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Home My WebLink About727 Evans Ave - BuildingDATE PERMIT 5 R/CONTRACTOR OWN PORTA IP ORKS ELECTRICAL INSPECTION WIRING REPORT 417 -4735 ADDRESS GO INSPECTOR n ice I/ ZST/ O> -14 li APPROVED NOT APPROVED DITCH ROUGH IN /COVER V, SERVICE FINAL CORRECTIONS NEEDED: (c,f V.XTEZ) 0 (Z NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc hot tub Owner Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total DAVIS PATRICK W DAWN R P 0 BOX 795 PORT ANGELES WA 983620139 Qty Unit Charge Per 1 00 110 3000 ECH Charged 1110 30 00 110 30 10 00000916 190060 727 EVANS AVE 06 30 00 8 5 0217 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Paid 110 30 00 110 30 Contractor ELECTRICAL ALTER RESIDENTIAL 1;2098 110 30 8/25/10 2/21/11 EL SWIMMING POOL /HOT TUB INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 OLYMPIC ELECTRIC CO INC 4230 TUMWATER PORT ANGELES (360) 457 5303 Plan Check Fee Valuation Credited 00 00 00 Date 8/25/10 WA 98363 451Z- RESULTS 00 0 Extension 110 30 Due 00 00 00 INSPECTOR. 91ti� �P I ridaAP c /67 4 TAV Date: 1• REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) 08/24/2010 08 29 FAX 360 452 3498 City of Port Angeles Permit Appllcatl In Building (*Aston/Electrical Inspections 321 Emit Firth Street P.O. Box 1190 Port Angeles Washington, 98362 Ph: (360) 4174735 Few (360) 4174711 Date: Jfl2 V ///7 jjf& 2 Single Family Dwelling MultI.Femily or Commercial' Commercial Addition Alteration Remodel Repair Plan Review May Be Required, Please Complete ectrical Plan Review Information Sheet Job Address: 7x -7 Building Square Footage: 1 Description of above Owner Inform on Contractor Inform, Name: 7Y' 1 Y 4 r Name: 04,07 p 76C14:7 7 It--- Mailing Address: 727 1.,1, 1 ffe Mallln Addrt!';s: City: 0.f' 494 /r, Slate: j../ Zip: fJI 3 City' State: gyp' Zip' 9f fer Phone: 1 11 1- .:Z Fax: I Phone' Fax: _9 —Pr9 License Exp. I License Exp. G$ e 0 Unit Cheroe S 119.90 S 145.50 S 204,60 262.20 372.50 S 2.60 73.50 5 2.80 S 92:70 110.30 148.70 167.90 5 95.90 S 88.20 95.90 5 63.90 S 63.90 119.90 5102.30 110.30 35.20 73.50 5 110.30 3 56.00 Owner as defined by RCW.9.28.261; (1) Owner will occupy the structure for Iwo years after title elearlcel pen»lt le finalized. (*Owner le required to hire an electrical contractor if above said properly Is for sale, rent or lease. Permit expires after Ms months of last Inspection. After reading the above eletement, I hereby certify that I em the owner of the above named property or a licensed electrical contractor 1 am making the electrical Inetapation or alteration In compliance with the electrical Iaws,!N.E.C. RCW. Chapter 19.28, WAC. Chapter 296.46B, The City of Port Angeles Municipal Code, and Utility Speclllcataons. Signature of owner, electrical contractor or electrical administretor Cash Check ��l! Date:Jl2 Y/7 CrodltCard l Olympic Electric Co PA CITY INSPECT IJ001 /001 AUG ECENED 2 4 2009 ELECTRICAL INSPECTIONS Total (Qty Multiolled by Unit Charatal Service/Feeder 200 Amp, 5 Service /Feeder 201.400 Amp. Service/Feeder 401.600Amp. Service /Feeder 601.1000 Amp. S Service/Feeder over 1000 Amp. S Branch Circuit WI Service Feeder S Branch Circuit W/0 Service Feeder 3 Each Additional Branch Circuit S Temp. Service/ Feeder 200 Amp. S Temp. SeMCo /Feeder 201.400 Amp. Temp. Service/Feeder 401-600 Amp. 5 Temp. Servlce /Feeder 601.1000 Amp. Portal to Portal Hourly 5 Sign/Outline Lighting Signal Circuit/ LtmIted Energy Commercial, Additional 1500 35.00 Signal Circuit) Limited Energy 1 2 Family Dwelling S Signal Circuit/ Limited Energy Mugl•Family Dwelling S Manufactured Horne Connection S Renewable Electrical Energy SKVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft or Portion of Each Outbuilding or Detached Garage S 2 Each Swimming Pool or Hot Tub Thermostat S Total et" d'O"'~ '~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. W A 98]62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER, Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001049 Date .109733 727 EVANS AVE 06-30-00-8-5-0215-0000- RES NEW SFR 2/06/05 RS7 RESDNTL SINGLE FAMILY 110753 Owner Contractor COZI HOMES CONSTRUCTION 324 EAST 9TH ST PORT ANGELES (360) 452-9906 Structure Information Construction Type Occupancy Type Other struct info INC. COZI HOMES CONSTRUCTION 324 E 9TH ST PORT ANGELES (360) 452-9906 1563 SF SFR W/ATT 487SF GARAGE TYPE V NON-RATED SINGLE rAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS INC WA 98362 WA 98362 29.90 V-N 1. 00 1. 00 7000.00 2099.00 2099.00 1. 00 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE 60A TEMP SVC./ ELECT. SERVICE ELECTRIC SERVICE 42.20 2/06/05 8/05/05 Plan Check Fee Valuation .00 o ~ ~ N ~ " ",. 1:; ~ l' \. ~~ ~ ~ '\:. \. r~ ~ N ~ ---------------------------------------------------------------------------- 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 locations. A residential fire sprinkler system shall be installed per NFPA 13D will be required. 2nd option is to install an out side alarm bell that is eletronicly connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as lIFire alarm" The~roposal will result in the construction of a new single family residence in the RS-7 zone. Setbacks are good and lot coverage is fine at 20%, HOWEVER, the property has not been finally boundary line adjusted to allow the proposal and a permit may not be issued until the mylar is finaled. Boundary line adjustment final mylar received 11/24/04. Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEg.lON 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 nlT{ 'H ROUGH-IN / COVER ~b.KVICb I GENERAL COMMENTS: PW.II02.U [4'96] d ,oo' ~. .;~~~ D!i ""-;:--,... CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98~62 Application Number . . . . . 04-00001049 pin number . . .109733 Page Date 2 2/06/05 ---------------------------------------------------------------------------- Special Notes and Comments be at the customer's expense. Construct road to City standards, see public works engineering for requirements. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 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 INSPECT,ION 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 COMMENTS NO GENERAL COMMENTS: PW-lI02.1' (4'96] ","",.,~ ~.~c::-~---. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . , Application valuation 04-00001049 Date .109733 727 EVANS AVE 06-30-00-8-5-0215-0000- RES NEW SFR 12/03/04 RS7 RESDNTL SINGLE FAMILY 110753 Owner Contractor COZI HOMES CONSTRUCTION 324 EAST 9TH ST PORT ANGELES (360) 452-9906 Structure Information Construction Type Occupancy Type Other struct info INC. COZI HOMES CONSTRUCTION 324 E 9TH ST PORT ANGELES (360) 452-9906 1563 SF SFR W/ATT 487SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS INC WA 98362 WA 98362 29.90 V-N 1. 00 1. 00 7000.00 2099.00 2099.00 1. 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. A residential fire sprinkler system shall be installed per NFPA 13D will be required. 2nd option is to install an out side alarm bell that is eletronicly connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" The proposal will result in the construction of a new single family residence in the RS-7 zone. Setbacks are good and lot coverage is fine at 20%, HOWEVER, the property has not been finally boundary line adjusted to allow the proposal and a permit may not be issued until the mylar is finaled. Boundary line adjustment final mylar received 11/24/04. Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will ~ rftp tl .~O.,~ "J ~~ ~ '0 "-~ ~ ~ ~~-- ~ ~& V\ '\ S'j ~ \ Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 1078.85 Plan Check Fee Issue Date 12/03/04 Valuation Expiration Date 6/02/05 Qty Unit Charge Per BASE FEE 11.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 431.54 110753 Extension 1017.25 61. 60 ~ C (V 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 constructron . d /"- -J{,g'Vl ~ 3/t2A Signature of Contractor or AU~\;d Agent /' 11~~03-{)V Date / Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/1412003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE, INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION, FOOTINGS WALLS FOUNDATION DRAlNAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I 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 W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/1412003] " . of10RT~ ~ '=- -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00001049 pin number . . . . . . .109733 Page 2 Date 12/03/04 ---------------------------------------------------------------------------- Special Notes and Comments be at the customer's expense. Construct road to City standards, see public works engineering for requirements. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1078.85 1078.85 .00 .00 Plan Check Total 431.54 431.54 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 3284.89 3284.89 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1I02.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD .:t- CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS 2. -10 .. C::>- r~V WALLS a... - '1..." ,,,,/ ) L FOUNDATION DRAINAGE/DOWN SPOUTS OF ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR I SLAB , ! I IJ...I-Jr? 'Y' '\ J ,LL. '(t"/\ .:r L- V ROUGH-IN .' 1-1~V' V ,;.N.... 1$~ WATER LINE (METER TO BLDG) \. /-.v I"'G! U"I GAS LINE BACK FLOW I WATER AIR SEAL WALLS IN -IJJ, .os JLl CEILING FRAMING JOISTS I GIRDERS SHEAR W ALLIHOLD DOWNS ~3 0"30'0.:) j J..l. WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING I 4-2=1--05 I ~..HJ.L MECHANICAL t1~II. k"l/Jt.- 1;/ f s/ 11 K: "3 L( HEAT PUMP GAS LINE WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. I PW I CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANl\'lNG DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 $.;8- (!) , --rU-- BUILDING T:\PLANNING\FORMS\l 102.15 [I 111412003] '0 r< '" '" , , , , , , , , , , , , , , , , , , , , '-1~ ~~ i ~trn:;: ~ : 6~::::'~ I ootdoo to I ...........H.....................H N'ZtvNZ OQOOQ o 00 Ull"IjUllJ1::tl H 0 Z c: O)::lOOG) NL1~I--'~ o H ~ (l o 3: 3: trl Z >-l rn ~ o Z o >-l trl rn o w W 0 H I --'HZ >-l H 1'"d3:1'd"'O 3:trl3:3:>-l H 3: '-lr-'~C-.jtI:I t"l....JL1t-t.. H ,. H H tI:lOtI:ltI:lt-' ::UO::U::O-..J L1 t"lt'1" ~ ~t-<O o , , , , , , , , , , , , , , , , , , , , , , , , , , , , , '0 r< N >-l 'tI ~ ~ rn H o >-l o N .... ............ 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Application valuation 04-00001049 Date .109733 727 EVANS AVE 06-30-00-8-5-0215-0000- RES NEW SFR 2/01/05 RS7 RESDNTL SINGLE FAMILY 110753 COZI HOMES CONSTRUCTION 324 EAST 9TH ST PORT ANGELES (360) 452-9906 Structure Information Construction Type Occupancy Type Other struct info INC. COZI HOMES CONSTRUCTION 324 E 9TH ST PORT ANGELES (360) 452-9906 1563 SF SFR W/ATT 487SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS INC ~ ~ Owner Contractor 29.90 ~ t ~ t WA 98362 WA 98362 V-N 1. 00 1. 00 7000.00 2099.00 2099.00 1. 00 ~ \'\ ~ ~ ~ ~ c}. ... ~ Permit MECHANICAL PERMIT Additional desc Permit Fee 101.35 Plan Check Fee .00 Issue Date 2/01/05 Valuation 0 Expiration Date 7/31/05 Qty Unit Charge Per Extension BASE FEE 47.00 1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 4.00 7.2500 ECH ME-VENT FAN 29.00 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 Permit PLUMBING PERMIT Additional desc Permit Fee 153.00 Plan Check Fee .00 Issue Date 2/01/05 Valuation 0 Expiration Date 7/31/05 Qty Unit Charge Per Extension BASE FEE 47.00 11.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 77.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1. 00 7.0000 ECH PL- EA.WATER HEATER 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 locations. 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. ~ ^'/ ~, :? Date o r-<@lS ;7 Signature of Contractor or Authorize Agent Signature of Owner (if owner is builder) Date T:\Policies\1102_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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS I GIRDERS SHEAR W ALLIHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING I I MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CIDMNEY COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. I PW I CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4 I 7-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1 102_15 building permit inspection record05.wpd [11412005] Of ,ORT ~ !;,~ ~'~,:r~ Uha~ "--~ ~ ~C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00001049 pin number . . .109733 Page Date 2 2/01/05 Special Notes and Comments A residential fire sprinkler system shall be installed per NFPA 13D will be required. 2nd option is to install an out side alarm bell that is eletronicly connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as IIFire alarrnfl The proposal will result in the construction of a new single family residence in the RS-7 zone. Setbacks are good and lot coverage is fine at 20%, HOWEVER, the property has not been finally boundary line adjusted to allow the proposal and a permit may not be issued until the mylar is finaled. Boundary line adjustment final mylar received 11/24/04. Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. Construct road to City standards, see public works engineering for requirements. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. -------------------------------------------------------------------=~--- Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE c::2~S-=-O..Q--' STATE SURCHARGE ::::::::__~ PW WATER SYSTEM USE FEE (.- 1025. OO~~) "..-h.W.'. _.... Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 254.35 254.35 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2028.85 2028.85 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building pennit inspection TecoTd05.wpd [114/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS, CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE, INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS I CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I 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: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W. 1 PWI 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:\PoJicies\ll 02_15 building permit inspection record05. wpd 11/4/2005] Fill out COMPLETELY and in INK. Your application and site plan MUST B COl\1PLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 FOR OFFICIAL USE ONL'i: ! T,",d'''iJ=~ ~ ~~ Pem1il#: D1../~ 10'1 ! ume Appmved: '. ... Dme Issued: . BUILDING PERMIT - APPLICATION C0L~ <; .'3'1 l /' C1~ . P /) Address: ~ L c.:::: 1 CIty:, ,1/ Architect/Engineer: COli H~61;u~ltuC??let: Phone: Contractor 324 ':. 9th state'lic. ense #: 0 U Exp:::J:; (-C' Phone: Address: PORT AN~ELES. WA 98362 "City: AVe/' I, .1. ~i?: PROJECT ADDRESS: 7.:J7 ;;,) It,u s D-eL'd qrq!~G~___ LEGAL DESCRIPTION: Lot: 8 Block: ----.. Phone: '-I5~- C-~b Zip: cr K~A?-- ~ I I Owner: f-l c:)yYl...c. ~ ~ Phone: Applicant or Agent: CLALLAM COUNTY PARCEL NUMBER: OT uS.L Credit Card Bolder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: )( Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: o Stove . Garage o Deck o OtheI SIZE rlC5~.~/,.5 ~ 3 ~r 1-{ !!7 po,.1,.. ',r EXE.:-!Ll!t~l..-- w .. _ y/ ~~.~~ ;I~=T~;7f~~ 4~ SF. @ $ ..5;. ISF. = $ ~?::2-- TOTAL VALUATION $----J^/O . " ---L .. 3'S ~ COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: i Lot Size: 'J-., )( Ion Existing Sq. Ft. & Proposed Sq. Ft. /0 0 q~= TOTAL Sq. Ft. ;:l d q 7- Total lot coverage -3 () ~ % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAIW etland( s): 0 Yes 0 No SEP A Checklist Iequired? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the tin1e the building permit application and construction plans are submitted. All other permit fees are due at the tin1e of pernnt issuance. EXPIRATION 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 Rl 05.3.2 ofthe 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,IRVESS\BLDG-fo~-b,och,>=UOO3-0oildi"""rmic ""d Appli"nt ~? :<; ~.4 Dat" (1- (j 8;<t> 'I C):l --\ I U) --\ 7\l m m --\ EVANS STREET PROPERTY LINE 70'-0" 1'0 1'0 ~ 0 , ' . q q - l II Q L-..----7> r - I fgl ;: I I ~I I ~I I ml rl I I I 1 I I I I I I I r - I I ~ I~ = I I I I I I I 11 1 II IT - - -- _~JI 0/.(;) ;~ I ~~ I I I I I I I '" ~I , ~ - I II '" ':l '" "I " I ",:'.2 _ 9m / ;'qz/ 1 II II ~ II -~ ~~ I .%> ~~ I I I I ~ , . Q 1------- a , . q s:: if.G; 0:;;1 . '" "0> =i~ s:: I , i I 1 ~ ' I ! I , I I I I ~ I I ! I I I I I I I I i I I ~ I / I I I I I I ~ I I . I I I I ~0'-6" . I I I I I I I I 1-7-0" I " ~~ _Z ?!G'l "I N ~~ ~~ "l '" .:jo . rn ~~ 'I -_I ~ORTANGELES KC<1h~ Cf2:- ;7 'TEUb- WAS H I N G TON, U. S. A. PUBLIC WORKS 8: UTILITIES DEPARTMENT November 22, 2004 Cozi Homes 324 E 9th Street Port Angeles, W A 98362 SUBJECT: Electric powerto new construction at 727 Evans Ave. De~ Sirs: The existing transformer that will serve your new construction is to capacity, therefore, it must be upgraded. The estimated required aid to construction to replace the existing transformer is $743.53. This estimated fee does not include the cost for temporary orpennanent electric permits. '-:::J ~ '-'l The work will be scheduled for approximately four weeks -after receipt of the estimated amount of $743.53. This estimate is good for 180 days. If the actual cost to upgrade the transformer is less than the payed estimated cost, you will be refund~d the difference.. If the cost is more, there will be no further billing. \\) '- }:' .~ When future customers connect to this transformer, the current owner of 727 Evans Avenue will be refunded a portion of the original cost if connection is within seven years of the installation. If you have any questions or concerns, please do not hesitate to contact me at 360-417-4708 or e-mail: m:nclain@cityofjJa.us. i:::> , -\. Sincerely yoUrs, tl(f~ GaiI McLain EIectrical Engineering Specialist cc: Ja!tleS Harper, Electrical Engineering Manager Roger Vess, pennitting Rich Kendal, Electrical Inspector File 321 EAST FIFTH STREET · P. O. BOX 1150 · PORT ANGELES, WA 98362-0217 PHONE: 360-417-4805 · FAX: 360-417-4542 · TTY: 360-417~4645 E-MAIL: publicworks@cityofpa.us ~f'ORT "'-\.: 8~o~~~ r'Eii .. ~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001049 Date 109733 727 EVANS AVE 06-30-00-8-5-0215-0000- RES NEW SFR 4/26/05 RS7 RESDNTL SINGLE FAMILY 110753 Owner Contractor WA 98362 COZI HOMES CONSTRUCTION 324 E 9TH ST PORT ANGELES (360) 452-9906 000 000 1563 SF SFR W/ATT 487SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 COZI HOMES CONSTRUCTION 324 EAST 9TH ST PORT ANGELES (360) 452-9906 Structure Information Construction Type Occupancy Type Other struct info INC. INC 29.90 V-N 1. 00 1. 00 7000.00 2099.00 2099.00 1. 00 47902 INNOVATED FIRE .00 4/26/05 10/23/05 SPRINKLERS Plan Check Fee Valuation .00 o rJ .....::t 1=) --..::J ~ \\'\ , ~ f'. ~\ ~ ~ v.. ~ .~ L 1\ Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date FIRE SPRINKLER RESID 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. A residential fire sprinkler system shall be installed per NFPA 13D will be required. 2nd option is to install an out side alarm bell that is eletronicly connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" The proposal will result in the construction of a new single family residence in the RS-7 zone. Setbacks are good and lot coverage is fine at 20%, HOWEVER, the property has not been finally boundary line adjusted to allow the proposal and a permit may not be issued until the mylar is finaled. Boundary line adjustment final mylar received 11/24/04. Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. Construct road to City standards, see public works 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 no't presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. IJ~ /-;52, O~ Signature of Contractor or Authorized gent '/ /z-b!ciS' " Date / Signature of Owner (if owner is builder) Date T:\PoliciesIlI02_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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULA TION SLAB WALL I FLOOR I CEILING I I MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/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./ PW/ CONSTRUCTION -RW. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPoliciesl] 102_]5 building permit inspection record05.wpd [1/4/2005J CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00001049 Application pin number 109733 Page Date 2 4/26/05 ---------------------------------------------------------------------------- Special Notes and Comments engineering for requirements. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 l{l25.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1774.50 1774.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:IPoliciesllI02_15 building penn it 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 UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOC~ nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS 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 RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION. R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] 6J ~-e V) I o o o o I DATE'1-!}.o-<"JS I fu-bu ~ - --S I tv'-- L l t::..C2--Llj FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKSIENGINEERING DIVISION LIGHT DIVISION o ENERGY o ENGINEERING POLICE DEPARTMENT ADMINISTRA nON o o CITY CLERK RISK MANAGEMENT I FROM: PUBLIC WORKSIBUILDING DIVISION I 1 -- ADDRESS: IJ Z t:: II GLYl S . NAME/CONTACT: ..Y1C~ &tfg~v Inr10vJ-ecL~'re. PHONE: J.f.& 1+ - 7S-5? ~ PERMIT NUMBER: C9 H - I 0 H 9 PROJECT DESCRIPTION :..sSp Y' , Yl/", ley- Stt<'fevr1 RE: ~ NEW CONSTRUCTION o ADDITION/ALTERNATION COMMENTS/CONDITIONS: ~VIEWIRETURN o FILE 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: 727 Evans __~___~w__""'_=-"""'__~_'''''' Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583 "<<<<-----,~,-'""'~...,"""~-----, ""~- . ,. =o~ Type of System: Open 130 13RO 13D~ Date: 4.25.2005 P AFD Permit #: 05-13 We have checked this plan and find that it conforms to the requirements of the code. 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. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. 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 NFP A Standard. This 13D system will require a measured flow test. Contractor Reviewed by: _~Q:J ..idQ Date: "'1-2'5 'CbS o @, o Building Department Fire Department BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: t-( - 20-DS; Permit#: (1)1 -I OJ./'1 Date Approved: Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. Uyou have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Owner: C. 02- Address::S 2.. '-1 City: Pit v'/ ,L) '-S ~ I L J-' Architect/Engineer: Phone: Contractor INNUi//}rE/) ;:::jJ2~ State License #:/At'NU.,I;::fc..u'tll?,f!- e/.R./CS Phone: YS'.;2 - re~~ Address: 8/ N e '-c.) y~...;/..e..... L"" City: PC/~ /)7J2&'-J' Zip: C.lc5..J~ 2 PROJECT ADDRESS: 7 2 7 E V 0\ nS ZONING: ~I ~c.Q. RQ +}~ ~V" "-/0 ME t:... 0-j-~ Phone: Phone: '-/-:) .2 -- 7 ~- B~J '-152 - 7~()r;.; ZI'P'. <':7' _ -.~ \() '- LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: )i-Residential ~ New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: o Stove o Garage o Deck o Other 1=-: v ..iCl SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ 2.f u rJ (,.1 S'r r'^ t...... k / x.- S '? j~ ;/..e ~ COMMERCIALIRESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 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 require ,not the City's, and that I must obtain such permits prior to work, ~ ' , )) ". . I ~ Applicant: Date: '-lJz ""I (/ .5 , - T:\RVESS\BLDG-forms-brochures\2004-BuiIdingperrnit.wpd d'O"'~ '(I CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98~62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER, Application type description Subdivision Name Property Use Property zoning . . . Application valuation 04-00001049 Date 109733 727 EVANS AVE 06-30-00-8-5-0215-0000- RES NEW SFR 6/20/05 RS7 RESDNTL SINGLE FAMILY 110753 Owner Contractor WA 98362 COZI HOMES CONSTRUCTION 324 E 9TH ST PORT ANGELES (360) 452-9906 000 000 1563 SF SFR W/ATT 487SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL -% LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 COZI HOMES CONSTRUCTION 324 EAST 9TH ST PORT ANGELES (360) 452-9906 Structure Information Construction Type Occupancy Type Other struct info INC. INC 29.90 V-N 1. 00 1.00 7000.00 2099.00 2099.00 1. 00 .....) )J ....J Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL HI-TECH/ SECURITY SYSTEM 52266 HI TECH SECURITY 42.20 6/20/05 12/17/05 INC Plan Check Fee Valuation .00 o ~ ~ V Qty 1. 00 Unit Charge Per 42.2000 EL-LOW VOLT SYS <=2500 SQFT Extension 42,20 ~ \f\ 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. A residential fire sprinkler system shall be installed per NFPA 13D will be required. 2nd option is to install an out side alarm bell that is eletronicly connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as IIFire alarml1 The proposal will result in the construction of a new single family residence in the RS-7 zone. Setbacks are good and lot coverage is fine at 20%, HOWEVER, the property has not been finally boundary line adjusted to allow the proposal and a permit may not be issued until the mylar is finaled. Boundary line adjustment final mylar received 11/24/04. Electrical load calculations and elctrical permits are required. COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEg.lON 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 DITCH lH)l T~~-IN / COVER SERVICE t;'ThTAT I I GENERAL COMMENTS: PW.lI02." I4I9GJ '~ ""r"""-;- CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98](12 Application Number . . . , , 04-00001049 Application pin number 109733 Page Date 2 6/20/05 Special Notes and Comments Any modifications to the City's electrical facilities will be at the customer's expense. Construct road to City standards, see public works engineering for requirements. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745,00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 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 INSPEQ'.ION 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 COMMENTS NO GENERAL COMMENTS: PW-II02.l'I4'96] li ""'r;; CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98](,2 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001049 Date 109733 727 EVANS AVE 06-30-00-8-5-0215-0000- RES NEW SFR 4/21/05 RS7 RESDNTL SINGLE FAMILY 110753 Owner Contractor COZI HOMES CONSTRUCTION 324 EAST 9TH ST PORT ANGELES (360) 452-9906 Structure Information Construction Type Occupancy Type Other struct info INC. INC WA 98362 COZI HOMES CONSTRUCTION 324 E 9TH ST PORT ANGELES (360) 452-9906 000 000 1563 SF SFR W/ATT 487SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE' LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 29.90 V-N 1. 00 1. 00 7000.00 2099.00 2099.00 1. 00 ~ '-.'1 Qty 1.00 Unit Charge Per 36.4000 EC EL-LOW VOLTAGE Extension 36.40 ~ ~ ~'\ ~ ~ \-, } ~ ------------------------------------------------------,--------------------- Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL DAVE'S HEAT/ T-STAT 47373 DAVE'S HEATING 36.40 4/20/05 10/17/05 & COOLING Plan Check Fee Valuation .00 o .......... 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. A residential fire sprinkler system shall be installed per NFPA 13D will be required. 2nd option is to install an out side alarm bell that is eletronicly connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as IIFire alarml1 The proposal will result in the construction of a new single family residence in the RS-7 zone. Setbacks are good and lot coverage is fine at 20%, HOWEVER, the property has not been finally boundary line adjusted to allow the proposal and a permit may not be issued until the mylar is finaled. Boundary line adjustment final mylar received 11/24/04. Electrical load calculations and elctrical permits are required. ~<} ~- V"'\ \ COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEg.lON 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 I INSPECTION TYPE DATE ACCEPTED . COMMENTS YES NO UnCl1 ROllfyH-IN I COVER ~bK v 1\;~ I GENERAL COMMENTS: pw.Il02.1'I4'96] S '\ii r ..,... CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98]62 Application Number . , . . . 04-00001049 Application pin number 109733 Page Date 2 4/21/05 Special Notes and Comments Any modifications to the City's electrical facilities will be at the customer's expense. Construct road to City standards, see public works engineering for requirements. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 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 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEQ'.I0N 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 NO COMMENTS GENERAL COMMENTS: PW.II02.J' (4196) s "'" r..'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98]62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER, Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001049 Date 109733 727 EVANS AVE 06-30-00-8-5-0215-0000- RES NEW SFR 4/25/05 RS7 RESDNTL SINGLE FAMILY 110753 Owner Contractor COZI HOMES CONSTRUCTION 324 EAST 9TH ST PORT ANGELES (360) 452-9906 Structure Information Construction Type Occupancy Type Other struct info INC. INC WA 98362 COZI HOMES CONSTRUCTION 324 E 9TH ST PORT ANGELES (360) 452-9906 000 000 1563 SF SFR W/ATT 487SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL ~ LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE' LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 29.90 V-N 1. 00 1. 00 7000.00 2099.00 2099.00 1. 00 ~ ~ permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL ELECT. SVC./ 2050 SQ. FT. SFR. 47738 ELECTRIC SERVICE 119.80 4/25/05 10/22/05 Plan Check Fee Valuation .00 o \\ """ ~\ f '- '\\:. ~ Qty 1. 00 2.00 Unit Charge Per 73.0000 ECH 23.4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73.00 46.80 ,,~ ...:..>, '^ ~'" \ <0~ ~ ---------------------------~------------------------------------------------ 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. A residential fire sprinkler system shall be installed per NFPA 13D will be required. 2nd option is to install an out side alarm bell that is eletronicly connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified a~ llFire alarm" The proposal will result in the construction of a new single family residence in the RS-7 zone. Setbacks are good and lot coverage is fine at 20%, HOWEVER, the property has not been finally boundary line adjusted to allow the proposal and a permit may not be issued until the mylar is finaled. Boundary line adjustment final mylar received 11/24/04, Electrical load calculations and elctrical permits are <./" \ , COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEg.lON 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 I ACCEPTED ' COMMENTS YES NO . II.... '1-4 --&& 1<11 IUliH-IN / l;UVbK :Sb.K V lC~ l<IN A I I GENERAL COMMENTS: PW.II02.15 (4196) 'S "'r""-; CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .121 EAST 5TH STREET. PORT ANGELES. WA 98]62 Application Number . . . . . 04-00001049 Application pin number 109733 Page Date 2 4/25/05 Special Notes and Comments required. Any modifications to the City's electrical facilities will be at the customer's expense. Construct road to City standards, see public works engineering for requirements. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 119.80 119.80 .00 .00 Plan Check Total .00 .00 ,00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1894.30 1894.30 . '00 ,00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEQ',ION 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 COMMENTS NO '" ~ tJ~ GENERAL COMMENTS: PW.II02." 14'96] 04/21/2005 06:43 ~v 3604526424 PAGE 01 o z:r of.- - -er\\:,::> 6A,ffJ6 it) (2Oc5r}.\. , 101 j)fl\J~7 I~A-r(~ 4{i'1(05 Lk l'J^ t[JIJ 1J EC-, ult.)p5e- 'PR \0 I U '\-61.'3 uK:fT JJ 'tlzZ/tJ5~ EIXC~eALIV~)~ ~ReqUest Inspection ~~ ~h f\ ,lYl. ,.... Residential o Residential MainI- 0 Signs 0 Thermoslllt 0 Tel.tOm. . . ~! D Electrical Contractor 0 o~er ~iiP o Annu.al Permit 0 Alarm Q Camh'al 0 Commercial Job wired by City "" D Electrical Contractor 0 Owner l~stanati(\l1 description " \ ilJ I'\{...l.;.. J r t' s. I ') ~ D u.i-Y\ f :J ()1~. 0;1 +,.~ .:2 CI ~o Slgosture of owner, electrical contrador O'l'" electrical admhlbt~"tor o Cash 0 Check # :::dit Card ,'ljsa . Maste(co/d \_ Discover --~-Vc-~~~---- Expiration Date of card I hereby certify that I am the owner of the ahove mimed property 01: :a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation 01" alu::nlliun in compliance with the.eleclricallaw, Chapter 19.2g RCW, x WALLS Insulation Only Dale Arptllved By COver Dace ApprovC>d By / CEILJNG Insulation Only Dtolt "l'Ptllvt'd By Cover DAle Approvod.By THERMOSTAT . '- D:ue Appl"O\iedBy DITCH Sh,:./.<'S..... 4dJ , D&fe Approved By SERVICE OJtlt Approved 9y ./ FEEDER [hI" APlIl"OvcdBy Electrical load Addltlnn~ anti nr ~lIhtractiDns CI NO LOAD CHANGES o Baseboard _ KW D Furnace _ KW o Heat Pump Ton LAR CI Fan-Wall KW SGrvlce Informstion o Overhead Service o Temp Service CI UndergrOund Service Voltage PhaseD1Ds Servloe Size: Feeder Size: In9pection Area; lluilding or Equ;pmeot Inspec1<:d Action Taken Electrical Date . Inspector . . . . -.-.....- .----------.-...-... /let) '7/Z-I P =>' ~' ~rft/ FROM :Dave's Heating & Cooling Srvc FAX NO, :13504520939 Apr, 142005 03:23PM Pi ~~" T!!'iiF.-_: :=4i!! m't 'It !. r:IC,'; llEf'r :.I.~;;n== T lOr ~ , ~ q~ W ELECTRICAL PERMIT APPLICATION POt.D-"l';C"-l"US1!OJiL.'r b~-'ik<-; hnnn::. _ D= """,... Do.l.e.la104. The El9drical Permit Applj~ mul;! b61!lled out comg!e.lufy. . . PI.... IJpe 0' ",print in fill\- IIl/O~ haor<J ~'II' ~....t""" p_ ..II (~8Dl417-473S .~.. "limb." (311l1)"17-4711 O"'.r.rEl...C.n""""""""n. :Dave-is 11e-...--hl--. ~ . /. Phone;' '-:r'er~"3jFW.; <:.,?S;;;L-O"')3'7 Prop""Yo"';'~ COZ\ \-\.cV'\'\-e.s [OV\:;;':V-';~-hDh '. ' Phooe: '7S~-f'7~ AdIl:..c: 3~ /1 sevv "'-,.~<--. ~. A--.-._ ,. ' 8 Md!ess: r.O. DOK -713 . Cl1y. .ror-!- - .. '"d"'U-S' Zip: ~ ,X:;. INSTALLAnOOWIREOBV: ",OWNER ~CTRICALcONrflA~OR -'-"'-~""."~.'. .------- ____"u_ CreditC..rdHoIderName; ::re;"'v\-e. I Old-e,,/cg."""'f - :p~lIe(.5 . -/-(+1' -~ C(1' /J1UlngAddr$$$: (.o..&Dk q/3 CltIy: 14:w.J--.A,,'7l~ Zip' i'Eta<;;;.. Credit QMrINumber. )(: ;<56""". DatQ':- VIOA: .~C: PItOJECTAbDRJ!SS: 7,;2. f 5'. 6V a.V) s.Au~~--e...' TYPE OF WORK: Ched.ill thot apply:!r1ii- 0 A1~Addmon ~esidentiaJ 0 MUlti-1i!lmI1y D Commerciel . CJ ~abile Hame SQ, R o Rem"'" M9lIlr 0 D$lached garage Number of C;rcub added or ~ . OHOl Tub 0 Swim Pool 0 Septtc Pump - ~wvon8ir$' 0 Telecom. . '--i'h~o6-f-,d' DS~r DESCRIPTlCIN OFTliE I!LI!CTRlCAL PROJECT" .~ D 5+idc-- ~ i ~ Df:; -~v-.....'" =- / ~ .p UlW\f Scg--5-1--e-m LUll h 5 -h:J..J. 0....+..0"" , El.ctrical Heat Load Addltlons ....d 6r Subtractlomo Se~celnfQrynatlqn [J ~....bOSl'll lI'fFJlmace llffIoaI PutnP lJ Far.-Wan _ KV<i ..J2...KW ~TON_I.RA _KW VDJlBge: Phase: 0 1 [J 3 S9rv1ce SI2e: Feeder Size: o q.....* ""Ni"" o TamP Service . ~\-IRlj~lIrow\d Service , hereby certify /hat I have reari and examined. this appllr:;atjol1 ;J,nd know tfJ8f same tD be true and correct and I am 9ulhorized to apply for this permit I understandlt is not the City's legal roSpansIbility to determine what psrmlts -'lr.e..mqmred;Jt_insJJJB-appJicauts.r.esponSibiJH;y..tp.ti(Jtern:u~..rmits..ar:e.r.aqulfBd-arlC'.ro-iJMain.,sfJGh~ . .credltCardHo'Il"'S~i9~atlArll:~~ Dl1e; ~ 11'1(06 Owner Dr Elee. Cont. Signeture, .~ ~a '.~ . Date, lfl /'1'(05 PERMIT FEE: $ 3b1f9- :;IE~"CTRICAl.I'ERlI.IT/\PPIJCAT101-l Q~~ ~J ~-lr-tJq- /Jco L:j.l J? In~ c'! ,I.~ DOwnu Ii ELECTRICAL WORK-PERMIT APPLICATION ~eqUestInspeCtion q -t~oe.r La ~ (1) 1\:1'11" ~l ~~ ~EI.ctrlco1 Contractor o A.D.D.ual Permit 0 Alarm a Call1ival 0 Commercial Resideat1al a Residential Malnt. 0 Sign. 0 TherJllOstat l;J Telecom. Installation description Job wired by ~Electrical Contractor "0 Owner Elec . I contract r nllItle License num~t C ....- . . I~Loz:L\ c <;,.).V" vi.. () 00 City Telephone number L.{ l'rembe$ aWT's naU\c !In..[ Address of tlJ{p~diob. /.J...l ell, P Ol"r FAX. number ~2..4 bh~ ('rIP n Sv Ct.,VI.~ ~ AvL. k"$'" I hereby certify that I am the owner of the a.bove named property or a licensed electri~1 contractor (or the fiml's authori2:t:d agent) and am making the" electrical instaUation 0[" alteration in compliance wich the electrical law, Chapter 19.28 RCW. o Cash 0 Check 1/ o Credit Card VISa Card I! Mastercard Discover - - ----------------~- Slena'lIre or owner, electrical contractor or eledric>>1 administrator x E^l'imtion Date of card D:lII AppnlVedB)' CEILING In!IUlation Only Dlle ApproveGHy Cover D'" AppnIvlld By " THERMOSTAT O..lll Appnlwd By f DITCH \ D:lto: ApprOlte4ay SERVICE Dale Approved By FEEDER Dale Approved-8y WALLS In&ulation Only Cover D3111 APflI"OvcdBy '" Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard _ KW o Furnace _ KW lJ Heat Pump _ Ton _ LAR o Fan-Wall KW ~ Overhead Service o Temp Service lJ Underground Service ServiCA Information VoIlaga '?:-:-I.., ~ro Phas91i!-1 0 3 Service Size; ~ FeQdar Size: hupc:etion Date ~a. Building or Equipmont Inspected Action Taken ElectricAl Inspector ~ /-31-0::) 39\:1d t~t9~St09E 6~:L0 S00G18G1 to CONNECTION FEE PAYMENT -. Customer: Cozi Homes Contractor: Project Address: 727 Evans Ave Connection fee due: $410.00 , f' Date Paid: <,.iL/ ~ I C"'/ ,".0l CASHIER: I. Please post check to: Capital Contributions / Construction Contributions LT 401-7180-379.00-00 In "additional comments": WF0029220 WS 9879 2. Send a receipt of payment upstairs to: Gail McLain Public Works & Utilities Dept 417-4708 :.) / P / -< dS-<- ( till / t -J.,Jf ty\<. u...)......'J-::+ CIlrJ J\..{.!i:-u<.... ?Lfl.UL( T P.H) i f -/--"' sf.e"[.) A~. /4-.../L s !.{~ .u N:PWKS'-lJGHT.ENGR\GAIL1foJTl1S\payment form to inspector }{-<. .J i-fbO- 00.2'=. IElIEC1Rl~CAl ~NSI?IECT~ON W~IR~NG IRlEl?OIRlT 417-4735 v~~ /0 PERMIT" 1!!-uU::.:r; ADDRESS {A'<- ;.<; 7;z 7 I'I-v.e.. APPROVED NOT APPROVED ~, o ................... DITCH ................... 0 o .............. ROUGH IN/COVER.. '" ... ...... 0 o .................. SERVICE .................. 0 o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0 CORRECTIONS NEEDED: -;e......,p , (j) /,;€,...,~- t.J4?AI N 1l,€'.77 tJ/J " A' A?F,lT~ ~<;i~ .N'.€-4'-<7 -<; -= .-"lP_ r:S~ ,-r~;y/ a "'~ ...e....-.." ~.,... '---..{ c.;r.~~, /j"'.A-7v~ & J2L 8",,,,. /v J!!..-4...o<: ,.::;;r ,..n """".rrl1t-A") ~ ~ .- L)-;, ~ (;42':' -y'/ 7 ~ <17"]5 b;J~....t / /~/U'~ 7:b .5c.Hilf./O<<-'-' _ ~ - 1A/:,,~""':r?o>V NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 0452-1381 f...3 ELECTRICAL WORK PKRMIT APPLICATION Cl Electrical Cootractor I<f"Owner ~..:..=>; 0 Request Inspection o Annual Permil B'Alann D Carnival Q Cornmercial 2"Rcsidenfial 0 Residential M3inL 0 Signs Cl Thermostat 0 Telecom. r "'\rln~t:9.lhtioll dcscrip\iun Job wired by Cl Electrical Contractor Cl Owner . Elt':ctric31 conLractor name l.iccnsc:: nun\bcr \~, -T!'''-\+ St.b.'>O>.,...y I.\:r""'~<-'\S '15'"5" B5 :S::....,<;',",,"l.-L s;:. f: CJ". ,""Y Purchas('.r's mailing: <1ddfCS~ \3 ~ \'e................ ,2 3 ~......... ~...oo->-r- City Stale ZIP98~2- ~IY"" p.. ..:lQf..\.oA<;.. .....,,.,. Telephone number PAX llumhcr gs:: 3~-'-IS"2 -2:i2.~ &"0 - '-1';;'2 - ~C) Premi!;c!\ uWller's n3.mc ~p..,.. ~,"~ Address of iR!fpection 1'2. i Zv~> City ~Q~\ 0.""'6~> Cl Cash a Cheek # ,,~ F,lL 1 herehy certify th;i.t 1 am the owner of the above named property or a licem:;ed Cl Credit Card Visa Mastercard Discover 1;leclrical contrActor (or the finn's authorized agenr) and anl making tht electric,,! installaLion or altcrdl.ion ill compliance with the elecmcallaw. Chapter 19.28 Rew. Card # - - - -~, - - - - .'-- -- _.~- ---- ;".;j=-e;;~ 0' ~'c"de'l s.m,:;,,,,,,o, Expiration Dale ( lnspection fee of card $ <-1'2..2.0 ~ / WALLS " lnsulalioh ~Only \'\ \. " Il~te A~pronprov"l By '" DrrCH '- O~t'" A'PPf\I"."'d'""iiY SERVICE -... O:.l.\e Apopto"tlll{y " FEEDER Dille Al""')"~cl ~y Electrical Load Additions and or subtr.actions D NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump _. _ Ton _ LAR o Fan-Wa.1I KW Service Information o Overhead Service CJ Temp Service o Underground Service Voltage __ Phase DID 3 Service Size: _ Feeder Size: _'_ Inspection Date Area, Yluilding t)1' Equipment Inspected Action Taken electrical lnspcclor I += ;1W~k---' ld W~~6~S;~ 9l 'un[ 09S8 GSP 09E 'ON XI:!" SJINO~lJ3l3 HJ31-IH : WO~"