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Home My WebLink About922 E 4th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner KOON JACQUELINE 922 E 4TH ST PORT ANGELES 36) 452 8214 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 Fee summary T•\Pol icies\ 1102.15R (1/05] WA 983624109 RIGHT OF WAY WEEP HOLE THROUGH CURB 76786 50 00 11/05/06 50 0000 ECH RIGHT OF WAY PERMIT CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST STH STREET PORT ANGELES, WA 98362 06 00000441 988304 922 E 4TH ST 06 30 00 0 1 '7610 0000 PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY 0 Contractor CRAIG BAAR EXCAVATING 1444 TOWNSHIP LINE RD PORT ANGELES (360) 640 0815 Plan Check Fee Valuation Charged Paid Credited Permit Fee Total 50 00 50 00 00 Plan Check Total 00 00 00 Grand Total 50 00 50 00 00 Date 5/09/06 WA 98362 00 0 Extension 50 00 Due 00 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 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 goveming 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 Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE INSPECTION TYPE DATE ACCEPTED YES 1 NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER. CONNECTION SANITARY STORM SITE DRAINAGE RESIDENTIAL CONSTRUCTION RW PW/ 417 4807 ENGINEERING FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T•\Policies \I 102.15R 1/05) PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION R.W PW ENGINEERING 1 FIRE DEPT 1 PLANNING DEPT BUILDING COMMENTS 1 1 1 1 1 1 1 1 1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner KOON JACQUELINE 922 E 4TH ST PORT ANGELES 36) 452 8214 Other struct info Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total WA 983624109 Charged 78 70 00 4 50 83 20 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 05 00000473 837869 922 E 4TH ST 06 30 00 0 1 7610 0000 RES ADDITION RS7 RESDNTL SINGLE FAMILY 59586 Contractor OWNER TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS ELECTRICAL NEW RESIDENTIAL JEFF NELSON/ 200A REWIRE 64709 JEFF NELSON ELECTRIC 78 70 Plan Check Fee 11/05/05 Valuation 5/04/06 Qty Unit Charge Per 1 00 78 7000 ECH EL RM 0 200 1ST SRV FEEDER Special Notes and Comments 06/28/2005 10 46 AM SROBERDS The proposal will result in the remodel /addition to a s f residence in the RS 7 zone for total lot coverage of 11 4% No land use issues are noted Electrical load calculations and electrical permits are required $0 Connect Fee 06/15/2005 03 16 PM JHEBNER Any modifications to the City s electrical facilities will be at the customer s expense Public works utility engineering has no requirements for this plan review Other Fees STATE SURCHARGE Paid Credited Due 78 70 00 4 50 83 20 00 00 00 00 Date 11/05/05 11 40 1 00 1944 00 21000 00 456 00 2400 00 1 00 4 50 00 00 00 00 00 0 Extension 78 70 ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COPER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. FINAL GENERAL COMMENTS: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES 1 NO DITCH ROUGH -IN /COVER SERVICE 1 Ali 1 1 1 1 1 1 1 1 1 1 COMMENTS �x p vtE.0 ?/2-(0/0A' PW.uat.I$ l4/96) 4' CE lectrical Contractor Owner tk Annual Permit Alarm Carnival Commercial Residential Job wired by Elect 'cal contractor name Purchaser's mailing address City 444,8-e Telephone R' er umber Premises owner's narpe Ad¢fess�f�specti ff I X Date Inspection Dar WALLS Insulation Only Approved By Approved By lectrical Contractor Owner /O 7 FAX numbbe[r2 1 I hereby certify that I am the owner of the above named property or a licensed redtt Card electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law Chapter 19.28 RCW Card /Signature of owner, electrical contractor or electrical al ministrator LIGCIIJC IIUmoer �.IEF�ni�t t�'-t►� ,q' Se,rrcc.1 �a d S Date Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR fd Fan Wall 7,.c KW ACQt c.&_ a i CEILING Insulation Only Appr ved By Cover Appr ved By Residential Maint. Signs Thermostat Telecom. �l Installation description r Date Overhead Service Temp Service Underground Service Area, Building or Equipment Inspected (t -e ELECTRICAL WORK PERMIT APPLICATIO1 quest Inspection Cash Check Expiration Date of card Visa Mastercard Discover THERMOSTAT SERVICE ,0 Date Approved By gate Appro ed By DITCH FEEDER Inspection fee r0 Approved By Date Approved By Service Information Action Taken 4 /0 Voltage Phase lel 3 Service Size: 2a* Feeder Size: 94 '0 76 Electrical Inspector 3 December 26, 2008 11 17 25 AM 1pangrle 4 6 5 ON 06 -16 -07 I LEFT THE OWNER, JACKIE, A PHONE MESSAGE ASKING HER TO LET ME KNOW WHETHER OR NOT SHE PLANS TO COMPLETE THIS PROJECT SOON ON 07 -11 -07 I LEFT THE CONTRACTOR, DANIEL, A PHONE MESSAGE ASKING HIM IF HE PLANS TO COMPLETE THIS PROJECT SOON ON 07 -18 -07 THE CONTRACTOR CALLED AND STATED HE'LL CALL AL AND GET AN ELECTRIC FINAL, THEN HE'LL CALL US FOR THE REST OF HIS FINAL INSPECTIONS ON 12 -26 -08 IT HAS BEEN 17 MONTHS SINCE THE CONTRACTOR TOLD ME HE'LL CALL AL FOR AN ELECTRICAL FINAL. NO ELECTRICAL FINAL HAS BEEN REQUESTED I EXPIRED THIS PERMIT 3 PREPARED 11/15/06 12 06 46 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/15/06 ADDRESS 922 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER KOON JACQUELINE PHONE 36) 452 8214 PARCEL 06 30 00 0 1 7610 0000 APPL NUMBER 05 00000473 RES ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL9 05 11/15/05 JLL BUILDING SHEARWALL TIME 17 00 11/15/05 AP 11/15/2005 08 34 AM PBARTHOL DAN 461 0657 11/15/2005 05 05 PM PBARTHOL BL9 06 11/18/05 JLL BUILDING SHEARWALL 11/18/05 AP 11/18/2005 07 52 AM PBARTHOL DAN 461 0657 11/18/2005 05 06 PM JLIERLY DSD 01 5/16/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 00 5/16/06 AP 05/17/2006 08 20 AM DYASUMUR 05/17/2006 08 21 AM DYASUMUR BL1 02 6/08/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/08/06 AP DAN 461 0651 06/08/2006 08 08 AM DYASUMUR BL3 04 8/29/06 JLL 8/29/06 AP BL3 05 11 /11/06 06/08/2006 04 51 PM PBARTHOL BUILDING FRAMING TIME 13 00 dan 461 0657 08/29/2006 07 51 AM DYASUMUR 08/29/2006 04 21 PM DYASUMUR REAR PORCH FRAMING BUILDING FRAMING TIME 13 00 DAN 461 0657 11/14/2006 01 00 PM DYASUMUR COMMENTS AND NOTES Citt -rs7)L..ek_ c-2..vao PREPARED 8/29/06 10 43 49 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS 922 E 4TH ST CONTRACTOR OWNER PARCEL APPL NUMBER REQUESTED TYP /SQ COMPLETED BL9 05 11/15/05 JLL 11/15/05 AP KOON JACQUELINE 06 30 00 0 1 7610 0000 05 00000473 RES ADDITION BL9 06 11/18/05 JLL 11/18/05 AP DSD 01 5/16/06 JLL 5/16/06 AP BL1 02 6/08/06 JLL 6/08/06 AP BL3 04 8/29/06 INSP DESCRIPTION RESULT RESULTS /COMMENTS INSPECTOR JAMES L LIERLY 06/08/2006 04 51 PM PBARTHOL BUILDING FRAMING TIME 13 00 dan 461 0657 08/29/2006 07 51 AM DYASUMUR COMMENTS AND NOTES g-Kr\, crb-&-c 1 SUBDIV PHONE PHONE 36) 452 8214 BUILDING SHEARWALL TIME 17 00 11/15/2005 08 34 AM PBARTHOL DAN 461 0657 11/15/2005 05 05 PM PBARTHOL BUILDING SHEARWALL 11/18/2005 07 52 AM PBARTHOL DAN 461 0657 11/18/2005 05 06 PM JLIERLY BUILDING DOWN SPOUT DRAINS TIME 13 00 05/17/2006 08 20 AM DYASUMUR 05/17/2006 08 21 AM DYASUMUR BUILDING FOUNDATION FOOTING TIME 13 00 DAN 461 0651 06/08/2006 08 08 AM DYASUMUR PAGE 2 DATE 8/29/06 PREPARED 6/08/06 8 58 56 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS 922 E 4TH ST CONTRACTOR OWNER PARCEL APPL NUMBER KOON JACQUELINE 06 30 00 0 1 7610 0000 05 00000473 RES ADDITION REQUESTED INSP TYP /SQ COMPLETED RESULT BL9 05 11/15/05 JLL 11/15/05 AP BL9 06 11/18/05 JLL 11/18/05 AP DSD 01 5/16/06 JLL 5/16/06 AP BL1 02 6/0 /06 JLL DESCRIPTION RESULTS /COMMENTS INSPECTOR JAMES L LIERLY BUILDING SHEARWALL TIME 17 00 11/15/2005 08 34 AM PBARTHOL DAN 461 0657 11/15/2005 05 05 PM PBARTHOL BUILDING SHEARWALL 11/18/2005 07 52 AM PBARTHOL DAN 461 0657 11/18/2005 05 06 PM JLIERLY BUILDING DOWN SPOUT DRAINS TIME 13 00 05/17/2006 08 20 AM DYASUMUR 05/17/2006 08 21 AM DYASUMUR BUILDING FOUNDATION FOOTING TIME 13 00 DAN 461 0651 06/08/2006 08 08 AM DYASUMUR COMMENTS AND NOTES SUBDIV PHONE PHONE 36) 452 8214 PAGE 13 DATE 6/08/06 PREPARED 11/18/05 13 37 01 CITY OF PORT ANGELES I INSPECTION TICKET PAGE 5 INSPECTOR JAMES L LIERLY DATE 11/18/05 ADDRESS 922 E 4TH ST SUBDIV'. CONTRACTOR PHONE OWNER KOON JACQUELINE PHONE i 36) 452 8214 PARCEL 06 30 00 0 1 7610 0000 APPL NUMBER 05 00000473 RES ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL9 05 11/15/05 JLL BUILDING SHEARWALL TIME 17 00 11/15/05 AP 11/15/2005 08 34 AM PBARTHOL DAN 461 0657 11/15/2005 05 05 PM PBARTHOL BL9 06 11/18 05 L BUILDING SHEARWALL 11/18/2005 07 52 AM PBARTHOL DAN 461 0657 COMMENTS AND NOTES 1 PREPARED 11/15/05 12 25 38 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/15/05 ADDRESS 922 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER KOON JACQUELINE PHONE 36) 452 8214 PARCEL 06 30 00 0 1 7610 0000 APPL NUMBER 05 00000473 RES ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL9 05 JLL BUILDING SHEARWALL TIME 17 00 11/15/2005 08 34 AM PBARTHOL DAN 461 0657 COMMENTS AND NOTES PREPARED 11/14/05 11 57 56 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS 922 E 4TH ST CONTRACTOR OWNER PARCEL APPL NUMBER KOOK JACQUELINE 06 30 00 0 1 7610 0000 05 00000473 RES ADDITION PERMIT BPR 00 BUILDING PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT BL1 01 7/27/05 JLL 7/27/05 AP BL3 01 9/22/05 JLL 9/22/05 DA BL9 01 9/22/05 JLL 9/23/05 CA BL9 02 9/23/05 JLL 9/23/05 DA BL9 03 9/28/05 JLL 9/28/05 DA BL9 04 10/03/05 JLL 10/03/05 AP BAIR 01 11/08/05 JLL 11/08/05 AP BL3 02 11/08/05 JLL 11/08/05 DA BL3 03 11/09/05 JLL 11/09/05 AP BLI 01 11 14/05 JLL RESIDENTIAL DESCRIPTION RESULTS /COMMENTS INSPECTOR JAMES L LIERLY PAGE 4 DATE 11/14/05 COMMENTS AND NOTES SUBDIV PHONE PHONE 36) 452 8214 BUILDING FOUNDATION FOOTING TIME 17 00 07/27/2005 04 18 PM JLIERLY this inspection is for footing for an IBWP only no stem wall needed /j11 BUILDING FRAMING 09/22/2005 08 40 AM PBARTHOL DAN 461 0657 THIS IS A CONSULTAION inspection is for a consult builder actually wanted a sheathing inspection explained that the tyvek material and ledger board for the deck will need to be removed as it appears to have no connection at the sill plate at other locations not covered /j11 09/23/2005 08 04 AM JLIERLY BUILDING SHEARWALL 09/22/2005 04 23 PM PBARTHOL WALL SHEATING INSPECTION DAN PH 461 0657 09/23/2005 08 07 AM JLIERLY BUILDING SHEARWALL 09/23/2005 08 10 AM JLIERLY 09/23/2005 04 35 PM JLIERLY provide anchors for 30001bs uplift on two story 4 osb ties two story to sill plate connection not sufficient /j11 BUILDING SHEARWALL 09/28/2005 07 54 AM PBARTHOL DAN 457 1549 09/28/2005 04 39 PM JLIERLY consult BUILDING SHEARWALL 09/30/2005 07 58 AM PBARTHOL DAN 4610657 10/03/2005 03 58 PM JLIERLY BUILDING AIR SEAL TIME 17 00 11/07/2005 08 42 AM PBARTHOL 11/07/2005 10 41 AM PBARTHOL 11/08/2005 05 02 PM JLIERLY BUILDING FRAMING TIME 17 00 11/07/2005 08 42 AM PBARTHOL DAN 461 0657 11/07/2005 10 41 AM PBARTHOL 11/08/2005 05 02 PM JLIERLY fire block fur down to wall cavity and connection of exisiting structure and new construction /j11 BUILDING FRAMING 11/09/2005 11 50 AM PBARTHOL DAN 461 0657 11/09/2005 03 45 PM PBARTHOL BUILDING INSULATION 11/14/2005 08 33 AM PBARTHOL DAN -�i Of poRT. ■U Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 59586 Contractor OWNER Owner KOON JACQUELINE 922 E 4TH ST PORT ANGELES 36) 452 8214 Other struct info Qty Unit Charge Per WA 983624109 T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000473 837869 922 E 4TH ST 06 30 00 0 1 7610 0000 RES ADDITION TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit MECHANICAL PERMIT Additional desc Permit pin number 63966 Permit Fee 68 75 Plan Check Fee Issue Date 11/09/05 Valuation Expiration Date 5/08/06 Qty Unit Charge Per Extension BASE FEE 47 00 3 00 7 2500 ECH ME VENT FAN 21 75 Permit PLUMBING PERMIT Additional desc Permit pin number 63974 Permit Fee 103 00 Plan Check Fee 00 Issue Date 11/09/05 Valuation 0 Expiration Date 5/08/06 BASE FEE 7 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 1 00 7 0000 ECH PL- EA WATER HEATER Special Notes and Comments 06/28/2005 10 46 AM SROBERDS The proposal will result in the remodel /addition to a s f residence in the RS 7 zone for total lot coverage of 11 4% No land use issues are noted Electrical load calculations and electrical permits are required $0 Connect Fee 06/15/2005 03 16 PM JHEBNER Any modifications to the City s electrical facilities will be at the customer s expense Public works utility engineering has no requirements for this plan review Extension 47 00 49 00 7 00 Date 11/09/05 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 local law regulating construction or the performance of construction. 11 40 1 00 1944 00 21000 00 456 00 2400 00 1 00 00 0 Signal e o ontractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL,/ -FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 1 r \D..1. elf 1 m 1 5 hz Mina nermrt inspection record05 wpd f 1/4/2005] BUILDING PERMIT INSPECTION RECORD YES NO SEPA. ESA SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING i CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 05 00000473 Date 11/09/05 Application pin number 837869 Other Fees STATE SURCHARGE 4 5 0 Fee summary Charged Paid Credited Due Permit Fee Tot al 171 75 171 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 176 25 176 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 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T•\Policies\ 1102_15 building permit inspection record05.wpd [1/4/2005) 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. FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT INSPECTION TYPE DATE CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I I BUILDING 417 -4815 1 T• \Policies \1 102_15 building permit inspection record05.wpd 1/4/20051 BUILDING PERMIT INSPECTION RECORD ACCEPTED 1 YES 1 NO 1 1 1 1 I 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 SEPA. ESA. SHORELINE. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I 1 FIRE DEPT I 1 1 PLANNING DEPT I 1 1 BUILDING COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO PREPARED 11/09/05 13 28 40 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/09/05 ADDRESS 922 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER KOON JACQUELINE PHONE 36) 452 8214 PARCEL 06 30 00 0 1 7610 0000 APPL NUMBER 05 00000473 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 7/27/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 7/27/05 AP 07/27/2005 04 18 PM JLIERLY this inspection is for footing for an IBWP only no stem wall needed/j11 BL3 01 9/22/05 JLL BUILDING FRAMING 9/22/05 DA 09/22/2005 08 40 AM PBARTHOL DAN 461 0657 THIS IS A CONSULTAION inspection is for a consult builder actually wanted a sheathing inspection explained that the tyvek material and ledger board for the deck will need to be removed as it appears to have no connection at the sill plate at other locations not covered /j11 09/23/2005 08 04 AM JLIERLY BL9 01 9/22/05 JLL BUILDING SHEARWALL 9/23/05 CA 09/22/2005 04 23 PM PBARTHOL WALL SHEATING INSPECTION DAN PH 461 0657 09/23/2005 08 07 AM JLIERLY BL9 02 9/23/05 JLL BUILDING SHEARWALL 9/23/05 DA 09/23/2005 08 10 AM JLIERLY 09/23/2005 04 35 PM JLIERLY provide anchors for 30001bs uplift on two story 4 osb ties two story to sill plate connection not sufficient/j11 BL9 03 9/28/05 JLL BUILDING SHEARWALL 9/28/05 DA 09/28/2005 07 54 AM PBARTHOL DAN 457 1549 09/28/2005 04 39 PM JLIERLY consult BL9 04 10/03/05 JLL BUILDING SHEARWALL 10/03/05 AP 09/30/2005 07 58 AM PBARTHOL DAN 4610657 10/03/2005 03 58 PM JLIERLY BAIR 01 11/08/05 JLL BUILDING AIR SEAL TIME 17 00 11/08/05 AP 11/07/2005 08 42 AM PBARTHOL 11/07/2005 10 41 AM PBARTHOL 11/08/2005 05 02 PM JLIERLY BL3 02 11/08/05 JLL BUILDING FRAMING TIME 17 00 11/08/05 DA 11/07/2005 08 42 AM PBARTHOL DAN 461 0657 11/07/2005 10 41 AM PBARTHOL 11/08/2005 05 02 PM JLIERLY fire block fur down to wall cavity and connection of exisiting structure and new construction/j11 BL3 03 11/09/05 JLL BUILDING FRAMING 11/09/2005 11 50 AM PBARTHOL DAN 461 0657 PERMIT ELNR 00 ELECTRICAL NEN RESIDENTIAL SUB JEFF NELSON ELECTRIC (369)460 4291 REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS tit 71- 56 CONTINUED ONTO NEXT PAGE PREPARED 11/08/05 13 03 42 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/08/05 ADDRESS 922 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER KOON JACQUELINE PHONE 36) 452 8214 PARCEL 06 30 00 0 1 7610 0000 APPL NUMBER 05 00000473 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 7/27/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 7/27/05 AP 07/27/2005 04 18 PM JLIERLY this inspection is for footing for an IBWP only no stem wall needed/j11 BL3 01 9/22/05 JLL BUILDING FRAMING 9/22/05 DA 09/22/2005 08 40 AM PBARTHOL DAN 461 0657 THIS IS A CONSULTAION inspection is for a consult builder actually wanted a sheathing inspection explained that the tyvek material and ledger board for the deck will need to be removed as it appears to have no connection at the sill plate at other locations not covered/j11 09/23/2005 08 04 AM JLIERLY BL9 01 9/22/05 JLL BUILDING SHEARWALL 9/23/05 CA 09/22/2005 04 23 PM PBARTHOL WALL SHEATING INSPECTION DAN PH 461 0657 09/23/2005 08 07 AM JLIERLY BL9 02 9/23/05 JLL BUILDING SHEARWALL 9/23/05 DA 09/23/2005 08 10 AM JLIERLY 09/23/2005 04 35 PM JLIERLY provide anchors for 30001bs uplift on two story 4 osb ties two story to sill plate connection not sufficient/j11 BL9 03 9/28/05 JLL BUILDING SHEARWALL 9/28/05 DA 09/28/2005 07 54 AM PBARTHOL DAN 457 1549 09/28/2005 04 39 PM JLIERLY consult BL9 04 10/03/05 JLL BUILDING SHEARWALL 10/03/05 AP 09/30/2005 07 58 AM PBARTHOL DAN 4610657 10/03/2005 03 58 PM JLIERLY BAIR 01 11,/08/05 ,J BUILDING AIR SEAL TIME 17 00 11/07/2005 08 42 AM PBARTHOL 11/07/2005 10 41 AM PBARTHOL BL3 02 1111 /0_ fr/" 107I 5RA0ING AIME 17 11/07/2005 05 08 42 AM PBARTHOL DAN 461 0657 11/07/2005 10 41 AM PBARTHOL COMMENTS AND NOTES �r 64 4 40t/60 PREPARED 10/28/05 12 59 07 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/28/05 ADDRESS 922 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER KOON JACQUELINE PHONE 36) 452 8214 PARCEL 06 30 00 0 1 7610 0000 APPL NUMBER 05 00000473 RES ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 10/28/05 JLL PLUMBING ROUGH IN TIME 17 00 OVERRIDE TAKEN BY JLIERLY DATE 10/28/05 TIME 12 58 33 10/28/2005 12 57 PM JLIERLY mark 460 2678 COMMENTS AND NOTES PREPARED 10/03/05 13 15 22 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/03/05 ADDRESS 922 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER KOON JACQUELINE PHONE 36) 452 8214 PARCEL 06 30 00 0 1 7610 0000 APPL NUMBER 05 00000473 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 7/27/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 7/27/05 AP 07/27/2005 04 18 PM JLIERLY this inspection is for footing for an IBWP only no stem wall needed/j11 BL3 01 9/22/05 JLL BUILDING FRAMING 9/22/05 DA 09/22/2005 08 40 AM PBARTHOL DAN 461 0657 THIS IS A CONSULTAION inspection is for a consult builder actually wanted a sheathing inspection explained that the tyvek material and ledger board for the deck will need to be removed as it appears to have no connection at the sill plate at other locations not covered/j11 09/23/2005 08 04 AM JLIERLY BL9 01 9/22/05 JLL BUILDING SHEARWALL 9/23/05 CA 09/22/2005 04 23 PM PBARTHOL WALL SHEATING INSPECTION DAN PH 461 0657 09/23/2005 08 07 AM JLIERLY BL9 02 9/23/05 JLL BUILDING SHEARWALL 9/23/05 DA 09/23/2005 08 10 AM JLIERLY 09/23/2005 04 35 PM JLIERLY provide anchors for 30001bs uplift on two story 4 osb ties two story to sill plate connection not sufficient/j11 BL9 03 9/28/05 JLL BUILDING SHEARWALL 9/28/05 DA 09/28/2005 07 54 AM PBARTHOL DAN 457 1549 09/28/2005 04 39 PM JLIERLY consult BL9 04 10/03/05 y ILL BUILDING SHEARWALL 4 1 I l� \�-`/J 09/30/2005 07 58 AM PBARTHOL DAN 4610657 COMMENTS AND NOTES PREPARED 9/28/05 13 30 49 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/28/05 ADDRESS 922 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER KOON JACQUELINE PHONE 36) 452 8214 PARCEL 06 30 00 0 1 7610 0000 APPL NUMBER 05 00000473 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 7/27/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 7/27/05 AP 07/27/2005 04 18 PM JLIERLY this inspection is for footing for an IBWP only no stem wall needed /j11 BL3 01 9/22/05 JLL BUILDING FRAMING 9/22/05 DA 09/22/2005 08 40 AM PBARTHOL DAN 461 0657 THIS IS A CONSULTAION inspection is for a consult builder actually wanted a sheathing inspection explained that the tyvek material and ledger board for the deck will need to be removed as it appears to have no connection at the sill plate at other locations not covered/j11 09/23/2005 08 04 AM JLIERLY BL9 01 9/22/05 JLL BUILDING SHEARWALL 9/23/05 CA 09/22/2005 04 23 PM PBARTHOL WALL SHEATING INSPECTION DAN PH 461 0657 09/23/2005 08 07 AM JLIERLY BL9 02- 9/23/05 JLL BUILDING SHEARWALL 9/23/05 DA 09/23/2005 08 10 AM JLIERLY 09/23/2005 04 35 PM JLIERLY provide anchors for 30001bs uplift on two story 4 osb ties two story to sill plate connection not sufficient /j11 BL9 03 9/28/05 JLL BUILDING SHEARWALL r DA /28/4575 07 54 AM PBARTHOL DAN 457 1549 COMMENTS AND NOTES &71-45 7,776 v4/ o /4/ l'24)1 deP A PREPARED 9/23/05 13 41 06 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/23/05 ADDRESS 922 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER KOON JACQUELINE PHONE 36) 452 8214 PARCEL 06 30 00 0 1 7610 0000 APPL NUMBER 05 00000473 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 7/27/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 7/27/05 AP 07/27/2005 04 18 PM JLIERLY this inspection is for footing for an IBWP only no stem wall needed /j11 BL3 01 9/22/05 JLL BUILDING FRAMING 9/22/05 DA 09/22/2005 08 40 AM PBARTHOL DAN 461 0657 THIS IS A CONSULTAION inspection is for a consult builder actually wanted a sheathing inspection explained that the tyvek material and ledger board for the deck will need to be removed as it appears to have no connection at the sill plate at other locations not covered /j11 09/23/2005 08 04 AM JLIERLY BL9 '01 9/22/05 JLL BUILDING SHEARWALL 9/23/05 CA 09/22/2005 04 23 PM PBARTHOL WALL SHEATING INSPECTION DAN PH 461 0657 09/23/2005 08 07 AM JLIERLY BL9 02 9/23 09- JLL BUILDING SHEARWALL 09/9/23/2020 05 5 08 1 8 10 AM JLIERLY COMMENTS AND NOTES PREPARED 9/22/05 8 50 17 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/22/05 ADDRESS 922 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER KOON JACQUELINE PHONE 36) 452 8214 PARCEL 06 30 00 0 1 7610 0000 APPL NUMBER 05 00000473 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 7/27/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 7/27/05 AP 07/27/2005 04 18 PM JLIERLY this inspection is for footing for an IBWP only no stem wall needed /j11 BL3 01 9/22/05 JLL 0UI22ING 5RAMING 09/22/2005 08 40 AM PBARTHOL DAN 461 0657 THIS IS A CONSULTAION COMMENTS AND NOTES PREPARED 7/27/05 13 44 05 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/27/05 ADDRESS 922 E 4TH ST SUBDIV CONTRACTOR PHONE OWNER KOON JACQUELINE PHONE 36) 452 8214 PARCEL 06 30 00 0 1 7610 0000 APPL NUMBER 05 00000473 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 7/27/05 1 JLL BUILDING FOUNDATION FOOTING TIME 17 00 COMMENTS AND NOTES Signat Application Number 05 00000473 Application pin number 837869 Property Address 922 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 7610 0000 Application type description RES ADDITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 59586 Owner Contractor KOON JACQUELINE 922 E 4TH ST PORT ANGELES 36) 452 8214 Other struct info Qty Unit Charge Per T \Policies \1102 15 building permit inspection record05 tvpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983624109 OWNER TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 53488 Permit Fee 737 25 Plan Check Fee 294 90 Issue Date 7/07/05 Valuation 59586 Expiration Date 1/03/06 BASE FEE 10 00 7 0000 THOU BL -50 001 100K (7 00 PER K) Date 7/07/05 11 40 1 00 1944 00 21000 00 456 00 2400 00 1 00 Special Notes and Comments 06/28/2005 10 46 AM SROBERDS The proposal will result in the remodel /addition to a s f residence in the RS 7 zone for total lot coverage of 11 4% No land use issues are noted Electrical load calculations and electrical permits are required $0 Connect Fee 06/15/2005 03 16 PM JHEBNER Any modifications to the City s electrical facilities will be at the customer s expense Public works utility engineering has no requirements for this plan review Other Fees STA TE SURCH ARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 737 25 737 25 00 00 Plan Check Total 294 90 294 90 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 1036 65 1036 65 00 00 Extension 667 25 70 00 4 2 7 ®S ntractor or Agent Date Signature of Owner (if owner is builder) Date 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 local law regulating construction or the performance of construction 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 J013 SITE. INSPECTION TYPE ELECTRICAL LIGHT DEPT 417 -4735 BUILDING PERMIT INSPECTION RECORD L)73 DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I 1 1 1 PLANNING DEPT BUILDING 417 -4815 I 1 1 1 BUILDING T- \Policies \1102_15 building permit inspection record05 wpd [1/4/2005) COMMENTS FOUNDATION: FOOTINGS 1 7-Q-7- er5 I ,..Tr c. WALLS 1 FOUNDATION DRAINAGE DOWN SPOUTS 1 '-/R 1 ,P4. PIERS I I POST HOLES (POLE BLDGS.) PLUMBING I UNDER FLOOR SLAB I ROUGH IN I I WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS I// f.g7S 1 J j-1- CEILING I 1 I c I FRAMING I�hea.rtva -1I -is- S dI fop 1 JOISTS GIRDERS 1 I 15 /3 -ect it i S'-vv I 1 I� 1- h 1 SHEAR WALL /HOLD DOWNS Vn-3 -OT J LL I�1r Harr)) Cru"" b/�-9ld6 J 11 WALLS ROOF CEILING 1i I _A, or- 1 4, 1't Tit- 4P DRYWALL (INTERIOR BRACED PANEL ONLY) 1 TBAR 1 1 1 INSULATION 1 SLAB 1 I I WALL FLOOR /CEILING III -dI f 1 _1 Li-- 1 MECHANICAL HEAT PUMP FURNA iS 1 DM GAS LINE 1 J 1 .N WOOD STOVE /CHI 1 COMMERCIAL HO: +S DUCTS 1 1 MANUFACTURE I RIMES i I I FOOTING SLAB 1 n BLOCKING HOLD DO S 1 SKIRTING I 1 I I I PLANNING DEPT SEPARATE PERMIT #'s SEPA. I PARKING /LIGHTING I ESA. I LANDSCAPING I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE I RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED I YES 1 NO I i Applicant or Agent: .1 /0 n.l el 6L.t1-ticA Phone 6 7 /5 9 065 lJi, t n Phone n hone L1 O-Z/y 9 )1.: L I .4 lC City n J ,474f. S Zip &36.z l P V o o iii n, J Phone. //7 56/ '))a( 0)11 tate License #I3Ul�1C Ps SQ 1'x 5/ Phone. q57 Zip 98'36 2 Owner Address Architect/Engineer Contractor Address PROJECT ADDRESS S/ I`0 q7 &tf-V J ZONING Jees)))P /lT7li LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name. Billing Address: Credit Card Type VISA TYPE OF WORK. X Residential New Conti Multi family AC Addition Commercial Remodel Repair PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in Your application and site plan MUST COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 715 5 /D cit P (-,L 4/ ps MC 0 0 Re roof Move Demolition Sign BRIEF DESCRIPTION OF THE PROJECT rr b w 1 l() 0 *,1 A,),) C OMMERCIAL/RE SIDENTIAL. Occupancy No of Stones: Lot Size O t" Exi Total lot coverage 1/ V sting Sq Block. Subdivision. Stove Garage 93. Deck Other �airl_13n Group -31 %LG/1e Ft. `'/99 City (JHCludinj ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other T\Policies\BL 1102_13 wpd Applicant: Date. 0 3000 0 1 7 /Do oao Exp. D SI7,F/VALUATtO SF /SF SF /SF SF /SF TOTAL VALUATION �scr S&j Sitmr FI))rr f am) &t FOR OFFICIAL USE ONLY Date Rec..le Oe5 Permit 0 4 Date Approved: ?A/ b) Date Issued. iv y Occupant Load. jj ��Coo�nstruction Type PeSJ��Pr1TUCl/ Proposed Sq Ft. T-+ TOTAL Sq Ft. 2 Pa X 1 1 1. APPROVALS. PLAN BLDG DPWU 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 Perrot 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 pernut 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. 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 Buildmg/Residential Code, 2003) No application can be extended more than once I hereby certify that 1 have read and examined this application and know the same 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 ,not the City's, and that 1 must obtain such permits prior to work. Aristokraft One NlasterBrand Cabinets Drive Jasper IN 47547-0420 (812) 482 2527 r J3 3 Project Customer Estimator A Plan No, Date Price List Date :1 :f pORT ~ l"O~ "4 "-- -=... ~ 'lol,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 05-00000017 Date .216052 922 E 4TH ST 06-30-00-0-1-7610-0000- RES FOUNDATION REPAIR 1/06/05 RS7 RESDNTL SINGLE FAMILY 8500 Owner Contractor KOON JACQUELINE 922 E 4TH ST PORT ANGELES (360) 452-8214 WA 983624109 BURDICK CONSTRUCTION 25293 HWY 112 CLALLAM BAY WA 98326 (360) 963-2438 Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 190.75 Plan Check Fee 76.30 Issue Date 1/06/05 Valuation 8500 Expiration Date 7/05/05 Qty Unit Charge Per Extension BASE FEE 92.75 7.00 14.0000 THOU BL-2001-25K (14 PER K) 98.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 190.75 190.75 .00 .00 Plan Check Total 76.30 76.30 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 271.55 271.55 .00 .00 ~ "'P ]\'i2> L )> \t') r % ~ ~? to' r1 /'\ ~ 't'.' ""~~. "''0 ~ 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 gi authority to violate cancel the provisions of any state or local law regulating construction or the performance of con ion. \,1 Signature of Owner (if owner is builder) Date T:\PLANNING\FORMSIl102.15 [11114/2003] ~ BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: . ~U,.x:kJ.ro.-) ~f1ff p.-/fO,5"' .,{, lo f).f, FOOTINGS i; _ '5("- 0 S- j I WALLS FOUNDATION DRAINAGEfDOWN SPOUTS rt-^ i .,-- -J ,J.. . ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN T I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS I CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALLfHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHJMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGfLIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. / PW / CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 fIT .:.." . ...... l'" J.l J BUILDING T:\PLANNING\FORMS\I 102.15 [11/14/2003] <,'''''~- ~~~ ~[Ie ~ , , ~r_ pllcatlon Number A Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . , . Application valuation CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :l21 EAST 5TH STREET. PORT ANGELES. W^ 91l~()2 05 00000618 Date 7 1 922 E 4TH ST 06-30-00-0-1-7610-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Owner Contractor KOON JACQUELINE 922 E 4TH ST PORT ANGELES ( 36) 452-8214 WA 983624109 JEFF NELSON ELECTRIC 7062 OLD OLYMPIC HWY. PORT ANGELES WA 98362 (369) 460-4291 Permit ELECTRICAL TEMPORARY SERVICE Additional desc Permit pin number 54569 Permit Fee 48.10 Plan ~heck Fee Issue Date 7/18/05 Valuation Expirat'ion Date 1/14/06 .00 o ~ t ~ ~ - t'- , dj l ~ -.0 \ ).j "' }J ...n \ ~ C\1 Vi ~ ? ~ Qty 1. 00 Unit Charge Per 48,1000 ECH EL-TEMP SRV - 0-100 SRV FDR Extension 48.10 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 ,00 .00 Plan Check Total .00 .00 ,00 .00 Grand Total 48.10 48.10 .00 .00 COMMENTS/ACTlON NEEDED ELECfRJCAL PERMIT INSPEQJON RECORD CALL 417-4735 FOR ELECTRlCAL INSPECTIONS: PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNU WFUL TO COVER. INSUU TE OR CONCEAL AN}' WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION lYPl DATE COMMENTS NO GENERAL COMMENTS: PW.II02.1'14I96] to to to t"' t"' t"' '" '" r" '" tJ to t"' W 000 r" r" r" o r" tJ",,,,,,,,,, .................................................... t0t0t0l--'l--' tf::>.tf::>.,f::>.1--'l--' ....................................................... 0000 UlUlU1U1lJ1 n;: ~;J>c.,;J>c., I t"il'd~l"d~ t"' t"' t"' , , , , , , , , , t0t0t0I'J ............................................ 0000 000000(0 ........................................... 0000 UlUlUlLn tJ y P (-I );00 t'i "tl t-l t"' t" n o 3: 3: OJ Z o-J CfJ totJtotJto'" X'O tJtotJto 8~S~S5.oo~S;S~S t-t t-t t-t = 00 t1 t.... t:l,t:.tj.t:>t:1tr ~t::l~t:1 HmHffiHro~~O'\HG\H ZI--''ZI--'ZPJ.........::1f--lZI--'Z G1 QIG13 o..lG)IO o 0 ...........# 0 0 1"IjQ"\l'ljQ"\I"IjW.,p..'tj 0'\1"Ij0'\1"Ij HUlOUlO........ 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'" '0 >< o [jJ ... er", 01 '0 ()~~ 00l 3:0 'tlCO t"OlO ",ul >-3>-301 tll'J S b H ~ z: ",Hl;J UlZ CUl'O ~ro~ H .., ",0, Ol", Ulul~ C()t>:I t"~<J) >-3HH Ul'tltl ?)~~ 00::1 3:ZH ~ ~ Z >-3 ul oo~tJ:Il.D ~~g~~ owZt1 00 Htrl o I c... () oo)::l~,I:>. con 1-3 OIJC)n:I: l-'oC:::O ...J1tr.lZCIJ 1--'t"l{J)J-3 ::u I H 1-3 tIj...JZ::U C/)O'ItJ::IC:: ... () ",0 >-3 0' H Co 0 ZO Z 00 ;"0 >-3' H o Z ~ "' '0 ~ ~ ()'tl H", >-3", ><:'0 ;,. O~ "'"' o '0 o ~" >-3..... ~~ G'lo ",In t"- "' ul'" w w w o o 'tl'tlul ssg ZZO Ol",H <: H HZ Zul Ul'tl 'tl0l "'() ()>-3 >-3H 00 ~Z Y>-3 ~~ "'~ (1)", >-3 t" t" H "' ~ t" ><: w w "'''' 00 "'" In''' "w , , CD" "" ...w "CD 0'0 ;,.;,. >-3G'l ",Ol " ..... " " ..... o l11w BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Vetil. &..r0 tc.k Owner: <..~G C'Ct'e.. !<.OOtll 9 ;2..:2. Ett 5 f 'I f/, Phone: i7Sj;/.~9j7 L/5;2 - ~21LI Zip: 9~3C:2 Address: Phone: L;,7-/5"z'//' Zip: Q~~ :2 PROJECT ADDRESS: ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: ~ Residential 0 New Constr, 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel D Demolition ~ Repair D Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: o Stove o Garage o Deck o Other ~ I '/,'^ . U Jl/)l1: I'J 11 , SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ ~t:Jo ,t- ~ SIJ-O, 00 COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coveTage Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. % AFPROV ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 otherpermit fees are dueat.thetimeofpermit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, 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 R1 05.3.2 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, a hat I st obtain ch per. . s prior to work. T:\RVESS\BLDG-forrns-brochures\2003-Buildingpermit.wpd Applicant: Date: tfj~/ ()L( KOO1\ ~/ -, //! ~ / n / 'l. /'I J ,/.,t... r ....A. JI -m." .A\\ . b-e.CH\\ floc } f;> ''t ! \.) h') '", - b..\ I ,.. - . v't"{' I Jr, b.' r/l' t ;. i' , . . \ , , , f( ')" r\ \ S-n t)(ttI:( t N l '. .~ , i~ ,J beCJ 1\'; " ,y' I." )t(') I . 15). 1-. F Pef'1 fvo.t .0- ',/,I( ,. 301 r,yV r,;: oc~~T ~~~~~GELES - Gonstruct;on r~ans ~',n !", ,,',;20; this pe;mi, hased upon these plans. SPI:Cili~ " i"'^ .1'il'l rot pro"ent the. b~\!dmg ~ 'ICla :--:c'! (ICr11::f U(,t~1 ,;)l~ I, _~'~ ,_ , I ";d I' H.. '.c, a,c','lriI]O the COliectlon of ',no.ls U. Sa, 2/1 'f '"d::':,:,~.,,-" \1.,;,,-,, b" for' (.0 ., '....','",..'..', :1I10 other deto, or from pre"cn 1 .; '::.' ; ,,' >..'.;,'(.... ;-,.)'..(1 i~Qi';ir.d on thereunder \'-i'nen In .' ': .~~;,.~:~.':~..-oQ.f~. ,: ".l1ces oft'" jurisdiction. ),~':C) .'~;;: ~\~~ 8\ltV~2 Code.) J " ' - 'I O~1i By ,) 7- <-hHB ',I I ! I i i T I ! t // Gx ID b({)I,', ,.~~~~~~~~:.1~ r- c. I , ;;.l.1 i r~-'''l f!l;. .~ '. "-1 fll~' "/...,""".....~"..'i'~ ,8/: ~ :I-;t. 10 \ 01',' ..) /' n~-~~O)'( , .~ T /1;',0. -"-- Lj'o"~J I ":.~~l ,r- ", I \.;...6.. 1 ux I 0 .,,~ .r 'IUOU: I,", 0(','" ., l\t:Jr,'\).: " :;t;#!. I t1 ~,' {J.' ~ Sl(~ ;')1\ ~l.!..:.f.._. ,',. I \~~ j?-~& '-'r , riM \ I' ! 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Fou~ocAiO~ D/01r'/~?ws Sco\e ,~)_ I ~ 1'0" DSt> CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15389 ~ - /7 _ ')"," Port Angeles, Washington_nn_n__n_______________m________________________________, 19_____:__ 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 _____f!.Jzn~'_mr;:m!;~!!..___________________________n___________________ Occupancy_n_<-;",:._*:nm_____nnn______________ Owner mmnnn_n_;!!'_~_:.__'__.."._n____________m___________n_nn_ Wiring Tenant.___nnn___m____________n__n__nn__n______________________________ Contractor ___~:_~_~'~::_~~-_.~.h:S:..-..~.__UU__.h.____.uun__.h____h__ By ____n________.._U_h_.__..u.nuhh_______....n._________unhu /-'- - .... . .- Service, volts .___...._...................___________ , No. wires .......~n______..______..........__... . <:'~., .../ Size wlres_____~m:______.______......__________ - - "'"' -"i Main fuse ____nmn:.....:........m__________ .--' Enclosure _......:.?_..._.........._______m___ Light Outlets.......___..__mn.__________._......... Receptacle Outlets___....._......._._____m_.... Dryer, KWj_....._.________n_.._________..n___...__ Range, KW _n....n__.______________.._____________. Water Heater: KW_______________________________________________ Heat Rw_____,5~____n~$.j)n__n____ Type of wiring: Entrance Cable ___m___.__m___.........._ RigId ConduIt n__nn________________ Motors: size, volts and phase: Metallic TUbing .....__....m_____________ Current transformers: No. & Size.._______..____..___................... Scr. No....-----..._________.______._................. Scr. No. .__..._....___......................._______. Ser. No..................______........______._____... Type of Wiring: Armored Cable ............_______....._____ Non.Metallic __......__..___.___.____...._____ Knob & Tube..._________________............. Rigid Conduit m.___m__m_............... Metallic Tubing ...............__nn...___ Race\'t'ay __...n____.____n__.._____________....._ Circuits, Light... Utility...____._.______________________.__...._____. Heat Range .........._....._..._...______________.____._ Water Heater ......._____................... Motor .._.....___..........................._.____. Dryer mn.______.________________________.........____ Furnace ____......__............... Total :Load._............______........ Ser. No.....__.......______.._________.._.__......... Total ___________._...____._______...________ :::~~::5~~::::::~::::::::O:::::::::::::::::::::~::::~::::::::~~::::~::::~::::::::::~::::::::::::::~(=:::::::~::!~t:~:::::::::~::::: ~ . -- ( I ."-.. _~::;~-;~:-nm------m--------um-;~:~:.n~:::;~~nn---uu----nnnn------m-mrm J.--n;p--:n:~~~---;----n.;-----n---/nm------u--- /1. ~ . ~~" .," .6 ':.'.",,' ~:.(..' $__ummmnnmmmm_________ NOh_um___m____u___m___ By m_____um'uum__nm_m__m_______m__::~:::__J'!':-=t.m_ NOTICE--Current must not be turned on until Certificate of Inspection has been Issued. If work is to be COD- cealed due notice must be given the Inspector so that work may be Inspected betore concealment. NOTIFY THE INSPECTOR BY,PERMIT NUMBER WHEN READY FOR INSPECTION ", ~jr.)O II --- /,/ ':) 1k""'- ELECTRICAL PERMIT N? 15389 1-'/ .", -'1 (', 11""/ .1:- /9 - 'i_< ,- Il1 J .., 1,.'" . 'i. r:J --. ( "J :::~l~;~I:r:I;:s~~:;;;e~::::::::::::::::::~:::__::::::::::::::_:::::::::::-::::~:::::::_:::::::::::::::::_::-::::::::::_:::::::::::::::::::~:::__:::::~::::::::::::::=__:::::::-:::::::-__ H,!/") u2.----'t --- Inspectioncompleted____..____.....___....................................................~._....___..._.___............_.__.._..............____..._..........__.._.___..........._.........._......... Total Load ..__._____...n.................____......................................_____.....____. 1M 3.72 Olympic Printers, Inc. " ~. ~cal Contractor 0 Owner ~t-""iii<;.....~l o Annual Permit 0 Alarm 0 Carnival 0 Commercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. ELECTRICAL WORK PERMIT APPLICATION ~uest Inspection License number \J2:-FFN~1 'i:~LrRr #;()r;: , State Z~>>..... I"u/r 1~')O ~ FAX number Installation description -- '-:r-. ' / $~.v1 f-' . , Job wired by ~Iectrical Contractor 0 Owner ~ :? I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the finn's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. :J1~cl+nt^J~l~~ Purchaser's mailing address Ii' 2,")~' . MJfu- City Se~,u:.n, Telepho~lber . [I t:.;2JflI Premises owner's name ral <f Tt1 J- o Cash 0 Check # edit Card Card # Visa Mastercard Discover CJ 01 , l Electrical Load Additions and or subtractions ,.er'No LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR D Fan-Wall KW WALLS Insulation Only Dale Approved By Cover Dale Approved By Inspection Date -I . OS ole Expiration Date of card Inspection fee $ CEILING Insulation Only Date Approved By Cover Date Approved By ~ " THERMOSTAT "- Date Approved By " DITGI "- Date Approved By ~ ~ Date FEEDER Date Approved By Service Information '~verhead Service ~mp Service o Underground Service Voltage PhaseD1D3 Service Size: Feeder Size: Area, Building or Equipment Inspected Electrical Inspector Action Taken ....., c.a