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Home My WebLink About820 Joshua St - Building CITY OF PORT ANGELES PEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000431 Date 913372 820 JOSHUA ST 06-30-00-1-0-4600-0000- LT 3 RES NEW SFR RS9 RESDNTL SINGLE FAMILY 240000 Owner Contractor BFV LLC 711 E FRONT ST PORT ANGELES (360) 452-8924 Other struct info TOWN & COUNTRY HOME 171 MACAWA TRAIL SEQUIM SEQUIM (683) 1045 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 51813 1801.25 6/14/05 12/11/05 Plan Check Fee Valuation Qty Unit Charge Per 140.00 BASE FEE 5.6000 THOU BL-I00,001-500K (5.60 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 51821 136.25 6/14/05 12/11/05 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 1. 00 14.7000 ECH ME- INSTALL 100- FAU 6.00 10.6500 ECH ME-VENT SYSTEM OTHER 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 51839 153.00 6/14/05 12/11/05 Plan Check Fee Valuation Qty Unit Charge Per 11.00 1. 00 BASE FEE 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 7.0000 ECH PL- EA. INSTALL WATER PIPE 6/14/05 BUILDERS WA 98382 24.84 2.00 9004.00 2237.00 1. 00 720.50 240000 Extension 1017.25 784.00 .00 o Extension 47.00 14.70 63.90 10.65 .00 o Extension 47.00 77.00 7.00 AHA Gt3-0 S /rz!DC ..~ V) ~, ~ . ~rJ~ ~ \\ '" I '~ ~ '6 L. \) r v" ~ C- rt' ~ ~ .:'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 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. ., ,-:-of. / " /~ . " . /, .' ./" '/.".-1 /<.. -t / t.o{. /0( < LC i.~' " .-L;.. ..;r......-,<. Sigrfclture of Contractor or Authorized Agent I ---. 6. /l'-. -.;,~) Date Date Signature of Owner (if owner is builder) T:\Policies\1102_15 building permit inspection record05.wpd (1/4/2005] BUILDING PERMIT INSPECTION RE~ORD 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 I YES NO FOUNDATION: FOOTINGS , WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (NiETER/~BLDG) GAS LINE BACK FLOWi'W A-noR AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD 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 COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/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. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 , BUILDING T:\Policies\1102_15 building permit inspecl10n record05.wpd [1/4/2005] ~f'ORr~ t~O~~~ r-di 4 11::.-- 'trii:lC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number 05-00000431 913372 Page Date 2 6/14/05 Qty 1. 00 1. 00 Unit Charge Per 15.0000 ECH PL- EA. BLDG SEWER 7.0000 ECH PL- EA. WATER HEATER Extension 15.00 7.00 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 location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association{NFPA) standards. 06/07/2005 12:42 The proposal is a 25% lot coverage. are noted. Electrical load calculations and elctrical permits are required. Connection fee i s under old policy $222.00 06/06/2005 09: 51 AM GMCLAIN - - - ----- -- - -- n_______n n n PM SROBERDS --------------------------- s.f. res w/attached garage for a total of Setbacks are good. No land use issues 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 2090.50 2090.50 .00 .00 Plan Check Total 720.50 720.50 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 4585.50 4585.50 .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 riot 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. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\Policies\1 102_15 building permit 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 I'~'C:- z.~ \ ,---->L'-. , WALLS 7<:i:- C'\ - TL-\.. ~ .- C:. FOUNDA nON DRAJNAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ~lxIO\ M (! ROUGH-IN :1eA- ~~ '3 ~7 Q-lfo-o5 t' \1.. ).. / WATER LINE (METER TO BLDG) , <::;> GAS LINE 1~ BACK FLOW 1 WATER AIR SEAL WALLS Iq -, -0 c;' \ L 1 CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING I g -&05 J l-1- 1:?1..~-..... c;' \ LJ...... , DRYWALL (INTERIOR BRACED PANEL ONLY) . T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL ~/'1 /6G HEAT PUMP 1 FURNACE 1 DUCTS Pr~~ GAS LINE ~'--'I WOOD STOVE 1 PELLET 1 CHIMNEY J f.A.../ COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING 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. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417.4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 : PLANNING DEPT. BUILDING 417-4815 u/1/0? 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WA 98:l62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000431 Date 913372 820 JOSHUA ST T6-30-00-1-0-4600-0003- LT 3 RES NEW SFR 9/01/05 RS9 RESDNTL SINGLE FAMILY 240000 Owner Contractor BFV LLC 711 E FRONT ST PORT ANGELES (360) 452-8924 WA 98362 TOWN & COUNTRY HOME 171 MACAWA TRAIL SEQUIM SEQUIM (683) 1045 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDERS WA 98382 Other struct info 24.84 2.00 9004.00 2237.00 1. 00 C5J )J () '-- Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL EXTRA MILE/ SFR 59121 EXTRA MILE 143.20 9/01/05 2/28/06 TECH & ELECT., LLC Plan Check Fee Valuation .00 o Qty 1. 00 3.00 Unit Charge Per 73.0000 ECH 23.4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73.00 70.20 ~ VI 1: C" r J7 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. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. 06/07/2005 12:42 The proposal is a 25% lot coverage. are noted. Electrical load .calculations and elctrical permits are required. Connection fee i s under old policy $222.00 06/06/2005 09:51 AM GMCLAIN ---------------------------- PM SROBERDS --------------------------- s.f. res w/attached garage for a total of Setbacks are good. No land use issues ~1 . Other Fees SEWER SYSTEM DELV CHARGE 745.00 COMM1:NTS/ ACTION NEEDED ELECfRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINlMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO 11L'CH III 1IIGJ-I_IN I COVER SERYICh FTN A T I GENERAL COMMENTS: PW.1I02.lS [4I96J '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION -21 EAST 5TH STREET. PORT ANGELES. WA 98162 Application Number . . . . . 05-00000431 Application pin number 913372 Page 2 Date 9/01/05 ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1025.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 143.20 143.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1917.70 1917.70 .00 .00 COMMENTS! ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD -CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02.15 [4196] d'OJl'~ '~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. WA 9R:162 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000431 Date 913372 820 JOSHUA ST T6-30-00-1-0-4600-0003- LT 3 RES NEW SFR 8/16/05 RS9 RESDNTL SINGLE FAMILY 240000 Owner Contractor BFV LLC 711 E FRONT ST PORT ANGELES (360) 452-8924 WA 98362 TOWN & COUNTRY HOME 171 MACAWA TRAIL SEQUIM SEQUIM (683) 1045 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDERS WA 98382 Other struct info 24.84 2.00 9004.00 2237.00 1. 00 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL DAVE'S/ T-STAT 57661 DAVE'S HEATING & 36.40 8/16/05 2/12/06 COOLING Plan Check Fee Valuation .00 o ~ \J \) Qty 1. 00 Unit Charge Per 36.4000 ECH EL-LVT-FIRST THERMOSTAT Extension 36.40 ~ J V~ .+ ~ p 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. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. 06/07/2005 12:42 The proposal is a 25% lot coverage. are noted. Electrical load calculations and elctrical permits are required. Connection fee i s under old policy $222.00 06/06/2005 09:51 AM GMCLAIN ---------------------------- PM SROBERDS --------------------------- s.f. res w/attached garage for a total of Setbacks are good. No land use issues I' f\ V.' ~\ Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE 745.00 4.50 (Ot\1I\{ENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417~735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO UIICti ROI IfTH-IN / COVER ShR V lCh FINAL I I GENERAL COMMENTS: PW-II02.1S (4196) '(I ""'r.."" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :'21 EAST STH STREET. PORT ANGELES. WA 98162 -~-------------------------------------------------------------------------- Application Number . . . . . 05-00000431 Application pin number 913372 Page Date 2 8/16/05 Other Fees PW WATER SYSTEM USE FEE 1025.00 - - --- - ------- -- --- -------- --- - --- --- ------------------------------- ---- - --- Fee summary charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 36.40 36.40 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1810.90 1810.90 .00 .00 CQj\HvtENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. 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Your applicatior. and site plan MUST B~. ../ COMPLETE to be accepted for review. If you have any qnestions, call IA PERMITS (360) 417-4815 F~U(360)417-471l BUILDING PERMIT - APPLICATION Date Approved: Date Issued: / Applicant or Ag~nt: 7CLc ~N ;: feL.1 rrf" 'i !/UY'YI r 6ti F '.lcl II' .rS Phone: _ ?&,O - ('vI?'=? .- / c ~ S- Owner: K.,phetlcb1 /~. [JU.//?/lIS Phone: .-5?-O - &,Jl:S '//Od-. Address: 11/ jvlll 1:4. lu4.' offal! City: 5J1u/nJ Zip: ~BJ? ~ iv-chitect/Engineer: Rill::: .4 <"':>DL/q-l (/5 Phone: 3?o -</5---?- =JO/Y Contractor (JIA) It! ( V State License #: Exp: Phone: Address: City: PROJECT ADDRESS: ;j,1 () ::J2~') 'SA u u .5-/ r.e. e f-- LEGAL DESCRIPTION: Lot: :3 Block: Subdivision: .9& 5000104&,000000 Zip: ZONING: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: 1)( Residential 'p\New COllEtr. 0 Re-mof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: "& SIZtZALUATION: D Stove c;,~<(. '" i-SF. @$ /SF. = $ 2YOC~"y--0D D Garage . ~ J.{!b 1. SF. @ $ /SF. = $ D Deck PO,-c.1-, I I 4 SF. @ $ /SF. = $ D Other .~ ~ 1 TOTAL VALUATION S:/nc (,Vt ' . COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories:.aL Lot Size: 9ot) sf Existing Sq. Ft. Total lot coverage ,1l/.:5,/ % Occupant Load: COllEtruction Type: 6 & Proposed Sq. Ft. c1 ,,~ .3 7 = TOTAL Sq. Ft..2 ;}. ~ 7 , APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA/Wetland(s): 0 Yes D No SEPA Checklist required? DYes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plallE are submitted. All other permit fees are due at the tinle ofpermit issuance. EXPIRATION OF PLAN REVIEW: lfno 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 BuildinglResidential 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 must obtain such permits prior to work. T:\Policies\BL.] I02_13.wpd Applicant: 1- /'/c"'h d. 4~ Date: 5 - 3/ - c:/.s---- - - --------------- ~ -- ~ -- - -- If \ I \ ~ r-- \ I I b o lfi o \ \ \ J ~\ Ill' w : , .,... . .,... lo '<t fo L{) (j) 9! m\ l88JlS Bn4Sor ,9L98 3 ,,69,v ~oEE N \ -~ ~" lN3VBSV3l'<f8\1:I183l3 "o-,o~ ------ '~ :} --- I \ _ L---\- 'TS'S'S "iD-S<: I I I , I \ ~ , ~-- ~ Qj 'l'S'S'S ,,0-,9<: -l \ \ \ ---- \ I I .J lai lui ai \"r <0 \ \ \ \ __J ." 7 ",t-.L' ---J------- --- - ---.--------.- --- ________----------.. -------..1' -. - - "o-.,g --1.-=-.1.,----- ,9L'98 3 ,,69 ,v ~oEE N b o lfi o :w .,... .,... In '<t fo L{) (j) / '\\ \ V '\ r\ -. ~ y \?o~ i"0 o~ ",SS :\00 ~ s0S 0GY:; \0G ~0 '\ ~ ~s~. ) o?- ~ . '9 ? ~~, ~ _O\)0 ~v'~ ) / ~-~ , ~ ~ ;\ :;J,. t' . o~ ~:') ~ . o. \ \..0 :;7-'" .!l'l ~ \,: il,~.J" .\.;" ~ J'? ~v ." *~ ~ .., \I, ~\C;i\ _.., .5"';:'"". ~v' '""' J'"" . ~ ~ <ti ('~\-~C~II-~ ~ '" ....>.?--~~~<'). 'C~---. - - - '<? - - _ _~~ _ _: ? Ll6 ..Ll7.:.. 06> '"".~ '" ~ Q< STREET q "" \- ~- U7~ ~.: 0 ~ \ . \0. \ I> .... --' U bC':)O vo(XJ o (o~oC70 / 0 vr ~ ~ ;\ , \..0*~,7- SS6'4S'II"E 10S.00' k2 Iri ,,-'" '" N ::l S56'4S'II"E 105.00' k2 :g A \..O~7-A SS6'4S'II"E 10S.00' j<J .... ~~ :-Iri ~'" oJ \..O~O~ SS6'4S'II"E 1 OS. 00' SS6'4S'16"E 108.2S' 7- \..O;~,O I..: I 1 I~ f 1 30' I ~ SS6'45'II"E I 120.00' I ,:; ~~~ 30' .: O~ 1 ~~ ~I \,: il,~' ~ -,J I '!..\c~ '----"' '~s.c" I S56'4S'II"E 120.00' --' I. I f. I';: 1-:-:' I' : l I: I I.' r~ I. 1:- I:' <I 'I ,7- S{I \..O*~7-' --'I 1 b :-1 SS6'4S'II"E It) <ci I 120.00' ~ I ::1 " 61 ~b ::';1 \..O*~~? I g:"l ::.:.1 SS6'4S'II"E lr)(;; ....1 I. 120.00' ~ ::1 3i ~I ,0 S5 ::';1 \..01909 I .:1 SS6'4S'II"E I~ .... )1 120.00' .!l'l ~ ::1 a ",1 ;\ 9 ::';1 \..0*9'') 1 Jo I SS6'4S'II"E 120.00' ;\ ~ c,1 \..0*9,1 WEST S24.27' 104.7S' 90.2S' /<J 78.00' k" ..... :;' ~'" .!l'l.., ~O\ :;0 ....'" \..O~ '),1 ....'" \..0;7-')' ' :-~ ~9 c,o V-- ( :--~ i:] ~\~~ 01 *7- i:] "" \..0*~09 C 0~ . "" o~\lo\ 'i~~ ~o =~ ---...... SS6'4S'11"E n 10S.00'1-- I: . ~~K~ : iQ $. O~ 0 I.~.. :g \,: *~'r I f: f' ~::J.~~~~s~2.:.:> /c,<!l '.>...- c,~/ ..1 ,A '. ;\ \ I \..0 ~,') I * ~I -... j<J .... . ,? .!l'l 2 ~ Q'; \..01~,A ~ "" SS6'4S'II"E 120.00' I: ,0 I:: \..01~'~ Ii:] I::' t.: SS6'4S'II"E I 120.00' F' ,1 I.: \..01~7-~ I~ I: I. SS6'4S'II"E (: 120.00' I..:.' ,~ 1:', \..01~~6 I;; 1-:-' 1:' SS6'4S'II"E I. 120.00' I'::. ,9 (.' [ \..019,0 Sl 1.--'. I' SS6'4S'II"E I 120.00' 30,1 \ 30' ~, \..0*9'~ 110.00' 10TH STREET ~ ~ g: lr) ~ ~ <ci ~ G:J I Cl ~ b :2 '" ....1 '.1 i 1 ~I . :1 :1 ::.1 :1 .::1 i SI I I j I~ .... ,It) ~ ~ '" :j :.1 ....1 ~I I :.1 :1 ~~ \..O*~,') S56'4S'II"E 107.10' ~1 \..01~,1 SS6'4S'II"E 10S.00' .. ;\ ~6 ;) \..O*~~' ~.I ,\C~\- I ,0 ~C~~~~ :1---'" t.~S~ ) SS6'4S'II"E 10S.00' ~? \..O*~~? S56'4S'II"E 10S.00' ~A \..01909 SS6'4S'11 "E 105.00' ~:; \..019':; SS6'4S'II"E 105.00' ~~ \..019,1 c'o 9S.00' SS6'4S'II"E 66.92' b C) :g k~ ~~ k :g k Iri '" . .... .!l'l ~ in~ " "" :g k2 :g b C> <ci '" ~ 't- 1.'l Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information Building Department Use Only Lot: . -:] Address: X;20 Jb<;huCl. -51r-cet- City: Po if + A^'1~ 1-1' S State: tV It Zip: q f 3 & 3 Contact: K..f hE t.' k c,- r-' iu e ill 5' Phone: &83- I e 'I '5 Phone 2: &':) .~ -- i / C ;;L Permit#: Notes: Fax: (Unlimite G azmg )l tIon ny Glazing Glazing U-Factor Door9 Wall Wall Wall Slab4 Option ArealO U- Ceiling2 Vaulted Above Int4 Ext4 Floors On % of Floor Vertical Overhead II factor Ceiling3 Grade Below Below Grade Grade Grade III Unlimited Group R-3 OAO 0.58 0.20 R-38 R-30 R-21 R-21 R-I0 R-30 R-I0 Occupancy Only Table 6-1 PRESCRIPTIVE REQillREMENTS 0,1 FOR GROUP R OCCUPANCY CLIMATE ZONE 1 d I . O' 0 I) See the code text for footnote references This project complies with the following: ../ The project is a single family residence or duplex. ../ The project is wood frame OR all of the insulation is interior or exterior of the framing. ../ All building components meet the requirements listed in Table 6-1, Option III. ../ The project will meet all other provisions of the WSEC and VIAQ. The project will take advantage of the following exceptions to the prescriptive option: Ij) 602.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed. Location of the door taking this exception F"vc.. +- de: 0 &-or o 602.6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option III only. Location of the door(s) taking this exception Copyright 2002, WSUCEEP02-056 Copied by permission from the Washington State University Extension Energy Program Prescriptive - Simple Form - Climate Zone 1 7/26/2004 REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST. # CCOl TOWNCCH950CA EFFECTIVE DATE EXP. DATE 02/01/2007 02/01/2005 TOWN & COUNTRY HOME BUILDERS 171 MACAWA TRAIL SEQUIM WA 98382 44/(~ /! .. ~ Si~Jldture"'--""",.-' ~ 4.. b~L1<.:d bv J)Jcl'.';I,T~1LNT (IF 1.';+30!, AJ~U lNUUSOI'l\JES s ........;~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .'\21 EAST 5TH STREET. PORT ANGELES. WA 91B62 ~~p~~cac~on Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05 00000431 Date 913372 820 JOSHUA ST 06-30-00-1-0-4600-0000- LT 3 RES NEW SFR 6/28/05 RS9 RESDNTL SINGLE FAMILY 240000 Owner Contractor BFV LLC 711 E FRONT ST PORT ANGELES (360) 452-8924 WA 98362 TOWN & COUNTRY HOME 171 MACAWA TRAIL SEQUIM SEQUIM (683) 1045 TOTAL % LOT COVERAGE NUMBEa OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDERS WA 98382 Other struct info 24.84 2.00 9004.00 2237.00 1. 00 Permit . . . . . .Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE EXTRA MILE/ 60A TEMP. 53306 EXTRA MILE 42.20 6/28/05 12/25/05 TECH & ELECT., LLC Plan CheCk Fee Valuation .00 o ~ '< ~ ~~ "\l ~\ C\ ~ ::t: ~ ~ Qty 1. 00 Unit Charge Per 42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 42.20 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. New subdivision outside the four minute response time shall be equipped.with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association (NFPA) standards. 06/07/2005 12:42 The proposal is a 25% lot coverage. are noted. Electrical load calculations and elctrical permits are required. Connection fee i s under old policy $222.00 06/06/2005 09:51 AM GMCLAIN ------------------------- fA J PM SROBERDS --------------------------- s.f. resw/attached garage for a total of Setbacks are good. No land use issues Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE 745.00 4.50 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEgJON RECORD CALL 417-4735 FOR ELECTRlCAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO IlIT( :H RUUtiH-IN I COY bK ~bK V lCb ........ I GENERAL COMMENTS: PW-II02.U (41'96) s(i "'r..~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98~62 Application Number . . . . . 05-00000431 Application pin number 913372 Page Date 2 6/28/05 Other Fees PW WATER SYSTEM USE FEE 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- - -------- Permit Fee Total 42.20 42.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1816.70 1816.70 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEg.JON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO IlITf :H ROUGH-IN / COVER ~bKYICb l<ThJ A T Il~ j..;.Q {J".) Iilc:r.rJ I GENERAL COMMENTS: PW-II02.U (4196) Of pORT ~G .....4.~~~ ~r'Wiii~ ~ -- ~-;;-~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING 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 05-00000762 Date 503508 820 JOSHUA ST T6-30-00-1-0-4600-0003- FIRE SPRINKLER SYSTEM 8/18/05 RS9 RESDNTL SINGLE FAMILY 5327 Owner Contractor ------------------------ ------------------------ KNIGHT FIRE PROTECTION INC 2509 WEST 19TH STREET OLYMPIA WA 98512 (360) 417-0505 OWENS RABECKA A 171 MAKAWA TRAIL SEQUIM SEQUIM WA 98382 ---------------------------------------------------------------------------- Permit FIRE SPRINKLER RESID Additional desc Permit pin number 58255 Permit Fee .00 plan Check Fee .00 Issue Date 8/18/05 valuation 0 Expiration Date 2/14/06 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 \5) ~ \J 11 '"'\ ~ \\ V'> \f) -+ ~ C", ~ 3 V' rr \\ ~ ""\ 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 :Jr:-~ f'/h~lo,- Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1I02_15 building permit 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDA TION 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 FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF 1 CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA nON SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUNWI FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTlNG 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. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Pohcleslll 02_15 bUIldIng permit InspectIOn record05. wpd [1/4/2005J BUILDING PERMIT - APPLICATION Dale Rec.. Pel1l1it# fJ'J 7(PV Date Approved: ~.L~,(J $' Date Issued: ~. t ,O?" Fill out COMPLETELY and in LNX. Your applicatioc and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: kfV\i.1tT h~ ~\:L\\C'" K€~r..L+- It- (!!J~(/Edr Address:--l" I lj ~ AIWIl.. \a,......L.- City: ~~ ~"'L Owner: Phone: Phone: 4" -oS-b< CP~3 - t{O-z.. Zip: qe~ PFZ_ Architect/El1gineer: ~f\I\'0 W~ Phone: State LiC<:nse~hfvrl'- t Phone: . , )~-#,S( 'Eity: '1 ~ ~'\ Zip: ~3,&? & 'lO fl) IfLl4- <;;;:r ZONING: -::s Contractor Address: "2~O.q PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: () /.)60(3 164 1a:>6 C)t:)oO Credit Card Bolder Name: Billing Address: Credit Card Type VISA Me # TYPE OF WORK: ~ Residential 0 New Constr. 0 Re-roof D Multi-family 0 Addition 0 Move D Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: ~dicV1~G,I City: Exp. Date: D Stove D Garage D Deck D Other SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF.@$ /SF.=$ TOTAL VALUATION $ S,? e" "7 -- ~~ ~1(}l.1~~ Occupant Load: & Proposed Sq. Ft. Construction Type: COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % = TOTAL Sq. Ft. PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DP\VU: FIRE: OTHER:_ ESAlWetland(s): 0 Yes D No SEPA Checldist required? DYes D No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Pennit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it mustbesubmitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the tune of permit issuance. EXPIRATION OF PLAN REVIEW: lfno pennit 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 del . what permits are required ,not the City's, and that I must obtain such permits prior to work. Date: ~I ~ }~ Applicant: T:\Policies\BL-ll02_13.wpd ?A ~'D as. '2 ( PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 Fire Sprinkler System Plan Review Project Name: Private Residence Address: 820 Joshua Street Installer: Knight Fire Protection Installer Telephone: 417-0505 Type of System: Open 130 13RO 13D~ Date: 8.16.05 PAFD Permit #: 05-21 We have checked this plan and find that it conforms to the requirements of the code. A pressure reducing valve will be installed at the system connection to the toilet. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. A design sprinkler flow test and alarm test are required for all13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFPA Standard. This 13D system will require a measured flow test. Contractor Reviewed by: -~m-.Q.Q. Date: ~. l~ 'os- o ~ o Building Department Fire Department , AUG-30-2005 81:23 PM E.JANSSEN 360 452 2982 P. e 1 {O-1,-~ [J Electrical Contractor , S. q" '. ", ,'I o Owner ~~.::t' ELECTRICAL WORK PERMIT APPLICATION o ReQuest Inspection CJ An.ual Permit r:J Alprm 0 CHl'lIh"al CJ Commercial ~ Rc-~ldentI81 t:l Residential Maint. Q Signs Cl Thermo.tat 0 Teleeom. I ,~Iectrlcal COlltrae!or 0 Owner I Electrical conlr6Chn name' . I ~hr't fJ4'/A ~/"", 1-,-,... , I Purd'.,el"J rnll~li~ Hddress: n ~ ~ 1 t<.'~ Cily ~ ! 9..>tf ,4.~1d<. So TeJcpfr,one' number : 4r - l~rtm~IC!J own('r'~ n.nu!' . 1 . -t:J....'lI_ ... (j".~~ 1? ,-,+-lc.l..~ Addr~.. uf ill!ll)Cctlon I J I 5'~o 1l"~1.u........ _L.,+- ~ g C. I' ....'~/'j 'iri'trL License number IIlSlullUlion description S,~I.... T~,. A. ).(.....) ('j~C~.. . 6- ~ Jol/ ",Ired by rr- St.lIC' liP V~ '7 !';t.. 4,. FAX numher I jt,t:/( Lf6~ ;).. p.. 3 .5 C2 F:.f. o Cash Cl Check # r hel'~Y ct'I'lify that I an~ Ihe owner of the above nam~d rrnr~l1y Of " licenseu cleclficnl contractor (oj' Lith firm's allthorized aecnt) aUl1 am making the electrical instalhtion or alteration in~c(lmplinncc with the: ~lcctl'iclll h'l\\!, Chapter IlJ,:!P' kC:W, , , o Credit Card Visn Mastercard n iscover C~"________________ Expirdtion Date uf card WALLS Insulation Orll~ '\ CEILING IMlll~,inl'1 Onl" .:r' ..1<<-0 ^PPlllVllll ~'I ,,- ... . SERVICE ~~ ,~ O.tc ' APlITOV Y loEEDER D.le ^l'pmVod'ly , ~,"IC ...,l)'llllvwfll , .~CO'" )fc'{} ~le AII~lIlVc:lI Dj' ~/.,~'"~''' ;;:;3 Ie ol.l'r'<.Iv...llJ~ on"CI1 4'1.../_ -: Au;) ~ ^ll~r.l~<41f,)'. . I Electrlcel.LQad Additions end or eubtrMlIons o NO 'LOAD CHANGES I 1:1 BB.boetd KW; o Fll~ac8 -;/: KW I a He&): Pump ~ Ton ~ LAR t:I Fan~Wall KW Service Information Q Overhead Service CJ Temp Service D Underground Service Voltag<l Ph..eD1D3 Service Size: _ FeeCler Size: I Ilpection , Dale ^n~!I, Auilding nr 1~<1\,ipmcnt Inspected ACli"" Taken ElectriCll1 hnspeclor A-(j 1-( -05 of:- 11 'L ZZ: L::Q ~ ;%v~~ -4-4 ;J- .- '< ffElectrical Contractor 5'-::::';;~' .. ,~ , E\'_.....,) ~: -". CJ Owner .........;r o Request Inspection ELECTRICAL WORK PERMIT APPLICATIhN' \, D Annual Permit 0 Alarm 0 Carnival 0 Commercial 0 Residential :J Residential Maint. 0 Sigos ~hermo5tat 0 Telecom. IB'ElectricaI Contractor [nstallation description Job wired by DOwner /oUJ 11'0 f+-,,'l-"- Eleclrical contractor name :PAV6";:5HC"I"I/;JO.'ccnse numb", .])alle'6 Heo.-h',,~ "t--Cao I"" "a S-e.rV"CO<j::zn c -f1,. eV.... 0 :s-f-a;:t' WI '....~ Purchaser's mailing address P.O, ~O)( ~/.3 City Stale ZIP forJr An~~, wA "1l3bd-. Telcp'hone number FAX number qSa-O~3'1 5"",,-e. Premises lJwner's name' 8e<-k,* Ou.>el"'\;S ~kJ" of CD""l'Ii"....1 H",,,,,4L. .6u,1 d-e.rs Address of inspcc1ion 'l?'::JO Josh",a. Cit~.p A..,.........lsz. :s 0......+ a Cash o Check # 1 hereby certify that I am the owner of the above named properlY or a licensed !9'tredit Card e Mastercard Discover electrical contractor (or th~ finn's authorized agent) and am making the electrical installation or alteratLon in compliance with lhe electrical law, Chapter 19.28 RCW. Card # ~ ' . Signature or owner. tleetrical tontrador or eledrical administrator Expiration Dale X ~ " . /lCl/J- LP. j) of card " ( ~n'P3(;, ~eO I /' W..\LLS CEILING " /' ,/ ~RMOSTAT /' SERVICE Insulation Only Insulation Only ~ f 0 4c/J \.~ rliltC Approvc..t Ill' " Dille Apprllvell By OllIe Appro",",d By DOk APJlKl"ed Sf DITCH /' Caver Cover FEEDER O~lc A~o"cdBl' D~le ^~m"edB)' \. " Dale Approve:! 81 D.-Ie Approved B)" ~ Electrical Load Additions and or subtractions [J NO LOAD CHANGES o Baseboard KW Cl Fumace KW [J Heal Pump Tan LAR Cl Fan-Wall KW Service Information o Overhead Service CJ Temp Service o Underground Service Voltage Phase :J 1 IJ 3 Service Size: Feeder Size: Inspection I Electrical Date Area, Building or Equipment Inspected AClion Taken Inspector ;J.-f<l-oL -hAlm_ A;? i AtF'l I I i I , , ~'d ONllOO:::l ~ ONll\f3H S,3^\fO eGS:LO so 60 5n\f JUN-28-2e0S 18:08 AM E.JANSSEN 360 452 2982 P.01 lJ Electrlclll Contractor S.. t '. ~ lJ Owner ~~...... ELECTRICAL WORK PERMIT APPLICATION '. 'om Reauest Inspection t:J Anr.llnl Permit 0 Alum Cl Curnival 0 Commercial )C1 RelJdential U Re..idelltlal Maint. 0 Signs CI Tbermostat 0 Telecom. Job wired by ~ Electrical Contractor 0 Owner Ele tical conlrftCIOr name I.icense nUlhcr . ~ ,L~ Elotc..+It.., c..,__ P";/;;" i:r .ddR,tftE ~IlT L.oJ ks Tell: honr numbe; 9~ . ~:;l. InSlallution dc.:xcriptlon - {<'fI\p S' <~ Ie..E ~r.- Stote Zltt W t '1 (. 7... fAX number . .._ 0 C",h 0 Check /I I hr~b)' cenify Ihat I am the owner of the ahove named propefly Of a licen'icrl U Credit Card e/ccllical conlractor (or tbe nrm's &l.uthuri:t.crlllgcnt) and alii nlilk;n!~ rlw clccnical inSlalhnion or Il.hef'3tion in compliance with the clcctncalh\w, Chapler 19.28 RCW. C~rd # Vi~ Ma.stercard lligcovcr ;~~WO";; <O::J.::::2f'm'n""...... lixpirdtion Dale ur card SERVICE " Dlle A.PIV"I~,", 8~ ..../ FEEDER Dale "-IIIIfVVIlll By../ E1ectricellDed Addition. and Dr Bubtmctlon. o NO'LOAD CliANGES D Ba.board ,,_ KW CJ Furhace KW o HO.1 ~ump _ Ton __ LAR o Fan,Wall _. KW CJ OverhAAd Servlco o TAmp Service ~Under9rOUl1d Service Service In1ormstlon Voltage ~ ,-/p /rz-c PheBe CJ~ Service SIze: _ Foeder Size: I ~,pc'lIon Arca, nuilcling or Equipmcnl Inspected hction Taken Electricat Ollie Inllpec10r _n. J,Ll&k!:' n f'/V?V /:1P h-"o --. -~._- i,/;91o,oj & J..u,LE(',-r-roiJ ~ 41 '2.?~?, 0'0 =/7~ . J --. J7 h_ -- .. . --- -... - --. ... .- ---_. 0'- -- .". .._- -~~---_... -... -- " - .... __h' -. 7!W c,jvfJ /oJ'