HomeMy WebLinkAbout3753 Canyon Cir - Building (i r `y' CITY OF PORT ANGELES
*7 11,� DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, r
LLS, WA 98362
Application Number 12- 00000112 Date 2/09/12
Application pin number 886864
Property Address 3753 CANYON CIR q
ASSESSOR PARCEL NUMBER: 06 30- 15 -5 -8 -0155 -0000- REPORT SALES TAY
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 2000
Application desc
STEFFES HEATER
Owner Contractor
JEFFREY BOHMAN /BARBARA MAYNES PENINSULA HEAT INC i
3753 CANYON CIR 782 KITCHEN -DICK RD 1 .na1 12-
PORT ANGELES WA 983626721 SEQUIM WA 98382
(360) 681 -3333
Permit MECHANICAL PERMIT
Additional desc STEFFES HEATER
Permit Fee 64.80 Plan Check Fee .00
Issue Date 2/09/12 Valuation 0
Expiration Date 8/07/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80
Fee summary Charged Paid Credited Due
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00.
Grand Total 64.80 64.80 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or loc- -w regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Bullciing Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS v
Building Inspections 417 -4815 Electrical Inspections 417 -4735
Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLA NS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.) 1
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor 1
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts 1
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date1'Hp't)Accepted by3 W
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
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PROJECT STATUS UPDATE
Permit 1 `2 ;9. ny0ACt r
Date:
I phoned the: Applicant t t'l"e at eVY1a uQ
Property Owner at
Contractor at
I (left a phone message, or discussed)
The permit (has expired, o will expire so. What is the status of this project?
Please call and schedule a fill. en.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
4(Pi /rIia-
T:Forms /Building Division/Project Status Update
NO0 -16 -2011 03:21P FROM:PENINSULA HEAT COMPA 3606812086 TO:4174711 P.2'3
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for protects that do not require plan review.)
Date Received 11
i 1&
Permit
City of Port Angeles Please print in Ink. Date Approved
Attn: Building Permit Technician Approved by
321 E. 5' St., Port Angeles, WA 98362
360 417 -4815 fax: 360 -417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Frl 8;30 -12:30 pm
Contact personA Phone:
Lfa, Tr ale 3 :3 a'
Property owner Q
�P!'e 8 'C l'n ijz, e 45 7 7.
Phone: 5'34
Property o mailing a ress; v
53 an,y oYt C role Dr, 1,,e, 47" ,P le
Contractor's business name: lyen Phone:
(or property owners name if he /she is dolnploverseeing he work) 4' k 33 3 -3
Contractor mailing ed rs
e
a 1), �_J n /e Rel Meru) 19-7' Gz- 4
Contractor's c �e nurhe r, Expiration 0 te/ i' //Z.,
Project Address: '3 iiyon
Project Type: cerfk Commercial o Industrial o Multi- family
Project Business Name:
(for commercial, industrial, or multi family protects)
The following permits are usually Issued over the counter Immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Re-roof: o house o garage o other
o tear off re -roof a lay over one layer
Licensed contractor: Submtt a copy of your re roof bid.
Project Valuation (labor materials, not including sales tax)
Re -side: house garage v other
Project Valuation (labor materials, not including sales tax)
Repair: (explain the prolect)
Project Valuation
homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
Cost of materials x 2 Project Valuation
T:Forms /Building DIvlsion /BulldIng /Plumbing/Mechanlcal Permit Application Short Form (Revised 2011)
Page 1 of 2
NOV -16 -2011 03:21P FROM: PENINSULA HEAT COMPA 3606812086 TO:4174711 P.3'3
Swimming Pool or Spa (z 24" deep): For prefabricated swlmrnlna pool or we protects that
do not require Plan review:
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit Is needed when an entire building gets demolished.
What will be demolished? o house a garage a other
Note: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain,
Agree to ensure that all utilities are /will be properly turned off (and capped off If needed)
prior to demolition.
Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 380 -417 -1468 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
yes o no Will the debris be going to the Regional Transfer Station in Port Angeles?
o yes No If yea, will a licensed contractor be taking It there?
If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing Is needed).
Plumbing Permit: (explain theprolectl
Project Valuation
Mechanical Permit: (explain the proiecl)
l e/I' 9 J
Project Valuation 2 //Z)7]
have read and completed this application and know It to be true and correct. I am authorized to apply for this permit
and understand that it is my responsibili o determine what =rmits are required, and to obtain permits prior to
working on projects.
i
Date /Oily./ Signature
l Print Name at er le �'F rs� -rte
Page 2 of 2
ELECTRICAL PERMIT
CITY OF PORT ANGELES 0
360- 417 -4735
Application Number 12- 00000153 Date 2/15/12 \f�
Application pin number 570166
Property Address 3753 CANYON CIR REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 15 -5 -8- 0155 -0000- on our excise tax form
Application type description ELECTRICAL ONLY y
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
Application desc
1 circuit brick heater
Owner Contractor
JEFFREY BOHMAN /BARBARA MAYNES OLYMPIC ELECTRIC CO INC Iv
3753 CANYON CIR 4230 TUMWATER V
PORT ANGELES WA 983626721 PORT ANGELES WA 98363
(360) 457-5303
V
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Check Fee .00
Issue Date 2/14/12 Valuation 0
Expiration Date 8/12/12
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00 Q
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL 2.• 15 re
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
02/09/2012 16:26 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT I001/001
1
y rc»ar 0
CITY OF PORT ANGELES PERMIT APPLICATION 1
Building Division /Electrical Inspections Pi
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 FEB 1 0 2011 tr` vivc=---
Ph: (360) 417-4735 Fax: (360) 417 -47111 ELECTRICAL
Date: 02 /DO /2912 p 18 2 Single Family Dwelling
INSPECTIOI'1
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 3/e3 CANYON CIRCLE '47 5 3
Building Square Footage:
Description of above 40 AMP CIRCUIT FOR STEPPES BRICK HEATER
Owner Information Contractor Information
Name. JEFF BOHMAN Name: OLYMPIC ELECTRIC
Melling Address: 7769 CANYON CIRCLE Mailing Address: 4230 TUMWATER TRUCK ROUTE
City: PORT ANGELES State: WA rip: BB302 Cit PORT ANOELE3 WA
h Sta te; Zip: 80303
Phone: 380..o.4030 Fax: Phone: 300 .4014303 Fax: 200.442.3408
License Exp. License Exp. OLYMPEC20501
Item Unit Charge Cwt Total (Qty Multi b Unit Char cel
Service /Feeder 200 Amp. 120.00
Service/Feeder 201 -400 Amp. 146.00
Service/Feeder 401 -600 Amp 205.00
Service/Feeder 601.1000 Amp. 262.00
Service /Feeder over 1000 Amp. 373,00
Branch Circuit W/ Service Feeder 5,00
Branch Circuit W/O Service Feeder 63.00
Each Additional Branch Circuit 5,00
Branch Circuits 1.4 75.00 1s.00
Temp, Service/ Feeder 200 Amp. 93.00
Temp, Service /Feeder 201 -400 Amp. 110.00
Temp. Service /Feeder 401.600 Amp, 149.00
Temp. Service/Feeder 601 -1000 Amp 168.00
Portal to Portal Hourly 96.00
Signal Circuit/ Limited Energy -1 8 2 Family Dwelling 64.00
Manufactured Home Connection 120,00
Renewable Electrical Energy 5KVA System or Less 102.00
Thermostat 56.00
Note: $5.00 for each additional T •Stet
NEW ;ONSTRUCTION ONLY;
First 1300 Square Ft, 120,00
Each Additional 500 Square Ft. or Portion of 40.00
Each Outbuilding or Detached Garage 74.00
Each Swimming Pool or Hot Tub 110,00
Tomo Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last Inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Appllcetions,
Signature of owner, electrical contractor or electrical administrator: Cosh Check
1 Credit Cord
a ted: 02 09 2012 elm /2012
4'7- .2-41144C=1"-tl
ELECTRICAL PERMIT O
CITY OF PORT ANGELES
360- 417 -4735
Application Number 12- 00000224 Date 3/01/12
Application pin number 369184
Property Address 3753 CANYON CIR REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 15 -5 -8- 0155 -0000- on our excise tax form
Application type description ELECTRICAL ONLY y
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
1 -4 circuits Misc. circuits
Owner Contractor
JEFFREY BOHMAN /BARBARA MAYNES OLYMPIC ELECTRIC CO INC
3753 CANYON CIR 4230 TUMWATER
PORT ANGELES WA 983626721 PORT ANGELES WA 98363
(360) 457 -5303
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Check Fee .00 1
Issue Date 3/01/12 Valuation 0 v V
Expiration Date 8/28/12
Qty Unit Charge Per Extension
BASE FEE 75.00 D
Fee summary Charged Paid Credited Due
4-
Permit Fee Total 75.00 75.00 .00 '.00 _G
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00, .00 .00 0
r
0
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH IN
4.5W' 1
FINAL
Li b° L0 I l) 04(
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:AEXCHANGE \BUILDING
02/29/2012 13:59 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT I6001/001
it .i�r� i.- i,lf:' 'ir,, T 1
CITY OF PORT ANGELES PERMIT APPLIC ATION 1
N
Building Division/Electrical Inspections I. att=z
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 EEE mcp
Ph: (360) 417 -4735 Fax: (360) 417 -4711 ;iNS ?ECTIONS '`'N--._—.
Date: 02/202012 ED 1 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 3753 CANYON CIRCLE
Building Square Footage:
Description of above ACC 2 OUTSIDE RECEPTACLES, DISCONNECT BASEBOARDS ANO RECONNECT WALL HEATERS. ADO NEW SWITCH FOR GARAGE LIOHTe.
Owner Information Contractor Information
Name: JEFF BOHMAN Name: OLYMPIC ELECTRIC
Mailing Address: 3753 CANYON CIRCLE Mailing Address: 4290 TUMWA'fER TRUCK ROUTE
City: PORT ANGELES State: WA Zip: 05362 City: PORT ANGELES State: WA Zip: 56363
Phone: 38 Fax: Phone: 3e0407.5303 Fax: 360462.3498
License Exp, License Exp. oLYMPEC2a5o,
Item Unit Charge Total (f,, t Multiplied by Unit Chargt
Service /Feeder 200 Amp. 120.00
Service /Feeder 201 -400 Amp. 146,00
Service/Feeder 401 -600 Amp 205.00
Service /Feeder 601 -1000 Amp. 262.00
Service/Feeder over 1000 Amp. 373.00
Branch Circuit W/ Service Feeder 5.00
Branch Circuit W/0 Service Feeder 63.00
Each Additional Branch Circuit 5.00
Branch Circuits 1-4 75.00 1 75.00
Temp. Service/ Feeder 200 Amp. 93.00
Temp, Service /Feeder 201 -400 Amp. $110,00
Temp. Service /Feeder 401 -600 Amp. 149.00
Temp. Service /Feeder 601 -1000 Amp 168.00
Portal to Portal Hourly 96,00
Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00
Manufactured Home Connection 120.00
Renewable Electrical Energy 5KVA System or Less 102.00
Thermostat 56.00
Note: $5.00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. 120.00
Each Additional 500 Square Ft. or Portion of 40.00
Each Outbuilding or Detached Garage 74.00
Each Swimming Pool or Hot Tub 110.00
75.00 Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection,
After reading the above statement, I hereby certify that .I am the owner of the above named property or a licensed electrical contractor. I am makin
the electrical installation or alteration in compliance with the electrical laws, N,E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Cash Chock
1 Credit Card
4 Dated: 02 29 2012 01/01/2012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 11- 00001425 Date 12/22/11 V
Application pin number 388925 1
Property Address 3753 CANYON CIR REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 15 -5 -8- 0155 -0000- your excise tax form
Application type description ELECTRICAL ONLY on y
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
Application desc
2 circuits demand heater
Owner Contractor
JEFFREY BOHMAN /BARBARA MAYNES OLYMPIC ELECTRIC CO INC
3753 CANYON CIR 4230 TUMWATER
PORT ANGELES WA 983626721 PORT ANGELES WA 98363
(360) 457 -5303 lh
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 76.10 Plan Check Fee .00
Issue Date 12/22/11 Valuation 0
Expiration Date 6/19/12
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
1.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 2.60
Fee summary Charged Paid Credited Due
Permit Fee Total 76.10 76.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 76.10 76.10 .00 .00 f7
1
73
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS: GAO( L i c4 C NAP
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
S
c
ft), rffroi„--
C[-y��, �pF 1/c fir,,.,,
Lr. 2 1 2 C7, r,
CITY OF PORT ANGELES PERMIT APPLICATION 'ry
Building Division/Electrical Inspections ELECTR3 Ammo
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 iNEPECTt :13
I Ph: (360) 417-4735 Fax: (360) 417 -4711
Date: 24bl
2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration 1 Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 373 i' ;•4?" C•1
Building Square Footage:
Description of above .-5 7, -fir ff�- 3 2/9i -2 /t
Owner Information Contractor Information
Name: /i /J. ?,7/7 Name: OLYMPIC ELECTRIC
Mailing Address: 372' e": i 4% r_ i, Mailing Address: 4230 TuMwATER
City: -'i 1 %r State:4,,< 7 Zip: 7k 22 City: PORT ANGELES State: WA Zip: 98363
Phone: 5'5 -75`34 Fax: Phone: 457 -5303 Fax: 452 -3498
License Exp. License Exp. OLYMPEC285DI
Item Unit Charge (3yt Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 119.90
Service /Feeder 201 -400 Amp. 145.50
Service /Feeder 401 -600 Amp 204.60
Service /Feeder 601 -1000 Amp. 262.20
Service /Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60
Branch Circuit W/O Service Feeder 73.50 7 3- s°
Each Additional Branch Circuit 2.60 2- 4
Temp. Service/ Feeder 200 Amp. 92.70
Temp. Service /Feeder 201 -400 Amp. 110.30
Temp. Service /Feeder 401 -600 Amp. 148.70
Temp. Service /Feeder 601 -1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign /Outline Lighting 88.20
Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90
Note: $5.00 for each additionaf 1500 sf
Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi Family Dwelling 63.90
Manufactured Home Connection 119.90
Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. 110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
7. Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Cash Check
r IM Credit Card k
777 ._w.�._,._ """"'Dated: /2-/ IM
01101/2010
ELECTRICAL PERMIT t,
CITY OF PORT ANGELES
360- 417 -4735
Application Number 11- 00001425 Date 12/22/11 V
Application pin number 388925
Property Address 3753 CANYON CIR REPORT SALES TAX
ASSESSOR PARCEL NUMBER:. 06- 30- 15 -5 -8 -0155 -0000- on our excise tax form
Application type description ELECTRICAL ONLY y
Subdivision Name to the .City of Port. Angeles
Property Use (Location Code 0502)
Property Zoning 'RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
2 circuits demand heater
Owner Contractor
JEFFREY BOHMAN /BARBARA MAYNES OLYMPIC ELECTRIC CO INC
3753 CANYON CIR 423 TUMWATER
PORT ANGELES WA 983626721 PORT ANGELES WA'98363
(360) 457 -5303
4 1
Permit 'ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 76:;10 Plan Check Fee .00
Issue D a t e 12/22/11 Valuation 0
Expiration Date 6/19/
Qty •Unit Charge Per Extension
1.00 "73.500 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
1.00 '2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 2..60
Fee summary. Charged Paid Credited Due
'Permit Fee 'Total 7.6.10• 76.10 .00 00
Plan Check Total .00 .00 .00 ..00
Grand Total 76.10 76.10 .00 .00
'Cash Adjustment I Cashier info
d 2L� Payment Type
Application 1 1 L Check
Receipt
Fee Type C—
i0
Amount Paid 7 19 Refund Amount 7
1.)
Adjustment G1�1 G1 1 p
Posted Fee New Fee
1)1 b 1
f4rli L c°R O-F `71-1 1-
p i tit A-T Q
Signature
h0.% CITY OF PORT ANGELES
1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001311 Date 11/22/11
Application pin number 778527
Property Address 3753 CANYON CIR TAX
ASSESSOR PARCEL NUMBER: 06- 30- 15 -5 -8 -0155 -0000- REPORT SALES TA
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 2000
Application desc
STEFFES HEATER
Owner Contractor
JEFFREY BOHMAN /BARBARA MAYNES PENINSULA HEAT INC
3753 CANYON CIR 782 KITCHEN -DICK RD
PORT ANGELES WA 983626721 SEQUIM WA 98382
(360) 681 -3333
Permit MECHANICAL PERMIT
Additional desc STEFFES HEATER
Permit Fee 64.80 Plan Check Fee .00
Issue Date 11/22/11 Valuation 0
Expiration Date 5/20/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME- HEATER(SUSP /WALL /FLOOR -MTD) 14.80
Fee summary Charged Paid Credited Due
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00.
Grand Total 64.80 64.80 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume.to give authority to violate or cancel the pro ':'•ns of any state o to regulating construction or the performance of
construction.
(Je
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS S
Building Inspections 417 4815 Electrical Inspections 417 4735 W
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blockin Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE: v
`f
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE N
Inspection Type Date Accepted By
Electrical
417 -4735
Construction R.W. PW Engineering 417 -4831 C
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
•1'
NOV -16 -2011 03:21P FROM: PENINSULA HEAT COMPP 3E068120E6 TO:4174711 P.2/
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)
Date Received
Permit t` 12
City of Port Angeles Please print in ink. Date Approved -31-
Attn: Building Permit Technician Approved by
321 E. 51h St., Port Angeles, WA 86362
360 417 -4815 fax: 360 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Expre
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Frl 8 :30 -12 :30 pm
Contact person Phone:
./(0 �,�e- c% r's�)-cam l—
Property owner; 4 C &f'I /t�
er
v 7 r Ma 122, -G'c r a_!� 12l Phone: 45 7- 7-53
Pro o mailing �j
Property 53 g a ress;
ar�i o3-t re-1 -e ,Dr! c- v lam s
Contractor's business name: Veil rh5'��lLr «7- Phone 7
(or property owner's name if he /she is doing /overseeing h e work) e k 33 2'
Contractors mailing ed res n
adz- /2 I 5 y e i�' 2 �.4
Contractor's license number_ q c 11 6 Expirati to
Project Address:
763 C' ycyr 6h--4
Project Type: esidential o Commercial o Industrial Multi- family
Project Business Name:
(for commercial, industrial, or multi family projects)
The following permits are usually Issued over the counter Immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Re -roof: 0 house garage other
tear off re -roof o lay over one layer
Licensed contractor: Submtt a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re -side: house a garage o other
Project Valuation (labor materials, not including sales tax)
Repair: jexolain the project)
Project Valuation R
}iomeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
Cost of materials x 2 Project Valuation
T:Forms /Building Division /Building /Plumbing/Mechanical Permit Application Short Form (Revised 2011)
Page 1 of 2
NOV -16 -2011 03:21P FROM:PENINSULA HEAT COMPA 3606612086 TO:4174711 P.3'3
Swimming Pool or SPalz 24" deep): For prefabricated swlmrnlno pool or spe protects that
do not require plan review:
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit Is needed when an entire building gets demolished.
What will be demolished? a house a garage o other
Note: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
Agree to ensure that all utilities are /will be properly turned off (and capped off If needed)
prior to demolition.
Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Alr Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 380 -417 -1468 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
yes o no Will the debris be going to the Regional Transfer Station in Port Angeles?
yes No If yes, will a licensed contractor be taking It there?
If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing Is needed).
Plumbing Permit: (explain the protect)
Project Valuation
Mechanical Permit: (explain the project)
r tf< W/ P
Project Valuation 2 /0
I have read and completed this application and know It to be true and correct. I am authorized to apply for this permit
and understand that it Is my responsibili 0 determine what rmits are required, and to obtain permits prior to
working on protects. Date //6 Signature�� f Print Name Cit et. r- /e 71-k -rte
Page 2 of 2
.
~~..,
. .
, ; CITY OF PqRT ANGELES
DEPARTMENT OF coMMuNITY DEVELOpMENT -BUILDING DIVISION
'321EAST?TI(STREET, poaT ANGELBS,WA98362
434.95
12/28/04
6/27/05
Plan Check Fee
Valuation
173.98
26800
~', ~ -,. - - -' , .
Application Number ."
Pin' number . . . .. .
propertYdAddress '
,ASSESSOR PARCEL NUMBER :
APplication description
Subdivision Name
, Property Use ....
Propertyzoning: . .
Application valuation
04;..00001143
.304822 . '- ,
3753 CANYON crR;"
06 -30-15'-'~,:8 -0155-0000-
RES REMODEL,
RS9 RESDNTL SINGLE F~~Y
26800 ' ''',
owner
Contractor
-'- -~..;;- ----'-'---' - - _.._~~---
JEFFREY BOHMAN/BARBARA MAYNES
3753 CANYON CIR
PORT ANGELES WA 983626721'
HUTCHINSONCONSTRUCTIONLLC
P.O. BQX,1161
PORT. ANGELES
PORT ANGELES WA 98362
(417) 575,
, '
.' , - . ,
- - - - - - - -,-'" ~ - ~'';''-- --~- - -~- .,":""--';' - - - "': -:- - :-"- - - -..... - - -... - ~.":,,, "';''';','';'.- - -... ~ - --~- -.....;;. -'-'-- - - - -'- -'.. -...
'Permit . . . .
Additional desc
pe1;Ttiit !?ee
'Issue Date
EJ,cpiration Date
BQILDING . PERMIT -RESIDENTtiL
Qty Unit Charge Per
SABEFEE
, 2.00 10..1000 THOO BL-25,001'-SOK (l,0.10PERK)
Extension
414.75
20.20
.- -- - --~... - ~ -,-'" - - - - - --- - -- -...... ~...... --... -- --... -... - - -..... '-... _........; ";'.'- - ~-- - -... -...... -... -... -- ---- ----
SpeCial' Notes and Comments
Bui'lding address sign shall not be less than, 6ft, &: not, more
than 12ft in h~ight. Numbers colors must contrast with wall
col~r they are mounted on. (Ord. 14.36.0S0,-E)
tolhenroof gutters ,are installed, drains will located in dry
wells or piped to approved storm,drain locations.
Side setbacks shall be at least. 8 I from an property lines.
, Lo,t coverage is good. No land use issues' are ~oted.
Public'works'electrical engineering has no requirements for
this plan revi~w. '
-----~~------------~._-"--------------~-._~-----~-~~----.-.--'---~----~------
Other Fees
STAT:!il SURCHARGE
4~5b
Fee SUll1Illary Charged Paid Credited
----------------- ---------- --.......----- -----...-.....-
permi't Fee Total 434.95 434.95 .00
Plan.Check Total 173.98 173.98 .00
Other Fee Total 4.50 4.50 .00
Grand Total 613 .43 613.43 .00
DUe
.00
. .00,
.00
.00
Signature of OWner (If owner is builder)
Separa~p,.rrnits.~ required for electrical wo~, $,. - ,~Iine; l:$A~ utijiti~s.prIvQfe.andpubllc iIHPF,'QV_tS~;
null and Nold if WOrk or construction authorized is no" -Onqed \Yithin:180 daya,i{coristnlctlon orwork'lssus' '
for a peri,od of180day,s after the work as'commenCed, 0 ",. ')IJllspectlons h~ve not been requested-within 1 , ,
inspection. I hereby certify that I have read andexaJ11in , <app'leation and ~now the same to be true and co. .' ~I ,Ions of
laws and ordinar1~ governing this type of work will be com dwithwhether specified herein or not. ,1l1e g~tirig of a~nTdtc:1oes not
presume, to giveauthorlty to violate or cancel the provisions ,of any 'state or local law regulathig construction or tha'performance of
construction.
,,", ,--,)t~,tt:'/)':~~<'''" ~,. - ~ ",p'. "
~~!I"'.-
. '-',',,' ^, ; .'" ~~'l<Y',;!','.: ,K~ '-"~::-?",~ '(-:'i'i:::"~~~:~::-"',o/,';;''- ~:::~':'/:y~f;~ ~~~4.} ".~:~
BUILDING PERMIT INSPECflON RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-473SFOR ELECTRICALINFPECTIONS:
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE;lTIS UNLAWFUL TO COVER.IN$U1JAT/JOIl COiVCEALANYWORKBEFORE
llVSPBCTBD ANDA'CCEPTEJ).POSTPERMIT IN ACONSPIGUOUS LOCATION; .
KEEP PERMIT CARD AND APPROVED PLANS AT .ton SITE. . .....
ACCEPTED .'
YES NO
. COMMENTS
i'
INSl'ECTION TYJ>E ..
. DATE
I
,
,
\
1
T
i
! ....
f
I
I
.
l<'OUNDATlON:
FOOTINGS
WALLS
FOUNDATION
ELECTRIcAL
ROUGH-IN
J>,l.UMBING ....
"UNDER FLOOR I SLAB
.
1-:Z7...05' .J LL
....... .... 1....';1,1...0>" ILL
DRAlNAGEIDOWN sPoUTs 1 ;.",z;,...t>I!::" J l;;.. c--
-
(UGHT DEPT) SEl'ARA11lPEliMrr:#.y <>
. .... r{...'.(""~r ....IIU'",.,) I
..~
..'
.
."
.'
ROUGH-IN
WATER LINE (METER TO SLOG)
OAS.L.I.N.E~' . .........
BACK FLO If'!'
AIR SEAL .
WALLS i' ~""'
CEILING. Ii.- "
FRAMING ~'.I .',^ ."
JOISTS/GIRD~f ""
SHBARW ALIJiiOLQ DOWNSJJI!IIII'"
WALLS/ROOF/CEII.1NG ....
DRYWALL(INTERIORBRACEDl'ANBLONLY)'
T.8All
INSULATtON
,i
I
.~ .1
I
I
!
1
I
!
.
.
.
.
I;., .h.-f!)_~.. J l-L
I I
;
r'.1~ ^ '" ~ 01
",.,J..tI- .
?--IG-~ k.--'
I
.
SLAB
I .... I
11L^ "'.c" C"""l\ LJ....
WALL I FLOOR I CED..ING
MECHANICAL .'
HEAT I'UMI'
.
.
I
I
t
>\
i
.'.
c-:-
.'
GAS LINE
WOOD STOVE {PELLET I CHIMNEY
HooDI DUCTS ..,...... ~ ......
. . PW UTILmES I Sn'E WORK (Engineering t)ivisionYSEPARA TE l'EitMIT II's;
..' ".
".
f
I
!. .
"
WATERLINE/METER .. ....
SEwER CONNECTION
.
SANITARY..
STORM
.
,
.'
, .
REsIDENTIAL
.
,
I
. . SEPA: !
. ask i
, ,
........ .,...I! ". :~~.' I'
. 'FINA)}IN~PEC'i19~SltEQUIREDl'RlOR'TOOCC1JI>ANcYlU.SIl: '. .i, . " .', "
, ~ .' DATE" ..)' . · YEs NO' ,COMMERCIAL'" DATE ACCEPTED
. .. ,.~.. .' . .' .~. YES NO
4174'735 . Eti:cTIuCAL '.. -
, UGHTDEn
CONSiRUCTIoN .,Riw.
l'W/~ ".
'FIiWDEP'l';:' ':', . '.'
PLANNIN9 DEn;
BUD.DINO . . ,..' .
PLANNING DEPT. SBl>ARATEPERMlT#',
PARKINGlLIGHTING
'LANDSCAI>ING · '.' . ,'.
'..
. ,
ELECTRICAL" UGHTDEPT.
.'.
CONSTRuCn:ON R. W.I PWI
ENOINEERING . .
417-4807 .
.
FIRE
. 41 ~-:46S3 .;. . ;
417-4150 I
l'~G DEn-
...
BUILDING '.
T:\1>l.ANlIIING\FORMS\1102.15 (I 111412003]
417-4815 1];Jfrx;lo6 . '" tlW
.. .'
.
PREPARED 6/30/05, 13:12:42
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
2
6/30/05
3753 CANYON CIR
HUTCHINSON CONSTRUCTION LLC
JEFFREY BOHMAN/BARBARA MAYNES
06-30-15-5-8-0155-0000-
04-00001143 RES REMODEL
575
SUEDIV:
PHONE
PHONE :
(417)
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFD 01 1/27/05 JLL
1/31/05 AP
BLFW 01 1/27/05 JLL
1/31/05 AP
BLl 01 1/27/05 JLL
1/27/05 AP
BL9 01 3/02/05 JLL
3/03/05 AP
BL3 01 3/15/05 JLL
3/15/05 AP
BAIR 01 3/18/05 JLL
3/18/05 AP
BUILDING FOUNDATION DRAINAGE
BUILDING FTG/WALL
BUILDING FOUNDATION FOOTING
Phill 460-2151
BUILDING SHEARWALL
Phil 460-2151
BUILDING FRAMING TIME: 17:00
460-2151
BUILDING AIR SEAL
460-2151
Last inspection of the day
BLWS 01 3/23/05 JLL BUILDING INSULATION WALL/FLOOR TIME: 17:00
3/23/05 AP Phil 460-2150
BL99 01 6/30/05 JLL BUILDING FINAL
_________~~___~:~~:~2:::M:::~;:::~OT::A:~--------------___________________
PREPARED 3/23/05, 12:55:11
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
10
3/23/05
3753 CANYON CIR
HUTCHINSON CONSTRUCTION LLC
JEFFREY BOHMAN/BARBARA MAYNES
06-30-15-5-8-0155-0000-
04-00001143 RES REMODEL
01
1/27/05
1/31/05
1/27/05
1/31/05
1/27/05
1/27/05
3/02/05
3/03/05
3/15/05
3/15/05
3/18/05
3/18/05
SUBDIV:
PHONE
PHONE :
(417)
575
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BUILDING FOUNDATION FOOTING
Phill 460-2151
BUILDING SHEARWALL
Phil 460-2151
BUILDING FRAMING
460-2151
BUILDING AIR SEAL
460-2151
Last inspection of the day
~:~:_:~__~~___:~~~~:N:O::::::~::: :::::F:~~~___~:~:~_~:~::____________________
BLFD 01
BLFW 01
BL1
BL9
BL3
BAIR 01
L-- __
01
01
JLL
AP
JLL
AP
JLL
AP
JLL
AP
JLL
AP
JLL
AP
BUILDING FOUNDATION DRAINAGE
BUILDING FTG/WALL
TIME: 17:00
PREPARED 3/18/05, 13:23:43
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
3/18/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
3753 CANYON CIR
HUTCHINSON CONSTRUCTION LLC
JEFFREY BOHMAN/BARBARA MAYNES
06-30-15-5-8-0155-0000-
04-00001143 RES REMODEL
SUBDIV:
PHONE
PHONE :
(417)
575
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFD 01 1/27/05 JLL BUILDING FOUNDATION DRAINAGE
1/31/05 AP
BLFW 01 1/27/05 JLL BUILDING FTG/WALL
1/31/05 AP
BL1 01 1/27/05 JLL BUILDING FOUNDATION FOOTING
1/27/05 AP Phill 460-2151
BL9 01 3/02/05 JLL BUILDING SHEARWALL
3/03/05 AP Phil 460-2151
BL3 01 3/15/05 JLL BUILDING FRAMING TIME: 17:00
3/15/05 AP 460-2151
BAIR 01 ~8 05 4tfJ L.. BUILDING AIR SEAL
. 460-2151
.. I \ Last inspection of the day
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 3/15/05, 13:00:35
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
3/15/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
3753 CANYON CIR
HUTCHINSON CONSTRUCTION LLC
JEFFREY BOHMAN/BARBARA MAYNES
06-30-15-5-8-0155-0000-
04-00001143 RES REMODEL
SUBDIV:
PHONE
PHONE :
(417)
575
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFD 01
1/27/05 JLL
1/31/05 AP
1/27/05 JLL
1/31/05 AP
1/27/05 JLL BUILDING FOUNDATION FOOTING
1/27/05 AP Phill 460-2151
3/02/05 JLL BUILDING SHEARWALL
3/03/05 AP Phil 460-2151
BL3 01 ~/15/ 5-"'frL BUILDING FRAMING
460-2151
------------ ------------ ----------- COMMENTS AND NOTES --------------------------------------
BUILDING FOUNDATION DRAINAGE
BLFW 01
BUILDING FTG/WALL
BL1
01
BL9
01
TIME: 17:00
PREPARED 3/02/05, 12:24:38
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
3/02/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
3753 CANYON CIR
HUTCHINSON CONSTRUCTION LLC
JEFFREY BOHMAN/BARBARA MAYNES
06-30-15-5-8-0155-0000-
04-00001143 RES REMODEL
SUBDIV:
PHONE
PHONE :
(417)
575
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFD 01 1/27/05 JLL BUILDING FOUNDATION DRAINAGE
1/31/05 AP
BLFW 01 1/27/05 JLL BUILDING FTG/WALL
1/31/05 AP
BL1 01 1/27/05 JLL BUILDING FOUNDATION FOOTING
1/27/05 AP Phi11 460-2151
BL9 01 ~'~'~1-- itL" BUILDING SHEARWALL
~ ~ Phil 460-2151
-------------------------------------- COMMENTS AND NOTES --------------------------------------
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
ate Rec.: J(}..-f -c:>Jj
ermit#:C91f - I/~ ~
Date Approved: I~ l) at}
Date Issued:! ~-f)....y -Olf
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: Idu-rc:-.k'''''jO~ C O"\S'tv"'vcfiO\ LLCPhone: 3'0- 1-/60...;..,.1)'/
Owner: . go\'" n ~~ M c-..y ~S Phone: :Ie 6 '-I$'"7 - 7 r- J'
Address: 37):3 Ce..", 'If)..... C,i fd~ City: Po rT A ~ 'efrJ Zip: q fI J(:~
Architect/Engineer: S ~ '"- 'f" pOt 5 i .~ '" \-J vJ Phone: S-? S' - 0 ~ () J
Contractor \.\.\J+d~\",~<),", Co~S~~iitJ"\ LLC State License #:I~"''-l ~ ," """" Exp: 711 /Oe Phone: g~o - LlI7- 057
Address: (J.e) 80 '1l , I 'I City: Po rr I~ ~flI'J Zip: 1 ~ Jf, <.
PROJECT ADDRESS: 37 5""3 G~"yO' c..iV'd (' ZONING: R.s -1
LEGAL DESCRIPTION: Lot: Block: . Subdivision:
CLALLAM COUNTY PARCEL NUMBER: 0"30 , ~ ~ 80 , S"'S'
..
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK: SIZEN ALUATION:r'/,)()
o Residential 0 New Constr. 0 Re-roof 0 Stove 3 J r SF. @ $ ?L '. JSF. = $.
o Multi-family iI Addition 0 Move 0 Garage SF. @ $ /SF. = $
o Commercial 0 Remodel. 0 Demolition 0 Deck SF. @ $ /SF. = $
o Repair 0 Sign 0 Other TOTAL VALUATION $
BRIEF DESCRIPTION OF THE PROJECT: ~ U -t-....o Gtt fZu o.....'} "-", d l!"'\{......, "V "';1.
a L"'"' acel ~'(:>+;",,~ (JeJ)ft6t1""'1.S / NQ Ptll"\~~\j C\,,\je~,
COMMERC~IDENT~ Occupancy Group: Occupant Load: Construction Type:
No. of Stories: ~ Lot Size: \ 0 470 Existing Sq. Ft. ~ "liS'"' & Proposed Sq. Ft. 3 )3"' = TOTAL Sq. Ft. ~R"()
Total lot coverage ,;z '" ,~ %
City:
Exp. Date:'
:JJti A;1>>. ~
~'
1
.'
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTBER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SURMITTAL: The Building Division can provide you with infOffi"llltion on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amountmust be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with cun'ent fee schedules. Contact the Permit Coordinator at 41 7-4815 for assistance.
PLAN CHECK FEE: 1F 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 pe~! issuance.
EXPffiATION OF PLAN REVIEW: If no 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 R1 05.3,2
of the International Building/Residential Code, 2003). 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 mu t obtain such permit t work.
T:\RVESS\BLDG-forms-brochures\2003-BuiIdingpermit.wpd Applicant: Date: j U) t/ (!j
~
PREPARED 1/31/05, 11:58:41
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE . 1
DATE 1/27/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
3753 CANYON CIR
HUTCHINSON CONSTRUCTION LLC
JEFFREY BOHMAN/BARBARA MAYNES
06-30-15-5-8-0155-0000-
04-00001143 RES REMODEL
SUBDIV:
PHONE
PHONE :
(417)
575
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFD 01 /~/ ~~~ BUILDING FOUNDATION DRAINAGE
BLFW 01 ~JL BUILDING FTG/WALL
BL1 01 1:,'27 05 ~qD BUILDING FOUNDATION FOOTING
1/27/05 AP Phill 460-2151
-------------------------------------- COMMENTS AND NOTES --------------------------------------
L_ _
PREPARED 1/27/05, 12:50:21
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
3753 CANYON CIR
HUTCHINSON CONSTRUCTION LLC
JEFFREY BOHMAN/BARBARA MAYNES
06-30-15-5-8-0155-0000-
04-00001143 RES REMODEL
SUBDIV:
PHONE
PHONE :
(417)
575
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1
01
1/27/05 ~
1I~)p'fl&
II
-------------------------------------- COMMENTS
AND NOTES
I
I
L_
BUILDING FOUNDATION FOOTING
Phill 460-2151
~
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1/25/2005
. WIND02 v1-02
Detailed'Wind Loadp~$igrl (Method.2) per ASCE 7-02.
, . ..... . .- . ,I. '-.."_.. '_. ". ". ....,: . .
. Description: . Bohman~Maynes..
" . 'Anal is b : Zenovic & Associates: Janlla . 2005
~Calculated!eafametet$~
Importance Factor' ".1. ....1 :' I
Non-Hurricane, Hurricane (v=85~100 mph) & Alaska
Table 6..2 Values
AIPha-;-----.----.-~.~~:~
--..------------------- --'---. . -..---'-:
zg = . 900.000 . . .'
---------- ----- -~
n______......._.__..____n.___..........._________....__..._..__~---~--._:_--_.:....__n~:__
------------'-----,---...:...----.:-----
----------~------------
r--------------.-.---------.-- --,- ___..::...c...:.
At= . . 0.105 ,,:," :
f-.------......-.----'---.
Bt= 1 .000
------------ --
Am = 0.154
1----- --------- c-~----
Bm = .0.650
-----
Cc::: 0.200
1= " 500.00 ft
--------...----------.-.- ----,- ------------
Epsilon = 0.200
2-------.-------- ----------- ------~
Zmin=. " " . :,15.00 ft. '. .
I
I.
I
,
f~r~~~_~l~lJUsel',lnputiData~XC~~_..w
~tructure.:Type. Building
Basic Wind Speed (V) 100 r'nph
~t~~~Ca!..~9.~ry (I,_~,III, C?..r.JY.) _____.!!n_._. ____________
Expos~re(B..!.C, orJ~L.:....___._ C ______ ______..
StrucNat:Frequency (n1) 1 Hz
f---~-~---'-'------- .------
Slope-af.Roof (Theta) 16.27 Deg.
IYE~__~!._~~~L___..__...______________ ._....~~~_I~~._. .._.._________.___._..
Kd (Directonality Factor) 0.85
c---:--------.----- -------
Eave Height (~~}. . ____ 7.75 f!.________..
Ridge Height (RHt) 12.50 ft
Mean Roof Height(Ht} 10.13 ft
____._.____n_____________ _______.____ ________._
Width Perp.ToWindDir (B) 12.00 ft.
_._-----_.._--~_.__._._.- ------.----- .------,-
~i.<!.~~..Paral: To 'yvi~.Q. Dirj_!J__ __~.33___ ef!.-.----~
Damoina Ratio (beta), .' . 0~01
Red values should be changed only through "Mam Menu.
~~~,CalculatEfdi,~aiametel's~~~~~~~..
-, Type of Structure, .
tieightlL~s~~!:!<?.!!~'!~Q!.'!!_..._~_J ___9~4 _....
Flexible Structure '. . - . T-- No
~~'~It!l'l~~~J11fJ!i~\rtl;jIi.,~GusfFactor~Categ()r,yil.:.~Rigid~Structure$r~SimplifjedlMethod~Al
Gust1 'IForrigidstructures(NatFreq>.1"Hz}'use'0:8S' '. .... 0.851",: .."'.',
~f~~~ii~"ii~~~7fi!{~~t~\"i~~~GustlFactor;CategorY;II:~RigidIStl'uctiJres!:~ConipleteIT'Analysis~.8~i
Zm Zmin .' . 15.00 fb:'
Izm Cc * (33/z)^O.167 0.2281 .' .
.-........------ .--- . " ~--
Lzm 1*(zm/33}^Epsilon 427.06 ft. :.'
a (1/(1+0.63*((Min(B,L}+Ht}/Lzm)^O.63}}^O.S. " 0.9545. .
Gust"2...-n. O:925*{{1"i-T:7*i"zm-*3-:4*Q}7(1 +f7*3.4*lzm}f-~.-~:~~-------...:..-.-..---~~-~m"--"7----......-- :---.----o~90H ,:--:-"-'-:'~7'--:-
IIG
Since this is not a flexible structure the lessor of Gust1 or Gust2 areused .'
.0:851'. ':'. II.:
.' .
Copyright 2002 - MECA Enterprises, Inc. . www.mec:aconsulting.com
Page No. 1 of 4
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2.0 SCALE 3/4"=1'.{)"
2XLEOOEFf MV
"SI/tIPSOlrHGR
6 (TYP) PAD FOOTING @ ENTRY /
2.0 BEDROOM WALL SCALE 3/4"=1'.{)"
]
11111
ffi (TYP) PAD FOOTING
~ SCALE 3/4"=1'.{)"
(3}N04
BARS EW
SEE DET 1 FOR (TYPJ ,wTES
7 (TYP) FOOTING @ ENTRY
2.0 SCALE 3I4"=1'.{)"
\O~"
IV
(TYP) RAFTER @ RIDGE
2.0 SCALE 3/4"=1'.{)"
"'NO'
IlARS EW
~ CRAWLSPACE ACCESS
2.0 SCALE 3/4"=1'.{)"
~
~
B (TYP) RAFTER @ RIDGE
2.0 SCALE 3/4"=1'.{)"
ROOF1O/W.TCHtE)
VENTCA\II1Y
VERT IX A!lOVE GLD 10
StJPPORTAAKEW
-sJMPSOlrfA35j
~NE(:;;) RAFTER @ RIDGE
2,0 SCALE 3/4"=1'.{)"
14 RAFTER@ POST AND BEAM
2.0 SCALE 3/4"=1'.{)"
.."",,,,,,,,,"' I~
0"-.0 ~ ~
e~~ -- BOTOF(EJmUSSCHOFlD
A ~ >XOVE,,_.'NGo,r
OC ABOVE (E) ROOF
VCllO:WOC
CRIPPl..EWAl..L.
~
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'~e_~POl
TOP OF R 1RlJ$S
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SCALE 3/4"=1'-(J"
ROOF TO .uA TCH IE)
(TYP}WAU.ASSY.SIOINGOI
'TWEK"0I711110SBOIVCll
SnJOS 0 24- OC WI R-21INSlA. -
II II'fTERIOR FACE: &11" GIW \W
VAPOR BARRIER PAINT
~WALL SECTION
314" = 1'-0"
(HjWAl.LIWTf.f1
PLmtlSIDIHG
SOUTH ELEVATION
1/8" = 1'-0.
NOTE: WINDOW SflES FOFf
eSJ'WATEONlY.VEFfIFY
ACTLl4LSJZEINRaD
I
EAST ELEVATION
1/8" = 1'-0.
FAMIL Y ROOM
NORTH ELEVATION
1/8" = 1'.0"
o
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L____ ____
~~~n:s~=s. --=-"::::::::'(E)ROOFAlIOVE
WRAPW1XHEKOCK
AT8ATHROOUS (EJSmLJCTlJRE 708E
EXPOSED. P4 SKVlTWEUS-1M'W"
WPlASncLAJllNA1E".oPTI(JN;
ENAAElPAlHTOVEl'SAIOOlH"8OM)Q"
MUDROOM M IW<<XlW ASSEA8. Y
TO BE EXPOSED VC4 HEMLOCK VERT
MlA.L/ON. ~1X2HEALOCKSTOP!
AIUDROOM E)(TWlNQOW ASSEMfJL Y
TO BE EXPOSED ZXll CeDAR SIU. .
v.r 1X 2 CEOAFf S7OP$
Ul.()R()ON IWO ./HSIL CLR GLASs.
U.MIU.",AOJACENT70000R
WEST ELEVATION
1/8. = 1'.0.
(NJW.lIDOlWtIIJ2O
HORI1. SUlR sa.ow
RalOVE WALL
saow(Ejv.tlO
GARAGE
SID/NaTO
.....'"
P4 GARDEN (rBD)
GARDEN ELEVATION
1/8. = 1'.0.
ENTRY
~
/MJICA TES EXlSf7NG
WALL TO REMAIN
INDICATES EXISTING
WAlL TO BE REIIOVEO
WlNOOWSlOBEU_,4
FLOOR PLAN
(NICl NOT INCONmACT
~
[9J
KITCHEN
.:f"'~1
~
~t- :0
~ I
}:~,.
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1/4" = 1'-0"
I CEDARBENCH(NICJ tJ^A. J}J,MJ-
1\~u..OV'" f..J' f
4X4ARPOSrs 1W1X
CEOARWRAP(TYPJ@(3} {JIM-(HI.,.J~
~ - 7/11." ft,4--f;t e 'tin. ;x:
~ (IJ,,-,,-</J y,.",<S ",r ,.....,
l,$i.oc.lA<L ....t. ,,{.t...........n.-
?-'I' r---;,' 1.!J 0/10"'0 ~
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: 4040
10
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PROPO,
ADD/TIC
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"'r..'"
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 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
04-00001143 Date
.304822
3753 CANYON CIR
06-30-15-5-8-0155-0000-
RES REMODEL
3/14/05
RS9 RESDNTL SINGLE FAMILY
26800
Owner
Contractor
JEFFREY BOHMAN/BARBARA MAYNES-
3753 CANYON CIR
PORT ANGELES WA 983626721
HUTCHINSON CONSTRUCTION LLC
P.O. BOX 1161
PORT ANGELES
PORT ANGELES WA 98362
(417) 575
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
ANDERSON/ 393 SQ. FT.
ANDERSON ELECTRIC
73.00
3/14/05
9/10/05
Plan Check Fee
Valuation
.00
o
t.\,)
~
v.>
Qty
1. 00
Unit Charge Per
73.0000 ECH EL-R-SQFT FIRST 1300
Extension
73.00
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. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Side setbacks shall be at least 8' from all property lines.
Lot coverage is good. No land use issues are noted.
Public works electrical engineering has no requirements for
this plan review.
1
~
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 73.00 73.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 77.50 77.50 .00 .00
~
~
COMMENTS/ACTION NEEDED
)
',"-,/~";:i::,';h:kt{,:"';;j,A'--:, ,.;.{. ''r- ". .;t'!-r-r::'!"/)",,'::, ,;:_lv',:,~
ELECTRICAL PERMIT INSPE~JON RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PRQYP>E A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC110N TYPE
COMMENTS
NO
3
GENERAL COMMENTS:
PW.II02.1S (4196)
AXIAL COMPRESSION AND COMBINED LOADING CALC.
PROJECT: Bohman-Maynes Residence
CLIENT:' Bhman-Maynes
JOB # 05008
DESCRIPTION: 11.5' high sud wall
DATE: 1/25/2005
MEMBER INFO.
.' TOTAL AREA
ZENOVIC AND ASSOCIATES, INC.
519 SOUTH PEABODY STREET. SUITE #22
PORT ANGELES, WA 98382
#
COMPo DESIGN BENDING DESIGN
STRENGTH VALUE
Fc Fb
s
",'625 "
NO. MEMBERS MEMBER
WIDTH
MODULUS OF
ELASTICITY
e
ADJUSTMENT. FACTORS WIND FACTOR I
CD CM 'Ct CL CF CV P I
';',\::;.,i~,: '..1:33/ :~ " 'F ....",.} 20.4 :1
Cfu Ci Cr Cc Cf CP
"":*'1,"+..;1';151"<::':::.' '<i/, 0.56
TABLULATED VALUES1SEE SHEET 21
T I BUCKLING COEF.
Kce I CIKe
y;.i[~Y:";.' 0.3';'~>i{(: ",....":0;8. ".
LOADING INFO.
VERT. LOAD MOMENT HORIZ. REACTION
P M
(Jbl fft-lbl flbl
...560/.... 449.0 156
fb(psO
712
COMPUTED VALUES
FOb(psO F'b(psO fc(psO
1789.515 1556.1 68
[KeEXE] I
FeE= kid! I
FcE
762
[ ]2
Ie + f.. S .
,Ii'. F:h -V/FJ 1.0
[f] ~ 1.0
[f] s1.0
FOc(psO
1080.625
F','F.,[I +~1Fj [[I +~1Fjr J~F.r]
ICOMBINED LOADING CALC. DEFLECTION
I 0.52 QIS ,j (In)
0.32
IAXIAL LOAD CALC LIx
I 0.11 OK (In/lnJ
430
IBENDING CALC
I 0.46 OK
I : SUMMARY
(NO. MeMBeRS 1
( SIZe b h
'2 6
Ibfft
F'c/psl)
607
.
,
',' -f '~", '.:'. '. ~'. .
"'-;"" ;'." ";~:'l)
. '. "".
1/25/2005
WIND02 v1-02
Detailed VVind load D~sign (Method 2) per ASCE 7-02
Fiaure 6-11 - Extern"al Pressure Coefficients.GCD
Loads on ComponentS and Cladding for Buildings w/Ht <=60 ft
I I I I
_J.-.2-'__ J.L__-'-3-
2
1
2
I I
-T---r-I--r--'--
I I I I
a
a a
a
Gabled Roof
7 < Theta <= 45
a = 1.2
==>
3.00 ft
Component Width Span Area Zone GCp Wind Press (lb/ft^2
(ft) (ft) (ft^2) Max Min Max Min
0.00
------------------------------- ------- ---_.~._._-~-.__.. -----------_..~ ---------------- ---.-.-----._---------------- ------------------. ---------.-------- --------------_.._"-
0.00
f---------- ----- 1----- ---- ---------- -----
------------------------ 1----- --------... __ O.OQ....._ 1------- -------- ;------------ ------ -----------
0.00
0.00
-------------------- ----- ---------_... ---------- -----------..- ------- ------------- ------ -------"----
0.00
--------- --- ----- .-----------_.. +--------- --------------. ..---.-----
0.00 1------- ~----
_______.d_~___.____d__________ --------------- _.~.~--~--- ---------- -------- -----~- ------
0.00
0.00
-_.--------------------------- ------------ ---~--------- -------------- ----------------- ------------- ---.---------------- -~---~-~-_..- --_.---------------
I 0.00
Note: ... Enter Zone 1 through 5. or 1Hthrough 3H for overhangs.
Copyright 2002 - MECA Enterprises. Inc.
www.mecaconsulting.com
Page No.4 of 4
I'
I
I
"
WIND02 v1-02
Detailed Wind Load Desig'n (Mettiod2) per ASeE 7-02
Fiaure 6-6 - EidernalPressure Coefficients. CD
Loads on Main Wind~Force Resisting Systems (M' thod 2)
B
h
z
I..
I
L
Va'riable' ~ ~\t~Vah..e~ ~lJnitst~
Kh 2.01 *(15/zg)^(2/Alpha) 0.85
Kht Topographic factor (Fig 6-4) 1.00
Qh .00256*(Vl^2*I*Kh*Kht*Kd 18.47 psf
--:------ -::.---------- -------- --------
Khcc Comp& Clad: Table 6-3 Case 1 0.85
Qhcc .00256*V^2~I*Khcc*Kht*Kd 18.47 psf
_'~'.t;Ji.;~f,t~,~tif~ftr;gff4Wall+eressi.J~e;C()effjcients~,CpJ;~~~~\"'r~f:G'W~
Surface 'I Cp
Windward Wall (See Figure 6 .5. 1 2.2. 1 for Pressures) I 0.8
..'~ ~l~t~':..~:;~1?~t:'.::!;/1~~~f.~t~i~~lf~]~:~:~~~~-$~[i:~~~ Ro()f;e..essure1Coeffjcients~Cp~~-l~~f~1<<~~~1\~~~jf:i@'h"i$~)~&iil
Roof Area (SQ. ft.) I 352
Reduction Factor I 0.89
-4.77
3.02
-4.92
-8.10
-8.25
Copyright 2002 - MECA Enterprises. Inc.
www.mecaconsulting.com
1/25/2005
Page No.3 of 4
1/25/2005
WIND02 v1-02
Detailed Wind Load Design (Method 2) per ASeE 7-02
6.5.12.2.1 Desian Wind Pressure - Buildinas of All Heiahts
Elev Kz Kzt qz Pressure IIblft^2)
Windward Wall*
ft Iblft^2 +GCpi I -GCpi
15 0.85 1.00 18.47 9.24 I 15.89
Fia 6-5 Internal Pressure Coefficients for Buildinas. Gcpi
Condition Gcpi
Max + Max-
Open Buildings 0.00 0.00
Partially Enclosed Buildings 0.55 -0.55
Enclosed Buildinas 0.18 -0.18
Enclosed Buildinas 0.18 -0.18
Copyright 2002 - MECA Enterprises, Inc.
www.mecaconsulting.com
Page No.2 of 4
2005/MAR/09/WED 01:45 PM
CITY OF PA BLOC DEPT
FAX No. 3604174711
P 002/002
....
".". ,"-"...___..n....
.. "'.
...............__.....___... ......._.. ...__u__
. . .
J
~::-..,.~
-- ,- .._,
~ Electrical Contractor
D Annual Pettt\lt 0 Alarm
. ": :---{iJ--:- . . -_-E~RICl>LWQlU(PElOOlrAPJSLIcA:nON
_ __ ~=_==-=-lJ-.Request-IftspectjOD _ _, - __ . _ ._n ___
o Owner r
-i
j .. ___ _______.__________m________________"..____n__'______
.1 ... 1~b~ired~; . )itEI.;ctric.IContr.~!!
I
I
I
Q .Carnival a Commen:~ 9CRf:~~eo:ti.J D ResideJ;rtj,.. MaiDt. [J Signl [J Thermostat o "Tolec.om.
"'-"---"--''''---'-'..-' .
. .. . .,. ., .
",SUJlatjDJ'). ~cfcriptioIl"': . .- ..;'.; 7:-:~ -:--. ... -'-",-:- ""'.- n,~' ..
[jo,."er
.......,.... .,....,.-.
::EIi:e'ffiCil comraaOi name' ,. -. - ~""'-.- .. .. ,,~,,"'"Pccn'ic 1WDlbCr . ,"- "_:"',_"u'" ~:--- .. ..~. .-'--','---'-'" _._~.._,... --:-:-... .,A"__._'
f\V'.~e-rS"'''' ~lGurn-c:.,- p,.NO",~E-C"J-]i''\'* lI.\~{,J UHCC'1---s.fbr
Pl1rchater'& mailing addre"
--eO-- Gt \((:58
__~~:E:~~.?__~_::__ n:.:_:--,__ s"'L0i~- -- (t '033/
Telc hone number gf)Y- 1)/~- FAXnumbt:r 3'lY- 8B88
"..-",,'....-.-.
. -
\"{..,,,\ octM
i
,
~
l"remiuI OWbUtS name
! Jt-~fBf)~~..J
..\ddreu of inspection
3fJ 5' 3 CCt "'f 'v, C;,,---<--LL
City
o Cash 0 Check #
I hereby e<<tify tl,at I_am the owner of the above named property or a licea,ed ,.,. Credit Card V""
elee:trical cou,1tattor (or the film"s audJ~ "Scot) and am tnak:in&: the electril:aJ P
inst8llatiDD. or alletatioo in compliance with the e1tctricallaw, Cbapter 19.28 RCW. Card # .
MastErcard
Discover
!
~--
I
slg....': 'tow"" d....;..1 ...tract., ., electrlu' .dmi...trato,
X -}{-'lC"'LU- - G-J!u/J.---
E.>pirotion Dale
of card
1-
Jl\!pecbOD ee
$
~.Ie ApproveDU)'
!l13' c v.r A-Co
D Appn;>udJlly
CElUNG
Insulation Only
~~. AJlPlVvlMlBy
3jf ~ .j-over ~
D'"
IBERM:OSLU
0...
ApprlJ...dBy
SERVICE
0... ~"4By
~1\I!lltR
o~. AJIFll'4dB)'
WALLS
InsuJ.tioJ) 'Only
DITCH
Dm
AIPf'lvt15 Jy
Electrical load Additions And or subtractlons
~NO LOAD CHANGES
Service Information
o Baseboard _KW Voltage ,
o Furnace - KW o Ovettlead Service Phsse/lll03
o Heot Pump - Ton - tAR [) Temp SeMce Sel'Vice Size: ..)...0-0
DJ:e.n-Wan KW ~ UndargrOUnd SGrvtc& F99d9r Size: ,-
Inspection Atea, Building or ~uipment Inspected ActiOft Taken Electrical
Da1'e In.ropector
tJL /05 P/IJA-7 A-JO A-An
/ /
---- n_
.
p..,- /1-'-fC
M{J
3/'1;;5'
~
---
'-
[EllEcel~CAl ~~SI?IE<Cl~OINl
W~IRl~NG RlEiPlOlRll
417-4735
PERMIT .
o~ - ,11-'/3
o ERI NTRACTQR
~Ou.s(/# tC a
A.DDRESS
3755 Cff"(vyt7/V C/~L
APPROVED NOT APPROVED
o ................... DITCH ...............,... 0
o .............. ROUGH IN/COVER.. ...... ...... 0
o ...,.,............ SERVICE ,.......,.,....,.. 0
o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0
CORRECTIONS NEEDED: LV S;noJ'CL-
/Y-Zi"fi.70-eS hV
~F'-P~? A-/CIfoA' iCJr
(/t;CtP-..r?1,F.-on /?797?/7?
/
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CD
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/F YO"!. ~.L
~~ /?~k#",
/JES.) ,....~ fS6~ -7-&'/..,
./
t::?cA4!-577~.......... ~
.
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
__ OLYMPIC PRINTERS, INC. (380) 452-1381
.~
~