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Home My WebLink About1835 W 13th St - Building . CITY OF PORT ANGELES DEPARTMENT OF COMMUNItY DEVELOPMENT . - BUILDING DIVISION 321 EAST STHSTREET,PORT ANGELES, W A 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name. Property Use . . . . Property Zoning . '. . Application valuation 04-00000932 Date. 10/11/04 .046364 1835W 13TH ST 06-30~00-0-3-6255-0000- MECHANICAL APPL. PERMIT PUBLIC BUILDINGS &: PARKS 2719 Owner Contractor LAWSON, PEGGY 1835 W 13TH PORT ANGELES (360) 457-1091 WA 983620056 PA SWIMMING HOLE &: FIREPLACE S 518 W 8TH ST PORT ANGELES WA 98362 (360) 565,..1163 - - - - ,- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~'- - - - Permit .. . . Additi()nal desc Permit' Fee Issue Date Expiration Date MECHANICAL PERMIT FREE STANDING PROPANE STOVE 57.65 Plan Check Fee 10/11/04 Valuation 4/10/05 .00 o Qty Unit Charge Per Extension 47.00 10.65 - OJ W .~ tJ) <: <:0- ~ ~ t _. \jj .J- ~ 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 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public Improvements. This'jt'f:)ecoT~S null and void if work or construction authorized is not commenced within 180 da~, if construction or work 'I~ sus" "aBandon" fora penod of 180 days after the work as commenced, or if required Inspections have not been requested~ln; ....:(ff>.~.lhel#t inspection. Iher~by certify that I have read and examined this application and know the same to betru~ and}:p' ..... '.' ,';.!MfprO",sibns.()f laws and ordinances governing this type of Work will be complied with whether specified herein or nol"l11egrantlngoh3permft does not presumeto give authority to violate or cancel the provisions of any's 0 callaw regulating construction or th~iperrormanceof construction. . Signature of Contractor or Authorized Agent Date Sign T:\PLANNING\FORMS\II02.1S [1111412003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECfIONS. CALL 417-4735 FOR ELECfRlCAL INSPECI'lONS. PLEASE PROVIDE A MINIMUM ~HOURNOTICE. IT IS UNLAWFUL TO COVER, INSUI4'FEORC()l'f~~Nl~lf-i:!RJ(BEFORE INSPECTED ANDACCEPTED~ ;POST PERMIT IN A~ONSPICUO(JS LOCATlONt.:' .... '.'<'.,' KEEP PERMIT CARD AND APPROVED PLANS'A T JOB SITE . .' " , ,~- .7 INSPECTION TYPE ." DATE ACCEPTED '" '~ COMMEtffS YES I NO '".' " , , FOUNDATION: , '. Foo'IlNGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS .' I ... '. ELECTRIeAL (LIGHTDEPT) SEPARATE PERMIT:.' ROUGH-IN .' . I I " . .+ >. . PLUMBING UNDER FLooR I SLAB ", ROUGH-IN W &- TER LINE (METER TO BLOG) GAS LINE . ',. BACK FLOW I WATER " , AIR SEAL c ,. ! ,. WALLS ,. I " CEILING 1 I ; , FRAMING JOISTS I GIRDERS 'SHEAR W ALLIHOW DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR , ] , INSULATION " , I . SLAB WALL I FLOOR I CEILING I I I MECHANICAL HEAT PUMP GAS LINE JJ_" ALl Jd:.. WOOD STOVE I PELLET I CHIMNEY , HOOD I DUCfS, PW UTILITIES I SITE WORK (Engineering DivisiOn) SEPARATE PERMIT"s: . WATERLINE I METER , SEWER CONNECTION SANITARY STORM , PLANNING DEPT. SEPARATE PERMIT"s ; SEPA: PARKINGlLIGHTING . ESA: LANDSCAPING , ,,':' . SHO~ ., I;.', . C . ~~SPECTI9N~REQUIRED ."IUOR 1'(}OCqJ!"~q:!Y~.t;t,., H., ...... ',. : .... c" '. RESIDENTIAL " 'DATE YES ". NO COMMERCIAL ,DATE . ACCEPTED '. .:....; : : YES NO .' , . ... -c- , ELECTRICAL - UGHT DEPT. 417-473S ELECTRICAl. : . UGHTDEPT , . CONSTRUCTION R. W.I PWI CONSTRUCTION',- R. W. ENGINEERING 417-4807, . PW IENG~G '. ! FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT! 417.4111S :H.u-OJ../ 3.1 13un.DlNcf ."- ;.' ,.. BUILDING PREPARED 11/02/04, 13:23:09 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 7 11/02/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1835 W 13TH ST PA SWIMMING HOLE & FIREPLACE S LAWSON, PEGGY 06-30-00-0-3-6255-0000- 04-00000932 MECHANICAL APPL. PERMIT SUBDIV: PHONE (360) 565-1163 PHONE : (360) 457-1091 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 .1.Y~V_0.4, ~ MECHANICAL GAS LINE ~ .., Seth 461-1511 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 11/04/04, 13:16:36 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 5 11/04/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1835 W 13TH ST PA SWIMMING HOLE & FIREPLACE S LAWSON, PEGGY 06-30~00-0-3-6255-0000- 04-00000932 MECHANICAL APPL. PERMIT SUBDIV: PHONE (360) 565-1163 PHONE : (360) 457-1091 PKRHIT: ME 00 MECHANICAL PKRHIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 11/02/04 JLL MECHANICAL GAS LINE 11/02/04 AP Seth 461-1511 ~:::_::__~!~~___~_____:~~~~::::::::LAND NOTES ______________________________________ o~ ~ORT ~ .'~~"" ~".~.. if 'EiII "-~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number P~n number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001070 Date .574430 1835 W 13TH ST 06-30-00-0-3-6255-0000- RES ADDITION 11/30/04 Owner Contractor EXPIRED IIz-cqlo~ PUBLIC BUILDINGS & PARKS 6000 LAWSON, PEGGY 1835 W 13TH PORT ANGELES ( 36) 457-1091 Structure Information Construct~on Type Occupancy Type Other struct ~nfo OWNER WA 983620056 48 SF ADDITION W/SHOWER 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 16.45 V-N 1. 00 1104.00 7000.00 48.00 1152.00 1. 00 .......... Perm~t BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 148.75 Plan Check Fee 59.50 Issue Date 11/30/04 Valuation 6000 Expiration Date 5/30/05 Qty Unit Charge Per Extension BASE FEE 92.75 4.00 14.0000 THOU BL-2001-25K (14 PER Kl 56.00 ~ \eN ~ 'E Permit MECHANICAL PERMIT Additional desc Permit Fee 54.25 Plan Check Fee .00 Issue Date 11/30/04 Valuation 0 Expirat~on Date 5/30/05 Qty Un~t Charge Per Extension BASE FEE 47.00 1. 00 7.2500 ECH ME-VENT FAN 7.25 - w ~ Vl -, Permit Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT . .,.-u:' ...!:>. ' 76.00 11/30/04 5/30/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 47.00 14.00 15.00 BASE FEE 2.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP 1.00 15.0000 ECH PL- EA. BLDG SEWER 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. /) ()L /J Ii Signature of Contractor or Authorized Agent Date Sign T:\PLANNING\FORMS\1102.15 [11/14/2003] Of 'PORT ~~ ~ t~~ ha lL ~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00001070 pin number . . .574430 Page 2 Date 11/30/04 Special Notes and Comments Electrical load calculations and elctrical permits are required. 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. Building address slgn shall not be less than 6" & not more than 12" in helght. 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. The Fire Department has reviewed the project application and has no comments The proposal will result in a small 48 sq. ft. addition to an existing residence for a total lot coverage of 16%. Setbacks are good. No land use issues are noted. Public works electrlcal engineering has no requirements for this plan review. Public works utllity engineering has no requirements for thlS plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 279.00 279.00 .00 .00 Plan Check Total 59.50 59.50 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 343.00 343.00 .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 grantrng 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\II02.IS [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 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 YES NO FOUNDATION: FOOTINGS I Q-t,... (),. J r I, WALLS " . FOUNDATION DRAINAGEf:DOWNSPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #. . ROUGH-IN 1571/ I n.S I A-e.-O I PLUMBING UNDER FLOOR / SLAB ROUGH-IN f./- JJ.f-oS- _) J-L WATER LINE (METER TO BLDG) GAS LINE BACK FLOW /WATER AIR SEAL WALLS ~J- JH-OLI\" f ( CEILING FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR / CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'s WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEP A- PARKlNG/LIGHTING ESA- LANDSCAPING SHORELINE' FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 4 I 7-4735 I~-'" -t9~ ELECTRICAL LIGHT DEPT CONSTRUCTlONRW /PW/ CONSTRUCTION - R.W. ENGINEERING 4 I 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ) r BUILDING T.\PLANNING\FORMS\II02 15 [I I/14/2003] 'S 'Ioiir.....,.. CITY OF PORT ANGE~ES PUBLIC WORKS - ELECTRICAL DIVISION :l2\ EAST 5TH STREET. PORT ANGELES. WA 9R~62 ~l:-"l:-"..L..L......a.L..I..U.u l\jULLLUt:=L Application pin number Property Address ASSESSOR PARCEL NUMBER. Appllcatlon type description Subdivision Name Property Use Property Zoning Application valuation 04-00001070 Date 574430 1835 W 13TH ST 06-30-00-0-3-6255-0000- RES ADDITION 4/28/05 PUBLIC BUILDINGS & PARKS 6000 Owner Contractor Plan Check Fee valuation 00 o I I I ! I ! I I ~ I ~ ~ 4'\ I L 'I I t;, ~~ I ! I I I I LAWSON, PEGGY 1835 W 13TH PORT ANGELES ( 36) 457-1091 Structure Information Construction Type Occupancy Type Other struct info OWNER WA 983620056 000 000 48 SF ADDITION W/SHOWER 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 16.45 V-N 1 00 1104.00 7000 00 48 00 1152 00 1 00 Permit Additional desc Permlt pin number Permit Fee Issue Date Expiration Date ELECTRICAL OWNER/ 1-4 47332 48.10 4/28/05 10/25/05 ALTER RESIDENTIAL CIRCUITS Qty 1 00 unit Charge Per 48 1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Special Notes and Comments Electrical load calculations and elctrical permits are required 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 14.36050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations 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 ln dry wells or piped to approved storm drain locations Tte Fire Department has reviewed the proJect appllcation and has no comments The proposal will result in a small 48 sq ft addition to an existlng resldence for a total lot coverage of 16% Setbacks are go~d No land use issues are noted Public works electrlcal engineering has no requirements for this plan review COMMENTS! ACTION NEEDED 'S "'r~ CITY OF PORT ANGE~ES PUBLIC WORKS - ELECTRICAL DIVISION :l21 EAST 5TH STREET. PORT ANGELES. WA 9R:lll2 , Application Number Application pin number 04-00001070 574430 -;:1- ,&. Date 4/28/05 Special Notes and Comments Publ~c works ut~lity engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48 10 48.10 00 00 Plan Check Total .00 .00 00 00 Other Fee Total 4 50 4.50 00 .00 Grand Total 52 60 52.60 00 00 COMMENTS! ACTION NEEDED ELECTRICAL PERMIT I NSPECf JON RECORD ) CALL 417.4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UN~ WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES NO COMMENTS GENERAL COMMENTS: PW-II02.1~ (.cI96) PREPARED-4/-l-4/-0 5-,---8--5-2- its CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 4/14/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1835 W 13TH ST SUBDIV. PHONE PHONE (36) 457-1091 LAWSON, PEGGY 06-30-00-0-3-6255-0000- 04-00001070 RES ADDITION PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL2 01 ~ ~ PLUMBING ROUGH-IN TIME 17:00 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED--4i~4i05~-8-S2-08 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 4/14/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1835 W 13TH ST SUBDIV PHONE PHONE ( 36) 457-1091 LAWSON, PEGGY 06-30-00-0-3-6255-0000- 04-00001070 RES ADDITION PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 12/06/04 JLL 12/06/04 AP ~~\~(- t?~ BL3 01 ~ ~~ BUILDING FRAMING "'\!"l'l\ ~ 457-1091 ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- BL1 01 BUILDING FOUNDATION FOOTING PEGGY 457-1091 BUILDING AIR SEAL BAIR 01 _ _ _PREPARED-1-2-! 0 6/ ~4-;-:t3-ro10 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 12/06/04 1835 W 13TH ST SUBDIV PHONE PHONE ( 36) 457-1091 LAWSON, PEGGY 06-30-00-0-3-6255-0000- 04-00001070 RES ADDITION PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLl 01 ~2/ 6/ 4 8.n BUILDING FOUNDATION FOOTING ~ PEGGY 457-1091 --------------- -- ------------------- COMMENTS AND NOTES -------------------------------------- BUILDING PERMIT - APPLICATION 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 Applicant or Agent.5 e49'i L ficLV_c;n N Phone: L/ Cf") - 109/ Owner S A~ Phone: Address:JR..-s5 W J3 th ST. CIty: PtJ,e..-r A~LCS ZIP:--.9 g 3 (P3 Phone: ArchItect/Engmeer: 'kl A- Contractor State License #: -S'~~ Exp: Phone: CLALLAM COUNTY PARCEL NUMBER: CIty: W 1'6 -g. S-t , , ''2- Block: ~LP 9 (JJ{p3D(!)rD ~[(7 tJ s-s COOD _-'L. p~ ZIp: Address: PROJECT ADDRESS: I g 3S LEGAL DESCRIPTION: Lot: ZONING: 1Z..SJ SubdIVIsion: Credit Card Holder Name: fk'TCf y L A- W..s CJ 1\3 Billing Address: Credit Card Type VISA MC T"xpE OF WORK: rnlResIdentlal 0 New Constr. 0 Re-roof 0 Stove o Multl-faIlllly !It AddItlon 0 Move 0 Garage o CommerCIal 0 Remodel 0 Demolmon 0 Deck o Reparr 0 SIgn 0 Other BRIEF DESCRIPTION OF THE PROJECT. !:J j S'F I4dcJ City: # Exp. Date: SIZEN ALUATION: '-l$l SF @$ /SF. = $ SF. @ $ /SF. = $ SF.@$ /SF.=$ TOTAL VALUATION $ l" d)O() I 10 e...~r~~ brli~ W,t S'>>'\MVV- COMMERCIAL/RESIDENTIAL: Occupancy Group:)2. Occupant Load: No. of Stones: .1- Lot SIZe: tJO"/. 14L> Existlng Sq. Ft -1lb..4.- & Proposed Sq Ft. Total lot coverage I (,; . fiE % ConstructlOn Type: 4'~ = TOTAL Sq. Ft. PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAIW etland( s). 0 Yes 0 No SEP A Checklist requrred? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Buildmg DivlSlon can provide you WIth mformatIon on the applIcatIon and plan subIlllttal requrrements If you have questlons. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applIcant. Tills figure WIll be revIewed and may be reVIsed by the Bmldmg DIvIslOn to comply WIth current fee schedules. Contact the Perrmt Coordmator at 4 I 7 -48 I 5 for aSSIstance. PLAN CHECK FEE: IF a plan check fee IS due It must be subIllltted at the trme the bmldmg perrmt applIcatlOn and constructlOn plans are subIllltted All other perrmt fees are due at the tm1e of permit Issuance EXPIRATION OF PLAN REVIEW: Ifno perrmt IS Issued Wlthm 180 days of the date ofapphcation, the application will expire. The Bmldmg OffiCIal can extend the trrne for action by the applIcant up to 180 days upon wntten request by the applIcant (see Sectlon RI05.3.2 of the InternatIOnal Bmldmg/Resldentlal Code, 2003). No applIcatIOn can be extended more than once. I hereby certify that I have read and exammed this applicatiDn and know the same tD be true and CDrrect. I am authDrIZed tD apply fDr this permit and understand that it is my responSibility tD determine what permits are required ,nDt the City', n that I mus tam such permits prior tD wDrk. D,te ijt~1 T \RVESS\BLDG-forms-brochures\2003-BUlldmgpenmt wpd , . .~ ,\',. . ~ r,. ~ , .a" t! ..~ . ~..,r.#~:# "-}. ..' ~~./' {~ \.it;:O'l"....'i; ./ '.". ,,'- .- -Lo.t.:4...J..J..____-L2Lac:.d:_$2 ;.... . . ;4.,'; ,1;)"-<1<'/':; . I (0) -/ i:/- '\-~ /1 ~ \~ j. ,!~ / ~ '" ,,( ~ \ all \ / , \ i Jtb' ?Y'D~ed. ~dO~t.. " .il I -=- / ,.. , ~^~ MoDrL )16i... \ e-).~~4.~ 7 -~ CV ~DO\r nlU ...,\.' 1..)- I 16 . + 1]') , ~ I:):: l l /1 .)"'~.3' #: .. I~... .' .' I I~.. Ie,...... G~~,. ~ ~ \ g"';G~L 1 l , I -l= ----, \I~ - - - ~~- -.-' \'/1 - v'x. Lt'C Olv c. . Po""(,. 7 I I ~, I _ JIJ/ ) Ib .)( 'UJ ,":.uc.. p,./ "e L{' CoNe.. tv" , y . ,)0..'( I. , I I eft L-.- +~~" {tr9 - J . /cJ' 5>5 (":7;,, .'~ { J1i'-~ n( O~ ~r(,.~~C ;:- ~ · j<;k.e. ,.L_Oklst v II r.T ''''''''' (~ -. ..-------.-- t ;f; b~4 I ^", 7 ':} , ~0~", 1. ''>-, . . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 'f/~OcP 7//S/73 , DATE ELECTRICAL PERMIT Site Address: Sq. Ft. o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Is Installed By: Owner/Business: Phone: OwnerfBusiness Address: ~SIDENTIAL o COMMERCIAL i'" BASEBOARD KW .s- O FURNACE KW ~ o FAN/WALL KW ~ o HEAT PUMP KW ~ o SIGN o TEMPORARY SERVICE .:a.: PERMANENT SERVICE ~ NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) o OVERHEAD SERVICE 1&' UNDERGRO.!.!t'J.D,6EI3\llCE VOLTAGE: LCO Li:<LU ~ SINGLE PHAS~ o THREE PHASE...."on SERVICE SIZE ~ AMPS DetailslDescription: II UU J/19~s 2- W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. *' ~ Rough-in/cover O.K.-* ~ ~ ~19. O.K. to connect service \ il'iLFinaIO.K. 'M( Site Add ress: /8.:$5 Installer: tc New Meters I Permit/Receipt No. 1.;;Log ,Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report br on the Building Permit. PHONE 457-0411, EXT. 224. il MJ \ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ z-~~- I &-W\. $ b-l V \ rTE - File by address \lPIC PRINTERS INC \ Electrical Inspector Permit Fee YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. DATE ..y'/s-:-~ 0-:5-9?-- ELECTRICAL PERMIT Site Address: o READY FOR INSPECTION License Number: WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. M" RESIDENTIAL I[J COMMERCIAL o BASEBOARD KW _ o FURNACE KW o FAN/WALL KW o HEAT PUMP KW o SIGN ~TEMPORARY SERVICE o PERMANENT SERVICE t5.r NEW CONSTRUCTION to' REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) o OVERHEAD SERVICE )(f UNDERGROUND SERVICE IVOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS Details/Description: q~ -4/fl~ . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. JlI}I'jJ. O.K. to connect service o Finai O.K. Installer: 0L ~s ~ W/3-rr- Date: 6 -3-'}?-- Site Address: . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building P rmit. PHONE 457-0411, EXT. 224. ~I.' /' NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ? "., ?I .;? r;x/, CJ u Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC " J / . ti'~~ ~ ......... V=' o Electrical Contractor ~Owner to.."........,.:J-'" o Annual Permit D Alarm 0 Carnival 0 Commercial ELECTRICAL WORK PERMIT APPLICATION . o Request Inspection 4 - Llt-o> W.esidential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. Electrical contractL name ? p. ~q 'Ii AiUSO N Purchaser ma hn, addressti ~ 1&'35 IA /3 - c ~ clk . .S'fle Ft:r A MGnE.5 w.4 Telephone number License number Installation description EIJL-A-IUr:ItJ1 17~ ;3/1TH IJ} t'i/IiV G- rIW,h- V:.... 1+ T !)LTEf!-T It).:} (2IILC UTT: S' Job wired by c::::I Electrical Contractor ~ Owner ZIP q 83& -:l., FAX number Premises owner's namc< 0AM!: Address of inspection < <Jt4mE: City o Cash 0 Check # I hereby certiry that I am the owner of the above named property or a licensed 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. o Credit Card Card # , Visa Mastercard Discover ---------------- Expiration Date of card o WALLS Insulation Only CEILING Insulation Only THERMOSTAT SERVICE Dale Approved By Dale Approved By Dale .I I Cover 1<<~r prov By Dale Approved By. /. Ic. Cover ~liiH' ~ , Ie Approve By DITCH FEEDER Dale Approved By Dale Approved By Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall ~ KW Service Information Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector ~;.. /"~ ;:;?~/~, _ ,10/ rh:7 - ~ ih./oS' P: I IV kt..-- r9-P ~ / , --- o Overhead Service o Temp Service o Underground Service Voltage Phase 0 1 0 3 Service Size: Feeder Size: /1&9 ~4/~