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Home My WebLink About1234 W 12th St - Engineering CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 983(,2 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name property Use Property Zoning . . . Application valuation 05-00000530 Date 187010 1234 W 12TH ST 06-30-00-0-3-6830-0000- PUBLIC WORKS UTILITES 6/29/05 RESIDENTAL SF 7000 RS7 RESDNTL SINGLE FAMILY o Owner Contractor LUNDERVILLE, THOMAS P.O. BOX 1750 PORT ANGELES WA 98362 (360) 457-6897 QWEST CORP. 1313 E COLUMBIA ST RM 201 SEATTLE WA 98122 (253) 597-5136 Permit RIGHT OF WAY Additional desc UNDERGROUND PHONE IN ALLEY Permit pin number 53074 Permit Fee .00 Plan Check Fee .00 Issue Da te 6/27/05 Valuation 0 Expiration Date 12/24/05 Fee summary Charged Paid Credi ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .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 thai I have read and examined this applicalion and know the same 10 be true and correct. All provisions of laws and ordinances governing Ihis type of work will be complied wilh whether specified herein or not. The granting of a permit does nol presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signalure of Conlraclor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\l'olicics\J l02.ISR [I/OS) JUN 22 2005 \.';~~r~':f~:)X ~~~}:~ ' . ,', 'i -:., ", " ,. ,,, ,'~~,:<.\'< j ~ ", P,OI ,'.~ ' '.~~. - , '~jl;-iti]t:,,-< : "?: ;",:2.,,,1, .. \1 'i~Ji4 .",'; ;:i;)\;"~}~;;ift~i;:~:i. ~ ; ,,<,'.:jL. "11+":''-~11j:-';i\.~'~,-: x<''.''"I~'';L~ ,,::.:!:.t. i'l: ''';''. .. ;"~.,,~i~'<i};:~~'l , :".l.;.~,-, l~.'Jk,'l?J .'" ,~./:)::' ~~~il\' . ,,^ a/,.,tlE> ... '<J;.'~ "'6?~_ """"""-".-"1 \!,~;.^,,'1;:,T.~'~ , "N'\'1:t".!.~\,~ .."t,' . . ',~.::rl.' '~i~"~~ . "':.~:;\51.f~_~:'~i ....." T',",,'" ,: J:-?' ',~q;;:~~,.~ . 'lre ,','\!~~i1'(l . '.;}~Ff!;~~~ .', ,'.,1\'clii""'l ,', ';"I:~~{r:~< 'd'Vt, ~,,\'S'1'~"'i . I, ,~,~~,,;h'~~':.tf!j ~ 'I ,',1'11' ,.-/" :"'1" -rf.'!"'\\.'~ 1!, ~~ '/ j'_~'I!-" ,'.,llo\);u1'''>Ol.''''j .;j .~~J:~I:' 'I ~:'I:~ ~i~ }:~:f;!~~~ ,,~.).~~.:t~~l.l' , I{,t"....~' , :l.'! , ,'.~4J,.I, ~ C' ',,~ ,J-1'-iY.""'4""";'! };'~" , '-"'&'1.'~ ~:1j;~X~1;~~ , r "" '(~f1J."';'1 il . ~.,,:J,-t.'?V\ ' \ '~:4;::'\\:~)J~l;J ",.r, ':It:l,~t_,.~,. ,0 , "Ii''' . \' i',..... "~I"~ v'i . ...~-' ~'hl 'of ,::>.1 " I i l' ~\::(:\iZ ~'11 " ~~._.;>(~.. .~ 'I' " :\':'f)f.',?~<< ,~ :~;;~j;~j);~ ,'~;j~!'...tl.:'i~'J " ..' >,.~~~i!i,;:;" ~:~;":~ . ',','"',"', Ii " ..."..... ~~ ':1\: ,X'. "-!'tl'\.~ '''::'''''iJii'''''' "'~'~lr'- :"-:~~1;;~~~ "', """r~,~J };~;;~7~ ,\ i Il.~ '. ,..!i?I' .: ~"'.:;':~: '~~~fy);y ,," \ '1' JI'''l'1,~ ; ';f;'::~~~" :( I~'~' ~j..;~""l~ : :lo;~1 ,I \l;~ ~:l~ .- . f1'n,,\t ':'fY~]~11 14 38 FR TRRFTON B 253 471 1324 TO 13604174709 78$OB S. Trafton Tacoma., WA 98409 ',',-,1 ',: <" ':",::;\,'.~}'~", "',, 1....,' ,'.; To: City of Port Angele. Fax: 360-417-4709 From: Qwest Communications Om; 6/22/2005 Re: Pages: CC: Dona Thaut 253 597 5136 D Urgent D For RevIew D P1easa Comment D Ploase Rsply D Please Recyd8 . . . . . . . HolDs: " -r:':R\ihslon. .: Permit'applications: for 1234 W 12'" ST W00503228 'IIi:ii1kyou, -Dona , " ," .' ~':',\:.:}t'::~';;::1':::':I\' , \::" , ' , .," ~'}'1:.;, ";', ,,;>'1: ,~,.' 'I.,i'~ , I :' "~~.;~ ;~::i:~:~,::,)-~";.:'~':? '~;~: '~. , f~.\l~~t:r-, "~~:':" \'.1 J. . JUN 22 2005 14:38 FR TRAFTON B 253 471 1324 TO 13604174709 '(:;1~ t@~ :;v~ RlIII..IC WORul P~rmi( Te Perform Worle: In Street Riiht-of.Way w00503228/452C APPLICATION is hereby mode [0 The municipality of PCin' ANCm:LES to perform work as nored hereon and oS .hewn en o[[oched drawing; :PI ~A=Z:: c:=: "" ~ Ai'(' oClLc !::l e. J.I e-Tj II # ~ --=- ~= n lTl;.. ~~ll:l't' W0050 Place Buded Servi,ce wire 80' to provide telephone service at 1234 W 12th St Approved: Water Depllrtnllmt -Superintendent P.02 ,i:-'. I ._ }:r~'l Sewer Depanme:nt - Superintendl!lnt.;,,:"' ., The estimated time for'completIon ofthil'above work is ID 1)AY5~ n ?r~;;;:?*':}f;l ~ "~-- Date. (p( -;;-01 o:S'"' By Excel- BSW-QWE;ST- Dona Tha ut - -:' :y~\~ . , PH"~~ 253/597-513.6 Contractor OWnClf "';T.;;;,) .fAX 253/471-1324 OWf.S-r /Arr-e~ ;B5.w - Cj'.\, 7850-B S. Trafton, T~coma.WA THE ABOVE APPl.ICA TION IS HEREBY GRANTED SUBJECT TO APPl.1CANT'S, Complying ...lth all Municipal Ordinances: Notifying [he Street Supenntendent of the time the work Will star:, and when lr will tlni&ll; Pr<:>.ccuting the work ",ith dili&"l'lce and with due. respect to all prop"rty, contracts. penon.' rights and (he in [erestS and cDnvenience of the INbtic; Saving the Municipaliry harmle" fram any and all damaglll which may accrue tD any penon or propeny because of this installation or the maiJ1tenance thereof; Complying with following special conditions: Dale 19 C1;'l;,;;; !fl.hJf1 t1 - BY _...- T"'M' "J '~":. , ""':':.;~'~,,;iK:i . ~ ....-.. ......::.':~~;q ". ,;.s4~':~~~}~~d . . '-. ~..:".~',..: ... ~)~~:~~i "."~;';' . . 'i ";!\:~l , l~.ro.ifJl :~,.: -,". .;':tr.' . . "'kY';'>. .' -::",".~~_.:i'f~t:.~ .,,;,jtf~ .' ~~~;:;:'t~~~;:'~~fufi~-i JUN 22 2005 14:39 FR TRAFTON B 253 471 1324 TO 13604174709 Qwest Job # W~5t)3~~-lJ6M ~ . '/'/ . . . . '1: . . . . . . . . . " ' . . . . . . " - . . - . ...--- t -fL.. ~ ~ . 0 /: . ., . . . 0 . . . C- o . . 0 . $'" . 0 . . . . 0 . I: 0 . . . . . 0'1 ~. . - ,. . - . .. .. ....... -L . . . . . . . . " ."", . i)" ~ " Q.\~"t'~=-'f'l": -~,.-gO. 0 . . - .. .. o o ~ ~'-~0 : : ':~ : -: /': \~z~ . : : III . I' .. ... o I~ . _ ~ . ." I' 0 i'E..' . -". a- . . . . . . . . . " . o . This request for permit is for the placement of underground telephone service wire to' our customer at the following address: J~3 ~ 12th ,~ \tv This work will require: Plowing in the R/W (total footage) $(0' Push or bore 2 inch PVC or BIP under roadway (total footage) o Push or bore 2 inch PVC or ElP under driveway (total footage) o o Push or bore 2 inch PVC or BIP under multiple driveways (total footage) .All crossings and ROW work at 36 inches. .All pits and trenching require select fill. P.03 , I><:~~:{i,d ':. ;":;' ';9j,~N 'i:\,"~ "T-~lt$'I,u ''', -';'^:I1'<<1iJ r ~ '_\ Ih~J~,~1j J", "'l ~ """,. '"'~''' , "~~ .'t,.f\l"~ , . \':' .t~t:'f.'[~ : ":1", l~IJ~.;i} , M y\(J.,'tJr, ~ . . rJ~;,f .5:; .i;:~~fl , ,..",..jf"'('i!"~ . ~:,""\:~~H~~~~~~ '.. "~~'ti':"/~~) '~~I 51~ . ",' '1'!,"):t~~ ". :"\'(;~'~'.':~t~Y\~~~ '"I""""'"..:iiliiJh :',4'1}.~,iZ;'~~f!t. , "'1,)"~'li.K?~ . : ;\~;1Y?~~1~t! " . J'";<' II('~' '."1-] }:~!}~~\~~J \J'" "':.1'[::111,'. :: :'::h{;<%1.~;~5:~ '.,:,r,,,,,~(lgi\i " '"I:'.~"'; '1.t".,..~.P1 ''';,' ";V'41R.,{ ',:,:.~~);,~.~~~!} , '~,,~:\".~~: ~ J':~,~;I!"J . :~'::.~;:.:,~'~~,~~~ "'~\" 'l".I"}1:1 \;";,1/ d"l!~j}\~~ ;\ :,;';'~\ll"';~~~~i\(: ;''''-!''"r''~ '} \~i;'~~f~~{1~;! ,> :~ :/,:-, :;:!tr.~\:-{ '\.{::>.;i!:;~;i:; . ,~ " .' I. ** TOTRL PAGE.03 ** CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, \VA 98362 0-5-5~ Application Number Application pin number Proper~y Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . Application valuation 05-00000530 Date 187010 1234 W 12TH ST 06-30~OO-O-3-6830-0000- PUBLIC WORKS UTILITES 7/26/05 RESIDENTAL SF 7000 RS7 RESDNTL SINGLE FAMILY o {}M)eg( Owner Contractor LUNDERVILLE, THOMAS P.O. BOX 1750 PORT ANGELES WA 98362 (360) 457-6897 QWEST CORP. 1313 E COLUMBIA ST RM 201 SEATTLE WA 98122 (253) 597-5136 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . RIGHT OF WAY UNDERGROUND PHONE IN ALLEY 53074 .00 Plan Check Fee 6/27/05 Valuation 12/24/05' .00 o Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 Separate Permits are required foreleclrical work, SEPA, Shoreline, ESA, utilities, privale 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 jf required inspections have not been requested within 180 days from the last inspection. I hereby certify thai i have read and examined this applicalion and know the same 10 be Irue 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. Signalure of Conlraclor or Aulhorized Agent Date Signature of Owner (if owner is builder) Date T:\l'oli,-ies\110l_15 building pcnnil inspcction rccord05.wpd [1/<I{2005] ::.y-;:;~~',~ .' '---'.,' Pl'~ '~i.. "~k';" "":J::': ::':~ '~i~; ;;~L~I~~~':';~{_ A~~~~ ~_n_eH.p__"":j;~lj ,:",::,,":\\',~i Th, "tim"" ';m. fo. ,.m""':'f <h, ,b... ..::7D E~n;:~"it!1 0.., _. (p! ;7'of OS By ,", ,1- ",W-QWE'T- D.., TO'"' .;2i,~~~ PH4~"e 253/597-513.6 Contra~ror Owner rAX 253/471-1324 DWE.5T /AlT-N ;~W TUL 26 2005 09: 19 FR TRRFTON B 253 471 1324 ~'? ~~ .:tJ~ TO 13604174709 OUiUCWClIICS '._.. _ P~rmit To Perform Work In Street RJght.gf,Way w00503228/452C APPUCA nON is hereby m.de [0 rhe municipality of PoRl' ~l:'J:l nored hereon and as .hown on a nached drawing; . to perform work 8S PLEASE. SE.E:. A1"CACtrcb .s~:. H-~0050 7850-a S. Trafton, T&coma,WA THE ABOVE APPLICATION IS HEREBY' GRANTED SUBJECT TO APPUCANT'S: Complying wilh all Municipal Ordinances; NorifYing the Stre~r Superintendenr of the time the work will star:, and when it will finish; Prosecuting Ihe work with diligel1,c= IInd with due rerpee-r to all prol,e.ty, contracts. penons' ri&hts and Ihe inleresTs and convenience of the public; Date Saving Ihe Munieipality narmleSS-f{Om any and 1111 damsllU whil:ll ma.y accrue to any pellion or property beC'4use of tllis inslallarlon or the malntenanee thereof: 0="7/ i~~:~:' .po". .="..", j C~ty ~ PaRr ANaELES \ ~J -me?' %nun'l B\' Jj, --- .,....u. P,02/03 '- ',' -, :,,:;;'l~~ ....:,',~f ~'l-"il-.,!$ : ", ,,:'-:';.-,'_;;')1 .", ",. ,','^~~k~:'~1~t~.:j .... . ";'~{i~}j~1 :0'~J:~~~j :ll~ ~- . ,-,.,.'.:!:;~ '.; - ;,~ :'y':~-' :~):"'.~.";<i};" -,",',""- . ,.,/.):,::fit:-:~ '--"'..,'.. ' .",: ',;~;::;J:~~i~;r; . ._.\,-.~", ~I'~ ,. , ...: ',.j: '; ~, : --:"'-:Y" ',"';\""'-;11'1>\; ~. i. ~'ll;:, 'W'~'-'~i ; ,. -~ (;;;:~~:&~~~g) '''_'',,1I.,~,.t;:\~~ "'. . 'n.' . '~- :'J:;~~ :~i '..1,,-"i, '.:- ,,~lf,~.~~l' 'l' r "\~,,.. i:I1 , '.'~~i.~\.~ ~~'~ , 'f?"'i:.~ ,,-, " 1.~~:~' ;:1 ' .. This request for permit is for the placement of underground telephone serVice wire to, our customer at the following address: . 12~ , ,p"l',\'i),"'{, . ~.:.~:\~): ~~;~~ij ",:);~,;~~~ ' ;; I,;',l~ "ft,'li~} ,.,~.i:.;~~~~;:~t~ , -,l""'"~~ ",-:' :9~Jt~~~- " . ,'1ll"_"",,fi;.il """"l";;""~~ .',:":J<.r..r~ '3:l.~~ ".:" :::~l~~~ri \:,"':~~~:~RI~ . \' <:~~"\':;'~P'I , ~ ""~':.;5..{::~'~~~1 , ,"\0 'v, ~7>':'!. , ,<:,;..,;.i'."l;.'!jf~(' . '. ~,;:::'.~~~~~~;jif*~ ,. ,..t""",,.,<f~~ ; ''i''''''''''''''{1~''' ":i..:, '~'/~l:1:~k';,~~~'1 ** TOTAL PAGE,03 ** JUL 26 2005 09:19 FR TRAFTON B 253 471 1324 TO 13604174709 Qwest Job # W9'ns(} ;J,ad.~ - 45M __ . . :f . . . . . , . . . '- . . . J: . . . . . . . S . . . . . Sf' . . . . . . . I: . . . . . . ..... . . . . . . . . . . . .. . . . . . . . . ---- . . .~~. . - ,- . - . . - ....... . ~ ~f~0 : : ':'~ :-:~(':\~z~,:: ...,... e. . I~ .. ~ . .. ... lp. '~~.. . ~- {] . . . . . . . . . . . . . . . . .- .-- P,03/03 J ;)3 ~ IN ,~ This work will require: Plowing in the R/W (total footage) ~o Push or bore 2 inch PVC or BIP under roadway (total footage) D Push or bore 2 inch PVC or BIp'under driveway (total footage) o Push or bore 2 inch pve or BIP under multiple driveways (total footage) o "All erossings and ROW work at 36lnehes_ "All pits and trenching require select fill. JUL 25 2005 09:18 FR TRAFTON B 2534711324 TO 13504174709 78.508 S. TllIftQn Tacoma, W A 98409 ..... ", ,".... .,.,' .>,~."..,:...,:..:.. .":..:../:.;.Iffl.'.....,... ':~~&ei~~'.i..~7~'I: ,,~ ~~~~~~~'\j1..,,~~' ~flJ l\""~:' .,". .tOO~111lfWtf;,'. " -':. ',..": ~,,1 :',i~':' '.' To; City ofport Angeles Fax: 360-417-4709 From: Qwest Communications Dote: 6/22/2005 Re: Pages: : ,- ,,' ,::;" ,'. ," ~, " ."<'). .. cc: Dona Thaut 2535975136 o PIaase Comment D Urgent o For ReWlw o Pklase Reply . . . . . . . ill.; ::r., Funston;, Petmitapplications: for 1234 W 12" ST WQ0503228 Thank-you, -Dona / '\rY /\ I\{ if ~\ f\ J~D --. 3(00 - ~07- 0 -___ ~I / . ..----..-----.. -------~-- _.~-----..:...:..~ -._-'-""._".......~ ~. ". :.. 1:.- ? .. .....' " " I' :;~~~.:.:,': ~ . ";;l~i?;:~i\<i~., ,,"" o Plaasa Reeyde . . P.01/03 .;tJ;f}/ {,':~, ,~{b1t,.'~ '< - "'~'f.K. ~ ~~t~i."~)~~~ 'r~;~j ~~f~!"! . .,..- " ,~.;r.~i..'2 " "'r'-"..: :ij "'<(b~;l ",.- :~~~~;~ . ',.,' ~ ,:~..' ~-:'- .;~:) ":'0:trj: <";~';';i " ",\ri""' .'.', ._'.~'.. . ',-,.<:u..', '->::;-!f~~:~,l ". ,'.\',.;., ~fii +F;j~'1 ';''':'.-:':'; '.-:'ftii~:::~ '...- . ...,', . " .:~:::.:~;~. ..",>':.t"!'?) . p .~, -.... ~j ':"F" ..4........w.w~..~~~w.~ . . "}~):S .' ';:f:',i{;i@t;:j e ~-- ~w;II" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 04-00000445 Date .398195 1234 W 12TH ST 06-30-00-0-3-6830-0000- RES NEW SFR 2/03/05 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation RESIDENTAL SF 7000 RS7 RESDNTL SINGLE FAMILY 70000 Owner Contractor LUNDERVILLE, THOMAS P.O. BOX 1750 PORT ANGELES (360) 457-6897 Structure Information Construction Type Occupancy Type Other struct info COLUMBIA PACIFIC P. O. BOX 1750 PORT ANGELES (360) 457-7525 NEW 1416 SF SFR W/ATT 474 SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDERS INC WA 98362 WA 98362 GARAGE 27.10 V-N 1. 00 1. 00 7000.00 1902.00 1902.00 1. 00 ---------------------------------------------------------------------------- Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 807.25 Plan Check Fee 322.90 Issue Date 2/03/05 Valuation 70000 Expiration Date 8/02/05 Qty Unit Charge Per Extension BASE FEE 667.25 20.00 7.0000 THOU BL-50,001-100K (7.00 PER K) 140.00 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc Permit Fee 76.00 Plan Check Fee .00 Issue Date 2/03/05 Valuation 0 Expiration Date 8/02/05 Qty Unit Charge Per Extension BASE FEE 47.00 4.00 7.2500 ECH ME-VENT FAN 29.00 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc Permit Fee 132.00 Plan Check Fee .00 Issue Date 2/03/05 Valuation 0 Expiration Date 8/02/05 Qty Unit Charge Per Extension BASE FEE 47.00 8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 56.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00 ('J W -C. F'- 1\ <: <: ~ rJ I ...f- ~ , 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 t . authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construe. n. s 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 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 YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED'P~L ONLY) T-BAR . INSULATION ~: r SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 ClllMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING 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:\Policies\ II 02_15 building permit inspection record05. wpd [1/4/2005] c"J.K:~;'~;";,r.,:,,.,;;t,"'\\;~;;:";'~AdPi!~~{J\St~;;i;c:iji&\J;U,*i.'i'it,iri6':':'~d:~~W:;;i~~~;itj}I~~t~j~~:~~~~~'i~t~~_~1, ~ -tj CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number 04-00000445 .398195 Page Date 2 2/03/05 ---------------------------------------------------------------------------- Qty Unit Charge Per 1.00 7.0000 ECH PL- EA.WATER HEATER Extension 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. Electrical load calculations and elctrical permits are required. Sidewalk to City standards required for school walking route. ---------------------------------------------------------------------------- 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 1015.25 1015.25 .00 .00 plan Check Total 322.90 322.90 .00 .00 Other Fee To1:al 1774.50 1774.50 .00 .00 Grand Total 3112.65 3112.65 .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:\Policies\1I02_l5 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 i1 ~/J -rAY ,,1. L WALLS !l - J ..., -I') f- J. L. FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING F ,,-I tr l- <]-cP-oS >>~ J }...L-. UNDER FLOOR 1 SLAB ROUGH-IN '7/1-'7/0 r7 :1(,~ WATER LINE (METER TO BLDG) 1 /if ~/P!'''" --.:r i--<-- GAS LINE f BACK FLOW 1 WATER AIR SEAL WALLS &/'Y/o5 J ~L. CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS bl-vjo'5 JIA.. WALLS 1 ROOF / CEILING &l?J/ot:j JV(;, DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL 1 FLOOR 1 CEILING I ~/1/f)6 1]0- MECHANICAL (.:. 1 NI}l- 9- ~-o ~- AP J )..J-- 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/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 ICf-'g-05 11= CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 C{-S -O:J J J,-t.- BUILDING . . T:\Policies\1102_15 building permIt tnspecl10n record05.wpd [1/4/2005] tJ:l tJ:l tJ:l tJ:l tJ:l tJ:l tJ:l tJ:l , I:"' I:"' I:"' I:"' I:"' :t> H I:"' , '" '" H '" '" H '" H , '" '" ~ , 0 0 0 0 0 0 0 0 , '" H H H H H H H , l~ "'''' "'''' "'''' '" '" O'IO'\NN "'''' ............ ............ ............ ............ ........................................... ............ 00 00 00 00 00............ HH ....,'" ....,...., '" '" "'''' Ntv~,s:::.. 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BOX 1750 PORT ANGELES (360) 457-7525 000 NEW 1416 SF SFR W/ATT 474 SF 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 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000445 Date 398195 1234 W 12TH ST 06-30-00-0-3-6830-0000- RES NEW SFR RESIDENTAL SF 7000 RS7 RESDNTL SINGLE FAMILY 70000 Owner Contractor LUNDERVILLE, THOMAS P.O. BOX 1750 PORT ANGELES (360) 457-6897 Structure Information Construction Type Occupancy Type Other struct info WA 98362 000 6/03/05 WA 98362 27.10 .......... \-> \~ ~. V-N 1. 00 1. 00 7000.00 1902.00 1902.00 1. 00 ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL SHAMP/ 1362 SQFT SFR 50369 SHAMP ELECTRICAL 96.40 6/03/05 11/30/05 CONTRACTING Plan Check Fee Valuation Qty 1. 00 1. 00 Unit Charge Per 73.0000 ECH 23.4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 ------------------------------------------------------------ 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. Electrical load calculations and elctrical permits are required. Sidewalk to City standards required for school walking route. t .00 o ....... N \~ Extension 73.00 23.40 LA 'l Other Fees ----------------------------------------------------------- SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE ------------------------------------------------------------- Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 96.40 96.40 .00 Plan Check Total .00 .00 .00 COMMENTS! ACTION NEEDED 745.00 4.50 1025.00 Due .00 .00 ELECTRICAL PERMIT INSPEgJON 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 U.lICH IHlIl(yH_IN Il,;UV~.K ~bRVICb 'Tl\.T AT I ..........~ GENERAL COMMENTS: PW-II02.J.5(4I96J J~ ~r"'''' CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :\21 EAST 5TH STREET. PORT ANGELES. WA 98'62 Application Number . . . . . Application pin number Other Fee Total 1774.50 Grand Total 1870.90 04-00000445 398195 1774.50 1870.90 Page Date 2 6/03/05 .00 .00 .00 .00 COMMENTS! ACTION NEEDED ELECTRICAL PERMIT INSPECf.lON 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 COMMENTS NO GENERAL COMMENTS: 1'W-II02.15 (41961 '~ ~..;; CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. WA 98:162 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000445 Date .398195 1234 W 12TH ST 06-30-00-0-3-6830-0000- RES NEW SFR 2/10/05 RESIDENTAL SF 7000 RS7 RESDNTL SINGLE FAMILY 70000 Owner Contractor ------------------------ - ----------- - -- - ---- ---- WA 98362 COLUMBIA PACIFIC P. O. BOX 1750 PORT ANGELES (360) 457-7525 NEW 1416 SF SFR W/ATT 474 SF TYPE V NON-RATED SINGLE ~ & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDERS INC LUNDERVILLE, THOMAS P.O. BOX 1750 PORT ANGELES (360) 457-6897 Structure Information Construction Type Occupancy Type Other struct info WA 98362 GARAGE 27.10 V-N 1. 00 1. 00 7000.00 1902.00 1902.00 1. 00 '- \.; \..Ai ~. ---------------------------------------------------------------------------- Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE 60A TEMP. SERVICE SHAMP ELECTRICAL CONTRACTING 42.20 plan Check Fee 2/10/05 valuation 8/09/05 .00 o ~ C 1. 00 BASE FEE 42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension .00 42.20 Qty Unit Charge Per Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36. 050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Electrical load calculations and elctrical permits are required. sidewalk to City standards required for school walking route. "- N I).. ~ ~,{ ---------------------------------------------------------------------------- ---------------------------------------------------------------------------- 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 COMMENTS! ACTION NEEDED ELECTRICAL PERMIT INSPEgJON 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 I NO UITCH 11I1I11;I-I.IN I CUV~K SbR V lCb I GENERAL COMMENTS: PW-II02.l5 (4196) 's "Ioii..;; CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .121 EAST 5TH STREET. PORT ANGELES. WA 98162 Application Number pin number Grand Total 04-00000445 . .398195 1816.70 1816.70 Page 2 Date 2/10/05 .00 .00 COMMENTS/ACTION NEEDED ELECfRlCAL PERMIT INSPEcrrJON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER, 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: .re n"J,;CJu/Z~1 ....5.etC- J ,/j C'#... PW-I102.U (4196]