HomeMy WebLinkAbout4322 C St - Building
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000479 Date
208780
4322 S C ST
06-30-08-5-8-1890-0000-
RES MANUFACTURED HOME
7/06/05
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
RESIDENTAL SF 7000
RS7 RESDNTL SINGLE FAMILY
31000
Owner
Contractor
BLANTON JR GENE A
223. .li'RESHWATER PARK
PORT ANGELES WA 983639626
OWNER
Other struct info .
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
25.50
1. 00
7010.00
1792.00
1792.00
~
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Perm.it ... . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
\j\
----------------------------------------------------------------------------
BL MANUFACTURED HOME
MANUFACTURED HOME INSTALLATION
53769
230.00
7/06/05
1/02/06
::::
Plan Check Fee
Valuation
.00
31000
~
~
BASE FEE
Extension
230.00
~
Qty
Unit Charge Per
----------------------------------------------------------------------------
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. lOrd. 14.36.050-El
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
06/28/2005 11:14 AM SROBERDS -- Proposal will allow mfg
home in the RS-7 for total lot coverage of 26%. Setbacks
are good. No land use issues are noted.
MAINTAIN CLEARANCES FROM SERVICE WIRES.
An Easement is Required for the Service wire to "4314" CSt.
06/20/2005 04:36 PM JHEBNER ------------------------____
Electrical load calculations and electrical permits are
required.
$410 connection Fee.
06/20/2005 04:37 PM JHEBNER -----------------------_____
Any modifications to the City'S electrical facilities will
be at the customer's expense.
City will restore ditch to required depth, a 12" culvert
will be installed to City Stanards by owner at drive way.
Drive way will be installed 25' north of property line from
Fountain.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
A
/1)
o 3" C; ~q/
OS'
......
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Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE 745.00
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 pr visions of any state or local law regulating construction or the performance of
construction.
)'
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building pem,it inspection record05.wpd [1/4/2005J
r
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON 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 I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF I CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR I CEILING
MECHANICAL
HEAT PUMP / FURNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKlRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
I' ARKING/LlGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. . 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. I 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:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA98362
Application Number . . . . . 05-00000479
Application pin number 208780
Page 2
Date 7/06/05
----------------------------------------------------------------------------
Other Fees
STATE SURCHARGE
PW WATER SYSTEM USE FEE
4.50
1025.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 230.00 230.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2004.50 2004.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\ 1102_15 building permit inspection record05.wpd [1/4/2005J
r
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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: I
FOOTINGS 'v (
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS ! Cil t2../ Db :fiv
PIERS I
POST HOLES (POLE BLDGS.)
PLUMBING ~
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG) I n-ll_nS ~\ h L..
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS / ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA TION
SLAB
WALL! FLOOR 1 CEILING
MECHANICAL
HEAT PUMF 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB / In 1911 0 17~ fJ.t, -t:J S-
BLOCKING & HOLD DOWNS Iq ~ ?-Jt) -oS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT tl's SEPA: 1
P ARKING/LIGHTlNG ESA:
LANDSCAPING SHORELINE: ~
~
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE ~.
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO ~.
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT ~.
CONSTRUCTION R.W. 1 PWI 1/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT. l
PLANNING DEPT. 417-4750 / / PLANNING DEPT.
BUILDING 417-4815 IJ 11" /0 '7 I\. IV BUILDING
T:\Policies\I 102_15 building pennit inspection record05.wpd (1/4/2005) V .
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
05-00000479 Date
208780
4322 S C ST
06-30-08-5-8-1890-0000-
RES MANUFACTURED HOME
RESIDENTAL SF 7000
RS7 RESDNTL SINGLE FAMILY
31000
Contractor
BLANTON JR GENE A
223 FRESHWATER PARK
PORT ANGELES WA 983639626
Other struct info .
Permit . . . . .
Additional desc .
Permit pin number
.permit Fee
Issue Date
Expiration Date
OWNER
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
PUBLIC WORKS RES WATER SERV
52837
715.00
7/06/05
1/02/06
Plan Check Fee
Valuation
Qty Unit Charge Per
1.00 715.0000 EA PW W/M 1" SERV 5/8" METER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
52852
50.00
7/06/05
1/02/06
Plan Check Fee
Valuation
Qty
.00
1. 00
Unit Charge Per
715.0000 EA PW W/M 1" SERV 5/8" METER
50.0000 ECH RIGHT OF WAY PERMIT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
52845
110.00
7/06/05
1/02/06
Plan Check Fee
Valuation
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
7/06/05
25.50
1. 00
7010.00
1792.00
1792.00
.00
31000
Extension
715.00
.00
31000
Extension
.00
50.00
.00
31000
Extension
110.00
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. COrd. 14.36.050-El
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
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 ahd 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
co ruction.
T:\Policies\11 02.15R [1/05]
Signature of Owner (if owner is builder)
Date
,---
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I
I
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I
I
PERMIT INSPECTION RECORD
,~
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE 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
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SlDEW ALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1/05]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000479
Application pin number 208780
Page
Date
2
7/06/05
Special Notes and Comments
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
06/28/2005 11:14 AM SROBERDS -- Proposal will allow mfg
home in the RS-7 for total lot coverage of 26%. Setbacks
are good. No land use issues are noted.
MAINTAIN CLEARANCES FROM SERVICE WIRES.
An Easement is Required for the Service Wire to "4314" CSt.
06/20/2005 04:36 PM JHEBNER ----------------------------
"..Electrical load calculations and electrical permits are
required.
$410 Connection Fee.
06/20/2005 04:37 PM JHEBNER ----------------------------
Any modifications to the City's electrical facilities will
be at the customer's expense.
City will restore ditch to required depth, a 12" culvert
will be installed to City Stanards by owner at drive way.
. 'Drive way will be installed 25' north of property line from
Fountain.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
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 875.00 875.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2649.50 2649.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\II02.15R [1105]
,
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNL4WFUL 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 COMMENT;;
YES NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
..........
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRlVEWAY APPROACH
BACK.FLOW DEVICE
;~~
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W. I PW I CONSTRUCTION - R.W.
ENGINEERlNG 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Po1icies\1102.15R [1/05]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000479 Date 10/03/05
208780
4322 S C ST
06-30-08-5-8-1890-0000-
RES MANUFACTURED HOME
RESIDENTAL SF 7000
RS7 RESDNTL SINGLE FAMILY
31000
Owner
Contractor
BLANTON JR GENE A
223 FRESHWATER PARK
PORT ANGELES WA 983639626
OWNER
Other struct info .
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
25.50
1. 00
7010.00
1792.00
1792.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
RE-ROOF
61440
62.25 Plan Check Fee
10/03/05 Valuation
4/01/06
.00
31000
Extension ...." _. t I
BASE FEE 62.25 -~
----------------------------------------------------------------------------
Qty
Unit Charge
Per
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
06/28/2005 11:14 AM SROBERDS -- Proposal will allow mfg
home in the RS-7 for total lot coverage of 26%. Setbacks
are good. No land use issues are noted.
MAINTAIN CLEARANCES FROM SERVICE WIRES.
An Easement is Required for the Service Wire to "4314" CSt.
06/20/2005 04:36 PM JHEBNER ----------------------------
Electrical load calculations and electrical permits are
required.
$410 Connection Fee.
06/20/2005 04:37 PM JHEBNER ----------------------------
Any modifications to the City'S electrical facilities will
be at the customer's expense.
City will restore ditch to required depth, a 12" culvert
will be installed to City Stanards by owner at drive way.
Drive way will be installed 25' north of property line from
Fountain.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Separate Permits are required'foreiectricai 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 al law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
T:\Policies\ 1102_15 building pennil inspection record05. wpd [ 1/4/2005]
-K
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1----
I
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON' DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLOG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING .
JOISTS / GIRDERS ~ . . ; -!. . .
..
SHEAR W ALUHOLO DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB I I I
WALL / FLOOR I CEILING I
MECHANICAL
HEAT PUMWI FURNACE I DUCTS
GAS LINE
WOOD STOVE I PELLET I CHIMNEY
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 building permit inspection record05.wpd [I/412005J
of pORT ~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000479
Application pin number 208780
Page 2
Date 10/03/05
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 62.25 62.25 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2184.50 2184.50 .00 .00
Grand Total 2246.75 2246.75 .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
Dat.~
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
,-----
,
BUILDING PERMIT INSPECTION RECORD
-...
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735.FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR I CEILING '..
MECHANICAL '"
HEAT PUMW 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKlRTING
11
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
P ARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
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T:\Policies\1102_15 buildingperrnit inspection record05.wpd [1/4/2005]
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From:
To:
Date:
Subject:
Kathy Emery
Becky Horton
8/30/2006 1:52 PM
Building Permit Refun
cc:
Becky,
Sue Roberds
Please credit $62.25 to acct #001-0000-239-9000 for Building Permit #2005-479 for Gene Blanton Jr, customer canceled
roofing permit. I have voided the receipt in cash receipts. Sue will be issuing an FPO for the refund check.
Thank you.
Kathy
ffoW f)(p1<-/
CUM&11eJ
I Cashier inf;
Payment Type c-A
Check #
Receipt #
,,-J. .'
Fee Type
Refund Amount 4t6-~.~
Adj~!:;t'!l~!1!___u. .. ..
Posted Fee
New Fee .
~GIJ€ /OlfrAl7OH vt2 .
'1:2 a F~e5H WA 7et2. ~ .
Fb/21 h-J&'e~ WA
Cf~~('3
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdiyision Name
Property Use
Property Zoning . . .
Application valuation
05-00000479 Date 10/03/05
208780
4322 S C ST
06-30-08-5-8-1890-0000-
RES MANUFACTURED HOME
RESIDENTAL SF 7000
RS7 RESDNTL SINGLE FAMILY
31000
Other struct info .
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
25.50
1. 00
7010.00
1792.00
1792.00
~
\
~
~
Owner
Contractor
BLANTON JR G~NE A
223 FRESHWATER PARK
PORT ANGELES WA 983639626
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
RE-ROOF
61440
62.25 Plan Check Fee
10/03/05 Valuation
4/01/06
.00
31000
Qty Unit Charge Per
BASE FEE
Extension
62.25
1"0 ~e ~(~e"uet'-
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-El
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior ,to backfill.
06/28/2005 11:14 AM SROBERDS -- Proposal will allow mfg
home in the RS-7 for total lot coverage of 26%. Setbacks
are good. No land use issues are noted.
MAINTAIN CLEARANCES FROM SERVICE WIRES.
An Easement is Required for the Service Wire to "4314" CSt.
06/20/2005 04:36 PM JHEBNER. ----------------------------
Electrical load calculations and electrical permits are
required.
$410 Connection Fee.
06/20/2005 04:37 PM JHEBNER ----------------------------
Any modifications to the City's electrical facilities will
be at the customer's expense.
City will restore ditch to required depth, a 12" culvert
will be installed to City Stanards by owner at drive way.
Drive way will be installed 25' north of property line from
Fountain.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Other Fees
RES OVERHEAD SERVICE FEE
410.00
i~
~N
t~
,
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102_15 buildingpennil inspection record05.wpd (1/4/2005]
I
,
I
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
,
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
., WALLS
.' FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
;, POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERs" . .' . , T-.
SHEAR W ALUHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUNWI FURNACE 1 DUCTS
GAS LINE
, WOOD STOVE 1 PELLET 1 CHIMNEY
. , COMMERCIAL HOOD 1 DUCTS
~ANUFACTURED HOMES
jFOOTING 1 SLAB
BLOCKING & HOLD DOWNS
. SKlRTING
. ,
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION. R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 building pennit inspection record05.wpd [1/412005]
"
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000479
Application pin number 208780
Page 2
Date 10/03/05
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee swnmary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 62.25 62.25 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2184.50 2184.50 .00 .00
Grand Total 2246.75 2246.75 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building permit inspection record05.wpd (1/4/2005]
I
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR I CEILING
MECHANICAL
HEATP~/FURNACE/DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
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~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000479 Date
208780
4322 C ST
06-30-08-5-8-1890-0000-
RES MANUFACTURED HOME
8/30/06
Owner
Contractor
~
.
~
,~~
.--t)
RESIDENTAL SF 7000
RS7 RESDNTL SINGLE FAMILY
31000
BLANTON JR GENE A
223 FRESHWATER PARK
PORT ANGELES WA 983639626
OWNER
Other struct info
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
25.50
1. 00
7010.00
1792.00
1792.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BL MANUFACTURED HOME
MANUFACTURED HOME INSTALLATION
53769
230.00 Plan Check Fee
7/06/05 Valuation
4/17/06
.00
31000
Qty Unit Charge Per
BASE FEE
Extension
230.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
RE-ROOF
61440
62.25 Plan Check Fee
10/03/05 Valuation
4/17/06
.00
31000
Qty Unit Charge Per
BASE FEE
Extension
62.25
Special Notes and Comments
permit extended, letter on file.
08/30/2006 10:49 AM DYASUMUR -------
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 location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
06/28/2005 11:14 AM SROBERDS -- Proposal will allow mfg
home in the RS-7 for total lot coverage of 26%. Setbacks
are good. No land use issues are noted.
MAINTAIN CLEARANCES FROM SERVICE WIRES.
An Easement is Required for. the Service wire to "4314" CSt.
06/20/2005 04:36 PM JHEBNER ----------------------------
Electrical load calculations and electrical permits are
i~
~~
~\\
~
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permi
null and void if work or construction authorized is not commenced within 180 days. if construction or work is suspended or a
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days the la
u inspection. . '-hereby-certify that-l have-read and examined this application and know the same to be true and correct. All proVisions 0
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
conslructi n
g Sign~ o~ Ow:r <'f owner ~ builder)
Date
T:\Policics\l102_15 building pennil inspection rccord05.wpd [1/4/2005]
BUll.DING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
I
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
..A fOUNDATION:
!,;.,.. , FOOTINGS
.
SHEAR WALLS 1 WALLS
.'
FOUNDATION DRAINAGE 1 DOWN SPOUTS
, PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLOG)
GAS LINE FINAl DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WAlL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUNW 1 FURNACE 1 DUCTS
GASLINB.
WOOD S'TOYf; 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
, "COMME~ciAL HOOD 1 DUCTS
, ,
M~NUFACTURED HOMES
, FOOTING 1 ~LAB
. .
. '.eWcK.lNO & HOLD DOWNS
-9K1RTlNO-
I
'PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
,PARKlNGiL!GHTING ESA:
'LANDSCAPING SHORELINE:
. .
. " FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
, RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
,
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
. .
T:\Policies\1102_15 building permIt inspection record05.wpd [1/412005]
I'
.g
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . .
Application pin number
05-00000479
208780
Page 2
Date 8/30/06
special Notes and Comments
required.
$410 Connection Fee.
06/20/2005 04:37 PM JHEBNER ---------------~-~-~----~---
Any modifications to the City's electrical fac1l1t1es w1ll
be at the customer's expense.
City will restore ditch to required depth, a 12" ~ulvert
will be installed to City Stanards by owner at dr1v~ way.
Drive way will be installed 25' north of property l1ne from
Fountain.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Other Fees
RES OVERHEAD SERVICE FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
410.00
745.00
4.50
1025.00
Charged Paid Credited Due
Fee summary
---------- ---------- ---------- ----------
-----------------
Permit Fee Total 292.25 292.25 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 2184.50 2184.50 .00 .00
Grand Total 2476.75 2476.75 .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-certifythat-lhavereadand 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:\PoliciesIII02_15 building pennit inspection record05.wpd [1/412005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECfIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS I
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LlGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGlIT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\l102_15 building permit inspection record05.wpd [1/412005]
't~
{i
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
8/30/06
05-00000479 Date
208780
4322 C ST
06-30-08-5-8~1890-0000-
RES MANUFACTURED HOME
RESIDENTAL SF 7000
RS7 RESDNTL SINGLE FAMILY
31000
Contractor
BLANTON JR GENE A
223 FRESHWATER PARK
PORT ANGELES WA 983639626
Other struct info .
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
OWNER
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
25.50
1. 00
7010.00
1792.00
1792.00
PUBLIC WORKS RES WATER SERV
52837
715.00
7/06/05
4/17/06
Plan Check Fee
Valuation
.00
31000
Qty Unit Charge Per
1.00 715.0000 EA PW W/M 1" SERV 5/8" METER
Permit . . . . .
Additional desc .
Permit pin number
permi t Fee
Issue Date
Expiration Date
Extension
715.00
RIGHT OF WAY
52852
50.00
7/06/05
4/17/06
Plan Check Fee
Valuation
.00
31000
Qty
.00
1.00
Unit Charge Per
715.0000 EA PW W/M 1" SERV 5/8" METER
50.0000 ECH RIGHT OF WAY PERMIT
Extension
.00
50.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
52845
110.00
7/06/05
4/17/06
Plan Check Fee
Valuation
.00
31000
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Special Notes and Comments
permit extended, letter on file.
08/30/2006 10:49 AM DYASUMUR -------
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. COrd. 14.36.050-E)
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 t provisions Of~nY sta or loca law regulating construction or the performance of
const ion. ~ ~G OG' .
Sign ture of Owner (if owner is builder) . Date
T:\Policies\11 02. ISR [1105]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOC.~TION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
PW UTILITIES (Engineering Division)
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SInEW ALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R W./ PW/ CONSTRUCTION - RW.
ENGINEERING 417-4807 PW / ENGINEERING .
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING -
T:\Policies\1102.15R [II05J
li
~--
~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000479
Application pin number 208780
Page
Date
2
8/30/06
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
06/28/2005 11:14 AM SROBERDS -- Proposal will allow mfg
home in the RS-7 for total lot coverage of 26%. Setbacks
are good. No land use issues are noted.
MAINTAIN CLEARANCES FROM SERVICE WIRES.
An Easement is Required for the Service Wire to "4314" C St.
06/20/2005 04:36 PM JHEBNER ---------------------~------
Electrical load calculations and electrical permits are
required.
$410 Connection Fee.
06/20/2005 04:37 PM JHEBNER ----------------------------
Any modifications to the City's electrical facilities will
be at the customer's expense.
City will restore ditch to required depth, a 12" culvert
will be installed to City Stanards by owner at drive way.
Drive way will be installed 25' north of property line from
Fountain.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Other Fees
RES OVERHEAD SERVICE FEE
SEWER SYSTEM DELV .CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
410.00
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 875.00 875.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2184.50 2184.50 .00 .00
Grand Total 3059.50 3059.50 .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
l
T:\Policics\1102.ISR [I/OS}
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES NO
PW UTILITIES (Engineering Division)
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1/05]
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~ORTANGELES
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WASH,INGTON, U.S.A.
Public Works & Utilities Department .
August 5, 2005
Gene and KathleenBlanton Jr.
'. 223 Freshwater Park
Port Angeles, W A 98363
. Subject: Relocation of the service pole for new construction 4322 S. CSt Ext.
Dear Mr. & Mrs. Blanton:
. The estimated cost to relocate the existing service pole to the northeast propertY comer of LOt
C is $886.00. The pole relocatiOIi will move the overhead service line that now crosses 4322
S. C Extension and will provide the required clearances from the new modular. The relocated
pole will serve both lots.
~
~'.
~
Payment of the estimated amount of$886.00 and your staking of the northwest comer of Let
C will allow the City'to schedule the work. If the actual cost is less than the estimate, the
. difference will be returned. If the actual cost is more than'the estimate, there will be no
further billing. Please use the attached slip when making the payment.
V\
In addition to the cost of pole relocation, a Connection Fee of $410.00 is required for final the
connection of the new service.
\\..
. Ifycm have any questions or concerns, please feel free to contact meat 360-417-4708.
LA
"\
Very truly yours,
\'\,
~
\
Gail McLain
Electrical Engineering Specialist
cc: James Harper, Electrical Engineering Manager
AI Oman, Electrical Inspector
Pennitting
Phone: 360-417-4805 / Fax: 360-417-4542
Website: www.dtyofpa.us fEmail: publicworks@cityofpa.us
321 East Fifth Street - P.O. Box 1150/ Port Angeles, WA 98362-0217
[-~-
The City of Port Angeles
Building Division.
--" . -
Upon reviewing your application and plans submitted for a Manufactured Home,
the following are some of the items that will need to be taken in to consideration.
Property .
Property boundary pins are to be identified and marked at footing inspection to verify minimum set
back requirements.
Manufactured homes.
"Wains" installer tags must be on unit and appropriate box checked for each item completed.
Manufactured home foundation design shall be included with the application. Foundations are
required to be pit set with 12" maximum and 6" minimum reveal on foundation. Blocking and tie
down inspection is required
Wood framed skirting, framing shall be 2"x 6" treated wood with Yz" anchor bolts w/ 3"x 3"x 1/4"
washer at 6'-0" OC and within 12" of P.T. sill ends. Stud pacing shall be 16" OC. 15/32" min
thickness structural grade treated plywood 30 PCF equivalent-fluid weight soil pressure horizontal
(max unbalanced back fill at 18" in height). Face grain across studs.
Skirting, foundation crawl space and ventilation are required per WAC 296-150M-0610 (1) (d)
section 1 through 3.
1. Skirting must be made of approved material by the building division. Metal fasteners must
be of hot dip zinc-galv. / stainless steel or other corrosive resistant materials. Ferrous metal
members in contact with earth, except those made of galvanized or stainless steel, must be
coated with asphaltic emulsion. Skirting must not trap water between the skirting and siding
or trim. All skirting must be recessed behind the siding or trim.
2. The ventilation required is one (1) sf. Per 150 sf. of crawl space.
3. Access to under floor area to be a min. 18"x 24" and positioned so that all areas under
manufactured home are available for inspection. Access opening must be covered and that
cover must be made of metal, pressure treated wood or vinyl.
Foundation protection requires finish grade to be a minimum of 6" slope in 10'-0" away from the
foundation. Footing/downspout drains (if required) to be directed to a drywell or other approved
locations.
An inspection of the water, sewer, electrical, footing and down spout drains is required before
backfill is allowed.
If outside of (4) minute response area a sprinkler system or an exterior bell tied into the smoke
detector, approved by the Fire department may be required.
FILE
A final inspection is required to be approved before occupancy can occur. .
CITY OF PORT ANGELES - Construc:tior" ~
The Issuance of this permit based upon these plans. specifi.
cations and other data shall not prevent the building official
trnm thereafter requiring the correction of errors in said
,lions and other data, or from preventing
. '~r carried on thereunder when in
"'~?nces of this jurisdiction,
'1' .(.'-\t?r ('ode.l ~~~
JiPlJ'V\v, Vl.(e _~ 'V _
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Garages.
A 'o.,;.uo"' foo,;.g is "qui"d "ou.d tho porim.'" of tho load h."iog wans, a\lho.gh some
ma.uradu'''' hom'" ". d",ign.d to a"ommodal' a ga..g.. Th. ga..g. must h. d",ig..d .. though
it is independent from the manufactured home.
Sill a.d hottom plat. a.,hoo "qui"mo." foo soismi' zooo D2. As por tho 2003 IRC.
G"agos d.t..h.d a.d att..h.d to a ma.uf...."d homos, "qoi" sta.d"d wan h..dog m.thods to
h. mot, If th.y ...oot h. m.t, th.. "for to "AI",.at. B....d wan pa.ol" S.dio. of tho 2003 IRC. If
a.y of tho afo"m..tlo..d m.thow. ....ot h. mot, ..gi..ori.g d",ig. will h. "qui"d foo tho
"SHEAR W ALL, ALTERNATE BRACED WALL pANEL" dosig. u.dor 2'.8" i. width.
This I.ttor is .ot I.t,.d.d to ,ovor an it.ms "qui"d hy tho City of Port Aug.los, hut is to so"'. as a
guide to h.lp you u.d."...d f"qu..tly ask.d quostio.s, "ALL WORK IS SUBJECT TO FIELD
APPROV AL"
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BUILDING PERMIT - APPLICATION
FOR OFFIC~ USE ONLY:
Date R.ec.: b/ ,e:} /P;
Permit#:~~. 4
Date Approved' 0
Date Issued:
. :.: ...~;-r'.~':.Y.~:,:":.~~,~:~:y:-_~,:, _".
Phone: ( 3 " 0 ) ., Z ~ - -1..' t? 5'
Applicant or Agent: G~,)€ + K/frllLP-EN /3utAJrtJf'} .J R .
Owner: s 4- rY7 6. Phone:
Address: 2.. ZJ PRESti ~p,.rk~ ;J~/V<City: Pol<. T /'J ,Jt.,/.F. L~ S
Zip: '1l3r; 3
ArcbitectlEngineer:
Contractor
Address:
Phone:
State License #:
City:
Exp:
Phone:
Zip:
~T ZONING:
Subdivision: PE,J,.JS!1LVAIlIIA P fiR K..
58 , f! 9 0 {JD 00
PROJECf ADDRESS:
LEGAL DESCRlPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
1./ 39-9-
c
~,
1\ I'
G
I~
Block:
0&3008
ADD/no/V
Credit Card Bolder Name:
Billing Address: City:
Credit Card Type VISA MC # Exp. Date:
TYPE OF WORK: SIZEN ALUATION:
)1. Residential 0 New Constr. 0 Re-roof 0 Stove I 7 q Z. SF. @$ ISF. = $
,0 Multi-family 0 Addition 0 Move 0 Garage SF. @$ ISF. = $
o Commercial 0 Remodel 0 Demolition 0 Deck SF. @$ ISF. = $
o Repair 0 Sign ~ Other /I1Mrlj: TOTAL VALUATION $ -:? /1 0 0 0
BRIEF DESCRIPTION OF THE PROJECT: (Yl6 13 I L. E ,--+ c) I'Y\ ~ I tV S T I~ '-LA;' I') 1\.)
COMMERClALIRESIDENTIAL: Occupancy Group:
No. of Stories: _ Lot Size: ' 70 / 0 Existing Sq. Ft
Total lot coverage 2..~' S- %
Occupant Load: Construction Type:
& Proposed Sq. Ft. / 79 Z = TOTAL Sq. Ft.' 179 Z
.. '. ..~.. ~-,,~'.~"'--~.~.....
. APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTBER:_
.PLANNING.USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
VALVA TION OF CONSTRUCTION: In aD 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.
PLANCBECK FEE: IF a plan checkJet:jsdue 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: If no permit is issued within 180 days of the date ofapplication, 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 Rl 05.3.2
of the International BuildinglResidential Code, 2003). No application can be extended more than once.
I hereby certffy that I have read and examined this application and know the same to be troe and correct. I am authorized to apply for this permit and
understand that it is my responsibility to dete ine what permits are re ui d ,not the City's, and that I ust obtai uch permits prior to work.
~ Date: 6 / 7J O~
T:\Policics\BL-ll02_13.wpd
s
"".,~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
nl EAST STH STREET. PORT ANGELES. WA 98362
,,:
,.
Application Number
Application pin number _
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000479 Date 10/20/05
208780
4322 S C ST
06-30~08-5-8-1890-0000-
RES MANUFACTURED HOME
RESIDENTAL SF 7000
RS7 RESDNTL SINGLE FAMILY
31000
Owner
Contractor
BLANTON JR GENE A
223 FRESHWATER PARK
PORT ANGELES WA 983639626
OWNER
Other struct info .
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
25.50
1.00
7010.00
1792.00
1792.00
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
OLYMPIC/ MOBILE
62711
OLYMPIC ELECTRIC
78.70
10/20/05
4/18/06
Plan Check Fee
Valuation
.00
o
~
~
Qty. Unit Charge Per
1.00 78.7000 ECH EL-MANF HOME SERVICE & FEEDER
Extension
78.70
lit
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
06/28/2005 11:14 AM SROBERDS ~- Proposal will allow mfg
home in the RS-7 for total lot coverage of 26%. Setbacks
are good. No land use issues are noted.
MAINTAIN CLEARANCES FROM SERVICE WIRES.
An Easement is Required for the Service Wire to "4314" CSt..
06/20/2005 04:36 PM JHEBNER ----------------------------
Electrical load calculations and' electrical permits are
required. .
$410 Connection, Fee.
06/20/2005 04:37 PM JHEBNER ----------------------------
Any modifications to the City'S electrical facilities will
be at the customer's expense.
City will restore ditch to required depth, a 12" culvert
will be installed to City Stanards by owner at drive way.
Drive way will be installed 25' north of proPerty line from
Fountain.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
(\
,
.~
....\{
COMMENTS/ACTION' NEEDED
I!
ELECfRICAL PERMIT INSPECfION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAwFuL TO col-iR,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. . :
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPItC110N TYPE
NO
GENERAL COMMENTS:
PW.llo:z.., (40'96)
I--~---
IS
..
CITY OF PORT ANGELES
PUBLIC WORKS ... - ELECTRICAL DIVISION
:m EAST 5TH STREET. PORT ANGELES. WA 98362
,
I"
Application Number . . . . . 05-00000479
Application pin number '. . . 208780
Page 2
Date 10/20/05
Other Fees
RES OVERHEAD SERVICE FEE
SEWER SYSTEM DELV CHARGE .
STATE SURCHARGE
PW WATER SYSTEM USE FEE
410.00
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 78.70 78.70 .00 :00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2184.50 2184.50 .00 .00
Grand Total 2263.20 2263.20 .00 .00
COMMENTS! ACTION NEEDED
I
ELECfRICAL PERMIT INSPECfION RECORD I
~' . I
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. !
. I
KEEP PERMIT CARD AND APPROVED PLANS AT lOB SITE .
.
INSPBC110N TYPE
COMMENTS
NO
GENERAL COMMENTS:
pw.l1l1U'14I96)
10/17/2005 15:54
3504523498
OLYMPIC ELECTRIC
PAGE 01
Job wired by
~
~'
I!I'tlectricsl Contractor 0 Owner
ELECTRICAL WORK PERMIT APPLICATION I
InJ;tallBlioTl dC1lCr1l'lion
a Commercial r1leSidential
Electrical COt'lU3CtOT name _ L License number Dote Expires
/?~~"':; E I,,,rr;[ ~L.Y""J'7EC.2J~t//
p~C'I"sflajHng address
-!:/.:2?1'? rdA~#TJ'}/?
Cit~? A Sutc ZIP
IfPrfrr"r/kJ t.4. /f~?
Telc hone number" FAX number -
,.
o New
[J Altered/Addition
. .Je:?~7 '#/itPl,k fIe./77(': ~
P~ses ownn's n~ ~
-r/7 c /1, '/7 V?
Addrt'!!'l!'l of insper:tion C
'tV-/ .5 0 g.
c~r-r 4~{". k- J
,#hone numbu to ~ Idale: inspection:
Owner (1$ dq:fined by RCw'19.18.261:(J) OWrlcr will occuP)J the strrJC1llrt? for Iwo
)'tars ~fll!r this electrical ptTmjl i~jinali:ed. (2) Owner t~ reqllirC'd It) hirTt (1n f'fC(.b'ical
contractor if OOO\le said property is /01' ,mlt!. ren! 0" l(!a.~e.
After l"cading the above sl1'llCmcnt, I hereby certify thM 1 am the owner or the "hove
namcd property or a lieensert eleetric"l contraelor. I am making ~he electtical instal-
131;0" or a1tention in compliance with the electrical lows. N.E:"C.~ RCW. Chapter
19.18. WAC. Chap~cT 296.468. The City of Porl ^n~clc5 Municlptll Code, and
Utility Specifications,
Sl~naturt of Qwner. eledrlc:al eonlnc:tor or electricnl 21dminisrrn'nr
o Ca.,h 0 Check #
~dit Card Visa
Card #
Mastercard
Discover
-------~-----------
Expiration Date
of card
X Date:/~ '/
l;}ectrlc L~lons and or subtra~tlll.ll!
[J NO LOAD CHANGES
[J BasebOard _ I<W
[J Fumace KW
[J Heat Pump _ Ton __ LAR
[J Fan-Wall KW
o Overnaad Service
o Temp Service
llt"tlnderground Service
Servlc,e InformatlQl\
Von.ge 1'f.t7
Phese e:r', 0 3
Service Si7.e: ~
Feeder Size: 2:!2a.
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
.
ROUGH-IN TIIERMOSTAT SERVICE
J w.'1,~S- k,O
ORl~ o\\I1",,,ye!l By IhU ^poI\'lV~ fty '- ale ^l'I'lOyed By
'\ /
ANAL DITOI J'EliDER
"- OM'. ^PflT~t'dey / "- Dale ....."fl"l..ed ey '-- Oftle ^ppI'O"dl Ely
Inspecrion Area. 'Ruilding ('IT' Equipment Inspected A ction Taken ElectT'ical
D~tc In5pe:ctor
lo/'~/?.,., PiNAL /f-r? ,a,FJ
I "I ill/I Z-.-.
-'.
\ -.. . //,,\ )~.., 1;.-" \ I '\ \
L-_l.l_.:-..\Jj-:"-...:....=--:;.. I \ I
.~ '._L:'~.7 '/' - /
I' ."
..1 " ---" ...-
----
I~/t '11:>s-:-
/k6?
.>
..
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
o Electrical Contractor ]:il'-Owner
Installation description
o Commercial ~esidential
Electrical contractor name
License number
Date Expires
)l(New
o Altered/Addition
.:6t.fJ-J rorJ
j~,
200~
tVJJwJV.~v~t..
//
/
SfCf).r//ce
Purchaser's mailing address
City
State ZIP
Telephone number
FAX number
~ o;:::i C. '3 7-. '-I
80'6- Co32.5
t-~tZ5
!-tIS
C
t
o Cash 0 Check #
j'fCreditCard ~ Mastercard Discover
Card #
. .
EXpIratIOn Date .
f d ./
$ 78',70
Service Information
..J
'"
....i
,
,
.'
I
/
/
CALL BEFORE 7:00 AM 360-417-4735
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phase D 1 D 3
Service Size: _
Feeder Size:
THERMOSTAT
SERVICE
DatI:
Approved By
Dale
Approved By
FEEDER
Approvc<J By
Date
Approved By
rea, Ul mg or Equipment Inspected
Action Taken
Electrica!
.Anspector
Yir~ 0
v'
5-(
J)
.,:.-~,
~
c;;C,\-ei~
(I", /
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f ~ . " '.
/ /.'
\:. '
CITY OF
~ORTANGELES
r~-0 ~ /7
, ,:...,,:.) "\ ~r
.,
@
J
WAS H J N G TON, U. S. A.
DATE:
MEMO
TO:
FROM:
RE:
~
DiL-
;...----
June 20, 2005
Permit Counter
John G. Hebner, Electrical Engineering SpeCial~
Building Review Comments - Dated: June 20
1} 716 South I Street - Detached Garage
It appears that there will not be any conflicts with the electric utility
facilities. (Height Clearance over Garage Roof)
Any modifications to the existing electric utility facilities will be at the
customers expense.
$000.00 Electric Service Connection Fee applies:
2) 4322 South C Street - MFG Home
There is a conflict with the electric utility facilities.
. An easement is required for the service wire to 4314 C St.
Any modifications to the existing electric utility facilities will be at the
customers expense.
Load Cales are required.
A cost estimate for electric service will be prepared after the customer has
provided the load data. (Note: Heat Puri1p~Kw~Ton, etc.)
$410.00 Electric Service Connection Fee applies.
cSU~
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----
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