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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicatlon description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
5/17/04
04-00000415 Date
.640155
502 E 7TH ST
06-30-00-0-2-2737-0000-
MECHANICAL APPL. PERMIT
RESIDENTIAL HIGH DENSITY
200
EXPIRED
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Owner
Contractor
TRIMBLE, HARRIET A.
932 LEWIS RD
PORT ANGELES WA 98362
(360) 452-8421
FIX-A-FLAME LLC
461 SOUTH SOLMAR DR
SEQUIM WA 98382
(360) 683-1787
Permit
Additlonal desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
GAS LINE INSP BY L&I,TANK ONLY
57.65 Plan Check Fee
5/17/04 Valuatlon
11/13/04
.00
o
Qty Unit Charge Per
Extension
47.00
10.65
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
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Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, private and public Improvements. This permit becomes
null and void if work or construction authonzed IS not commenced Within 180 days, If construction or work is suspended or abandoned
for a penod 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 e a nty to Violate or cancel the provIsions of any state or local law regulating construction or the performan e of
construe.
Signature of Owner (if owner is bUilder)
T \PLANNING\FORMS\] 102 ]5 [] ]/]4/20031
Date
~
PREPARED 4/18/05, 13 02-59
CITY OF PORT ANGELES
INSPECTION TICKET-------
INSPECTOR: JAMES L LIERLY
PAGE
DATE
2
4/18/05
ADDRESS
CONTRACTOR
OWNER
PARCEL _ _
APPL NUMBER-
502 E 7TH ST
FIX-A-FLAME LLC
TRIMBLE, HARRIET A
06-30-00-0-2-2737-0000-
04-00000415 MECHANICAL APPL
SUBDIV,
PHONE
PHONE
(360) 683-1787
(360) 452-8421
PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
MTS 01
4i18/\5~ ~
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MECHANICAL TANK SET
04/18/2005 09:20 AM RVESS
FIX-A-FLAME 683-1787 ------------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
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BUILDING PERMIT ~ APPLICATION
FOR OFFICLAcL USE ONLY
Date Rec ,') ~/ II -0 J
PermIt #
Date ApplOved
Date Issued
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
Apphcant or Agent: h /l /C'hrl ~
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Owner: .;;;p, l-t.. //t?//}?8c.~"
~O2..-- E / .4
Cc ~
Phone:
6B 5 /7'11
/(Il.
/' ~ fz.J'hone
State LIcense #:~. ... Exp: o{ /ZCOG
CIty:
E 1-d )~
Phone'
Address:
CIty.
ZIp:
c; fJ 3" "2--
PROJECT ADDRESS'
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
502-
ZONING:
Block:
SubdIVISIOn:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK: n SIZEN ALUATION:
iV""ResIdentIal 0 New Constr 0 Re-roof [Sj.--Stove rL't..p.4~ SF. @ $ /SF. = $
o MultI-farmly 0 AddItIon 0 Move 0 Garage SF. @ $ /SF. = $
o CommercIal 0 Remodel 0 DemohtlOn 0 Deck SF. @ $ /SF. = $
o Repair 0 SIgn 0 Other TOTAL VALUATION $
~ DESCRIPTION OF THE PROJECT:
~ ;(u-Y 'j2c.6 //;N ft~1 f~/5T/ulc, 7A~i<" ft al!)K"p-;:;
City:
Exp. Date:
7Z-'-
( 9- (). 7i: oiJ
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stones: Lot SlZe: EXIstmg Sq. Ft.
Total lot coverage
Occupant Load:
& Proposed Sq. Ft
ConstructIon Type.
= TOTAL Sq. Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAIW etland(s): 0 Yes 0 No SEP A Checkl1st reqmred? 0 Yes 0 No Other.
BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DlVlSlOn can provide you WIth irUormatlOn on the appl1catlOn and
plan subrmttal requrrements If you have questlOns.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. This figure will be revIewed
and may be reVIsed by the Bmldmg 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 It must be subrmtted at the trrne the bmldmg perrmt apphcatlOn and constructlOn plans are
subrmtted All other perout fees are due at the tIme of perrmt Issuance
EXPIRATION OF PLAN REVIEW: If no permit IS Issued WIthm 180 days ofthe date ofapplicatlOn, the application will expire. The
Bmldmg OfficIal can extend the trrne for action by the apphcant up to 180 days upon wntten request by the appl1cant (see SectlOn 107.4 of
the Umform Bmldmg Code, cm1ent editIOn). No apphcatlOn can be extended more than once.
I hereby certify that I have read and examined this app!Jcation and know the same ~o e t
understand that It IS my responSibility to determine what permits are ~tl:1a . y' ,
T \FORMS\APPS\BUlldmgpermlt wpd Apphcant:
CITY OF PORT ANGELES
DEP ARTMENT 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
04-00000215 Date
.134470
502 E 7TH ST
06-30-00-0-2-2737-0000-
RES MANUFACTURED HOME
RESIDENTIAL HIGH DENSITY
62963
Owner
Contractor
TRIMBLE, HARRIET A.
932 LEWIS RD
PORT ANGELES
(360) 452-8421
Structure Information
Construction Type
Occupancy Type
Other struct info
BISHOP ENTERPRISES
982 LEWIS RD.
PORT ANGELES
(360) 417-0861
1174 SF MAN W/ATTACHED GARAGE
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
MOBILE HOME W/GARAGE FEEDER
RW BECKER ELECTRIC
123.00 Plan Check Fee
4/22/04 Valuation
10/19/04
Qty
1. 00
1. 00
Unit Charge Per
76.3000 ECH
46.7000 ECH
EL-MANF HOME SERVICE & FEEDER
EL-R-OUTBD/DTCH GAR SEP
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Manufactured home must be pit set so that no more than 12"
of skirting is visable above grade.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
IF THERE ARE ANY UNUSED CURB CUTS ALONG VINE THEY WILL
REQUIRE CLOSURE.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Fee summary Charged Paid Credited Due
4/22/04
WA 98362
22.40
1. 00
7000.00
1570.00
1570.00
1. 00
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.00
o
~
Extension
76.30
46.70
"..J
\"i\
V\
::1
745.00
4.50
1025.00
Permit Fee Total 123.00 123.00 .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 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 10c,,!1 law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\FORMS\1102.15 [11/14/2003]
Signature of Owner (if owner is builder)
Date
BillLDING PERMIT INSPECTION RECORD
',.
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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 LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAM,ING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
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 - LIGHT DEPT. 417-4735 I~;ll-{)t/ }"I) 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 BUILDING
T:\PLANNING\FORMS\1102.15 [11/14/2003]
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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
04-00000215 Date
.134470
502 E 7TH ST
06-30-00-0-2-2737-0000-
RES MANUFACTURED HOME
3/31/04
RESIDENTIAL HIGH DENSITY
62963
Owner
Contractor
TRIMBLE, HARRIET A.
932 LEWIS RD
PORT ANGELES
(360) 452-8421
Structure Information
Construction Type
Occupancy Type
Other struct info
WA 98362
BISHOP ENTERPRISES
982 LEWIS RD.
PORT ANGELES
(360) 417-0861
1174 SF MAN W/ATTACHED GARAGE
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
22.40
1. 00
7000.00
1570.00
1570.00
1. 00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BL MANUFACTURED HOME
MARLETTE #4028-97213-3
230.00 Plan Check Fee
3/31/04 Valuation
9/27/04
.00
o
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~
?
Qty
Unit Charge Per
BASE FEE
Extension
230.00
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
396SF ATTACHED GARAGE
190.75 Plan Check Fee
3/31/04 Valuation
9/27/04
76.30
8466
Jl \\)
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:p
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~
"-.l
Qty
Unit Charge Per
7.00
BASE FEE
14.0000 THOU BL-2001-25K (14 PER K)
Extension
92.75
98.00
f.j)
~
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Manufactured home must be pit set so that no more than 12"
of skirting is visable above grade.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
IF THERE ARE ANY UNUSED CURB CUTS ALONG VINE THEY WILL
REQUIRE CLOSURE.
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.
U)~~
Signature of Contractor or Authorized Agent
3A3 )'"'6'.1/
Date
Signature of Owner (if owner is builder)
\
!:\ate
T:\PLANNING\FORMS\1102.15 [11/14/2003]
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BUILDING PERMIT INSPECTION RECORD
CALL 417-48] 5 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.
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
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 - 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 BUILDING
T:\PLANNING\FORMS\ 11 02.15 [11/14/2003 ]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32] EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 04-00000215
pin number . . . . . . .134470
Page 2
Date 3/31/04
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
permi t Fee Total 420.75 420.75 .00 .00
Plan Check Total 76.30 76.30 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2271.55 2271.55 .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 orwork 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.
Date
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:\PLANNING\FORMS\1102.15 [11/14/2003]
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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION: ~61o(!::- and.1i<41J.....,t..'S J.{-'}.J -01 J, /-".' ~
FOOTINGS J:J- '7 -l!J r{ .J.. j." F.:oonll&-~ G Gl r'c:t &-R.- i-I - J v -c:Y JJ ~
WALLS -:!.-s ,.., J, L
' -" -0
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING 7CJ ~ F, N If),. 4- -(Y~OT J)...
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS ;;. -J'%, -0 rJ Ru
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
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 - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI .'1 hIm s- -rp CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 I I FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
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BUILDING 417-4815 , I . c; I _ .f' _" BUILDING
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T:\PLANNING\FORMS\1102.15 [11/14/2003]
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PREPARED 4/21/04, 12:29:03 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/21/04
ADDRESS 502 E 7TH ST
CONTRACTOR BISHOP ENTERPRISES
OWNER TRIMBLE, HARRIET A.
PARCEL 06-30-00-0-2- 2737 -0000-
APPL NUMBER: 04- 00000215 RES MANUFACTURED HOME
PERMIT: BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
SUBDIV:
PHONE (360) 417 -0861
PHONE (360) 452 -8421
BL1 01 4/07/04 JLL BUILDING FOUNDATION FOOTING
4/07/04 AP JIM BISHOP 460 -1792 MANUFACTURED HOME FOOTING 8:15 AM WED
BLBT 01 .4./21/04( JLL BUILDING BLOCK AND TIEDOWNS
Jim Bishop at 460 -1792 requests a Tiedown and Block
inspection this P.M.
COMMENTS AND NOTES
PREPARED 4/07/04, 12:44:46 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/07/04
ADDRESS 502 E 7TH ST
CONTRACTOR BISHOP ENTERPRISES
OWNER TRIMBLE, HARRIET A.
PARCEL 06-30-00-0-2- 2737 -0000-
APPL NUMBER: 04- 00000215 RES MANUFACTURED HOME
PERMIT: BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
COMMENTS AND NOTES
SUBDIV:
PHONE (360) 417 -0861
PHONE (360) 452 -8421
BUILDING FOUNDATION FOOTING
JIM BISHOP 460 -1792 MANUFACTURED HOME FOOTING 8:15 AM WED
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and iulNK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
Applicant or Agent: rlAftfl.,\1Vf It. "/~Vfrl.BII-
Owner: ftP,dlZ.le-r A. ~,mt3~
Address: 93').. '-C uhS !t..J City: p"fl."r
Architect/Engineer: f"I\ Ae u:-rr ~
Contractor Bl5n '* ~J11t~ftel ~r 5
L
Address: Cf~:z, t$W~S Ja~
S-C2.
PROJECT ADDRESS: ~ l1. ~ s~ lie IJfIl ~'']'"
LEGAL DESCRIPTION: Lot: 9 Block:
Phone: "3" t:L #'1":2- ~ $'1':(.., 1
.
Phone: ~t,O ;y::r2 ~~,1.i
Zip: C; B :1b:l
Phone: '3 t. 0 45'G" f 0/ 1 (
State License #: ~ f 7 t76~ ~4E1:-1"''71 ~<t (4'( Phone: 11.0 9 j J ~ gtJ
I I
City: fo(l,'T .4Af~~ I uJlJ.. Zip: Cf1:3~1.
ZONING:
AI/J~&/...e.7
:).77
Subdivision:
CLALLAM COUNTY PARCEL NUMBER: O{; 30.bO
CI '1-"'2. '1 "3 7 C>OO IJ
Credit Card Holder Name: f.} ( A
Billing Address: City:
Credit CardType VISA MC # Exp. Date:
TYPE OF WORK: SIZEN ALUATION:. ' 0 a
Ir1 Residential 0 New Constr. 0 Re-roof 0 Stove 1/7'-1 SF. @ $ /SF. = $ ~ 7
o Multi-family 0 Addition 0 Move 0 Garage 3~ h SF. @ $ /SF. = $ vA
o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $
o Repair 0 Sign 0 Other TOTAL V ALUA nON $ ~ Z. c:r ~ 1J 'i 8 ,
BRIEF DESCRIPTION OF THE PROJECT: JllpAv...t-.A.Ytfii./ ()/Y I11jftVIIPA,a..7l!~..J ~k;)n1-p_' 8,7)(. ~'I
Ie' ~ ~"'Z.' A.t\-4( \--\\:"0 C9) "Jf\..\-+{; (: 396 ~ jl .,'1
'T) USC7 +-I-II},J . ~-
COMMERCIAL/RESIDENTIAL: Occupancy Group: ~ Occupant Load: JO:;';:ttructIOn Type: .~ .
No. of Stories: ~ Lot Size: i;Uf../1 U Existing Sq. Ft 0 & Proposed Sq. Ft. A = TOTAL Sq.Ft J s- 7 0 ~
Existing lot co erage ~ '%I. & ProEosed lot cove age _% = Total lot cov~l'~ge 22.. t..{ %
L.ct .1 oCX; ":::ll--Il-J, '\-" I~;)c> 31/7tl;;" 7.-1 Ii,) r:) 12 v:}. Ie, ':> l]
- '. - APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetIand(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 4 I 7-48 I 5 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: Uno permit is issued within 180 days ofthe date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon WTitten 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. 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.
<, I '.. ;J! f'~, . r A t'L
T:\FORMS\APPS\Buildingpennit.wpd Applicant:k, 'l'Ur) \-: I a,') .,-\ Q Date:'., ".trv'-.~< f V r
~ORTA.NGELES
c
.'---.."
. ,.""); ~,
","' I':'_~
~,i\i
WAS H I N G TON, U. S. A.
PUBLIC WORKS & UTILITIES DEPARTMENT
March 22, 2004
Bill Trimble
932 Lewis Rd
Port Angeles, W A. 98362
fa~cJ 0 tj
~.;3l~ (2V
Subject: 502 East ih Street
Job# 9759
Dear Customer:
The estimated cost of labor and materials supplied by the City to provide electrical service for
your property is $ 238.22. This estimate was based on the data you provided and is subject to
review. This quote is good for 180 days.
The City will be responsible for the following:
1) Providing and installing overhead secondary wire across the alley.
2) Providing and installing the 120/240v meter.
The owner/contractor will be responsible for the following:
1) Providing, installing and future maintenance of the service riser on the pole. (Ref:
Underground Service-Secondary Riser CR 5 01)
2) Providing, installing and future maintenance of the underground service wires in
conduit from the power pole to the house and/or meter base.
(Ref: Trenching Specifications UM 001-S)
3) Payment of $ 238.22.
If the actu;:ll cost of construction exceeds the estimated amount, there will be no further billing. If
the actual cost is less than the estimate, the difference will be refunded to you.
Payment of the estimated amount will authorize the City to schedule the work. If you have any
questions or concerns, feel free to contact me at 360-417-4706. .
tin G. Hebner
lectrical Engineering Specialist
Cc: James Harper, Electrical Engineering Manager
AI Oman, Electrical Inspector
Roger Vess, Permit Tech
Attachments: 3
Ref: WF16569/01
321 EAST FI FTH STREET · P. O. BOX 1 150 · PORT ANGELES, WA 98362-0217
PHONE: 360-417-4805. FAX: 360-417-4542. TTY: 360-417-4645
E-MAIL: PUBWORKS@CI.PORT-ANGELES.WA.US
T
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From:
To:
Date:
Subject:
Trenia Funston
Roger Vess
5/6/058:58AM
final
ok to final 04-215 592 East 7th
4~qJ.U~~,MQ1~1I~J
tl)N~~fiMtT
~pr 21 04 07:33a
~. 1>> \e( -,0
R.W. and F.L. Becker
ElECTRICAL PERMIT APPUCATJON
360-683-6104
p.l \
The EIecIricaJ Fennil AppIica6an "'lISt be filled out com............
Please type or reprint in ink. (fyou have any questions, please call (360) 417-4735
Fax number: (360) 417-4711
FD!ltl!B::MLUSEQlLY LJ
- '41-71-0
.....It
....-
....-
"STALLATlON WIRED BY: 0 OWNER ~LECTRICAL CONTRACTOR
:redlt Card Holder Name: i< w hc-c-/C.c;yt..-
. rllllng Addres:;: I S-? 1 rJ9-o/ G<NL (' .-a;r;r:7,?;f!; <; G-/':) U, "'~-7
:nIdlt Card Number: <{~
OomerarElec.~Ageot K-W i56-e-.e~
'nIperty Owner. I-I-tl'll/I, r=-:r f~ h c:z.. ~.
.
IdcRss: <..-Z> 7._ E 7 pL. <,;; T-
3eaicaJc...L-A.. 12,,,) IY~ _ ~
--= 1 :; -; Z- ~G,,<v Cu~,,;- /W
RD./ECT ADDRESS:
<;;?J7-G
7 t-ff 57
l'PE OF WORK:
Check m! that apply:
~ew
o Commercial ;a... Mobile Home
Residential
o MultHam~y
-=J:I:oLJ -2/5;
~. - '-47- 157'1 Far ~ ~3 &:,/ oY
Phone:
jJ.11
"w ..:;,,-c;c..,.. Oc.:::.:s c... ~
Uoense;t: . EJrp: tc- ir - (9 <f
City:
City: c; G-tlu'!,.r-:-,
Zip:,? K-;: t. z-
::1!{1~
Zip: 9Y? .r2..
VISA: V Me:
- #L?7t--r Jv6r~
o Alteration/Addition IVI F H I i 7,f UJl4/-1o.e;ked s~~ E
Sq.Ft I'~
Remote Meter ODetachedgarage OHolTub OSwimPoo/ DSepliePump OLowVoIIage o Telecom. OSign
unbar of Circuits added Or altered:
,SCRIPTION OF THE ELECTRICAL PROJECT:
/1'1' c/77 /r
/-/~~..~~
V7!'",v.....ce- 'I- (""~.z:'.cYL-
.elrical Heat Load Additions and. or Sublnlctions
~i~~ iJ /~
Service Infomialion
laseboanl
UI1Iace
IBaI PUmp
an.watr
_KW
_KW
TON
=KW
lRA
o Ovemead Service
o Tt!IIJp Slmrice
~undService
Va., l-zf-Z--Yo
Phase: ftt 0 -3
Senliai'Sim: 7//V H
F1>eder Sim: ?.-, J:1
!Ieby CIeItiIY thai I have read and examined this appfication and know that same to be. iAIe ami COIrec:I,. and I am
1JOIk.-4 tpllRWy for this permit I unden;tamt it is not the City's1egaJ f'eS/JOnsibiIiI to de#iermine what PBnT1ifs
~if'remains theBf1lJlicants ~to . II/tJat penni(s are ~ ami tDoIIIain s
"
, / Credit Card Holder's Signatu~:
+( .z.,..,/ r) 4- Ovm~ or Elee. Cont. Sltinalure:
12\c;(!..,/ - '\2z:.f=-- 975""~ . tfre:.-If- WfZ- J bSt'o~/O'
I PERMIT FEE: $ .
- ----.- ~ ~../. -fv U+. {.'!J ~ "'5> b....N p4,." oJ ~ If
,M crr....('t;c-~ vJ~~ l,(!..<:..+- ()-t; (~) - ()~ ~ I ~ 7b,3crf
"qfA ^ (n ~6,70 _
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