning codes change constantly Verify all zOning with the appropnate planning or bUilding department Building Characteristics: (Click on Bldg # for more details) JL Bldg. Type Bldg. Style Total S.F. BD BA 01 House One Story 1377 4 1 Tax History Sales History Other parcels at this address: http://apps.clallam.net/website/sitis _s.pgm?address= 1 020 &street=LAUREL ST Page 1 of 1 &... 9/1512006 PREPARED 6/12/07, 9 23 04 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES LIERLY 1020 S LAUREL ST MICHAEL CHYNOWETH SUBDIV MICHAEL/KIM CHYNOWETH 06-30-00-0-3-2790-0000- 07-00000007 RES REMODEL PHONE PHONE (452) PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 6/12/07 JLL yf~ -W BLDG FINAL TIME: 01 00 06/11/2007 01.55 PM LPANGRLE MICHAEL 452-4012 CALL FIRST AFTERNOON INSPECTION BLDG FINAL - STAIRS 4012 PAGE DATE 5 6/12/07 .j -------------------------------------- COMMENTS AND NOTES -------------------------------------- ~/J-6 :f~ORT~ ~O~'" ~~ L~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Appllcation pln number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Appllcatlon type description Subdlvlslon Name Property Use Property Zonlng . . . Appllcatlon valuation 07-00000007 Date 649929 1020 S LAUREL ST 06-30-00-0-3-2790-0000- MICHAEL CHYNOWETH RES REMODEL 1/08/07 Q ~ ~ ~ RS7 RESDNTL SINGLE FAMILY 300 Owner Contractor MICHAEL/KIM CHYNOWETH 1020 S LAUREL ST PORT ANGELES WA 983627732 (452) 4012 OWNER Permit . . . . . Addltlonal desc . Permit pin number Permlt Fee Issue Date Explratlon Date BUILDING PERMIT -RESIDENTIAL REPAIR STAIRS 92817 50.00 Plan Check Fee 1/08/07 Valuatlon 7/07/07 20.00 300 Other Fees STATE SURCHARGE 4.50 ~ ~ Qty unit Charge Per BASE FEE Extension 50.00 Fee summary Charged Pald Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total 20.00 20.00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 74.50 74.50 .00 .00 ~ r ~ --- ( /;; 6hq~ ~< ?if >6,> \ 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 <;orrect. 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. Signature of Contractor or Authorized Agent Date J ~%~- ~/"3/q,'l 51Qnature of Owner {if own IS bUilder) Date T \Pohcles\1102_15 bUlldmg pennIt mspectlOn record05 wpd [1/4/2005] , B{ill;DING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICALINSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY JJlORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I I YE~ NO FOUNDA nON FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING , UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) , GAS LINE FINAL DATE ACCEPTED BY' BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS r SHEAR W ALLlHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) V1 T-BAR ~ INSULATION ~ SLAB WALL I FLOOR I CEILING MECHANICAL ROUGH-IN " HEATP~/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY. WOOD STOVE I PELLET 1 CffiMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - UGHT DEPT 417-4735 ELECTRICAL LlGHTDEPT CONSTRUCTION R W.I PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 417-4815 I-. -I 7 --iil -:r u., BUILDING '" Q T \Po]Jcles\] 102 15 bmldmg penn It mspectJOn record05.wpd [1/4/2005] .t BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application 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 Applicant or Agent: ftJ,'dCie...1 C4.711 O{..,Je.. -r.4 Phone: Owner: pl,'~ e-I C-A.-y-n 0 ;.;.J c::- ~ Phone: Address: /(/).;2 cp S. '-1'" re-{ sr. City: )/Or-T A n.je-/es' ~S.:2 -'1(/JI';? '-152 - '-I c>> 1'/ Zip: C; Y' 3 (..,.< ArchItect/Engineer: Contractor Phone: State License #: Exp: Phone: Zip: ZONING: Address: City: ~re-l Block: PROJECT ADDRESS: /t,b.20 S. LEGAL DESCRIPTION: Lot: 2. (f., CLALLAM COUNTY PARCEL NUMBER: 51 ;>O/'T A'1je-Ie..$ 3;;l 7 SubdIvision: <Z " 3 <ZJ cp Cf; (t; 3.2 7 d:f ~ (,b <p q::, <r6 TYPE OF WORK: 'W ResIdentIal D New Constr. D Re-roof D Stove D MultI-family D AddItIon D MoveD Garage D CommercIal ., Remodel D Demohtion D Deck D RepaIr D Sign D Other BRIEF DESCRIPTION OF THE PROJECT' r: ,/\JST4 '-'- SIZEN ALUATION: SF. @ $ /SF. = $ 3ct> t/), ([)~ SF @ $ /SF. = $ SF. @ $ /SF. = $ ~ TOTAL VALUATION $ ~o-c'- ;'V';;......J J:::liriJJz'x:e['? sr",:iz,s CVW~ ,:;:x:r.:,.....,-r-AJ c:. ~AJ cJZ-fE..1"'L SrA:z;:.i2S . .;J:AlS,/-ll...L. I-fAN/> RA"r4. ..4 AI" ,.-;uU 6 rt+f:/V L.AAJOIAJG, COMMERCIAL/RESIDENTlAL: Occupancy Group: No of Stones: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft Construction Type: = TOTAL Sq. Ft. PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s): DYes DNo SEPACheckhstreqUlred? DYes D No Other: VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Buildmg DiviSIOn to comply WIth current fee schedules. Contact the Permit Coordmator at 417-4815 for aSSIstance. PLAN CHECK FEE: IF a plan check fee is due 1t must be subIDltted at the time the buildmg pefIDlt apphcatIOn and constructIOn plans are submItted All other perm1t fees are due at the time of permIt Issuance. EXPIRATION OF PLAN REVIEW: Ifno pefIDlt IS issued wItlun 180 days of the date ofapphcatIon, the application will expire. The Buildmg OffiCIal can extend the time for actIOn by the applIcant up to 180 days upon wntten request by the applicant (see SectIOn R105.3.2 of the InternatIOnal Buildmg/ResidentIal Code, 2003) 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. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T\FORMS\BldgPenmtfonn wpd Applicant: ~.cr~~ Date: CPI I CI>:3 / ~7 , ~, ) . ^ .. :, -rI.'a,1t Y1q ~ .~ ~,,~ " t1.VlC. .Lv .f,-, , " , ',.. '." . : +0' W~II: :', . " x. ""''''~'..",,,.,, :',' . , "'~, .. ' . "I. I,: , """'<,_ ' '- , -", ' "'-.,. "'-, . ' ~. . ' """" -., / '" ' ' : ',:" , ~'I " ~ // I. ">"", . U' . ~ ;I , '" 1~>)1 , / I '''", \.~" 'I I' :.1 ' >( ( " ~, I I 7'-/t; %.... '"'_~" N'QSI~!1~ " '" \ _,,- 1 -L--__ \. 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I I __~ --L I l.f 12'1 c> IdS t ~ P 5 / ~.-;~.;-~ e ;~- ;;~ ~;;~ ;+y._-;-~-.-~-t--- --... -~ - -- u --.. --....,-- - New S+~fs I' III fi~~ P rOF~""~'i In,., e.. ~------ L Q u ie I S fre ~ + > Sc...a.1 e. J":: I 0 I I , j ! I I >-i I j 1 .~'~ .~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET, PORT ANGELES, WA 9R,62 ELECTRICAL PERMIT Issued: 3/15/99 Permit No: 6587 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ SAM YADON 1020 LAUREL S 1020 SO. LAUREL Lot: Port Angeles, WA 98362 Block: Long Legal: 360/000-0000 Sub: T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- EVERGREEN ELECTRIC 402 JN1ESTOWN RD. SEQUIM, WA 98382 360/683-4193 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES. MISC. prj Value: $0.00 Occ Type: Cnstr Type: MOVE METER 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 X Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: 120,240 X-I -3 200 AMPS o AMPS PROJECT NOTES---------------------------------------------------------__________ MOVE METER BASE OUT FROM UNDER CARPORT PROJECT FEES ASSESSMENT-----------------------------------------________________ Service: $0.00 Additional Feeders: $0.00 Circuit;'Wi'r~:ll.9": $0.00 Temp Serv~~fi: $0.00 Misc MOVE METER' $32.2? ======================~========== TOTAL FEEl' '-""'$~~.25 TOTAL FEE: Amount Paid: $32.25 $32.25 -------------------------- Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-1735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEI'TED COMMltNTS YES I NO IHIII(yH.1N I \;UYJ::.K , ~ICh Z./' . FINAl I I GENERAL COMMENTS: PW.I 102.U (4'96)