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Home My WebLink About1710 W 13th St - Building L e ii 71i6s an" DATE ENTER APP. t( 1 S -0 Y TO PLAN REVIEW om RETURN FROM PLAN REVIEW(APPROVED) i I Ate- r-cnttv I PAID /l Sr l it K PERMIT ISSUED /A D y XG FAXED TO CONTRACTOR id -14 O kA INSPECTIONS FINAL s %3 sfr! r pORTk y o '06, FOR OFFiC: L USE ONLY o N ELECTRICAL PERMIT APPLICATION DattNr Date AUJ4o d_ e w Datc issucd m T The Electrical Permit Application must be filled out completely. `ARKS AN (r� Please type or reprint in ink. If you have any questions, please call (360) 417 -4735 r� (_(-1 Fax number: (360) 417 -4711 Owner or Elec. Contractor Agent: I� r de/ S Q' i c- (.4V L Phone: 3 )14- 7 S 13.-- Fax: Property Owner: M iNC-- P Cr D% Phone: ii; 5%2-- 1 11 "L/ Address: ,-n 1 7 o tn/C S± II3st City: P[J J i' -'1. lei Zip: I P,3 g 3_ Electrical Contractor: Al a e,✓,S 0-, E e'C' i C License ..4 O E R Exp: Phone: :?7 ?$7 S 0.).3mot} Address: f v or S ire( l V UP City: rti Zip: K yv1 INSTALLATION WIRED BY: OWNER ELECTRICAL CONTRACTOR Credit Card Holder Name: 5 k`Ve A "N Billing Address: City: Zip: Credit Card Number. Exp. Date: 3 (9 1 VISA: t){' MC: PROJECT ADDRESS: 7 /9 3 tI&, ''l TYPE OF WORK: Check all that apply: New Alteration /Addition ❑Residential Multi- family Commercial Mobile Home Sq. Ft a, I 0 Remote Meter Detached garage Hot Tub Swim Pool Septic Pump Low Voltage Telecom. Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: ,\r-c_ e v 0 co/ s.0.(7 `v (1.11-1' -1 1 06 pc r 3I�� Pr Electrical Heat Load Additions and or Subtractions Service Information Ei Baseboard KW Voltage: 01 Furnace KW Overhead Service Phase: 1 3 Heat Pump TON LRA Temp Service Service Size: D Fan -Wall KW Underground Service Feeder Size: tf -1 1 E; i/ki c.-7e '6 iclE7 eeIexiq ''Gi) t. l hereby certify that I have read and examined this application an know that same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits re required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Date: Owner or Elec. Cont. Signature: Date: /P(641 PERMIT FEE: R 20 /E ECTRI ALPERMIT Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL GAS LINE GAS FIREPLACE INSERT Owner MAGNOR A PETERSON 1710 W 13TH ST PORT ANGELES Permit MECHANICAL PERMIT Additional desc GAS FIREPLACE INSERT Permit pin number 133199 Permit Fee 121 30 Plan Check Fee 00 Issue Date 8/26/08 Valuation 0 Expiration Date 2/22/09 Fee summary Permit Fee Total 121 30 121 30 00 00 Plan Check Total 00 00 00 00 Grand Total 121 30 121 30 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of a state or local law regulating construction or the performance of constructio Ce 24. r- ass Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Qty Unit Charge Per BASE FEE 1 00 10 6500 ECH ME OTHER APPL N/R 1 00 10 6500 ECH ME GAS PIPE 1 TO 5 1 00 50 0000 HR ME INSPECTION OTHER WA 983636806 T Forms /Building Division /Building Permit (05 /13 /08).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00001068 851628 1710 W 13TH ST 06 30 00 0 4 0308 0000 MACK PETERSON MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 2100 Contractor Charged Paid Credited Date 8/26/08 THURMANS SUPPLY 1807 EAST FRONT STREET PORT ANGELES WA 98362 (360) 457 8591 Due Extension 50 00 10 65 10 65 50 00 CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES. CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: 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 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 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD KI-OS -n8 I JCL- 417-4735 ELECTRICAL LIGHT DEPT YES NO I I I I I 1 I I FINAL FINAL 91 OO DATE SEPA. ESA. I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED BY. ACCEPTED BY. DATE I ACCEPTED I YES I NO I I I I I I I I 0 OQ CotZ a PREPARED 9/09/08 10 27 06 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/09/08 ADDRESS 1710 W 13TH ST SUBDIV TENANT NBR MACK PETERSON CONTRACTOR THURMANS SUPPLY PHONE (360) 457 8591 OWNER MAGNOR A PETERSON PHONE PARCEL 06 30 00 0 4 0308 0000 APPL NUMBER 08 00001068 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 9/08/08 ME99 01 9/09/08 JLL MECHANICAL GAS LINE TIME 01 00 September 8 2008 9 16 36 AM 1pangrle NEIL 477 1146 GAS LINE AFTERNOON MECHANICAL FINAL TIME 01 00 September 9 2008 9 27 19 AM 1pangrle NEIL 477 1146 MECHANICAL FINAL GAS FIREPLACE AFTERNOON COMMENTS AND NOTES PREPARED 9/08/08 9 26 12 CITY OF PORT ANGELES ADDRESS 1710 W 13 H ST SUBDIV TENANT NBR MACK PETERSON CONTRACTOR THURMANS SUPPLY PHONE (360) 457 8591 OWNER MAGNOR A PETERSON PHONE PARCEL 06 30 00 0 4 0308 0000 APPL NUMBER 08 00011068 MECHANI APPL PERMIT PERMIT ME 00 ME REQUESTED TYP /SQ COMPLETED ICAL P IN R.: LT ME6 01 9/08/08 Jt MECHANICAL GAS LINE TIME 01 00 September 8 2008 9 16 36 AM 1pangrle NEIL 477 1146 GAS LINE FTERNOON i\9 IT DESCRIPTION RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES LIERLY COMMENTS AND NOTES PAGE 6 DATE 9/08/08 Floor Areas PROJECT ADDRESS Parcel Number Basement 1' Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Max height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Date1R 2�/ T Forms/ uilding Division /Bldg Permit Appl. 2006 Code.doc Print Name BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles NA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent Property Owner frF/25;e7..&, Property Owner's Address /7, Contractor /Engineer 7 Contractor /Engineer's Address i7 License Project Type Brief Description. dvlresidential Commercial Check all that apply New Construction Addition Remodel Repair Re -roof S Demolition \...\0 0, eat System Heat pump wood burning stove -as fireplace ig- eSther 44.s „✓r Existing (sq. ft.) Proposed (sq. ft.) das a,fs /d 6e r "A ✓.,�6 orn sq ft. Lot size ft. Occupancy group Occupant load Construction type Phone Phone Phone Expires Lot I have read and completed this application and know it to be true and correct. I am authori understand that it is my responsibility to determine what permits are required, and to o projects. /6”- tiss ei ,n i,t Signature Zoning Multi- family Industrial pellet stove other For City Use Only Date Received -76 -U.8 Permit (')5_. Date Approved 3i n V5-7 S"S's per sq ft. TOTAL VALUATION 2 /W. U° sq ft. Lot coverage of bedrooms of full baths of half baths d to apply for this permit and rmits prior to working on Application Number 07 00000100 Application pin number 161000 Property Address 1710 W 13TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 0308 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner PETERSON MAGNOR A 1710 W 13TH ST PORT ANGELES Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total WA 983636806 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Contractor ELECTRICAL ALTER RESIDENTIAL ALL WEATHER/ T STAT 94201 ALL WEATHER 35 00 2/01/07 7/31/07 Charged 35 00 00 35 00 ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 HTG COOLING INC Plan Check Fee Valuation Qty Unit Charge Per 1 00 35 0000 ECH EL LVT FIRST THERMOSTAT Paid Credited 35 00 00 35 00 00 00 00 EXPIRED Date 2/01/07 Due Extension 35 00 00 00 00 00 0 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVED INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO ELECTRICAL PERMIT INSPECTION RECORD DITCI-1 I I ROUGH -IN COVEk I I SERVICE I I I FINAL I I I GENERAL COMMENTS: N I I I I I I I I I I I PW -1 102.1E 1461 {of ponr gt, 't fitC NCO 4 Application Number 07 00000093 Date 1/30/07 Application pin number 354864 Property Address 1710 W 13TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 0308 0000 Tenant nbr name MACK /DEBBIE PETERSON Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 8760 Owner PETERSON MAGNOR A 1710 W 13TH ST PORT ANGELES Signature.6f Contr CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983636806 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit pin number 94136 Permit Fee 64 70 Issue Date 1/30/07 Expiration Date 7/29/07 Ir T• \Po(cies \1102_15 building permit inspection record05 wpd [1/4/20051 Contractor ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 Plan. Check Fee 00 Valuation Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 7000 ECH ME INSTALL 100- FAU 14 70 Fee summary Charged Paid Credited Due Permit Fee Total 64 70 64 70 00 00 Plan Check Total 00 00 00 00 Grand Total 64 70 64 70 00 00 A orized Agent ate 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 give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constructio Signature of Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -473,5 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL FUL 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 FOUNDATION: 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 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 ROUGH -IN HEAT PUMP /FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #/'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 i i PLANNING DEPT 417 -4750 i I BUILDING 417 -4815 T• \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD DATE ACCEPTED YES I NO FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES NO 417 -4735 ELECTRICAL LIGHT DEPT FINAL 1 --08-0 DATE P B CONSTRUCTION RW PW ENGINEERING 1 FIRE DEPT. i PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED BY. ACCEPTED BY. 04/26/2006 06 04 13604525177 Applicant or Agent, (-1,, Owner 4 7 Owner Address: rq44 Architcct/Ena peer Contractor, `VNtb Pf State License #'t-AK.►60 Address: VQQa\ -g-- City ?orA-- `f` U PROJECT ADDRESS• ji U) LAD LEGALDESCRIPTION• Lot: Block. CLALLAM COUNTY PARCEL NU.iva'ER• TYPE OF WORK `gRcsidetttiaJ o Ne w Constr Multi- family 0 Addition Commercial Remodel Repair o Sign BRIEF DESCRIPTION OF T PLANNING USE ONLY TIFORMS1H1d�'Crmitfotiawpd Applicant BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK, 'Your application and site plan MUST T E COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417-4815 FAX.(360)41,7 -4711 City Re -roof Stove Move Garage Demolition o Deck ID Other HE PROJECT CONCMVJE.RCTAL/RESIDE+NTL4L. Occupancy Group. No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage ESAJWetland(s) Y es C) No SEPA Checklist required.? Yes No Other VALUATION OF CONSTRUCTION 1,n 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 4l7 -4815 for assistance. PLAN CLICK FEE. IF a plan check fee is due it must be submitted at the time the building pennit applicatton anal construction plans are submitted, All other permit fees are due at the tim.e of permit issuance. EXI'LRATION 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 RI 05.3.2 of the International Building /Residential. Code, 2003). No application can. be extendedmore than once. I hereby certify that 1 have read and examined this application and /snow the same to be true and correct. 1 em authorized to apply for this permit and understand that it is my responsibility to determine what_pemlits are required not the City's, and that I must obtain such permits prior to work. ST7]t /VALUATION SF /SF SF /SF SF /SF -TOTAL VALUATION 15.7 d f ALL WEATHER HEATING Phone. 3620 Ztp.A6 (a2, Subdivision. Phone. Date: Occupant Load. Construction Type: Proposed Sq Ft. =TOTAL Sq fi. PAGE 03/03 FOR OFF']CUAL USE ONLY ba1:c Rec. 9-9 i 9 r9 '7- cf 3 Dom Approved -42 D1te 1SSUCd; E, p 41 O aQ�L Phone: Z Zip ct15205• ZONING CO APPROVALS PLAN- BLDG. DPW FIRE. OTHER. •R 't., '9 ~~ 'GlTY OF PORTANGEl.ES DEPARTMENT OF COMMUNITy DE\TELOP~: - BUILDINGDNISION 321 'EAST 5TH STREET;P'0RT ANGELES;.WA 98362 Application Number pin number PropertyAddr~ss ASSESSOR PARCEL NUMBER: Application description subdivision Name Property Use . . . . Property Zoning . . . Applicatiorivaluation OWner PETERSON MAGNOR A 1710 W13TH ST PORT' ANGELES ',7/09,/04 04~a0000472 Date .510816 .~ 1710 W13,~,ST".::. 06-30-00~0,..4 -0308':'0000,,: RES ADDITION RS7 RESDNTL SINGLE FAMILY,' 25937 Contractor ::';'-,;n:,.' ,,_", __ ,',:. -----~----~~'~'---~--~~--- HtJTCHINSON . CqNSTRUCTION P. O. ,BOX 1161 ' PORT 'ANGELES (36()l,4/;0-2151 247 SF ADDNT& 520 SF DETACHED GARAGE TYPE V NON-RATED SINGLE FAM& CONGREGATES TOTAL % LOT. COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT CoVERAGE LOT SIZE PROPOSED LOT'COVERAGE TOTAL LOT COVERAGE NUMBER OF, 'UNITS WA 983636806 WA 98362 Structure Information Construction Type Occupancy Type Other struct info 20.70 V-N 1.00 1640,00 11620.00 767.00 2407.00 1~00 r"l ~\ ~i "'; C ---------------------------------------~--------------------------~--------- permit'.. . Additional desc Permit Fee " Issue Date Expiration Date BUILDING PERMIT ~RESIDENTIAL 247 SF ADDNT & 520. SF GARAGE 424.85 Plan Check Fee 7/09/04 Valuation 1/06/05 169.94 25937 '1 ,,~ ~ "~,.~) -- ~ \~ ~ tJ) ~1 Qty' Unit' Charge Per BASE FEE 1.00 10.1000 THOU BL-25,OOl-50K (10.10 PER Kl Extension 414 . 75 1'0.10 -----------'----~----------------.------------~------------------------------ Permit . . . . Additional desc Permit'Fee Issue Date Expiration Date MECHANICAL PERMIT 54.25 7/09/04 1/06/05 Plan Check Fee Valuation .00 o Qty Unit Cha~e Per Extension 47.00 7.25 BASE FEE 1.00 7.2500 ECH ME-VENT FAN ----------------------,----------------._--------------~~~---~-~-----------~- Permit Additional desc permi t- Fee Issue Date Expiration Date PLUMBING PERMIT 61. 00' 7/0~/04 1/06/05 plan Check Fee Valuation .00 o Qty Unit Chatge per Extension 47.00 14.00 BASE FEE 2.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP __________________________________________________________M_______________~_ Special Notes and Comments When roof gutters are installed, drains wilhlocated in d Separate Permits are required for electrical work. ~EPA.Sh9r~line.~~f.; utilities, p""vate~nd pubIiCi!11Pl'()y~lT.Ienl$:;[!1is~~1J:nJ~~c:C)mes null and void if work or construction authorized is not comm~l1ce(hyithiI,l180days, if ~nstruction or work Is;sus~m:l~~,C)r,a,l:)andoned for a period of 180 days afterthe work as commenced, o~ ,ifreqyl~~d inspections ~ave no~ been requ~ste9 ,WIthin 180 da~m>intl1e last Inspection. I hereby certify that I have read and e~minedl/1is application and know the same to be tru~ian~correcLAllprovisions of laws and ordinances governing this type of work will becontpii~~ "Vith whether specified herein or not. Thegranting'.ofa perJ:nit,does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the perfQrmance of OO:;;:;;J~a. & 7- "~o'l . . ... Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNJlIiG\FORMS\II02.IS [1111412003] BUILDING. PERMIT, INSPECTION RECORD .. ~ ,. CALL 417-4815 FOR BUILDING INSPECfIONS. CALL 417-4735 FOR ELECTRICAL INSPECfIONS. PLEASE PROVIDE AMINIMUM-24 HOURNOTI~E. IT IS UNLAWFUL TO COYER, INSULATE OR CONCEALANJ',WORKBEFORE 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: FOOTINGS WALLS FOUNDATION . DRAINAGEIOOWN SPOUTS ELECTRJCAL (UGHTDEP1) 5EPARATEPERMIT:# ROUGH.IN , PLUMBING UNDER FLOOR! SLAB ROUGH.IN WATER LINE (METER TO BLOG) GAS LINE BACK FLOW! WATER . .. AI~ SEAL WALLS CEILING I ; . FRAMING JOISTS! GIRDERS SHEAR WALLIHOLD DOWNS WALLS! ROOF! CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I I WALL! FLOOR! CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE I METER SEWER CONNECTION SANITARY STORM . PLANNING DEPT. SEPARATE PERMIT #.$ SEPA: PARKlNGlLIGHTlNG ESA: LANDSCAPING . SHORELINE: . FINAL I\':ISPE<mONSREQUlRED PRIOR TO OCCUPANCYIUSE '. -c' ., RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED . YES NO ELECTRICAL. L1GHT.DEPT. 417-4735 ELECTRICAL UGHT DEPT CONSTRUCTION R. W.! PWI CONSTRUCTION. R. W. ENGINEERING 417-4807 PW ! ENGINEERING FIRE. 417-4653 FIRE DEPT. . PLANNING DEPT. 417-4750 PLANNING DEPT. -- ...... BUILDING 417-4815 BUILDING - T:\PLANNlNG\FORMS\11 02.15 (1111412003] 1--- I I I ',.~':v'r'1> . ..S ~ .~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNTIY fj~ELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W'A 98362 Application Number pin number . . . . 04-00000472 ..510816 Page 2 Date 7/09/04 --,.:..-- -- - - - - - - - - - - - - - - - - ':"" - - - - - - - - '. - - - - - - - - - - - - - ...;.,..":"".- - - -- -...- .'. - .,,;,;:. -~. - - - - - -.-.- - -- Special Notes and Comments wells or piped to. approved storm drainlocci.tions. RS-7 ZONE, 21% LOT COVERAGE, SET BACKS ARE OK ,Electrical load calculations and elctricalpermits are required. Any modifications to the City's electrical facilities will be at the customer's expense. ------,----------------------.-----------------------~----------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ---------.------- ..---------- ---------- ----------- ---------- Permit Fee Total 540.10 540.10 .00 .00 Plan Check Total 169.94 169.94 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total.. 73.4.54 714.54 .00 .00 separat~~erfultsare required for electrical work,SEPA, Shoreline, ESA,utilitie~, private and public improvements. This ~rp1I!becomes null al'!~ void ifwprk or-construction authorized is notcommehced within 180days, ifconstruction orworkls 5uspendfld olJabandoned (or a peripp of. 180. days after the work as commenced, or if required In~pectlons.have not been requested within1:80..~aysfrom the last inspectl~~.I'h~reby c.~rtify that I have read and examined this application and know the same to be true and correct AU provisions of laws aJidordiriances 'governing this type of work will beoomplied with whether specified herein or not' The granting of a. permit does not presume to giVe authoiityto 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:\PLANNING\FORMS\1102.!5[1111412003] BUD.J)ING PERMITINSPECflON RECORD .~ .~ - . CALL 417-4815 FOR BUlLDlNGINSPECfIONS. CALL 417-4735 FORELECTRICALINSPECfIONS. PLEASE PROVIDE AMINIMUM 24 HOUR NOTICE. ITIS UNLAW.FUL TO COVER.,JNSU~TE OR. CONCEAl- ANYJYOR.KllEFJJRE . INSPECTED AND1JXEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIXCARD AND APPROVED PLANS AT JOB SITE . . -. INSPECTION TYPE DATE ACCEPTED , COMMENTS .... YES I NO FOUNDATION: '. FOOTINGS CZ-IJ.I-.LJ J..i'l WALLS . I " FOUNDATION DRAlNAGEIDOWN SPOUTS . .'. .., ELECTRICAL (UGHTDEP1) SEPARATEPERMIT:# '. .- '. ROUGH.IN . I . PLUMBING UNDER FLOOR' SLAB ..' . ROUGH-IN I 11_1 ~'.:oJ./ .l.t- WATER LINE (METER TO BLDG) . GASUNE . BACK FLOW 'WATER . . . AJ~ SEAL WALLS --=I; I I_IL-JfJIJ r J CEILING 'r. . 1 FRAMING JOISTS' GIRDERS SHEAR W ALLIHOLD DOWNS ,,, A " .... I.L WALLS' ROOF' CEILING '/_1, i~i.J )~ L DRYWALL (INTERIOR BRACED PANEL ONLY) . T-BAR. . - INSULATION SLAB WALL, FLOOR' CEILING . II J c; ~IJ-"'" J",~, I . " . MECHANICAL HEAT PUMP GAS UNE WOOD STOVE' PELLET' CHIMNEY " HOOD' DUCTS ,. PW UTILITIES' SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE'METER SEWER CONNECTION . SANITARY STORM PLANNING DEPT. SEPARATE PERMlT#.s SEPAl PARKJNGlLIGHTING ESA: LANI!SCAPING '.. , .- ~ :,., " .. SHO~: ." , .... '. ,> FJNALJNSPECTIO!l/S REQtJIREp.l'RI(:)~ TO OCCU..ANC\',~~~i; 0 " .' 0 '0" ~'; 0 . RESIDENTIAL , ..... , DATE , YES NO . COMM~Ci.u. . DATE ACCEPTED ", -. n. - '.' . : . YES "t N:O ELECTRIcAL ' .. . '.', -" ELECTRJCAL - LIGHT DEPT. 417-4735 UGHT[)EJ>:f,. :. .. CONSTRUCTION R. W.' PW' CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 'ENGINEERING FIRE 117-4653 " 0 . FIRE DEPT. ." . ' ',. d ..... . PLANNING DEPT. 417-4750 PLANNING DEPT. , . BUILDING 417-4815 I ;:;,sf-OS- JLL- ". .... ',-'. . . '. BUILDING T:\PLANNING\FO~S\I 102.15 [I )/1412003) PREPARED 1/31/05, 13:05:37 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 5 1/31/05 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1710 W 13TH ST HUTCHINSON CONSTRUCTION PETERSON MAGNOR A 06-30-00-0-4-0308-0000- 04-00000472 RES ADDITION ...~ SUBDIV: PHONE PHONE : (360) 460-2151 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 11/16/04 JLL PLUMBING ROUGH-IN TIME: 17:00 11/16/04 AP Phillip 460-2151 PL99 01 ~ ~ PLUMBING FINAL TIME: 17:00 -------------------------------------- COMMENTS AND NOTES --------------------------------______ PREPARED 1/31/05, 13:05:37 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 1/31/05 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1710 W 13TH ST HUTCHINSON CONSTRUCTION PETERSON MAGNOR A 06-30-00-0-4-0308-0000- 04-00000472 RES ADDITION SUBDIV: PHONE PHONE : (360) 460-2151 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 ~ ~ ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- MECHANICAL FINAL TIME: 17:00 PREPARED 1/31/05, 13:05:37 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 1710 W 13TH ST HUTCHINSON CONSTRUCTION PETERSON MAGNOR A 06-30-00-0-4-0308-0000- 04-00000472 RES ADDITION SUBDIV: PHONE PHONE : (360) 460-2151 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 9/14/04 9/14/04 10/22/04 10/22/04 11/16/04 11/16/04 11/16/04 11/16/04 11/30/04 11/30/04 1/31/05 ~t'P ----------------------------------- CONTINUED ONTO BL1 BL9 BAIR 01 BL3 BLI BL99 01 01 JLL AP JLL AP JLL AP JLL AP JLL AP JLL 01 01 01 BUILDING FOUNDATION FOOTING TOM 460-5680 BUILDING SHEARWALL TIME: 17:00 Hutchenson Const. 460-2151 BUILDING AIR SEAL TIME: 17:00 Phillip 460-2151 BUILDING FRAMING TIME: 17:00 Phillip 460-2151 BUILDING INSULATION BILL 460-2151 BUILDING FINAL TIME: 17:00 Phill 460-2151 PAGE DATE 3 1/31/05 NEXT PAGE ----------------------------------- PREPARED 10/22/04, 12:59:25 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 10/22/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1710 W 13TH ST HUTCHINSON CONSTRUCTION PETERSON MAGNOR A 06-30-00-0-4-0308-0000- 04-00000472 RES ADDITION SUBDIV: PHONE PHONE : (360) 460-2151 PERMIT: BPR 00 BillLDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/14/04 JLL BUILDING FOUNDATION FOOTING 9/14/04 AP TOM 460-5680 :~:_c::_~_~::~~~~~_~~_____:~::~:~::::::::~:::6:::::~_::~::________________________________ PREPARED 11/16/04, 13:03:27 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 11/16/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1710 W 13TH ST HUTCHINSON CONSTRUCTION PETERSON MAGNOR A 06-30-00-0-4-0308-0000- 04-00000472 RES ADDITION SUBDIV: PHONE PHONE : (360) 460-2151 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/14/04 JLL BUILDING FOUNDATION FOOTING 9/14/04 AP TOM 460-5680 BL9 01 10/22/04 JLL BUILDING SHEARWALL TIME: 17:00 10/22/04 AP Hutchensan Canst. 460-2151 BAIR 01 &0 ~LL BUILDING AIR SEAL TIME: 17:00 Phillip 460-2151 :::__::__~\~~_~~~~__~___:~~~::::I::::~:~::5:::::p::~0:__________________________________ PREPARED 11/30/04, 13:08:38 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 11/30/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1710 W 13TH ST HUTCHINSON CONSTRUCTION PETERSON MAGNOR A 06-30-00-0-4-0308-0000- 04-00000472 RES ADDITION SUBDIV: PHONE PHONE : (360) 460-2151 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/14/04 JLL BUILDING FOUNDATION FOOTING 9/14/04 AP TOM 460-5680 BL9 01 10/22/04 JLL BUILDING SHEARWALL TIME: 17:00 10/22/04 AP Hutchenson Const. 460-2151 BAIR 01 11/16/04 JLL BUILDING AIR SEAL TIME: 17:00 11/16/04 AP Phillip 460-2151 BL3 01 11/16/04 JLL BUILDING FRAMING TIME: 17:00 11/16/04 AP Phillip 460-2151 BLI 01 ~1 0/ ftL BUILDING INSULATION BILL 460-2151 ------------~ -- - ----- ------------ COMMENTS AND NOTES -------------------------------------- PREPARED 11/16/04. 13:03:27 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 1710 W 13TH ST HUTCHINSON CONSTRUCTION PETERSON MAGNOR A 06-30-00-0-4-0308-0000- 04-00000472 RES ADDITION SUEDIV: PHONE PHONE : (360) 460-2151 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 ~ JLL PLUMBING ROUGH-IN TIME: _________~~lt~l:_\---~---:~~~~~PCOMME:::-:::1NOTES 17:00 PAGE DATE 5 11/16/04 / BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: ~- 13-C'( Pe 't#:O'1~ Date Approved: ~ ~~ Date Issued: 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 ApplicantorAgent:~k A P~+~V">o,.J Phone: ...3bo- '-/S2.-SSsg Owner: ~e...... Phone: Address: /7/ 0 ~ /37/1 ~+("~ City: (JC;i1/-f A~e1e.-~ Zip: 9B3-'3. Architect/Engineer: c..hQ...y"le-~L€-f>e..t" - A:ri'l Phone: ,3bO - SbS-oLfo3, Contractor I..\. VT'-'" \ \ <}O"\ CUS)T(VC~eLicense#: \wtG\1Q'G~~~:~ O/21/~ Phone: '-I'''-:).../,5"J Address: f.e rf:> Or If ~ ( City: fo v+ A"'61v Zip: '1 hl J r L PROJECT ADDRESS: 17/D W /3TIIS~. Wl!...5-t /6. PI I.l>t 2- AIJ Lot 3 -/:(;..':,-+ 17 Ff '-pflf LEGAL DESCRIPTION: Lot: 1\ Block: tt 0 3 ZONING: Subdivision: Tb,..)~s I~+e... c-f R-r+ /lrvje..k..S. CLALLAM COUNTY PARCEL NUMBER: Ob3ooooLjo308 . Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TVPEOFWORK: SIZENALUATION: Q o Residential 0 New Constr. 0 Re-roof 0 Stove ~ '-/7 SF. @ $ ~ Co /SF. = $ o Multi-family Ild""'Addition 0 Move Iid""'Garage $2..0 SF. @$ '2./.s8. /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign 0 Other TOTAL VALUATION $ BRIEF DESCRIPTION OFTHE PROJECT: --.11.JJ l+'~ +0 Jf1 a..S+e-y' d3&1LroOi"'\ '])(l..--\-a~ 6~ie.... o)o.i 60~51~ 01- hoL.A.>t!..... COMMERCIAL/RESIDENTIAI;: ,q~~a8cy Group:.5i){t1c..... Occupant Load: SMILe- Construction Type: WDOct2 No. of Stories: ~ Lot Size: B3 X JijD Existing Sq. Ft. /b'1 D & Proposed Sq. Ft. J k 1 = TOTAL Sq. Ft." 4 C I. Total lot coverage---s,c:), ~ City: Exp. Date: lq 8"2.0 oo~ , f/r,'; ~Q '2...5 Q:57. ~o APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESNWetIand(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with irtformation 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 tile time the building permit application and construction plans are submitted. All other pemlit fees are due at the time of permit issuance. EXPIRATION OF Pl.;AN REVIEW: Ifno pemut is issued within 180 days of tile 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 107.4 of the Uniform Building Code, cunent 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~} I must obtain such per~ prior to work. T:\FORMS\APPS\Buildingpermit.wpd Applicant: '-!tI d tJ j{-#;-;; - Date: <..5 -C)7- 07" 1-'1-0--'10 ~ I -u "'"'::L -r11. t .J --I ) WI 10-d @ ,ES - & (1) l.J~ tJ11 / l- ~f 35' iU '4 :B (ONE I( ALL HORtZ EDMENT & X10"@ / 4~ t I I L__________ 1 s-o J )ULE ,;;1: ltl: ! I' ,j II' I' P II,;,' r I' .k , ~6 .... ~ .:t- '---I J :;' I I <cd f I 5"26' I L___~ L__ ~ j - rl' 1 =20'-0" 17 { 0 uJ I -;:; tA ~ T PREPARED 9/14/04, 13:11:34 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 9/14/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1710 W 13TH ST HUTCHINSON CONSTRUCTION PETERSON MAGNOR A 06-30-00-0-4-0308-0000- 04-00000472 RES ADDITION SUBDIV: PHONE PHONE : (360) 460-2151 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 tll;{U-,J if:.L..(J BUILDING FOUNDATION FOOTING ~ -r---r TOM 460-5680 -------------------------------------- COMMENTS AND NOTES -------------------------------------- r~~"~-".,~~r~'" ..~. ,~>"~CMf*"-~--~,,""- ~8..~ ....,...T,,',~J, ,_~~, . ' ,-....."" .' .' '" ',"',' <, ,,' /, '" '.," -"'" ""';",:'4' Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division Official Use Only Assem,# RL'Ceiwd SERVICE ADDRESS: ;t1AC~ 17I~ W N ~ W. (rue 7" fE. Te ve J'VA/ )" 3, ~y rl?t' e, (' of }-lvl/fi, /Vexl IV 9> t/ XL ' J.;., '/, NAME ~F PREMISES: \ Dateffime Cert.# C t!' .1/ W (. f/:1 ci W/'J.3 ,.~ Ii- 5>' LOCA nON OF DEVICE: ASSEMBLY: WI L k/;'f/ r Manufacturer Model Size Serial No. IS THIS AN APPROVED ASSEMBLY? YES ~ 0 IS ASSEMBLY INSTALLED CORRECTLY? YES [!o'NO' 0 DATE OF INSTALLATION MAY- ).(;&> UNKNOWND REDUCED PRESSURE PRINCIPLE ASSEMBLY RP DC PVB SVB .~ D D DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #1 CHECK VALVE #2 RELIEF VALVE Initial Leaked D Leaked D Closed Tight D Held at ~ psi Did Not Open D Did, Not Open D Test Opened at _ psi Opened at ---",psi \ Replaced D Replaced D Replaced D CHECK VALVE Leaked D Held.at~ psi REPAIRS Cleaned D Repairs Cleaned D Cleaned D Cleaned D Details Replaced D 3 psi BulTer YES D NO D Test Held at :? b ' psi Closed Tight D Heldatl.,,h'psi Opened at _ psi Final AIR GAP INSPECTION: REQUIRED MIf-.lIMUM SEPARATION: YES D NO D TYPE OF HAZARD COMMENTS Line Pressure C? psi \ ..I Ai 51 t ( 7 t ;? It5;!!P i f'/lfJ't Held Backpressure #2 Shutoff Held YESQ NOD Relief Valve Exercised YES D Tester Signature Test Kit Passed ' Initial Test f ~/). (; ( rJ: .lJtCk. ;( fJ'). Y1/'1 /l.1 Repairs Final Test C ,/' ;I - IJ' (/ ') ,/1.' . !).Yf/5- 11' t4' eJ7 WHITE - CUSTOMER COpy ); YELLOW - PURVEYOR COPY s ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST 51H STREET, PORT ANGELES, WA 98362 ~ , ,,"",,/I"JM-r~H / N Application Number pin number . . . . property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . .. Property Zoning . ., Application valuation 11/16/04 ;!?Wf?J ,Bevl ~W 04-00001063 Date .482491 1710 W,13TH ST 06-30_00-0-4-0308-0000- ELECTRICAL ONLY ~7 RESDNTL SINGLE FAMILY o OWner Contractor PETERSON MAGNOR A 1710 W,13TH ST PORT ANGELES " OWNER WA 983636806 ~------------~------------~----~------~-------------~--~-------------------- Permit . . . . Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 1-4 CIR./ DBTACHED GARAGE ANDERSON ELECTRIC 48.10 Plan Check Fee 11/16/04 Valuation 5/16/05 .00 o Qty Unit Charge per 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 -.----------.------------.----------------------------~-----------~~-----,--- Permit . . . . Additional desc Permit Fee Issue Date Expiration Date EL-DETACHED GARAGE 48.10 Plan Check Fee 11/16/04 Valuation . . 5/16/05 .00 o Qty Unit Charge per 1.00 48.1000ECH EL~R.OUTBD/DTCH GAR,SEP Extension 48.10 Fee summary Charged Paid Credited Due ----------------- ----....._--- ----.....----- ---------- ---------- Permit Fee Total 96.20 96.20 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.20 96.20 .00 .00 . . '- '-' , ~ t ~ ~ ~ k ,. .~ SeparatePerrnlts are required for electrical work, SEPA, Shoreline, ESA; utilItiesi private and public improvements.iThis pel1l1it,l1ecomes null and vold-ifwork or construction authorized is not commenced within 180. days, ifconstructio/1 or work Is suspei1de~"grabal1doned for a perio.dof18.0 daysafterthework as comm,e.nced, or if. require. dlnsp.ections have not been requested .Wl. 'thin'180. daYs. fro... m.. ,....the. last .. C'''..'' ,- "..~..,. :''''.:':'''.'''''' : .:- ..' ..', .. .. ' .... .. ".,' '0'>': .. ", ........ .. ...... ......-. ..' .,....... "'. .... .'.' .. .." ".. ':. " ..:.. ,;'>. ",':., "'.. ',_ '-..., ,,' ....,," InSpection. ,thereby certify that I have read and eXamined this application and knowthe same to be true and correct, . All provisions of laws and ordinances governing this type of work will be compJiedwith 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 90ntractor orAuthorlzed Agent Date Signature of Owner (if owner is builder) T~\PLANNING\FORMS\II02.IS (11114/2003] Date BUILDING PERMIT INSPEcrION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS, PLEASE PROVIDE AMINIMUM 24 HOUR NOTICE, IT IS UNLAWFULTO COVER, INSULATE OR CONCEAL AN)' WORK BEFORE .lljSPECFEDAlVD ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE I ACCEPTED COMMENTS ',... YES NO . FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAOElDOWN SPOUIS ELECTRICAL (UOHT DEPT) SEPARATE PERMIT: /I ROUGH-IN , I I T . . PLUMBING UNDER FLooR I SLAB . , ROUGH-IN . . . WATER LINE (METER TO BLDO) . GAS LINE BACK FLOW I WATER . . AIR SEAL WALLS I CEILING I I FRAMING JOISTS I GIRDERS SHEAR W ALLlHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) .. T-BAR INSULATION SLAB I WALL I FLOOR I CBlLING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE I PELLET! CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK . (Engineering Division) SEPARATE PERMIT II's: WATERLINE I METER SEWER CONNECTION SANITARY . STORM PLANNING DEPT. SEPARATEPERMIT/I's SEPA: PARKINGJLIGHTlNG ESA: LANDSCAPING / :-: . SHORELINE: .,nNAL,INSPECTIO\liS REQUIRED PRlORTO OCCUPANCYIVSE .. -.i-'''' ,', _f"._, RESIDENTIAL . DATE .j YES NO COMMER,CIAL DATE ':.'i,'\ "g:~~PT.ED '. :'.' ,; ':YEs.' " NO .glt~h~ ....~~ . '. '<, '.f'"':'" " ./ 1....:',- ELECTRICAL. LIGHT DEPT. 411~735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI , , CONSTRUCTION. R.W. ENGINEERING . 417-4807 PW I ENGINEERING FIRE 417465-3 " FIRE-D~' . PLANNING DEPT. 417-4750 PLANNING DEPT. . I. '. . .... Bun.DING 417-4815 BUILDING '. T:\PLANNlNG\FORMS\1102.15 [1111412003] FILED fOR RECOf<O t. r 1.'[ ~ [rJU~ S T :IF P ~1f::L~t1.___. ,ECOROt:Dlii~f':" C)', (^L't.HCO M.~. P_+-~bcu.J /710 ~ /3THS+. por~ I'r-~,~c.. ~Sa.b-3 zoo~ JUN 18 AM 8: 48 2004 1135613 Clallam County ZONING LOT COVENANT J/WE the undersigned owner(s) of the following described property: (Insert legal description here) fA} a. 5 -r-- I t?-f+ 0 pi l- c> +- 2- ,411 of L-0+ 3 E a. ) +- I 7 /::- -f 0 f La +- '-I All ( -.-/ 10 l 0 c-Iz L/o3'T?A do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08.032 "Z" ofthe Port Angeles Municipal Code. This covenant creates one inseparable building lot which mav onlv be removed through compliance with Chapter 58.17 RCW (subdivision regulations) and/or the City of Port Angeles short subdivision regulations (Ordinance No. 2222, as amended). This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), heir(s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. DATED this / B day of 0<A..w<-, ,20~ ~ a~ ~ (Owner) (Owner) (Owner) (Owner) 55 /Y . 20Q/ AUDITOR'S CERTIFICATE Maqner P~+-er5()n 20 all . this I <l day of Filed for record at the request of ~uJ\~ ~~?rfln c1:I'OII.r~ t<~"~ r-&iii" ~ ~- ~;;:;<t' CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 os-:-ao I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000301 Date 525614 1710 W 13TH ST 06-30-00-0-4-0308-0000- PUBLIC WORKS UTI LITES 4/29/05 RS7 RESDNTL SINGLE FAMILY 100 rn r.7iluVU/~ 1710 LU/3Ib Owner Contractor PETERSON MAGNOR A 1710 W 13TH ST PORT ANGELES OWNER WA 983636806 Fermi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT BACKFLOW VALVE FOR LAWN 1 48165 47.00 Plan Check Fee 4/29/05 valuation 10/26/05 .00 o Qty Unit Charge Per ~x ens..;' BASE FEE 47.00 ' ---------------------------------~----------------------------~-- -------- Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total 47.00 .00 47.00 47.00 .00 47.00 .00 .00 .00 .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 wilhin 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 wilh whether specified herein or not. The granting of a permit does not presume to give aulhority to violate or cancel the provisions of any state or local iaw reguiating construclion or the performance of construction. Signature of Conlractor or Authorized Agent I Date Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [liDS] Of ,ORT ~ ^.~<., ~,.~ 11.. -- ~IC~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 App11cation Number App11cation pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000301 Date 525614 1710 W 13TH ST 06-30-00-0-4-0308-0000- PUBLIC WORKS UTILITES 4/29/05 RS7 RESDNTL SINGLE FAMILY 100 Owner Contractor PETERSON MAGNOR A 1710 W 13TH ST PORT ANGELES OWNER WA 983636806 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT BACKFLOW VALVE FOR LAWN 1 48165 47.00 Plan Check Fee 4/29/05 Valuation 10/26/05 .00 o Qty Unit Charge Per BASE FEE Extension 47.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 47.00 47.00 .00 .00 '- ''1 ;....... ~ 't ....... ~ ~ ~ Signature of Contractor or Authorized Agent , Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomesl null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandonedl 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 ofl 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 anyM,ocal,aw regU~ating nstruction or the performance of construction. I av& ~ ~-2-C7-d~ Signature of Owner (;r owner Is builder) Date' \ Date T.\Pohcles\1102 15R (1/05] CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16487 . I ."'; _ "'1~'Ji- /'tr* . /- ~ .- Port Angeles, Washlngton_m_____m___m________ u_m__n.____..__mmmm' 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 d6 electricai work as listed below. / )/0 {.p--' /3tl' /l..ec; ~:::su:::~~~~~~::::~-;~~:;:;:~~;~:~:=~:::::::::::::::::::::.--.~~~;~~:::m~~~~~:~~-~:::::::=::::::::::::::::::::::::=::::::::::::: ~, ...,(: ,A "f;,)t/. J"r.;, Wiring Contractor ..nn.:..r~:<_::d-!t!..~:!d::~!..'=__0::!::::__m~_~By--mmm--mmmnnm---...---nmmuun_m..n._m_uu /d:o /.,ff?' c Service, volts ...mum.........h__h_____m__... , :3 No. wires ........:..;..,m........,.....;./; - ~. ~ ~-. . // SIze wlres.........._______...___.__uJ..J.._.. "?'/.-< /j A -. / Main fuse ..__X.!.:::..:...L....._...mh ~ ---- r?- 11-0 Enclosure ._........u_.............uu_._._..._.._ LIght Outlets_n.______..h................._____.... Receptacle Outlets.....mmm_____...__....... Dryer, KW........nn.n_uu......h........____._ Range, KW....____.___..__.__.___.______._____ Water Heater: HeaIK:~:::::Z?::.j;C~;...Z~;-_: I Motors.l' sIze, volts and phase: 1?i~~== Type of wiring: Entrance Cable ...._....... Rigid Conduit ___........._m Metallic Tubing ........................... Current transformers: No. & Size...m__._..___._.__u._.............._ Ser. NO.______........._____.__.....________..h..... Ser. No. u.._...._______.........________._u__.__... Ser. No.......__._________.......___._............... Type of Wiring: Armored Cable ..............._h...._....._. Non-Metallic _m_mmm__.m.__.._______. Knob & Tube......._.__..__.._........_....... RIgid Conduit .______...__..m..____m.m_ Metallic Tubing ............m......__.... Raceway ________......................._....._ C Circuits, LIght........._....._____.__.....___...._.. (;. Utlllty.........-...._m.._____....________..m.... Heal m..If._m...__________.......m_.._.. ~) Range ......~.........._______...._....____.____ ::) Water Heater ..___m_...m_............... Motor ..._...................___.........u__.... ::l Dryer......___u______n....._____..................... Furnace .........................._.........__..._.._. 4y Total I.oad....h._h____u__hh.____.. Ser. No. _n........_____.........._u..._............ Total .~~..._-----------............... .~ Remarks: __n____.nn__.a~y;_::::__~~:::'u.nC.'-~_'2~.._:!!!u_~_=!."f:~_u...n...uu....UUUUdUUUU.....uu__nn.uu..n_nnnuuu....nnn .;~_~i__~~_::_::-u.::::..:-.:mmm::~_~_~::::~.~.~:.~_~_-_:..:::_mmm-mm--::.__~;~;l~~2~~:~:.~-~~~~:::::..:::: NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. cealed due noUce must be given the Inspector so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16487 Address....__._______....._.............................................................................__.________...._____..................Date..____....._.._..__._.........._._~..._......____...... Owner__................................._......_.._......_......_.._.............._............_..__u_._...____.______.._.._.Tenant_..._____._____u_...____._.__..__......___._._..............._..... WIrJngContractor....___..____.......................___.....__..____._.............................._...__._.____.__......................By.___.__.__.___.._.__________.......___....._........__._..__.. NOTICE-Current must not be turned on until CertIficate of Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment: . 1M Olvmni,.. Print..,... Tn,... 04/26/2006 06:04 13604525177 ~~ ~ Job wi,'ed hy )iifElcctrica, Cnntnctor DOwner Elect,i,.1 ,0n",,\O< n.,"e Uecnsc nu,"b" ~~c ~7; ~\\ l.J~~Ur.cM-""'~~'" ~\IC.\SCl'tl Purchaser's mnlling <tc!orcss () J ~^':\ V A_; ~ 5\ ~~ Stale zIr id.: Telephone number Pn:mi~ci'O nwncr't nam~ \) t'J\",,.\t.... -r .l~Q)e.('Son. Addn:s!I o( in!lpcetion \'fIO \cF l~ CIly ~(),.t, ~~. Phone number tn lichc.dulCl tnNpcc:liun: 4s - Ownel' I.IS defl1'/.ed by RCJfl.J9.28.26/:(I) OW'll!r w;J/ ocr.upy rhe Jrr/J.clIIrofor two YCClr.~ after lhit electrical permit l.f,finalized. (2) OWnE."" i.f reqvirr::d tn hire. all electrical con/mew,. if abrJllc .foid pl'flperty i,f f(')r .mie. rt'n/ or lcast', A ftOI' reading the above statement. , hereby certify thM I :lm th.e owner of tbe above named propcny or :l liccn!':cd clc:ctlical contT:l.ctClf. I am making: the clcclric11l instal- lnllon or ultcration in co'mpliancc with the electrical laws, N.E.C_. RCW. Ch3.fltcr 19.28. WAC. C~aptcr 29(i-4fiB, The City of Pon AngelcR Municip;ll Codc. and Ul:ililY Spcci ficilllons. . Sl~n llre I)r owner, clectrienl con rActor or clcetrital IIdminitltutnr Date: .EI ear Load d _1W_<LoLs_llb_lra.cJ19.l1J\ Cl NO LOAD CHANGES o Baseboard KW D Fumace _ KW o Heat Pump Ton L.AR o Fan-Wa" KW ALL WEATHER HEATING PAGE 02/03 \ ELECTRICAL WORK PERMIT APPLICATION w' lnstallillion description (J Commercial )i'lResldcntinl Cl Ne.. 0 Altered/Addition \-.\J --\- -~ " '. ... D Cash Cl Check # Credit Card Visa Mastercard Discover Card # Expiration Date of card CJ Overhead ServicQ o Temp Service a Underground Service Voltage PhaseD1D3 Service Size: _ Feeder SIze: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN / THERMOSTAT "' / SERVICE \. I)"le ^rprovod 0)' 0\110 ^1'lIT'Wc<1 By \. e". Nnlfllvlld 9)' F'lNAL / DITCH FEEOER nnlc Approved ~y Onlt AflProvcd By Pat~ AflflroveaBY./ InspeClion' Arc~~ Building or EqUipment Inspected E1~~trical O<'lle Action Tnkcn Jnspector ~XPIRFn < ;J;Yj 2 I, J (",,-, ,.