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Home My WebLink About1923 W 10th St - Building ,. ~~ORT~ ... "$~O~~~ ,. '- ~ ~ 'l.t\~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Use . . . . Property zoning . . . Application valuation 04-00000094 Date .450948 1923 W 10TH ST 06-30-00-9-3-3100-0000- RES NEW SFR RS7 RESDNTL SINGLE FAMILY 114833 Owner Contractor L DELGUZZI/VIRGINIA DELGUZZI 4016 OLD MILL RD PORT ANGELES Structure Information Construction Type Occupancy Type Other struct info NEW VIEW INC. 277 MONROE RD PORT ANGELES (360) 477-9449 NEW 1709 SF SFR W/ATT 575 SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 983621905 Permit MECHANICAL PERMIT Additional desc Permit Fee 86.65 Plan Check Fee Issue Date 2/24/04 Valuation Expiration Date 8/22/04 Qty Unit Charge Per BASE FEE <4.00-, 7.2500 ECH ME-VENT FAN ,LOO~ 10.6500 ECH ME-GAS PIPE 1 TO 5 2/24/04 WA 98362 GARAGE 24.90 V-N 1.00 1.00 9167.40 2284.00 2284.00 1.00 .n \.J ~ '7\6..11'5- }, ~S E " - z 1 .00 o -. o +- ? Extension 47.00 29.00 10.65 PLUMBING PERMIT -----~~~:~:~---------------------------------------------------------------- Permit . . . . Additional desc Permit Fee Issue Date Expiration Date 132.00 2/24/04 8/22/04 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1.00 15.0000 ECH PL- EA. BLDG SEWER 1.00 7.0000 ECH PL- EA.WATER HEATER .00 5.0000 ECH PL- EA. GAS PIPE 1-5 permi t . . . . Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 1101.25 2/24/04 8/22/04 Plan Check Fee Valuation Qty Unit Charge Per .00 o Extension 47.00 56.00 7.00 15.00 7.00 .00 440.50 114833 Extension 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 performanc of construction. Sig '} -/) ~'.- cX/ Date T:\PLANNING\FORMS\1102.15 [11/14/2003] Signature of Owner (if owner is builder) Date BillLDING 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 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 FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERJOR 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 #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT, 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION KW_ / 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\1 102,15 [11114/2003] ~ ~ORT ~ $~O~~~ ha '- ~ ~ 'l.t\lC~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number . . . . 04-00000094 .450948 Page 2 Date 2/24/04 Qty Unit Charge Per Extension 1017.25 84.00 BASE FEE 15.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Special Notes and Comments Electrical load calculations and elctrical permits are required. 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 ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1319.90 1319.90 .00 .00 Plan Check Total 440.50 440.50 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 3534.90 3534.90 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\I ]02.15 [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 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 r YES NO FOUNDATION: FOOTINGS 2,-2 ~~ 64 .J l L.. WALLS J' ,'2'" _ /l J/ J_J.- FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT; # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH.IN r.r-=-1' P -04 IJ.1-. WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS . I (-Y _ , I I ; CEILING Tf!J V'I ...1'- FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS 1"3 -J.}M .Ii L WALLS 1 ROOF 1 CEILING iJ _ S(' /tf,J. J LJ. DRYWALL (INTERJOR BRACED PANEL ONLY) f T -BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING W-I/", -0 i-/ ILL MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5; WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT, SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W, ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT, PLANNING DEPT, 417-4750 PLANNING DEPT- BUILDING 417-4815 a. /h=' (!.JI-I J I J BUILDING T:\PLANNING\FORMS\ I 102.15 [11/14/2003] tll tll tll tll tll tll tll >-i 'Cl ~;;;~8EJ r:l'" 0-< 0-< 0-< ::: 0-< H 0-< >< ; H", '" H W '" 10 >-" '" "'"' ZO >-iOJ '" "' '- O-<r:lOJ>-i", ><'" [f) .... OJ",",OJ ;t> 0 0 0 0 0 0 0 0 ... 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If you have any questions, call ~v (360) 417-4815 FOR OFFICIAL USE ONLY: Date Rec,:Z - s-oy permit#:~, I Date APproved:~ ~ Date Issued: I Applicant or Agent: -.J e ~ :p 'f" ',€. 5:. t Owner: -f}/I (L.....- L "!d V: J'" 9 "V\. ~ <1. .kLj iJ.."2 '7 Address: City: Phone: Phone: i.j 7 7- lj '-i y' ? Zip: Architect/Engineer: Contractor ?J.ew- 'y ~- J I1t' . Address: ~ )S....s- ')1?u-r:nJLb<- A/) PROJECT ADDRESS: I q" "3- LEGAL DESCRIPTION: Lot: , 0 CLALLAM COUNTY PARCEL NUMBER: Phone: State License #: (l'euJV:Trtii)"~Q[ ).-30'-0& Phone: LjS")'~ 9fv&-q City: 12. A , Zip: t/.~.J02 W 'O....Y\. ZONING: Block: ..3 Subdivision: o G:' J () {'() 'lJ3d otX::JO LV 12.!{ 1- j//~ (J- Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: o Residential 1(' New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: o Stove o Garage o Deck o Other ~/t13'< f=~H.),h, , Exp. Date: SIZEN ALUATION: H()Iod. /)09 SF. @ $ 6Dc.e. ISF. = $ I 02Sf..{O 00 ~.,~ S)S SF.@$ Zt.5B ISF. =$ (2.. 2Cf3 0<'> , SF.@$ ISF. =$ TOTAL VALUATION $ j /4 B:53 0= ()" ",(.ii" !,,~ ...; COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: L Lot Size: ~ I h 7, '1 Existing Sq. Ft. 0 & Proposed Sq. Ft. 2:l ~CJ = TOTAL Sq.Ft. 22 8't Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage 24, <=f % ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APPRO~: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107 A 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. T:\FORMS\APPS\Buildingpennitwpd Applicant: ( 1/-.J?~;;( Date: :J- "3 ... 0 {/ ( , v c,\ q~' ! I , i l J " j j ) 9 I 6 J , '-I 7 L.e:>+ It:> Bl '$ w~s fv; Q.W , '( '2. ~ \AI" 10 "--.., qo '. ------------------.-------.-----------.---.. -----l '-f '. c;j) J r J 1 , I 4% I , 1 S<.f ! i I l~ I,J ....-l I I i r I 14S- I i I/O'!,)) t< --- IS -}: I . r;--~ l .1- VL i .~ 2f; I { YO 10 '1h ,__,._,_ .~_~_fr -e. el Appendix E: Sample Checklists & Wor1l.sheets L ~ CODE ~ Attacmn80t C Permtt No. Plans Examiner and Inspector Checklist 04 '- qL( Address I'qz 3 W t of ~ Plana Examiner: Inap4tC1or: Check. write in N/A. or fill in value on shaded boxes. Check off boxes at left as items are found to comply_ Compllan~ approach: (chad< one) 0 Systems analysis o Component perloonanoe o Presaiptive path Nota: Some specifics on this form may not apply if A) compliance approach is systems analysis or component pertonnance; . B) compliance 10 minimum ventilation criteria is demonstrated through engineering calculations Of pertormance testing. FOUNDA T10N PHASa: o Slab: A- D D ! Exterior down to frostllnelslab bonom; or Intgr10r 24- horizontal or vertlcal;or. If radiant. under entire slab I I (Hlnterior - see Insulatlon Pha.s8) R- Below gnlde exterior wallln.ulatlon: I Radon mitigation: ; : If locally required. or crawlspace venting <1fV300ft2 of crawl, or vents Indl.de an opera~e damper FRAMING PHASE o Ff'amIng: hi/i:i:,:d StaOOIud I:L/:~::,::J ntClflTled1ate IS~iiII AcIvanoed o 8td air....: ~optIaubftr, ~ prttnud afll; wfndaw & door frms; penG1nItlon-wlre, plumb, due:!, pe.r1ItIon studs, nlHl. light ftxtlns o Source apeeHtc axhaust teM: SIz8 requlrement-bsth,laundfy (SOcfm); kttdlen (100dm) o What. hOUM axhaust fan I ": ,': ~ Intennfttent a)'3tem has manual &. auto controls; OUtdoor air supply req_ 'or habitable rms. - o Int~rwted fol"Ce<Hilr .ystem CJ outside air due:! (wlth damper) aJ1ow1ng between .35 and oS ACH INS(UmN PHASE on. o R- ~I o R- :30 o R- ..]~ o A- 3~ o Yap<< m.n:Mre: WtlJIa, tIoonl. C>>lIIng o ~ng.-yatem type: I. H~4...tP()rt}p ! 1 J 1 I wan InsulaUon (.bov. grade) w.n IMulatlon (below grade): Int.or1or walllnsulstloo ROOf" lnaulaUoo Cefllng lnaulatloo: nctudtng attic hatch Veufted oe4l1ng Insuhrtfon . .1 Fof~. bt BtuI. HSPF, 'and COP I FIW. PHASE o Radon monItor Ofl .tt.: wtth InstructJoos end ~ 1nf0CTTld00 o Thenno.tat heet range. 55- 75: AC range, 7O-aS: both, 56-65. Badwp hoat CDntrob pr.vent ~ operation of pOmary 'ys_ o ~Id fuel .pplt.nc.a: ~83$ or metal doonI; direct comb_ air aoun:::.e, or.co d1a.. ~ed. IncIract ~ lor l.I1OOfld. areaJi o ~aoea: e- c.ombLmkx1 aJr -..rppty dud w/damp<< direct 10 1lr4lOo~ tiglt tlttlng ~ or nltItaI doora. o OHW ~: NAECA Iabe{: Mpe.t 018 power or ~ ahut-off; on R-10 pad If ~c and In \.rlOOfld. arM 0( If on c:onct ate o Mechanical ventflaUon duct. lneula1~ to~: elChaus1 ~ In U"lCOndItloo.d 81--'euppIy ducU In CXlOdltlooed tilMUl o & ,..... ..... -:.. 1 HV AC duotalpl.num 1naut.u0fl: cIucts In ~ ar-.s 81e Insulated and Jolota are ..&.d o Ptp.e IMUlatloo: R-JIor hot and cold water pIplng In ~ ar~ (If ~ or redrcUaUng,... TabM &-12) o Ground cover: 6 nil blad( ~ethy1--'app<<Ned equal lapped , 2'" at fOO111l and extendlng 10 foundation wall E-52 Appendix E: sample Checkllata & Wol1c.8hM1a PLaN EKanVn<< _ fill out this plating MCtioo or Il1tac:tll window sc;tledu14t \0 Ihis checklist. Inspector - Yertty window 11'\- lormation during field inspectionS. Indude skyiights. glass doors and all other glazing on !his torm. Use rough opening area tor calaJldonS. ILUJIG Size Quantity A,... U- V aluelManufacturer I Verified ~o~ .] Co 0 ') c: i I ..:J- 'l.o (:-0 - I /0 ,?i ,) , ,,).:::, 3050 r 1('-' .15' " " l,:.l. ' .,..:~ '-.- SO '! (J I r . .s S" .I..' '. ., ~ GO SO I .-- . ~~- ,JS- .j'V 4(),./ I I:J.. . , ~r :;..0 10 .' J (1' ~l "...-- .. .:; .:::, 46 </0 I J& ")!"- " ...~. .f-~ "" ,')...t. tj c) ;).. ,,1.../0 ,. ., . . ~. .. .. - c ,. , ~ - ,~'::.h.. .~~ ",' ',t, .. .1 j ,:ti' '_\.~' .~ -... .. i ~:.~ .~..~,',. -.'" :': ' 'l.;~. .. '- -, < 'n .......' , . ." . . . (-" Total glutng...a: / " -, Total conditioned arM: /)0'.9 .. - - "1._)' -j~:,..,.;. -,' , ["1 1'.' Percentage glazing: v.rtfled , ';~.; ; DOORS \" '.'> . t ,~-- ~, l,~" Plans Examiner _ fESt opaqJe doors by type (so4id core, Insulated. etc.). quantity. lJ-value. IWKJ ~ur9r. mpector - verify dOor infonnation during fiekj Inspection. ". .. Type/Quantity .. U-Value/Manufacturer Vertned GO ro ~ .r I,' d. d 'f.J mgMtun of Bufldlng OffIcill: 01I\e of Anllln.pecUon: --., ["0:,,} E.53 "i.'~"i~~ , '1.; ~ , ",,",~<"l~~--,-~-:-,",,:-:'~ "'f"-- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000094 Date .450948 1923 W 10TH ST 06-30-00-9-3-3100-0000- RES NEW SFR 4/09/04 RS7 RESDNTL SINGLE FAMILY 114833 Owner Contractor L DELGUZZI/VIRGINIA DELGUZZI 4016 OLD MILL RD PORT ANGELES WA 983621905 NEW VIEW INC. 277 MONROE RD PORT ANGELES (360) 477-9449 NEW 1709 SF SFR W/ATT 575 SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Structure Information Construction Type Occupancy Type Other struct info GARAGE 24.90 V-N Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 2284 SQ FT. SFR. ELECTRIC SERVICE 116.20 Plan Check Fee 4/09/04 Valuation 10/06/04 .00 o " ~~ K~ ~ \t ~ ' ~ ,- ~ r-.. ~ "'" &. \~ t~ '\ ~ 1.00 1. 00 9167.40 2284.00 2284.00 1. 00 Qty 1. 00 2.00 Unit Charge Per 70.8000 ECH 22.7000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 70.80 45.40 Special Notes and Comments Electrical load calculations and elctrical permits are required. 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 ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 116.20 116.20 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1890.70 1890.70 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law" regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\ I 102, I 5 [I 1114/2003] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN 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 ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERJOR 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 #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ?//'3kc; hO ELECTRJCAL 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 [11114/2003] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN 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 I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERJOR 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 #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL 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 11-1- 0'-1 Ko>, BUILDING T:\PLANNING\FORMS\1102. 15 [11/14/2003] 1?e..c.ker 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 04-00000094 Date .450948 1923 W 10TH ST 06-30-00-9-3-3100-0000- RES NEW SFR 8/13/04 RS7 RESDNTL SINGLE FAMILY 114833 Owner Contractor L DELGUZZI/VIRGINIA DELGUZZI 4016 OLD MILL RD PORT ANGELES WA 983621905 NEW VIEW INC. 277 MONROE RD PORT ANGELES (360) 477-9449 NEW 1709 SF SFR W/ATT 575 SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Structure Information Construction Type Occupancy Type Other struct info GARAGE 24.90 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 1700 SQ. FT. SECURITY SYSTEM HI TECH ELECTRONICS 42.20 Plan Check Fee 8/13/04 Valuation 2/10/05 .00 o '" .......... ~, ~ , ~ ~ ~t ~ ~, "'1 ~1 f ~ \~ V-N 1. 00 1. 00 9167.40 2284.00 2284.00 1. 00 ---------------------------------------------------------------------------- Qty 1. 00 Unit Charge Per 42.2000 EL-LOW VOLT SYS <=2500 SQFT Extension 42.20 ---------------------------------------------------------------------------- Special Notes and Comments Electrical load calculations and elctrical permits are required. ----------------------------------------------------- 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 42.20 42.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1816.70 1816.70 .00 .00 ~ ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNINGlFORMS\1102,15 [11/]4/2003] 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 A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION, 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) SEP ARA TE PERMIT: # ROUGH-IN I 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 WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERJOR 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 #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEP ARA TE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ~fi/t;'1 lie(/.? ELECTRJCAL 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 417-48]5 BUILDING T:\PLANNING\FORMSII102.15 [11/14/2003] FROM HI-TECH ELECTRONICS FAX NO. 360 452 8560 Aug. 11 2004 12:51PM P2 : " ~.,' tji'O' ""':~~~' '. ~- " .... b/P; .. ELECTRICAL PERMIT APPLICATION ;O'ROF1'lCJ,....!...\J~'.;)~I1."r Ollo:1lo;;_._._..____ "-"hit. tl~AwOyt4 DlIu:lnytcl" The EJeat:ic,,! Perrr.it A&!pllcauon nll.l~1 b~ filled out comnle'eh/. Pleose ty&lt Dr rQprtnt 1J'l inlc.. t1 YOLlI'l8V~ 8ny qUO.lltl6l'1a, pi "au coiIlI (3GQ) 411-4735 IOu. t'lumbor: (ai50) 417-4711 O'I-fL(-ot'-n O"',e,orEIec.Conh,otJrAgenl: (~'( ~L.."'t~\LA-. "Oo.~y OWnoe 02:.,..) ~l" '-L A4.,....; I q 2 3 we..srr I 0 ~ Cily; E1e:cIriC5i1 Cpn1raccor:, ""', ..:-r-~1:..t4 ~\~"f"CtC)t.J..c. c:... A.oClr~ss; ,-z.3 E.A:-"T'" 't:"iP.Il.~ ,,;...- r.lly.: PhMO; L.\-S"'2- 2,2., Fax: Phone: 4'52.-6S""0 ~-70'2. - 39D I Zip: 9~ 3. Phone: --1....2--27'2 f.. Zip; Ii 8:;:-~? \l__..... Ao- 'V,~l..~ l;c:ense#:,Iol\'Ti<:A"'''' Exi>: 2-J9Jor -.... I\>n, or, ~ tI.c.[ INSTAUJ-TiON WIf<ED BY: Cl OWNER ~ECTRICAl. CONTRACTOR Credll C.rd Holder Name; 6~"\""" f'C\ . ~ ~ \ 't-'\L.A- Bif/ini'A~dress: 72.$ 'Z~T" ~, City: \'=.._ ~"2-li4>!;,. "'- . ZJP;'1 8 3'.. 2- VISA~ Me;_ PROJJ:CT ADDRESS: I ~2. :s '-'2:....... \D~ TYPE OF WORK: Check.llJ iliat apply: ~..w' [J A1teratDnlAtlditlon . ~jdentJal C; Mufti-femily o COf71mercial I:J Mobile Horn.. . Sq. 1"1 17 PO' o Remote Mstee, [J DetaChed garage Cl Hot Tub' I:J SWfm Pool 0 Sept/<: Pump Cl Low Voltage Cl Teleoom. 0 Sigh Number of Circuits addaO Or anenia: oeSCRJPnON OF. THE ELECTR/:::AL PROJECT; :C~"'l.- ~~. " ~ q,'t-Q;.............. I Cj Ilassboard o F umaos OlilllllPump OF.n-Wall _ 'r<W 'KW - TON LRA ~KYV - 'Jj ~ o Overhead Service o Temp Service ::::J Underground Service Sarvice InfornlBticn Eleotrloal Heal Lea(! Additions and or Subtractions , ' . Vo:tage; Phas", 0 j C 3 Service S!.z.Cl: Feeder S~8; I hersby certify that I have rsad and examined this application and know that same to be true and correct, ana I am authorized to apply for this p~rmit I unrierotand .it is not the City's legal responsibility to determine what permits ars rsqulrM; it rsmalns the appIIClin~$ responsibility to determine what permits /lfe required and fu obtain such. ~\~"Jl\>k .. . CnldilCard Holdee's Signalure: ~r!\~ Dato: el"l7..co'-j Ownee or EJoc. Cont. SienatlJre: ~ 'N'\?~.OAte' a /1-/ L.fO(J'1 A4'- PERMIT FEE: $ Lf2.2-0 ;~EL.CTRICAI.PERMlTAPPLICAl1CN 1)\[/ ~\ Jco !/;;L/0Lj , '-.' , , .-..~, .. FOR OFFlCI.A.L USE ONLY DaldRec !'errnit ~ DalcApprovcd Dale l~sucd' '.. ELECTRICAL PERMIT APPLICATION The Electrical Permit Application must be filled out completelv. (YI- 9L( Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 4174711 Owner or Elec. Contractor A9int: EIi.( -11- I '~ S t L~ J. ,1 h ( Property Owner; ^).t ,IV Vl f_,^_ __ ~ Address: fYI \' h {O --e. 1'2 4 City:~ Electrical Contractor: E--r Q..p :t ....t I~ ~ ~rvI 1~' t\f'\ f' License #: Address ~'l- {h. [( y;u 11- V ~ lIoy f I~.f City /J JJ.- Phone: 'i "l ), '" '-I "2~ Fax: '-t 5'2-bLf ~lf Phone: Zip 9 k7r<., ":) Phone: "" ~ 1 </ ~'f?}'- Zip '7~]0:::l_ ~J...fZ:CI ~t l"3 Exp ~~... INSTALLATION WIRED BY: DOWNER ~LECTRICAL CONTRACTOR Credit Card Holder Nathe: -G clk Billing Address: OYL Credit Card Number: PROJECT ADDRESS: t~2~ \. A ) TYPE OF WORK: Check <ill that apply: 0 New o CDmmercial 0 MDbile HDme Sq. Ft )<L Residential 0 Multi-f~mily o RemDte Meter 0 Detached garage Zip: -- -1 Exp. Date: '\ VISA: MC: -::y--- ..j bJ~ toT /0 8[,,<'- i:::- 3 no'1 + 575 r '::>'2!3'1' (tOO o AlteratiDn/Addition Number of Circuits added or altered: D Hot Tub 0 Swim PDDI 0 Septic Pump o LDw VDltage 0 Telecom. 0 Sign DESCRIPTION OF THE E~ECTRICAL PROJECT: V\ L u..-' ') () r') y-~s:i &1 v,d ___ ("'., .v.f Electrical Heat Load Additions and or Subtractions Service Information / hereby certify that I have read and examined this application and 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 are required; it remains the applicants responsibility to determine what permits are required and to obtain such JiJhJ tJ ~ Date: ~j 9/C?y WHAt 2J (j2..d Date: ~/c,/ {"}-f 9~ /It ,~O o BasebDard o Furnace o Heal Pump o Fan-Wall _KW -1llKW l TONL-lRA KW Credit Card Holder's Signature: Owner Dr Elec. CDnt Signature: \/fl'i m~U T ct-- y fc11/L {!-Gql)(~6[) SC;,,::c (l-T7tJ..6'rtGt) ':::?;Je'~};~;" - 1IJ o Overhead Service o Temp Service (idnderground Service . VDltage: ;:l bj"-'<o Phase: CX1 3 Service Size: Qp) tJ il Feeder Size: ~ PERMIT FEE: $ o/q lor -' "1, CITY:fCDF 'I -, !,.I , .' ~ORTANGELES , WAS H I N G TON, U. S. A. PUBLIC WORKS & UTILITIES DEPARTMENT i, ~.,' January 23,2004 Jeff Priest New View, Inc. 2755 Monroe Road Port Angeles, W A 98362 Subject: New SFR Lot 10, Block 3 ofWestview Subdivision Dear Jeff: The estimated cost for installation of a polemount transformer to serve your new construction is $1,191.00. This estimate is good for 180 days. If you install the service underground from the pole to the meterbase, you or the owner will be responsible for the installation and future maintenance of the service wire in conduit and the nser. If a future customer takes power from the new transformer within seven (7) years of installation, the current property owner will be refunded a proportionate amount of the original cost. . If the actual cost of installation is more than the paid estimate, there will be no further billing. If the cost is less than the estimate, you will be refunded the difference. Transformer installation will be scheduled after payment of $1,191.00, the estimated amount. Please feel free to contact me at 360-417-4708 or e-mail: gmclain(Q).citvofoa.us. if you have any questions or concerns. ..:tr~IY Ours, Gai~ain Electrical Engineering Specialist cc: James Harper,Electrical Engineering Manager Attachments \0." 321 EAST FIFTH STREET. P. O. BOX 1150 · 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